Analysis of incombustibles in the feedstock to incineration facilities in Republic of Korea for optimum sorting and management.

The Ministry of Environment, Republic of Korea has implemented the "Framework Act on Resource Recirculation" to activate waste resource recovery. However, industrial waste treatment facilities have some problems related to diversity of waste received for proper management of wastes. Waste incineration facilities are required to receive and process combustible waste and are forbidden to re-consign waste to other waste treatment facilities without any processing. In reality, a large quantity of incombustibles is injected into the incinerator because it is impossible to completely separate the incombustible materials. Therefore, it is necessary to develop additional management criteria for optimal operation of the incineration facility. This study was conducted to improve institutional management of incineration facilities in Korea. Through a literature review and statistics study, incombustible waste management trends were investigated. The characteristics of waste entering incineration facilities were surveyed. Physical composition and proximate analysis of incoming waste were conducted, and properties of the incombustibles mixed in feedstock to waste incineration facilities were examined. As a result of this study, incombustibles mainly consisting of the construction and demolition waste, such as soil, glass, and metals should be separated from feed sent to incinerators. A mechanical screening technique that sorts particles of 30-40 mm in size can be used to separate the incombustibles. Also, management criteria could be proposed to sort and re-consign the incombustibles.

Analysis of incombustibles in the feedstock to incineration facilities in South Korea for optimum sorting and management.

Korea's Ministry of Environment has implemented the Framework Act on Resource Recirculation to activate waste resource recovery. However, industrial waste treatment facilities have some problems related to diversity of waste received for proper management of wastes. Waste incineration facilities are required to receive and process combustible waste and are forbidden to re-consign waste to other waste treatment facilities without any processing. In reality, a large amount of incombustibles is injected into the incinerator because it is impossible to completely separate the incombustible materials. Therefore, it is necessary to develop additional management criteria for optimal operation of the incineration facility. This study was conducted to improve institutional management of incineration facilities in Korea. Through a literature review and statistics study, incombustible waste management trends were investigated. The characteristics of waste entering incineration facilities were surveyed. Physical composition and proximate analysis of incoming waste were conducted, and properties of the incombustibles mixed in feedstocks to waste incineration facilities were examined. As a result of this study, incombustibles mainly consisting of the construction and demolition waste, such as soil, glass, and metals, should be separated from feed sent to incinerators. A mechanical screening technique that sorts particles of 30-40 mm in size can be used to separate the incombustibles. Also, management criteria could be proposed to sort and re-consign the incombustibles.

A Novel Singular Value Decomposition-Based Denoising Method in 4-Dimensional Computed Tomography of the Brain in Stroke Patients with Statistical Evaluation.

Computed tomography (CT) is a widely used medical imaging modality for diagnosing various diseases. Among CT techniques, 4-dimensional CT perfusion (4D-CTP) of the brain is established in most centers for diagnosing strokes and is considered the gold standard for hyperacute stroke diagnosis. However, because the detrimental effects of high radiation doses from 4D-CTP may cause serious health risks in stroke survivors, our research team aimed to introduce a novel image-processing technique. Our singular value decomposition (SVD)-based image-processing technique can improve image quality, first, by separating several image components using SVD and, second, by reconstructing signal component images to remove noise, thereby improving image quality. For the demonstration in this study, 20 4D-CTP dynamic images of suspected acute stroke patients were collected. Both the images that were and were not processed via the proposed method were compared. Each acquired image was objectively evaluated using contrast-to-noise and signal-to-noise ratios. The scores of the parameters assessed for the qualitative evaluation of image quality improved to an excellent rating (p < 0.05). Therefore, our SVD-based image-denoising technique improved the diagnostic value of images by improving their quality. The denoising technique and statistical evaluation can be utilized in various clinical applications to provide advanced medical services.

Flexural wave cloaking via embedded cylinders with systematically varying thicknesses.

Simulations of flexural wave cloaking from multiple scattering events that are achieved by embedded cylinders in a thin plate are performed. Minimization of refraction is performed using small surrounding cylinders with varying thickness in radial and angular directions, respectively. The thickness variations render the effective wave speed lower in the radial direction and higher in the angular direction compared to the speed in the surrounding media, which results in the cloaking effect. In order to verify the feasibility of this approach, 15 layers of cylinders are placed around the blocked area. The multiple-scattering method is used to predict wave propagations and to take the interactions between cylinders into account. The effects of the thickness variation on the cloaking performance are analyzed. The results demonstrate that minimal scattering is achieved when the area of interest is surrounded by the thickness-varying cylinders.

