Diagnostic value of an enhanced MRI combined with serum CEA, CA19-9, CA125 and CA72-4 in the liver metastasis of colorectal cancer.

OBJECTIVE: This paper aims to explore the diagnostic value of enhanced magnetic resonance imaging (MRI) combined with a carcinoembryonic antigen (CEA) and carbohydrate antigen in terms of the liver metastasis of colorectal cancer. METHODS: A total of 167 colorectal cancer patients with liver metastasis and 167 colorectal cancer patients without liver metastasis were selected as the subjects. An automatic electrochemiluminescence analyser was then used to detect the tumour markers CEA, CA19-9, CA125 and CA72-4. The consistency between the MRI examination and clinical pathological examination was also analysed, and the sensitivity, specificity and positive and negative predictive values of various combined detection methods were compared. RESULTS: The abnormal rates of CEA, CA19-9, CA125 and CA72-4 in the two groups were statistically significant (P < 0.05), while the results of the enhanced MRI and clinicopathological examination for liver metastasis in patients with colon cancer were largely consistent (Kappa coefficient = 0.788, P < 0.000). However, the two methods were inconsistent. The false positive rate of the enhanced MRI examination was 15.3%, while the false negative rate was 6.0%. The specificity (94.61%), positive predictive value (92.68%) and positive likelihood ratio (12.67%) were the highest for the MRI combined with serial CEA, while the sensitivity (98.80%) and negative predictive value (97.22%) were the highest with the MRI combined with parallel CEA, and this combination returned the lowest negative likelihood ratio (0.03). CONCLUSION: The combination of MRI and CEA excludes non-metastatic patients and identifies colorectal liver metastasis cancer patients. Overall, it has a higher diagnostic value.

Atomic-Scale Visualization of Stepwise Growth Mechanism of Metal-Alkynyl Networks on Surfaces.

One of the most appealing topics in the study of metal-organic networks is the growth mechanism. However, its study is still considered a significant challenge. Herein, using scanning tunneling microscopy, the growth mechanisms of metal-alkynyl networks on Ag(111) and Au(111) surfaces were investigated at the atomic scale. During the reaction of 1,3,5-tris(chloroethynyl)benzene on Ag(111), honeycomb Ag-alkynyl networks formed at 393 K, and only short chain intermediates were observed. By contrast, the same precursor formed honeycomb Au-alkynyl networks on Au(111) at 503 K. Progression annealing led to a stepwise evolution process, in which the sequential activation of three Cl-alkynyl bonds led to the formation of dimers, zigzag chains, and novel chiral networks as the intermediates. Moreover, density functional theory calculations indicate that chlorine atoms are crucial in assisting the breakage of metal-alkynyl bonds to form Cl-metal-alkynyl, which guarantees the reversibility of the break/formation equilibration as the key to forming regular large-scale organometallic networks.

On-surface synthesis of 2D COFs on Cu(111) via the formation of thermodynamically stable organometallic networks as the template.

Template-directed polymerization is an effective approach used to afford regular 2D covalent organic frameworks (COFs), thus the regularity of the template is crucial for the quality of the resulting 2D COFs. For the Ullmann reactions on Cu(111), aryl iodides and bromides are activated at low temperature to form organometallic C-Cu-C structures, which lead to kinetic trapping and irregular organometallic networks. Therefore, the subsequent annealing step can only afford irregular 2D COFs. In this manuscript, the molecule 4,4''-dibromo-5'-(4-chlorophenyl)-1,1':3',1''-terphenyl incorporated two Br terminals and one Cl terminal has been used to demonstrate different reactivities of a C-Cl bond and a C-Br bond via the hierarchical activation of the C-Br bond and the C-Cl bond on Cu(111). At room temperature, zigzag, armchair, and ring-like organometallic chains formed due to the activation of the C-Br bond to generate a C-Cu-C structure while C-Cl remained intact, illustrating that the C-Cl bond is more stable than C-Br. Further annealing at 433 K activated the C-Cl bond to produce regular organometallic networks as the thermodynamic product. Using the simpler molecule 1,3,5-tris(4-chlorophenyl)benzene as the precursor, the self-assembly of the intact molecules was observed on Cu(111) at 300 K without activation of the C-Cl bond. After annealing at 433 K, similar thermodynamically stable organometallic networks formed directly, which were used as a template to generate regular 2D COFs upon further annealing at 510 K.

LYAR promotes the proliferation of non-small cell lung cancer and is associated with poor prognosis.

INTRODUCTION: The aim of the study was to investigate the clinical significance of Ly-1 antibody reactive clone (LYAR) in non-small-cell lung cancer (NSCLC). MATERIAL AND METHODS: The expressions of LYAR at the protein level in representative paired NSCLC tumor tissues and adjacent non-tumor tissues were measured by Western blot and immunohistochemistry. Kaplan-Meier method was used to calculate the survival curve of patients with NSCLC. Cell Counting Kit-8 assay and flow cytometry were used to estimate the cell proliferation and cell cycle, respectively. Terminal-deoxynucleotidyl-transferase-mediated dUTP-biotin nick end labeling (TUNEL) assay was performed to detect cell apoptosis. RESULTS: LYAR was dramatically overexpressed in NSCLC tissues which were closely related to the survival of patients with NSCLC. In clinical studies, the expression of LYAR was related to the clinical stage, histological differentiation, and Ki-67 expression. A positive correlation was found between LYAR and Ki-67 expression by Spearman's correlation test. After serum starvation for 72 h, serum re-addition significantly increased the expression of LYAR, PCNA, and Cyclin A and promoted the cell cycle progression. LYAR knockdown inhibited the proliferation and induced the G0/G1 cell cycle arrest and apoptosis of A549 cells. CONCLUSIONS: The present study revealed the clinical significance of LYAR in NSCLC. LYAR might serve as a tumor promoter in NSCLC progression by promoting the proliferation and inhibiting the apoptosis of NSCLC cells. Inhibiting the expression of LYAR was considered as a potential novel therapeutic strategy for NSCLC.

Diverse supramolecular structures self-assembled by a simple aryl chloride on Ag(111) and Cu(111).

Diverse self-assembled structures were obtained on Cu(111) and Ag(111) surfaces by using a simple and small 4,4''-dichloro-1,1':4',1''-terphenyl molecule. Surprisingly, a complicated supramolecular self-assembled vortex structure, composed of 15 molecules in a large unit, was realized through the collaboration of hydrogen bonding and halogen bonding.

On-surface synthesis of poly(p-phenylene ethynylene) molecular wires via in situ formation of carbon-carbon triple bond.

The carbon-carbon triple bond (-C≡C-) is an elementary constituent for the construction of conjugated molecular wires and carbon allotropes such as carbyne and graphyne. Here we describe a general approach to in situ synthesize -C≡C- bond on Cu(111) surface via homo-coupling of the trichloromethyl groups, enabling the fabrication of individual and arrays of poly(p-phenylene ethynylene) molecular wires. Scanning tunneling spectroscopy reveals a delocalized electronic state extending along these molecular wires, whose structure is unraveled by atomically resolved images of scanning tunneling microscopy and noncontact atomic force microscopy. Combined with density functional theory calculations, we identify the intermediates formed in the sequential dechlorination process, including surface-bound benzyl, carbene, and carbyne radicals. Our method overcomes the limitation of previous on-surface syntheses of -C≡C- incorporated systems, which require the precursors containing alkyne group; it therefore allows for a more flexible design and fabrication of molecular architectures with tailored properties.