Constructing Interconnected Microporous Structures in Carbon by Homogeneous Activation as a Sustainable Electrode Material for High-Performance Supercapacitors.

Microporous carbon attracts attention as an electrode material for supercapacitors. However, a large number of deep and distorted mesoporous and macroporous structures are usually created by non-uniform etching, resulting in underutilized internal space. Homogeneous activation has been considered by researchers as a necessary condition for the formation of interconnected microporous structures in carbon materials. Herein, a simple strategy of hydrothermal introduction of defects followed by homogeneous activation for the preparation of microporous carbon was developed for the synthesis of electrode materials for high-performance supercapacitors. The optimized sample with defect-enriched microporous structure and large specific surface area has a specific capacity of 315 F g-1 (1 A g-1) in KOH solution, and the assembled symmetric supercapacitor achieves a high energy density of 7.3 Wh kg-1 at a power density of 250 W kg-1. This work is interesting because it not only demonstrates that rational design of electrode materials is important to boost the performance of supercapacitors, but also provides inspiration for the design of efficient supercapacitors in the future.

Cancer stem-like cells with hybrid epithelial/mesenchymal phenotype leading the collective invasion.

Collective invasion of cancer cells is the key process of circulating tumor cell (CTC) cluster formation, and greatly contributes to metastasis. Cancer stem-like cells (CSC) have a distinct advantage of motility for metastatic dissemination. To verify the role of CSC in the collective invasion, we performed 3D assays to investigate the collective invasion from cancer cell spheroids. The results demonstrated that CSC can significantly promote both collective and single-cell invasion. Further study showed that CSC prefer to move outside and lead the collective invasion. More interestingly, approximately 60% of the leader CSC in collective invasion co-expressed both epithelial and mesenchymal genes, while only 4% co-expressed in single invasive CSC, indicating that CSC with hybrid epithelial/mesenchymal phenotype play a key role in cancer cell collective invasion.

Electrochemical Detection and Point-of-Care Testing for Circulating Tumor Cells: Current Techniques and Future Potentials.

Circulating tumor cells (CTCs) are tumor cells that escaped from the primary tumor or the metastasis into the blood and they play a major role in the initiation of metastasis and tumor recurrence. Thus, it is widely accepted that CTC is the main target of liquid biopsy. In the past few decades, the separation of CTC based on the electrochemical method has attracted widespread attention due to its convenience, rapidness, low cost, high sensitivity, and no need for complex instruments and equipment. At present, CTC detection is not widely used in the clinic due to various reasons. Point-of-care CTC detection provides us with a possibility, which is sensitive, fast, cheap, and easy to operate. More importantly, the testing instrument is small and portable, and the testing does not require specialized laboratories and specialized clinical examiners. In this review, we summarized the latest developments in the electrochemical-based CTC detection and point-of-care CTC detection, and discussed the challenges and possible trends.

Analyses of optical out-coupling of organic light-emitting devices having micromesh indium tin oxide and conducting polymer as composite transparent electrode.

We report the characterization and analyses of organic light-emitting devices (OLEDs) using microstructured composite transparent electrodes consisting of the high-index ITO (indium tin oxide) micromesh and the low-index conducting polymer PEDOT: PSS [poly(3,4-ethylenedioxythiophene):poly(styrenesulfonate)], that are fabricated by the facile and convenient microsphere lithography and are useful for enhancing light extraction. The rigorous electromagnetic simulation based on the three-dimensional finite-difference time-domain (FDTD) method was conducted to study optical properties and mechanisms in such devices. It provides a different but consistent viewpoint/insight of how this microstructured electrode enhances optical out-coupling of OLEDs, compared to that provided by ray optics simulation in previous works. Both experimental and simulation studies indicate such a microstructured electrode effectively enhances coupling of internal radiation into the substrate, compared to devices with the typical planar ITO electrode. By combining this internal extraction structure and the external extraction scheme (e.g. by attaching extraction lens) to further extract radiation into the substrate, a rather high external quantum efficiency of 46.8% was achieved with green phosphorescent OLEDs, clearly manifesting its high potential.

