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1.
Sci Rep ; 14(1): 8416, 2024 04 10.
Article in English | MEDLINE | ID: mdl-38600210

ABSTRACT

Protein induced by vitamin K absence or antagonist II (PIVKA-II) plays a critical role in the diagnosis of hepatocellular carcinoma (HCC), however, studies on its efficacy in diagnosing recurrent HCC were rarely found. A multicenter, retrospective, and observational study was conducted. During the overall follow-up of 5 years, HCC patients who had curative resection were monitored every 3 months in the first year post-surgery and every 6 months thereafter if no recurrence occurred. Tumor markers were collected at the diagnosis of recurrence for those with recurrence and at the last follow-up for those without recurrence. The median serum levels of PIVKA-II and AFP in the recurrence group were significantly higher than those in the non-recurrence group (PIVKA-II: 84.62 vs. 18.76 mAU/ml, p < 0.001; AFP: 4.90 vs. 3.00 ng/ml, p < 0.001) and there is a significant correlation between PIVKA-II and AFP (R = 0.901, p < 0.001). PIVKA-II showed better accuracy than AFP in the diagnosis of overall recurrent HCC (AUC: 0.883 vs. 0.672; p < 0.0001), but also in patients with negative PIVKA-II before curative resection (AUC: 0.878 vs. 0.680, p = 0.001). Clinician should pay more attention to serum PIVKA-II values when following patients after curative HCC resection to detect early recurrence.Clinical trial registration: ChiCTR2300070874.


Subject(s)
Carcinoma, Hepatocellular , Liver Neoplasms , Protein Precursors , Humans , Carcinoma, Hepatocellular/diagnosis , Carcinoma, Hepatocellular/surgery , Retrospective Studies , Liver Neoplasms/diagnosis , Liver Neoplasms/surgery , Liver Neoplasms/pathology , alpha-Fetoproteins/metabolism , Biomarkers , Prothrombin , Biomarkers, Tumor
2.
J Clin Transl Hepatol ; 12(4): 357-370, 2024 Apr 28.
Article in English | MEDLINE | ID: mdl-38638379

ABSTRACT

Background and Aims: Hepatic ischemia-reperfusion injury (HIRI) is a prevalent complication of liver transplantation, partial hepatectomy, and severe infection, necessitating the development of more effective clinical strategies. Receptor activity-modifying protein 1 (RAMP1), a member of the G protein-coupled receptor adapter family, has been implicated in numerous physiological and pathological processes. The study aimed to investigate the pathogenesis of RAMP1 in HIRI. Methods: We established a 70% liver ischemia-reperfusion model in RAMP1 knockout (KO) and wild-type mice. Liver and blood samples were collected after 0, 6, and 24 h of hypoxia/reperfusion. Liver histological and serological analyses were performed to evaluate liver damage. We also conducted in-vitro and in-vivo experiments to explore the molecular mechanism underlying RAMP1 function. Results: Liver injury was exacerbated in RAMP1-KO mice compared with the sham group, as evidenced by increased cell death and elevated serum transaminase and inflammation levels. HIRI was promoted in RAMP1-KO mice via the induction of hepatocyte apoptosis and inhibition of proliferation. The absence of RAMP1 led to increased activation of the extracellular signal-regulated kinase (ERK)/mitogen-activated protein kinase (MAPK) pathway and yes-associated protein (YAP) phosphorylation, ultimately promoting apoptosis. SCH772984, an ERK/MAPK phosphorylation inhibitor, and PY-60, a YAP phosphorylation inhibitor, reduced apoptosis in in-vitro and in-vivo experiments. Conclusions: Our findings suggest that RAMP1 protects against HIRI by inhibiting ERK and YAP phosphorylation signal transduction, highlighting its potential as a therapeutic target for HIRI and providing a new avenue for intervention.