EGFR negates the proliferative effect of oncogenic HER2 in MDA-MB-231 cells.

Members of the EGFR family are potent mediators of normal cell growth and development. HER2 possesses an active tyrosine kinase domain, but no direct ligand has been identified. To investigate the differential effect of HER2 in breast cell lines, HER2 was overexpressed in MCF-10A, MCF7 and MDA-MB-231 cells. HER2 overexpression promoted proliferation, survival and migration in MCF-10A and MCF-7 cells. No significant differences were seen in proliferation, survival or migration between MDA-MB-231 vec and HER2 cells. The activity of downstream HER2 proteins increased in MCF-10A HER2 and MCF-7 HER2 cells but not in MDA-MB-231 HER2 cells. Exogenously expressed HER2 failed to associate with EGFR or HER3 in MDA-MB-231 cells, while overexpression of HER2 enhanced HER family dimerization in MCF-10A and MCF-7 cells.

Protein kinase B/Akt1 inhibits autophagy by down-regulating UVRAG expression.

Autophagy, or autophagocytosis, is a selective intracellular degradative process involving the cell's own lysosomal apparatus. An essential component in cell development, homeostasis, repair and resistance to stress, autophagy may result in either cell death or survival. The targeted region of the cell is sequestered within a membrane structure, the autophagosome, for regulation of the catabolic process. A key factor in both autophagosome formation and autophagosome maturation is a protein encoded by the ultraviolet irradiation resistance-associated gene (UVRAG). Conversely, the serine/threonine-specific protein kinase B (PKB, also known as Akt), which regulates survival in various cancers, inhibits autophagy through mTOR activation. We found that Akt1 may also directly inhibit autophagy by down-regulating UVRAG both in a 293T transient transfection system and breast cancer cells stably expressing Akt1. The UVRAG with mutations at putative Akt1-phosphorylation sites were still inhibited by Akt1, and dominant-negative Akt1 also inhibited UVRAG expression, suggesting that Akt1 down-regulates UVRAG by a kinase activity-independent mechanism. We showed that Akt1 overexpression in MDA-MB-231 breast cancer cells down-regulated UVRAG transcription. Cells over-expressing Akt1 were more resistant than control cells to ultraviolet light-induced autophagy and exhibited the associated reduction in cell viability. Levels of the autophagosome indicator protein LC3B-II and mRFP-GFP-LC3 were reduced in cells that over-expressing Akt1. Inhibiting Akt1 by siRNA or reintroducing UVRAG gene rescued the level of LC3B-II in UV-irradiation. Altogether, these data suggest that Akt1 may inhibit autophagy by decreasing UVRAG expression, which also sensitizes cancer cells to UV irradiation.

HER2 stabilizes survivin while concomitantly down-regulating survivin gene transcription by suppressing Notch cleavage.

In breast cancer, the HER2 (human epidermal growth factor receptor 2) receptor tyrosine kinase is associated with extremely poor prognosis and survival. Notch signalling has a key role in cell-fate decisions, especially in cancer-initiating cells. The Notch intracellular domain produced by Notch cleavage is translocated to the nucleus where it activates transcription of target genes. To determine the combinatory effect of HER2 and Notch signalling in breast cancer, we investigated the effect of HER2 on Notch-induced cellular phenomena. We found the down-regulation of Notch-dependent transcriptional activity by HER2 overexpression. Also, the HER2/ERK (extracellular-signal-regulated kinase) signal pathway down-regulated the activity of γ-secretase. When we examined the protein level of Notch target genes in HER2-overexpressing cells, we observed that the level of survivin, downstream of Notch, increased in HER2 cells. We found that activation of ERK resulted in a decrease in XAF1 [XIAP (X-linked inhibitor of apoptosis)-associated factor 1] which reduced the formation of the XIAP-XAF1 E3 ligase complex to ubiquitinate survivin. In addition, Thr(34) of survivin was shown to be the most important residue in determining survivin stability upon phosphorylation after HER2/Akt/CDK1 (cyclin-dependent kinase 1)-cyclin B1 signalling. The results of the present study show the combinatorial effects of HER2 and Notch during breast oncogenesis.

Accurately Controlled Tumor Temperature with Silica-Coated Gold Nanorods for Optimal Immune Checkpoint Blockade Therapy.

