Advances in the Treatment of Pulmonary Nodules.

BACKGROUND: Early detection and accurate diagnosis of pulmonary nodules are crucial for improving patient outcomes. While surgical resection of malignant nodules is still the preferred treatment option, it may not be feasible for all patients. We aimed to discuss the advances in the treatment of pulmonary nodules, especially stereotactic body radiotherapy (SBRT) and interventional pulmonology technologies, and provide a range of recommendations based on our expertise and experience. SUMMARY: Interventional pulmonology is an increasingly important approach for the management of pulmonary nodules. While more studies are needed to fully evaluate its long-term outcomes and benefits, the available evidence suggests that this technique can provide a minimally invasive and effective alternative for treating small malignancies in selected patients. We conducted a systematic literature review in PubMed, designed a framework to include the advances in surgery, SBRT, and interventional pulmonology for the treatment of pulmonary nodules, and provided a range of recommendations based on our expertise and experience. KEY MESSAGES: As such, alternative therapeutic options such as SBRT and ablation are becoming increasingly important and viable. With recent advancements in bronchoscopy techniques, ablation via bronchoscopy has emerged as a promising option for treating pulmonary nodules. This study reviewed the advances of interventional pulmonology in the treatment of peripheral lung cancer patients that are not surgical candidates. We also discussed the challenges and limitations associated with ablation, such as the risk of complications and the potential for incomplete nodule eradication. These advancements hold great promise for improving the efficacy and safety of interventional pulmonology in treating pulmonary nodules.

Distribution characteristics and health risk assessment of volatile organic compounds in the groundwater of Lanzhou City, China.

Volatile organic compounds (VOCs) typically exist in the aqueous environment due to global anthropogenic activities. The distribution and contaminated profile (or characteristics) of VOCs in the groundwater of Lanzhou, China, were investigated in this study. Groundwater samples were collected from 30 sampling points in December 2015, and a total of 17 VOCs were analyzed by purge and trap gas chromatography-mass spectrometry. Thirteen types of VOCs were detected at 29 sampling points in the study area. Of these, dichloromethane and toluene, which were found at 22 sampling points, had the highest detection frequency (73.3%), followed by benzene (66.7%), 1,2-dichloroethane (50%), and xylenes (50%). The highest average concentration among the detected VOCs was found for chloroform (5151.5 µg/L). The spatial distribution of VOC contamination in four major urban areas of Lanzhou and the variation in VOC concentration caused by land use transitions were also analyzed. The results showed that Xigu district was the most polluted area in Lanzhou, mainly due to land use for industrial proposes. On the contrary, the samples for Anning district showed lower VOC concentrations because of better groundwater quality, which is associated with the absence of manufacturing industries in this region. The health risk assessment model developed by the United States Environmental Protection Agency was employed in this study to evaluate safety for drinking water use. This study found that despite considering the volatilization of VOCs from water due to heating, six sampling points (G05 in Qilihe district; G07 and G09 in Xigu district; G16, G17, and G15 in Chengguan district) showed non-carcinogenic risks, ranging from 1.63 to 14.2, while three points (G16 in Chengguan district, and G10 and G07 in Xigu district) exhibited high carcinogenic risks for human health, ranging from 2.94 × 10-4 to 6.85 × 10-4. Trichloroethylene, tetrachloroethylene, and 1,2-dichloroethylene were identified as the dominant VOCs, presenting high non-carcinogenic risk. 1,2-dichloroethane and vinyl chloride were the primary factors for high carcinogenic risk. The high-risk areas were concentrated in Xigu and Chengguan districts, suggesting the need to alert the relevant local government departments.

CD146 T cells in lung cancer: its function, detection, and clinical implications as a biomarker and therapeutic target.

CD146 alternatively called melanoma cell adhesion molecule (MCAM), is a biomarker and therapeutic target of clinical significance. It is found on different cells including the endothelial cells and lymphocytes which participate in heterotypic and homotypic ligand-receptor. This review concentrated on the CD146 expression T cells (or lymphocytes) centering on Treg in lung cancer. Here, we have also considered the vigorous investigation of CD146 mainly acknowledged new roles, essential mechanisms and clinical implications of CD146 in cancer. CD146 has progressively become a significant molecule, particularly recognized as a novel biomarker, prognosis and therapy for cancer. Hence, targeting CD146 expression by utilization of methanol extracts of Calotropis procera leaf may be useful for the treatment of carcinogenesis.

