Diagnostic efficacy of tract-specific diffusion tensor imaging in cervical spondylotic myelopathy with electrophysiological examination validation.

PURPOSE: This study aimed to investigate the effectiveness of tract-specific diffusion tensor imaging (DTI) metrics in identifying the responsible segments for neurological dysfunction in cervical spondylotic myelopathy (CSM). METHODS: The study encompassed nineteen participants diagnosed with CSM, including 10 males and 9 females. Additionally, a control group consisting of ten healthy caregivers (5 males and 5 females) were recruited with no symptoms and no compressions on magnetic resonance imaging (MRI). All participants underwent a comprehensive physical examination, MRI assessment, and DTI examination conducted by a senior chief physician. Several parameters were collected from the MR images, including the aspect ratio (defined as the anteroposterior diameter / the transverse diameter of the corresponding segment's spinal cord), transverse ratio (defined as the transverse diameter of the corresponding segment's spinal cord / the transverse diameter of the spinal cord at C2/3), and T2 high signal of the spinal cord. Furthermore, quantitative DTI metrics, such as axial diffusivity (AD), mean diffusivity (MD), radial diffusivity (RD), and fractional anisotropy (FA), were calculated using automatic region-of-interest (ROI) analysis for both whole spinal cord column and dorsal column. Receiver operating characteristic (ROC) curves were constructed to evaluate the diagnostic efficacy of the aspect ratio, transverse ratio, and DTI parameters. The area under the curve (AUC), sensitivity, and specificity were calculated. Intraoperative spinal cord electrophysiological examination was performed as the objective measure of spinal cord function during surgery. RESULTS: As determined by electrophysiological examination, neurological dysfunction was found in 2 patients due to C3/4 compression, in 10 patients due to C4/5 compression, in 6 patients due to C5/6 compression, and in 1 patient due to C6/7 compression. The modified Japanese Orthopedic Association scale (mJOA) was 12.71 ± 1.55 in the CSM group, with 4.87 ± 0.72 for sensory nerve function and 5.05 ± 1.35 for motor nerve function. For the control group, none of the volunteers had neurological dysfunction. T2 high signal was found at the most stenotic segment in 13 patients of the CSM group. Considering all the cervical segments, the aspect ratio (AUC = 0.823, P = 0.001, Sensitivity = 68.42%, Specificity = 82.47%) was more capable of determining the responsible segment than transverse ratio (AUC = 0.661, P = 0.027, Sensitivity = 68.42%, Specificity = 67.01%). AD, MD, and RD were significantly higher while FA was significantly lower in the responsible segment than in the irresponsible segment (P < 0.05). The AUC of DTI-Dorsal column parameters (AD, MD, RD, FA) was larger than the corresponding parameters of the DTI (Whole spinal cord). AD of DTI-Dorsal Column possessed the greatest efficacy (AUC = 0.823, sensitivity = 84.21%, specificity = 77.32%) to determine the responsible segment, larger than AD of DTI-Whole spinal cord (AUC = 0.822, P = 0.001, Sensitivity = 89.47%, Specificity = 77.32%), aspect ratio (AUC = 0.823, P = 0.001, Sensitivity = 68.42%, Specificity = 82.47%) and transverse ratio (AUC = 0.661, P = 0.027, Sensitivity = 68.42%, Specificity = 67.01%). Subgroup analysis revealed that the diagnostic efficacy of DTI and MRI parameters was influenced by cervical spine segment. CONCLUSIONS: When considering all cervical segments, AD from the DTI-Dorsal Column exhibited the most significant potential in identifying responsible segments. This potential was found to be superior to that of DTI-Whole spinal cord, aspect ratio, the most stenotic segment, T2 high signals, transverse ratio, motor nerve dysfunction, and sensory nerve dysfunction. The diagnostic effectiveness of both DTI and MRI parameters was notably influenced by the specific cervical spine segment.

Influence of Pliocene and Pleistocene climates on hybridization patterns between two closely related oak species in China.

