AIM:To analyze the differences,agreements,and correlation among total corneal power parameters generated by different instruments after myopic keratorefractive surgery.METHODS:The prospective cross-sectional study inc...AIM:To analyze the differences,agreements,and correlation among total corneal power parameters generated by different instruments after myopic keratorefractive surgery.METHODS:The prospective cross-sectional study included patients who underwent myopic keratorefractive surgery and received measurements of corneal power 3mo after surgery.Automated keratometer was used for the measurement of simulated keratometry(Sim K),sweptsource optical coherence tomography(SS-OCT)based biometer for total keratometry(TK),anterior segment-OCT for real keratometry(RK),and Scheimpflug keratometer for the true net power(TNP),the total corneal refractive power(TCRP)and equivalent K-readings(EKR).The differences among these parameters were analyzed,and the agreements and correlation between Sim K and other total corneal power parameters were investigated.RESULTS:A total of 70 eyes of 70 patients after myopic keratorefractive surgery were included.The evaluated corneal power parameters were as follows:Sim K 38.32±1.93 D,TK 37.54±2.12 D,RK 36.64±2.09 D,TNP 36.56±1.97 D,TCRP 36.70±2.01 D,and EKR 37.55±2.00 D.Pairwise comparison showed that there were significant differences(P<0.001)among all parameters except for between TK and EKR,RK and TNP,RK and TCRP(P=1.000,1.000,1.000,respectively).The limits of agreement between Sim K and TK,RK,TNP,TCPR,and EKR were 1.08,1.08,1.43,1.48,and 1.73 D,respectively.All parameters showed good correlation with Sim K,and the correlation coefficients were 0.995,0.994,0.983,0.982,and 0.975.CONCLUSION:Among the corneal power parameters after myopic keratorefractive surgery,the value of Sim K is the largest,followed by TK and EKR,with TCRP,RK,and TNP being the smallest.The differences among the parameters may be attributable to the different calculation principles.Correct understanding and evaluation of corneal power parameters can provide a theoretical basis for taking advantage of the total corneal power to improve the accuracy of intraocular lens calculation after keratorefractive surgery.展开更多
Extracts from rabbit skin inflamed by the vaccinia virus can relieve pain and promote repair of nerve injury. The present study intraperitoneally injected extracts from rabbit skin inflamed by the vaccinia virus for 3...Extracts from rabbit skin inflamed by the vaccinia virus can relieve pain and promote repair of nerve injury. The present study intraperitoneally injected extracts from rabbit skin inflamed by the vaccinia virus for 3 and 4 days prior to and following intrathecal injection of bupivacaine into pregnant rats. The pain threshold test after bupivacaine injection showed that the maximum possible effect of tail-flick latency peaked 1 day after intrathecal injection of bupivacaine in the extract-pretreatment group, and gradually decreased, while the maximum possible effect in the bupivacaine group continued to increase after intrathecal injection of bupivacaine. Histological observation showed that after 4 days of intrathecal injection of bupivacaine, the number of shrunken, vacuolated, apoptotic and caspase-9-positive cells in the dorsal root ganglion in the extract-pretreatment group was significantly reduced compared with the bupivacaine group. These findings indicate that extracts from rabbit skin inflamed by the vaccinia virus can attenuate neurotoxicity induced by intrathecal injection of bupivacaine in pregnant rats, possibly by inhibiting caspase-9 protein expression and suppressing nerve cell apoptosis.展开更多
Objective:To explore the association between cholecystectomy and the prognostic outcomes of patients with hepatocellular carcinoma(H CC)who underwent microwave ablation(MWA).Methods:Patients with HCC(«=921)who un...Objective:To explore the association between cholecystectomy and the prognostic outcomes of patients with hepatocellular carcinoma(H CC)who underwent microwave ablation(MWA).Methods:Patients with HCC(«=921)who underwent MWA were included and divided into cholecystectomy(n=114)and non-cholecystectomy groups(n=807).After propensity score matching(PSM)at a 1:2 ratio,overall survival(OS)and disease-free survival(DFS)rates were analyzed to compare prognostic outcomes between the cholecystectomy(«=114)and non-cholecystectomy groups(n=228).Univariate and multivariate Cox analyses were performed to assess potential risk factors for OS and DFS.Major complications were also compared between the groups.Results:After matching,no significant differences between groups were observed in baseline characteristics.The 1-,3-,and 5-year OS rates were 96.5%,82.1%,and 67.1%in the cholecystectomy group,and 97.4%,85.2%,and 74.4%in the non-cholecystectomy group(P=0.396);the 1-,3-,and 5-year DFS rates were 58.4%,34.5%,and 26.6%in the cholecystectomy group,and 73.6%,44.7%,and 32.2%in the non-cholecystectomy group(P=0.026),respectively.The intrahepatic distant recurrence rate in the cholecystectomy group was significantly higher than that in