Subsidence Characteristics in North Anhui Coal Mining Areas Using Space-Air-Ground Collaborative Observations.

To fully comprehend the patterns of land and ecological damage caused by coal mining subsidence, and to scientifically carry out ecological mine restoration and management, it is urgent to accurately grasp the information of coal mining, particularly in complex coaling areas, such as North Anhui, China. In this paper, a space-air-ground collaborative monitoring system was constructed for coal mining areas based on multi-source remote sensing data and subsidence characteristics of coaling areas were investigated in North Anhui. It was found that from 2019 to 2022, 16 new coal mining subsidence areas were found in northern Anhui, with the total area increasing by 8.1%. In terms of land use, water areas were increased by 101.9 km2 from 2012 to 2022, cultivated land was decreased by 99.3 km2, and residence land was decreased by 11.8 km2. The depth of land subsidence in the subsidence areas is divided into 307.9 km2 of light subsidence areas with a subsidence depth of less than 500 mm; 161.8 km2 of medium subsidence areas with a subsidence depth between 500 mm and 1500 mm; and 281.2 km2 of heavy subsidence areas with a subsidence depth greater than 1500 mm. The total subsidence governance area is 191.2 km2, accounting for 26.5% of the total subsidence area. From the perspective of prefecture-level cities, the governance rate reaches 51.3% in Huaibei, 10.1% in Huainan, and 13.6% in Fuyang. The total reclamation area is 68.8 km2, accounting for 34.5% of the subsidence governance area. At present, 276.1 km2 within the subsidence area has reached stable subsidence conditions, mainly distributed in the Huaibei mining area, which accounts for about 60% of the total stable subsidence area.

Changes in Diversity and Composition of Rhizosphere Bacterial and Fungal Community between Resistant and Susceptible Pakchoi under Plasmodiophora brassicae.

Plasmodiophora brassicae (P. brassicae) is a soil-born pathogen worldwide and can infect most cruciferous plants, which causes great yield decline and economic losses. It is not well known how microbial diversity and community composition change during P. brassicae infecting plant roots. Here, we employed a resistant and a susceptible pakchoi cultivar with and without inoculation with P. brassicae to analyze bacterial and fungal diversity using 16S rRNA V3-V4 and ITS_V1 regions, respectively. 16S rRNA V3-V4 and ITS_V1 regions were amplified and sequenced separately. Results revealed that both fungal and bacterial diversity increased, and composition was changed in the rhizosphere soil of the susceptible pakchoi compared with the resistant cultivar. In the four groups of R_mock, S_mock, R_10d, and S_10d, the most relatively abundant bacterium and fungus was Proteobacteria, accounting for 61.92%, 58.17%, 48.64%, and 50.00%, respectively, and Ascomycota, accounting for 75.11%, 63.69%, 72.10%, and 90.31%, respectively. A total of 9488 and 11,914 bacteria were observed uniquely in the rhizosphere soil of resistant and susceptible pakchoi, respectively, while only 80 and 103 fungi were observed uniquely in the correlated soil. LefSe analysis showed that 107 and 49 differentially abundant taxa were observed in bacteria and fungi. Overall, we concluded that different pakchoi cultivars affect microbial diversity and community composition, and microorganisms prefer to gather around the rhizosphere of susceptible pakchoi. These findings provide a new insight into plant-microorganism interactions.

Pyrolysis kinetics and environmental risks of oil-based drill cuttings at China's largest shale gas exploitation site.

Chongqing Fuling shale gas field, the largest shale gas exploration site in China, produces a large amount of oil-based drill cuttings (OBDC) every year, which is a hazardous waste. Traditional treatment methods such as solidification/stabilization did not recycle the valuable components such as petroleum hydrocarbons. Pyrolysis is proven to be an efficient method that can recover those components. This study firstly investigated the pyrolysis kinetics by two different methods on the basis of detailed material characterization, and then taking the workers and the surrounding ecological environment as the analysis object, the human health risk assessment (HHRA) and ecological risk assessment were evaluated respectively before and after pyrolysis. The results showed that the pyrolysis of OBDC was divided into three stages, and the cracking of light hydrocarbons stage was the key control step for pyrolysis process. The activation energy E increased gradually during the pyrolysis progress. The HHRA results showed that pyrolysis could greatly reduce the non-carcinogenic risk, carcinogenic risk and ecological risk by 59.6 %, 62.8 % and 75 % respectively. However, the carcinogenic risk after pyrolysis was still higher than the critical value 10-6.