Borrmann type IV gastric cancer should be classified as pT4b disease.

BACKGROUND: The impact of macroscopic pathologic features of primary tumor that could be obtained preoperatively on pT classification has not been reported so far. The aim of this study was to investigate the feasibility of incorporation of Borrmann type IV gastric cancer into the pT classification. MATERIALS AND METHODS: Clinicopathologic and prognostic data of 1622 patients with advanced gastric cancer who underwent radical surgery were retrospectively studied. RESULTS: Of 1622 patients, 135 (8.32%) patients were classified as having Borrmann type IV gastric cancer. We first confirmed that Borrmann type IV gastric cancer was one of the independent prognostic factors for patients with advanced gastric cancer who underwent radical surgery. Interestingly, we found that overall survival of patients with Borrmann type IV gastric cancer could be clearly distinguished by pN classification and pathological TNM stage but not by pT classification. Importantly, further analysis demonstrated that the prognosis of Borrmann type IV gastric cancers was homogeneous with that of pT4b cancers but poorer than pT2, pT3, pT4a cancers. Therefore, we proposed a novel pT classification in which pT4b disease was defined as cancers that were Borrmann type IV or those that had invaded adjacent structures. Two-step multivariate analysis demonstrated that the novel pT classification was more suitable for prognostic assessment than the original classification. CONCLUSIONS: Classifying Borrmann type IV gastric cancer as pT4b disease improves pT classification prediction of prognosis in patients with advanced gastric cancer after radical surgery.

Plasmonic ITO-free polymer solar cell.

The aluminum and sliver multilayered nano-grating structure is fabricated by laser interference lithography and the intervals between nanoslits is filled with modified PEDOT:PSS. The grating structured transparent electrode functions as the anti-reflection layer which not only decreases the reflected light but also increases the absorption of the active layer. The performances of P3HT:PC61BM solar cells are studied experimentally and theoretically in detail. The field intensities of the transverse magnetic (TM) and transverse electrical (TE) waves distributed in the active layer are simulated by rigorous coupled wave analysis (RCWA). The power conversion efficiency of the plasmonic ITO-free polymer solar cell can reach 3.64% which is higher than ITO based polymer solar cell with efficiency of 3.45%.

Optimizing the ecological network of resource-based cities to enhance the resilience of regional ecological networks.

Mineral extraction in resource-based cities has caused serious damage to the original ecology, resulting in poor regional vegetation growth, reduced carbon sequestration capacity, and reduced ecosystem resilience. Especially in resource-based cities with fragile ecology, the overall anti-interference ability of the environment is relatively worse. Seeking ecological network optimization solutions that can improve vegetation growth conditions on a large scale is an effective way to enhance the resilience of regional ecosystems. This paper introduces carbon sequestration indicators and designs a differential ecological networks (ENs) optimization model (FTCC model) to achieve the goal of improving ecosystem resilience. The model identifies the patches that need to be optimized and their optimization directions based on the differences in ecological function-topology-connectivity-carbon sequestration of the patches. Finally, the resilience of the ecological network before and after optimization was compared, proving that the model is effective. The results show that the sources in the Yulin ENs form three main clusters, with connectivity between clusters relying on only a few patches. The patches in the northeastern and southwest clusters are large but their ecological functions need to be improved. After optimization, 16 new stepping stones were added, 38 new corridors were added, and the ecological function of 39 patches was enhanced. The optimized ecological network resilience was improved in terms of structure, function, and carbon sinks, and carbon sinks increased by 6364.5 tons. This study provides a reference for measures to optimize landscape space and manage ecosystem resilience enhancement in resource-based cities.

Life cycle assessment of carbonaceous pellets used in blast furnaces in the context of "double carbon".

