Exosomes derived from mesenchymal stem cells attenuate NLRP3-related pyroptosis in autoimmune premature ovarian insufficiency via the NF-κB pathway.

RESEARCH QUESTION: What is the effect of exosomes derived from bone marrow mesenchymal stem cells (MSC-Exos) on the pyroptosis and recovery of granulosa cells in autoimmune premature ovarian insufficiency (POI)? DESIGN: In vitro, KGN cells were exposed to interferon-gamma to simulate immune injury. Samples were collected after a 48 h incubation with MSC-Exos (30 µg/ml). The cell viability, secretion of oestrogen and expression of key molecules in pyroptosis and the nuclear factor kappa B (NF-κB) pathway were tested. In vivo, the BALB/c mouse model of autoimmune POI model induced by zona pellucida glycoprotein 3 was used. Fertility testing and sample collection were applied 4 weeks after the ovarian subcapsular injection of MSC-Exos (150 µg for each ovary). Hormone concentration measurements, follicle counting and pyroptotic pathway analyses were conducted for each group. RESULTS: In vitro, MSC-Exos significantly promoted the proliferation rate and secretion of oestrogen, while at the same time suppressing apoptosis and pyroptosis. In vivo, exosomal treatment normalized the irregular oestrous cycles, rescued the follicular loss and increased the pregnancy rate and number of offspring in POI mice. Elevated serum concentrations of oestrogen and anti-Müllerian hormone, as well as decreased concentrations of FSH and interleukin-1ß, were shown. Furthermore, MSC-Exos down-regulated the expression of the NLRP3/Casp1/GSDMD pathway and inhibited activation of the NF-κB pathway. CONCLUSIONS: These findings demonstrate for the first time that MSC-Exos exert a significant effect on restoring ovarian function in autoimmune POI in vivo and in vitro by suppressing the NLRP3/Casp1/GSDMD pathway and pyroptosis. The NF-κB pathway may contribute to the regulation of NLRP3-related pyroptosis.

Blocking CXCR7-mediated adipose tissue macrophages chemotaxis attenuates insulin resistance and inflammation in obesity.

Adipose tissue macrophages (ATMs) have been considered to have a pivotal role in the chronic inflammation development during obesity. Although chemokine-chemokine receptor interaction has been studied in ATMs infiltration, most chemokine receptors remain incompletely understood and little is known about their mechanism of actions that lead to ATMs chemotaxis and pathogenesis of insulin resistance during obesity. In this study, we reported that CXCR7 expression is upregulated in adipose tissue, and specifically in ATMs during obesity. In addition, CXCL11 or CXCL12-induced ATMs chemotaxis is mediated by CXCR7 in obesity but not leanness, whereas CXCR3 and CXCR4 are not involved. Additional mechanism study shows that NF-κB activation is essential in ATMs chemotaxis, and manipulates chemotaxis of ATMs via CXCR7 expression regulation in obesity. Most importantly, CXCR7 neutralizing therapy dose dependently leads to less infiltration of macrophages into adipose tissue and thus reduces inflammation and improves insulin sensitivity in obesity. In conclusion, these findings demonstrated that blocking CXCR7-mediated ATMs chemotaxis ameliorates insulin resistance and inflammation in obesity.

A comparison of inner ear imaging features at different time points of sudden sensorineural hearing loss with three-dimensional fluid-attenuated inversion recovery magnetic resonance imaging.