Risk assessment of organochlorine pesticides in drinking water source of the Yangtze River.

Organochlorine pesticides have been banned for many years, but the residual trace amount of organochlorine in water may still pose ecotoxicological risk. Meanwhile, the potential risk of organochlorine pesticides released from sediments, especially into drinking water sources, is receiving increasing attention. The present study assessed the pollution and potential risk of drinking water sources along the midstream and downstream Yangtze River. Residues of organochlorine pesticides (OCPs) in water, suspended particle matter (SPM), and sediment were evaluated with isotope dilution HRGC/HRMS. The results indicated that OCPs in water, SPM, and sediment ranged in 0.52-92.97 ng/L, 0.10-4.10 ng/L, and 0.038-11.36 ng/g, respectively. The predominant OCPs in water, SPM, and sediment were ß-HCH, p,p'-DDE and PeCB. At site Y1, 8, 13, 18, ß-HCH has a higher proportion in sediment samples, while, α-HCH has a higher proportion in SPM samples. The industrial use of HCHs in the history was the main HCHs source for most water and sediment samples, which indicated an absence of fresh inputs of industrial HCHs. Meanwhile, the abundance of p,p'-DDE in water, sediment and SPM samples could be attributed to long-term aerobic degradation of DDTs. The values of ffsw of HCHs, DDTs and PeCB indicate the transfer from water to sediment. Risk assessment showed that HCHs and DDTs posed low ecotoxicological risk to the Yangtze River.

The correlation study between fatty acids and organochlorine pesticides or δ15N values in fish tissues from Dongting Lake, China.

Organochlorine pesticides (OCPs) are ubiquitous environmental contaminants, while their correlations with δ15N values and fatty acids (FAs) in fish tissues remain largely unexplored. In the present study, six species of fish for daily consumption were collected from Dongting Lake, and they were dissected to tissue samples to analyze the δ15N values, FAs and OCPs. The results showed that the δ15N values of fish were ranked in the same order in different fish tissues. The polyunsaturated fatty acids (PUFAs) had a different distribution pattern in fish tissues, while the saturated fatty acid (SFAs) and monounsaturated fatty acids (MUFAs) were not. The composition of HCHs in fish tissues exhibited a tissue-specific and species-specific manner, while such pattern was not detected for DDTs. The correlation analysis indicated that the ratio of DHA/EPA was increased with the increase of δ15N value in the muscle, liver, gill, skin and intestine, indicating the substance flow in freshwater ecosystem. In addition, there were significant positive correlations between the concentrations of some PUFAs and OCPs in the muscle, suggesting that people should pay attention to co-intake of OCPs when they supplemented the PUFAs needed by the human body through fish.

High contamination, bioaccumulation and risk assessment of perfluoroalkyl substances in multiple environmental media at the Baiyangdian Lake.

The contamination of perfluoroalkyl substances (PFASs) in the Baiyangdian Lake has exacerbated readily since 2008. This study analyzed the perfluoroalkyl carboxylic acids (PFCAs) and perfluoroalkane sulfonic acids (PFSAs) in the surface water, sediment, and fish of the Baiyangdian Lake. In the surface water, the total concentration of PFASs ranged in 1193-3462 ng L-1 (mean 1734 ng L-1) in the rainy season and 469-1724 ng L-1 (mean 876 ng L-1) in the dry season. The total concentration of PFASs in the sediment ranged in 1.97-13.3 ng g-1 (mean 6.53 ng g-1). It was found that PFCAs and PFSAs with longer chains were more easily adsorbed in the sediment. Among the collected fish samples, the enrichment of PFASs in the tissues fell in the order of liver > cheek > muscle. For the muscle, stomach, and liver tissues of the fish samples, significant correlations existed between the δ15N values and the concentration of perfluorooctane sulfonic acid (PFOS). The contents of PFOS and perfluorooctanoic acid (PFOA) in the fish were not at a level high enough to significantly risk human health.

