Multiple primary malignant neoplasm: Case report and comprehensive literature review.

Multiple primary tumors, especially quadruple primary tumors, are extremely rare clinically, and there is no standard protocol for clinical management. We described a case in which a bone tumor, a malignant bladder tumor, a malignant melanoma, and an intrahepatic cholangiocarcinoma were all original malignancies. The patient is a 79-year-old woman who underwent surgery for a left middle finger bone tumor 45 years ago, as well as surgery for bladder malignancy and postoperative adjuvant chemotherapy 15 years ago, and the precise pathological results and treatment are unclear. One year ago, she underwent amputation of the toe due to a black mass of the right toe and was diagnosed pathologically as a freckled malignant melanoma of the extremity. Prior to postoperative adjuvant systemic medication, PET/CT revealed malignancy in the lateral segment of the left lobe of the liver, and multiple lymphadenopathies in the left parotid gland, hilar hepatic, and retroperitoneal region. Intrahepatic cholangiocarcinoma was found in the liver puncture biopsy's pathology report. The serum sample's next-generation sequencing (NGS) revealed a missense mutation, designated P.G12V, in exon 2 of the KRAS gene. Based on patients with malignant melanoma and intrahepatic cholangiocarcinoma, she received 6 cycles of GP (gemcitabine/cisplatin) combined with Camrelizumab systemic therapy, and followed by 3 cycles of Camrelizumab maintenance therapy, the efficacy was evaluated as stable disease (SD) during treatment. When the 4th cycle of Camrelizumab was suggested for maintenance therapy, the efficacy evaluation revealed that the tumor had greatly advanced. The patient refused to continue anti-tumor therapy and passed away from septic shock and multiple organ failure 3 months later. The patient had satisfactory efficacy and lived for a year after being diagnosed with two primary cancers. Despite the rarity of quadruple primary tumors and the lack of a conventional clinical management strategy, we postulate that germline mutations in the KRAS gene may be closely associated with the formation and development of multiple primary tumors. NGS testing is necessary for clinical management, and systemic treatment based on concurrent multiple main tumors is the key to improving prognosis.

Study on the mechanisms of "Xiaoerhuashi Pill, XP" in intervening the health status of high-calorie diet animals.

ETHNOPHARMACOLOGICAL RELEVANCE: "Xiaoerhuashi Pill, XP", with a history of 30 years in China, was included in the first part of the 2015 edition of the Chinese Pharmacopoeia and is widely used in the treatment for pediatric diseases in clinical application. Its main indications include the accumulation of heat caused by food stagnation in children, which has the effect of digestive stagnation and purge heat to relax the bowels. AIM OF THE STUDY: High-calorie diet, closely related to the occurrence and development of multiple diseases, is an unhealthy status of life. However, there is no effective intervention in clinic. Thus, based on animal experiments and bioinformatics, this study aims to explore the potential mechanisms of action of Chinese patent medicine- "Xiaoerhuashi Pill, XP" in the intervention of high-calorie diet. MATERIALS AND METHODS: A high-calorie diet model was prepared by 3-week-old rats. The defecation and intestinal mucosal morphology were observed after intragastric administration of "Xiaoerhuashi Pill, XP". The components of "Xiaoerhuashi Pill, XP" were obtained by chromatography-mass spectrometry, with the corresponding targets obtained by database and target fishing. The key effects substances were obtained by molecular docking, with the obtaining of the ore pathway of "Xiaoerhuashi Pill, XP" in intervention of high-calorie diet based on the enrichment analysis. RESULTS: "Xiaoerhuashi Pill, XP" can actively interfere with defecation and intestinal mucosal structures in high-calorie diet animals. A total of 37 substances were identified in the pediatric digestion solution, and 356 target proteins were mapped, 25 of which were associated with a high-calorie diet. Overall, the analysis shows that the highest degree of integration was quercetin and PON1 protein, with the highest enrichment of insulin resistance pathway. CONCLUSION: "Xiaoerhuashi Pill, XP" can intervene in the health status of high-calorie diet animals. Integration of quercetin and PON1 protein can regulate lipid levels, which may be the key mechanisms of action in "Xiaoerhuashi Pill, XP". The mechanisms, more specifically, may be related to the regulation of pancreas islet function, thus providing a reference for the clinical application of "Xiaoerhuashi Pill, XP", clinical intervention of high-calorie diet and new drug development.

Vitro culture of axe-head glochidia in pink heelsplitter Potamilus alatus and mechanism of its high host specialists.

