ABSTRACT
circRNADisease v2.0 is an enhanced and reliable database that offers experimentally verified relationships between circular RNAs (circRNAs) and various diseases. It is accessible at http://cgga.org.cn/circRNADisease/ or http://cgga.org.cn:9091/circRNADisease/. The database currently includes 6998 circRNA-disease entries across multiple species, representing a remarkable 19.77-fold increase compared to the previous version. This expansion consists of a substantial rise in the number of circRNAs (from 330 to 4246), types of diseases (from 48 to 330) and covered species (from human only to 12 species). Furthermore, a new section has been introduced in the database, which collects information on circRNA-associated factors (genes, proteins and microRNAs), molecular mechanisms (molecular pathways), biological functions (proliferation, migration, invasion, etc.), tumor and/or cell line and/or patient-derived xenograft (PDX) details, and prognostic evidence in diseases. In addition, we identified 7 159 865 relationships between mutations and circRNAs among 30 TCGA cancer types. Due to notable enhancements and extensive data expansions, the circRNADisease 2.0 database has become an invaluable asset for both clinical practice and fundamental research. It enables researchers to develop a more comprehensive understanding of how circRNAs impact complex diseases.
Subject(s)
Databases, Genetic , Neoplasms , RNA, Circular , Humans , Cell Line , Neoplasms/geneticsABSTRACT
Electricity consumption and sludge yield (SY) are important indirect greenhouse gas (GHG) emission sources in wastewater treatment plants (WWTPs). Predicting these byproducts is crucial for tailoring technology-related policy decisions. However, it challenges balancing mass balance models and mechanistic models that respectively have limited intervariable nexus representation and excessive requirements on operational parameters. Herein, we propose integrating two machine learning models, namely, gradient boosting tree (GBT) and deep learning (DL), to precisely pointwise model electricity consumption intensity (ECI) and SY for WWTPs in China. Results indicate that GBT and DL are capable of mining massive data to compensate for the lack of available parameters, providing a comprehensive modeling focusing on operation conditions and designed parameters, respectively. The proposed model reveals that lower ECI and SY were associated with higher treated wastewater volumes, more lenient effluent standards, and newer equipment. Moreover, ECI and SY showed different patterns when influent biochemical oxygen demand is above or below 100 mg/L in the anaerobic-anoxic-oxic process. Therefore, managing ECI and SY requires quantifying the coupling relationships between biochemical reactions instead of isolating each variable. Furthermore, the proposed models demonstrate potential economic-related inequalities resulting from synergizing water pollution and GHG emissions management.
Subject(s)
Greenhouse Gases , Water Purification , Waste Disposal, Fluid , Wastewater , Sewage , Water Purification/methods , Greenhouse EffectABSTRACT
Objective: To analyze the use of antimicrobial drugs in patients during the COVID-19 pandemic. Methods: We searched for literature about antimicrobial treatment in COVID-19 patients through the Cochrane Library, Embase, PubMed, the Chinese biomedical literature database, CNKI, the Chinese journal full-text database, Wanfang, and Vipu. The quality evaluation of the literature was performed by Jadad's quality score. Results: A total of three articles reported on ivermectin treatment in patients with COVID-19, and the Meta-analysis showed no clinical and statistical heterogeneity among the studies (I2 = 15%, P = .31), a fixed effect model was used to incorporate effect sizes. The clinical effect of the observed group was not different from the control group (P = .16). None of the three ivermectin articles with clinical effect as the effect indicator showed a significant difference (P > .05), suggesting no publication bias. A total of four publications reported the treatment with azithromycin in patients with COVID-19, and the Meta-analysis showed no clinical and statistical heterogeneity between the studies (I2 = 0%, P = .88), using a fixed-effect model to incorporate the effect sizes. The clinical effect of the observed group was not different from the control group (P = .57). None of the four azithromycin articles with a clinical effect as the effect index was statistically significant (P > .05), suggesting no publication bias. Conclusion: During the COVID-19 pandemic, the patient's use of antibiotics does not significantly improve clinical efficacy, so antibiotic use is recommended only for patients with complicated bacterial infections.