3.
Chin Med J (Engl) ; 137(6): 657-668, 2024 Mar 20.
Article in English | MEDLINE | ID: mdl-37232477

ABSTRACT

BACKGROUND: Hepatic ischemia-reperfusion injury (HIRI) remains a common complication during liver transplantation (LT) in patients. As a key downstream effector of the Hippo pathway, Yes-associated protein (YAP) has been reported to be involved in various physiological and pathological processes. However, it remains elusive whether and how YAP may control autophagy activation during ischemia-reperfusion. METHODS: Human liver tissues from patients who had undergone LT were obtained to evaluate the correlation between YAP and autophagy activation. Both an in vitro hepatocyte cell line and in vivo liver-specific YAP knockdown mice were used to establish the hepatic ischemia-reperfusion models to determine the role of YAP in the activation of autophagy and the mechanism of regulation. RESULTS: Autophagy was activated in the post-perfusion liver grafts during LT in patients, and the expression of YAP positively correlated with the autophagic level of hepatocytes. Liver-specific knockdown of YAP inhibited hepatocytes autophagy upon hypoxia-reoxygenation and HIRI ( P <0.05). YAP deficiency aggravated HIRI by promoting the apoptosis of hepatocytes both in the in vitro and in vivo models ( P <0.05). Attenuated HIRI by overexpression of YAP was diminished after the inhibition of autophagy with 3-methyladenine. In addition, inhibiting autophagy activation by YAP knockdown exacerbated mitochondrial damage through increasing reactive oxygen species ( P <0.05). Moreover, the regulation of autophagy by YAP during HIRI was mediated by AP1 (c-Jun) N-terminal kinase (JNK) signaling through binding to the transcriptional enhanced associate domain (TEAD). CONCLUSIONS: YAP protects against HIRI by inducing autophagy via JNK signaling that suppresses the apoptosis of hepatocytes. Targeting Hippo (YAP)-JNK-autophagy axis may provide a novel strategy for the prevention and treatment of HIRI.


Subject(s)
Liver Diseases , Reperfusion Injury , Humans , Mice , Animals , Liver/metabolism , Liver Diseases/etiology , Hepatocytes/pathology , Reperfusion Injury/metabolism , Autophagy , Ischemia/metabolism
4.
Waste Manag Res ; 42(1): 74-80, 2024 Jan.
Article in English | MEDLINE | ID: mdl-37102342

ABSTRACT

Since the majority of valuable components in spent lithium-ion batteries, such as lithium, exists in the electrode materials, common studies focused on the treatment of the cathode materials, which ignored the harm of residual electrolyte. The cavitation and thermal effects produced by ultrasonic can not only be used for the separation of electrode materials, but also have a wide range of applications in the field of sewage pollutant degradation. This work used ultrasonic to treat simulated electrolyte (propylene carbonate (PC)) solution of spent lithium-ion batteries, explored the effect of ultrasonic power, the addition amount of H2O2 solution (30 wt%) and reaction temperature on the degradation of electrolyte, and analysed the ultrasonic degradation reaction from the perspective of reaction kinetics. And the synchronous experiment of cathode material separation and electrolyte degradation was conducted under the optimal conditions. The results showed that the highest degradation efficiency of PC in the electrolyte was 83.08% under the condition of ultrasonic power of 900 W, the addition of H2O2 solution (30 wt%) of 10.2 mL, reaction temperature of 120°C and reaction time of 120 minutes, and the separation efficiency was 100%. This work reduced the environmental and health risks in the cathode material separation process and was conducive to the green development of spent lithium-ion battery recycling technology.


Subject(s)
Lithium , Ultrasonics , Hydrogen Peroxide , Recycling/methods , Electric Power Supplies , Electrodes
5.
Molecules ; 28(22)2023 Nov 16.
Article in English | MEDLINE | ID: mdl-38005342

ABSTRACT

In this work, flower-like stannous sulfide (SnS) nanomaterials are synthesized using a hydrothermal method and used as sensitive materials for cataluminescence (CTL)-based detection of diethyl ether. Gas sensors based on SnS nanomaterials are prepared, and the SnS nanomaterials exhibit excellent gas-sensitive behavior towards ether. High sensitivity to ether is achieved at a relatively low operating temperature (153 °C) compared to other common sensors. The response time is 3 s and the recovery time is 8 s. The CTL intensity shows a good linear relationship (R2 = 0.9931) with a detection limit of 0.15 ppm and the concentration of ether in the range of 1.5-60 ppm. The proposed CTL sensor shows good selectivity towards ether. In addition, a highly stable signal is obtained with a relative standard deviation of 1.5%. This study indicates that the SnS-based sensor has excellent gas-sensitive performance and shows potential for applications in the detection of ether.

