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Low-temperature rechargeable aqueous zinc metal batteries (AZMBs) as highly promising candidates for energy storage are largely hindered by huge desolvation energy barriers and depressive Zn2+ migration kinetics. In this work, a superfast zincophilic ion conductor of layered zinc silicate nanosheet (LZS) is constructed on a metallic Zn surface, as an artificial layer and ion diffusion accelerator. The experimental and simulation results reveal the zincophilic ability and layer structure of LZS not only promote the desolvation kinetics of [Zn(H2O)6]2+ but also accelerate the Zn2+ transport kinetics across the anode/electrolyte interface, guiding uniform Zn deposition. Benefiting from these features, the LZS-modified Zn anodes showcase long-time stability (over 3300 h) and high Coulombic efficiency with ≈99.8% at 2 mA cm-2, respectively. Even reducing the environment temperature down to 0 °C, ultralong cycling stability up to 3600 h and a distinguished rate performance are realized. Consequently, the assembled Zn@LZS//V2O5-x full cells deliver superior cyclic stability (344.5 mAh g-1 after 200 cycles at 1 A g-1) and rate capability (285.3 mAh g-1 at 10 A g-1) together with a low self-discharge rate, highlighting the bright future of low-temperature AZMBs.
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Dendrite growth and side reactions of zinc metal anode have severely limited the practical application of aqueous zinc ion batteries (AZIBs). Herein, we introduce an artificial buffer layer composed of functional MXene (Ti3CN) for zinc anodes. The synthesized Ti3CN exhibits superior conductivity and features duplex zincophilic sites (N and F). These characteristics facilitate the homogeneous deposition of Zn2+, accelerate the desolvation process of hydrated Zn2+, and reduce the nucleation overpotential. The Ti3CN-protected Zn anode demonstrates significantly enhanced reversibility compared to bare Zn anode during long-term cycling, achieving a cumulative plating capacity of 10,000 mAh cm-2 at 10 mA cm-2. In Ti3CN-Zn||Cu asymmetric cell, it maintains nearly 100 % Coulombic efficiency over 2500 cycles at 2 mA cm-2. Furthermore, the assembled Ti3CN-Zn//δ-K0.51V2O5 (KVO) full cell exhibit a low capacity decay rate of 0.002 % per cycle at 5 A/g. Even at 0 °C, the Ti3CN-Zn symmetric cell maintains steady cycling for 2000 h. This study introduces a novel approach for designing artificial solid electrolyte interlayers for commercial AZIBs.
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Artificial afferent neurons in the sensory nervous system inspired by biology have enormous potential for efficiently perceiving and processing environmental information. However, the previously reported artificial afferent neurons suffer from two prominent challenges: considerable power consumption and limited scalability efficiency. Herein, addressing these challenges, a bioinspired artificial thermal afferent neuron based on a N-doped SiTe ovonic threshold switching (OTS) device is presented for the first time. The engineered OTS device shows remarkable uniformity and robust endurance, ensuring the reliability and efficacy of the artificial afferent neurons. A substantially decreased leakage current of the SiTe OTS device by nitrogen doping results in ultra-low power consumption less than 0.3 nJ per spike for artificial afferent neurons. The inherent temperature response exhibited by N-doped SiTe OTS materials allows us to construct a highly compact artificial thermal afferent neuron over a wide temperature range. An edge detection task is performed to further verify its thermal perceptual computing function. Our work provides an insight into OTS-based artificial afferent neurons for electronic skin and sensory neurorobotics.
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Neuronas Aferentes , Neuronas Aferentes/fisiología , Temperatura , HumanosRESUMEN
A novel nanocomposite fluorescent probe consisting of quantum dots and a silica molecularly imprinted polymer (MIPs-capped ZnS:Mn QDs) was synthesized and applied for the rapid detection of teflubenzuron (TBZ) based on the fluorescence quenching of a composite probe via TBZ. The fluorescence quenching efficiency of MIP@SiO2@ZnS:Mn QDs displayed a linear relationship over the concentration range of 0-26.24 µmol/L with a correlation coefficient of 0.9857 and the limit of detection was 2.4 µg/L. The selectivity test showed that the nanocomposite had good selectively rebind TBZ with higher imprinting factor of 3.06 compared with four structurally similar compounds. In addition, the probe was successfully applied to the detection of TBZ in vegetable samples with a recovery of 90.3~97.1% and with a relative standard deviation below 3.2%. This developed method has the advantages of simple preparation, fast response and low toxicity for trace TBZ detection.