BACKGROUND AND AIMS: Contemporary patterns of genetic admixture reflect imprints of both ancient and recent gene flow, which can provide us with valuable information on hybridization history in response to palaeoclimate change. Here, we examine the relationships between present admixture patterns and past climatic niche suitability of two East Asian Cerris oaks (Quercus acutissima and Q. chenii) to test the hypothesis that the mid-Pliocene warm climate promoted while the Pleistocene cool climate limited hybridization among local closely related taxa. METHODS: We analyse genetic variation at seven nuclear microsatellites (1111 individuals) and three chloroplast intergenic spacers (576 individuals) to determine the present admixture pattern and ancient hybridization history. We apply an information-theoretic model selection approach to explore the associations of genetic admixture degree with past climatic niche suitability at multiple spatial scales. KEY RESULTS: More than 70 % of the hybrids determined by Bayesian clustering analysis and more than 90 % of the individuals with locally shared chloroplast haplotypes are concentrated within a mid-Pliocene contact zone between ~30°N and 35°N. Climatic niche suitabilities for Q. chenii during the mid-Pliocene Warm Period [mPWP, ~3.264-3.025 million years ago (mya)] and during the Last Glacial Maximum (LGM, ~0.022 mya) best explain the admixture patterns across all Q. acutissima populations and across those within the ancient contact zone, respectively. CONCLUSIONS: Our results highlight that palaeoclimate change shapes present admixture patterns by influencing the extent of historical range overlap. Specifically, the mid-Pliocene warm climate promoted ancient contact, allowing widespread hybridization throughout central China. In contrast, the Pleistocene cool climate caused the local extinction of Q. chenii, reducing the probability of interspecific gene flow in most areas except those sites having a high level of ecological stability.

A prospective cohort study of the accuracy and safety of robot-assisted minimally invasive spinal surgery.

BACKGROUND: Robot-assisted open surgery (RA-OS) is now commonly used in traditional open-exposure spinal screw placement surgery. With the help of robots, robot-assisted minimally invasive surgery (RA-MIS) can achieve less bleeding and less tissue damage in percutaneous screw insertion. While the research comparing the safety and accuracy of screw placement between RA-MIS and RA-OS is insufficient. This study aims to compare the effects of RA-MIS and RA-OS in thoracic and lumbar spine. METHODS: This was a prospective cohort study evaluating 208 patients undergoing robot-assisted screw insertions from July 2020 to September 2021. Age, BMI, gender, screws accuracy, screws Gertzbein-Robbins grade, small joint invasion and perioperative outcomes (operation time, blood loss, postoperative hospital stay, comorbidity) were collected. A subgroup analysis was also performed according to disease, namely fracture, spondylolisthesis, and disc herniation. Data were analyzed using Stata/MP 14.0. Wilcoxon's signed rank test, Kruskal-Wallis test and Fisher's exact test were used for statistical tests and p < 0.05 was considered statistically significant. RESULTS: A total of 1030 screws were inserted; 368 minimally invasive screws and 662 open screws. The acceptability of screw insertion in the RA-MIS and RA-OS was 97.3% and 95.6% respectively. There was no statistical difference between the RA-MIS group and RA-OS group in age (p = 0.106), gender (p = 0.074), BMI (p = 0.181) and comorbidity (p = 0.203). Compared with RA-OS, RA-MIS had less blood loss (p < 0.001) and shorter postoperative hospital stay (p = 0.008). In the minimally invasive surgery group, the fracture subgroup had smaller screw deviation, less blood loss, and shorter operation time compared with the other subgroups (p < 0.01). Specifically, RA-MIS significantly reduced the postoperative hospital stay of patients with spondylolisthesis compared with RA-OS (p < 0.01). CONCLUSION: RA-OS and RA-MIS had equal accuracy and safety. Compared with open surgery, minimally invasive surgery reduced blood loss in each subgroup and shortened the postoperative hospital stay in the spondylolisthesis subgroup. Compared with the other subgroups under minimally invasive surgery, the fracture subgroup had less blood loss and shorter operation time. CLINICAL TRIAL REGISTRATION: NCT04040868. Registered 1 March 2019, https://clinicaltrials.gov/ct2/show/NCT04040868?cond=Accuracy+Study+of+Robot-assisted+Screw+Insertion+in+Spinal+Surgery&draw=2&rank=1 .