The basal media M199 or MEM was utilized in the classical method of vitro culture of glochidia where 1-5% CO2 was required to maintain stable physiological pH for completion of non-parasitic metamorphosis. The classical method encounters a great challenge to those glochidia which undergo development of visceral tissue but significantly increase in size during metamorphosis. The improved in vitro culture techniques and classical methods were firstly compared for non-parasitic metamorphosis and development of glochidia in pink heelsplitter. Based on the improved method, the optimal vitro culture media was further selected from 14 plasmas or sera, realizing the non-parasitic metamorphosis of axe-head glochidia for the first time. The results showed that addition of different plasma (serum) had significant effect on glochidial metamorphosis in pink heelsplitter. Only glochidia in the skewband grunt and red drum groups could complete metamorphosis, the metamorphosis rate in skewband grunt was 93.3±3.1% at 24±0.5°C, significantly higher than in marine and desalinated red drum. Heat-inactivated treatment on the plasma of yellow catfish and Barbus capito had significant effect on glochidia survival and shell growth. The metamorphosis rate also varied among different gravid period, and generally decreased with gravid time. Further comparison of free amino acid and fatty acid indicated that the taurine of high concentration was the only amino acid that might promote the rapid growth of glochidial shell, and the lack of adequate DPA and DHA might be an important reason leading to the abnormal foot and visceral development. Combined with our results of artificial selection of host fish, we tentatively established the mechanism of its host specialists in pink heelsplitter for the first time. This is the first report on non-parasite metamorphosis of axe-head glochidia based on our improved vitro culture method, which should provide important reference to fundamental theory research of glochidia metamorphosis and also benefit for better understand of mechanism of host specialists and generalists of Unionidae species.

[Maize biomass simulation based on dynamic photosynthate allocation.] / åŸºäºŽå ‰åˆäº§ç‰©åŠ¨æ€åˆ†é çš„çŽ‰ç±³ç”Ÿç‰©é‡æ¨¡æ‹Ÿ.

Photosynthate allocation is critical to crop growth and biomass formation, and it is also a key part of crop simulation. A photosynthate allocation model of maize was established based on photosynthate allocation mechanisms as well as the photosynthate allocation characteristics of maize at different stages. This model was then coupled with the CO2 assimilation module of WOFOST crop model to simulate the biomass dynamics of different organs of maize on daily scale. It was validated by 5 years' field experiment data of spring maize from Jinzhou Agricultural Ecosystem Research Station. The results showed that, the model could explain about 95.4% of maize's total biomass change, while 87.0%, 85.3%, 67.9%, 76.5% and 87.5% of vegetative, leaf, root, stem, and ear biomass variations, respectively. This model could fulfill accurate simulation of different organ biomass dynamics of maize.

[Optimum field observation data for simulating maize leaf area index].

Leaf area index is a key indicator of leaf area change of crop population, and also, an important parameter for studying crop photosynthesis, transpiration, and biomass formation, etc. How to establish an optimum leaf area index (LAI) dynamic model with the minimum field observation data is of great significance for accurately simulating crop growth and yield. Based on the field experiment data of various spring maize varieties from the Jinzhou Agricultural Ecosystem Research Station in Northeast China in 2005-2011, in combination with the universal maize LAI dynamic model, this paper discussed the optimum field observation data for accurately simulating the dynamics of maize LAI. It was suggested that for the accurate simulation of the dynamics of maize LAI, the field observation should be no less than 3 years, with at least 4 times observation during the growth period each year. The proper four observation times during maize growth period were suggested as about 20 d after seedling emergence for the first observation, and monthly thereafter for the other three observations. This study could provide reference for conducting an effective observation on leaf area index and its dynamic modeling.

Cu-Cu2O-TiO2 nanojunction systems with an unusual electron-hole transportation pathway and enhanced photocatalytic properties.

Multicomponent Cu-Cu2O-TiO2 nanojunction systems were successfully synthesized by a mild chemical process, and their structure and composition were thoroughly analyzed by X-ray diffraction, transmission electron microscopy, field-emission scanning electron microscopy, and X-ray photoelectron spectroscopy. The as-prepared Cu-Cu2O-TiO2 (3 and 9 h) nanojunctions demonstrated higher photocatalytic activities under UV/Vis light irradiation in the process of the degradation of organic compounds than those of the Cu-Cu2O, Cu-TiO2, and Cu2O-TiO2 starting materials. Moreover, time-resolved photoluminescence spectra demonstrated that the quenching times of electrons and holes in Cu-Cu2O-TiO2 (3 h) is higher than that of Cu-Cu2O-TiO2 (9 h); this leads to a better photocatalytic performance of Cu-Cu2O-TiO2 (3 h). The improvement in photodegradation activity and electron-hole separation of Cu-Cu2O-TiO2 (3 h) can be ascribed to the rational coupling of components and dimensional control. Meanwhile, an unusual electron-hole transmission pathway for photocatalytic reactions over Cu-Cu2O-TiO2 nanojunctions was also identified.

Fabrication of uniform anatase TiO(2) particles exposed by {001} facets.

Uniform anatase TiO(2) particles exposed by {001} facets were successfully synthesized by using EDTA together with F as morphology controlling agents. The crystallographic structure as well as the growth mechanism of anatase TiO(2) particles was investigated systematically by XRD, SEM, TEM and XPS, respectively.