6.
Materials (Basel) ; 16(15)2023 Jul 26.
Article in English | MEDLINE | ID: mdl-37569947

ABSTRACT

In this work, a series of clinoptilolite composites decorated with carbon quantum dots (CQDs/clinoptilolite) with hierarchical pore structures was demonstrated that exhibits good photocatalytic performance for the removal of xylene. The technique for the attachment of carbon quantum dots to clinoptilolite was prepared by a hydrothermal method in this study. The structural features were confirmed by SEM, TEM, EDS, XRD, BET, XPS, and solid diffuse reflection measurements, while the degradation mechanism was investigated by adding a trapping agent into the nanocomposites. The introduction of CQDs promoted the separation of photogenerated electrons and holes as well as the generation of reactive radicals, which effectively improved the light utilization and even increased the degradation rate of xylene by 73% at the optimal state. The photocatalytic test was conducted under a different dwell time, catalyst dosage, initial concentration, and illumination intensity. The results showed that the degradation rate of xylene by the CQDs/clinoptilolite catalyst reached 97.4% under the optimal reaction conditions (the catalyst was Catalyst No. 2, the residence time was 90 s, the initial concentration was 2.5 g/m3, the light intensity was three lamps for irradiation, and the catalyst dosage was 0.05 g). In addition, the degradation efficiency of the CQDs/clinoptilolite photocatalyst still reached 78% after eight consecutive catalytic regeneration cycles. This work sheds new light on the degradation of xylene.

7.
Toxics ; 11(5)2023 Apr 26.
Article in English | MEDLINE | ID: mdl-37235227

ABSTRACT

To effectively carry out the bioremediation of a Pb2+ polluted environment, a lead-tolerant strain named D1 was screened from the activated sludge of a factory in Hefei, and its lead removal in a solution with Pb2+ concentration of 200 mg/L could reach 91% under optimal culture conditions. Morphological observation and 16S rRNA gene sequencing were used to identify D1 accurately, and its cultural characteristics and lead removal mechanism were also preliminarily studied. The results showed that the D1 strain was preliminarily identified as the Sphingobacterium mizutaii strain. The experiments conducted via orthogonal test showed that the optimal conditions for the growth of strain D1 were pH 7, inoculum volume 6%, 35 °C, and rotational speed 150 r/min. According to the results of scanning electron microscopy and energy spectrum analysis before and after the D1 exposure to lead, it is believed that the lead removal mechanism of D1 is surface adsorption. The Fourier transform infrared spectroscopy (FTIR) results revealed that multiple functional groups on the surface of the bacterial cells are involved in the Pb adsorption process. In conclusion, the D1 strain has excellent application prospects in the bioremediation of lead-contaminated environments.

8.
Water Res ; 239: 120056, 2023 Jul 01.
Article in English | MEDLINE | ID: mdl-37167851

ABSTRACT

New technologies using advanced oxidation processes (AOPs) with low energy-input to address the presence of micro-contaminants and the formation of disinfection byproducts (DBPs) are required for drinking water safety. In this work, the activation of chlorine dioxide with solar (solar/ClO2 process), a type of renewable and inexhaustible energy, was developed to degrade atrazine (ATZ) and control the formation of DBPs. Results revealed that solar/ClO2 process was effective in degrading ATZ. Hydroxyl radicals (•OH) and chlorine radicals (Cl•) produced in solar/ClO2 process were found to be the predominant agents for ATZ degradation with contribution rates of 55.9% and 44.1%, respectively, based on radical quenching tests and competition kinetics. Reaction pH did not affect the total amount of Cl• and •OH (i.e., [•OH]exp) and [Cl•]exp), while the conversion of Cl• to •OH was responsible for the depressed ATZ degradation efficiency with the increasing pH in solar/ClO2 process. The presence of bicarbonate (HCO3-), chloride (Cl-) and humic acid (HA) retarded the ATZ degradation mainly due to they decreased [•OH]exp) and [Cl•]exp. Using the UPLC-MS/MS analysis, six degradation intermediates of ATZ were tentatively identified, and the three-stage degradation pathway as well as the stepwise detoxification of ATZ were confirmed by the condensed Fukui function (CFF) calculation and ECOSAR prediction. Applying solar/ClO2 as a pretreatment of HA-containing water, the formation of DBPs during post-chlorination was significantly reduced. However, the presence of ATZ during solar/ClO2 pretreatment of HA significantly lowered the control efficiency of DBPs. The major degradation intermediate, i.e., deethyldeisopropylhydroxyatrazine (DEIHA), of ATZ could incorporate into HA and therefore providing more precursors for DBPs. The acute toxicity recorded by the behavior of zebrafish larvae revealed that using chloramine instead of chlorine downstream the solar/ClO2 pretreatment of ATZ and HA could significantly reduce the acute toxicity by decreasing the formation of total DBPs. This study demonstrated the great potential of applying solar/ClO2 process followed by chloramination to simultaneously degrade micro-contaminants and reduce DBPs formation as well as toxic risk in practical applications.