Phylogenetic comparison of 5' splice site determination in central spliceosomal proteins of the U1-70K gene family, in response to developmental cues and stress conditions.

Intron-containing genes have the ability to generate multiple transcript isoforms by splicing, thereby greatly expanding the eukaryotic transcriptome and proteome. In eukaryotic cells, precursor mRNA (pre-mRNA) splicing is performed by a mega-macromolecular complex defined as a spliceosome. Among its splicing components, U1 small nuclear ribonucleoprotein (U1 snRNP) is the smallest subcomplex involved in early spliceosome assembly and 5'-splice site recognition. Its central component, named U1-70K, has been extensively characterized in animals and yeast. Very few investigations on U1-70K genes have been conducted in plants, however. To this end, we performed a comprehensive study to systematically identify 115 U1-70K genes from 67 plant species, ranging from algae to angiosperms. Phylogenetic analysis suggested that the expansion of the plant U1-70K gene family was likely to have been driven by whole-genome duplications. Subsequent comparisons of gene structures, protein domains, promoter regions and conserved splicing patterns indicated that plant U1-70Ks are likely to preserve their conserved molecular function across plant lineages and play an important functional role in response to environmental stresses. Furthermore, genetic analysis using T-DNA insertion mutants suggested that Arabidopsis U1-70K may be involved in response to osmotic stress. Our results provide a general overview of this gene family in Viridiplantae and will act as a reference source for future mechanistic studies on this U1 snRNP-specific splicing factor.

Hybridization and introgression in sympatric and allopatric populations of four oak species.

BACKGROUND: Hybridization and introgression are vital sources of novel genetic variation driving diversification during reticulated evolution. Quercus is an important model clade, having extraordinary diverse and abundant members in the Northern hemisphere, that are used to studying the introgression of species boundaries and adaptive processes. China is the second-largest distribution center of Quercus, but there are limited studies on introgressive hybridization. RESULTS: Here, we screened 17 co-dominant nuclear microsatellite markers to investigate the hybridization and introgression of four oaks (Quercus acutissima, Quercus variabilis, Quercus fabri, and Quercus serrata) in 10 populations. We identified 361 alleles in the four-oak species across 17 loci, and all loci were characterized by high genetic variability (HE = 0.844-0.944) and moderate differentiation (FST = 0.037-0.156) levels. A population differentiation analysis revealed the following: allopatric homologous (FST = 0.064) < sympatric heterogeneous (FST = 0.071) < allopatric heterogeneous (FST = 0.084). A Bayesian admixture analysis determined four types of hybrids (Q. acutissima × Q. variabilis, Q. fabri × Q. serrata, Q. acutissima × Q. fabri, and Q. acutissima × Q. variabilis × Q. fabri) and their asymmetric introgression. Our results revealed that interspecific hybridization is commonly observed within the section Quercus, with members having tendency to hybridize. CONCLUSIONS: Our study determined the basic hybridization and introgression states among the studied four oak species and extended our understanding of the evolutionary role of hybridization. The results provide useful theoretical data for formulating conservation strategies.

Systematic characterization of the branch point binding protein, splicing factor 1, gene family in plant development and stress responses.

BACKGROUND: Among eukaryotic organisms, alternative splicing is an important process that can generate multiple transcripts from one same precursor messenger RNA, which greatly increase transcriptome and proteome diversity. This process is carried out by a super-protein complex defined as the spliceosome. Specifically, splicing factor 1/branchpoint binding protein (SF1/BBP) is a single protein that can bind to the intronic branchpoint sequence (BPS), connecting the 5' and 3' splice site binding complexes during early spliceosome assembly. The molecular function of this protein has been extensively investigated in yeast, metazoa and mammals. However, its counterpart in plants has been seldomly reported. RESULTS: To this end, we conducted a systematic characterization of the SF1 gene family across plant lineages. In this work, a total of 92 sequences from 59 plant species were identified. Phylogenetic relationships of these sequences were constructed, and subsequent bioinformatic analysis suggested that this family likely originated from an ancient gene transposition duplication event. Most plant species were shown to maintain a single copy of this gene. Furthermore, an additional RNA binding motif (RRM) existed in most members of this gene family in comparison to their animal and yeast counterparts, indicating that their potential role was preserved in the plant lineage. CONCLUSION: Our analysis presents general features of the gene and protein structure of this splicing factor family and will provide fundamental information for further functional studies in plants.

