A systematic review and meta-analysis of children with coronavirus disease 2019 (COVID-19).

To provide a comprehensive and systematic analysis of demographic characteristics, clinical symptoms, laboratory findings, and imaging features of coronavirus disease 2019 (COVID-19) in pediatric patients. A meta-analysis was carried out to identify studies on COVID-19 from 25 December 2019 to 30 April 2020. A total of 48 studies with 5829 pediatric patients were included. Children of all ages were at risk for COVID-19. The main illness classification ranged as: 20% (95% confidence interval [CI]: 14%-26%; I2 = 91.4%) asymptomatic, 33% (95% CI: 23%-43%; I2 = 95.6%) mild and 51% (95% CI: 42%-61%; I2 = 93.4%) moderate. The typical clinical manifestations were fever 51% (95% CI: 45%-57%; I2 = 78.9%) and cough 41% (95% CI: 35%-47%, I2 = 81.0%). The common laboratory findings were normal white blood cell 69% (95% CI: 64%-75%; I2 = 58.5%), lymphopenia 16% (95% CI: 11%-21%; I2 = 76.9%) and elevated creatine-kinase MB 37% (95% CI: 25%-48%; I2 = 59.0%). The frequent imaging features were normal images 41% (95% CI: 30%-52%; I2 = 93.4%) and ground-glass opacity 36% (95% CI: 25%-47%; I2 = 92.9%). Among children under 1 year old, critical cases account for 14% (95% CI: 13%-34%; I2 = 37.3%) that should be of concern. In addition, vomiting occurred in 33% (95% CI: 18%-67%; I2 = 0.0%) cases that may also need attention. Pediatric patients with COVID-19 may experience milder illness with atypical clinical manifestations and rare lymphopenia. High incidence of critical illness and vomiting symptoms reward attention in children under 1 year old.

Children with coronavirus disease 2019: A review of demographic, clinical, laboratory, and imaging features in pediatric patients.

There is a current outbreak of coronavirus disease 2019 (COVID-19), with a global spread. With the rapid increase in the number of infections, an increase is observed in the number of children with COVID-19. Most research findings are regarding adult cases, which are not always transferrable to children. Evidence-based studies are still expected to formulate clinical decisions for pediatric patients. In this review, we included 2597 pediatric patients that reported recently and evaluated the demographic, clinical, laboratory, and imaging features of children with COVID-19. We found that even lymphopenia was the most common lab finding in adults; it infrequently occurred in children (9.8%). Moreover, elevated creatine kinase MB isoenzyme was much more commonly observed in children (27.0%) than that in adults, suggesting that heart injury would be more likely to occur in pediatric patients. Our analysis may contribute to determine the spectrum of disease in children and to develop strategies to control the disease transmission.

Carbon Materials Inhibit Formation of Nitrated Aromatic Products in Treatment of Phenolic Compounds by Thermal Activation of Peroxydisulfate in the Presence of Nitrite.

Recent studies have reported that toxic nitrated aromatic products are generated during treatment of phenolic compounds by thermally activated peroxydisulfate (thermal/PDS) in the presence of nitrite (NO2-). This work explored the potential of carbon materials on controlling the formation of nitrated aromatic products using phenol as a model compound. In the presence of selected carbon materials including diverse carbon nanotubes (CNT) and powdered activated carbon (PAC), the transformation kinetics of phenol was significantly enhanced, primarily attributed to nonradical activation of PDS by carbon materials. Nitrophenols (NPs) including 2-NP and 4-NP were formed in phenol oxidation by the thermal/PDS/NO2- process, due to the reaction of phenol with reactive nitrogen species generated from NO2- oxidation. The addition of carbon materials obviously inhibited NPs formation under various experimental conditions. The bonding of nitro groups on the CNT surface was clearly confirmed by means of various characterizations, probably resulting from the competitive reaction of reactive nitrogen species with CNT vs phenol. The controlling effect of carbon materials was also verified in the cases of other phenolic compounds. Therefore, the addition of carbon materials may be a promising approach to control the formation of undesirable nitrated byproducts by the thermal/PDS process in the presence of NO2-.

New Insights into the Combination of Permanganate and Bisulfite as a Novel Advanced Oxidation Process: Importance of High Valent Manganese-Oxo Species and Sulfate Radical.

