A real-word experience of eltrombopag plus rabbit antithymocyte immunoglobulin-based IST in Chinese patients with severe aplastic anemia.

Eltrombopag (EPAG), a thrombopoietin receptor agonist, was approved for the treatment of severe aplastic anemia (SAA) combined with immunosuppressive therapy (IST). However, the effects of real-life use of low doses of EPAG combined with rabbit antithymocyte globulin (ATG)-based IST in Asian patients with SAA are yet unknown. A total of 121 previously untreated Chinese patients with SAA were enrolled in a multicenter registry of the Chinese Eastern Collaboration Group of Anemia (2014-2020): 67 patients received IST alone and 54 patients received additional EPAG. Patients receiving IST plus EPAG had a higher overall response rate (ORR) at 1 month (P = 0.002), 3 months (P = 0.028), 6 months (P = 0.006), and 12 months (P = 0.031) compared to those receiving IST alone. EPAG was the favorable factor for response efficacy at 6 months. The complete response rate in the EPAG plus IST group was 17% at 3 months, 27% at 6 months, and 32% at 12 months, compared to 7% (P = 0.069), 14% (P = 0.11), and 33% (P = 0.92) for those treated with IST alone. The 2-year overall survival rate in EPAG plus IST and IST alone groups was 98% and 88%, respectively (P = 0.078). The rate of adverse events, including clonal evolution, infection, and transaminitis, was similar in the two cohorts. The addition of EPAG to IST was well-tolerated and associated with high rates of hematologic responses among the previously untreated Chinese patients with SAA.

Computational optical system design: a global optimization method in a simplified imaging system.

An optical imaging system often has problems of high complexity and low energy transmittance to compensate for aberrations. Here we propose a method to correct aberrations by coupling an optical subsystem with a digital subsystem. Specifically, in the global optimization process, the two subsystems correct their respective, easily handled aberrations so that the final imaging aberration is minimized. We design simple lenses with this method and assess imaging quality. In addition, we conduct a tolerance analysis for the proposed method and verify the effectiveness of deconvolution using a spatially varying point spread function (SVPSF) in the actual imaging process. Simulation results show the superiority of the proposed method compared with the conventional design and the feasibility of simplifying the optical system. Experimental results prove the effectiveness of deconvolution using SVPSF.

Underestimated contribution of open biomass burning to terpenoid emissions revealed by a novel hourly dynamic inventory.

Terpenoids play a crucial role in atmospheric chemistry, contributing significantly to the formation of ozone and secondary organic aerosol. However, the accurate quantification of terpenoid emissions from biomass burning is currently lacking, leading to underestimated air quality impacts. This study developed a near real-time hourly open biomass burning (OBB) emission inventory named OBEIC, which incorporated geostationary and polar-orbiting satellite fire radiative power. The OBEIC inventory provided emission estimates of 69 terpenoids, categorized into four groups, at an hourly resolution. Monoterpenes were the dominant contributors to the total emissions, accounting for 58 % of the total terpenoid emissions from OBB. Notably, only 24 % of the total monoterpenes emitted from OBB were accounted for by α-pinene and ß-pinene, indicating the importance of quantifying emissions of other monoterpene species such as limonene and camphene. Additionally, oxygenated terpenoids, which were previously overlooked, contribute to 20 % of total terpenoid emissions from OBB. Diurnally, the emissions of terpenoids were primarily concentrated during the daytime (61 %); however, this study revealed the significance of nighttime emissions (39 %) as well. When compared to the biogenic and anthropogenic emissions, OBB made substantial contributions to nighttime isoprene (99.8 %), monoterpene (66.8 %), and sesquiterpene (61.7 %) emissions where OBB occurs (in 3 km range), suggesting its significant role in nighttime secondary pollutant formation. The methodology developed in this study has the potential to reduce uncertainties in OBB emissions estimation.

Emission characteristics of carbonyl compounds from open burning of typical subtropical biomass in South China.