Exploring a New Method to Study the Effects of Surface Functional Groups on Adsorption of CO2 and CH4 on Activated Carbons.

The commercial coconut shell-activated carbon was modified to change the number of oxygen-containing functional groups. N2 adsorption/desorption isotherms, Fourier transform infrared (FT-IR), and Boehm titration were adopted to describe the physical and chemical properties of the samples. The adsorption isotherms of CO2 and CH4 on both the unmodified and modified samples were measured. To better understand the effects of surface oxygen-containing functional groups on adsorption of CO2 and CH4, the overall adsorption could be considered as the result of adsorption within the pores and adsorption onto the oxygen-containing functional groups. Thus, a new way to understand different adsorption mechanisms by calculation was proposed. On the basis of the results, there is a significant correlation between the saturation adsorption capacity of CO2 and the number of oxygen-containing functional groups, especially carboxyl and hydroxyl. According to the values of enthalpy (-12.2 to -20 kJ/mol), it can be known that the adsorption caused by oxygen-containing functional groups is exothermic and belongs to physisorption. A semiempirical relationship between the variation of the surface oxygen-functional groups and the variation of the adsorbed amount was established. The method proposed in this paper provides a new way to study the effects of surface functional groups on the adsorption of CO2 and CH4 and can be even promoted in studying the adsorption mechanism of other adsorbates.

A review on control factors of pyrolysis technology for plants containing heavy metals.

The treatment of plants with heavy metals, whether they grow naturally in heavy metal contaminated soil or are used for remediation of heavy metal contaminated soil has attracted increasing attention. Pyrolysis is often used for the disposal of plants with heavy metals because it stabilizes heavy metals effectively and produces biochar. The resulting products of pyrolysis are in the form of solid components (char and ash), liquid components (bio-oil and tar), together with gas components (condensable and non-condensable vapor gas). The metal amount in the char or liquid and gaseous phases can be maximized or minimized via treating a plant feedstock containing heavy metals under different conditions. In addition, the potential risk of biochar produced from plants after pyrolysis becomes a research hotspot in the field of pyrolysis technology of plants containing heavy metals. Herein, we review current literatures that emphasize the influencing factors on the metal content in the biochar, liquid and gaseous phases, as well as the potential risk of biochar.

Response mechanism of microbial community to the environmental stress caused by the different mercury concentration in soils.

Despite the toxicity of mercury for mammal has been widely studied in recent years, little is known on its impact on the soil microbiome. In this paper, the effects of mercury in soils microbial communities along a gradient of contamination from no to high concentration was assessed by the richness and diversity of microbial community using high throughput sequencing method. The richness of microbial community decreased gradually with the increase of culture time, while the low and medium concentration of mercury had little effect on the evenness of soil microbial community. Proteobacteria tolerated the mercury contamination, while Acidobacteria, Planctomycetes and Chloroflexi were sensitive to mercury pollution in phylum level. Omnitrophica and Ignavibacteriae microorganisms were very sensitive to mercury contamination and dead quickly when contaminated with mercury. Mercury contamination selected two mercury tolerance genuses which were Massilia and Burkholderia in genus level and at least 22 microorganisms such as Alkanindiges, Geothrix, Polycyclovorans and Sporichthya in genus which mainly from the Acidobacteria, Proteobacteria, Bacteroides, Chloroflexi and Omnitrophica phylum were sensitive to mercury. The bacteria tolerant to mercury in soil were Massilia and Burkholderia from Betaproteobacteria and Lysobacter, Luteimonas from Gammaproteobacteria, separately, they were Gram-negative bacteria with thin cell walls and complex ingredients that responded quickly to pollution stress.

Effect of the pyrolysis duration and the addition of zeolite powder on the leaching toxicity of copper and cadmium in biochar produced from four different aquatic plants.

The study aimed to determine the biochar yield of four aquatic plants, the leaching toxicity of copper (Cu) and cadmium (Cd) in the biochar, and the stabilization characteristics of the biochar produced under different pyrolysis conditions (at 350 °C for 1, 2, and 3 h and absence/presence of zeolite powder). The results showed that different plant species required a different pyrolysis duration and the presence or absence of zeolite powder. The stabilization of Cu and Cd was significantly affected by the pyrolysis duration and the external materials for different plant species and different types of admixtures. Pyrolysis temperatures over 350 °C for 1 h without zeolite powder generated stable Cu and Cd in goldfish algae (Ceratophyllum demersum L.), foxtail algae (Myriophyllum verticillatum L.), and penny grass (Hydrocotyle vulgaris). Pyrolysis temperatures over 350 °C for 1 h with zeolite powder made Cu and Cd stable in water celery (Oenanthe javanica (Bl.) DC). The addition of zeolite powder during pyrolysis was possible due to the weight reduction efficiency in plants with Cu and Cd. Furthermore, the surface of the biochar with the zeolite powder showed honeycombs and a spongy porous structure. The duration of the pyrolysis had little effect on the honeycomb pore structure.