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Electrostatic gating has emerged as a powerful technique for tailoring the magnetic properties of two-dimensional (2D) magnets, offering exciting prospects including enhancement of magnetic anisotropy, boosting Curie temperature, and strengthening exchange coupling effects. Here, we focus on electrical control of the ferromagnetic resonance of the quasi-2D Kagome magnet Cu(1,3-bdc). By harnessing an electrostatic field through ionic liquid gating, significant shifts are observed in the ferromagnetic resonance field in both out-of-plane and in-plane measurements. Moreover, the effective magnetization and gyromagnetic ratios display voltage-dependent variations. A closer examination reveals that the voltage-induced changes can modulate magnetocrystalline anisotropy by several hundred gauss, while the impact on orbital magnetization remains relatively subtle. Density functional theory (DFT) calculations reveal varying d-orbital hybridizations at different voltages. This research unveils intricate physics within the Kagome lattice magnet and further underscores the potential of electrostatic manipulation in steering magnetism with promising implications for the development of spintronic devices.
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Stability and multifunctionality greatly extend the applications of phase change materials (PCMs) for thermal storage and management. Herein, CuS and Fe3O4 nanoparticles were successfully loaded onto cotton-derived carbon to develop a multifunctional interface with efficient photothermal conversion and electromagnetic interference (EMI) shielding properties. 1,3:2,4-di-(3,4-dimethyl) benzylidene sorbitol (DMDBS) and expanded graphite (EG) formed an organic/inorganic three-dimensional network framework to encapsulate 1-octadecanol (OD) by self-assembly. Finally, multifunctional shape-stabilized PCMs (SSPCMs) with the sandwich structure were prepared by the hot-press process. Multifunctional SSPCMs with high load OD (91%) had favorable thermal storage density (200.6 J/g), thermal stability, and a relatively wider available temperature range with improved thermal conductivity to support the thermal storage and management realization. Furthermore, due to the synergistic enhancement of two nanoparticles and the construction of the carbon network with cotton carbon and EG, highly efficient photothermal conversion (94.4%) and EMI shielding (68.9 dB average, X-band) performance were achieved at about 3 mm thickness, which provided the possibility of the multifunctional integration of PCMs. Conclusively, this study provides new insights towards integrating solar energy utilization with the comprehensive protection of related electronics.
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PURPOSE: Pelvic bone segmentation and landmark definition from computed tomography (CT) images are prerequisite steps for the preoperative planning of total hip arthroplasty. In clinical applications, the diseased pelvic anatomy usually degrades the accuracies of bone segmentation and landmark detection, leading to improper surgery planning and potential operative complications. METHODS: This work proposes a two-stage multi-task algorithm to improve the accuracy of pelvic bone segmentation and landmark detection, especially for the diseased cases. The two-stage framework uses a coarse-to-fine strategy which first conducts global-scale bone segmentation and landmark detection and then focuses on the important local region to further refine the accuracy. For the global stage, a dual-task network is designed to share the common features between the segmentation and detection tasks, so that the two tasks mutually reinforce each other's performance. For the local-scale segmentation, an edge-enhanced dual-task network is designed for simultaneous bone segmentation and edge detection, leading to the more accurate delineation of the acetabulum boundary. RESULTS: This method was evaluated via threefold cross-validation based on 81 CT images (including 31 diseased and 50 healthy cases). The first stage achieved DSC scores of 0.94, 0.97, and 0.97 for the sacrum, left and right hips, respectively, and an average distance error of 3.24 mm for the bone landmarks. The second stage further improved the DSC of the acetabulum by 5.42%, and this accuracy outperforms the state-of-the-arts (SOTA) methods by 0.63%. Our method also accurately segmented the diseased acetabulum boundaries. The entire workflow took ~ 10 s, which was only half of the U-Net run time. CONCLUSION: Using the multi-task networks and the coarse-to-fine strategy, this method achieved more accurate bone segmentation and landmark detection than the SOTA method, especially for diseased hip images. Our work contributes to accurate and rapid design of acetabular cup prostheses.
