Influence of atmospheric oxidation capacity on atmospheric particulate matters concentration in Lanzhou.

The atmospheric oxidation capacity (AOC) reflects the removal rate of atmospheric pollutants, and this index is typically characterized by the oxidant concentration or total reaction rate. The AOC plays a crucial role in the formation of atmospheric particulate matters and serves as an important indicator for studying changes in the concentration. In this study, we analyse the characteristics of atmospheric oxidants in Lanzhou based on data in the year of 2020 and 2021 retrieved from the Atmospheric Comprehensive Observation Station in Lanzhou. Empirical equations are applied to estimate the impact of atmospheric oxidative properties secondary generation concentrations of atmospheric particulate matters with different particle sizes. The results indicate that the annual average values of Ox were 146 µg/m3 in 2020 and 139 µg/m3 in 2021. The AOC was the highest in summer and lowest in winter. The correlation coefficient between O3 and Ox was significantly higher than that between NO2 and Ox, suggesting that O3 exerted a greater impact on the AOC in Lanzhou. A low AOC (MDA8 O3 ≤ 100 µg/m3) promoted the oxidation process of VOCs and other precursors, leading to the generation of secondary aerosols and subsequent formation of secondary particles. There were negative correlations between Ox and atmospheric particulate matters, secondary inorganic components, sulfur oxidation ratio (SOR) and nitrogen oxidation ratio (NOR), indicating that excessively high levels of Ox could inhibit the conversion rate of SO2 and NO2 into their respective forms to a certain extent.

NEDD4L inhibits cell viability, cell cycle progression, and glutamine metabolism in esophageal squamous cell carcinoma via ubiquitination of c-Myc.

Esophageal squamous cell carcinoma (ESCC) is a common subtype of esophageal cancer with high incidence. Surgery remains the main strategy for treatment of ESCC at early stage. However, the treatment outcome is unsatisfactory. Therefore, finding new therapeutics is of great importance. In the present study, we measured the level of NEDD4L, an ubiquitin protein ligase, in clinical samples and investigated the effects of NEDD4L on cell viability, cell cycle progression, and glutamine metabolism in TE14 cells determined by CCK-8 assay, flow cytometry and biochemical analysis, respectively. The results show that NEDD4L is significantly decreased in ESCC specimens, and its decreased expression is associated with a poor clinical outcome. Overexpression of NEDD4L significantly inhibits cell viability, cell cycle progression, and glutamine metabolism in TE14 cells. Mechanistic study indicates that NEDD4L regulates tumor progression through ubiquitination of c-Myc and modulation of glutamine metabolism. NEDD4L inhibits cell viability, cell cycle progression, and glutamine metabolism in ESCC by ubiquitination of c-Myc to decrease the expressions of GLS1 and SLC1A5. Our findings highlight the importance of NEDD4L/c-Myc signaling in ESCC.

Surgical approach of laryngofissure combined with epiglottis valley in treating locally-advanced pyriform sinus carcinoma. / å–‰è£‚å¼€è”åˆä¼šåŽŒè°·å ¥è·¯æ‰‹æœ¯æ²»ç–—å±€éƒ¨æ™šæœŸæ¢¨çŠ¶çªç™Œ.