It has been reported that about half of patients with sudden sensorineural hearing loss (SSNHL) show high signals in the affected inner ear on three-dimensional, fluid-attenuated inversion recovery magnetic resonance imaging (3D-FLAIR MRI). These signals may reflect minor hemorrhage or an increased concentration of protein in the inner ear, which has passed through blood vessels with increased permeability. Our objective was to compare the positive ratio of the high signal in affected inner ears at different time points to determine the suitable imaging time point for 3D-FLAIR MRI in SSNHL. 3D-FLAIR MRI images were taken at three times, precontrast and approximately 10 min and 4 h after intravenous injection of a single dose of gadodiamide (Gd) (0.1 mmol/kg), in 46 patients with SNHL. We compared the positive findings of the high signals in the inner ear of patients with SNHL as well as the signal intensity ratio (SIR) between the affected cochleae and unaffected cochleae at three time points. The positive ratios of the high signals in the affected inner ear at the time points of precontrast and 10 min and 4 h after the intravenous Gd injection were 26.1, 32.6, and 41.3%, respectively. The high signal intensity ratios of affected inner ears at the three time points were 1.28, 1.31, and 1.48, respectively. The difference between the positive ratios precontrast and at 10 min after the intravenous Gd injection was statistically significant (P = 0.006); the differences between the positive ratios at 4 h after the intravenous Gd injection and precontrast and between the ratios at 4 h and 10 min after the intravenous Gd injection were not statistically significant. The time effects of the median value of SIR were not significant (P = 0.064). We do not recommend 4 h after intravenous Gd injection as a time point to image the inner ear in SNHL. We believe that imaging precontrast and at 10 min after the intravenous Gd injection are suitable time points.

Study on method for assessment of the physical structure integrity in Chagan lake in China based on remote sensing.

This paper, taking Chagan lake as the study area, uses and improves MWR V1.0 (Rivers (Lake) Health Assessment Indicators, Standards and Methods V1.0) relating to the theory and method of physical structure integrity assessment. A 500 m × 1000 m grid on the lakeshore zone is a basic evaluation unit, and then a lakeshore physical structural integrity evaluation system using remote sensing (RS) and geographic information system (GIS) technology is established, which contains a target layer, criterion layer and indicator layer. The criterion layer consists of lakeshore condition, shoreline development rate and lake atrophy rate, and the index layer is composed of slope, vegetation cover rate and water level change rate, and another eight indicators. The results showed that for the 23 monitoring points in Chagan lake and the 15 monitoring points in Xinmiao lake, the evaluation results based on RS were 0.60-0.74 and 0.35-0.52, respectively, and the field evaluation results were 0.64-0.77 and 0.35-0.55, respectively. The evaluation results of the two methods consistently indicated that the physical structure of the lakeshore of Chagan lake was healthy and the Xinmiao's lakeshore was sub-health. On this basis, a piecewise evaluation method of physical structure integrity based on the division of the nature reserve function was proposed in this paper.

[Video endoscopic inguinal lymphadenectomy via hypogastric/limb subcutaneous approach for early-stage vulvar cancer].

OBJECTIVE: To describe and compare video endoscopic inguinal lymphadenectomy via hypogastric and limb approach (VEIL-H vs VEIL-L) in patients with invasive vulvar cancer. METHODS: From March 2011 to August 2013, 7 women with early-stage vulvar cancer were selected for this integrated procedure with a combination of VEIL-H and VEIL-L in bilateral groins.VEIL-L was performed on limb with old surgical scar in ipsilateral hypogastric area of 3 patients and VEIL-H in contralateral limb. Both novel procedures were performed with triple trocars respectively. The boundaries of inguinal lymph node dissection were the same template of open inguinal lymphadenectomy. Preoperative data, surgical techniques and follow-up outcomes were compared.Standard statistical tests were used. RESULTS: The combination of VEIL-H and VEIL-L was successfully completed in 7 patients without conversion into open surgery. The great saphenous vein was spared in 13 limbs.No difference existed in mean operative duration, average blood loss volume and median total regional lymph nodes removed in two groups. All nodes were confirmed tumor-free. Mean drain duration was (4.7 ± 1.4) days in the VEIL-H group and (2.7 ± 0.9) days in VEIL-L group respectively (P < 0.01). Mean drain volume was (123 ± 55) ml in VEIL-H group and (62 ± 32) ml respectively (P < 0.05). Mean postoperative hospital stay was (8.6 ± 2.2) days.No major intraoperative complications occurred. However, hypercarbia in one patient 1 was completely reversible with hyperventilation.Unilateral great saphenous vein was injured in another one.Regarding postoperative complications, one patient suffered lymphocele in VEIL-H side and another had lymphorrhea through drain orifice in VEIL-L side. During a follow-up period of (19 ± 7) months, there was no disease recurrence so far. CONCLUSION: The combination of VEIL-H and VEIL-L has the reproducibility and therapeutic potentials in the treatment for patients with vulvar cancer. Both minimal invasive techniques are viable. Although short-term results are encouraging, larger series with a longer follow-up are required to fully evaluate the therapeutic efficacy of VEIL-H and VEIL-L.