Recently, it has been reported that the combination of permanganate (Mn(VII)) and bisulfite can lead to a rapid degradation of organic contaminants, where soluble Mn(III) is proposed to be responsible. Interestingly, in this work, we demonstrated the involvement of high-valent Mn-oxo species (possibly Mn(V)) as well as sulfate radical in the Mn(VII)/bisulfite system, by using methyl phenyl sulfoxide (PMSO) as a chemical probe. It was found that the combination of Mn(VII) and bisulfite resulted in appreciable degradation of PMSO under various conditions, while negligible PMSO was degraded by manganese dioxide (MnO2) in the presence of bisulfite under similar conditions. This result indicated that Mn(III) intermediate formed in situ in both Mn(VII)/bisulfite and MnO2/bisulfite systems as proposed in literature exhibited sluggish reactivity toward PMSO. In parallel, the formation of methyl phenyl sulfone (PMSO2) product in the Mn(VII)/bisulfite system was observed, suggesting the role of high-valent Mn-oxo species as an oxygen-atom donor in conversion of PMSO to PMSO2. Moreover, the yield of PMSO2 (i.e., mole of PMSO2 produced per mole of PMSO degraded) was quantified to be 20-100%, strongly depending on the [Mn(VII)]/[bisulfite] ratio as well as solution pH. The competitive contribution of sulfate radical, which oxidized PMSO to hydroxylated and/or polymeric products but not to PMSO2, accounted for the yield of PMSO2 less than 100%. This work advances the fundamental understanding of a novel class of oxidation technology based on the combination of Mn(VII) and bisulfite for environmental decontamination.

Prenatal exposure to ambient temperature variation increases the risk of common cold in children.

BACKGROUND: Common cold is a frequent upper respiratory tract infection, but the role of ambient temperature in the infection is unclear. OBJECTIVE: We investigated the role of prenatal exposure to diurnal temperature variation (DTV), the difference between the daily maximal and minimal temperatures, in the risk of common cold in children. METHODS: We conducted a cohort study of 2598 preschool children in Changsha, China. Occurrence of common cold during the past year was surveyed using questionnaire. We then estimated each child's prenatal exposure to DTV during pregnancy. Multivariate logistic regression model was used to examine the association between occurrence of common cold and prenatal exposure to DTV in terms of odds ratios (OR) and 95% confidence interval (CI). RESULTS: About 45% children have common cold (≥3 times) during the past year. We found that common cold in children was associated with maternal DTV exposure during pregnancy, particularly during the first trimester with adjusted OR (95% CI) = 1.27 (1.10-1.46). Male and atopic children were more susceptible to the effect of DTV during pregnancy. The risk of common cold due to DTV is higher in children living in the suburban areas and the bigger houses and in those exposed to environmental tobacco smoke, mold/dampness, new furniture and redecoration. We observed that the risk of common cold in children has been increased in recent years due to increasing DTV. CONCLUSIONS: Common cold in children was associated with maternal exposure to temperature variation during pregnancy, suggesting that the risk of common cold may originate in pregnancy.

Maternal exposure to ambient air temperature during pregnancy and early childhood pneumonia.

BACKGROUND: Pneumonia has been widely recognized as the leading cause of death in children worldwide, but its etiology still remains unclear. OBJECTIVE: We examined the association between maternal exposure to ambient air temperature during pregnancy and lifetime pneumonia in the offspring. METHODS: We conducted a cohort study of 2598 preschool children aged 3-6 years in Changsha, China. The lifetime prevalence of pneumonia was assessed using questionnaire. We backwards estimated each child's exposure to air temperature during prenatal and postnatal periods. Multiple regression model was used to examine the association between childhood pneumonia and exposure to air temperature in terms of odd ratios (OR) and 95% confidence interval (CI). RESULTS: Prevalence of childhood pneumonia in Changsha was high up to 38.6%. We found that childhood pneumonia was significantly associated with prenatal exposure to air temperature, with adjusted OR (95% CI) = 1.77 (1.23-2.54) for an interquartile range (IQR) increase in temperature, particularly during the second trimester with adjusted OR (95% CI) = 2.26 (1.32-3.89). Boys are more susceptible to the risk of pneumonia due to air temperature than girls. We further observed that maternal exposure to extreme heat days during pregnancy increased the risk of pneumonia in the offspring. CONCLUSIONS: Maternal exposure to air temperature during pregnancy, particularly the second trimester, was associated with pneumonia in the children, providing the evidence for fetal origins of pneumonia.