the non-cholecystectomy group(P=0.026),and the local tumor recurrence and extrahepatic recurrence rates did not significantly differ between the groups(P=0.609 and P=0.879).Multivariate analysis revealed that cholecystectomy(HR=1.364,95%Cl 1.023-1.819,P=0.035),number of tumors(2 vs.1:HR=2.744,95%Cl 1.925-3.912,P<0.001;3 vs.1:HR=3.411,95%Cl 2.021-5.759,P<0.001),and y-GT levels(HR=1.003,95%Cl 1.000-1.006,P<0.024)were independent risk factors for DFS.The best y-GT level cut-off value for predicting median DFS was 39.6 U/L(area under the curve=0.600,P<0.05).A positive correlation was observed between cholecystectomy and y-GT level(r=0.108,95%Cl-0.001-0.214,P=0.047).Subgroup analysis showed that the DFS rates were significantly higher in the non-cholecystectomy group than the cholecystectomy group when Y-GT>39.6 U/L(i3=0.044).The 5-,10-,15-,20-,and 25-year recurrence rates from the time of cholecystectomy were 2.63%,21.93%,42.11%,58.77%,and 65.79%,respectively.A significant positive correlation was observed between cholecystectomy and the time from cholecystectomy to recurrence(r=0.205,95%Cl 0.016-0.379,P=0.029).There were no significant differences in complications between groups(P=0.685).Conclusions:Patients with HCC who underwent cholecystectomy were more likely to develop intrahepatic distant recurrence after MWA,an outcome probably associated with increased y-GT levels.Moreover,the recurrence rates increased with time.展开更多
Purpose:Microwave ablation(MWA)is difficult to perform in colorectal liver metastases(CRLMs)adjacent to the cardiophrenic angle.Therefore,a modified approach involving antenna array placement parallel to the diaphragm...Purpose:Microwave ablation(MWA)is difficult to perform in colorectal liver metastases(CRLMs)adjacent to the cardiophrenic angle.Therefore,a modified approach involving antenna array placement parallel to the diaphragm was initially attempted.Its safety and efficacy were compared with those involving non-parallel placement.Methods:Sixty-three patients with CRLMs adjacent to the cardiophrenic angle(lesions within 10 mm of the diaphragm)who underwent MWA were included in the study.All patients were further classified into parallel and non-parallel groups according to the method of antenna placement.The distance between the lesion and diaphragmatic surface before MWA,complications,and local tumor progression(LTP)at the last imaging follow-up were recorded.LTPs in the two groups were compared using the log-rank test.Prognostic factors for LTP were assessed using the Cox proportional hazards regression model.Results:Thirty and 33 lesions were ablated using parallel and non-parallel antenna placement,respectively.During the mean follow-up duration of 19.7±8.2 months,the LTP rate in the parallel and non-parallel placement groups were 3.3%(1/30)and 24.2%(8/33),respectively.The log-rank test showed that parallel antenna placement was associated with delayed LTP(p=0.018).Multivariate Cox regression analysis showed that parallel antenna placement was an independent predictor of delayed LTP after adjusting for possible risk factors,including age,sex,tumor size,and KRAS mutation(hazard ratio,0.1;95%confidence interval,0.00,0.80;p=0.034).Conclusion:The placement of the antenna parallel to the diaphragm is an alternative and effective method for MWA of CRLMs near the cardiophrenic angle and can contribute to the reduction of the LTP rate.展开更多
The use of functional materials such as carbon-bismuth oxyhalides in integrated photorefineries for the clean production of fine chemicals requires restructuring.A facile biomass-assisted solvothermal fabrication of c...The use of functional materials such as carbon-bismuth oxyhalides in integrated photorefineries for the clean production of fine chemicals requires restructuring.A facile biomass-assisted solvothermal fabrication of carbon/bismuth oxychloride nanocomposites(C/BiOCl)was achieved at various temperatures.Compared with BiOCl and C/BiOCl-120,C/BiOCl-180 exhibited higher crystallinity,wider visible light absorption,and a faster migration/separation rate of photoinduced carriers.For the selective C–C bond cleavage of biomass-based feedstocks photocatalyzed by C/BiOCl-180,the xylose conversion and lactic acid yield were 100%and 92.5%,respectively.C/BiOCl-180 efficiently converted different biomass-based monosaccharides to lactic acid,and the efficiency of pentoses was higher than that of hexoses.Moreover,lactic acid synthesis was favored by all active radicals including superoxide ion(·O_(2)^(−)),holes(h^(+)),hydroxyl radical(·OH),and singlet oxygen(^(1)O_(2)),with·O_(2)^(−)playing a key role.The fabricated photocatalyst was stable,economical,and recyclable.The use of biomass-derived monosaccharides for the clean production of lactic acid via the C/BiOCl-180 photocatalyst has opened new research horizons for the investigation and application of C–C bond cleavage in biomass-based feedstocks.展开更多