Open biomass burning (OBB) is one of the largest primary emission sources for atmospheric carbonyl compounds, key precursors for ozone and secondary organic aerosol pollution. To clarify the carbonyl emissions, the comprehensive characteristics of C1-C10 carbonyl compounds from open burning of seven typical subtropical biomass in China were investigated in this study, which included subtropical plants and agricultural residues. Total 27 carbonyl compounds were detected. The total EFs were 2824 mg kg-1 with 95% confidence interval (CI) [2418, 3322] for burning subtropical plants and 4080 mg kg-1 with 95% CI [3446, 4724] for burning agriculture residues, respectively. The EFs were 2-3 orders of magnitude larger than previous values in China. Aliphatic aldehydes were the largest group of carbonyl groups, with acetaldehyde, as the most abundant carbonyl species (about 30% contribution). Formaldehyde, acetone, acrolein, glyoxal, methylglyoxal, butanone, isovaleraldehyde, and m-tolualdehyde were also found to be abundant and varying with the types of biomass burnt. Formaldehyde emission ratios to acetonitrile and CO were lower than those in previous studies both for burning plants and agricultural residues. There were significant variabilities in the emission ratios and factors among different types of OBBs. Strong positive correlations were found between carbonyl emissions and CO emissions and water content in biomass; furthermore, total carbonyl concentrations measured in the flaming stage were higher than those in the smoldering one. This study provides important fundamental measurement data on carbonyl emissions from burning typical subtropical plants and agricultural residues, which will help improve the quality of emission inventories and better understand the potential impacts of OBB on regional air quality in southern China.

Polycyclic aromatic hydrocarbons emissions from biomass-fueled boilers in China.

Biomass serves as a sustainable energy source; however, the environmental risks associated with polycyclic aromatic hydrocarbons (PAHs) emitted from industrial biomass-fueled boilers are not well understood. This study analyzed 16 priority PAHs in both particulate and gaseous phases from 13 representative real-world industrial biomass-fueled boilers. Flue gas samples were collected from the stacks and analyzed using advanced techniques. Total PAHs concentrations ranged from 1.36 to 8870 µg m-3 (9 % O2 v/v), with benzo[a]pyrene emissions from certain boilers exceeding the allowable emissions standards for the coking chemical and petroleum refining industries in China. PAHs were predominantly found in the gaseous phase, with both gas and particle phases exhibiting similar toxicity. The average emission factor (EFmass) was 9.23 mg kg-1, while the toxicity-equivalent emission factors (EFCEQ, EFMEQ, and EFTEQ) were 1.96 × 10-2, 1.39 × 10-2 and 7.61 × 10-4 mg kg-1, respectively. It is estimated that annual PAH emissions from 2020 to 2050 will significantly decrease if biomass is used as industrial fuel in boilers (0.61 to 1.32 Gg y-1) instead of being openly burned in the field (3.39 to 7.21 Gg y-1). Overall, this study provides a comprehensive evaluation of PAH emissions from industrial biomass combustion, offering valuable data for future research and policy-making.

Origins of formaldehyde in a mountainous background atmosphere of southern China.

Formaldehyde (HCHO) is one of the key indicators of severe photochemical pollution and strong atmospheric oxidation capacity in southern China. However, current information on the origins of regional HCHO and the impacts of polluted air masses remains scarce and unclear. In this study, an intensive observation of HCHO was conducted at a mountainous background site in southern China during typical photochemical pollution episodes. The concentrations of HCHO reached up to 6.14 ppbv and averaged at 2.68 ± 1.11 ppbv. Source appointment using a photochemical age-based parameterization method revealed significant contributions of secondary formation (50 %) and biomass burning (42 %). Meanwhile, under the influence of the East Asian Winter Monsoon, polluted air masses from central and western China can significantly increase the regional HCHO levels. The simulation results adopting the Rapid Adaptive Optimization Model for Atmospheric Chemistry model further demonstrated that the intrusion of active anthropogenic pollutants (e.g., small-molecule alkenes) can accelerate the net production rate of HCHO, particularly through BVOC-oxidation pathways. This study suggests a potential enhanced mechanism of HCHO production resulting from anthropogenic-biogenic interactions. It highlights that polluted air masses carrying abundant HCHO from upwind areas may facilitate severe photochemical pollution in the Greater Bay Area.