Altered gene expression profiles of testicular tissues from azoospermic patients with maturation arrest.

Maturation arrest is a common cause of male infertility which has caused worldwide concern, and its pathophysiological process remains further elucidation. Our study aimed to identify genetic characteristics of maturation arrest by comparing gene expression between maturation arrest and normal samples using microarray technology. A total of 6,373 genes were identified differentially expressed (p < .05, fold change > 2.0 or <-2.0) and 1,594 genes were selected as statistically significant after Bonferroni correction, including 419 up-regulated and 1,175 down-regulated genes. Microarray data were validated by quantitative reverse transcriptase-polymerase chain reaction. Bioinformation analysis was performed to explore genetic function of statistically significant genes. Gene Ontology results showed the statistically significant genes enriched in sexual reproduction, spermatogenesis and male gamete generation. Reactome pathway analysis highlighted the olfactory signalling pathway, fertilisation, developmental biology, etc. One module and eight hub genes were found to be involved in ubiquitin-mediated proteolysis and may affect as indicators of spermatogenic process through protein-protein interaction analysis. Our study provided a comprehensive genetic characteristic of differential expressed genes in testicular tissues from maturation arrest patients and speculated several genes as potential indicators of disease.

The defense system for Bidens pilosa root exudate treatments in Pteris multifida gametophyte.

According to the novel weapons hypothesis, root exudates are the inhibition factors for native species growth and development through invasive plants. It is hypothesized that antioxidant system (AOS) presents an effective role in plant defense system. The allelopathy indexes of P. multifida gametophyte biomass and sporogonium conversions rates turn negative with the dose and time effects, and the synthetical allelopathic effect index was -55.07% at 100% treatments under root exudates treatments. Under transmission electron microscopy, the cell structures turn burry. Next, AOS and programmed cell death (PCD) were tested in this study. In AOS, strong activities of superoxide dismutase, catalase, glutathione reductase and glutathione S-transferase (GST) were identified in gametophyte cells under the treatments, as well as the contents of glutathione, ascorbic acid and reduced ascorbate, while GPX activity decreased. Based on the input (SOD activity) and the output (GST activity) of antioxidant system, and the decreasing system control would be a reason leading gametophyte death under root exudates. At day 10, PCD would get its peak of 46.93% at 100% root exudates. We found a dynamic balance of PCD and AOS under the exudates treatments. We detected hexadecanoic acid, ethylene glycol and undecane are three major chemicals in root exudates. Our results provide a reference of AOS and PCD working under root exudates treatments in plants and offer novel strategy for the native species protection and invasion plants control in environment science.

Identification of Tea Plant Purple Acid Phosphatase Genes and Their Expression Responses to Excess Iron.

Purple acid phosphatase (PAP) encoding genes are a multigene family. PAPs require iron (Fe) to exert their functions that are involved in diverse biological roles including Fe homeostasis. However, the possible roles of PAPs in response to excess Fe remain unknown. In this study, we attempted to understand the regulation of PAPs by excess Fe in tea plant (Camellia sinensis). A genome-wide investigation of PAP encoding genes identified 19 CsPAP members based on the conserved motifs. The phylogenetic analysis showed that PAPs could be clustered into four groups, of which group II contained two specific cysteine-containing motifs "GGECGV" and "YERTC". To explore the expression patterns of CsPAP genes in response to excessive Fe supply, RNA-sequencing (RNA-seq) analyses were performed to compare their transcript abundances between tea plants that are grown under normal and high iron conditions, respectively. 17 members were shown to be transcribed in both roots and leaves. When supplied with a high amount of iron, the expression levels of four genes were significantly changed. Of which, CsPAP15a, CsPAP23 and CsPAP27c were shown as downregulated, while the highly expressed CsPAP10a was upregulated. Moreover, CsPAP23 was found to be alternatively spliced, suggesting its post-transcriptional regulation. The present work implicates that some CsPAP genes could be associated with the responses of tea plants to the iron regime, which may offer a new direction towards a further understanding of iron homeostasis and provide the potential approaches for crop improvement in terms of iron biofortification.