Molecular characterization and expression analysis of NDUFS4 gene in m. longissimus dorsi of Laiwu pig (Sus scrofa).

To study the molecular basis of intramuscular fat (IMF) deposition, suppression subtractive hybridization was used to investigate the differences in gene expression between m. longissimus dorsi (LD) of high IMF Laiwu pig group and low IMF Laiwu pig group. From two specific subtractive cDNA libraries, the expression-upregulated clone HL-27 was selected by reverse Northern high-density blot, and then identified to be pig mitochondrial NADH dehydrogenase (ubiquinone) Fe-S protein 4 (NDUFS4). Pig NDUFS4 full-length cDNA was cloned by RACE, and contains a 528 bp-open reading frame (ORF) encoding 175 amino acid residues. The derived amino acid sequence of NDUFS4 is well conserved compared with NDUFS4 of various species with higher degree of sequence similarity with other mammalian (86.3-92.6 %) than amphibian, aves, and fishes (70.2-81.1 %), and contains one N-linked glycosylation site, one O-linked glycosylation site, seven Ser phosphorylation sites and five Thr phosphorylation sites. A-G mutation was found at nt 122 site of ORF between Laiwu pig and Large White, which results in the K-R mutation at 41 site of protein sequence. Real-time PCR analysis indicated that the level of NDUFS4 mRNA expression was higher in high IMF Laiwu pig group than in low IMF Laiwu pig group, and in Laiwu pig than in Large White. The tissue expression of the pig NDUFS4 gene showed a tissue-specific pattern: highly expressed in LD muscle, spleen and kidney, but hardly expressed in lung, stomach and large intestine. The possible role of NDUFS4 and its relation to IMF deposition are discussed.

[Application of video endoscopic inguinal lymphadenectomy in radical vulvectomy for carcinoma].

OBJECTIVE: To evaluate the feasibility and safety of applying video endoscopic inguinal lymphadenectomy via hypogastric subcutaneous approach (VEIL-H) in the treatment of vulvar carcinoma. METHODS: From September 2009 to December 2012, 15 patients with vulvar carcinoma underwent VEIL-H plus radical vulvectomy at many participating hospitals. RESULTS: All were treated surgically. Two of them underwent laparoscopic pelvic lymphadenectomy (LPL) upon the positive results of parotid operations with frozen section. The mean operative duration of VEIL-H (bilateral groin) were (80.8 ± 2.9) minutes. The mean total volume of blood loss in VEIL was (5.5 ± 0.4) ml, the mean drainage duration (6 ± 2) days and the average postoperative hospitalization (11 ± 4) days. The mean follow-up period was 13.0 months. One patient suffered local recurrence at Month 2 postoperation. CONCLUSION: VEIL-H is both feasible and safe in inguinal lymphadenectomy.

Comparative Analysis on Antioxidative Ability of Muscle between Laiwu Pig and Large White.

This study was conducted to evaluate effects of storage temperatures (4°C and 20°C) and pig breeds (Laiwu pig and Large White pig) on the main antioxidative enzymes (superoxide dismutase, catalase, and glutathione peroxidase) activity and lipid oxidation in porcine Longissimus dorsi muscle. Activities of antioxidative enzymes (AOE) decreased slightly during storage, regardless of storage temperatures. Muscle antioxidative enzymes activities stored at 4°C were higher than that stored at 20°C. Laiwu pig's enzymes activities were significantly (p<0.01) higher than Large White's. The level of malondialdehyde is a direct expression of the grade of lipid oxidation in meat. In our study, the malondialdehyde contents increased after 6 days storage. However, malondialdehyde contents of Laiwu pig were significantly (p<0.01) lower than Large White's. A lower content of malondialdehyde corresponds to a lower oxidation of lipids. These results indicated the muscle antioxidative ability of Laiwu pig was higher than Large White pig. It also implied that antioxidative enzymes were involved in the essentials and deciding mechanisms of meat quality by quenching oxygen free radicals and inhibiting lipid oxidation in muscle.