Distribution characteristics of poly- and perfluoroalkyl substances in the Yangtze River Delta.

In this work, a method was developed and optimized for the analysis of polyfluoroalkyl and/or perfluoroalkyl substances (PFASs) content in surface water and sediment samples with high instrumental response and good separation. Surface water and sediment samples were collected from the Yangtze River Delta (YRD) to analyze the distribution characteristics of perfluoroalkyl carboxylic acids (PFCAs), perfluoroalkane sulfonic acids (PFSAs), perfluoroalkyl phosphonic acids (PFPAs), perfluoroalkyl phosphinic acids (PFPiAs), and polyfluoroalkyl phosphoric acid diesters (diPAPs). The results showed that the total concentrations of PFCAs and PFSAs in YRD varied from 31 to 902ng/L. PFCAs (≥11 carbons) and PFSAs (≥10 carbons atoms) were not detected in any surface water samples. The mean concentrations of all PFCAs and PFSAs in surface water from the sampling areas decreased in the following order: Yangtze river (191ng/L)≈Taihu lake (189ng/L)>Huangpu river (122ng/L)≈Qiantang river (120ng/L)>Jiaxing urban river (100ng/L). Strong significant (p<0.05) correlations between the concentrations of many of the compounds were found in the sampling areas, suggesting a common source for these compounds. Only perfluorooctanoic acid (PFOA) was observed in all sediment samples, at concentrations varying from 0.02 to 1.35ng/g. Finally, detection rates of two diPAPs were only 8% and 10%, respectively and the concentration of diPAPs was two to three times lower compared to PFCAs and PFSAs.

Prognostic and onco-immunological value of immune-related eRNAs-driven genes in lung adenocarcinoma.

BACKGROUND: We aimed to comprehensively analyze the clinical value of immune-related eRNAs-driven genes in lung adenocarcinoma (LUAD) and find the potential biomarkers for prognosis and therapeutic response to improve the survival of this malignant disease. MATERIALS AND METHODS: Pearson's correlation analysis was performed to identify the immune-related eRNAs-driven genes. Cox regression and least absolute shrinkage and selection operator (LASSO) analyses were used to construct this prognostic risk signature. Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analyses were used to investigate the underlying molecular mechanism. The single sample gene set enrichment analysis (ssGSEA) algorithm was conducted to evaluate the immune status based on the signature. The quantitative real-time PCR (qRT-PCR) analysis was performed to evaluate the expression value of the signature genes between LUAD tissues and adjacent lung tissues. RESULTS: Five immune-related eRNAs-driven genes (SHC1, GDF10, CCL14, FYN, and NOD1) were identified to construct a prognostic risk signature with favorable predictive capacity. The patients with high-risk scores based on the signature were significantly associated with the malignant clinical features compared with those with low-risk scores. Kaplan-Meier analysis demonstrated that the sample in the low-risk group had a prolonged survival compared with those in the high-risk group. This risk signature was validated to have a promising predictive capacity and reliability in diverse clinical situations and independent cohorts. The functional enrichment analysis demonstrated that humoral immune response and intestinal immune network for IgA production pathway might be the underlying molecular mechanism related to the signature. The proportion of the vast majority of immune infiltrating cells in the high-risk group was significantly lower than that in the low-risk group, and the immunotherapy response rate in the low-risk group was significantly higher than that in the high-risk group. Moreover, BI-2536, sepantronium bromide, and ULK1 were the potential drugs for the treatment of patients with higher risk scores. Finally, the experiment in vivo and database analysis indicated that CCL14, FYN, NOD1, and GDF10 are the potential LUAD suppressor and SHC1 is a potential treatment target for LUAD. CONCLUSION: Above all, we constructed a prognostic risk signature with favorable predictive capacity in LUAD, which was significantly associated with malignant features, immunosuppressive tumor microenvironment, and immunotherapy response and may provide clinical benefit in clinical decisions.

CD146 Promotes EMT-Mediated Migration and Invasion of NSCLC via PI3K/Akt Signaling Pathway.