Subject(s)
COVID-19 , Humans , Azithromycin/therapeutic use , Pandemics , Ivermectin , Anti-Bacterial Agents/therapeutic useABSTRACT
Inspired by the natural phenomenon of phenolic-protein interactions, we translate this "naturally evolved interaction" to a "phenolic acid derivative based albumin bound" technology, through the synthesis of phenolic acid derivatives comprising a therapeutic cargo linked to a phenolic motif. Phenolic acid derivatives can bind to albumin and form nanocomplexes after microfluidic mixing. This strategy has been successfully applied to different types of anticancer drugs, including taxanes, anthraquinones, etoposides, and terpenoids. Paclitaxel was selected as a model drug for an in-depth study. Three novel paclitaxel-phenolic acid conjugates have been synthesized. Molecular dynamics simulations provide insights into the self-assembled mechanisms of phenolic-protein nanocomplexes. The nanocomplexes show improved pharmacokinetics, elevated tolerability, decreased neurotoxicity, and enhanced anticancer efficacies in multiple murine xenograft models of breast cancer, in comparison with two clinically approved formulations, Taxol (polyoxyethylated castor oil-formulated paclitaxel) and Abraxane (nab-paclitaxel). Such a robust system provides a broadly applicable platform for the development of albumin-based nanomedicines and has great potential for clinical translation.
Subject(s)
Breast Neoplasms , Nanoparticles , Humans , Animals , Mice , Female , Serum Albumin, Human , Paclitaxel/therapeutic use , Paclitaxel/pharmacokinetics , Albumins/therapeutic use , Breast Neoplasms/drug therapy , Breast Neoplasms/metabolism , Nanoparticles/therapeutic useABSTRACT
BACKGROUND: Precision oncology pharmacotherapy relies on precise patient-specific alterations that impact drug responses. Due to rapid advances in clinical tumor sequencing, an urgent need exists for a clinical support tool that automatically interprets sequencing results based on a structured knowledge base of alteration events associated with clinical implications. RESULTS: Here, we introduced the Oncology Pharmacotherapy Decision Support System (OncoPDSS), a web server that systematically annotates the effects of alterations on drug responses. The platform integrates actionable evidence from several well-known resources, distills drug indications from anti-cancer drug labels, and extracts cancer clinical trial data from the ClinicalTrials.gov database. A therapy-centric classification strategy was used to identify potentially effective and non-effective pharmacotherapies from user-uploaded alterations of multi-omics based on integrative evidence. For each potentially effective therapy, clinical trials with faculty information were listed to help patients and their health care providers find the most suitable one. CONCLUSIONS: OncoPDSS can serve as both an integrative knowledge base on cancer precision medicine, as well as a clinical decision support system for cancer researchers and clinical oncologists. It receives multi-omics alterations as input and interprets them into pharmacotherapy-centered information, thus helping clinicians to make clinical pharmacotherapy decisions. The OncoPDSS web server is freely accessible at https://oncopdss.capitalbiobigdata.com .
Subject(s)
Databases, Factual , Decision Support Systems, Clinical , Neoplasms/drug therapy , Neoplasms/genetics , Precision Medicine , Web Browser , Antineoplastic Agents/therapeutic use , Clinical Trials as Topic , Humans , Molecular Sequence Annotation , User-Computer InterfaceABSTRACT
Integrated real-time control (RTC) of urban wastewater systems, which can automatically adjust system operation to environmental changes, has been found in previous studies to be a cost-effective strategy to strike a balance between good surface water quality and low greenhouse gas emissions. However, its regulatory implications have not been examined. To investigate the effective regulation of wastewater systems with this technology, two permitting approaches are developed and assessed in this work: upstream-based permitting (i.e., environmental outcomes as a function of upstream conditions) and means-based permitting (i.e., prescription of an optimal RTC strategy). An analytical framework is proposed for permit development and assessment using a diverse set of high performing integrated RTC strategies and environmental scenarios (rainfall, river flow rate, and water quality). Results from a case study show that by applying means-based permitting, the best achievable, locally suitable environmental outcomes (subject to 10% deviation) are obtained in over 80% of testing scenarios (or all testing scenarios if 19% of performance deviation is allowed) regardless of the uncertain upstream conditions. Upstream-based permitting is less effective as it is difficult to set reasonable performance targets for a highly complex and stochastic environment.