Quantitative Response of Gray-Level Co-Occurrence Matrix Texture Features to the Salinity of Cracked Soda Saline-Alkali Soil.

Desiccation cracking during water evaporation is a common phenomenon in soda saline-alkali soils and is mainly determined by soil salinity. Therefore, quantitative measurement of the surface cracking status of soda saline-alkali soils is highly significant in different applications. Texture features can help to determine the mechanical properties of soda saline-alkali soils, thus improving the understanding of the mechanism of desiccation cracking in saline-alkali soils. This study aims to provide a new standard describing the surface cracking conditions of soda saline-alkali soil on the basis of gray-level co-occurrence matrix (GLCM) texture analysis and to quantitatively study the responses of GLCM texture features to soil salinity. To achieve this, images of 200 field soil samples with different surface cracks were processed and calculated for GLCMs under different parameters, including directions, gray levels, and step sizes. Subsequently, correlation analysis was then conducted between texture features and electrical conductivity (EC) values. The results indicated that direction had little effect on the GLCM texture features, and that four selected texture features, contrast (CON), angular second moment (ASM), entropy (ENT), and homogeneity (HOM), were the most correlated with EC under a gray level of 2 and step size of 1 pixel. The results also showed that logarithmic models can be used to accurately describe the relationships between EC values and GLCM texture features of soda saline-alkali soils in the Songnen Plain of China, with calibration R2 ranging from 0.88 to 0.92, and RMSE from 2.12 × 10-4 to 9.68 × 10-3, respectively. This study can therefore enhance the understanding of desiccation cracking of salt-affected soil to a certain extent and can also help to improve the detection accuracy of soil salinity.

Development and validation of a cognitive model-based novel questionnaire for measuring potential unsafe behaviors of construction workers.

The accident death rate in the construction industry is one of the highest among all occupational accidents. In order to identify the most common and direct causes of accidents, the unsafe behaviors of construction workers must be investigated, which necessities a questionnaire. Considering that safety climate research and behavior safety research barely explained the causes of unsafe behavior, this research was conducted from a cognitive model-based perspective. A new questionnaire was designed to evaluate the potentially unsafe behaviors, and a cognitive model with 11 factors was adopted. After verification by exploratory factor analysis, confirmatory factor analysis and reliability analysis, the new questionnaire showed good validity (content validity index < 0.79 and content validity ratio aaaa 0.42, average variance extracted > 0.5) and reliability (Cronbach's α > 0.7, composite reliability > 0.7), and the cognitive model fitted well. Therefore, the new questionnaire is effective and reliable in assessing the causes of unsafe behaviors of construction workers.

Distribution of Vaginal and Gut Microbiome in Advanced Maternal Age.

The distribution of the microbiome in women with advanced maternal age (AMA) is poorly understood. To gain insight into this, the vaginal and gut microbiota of 62 women were sampled and sequenced using the 16S rRNA technique. These women were divided into three groups, namely, the AMA (age ≥ 35 years, n = 13) group, the non-advanced maternal age (NMA) (age < 35 years, n = 38) group, and the control group (non-pregnant healthy women, age >35 years, n = 11). We found that the alpha diversity of vaginal microbiota in the AMA group significantly increased. However, the beta diversity significantly decreased in the AMA group compared with the control group. There was no significant difference in the diversity of gut microbiota among the three groups. The distributions of microbiota were significantly different among AMA, NMA, and control groups. In vaginal microbiota, the abundance of Lactobacillus was higher in the pregnant groups. Bifidobacterium was significantly enriched in the AMA group. In gut microbiota, Prevotella bivia was significantly enriched in the AMA group. Vaginal and gut microbiota in women with AMA were noticeably different from the NMA and non-pregnant women, and this phenomenon is probably related to the increased risk of complications in women with AMA.