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Aprendizaje Profundo , Humanos , Tomografía Computarizada por Rayos X/métodos , Cadera , Pelvis/diagnóstico por imagen , Acetábulo , Procesamiento de Imagen Asistido por Computador/métodosRESUMEN
Despite the large demand for dental restoration each year, the design of crown restorations is mainly performed via manual software operation, which is tedious and subjective. Moreover, the current design process lacks biomechanics optimization, leading to localized stress concentration and reduced working life. To tackle these challenges, we develop a fully automated algorithm for crown restoration based on deformable model fitting and biomechanical optimization. From a library of dental oral scans, a conditional shape model (CSM) is constructed to represent the inter-teeth shape correlation. By matching the CSM to the patient's oral scan, the optimal crown shape is estimated to coincide with the surrounding teeth. Next, the crown is seamlessly integrated into the finish line of preparation via a surface warping step. Finally, porous internal supporting structures of the crown are generated to avoid excessive localized stresses. This algorithm is validated on clinical oral scan data and achieved less than 2 mm mean surface distance as compared to the manual designs of experienced human operators. The mechanical simulation was conducted to prove that the internal supporting structures lead to uniform stress distribution all over the model.
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Using thermal storage materials with excellent thermal properties in the energy utilization system enables efficient use of renewable energy sources. Organic phase change materials (PCMs) have the advantages of high heat storage density, no corrosion, and low cost, but low thermal conductivity and insufficient heat transfer capacity have always been the bottlenecks in their application. In this paper, melamine foam@ reduction graphene oxide (MF@rGO) and carbon foam@ reduction graphene oxide (CF@rGO) composite foams with double carbon networks were prepared by self-assembly method and further employed in 1-octadecinal (OD) PCMs. The microstructure, chemical composition, phase change behavior, thermal conductivity, and photothermal conversion performance of MF@rGO/OD and CF@rGO/OD were studied in detail using SEM, FTIR, Raman DSC, and LFA. The melting and solidification enthalpies of CF@rGO/OD composite PCMs were 208.3 J/g and 191.4 J/g, respectively, its thermal conductivity increased to 1.54 W/m·K, which is 6.42 times that of pure OD. The porous structure and high thermal conductivity of the double carbon network substantially enhance the efficiency of energy storage and release in composite PCMs. CF@rGO/OD composite PCMs have excellent heat storage performance and heat transfer capacity, and a wide range of application prospects in the fields of low-temperature solar heat storage, precision instrument temperature control, and intelligent buildings.
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Organic composite phase change materials (PCMs) have been extensively studied, and it is important to investigate the effect of added components on the phase change process of the organic matrix. Herein, the phase transition process of the composite PCM with 1-octadecanol (OD) as the matrix adsorbed by a network framework composed of 1,3:2,4-di-(3,4-dimethyl) benzylidene sorbitol (DMDBS) and expanded graphite (EG) was measured using differential scanning calorimetry (DSC) at several linear heating rates. Using isoconversional and multivariate non-linear regression methods, a two-step consecutive reaction model for the composite PCM was established, while the apparent activation energies and pre-exponential factors were determined. The reaction mechanism of the first step was altered compared to pure OD, while the activation energies significantly decreased at the initial stage of the phase transition process and increased at the later stage. Combined with microscopic morphology analysis, the main reasons were the size and nanoconfinement effect. The predictions of the composite PCM under various conditions suggested that the composite PCM had a wider available temperature range compared to pure OD. This research provided a new idea for the in-depth study of the phase transition process of organic composite PCMs, which was helpful for the evaluation of organic composite PCMs.
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Objective.Precise hip joint morphometry measurement from CT images is crucial for successful preoperative arthroplasty planning and biomechanical simulations. Although deep learning approaches have been applied to clinical bone surgery planning, there is still a lack of relevant research on quantifying hip joint morphometric parameters from CT images.Approach.This paper proposes a deep learning workflow for CT-based hip morphometry measurement. For the first step, a coarse-to-fine deep learning model is designed for accurate reconstruction of the hip geometry (3D bone models and key landmark points). Based on the geometric models, a robust measurement method is developed to calculate a full set of morphometric parameters, including the acetabular anteversion and inclination, the femoral neck shaft angle and the inclination, etc. Our methods were validated on two datasets with different imaging protocol parameters and further compared with the conventional 2D x-ray-based measurement method.Main results. The proposed method yields high bone segmentation accuracies (Dice coefficients of 98.18% and 97.85%, respectively) and low landmark prediction errors (1.55 mm and 1.65 mm) on both datasets. The automated measurements agree well with the radiologists' manual measurements (Pearson correlation coefficients between 0.47 and 0.99 and intraclass correlation coefficients between 0.46 and 0.98). This method provides more accurate measurements than the conventional 2D x-ray-based measurement method, reducing the error of acetabular cup size from over 2 mm to less than 1 mm. Moreover, our morphometry measurement method is robust against the error of the previous bone segmentation step. As we tested different deep learning methods for the prerequisite bone segmentation, our method produced consistent final measurement results, with only a 0.37 mm maximum inter-method difference in the cup size.Significance. This study proposes a deep learning approach with improved robustness and accuracy for pelvis arthroplasty planning.