Photothermal therapy (PTT) at mild temperatures ranging from 44 to 45 °C holds tremendous promise as a strategy for inducing potent immunogenic cell death (ICD) within tumor tissues, which can reverse the immunosuppressive tumor microenvironment (ITM) into an immune-responsive milieu. However, accurately and precisely controlling the tumor temperature remains a formidable challenge. Here, we report the precision photothermal immunotherapy by using silica-coated gold nanorods (AuNR@SiO2), and investigating the optimal administration routes and treatment protocols, which enabled to achieve the sustained and controlled mild heating within the tumor tissues. First, the highest photothermal performance of AuNR@SiO2 with 20-nm silica shell thickness than 5 or 40 nm was confirmed in vitro and in vivo. Then, the optimal conditions for precision immunotherapy were further investigated to produce mild temperature (44 to 45 °C) accurately in tumor tissues. The optimal conditions with AuNR@SiO2 result in a distinct cell death with high early/late apoptosis and low necrosis, leading to very efficient ICD compared to lower or higher temperatures. In colon tumor-bearing mice, intratumorally injected AuNR@SiO2 efficiently promotes a mild temperature within the tumor tissues by local irradiation of near-infrared (NIR) laser. This mild PTT substantially increases the population of mature dendritic cells (DCs) and cytotoxic T cells (CTLs) within tumor tissues, ultimately reversing the ITM into an immune-responsive milieu. Furthermore, we found that the combination mild PTT with AuNR@SiO2 and anti-PD-L1 therapy could lead to the 100% complete regression of primary tumors and immunological memory to prevent tumor recurrence. Collectively, this study demonstrates that AuNR@SiO2 with a robust methodology capable of continuously inducing mild temperature accurately within the ITM holds promise as an approach to achieve the precision photothermal immunotherapy.

Variability in Paralytic Shellfish Toxin Profiles and Dinoflagellate Diversity in Mussels and Seawater Collected during Spring in Korean Coastal Seawater.

Paralytic shellfish toxins (PSTs) are potent neurotoxins produced by certain microalgae, particularly dinoflagellates, and they can accumulate in shellfish in coastal seawater and thus pose significant health risks to humans. To explore the relationship between toxicity and PST profiles in seawater and mussels, the spatiotemporal variations in PST concentrations and profiles were investigated along the southern coast of Korea under peak PST levels during spring. Seawater and mussel samples were collected biweekly from multiple stations, and the toxin concentrations in the samples were measured. Moreover, the dinoflagellate community composition was analyzed using next-generation sequencing to identify potential PST-producing species. The PST concentrations and toxin profiles showed substantial spatiotemporal variability, with GTX1 and GTX4 representing the dominant toxins in both samples, and C1/2 tending to be higher in seawater. Alexandrium species were identified as the primary sources of PSTs. Environmental factors such as water temperature and salinity influenced PST production. This study demonstrates that variability in the amount and composition of PSTs is due to intricate ecological interactions. To mitigate shellfish poisoning, continuous monitoring must be conducted to gain a deeper understanding of these interactions.

Feasibility of new patient dose management tool in digital radiography: Using clinical exposure index data of mobile chest radiography in a large university hospital.

The clinical anteroposterior (AP) chest images taken with a mobile radiography system were analyzed in this study to utilize the clinical exposure index (EI) as a patient dose-monitoring tool. The digital imaging and communications in medicine header of 6048 data points exposed under the 90 kVp and 2.5 mAs were extracted using Python for identifying the distribution of clinical EI. Even under the same exposure conditions, the clinical EI distribution was 137.82-4924.38. To determine the cause, the effect of a patient's body shape on EI was confirmed using actual clinical chest AP image data binarized into 0 and 255-pixel values using Python. As a result, the relationship between the direct X-ray area of the chest AP image, the higher the clinical EI, the larger the rate of the direct X-ray area. A conversion equation was also derived to infer entrance surface dose through clinical EI based on the patient thickness. This confirmed the possibility of directly monitoring patient dose through EI without a dosimeter in real-time. Therefore, to use the clinical EI of the mobile radiography system as a patient dose-monitoring tool, the derivation method of clinical EI considers several factors, such as the relationship between patient factors.

Microstructure and Mechanical Properties of an Al-Mg-Si-Zr Alloy Processed by L-PBF and Subsequent Heat Treatments.