Heavy metal pollution of oil-based drill cuttings at a shale gas drilling field in Chongqing, China: A human health risk assessment for the workers.

With the flourish of shale gas industry in China, the characteristic hazardous waste, oil-based drill cuttings (OBDC), was also produced in large quantities. Unlike traditional petroleum industry, shale gas exploitation covers a wider area and there are more well sites, the adverse effects of OBDC piled up around well sites are even greater. This study investigated the pollution status and leaching toxicity of eight heavy metals (Cd, Cr, Cu, Hg, Mn, Ni, Pb and Zn) in OBDC of shale gas exploitation, and evaluated the health risks of the drilling workers. The results showed that heavy metal pollution in OBDC was moderate, and the leaching toxicity was far below the standard value. Non-carcinogenic and carcinogenic risks of drilling workers were within an acceptable range. Meanwhile, in order to reduce the health risks of drilling workers, some suggestions are proposed to reduce the exposure risks of workers and the content of heavy metals in OBDC.

Enhancer assisted-phytoremediation of mercury-contaminated soils by Oxalis corniculata L., and rhizosphere microorganism distribution of Oxalis corniculata L.

The present study investigated remediation of mercury-contaminated soils using Oxalis corniculata L. combined with various enhancers (sodium thiosulfate, ammonium thiosulfate, ethylenediaminetetraacetic acid and diethylenetriaminepentaacetic acid). The experiment was conducted using Oxalis corniculata seedlings planted in pots containing mercury loaded soils. Investigations included analysis of soil properties, plant growth conditions, ability of the plants to accumulate and extract mercury, and rhizosphere microorganism distribution. The maximal mercury content of the aerial parts and the mercury-translocation ratio of Oxalis corniculata treated with enhancers increased compared to Oxalis corniculata without enhancers. Compared with no enhancers, the theoretical reduction in phytoremediation time was about 50%, 25%, 20% and 21% when Oxalis corniculata was treated with sodium thiosulfate (Na2S2O3), ammonium thiosulfate ((NH4)2S2O3), ethylenediaminetetraacetic acid (EDTA) and diethylenetriaminepentaacetic acid (DTPA), respectively. The results indicated that the dominant species in rhizosphere soils varied with different enhancers. However, the evenness of background soils, rhizosphere soils of Oxalis corniculata, Oxalis corniculata treated with Na2S2O3, (NH4)2S2O3, EDTA and DTPA was not largely different at 0.62, 0.61, 0.57, 0.64, 0.61 and 0.63, respectively. These findings demonstrate that Oxalis corniculata treated with Na2S2O3 has the potential to recover and reclaim mercury-contaminated soils in pots.

Expression and immunogenic characterization of recombinant gp350 for developing a subunit vaccine against Epstein-Barr virus.

Epstein-Barr virus (EBV) is a ubiquitous human herpesvirus that is linked to the development of various malignancies. There is an urgent need for effective vaccines against EBV. EBV envelope glycoprotein gp350 is an attractive candidate for a prophylactic vaccine. This study was undertaken to produce the truncated (codons 1-443) gp350 protein (gp350(1-443)) in Pichia pastoris and evaluate its immunogenicity. The gp350(1-443) protein was expressed as a secretory protein with an N-terminal His-tag in P. pastoris and purified through Ni-NTA chromatography. Immunization with the recombinant gp350(1-443) could elicit high levels of gp350(1-443)-specific antibodies in mice. Moreover, gp350(1-443)-immunized mice developed strong lymphoproliferative and Th1/Th2 cytokine responses. Furthermore, the recombinant gp350(1-443) could stimulate CD4(+) and CD8(+) T cell responses in vaccinated mice. Collectively, these findings demonstrated that the yeast-expressed gp350(1-443) retained strong immunogenicity. This study will provide a useful source for developing EBV subunit vaccine candidates.

Waste electrical and electronic equipment management in Botswana: Prospects and challenges.