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Artroplastia de Reemplazo de Cadera , Aprendizaje Profundo , Prótesis de Cadera , Artroplastia de Reemplazo de Cadera/métodos , Flujo de Trabajo , Tomografía Computarizada por Rayos X/métodos , Articulación de la Cadera/diagnóstico por imagenRESUMEN
The specific heat capacity plays a crucial role in influencing the heat transfer efficiency of materials. Considering the relatively low specific heat capacity of metals, this study focuses on investigating the impact of second-phase nano Ni particles on the microstructure and thermophysical properties of the alloy matrix. The alloys' phase compositions and microstructures were examined using X-ray diffraction phase analysis (XRD), electron probe micromorphology analysis (EPMA), and X-ray fluorescence spectroscopy (XRF). Furthermore, the thermophysical properties of the alloys were comprehensively analyzed through the employment of a differential scanning calorimeter (DSC) and the laser flash method (LFA). The addition of second-phase nanoparticles significantly increased the specific heat capacity of the alloy in the liquid state; however, the phenomenon of nanoparticle agglomeration diminishes this improvement. The analysis of the specific heat enhancement mechanism indicates that ordered states are formed between the second-phase solid nanoparticles and the melted metal in the liquid state. With the increase in temperature, the destruction of these ordered states requires additional heat, resulting in the increase of specific heat capacity.
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Crystalline structure and bimetallic interaction of metal oxides are essential factors to determine the catalytic activity. Herein, three different CoOx/CeO2 catalysts, employing CeO2 nanorods (predominately exposed {110 facet), CeO2 nanopolyhedra ({111} facet) and CeO2 nanocubes ({100} facet) as the supports, are successfully prepared for investigating the effect of exposed crystal facets and bimetallic interface interaction on NO oxidation. In comparison with the {111} and {100} facets, the exposed crystal facet {110} exists the best superiority to anchor and stabilize Co species. Moreover, ultra-small CoOx clusters composed of strong Co-O coordination shells with minor Co-O-Ce interaction are formed and uniformly dispersed on the CeO2 nanorods. Structural characterizations reveal that the active exposed crystal facet {110} and the strong bimetallic interface interaction in CoOx/CeO2-nanorods (R-CC) result in more structural defect, endowing it with abundant oxygen vacancies, excellent reducibility and strong adsorption capacity. The DRIFTs spectra further indicate that the exposed crystal facet {110} has a significant promoting effect on the strength of nitrates compared with {111} and {100} facets. The bimetallic interface interaction not only significantly facilitates the formation of nitrate species at lower temperature, but also effectively suppresses the generation of sulfate and lower the sulphation rate. Therefore, R-CC catalyst exhibits the maximum NO oxidation activity with the conversion of 86.4 % at 300 °C and still sustains its high activity under cyclic condition or 50 ppm SO2. The provided crystalline structure and interaction-enhanced strategy sheds light on the design of high-activity NO oxidation catalysts.