As the sole carbonaceous renewable energy source, biomass is distinguished by its abundant yield, widespread distribution, and carbon neutrality. It is integral to the achievement of zero and negative carbon production via conventional carbonaceous pellet technology. This study introduces a cradle-to-gate life cycle assessment methodology for biomass preparation in carbonaceous pellets. We prepare high-quality biochar through a process combining hydrothermal carbonization and pyrolytic carbonization. Biomass high molecular weight extracts are obtained via organic pyrolytic extraction, while biomass high-temperature binders result from the modification and treatment of biochar. Biomass carbonaceous pellets are then formed using hot press technology. The ReCiPe model facilitates a comprehensive life cycle assessment of biomass carbonaceous pellets used in blast furnace production. The study leverages two comprehensive evaluation indicators - renewability, and environmental performance - to enhance the environmental performance of the process system and to maximize energy-saving and emission reduction potential.

Organic carbon accumulation and aggregate formation in soils under organic and inorganic fertilizer management practices in a rice-wheat cropping system.

Soil organic carbon (C) and aggregates are the important components of soil fertility and the foundation of sustainable agriculture. The storage and protection of SOC in aggregates is widely regarded as the material basis of soil organic C accumulation. However, current understanding of soil aggregate and its associated organic C is insufficient to elucidate the regulation mechanism of soil organic C. A nine-year field experiment including chemical fertilizer (FR) and organic manure (OM) treatments was set up in the eastern plain of Funiu Mountain, central China. Using chemical analysis, physical sieving as well as nuclear magnetic resonance (NMR) methods, we mainly probed into the response of soil organic C concentration and composition, and C functional groups, water-stable aggregates to different treatments. Furthermore, scanning electronic microscopy (SEM) and partial least square structural equation modelling (PLS-SEM) was conducted to characterise the different size aggregates and to analyse the mechanism of soil organic C accumulation and stabilisation at aggregate scales. After nine years of farming, OM treatment substantially increased soil organic C content (by 3.77 g kg-1) and significantly enhanced the formation of macro-aggregates (> 250 µm), while FR had no significant influence on soil organic C. At the aggregate scale, the amounts of soil organic C, C physical fractions (particulate and mineral-associated organic C), total nitrogen and microbial biomass carbon associated in macro-aggregates (> 250 µm) were obviously higher than that in micro-aggregates and silt + clay fraction, and OM treatment greatly increased the accumulation of soil organic C and its components in macro-aggregates. Moreover, microbial biomass carbon (MBC) amounts in aggregates were remarkably increased (27-116%) by the application of OM. And MBC had a positively effect on the physical fractions of SOC but not on the C chemical structure within aggregates. The present study indicated that soil organic C accumulation mainly rely on macro-aggregates (> 250 µm). Intra-particulate organic carbon (POC) and mineral-associated organic carbon (MOC) within macro-aggregates played an important role in soil organic C accumulation. Meanwhile, soil microbes were a driving force for the accumulation of soil organic C physical fractions (POC and MOC). We concluded that OM treatment accelerated the synergistic process between organic C sequestration and soil aggregation, and showed great potential to increase soil organic C accumulation.

Investigation on the Effect of Calcium on the Properties of Geopolymer Prepared from Uncalcined Coal Gangue.

In this paper, the influence of calcium on coal gangue and fly ash geopolymer is explored, and the problem of low utilization of unburned coal gangue is analyzed and solved. The experiment took uncalcined coal gangue and fly ash as raw materials, and a regression model was developed with the response surface methodology. The independent variables were the CG content, alkali activator concentration, and Ca(OH)2 to NaOH ratio (CH/SH). The response target value was the coal gangue and fly-ash geopolymer compressive strength. The compressive strength tests and the regression model obtained by the response surface methodology showed that the coal gangue and fly ash geopolymer prepared with the content of uncalcined coal gangue is 30%, alkali activator content of 15%, and the value of CH/SH is 1.727 had a dense structure and better performance. The microscopic results demonstrated that the uncalcined coal gangue structure is destroyed under an alkali activator's action, and a dense microstructure is formed based on C(N)-A-S-H and C-S-H gel, which provides a reasonable basis for the preparation of geopolymers from the uncalcined coal gangue.