The aim of this study was to develop a new Al-Mg-Si-Zr alloy with a high magnesium content to achieve a wide range of mechanical properties using heat treatment and at a lower cost. Additive manufacturing was conducted using a powder bed fusion process with various scan speeds to change the volumetric energy density and establish optimal process conditions. In addition, mechanical properties were evaluated using heat treatment under various conditions. The characterization of the microstructure was conducted by scanning electron microscopy with electron backscatter diffraction and transmission electron microscopy. The mechanical properties were determined by tensile tests. The as-built specimen showed a yield strength of 447.9 ± 3.6 MPa, a tensile strength of 493.4 ± 6.7 MPa, and an elongation of 9.6 ± 1.1%. Moreover, the mechanical properties could be adjusted according to various heat treatment conditions. Specifically, under the HT1 (low-temperature artificial aging) condition, the ultimate tensile strength increased to 503.2 ± 1.1 MPa, and under the HT2 (high-temperature artificial aging) condition, the yield strength increased to 467 ± 1.3 MPa. It was confirmed that the maximum elongation (14.3 ± 0.8%) was exhibited with the HT3 (soft annealing) heat treatment.

Precise control over the silica shell thickness and finding the optimal thickness for the peak heat diffusion property of AuNR@SiO2.

Silica-coated gold nanorods (AuNRs) exhibit significantly enhanced photothermal effects and photoacoustic (PA) signal intensities, which is beneficial for various nanophotonic applications in materials science. However, the silica shell thickness for optimum enhancement is not fully understood and is even controversial depending on the physical state of the silica shell. This is because of the lack of systematic investigations of the nanoscale silica shell thickness and the photothermal effect. This study provides a robust synthetic method to control the silica shell thickness at the nanoscale and the physical state-dependent heat diffusion property. The selected base and solvent system enabled the production of silica-coated AuNRs (AuNR@SiO2) with silica shell thicknesses of 5, 10, 15, 20, 25, 30, 35, and 40 nm. AuNRs with a 20 nm silica shell showed the highest photothermal effect with a 1.45-times higher photothermal efficiency than that of AuNRs without a silica shell. The low density of the silica shell on the AuNRs showed a low photothermal effect and photostability. It was found that the disruption of cetyltrimethyl ammonium bromide (CTAB) layers on the AuNRs was responsible for the low photostability of the AuNRs. The simulation study for the heat diffusion property showed facilitated heat diffusion in the presence of a 20 nm silica shell. In a cell-based study, AuNRs with a 20 nm silica shell showed the most sensitive photothermal effect for cell death. The results of this robust study can provide conclusive conditions for the optimal silica shell thickness to obtain the highest photothermal effect, which will be useful for the future design of nanomaterials in various fields of application.

Unsupervised Gait Phase Estimation With Domain-Adversarial Neural Network and Adaptive Window.

The performanceof previous machine learning models for gait phase is only satisfactory under limited conditions. First, they produce accurate estimations only when the ground truth of the gait phase (of the target subject) is known. In contrast, when the ground truth of a target subject is not used to train an algorithm, the estimation error noticeably increases. Expensive equipment is required to precisely measure the ground truth of the gait phase. Thus, previous methods have practical shortcoming when they are optimized for individual users. To address this problem, this study introduces an unsupervised domain adaptation technique for estimation without the true gait phase of the target subject. Specifically, a domain-adversarial neural network was modified to perform regression on continuous gait phases. Second, the accuracy of previous models can be degraded by variations in stride time. To address this problem, this study developed an adaptive window method that actively considers changes in stride time. This model considerably reduces estimation errors for walking and running motions. Finally, this study proposed a new method to select the optimal source subject (among several subjects) by defining the similarity between sequential embedding features.

Spectroscopic Study into Lanthanide Speciation in Deep Eutectic Solvents.

Deep eutectic solvents are a new class of green solvents that are being explored as an alternative for used nuclear fuel and critical material recycling. However, there is a paucity of knowledge regarding metal behavior in them. This paper explores the underlying chemistry of rare-earth elements in choline chloride-based deep eutectic solvents by using a multi-technique spectroscopic methodology. Results show that speciation is highly dependent on the choice of the hydrogen-bond donor. Collected EXAFS data showed Ln3+ coordination with ethylene glycol and urea in their respective solvents and coordination with chloride in the lactic acid system. Generalized coordination environments were determined to be [LnL4-5], [LnL7-10], and [LnL5-6] in the ethylene glycol, urea, and lactic acid systems, respectively. Collected UV/vis spectra for Nd3+ and Er3+ showed variations with changing solvents, showing that Ln-Cl interactions do not dominate in these systems. Luminescence studies were consistent, showing varying emission spectra with varying solvent systems. The shortest luminescent lifetimes were observed in the choline chloride-ethylene glycol deep eutectic solvent, suggesting coordination through O-H groups. Combining all collected data allowed Eu3+ coordination geometries to be assigned.

