Circulating tumor DNA methylation: a promising clinical tool for cancer diagnosis and management.

Cancer continues to pose significant challenges to the medical community. Early detection, accurate molecular profiling, and adequate assessment of treatment response are critical factors in improving the quality of life and survival of cancer patients. Accumulating evidence shows that circulating tumor DNA (ctDNA) shed by tumors into the peripheral blood preserves the genetic and epigenetic information of primary tumors. Notably, DNA methylation, an essential and stable epigenetic modification, exhibits both cancer- and tissue-specific patterns. As a result, ctDNA methylation has emerged as a promising molecular marker for noninvasive testing in cancer clinics. In this review, we summarize the existing techniques for ctDNA methylation detection, describe the current research status of ctDNA methylation, and present the potential applications of ctDNA-based assays in the clinic. The insights presented in this article could serve as a roadmap for future research and clinical applications of ctDNA methylation.

Benthic biofilms in riverine systems: A sink for microplastics and the underlying influences.

Rivers are known as major pathways for transporting microplastics from terrestrial areas to the marine environment. However, the behavior of microplastics in terms of retention and transport within riverine systems remains unclear. While considerable efforts have been made to investigate the water column and sediment, limited attention has been given to understanding the interplay between microplastics and benthic biofilms. Therefore, this study aimed to examine the distribution of biofilm-trapped microplastics along the CaoE River and identify the factors influencing the immobilization of microplastics by benthic biofilms. The findings of this study revealed that benthic biofilms served as a sink of microplastics in the CaoE River, with an average abundance of 575 items/m2 in tributaries and 894 items/m2 in the main stream. The dominant shape of microplastics was fiber, while the primary polymer type was polyethylene terephthalate. The distribution of microplastics exhibited significant spatial heterogeneity, as indicated by their abundance and characteristics. In order to reveal the intriguing phenomenon, variations of influencing factors were estimated, including physicochemical characteristics of water, extracellular polymeric substances of benthic biofilms, and microbial communities of benthic biofilms. A partial least squares path modeling analysis was performed using these variables, revealing that water velocity and microbial diversity of benthic biofilms were the key factors influencing the interaction between microplastics and benthic biofilms. In summary, this study provides substantial evidence confirming the crucial role of benthic biofilms in the immobilization of microplastics, which expands concerns about microplastic pollution in the riverine systems. Furthermore, uncovering the underlying influences of microplastic-biofilm interactions will facilitate the development of effective strategies for the control and management of microplastic pollution.

Effects of microplastics and lead exposure on gut oxidative stress and intestinal inflammation in common carp (Cyprinus carpio L.).

Microplastics (MPs) are increasingly being detected in freshwater environments, which have the potential to cause combined toxicity with other contaminants on aquatic organisms. To reveal the ecological risks, the combined effects of lead (Pb) and polyvinyl chloride microplastics (MPs) were explored in the gut of common carp (Cyprinus carpio L.). The results confirmed that exposure of Pb alone accelerated Pb accumulation, increased oxidative stress, and activated the inflammation response of the gut. However, the aforementioned effects all decreased under the co-exposure of Pb and MPs. In addition, MPs altered intestinal microbial community of common carp, especially the abundance of immune system-related species. All measured variables were organized for partial least square path modeling, which revealed the combined effects of Pb and MPs on inflammation response. The results implied that MPs reduced inflammation response in two ways, including the reduction of intestinal Pb accumulation and the alteration of the intestinal microbial community. Overall, this study provides a novel aspect of ecological effects on aquatic animals from Pb and MPs exposure. The interesting results remind us that when exploring the ecological risks of MPs, combined effects from other toxic substances must be considered simultaneously.

Case report: Pathological complete response to perioperative treatment of radiotherapy combined with angiogenesis inhibitor in a patient with pleomorphic liposarcoma.

Background: Liposarcomas (LPS) are mesenchymal malignancies with four principal subtypes presenting distinct molecular and clinical features. Pleomorphic liposarcoma (PLPS) is one of the rarest and most aggressive subtypes of LPS. Surgical resection is currently a preferred curative approach for localized PLPS. However, the prognosis of unresectable PLPS is extremely poor, and there is no standard treatment. Case presentation: A 59-year-old Chinese woman was diagnosed with unresectable PLPS. The case was discussed and managed by specialists from a multidisciplinary team at Fudan Zhongshan Hospital. Preoperative radiotherapy (RT) of intensity-modulated radiation therapy (IMRT) at 50 Gy/25 Fx concurrently with the angiogenesis inhibitor anlotinib (8 mg, days 1-14, every 3 weeks) was prescribed to the patient. The dosage of anlotinib was increased to 10 mg after RT. After 6 months of treatment, the tumor had significantly shrunk and was successfully resected. Examination of the surgical specimens showed a pathological complete response (pCR). Until the latest follow-up (April 2022), no recurrence was observed, and disease-free survival has exceeded 14 months. Conclusion: This case sheds light on the probability that perioperative RT combined with an angiogenesis inhibitor can be effectively used in PLPS, which is resistant to chemotherapy and usually considered to have a poor prognosis. Further studies with randomized controlled clinical trials will improve our knowledge of this preoperative treatment strategy.