The management of waste electronic and electrical equipment (WEEE) is a major challenge in developing and transition countries. The paper investigates recent strategies to manage this waste stream in an environmentally sound way. Obsolete electrical and electronic equipment (EEE) are a complex waste category containing both hazardous and valuable substances. Many countries and regions in the world are undertaking extensive scientific research to plan and develop effective collection and treatment systems for end-of-life EEE. In developing countries such as Botswana, effective strategies that cover all stages throughout the lifecycle of products, particularly at the end-of-life, still lag behind. Infrastructure, pre-processing, and end-processing facilities and innovative technologies for end-of-life management of e-waste are noticeably absent due to lack of investment and high costs of its management. The objective of the paper is to present the e-waste situation in Botswana, highlighting (a) measures taken in the form of legislative and policy regulations; (b) existing practices to manage e-waste; and (c) effective solutions for e-waste management in emerging economies. Studies from other countries on e-waste management issues provided insights on the "best" technical and logistical pre-processing and end-processing strategies to treat hazardous waste. The paper also highlights key societal factors that affect successful implementation of cost-effective collection and value recovery of end-of-life EEE. These include unavailability of national "e-waste policy," absence of formal take-back system, absence of financing and subsidies, inadequate source separation programmes, absence of technical and logistical integration of pre-processing and end-processing facilities, and limited infrastructure and access to technologies and investment. Effective strategies such as an "integrated approach" (mixed options), access to technologies, establishment of pre-processing and end-processing facilities and optimization of logistics, optimizing diversion of e-waste from disposal sites, and investment in e-waste are suggested to manage this complex waste stream in an environmentally sound way.

Construction of Shale Gas Oil-Based Drilling Cuttings Degrading Bacterial Consortium and Their Degradation Characteristics.

Oil-based drilling cuttings (OBDCs) contain petroleum hydrocarbons with complex compositions and high concentrations, which have highly carcinogenic, teratogenic, and mutagenic properties. In this study, three highly efficient petroleum hydrocarbon-degrading bacteria were screened from OBDCs of different shale gas wells in Chongqing, China, and identified as Rhodococcus sp. and Dietzia sp. Because of their ability to degrade hydrocarbons of various chain lengths, a new method was proposed for degrading petroleum hydrocarbons in shale gas OBDCs by combining different bacterial species. Results showed that the bacterial consortium, consisting of the three strains, exhibited the highest degradation rate for petroleum hydrocarbons, capable of degrading 74.38% of long-chain alkanes and 93.57% of short-chain alkanes, respectively. Moreover, the petroleum hydrocarbon degradation performance of the bacterial consortium in actual OBDCs could reach 90.60% in the optimal conditions, and the degradation kinetic process followed a first-order kinetic model. This study provides a certain technical reserve for the bioremediation of shale gas OBDCs.

Investigating the potential of mineral precipitation in co-pyrolysis biochar: Development of a novel Cd (II) adsorption material utilizing dual solid waste.

Ionic cadmium (Cd (II)) in water is a significant threat to ecosystems, the environment, and human health. Research is currently focused on developing efficient adsorption materials to combat Cd (II) pollution in water. One promising solution involves co-pyrolyzing solid residue from anaerobic digestion of food waste with oil-based drill cuttings pyrolysis residue to create a biochar with high organic matter content. This biochar has a lower heavy metal content and leaching toxicity compared to China's national standards, making it both safe and resourceful. It exhibits a high adsorption capacity for Cd (II) in water, reaching up to 47.80 ± 0.37 mg/g. Raising the pyrolysis temperature above 600 °C and increasing the amount of pyrolysis residue beyond 30 % enhances the biochar's adsorption capacity. The adsorption process is primarily driven by mineral precipitation, offering a promising approach for dual waste resource management and reducing heavy metal pollution.

New solution for predicting the removal efficiency of organic contaminants by UV/ H2O2: From a case study of 1H-benzotriazole.

Rapid prediction of the removal efficiency and energy consumption of organic contaminants under various operating conditions is crucial for advanced oxidation processes (AOPs) in industrial application. In this study, 1H-Benzotriazole (BTZ, CAS: 95-14-7) is selected as a model micropollutant, a validated incorporated Computational Fluid Dynamics (CFD) model is employed to comprehensively investigate the impacts of initial concentrations of H2O2, BTZ and dissolved organic carbon (DOC) (i.e., [DOC]0, [BTZ]0 and [DOC]0), as well as the effective UV lamp power P and volumetric flow rate Qv. Generally, the operation performance depends on [DOC]0 and [BTZ]0 in similar trends, but with quantitatively different ways. The increase in [H2O2]0 and P/Qv can promote •OH generation, leading to the elimination of BTZ. It is worth noting that P/Qv is found to be linearly correlated with the removal order of BTZ (ROBTZ) under specific conditions. Based on this finding, the degradation of other potential organic contaminants with a wide range of rate constants by UV/H2O2 is further investigated. A model for predicting energy consumption for target removal rates of organic pollutants is established from massive simulation data for the first time. Additionally, a handy Matlab app is first developed for convenient application in water treatment. This work proposes a new operable solution for fast predicting operation performance and energy consumption for the removal of organic contaminants in industrial applications of advanced oxidation processes.