The pomegranate (Punica granatum L.) genome provides insights into fruit quality and ovule developmental biology.

Pomegranate (Punica granatum L.) has an ancient cultivation history and has become an emerging profitable fruit crop due to its attractive features such as the bright red appearance and the high abundance of medicinally valuable ellagitannin-based compounds in its peel and aril. However, the limited genomic resources have restricted further elucidation of genetics and evolution of these interesting traits. Here, we report a 274-Mb high-quality draft pomegranate genome sequence, which covers approximately 81.5% of the estimated 336-Mb genome, consists of 2177 scaffolds with an N50 size of 1.7 Mb and contains 30 903 genes. Phylogenomic analysis supported that pomegranate belongs to the Lythraceae family rather than the monogeneric Punicaceae family, and comparative analyses showed that pomegranate and Eucalyptus grandis share the paleotetraploidy event. Integrated genomic and transcriptomic analyses provided insights into the molecular mechanisms underlying the biosynthesis of ellagitannin-based compounds, the colour formation in both peels and arils during pomegranate fruit development, and the unique ovule development processes that are characteristic of pomegranate. This genome sequence provides an important resource to expand our understanding of some unique biological processes and to facilitate both comparative biology studies and crop breeding.

Complete Chloroplast Genome Sequence and Phylogenetic Analysis of Quercus acutissima.

Quercus acutissima, an important endemic and ecological plant of the Quercus genus, is widely distributed throughout China. However, there have been few studies on its chloroplast genome. In this study, the complete chloroplast (cp) genome of Q. acutissima was sequenced, analyzed, and compared to four species in the Fagaceae family. The size of the Q. acutissima chloroplast genome is 161,124 bp, including one large single copy (LSC) region of 90,423 bp and one small single copy (SSC) region of 19,068 bp, separated by two inverted repeat (IR) regions of 51,632 bp. The GC content of the whole genome is 36.08%, while those of LSC, SSC, and IR are 34.62%, 30.84%, and 42.78%, respectively. The Q. acutissima chloroplast genome encodes 136 genes, including 88 protein-coding genes, four ribosomal RNA genes, and 40 transfer RNA genes. In the repeat structure analysis, 31 forward and 22 inverted long repeats and 65 simple-sequence repeat loci were detected in the Q. acutissima cp genome. The existence of abundant simple-sequence repeat loci in the genome suggests the potential for future population genetic work. The genome comparison revealed that the LSC region is more divergent than the SSC and IR regions, and there is higher divergence in noncoding regions than in coding regions. The phylogenetic relationships of 25 species inferred that members of the Quercus genus do not form a clade and that Q. acutissima is closely related to Q. variabilis. This study identified the unique characteristics of the Q. acutissima cp genome, which will provide a theoretical basis for species identification and biological research.

Genome-Wide Survey of Invertase Encoding Genes and Functional Characterization of an Extracellular Fungal Pathogen-Responsive Invertase in Glycine max.

