A nomogram for predicting liver metastasis in patients with gastric gastrointestinal stromal tumor.

BACKGROUND: Liver metastasis (LIM) is an important factor in the diagnosis, treatment, follow-up, and prognosis of patients with gastric gastrointestinal stromal tumor (GIST). There is no simple tool to assess the risk of LIM in patients with gastric GIST. Our aim was to develop and validate a nomogram to identify patients with gastric GIST at high risk of LIM. METHODS: Patient data diagnosed as having gastric GIST between 2010 and 2019 were extracted from the Surveillance, Epidemiology, and End Results (SEER) database and randomly divided into training cohort and internal validation cohort in a 7:3 ratio. For external validation, retrospective data collection was performed on patients diagnosed as having gastric GIST at Yunnan Cancer Center (YNCC) between January 2015 and May 2023. Univariate and multivariate logistic regression analyses were used to identify independent risk factors associated with LIM in patients with gastric GIST. An individualized LIM nomogram specific for gastric GIST was formulated based on the multivariate logistic model; its discriminative performance, calibration, and clinical utility were evaluated. RESULTS: In the SEER database, a cohort of 2341 patients with gastric GIST was analyzed, of which 173 cases (7.39%) were found to have LIM; 239 patients with gastric GIST from the YNCC database were included, of which 25 (10.46%) had LIM. Multivariate analysis showed tumor size, tumor site, and sex were independent risk factors for LIM (P < .05). The nomogram based on the basic clinical characteristics of tumor size, tumor site, sex, and age demonstrated significant discrimination, with an area under the curve of 0.753 (95% CI, 0.692-0.814) and 0.836 (95% CI, 0.743-0.930) in the internal and external validation cohort, respectively. The Hosmer-Lemeshow test showed that the nomogram was well calibrated, whereas the decision curve analysis and the clinical impact plot demonstrated its clinical utility. CONCLUSION: Tumor size, tumor subsite, and sex were significantly correlated with the risk of LIM in gastric GIST. The nomogram for patients with GIST can effectively predict the individualized risk of LIM and contribute to the planning and decision making related to metastasis management in clinical practice.

Where does floating Sargassum in the East China Sea come from?

Floating macroalgae of Sargassum horneri (S. horneri) in the East China Sea (ECS) has increased in recent years, with ocean warming being one of the driving factors. Yet their possible origins, based on a literature review, are unclear. Here, using multi-sensor high-resolution remote sensing data and numerical experiments for the period of 2015-2023, we show two possible origins of the ECS floating S. horneri, one being local near the Zhejiang coast with initiation in January-February and the other being remote (> 800 km from the first) in the Bohai Sea with initiation in June-November. While their drifting pathways are revealed in the sequential remote sensing imagery, numerical experiments suggest that S. horneri from the remote origin (Bohai Sea) can hardly meander through the strong Yangtze River frontal zone, which may serve as a "wall" to prevent trespassing of surface floating seaweed to the south of the frontal zone, where S. horneri has a local origin. PLAIN LANGUAGE SUMMARY: Sargassum horneri (S. horneri) is a brown macroalgae (seaweed) abundant in surface waters of the East China Sea (ECS), which can serve as a moving habitat, but can also cause major beaching events and environmental problems. Knowledge of its origins is important to help implement mitigation strategies and understand possible ecological impacts along its drifting pathways. Using high-resolution remote sensing images and numerical experiments, we track floating S. horneri in space and time between 2015 and 2023. Two possible origins are identified, one being far away from the ECS and the other being local, both of which are known to have benthic S. horneri. The study also reveals how S. horneri are transported from their source regions resulting in large-scale distributions previously observed in medium-resolution satellite imagery.

Infestation and distribution of chigger mites on Chevrieri's field mouse (Apodemus chevrieri) in Southwest China.

