Short Prewarming at 41°C to Correct the Interference in Samples with the Presence of Cold Agglutination.

BACKGROUND: Cold agglutinins (CAs) in blood samples can cause a reversible agglutination of red blood cell (RBC) which result in an incorrect complete blood count (CBC). So, it is important to explore new simple and feasible treatment conditions for clinical work. METHODS: The CAs group included 32 samples with CAs. The parameters of CBC at room temperature or after prewarming at 37°C or 41°C for different time periods were compared. The consistency and correlation of those parameters were analyzed. The morphology of erythrocytes in the CAs group was observed manually. The control group included 45 samples without CAs and prewarmed at 37°C or 41°C for different time periods. The differences were also analyzed. RESULTS: CAs have a significant effect on CBC. After prewarming at 37°C or 41°C the interferences are all corrected. Consider prewarming at 37°C for 120 minutes as the standard procedure. The consistency and correlation analysis showed there was no statistical difference between the results of each subgroup and standard group, except the MCHC of group 41°C 10 minutes. The correlation of parameters between all subgroups and the standard group is satisfied. Microscopic examination showed no RBC aggregation or fragmentation after prewarming at 41°C or 37°C. According to the maximum bias requirements for expert performance in Validation, Verification, and Quality Assurance of Automated Hematology Analyzers, 2nd Edition (CLSI H26-A2), the differences in overall results in control group are negligible. CONCLUSIONS: The 41°C 2 minutes prewarming method is a rapid and effective way for treating samples with CAs. It is an efficient way to obtain more reliable CBC results, without specific instruments.

STRN3 promotes tumour growth in hepatocellular carcinoma by inhibiting the hippo pathway.

HCC is a globally high-incidence malignant tumour, and its pathogenesis is still unclear. Recently, STRN3 has been found to be elevated in various tumours, but its expression and biological functions in HCC have not been studied. In the study, clinical correlation analysis was performed on 371 liver cancer patients from TCGA database and liver cancer tissues and normal tissues from the GEO database. qRT-PCR and western blotting were used to detect relevant proteins in cells, and CCK8 and colony formation experiments were performed to analyse cell proliferation ability. Transwell and wound healing experiments were performed to detect cell invasion ability, and flow cytometry was used to detect cell apoptosis. Single-cell sequencing data and multiple immunofluorescence were analysed for the expression abundance and distribution of certain proteins. Immunohistochemistry was used to assess the expression of STRN3 in patients' tumour and adjacent non-cancerous tissues. The results indicated STRN3 was highly expressed in liver tumour tissues and was closely associated with poor prognosis. Knockdown of STRN3 could significantly inhibit cell proliferation and migration ability. At the same time, we found that STRN3 could inhibit the Hippo pathway and promote the entry of YAP protein into the nucleus. Our study first found that STRN3 could promote tumour growth by inhibiting the Hippo pathway. The study of STRN3 can promote the understanding and treatment of the occurrence and development of HCC.

Clinical significance and prospective mechanism of increased CDKN2A expression in small cell lung cancer.

BACKGROUND: Although it has been shown that cyclin dependent kinase inhibitor 2A (CDKN2A) plays a significant role in a number of malignancies, its clinicopathological value and function in small cell lung cancer (SCLC) is unclear and warrants additional research. METHODS: The clinical significance of CDKN2A expression in SCLC was examined by multiple methods, including comprehensive integration of mRNA level by high throughput data, Kaplan-Meier survival analysis for prognostic value, and validation of its protein expression using in-house immunohistochemistry. RESULTS: The expression of CDKN2A mRNA in 357 cases of SCLC was evidently higher than that in the control group (n = 525) combing the data from 20 research centers worldwide. The standardized mean difference (SMD) was 3.07, and the area under the curve (AUC) of summary receiver operating characteristic curve (sROC) was 0.97 for the overexpression of CDKN2A. ACC, COAD, KICH, KIRC, PCPG, PRAD, UCEC, UVM patients with higher CDKN2A expression had considerably worse overall survival rates than those with lower CDKN2A expression with the hazard ratio (HR) > 1. CONCLUSION: CDKN2A upregulation extensively enhances the carcinogenesis and progression of SCLC.

Clinical application of a fully automated blood collection robot and its assessment of blood collection quality of anticoagulant specimens.