Polymorphisms in FZD3 and FZD6 genes and risk of neural tube defects in a northern Han Chinese population.

Neural tube defects (NTDs) are the most common and severe malformations of the central nervous system. The association of single nucleotide polymorphisms (SNPs) of the Frizzled 3 (FZD3) and Frizzled 6 (FZD6) genes and NTDs in the Han population of northern China was principally studied. One synonymous SNP (rs2241802) in FZD3 gene and three nonsynonymous SNPs (rs827528, rs3808553 and rs12549394) in FZD6 gene were analyzed by polymerase chain reaction (PCR) and sequencing methods in 135 NTD patients and 135 normal controls. The allele, genotype and haplotype frequencies were calculated and analyzed to examine the relationship between FZD3/FZD6 SNPs and NTDs. Both T allele and TT genotype frequencies of the FZD6 rs3808553 loci in the NTDs group were significantly higher than those in the controls, and children with T allele and TT genotype were associated with increased NTDs risk (OR = 1.575, 95 % CI 1.112-2.230, P = 0.010 and OR = 2.811, 95 % CI 1.325-5.967, P = 0.023, respectively). There were no differences among different genotypes or alleles in other three SNPs. Haplotypes A-G-C and A-T-C in FZD6 were found associated with NTDs in the case-control study (OR = 0.560, 95 % CI 0.378-0.830, P = 0.004 and OR = 1.670, 95 % CI 1.126-2.475, P = 0.011, respectively). The rs3808553 of FZD6 is obviously associated with NTDs in Han population of northern China. The TT genotype may increase risk for NTDs.

MicroRNAs as Biomarkers and Therapeutic Targets for Nonalcoholic Fatty Liver Disease: A Narrative Review.

PURPOSE: Nonalcoholic fatty liver disease (NAFLD) is the most common chronic liver disease in the world. However, biomarkers for NAFLD diagnosis and liver-specific drugs for treatment are lacking. This article reviews the possibility of circulating miRNAs in the diagnosis and treatment of NAFLD diseases and focuses on several well-studied miRNAs to provide preclinical data for subsequent related studies. METHODS: Related articles were identified through searches of the PubMed database for literature published from 2010 to December 2022. Search terms included NAFLD, microRNA, biomarker, diagnosis, and therapy. FINDINGS: Current research data indicate that some key circulating miRNAs may be used as diagnostic biomarkers of NAFLD and the combination of several miRNAs improves diagnostic performance. In addition, some preclinical trials using cell and mouse models provide a basis for some miRNAs as potential therapeutic targets. IMPLICATIONS: Current evidence suggests that circulating miRNAs are potential noninvasive biomarkers for clinical diagnosis of NAFLD, which needs to be validated in more heterogeneous and larger cohorts. In addition, several miRNAs regulate multiple downstream pathways related to the pathophysiology of NAFLD in a cell- and tissue-specific manner, making them attractive drug therapeutic targets for NAFLD. However, more preclinical and clinical trials are needed for these miRNAs to become therapeutic targets of NAFLD.

Co-existence of KMT2A::SEPTIN6 fusion and DIS3 variant in a pediatric case with acute myeloid leukemia: a case report and literature review.

The lysine(K)-specific methyltransferase 2A gene (KMT2A), previously known as mixed lineage leukemia (MLL), frequently rearranged in acute leukemia, belongs to one of the most promiscuous genes and has been found fused to more than 80 different partners. KMT2A::SEPTIN6 fusion is a relatively uncommon rearrangement observed in pediatric acute myeloid leukemia (AML) patients, some of which may harbor other mutations. We herein report a case of AML-M4-infant with KMT2A::SEPTIN6 fusion and DIS3 variant. The 8-month-old girl presented with leukocytosis, anemia and thrombocytopenia. A bone marrow smear disclosed that 64% of the total nucleated cells were blasts. Karyotype analysis showed 46,X,t(X;11)(q24;q23)[10]/46,XX[10]. Fluorescence in situ hybridization analysis suggested a possible break in the KMT2A gene. After whole transcriptome sequencing, Exon 9 of KMT2A was fused in-frame with Exon 2 of SEPTIN6. This is a typical type of chromosomal rearrangement leading to the KMT2A::SEPTIN6 fusion. Meanwhile, DIS3 variant [c.2065C>T, p.R689X, variant allele frequency (VAF): 39.8%] was identified. KMT2A::SEPTIN6 fusion has been associated with the pathogenesis of AML, whereas DIS3 variants are relatively rare genetic events in pediatric AML. Regrettably, the relatives disagreed with the combination chemotherapy, and the patient eventually died of progressive disease. In conclusion, our findings provide a foundation for a better understanding of the genotypic profile of KMT2A::SEPTIN6 associated AML, and the co-existence of KMT2A::SEPTIN6 and DIS3 variant might contribute to the disease progression and transformation of AML.