Based on a long-term field investigation on chigger mites in southwest China from 2001 to 2019, the present study analyzed the infestation and distribution of chigger mites on the Chevrieri's field mouse (Apodemus chevrieri) in the region. A total of 12,516 individuals of chigger mites were collected from 1981 A. chevrieri mice, and 12,281 chiggers were identified as 107 species, 11 genera and 3 subfamilies in 2 families, which revealed a high species diversity of the mites on A. chevrieri mice. Of 1981 A. chevrieri mice, 633 ones were infested with chiggers with a relatively high overall prevalence (P M  = 31.95%), mean abundance (MA = 6.32) and mean intensity (MI = 19.77). Of the 107 chigger species identified from A. chevrieri mice, three ones were the most dominant and they were Leptrombidium scutellare, L. densipunctatum and L. cricethrionis, which showed aggregated distribution among different individuals of the mice. A slightly positive association existed between every two dominant chigger species, which implied that the dominant chigger species tend to co-exist on A. chevrieri. The infestations of A. chevrieri with chiggers varied in different latitudes, altitudes and landscapes and they showed some heterogeneity along different environmental gradients. The logistic regression analysis showed that the risk factors for chigger infestations on A. chevrieri were landscapes, ages and altitudes, which implied that the environmental factors and host ages could influence the infestations of the mice with the mites. A theoretical curve of the species abundance distribution of chigger mites on A. chevrieri was successfully fitted by Preston's lognormal model, suggesting that the species abundance distribution conforms to the lognormal distribution pattern. The expected total species of chigger mites on A. chevrieri was roughly estimated to be 136 species and about 29 rare chigger species were probably missed in the sampling field investigation.

Infestation and Seasonal Fluctuation of Gamasid Mites (Parasitiformes: Gamasida) on Indochinese Forest Rat, Rattus andamanensis (Rodentia: Muridae) in Southern Yunnan of China.

A 12-month consecutive investigation was made at Jingha village in southern Yunnan of southwest China from April 2016 to March 2017. A total of 2053 Indochinese forest rats (Rattus andamanensis Blyth, 1860) were captured and examined, which account for 84.69% (2053/2424) of all the animal hosts (rodents and other small mammals) at the investigation site. And 39.82% (13,531/33,980) of gamasid mites were identified from the body surface of R. andamanensis and they belong to 41 species, 10 genera, 3 subfamilies and 2 families. Of the 41 species of gamasid mites identified from R. andamanensis, Laelaps nuttalli Hirst, 1915 and Laelaps echidninus Berlese, 1887 were the most dominant with 70.63% and 20.67% of constituent ratios respectively. In monthly fluctuations of all the gamasid mites on R. andamanensis, the constituent ratio (Cr) and overall infestation mean abundance (MA) of the mites in 12 months showed two obvious peaks in January (winter season) and June (summer season). However, the two dominant mite species, L. nuttalli and L. echidninus, showed different patterns of seasonal fluctuations. Laelaps nuttalli occurred throughout the year, and its Cr and MA showed two prominent peaks in winter season (December and January) and summer season (June), which belongs to the summer-winter type of seasonal fluctuation. Laelaps echidninus also occurred on R. andamanensis throughout the year, but its Cr and MA showed only one peak in winter season (December and January), which belongs to the winter type of seasonal fluctuation. A negative correlation existed between two climatic factors (temperature and rainfall) and the infestations (Cr, prevalence PM and MA) of two dominant mite species (L. nuttalli and L. echidninus) on R. andamanensis (p < 0.05). Temperature and rainfall are considered to be two key factors that influence the seasonal fluctuations of the mites on the studied rat species.

Infestation and Related Ecology of Chigger Mites on the Asian House Rat (Rattus tanezumi) in Yunnan Province, Southwest China.