Based on suitable scaffolds,constructing high-loading single-atom catalysts is a promising strategy to achieve highly efficient catalysis.Herein,using ultrathin metal-organic framework(MOF)nanosheets(2.4±0.5 nm)a...Based on suitable scaffolds,constructing high-loading single-atom catalysts is a promising strategy to achieve highly efficient catalysis.Herein,using ultrathin metal-organic framework(MOF)nanosheets(2.4±0.5 nm)as the support,single-atom catalysts with high cobalt loading(6.0 wt%)were constructed(denoted as Co-MNSs)by a simple bottom-up synthetic strategy.The catalytic system of Co-MNSs exhibited an outstanding photocatalytic CO_(2)-to-CO evolution rate of 7,041μmol g^(-1)h^(-1)and a selectivity of 86%in aqueous media under visible-light irradiation,which has reached the top level of the reported MOF-based photocatalysts.The control experiments and theoretical calculation revealed that the Co-N_(4)moiety in the MOF nanosheets acted as the active site for the photocatalytic CO_(2)-to-CO conversion.The boosted photocatalytic performance could be ascribed to the high aspect-ratio of layered Co-MNSs providing abundant accessible active sites on their surfaces,which reduced the energy barrier,improved the charge separation efficiency,and also facilitated the adsorption of CO_(2)to form the reactive radicals of*COOH.Our study provides an appealing strategy for constructing high-loading single-atom catalysts and demonstrates the significance of 2D ultrathin MOF nanosheets as the support in boosting CO_(2)photoreduction efficiency.展开更多
The casual discharge of dyes from industrial settings has seriously polluted global water systems.Owing to the abundance of biomass resources,preparing photocatalysts for photocatalytic degradation of dyes is signific...The casual discharge of dyes from industrial settings has seriously polluted global water systems.Owing to the abundance of biomass resources,preparing photocatalysts for photocatalytic degradation of dyes is significant;however,it still remains challenging.In this work,a cuprous oxide/copper oxide composite was interpenetrated onto carbon nanosheets of cellulose-based flexible carbon aerogels(Cu_(2)O/CuO@CAx)via a simple freeze-drying-calcination method.The introduction of the carbon aerogel effectively prevents the aggregation of the cuprous oxide/copper oxide composite.In addition,Cu_(2)O/CuO@CA0.2 has a larger specific surface area,stronger charge transfer capacity,and lower recombination rate of photogenerated carriers than copper oxide.Moreover,Cu_(2)O/CuO@CA0.2 exhibited high photocatalytic activity in decomposing methylene blue,with a degradation rate reaching up to 99.09% in 60 min.The active oxidation species in the photocatalytic degradation process were systematically investigated by electron spin resonance characterization and poisoning experiments,among which singlet oxygen played a major role.In conclusion,this work provides an effective method for preparing photocatalysts using biomass resources in combination with different metal oxides.It also promotes the development of photocatalytic degradation of dyes.展开更多
Despite being a common therapy for hepatocellular carcinoma(HCC),insufficient thermal ablation can leave behind tumor residues that can cause recurrence.This is believed to augment M2 inflammatory macrophages that usu...Despite being a common therapy for hepatocellular carcinoma(HCC),insufficient thermal ablation can leave behind tumor residues that can cause recurrence.This is believed to augment M2 inflammatory macrophages that usually play a pro-tumorigenic role.To address this problem,we designed D-mannose-chelated iron oxide nanoparticles(man-IONPs) to polarize M2-like macrophages into the antitumor Ml phenotype.In vitro and in vivo experiments demonstrated that man-IONPs specifically targeted M2-like macrophages and accumulated in peri-ablation zones after macrophage infiltration was augmented under insufficient microwave ablation(MWA).The nanoparticles simultaneously induced polarization of pro-tumorigenic M2 macrophages into antitumor M1 phenotypes,enabling the transformation of the immunosuppressive microenvironment into an immunoactivating one.Post-MWA macrophage polarization exerted robust inhibitory effects on HCC progression in a well-established orthotopic liver cancer mouse model.Thus,combining thermal ablation with man-IONPs can salvage residual tumors after insufficient MWA.These results have strong potential for clinical translation.展开更多
Background:TOSO,also named Fas inhibitory molecule 3(FAIM3),has recently been identified as an immunoglobulin M(IgM)Fc receptor(FcμR).Previous studies have shown that TOSO is specifically over-expressed in chronic ly...Background:TOSO,also named Fas inhibitory molecule 3(FAIM3),has recently been identified as an immunoglobulin M(IgM)Fc receptor(FcμR).Previous studies have shown that TOSO is specifically over-expressed in chronic lymphocytic leukemia(CLL).However,the functions of TOSO in CLL remain unknown.The B-cell receptor(BCR)signaling pathway has been reported to be constitutively activated in CLL.Here,we aimed to investigate the functions of TOSO in the BCR signaling pathway and the pathogenesis of CLL.Methods:We over-expressed TOSO in B-cell lymphoma cell lines(Granta-519 and Z138)by lentiviral transduction and knocked