Single-cell dissection of cervical cancer reveals key subsets of the tumor immune microenvironment.

The tumor microenvironment (TME) directly determines patients' outcomes and therapeutic efficiencies. An in-depth understanding of the TME is required to improve the prognosis of patients with cervical cancer (CC). This study conducted single-cell RNA and TCR sequencing of six-paired tumors and adjacent normal tissues to map the CC immune landscape. T and NK cells were highly enriched in the tumor area and transitioned from cytotoxic to exhaustion phenotypes. Our analyses suggest that cytotoxic large-clone T cells are critical effectors in the antitumor response. This study also revealed tumor-specific germinal center B cells associated with tertiary lymphoid structures. A high-germinal center B cell proportion in patients with CC is predictive of improved clinical outcomes and is associated with elevated hormonal immune responses. We depicted an immune-excluded stromal landscape and established a joint model of tumor and stromal cells to predict CC patients' prognosis. The study revealed tumor ecosystem subsets linked to antitumor response or prognosis in the TME and provides information for future combinational immunotherapy.

Microendoscopy in vivo for the pathological diagnosis of cervical precancerous lesions and early cervical cancer.

BACKGROUND: Cervical cancer is an important public health problem. Conventional colposcopy is inefficient in the diagnosis of cervical lesions and massive biopsies result in trauma. There is an urgent need for a new clinical strategy to triage women with abnormal cervical screening results immediately and effectively. In this study, the high-resolution microendoscopy combined with methylene blue cell staining technology was used to perform real-time in vivo imaging of the cervix for the first time. METHODS: A total of 41 patients were enrolled in the study. All patients underwent routine colposcopy and cervical biopsy, and high-resolution images of methylene blue-stained cervical lesions were obtained in vivo using microendoscopy. The cell morphological features of benign and neoplastic cervical lesions stained with methylene blue under microendoscopy were analyzed and summarized. The microendoscopy and histopathology findings of the high-grade squamous intraepithelial lesion (HSIL) and more severe lesions were compared. RESULTS: The overall consistency of microendoscopy diagnosis with pathological diagnosis was 95.12% (39/41). Diagnostic cell morphological features of cervicitis, low-grade squamous intraepithelial lesion (LSIL), HSIL, adenocarcinoma in situ, and invasive cancer were clearly demonstrated in methylene blue stained microendoscopic images. In HSIL and more severe lesions, microendoscopic methylene blue cell staining technology can show the microscopic diagnostic features consistent with histopathology. CONCLUSIONS: This study was an initial exercise in the application of the microendoscopy imaging system combined with methylene blue cell staining technology to cervical precancerous lesions and cervical cancer screening. The results provided the basis for a novel clinical strategy for triage of women with abnormal cervical screening results using in vivo non-invasive optical diagnosis technology.

Electrochemical conversion of CO2 into value-added carbon with desirable structures via molten carbonates electrolysis.

Direct conversion of CO2 to high value-added carbon products based on molten salt electrochemistry has been proven to be a feasible approach to solve the climate problem and achieve carbon neutrality. In this work, carbon nanotubes (CNTs), carbon spheres (CSs) and honeycomb carbon are synthesized by electrolysis of a single or multiple alkali metal carbonate electrolyte. The elemental composition, morphology and structure, crystallinity and graphitization degree of carbon products are characterized by electron dispersive spectroscopy (EDS), scanning electron microscopy (SEM), transmission electron microscope (TEM), X-ray diffraction (XRD) and Raman microspectroscopy (RAM). The results demonstrate that a high yield of CNTs is obtained in Li2CO3 electrolyte by regulating the electrolysis temperature and current density. Compared to pure Li2CO3, Li-Na carbonate electrolyte with 1 wt% stannic oxide/cerium oxide (SnO2/GeO2) favors CS formation rather than CNT formation. Additionally, honeycomb carbon products are generated in Li-Na-K electrolyte, when the electrolysis temperature is lower than 600 °C. Overall, this work provides a novel carbon neutral strategy where high value-added carbon products are synthesized using CO2 as a carbon source.