BACKGROUND: Recurrence and metastasis are the main causes of non-small cell lung cancer (NSCLC)-related death. CD146 has been identified as a potential risk factor for poor prognosis, closely related to the distant metastasis and drug resistance in various cancers. However, the clinical significance of CD146 in NSCLC requires further investigation. MATERIALS AND METHODS: This study explored the correlation between CD146 expression and clinical variables using tumor tissue samples collected from our hospital. CD146 expression levels in NSCLC cell lines and tissues were assessed and compared using immunohistochemistry, real-time polymerase chain reaction (RT-qPCR), flow cytometry, and western blot analysis. The invasion and migration capabilities of tumor cells were determined using transwell and wound healing assays. The levels of proteins related to epithelial-mesenchymal transition (EMT) as well as the underlying PI3K/Akt signaling pathway was measured by western blotting. RESULTS: We discovered that CD146 expression is significantly associated with the EMT signaling pathway. High CD146 expression predicted lymph node metastasis, metastasis to distant organs, advanced Tumor, Node, Metastasis (TNM) staging, and poor survival in NSCLC patients. Wound healing and transwell assays showed that knocking down CD146 significantly suppressed cell migration along with cell invasion in NSCLC, whereas overexpressing CD146 notably enhanced these processes. Western blot analysis revealed significantly reduced levels of N-cadherin, vimentin, snail, twist, PI3K, and AKT phosphorylation in shCD146 H460 cells compared to vector control cells. Treatment with PI3K inhibitor PI3K-IN-1 increased E-cadherin expression levels but reduced N-cadherin, Twist, Vimentin, PI3K, and AKT phosphorylation levels in pcDNA3.1-CD146 A549 cells compared with the vector control cells. CONCLUSIONS: CD146 expression acts as a prognostic risk factor for adverse outcomes in NSCLC, promoting invasion and metastasis by activating the EMT through the PI3K/Akt signaling pathway. These findings underscore the potential therapeutic strategies targeting CD146, offering new treatment options for NSCLC patients, especially those at risk of metastasis.

Whole-course management of chronic obstructive pulmonary disease in primary healthcare: an internet of things-enabled prospective cohort study in China.

BACKGROUND: Despite substantial progress in reducing the global burden of chronic obstructive pulmonary disease (COPD), traditional methods to promote understanding and management of COPD are insufficient. We developed an innovative model based on the internet of things (IoT) for screening and management of COPD in primary healthcare (PHC). METHODS: Electronic questionnaire and IoT-based spirometer were used to screen residents. We defined individuals with a questionnaire score of 16 or higher as high-risk population, COPD was diagnosed according to 2021 Global Initiative for COPD (Global Initiative for Chronic Obstructive Lung Disease) criteria. High-risk individuals and COPD identified through the screening were included in the COPD PHC cohort study, which is a prospective, longitudinal observational study. We provide an overall description of the study's design framework and baseline data of participants. RESULTS: Between November 2021 and March 2023, 162 263 individuals aged over 18 from 18 cities in China were screened, of those 43 279 high-risk individuals and 6902 patients with COPD were enrolled in the cohort study. In the high-risk population, the proportion of smokers was higher than that in the screened population (57.6% vs 31.4%), the proportion of males was higher than females (71.1% vs 28.9%) and in people underweight than normal weight (57.1% vs 32.0%). The number of high-risk individuals increased with age, particularly after 50 years old (χ2=37 239.9, p<0.001). Female patients are more common exposed to household biofuels (χ2=72.684, p<0.05). The majority of patients have severe respiratory symptoms, indicated by a CAT score of ≥10 (85.8%) or an Modified Medical Research Council Dyspnoea Scale score of ≥2 (65.5%). CONCLUSION: Strategy based on IoT model help improve the detection rate of COPD in PHC. This cohort study has established a large clinical database that encompasses a wide range of demographic and relevant data of COPD and will provide invaluable resources for future research.

Imposex effects on the veined rapa whelk (Rapana venosa) in Bohai Bay, China.

