Germline Biallelic Mismatch Repair Deficiency in Childhood Glioblastoma and Implications for Clinical Management.

We report a case of a 9-year-old boy with glioblastoma with a past history of colon cancer. Germline bi-allelic DNA-mismatch repair deficiency was diagnosed by a lack of immunohistochemical staining for PMS2 in the tumor and normal tissue. Family history was lacking. Sequencing confirmed compound heterozygous PMS2 mutations. A second hit in the DNA-polymerase-ε gene led to complete DNA-replication repair deficiency. This contributed to an ultra-hypermutated phenotype. Temozolomide was excluded from the treatment. PD-1 immunotherapy at recurrence contributed to extending post-relapse survival up to 11 months. Challenges included managing initial immune "flare" related to "pseudo-progression" and access to drug. Family screening diagnosed the sibling with Lynch syndrome. This is the first report of a child with a brain tumor treated with immunotherapy from India. Our report supports the routine inclusion of immunohistochemistry for mismatch repair proteins in the evaluation of pediatric high-grade glioma as this may directly impact the clinical care of these children and families.

Quantifying relations and similarities of the meteorological parameters among the weather stations in the Alberta Oil Sands region.

Our objective was to quantify the similarity in the meteorological measurements of 17 stations under three weather networks in the Alberta oil sands region. The networks were for climate monitoring under the water quantity program (WQP) and air program, including Meteorological Towers (MT) and Edge Sites (ES). The meteorological parameters were air temperature (AT), relative humidity (RH), solar radiation (SR), barometric pressure (BP), precipitation (PR), and snow depth (SD). Among the various measures implemented for finding correlations in this study, we found that the use of Pearson's coefficient (r) and absolute average error (AAE) would be sufficient. Also, we applied the percent similarity method upon considering at least 75% of the value in finding the similarity between station pairs. Our results showed that we could optimize the networks by selecting the least number of stations (for each network) to describe the measure-variability in meteorological parameters. We identified that five stations are sufficient for the measurement of AT, one for RH, five for SR, three for BP, seven for PR, and two for SD in the WQP network. For the MT network, six for AT, two for RH, six for SR, and four for PR, and the ES network requires six for AT, three for RH, six for SR, and two for BP. This study could potentially be critical to rationalize/optimize weather networks in the study area.

Potential human health risks due to environmental exposure to nano- and microplastics and knowledge gaps: A scoping review.

Microplastics are an emerging global environmental contaminant that are affecting multiple spheres. Despite their ubiquity in all spheres of life and ecology, little is known about the health effects of microplastics exposure to humans. This scoping review explores the existing evidence on the potential human health effects of microplastics and subsequent knowledge gaps. An electronic search of published articles in PubMed, Scopus, EMBASE, Cochrane databases, and Google Scholar was conducted using a combination of subject headings and keywords relating to microplastics and human health effects. The initial search resulted in 17,043 published articles and grey literature documents. After a full review of published articles and their references, 129 publications were identified for further detailed review. These articles indicate that human exposure to microplastics can occur through ingestion, inhalation, and dermal contact due to their presence in food, water, air, and consumer products. Microplastics exposure can cause toxicity through oxidative stress, inflammatory lesions, and increased uptake or translocation. Several studies have demonstrated the potentiality of metabolic disturbances, neurotoxicity, and increased cancer risk in humans. Moreover, microplastics have been found to release their constituent compounds as well as those that are adsorbed onto their surface. Further research is needed to quantify the effects of microplastics on human health and their pathogenesis.

The influence of biochar and compost mixtures, water content, and gas flow rate, on the continuous adsorption of methane in a fixed bed column.

Biofiltration is an excellent alternative for the treatment of diffuse emissions of methane (CH4) that cannot be treated by physical/chemical means or recovered for energy. Despite the advances on CH4 biological treatment technologies, they are limited by the low aqueous solubility of CH4 into the biofilm where CH4 mineralization occurs. In this study, the CH4 adsorption kinetics, adsorption capacity and transport behavior of CH4 was studied in batch experiments and in a fixed-bed column by varying the biochar and compost mixtures under 5-levels, 3 different water contents (dry, 15% and 30% water holding capacity), and 2 inlet flow rates. Experimental results were formally tested using analysis of variance (ANOVA) in order to draw objective conclusions based on statistical inference. As CH4 biofiltration requires water addition to maintain microbial activity, these results indicate adsorption capacity is not lost with water addition if biochar content is the dominant packing material. The Langmuir isotherm described the data best (R2 = 0.99). Maximum adsorption capacity by monolayer adsorption, or qmax, is relatively similar with or without the addition of water as long as the biochar component is the dominant material at 3.5 mg CH4/g medium for a 7:1 biochar: compost, v/v mixture. Empirical regression models for qo, kTh, (Thomas model) and τ and KYN (Yoon-Nelson model) were developed for the break through curves of CH4. The current work demonstrates the applicability of utilizing biochar, a relatively inexpensive adsorbent, can compensate for the low solubility of CH4 and overcome the rate-limiting step of mass transfer from the gas phase and into the methanotrophic biofilm. Further, biochar may be a reliable back-up system for CH4 storage especially for fluctuating inlet loads that may be encountered in industrial applications adsorbing up to 13 mg CH4/g biochar under dry conditions.

Photocatalytic ozonation of pesticides in a fixed bed flow through UVA-LED photoreactor.