Optimal Parameter Configuration of a Microfluidic Chip for High-Throughput, Label-Free Circulating Tumor Cell Separation and Enrichment Based on Inertial Focusing.

To simply, quickly, and efficiently separate circulating tumor cells from blood has always been an enormous challenge. Leveraging the principle of inertial focusing, we here designed a simply structured microfluidic chip that maintained excellent CTC separation efficiency with high robustness and low velocity sensitivity across a broad velocity range. The parameter configuration of the chip was systematically examined, especially the most influential parameters such as the arc radius and arc angle. With optimal parameters, the designed chip achieved an outstanding particle separation efficiency of 99.8% and, more importantly, enabled the efficient separation and enrichment of CTCs in blood samples. This design can be readily integrated with other functional modules for further sample processing, serving as a promising tool for cancer diagnosis and therapeutics.

Flying squirrels use a mortise-tenon structure to fix nuts on understory twigs.

Squirrels of temperate zones commonly store nuts or seeds under leaf litter, in hollow logs, or even in holes in the ground; however, in the humid rainforests of Jianfengling in Hainan, South China, we show that some flying squirrels cache elliptical or oblate nuts by hanging them securely in vegetation. These small flying squirrels were identified as Hylopetes phayrei electilis (G. M. Allen, 1925) and Hylopetes alboniger (Hodgson, 1870), in video clips captured of their behavior around focal nuts. Squirrels chewed grooves encircling ellipsoid nuts or distributed on the bottoms of oblate nuts, and then used these grooves to fix nuts tightly between small twigs 0.1-0.6 cm in diameter that were connected at angles of 25-40°. The grooves carved on the nuts (concave structure) connected with Y-shaped twigs (convex structure) and thus firmly affixed the nuts to the plant in a way similar to a mortise-tenon joint used in architecture and carpentry. Cache sites were on small plants located 10-25 m away from the closest potentially nut-producing tree, a behavior that likely reduces the discovery and consumption of the nuts by other animals. The adaptive squirrel behavior that shapes and fits nuts between twigs seems to be directed at providing more secure storage that increases food supply during dry periods in a humid tropical rainforest. In addition to providing such benefits for the squirrels, we suggest that this behavior also impacts the distribution of tree species in the forest.

The rainy forests of South China are home to Cyclobalanopsis trees whose smooth, elliptical nuts are favoured by many animal species. While doing fieldwork in the Jianfengling nature reserve in the southern province of Hainan, China, researchers came across an unusual sight: many of these nuts had been wedged into the Y-shaped forks between diverging twigs. A closer inspection revealed that a carefully crafted groove on the surface of the nuts helped them to stay wedged and secured between the branches. Which creature was responsible for such a feat? To investigate, Xu et al. set up motion-triggered, infra-red cameras near some of the hoarding sites. They discovered that the culprits were Hylopetes phayrei electilis and Hylopetes alboniger, two small species of flying squirrel that tend to store Cyclobalanopsis nuts to prepare for the dry, cool season. The footage showed that the squirrels first chewed the nuts before inserting them tightly between the branches. In fact, this process appeared to require much care ­ and, potentially, cognitive involvement ­ with the squirrels testing and adjusting their grooves many times until a perfect fit was achieved. Caching sites were usually found 10 to 25 meters away from the nearest Cyclobalanopsis tree, which probably helps to protect the hoards from other animals on the hunt for nuts. Squirrels from temperate regions typically prepare for winter by hiding food in the ground, between logs or inside hollow trees; in humid, tropical forests, however, such caching sites may promote mould, decomposition or germination. In these conditions, securely hanging nuts between branches may prove to be a more suitable strategy. By choosing caching sites that are away from the mother tree, squirrels may also inadvertently help Cyclobalanopsis to expand their range, with forgotten nuts becoming dislodged and sprouting in new locations across the reserve. Overall, these findings shed new light on animal adaptation and cognition, as well as on the forces that help to shape forest ecology.