Predicting plant diversity in beach wetland downstream of Xiaolangdi reservoir with UAV and satellite multispectral images.

Accurate and timely acquisition of plant diversity information downstream of the reservoir is helpful to understand the impact mechanism of reservoir operation on wetland plant diversity and formulate reasonable water and sediment regulation strategies. In this study, we conducted field surveys in two communities (Phragmites australis and Tamarix chinensis) at a typical wetland in the lower reaches of Xiaolangdi Reservoir on the Yellow River, and employed UAV and Gaofen 1B multispectral images to estimate the wetland plant diversity. Results showed that most diversity indexes had a higher correlation with the mean of spectral vegetation indexes (DVI, RVI, NDVI, SAVI, and MSAVI). The diversity indexes (C_SP and C_SW) constructed by relative coverage had a better overall correlation with spectral indexes. Interestingly, opposite correlations were found between Tamarix chinensis and Phragmites australis plots. We further gave a deep insight into the interspecific associations in Phragmites australis and Tamarix chinensis plots with the variance ratio (VR) method. It was found that plant species in Tamarix chinensis plot showed positive association (VR > 1), with a VR value of 1.095. Plant species in Phragmites australis plot had a negative association (VR < 1), with a VR value of 0.983. In Phragmites australis plot, C_SP and C_SW showed a significant decreasing trend (r2 of 0.36 and 0.33 respectively, and P values less than 0.001) with the increase of Phragmites australis coverage. Moreover, the effect of spatial resolution was not significant on plant diversity estimation. Correlations between remote sensing indexes and diversity indexes were improved with the quadrat size changing from 2 m × 2 m to 4 m × 4 m. These findings demonstrate promising approaches for remote sensing of wetland plant diversity and indicate that the type of wetland plant community determines the relationship between diversity index and spectral index.

A photon-controlled diode with a new signal-processing behavior.

The photodetector is a key component in optoelectronic integrated circuits. Although there are various device structures and mechanisms, the output current changes either from rectified to fully-on or from fully-off to fully-on after illumination. A device that changes the output current from fully-off to rectified should be possible. We report the first photon-controlled diode based on a n/n- molybdenum disulfide junction. Schottky junctions formed at the cathode and anode either prevent or allow the device to be rectifying, so that the output current of the device changes from fully-off to rectified. By increasing the thickness of the photogating layer, the behavior of the device changes from a photodetector to a multifunctional photomemory with the highest non-volatile responsivity of 4.8 × 107 A/W and the longest retention time of 6.5 × 106 s reported so far. Furthermore, a 3 × 3 photomemory array without selectors shows no crosstalk between adjacent devices and has optical signal-processing functions including wavelength and power-density selectivity.

Patterning alternate TiO2 and Cu2O strips on a conductive substrate as film photocatalyst for Z-scheme photocatalytic water splitting.

Semiconductor heterostructures mediated by electrical conductors are very promising for Z-scheme photocatalytic water splitting. In contrast to conventional particulate heterostructures, alternate TiO2 and Cu2O film stripes patterned parallel on a fluorine-doped tin oxide (FTO) conductive substrate was fabricated as a model film photocatalyst to study the characteristics of the photogenerated charge transfer process. The Z-scheme transfer process with an effective transport distance of up to 5 µm occurs only in regions distant from the TiO2/Cu2O strip edges through the FTO substrate from the bottom. In contrast, the transfer of charge around their contact regions follows the conventional transfer process through the TiO2/Cu2O strip interface. These results indicate that the Z-scheme transfer process occurring in such a large region dominates the charge transfer processes in the TiO2/FTO/Cu2O pattern film heterostructure. Importantly, unlike the single component film, which is inactive for photocatalytic overall water splitting, the modified TiO2/Cu2O pattern film can induce photocatalytic overall water splitting at a stoichiometric H2/O2 ratio close to 2:1. These findings have significant implications in designing efficient heterostructures by employing a Z-scheme charge transfer process.