down TOSO by siRNA in primary CLL cells.The over-expression and knockdown of TOSO were confirmed at the RNA level by polymerase chain reaction and protein level by Western blotting.Co-immunoprecipitation with TOSO antibody followed by liquid chromatography coupled with tandem mass spectrometry(IP/LCMS)was used to identify TOSO interacting proteins.Western blotting was performed to detect the activation status of BCR signaling pathways as well as B-cell lymphoma 2(BCL-2).Flow cytometry was used to examine the apoptosis of TOSO-over-expressing B lymphoma cell lines and TOSO-down-regulated CLL cells via the staining of Annexin V and 7-AAD.One-way analyses of variance were used for intergroup comparisons,while independent samples t tests were used for two-sample comparisons.Results:From IP/LCMS,we identified spleen tyrosine kinase(SYK)as a crucial candidate of TOSO-interacting protein and confirmed it by co-immunoprecipitation.After stimulation with anti-IgM,TOSO over-expression increased the phosphorylation of SYK,and subsequently activated the BCR signaling pathway,which could be reversed by a SYK inhibitor.TOSO knockdown in primary CLL cells resulted in reduced SYK phosphorylation as well as attenuated BCR signaling pathway.The apoptosis rates of the Granta-519 and Z138 cells expressing TOSO were(8.46±2.90)%and(4.20±1.21)%,respectively,significantly lower than the rates of the control groups,which were(25.20±4.60)%and(19.72±1.10)%,respectively(P<0.05 for both).The apoptosis rate was reduced after knocking down TOSO in the primary CLL cells.In addition,we also found that TOSO down-regulation in primary cells from CLL patients led to decreased expression of BCL-2 as well as lower apoptosis,and vice versa in the cell line.Conclusions:TOSO might be involved in the pathogenesis of CLL by interacting with SYK,enhancing the BCR signaling pathway,and inducing apoptosis resistance.展开更多
Dear Editor,ATP-binding cassette(ABC)-ATPase(RAD50),together with meiotic recombination 11 homolog 1(MRE11)subunits,to form MRE11-RAD50 complex,plays important roles in recognition of double-stranded DNA(dsDNA)and ini...Dear Editor,ATP-binding cassette(ABC)-ATPase(RAD50),together with meiotic recombination 11 homolog 1(MRE11)subunits,to form MRE11-RAD50 complex,plays important roles in recognition of double-stranded DNA(dsDNA)and initiation of consequent inflammatory cascade1.Acute lung injury(ALI)and acute respiratory destress syndrome(ARDS)are systemic uncontrolled inflammation and life-threatening.However,the function of the DNA sensor in ALI/ARDS remains poorly defined.Here we investigated functions of RAD50 using mouse primary macrophages and conditionally RAD50 knockout mice in vitro and in a lipopolysaccharide(LPS)-induced lung injury model.展开更多
Introduction Esophageal perforation(EP)is a rare but potentially lethal clinical condition with a mortality rate as high as 20%[1].The most common causes of EP are iatrogenic,spontaneous,and foreign body ingestion[2]....Introduction Esophageal perforation(EP)is a rare but potentially lethal clinical condition with a mortality rate as high as 20%[1].The most common causes of EP are iatrogenic,spontaneous,and foreign body ingestion[2].EP is often accompanied by serious complications such as hemorrhagic pericardial effusion,mediastinal abscesses,and sepsis[3].Management is multidisciplinary and involves emergency physicians,thoracic surgeons,otaorhinolaryngologists,gastroenterologists,anesthesiologists,and radiologists[1].We herein report a case of pneumomediastinum caused by EP and discuss the effect of percutaneous ultrasound(US)-guided drainage through the retropharyngeal space.展开更多
基金Supported by the Hospital Founding of Beijing Tongren Hospital(No.2021-YJJ-PY-002)。
文摘AIM:To analyze the differences,agreements,and correlation among total corneal power parameters generated by different instruments after myopic keratorefractive surgery.METHODS:The prospective cross-sectional study included patients who underwent myopic keratorefractive surgery and received measurements of corneal power 3mo after surgery.Automated keratometer was used for the measurement of simulated keratometry(Sim K),sweptsource optical coherence tomography(SS-OCT)based biometer for total keratometry(TK),anterior segment-OCT for real keratometry(RK),and Scheimpflug keratometer for the true net power(TNP),the total corneal refractive power(TCRP)and equivalent K-readings(EKR).The differences among these parameters were analyzed,and the agreements and correlation between Sim K and other total corneal power parameters were investigated.RESULTS:A total of 70 eyes of 70 patients after myopic keratorefractive surgery were included.The evaluated corneal power parameters were as follows:Sim K 38.32±1.93 D,TK 37.54±2.12 D,RK 36.64±2.09 D,TNP 36.56±1.97 D,TCRP 36.70±2.01 D,and EKR 37.55±2.00 D.Pairwise comparison showed that there were significant differences(P<0.001)among all parameters except for between TK and EKR,RK and TNP,RK and TCRP(P=1.000,1.000,1.000,respectively).The limits of agreement between Sim K and TK,RK,TNP,TCPR,and EKR were 1.08,1.08,1.43,1.48,and 1.73 D,respectively.All parameters showed good correlation with Sim K,and the correlation coefficients were 0.995,0.994,0.983,0.982,and 0.975.CONCLUSION:Among the corneal power parameters after myopic keratorefractive surgery,the value of Sim K is the largest,followed by TK and EKR,with TCRP,RK,and TNP being the smallest.The differences among the parameters may be attributable to the different calculation principles.Correct understanding and evaluation of corneal power parameters can provide a theoretical basis for taking advantage of the total corneal power to improve the accuracy of intraocular lens calculation after keratorefractive surgery.