Invertases are essential enzymes that irreversibly catalyze the cleavage of sucrose into glucose and fructose. Cell wall invertase (CWI) and vacuolar invertase (VI) are glycosylated proteins and exert fundamental roles in plant growth as well as in response to environmental cues. As yet, comprehensive insight into invertase encoding genes are lacking in Glycine max. In the present study, the systematic survey of gene structures, coding regions, regulatory elements, conserved motifs, and phylogenies resulted in the identification of thirty⁻two putative invertase genes in soybean genome. Concomitantly, impacts on gene expression, enzyme activities, proteins, and soluble sugar accumulation were explored in specific tissues upon stress perturbation. In combination with the observation of subcellular compartmentation of the fluorescent fusion protein that indeed exported to apoplast, heterologous expression, and purification in using Pichia pastoris system revealed that GmCWI4 was a typical extracellular invertase. We postulated that GmCWI4 may play regulatory roles and be involved in pathogenic fungi defense. The experimental evaluation of physiological significance via phenotypic analysis of mutants under stress exposure has been initiated. Moreover, our paper provides theoretical basis for elucidating molecular mechanisms of invertase in association with inhibitors underlying the stress regime, and will contribute to the improvement of plant performance to a diverse range of stressors.

Atmospheric deposition of heavy metals in Wuxi, China: estimation based on native moss analysis.

We studied atmospheric deposition of heavy metals in Wuxi, China, using moss (Haplocladium microphyllum and H. angustifolium) as a biomonitoring agent. Moss samples were collected from 49 sites determined by a systematic sampling method. The top layer of soil on each site was also sampled. No significant correlation (P < 0.05) was observed between the moss and soil concentrations for any of the six heavy metal elements (Cd, Cr, Cu, Ni, Pb, and Zn), indicating that the soil substrate had little effect on the heavy metal concentrations in the moss materials. The metal enrichment capacity of the moss material, characterized by the concentration ratio between the moss and soil samples for each heavy metal, was topped by Cd and then followed by Zn, Pb, Cu, Cr, and Ni, respectively. Significant (P < 0.05) correlations were found among the six elements in mosses, suggesting potential anthropogenic inputs of these heavy metal pollutants. Based on concentrations of the heavy metals in mosses and the calculated contamination factors, we evaluated the contamination level of each heavy metal on the 49 sampling sites. Spatial distribution maps of heavy metal deposition for each element were interpolated using ArcGIS 9.0. A total pollution coefficient was calculated for each sampling site to identify the seriously polluted areas in the region.

Monitoring Airborne Heavy Metal Using Mosses in the City of Xuzhou, China.

The concentrations of six elements (Cd, Cr, Cu, Ni, Pb and Zn) were measured in moss (Haplocladium microphyllum) samples collected from 55 urban sites in the summer of 2013. The objectives were to evaluate variations in the heavy metal concentrations in mosses across Xuzhou, and to develop maps of metal pollution for this region. Despite great variations in the concentrations of the six heavy metals in the mosses, significant correlations among certain heavy metals were identified, suggesting that these pollutants likely originated from identical sources. With the exception of Cr, there was no significant correlation in metal concentration between the moss tissues and adhering soils. The highest concentration of Cr occurred in the west. However, the spatial distribution for the other metals generally showed higher concentrations in the northeast, likely due to greater contamination by industrial activities and higher traffic volume.

Cloning and expression of anthocyanin biosynthetic genes in red and white pomegranate.

Exterior fruit color is an important trait for the evaluation of pomegranate fruit quality, but the molecular mechanism underlying the variation in color between red- and white-fruited pomegranate is poorly understood. In this study, full-length cDNA clones encoding enzymes involved in anthocyanin biosynthesis-such as chalcone synthase, chalcone isomerase, flavanone 3-hydoxylase, dihydroflavonol 4-reductase, anthocyanidin synthase (ANS), UDP-glucose-flavonoid 3-O-glucosyltransferase, and the R2R3 MYB transcription factor PgMYB-were isolated from fruit peels. In addition, transcript levels of anthocyanin biosynthetic genes were quantitatively measured by real-time PCR in red and white fruits. In both cultivars, two expression peaks for structural genes were detected during fruit development, whereas only one peak was observed-during early development-for PgMYB. While PgMYB is important for flavonoid biosynthesis, other transcription factors appear to also be necessary for the regulation of anthocyanin biosynthesis. No anthocyanins were detected in the white cultivar. Peels of white fruits contained transcripts of all identified genes except for PgANS, suggesting that the lack of PgANS expression may be the main factor responsible for the absence of anthocyanins in white pomegranate. PgANS may be the key gene involved in anthocyanin biosynthesis in pomegranate fruit.