Discovery of Highly Potent Solute Carrier 13 Member 5 (SLC13A5) Inhibitors for the Treatment of Hyperlipidemia.

In the face of escalating metabolic disease prevalence, largely driven by modern lifestyle factors, this study addresses the critical need for novel therapeutic approaches. We have identified the sodium-coupled citrate transporter (NaCT or SLC13A5) as a target for intervention. Utilizing rational drug design, we developed a new class of SLC13A5 inhibitors, anchored by the hydroxysuccinic acid scaffold, refining the structure of PF-06649298. Among these, LBA-3 emerged as a standout compound, exhibiting remarkable potency with an IC50 value of 67 nM, significantly improving upon PF-06649298. In vitro assays demonstrated LBA-3's efficacy in reducing triglyceride levels in OPA-induced HepG2 cells. Moreover, LBA-3 displayed superior pharmacokinetic properties and effectively lowered triglyceride and total cholesterol levels in diverse mouse models (PCN-stimulated and starvation-induced), without detectable toxicity. These findings not only spotlight LBA-3 as a promising candidate for hyperlipidemia treatment but also exemplify the potential of targeted molecular design in advancing metabolic disorder therapeutics.

Mechanistic insight into the degradation of 1H-benzotriazole and 4-methyl-1H-benzotriazole by •OH-based advanced oxidation process and toxicity assessment.

Benzotriazoles (BTs) are highly produced chemicals that are commonly used in the manufacture of aircraft de-icing/antifreeze fluids (ADAFs), coolants, etc. BTs have been detected in a variety of water environments, causing health hazards to aquatic species and humans. In this study, 1H-benzotriazole (BTri) and 4-methyl-1H-benzotriazole (4-TTri) were selected to investigate their degradation mechanisms in the aqueous phase initiated by ·OH using a theoretical calculation method. Addition reactions are the main type of reactions of ·OH with BTri and 4-TTri. The total rate constants for the reactions of BTri and 4-TTri with ·OH at 298 K are 8.26 × 109 M-1 s-1 and 1.81 × 1010 M-1 s-1, respectively. The reaction rate constants increase as the temperature rises, indicating that rising temperatures promote the degradation of BTri and 4-TTri. 7-hydroxy-1H-benzotriazole (1-P1) and 4-hydroxy-benzotriazoles (1-P2) produced via multiple reaction pathways are important transformation products of BTri. After successive reactions with ·OH, 1-P1 and 1-P2 can be successively converted to 4,7-dihydroxy-1H-benzotriazole (1-P7), 4,7-dione-1H-benzotriazole (1-P8), and 1,2,3-triazole-4,5-dicarboxylic acid (1-P9), which is consistent with the product compositions detected in the experiments. The toxicity assessment indicated that the acute toxicity and chronic toxicity of the resulting transformation products are significantly reduced compared to BTri as the degradation process progressed, and ultimately showed no harm to all three aquatic organisms (fish, daphnia, and green algae). Hence, advanced oxidation processes (AOPs) can not only effectively remove BTs from water, but also reduce their toxic effects on aquatic organisms.

Opportunities and Challenges for Inhibitors Targeting Citrate Transport and Metabolism in Drug Discovery.

Lipid metabolism disorder is closely related to metabolic diseases, inflammation, and cancer. The concentration of citrate in the cytosol has a significant impact on lipid synthesis. The expression of citrate transporters (SLC13A5 and SLC25A1) and metabolic enzymes (ACLY) proves to be substantially raised in various diseases related to disorders of lipid metabolism, such as hyperlipemia, nonalcoholic fatty liver disease, and prostate cancer. Targeting key proteins in the citrate transport and metabolic pathways is considered an effective strategy for treating various metabolic diseases. However, there is currently only one ACLY inhibitor approved for marketing, and no SLC13A5 inhibitor has entered clinical research. Further development of drugs targeting citrate transport and metabolism is needed for the treatment of metabolic diseases. This perspective summarizes the biological role, therapeutic potential, and research progress of citrate transport and metabolism and then discusses the achievements and prospects of modulators targeting citrate transport and metabolism for therapeutic applications.