OBJECTIVES: To evaluate feasibility and efficacy of surgical approach of laryngofissure combined with epiglottis valley in treating locally-advanced pyriform sinus carcinoma. METHODS: Clinical data of 216 patients with T3 and T4a pyriform sinus carcinoma, who came from the Department of Otorhinolaryngology Head and Neck Surgery, Xiangya Hospital, Central South University between January 2013 and December 2019, were retrospectively analyzed. Three different types of surgery were used in these patients. Seventy-three patients were performed by approach of laryngofissure combined with epiglottis valley for partial laryngopharyngectomy (Group I); 75 patients were performed by approach of lateral pharynx for piriform fossa resection (Group II); 68 patients were performed by total laryngopharyngectomy (Group III). All patients were treated with radiotherapy and followed up regularly after operation. Kaplan-Meier regression model was used to analyze the overall survival rate. EAT-10 swallowing scale was utilized to evaluate the postoperative swallowing function, while the rate of tracheal tube extubation and the incidence of postoperative complications in each group were compared. RESULTS: There were 76.7% patients with T3 stage in Group I, 100% patients with T3 stage in Group II, and 64.7% patients with T4a stage in Group III. There was significant difference between them (P<0.01). Clinical stage IV patients in the Group I, Group II, and Group III were 74.0%, 54.7%, and 89.7%, respectively, with significant difference (P<0.01). The 3-year overall survival (OS) rate in Group I, Group II, and Group III were 69.9%, 53.3%, and 58.8%, respectively. Patients in the Group I had a better survival outcome than that in the Group II (P<0.05). The median score of EAT-10 swallowing scale was 12.0 in the Group I, 8.0 in Group II, and 5.0 in Group III, with significant difference (P<0.01). There was no significant difference in the rate of tracheal tube extubation and the incidence of complication among the 3 groups (both P>0.05). CONCLUSIONS: Surgical approach of laryngofissure combined with epiglottis valley in the treating locally-advanced piriform sinus carcinoma presents favorable outcome in terms of survival rate and laryngeal function preservation, which deserves to be promoted.

The genomic architectures of tumour-adjacent tissues, plasma and saliva reveal evolutionary underpinnings of relapse in head and neck squamous cell carcinoma.

BACKGROUND: Head and neck squamous cell carcinoma (HNSCC) is characterised by a dismal prognosis; nonetheless, limited studies have unveiled the mechanisms underlying HNSCC relapse. METHODS: Next-generation sequencing was performed to identify the somatic mutations in 188 matched samples, including primary tumours, tumour-adjacent tissues (TATs), pre- and post-operative plasma, saliva and peripheral blood lymphocytes (PBLs) from 27 patients. The evolutionary relationship between TATs and tumours were analysed. The dynamic changes of tumour- and TAT-specific mutations in liquid biopsies were monitored together with survival analysis. RESULTS: Alterations were detected in 27 out of 27 and 19 out of 26 tumours and TATs, respectively. TP53 was the most prevalently mutated gene in TATs. Some TATs shared mutations with primary tumours, while some other TATs were evolutionarily unrelated to tumours. Notably, TP53 mutations in TATs are stringently associated with premalignant transformation and are indicative of worse survival (hazard ratio = 14.01). TAT-specific mutations were also detected in pre- and/or post-operative liquid biopsies and were indicative of disease relapse. CONCLUSIONS: TATs might undergo the processes of premalignant transformation, tumorigenesis and eventually relapse by either inheriting tumorigenic mutations from ancestral clones where the tumour originated or gaining private mutations independent of primary tumours. Detection of tumour- and/or TAT-specific genetic alterations in post-operative biopsies shows profound potential in prognostic use.

Antifibrotic Role of Nintedanib in Tracheal Stenosis After a Tracheal Wound.