Subject(s)
Atrazine , Disinfectants , Drinking Water , Water Pollutants, Chemical , Water Purification , Animals , Chlorine , Chromatography, Liquid , Zebrafish , Tandem Mass Spectrometry , Disinfection/methods , Oxidation-Reduction , Chlorides , Halogenation , Water Purification/methods , Water Pollutants, Chemical/analysis
9.
Langenbecks Arch Surg ; 408(1): 215, 2023 May 29.
Article in English | MEDLINE | ID: mdl-37247018

ABSTRACT

PURPOSE: Transjugular intrahepatic portosystemic shunt (TIPS) and splenectomy with periesophagogastric devascularization (SPD) are widely used to treat cirrhotic portal hypertension (PH) and prevent variceal rebleeding. However, direct comparisons between these two approaches are rare. This study was designed to compare the long-term outcomes of TIPS and SPD in patients with cirrhotic PH and variceal rebleeding. METHODS: The study included cirrhotic PH patients with a history of gastroesophageal variceal bleeding between 18 and 80 years of age who were admitted to the Third Affiliated Hospital of Sun Yat-sen University from January 2012 to January 2022. Patients were enrolled into two groups according to TIPS or SPD was performed. Baseline characteristics were matched using propensity score matching (PSM). RESULTS: A total of 230 patients underwent TIPS, while 184 underwent SPD. PSM was carried out to balance available covariates, resulting in a total of 83 patients in the TIPS group and 83 patients in the SPD group. Patients in SPD group had better liver function during 60 months follow-up. Five-year overall survival rates in SPD group and TIPS group were 72 and 27%, respectively, at 2 years were 88 and 86%, respectively. The 2- and 5-year freedom from variceal rebleeding rates were 95 and 80% in SPD group and 80 and 54% in TIPS group. CONCLUSIONS: SPD is clearly superior to TIPS in terms of OS and freedom from variceal rebleeding in patients with cirrhotic PH. In addition, SPD improved liver function in patients with cirrhotic PH.


Subject(s)
Esophageal and Gastric Varices , Hypertension, Portal , Portasystemic Shunt, Transjugular Intrahepatic , Humans , Esophageal and Gastric Varices/complications , Esophageal and Gastric Varices/surgery , Portasystemic Shunt, Transjugular Intrahepatic/methods , Splenectomy , Gastrointestinal Hemorrhage/etiology , Gastrointestinal Hemorrhage/surgery , Liver Cirrhosis/complications , Liver Cirrhosis/surgery , Hypertension, Portal/complications , Hypertension, Portal/surgery , Chronic Disease
10.
Clin. transl. oncol. (Print) ; 25(2): 491-502, feb. 2023.
Article in English | IBECS | ID: ibc-215948

ABSTRACT

Background Most studies on subtype identification of colorectal cancer (CRC) were based on expressions of either genes or immune cells. However, few studies have hitherto used the combination of genes with immune and stroma cells for subtype identification. Methods Dataset GSE17536 was obtained from the Gene Expression Omnibus (GEO) database. The xCell algorithm was used to estimate the composition and density of 64 cell types, including immune and stroma cell types. Clustering analysis was then conducted on the top 3000 most variable genes from a total of 20,174 genes for CRC subtype identification. We employed the ensemble method of Similarity network fusion and 112 Consensus Clustering (SNF-CC) for cancer subtype identification. Reactome pathway analysis was conducted to identify the impact of the representative genes on prognosis. The results were validated in independent gene expression data from dataset GSE17537. Results In this study, we identified 3 clinically relevant subtypes and their representative genes, immune and stroma cells. Moreover, we confirmed the correlation of these subtypes with their clinical characteristics. The representative genes of the subtype with poor prognosis correlated with extracellular matrix structural constituent, while the subtype with good prognosis correlated with Toll-like receptor signaling pathway or chemokine signaling pathway. However, different subtypes were associated with distinct cell subtypes; the subtype with poor prognosis had a high abundance of fibroblasts and endothelial cells; the subtype with median prognosis had a higher abundance of immune cells, such as CD4 + T-cell, Th2 cells and aDC; the subtype with good prognosis had a higher abundance of NKT. Conclusion This study highlights the utility of immune and innate cells, especially during gene analysis, to provide the theoretical basis for personalized treatment in colorectal cancer patients (AU)