Environmentally relevant concentrations of organotin compounds (OTs) may trigger sex changes in marine invertebrates and pose a threat to the marine ecosystem. In this study, we investigated organotin levels and the biological responses of wild veined rapa whelk (Rapana venosa) from Lüjuhe district (LJH), Dashentang district (DST), and Nanpaihe district (NPH) in Bohai Bay, China. We found that 11.11 and 22.95 % of the veined rapa whelks from DST and NPH exhibited imposex characteristics with a relative penis size index (RPSI) of 12.50 and 12.31, respectively. The RNA/DNA ratio was significantly lower in females from DST than those from LJH (p < 0.05), and a slight increase in DNA damage was observed in females and imposex individuals compared to males. Moreover, less genetic distance occurred between LJH and NPH (0.016) than between LJH and DST (0.028), although they belonged to the same regional population. OTs analysis showed that triphenyltin chloride concentrations (41.45 ng/g dried weight) were significantly higher than tributyltin concentrations (9.51 ng/g dried weight) in tissues (p < 0.05), but no significant differences were observed in sediments (p > 0.05). In conclusion, the occurrence of imposex individuals and biological responses of the wild veined rapa whelk from Bohai Bay suggest that the marine ecosystem might be at risk.

Polychlorinated dibenzo-p-dioxins and dibenzofurans in the sediment core from a schistosomiasis area with Na-PCP application in China.

Spatial and temporal distribution of polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) was explored in the Dongting Lake area. The concentrations of total PCDD/Fs ranged from 15.4 to 38.9 pg I-TEQ g(-1) in surface sediments and 0.55 to 38.9 pg I-TEQ g(-1) for sediment core. The vertical distributions of PCDD/Fs in the sediment core reflected the past history of using Na-PCP and the impact of the massive flood events on the distribution of PCDD/Fs to some extent. The sediment still acts as significant PCDD/F sources and they would pose a risk to sensitive species, resulting in the risk for human exposure to PCDD/F.

A mega study of antibiotics contamination in Eastern aquatic ecosystems of China: occurrence, interphase transfer processes, ecotoxicological risks, and source modeling.

Understanding the occurrence, sources, transfer mechanisms, fugacity, and ecotoxicological risks of antibiotics play a pivotal role in improving the sustainability and ecological health of freshwater ecosystems. Therefore, in order to determine the levels of antibiotics, water and sediment samples were collected from multiple Eastern freshwater ecosystems (EFEs) of China, including Luoma Lake (LML), Yuqiao Reservoir (YQR), Songhua Lake (SHL), Dahuofang Reservoir (DHR), and Xiaoxingkai Lake (XKL), and were analyzed using Ultra Performance Liquid Chromatography/Tandem Mass Spectrometry (UPLC-MS/MS). EFEs regions are particularly interesting due to higher urban density, industrialization, and diverse land use in China. The findings revealed that a collective total of 15 antibiotics categorized into four families, which included sulfonamides (SAs), fluoroquinolones (FQs), tetracyclines (TCs), and macrolides (MLs), exhibited high detection frequencies, indicating widespread antibiotic contamination. The pollution levels in the water phase were in the order of LML > DHR > XKL > SHL > YQR. The sum concentration of individual antibiotics for each water body ranged from not detected (ND) to 57.48 ng/L (LML), ND to 12.25 ng/L (YQR), ND to 57.7 ng/L (SHL), ND to 40.50 ng/L (DHR), and ND to 26.30 ng/L (XKL) in the water phase. Similarly, in the sediment phase, the sum concentration of individual antibiotics ranged from ND to 15.35 ng/g, ND to 198.75 ng/g, ND to 1233.34 ng/g, ND to 388.44 ng/g, and ND to 862.19 ng/g, for LML, YQR, SHL, DHR, and XKL, respectively. Interphase fugacity (ffsw) and partition coefficient (Kd) indicated dominant resuspension of antibiotics from sediment to water, causing secondary pollution in EFEs. Two groups of antibiotics, namely MLs (erythromycin, azithromycin, and roxithromycin) and FQs (ofloxacin and enrofloxacin), showed a medium-high level of adsorption tendency on sediment. Source modeling (PMF5.0) identified wastewater treatment plants, sewage, hospitals, aquaculture, and agriculture as the major antibiotic pollution sources in EFEs, contributing between 6% and 80% to different aquatic bodies. Finally, the ecological risk posed by antibiotics ranged from medium to high in EFEs. This study offers valuable insights into the levels, transfer mechanisms, and risks associated with antibiotics in EFEs, enabling the formulation of large-scale policies for pollution control.