基金Project(CXZZ20140506150310438)supported by the Science and Technology Program of Shenzhen,ChinaProject(2017GK2261)supported by the Science and Technology Program of Hunan Province,ChinaProject(2017zzts111)supported by the Fundamental Research Funds for the Central Universities of Central South University,China。
基金supported by the National Natural Science Foundation of China, No. 30972843the Medical Scientific Research Foundation of Shenzhen, No. 201102092
文摘Extracts from rabbit skin inflamed by the vaccinia virus can relieve pain and promote repair of nerve injury. The present study intraperitoneally injected extracts from rabbit skin inflamed by the vaccinia virus for 3 and 4 days prior to and following intrathecal injection of bupivacaine into pregnant rats. The pain threshold test after bupivacaine injection showed that the maximum possible effect of tail-flick latency peaked 1 day after intrathecal injection of bupivacaine in the extract-pretreatment group, and gradually decreased, while the maximum possible effect in the bupivacaine group continued to increase after intrathecal injection of bupivacaine. Histological observation showed that after 4 days of intrathecal injection of bupivacaine, the number of shrunken, vacuolated, apoptotic and caspase-9-positive cells in the dorsal root ganglion in the extract-pretreatment group was significantly reduced compared with the bupivacaine group. These findings indicate that extracts from rabbit skin inflamed by the vaccinia virus can attenuate neurotoxicity induced by intrathecal injection of bupivacaine in pregnant rats, possibly by inhibiting caspase-9 protein expression and suppressing nerve cell apoptosis.
基金the National Key R&D Program of China(Grant No.2017 YFC0112000)the National Natural Science Foundation of China(Grant Nos.81627803 and 91859201).
文摘Objective:To explore the association between cholecystectomy and the prognostic outcomes of patients with hepatocellular carcinoma(H CC)who underwent microwave ablation(MWA).Methods:Patients with HCC(«=921)who underwent MWA were included and divided into cholecystectomy(n=114)and non-cholecystectomy groups(n=807).After propensity score matching(PSM)at a 1:2 ratio,overall survival(OS)and disease-free survival(DFS)rates were analyzed to compare prognostic outcomes between the cholecystectomy(«=114)and non-cholecystectomy groups(n=228).Univariate and multivariate Cox analyses were performed to assess potential risk factors for OS and DFS.Major complications were also compared between the groups.Results:After matching,no significant differences between groups were observed in baseline characteristics.The 1-,3-,and 5-year OS rates were 96.5%,82.1%,and 67.1%in the cholecystectomy group,and 97.4%,85.2%,and 74.4%in the non-cholecystectomy group(P=0.396);the 1-,3-,and 5-year DFS rates were 58.4%,34.5%,and 26.6%in the cholecystectomy group,and 73.6%,44.7%,and 32.2%in the non-cholecystectomy group(P=0.026),respectively.The intrahepatic distant recurrence rate in the cholecystectomy group was significantly higher than that in the non-cholecystectomy group(P=0.026),and the local tumor recurrence and extrahepatic recurrence rates did not significantly differ between the groups(P=0.609 and P=0.879).Multivariate analysis revealed that cholecystectomy(HR=1.364,95%Cl 1.023-1.819,P=0.035),number of tumors(2 vs.1:HR=2.744,95%Cl 1.925-3.912,P<0.001;3 vs.1:HR=3.411,95%Cl 2.021-5.759,P<0.001),and y-GT levels(HR=1.003,95%Cl 1.000-1.006,P<0.024)were independent risk factors for DFS.The best y-GT level cut-off value for predicting median DFS was 39.6 U/L(area under the curve=0.600,P<0.05).A positive correlation was observed between cholecystectomy and y-GT level(r=0.108,95%Cl-0.001-0.214,P=0.047).Subgroup analysis showed that the DFS rates were significantly higher in the non-cholecystectomy group than the cholecystectomy group when Y-GT>39.6 U/L(i3=0.044).The 5-,10-,15-,20-,and 25-year recurrence rates from the time of cholecystectomy were 2.63%,21.93%,42.11%,58.77%,and 65.79%,respectively.A significant positive correlation was observed between cholecystectomy and the time from cholecystectomy to recurrence(r=0.205,95%Cl 0.016-0.379,P=0.029).There were no significant differences in complications between groups(P=0.685).Conclusions:Patients with HCC who underwent cholecystectomy were more likely to develop intrahepatic distant recurrence after MWA,an outcome probably associated with increased y-GT levels.Moreover,the recurrence rates increased with time.