Subject(s)
Humans , Colorectal Neoplasms/metabolism , Mesenchymal Stem Cells/metabolism , Cluster Analysis , Endothelial Cells/metabolism , Gene Expression Regulation, Neoplastic , Prognosis , Signal Transduction , Tumor Microenvironment
11.
Environ Technol ; 44(2): 251-259, 2023 Jan.
Article in English | MEDLINE | ID: mdl-34396930

ABSTRACT

Sludge-recycling enhanced flocculation (SEF) is an effective method for enhancing flocculation. In the conventional SEF process, the settled sludge is recirculated into the flocculation process without any further treatment. However, studies have shown that the efficacy of the SEF process could be improved by pre-treating the sludge. In this work, the acid activation of sludge was performed using a range of pH values (1.0-6.0) and charge states, with and without long-chain bridging. The resulting residual turbidities, floc fractal dimensions and floc morphologies were then analyzed, to examine the effects of sludge activation on the efficacy of SEF. In the absence of long-chain bridging, it was found that flocculation was enhanced by pH values between 2.0 and 5.0 in the electrostatic patch (EP) and near charge neutrality (NCN) states. In the EP state, the optimal pH for SEF enhancement was pH = 2.0; in the NCN state, the optimal pH was pH = 3.0. In terms of floc morphology, pH values between 2.0 and 5.0 resulted in larger average floc sizes and lower floc fractal dimensions than conventional SEF. However, in the presence of long-chain bridging, sludge activation did not enhance flocculation; residual turbidity increased with decreases in pH, in both the EP and NCN states. Based on these results, it may be surmised that the acid activation of sludge is suitable for cases without long-chain bridging.


Subject(s)
Sewage , Waste Disposal, Fluid , Waste Disposal, Fluid/methods , Flocculation , Recycling
12.
Environ Geochem Health ; 45(5): 1695-1709, 2023 May.
Article in English | MEDLINE | ID: mdl-35614297

ABSTRACT

Microplastics and parabens are considered to be a global contaminants, especially in the aquatic ecosystem. The interfacial interaction between four types of microplastics including polystyrene, polyethylene, polyethylene terephthalate, and polyvinyl chloride, and methylparaben were investigated in this study. The results showed that molecular layer dominates the adsorption, with the rate significantly affected by both internal diffusion and external diffusion. Among the four types, polystyrene and polyvinyl chloride showed the smallest and biggest adsorption capability, with the values were 0.656 and 1.269 mg g-1, respectively. For the adsorption capability, smaller particle size and higher pH value possessed positive effects. However, the existence of metal ions could inhibit the adsorption process, except for a weak promotion at low salinity. Physical adsorption effects, such as electrostatic interaction, hydrogen bond formation, and covalent bond formation, had been identified that dominated the adsorption. This finding could be served as a speculative foundation for the further study of the toxicity, migration, and ecological risk assessment of microplastics in aquatic ecosystem.


Subject(s)
Microplastics , Water Pollutants, Chemical , Microplastics/chemistry , Plastics/chemistry , Parabens , Polystyrenes , Adsorption , Ecosystem , Polyvinyl Chloride/chemistry , Water , Water Pollutants, Chemical/analysis
13.
Clin Transl Oncol ; 25(2): 491-502, 2023 Feb.
Article in English | MEDLINE | ID: mdl-36273060