Primary spinal anaplastic ependymoma: A single-institute retrospective cohort and systematic review.

Objective: Primary spinal anaplastic ependymoma (PSAE) is an extremely rare disease. We aim to report the largest PSAE cohort, evaluate the treatments, and investigate the prognostic factors for progression-free survival (PFS). Methods: Clinical data collected from the authors' institute and literature articles were pooled and described. Survival analysis and multivariable Cox regression analysis were performed to evaluate therapies and investigate prognostic factors for PFS. Results: Our cohort included 22 females and 16 males, with a median age of 33 years. PSAE developed mostly on cervical and cervicothoracic levels. The median length measured 3 segments. Half of PSAE were intramedullary. Pain was the most common symptom. The median duration of symptoms was 6 months. Neurological statuses were improved in 76% following treatments, whereas clinical tumor progression occurred in 41.7%. The estimated median progression-free survival was 132 months, and the estimated median survival was 192 months. The median Ki-67 index was 15%. Patients aged less than or equal to 25 experienced worse neurological statuses and more repeated progression. Age less than or equal to 25 (HR 10.312, 95%CI 1.535-69.260, p=0.016), gross total resection (HR 0.116, 95%CI 0.020-0.688, p=0.018), and radiotherapy (HR 0.084, 95%CI 0.009-0.804, p=0.032) are three prognostic factors for tumor progression. Conclusion: Tumor progression remains a big concern in the clinical course of PSAE. Being aged above 25, undergoing GTR, and accepting adjuvant radiotherapy put patients at lower risk for tumor progression. Younger patients might have worse neurological statuses compared with those aged over 25.

New insight into the removal process of benzotriazole UV stabilizers by UV/H2O2: Integrating quantum chemical calculation with CFD simulation.

Benzotriazole UV stabilizers (BT-UVs) are important UV absorbers. As high-production chemicals and potential hazards, their ubiquitous presence in aquatic environments is of greatly pressing concern. Herein, the removal of six typical BT-UVs by UV/H2O2 was comprehensively investigated by quantum chemistry calculation integrated with CFD simulation. Utilizing such a micro and macro incorporated model in treating contaminants is the first report. From the micro-view, degradation mechanisms of BT-UVs by •OH oxidation were determined, and corresponding rate constants were obtained with values of 109∼1010 M-1s-1. In a macroscopic aspect, combining the established kinetic model and CFD simulation, the effects of UV lamp power (P), volumetric flow rate (Qv), and H2O2 dosage ([H2O2]0) on removal yields of BT-UVs were expounded, increasing P or [H2O2]0 or decreasing Qv are effective in improving removal yields of BT-UVs, but the enhancement was abated when P or [H2O2]0 increased to a certain level. When [H2O2]0 is 5 mg/L and Qv is decreased from 0.1 to 0.05 m3/h, the removal yields of BT-UVs could achieve more than 95% (P = 150 W) and 99% (P = 250 W), respectively. This work provides a new interdisciplinary insight for investigating organic contaminant removal in potential industrial applications of UV/H2O2 systems.

Clinical features and surgical outcomes of primary spinal anaplastic meningioma: a cases series and literature review.

Background: Primary spinal anaplastic meningioma (PSAM) is a very rare entity in the spinal canal. Therefore, the clinical features, treatment strategy, and long-term outcomes remain poorly studied. Case Description: Clinical data of six patients with PSAM treated at one single institution were retrospectively analyzed and all previously reported cases in the English literature were reviewed. There were three male and three female patients with a median age of 25 years. The duration of symptoms before initial diagnosis ranged from one week to one year. PSAMs occurred at cervical level in four, cervicothoracic in one and thoracolumbar in one. In addition, PSAMs presented isointensity on T1 weighted imaging (WI), hyperintensity on T2WI, and hetero- or homogeneously marked enhancement with contrast. Eight operations were performed in six patients. Simpson II resection was achieved in four (50%), Simpson IV in three (37.5%), Simpson V in one (12.5%). Adjuvant radiotherapy was performed in five patients. With a median survival time of 14 months (4-136 months), three patients had recurrence, two experienced metastases, and four died of respiratory failure. Conclusions: PSAMs are a rare disease, and there is limited evidence as to the management of these lesions. They may metastasize, recur, and portend a poor prognosis. A close follow-up and further investigation are therefore necessary.