[Application Value of Plasma vWF and ADAMTS-13 in Evaluating Postoprative Vascular Endothelial Injury and Prognosis in Children with VSD].

OBJECTIVE: To dynamically observe the levels and activities of von Willebrand factor (vWF) and ADAMTS-13 (a disintegrin and metalloproteinase with a thrombospondin type 1 motif, member 13) in plasma of children with congenital ventricular septal defect (VSD) during perioperative period, and explore the value of plasma vWF antigen (vWF:Ag) and ADAMTS-13 activity (ADAMTS-13: AC) in evaluating vascular endothelial injury and prognosis in children with VSD. METHODS: In this cross-sectional study, a total of 74 children with VSD who underwent surgical treatment in TEDA International Cardiovascular Hospital from September 2018 to March 2019 were enrolled in the observation group. Among them, there were 28 cases of pure VSD, 32 cases of VSD combined with pulmonary hypertension, and 14 cases of VSD combined with valvular heart disease. 31 healthy children who underwent physical examination in Tianjin Children's Hospital during the same period were collected as the control group. The biochemical indexes of the children at admission were recorded. Peripheral plasma was collected at admission, postsurgery day 0 and day 1, respectively, and the levels of vWF activity (vWF:AC), vWF:Ag, ADAMTS-13 antigen (ADAMTS-13:Ag) and ADAMTS-13:AC were detected. RESULTS: The level of plasma vWF:Ag and vWF:AC in the observation group before surgery were significantly lower than those in the control group (P<0.001), and increased continuously, on postsurgery day 0 and day 1 (P<0.001). The level of ADAMTS-13:Ag in the observation group before surgery was significantly higher than that in the control group (P<0.001), which decreased significantly on postsurgery day 0 (P<0.001), and increased significantly on postsurgery day 1 compared with postsurgery day 0 (P=0.033). The level of ADAMTS-13:AC in the observation group before surgery was significantly lower than that in the control group (P=0.015), which decreased significantly on postsurgery day 0 (P=0.037), and increased on postsurgery day 1, but the difference was not statistically significant (P=0.051). The changes of vWF and ADAMTS-13 in the three subgroups were basically similar to the observation group. vWF: Ag/ADAMTS-13: AC ratio on postsurgery day 0 and day 1 had high diagnostic value in vascular endothelial injury (AUC=0.80, P<0.001; AUC=0.93, P<0.001). Preoperative vWF and ADAMTS-13 levels, and related baseline indicators were not correlated with postoperative infection, bleeding, thrombosis,etc. CONCLUSION: Preoperative vWF: Ag, vWF: AC and ADAMTS-13: AC levels in children with VSD are low, while the level of ADAMTS-13: Ag is high. After surgery, the levels of vWF: Ag and vWF: AC are increased and the level of ADAMTS-13: Ag is decreased. The postoperative vWF: Ag/ADAMTS-13: AC ratio shows high diagnostic value in evaluating vascular endothelial injury. There is no correlation between preoperative vWF and ADAMTS-13 levels with perioperative clinical events.

BCORL1 S878G, GNB1 G116S, SH2B3 A536T, and KMT2D S3708R tetramutation co-contribute to a pediatric acute myeloid leukemia: Case report and literature review.

