The Effects of Different Induction Chemotherapy Cycles and Adjuvant Chemotherapy on the Survival Outcomes of Patients With Locally Advanced Nasopharyngeal Carcinoma.

Objective: This study investigated whether differences in the induction chemotherapy (IC) cycle number and adjuvant chemotherapy (AC) affect survival outcomes in patients with locally advanced nasopharyngeal carcinoma (LA-NPC). Methods: The survival outcomes of 386 consecutive LA-NPC patients treated between January 2015 and March 2018 were retrospectively analyzed. Univariate and multivariate analyses were used to compare treatment groups defined by IC< 3 or ≥3 IC cycles followed by radiotherapy with or without AC (i.e., IC<3+AC, IC<3+non-AC, IC≥3+AC, and IC≥3+non-AC groups). Results: The median follow-up time was 53 months (range: 2-74 months) and the median number of IC cycles was 2 (range: 1-6 cycles). The 3-year overall survival (OS) rate was significantly higher in patients with IC≥3 cycles compared to IC<3 cycles (95.7% vs. 90.3%, P=0.020). Multivariate analysis indicated that the IC cycle number is an independent factor for OS (hazard ratio=0.326, P=0.007). Furthermore, patients in the IC<3+AC group had a better OS rate than those in the IC<3+non-AC group (91.6% vs. 79.1%, P=0.030), indicating that AC positively affected OS in patients with IC<3. However, no significant difference in the OS rate was found between IC≥3+non-AC and IC≥3+AC groups (92.1% vs. 94.6%, P =0.550). Conclusion: The IC cycle number appears to be an independent prognostic factor for higher OS in LA-NPC patients who received ≥3 cycles. Sequential AC after IC plus radiotherapy may improve OS in patients with IC<3 cycles.

Rapid and Accurate Detection of SARS Coronavirus 2 by Nanopore Amplicon Sequencing.

Objective: We aimed to evaluate the performance of nanopore amplicon sequencing detection for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in clinical samples. Method: We carried out a single-center, prospective cohort study in a Wuhan hospital and collected a total of 86 clinical samples, including 54 pharyngeal swabs, 31 sputum samples, and 1 fecal sample, from 86 patients with coronavirus disease 2019 (COVID-19) from Feb 20 to May 15, 2020. We performed parallel detection with nanopore-based genome amplification and sequencing (NAS) on the Oxford Nanopore Technologies (ONT) minION platform and routine reverse transcription quantitative polymerase chain reaction (RT-qPCR). In addition, 27 negative control samples were detected using the two methods. The sensitivity and specificity of NAS were evaluated and compared with those of RT-qPCR. Results: The viral read number and reference genome coverage were both significantly different between the two groups of samples, and the latter was a better indicator for SARS-CoV-2 detection. Based on the reference genome coverage, NAS revealed both high sensitivity (96.5%) and specificity (100%) compared with RT-qPCR (80.2 and 96.3%, respectively), although the samples had been stored for half a year before the detection. The total time cost was less than 15 h, which was acceptable compared with that of RT-qPCR (∼2.5 h). In addition, the reference genome coverage of the viral reads was in line with the cycle threshold value of RT-qPCR, indicating that this number could also be used as an indicator of the viral load in a sample. The viral load in sputum might be related to the severity of the infection, particularly in patients within 4 weeks after onset of clinical manifestations, which could be used to evaluate the infection. Conclusion: Our results showed the high sensitivity and specificity of the NAS method for SARS-CoV-2 detection compared with RT-qPCR. The sequencing results were also used as an indicator of the viral load to display the viral dynamics during infection. This study proved the wide application prospect of nanopore sequencing detection for SARS-CoV-2 and may more knowledge about the clinical characteristics of COVID-19.

CREM Is Correlated With Immune-Suppressive Microenvironment and Predicts Poor Prognosis in Gastric Adenocarcinoma.

The transcriptional repressor cAMP response element modulator (CREM) has an important role in T-cell development. In this study, we used the integrated Bioinformatics Methods to explore the role of CREM in gastric adenocarcinoma (GAC). Our results showed that high CREM expression was closely related with poorer overall survival in GAC. By GSEA cluster analysis, we found that the high expression of CREM was associated with the cancer-associated pathway in GAC. Moreover, single-cell sequencing data showed that CREM is mainly localized in exhausted CD8+ T cells. Its prognostic value and the potential function lead to T-cell exhaustion in the tumor microenvironment (TME). Similar results were also obtained in glioma and lung cancer. High expression of CREM, correlated with clinical relevance of GAC, was associated with T-cell exhaustion and M2 polarization in GAC. These findings suggest that CREM can be used as a prognostic biomarker in GAC, which might provide a novel direction to explore the pathogenesis of GAC.