ABSTRACT

BACKGROUND: Most studies on subtype identification of colorectal cancer (CRC) were based on expressions of either genes or immune cells. However, few studies have hitherto used the combination of genes with immune and stroma cells for subtype identification. METHODS: Dataset GSE17536 was obtained from the Gene Expression Omnibus (GEO) database. The xCell algorithm was used to estimate the composition and density of 64 cell types, including immune and stroma cell types. Clustering analysis was then conducted on the top 3000 most variable genes from a total of 20,174 genes for CRC subtype identification. We employed the ensemble method of Similarity network fusion and 112 Consensus Clustering (SNF-CC) for cancer subtype identification. Reactome pathway analysis was conducted to identify the impact of the representative genes on prognosis. The results were validated in independent gene expression data from dataset GSE17537. RESULTS: In this study, we identified 3 clinically relevant subtypes and their representative genes, immune and stroma cells. Moreover, we confirmed the correlation of these subtypes with their clinical characteristics. The representative genes of the subtype with poor prognosis correlated with extracellular matrix structural constituent, while the subtype with good prognosis correlated with Toll-like receptor signaling pathway or chemokine signaling pathway. However, different subtypes were associated with distinct cell subtypes; the subtype with poor prognosis had a high abundance of fibroblasts and endothelial cells; the subtype with median prognosis had a higher abundance of immune cells, such as CD4 + T-cell, Th2 cells and aDC; the subtype with good prognosis had a higher abundance of NKT. CONCLUSION: This study highlights the utility of immune and innate cells, especially during gene analysis, to provide the theoretical basis for personalized treatment in colorectal cancer patients.


Subject(s)
Colorectal Neoplasms , Humans , Colorectal Neoplasms/metabolism , Endothelial Cells/metabolism , Prognosis , Signal Transduction , Cluster Analysis , Gene Expression Regulation, Neoplastic , Tumor Microenvironment/genetics
14.
Materials (Basel) ; 15(24)2022 Dec 11.
Article in English | MEDLINE | ID: mdl-36556653

ABSTRACT

Semiconductor-based composites are potential anodes for Li-ion batteries, owing to their high theoretical capacity and low cost. However, low stability induced by large volumetric change in cycling restricts the applications of such composites. Here, a hierarchical SnO2@Ni6MnO8 composite comprising Ni6MnO8 nanoflakes growing on the surface of a three-dimensional (3D) SnO2 is developed by a hydrothermal synthesis method, achieving good electrochemical performance as a Li-ion battery anode. The composite provides spaces to buffer volume expansion, its hierarchical profile benefits the fast transport of Li+ ions and electrons, and the Ni6MnO8 coating on SnO2 improves conductivity. Compared to SnO2, the Ni6MnO8 coating significantly enhances the discharge capacity and stability. The SnO2@Ni6MnO8 anode displays 1030 mAh g-1 at 0.1 A g-1 and exhibits 800 mAh g-1 under 0.5 A g-1, along with high Coulombic efficiency of 95%. Furthermore, stable rate performance can be achieved, indicating promising applications.

15.
BMC Surg ; 22(1): 407, 2022 Nov 24.
Article in English | MEDLINE | ID: mdl-36434548

ABSTRACT

OBJECTIVE: To evaluate the safety and efficacy of associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) in the treatment of initially unresectable hepatitis B virus (HBV)-associated hepatocellular carcinoma (HCC) and to preliminarily explore the mechanism of rapid growth of the future liver remnant (FLR). METHODS: Twenty-four patients with HBV-associated HCC who underwent ALPPS in our hospital from August 2014 to January 2021 were retrospectively studied. Propensity score matching was used to compare oncologic outcomes of patients treated with ALPPS and transarterial chemoembolization (TACE). The expression of YAP and JNK in liver tissue after two stages of ALPPS were detected. RESULTS: The median standard liver volume (SLV) was 1471.4 ml. Before second stage of ALPPS, the median FLR increased by 74.4%, and the median FLR/SLV increased from 26.1 to 41.6%. Twenty-two patients (91.7%) received staged hepatectomy after a median interval of 15 (9-24) d. The total incidence of postoperative complications in ALPPS group was 54.5%, and of Clavien-Dindo ≥ IIIb postoperative complications (requiring surgical, endoscopic or radiological intervention under general anesthesia) was 9.1%. There was no significant difference in total complications between ALPPS group and TACE group, but there were lower rate of above grade III complications in the TACE group than that in the ALPPS group. The incidence of complications was lower in laparoscopic-ALPPS than that in open surgery. In ALPPS group, the 1-year, 2-year and 5-year overall survival rate were respectively 71.4%, 33.3% and 4.8%. Interval time was an independent risk factor associated with overall survival rate. There was no significant difference in overall survival rate between ALPPS group and TACE group. For advanced HCC (BCLC stage B and C), ALPPS group was not superior to TACE group in overall survival rate. The expression of YAP and p-JNK in the residual liver tissue after second stage procedure was higher than that after first stage procedure, and the co-expression of YAP and p-JNK was observed in the residual liver tissue. CONCLUSION: ALPPS is a safe and effective treatment for initially unresectable HBV-associated HCC. Laparoscopic technique might improve the effect of ALPPS. YAP and JNK pathway might take a role in rapid FLR increase in ALPPS procedure.