Acute myeloid leukemia (AML) is a clinically, morphologically, and genetically heterogeneous group of malignancies characterized by a wide range of genomic alterations responsible for defective regulation of the differentiation and self-renewal programs of hematopoietic stem cells. Here, we report a 4-month-old boy who had acute onset with leukocytosis and abdominal mass. The morphological analysis of bone marrow (BM) smear revealed extremely marrow hyperplasia, large quantities of immature cells, and primary and immature monocytic hyperplasia accounting for 57.5% of nucleated cells. The chromosome karyotype of the case was complex, representing 48, XY, +13, +19[12]/48, idem, del (p12)[8]. After RNAs sequencing, a mutation (c.346G > A, p.G116S) of the GNB1 gene was detected and localized to the mutational hotspot in Exon 7. Meanwhile, the other three mutations were identified by next-generation sequencing (NGS) and whole-exome sequencing (WES) of DNA from the BM aspirate and oral swab, including BCORL1 mutation [c.2632A > G, p.S878G, mutation allele frequency (VAF): 99.95%], SH2B3 mutation (c.1606G > A, p.A536T, VAF: 51.17%), and KMT2D mutation (c.11124C > G, p.S3708R, VAF: 48.95%). BCORL1 mutations have been associated with the pathogenesis of AML, whereas other mutations have rarely been previously reported in pediatric AML. The patient did not undergo the combination chemotherapy and eventually died of respiratory failure. In conclusion, the concurrence of BCORL1, GNB1, SH2B3, and KMT2D mutations may be a mutationally detrimental combination and contribute to disease progression.

High discharge intensified low net ecosystem productivity, hypoxia, and acidification at three outlets of the Pearl River Estuary, China.

Clarifying the influence of hydrological variations on ecological function is a topic of considerable interest in watershed ecological flow assessment and water resource management. Net ecosystem productivity (NEP) is a useful composite indicator of ecosystem function, reflecting material cycling and energy flow. However, the effects of hydrological variations on NEP, especially the influence mechanism, remain unclear due to the complex environmental characteristics in estuaries. We analysed the spatial-temporal variability of the aquatic environment and NEP through in-situ monitoring and field sampling from December 2018 to January 2020 at three outlets (Humen, Jiaomen, and Hongqimen) with different hydrological conditions in the Pearl River Estuary (PRE), China, and explored the influence mechanism of hydrological variation on NEP. The 155 groups of effective metabolism values were estimated using Odum's open-water method. The daily ecosystem respiration (ER) was higher than the gross primary production (GPP); therefore, water bodies were dominated by net heterotrophy at the three outlets. The daily NEP (-4.34 ± 1.40 mg O2 L-1d-1), O2 concentration (5.2 ± 1.02 mg L-1), and pH (7.53±0.24) were lowest at Humen, which also had the largest discharge and tide volume, deepest water depth, and widest channel. Seasonally, the NEP in the summer (-3.30 ± 1.39 mg O2 L-1d-1) and autumn (-3.19 ± 1.60 mg O2 L-1d-1) was lower than those in the spring (-1.56 ± 1.92 mg O2 L-1d-1) and winter (-2.17 ± 1.50 mg O2 L-1d-1). The inhibitory effect of increased discharge on the metabolic rate exceeded the stimulation provided by seasonal factors, such as increased temperature and solar radiation. The scour and dilution effect caused by discharge increase reduced chlorophyll a concentration; meanwhile, the increase in turbidity resulted in a decrease in the photosynthetic rate and GPP. ER was stimulated by heterotrophic microorganisms and high total suspended solids, resulting in a decrease in O2 and endogenous organics, thus causing the low NEP, hypoxia, and acidification phenomenon. Our results suggest that lengthening the discharge pulse period in summer and autumn will further decrease NEP and increase the area of hypoxia and acidification at the three outlets in the PRE.

Ti3C2Tx MXene/urchin-like PANI hollow nanosphere composite for high performance flexible ammonia gas sensor.

Ammonia (NH3) has been used as a typical indicator to monitor food spoilage, human health, and air quality. However, the development of flexible NH3 sensors with high response, excellent selectivity and low cost remains a huge challenge. Herein, a high performance NH3 sensor based on Ti3C2Tx MXene nanosheet/urchin-like PANI hollow nanosphere composite (MP) was fabricated through template method and in situ polymerization. The NH3 sensor is fabricated with no high cost electrodes through directly depositing this composite on flexible polyethylene terephthalate (PET) during polymerization. This optimized MP film sensor exhibits high response of 3.70 to 10 ppm NH3 at room temperature, which is 4.74-fold in comparison with urchin-like PANI hollow nanosphere (u-PANI). It also shows excellent selectivity, good repeatability, satisfactory flexibility, air stability and low detection limit of 30 ppb. The effective morphology control and heterojunction construction of MP composite are responsible for superior sensing performance. Moreover, the application of this film sensor in the monitoring of the spoilage process of fresh pork is demonstrated. This study offers a new strategy for fabricating high performance flexible room-temperature NH3 sensors, which may be scale fabrication and application in daily life.