Background and objectives: To investigate the application of intelligent puncture blood collection robots in anticoagulated blood specimens, the satisfaction of subjects with the two blood collection methods, and the feasibility of intelligent blood collection devices to replace manual blood collection methods in clinical work. Materials and methods: A total of 154 volunteers from Zhongshan Hospital Fudan University were recruited to compare the test results of anticoagulant blood samples between blood collection robot and manual blood collection, a questionnaire was used to inquire about the volunteers' feelings about the two blood collection methods; the blood collection data of 6,255 patients willing to use the robot for blood collection were collected to analyze the success rate of blood collection. Results: The blood collection robot is superior to manual specimen collection in terms of volume and pain of specimen collection, and the puncture success rate is 94.3%. The anticoagulated blood specimens collected by the robot had 11 indexes statistically different from the results of manual blood collection, but the differences did not affect the clinical diagnosis and prognosis. Conclusion: The intelligent robotic blood collection is less painful and has better acceptance by patients, which can be used for clinical anticoagulated blood specimen collection.

Non-Negligible Ecological Risks of Urban Wetlands Caused by Cd and Hg on the Qinghai-Tibet Plateau, China.

The Huangshui National Wetland Park (HNWP) is a unique national wetland park in a city on the Qinghai-Tibetan Plateau, containing three zones: Haihu, Beichuan, and Ninghu. In this study, a total of 54 soil samples (18 sampling points with depths of 0-10 cm, 10-20 cm, and 20-30 cm) were collected in these three zones, and the contents of heavy metals (Cr, Cd, Cu, Hg, Ni, Pb, Zn, and As) of each sample were determined. The ecological risk of eight kinds of heavy metals was evaluated by using the geo-accumulation index (Igeo), and the ecological risk-controlling effect of the Xining urban wetlands on heavy metals was explored by comparative analysis, and the possible sources of heavy metals in the soil were analyzed via correlation analysis and principal component analysis (PCA). The results revealed that the total heavy metal concentration order was Haihu > Beichuan > Ninghu zone. As and Cu presented vertical accumulation characteristics in the surface and lower horizon, respectively. Cr, Cd, Hg, Ni, Pb, and Zn accumulated downwards along the depth. On the spatial scale, the enrichments of Cd and Hg brought non-negligible ecological risks in plateau urban wetlands. The results of PCA indicated that soil heavy metals mainly came from compound sources of domestic and atmospheric influences, traffic pollution sources, and industrial pollution sources. The study has revealed that human activities have inevitable negative impacts on wetland ecosystems, while the HNWP provides a significant weakening effect on heavy metal pollution.

The Influencing Factors of Nutrition and Diet Health Knowledge Dissemination Using the WeChat Official Account in Health Promotion.

Background: The promotion of a healthy diet via health education is a component of the "Healthy China 2030" plan. However, few studies have reported whether health knowledge about nutrition and diet has gained public attention, and whether it is needed by the public. Methods: The numbers of views, shares, and reads of articles published by the official WeChat account of a hospital in China were accessed. The influence index was obtained via the entropy analysis of these three indices. A questionnaire survey was developed based on the purpose of the study and the conclusion of the content analysis, which conducted to analyze users' requirements for health knowledge and their influencing factors. Moreover, risk factors were explored by logistic regression models. Results: Of the 103 articles considered in this study, four articles in the Top 10 were related to nutrition and diet. The influence index of nutrition and diet knowledge was found to be the highest in the content analysis (p < 0.05). The higher degrees of humor (ß = 0.224, p = 0.027), nutrition and diet articles (ß = 0.776, p = 0.034), and cover articles (ß = 0.312, p = 0.021) have significant influences on the influence index. In total, 581 questionnaires were obtained, and 78.1% of the respondents reported believing that the health knowledge of greatest concern was that related to nutrition and diet. Multivariate logistic regression analyses were conducted to explore the associations between the features of the articles and users reading nutrition and diet knowledge; it was found that gender (female, OR: 4.651, 95%Cl: 2.598, 8.325, and p < 0.001), age (young adult, OR: 0.358, 95%Cl: 0.266, 0.481, and p < 0.001), cancer precaution knowledge (OR: 4.333, 95%Cl: 2.262, 8.299, and p < 0.001), traditional Chinese medicine (OR: 2.121, 95%Cl: 1.064, 4.230, and p = 0.033), the knowledge acquisition approach [circle of friends (OR: 2.586, 95%Cl: 1.373, 4.868, and p = 0.003), social media (OR: 2.183, 95%Cl: 1.204, 3.960, and p = 0.010)), hospitals (OR: 3.194, 95%Cl: 1.793, 5.692, and p < 0.001), television media (OR: 4.348, 95%Cl: 2.341, 8.077, and p < 0.001)], and social media strategies [professionalism and authority (OR: 2.354, 95%Cl: 1.231, 4.505, and p = 0.006)] have statistically significant relationships with users reading nutrition and diet knowledge. Conclusion: Nutrition and diet knowledge could contribute to WeChat user engagement of health information dissemination. Nutrition professionals should improve the scientific popularization ability and effectively use social media for health promotion.