Effects of salt-drought stress on growth and physiobiochemical characteristics of Tamarix chinensis seedlings.

The present study was designed to clarify the effects of salinity and water intercross stresses on the growth and physiobiochemical characteristics of Tamarix chinensis seedlings by pots culture under the artificial simulated conditions. The growth, activities of SOD, POD, and contents of MDA and osmotic adjusting substances of three years old seedlings of T. chinensis were studied under different salt-drought intercross stress. Results showed that the influence of salt stress on growth was greater than drought stress, the oxidation resistance of SOD and POD weakened gradually with salt and drought stresses intensified, and the content of MDA was higher under severe drought and mild and moderate salt stresses. The proline contents increased with the stress intensified but only significantly higher than control under the intercross stresses of severe salt-severe drought. It implied that T. chinensis could improve its stress resistance by adjusted self-growth and physiobiochemical characteristics, and the intercross compatibility of T. chinensis to salt and drought stresses can enhance the salt resistance under appropriate drought stress, but the dominant factors influencing the physiological biochemical characteristics of T. chinensis were various with the changing of salt-drought intercross stresses gradients.

Percutaneous Endoscopic Posterolateral Transforaminal Lumbar Interbody Fusion for the Treatment of Lumbar Degenerative Disease.

BACKGROUND: Percutaneous endoscopic lumbar interbody fusion (PE-LIF) is commonly employed in treating a variety of lumbar degenerative diseases (LDD). This study evaluated the effectiveness and safety of a modified approach known as percutaneous endoscopic posterolateral transforaminal lumbar interbody fusion (PE-PTLIF). METHODS: We conducted a retrospective review of 46 patients who underwent PE-PTLIF for LDD between November 2020 and July 2021. We analyzed measurements including pre- and postoperative Visual Analogue Scores (VAS) for lower back and leg pain, Oswestry Disability Index (ODI) collected at 3 days, 3 months, 6 months, and the most recent follow-up, and spinal parameters (disc space height, lumbar lordosis angle, and lumbar spondylolisthesis rate) over time. RESULTS: Patients were followed for an average duration of 18.6 months. Significant improvements were observed in VAS scores for lower back pain (latest follow-up: 1.21 ± 0.57) and leg pain (latest follow-up: 1.10 ± 0.72), as well as in ODI scores (latest follow-up: 9.63% ± 4.13) (all P<0.001 compared with preoperative values). Improvements were also noted in vertebral space height and lumbar lordotic angles (P<0.001). Postoperative complications included wound infection (6.5%), cerebrospinal fluid leakage (2.2%), and reduced dorsiflexion muscle strength (2.2%), all of which were successfully managed conservatively. There were no instances of epidural hematoma, internal fixation failure, or lumbar non-fusion/fusion device displacement. Confirmation of osseous fusion was obtained via lumbar X-ray/CT scans at the final follow-up. CONCLUSIONS: PE-PTLIF is a promising treatment option for specific LDD including spinal stenosis, lumbar spondylolisthesis, and lumbar instability, with favorable therapeutic outcomes demonstrated.

Reconstruction of a century of air pollution history in Nanjing, China, using trace elements in situ leaf specimens of Platanus × hispanica and Pittosporum tobira.