Comprehensive measurement of carbonyls in Lhasa, Tibetan Plateau: Implications for strong atmospheric oxidation capacity.

Carbonyls are ubiquitous in the troposphere and play a crucial role in atmospheric oxidation capacity (AOC), particularly in photochemistry-active regions such as the Tibetan Plateau (TP). However, the composition and evolution of carbonyls over the TP is still poorly understood due to a lack of comprehensive observations and modelling. Here, we conducted an intensive field measurement of 37 carbonyls and their precursors at a suburban site in Lhasa during summer 2022. Markedly higher levels of carbonyls (7.24 ± 3.83 ppbv) were found during ozone pollution episodes, with 36 % higher than those during non-episodes. Formaldehyde was the most abundant carbonyl (38 %), which primarily originating from photochemical secondary formations. Simulations using the Rapid adaptive Optimization Model for Atmospheric Chemistry (ROMAC) indicated strong AOC in Lhasa, with the daytime maximum of ·OH and ·HO2 of 9.8 × 106 and 4.2 × 108 molecules cm-3, respectively, which were even higher than that in most of the megacities in China. Notably, AOC significantly enhanced with the increasing carbonyls during the episodes, with the concentrations of ·OH and ·HO2 were boosted 21 % and 67 % than those during non-episodes, respectively. Budget analysis revealed that the ·HO2 + NO (88 %) and ·OH + VOC (74 %) pathways dominated the generation and loss of ·OH, respectively. And for ·HO2, they were ·RO2 + NO (67 %) and ·HO2 + NO (83 %). This study provides valuable insights into the strong AOC in the ecologically-fragile and climate-sensitive TP region, and highlighted the crucial role of anthropogenic-biogenic interactions in the active photochemistry of TP.

Palladium-based multifunctional nanoparticles for combined chemodynamic/photothermal and calcium overload therapy of tumors.

Due to the high mortality and incidence rates associated with tumors and the specificity of the tumor microenvironment (TME), it is difficult to achieve a complete cure for tumors using a single therapy. In this study, calcium carbonate-modified palladium hydride nanoparticles (PdH@CaCO3) were prepared and utilized for the combined treatment of tumors through chemodynamic therapy (CDT)/photothermal therapy (PTT) and calcium overload therapy. After entering tumor cells, PdH@CaCO3 releases calcium ions (Ca2+) and PdH once it reaches the TME due to the pH reactivity of the calcium carbonate coating. The mitochondrial membrane potential is lowered by the Ca2+, leading to irreversible cell damage. Meanwhile, PdH reacts with excessive hydrogen peroxide (H2O2) in the TME via the Fenton reaction, generating hydroxyl radicals (·OH). Moreover, PdH is an excellent photothermal agent that can kill tumor cells under laser irradiation, leading to significant anti-tumor effects. In vitro and in vivo studies have demonstrated that PdH@CaCO3 could combine CDT/PTT and calcium overload therapy, exhibiting great clinical potential in the treatment of tumors.

A Smartphone-Based sEMG Signal Analysis System for Human Action Recognition.

In lower-limb rehabilitation, human action recognition (HAR) technology can be introduced to analyze the surface electromyography (sEMG) signal generated by movements, which can provide an objective and accurate evaluation of the patient's action. To balance the long cycle required for rehabilitation and the inconvenient factors brought by wearing sEMG devices, a portable sEMG signal acquisition device was developed that can be used under daily scenarios. Additionally, a mobile application was developed to meet the demand for real-time monitoring and analysis of sEMG signals. This application can monitor data in real time and has functions such as plotting, filtering, storage, and action capture and recognition. To build the dataset required for the recognition model, six lower-limb motions were developed for rehabilitation (kick, toe off, heel off, toe off and heel up, step back and kick, and full gait). The sEMG segment and action label were combined for training a convolutional neural network (CNN) to achieve high-precision recognition performance for human lower-limb actions (with a maximum accuracy of 97.96% and recognition accuracy for all actions reaching over 97%). The results show that the smartphone-based sEMG analysis system proposed in this paper can provide reliable information for the clinical evaluation of lower-limb rehabilitation.