Subject(s)
Models, Theoretical , Water Quality , Rivers , Uncertainty , WastewaterABSTRACT
The Warburg effect, characterized by increased glucose uptake and lactate production, is a well-known universal across cancer cells and other proliferating cells. PKM2, a splice isoform of the pyruvate kinase (PK) specifically expressed in these cells, serves as a major regulator of this metabolic reprogramming with an adjustable activity subjected to numerous allosteric effectors and posttranslational modifications. Here, we have identified a posttranslational modification on PKM2, O-GlcNAcylation, which specifically targets Thr405 and Ser406, residues of the region encoded by the alternatively spliced exon 10 in cancer cells. We show that PKM2 O-GlcNAcylation is up-regulated in various types of human tumor cells and patient tumor tissues. The modification destabilized the active tetrameric PKM2, reduced PK activity, and led to nuclear translocation of PKM2. We also observed that the modification was associated with an increased glucose consumption and lactate production and enhanced level of lipid and DNA synthesis, indicating that O-GlcNAcylation promotes the Warburg effect. In vivo experiments showed that blocking PKM2 O-GlcNAcylation attenuated tumor growth. Thus, we demonstrate that O-GlcNAcylation is a regulatory mechanism for PKM2 in cancer cells and serves as a bridge between PKM2 and metabolic reprogramming typical of the Warburg effect.
Subject(s)
Glucose/metabolism , Lactic Acid/metabolism , Neoplasm Proteins/metabolism , Neoplasms/enzymology , Protein Processing, Post-Translational , Pyruvate Kinase/metabolism , Acylation , Cell Line , Female , Humans , Male , Neoplasms/pathologyABSTRACT
Design of stable adsorbents for selective gold recovery with large capacity and fast adsorption kinetics is of great challenge, but significant for the economy and the environment. Herein, we show the design and preparation of an irreversible amide-linked covalent organic framework (COF) JNU-1 via a building block exchange strategy for efficient recovery of gold. JNU-1 was synthesized through the exchange of 4,4'-biphenyldicarboxaldehyde (BA) in mother COF TzBA consisting of 4,4',4''-(1,3,5-triazine-2,4,6-triyl)trianiline (Tz) and BA with terephthaloyl chloride. The irreversible amide linked JNU-1 gave good stability, unprecedented fast kinetics, excellent selectivity and outstanding adsorption capacity for gold recovery. X-ray photoelectron spectroscopy along with thermodynamic study and quantum mechanics calculation reveals that the excellent performance of JNU-1 for gold recovery results from the formation of hydrogen bonds C(N)-Hâ â â Cl and coordinate interaction of O and Au. The rational design of irreversible bonds as both inherent linkage and functional groups in COFs is a promising way to prepare stable COFs for diverse applications.
ABSTRACT
Resilience building commonly focuses on attributes such as redundancy. Whilst this may be effective in some cases, provision of specific attributes does not guarantee resilient performance and research is required to determine the suitability of such approaches. This study uses 250 combined sewer system virtual case studies to explore the effects of two attribute-based interventions (increasing distributed storage and reducing imperviousness) on performance-based resilience measures. These are found to provide improvement in performance under system failure in the majority of case studies, but it is also shown that attribute-based intervention development can result in reduced resilience.
Subject(s)
Cities , Drainage, Sanitary/standards , Environment Design , Equipment Failure , Humans , Hydrology , Models, TheoreticalABSTRACT
Integrated real-time control (RTC) of urban wastewater systems is increasingly presented as a promising and emerging strategy to deliver improved surface water quality by responsive operation according to real-time data collected from the sewer system, treatment plant, and the receiving water. However, the detailed benefits and costs associated with integrated RTC have yet to be comprehensively evaluated. Built on state-of-the-art modeling and analytical tools, a three-step framework is proposed to develop integrated RTC strategies which cost-effectively maximize environmental outcomes. Results from a case study show integrated RTC can improve river quality by over 20% to meet the "good status" requirements of the EU Water Framework Directive with a 15% reduced cost, due to responsive aeration with changing environmental assimilation capacity. The cost-effectiveness of integrated RTC strategies is further demonstrated against tightening environmental standards (to the strictest levels) and against two commonly used compliance strategies. Compared to current practices (seasonal/monthly based operation), integrated RTC strategies can reduce costs while improving resilience of the system to disturbances and reducing environmental risk.