Subject(s)
Carcinoma, Hepatocellular , Chemoembolization, Therapeutic , Liver Neoplasms , Humans , Hepatectomy/methods , Carcinoma, Hepatocellular/surgery , Portal Vein/surgery , Retrospective Studies , Liver Neoplasms/surgery , Liver Neoplasms/complications , Postoperative Complications/etiology
16.
World J Clin Cases ; 10(27): 9743-9749, 2022 Sep 26.
Article in English | MEDLINE | ID: mdl-36186195

ABSTRACT

BACKGROUND: The prognosis of intrahepatic cholangiocarcinoma (ICC) with lymph node metastasis is poor. The feasibility of surgery is not certain, which is a contraindication according to the National Comprehensive Cancer Network guidelines. The role of immunotherapy as a neoadjuvant therapy for ICC is not clear. We herein describe a case of ICC with lymph node metastasis that was successfully treated with neoadjuvant therapy. CASE SUMMARY: A 60-year-old man with a liver tumor was admitted to our hospital. Enhanced computed tomography and magnetic resonance imaging revealed a space-occupying lesion in the right lobe of the liver. Multiple subfoci were found around the tumor, and the right posterior branch of the portal vein was invaded. Liver biopsy indicated poorly differentiated cholangiocytes. According to the American Joint Committee on Cancer disease stage classification, ICC with hilar lymph node metastasis (stage IIIB) and para-aortic lymph node metastasis was suspected. A report showed that two patients with stage IIIB ICC achieved a complete response (CR) 13 mo and 16 mo after chemotherapy with a PD-1 monoclonal antibody. After multidisciplinary consultation, the patient was given neoadjuvant therapy, surgical resection and lymph node dissection, and postoperative adjuvant therapy. After three rounds of PD-1 immunotherapy (camrelizumab) and two rounds of gemcitabine combined with cisplatin regimen chemotherapy, the tumor size was reduced. Therefore, a partial response was achieved. Exploratory laparotomy found that the lymph nodes of Group 16 were negative, and the tumor could be surgically removed. Therefore, the patient underwent right hemihepatectomy plus lymph node dissection. The patient received six rounds of chemotherapy and five rounds of PD-1 treatment postoperatively. After 8 mo of follow-up, no recurrence was found, and a CR was achieved. CONCLUSION: Neoadjuvant therapy combined with surgical resection is useful for advanced-stage ICC. This is the first report of successful treatment of stage IIIB ICC using neoadjuvant therapy with a PD-1 inhibitor.

17.
Neoplasma ; 69(4): 918-930, 2022 Jul.
Article in English | MEDLINE | ID: mdl-35652619

ABSTRACT

Hepatocellular carcinoma (HCC) is defined as a universal malignancy while radiation therapy is the effective treatment for it. This study validated the mechanism of long non-coding RNA (lncRNA) colorectal neoplasia differentially expressed gene (CRNDE) in radiation resistance in HCC. LncRNA CRNDE upregulation was detected in HCC cells. The radiation-resistant cell strains Huh7R and SNU-387R were established. After silencing lncRNA CRNDE, the cell colony formation ability, cell activity, apoptosis, cell cycles, and γ-H2AX positive rate in Huh7R and SNU-387R were detected. Silencing lncRNA CRNDE decreased the cell activity, colony formation ability, and cell number in the G2 phase and facilitated DNA damage and apoptosis. The binding relations of specificity protein 1 (SP1) with lncRNA CRNDE and 3-phosphoinositide dependent protein kinase 1 (PDK1) were verified. LncRNA CRNDE regulated PDK1 transcription by binding to transcription factor SP1. PDK1 overexpression partially reversed the inhibition of silencing lncRNA CRNDE on radiation resistance in HCC cells. The transplanted tumor mouse model was established and showed that silencing lncRNA CRNDE decreased tumor volume and weight and Ki67-positive cells in HCC mice in vivo. Collectively, lncRNA CRNDE was upregulated in HCC cells and promoted PDK1 transcription by binding to SP1, thus enhancing radiation resistance in HCC cells.