Resolution enhancement of tongue tactile image based on deconvolution neural network.

To reproduce the tactile perception of multiple contacts on the human tongue surface, it is necessary to use a pressure measurement device with high spatial resolution. However, reducing the size of the array sensing unit and optimizing the lead arrangement still pose challenges. This article describes a deconvolution neural network (DNN) for improving the resolution of tongue surface tactile imaging, which alleviates this tradeoff between tactile sensing performance and hardware simplicity. The model can work without high-resolution tactile imaging data of tongue surface: First, in the compression test using artificial tongues, the tactile image matrix (7 × 7) with low resolution can be acquired by sensor array with a sparse electrode arrangement. Then, through finite element analysis modeling, combined with the distribution rule of additional stress on the two-dimensional plane, the pressure data around the existing detection points are calculated, further expanding the tactile image matrix data amount. Finally, the DNN, based on its efficient nonlinear reconstruction attributes, uses the low-resolution and high-resolution tactile imaging matrix generated by compression test and finite element simulation, respectively, to train, and outputs high-resolution tactile imaging information (13 × 13) closer to the tactile perception of the tongue surface. The results show that the overall accuracy of the tactile image matrix calculated by this model is above 88%. Then, we deduced the spatial difference graph of the resilience index of the three kinds of ham sausages through the high-resolution tactile imaging matrix.

In situ quantitative assessment of food oral processing parameters: A review of feasible techniques and devices.

Oral processing is a combination of various actions, the detailed description of which has always been the subject of relevant research. By means of imaging technology and sensory evaluation, more knowledge of oral processing have been accumulated. Presently, the advances in sensory technology have added quantitative parameters to the qualitative description of oral processing, which also enriched the specifics of each action. Previous studies have shown that oral processing includes lip closure, dental occlusion, masticatory muscles activity, tongue movement, and swallowing, whose processing contains rich information such as the movement of organ and the intensity of organ contacts. "Quantification" was taken in this review as the basic feature of in situ detection information, the relevant parameters and feasible methods for the quantitative description of each activity was recorded in detail. In addition, basic problems and feasible optimization schemes of the existing in situ detection device are also proposed in the hope of promoting the development of in situ detection device thus providing available information for the description of oral processing.

Open biomass burning emissions and their contribution to ambient formaldehyde in Guangdong province, China.

Formaldehyde (HCHO) plays a vital role in atmospheric chemistry and O3 formation. Open biomass burning (OBB) is considered to be an important source of HCHO; however, its quantitative contribution to ambient HCHO remains poorly understood due to the lack of reliable high-resolution emission inventories. In this study, a satellite-based method coupled with local emission factors was developed to estimate the hourly primary emissions of HCHO and volatile organic compound (VOC) precursors from OBB in Guangdong (GD) Province of southern China. Furthermore, the contribution of OBB to ambient HCHO was quantified using the Community Multi-scale Air Quality model. The results suggested that in average OBB emissions contributed 5293 tons of primary HCHO per year, accounting for ~14% of the total anthropogenic HCHO emissions in GD. The ambient HCHO concentration ranged from 0.3 ppbv to 8.7 ppbv during normal days, and from 8 ppbv to 45 ppbv in downwind area during OBB impacted days. The monthly contribution of OBB to local HCHO levels reached up to 50% at locations with frequent fires and over 70% during a forest fire event. Ambient HCHO was heavily affected by primary OBB emissions near the source region and by the oxidation of OBB-emitted VOCs in the downwind area. Secondary HCHO formation from OBB emissions was enhanced during photochemical pollution episodes, especially under conditions of high O3 and low NOx. OBB-emitted ethene was identified as the most important VOC precursor of HCHO and contributed to the formation of ~50% of the secondary HCHO. The HCHO formation potential of cropland fires was 26% higher than that of forest fires. Our results suggest that OBB can elevate ambient HCHO levels significantly. Thus, strict control policies on OBB should be implemented, especially for open burning agricultural residues in upwind areas on serious photochemical pollution days.