Subject(s)
Models, Theoretical , Water Quality , Environmental Monitoring , Fresh Water , Risk , Rivers , Waste Disposal, FluidABSTRACT
MOTIVATION: miRNAs play crucial roles in human diseases and newly discovered could be targeted by small molecule (SM) drug compounds. Thus, the identification of small molecule drug compounds (SM) that target dysregulated miRNAs in cancers will provide new insight into cancer biology and accelerate drug discovery for cancer therapy. RESULTS: In this study, we aimed to develop a novel computational method to comprehensively identify associations between SMs and miRNAs. To this end, exploiting multiple molecular interaction databases, we first established an integrated SM-miRNA association network based on 690 561 SM to SM interactions, 291 600 miRNA to miRNA associations, as well as 664 known SM to miRNA targeting pairs. Then, by performing Random Walk with Restart algorithm on the integrated network, we prioritized the miRNAs associated to each of the SMs. By validating our results utilizing an independent dataset we obtained an area under the ROC curve greater than 0.7. Furthermore, comparisons indicated our integrated approach significantly improved the identification performance of those simple modeled methods. This computational framework as well as the prioritized SM-miRNA targeting relationships will promote the further developments of targeted cancer therapies. CONTACT: yxli@sibs.ac.cn, lixia@hrbmu.edu.cn or jiangwei@hrbmu.edu.cn SUPPLEMENTARY INFORMATION: Supplementary data are available at Bioinformatics online.
Subject(s)
Gene Regulatory Networks , MicroRNAs/genetics , Small Molecule Libraries/metabolism , Algorithms , Area Under Curve , Computational Biology/methods , Humans , Reproducibility of ResultsABSTRACT
MOTIVATION: Alzheimer's disease (AD) is a severe neurodegenerative disease of the central nervous system that may be caused by perturbation of regulatory pathways rather than the dysfunction of a single gene. However, the pathology of AD has yet to be fully elucidated. RESULTS: In this study, we systematically analyzed AD-related mRNA and miRNA expression profiles as well as curated transcription factor (TF) and miRNA regulation to identify active TF and miRNA regulatory pathways in AD. By mapping differentially expressed genes and miRNAs to the curated TF and miRNA regulatory network as active seed nodes, we obtained a potential active subnetwork in AD. Next, by using the breadth-first-search technique, potential active regulatory pathways, which are the regulatory cascade of TFs, miRNAs and their target genes, were identified. Finally, based on the known AD-related genes and miRNAs, the hypergeometric test was used to identify active pathways in AD. As a result, nine pathways were found to be significantly activated in AD. A comprehensive literature review revealed that eight out of nine genes and miRNAs in these active pathways were associated with AD. In addition, we inferred that the pathway hsa-miR-146aâSTAT1âMYC, which is the source of all nine significantly active pathways, may play an important role in AD progression, which should be further validated by biological experiments. Thus, this study provides an effective approach to finding active TF and miRNA regulatory pathways in AD and can be easily applied to other complex diseases.
Subject(s)
Alzheimer Disease/genetics , MicroRNAs/genetics , Transcription Factors/genetics , Algorithms , Alzheimer Disease/metabolism , Gene Expression Profiling , Gene Expression Regulation , Humans , MicroRNAs/metabolism , Transcription Factors/metabolismABSTRACT
UNLABELLED: The inappropriate expression of microRNAs (miRNAs) is closely related with disease diagnosis, prognosis and therapy response. Recently, many studies have demonstrated that bioactive small molecules (or drugs) can regulate miRNA expression, which indicates that targeting miRNAs with small molecules is a new therapy for human diseases. In this study, we established the SM2miR database, which recorded 2925 relationships between 151 small molecules and 747 miRNAs in 17 species after manual curation from nearly 2000 articles. Each entry contains the detailed information about small molecules, miRNAs and evidences of their relationships, such as species, miRBase Accession number, DrugBank Accession number, PubChem Compound Identifier (CID), expression pattern of miRNA, experimental method, tissues or conditions for detection. SM2miR database has a user-friendly interface to retrieve by miRNA or small molecule. In addition, we offered a submission page. Thus, SM2miR provides a fairly comprehensive repository about the influences of small molecules on miRNA expression, which will promote the development of miRNA therapeutics. AVAILABILITY: SM2miR is freely available at http://bioinfo.hrbmu.edu.cn/SM2miR/.