Comprehensive Assessment of Acute Isolated or Prominent Dysarthria in the Emergency Department: A Neuro-Emergency Expert's Experience beyond Stroke.

We investigated the clinical characteristics, neuroimaging findings, and final diagnosis of patients with acute isolated or prominent dysarthria who visited the emergency department (ED) between 1 January 2020 and 31 December 2021. Of 2028 patients aged ≥ 18 years with neurologic symptoms treated by a neuro-emergency expert, 75 with acute isolated or predominant dysarthria within 1 week were enrolled. Patients were categorized as having isolated dysarthria (n = 28, 37.3%) and prominent dysarthria (n = 47, 62.7%). The causes of stroke were acute ischemic stroke (AIS) (n = 37, 49.3%), transient ischemic attack (TIA) (n = 14, 18.7%), intracerebral hemorrhage (n = 1, 1.3%), and non-stroke causes (n = 23, 30.7%). The most common additional symptoms were gait disturbance or imbalance (n = 8, 15.4%) and dizziness (n = 3, 13.0%) in the stroke and non-stroke groups, respectively. The isolated dysarthria group had a higher rate of TIA (n = 7, 38.9%), single and small lesions (n = 10, 83.3%), and small-vessel occlusion in Trial of Org 101072 in acute stroke treatment (n = 8, 66.7%). Acute isolated or prominent dysarthria in the ED mostly presented as clinical symptoms of AIS, but other non-stroke and medical causes were not uncommon. In acute dysarthria with ischemic stroke, multiple territorial and small and single lesions are considered a cause.

Surface decontamination of protective duplex oxide layers on stainless steel waste using deep eutectic solvents.

The decontamination capabilities of deep eutectic solvents (DESs) formed from choline chloride (ChCl) and p-toluenesulfonic acid monohydrate (PtsA), ChCl:PtsA, under different conditions (hydrated, heated, and agitated) were tested with simulant oxidized stainless steel 304 specimens. Although the leaching rates were satisfactory under all conditions, hydrated and stirred ChCl:PtsA at 60 °C showed the fastest leaching rate of 0.1647 mg/min. Oxidized specimens with an average mass gain of 1.2 ± 1 mg were leached, and their masses were reduced by 558 ± 22 mg after 26 h. These results were understood by improved physical properties of ChCl:PtsA upon hydration. Metal oxide solubility of CoO and NiO increased with water, and those of Cr2O3 and Fe3O4 decreased with hydration. Importantly, the use of choline chloride-based DESs in decontamination applications may significantly reduce the cost of decontamination because these DESs can be mass-produced and their components are both easily obtainable and economical. Also, DESs are biodegradable and eco-friendly. The different speciation of Co and Ni, which bond with Cl-, compared with Fe and Cr, which bond with H2O, illustrated the potential for a metal recovery for secondary liquid waste reduction.

Changes in the characteristics of organic matter associated with hydrodynamics and phytoplankton size structure in the central-eastern Yellow Sea.

The central-eastern Yellow Sea is an important region for transporting organic matter (OM) to the Pacific Ocean, however, there is limited information available regarding the characteristics and sources of OM in this area. The present study investigated the concentrations and stable isotopic compositions of carbon (δ13C) and nitrogen (δ15N) for particulate matter and sediment in the central-eastern Yellow Sea during April 2019. The physicochemical properties (i.e., salinity, temperature, fluorescence, and nutrients), size-fractionated phytoplankton biomass (Chl-a), and concentration and fluorescence characteristics of dissolved organic matter (DOM) were also determined. The satellite SST and Chl-a data indicated that mixing cold and warm water masses were observed. Phytoplankton blooms occurred a few days before our sampling campaign. Considering the high concentration of suspended solids in the bottom layer, resuspended sediment caused by tidal currents could be a major source of OM in coastal areas. The δ13C values of particulate organic matter (POM) in the coastal area were higher (-23 to -22‰) than those of OM from terrestrial sources (approximately -28 to -27‰). Instead, the lowest δ13C values were observed in the central part of our study area, where the relative abundance of picophytoplankton was high. These results indicated that phytoplankton-derived OM after phytoplankton spring blooms in the coastal area could be the primary source of OM rather than terrestrial origins. In addition, the source of OM that presented low δ13C values could be picophytoplankton-derived OM. The characteristics of DOM were related to biological processes (mediated by phytoplankton and bacteria) and resuspension of sedimentary organic matter. We did not detect an influx of large amounts of terrestrial OM in coastal sediments. Overall, the source and characteristics of OM appeared to be influenced by the hydrodynamics and the distribution properties of lower trophic-level organisms in the central-eastern Yellow Sea during the spring season.