Emission characteristics of polychlorinated dibenzo-p-dioxins and dibenzofurans from industrial combustion of biomass fuels.

Although biomass fuel has always been regarded as a source of sustainable energy, it potentially emits polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs). This study investigated PCDD/F emissions from industrial boilers fired with three types of biomass fuel (i.e., bagasse, coffee residue, and biomass pellets) via stack sampling and laboratory analysis. The measured mass concentrations of PCDD/Fs varied among the boilers from 0.0491 to 12.7 ng Nm-3 (11% O2), with the calculated average international toxic equivalent quantity (I-TEQ) from 0.00195 to 1.71 ng I-TEQ Nm-3 (11% O2). Some of them were beyond the limit value for municipal waste incineration. 2,3,4,7,8-PeCDF could be used as a good indicator of dioxin-induced toxicity of stack flue gases from biomass-fired boilers. The PCDFs/PCDDs ratios were more than 1, likely indicating the formation of dioxins in the boilers favored by de novo synthesis. The emission factor (EF) of total PCDD/Fs averaged 5.35 ng I-TEQ kg-1 air-dry biomass (equivalent to 39.0 ng kg-1 air-dry biomass). Specifically, the mean EF was 6.94 ng I-TEQ kg-1 (52.6 ng kg-1) for biomass-pellet-fired boiler, 11.8 ng I-TEQ kg-1 (74.6 ng kg-1) for coffee-residue -fired boiler, and 0.0277 ng I-TEQ kg-1 (0.489 ng kg-1) for bagasse-fired boilers. The annual PCDD/F emission was estimated to be 208 g I-TEQ in 2020 in China, accounting for approximately 2% of the total national annual emission of PCDD/Fs. The results can be used to develop PCDD/Fs emission inventories and offer valuable insights to authorities regarding utilizing biomass in industry in the future.

Genome-Wide Analysis of Nutrient Signaling Pathways Conserved in Arbuscular Mycorrhizal Fungi.

Arbuscular mycorrhizal (AM) fungi form a mutualistic symbiosis with a majority of terrestrial vascular plants. To achieve an efficient nutrient trade with their hosts, AM fungi sense external and internal nutrients, and integrate different hierarchic regulations to optimize nutrient acquisition and homeostasis during mycorrhization. However, the underlying molecular networks in AM fungi orchestrating the nutrient sensing and signaling remain elusive. Based on homology search, we here found that at least 72 gene components involved in four nutrient sensing and signaling pathways, including cAMP-dependent protein kinase A (cAMP-PKA), sucrose non-fermenting 1 (SNF1) protein kinase, target of rapamycin kinase (TOR) and phosphate (PHO) signaling cascades, are well conserved in AM fungi. Based on the knowledge known in model yeast and filamentous fungi, we outlined the possible gene networks functioning in AM fungi. These pathways may regulate the expression of downstream genes involved in nutrient transport, lipid metabolism, trehalase activity, stress resistance and autophagy. The RNA-seq analysis and qRT-PCR results of some core genes further indicate that these pathways may play important roles in spore germination, appressorium formation, arbuscule longevity and sporulation of AM fungi. We hope to inspire further studies on the roles of these candidate genes involved in these nutrient sensing and signaling pathways in AM fungi and AM symbiosis.

Emission characteristics of biogenic volatile organic compounds in a subtropical pristine forest of southern China.

Emission characteristics of biogenic volatile organic compounds (BVOCs) from dominant tree species in the subtropical pristine forests of China are extremely limited. Here we conducted in situ field measurements of BVOCs emissions from representative mature evergreen trees by using dynamic branch enclosures at four altitude gradients (600-1690 m a.s.l.) in the Nanling Mountains of southern China. Composition characteristics as well as seasonal and altitudinal variations were analyzed. Standardized emission rates and canopy-scale emission factors were then calculated. Results showed that BVOCs emission intensities in the wet season were generally higher than those in the dry season. Monoterpenes were the dominant BVOCs emitted from most broad-leaved trees, accounting for over 70% of the total. Schima superba, Yushania basihirsuta and Altingia chinensis had relatively high emission intensities and secondary pollutant formation potentials. The localized emission factors of isoprene were comparable to the defaults in the Model of Emissions of Gases and Aerosols from Nature (MEGAN), while emission factors of monoterpenes and sesquiterpenes were 2 to 58 times of those in the model. Our results can be used to update the current BVOCs emission inventory in MEGAN, thereby reducing the uncertainties of BVOCs emission estimations in forested regions of southern China.