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BACKGROUND: Dozens of studies have demonstrated gut dysbiosis in COVID-19 patients during the acute and recovery phases. However, a consensus on the specific COVID-19 associated bacteria is missing. In this study, we performed a meta-analysis to explore whether robust and reproducible alterations in the gut microbiota of COVID-19 patients exist across different populations. METHODS: A systematic review was conducted for studies published prior to May 2022 in electronic databases. After review, we included 16 studies that comparing the gut microbiota in COVID-19 patients to those of controls. The 16S rRNA sequence data of these studies were then re-analyzed using a standardized workflow and synthesized by meta-analysis. RESULTS: We found that gut bacterial diversity of COVID-19 patients in both the acute and recovery phases was consistently lower than non-COVID-19 individuals. Microbial differential abundance analysis showed depletion of anti-inflammatory butyrate-producing bacteria and enrichment of taxa with pro-inflammatory properties in COVID-19 patients during the acute phase compared to non-COVID-19 individuals. Analysis of microbial communities showed that the gut microbiota of COVID-19 recovered patients were still in unhealthy ecostates. CONCLUSIONS: Our results provided a comprehensive synthesis to better understand gut microbial perturbations associated with COVID-19 and identified underlying biomarkers for microbiome-based diagnostics and therapeutics.
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COVID-19 , Microbioma Gastrointestinal , Humanos , ARN Ribosómico 16S/genética , Microbioma Gastrointestinal/genética , Disbiosis/microbiología , Bacterias/genética , Heces/microbiologíaRESUMEN
Background: This study sought to depict the genomic landscape of patients with surgically resected lung squamous cell carcinoma (LUSC) and its relationship with clinical outcome indicators. Methods: We retrospectively collected the clinical data of 180 patients from the electronic medical records and applied targeted sequencing and immunohistochemistry (IHC) to depict the genomic landscape, including the tumor mutation burden (TMB), programmed cell death-ligand 1 (PD-L1), and cluster of differentiation CD8+ tumor-infiltrating lymphocytes (CD8+ TILs). And comparative analysis and survival analysis of these parameters were conducted to find prognostic factors for clinical outcome. Results: PD-L1+ tumor cells were observed in 75 (41.7%) of the patients, the median rate of CD8+ TILs was 11.5 [4, 24], and the median TMB was 9.4 (7.5-13.7) mutations per megabase (mut/Mb). Patched receptor 1 (PTCH1) gene mutation frequency was significantly associated with CD8+ TILs density (12% vs. 1%; P=0.024). High PD-L1 expression and CD8+ TILs+ were significantly associated with longer disease-free survival (DFS), and a further subgroup analysis revealed that both were significantly correlated with the DFS of stage I/II patients but not stage III patients. Conclusions: The results suggest that only PTCH1 gene mutation frequency was correlated with CD8+ TILs density. Additionally, intense CD8+ TILs density and high PD-L1 expression were found to be associated with longer DFS. Our findings provide insights into the precise treatment strategy for surgically resected LUSC patients.
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Porous silicon carbide composite ceramics were prepared by partial sintering method and sacrificial silicon, with phenolic resin applied as carbon template, and silicon powder as silicon source and pore-forming agent. It showed a composite structure of SiC/SiO2/SiC sandwich shell structure and SiC/SiOX heterojunction nanofiber. Through an investigation into the effect of carbon-silicon atomic ratio on the structure and thermodynamic properties of porous SiC. It was revealed that the carbon network formed by the phenolic resin played a role in restricting the position of the silicon powder and building a regularly-arranged porous SiC structure. The prepared samples reached a porosity of 50-75% while exhibiting a low thermal conductivity ranging from 0.74 to 1.3 W/(m·K), which is attributed to the nanoscale phonon dispersion mechanism and nanofiber thermal insulation, together with high stiffness. Porous ceramics demonstrate both mechanical and thermal insulation properties, which makes them applicable as thermal protection materials for hypersonic aircraft. This is effectively in reducing the aerodynamic thermal effects of hypersonic aircraft.
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Phase-change material (PCM) devices are one of the most mature nonvolatile memories. However, their high power consumption remains a bottleneck problem limiting the data storage density. One may drastically reduce the programming power by patterning the PCM volume down to nanometer scale, but that route incurs a stiff penalty from the tremendous cost associated with the complex nanofabrication protocols required. Instead, here a materials solution to resolve this dilemma is offered. The authors work with memory cells of conventional dimensions, but design/exploit a PCM alloy that decomposes into a heterogeneous network of nanoscale crystalline domains intermixed with amorphous ones. The idea is to confine the subsequent phase-change switching in the interface region of the crystalline nanodomain with its amorphous surrounding, forming/breaking "nano-bridges" that link up the crystalline domains into a conductive path. This conductive-bridge switching mechanism thus only involves nanometer-scale volume in programming, despite of the large areas in contact with the electrodes. The pore-like devices based on spontaneously phase-separated Ge13 Sb71 O16 alloy enable a record-low programming energy, down to a few tens of femtojoule. The new PCM/fabrication is fully compatible with the current 3D integration technology, adding no expenses or difficulty in processing.