OBJECTIVES/HYPOTHESIS: Tracheal stenosis is an obstructive disease of the upper airway that commonly develops as a result of abnormal wound healing. We evaluated the anti-inflammatory and antifibrotic properties of nintedanib on tracheal stenosis both in vitro and in vivo. STUDY DESIGN: Prospective controlled animal study and in vitro comparative study of human cells. METHODS: An animal model of tracheal stenosis was induced via tracheal trauma. Postsurgical rats were orally administered with nintedanib (10 or 20 mg/kg/d) or saline (negative control) for 2 weeks, and tracheal specimens were harvested after 3 weeks. Degree of stenosis, collagen deposition, fibrotic surrogate markers expression, and T-lymphocytic infiltration were evaluated. Human fetal lung fibroblast-1 (HFL-1) cells were cultured to determine the effects of nintedanib on changes of cellular biological function induced by transforming growth factor-ß1 (TGF-ß1). RESULTS: Rat tracheal stenotic tissues exhibited thickened lamina propria with irregular epithelium, characterized by significantly increased collagen deposition and elevated TGF-ß1, collagen I, α-SMA and fibronectin expressions. Nintedanib markedly attenuated the tracheal stenotic lesions, reduced the collagen deposition and the expression of fibrotic marker proteins, and mitigated CD4+ T-lymphocyte infiltration. Additionally, cellular proliferation and migration were decreased dose-dependently in TGF-ß1-stimulated HFL-1 cells when treated with nintedanib. Furthermore, nintedanib inhibited TGF-ß1-induced HFL-1 differentiation and reduced the mRNA levels of the profibrotic genes. TGF-ß1-activated phosphorylation of the TGF-ß/Smad2/3 and ERK1/2 pathways were also blocked by nintedanib. CONCLUSION: Nintedanib effectively prevented tracheal stenosis in rats by inhibiting fibrosis and inflammation. The antifibrotic effect of nintedanib may be achieved by inhibiting fibroblasts' proliferation, migration and differentiation and suppressing the TGF-ß1/Smad2/3 and ERK1/2 signaling pathways. LEVEL OF EVIDENCE: NA Laryngoscope, 131:E2496-E2505, 2021.

PM1 chemical composition and light absorption properties in urban and rural areas within Sichuan Basin, southwest China.

Sichuan Basin is encircled by high mountains and plateaus with the heights ranging from 1 km to 3 km, and is one of the most polluted regions in China. However, the dominant chemical species and light absorption properties of aerosol particles is still not clear in rural areas. Chemical composition in PM1 (airborne particulate matter with an aerodynamic diameter less than 1 µm) and light-absorbing properties were determined in Chengdu (urban) and Sanbacun (rural) in western Sichuan Basin (WSB), Southwest China. Carbonaceous aerosols and secondary inorganic ions (NH4+, NO3- and SO42-) dominate PM1 pollution, contributing more than 85% to PM1 mass at WSB. The mean concentrations of organic and elemental carbon (OC, EC), K+ and Cl- are 19.69 µg m-3, 8.00 µg m-3, 1.32 µg m-3, 1.16 µg m-3 at the rural site, which are 26.2%, 65.3%, 34.7% and 48.7% higher than those at the urban site, respectively. BrC (brown carbon) light absorption coefficient at 405 nm is 63.90 ± 27.81 M m-1 at the rural site, contributing more than half of total absorption, which is about five times higher than that at urban site (10.43 ± 4.74 M m-1). Compared with secondary OC, rural BrC light absorption more depends on primary OC from biomass and coal burning. The rural MAEBrC (BrC mass absorption efficiency) at 405 nm ranges from 0.6 to 5.1 m2 g-1 with mean value of 3.5 ± 0.8 m2 g-1, which is about three times higher than the urban site.

Endoscopic frontal recess anatomy directed by the drainage pathways using the connecting plates as landmarks.

PURPOSE: To investigate the anatomical features of frontal recess (FR) drainage, and the classification of FR cells and frontal sinus (FS). METHODS: Fifty sides from 30 adult cadaver heads were examined. FR cells and FS along the drainage pathways were dissected under 0° and 70° endoscopic views using unique connecting structures between the uncinate process and the ethmoid bulla as landmarks. RESULTS: Connecting plates between the uncinate process and the ethmoid bulla were discovered and termed medial suprainfundibular plate (MSIP), which were observed on each cadaver head, and lateral suprainfundibular plate (LSIP) on 92% (46/50) sides. Separated by MSIP, two drainage pathways were identified and named medial pathways of the FR (MPFR) medial to the MSIP and the lateral pathways of the FR (LPFR) in the lateral side. Different drainage pathways of the FS were confirmed, in which drained into the MPFR in 37 and into the LPFR in 13 of the cadaver sides. CONCLUSIONS: MSIP is the critical landmark for the recognition of MPFR, LPFR, and the classification of FR cells. The FR resection along LPFR and MPFR facilitated excellent exposure of FS.

Changes in bowel sounds of inpatients undergoing general anesthesia.