Construction and characterization of a normalized cDNA library from the river snail Bellamya aeruginosa after exposure to copper.

The construction of a normalized cDNA library is a popular tool for identifying novel biomarkers for monitoring environmental pollution. In the present study, a normalized cDNA library was constructed from the river snail Bellamya aeruginosa after exposure to Cu(2+) by using the SMART technique. The titer of the cDNA library was 1.78 × 10(6) pfu/ml, with a recombinant efficiency of 95.8%. In addition, from 6,000 randomly selected and sequenced clones, 5,473 high-quality ESTs were identified. After processing the sequences, 3,961 unigenes representing 897 contigs and 3,064 singlets were obtained with 27.6% redundancy. Analysis of expressed sequenced tags using COG and GO annotation and KEGG pathway data showed that a large group of genes related to growth and development, signal transduction, and defense mechanisms were present in the cDNA library. Based on our findings, this normalized cDNA library will provide a valuable resource for further research on functional genes and ecotoxicology in B. aeruginosa.

Automated sample clean-up and fraction of organochlorine pesticides in sediments using the SPE-GPC-VAP system.

This paper describes an automated sample clean-up and fraction method using the SPE-GPC-VAP system for the determination of organochlorine pesticides (OCPs) in sediments. The method is based on a simultaneous extraction/clean-up step to reduce analysis time and solvent consumption. The parameters of a solid-phase extraction procedure, a gel permeation chromatography procedure and an AccuVap procedure were optimized to obtain maximum recovery of the target analytes with minimum presence of matrix-interfering compounds. The detection limits ranged from 0.03 to 0.13 ng g(-1) and the recovery ranged from 50.05% to 104.39%. The relative standard deviation was lower than 19.34% when OCPs concentrations in sediments ranged from 1.25 to 125 ng g(-1).

Ammonia pollution characteristics of centralized drinking water sources in China.

The characteristics of ammonia in drinking water sources in China were evaluated during 2005-2009. The spatial distribution and seasonal changes of ammonia in different types of drinking water sources of 22 provinces, 5 autonomous regions and 4 municipalities were investigated. The levels of ammonia in drinking water sources follow the order of river > lake/reservoir > groundwater. The levels of ammonia concentration in river sources gradually decreased from 2005 to 2008, while no obvious change was observed in the lakes/reservoirs and groundwater drinking water sources. The proportion of the type of drinking water sources is different in different regions. In river drinking water sources, the ammonia level was varied in different regions and changed seasonally. The highest value and wide range of annual ammonia was found in South East region, while the lowest value was found in Southwest region. In lake/reservoir drinking water sources, the ammonia levels were not varied obviously in different regions. In underground drinking water sources, the ammonia levels were varied obviously in different regions due to the geological permeability and the natural features of regions. In the drinking water sources with higher ammonia levels, there are enterprises and wastewater drainages in the protected areas of the drinking water sources.

[Distribution Characteristics and Risk Assessment of 209 Polychlorinated Biphenyls in Dongting Lake and the Inflow Rivers].

In order to fully understand the pollution of polychlorinated biphenyls (PCBs) in Dongting Lake, 209 PCB congeners were quantitatively detected and analyzed by isotope-dilution high-resolution mass spectrometry in 21 surface water sampling sites of Dongting Lake and the inflow rivers of the lake. The results showed that a total of 50 PCB congeners were detected in the study area. The ρ(ΣPCBs) ranged from 0.077 to 10 ng·L-1, with an average concentration of 2.7 ng·L-1 and a median concentration of 1.9 ng·L-1. The order of contamination concentrations were as follows:the inflow rivers of the lake > lake region > outlet. Compared with the reports of domestic and foreign studies, PCB pollution in Dongting Lake is at a low level. The main pollutants in the surface water were dichlorobiphenyls and tri- and tetrachlorobiphenyls, with relative abundances of 67%, 14%, and 16%, respectively. PCB11, PCB17, PCB18, PCB20+33, PCB28, PCB47+75, PCB52, and PCB68 were the most widely distributed and detected in more than 80% of samples. Among them, ρ(PCB11) was the highest, with an average concentration of 1.6 ng·L-1, accounting for 59% of ρ(ΣPCBs), from the domestic organic pigment production process of unintentional emissions. Atmospheric transport deposition and historical residue were the main sources of PCBs in water. According to the toxicity equivalent factor method, the ecological toxicity risk of the study area was evaluated, and the results showed that the TEQ in the water was far lower than the relevant standard limit, indicating that the pollution of PCBs in the surface water of Dongting Lake and the inflow rivers would not cause harm to exposed organisms.