Subject(s)
Databases, Nucleic Acid , MicroRNAs/metabolism , Gene Expression/drug effects , Humans , Internet , User-Computer InterfaceABSTRACT
Graph theory (GT) and complex network theory play an increasingly important role in the design, operation, and management of water distribution networks (WDNs) and these tasks were originally often heavily dependent on hydraulic models. Facing the general reality of the lack of high-precision hydraulic models in water utilities, GT has become a promising surrogate or assistive technology. However, there is a lack of a systematic review of how and where the GT techniques are applied to the field of WDNs, along with an examination of potential directions that GT can contribute to addressing WDNs' challenges. This paper presents such a review and first summarizes the graph construction methods and topological properties of WDNs, which are mathematical foundations for the application of GT in WDNs. Then, main application areas, including state estimation, performance evaluation, partitioning, optimal design, optimal sensor placement, critical components identification, and interdependent networks analysis, are identified and reviewed. GT techniques can provide acceptable results and valuable insights while having a low computational burden compared with hydraulic models. Combining GT with hydraulic model significantly enhances the performance of analysis methods. Four research challenges, namely reasonable abstraction, data availability, tailored topological indicators, and integration with Graph Neural Networks (GNNs), have been identified as key areas for advancing the application and implementation of GT in WDNs. This paper would have a positive impact on promoting the use of GT for optimal design and sustainable management of WDNs.
Subject(s)
Neural Networks, Computer , Water , Water SupplyABSTRACT
Single cell RNA sequencing (scRNA-seq), a powerful tool for studying the tumor microenvironment (TME), does not preserve/provide spatial information on tissue morphology and cellular interactions. To understand the crosstalk between diverse cellular components in proximity in the TME, we performed scRNA-seq coupled with spatial transcriptomic (ST) assay to profile 41,700 cells from three colorectal cancer (CRC) tumor-normal-blood pairs. Standalone scRNA-seq analyses revealed eight major cell populations, including B cells, T cells, Monocytes, NK cells, Epithelial cells, Fibroblasts, Mast cells, Endothelial cells. After the identification of malignant cells from epithelial cells, we observed seven subtypes of malignant cells that reflect heterogeneous status in tumor, including tumor_CAV1, tumor_ATF3_JUN | FOS, tumor_ZEB2, tumor_VIM, tumor_WSB1, tumor_LXN, and tumor_PGM1. By transferring the cellular annotations obtained by scRNA-seq to ST spots, we annotated four regions in a cryosection from CRC patients, including tumor, stroma, immune infiltration, and colon epithelium regions. Furthermore, we observed intensive intercellular interactions between stroma and tumor regions which were extremely proximal in the cryosection. In particular, one pair of ligands and receptors (C5AR1 and RPS19) was inferred to play key roles in the crosstalk of stroma and tumor regions. For the tumor region, a typical feature of TMSB4X-high expression was identified, which could be a potential marker of CRC. The stroma region was found to be characterized by VIM-high expression, suggesting it fostered a stromal niche in the TME. Collectively, single cell and spatial analysis in our study reveal the tumor heterogeneity and molecular interactions in CRC TME, which provides insights into the mechanisms underlying CRC progression and may contribute to the development of anticancer therapies targeting on non-tumor components, such as the extracellular matrix (ECM) in CRC. The typical genes we identified may facilitate to new molecular subtypes of CRC.