[Immunophenotype analysis of leukemic mantle cell lymphoma].

Mantle cell lymphoma (MCL) is a kind of mature B-cell neoplasms with significantly poor prognosis and is usually misdiagnosed. With the development of flow cytometry and cytogenetic technique, most patients were at leukemic phase when diagnosed. This study was purposed to investigate the immunophenotypes of MCL, the immunophenotype information of 22 leukemic MCL patients was analyzed retrospectively. All the patients were conformed t(11;14) translocation by fluorescence in situ hybridization. Immunophenotypes were detected by a four-color flow cytometry including CD3, CD4, CD5, CD8, CD10, CD19, CD20, CD22, CD23, CD25, CD38, CD103, CD148, CD200, FMC7, ZAP-70, κ, λ. The results showed that CD19, CD5, CD20 and monoclonal sIg expressed in all 22 patients with CD20 high expression; CD22 expressed weakly in 17 patients; CD23 expressed in 6 patients including 2 cases highly expressed; FMC7 expressed in 12 patients. 5 patients were 4-point score and 17 patients had a score less than 4 according to CLL scoring system. CD148 and CD200 were detected in 18 patients, in which CD200 expressed negatively in 11 patients, CD200 expressed weakly in 7 patients with median fluorescence intensity (MFI) 25.8 (6.6 - 254.26); CD148 expressed positively in all 18 patients with median MFI: 337 (73.4 - 1341.9). It is concluded that the atypical immunophenotype is common in leukemia MCL, thereby the diagnosis of MCL needs comprehensively analyze with morphocytology, immunophenotype and cytogenetic, CD200 and CD148 as new bio-markers can differentiate MCL from chronic B cell lymphoproliferative disease.

IRF4 promotes cell proliferation by JNK pathway in multiple myeloma.

Interferon regulatory factor 4 (IRF4) is a member of the interferon regulatory family, which plays an important role in many lymphoid and myeloid malignancies. In the current study, using immunohistochemical staining, we found that IRF4 only expressed in plasma cells in bone marrow biopsy samples of multiple myeloma. IRF4-positive patients displayed increased disease stage (Durie-Salmon stage, p = 0.026; and International Staging System, p = 0.005). Silencing IRF4 in myeloma cell lines could inhibit myeloma cells proliferation and induce myeloma cell apoptosis, partly by JNK/Jun pathway. These results demonstrate that IRF4 plays important roles in myelomagenesis and disease progression.

[Analysis of NPM1 gene mutations in acute myeloid leukemia].

The aim of this study was to evaluate the nucleophosmin (NPM1) gene exon 12 mutation in patients with acute myelogenous leukemia (AML) and its clinical characteristics. Genomic DNAs from 33 AML patients were amplified by PCR and sequencing for NPM1 mutations. The results showed that the NPM1 exon 12 mutations were found is 8 patients from 33 AML patients (24.2%) including 1 of M(1), 3 of M(2), 1 of M(4) and 3 of M(5). The NPM1 gene mutations were found in 7 out of 19 patients with normal karyotype and their incidence was significantly higher than that in patients with karyotype abnormalities (1/14, 7.1%, p < 0.005). The proportion of bone marrow blast cells and the count of peripheral white blood cells in patients with NPMI exon 12 mutation were higher than that in patients with wild type NPMI gene. It is concluded that the occurrence of NPM1 exon 12 mutations is observed more in AML patients with normal karyotype. NPM1 mutant cases are associated with more high amount of boon marrow blast cells and peripheral white blood cell count.