Epithelial-mesenchymal transition-related lncRNAs associated with prognosis and immune cell infiltration in lung adenocarcinoma.

BACKGROUND: Lung adenocarcinoma (LUAD) remains the most common type of lung cancer and is associated with distant metastasis and poor prognosis. Epithelial-mesenchymal transition (EMT) plays crucial roles in carcinogenesis, embryogenesis, and wound healing. EMT-related molecules may be adopted for early diagnosis and prognosis of cancer and targeting them may constitute an attractive strategy for treatment. This study aims to identify the EMT-related long non-coding RNAs (lncRNAs) and develop a risk signature to accurately predict the prognosis of LUAD patients. METHODS: The RNA-seq data and corresponding clinical profiles were obtained from LUAD cohort of The Cancer Genome Atlas (TCGA) database. EMT-related lncRNAs significantly associated with prognosis were identified by Pearson correlation analysis and univariate regression analysis. Subsequently, an EMT-related prognostic risk signature was developed through LASSO and multivariate regression analyses. Kaplan Meier and receiver operating characteristic curve analysis were implemented to assess the predictive performance of the signature. The nomogram was constructed to predict the 1-year, 3-year, and 5-year overall survival of LUAD patients. Additionally, enrichment analyses were carried out to identify probable biologic processes and cellular pathways involved in the signature. The correlation of immune cell infiltration and risk score was also evaluated by CIBERSORT algorithm. Finally, we constructed a ceRNA network to further study possible downstream targets and molecular mechanisms of EMT-related lncRNAs in LUAD. RESULTS: Eight EMT-related lncRNAs were identified to develop a prognostic risk signature in LUAD. Patients with high-risk scores had worse survival outcomes than those with low-risk scores. The signature showed robust predictive potential, and was verified to be an independent prognostic factor. Moreover, the risk score based on the signature was significantly correlated with immune cell infiltration in LUAD. CONCLUSIONS: We established and validated a prognostic signature that reflects the tumor microenvironment characteristics and predicts the outcomes for LUAD.

Fatty acid profile as an efficient bioindicator of PCB bioaccumulation in a freshwater lake food web: A stable isotope guided investigation.

In past studies, the health and ecological risks of PCBs are well established. The impact of low-dose PCBs on aquatic ecosystems for an extended period is a matter of concern in the current era. The application of fatty acids (FAs) as bioindicators of pollution in the freshwater food web is almost unavailable. This study investigated concentrations of 209 PCB congeners, stable isotope levels, and FAs composition in ten freshwater species of Dongtinghu Lake, China. Total PCB congeners (∑PCBs) concentrations were ranged from 4.17 to 38.35 ng/g lipid weight. A total of 84 PCB congeners were detected out of 209 target PCB congeners, particularly PCB101, 118, 138, 153, and 155 found in all samples. The concentrations of 24 PCB congeners increased with trophic levels, but PCB 155 concentrations were consistent throughout trophic levels. The toxic equivalents (TEQ) of dl-PCBs (mostly PCB 126 and 169) also increased with trophic levels Out of total 35 FAs, 21 FAs were significantly positively correlated with 43 PCB congeners. Among FAs, C16:0 was the most abundant and positively correlated with most PCB compounds. Positive correlations between FAs and PCBs indicated that FAs can be used as efficient bioindicators of PCBs pollution in the aquatic food web.