BACKGROUND: General anesthesia can affect intestinal function, but there is no objective, practical and effective indicator to evaluate the inhibition and recovery of intestinal function. The main objectives of this study were to assess whether bowel sounds (BSs) changed before, immediately after and 3 h after general anesthesia, and whether these changes in BSs are an effective indicator of intestinal function and an accurate guide for postoperative feeding. METHODS: We randomly selected 26 inpatients and collected three sets of 5-min continuous BS data before the operation (Pre-op), immediately after the operation (Pro-op) and 3 h after the operation (3 h-Pro-op) for each patient. Then, the linear and nonlinear characteristic values (CVs) of each effective bowel sound were extracted and paired t tests and rank-sum tests were used to evaluate the changes in the BSs. RESULTS: The differences in CVs, between Pre-op and Pro-op, as well as between Pro-op and 3 h-Pro-op, were statistically significant (p < 0.05). However, there are no statistically significant differences between all the CVs between Pre-op and 3 h-Pro-op (p > 0.05). CONCLUSION: BSs change before and after general anesthesia. Furthermore, the BSs are weakened due to general anesthesia and recover to the pre-op state 3 h later. Therefore, the BSs can be an indicator of intestinal function under general anesthesia, so as to provide guidance for postoperative feeding, which is of considerable clinical significance.

PM2.5 and O3 pollution during 2015-2019 over 367 Chinese cities: Spatiotemporal variations, meteorological and topographical impacts.

The strict Clean Air Action Plan has been in place by central and local government in China since 2013 to alleviate haze pollution. In response to implementation of the Plan, daytime PM2.5 (particulate matter with aerodynamic diameter less than 2.5 µm) showed significant downward trends from 2015 to 2019, with the largest reduction during spring and winter in the North China Plain. Unlike PM2.5, O3 (ozone) showed a general increasing trend, reaching 29.7 µg m-3 on summer afternoons. Increased O3 and reduced PM2.5 simultaneously occurred in more than half of Chinese cities, increasing to approximately three-fourths in summer. Declining trends in both PM2.5 and O3 occurred in only a few cities, varying from 19.1% of cities in summer to 33.7% in fall. Meteorological variables helped to decrease PM2.5 and O3 in some cities and increase PM2.5 and O3 in others, which is closely related to terrain. High wind speed and 24 h changing pressure favored PM2.5 dispersion and dilution, especially in winter in southern China. However, O3 was mainly affected by 24 h maximum temperature over most cities. Soil temperature was found to be a key factor modulating air pollution. Its impact on PM2.5 concentrations depended largely on soil depth and seasons; spring and fall soil temperature at 80 cm below the surface had largely negative impacts. Compared with PM2.5, O3 was more significantly affected by soil temperature, with the largest impact at 20 cm below the surface and with less seasonal variation.

Down-Regulation of MiR-181c-5p Promotes Epithelial-to-Mesenchymal Transition in Laryngeal Squamous Cell Carcinoma via Targeting SERPINE1.

Laryngeal squamous cell carcinoma (LSCC) arises from the squamous epithelium of the larynx and is associated with a high incidence of cervical lymph node metastasis. MicroRNAs (miRNAs) play a crucial role in the epigenetic regulation of cellular biological processes, including cancer metastasis. However, the molecular mechanisms of specific miRNAs responsible for LSCC metastasis and their clinical significance have yet to be fully elucidated. In this study, LSCC cohort datasets from the Gene Expression Omnibus (GEO) and The Cancer Genome Atlas (TCGA) were downloaded and examined by comprehensive bioinformatics analysis, which revealed that upregulation of mRNA SERPINE1 and downregulation of miR-181c-5p were associated with unfavorable overall survival. Our analysis showed that SERPINE1 expression negatively correlated with the expression level of miR-181c-5p in our LSCC patient samples. Silencing of miR-181c-5p expression promoted cell migration and invasion in cell lines, whereas the overexpression of miR-181c-5p suppressed cell migration and epithelial-to-mesenchymal transition (EMT) through the downregulation of SERPINE1. Further analysis showed that the enhancement effect on EMT and metastasis induced by silencing miR-181c-5p could be rescued through knockdown of SERPINE1 expression in vitro. Collectively, our findings indicated that miR-181c-5p acted as an EMT suppressor miRNA by downregulation of SERPINE1 in LSCC and offers novel strategies for the prevention of metastasis in LSCC.