Serum IgA/C3 ratio and glomerular C3 staining predict progression of IgA nephropathy in children.

BACKGROUND: This retrospective study aimed to evaluate the significance of serum immunoglobulin A/complement 3 (IgA/C3) ratio and glomerular C3 staining at the onset of disease for predicting progression of IgA nephropathy in children. METHODS: A total of 41 children with IgA nephropathy were allocated to two groups according to proteinuria (proteinuria <50 mg/kg/day group and proteinuria ≥50 mg/kg/day group) to compare their clinical data. Receiver operating characteristic (ROC) curves were used to evaluate the optimal cutoff value of serum IgA/C3 ratio in two groups. According to the optimal cutoff value of serum IgA/C3 ratio and glomerular C3 staining, the children were divided into four groups: Group A (serum IgA/C3 ratio <2.025 and glomerular C3 staining <2.0); Group B (serum IgA/C3 ratio ≥2.025 and glomerular C3 staining <2.0); Group C (serum IgA/C3 ratio <2.025 and glomerular C3 staining ≥2.0); and Group D (serum IgA/C3 ratio ≥2.025 and glomerular C3 staining ≥2.0). Then, the risk factors [including proteinuria and glomerular filtration rate (GFR) and pathological findings] were compared in these 4 groups at onset of IgA nephropathy. RESULTS: Serum IgA/C3 ratio in the proteinuria <50 mg/kg/day group was significantly higher compared to the proteinuria ≥50 mg/kg/day group (P<0.01). According to ROC curves, the optimal cutoff value for the IgA/C3 ratio was 2.025 in two groups. At onset of IgA nephropathy, patients with IgA/C3 ratio <2.025 were predicted with nephrotic range proteinuria. When glomerular C3 staining was at the same level (glomerular C3 staining <2.0), GFR was significantly lower in group B (serum IgA/C3 ratio ≥2.025) compared with group A (serum IgA/C3 ratio <2.025). When serum IgA/C3 ratio was at the same level (serum IgA/C3 ratio <2.025), GFR was significantly lower in group C (glomerular C3 staining ≥2.0) compared with group A (glomerular C3 staining <2.0). Pathological findings and MEST (Oxford classification of IgA nephropathy) scores did not differ among the 4 groups at onset of the disease. CONCLUSIONS: Serum IgA/C3 ratio and glomerular C3 staining may be useful markers of the progression of IgA nephropathy in children, but not good markers for pathological findings at the onset of disease.

A comparison study of levofloxacin degradation by peroxymonosulfate and permanganate: Kinetics, products and effect of quinone group.

Permanganate (Mn(VII)) as a selective oxidant has been widely used in water treatment process. Recently, peroxymonosulfate (PMS) was recognized as an emerging selective oxidant, which showed appreciable reactivity toward organic compounds containing electron-rich functional groups. In this study, the oxidation of a model fluoroquinolone antibiotic levofloxacin (LEV) by Mn(VII) and PMS was comparatively investigated. Degradation of LEV by PMS followed second-order kinetics and showed strong pH dependency with apparent second-order rate constants (kapp) of 0.15-26.52 M-1 s-1 at pH 5.0-10.0. Oxidation of LEV by Mn(VII) showed autocatalysis at pH 5.0-7.0, while no autocatalysis was observed at pH 8.0-10.0 (kapp = 2.23-4.16 M-1 s-1). Such unusual oxidation kinetics was attributed to the in-situ formed MnO2 from Mn(VII) consumption. The performance of PMS and Mn(VII) for the degradation of LEV was also examined in real waters. PMS primarily react with the aliphatic N4 amine on the piperazine ring of LEV, and Mn(VII) reacted with both the aliphatic N4 amine and aromatic N1 amine. Both PMS and Mn(VII) could efficiently eliminate the antibiotic activity of LEV. Benzoquinone showed activating effect on both PMS and Mn(VII) oxidation, but their activation mechanisms were totally different.

Enhanced peroxymonosulfate activation via complexed Mn(II): A novel non-radical oxidation mechanism involving manganese intermediates.