Fast, Reusable, Cell Uniformly Distributed Membrane Filtration Device for Separation of Circulating Tumor Cells.

Isolation of circulating tumor cells (CTCs) is of great significance for the diagnosis, prognosis, and treatment of metastatic cancer. Among CTC capture methods independent of antibodies, membrane filtration-based methods have the advantages of simplicity, rapidity, and high throughput but usually have problems such as clogging, high pressure drop, and impaired cell viability. In this study, we designed and tested a reusable device that used horizontal rotor and fluid-assisted separation to capture CTCs by centrifugal membrane filtration, achieving simple, fast, highly efficient, and viable cell capture on traditional centrifuge. The average capture efficiency was 95.8% for different types of cancer cells with >90% survival, and the removal of white blood cells can reach 99.72% under four times cleaning of the membrane after filtration. A further clinic demo was performed using the device to detect residual leukemic cells in patients; the results showed a 10-fold enrichment of the leukemic cells in peripheral blood samples. Taken together, the simple, robust, and efficient CTC capture device may have the potential for clinic routine detection and analysis of circulating tumor cells.

Association of Cancer Stem Cell Radio-Resistance Under Ultra-High Dose Rate FLASH Irradiation With Lysosome-Mediated Autophagy.

Cancer stem cell (CSC) is thought to be the major cause of radio-resistance and relapse post radiotherapy (RT). Recently ultra-high dose rate "FLASH-RT" evokes great interest for its decreasing normal tissue damages while maintaining tumor responses compared with conventional dose rate RT. However, the killing effect and mechanism of FLASH irradiation (FLASH-IR) on CSC and normal cancer cell are still unclear. Presently the radiation induced death profile of CSC and normal cancer cell were studied. Cells were irradiated with FLASH-IR (∼109 Gy/s) at the dose of 6-9 Gy via laser-accelerated nanosecond particles. Then the ratio of apoptosis, pyroptosis and necrosis were determined. The results showed that FLASH-IR can induce apoptosis, pyroptosis and necrosis in both CSC and normal cancer cell with different ratios. And CSC was more resistant to radiation than normal cancer cell under FLASH-IR. Further experiments tracing lysosome and autophagy showed that CSCs had higher levels of lysosome and autophagy. Taken together, our results suggested that the radio-resistance of CSC may associate with the increase of lysosome-mediated autophagy, and the decrease of apoptosis, necrosis and pyroptosis. To our limited knowledge, this is the first report shedding light on the killing effects and death pathways of CSC and normal cancer cell under FLASH-IR. By clarifying the death pathways of CSC and normal cancer cell under FLASH-IR, it may help us improve the understanding of the radio-resistance of CSC and thus help to optimize the future clinical FLASH treatment plan.

Ultra-High Dose Rate FLASH Irradiation Induced Radio-Resistance of Normal Fibroblast Cells Can Be Enhanced by Hypoxia and Mitochondrial Dysfunction Resulting From Loss of Cytochrome C.