Targeted Inhibitory Effect of Nasopharyngeal Carcinoma Cells by Hre2.Grp78 Chimeric Promoter Regulating Fusion Gene TK/VP3.

OBJECTIVE: To construct plasmids with Hre2.Grp78 chimeric promoter regulating fusion gene TK/VP3 and elaborate the effects of overexpressed TK/VP3 on nasopharyngeal carcinoma cells. METHODS: Four plasmids were constructed, including pcDNA3.1-CMV-TK/VP3, pcDNA3.1-Hre2.TK/VP3, pcDNA3.1-Grp78.TK/VP3, and pcDNA3.1-Hre2.Grp78.TK/VP3. The human nasopharyngeal carcinoma cell line HNE1 cells were transfected with the 4 plasmids, respectively. Cell viabilities were evaluated using 3-(4,5-Dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay, and apoptosis was conducted using flow cytometry analysis. The expression of TK, VP3, Grp78, and hypoxia-inducible factor 1α and apoptosis-related proteins was determined by real-time quantitative polymerase chain reaction and Western blotting. RESULTS: The recombinant plasmids that could steadily overexpress TK and VP3 were successfully constructed. Expression of TK and VP3 in cells transfected with pcDNA3.1-Hre2.TK/VP3 and pcDNA3.1-Grp78.TK/VP3 was significantly higher than pcDNA3.1-CMV-TK/VP3, and expression in cells transfected with pcDNA3.1-Hre2.Grp78.TK/VP3 was the highest. Under glucose deprivation or hypoxia condition, Grp78 or hypoxia-inducible factor 1α was overexpressed so that expression of TK and VP3 was significantly upregulated, which could further inhibit cell proliferation and enhance cell apoptosis. CONCLUSION: We successfully constructed 4 plasmids with Hre2.Grp78 chimeric promoter regulating fusion gene TK/VP3, which could significantly inhibit the proliferation as well as enhance the apoptosis of nasopharyngeal carcinoma cells under glucose deprivation or hypoxia condition.

Alcohol consumption, tobacco smoking, betel quid chewing and oral health associations with hypopharyngeal cancer among men in Central South China: a case-control study.

BACKGROUND: Hypopharyngeal cancer has relatively high incidence rates in China, especially in high-risk areas. However, data on the role of major risk factors in these areas of China are still limited. METHODS: We have evaluated the roles of alcohol, tobacco and betel quid consumption, and oral health, based on 278 hypopharyngeal cancer cases and 693 controls from two centers in Central South China. The odds ratio (OR) and 95% confidence interval (CI) values were estimated using logistic regression. RESULTS: We found that alcohol drinkers had a risk of hypopharyngeal cancer that was up to seven times higher than that for those who had never drunk. A very strong effect of traditional liquor as compared to other alcohol types was observed, with the OR reaching 11.26 (CI 6.53-19.41) for this cancer. Tobacco smokers were up to four times more likely to develop hypopharyngeal cancer than never smokers. The OR for betel quid chewing was 1.86 (CI 1.26-2.75) as compared to never users. Poor oral hygiene had a risk of hypopharyngeal cancer that was two times higher than that for normal oral hygiene. CONCLUSION: In this study, we have shown for what is believed to be the first time the association of increased hypopharyngeal cancer incidence with alcohol, tobacco, betel quid and oral hygiene in China. Alcohol may play a larger role for hypopharyngeal cancer in this population than in populations in other areas.

Metformin Suppresses Hypopharyngeal Cancer Growth by Epigenetically Silencing Long Non-coding RNA SNHG7 in FaDu Cells.