In recent years, the activation of persulfates (peroxydisulfate (PDS) and peroxymonosulfate (PMS)) via transition metal ions for contaminants degradation has received extensive attention in water treatment. There has been growing interest on the mechanism (radical versus non-radical pathway) of activation processes. Interestingly, in contrast to copper, iron or cobalt ions regarded as effective activators for persulfates, manganese ion (Mn(II)) is inefficient for persulfates activation. Inspired by the enhanced stability of manganese species by ligands, this study for the first time systematically investigated the Mn(II)/persulfates with different ligands as a novel oxidation technology. UV-vis spectrometry, chemical probing method and mass spectrometry were used to explore the reactive intermediate (free radical versus high-valent manganese species) therein. It was surprisingly found that the oxidation efficiency of Mn(II)/ligand/persulfates system was highly dependent on the nature of persulfates and ligands. Mn(II) chelated by amino ligands such as ethylenediaminetetraacetic acid (EDTA) and nitrilotriacetate (NTA) could efficiently trigger the oxidation of contaminants (e.g., recalcitrant compounds nitrophenol, benzoic acid and atrazine) by PMS, suggesting a promising Mn(II)/ligand/PMS technology for environmental decontamination especially under manganese-rich conditions. High-valent Mn species (Mn(V)) but not free radicals was demonstrated to be the dominant reactive intermediate, where Mn(III) species played a vital role in Mn(V) generation. The formation of Mn(III) species was found to be affected by the reactivity of persulfates and the type of ligands, thus influencing its further oxidation to Mn(V) species. This study presents a new oxidation process based on the combination of PMS and Mn(II) complex and broadens the knowledge of persulfates activation as well as manganese chemistry for decontamination in water treatment.

Integrative analysis of key candidate genes and signaling pathways in ovarian cancer by bioinformatics.

BACKGROUND: Ovarian cancer is one of the most common gynecological tumors, and among gynecological tumors, its incidence and mortality rates are fairly high. However, the pathogenesis of ovarian cancer is not clear. The present study aimed to investigate the differentially expressed genes and signaling pathways associated with ovarian cancer by bioinformatics analysis. METHODS: The data from three mRNA expression profiling microarrays (GSE14407, GSE29450, and GSE54388) were obtained from the Gene Expression Omnibus (GEO) database. Differentially expressed genes between ovarian cancer tissues and normal tissues were identified using R software. The overlapping genes from the three GEO datasets were identified, and profound analysis was performed. The overlapping genes were used for pathway and Gene Ontology (GO) functional enrichment analysis using the Metascape online tool. Protein-protein interactions were analyzed with the Search Tool for the Retrieval of Interacting Genes/Proteins (STRING). Subnetwork models were selected using the plugin molecular complex detection (MCODE) application in Cytoscape. Kaplan-Meier curves were used to analyze the univariate survival outcomes of the hub genes. The Human Protein Atlas (HPA) database and Gene Expression Profiling Interactive Analysis (GEPIA) were used to validate hub genes. RESULTS: In total, 708 overlapping genes were identified through analyses of the three microarray datasets (GSE14407, GSE29450, and GSE54388). These genes mainly participated in mitotic sister chromatid segregation, regulation of chromosome segregation and regulation of the cell cycle process. High CCNA2 expression was associated with poor overall survival (OS) and tumor stage. The expression of CDK1, CDC20, CCNB1, BUB1B, CCNA2, KIF11, CDCA8, KIF2C, NDC80 and TOP2A was increased in ovarian cancer tissues compared with normal tissues according to the Oncomine database. Higher expression levels of these seven candidate genes in ovarian cancer tissues compared with normal tissues were observed by GEPIA. The protein expression levels of CCNA2, CCNB1, CDC20, CDCA8, CDK1, KIF11 and TOP2A were high in ovarian cancer tissues, which was further confirmed via the HPA database. CONCLUSION: Taken together, our study provided evidence concerning the altered expression of genes in ovarian cancer tissues compared with normal tissues. In vivo and in vitro experiments are required to verify the results of the present study.

Component-Resolved Diagnostic Study of Egg Allergy in Northern Chinese Children.