A new cell-free therapeutic strategy for liver regeneration: Human placental mesenchymal stem cell-derived extracellular vesicles.

Mesenchymal stem cells (MSCs) have potential role in organ regeneration therapy. Previous work indicating that MSCs confer protection against liver disease. Here, we aimed to determine the potential application in liver regeneration of human placenta-derived MSCs extracellular vesicles (hPMSCs-EVs) via experimental hepatectomy. hPMSCs-EVs were administered intravenously 24 h before 70% partial hepatectomy, the specific composition of hPMSCs-EVs was identified by sequencing and validated by the quantitative polymerase chain reaction, including circ-RBM23. The role of circ-RBM23 in L02 cell was evaluated and it was found that circ-RBM23 knockdown inhibited L02 cell proliferation both in vitro and in vivo. The competing endogenous RNA function of circ-RBM23 was evaluated by the RNA immunoprecipitation assay and found that circ-RBM23 shares miRNA response elements with RRM2. Overexpressed circ-RBM23 bound competitively to miR-139-5p, preventing the miRNA-mediated degradation of RRM2, activating the expression of eIF4G and AKT/mTOR, and facilitating liver regeneration. These results indicate that hPMSCs-EVs prevent hepatic dysfunction and improve liver regeneration in vivo and hepatocytes proliferation in vitro, potentially via circ-RBM23 delivery.

Patterning of Wafer-Scale MXene Films for High-Performance Image Sensor Arrays.

As a rapidly growing family of 2D transition metal carbides and nitrides, MXenes are recognized as promising materials for the development of future electronics and optoelectronics. So far, the reported patterning methods for MXene films lack efficiency, resolution, and compatibility, resulting in limited device integration and performance. Here, a high-performance MXene image sensor array fabricated by a wafer-scale combination patterning method of an MXene film is reported. This method combines MXene centrifugation, spin-coating, photolithography, and dry-etching and is highly compatible with mainstream semiconductor processing, with a resolution up to 2 µm, which is at least 100 times higher than other large-area patterning methods reported previously. As a result, a high-density integrated array of 1024-pixel Ti3 C2 Tx /Si photodetectors with a detectivity of 7.73 × 1014 Jones and a light-dark current ratio (Ilight /Idark ) of 6.22 × 106 , which is the ultrahigh value among all reported MXene-based photodetectors, is fabricated. This patterning technique paves a way for large-scale high-performance MXetronics compatible with mainstream semiconductor processes.

Research on Data Analysis of Traditional Chinese Medicine with Improved Differential Evolution Clustering Algorithm.

Medical data analysis is an important part of intelligent medicine, and clustering analysis is a commonly used method for data analysis of Traditional Chinese Medicine (TCM); however, the classical K-Means algorithm is greatly affected by the selection of initial clustering center, which is easy to fall into the local optimal solution. To avoid this problem, an improved differential evolution clustering algorithm is proposed in this paper. The proposed algorithm selects the initial clustering center randomly, optimizes and locates the clustering center in the process of evolution iteration, and improves the mutation mode of differential evolution to enhance the overall optimization ability, so that the clustering effect can reach the global optimization as far as possible. Three University of California, Irvine (UCI), data sets are selected to compare the clustering effect of the classical K-Means algorithm, the standard DE-K-Means algorithm, the K-Means++ algorithm, and the proposed algorithm. The experimental results show that, in terms of global optimization, the proposed algorithm is obviously superior to the other three algorithms, and in terms of convergence speed, the proposed algorithm is better than DE-K-Means algorithm. Finally, the proposed algorithm is applied to analyze the drug data of Traditional Chinese Medicine in the treatment of pulmonary diseases, and the analysis results are consistent with the theory of Traditional Chinese Medicine.

[Extracranial/intracranial vascular bypass to control carotid artery blowout in postirradiated nasopharyngeal carcinoma patients].