Experience of a Neuro-Emergency Expert in the Emergency Department during One Year of the COVID-19 Pandemic.

We aimed to evaluate the overall clinical characteristics of patients treated by a neuro-emergency expert dedicated to the emergency department (ED) as an attending neurologist during the COVID-19 pandemic. We included adult patients who visited the ED between 1 January and 31 December 2020 and were treated by a neuro-emergency expert. We retrospectively obtained and analyzed the data on patients' clinical characteristics and outcome. The neuro-emergency expert treated 1155 patients (mean age, 62.9 years). The proportion of aged 18-40 years was the lowest, and the most common modes of arrival were public ambulance (50.6%) and walk-in (42.3%). CT and MRI examinations were performed in 94.4 and 33.1% of cases, respectively. The most frequent complaints were dizziness (31.8%), motor weakness (24.2%), and altered mental status (15.8%). The ED diagnoses were acute ischemic stroke (19.8%), benign paroxysmal positional vertigo (14.2%), vestibular neuritis (9.9%), and seizure (8.8%). The mean length of stay in the ED was 207 min. Of the patients, 55.0% were admitted to the hospital, and 41.8% were discharged for outpatient follow-up. Despite the longer stay and the complexity and difficulty of neurological diseases during the COVID-19 pandemic, the accurate diagnosis and treatment provided by a neuro-emergency expert can be presented as a good model in the ED.

Effects of endocrine disruptors on Bombina orientalis P450 aromatase activity.

To assess the effects of endocrine-disrupting chemicals on the expression and activity of aromatase in the gonads of Bombina orientalis, a common amphibian, we intraperitoneally injected nonylphenol or bisphenol-A and then examined aromatase mRNA levels by RT-PCR as well as aromatase enzymatic activity by tritiated water release assays. To design primers for the RT-PCR, we cloned the B. orientalis aromatase gene using RT-PCR and degenerate primers. The full-length cDNA was obtained by 5'- and 3'-RACE PCR. The complete sequence of the B. orientalis aromatase gene revealed an open reading frame of 1500 bp encoding a deduced protein of 500 amino acids. Semi-quantitative RT-PCR indicated that nonylphenol or bisphenol-A injection did not significantly affect the expression of B. orientalis aromatase mRNA. However, a 48-hr treatment with nonyphenol or bisphenol A reduced aromatase activity to 47% and 32% of the control, respectively. These results suggest that endocrine disrupters can effectively modulate the activity of B. orientalis aromatase without affecting its mRNA levels.

Danshen (Salvia miltiorrhiza) extract inhibits proliferation of breast cancer cells via modulation of Akt activity and p27 level.

Danshen is widely used in traditional Chinese medicine, often in combination with other herbs. To check the effect of Danshen on the proliferation of breast cancer cells, Danshen extract was used to treat MCF-7 and MCF-7 HER2 cells, the latter of which overexpresses HER2. HER2 is a receptor tyrosine kinase, and is involved in signal transduction pathways leading to tumor cell proliferation. MTT and cell proliferation assays revealed that Danshen strongly inhibited the proliferation of both MCF-7 vec cells and MCF-7 HER2 cells. Flow cytometry analyses indicated that Danshen induced cell cycle delay in the G1 phase. HER2 expression was shown to confer resistance to Danshen-induced inhibition of proliferation and cell cycle delay, suggesting that HER2 is responsible for the resistance to Danshen. Danshen treatment induced the down-regulation of Akt phosphorylation and an increase in p27 in MCF-7 vec and MCF-7 HER2 cells. Nevertheless, MCF-7 HER2 cells were more resistant to the Danshen-induced inhibition of Akt phosphorylation and p27 up-regulation.