BACKGROUND: Egg component-specific IgE can be useful to evaluate and diagnose egg allergy, but their prevalence and clinical significance remain unclear in the local population. Previous studies have led to contradictory results regarding the value of specific IgG and specific IgG4 in sensitization. OBJECTIVE: We aimed to determine the level of specific IgE, IgG, and IgG4 antibodies to the major egg allergens in egg-allergic children. METHODS: Children from 6 months to 10 years of age were recruited. Egg allergy was confirmed by either a strong clinical history or an increased egg white-sIgE level. Other allergies were diagnosed by reactivity to other allergens but without egg-related symptoms and history. The serum sIgE, sIgG, and sIgG4 levels to major egg allergenic components (Gal d 1, Gal d 2, Gal d 3, Gal d 4, and Gal d 5), sIgE level to egg white, and tIgE level were determined by light-initiated chemiluminescent assay (LICA), ELISA, or ImmunoCAP. RESULTS: Egg-allergic children had significantly higher levels of sIgE, sIgG, and sIgG4 to egg components than nonallergic children. Gal d 2 was the predominant allergen, and Gal d 2 sIgE level correlated with the egg white-sIgE level. Ratios of sIgE/sIgG4 to egg components were highest before 1 year of age and dropped gradually in the first decade of life. CONCLUSION: Patterns of sIgE to egg components could distinguish different forms of egg allergy. Ratios of sIgE/sIgG4 could be useful in predicting tolerance in egg-sensitive subjects, but this needs further evaluation and investigation using more accurate models.

Enhanced photocatalytic degradation of perfluorooctanoic acid by Ti3C2 MXene-derived heterojunction photocatalyst: Application of intercalation strategy in DESs.

In-situ construction of heterojunction photocatalyst on two-dimensional (2D) Ti3C2 MXene substrate has been proved to be a feasible method to enhance the photocatalytic degradation of organic pollutants. However, the limited interlayer spacing of 2D Ti3C2 hinders the in-situ growth of TiO2 photocatalyst. Herein, the intercalation strategy was developed in deep eutectic solvents (DESs) method to achieve interlayer expansion of Ti3C2 and improve Ti3C2-derived photocatalyst performance. Because of the intercalation of choline cations, the DESs method synthesized Ti3C2 (Ti3C2-DES) had the larger c-lattice parameter than that of traditional HF method synthesized Ti3C2 (Ti3C2-HF). The interlayer space of Ti3C2-DES could be intercalated with more water molecule for oxidization of the Ti atoms, which remarkably promoted the in-situ growth of TiO2 crystals. The formed heterojunction between (001) and (101) facets enhanced carriers separation. The Ti3C2 substrate with excellent conductivity further promoted carriers transfer. As a result, Ti3C2/TiO2 photocatalyst exhibited superior perfluorooctanoic acid (PFOA) removal performance (almost 100% removal efficiency and 49% defluorination efficiency within 16 h) compared with the traditional Ti3C2-HF/TiO2 (22% removal efficiency and 12% defluorination efficiency within 16 h). This study provides a feasible strategy for enhancing photocatalytic degradation of PFOA by Ti3C2 MXene-derived heterojunction photocatalyst.

Are free radicals actually responsible for enhanced oxidation of contaminants by Cr(VI) in the presence of bisulfite?

Recently, the technology for the remediation of Cr(VI) pollutant via bisulfite has been found to be effective for fast elimination of co-contaminants especially in acidic solution, where free radicals (i.e., sulfate and/or hydroxyl radicals) are proposed to act as dominant oxidants. Here, it was demonstrated that high-valent Cr intermediate played a primary role in the Cr(VI)/bisulfite system through applying methyl phenyl sulfoxide (PMSO) as a probe. PMSO was effectively transformed in the Cr(VI)/bisulfite system with appreciable generation of methyl phenyl sulfone (PMSO2) product, while PMSO was oxidized by free radicals to hydroxylated and/or polymeric products rather than PMSO2. The involvement of high-valent Cr species was further supported by the formation of 18O-labeled PMSO2 in 18O labeling experiments, where the incorporation of 18O from solvent water H218O into PMSO2 was likely resulted from competitive oxygen exchange of Cr-oxo species with water. The relative contribution of high valent Cr species versus free radicals was evaluated based on the yield of PMSO2, which was dependent on the solution chemistry such as [Cr(VI)]:[bisulfite] ratio and dissolved oxygen. This work advances the understanding of chromium chemistry involved in the Cr(VI)/bisulfite system. These findings have important implications on the application of this "waste control by waste" technology for environmental decontamination.