Local recurrence after therapy remains a challenging problem for hypopharyngeal cancer (HPC) due to the chemotherapy resistance. Metformin is associated with reduced cancer risk through promoting global DNA methylation in cancer cells by controlling S-adenosylhomocysteine (SAHH) activity. However, the mechanisms by which metformin inhibits HPC remain elusive. In this study, we aim to investigate the role of metformin in HPC and illustrate the mechanism by which metformin regulates long non-coding RNAs (lncRNAs) expression. CCK-8 and annexin-V/PI double staining were performed to analyze the cell viability and apoptosis. LncRNA microarray analysis, QPCR, methylation specific PCR, Western blot and RNA Immunoprecipitation were performed to analyze the molecular mechanism, Here, we report that metformin inhibits FaDu cell proliferation in time- and dose-dependent manner by suppressing lncRNA SNHG7. Further investigations revealed that SNHG7 interacted with SAHH and metformin decreased SNHG7 expression by activating SAHH activity. Increased SAHH activity resulted in upregulating DNMT1 expression, leading to hypermethylation of SNHG7 promotor. In addition, upregulation of SNHG7 was associated with advanced stage. The patients with high SNHG7 have lower overall survival than that of with low SNHG7. Interestingly, SNHG7 levels were higher in taxol resistant patients than in taxol sensitive patients. Metformin sensitizes FaDu cells to taxol and irradiation through decreasing SNHG7. In conclusion, our recent study demonstrates that metformin inhibits FaDu cell proliferation by decreasing SNHG7 expression via SAHH-mediated DNA methylation. These findings indicate that combined metformin with paclitaxel or irradiation would be a novel therapeutic strategy to overcome resistance and prevent recurrence in HPC.

Two winter PM2.5 pollution types and the causes in the city clusters of Sichuan Basin, Western China.

PM2.5 pollution types were analyzed and the causes were uncovered in Sichuan Basin using PM2.5 data from Chinese Ministry of Environmental Protection (MEP) and multiple meteorology data during January 2015 to February 2017. The events that PM2.5 increased gradually in the periods longer than 10 days and then decreased sharply were defined as "Type I", while the symmetrical variations of PM2.5 during increasing and decreasing periods were defined as "Type II" of PM2.5 pollution. Five cases of Type I and two cases of Type II were identified during the study period inside the basin. The increasing rates were almost comparable between the two PM2.5 pollution types with the range from 4 µg m-3 d-1 to 8 µg m-3 d-1, while the decreasing rates of Type I were between 25 µg m-3 d-1 and 40 µg m-3 d-1, which were 3-5 times higher than those of Type II (~8 µg m-3 d-1). The rapid reduction of PM2.5 for Type I was mainly related to improvement of vertical and horizontal diffusion conditions induced by invasion of cold air masses, while slowly decreased PM2.5 for Type II was due largely to elevated horizontal wind speeds and shifted wind directions in the city clusters of the basin.

Crocin inhibits RANKL­induced osteoclastogenesis by regulating JNK and NF­κB signaling pathways.

Receptor activator of nuclear factor­κB ligand (RANKL), a member of the tumor necrosis factor receptor-ligand family, is a crucial factor involved in osteoclast differentiation. Crocin, a pharmacologically active component of Crocus sativus L., has been reported to attenuate ovariectomy­induced osteoporosis in rats. However, the molecular mechanism underlying the effect of crocin on osteoclast formation remains to be determined. The present study aimed to investigate the effect of crocin on RANKL­induced osteoclastogenesis and its underlying molecular mechanism. Results demonstrated that crocin decreased osteoclastogenesis in bone marrow­derived macrophages (BMMs). In addition, the expression levels of osteoclast marker proteins were downregulated by crocin. Mechanistically, crocin inhibited RANKL­induced activation of nuclear factor­κB (NF­κB) by suppressing inhibitor of κBα degradation and preventing NF­κB p65 subunit nuclear translocation, and by activating c­Jun N­terminal kinase (JNK) in BMMs. In summary, the results of the present study suggested that crocin downregulates osteoclast differentiation via inhibition of JNK and NF­κB signaling pathways. Thus, crocin may be a potential therapeutic agent for the treatment of osteoclast­associated diseases, including osteoporosis.