Subject(s)
Carcinoma, Hepatocellular , Colorectal Neoplasms , Liver Neoplasms , MicroRNAs , RNA, Long Noncoding , Animals , Carcinoma, Hepatocellular/genetics , Carcinoma, Hepatocellular/metabolism , Carcinoma, Hepatocellular/radiotherapy , Cell Line, Tumor , Cell Movement , Cell Proliferation , Colorectal Neoplasms/genetics , Gene Expression Regulation, Neoplastic , Liver Neoplasms/genetics , Liver Neoplasms/metabolism , Liver Neoplasms/radiotherapy , Mice , MicroRNAs/genetics , RNA, Long Noncoding/genetics , RNA, Long Noncoding/metabolism
18.
RSC Adv ; 12(14): 8361-8367, 2022 Mar 15.
Article in English | MEDLINE | ID: mdl-35424803

ABSTRACT

A cataluminescence (CTL) ether gas sensor based on GO/Mo2TiC2T x composite was developed. The sensor has high selectivity and sensitivity to ether with the response and recovery times of 2 and 8 s, respectively. The optimal operating temperature (155 °C) is low compare with common sensors. Under optimal conditions, the linear range of the concentrations of ether is 9.5-950 ppm; CTL signal intensity and ether concentration show a good linear relationship (r = 0.9952); and the detection limit is 0.64 ppm. Furthermore, no response to anything other than acetone after repeatedly tested 10 kinds of common volatile organic compounds, which shows that the sensor has a good selectivity. In addition, the developed sensor has a long life.

19.
Environ Res ; 212(Pt B): 113249, 2022 09.
Article in English | MEDLINE | ID: mdl-35421392

ABSTRACT

Constructed wetland-microbial fuel cell system (CW-MFC), an attractive technology still under study, has shown to improve domestic wastewater treatment efficiency and generate bioelectricity. This work investigated the effect of multiple factors on the performance optimization for the pollutants removal and bioelectricity production compared to a traditional CW, including influent chemical oxygen demand (COD) concentration, hydraulic retention time (HRT) and external resistance. The results showed that the optimal operating conditions of COD concentration, HRT and external resistance for CW-MFC were 200 mg/L, 24 h and 1000 Ω, respectively. The average COD, NH4+-N, NO3--N and TP removal efficiencies were 6.06%, 3.85%, 3.68% and 3.68% higher than these in CW system, respectively. Meanwhile, the maximum output voltage and power density of CW-MFC were 388 ± 12 mV and 107.54 mW/m3. In addition, the microbial community analysis indicated that the pollution removal and bioelectricity generation might benefit from the gradual enrichment of electroactive bacteria (Tolumonas) and denitrifying bacteria (Denitratisoma, Methylotenera and Sulfuritales). The findings can provide the optimum operation parameters and mechanism insight for the performance of CW-MFC systems.


Subject(s)
Bioelectric Energy Sources , Microbiota , Water Purification , Electricity , Electrodes , Wastewater/microbiology , Water Purification/methods , Wetlands
20.
Water Sci Technol ; 85(1): 174-187, 2022 Jan.
Article in English | MEDLINE | ID: mdl-35050875

ABSTRACT

Although humic acid (HA) is a complex natural organic matter, it can potentially harm the environment and human health. In this study, aluminum-air fuel cell electrocoagulation (AAFCEC) was used to remove HAs from water while generating electricity. Initial pH, electrolyte concentration, HA concentration electrode distance and external resistance were investigated to determine the power generation and removal efficiency. The results showed that the better performance of power generation has been acquired in the alkaline solution and larger electrolyte concentration and short electrode distance. Further, Al-Ferron complexation timed spectrophotometry was used to determine the Al speciation distribution in the solution under different parameters. The power density of the cell reached 313.47 mW/cm2 for the following conditions: 1 g/L NaCl concentration, 3 cm electrode distance, 20 Ω external resistor, and pH 9. After about an hour of electrolysis, the optimum removal rate of HA was above 99%. The results demonstrated that the AAFCEC is an efficient and eco-friendly water treatment process, and it could be further developed and disseminated in the rural areas and households.


Subject(s)
Bioelectric Energy Sources , Wastewater , Electricity , Electrocoagulation , Humans , Humic Substances
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