This paper is to illustrate the infestation and related ecological characteristics of chigger mites on the Asian house rat (Rattus tanezumi). A total of 17,221 chigger mites were collected from 2,761 R. tanezumi rats, and then identified as 131 species and 19 genera in 2 families. Leptotrombidium deliense, the most powerful vector of scrub typhus in China, was the first major dominant species on R. tanezumi. All the dominant mite species were of an aggregated distribution among different individuals of R. tanezumi. The species composition and infestations of chiggers on R. tanezumi varied along different geographical regions, habitats and altitudes. The species-abundance distribution of the chigger mite community was successfully fitted and the theoretical curve equation was S (R)=37e-(0.28R)2. The total chigger species on R. tanezumi were estimated to be 199 species or 234 species, and this further suggested that R. tanezumi has a great potential to harbor abundant species of chigger mites. The results of the species-plot relationship indicated that the chigger mite community on R. tanezumi in Yunnan was an uneven community with very high heterogeneity. Wide geographical regions with large host samples are recommended in the investigations of chigger mites.

Infestation and seasonal fluctuation of chigger mites on the Southeast Asian house rat (Rattus brunneusculus) in southern Yunnan Province, China.

Chigger mites are the common ectoparasites of rodents and the exclusive vector of scrub typhus. The Southeast Asian house rat (Rattus brunneusculus) is an important reservoir host and infectious source of some zoonoses including scrub typhus. From April 2016 to March 2017, a 12-month consecutive investigation was made at Jingha village in southern Yunnan of China, which is an important focus of scrub typhus. The infestation and seasonal fluctuation of chigger mites on R. brunneusculus were studied based on the investigation. From 2,053 captured R. brunneusculus, a total of 99,221 chiggers were collected and identified as comprising 102 species with very high species diversity. The richness (S), diversity index (H'), evenness (E) and dominance index (D) of the chigger community on the rat varied in different months. Of the 102 chigger species, five main species accounted for 84.81% of the total chiggers (84,147/99,221). The five main chiggers were Walchia (W.) micropelta (32.65%), Ascoschoengastia indica (24.68%), Leptotrombidium (L.) deliense (19.02%), W. (W.) turmalis (4.63%) and L. (L.) scutellare (3.83%). Of the five chigger species, L. (L.) deliense and L. (L.) scutellare are the most important vectors of scrub typhus in China. The five chigger species showed different patterns of seasonal fluctuation. The seasonal fluctuation of L. (L.) deliense belonged to summer-autumn type with the highest peak in July, but L.(L.) scutellare mainly appeared in winter and spring with the peak from January to February. The temperature and rainfall were two key factors which influenced the seasonal fluctuation of chigger mites.

Distribution and Host Selection of Tropical Rat Mite, Ornithonyssus bacoti, in Yunnan Province of Southwest China.

(1) Background: As a species of gamasid mite, the tropical rat mite (Ornithonyssus bacoti) is a common ectoparasite on rodents and some other small mammals. Besides stinging humans to cause dermatitis, O. bacoti can be a vector of rickettsia pox and a potential vector of hemorrhagic fever with renal syndrome (HFRS). (2) Objective: The present study was conducted to understand the host selection of O. bacoti on different animal hosts and the distribution in different environmental gradients in Yunnan Province of Southwest China. (3) Methods: The original data came from the investigations in 39 counties of Yunnan, between 1990 and 2015. The animal hosts, rodents and some other small mammals were mainly trapped with mouse traps. The O. bacoti mites on the body surface of animal hosts were collected and identified in a conventional way. The constituent ratio (Cr), prevalence (PM), mean abundance (MA) and mean intensity (MI) were used to reflect infestations of animal hosts with O. bacoti mites. The patchiness index and Taylor's power law were used to measure the spatial distribution pattern of O. bacoti mites on their hosts. (4) Results: A total of 4121 tropical rat mites (O. bacoti) were identified from 15 species and 14,739 individuals of hosts, and 99.20% of them were found on rodents. More than half of O. bacoti mites (51.78%) were identified from the Asian house rat (Rattus tanezumi), and 40.09% of the mites from the Norway rat (R. norvegicus) (p < 0.05). The infestations of R. tanezumi (PM = 7.61%, MA = 0.40 and MI = 5.31) and R. norvegicus (PM = 10.98, MA = 1.14 and MI = 10.39) with O. bacoti mites were significantly higher than those of other host species (p < 0.05). The infestations of two dominant rat hosts (R. tanezumi and R. norvegicus) with O. bacoti mites varied in different environmental gradients (latitudes, longitudes, altitudes, landscapes and habitats) and on different sexes and ages of the hosts. The prevalence of juvenile R. norvegicus rats with O. bacoti mites (PM = 12.90%) was significantly higher than that of adult rats (PM = 9.62%) (p < 0.05). The prevalence (PM = 38.46%) and mean abundance (MA = 2.28 mites/host) of R. tanezumi rats with O. bacoti mites in the high latitude were higher than those in the low latitudes (p < 0.05). The majority of the total collected 4121 O. bacoti mites was found in the flatland landscape (91.28%) and indoor habitat (73.48%) (p < 0.05). The PM (10.66%) and MA (0.49 mites/host) of R. tanezumi rats with O. bacoti mites were significantly higher in the indoor habitat than in the outdoor habitat (p < 0.05). The tropical rat mites showed an aggregated distribution pattern on their first dominant host, R. tanezumi. Conclusion: The tropical rat mite (O. bacoti) is a widely distributed species of gamasid mite in Yunnan Province, Southwest China, and its dominant hosts are two synanthropic species of rats, R. tanezumi and R. norvegicus. It is mainly distributed in the flatland landscape and indoor habitat. It has some host-specificity, with a preference to rodents, especially R. tanezumi and R. norvegicus. The O. bacoti mites are of aggregated distribution on R. tanezumi rats.