Spatial patterns and temporal variations of six criteria air pollutants during 2015 to 2017 in the city clusters of Sichuan Basin, China.

Spatiotemporal variations of six criteria air pollutants and influencing factors in the city clusters of Sichuan Basin were studied based on real-time hourly concentrations of PM2.5 (the particles with diameters smaller than 2.5µm), PM10 (the particles with diameters smaller than 10µm), SO2, NO2, CO and O3 and routine meteorological data during the years from 2015 to 2017. The Sichuan Basin was further categorized into four regions: West, south, northeast Sichuan Basin (WSB, SSB and NESB) and plateau of west Sichuan Basin (PWSB) to better understand regional air pollution characteristics. Heavy air pollution was mainly induced by high PM2.5 or ozone concentrations in the cities clusters of Sichuan Basin. The compound air pollution characteristics existed in WSB with simultaneously high concentrations of PM2.5 and ozone, while PM2.5 concentrations in SSB were the highest among the four regions and especially in the city of Zigong with maximum PM2.5 concentration of 109.3µgm-3 in winter. The MDA8 (daily maximum 8-hour average surface O3 concentrations) more frequently exceeded CAAQS (Chinese Ambient Air Quality Standards) Grade I and II standards in Ziyang, Guang'an and Liangshan than the other cities maybe due to joint effects of industry emissions and regional transportation from surrounding cities. Annual (diurnal) variations of the pollutants with the exception of ozone showed "U" (flat "W") shape, while the ozone exhibited the opposite trends inside Sichuan Basin (WSB, SSB and NESB). Ozone pollution was more dependent on vehicle emissions inside Sichuan Basin, and industry had more important effects on ozone in the cities of PWSB with less vehicles. Severe ozone pollution can be formed easily under the weather conditions of high temperature, long sunshine duration and low RH (relative humidity) inside Sichuan Basin. High ozone concentrations in winter in PWSB may be partly transported from the other surrounding cities.

Annexin A2 is an independent prognostic biomarker for evaluating the malignant progression of laryngeal cancer.

Due to the lack of a definite diagnosis, a frequent recurrence rate and resistance to chemotherapy or radiotherapy, the clinical outcome for patients with advanced laryngeal cancer has not improved over the last decade. Annexin A2 is associated with the invasion and metastasis of cancer cells. In the present study, it was demonstrated using differential proteomics analysis that Annexin A2 is highly expressed in laryngeal carcinoma tissues and this was confirmed using immunohistochemistry, which demonstrated that the expression of Annexin A2 in laryngeal carcinoma tissues was significantly higher than in healthy adjacent tissue. In addition, its potential predictive value in the prognosis of patients with laryngeal carcinoma was evaluated. The results demonstrated that Annexin A2 expression was significantly associated with tumor size, lymph node metastasis, distant metastasis and clinical stage. In addition, higher Annexin A2 expression was associated with a poor prognosis of patients with laryngeal cancer. Thus, the results of the present study indicate that Annexin A2 expression is an independent prognostic biomarker for evaluating the malignant progression of laryngeal cancer.

Whole-exome sequencing reveals novel mutations and epigenetic regulation in hypopharyngeal carcinoma.