Subject(s)
Colorectal Neoplasms , Single-Cell Analysis , Transcriptome , Tumor Microenvironment , Humans , Colorectal Neoplasms/genetics , Colorectal Neoplasms/pathology , Colorectal Neoplasms/metabolism , Tumor Microenvironment/genetics , Transcriptome/genetics , Gene Expression Regulation, Neoplastic , Genetic Heterogeneity , Gene Expression Profiling , Male , FemaleABSTRACT
Genetic screening of newborns for deafness plays an important role in elucidating the etiology of deafness, diagnosing it early, and intervening in it. Genetic screening of newborns has been conducted for 11 years in Beijing. It started with a chip to screen for 9 variants of 4 genes in 2012; the chip screened for 15 variants of those genes in 2018, and it now screens for 23 variants of those genes. In the current study, a comparative analysis of three screening protocols and follow-up for infants with pathogenic variants was performed. The rates of detection and hearing test results of infants with pathogenic variants were analyzed. Subjects were 493,821 infants born at 122 maternal and child care centers in Beijing from April 2012 to August 2023. Positivity increased from 4.599% for the chip to screen for 9 variants to 4.971% for the chip to screen for 15 variants, and further to 11.489% for the chip to screen for 23 variants. The carrier frequency of the GJB2 gene increased from 2.489% for the chip to screen for 9 variants and 2.422% for the chip to screen for 15 variants to 9.055% for the chip to screen for 23 variants. The carrier frequency of the SLC26A4 gene increased from 1.621% for the chip to screen for 9 variants to 2.015% for the chip to screen for 15 variants and then to 2.151% for the chip to screen for 23 variants. According to the chip to screen for 9 variants and the chip to screen for 15 variants, the most frequent mutant allele was c.235delC. According to the chip to screen for 23 variants, the most frequent mutant allele was c.109G>A. The chip to screen for 15 variants was used to screen 66.67% (14/21) of newborns with biallelic variants in the SLC26A4 gene for newly added mutations. The chip to screen for 23 variants was used to screen 92.98% (53/57) of newborns with biallelic variants in the GJB2 gene (52 cases were biallelic c.109G>A) and 25% (1/4) of newborns with biallelic variants in the SLC26A4 gene for newly added mutations. Among the infants with pathogenic variants (biallelic variants in GJB2 or SLC26A4), 20.66% (25/121) currently have normal hearing. In addition, 34.62% (9/26) of newborns who passed the hearing screening were diagnosed with hearing loss. Findings indicate that a growing number of newborns have benefited, and especially in the early identification of potential late-onset hearing loss, as the number of screening sites has increased. Conducting long-term audiological monitoring for biallelic variants in individuals with normal hearing is of paramount significance.
ABSTRACT
We address the Unsupervised Domain Adaptation (UDA) problem in image classification from a new perspective. In contrast to most existing works which either align the data distributions or learn domain-invariant features, we directly learn a unified classifier for both the source and target domains in the high-dimensional homogeneous feature space without explicit domain alignment. To this end, we employ the effective Selective Pseudo-Labelling (SPL) technique to take advantage of the unlabelled samples in the target domain. Surprisingly, data distribution discrepancy across the source and target domains can be well handled by a computationally simple classifier (e.g., a shallow Multi-Layer Perceptron) trained in the original feature space. Besides, we propose a novel generative model norm-AE to generate synthetic features for the target domain as a data augmentation strategy to enhance the classifier training. Experimental results on several benchmark datasets demonstrate the pseudo-labelling strategy itself can lead to comparable performance to many state-of-the-art methods whilst the use of norm-AE for feature augmentation can further improve the performance in most cases. As a result, our proposed methods (i.e. naive-SPL and norm-AE-SPL) can achieve comparable performance with state-of-the-art methods with the average accuracy of 93.4% and 90.4% on Office-Caltech and ImageCLEF-DA datasets, and achieve competitive performance on Digits, Office31 and Office-Home datasets with the average accuracy of 97.2%, 87.6% and 68.6% respectively.