In this study, a fixed bed flow through UVA-LED photoreactor was used to compare the efficiency of ozone, photocatalysis and photocatalysis-ozone degradation, and mineralization of two pure pesticides, 2,4-dichlorophenoxyacetic acid (2,4-D) and 2-methyl-4-chlorophenoxyacetic acid (MCPA), and a commercial one, Killex®. For the degradation of the parent compounds, ozone-based processes were more effective. While for mineralization, photocatalytic processes were more effective. Photocatalytic ozonation was the most efficient process for both the degradation and mineralization of the parent compounds. The degradation rates and mineralization by photocatalytic ozonation were higher than the summation of the corresponding rates by ozonation and photocatalysis, indicating a symbiotic relationship.Overall, the photocatalytic ozonation process with the fixed bed TiO2 reduces the time needed for the degradation and mineralization of the pesticides, reduces the costs of powder catalyst separation and overcomes the reduced efficiency of immobilized catalysts, which makes the process quite attractive for practical applications.

Photocatalytic degradation of agricultural antibiotics using a UV-LED light source.

With a view to developing a UV-LED photocatalytic reactor for small and remote water systems, the degradation of three representative agriculturally produced contaminants, two antibiotics and an endocrine disruptor hormone, was evaluated in a bench 365 nm LED photoreactor using a slurry of the well-known Degussa P25® (TiO2) as photocatalyst. Use of an additional electron capture additives O2 and H2O2 was also assessed. Loss of the parent organic compounds was tracked by HPLC or UV absorbance and mineralization, where feasible, was studied with TOC analysis with conventional instrumentation. In all cases, degradation is significant with moderate light dose. Lab data suggest log reduction with light delivery less than 2.2 kWhr per cubic meter light delivery.

Dechlorination of polychlorinated biphenyls in transformer oil using UV and visible light.

A study on dechlorination of PCB138 in transformer oil (TO) and 2-propanol (IPA) using 254 nm ultraviolet (UV) light as well as dye sensitized visible light has been conducted. Studies on dechlorination of polychlorinated biphenyls (PCBs) in TO using visible light in the presence of methylene blue (MB) and triethylamine (TEA) (providing a 'photocatalytic' cycle) in both deaerated and aerated conditions have been conducted to determine effects of TO, MB and TEA on reaction rates. The results show that photolytic methods are effective in treating PCBs in TO, and that the oil plays a limited adverse role. Under UV irradiation, PCB 138 can be >99% dechlorinated in the presence 0.06% (w/w) TO in IPA within 1 h with a rate constant of 0.0853 min(-1), while 47% of PCB138 can be dechlorinated in 92.1% (w/w) TO in IPA within 2 h with a rate constant of 0.0051 min(-1). In the 'photocatalytic' system, 94% reduction of PCB 138 was achieved within 30 min with a rate constant of 0.0968 min(-1) when the solvent was 60.70% (w/w) TO in IPA, while 71% dechlorination of PCB138 was achieved within 30 min with a rate constant of 0.0382 min(-1) when 81.62% (w/w) TO was present. In treatment of 30-73 ppm PCBs in TO, the optimal concentration of MB and TEA were found to be 0.5 g/L and 58.08 g/L respectively. Because of quenching by oxygen, deaeration of the solution is necessary for an efficient reaction. The photocatalytic system is especially adapted for treating lower concentration of PCBs in TO.

The pathway of dechlorination of PCB congener by a photochemical chain process in 2-propanol: the role of medium and quenching.

As part of a program aimed at developing a field process for cleanup of PCB contaminated soils using photochemistry in basic 2-propanol, additional details of the dechlorination pathway are presented. The mechanism involves a chain reaction with both homolytic photochemical C-Cl bond fission and electron transfer steps producing PCB anion radicals. Kinetics of dechlorination of various congeners show patterns of relative rates associated with the basic 2-propanol medium that are not found in other media because both electron transfer and photochemical homolysis steps determine overall rates of dechlorination and govern the pathways and relative concentrations of intermediates. The electron transfer steps display opposite structure-reactivity correlations to the photo-homolysis, C-Cl bond fission steps. Oxygen quenching is shown to differentially affect both types of steps. In contrast to the suggestion that inter system crossing can be highly efficient with reaction originating from a PCB triplet, oxygen quenching data suggest that a significant minimum of the quantum yield is non-quenchable, presumably because of a reaction path from the PCB singlet. This may help to explain why exclusion of air is not entirely necessary in practice.

Acute respiratory failure as a manifestation of an arachnoid cyst.

Arachnoid cysts are the most common congenital cystic lesions in the brain occurring in the middle fossa, suprasellar region and occasionally in the posterior fossa. Conventionally all cysts are considered as benign and symptoms are attributed to expansion of cysts causing compression of adjacent neurological structures, bleeds within the cyst or due to the development of acute hydrocephalus. We are reporting this case of a 15-year-old female patient with non-progressive weakness in the limbs since the age of seven years who presented with acute onset syncopal attacks and respiratory failure. She was intubated and ventilated. An magnetic resonance imaging scan showed large posterior fossa cyst extending up to mid second cervical vertebra causing compression of the medulla and pons, with mild hydrocephalus. After a failed attempt to wean her from the ventilator a cysto peritoneal shunt surgery was performed following which she was weaned from the ventilator successfully. Weakness in the upper and lower limbs, which had increased in the preceding month, also improved following the surgery.