Hypopharyngeal cancer (HPC) frequently presents at an advanced stage, resulting in poor prognosis. Although combined surgical therapy and chemoradiotherapy have improved the survival for patients with HPC over the past 3 decades, the mortality rate in late-stage diagnosis of HPC is unsatisfactory. In this study, we performed whole-exome sequencing (WES) of 23 hypopharyngeal tumor and paired adjacent normal tissue to identify novel candidate driver genes associated with hypopharyngeal carcinoma. We identified several copy number variants (CNVs) and 15 somatic mutation genes that were associated with hypopharyngeal carcinoma. Mutations in nine new genes (PRB4, NSD1, REC8, ZNF772, ZNF69, EI24, CYFIP2, NEFH, KRTAP4-5) were also indentified. PRB4 and NSD1 expression were significantly upregulated in hypopharyngeal carcinoma, which was confirmed in an independent cohort using IHC. There was a positive relationship between PRB4 and NSD1. Downregulation of PRB4 by siRNA could inhibit cell growth, colony formation and cell invasion. Notably, we here demonstrate that NSD1 could bind to the promoter regions of PRB4 and activate promoter activity by reducing the binding of H3K27me2 and increasing the binding of H3K36me2 on PRB4 promoter. In summary, we pinpoint the predominant mutations in hypopharyngeal carcinoma by WES, highlighting the substantial genetic alterations contributing to hypopharyngeal carcinoma tumorigenesis. We also indentify a novel epigenetically regulatory between PRB4 and NSD1 that contribute to hypopharyngeal carcinoma tumorigenesis. They may become potential prognostic biomarkers and therapeutic target for hypopharyngeal carcinoma treatment.

Effect of short-term regional traffic restriction on urban submicron particulate pollution.

During the 2013 and 2015 Lanzhou International Marathon Events (LIME1 and LIME2), the local government made a significant effort to improve traffic conditions and air quality by implementing traffic restriction measures. To fill the gap in information on the effect of short-period (several hours) traffic control on urban air quality, submicron particle size distributions and meteorological data were measured simultaneously during June 2013 and June 2015 in urban Lanzhou. The number and surface area concentrations of particles in the 100-200nm range declined by 67.2% and 65.0% for LIME1 due to traffic control, while they decreased by 39.2% and 37.1% for LIME2. The impact of traffic restriction on air pollution near the sampling site lagged behind the traffic control period for LIME2. In addition, the effect of traffic restriction on air pollution near the sampling site was dependent on the distance between the relative orientation of the sampling site and traffic-restricted zones, as well as meteorological conditions such as wind direction. The influence of traffic restrictions on the particle concentrations differed for different particle sizes. The size range most affected by traffic restriction was 60-200 and 60-300nm for number and surface area concentrations in the urban environment, respectively, while for the particle volume concentration it was the 100-600nm range. This study will provide a basis for implementation of future urban traffic-induced particulate pollution control measures.

Chemoradiotherapy enhanced the efficacy of radiotherapy in nasopharyngeal carcinoma patients: a network meta-analysis.

OBJECT: A Bayesian network meta-analysis (NMA) was conducted to estimate the overall survival (OS) and complete response (CR) performance in nasopharyngeal carcinoma (NPC) patients who have been given the treatment of radiotherapy, concurrent chemoradiotherapy (C), adjuvant chemotherapy (A), neoadjuvant chemotherapy (N), concurrent chemoradiotherapy with adjuvant chemotherapy (C+A), concurrent chemoradiotherapy with neoadjuvant chemotherapy (C+N) and neoadjuvant chemotherapy with adjuvant chemotherapy (N+A). METHODS: Literature search was conducted in electronic databases. Hazard ratios (HRs) accompanied their 95% confidence intervals (95%CIs) or 95% credible intervals (95%CrIs) were applied to measure the relative survival benefit between two comparators. Meanwhile odd ratios (ORs) with their 95% CIs or CrIs were given to present CR data from individual studies. RESULTS: Totally 52 qualified studies with 10,081 patients were included in this NMA. In conventional meta-analysis (MA), patients with N+C exhibited an average increase of 9% in the 3-year OS in relation to those with C+A. As for the NMA results, five therapies were associated with a significantly reduced HR when compared with the control group when concerning 5-year OS. C, C+A and N+A also presented a decreased HR compared with A. There was continuity among 1-year, 3-year and 5-year OS status. Cluster analysis suggested that the three chemoradiotherapy appeared to be divided into the most compete group which is located in the upper right corner of the cluster plot. CONCLUSION: In view of survival rate and complete response, the NMA results revealed that C, C+A and C+N showed excellent efficacy. As a result, these 3 therapies were supposed to be considered as the first-line treatment according to this NMA.