基金funded by the Science and Technology Program of Guangzhou,China(202102020992).
文摘Purpose:Microwave ablation(MWA)is difficult to perform in colorectal liver metastases(CRLMs)adjacent to the cardiophrenic angle.Therefore,a modified approach involving antenna array placement parallel to the diaphragm was initially attempted.Its safety and efficacy were compared with those involving non-parallel placement.Methods:Sixty-three patients with CRLMs adjacent to the cardiophrenic angle(lesions within 10 mm of the diaphragm)who underwent MWA were included in the study.All patients were further classified into parallel and non-parallel groups according to the method of antenna placement.The distance between the lesion and diaphragmatic surface before MWA,complications,and local tumor progression(LTP)at the last imaging follow-up were recorded.LTPs in the two groups were compared using the log-rank test.Prognostic factors for LTP were assessed using the Cox proportional hazards regression model.Results:Thirty and 33 lesions were ablated using parallel and non-parallel antenna placement,respectively.During the mean follow-up duration of 19.7±8.2 months,the LTP rate in the parallel and non-parallel placement groups were 3.3%(1/30)and 24.2%(8/33),respectively.The log-rank test showed that parallel antenna placement was associated with delayed LTP(p=0.018).Multivariate Cox regression analysis showed that parallel antenna placement was an independent predictor of delayed LTP after adjusting for possible risk factors,including age,sex,tumor size,and KRAS mutation(hazard ratio,0.1;95%confidence interval,0.00,0.80;p=0.034).Conclusion:The placement of the antenna parallel to the diaphragm is an alternative and effective method for MWA of CRLMs near the cardiophrenic angle and can contribute to the reduction of the LTP rate.
基金supported by the Foundation of the NSFC-CONICFT Joint Project(Grant No.51961125207)National Natural Science Foundation of China(Grant No.22008018)+1 种基金Innovation Support Program for High-level Talents of Dalian(Top and Leading Talents)(Grant No.201913)Dalian City Outstanding Talent Project(Grant No.2019RD13).
文摘The use of functional materials such as carbon-bismuth oxyhalides in integrated photorefineries for the clean production of fine chemicals requires restructuring.A facile biomass-assisted solvothermal fabrication of carbon/bismuth oxychloride nanocomposites(C/BiOCl)was achieved at various temperatures.Compared with BiOCl and C/BiOCl-120,C/BiOCl-180 exhibited higher crystallinity,wider visible light absorption,and a faster migration/separation rate of photoinduced carriers.For the selective C–C bond cleavage of biomass-based feedstocks photocatalyzed by C/BiOCl-180,the xylose conversion and lactic acid yield were 100%and 92.5%,respectively.C/BiOCl-180 efficiently converted different biomass-based monosaccharides to lactic acid,and the efficiency of pentoses was higher than that of hexoses.Moreover,lactic acid synthesis was favored by all active radicals including superoxide ion(·O_(2)^(−)),holes(h^(+)),hydroxyl radical(·OH),and singlet oxygen(^(1)O_(2)),with·O_(2)^(−)playing a key role.The fabricated photocatalyst was stable,economical,and recyclable.The use of biomass-derived monosaccharides for the clean production of lactic acid via the C/BiOCl-180 photocatalyst has opened new research horizons for the investigation and application of C–C bond cleavage in biomass-based feedstocks.