Objective:To summarize and analyze the effect of extracranial/intracranial vascular bypass in the treatment of internal carotid artery burst hemorrhage after radiotherapy for nasopharyngeal carcinoma（NPC）. Methods:A retrospective analysis of the data of 9 patients with nasopharyngeal carcinoma and carotid artery blowout syndrome（CBS） who underwent extracranial/intracranial vascular bypass. Collected patient demographics, treatment course and dose of radiotherapy, analyze the effect of extracranial/intracranial vascular bypass on the prognosis of patients with internal carotid artery burst hemorrhage, including perioperative stroke and death, overall survival rate, and rebleeding rate. Results:Nine patients were included in the study. The average age is 53.5 years. The pathological types were all non-keratinizing squamous cell carcinoma, undifferentiated, stage Ⅳ; 7 cases of local NPC recurrence, 2 cases of skull base osteonecrosis; all 9 cases had internal carotid artery hemorrhage, including 7 cases of petrous carotid artery and 2 cases of cervical carotid artery; 3 cases of typeⅠthreatened CBS（33.3%）, 2 cases of type Ⅱ impending CBS（22.2%）, and 4 cases of type Ⅲ acute CBS（44.45%）. All patients underwent extracranial/intracranial vascular bypass surgery, and there were no perioperative deaths and strokes. The mean follow-up was 16.7 months. The median overall survival time of the patients was 22.1 months and the 90-day, 1-year and 2-year survival rates were 100.0%, 75.0% and 30.0%, respectively. Conclusion:Patients with internal carotid artery burst hemorrhage after radiotherapy for nasopharyngeal carcinoma can be safely treated by extracranial/intracranial vascular bypass surgery and obtain a longer survival rate.

Gut Microbiota Exceeds Cervical Microbiota for Early Diagnosis of Endometriosis.

The diagnosis of endometriosis is typically delayed by years for the unexclusive symptom and the traumatic diagnostic method. Several studies have demonstrated that gut microbiota and cervical mucus potentially can be used as auxiliary diagnostic biomarkers. However, none of the previous studies has compared the robustness of endometriosis classifiers based on microbiota of different body sites or demonstrated the correlation among microbiota of gut, cervical mucus, and peritoneal fluid of endometriosis, searching for alternative diagnostic approaches. Herein, we enrolled 41 women (control, n = 20; endometriosis, n = 21) and collected 122 well-matched samples, derived from feces, cervical mucus, and peritoneal fluid, to explore the nature of microbiome of endometriosis patients. Our results indicated that microbial composition is remarkably distinguished between three body sites, with 19 overlapped taxa. Moreover, endometriosis patients harbor distinct microbial communities versus control group especially in feces and peritoneal fluid, with increased abundance of pathogens in peritoneal fluid and depletion of protective microbes in feces. Particularly, genera of Ruminococcus and Pseudomonas were identified as potential biomarkers in gut and peritoneal fluid, respectively. Furthermore, novel endometriosis classifiers were constructed based on taxa selected by a robust machine learning method. These results demonstrated that gut microbiota exceeds cervical microbiota in diagnosing endometriosis. Collectively, this study reveals important insights into the microbial profiling in different body sites of endometriosis, which warrant future exploration into the role of microbiota in endometriosis and highlighted values on gut microbiota in early diagnosis of endometriosis.

Correlated states in doubly-aligned hBN/graphene/hBN heterostructures.

Interfacial moiré superlattices in van der Waals vertical assemblies effectively reconstruct the crystal symmetry, leading to opportunities for investigating exotic quantum states. Notably, a two-dimensional nanosheet has top and bottom open surfaces, allowing the specific case of doubly aligned super-moiré lattice to serve as a toy model for studying the tunable lattice symmetry and the complexity of related electronic structures. Here, we show that by doubly aligning a graphene monolayer to both top and bottom encapsulating hexagonal boron nitride (h-BN), multiple conductivity minima are observed away from the main Dirac point, which are sensitively tunable with respect to the small twist angles. Moreover, our experimental evidences together with theoretical calculations suggest correlated insulating states at integer fillings of -5, -6, -7 electrons per moiré unit cell, possibly due to inter-valley coherence. Our results provide a way to construct intriguing correlations in 2D electronic systems in the weak interaction regime.