Effects of dam construction and fish invasion on the species, functional and phylogenetic diversity of fish assemblages in the Yellow River Basin.

An understanding of the consequences of human-mediated disturbances from multi-facet diversity (i.e. species, functional and phylogenetic) perspectives is of great significance in biodiversity assessment and conservation planning. Most previous studies have concentrated on anthropogenic effects on species diversity in the Yellow River Basin (YRB) in China, but information on anthropogenic effects on phylogenetic and functional facets is still pending. Here, we identified the temporal changes in species, functional, and phylogenetic alpha diversity of fish assemblages in 18 reaches (i.e. 15 mainstream reaches and 3 tributaries) of the YRB under the background of long-term cascade hydropower construction and widespread introduction of non-native fish species. The results showed that native fishes experienced a sharp decline through time, with an average of 25.6 (extirpation rate 46.7%) native species extirpated per sub-region, and 89 of 182 (48.9%) native species extirpated across the whole basin during the period considered. However, the number of non-native fish species substantially increased, with an average increase of 8.6 species (invasion rate 26.9%) per sub-region. Furthermore, the percentage of non-native species showed a significant unimodal relationship with average altitude, with highest invasion rates (ca. 70%) in upstream reaches. The extirpation rate was negatively related to altitude, increasing from upstream to downstream reaches. Interestingly, the functional diversity indices (FEve, FDiv, FDis, RaoQ) and phylogenetic diversity indices (Δ+ and Λ+) of the entire fish fauna significantly increased through time, whereas these indices based on native fish fauna only did not change. Such increases in functional and phylogenetic diversities were mainly triggered by introductions of non-native species, which were functionally distinct and phylogenetically distant from native species, and extirpation of congeneric endemic species. In general, the present study revealed anthropogenic impacts on the multi-faceted diversity of fish assemblages in a large river and highlighted the negative effects of cascaded hydropower developments and non-native fish invasions on native fish. Moreover, evaluating the responses of multi-faceted diversity to anthropogenic disturbances is a suitable means to understand assemblage reorganization and to assess how such impacts lead to the decline of biodiversity. The complementary information derived from using the multi-faceted diversity approach indicate functional and phylogenetic diversity measures could be implemented in biodiversity planning in the sediment-laden and ecologically important Yellow River Basin.

Roles of SHARP1 in thyroid cancer.

SHARP1 is a basic helix­loop­helix transcription factor involved in various cellular processes, including proliferation and differentiation. The present study assessed the role of SHARP1 in the progression and invasion of thyroid cancer. PCR and western blot analysis demonstrated that in thyroid cancer tissues, SHARP1 was significantly downregulated at the mRNA and protein level compared with that in normal tissues. Furthermore, SHARP1 was downregulated in the TT and TPC­1 thyroid cancer cell lines compared with a normal thyroid cell line, while it was upregulated in other thyroid cancer cell lines. Overexpression of SHARP1 in TT and TPC­1 cells significantly inhibited the cell viability, migration and invasion in vitro. Furthermore, the protein and mRNA levels of HIF­1α were found to be decreased in TT and TPC­1 cells following forced overexpression of SHARP1. In addition, silencing of HIF­1α reduced the viability, migration and invasion of TT and TPC-1 cells. In conclusion, the present study indicated that SHARP1 acts as a tumor suppressor in thyroid cancer and that its downregulation may contribute to the proliferation, migration and invasion of thyroid cancer cells through mechanisms possibly involving HIF­1α, suggesting that SHARP1 may be an important therapeutic target for the treatment of thyroid cancer.

A novel method for the synthesis of symmetrical triacylglycerols by enzymatic transesterification.

A novel two-step enzymatic method is described in this study to synthesize symmetrical triacylglycerols (TAGs) with arachidonic acid (ARA) at the sn-2 position. The processes included the synthesis of 2-monoacylglycerols (2-MAGs) rich in 2-arachidonoylglycerol (2-AG) by enzymatic ethanolysis and the synthesis of symmetrical TAGs by enzymatic transesterification between 2-MAGs and vinyl palmitate. Under the optimal conditions, desired symmetrical TAGs were obtained at 89% yield. In this study, vinyl palmitate rather than palmitic acid was used as a novel acyl donor to react with 2-MAGs. It was the first study reporting the synthesis of symmetrical TAGs by enzymatic transesterification. The reaction using fatty acid vinyl ester as acyl donor is irreversible and temperature is low. Low-temperature reaction greatly suppressed the acyl migration of 2-MAGs and the irreversible reaction is much more effective compared to reversible reactions using free fatty acid and fatty acid ester as acyl donors.