基金supported by the National Natural Science Foundation of China(52073173,21890730,21890733,and22231007)Hunan Provincial Natural Science Foundation of China(2022JJ40120)+2 种基金the Scientific Research Project of Education Department of Hunan Province(22B0602)the Program for Basic Research of Shanghai Science and Technology Commission(19JC1410400,and 19JC1410404)the Program of Shanghai Academic Research Leader(19XD1421700)。
文摘Based on suitable scaffolds,constructing high-loading single-atom catalysts is a promising strategy to achieve highly efficient catalysis.Herein,using ultrathin metal-organic framework(MOF)nanosheets(2.4±0.5 nm)as the support,single-atom catalysts with high cobalt loading(6.0 wt%)were constructed(denoted as Co-MNSs)by a simple bottom-up synthetic strategy.The catalytic system of Co-MNSs exhibited an outstanding photocatalytic CO_(2)-to-CO evolution rate of 7,041μmol g^(-1)h^(-1)and a selectivity of 86%in aqueous media under visible-light irradiation,which has reached the top level of the reported MOF-based photocatalysts.The control experiments and theoretical calculation revealed that the Co-N_(4)moiety in the MOF nanosheets acted as the active site for the photocatalytic CO_(2)-to-CO conversion.The boosted photocatalytic performance could be ascribed to the high aspect-ratio of layered Co-MNSs providing abundant accessible active sites on their surfaces,which reduced the energy barrier,improved the charge separation efficiency,and also facilitated the adsorption of CO_(2)to form the reactive radicals of*COOH.Our study provides an appealing strategy for constructing high-loading single-atom catalysts and demonstrates the significance of 2D ultrathin MOF nanosheets as the support in boosting CO_(2)photoreduction efficiency.
基金This work was supported by the Foundation of National Natural Science Foundation of China(Grant No.22008018)NSFC-CONICFT Joint Project(Grant No.51961125207)+7 种基金China Postdoctoral Science Foundation(Grant No.2020M670716)Liaoning Province“Xingliao Talent Plan”Outstanding Talent Project(Grant No.XL YC1901004)Innovation Support Program for High-level Talents of Dalian(Top and Leading Talents)(Grant No.201913)the Foundation of Guangxi Key Laboratory of Clean Pulp&Papermaking and Pollution Control,College of Light Industry and Food Engineering,Guangxi University(Grant No.2021KF08)Dalian City Outstanding Talent Project(Grant No.2019RD13)Start-up Fund for Doctoral Research of Dalian Polytechnic University(Grant No.2020-07)the Foundation of State Key Laboratory of Biobased Material and Green Papermaking(Grant No.KF201914)Qilu University of Technology,Shandong Academy of Sciences,and the Foundation of Key Laboratory of State Forestry and Grassland Administration for Plant Fiber Functional Materials(Grant No.2020KFJJ06).
文摘The casual discharge of dyes from industrial settings has seriously polluted global water systems.Owing to the abundance of biomass resources,preparing photocatalysts for photocatalytic degradation of dyes is significant;however,it still remains challenging.In this work,a cuprous oxide/copper oxide composite was interpenetrated onto carbon nanosheets of cellulose-based flexible carbon aerogels(Cu_(2)O/CuO@CAx)via a simple freeze-drying-calcination method.The introduction of the carbon aerogel effectively prevents the aggregation of the cuprous oxide/copper oxide composite.In addition,Cu_(2)O/CuO@CA0.2 has a larger specific surface area,stronger charge transfer capacity,and lower recombination rate of photogenerated carriers than copper oxide.Moreover,Cu_(2)O/CuO@CA0.2 exhibited high photocatalytic activity in decomposing methylene blue,with a degradation rate reaching up to 99.09% in 60 min.The active oxidation species in the photocatalytic degradation process were systematically investigated by electron spin resonance characterization and poisoning experiments,among which singlet oxygen played a major role.In conclusion,this work provides an effective method for preparing photocatalysts using biomass resources in combination with different metal oxides.It also promotes the development of photocatalytic degradation of dyes.
基金supported by the National Natural Science Foundation of China (Grant Nos. 91859201, 92159305, 81971625, and 82030047)
文摘Despite being a common therapy for hepatocellular carcinoma(HCC),insufficient thermal ablation can leave behind tumor residues that can cause recurrence.This is believed to augment M2 inflammatory macrophages that usually play a pro-tumorigenic role.To address this problem,we designed D-mannose-chelated iron oxide nanoparticles(man-IONPs) to polarize M2-like macrophages into the antitumor Ml phenotype.In vitro and in vivo experiments demonstrated that man-IONPs specifically targeted M2-like macrophages and accumulated in peri-ablation zones after macrophage infiltration was augmented under insufficient microwave ablation(MWA).The nanoparticles simultaneously induced polarization of pro-tumorigenic M2 macrophages into antitumor M1 phenotypes,enabling the transformation of the immunosuppressive microenvironment into an immunoactivating one.Post-MWA macrophage polarization exerted robust inhibitory effects on HCC progression in a well-established orthotopic liver cancer mouse model.Thus,combining thermal ablation with man-IONPs can salvage residual tumors after insufficient MWA.These results have strong potential for clinical translation.
