BACKGROUND Colorectal cancer(CRC)is among the most prevalent and life-threatening malignancies worldwide.Syndecan-2 methylation(mSDC2)testing has emerged as a widely used biomarker for early detection of CRC in stool ...BACKGROUND Colorectal cancer(CRC)is among the most prevalent and life-threatening malignancies worldwide.Syndecan-2 methylation(mSDC2)testing has emerged as a widely used biomarker for early detection of CRC in stool and serum samples.Cancer(CRC)is among the most prevalent and life-threatening malignancies worldwide.mSDC2 testing has emerged as a widely used biomarker for early detection of CRC in stool and serum samples.AIM To validate the effectiveness of fecal DNA mSDC2 testing in the detection of CRC among a high-risk Chinese population to provide evidence-based data for the development of diagnostic and/or screening guidelines for CRC in China.METHODS A high-risk Chinese cohort consisting of 1130 individuals aged 40-79 years was selected for evaluation via fecal mSDC2 testing.Sensitivity and specificity for CRC,advanced adenoma(AA)and advanced colorectal neoplasia(ACN)were determined.High-risk factors for the incidence of colorectal lesions were determined and a logistic regression model was constructed to reflect the efficacy of the test.RESULTS A total of 1035 high-risk individuals were included in this study according to established criteria.Among them,16 suffered from CRC(1.55%),65 from AA(6.28%)and 189 from non-AAs(18.26%);150 patients were diagnosed with polyps(14.49%).Diagnoses were established based upon colonoscopic and pathological examinations.Sensitivities of the mSDC2 test for CRC and AA were 87.50%and 40.00%,respectively;specificities were 95.61%for other groups.Positive predictive values of the mSDC2 test for CRC,AA and ACN were 16.09%,29.89%and 45.98%,respectively;the negative predictive value for CRC was 99.79%.After adjusting for other high-risk covariates,mSDC2 test positivity was found to be a significant risk factor for the occurrence of ACN(P<0.001).CONCLUSION Our findings confirmed that offering fecal mSDC2 testing and colonoscopy in combination for CRC screening is effective for earlier detection of malignant colorectal lesions in a high-risk Chinese population.展开更多
Aqueous multivalent-metal-ion intercalation chemistries hold genuine promise to develop safe and powerful microbatteries for potential use in many miniaturized electronics.However,their development is beset by state-o...Aqueous multivalent-metal-ion intercalation chemistries hold genuine promise to develop safe and powerful microbatteries for potential use in many miniaturized electronics.However,their development is beset by state-of-the-art electrode materials having practical capacities far below their theoretical values.Here we demonstrate that high compatibility between layered transition-metal oxide hosts and hydrated cation guests substantially boost their multi-electron-redox reactions to offer higher capacities and rate capability,based on typical bipolar vanadium oxides preintercalated with hydrated cations(M_(x)V_(2)O_(5)).When seamlessly integrated on Au current microcollectors with a three-dimensional bicontinuous nanoporous architecture that offers high pathways of electron transfer and ion transport,the constituent Zn_(x)V_(2)O_(5) exhibits specific capacity of as high as∼527 mAh g^(−1) at 5 mV s^(−1) and retains∼300 mAh g^(−1) at 200 mV s^(−1) in 1 M ZnSO_(4) aqueous electrolyte,outperforming the M_(x)V_(2)O_(5)(M=Li,Na,K,Mg).This allows aqueous rechargeable zinc-ion microbatteries constructed with symmetric nanoporous Zn_(x)V_(2)O_(5)/Au interdigital microelectrodes as anode and cathode to show high-density energy of∼358 mWh cm^(−3)(a value that is forty-fold higher than that of 4 V/500μAh Li thin film battery)at high levels of power delivery.展开更多
基金Supported by the Science and Technology Program of Panyu Central Hospital,No.PY-2023-003the Science and Technology Program of Panyu,No.2020-Z04-054+4 种基金the Science and Technology Project of the Guangzhou Health Commission,No.20211A011114the Science and Technology Program of Guangzhou,No.202002020023the General University Youth Innovative Talent Project of Guangdong Province,No.2022KQNCX281the Guangdong Provincial Key Field Special Project for Ordinary Colleges and Universities,No.2023ZDZX2097the Foshan Engineering Technology Research Center for Prepared Food Processing and Quality Evaluation,No.2022-KJZX113.