Ultra-high dose rate FLASH irradiation (FLASH-IR) has got extensive attention since it may provide better protection on normal tissues while maintain tumor killing effect compared with conventional dose rate irradiation. The FLASH-IR induced protection effect on normal tissues is exhibited as radio-resistance of the irradiated normal cells, and is suggested to be related to oxygen depletion. However, the detailed cell death profile and pathways are still unclear. Presently normal mouse embryonic fibroblast cells were FLASH irradiated (∼109 Gy/s) at the dose of ∼10-40 Gy in hypoxic and normoxic condition, with ultra-fast laser-generated particles. The early apoptosis, late apoptosis and necrosis of cells were detected and analyzed at 6, 12, and 24 h post FLASH-IR. The results showed that FLASH-IR induced significant early apoptosis, late apoptosis and necrosis in normal fibroblast cells, and the apoptosis level increased with time, in either hypoxic or normoxic conditions. In addition, the proportion of early apoptosis, late apoptosis and necrosis were significantly lower in hypoxia than that of normoxia, indicating that radio-resistance of normal fibroblast cells under FLASH-IR can be enhanced by hypoxia. To further investigate the apoptosis related profile and potential pathways, mitochondria dysfunction cells resulting from loss of cytochrome c (cyt c-/-) were also irradiated. The results showed that compared with irradiated normal cells (cyt c+/+), the late apoptosis and necrosis but not early apoptosis proportions of irradiated cyt c-/- cells were significant decreased in both hypoxia and normoxia, indicating mitochondrial dysfunction increased radio-resistance of FLASH irradiated cells. Taken together, to our limited knowledge, this is the first report shedding light on the death profile and pathway of normal and cyt c-/- cells under FLASH-IR in hypoxic and normoxic circumstances, which might help us improve the understanding of the FLASH-IR induced protection effect in normal cells, and thus might potentially help to optimize the future clinical FLASH treatment.

Pollutant emission reduction of energy efficiency enhancement and energy cascade utilization in an energy-intensive industrial park in China.

Industrial parks play an extremely important role in the rapid development of China's economy. However, as the backbone of China's economic development, industrial parks also consume huge energy resources and cause serious pollution to the environment, making China face greater pressure on environmental issues. This article takes the Yongcheng Economic and Technological Development Area, a typical energy-intensive industrial park in Henan Province, as the research object to analyze its energy saving and emission reduction potential. Three scenarios (baseline scenario, energy cascade utilization scenario, and energy efficiency technology enhancement scenario) are set to quantify the energy-saving potential and air pollutant emission reduction of the park under different scenarios. The results show that in the energy cascade utilization scenario, by realizing the recycling of waste heat resources from heat source enterprises, it can bring energy saving of 6385 TJ, and reduce 0.35 kt SO2, 0.79 kt NOx, 0.067 kt PM10, and 0.035 kt PM2.5. And CO2 emission reductions have reached 604 kt. In the energy efficiency technology enhancement scenario, by eliminating relatively backward technologies and adding advanced energy-saving technologies, 7306 TJ energy saving could be achieved. SO2, NOx, PM10, PM2.5, and CO2 emission reductions are 0.37, 0.82, 0.038, 0.071, and 719 kt, respectively. The results of the CALPUFF model indicate that the pollutant concentrations of SO2, NOx, PM10, and PM2.5 in the spring and autumn are relatively high, while those in the summer and winter seasons are relatively low. In four seasons, the highest 1-h average concentration and dispersion range of four pollutants have been reduced both in the energy cascade utilization scenario and in the efficiency technology enhancement scenario.

Association of extracellular matrix microarchitecture and three-dimensional collective invasion of cancer cells.

As much as 90% of cancer associated mortality follows metastasis of a primary tumor. Circulating tumor cells (CTCs) and CTC clusters are important for metastasis. Compared to CTCs, CTC clusters formed by collective invasion exhibit a 23-50 fold increase in metastatic potential, but the factors that influence collective invasion are largely unknown. Using well defined three-dimensional matrices and different extracellular matrix (ECM) concentrations, we found that cancer cells were more prone to collective invasion at low ECM concentration. Moreover, despite variation of biological factors, changes in ECM microarchitecture, especially the pore size of the matrix, was correlated with the probability of collective invasion, which indicates that the physical microarchitecture of ECM plays an important role in collective invasion of cancer cells.

A novel microfluidic device integrating focus-separation speed reduction design and trap arrays for high-throughput capture of circulating tumor cells.