基金This work was supported by grants from the National Nature Science Foundation of China(Nos.81200395 and 81970187)Chinese Academy of Medical Sciences Innovation Fund for Medical Sciences grants(No.2017-I2M-3-018)Fundamental Application and Advanced and Technology Research Program of Tianjin(No.15JCYBJC25100)。
文摘Background:TOSO,also named Fas inhibitory molecule 3(FAIM3),has recently been identified as an immunoglobulin M(IgM)Fc receptor(FcμR).Previous studies have shown that TOSO is specifically over-expressed in chronic lymphocytic leukemia(CLL).However,the functions of TOSO in CLL remain unknown.The B-cell receptor(BCR)signaling pathway has been reported to be constitutively activated in CLL.Here,we aimed to investigate the functions of TOSO in the BCR signaling pathway and the pathogenesis of CLL.Methods:We over-expressed TOSO in B-cell lymphoma cell lines(Granta-519 and Z138)by lentiviral transduction and knocked down TOSO by siRNA in primary CLL cells.The over-expression and knockdown of TOSO were confirmed at the RNA level by polymerase chain reaction and protein level by Western blotting.Co-immunoprecipitation with TOSO antibody followed by liquid chromatography coupled with tandem mass spectrometry(IP/LCMS)was used to identify TOSO interacting proteins.Western blotting was performed to detect the activation status of BCR signaling pathways as well as B-cell lymphoma 2(BCL-2).Flow cytometry was used to examine the apoptosis of TOSO-over-expressing B lymphoma cell lines and TOSO-down-regulated CLL cells via the staining of Annexin V and 7-AAD.One-way analyses of variance were used for intergroup comparisons,while independent samples t tests were used for two-sample comparisons.Results:From IP/LCMS,we identified spleen tyrosine kinase(SYK)as a crucial candidate of TOSO-interacting protein and confirmed it by co-immunoprecipitation.After stimulation with anti-IgM,TOSO over-expression increased the phosphorylation of SYK,and subsequently activated the BCR signaling pathway,which could be reversed by a SYK inhibitor.TOSO knockdown in primary CLL cells resulted in reduced SYK phosphorylation as well as attenuated BCR signaling pathway.The apoptosis rates of the Granta-519 and Z138 cells expressing TOSO were(8.46±2.90)%and(4.20±1.21)%,respectively,significantly lower than the rates of the control groups,which were(25.20±4.60)%and(19.72±1.10)%,respectively(P<0.05 for both).The apoptosis rate was reduced after knocking down TOSO in the primary CLL cells.In addition,we also found that TOSO down-regulation in primary cells from CLL patients led to decreased expression of BCL-2 as well as lower apoptosis,and vice versa in the cell line.Conclusions:TOSO might be involved in the pathogenesis of CLL by interacting with SYK,enhancing the BCR signaling pathway,and inducing apoptosis resistance.
基金The authors are grateful for financial support from the National Natural Science Foundation of China(81870007,81920108001,81800024,81900025,81870023,81700025)the Zhejiang Provincial Natural Science Foundation(LD19H160001)the Zhejiang Provincial Program for the Cultivation of High-Level Innovative Health Talents(2016-63).
文摘Dear Editor,ATP-binding cassette(ABC)-ATPase(RAD50),together with meiotic recombination 11 homolog 1(MRE11)subunits,to form MRE11-RAD50 complex,plays important roles in recognition of double-stranded DNA(dsDNA)and initiation of consequent inflammatory cascade1.Acute lung injury(ALI)and acute respiratory destress syndrome(ARDS)are systemic uncontrolled inflammation and life-threatening.However,the function of the DNA sensor in ALI/ARDS remains poorly defined.Here we investigated functions of RAD50 using mouse primary macrophages and conditionally RAD50 knockout mice in vitro and in a lipopolysaccharide(LPS)-induced lung injury model.
文摘Introduction Esophageal perforation(EP)is a rare but potentially lethal clinical condition with a mortality rate as high as 20%[1].The most common causes of EP are iatrogenic,spontaneous,and foreign body ingestion[2].EP is often accompanied by serious complications such as hemorrhagic pericardial effusion,mediastinal abscesses,and sepsis[3].Management is multidisciplinary and involves emergency physicians,thoracic surgeons,otaorhinolaryngologists,gastroenterologists,anesthesiologists,and radiologists[1].We herein report a case of pneumomediastinum caused by EP and discuss the effect of percutaneous ultrasound(US)-guided drainage through the retropharyngeal space.