Automated rolling shutter calibration with an LED panel.

Cameras with rolling shutters (RSs) dominate consumer markets but are subject to distortions when capturing motion. Many methods have been proposed to mitigate RS distortions for applications such as vision-aided odometry and three-dimensional (3D) reconstruction. They usually need known line delay d between successive image rows. To calibrate d, several methods have been proposed that often involve complex procedures. This Letter proposes an easy RS calibration method by using an off-the-shelf light-emitting diode (LED) panel, using the fact that the RS causes the blinking LED columns to appear slanted in images by a static camera. The calibration starts with extracting the LED lights and then rectifies the images to remove the lens distortion and misalignment between the camera and the LED panel. Next, blocks of slanted bright LEDs are recognized and their inclination leads to the line delay estimate. Our method needs not to move the camera, adjust the ambient light, or calibrate camera intrinsic parameters beforehand, and it can usually estimate the line delay given two LED panel images in one second. Extensive tests with industrial cameras and consumer cameras of wide-angle and fish-eye lenses validate its competitive accuracy relative to the established methods.

Effects of polystyrene nanoplastics on the physiological and biochemical characteristics of microalga Scenedesmusquadricauda.

The contamination of the aquatic environment with microplastics has become a global environmental concern. Microplastic particles can be shredded to form smaller nanoplastics, and knowledge on their impacts on phytoplankton, especially freshwater microalgae, is still limited. To investigate this issue, the microalga Scenedesmus quadricauda was exposed to polystyrene nanoplastics (PS-NPs) of five concentrations (10, 25, 50, 100, and 200 mg/L). The growth; the contents of antioxidant enzymes superoxide dismutase (SOD), catalase (CAT), and peroxidase (POD); the chlorophyll content; and concentrations of soluble protein and soluble polysaccharide were accordingly measured. The results showed that the microalgal density increased with the increase of the polystyrene nanoplastic concentrations, and the physiological features of alga were enhanced after the stimulation of nanoplastics. Furthermore, a high concentration (200 mg/L) of nanoplastics increased the contents of chlorophyll, soluble protein, and polysaccharide (P < 0.05). The antioxidant enzyme activities of Scenedesmus quadricauda were significantly activated by nanoplastics. Lastly, we propose three possible algal recovery mechanisms in response to nanoplastics in which Scenedesmus quadricauda was tolerant with PS-NPs by cell wall thickening, internalization, and aggregation. The results of this study contribute to understanding of the ecological risks of nanoplastics on freshwater microalgae.

Clinical Efficacy and Safety Analysis of PD-1/PD-L1 Inhibitor vs. Chemotherapy in the Treatment of Advanced Non-Small-Cell Lung Cancer: A Systematic Review and Meta-Analysis.

Objective: To systematically evaluate the efficacy and safety of pembrolizumab (PD-1/PD-L inhibitor) and adjuvant chemotherapy to treat NSCLC and provide evidence-based reference for clinical use. Methods: By searching the Cochrane Library, EMBASE, PubMed, and Web of Science, according to the inclusion criteria, literature selection, data extraction, and quality evaluation were carried out for the included literature. The I 2 test was used to evaluate heterogeneity between studies, and the meta-analysis was performed using RevMan 5.3 software provided by Cochrane. Results: Finally, 14 relevant documents meeting the standards were included. It is a statistical difference in one-year survival rate [OR = 1.50, 95% CI (1.28, 1.76), P < 0.00001, I 2 = 0%, Z = 4.99]; overall response rate[OR =1.57, 95% CI (1.29, 1.90), P < 0.00001, I 2 = 0%, Z = 4.58]; progression-free survival [OR = 2.99, 95% CI (2.29, 3.91), P < 0.00001, I 2 = 26%, Z = 8.00]; and overall survival [OR = 1.38, 95% CI (1.07, 1.78), P = 0.01, I 2 = 46%, Z = 2.50] and reduces the incidence of adverse drug reactions [OR = 2.54, 95% CI (1.99, 3.25), P < 0.00001, I 2 = 69%, Z = 7.43]. Conclusion: Pembrolizumab adjuvant chemotherapy is effective in the treatment of advanced NSCLC, but attention should be paid to the occurrence of adverse reactions in clinical. Due to the limitations of the methodology included in the study, this conclusion required more validation of large-sample RCT.