Isolation and analysis of circulating tumor cells (CTCs) from peripheral blood provides a potential way to detect and characterize cancer. Existing technologies to separate or capture CTCs from whole blood still have issues with sample throughput, separation efficiency or stable efficiency at different flow rates. Here, we proposed a new concept to capture rare CTCs from blood by integrating a triangular prism array-based capture apparatus with streamline-based focus-separation speed reduction design. The focus-separation design could focus and maintain CTCs, while removing a considerable proportion of liquid (98.9%) containing other blood cells to the outlet, therefore, a high CTC capture efficiency could be achieved in the trap arrays with a high initial flow rate. It is worth mentioning that the new design works well over a wide range of flow rates, so it does not require the stability of the flow rate. The results showed that this novel integrated chip can achieve a sample throughput from 5 to 40 mL h-1 with a stable and high CTC capture efficiency (up to 94.8%) and high purity (up to 4 log white blood cells/WBC depletion). The clinical experiment showed that CTCs including CTC clusters were detected in 11/11 (100.0%) patients (mean = 31 CTCs mL-1, median = 25 CTCs mL-1). In summary, our chip enriches and captures CTCs based on physical properties, and it is simple, cheap, fast, and efficient and has low requirements on flow rate, which is very suitable for large-scale application of CTC testing in clinics.

Prognostic value and clinicopathological significance of proliferating cell nuclear antigen expression in gastric cancer: a systematic review and meta-analysis.

BACKGROUND: The prognostic significance of proliferating cell nuclear antigen (PCNA) expression in gastric cancer has long been assessed, yet results remain controversial. Therefore, we performed a meta-analysis to assess the prognostic value and clinicopathological significance of PCNA in gastric cancer. METHODS: A systematic literature search of PubMed, EMBASE, and the Cochrane Library databases was conducted. Summary odds ratios (ORs) and hazard ratios (HRs) with 95% confidence intervals (CIs) were calculated to investigate the correlations between PCNA expression and clinicopathological features, overall survival (OS), and disease-free survival (DFS). RESULTS: A total of 19 studies involving 2,852 participants were included in our analysis. The pooled HR indicated that high PCNA expression was significantly associated with poor OS (HR 1.66, 95% CI 1.32-2.08) and DFS (HR 1.81, 95% CI 1.40-2.36). Subgroup analysis revealed that the association between PCNA and OS was also significant in Asian and European patients. In addition, the pooled ORs showed that high PCNA expression was significantly associated with deeper tumor invasion (OR 2.37, 95% CI 1.71-3.27), lymph node metastasis (OR 2.49, 95% CI 1.85-3.35), and advanced stage cancer (OR 1.89, 95% CI 1.36-2.63). CONCLUSION: Our meta-analysis indicates that high PCNA expression might be a prognosticator of poor survival and a promising therapeutic target for gastric cancer patients.

Long-Term Sleep Duration as a Risk Factor for Breast Cancer: Evidence from a Systematic Review and Dose-Response Meta-Analysis.

Sleep patterns have been associated with the development of cancers, although the association between sleep duration and breast cancer remains controversial. The purpose of our study was to explore the relationship between sleep duration and breast cancer risk. The PubMed and Web of Science databases were searched, and restricted cubic splines were used to explore the dose-response relationship. Data from 415,865 participants were derived from 10 studies. A J-shaped nonlinear trend was found between sleep duration and breast cancer incidence (Pnon-linear = 0.012); compared with the reference hours (6 h or 7 h), with increasing sleep hours, the risk of breast cancer increased (Ptrend = 0.028). Moreover, a nonlinear relationship was found between sleep duration and estrogen receptor-positive breast cancer (Pnon-linear = 0.013); the risk of estrogen receptor-positive breast cancer increased with increasing sleep hours compared to the reference hours (Ptrend = 0.024). However, no nonlinear relationship was found between sleep duration and estrogen receptor-negative breast cancer; the risk of estrogen receptor-negative breast cancer was 1.035 for every additional sleep hour. Compared to women with the reference number of sleep hours, women with a longer sleep duration might have a significantly increased risk of breast cancer, especially estrogen receptor-positive breast cancer.