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Macrophages are crucial effectors of innate immunity against the pathogenic bacterium Listeria monocytogenes. The pro-inflammatory cytokine tumour necrosis factor-α (TNF) has been shown to be crucial for resistance to L. monocytogenes and mice deficient in TNF signalling succumb quickly after infection. However, the mechanisms underlying TNF-mediated defence against L. monocytogenes infection have not been completely elucidated. Here, we demonstrate that TNF concurrently functions to support a pro-inflammatory M1 phenotype while actively blocking macrophage polarization to the M2 phenotype. Compared to WT mice, peritoneal macrophages in TNF-deficient mice inoculated with L. monocytogenes respond with M2 polarization by upregulating Arg1. Consistently, TNF blockade in vitro resulted in M2 polarization in peritoneal macrophages during L. monocytogenes infection. Additionally, TNF promotes the transition from M2 to M1 polarization in peritoneal macrophages. Further investigation of peritoneal macrophage polarization suggested the NF-κB pathway is involved in the TNF-dependent M2 to M1 shift. Conversely, treatment of peritoneal macrophage with a PPARγ agonist blunted the expression of M1 genes induced by TNF and reduced NF-κB signalling pathway activation. Competing signalling mechanisms therefore play an essential role in the ability of peritoneal macrophage to resolve L. monocytogenes infections with TNF playing an essential role in driving M1 polarization.Abbreviations: LPM: large peritoneal macrophage; SPM: small peritoneal macrophage; LLO: listeriolysin O; iNOS: inducible nitric oxide synthase; DCs: dendritic cells.
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Listeriosis , Activación de Macrófagos , Macrófagos Peritoneales , Factor de Necrosis Tumoral alfa , Animales , Listeriosis/inmunología , Macrófagos , Macrófagos Peritoneales/metabolismo , Ratones , FN-kappa B/metabolismo , Factor de Necrosis Tumoral alfa/genéticaRESUMEN
BACKGROUND: Anti-programmed cell death 1 (PD-1)/programmed cell death-ligand 1 (PD-L1) immunotherapy has boosted the prognosis in advanced lung cancer. Meanwhile, accumulating cases showed the correlation between tuberculosis (TB) reactivation and anti-PD-1/PD-L1 immunotherapy. However, the safety and efficacy of anti-PD-1/PD-L1 immunotherapy for lung cancer complicated with TB infection could only be learned from real-world data. METHODS: We retrospectively analyzed 562 patients with advanced lung cancer who received anti-PD-1/PD-L1 immunotherapy at Shanghai Pulmonary Hospital from 2015 to 2019, including 13 patients with TB infection. Besides, relevant literature reviews were performed online to analyze the safety and efficacy of immunotherapy and to explore the appropriate treatment strategies in this specific population. RESULTS: In our cohort, the initiation of anti-PD-1/PD-L1 immunotherapy was from June 2015 to December 2019. Among them, 13 patients had TB infection prior to immunotherapy including 11 latent TB and 2 active TB, and all of them were treated with anti-PD-1 immunotherapy. Patients with active TB infection were treated with concurrent anti-TB and anti-PD-1 treatments, and the remaining received either mono-immunotherapy or combined immunotherapy. Neither reactivation of latent TB nor progression of active TB was monitored in our cohort during immunotherapy. Severe immune-related adverse events (irAEs) were diagnosed in two patients. Treatment strategies such as discontinuation of immunotherapy and administration of corticosteroids were provided timely, and one with latent TB infection got gradually improved, but the other one with active TB died quickly. The median progression-free survival (PFS) was 5.5 months for tumor immunotherapy in our cohort. However, the PFS of immunotherapy was merely 2.1 and 2.2 months in lung cancer patients with active TB infection. CONCLUSIONS: Immunotherapy is relatively safe for lung cancer patients complicated with previously treated latent TB, and the efficacy of immunotherapy in this specified population is not inferior to that in lung cancer patients without TB infection. TB screening before anti-PD-1/PD-L1 immunotherapy is strongly recommended, and irAEs should be monitored more cautiously in lung cancer patients with active TB infection.