Subject(s)
Benchmarking , Learning , Neural Networks, ComputerABSTRACT
Worldwide, lower respiratory tract infections (LRTI) are an important cause of hospitalization in children. Due to the relative limitations of traditional pathogen detection methods, new detection methods are needed. The purpose of this study was to evaluate the value of metagenomic next-generation sequencing (mNGS) of bronchoalveolar lavage fluid (BALF) samples for diagnosing children with LRTI based on the interpretation of sequencing results. A total of 211 children with LRTI admitted to the First Affiliated Hospital of Guangzhou Medical University from May 2019 to December 2020 were enrolled. The diagnostic performance of mNGS versus traditional methods for detecting pathogens was compared. The positive rate for the BALF mNGS analysis reached 95.48% (95% confidence interval [CI] 92.39% to 98.57%), which was superior to the culture method (44.07%, 95% CI 36.68% to 51.45%). For the detection of specific pathogens, mNGS showed similar diagnostic performance to PCR and antigen detection, except for Streptococcus pneumoniae, for which mNGS performed better than antigen detection. S. pneumoniae, cytomegalovirus and Candida albicans were the most common bacterial, viral and fungal pathogens. Common infections in children with LRTI were bacterial, viral and mixed bacterial-viral infections. Immunocompromised children with LRTI were highly susceptible to mixed and fungal infections. The initial diagnosis was modified based on mNGS in 29.6% (37/125) of patients. Receiver operating characteristic (ROC) curve analysis was performed to predict the relationship between inflammation indicators and the type of pathogen infection. BALF mNGS improves the sensitivity of pathogen detection and provides guidance in clinical practice for diagnosing LRTI in children.
Subject(s)
Bacteriophages , Respiratory Tract Infections , Humans , Child , Bronchoalveolar Lavage Fluid , Respiratory Tract Infections/diagnosis , High-Throughput Nucleotide Sequencing , Streptococcus pneumoniae , Metagenomics , Sensitivity and SpecificityABSTRACT
Sustainable water pollution control requires understanding of historical trajectories and spatial characteristics of greenhouse gas (GHG) emissions from wastewater treatment plants (WWTPs), which remains inadequately studied. Here, we establish plant-level monthly operational emissions inventories of China's WWTPs in 2009-2019. We show that urban wastewater treatment has been enhanced with 80% more chemical oxygen demand being removed annually. However, this progress is associated with 180% more GHG emissions at the national level, up to 58.3 Mt CO2 eq in 2019. We found significant seasonality in GHG emissions. Increasing sludge yield and electricity intensity became primary drivers after 2015 because of stricter standards, causing GHG emissions increase 12.9 and 8.3% until 2019. GHG emissions from urban wastewater treatment show high spatial difference at province, city and plant levels, with different sludge disposal and energy mix approaches combined with different influent and effluent conditions in WWTPs across China. Stricter effluent standard resulted in similar GHG emissions growth pattern in cities. We argue WWTPs focus on resource recovery in developed areas and higher operational efficiency in developing areas.
Subject(s)
Greenhouse Gases , Water Purification , Waste Disposal, Fluid/methods , Sewage , Greenhouse Effect , ChinaABSTRACT
Stroke is one of the predominant causes of death and disability. Currently, besides thrombolytic therapy, neuroprotection is also generally recognized as a promising way for stroke treatment, which would be very important for the functional recovery of stroke patients. However, it's reported that all the current available neuroprotective drugs have failed in clinical investigations of stroke treatments so far. Lyoniresinol (LNO) is a natural lignan with powerful antioxidant and cytoprotective activities. In this study, OGD/R leaded HT22 cell damage models and Middle Cerebral Artery Occlusion (MCAO) rats were used to investigate the effect of LNO on cerebral ischemic stroke injury and related mechanisms. The cell experiments revealed LNO can suppress the oxygen glucose deprivation-reoxygenation (OGD/R) induced apoptosis of HT22 cells. Subsequently, LNO can improve nerve function deficit and brain injury in MCAO rats with a higher neurological function scores and less infarct size. And the further molecular mechanisms studies suggested LNO activated the PI3K/AKT/GSK-3ß/NRF2 signaling and improved the oxidative stress in cells to inhibit the OGD/R induced apoptosis in HT22 cells. Collectively, our findings would be useflu for the further drug development of LNO as new drug for stroke and its related diseases.