文摘BACKGROUND Colorectal cancer(CRC)is among the most prevalent and life-threatening malignancies worldwide.Syndecan-2 methylation(mSDC2)testing has emerged as a widely used biomarker for early detection of CRC in stool and serum samples.Cancer(CRC)is among the most prevalent and life-threatening malignancies worldwide.mSDC2 testing has emerged as a widely used biomarker for early detection of CRC in stool and serum samples.AIM To validate the effectiveness of fecal DNA mSDC2 testing in the detection of CRC among a high-risk Chinese population to provide evidence-based data for the development of diagnostic and/or screening guidelines for CRC in China.METHODS A high-risk Chinese cohort consisting of 1130 individuals aged 40-79 years was selected for evaluation via fecal mSDC2 testing.Sensitivity and specificity for CRC,advanced adenoma(AA)and advanced colorectal neoplasia(ACN)were determined.High-risk factors for the incidence of colorectal lesions were determined and a logistic regression model was constructed to reflect the efficacy of the test.RESULTS A total of 1035 high-risk individuals were included in this study according to established criteria.Among them,16 suffered from CRC(1.55%),65 from AA(6.28%)and 189 from non-AAs(18.26%);150 patients were diagnosed with polyps(14.49%).Diagnoses were established based upon colonoscopic and pathological examinations.Sensitivities of the mSDC2 test for CRC and AA were 87.50%and 40.00%,respectively;specificities were 95.61%for other groups.Positive predictive values of the mSDC2 test for CRC,AA and ACN were 16.09%,29.89%and 45.98%,respectively;the negative predictive value for CRC was 99.79%.After adjusting for other high-risk covariates,mSDC2 test positivity was found to be a significant risk factor for the occurrence of ACN(P<0.001).CONCLUSION Our findings confirmed that offering fecal mSDC2 testing and colonoscopy in combination for CRC screening is effective for earlier detection of malignant colorectal lesions in a high-risk Chinese population.
基金supported by the National Natural Science Foundation of China (Nos. 51871107, 52130101, 51631004)Top-notch Young Talent Program of China (W02070051)+2 种基金Chang Jiang Scholar Program of China (Q2016064)the Program for JLU Science and Technology Innovative Research Team (JLUSTIRT, 2017TD-09)the Fundamental Research Funds for the Central Universities, the Program for Innovative Research Team (in Science and Technology) in University of Jilin Province。
文摘Aqueous multivalent-metal-ion intercalation chemistries hold genuine promise to develop safe and powerful microbatteries for potential use in many miniaturized electronics.However,their development is beset by state-of-the-art electrode materials having practical capacities far below their theoretical values.Here we demonstrate that high compatibility between layered transition-metal oxide hosts and hydrated cation guests substantially boost their multi-electron-redox reactions to offer higher capacities and rate capability,based on typical bipolar vanadium oxides preintercalated with hydrated cations(M_(x)V_(2)O_(5)).When seamlessly integrated on Au current microcollectors with a three-dimensional bicontinuous nanoporous architecture that offers high pathways of electron transfer and ion transport,the constituent Zn_(x)V_(2)O_(5) exhibits specific capacity of as high as∼527 mAh g^(−1) at 5 mV s^(−1) and retains∼300 mAh g^(−1) at 200 mV s^(−1) in 1 M ZnSO_(4) aqueous electrolyte,outperforming the M_(x)V_(2)O_(5)(M=Li,Na,K,Mg).This allows aqueous rechargeable zinc-ion microbatteries constructed with symmetric nanoporous Zn_(x)V_(2)O_(5)/Au interdigital microelectrodes as anode and cathode to show high-density energy of∼358 mWh cm^(−3)(a value that is forty-fold higher than that of 4 V/500μAh Li thin film battery)at high levels of power delivery.