Sorption behavior of Pb(II) onto polyvinyl chloride microplastics affects the formation and ecological functions of microbial biofilms.

Microplastics (MPs) are regarded as transport media for heavy metals in aquatic systems, whereas the effects of the heavy metal-enriched MPs on microbial biofilms are still unclear. In this study, Pb(II) sorption onto polyvinyl chloride (PVC) MPs and its effects on the formation and ecological functions of microbial biofilms were investigated. The results showed that the interaction between Pb(II) and PVC MPs was dominated by physisorption. The maximum sorption amount reached 1.25 mg/g. Afterward, microbial biofilms were exposed to the Pb(II)-enriched PVC particles. It is suggested that Pb(II)-enriched PVC exposure reduced productivities of polysaccharides and proteins in extracellular polymeric substances, which restricted the formation of microbial biofilms. Meanwhile, microbial community structure was reassembled accompanying the decline of capacities for nitrate and phosphate removal. Therefore, this study examines the ecological risk associated with the heavy metal-enriched MPs that can adversely affect microbial biofilms.

ETV4 mediated lncRNA C2CD4D-AS1 overexpression contributes to the malignant phenotype of lung adenocarcinoma cells via miR-3681-3p/NEK2 axis.

Lung adenocarcinoma (LUAD) is originated from the mucus-producing glands of the lungs. The involvement of long noncoding RNAs (lncRNAs) has been discovered in multiple diseases. In the present research, we aimed to unmask the role of C2CD4D and THEM5 antisense RNA 1 (C2CD4D-AS1) in LUAD. RT-qPCR or western blot analysis was respectively applied in the detection of RNA or protein expressions. The function of C2CD4D-AS1 in LUAD was assessed by functional assays. Through ChIP, RNA pull down, DNA pull down, RIP and luciferase reporter assays, the in-depth regulatory mechanism of C2CD4D-AS1 in LUAD was explored. C2CD4D-AS1 was dramatically overexpressed in LUAD tissues and cell lines. As a result, depletion of C2CD4D-AS1 significantly repressed cell proliferation, migration, invasion and stimulated cell apoptosis in LUAD. Mechanistically, ETS variant transcription factor 4 (ETV4) activated the transcription of C2CD4D-AS1 and stimulated its up-regulation in LUAD cells, thus affecting LUAD cell biological functions. Furthermore, C2CD4D-AS1 sponged microRNA-3681-3p (miR-3681-3p) and regulated NIMA-related kinase 2 (NEK2), thus participating in modulating LUAD cell biological behaviors. To conclude, C2CD4D-AS1 up-regulation induced by ETV4 enhanced NEK2 expression by sequestering miR-3681-3p to contribute to the malignant behaviors of LUAD cells.

Fabrication of H2O2 slow-releasing composites for simultaneous Microcystis mitigation and phosphate immobilization.

Hydrogen peroxide (H2O2) is a widely accepted algicide in controlling cyanobacterial blooms. However, this method includes two disadvantages: 1) a low H2O2 concentration (<5 mg L-1) is required; 2) H2O2-induced cell lysis causes phosphorus (P) contamination. To overcome the drawbacks, a H2O2 slow-releasing composite (HSRC) based on calcium peroxide (CaO2) was fabricated to substitute liquid H2O2. According to the results, a higher CaO2 dose increased H2O2 yield and releasing rate. H2O2 yield of 160 mg L-1 CaO2 in HSRC reached 32.9 mg L-1 and its releasing rate was 0.407 h-1. In addition, a higher temperature decreased H2O2 yield and increased H2O2-releasing rate. Besides, HSRC endowed with a remarkable ability to immobilize P. Higher CaO2 dose, pH value, and temperature increased the rate of P immobilization. The highest rate was 0.185 h-1, which occurred with 160 mg L-1 CaO2 in HSRC at 25 °C and pH 8.0. Toxicity assays showed that HSRC exerted sustaining oxidative stress on Microcystis aeruginosa. Accumulation of intracellular reactive oxygen species resulted in the disruption of enzymatic systems and inactivation of photosystem. Tracking the variations of cell growth and H2O2 concentration during HSRC treatments, it suggested that the lethal effect on Microcystis aeruginosa was achieved with a super-low H2O2 concentration (<0.3 mg L-1). In addition, cell lysis did not cause a sudden rise in P concentration due to the P immobilization by HSRC. Therefore, HSRC successfully offsets the drawbacks of liquid H2O2 in mitigating cyanobacterial blooms. It may be a novel and promising algicide that not only kills cyanobacteria but also reduces eutrophication momentarily.