A Report of Chigger Mites on the Striped Field Mouse, Apodemus agrarius, in Southwest China.

Based on the field investigations in 91 investigation sites (counties) in southwest China between 2001 and 2019, the present paper reported the chigger mites on A. agrarius mice in southwest China for the first time by using a series of statistical methods. From 715 striped field mice captured in 28 of 91 investigated sites, only 255 chiggers were collected, and they were identified as 14 species, 6 genera in 3 subfamilies under 2 families. Of 715 A. agrarius mice, only 24 of them were infested with chigger mites with low overall prevalence (PM=3.4%), overall mean abundance (MA=0.36 mites/host) and overall mean intensity (MI=10.63 mites/host). The species diversity and infestation of chiggers on A. agrarius were much lower than those previously reported on some other rodents in southwest China. On a certain species of rodent, A. agrarius mouse in southwest China seems to have a very low susceptibility to chigger infestations than in other geographical regions. Of 14 chigger species, there were 3 dominant species, Leptotrombidium sialkotense, L. rupestre and Schoengastiella novoconfuciana, which were of aggregated distribution among different individuals of A. agrarius hosts. L. sialkotense, one of 6 main vectors of scrub typhus in China, was the first dominant on A. agrarius. The species similarity of chigger mites on male and female hosts was low with CSS=0.25, and this reflects the sex-bias of different genders of A. agrarius mice in harboring different chigger species.

Relative Abundance of a Vector of Scrub Typhus, Leptotrombidium sialkotense, in Southern Yunnan Province, China.

The chigger mite Leptotrombidium sialkotense is one of the 6 main vectors of scrub typhus in China. Before present study, L. sialkotense was found in some parts of Hunan province, China with a narrow geographical distribution. During field investigation 2016-2017, we found L. sialkotense in Jingha, southern Yunnan, China. Of 15 small mammal host species, L. sialkotense were collected from 6 species of the hosts. Rattus brunneusculus was a dominant host of L. sialkotense, from which 98.3% of the mites were collected. The chigger mite showed a relatively high infestation prevalence (PM=11.7%) and mean abundance (MA=0.5) in comparison with the rest 5 host species. These results reveal a certain host specificity of L. sialkotense to a rat R. brunneusculus. The mite L. sialkotense showed an aggregated distribution on the host (P<0.05). A positive correlation observed between L. sialkotense and the body length of hosts. There was a positive interspecific association between L. sialkotense and 2 other dominant vectors, L. deliense and L. scutellare.