Leaves can specifically uptake trace elements from the surrounding environment. And tree leaves are a good biological indicator for air pollution. Therefore, chemical analysis of leaf specifications can be used to reproduce a historical record of air pollution. To better understand the history of urban air pollution from the 1920s to the 2020s in Nanjing, China, leaf samples of two woody plants, Platanus × hispanica and Pittosporum tobira, were collected in this study as environmental indicators from different historical periods. These included historical herbarium specimens and current leaves from live trees. The concentrations of 10 trace elements were determined in the samples using ICP‒MS. Pollution indices were calculated, yielding the key findings. The historical leaf samples showed continuously increasing mean concentrations of the 10 trace elements over time, which significantly correlating with automobile quantities and the number of large-scale industrial enterprises (p < 0.05). Moreover, modern leaf trace element concentrations were significantly correlated with PM10, PM2.5, automobiles, large-scale industrial enterprises, and atmospheric factors, confirming these as sources. In addition to the historical growth trend, spatial heterogeneity was revealed in historical Platanus × hispanica leaf samples from the 14 sites in Nanjing. Changes in heavy metal trace element pollution distributions were consistent with transportation and industrial expansion, with homologous patterns across elements. Specifically, post 1980s increases were observed in the representative NJ2 (Zhongshan Botanical Garden) and the NJ5(Nanjing University) sites, with higher concentrations occurring at in the NJ5 contaminated site than at the NJ2 uncontaminated site. After 2009, the 10 element (except Cd) pollution indices in Platanus × hispanica leaves fluctuated but declined overall. This reconstruction of Nanjing's air pollution history demonstrates that ample environmental information can be extracted from plant leaf markers over time and space.

Spatial Distribution and Ecological Determinants of Coexisting Hybrid Oak Species: A Study in Yushan's Mixed Forest.

Ecological niche partitioning is crucial in reducing interspecific competition, fostering species coexistence, and preserving biodiversity. Our research, conducted in a hybrid mixed oak forest in Yushan, Jiangsu, China, focuses on Quercus acutissima, Q. variabilis, Q. fabri, and Q. serrata var. brevipetiolata. Using Point Pattern Analysis, we investigated the spatial relationships and ecological trait autocorrelation, including total carbon (TC), nitrogen (TN), phosphorus (TP), potassium (TK), and breast height diameter (DBH). Our findings show aggregated distribution patterns within the oak populations. The Inhomogeneous Poisson Point model highlights the impact of environmental heterogeneity on Q. variabilis, leading to distinct distribution patterns, while other species showed wider dispersion. This study reveals aggregated interspecific interactions, with a notable dispersal pattern between Q. acutissima and Q. variabilis. We observed significant variability in nutrient elements, indicating distinct nutrient dynamics and uptake processes. The variations in total carbon (TC), nitrogen (TN), phosphorus (TP), and potassium (TK) suggest distinct nutrient dynamics, with TK showing the highest variability. Despite variations in TC, TK, and TP, the species did not form distinct classes, suggesting overlapping nutritional strategies and environmental adaptations. Furthermore, spatial autocorrelation analysis indicates strong positive correlations for DBH, TC, and TP, whereas TK and TN correlations are non-significant. The results suggest habitat filtering as a key driver in intraspecific relationships, with a finer spatial scale of ecological niche division through TC and TP, which is crucial for maintaining coexistence among these oak species.

Neighborhood Diversity Promotes Tree Growth in a Secondary Forest: The Interplay of Intraspecific Competition, Interspecific Competition, and Spatial Scale.

Understanding the biodiversity-productivity relationship (BPR) is crucial for biodiversity conservation and ecosystem management. While it is known that diversity enhances forest productivity, the underlying mechanisms at the local neighborhood level remain poorly understood. We established a 9.6 ha dynamic forest plot to study how neighborhood diversity, intraspecific competition, and interspecific competition influence tree growth across spatial scales using linear mixed-effects models. Our analysis reveals a significant positive correlation between neighborhood species richness (NSR) and relative growth rate (RGR). Notably, intraspecific competition, measured by conspecific neighborhood density and resource competition, negatively impacts RGR at finer scales, indicating intense competition among conspecifics for limited resources. In contrast, interspecific competition, measured by heterospecific density and resource competition, has a negligible impact on RGR. The relative importance of diversity and intra/interspecific competition in influencing tree growth varies with scale. At fine scales, intraspecific competition dominates negatively, while at larger scales, the positive effect of NSR on RGR increases, contributing to a positive BPR. These findings highlight the intricate interplay between local interactions and spatial scale in modulating tree growth, emphasizing the importance of considering biotic interactions and spatial variability in studying BPR.