Generalizable transcriptome-based tumor malignant level evaluation and molecular subtyping towards precision oncology.

In cancer treatment, therapeutic strategies that integrate tumor-specific characteristics (i.e., precision oncology) are widely implemented to provide clinical benefits for cancer patients. Here, through in-depth integration of tumor transcriptome and patients' prognoses across cancers, we investigated dysregulated and prognosis-associated genes and catalogued such important genes in a cancer type-dependent manner. Utilizing the expression matrices of these genes, we built models to quantitatively evaluate the malignant levels of tumors across cancers, which could add value to the clinical staging system for improved prediction of patients' survival. Furthermore, we performed a transcriptome-based molecular subtyping on hepatocellular carcinoma, which revealed three subtypes with significantly diversified clinical outcomes, mutation landscapes, immune microenvironment, and dysregulated pathways. As tumor transcriptome was commonly profiled in clinical practice with low experimental complexity and cost, this work proposed easy-to-perform approaches for practical clinical promotion towards better healthcare and precision oncology of cancer patients.

Development of a nomogram model to predict survival outcomes in patients with primary hepatic neuroendocrine tumors based on SEER database.

BACKGROUND: Primary hepatic neuroendocrine tumors (PH-NETs) are extremely rare and unknown. Because of its rarity, its prognosis features and influencing factors are not well established. METHODS: Data of 140 patients with PH-NETs diagnosed in the SEER database from 1975 to 2016 were collected. The demographics and clinic-pathological features were described. By using propensity-score matching (PSM) analysis, three associated cohorts were selected to describe the malignancy of PH-NETs and univariate analysis was conducted. Then, multivariate Cox analyses were performed and a predicting nomograph was constructed. C-index, receiver operating characteristic (ROC) curve and calibration curves were used to evaluate the predictive value of nomogram. RESULTS: The overall survival outcomes of PH-NETs were superior to hepatocellular carcinoma (HCC) with a mean survival time 30.64 vs 25.11 months (p = 0.052), but inferior to gastrointestinal tract neuroendocrine tumors in situ (GI-NETs in situ) with a mean survival time 30.64 vs 41.62 months (p = 0.017). With reference to gastrointestinal neuroendocrine tumors with liver metastasis (GI-NETs-LM), GI-NETs-LM had better outcomes in short time (1-year survival rate: 64.75% vs 56.43%) but was worse in long time (5-year survival rate: 8. 63% vs 18.57%). Multivariate Cox analyses showed that tumor grade and surgery were two independent factors for prognosis of the patients (p < 0.00). Tumor grade and surgery were used to construct the predicting nomogram. The C-index was 0.79 (95%CI = 0.75-0.83). The area under curve (AUC) values in ROC were 0.868 in 1-year and 0.917 in 3-year survival and the calibration curves showed good consistency. CONCLUSIONS: The overall prognosis PH-NETs is generally favorable, better than HCC and GI-NETs-LM in long term. Preoperative biopsy and complete pathological diagnosis were recommended. Radical surgical intervention including transplantation was the first choice in PH-NETs therapy.

A Novel Hybrid Point Defect of Oxygen Vacancy and Phosphorus Doping in TiO2 Anode for High-Performance Sodium Ion Capacitor.

Although sodium ion capacitors (SICs) are considered as one of the most promising electrochemical energy storage devices (organic electrolyte batteries, aqueous batteries and supercapacitor, etc.) due to the combined merits of battery and capacitor, the slow reaction kinetics and low specific capacity of anode materials are the main challenges. Point defects including vacancies and heteroatoms doping have been widely used to improve the kinetics behavior and capacity of anode materials. However, the interaction between vacancies and heteroatoms doping have been seldomly investigated. In this study, a hybrid point defects (HPD) engineering has been proposed to synthesize TiO2 with both oxygen vacancies (OVs) and P-dopants (TiO2/C-HPD). In comparison with sole OVs or P-doping treatments, the synergistic effects of HPD on its electrical conductivity and sodium storage performance have been clarified through the density functional theory calculation and sodium storage characterization. As expected, the kinetics and electronic conductivity of TiO2/C-HPD3 are significantly improved, resulting in excellent rate performance and outstanding cycle stability. Moreover, the SICs assembled from TiO2/C-HPD3 anode and nitrogen-doped porous carbon cathode show outstanding power/energy density, ultra-long life with good capacity retention. This work provides a novel point defect engineering perspective for the development of high-performance SICs electrode materials.

[Evaluation of factors associated with variability in retinal nerve fiber layer thickness in myopic juveniles aged 7-18 years].

OBJECTIVE: To evaluate the relationship between retinal nerve fiber layer thickness(RNFLT)measured by optical coherence tomography (OCT) and age, spherical equivalent (SE), axial length, and gender in myopic juveniles. METHODS: Cross-sectional observational study. One hundred and fifty-four juveniles (age range, 7-18 years) underwent ophthalmic examinations. Peripapillary Fast RNFL scans were performed by Stratus OCT with a nominal diameter of 3.46 mm centered on the optic disc on one randomly selected eye of each subject. Axial length was measured by A-ultrasound. The effects of several factors (age, SE, axial length, gender and eye) on RNFLT were investigated in univariate and multivariate stepwise regression analyses. RESULTS: The mean global RNFLT (x(-) ± s) was (114.106 ± 11.473) µm. The RNFLT was thickest superiorly (145.468 ± 19.064) µm and inferiorly (138.091 ± 20.464) µm, thinner temporally (94.396 ± 18.544) µm, and thinnest nasally (78.558 ± 16.981) µm. Both global and superior peripapillary RNFLT had no significant relationship with age (r = 0.129, 0.014; P > 0.05), SE (r = 0.006, 0.123; P > 0.05), axial length (r = -0.067, -0.141; P > 0.05), gender (r = -0.095, 0.025; P > 0.05) and laterality (r = -0.148, 0.095; P > 0.05). In multivariate stepwise regression analyses, there was significant inverse linear correlation between temporal RNFLT and SE (r = -0.465, P < 0.05). There was significant inverse linear correlation between nasal RNFLT and axial length and laterality (r = -0.327, P < 0.05). There was significant inverse linear correlation between inferior RNFLT and axial length (r = -0.276, P < 0.05), and direct linear correlation between inferior RNFLT and age (r = 0.276, P < 0.05). CONCLUSIONS: When we assess the RNFLT in myopic juveniles, we should consider the influence of age, refraction, axial length, spherical equivalent and laterality comprehensively.

Response to the COVID-19 epidemic: a report from Shenzhen, China.

The whole world is now facing an unprecedented pandemic with over 1.8 million confirmed cases and more than one hundred thousand deaths. To counter the pandemic, Shenzhen created a central command and control structure based on the only designated hospital- Shenzhen Third People's Hospital which is a large general hospital specialized on infectious diseases in the bay area. The hospital has taken many decisive and effective actions to respond to the epidemic. Here, we will describe and share healthcare experiences from Shenzhen and call for international cooperation and collaboration.