Alternative Evaluation to Earthworm Toxicity Test in Polychlorinated Biphenyls Spiked and Remediated Soils.

Polychlorinated biphenyls (PCBs) are a class of persistent organic pollutants that pose a threat to environment and human health. Aiming at predicting PCBs risk in actual soil ecosystem, this study was conducted by chemical and biological methods to assess the bioavailability of PCBs in spiked soil, and in field-contaminated soils before or after remediation. The three chemical methods were Soxhlet, n-butanol and hydroxypropyl-ß-cyclodextrin (HPCD). Results were compared to actual PCB bioaccumulation in earthworms (Eisenia fetida). HPCD extraction was the best to predict the actual PCB bioaccumulation in all soils. The results suggest that HPCD could be an effective alternative method to earthworm toxicity test. This study provides strategy to understand the toxicity assessment in contaminated soil and soil after remediation.

Long non-coding RNA H19 promotes the proliferation and invasion of lung cancer cells and regulates the expression of E-cadherin, N-cadherin, and vimentin.

BACKGROUND: This study aimed to explore the effect of long non-coding RNA (LncRNA) H19 on the proliferation and invasion of lung carcinoma cells A549, and to determine its molecular targets. METHODS: A549 cells were with either LncRNA H19 or LncRNA H19 shRNA, and the expression levels of LncRNA H19 were evaluated by quantitative real-time PCR (RT-PCR). We measured cell proliferation using the CCK-8 assay, cell counting assays, and colony formation assay in response to shLncRNA H19-2. Cell migration and invasion were assessed by wound healing assay and Transwell assay, respectively. The mRNA and protein expression levels of E-cadherin, N-cadherin, and vimentin were determined by RT-PCR and western blot, respectively. RESULTS: The three LncRNA H19 shRNAs used in our study significantly reduced the expression levels of LncRNA H19 in A549 cells (P<0.05). Moreover, LncRNA H19 shRNA 2 (shLncRNA-2) was the most potent inhibitor of LncRNA H19 expression, and was selected for further experimentation. Transfection with shLncRNA H19-2 significantly decreased the proliferation, migration, and invasion of A549 cells, while overexpression of LncRNA H19 had the opposite effect in these cells (P<0.05). In response to shLncRNA H19-2, the expression levels of E-cadherin were notably elevated (P<0.05), while the expression levels of N-cadherin and vimentin were decreased (P<0.05). In contrast, overexpression of LncRNA H19 induced the expression of E-cadherin, and blocked the expression of N-cadherin, and vimentin (P<0.05). CONCLUSION: Our results suggest that LncRNA H19 mediates the proliferation and invasion of lung cancer cells via upregulation of N-cadherin and vimentin, and downregulation of E-cadherin.

Assessment of phenanthrene bioavailability in aged and unaged soils by mild extraction.

It has become apparent that the threat of an organic pollutant in soil is directly related to its bioavailable fraction and that the use of total contaminant concentrations as a measure of potential contaminant exposure to plants or soil organisms is inappropriate. In light of this, non-exhaustive extraction techniques are being investigated to assess their appropriateness in determining bioavailability. To find a suitable and rapid extraction method to predict phenanthrene bioavailability, multiple extraction techniques (i.e., mild hydroxypropyl-ß-cyclodextrin (HPCD) and organic solvents extraction) were investigated in soil spiked to a range of phenanthrene levels (i.e., 1.12, 8.52, 73, 136, and 335 µg g( - 1) dry soil). The bioaccumulation of phenanthrene in earthworm (Eisenia fetida) was used as the reference system for bioavailability. Correlation results for phenanthrene suggested that mild HPCD extraction was a better method to predict bioavailability of phenanthrene in soil compared with organic solvents extraction. Aged (i.e., 150 days) and fresh (i.e., 0 day) soil samples were used to evaluate the extraction efficiency and the effect of soil contact time on the availability of phenanthrene. The percentage of phenanthrene accumulated by earthworms and percent recoveries by mild extractants changed significantly with aging time. Thus, aging significantly reduced the earthworm uptake and chemical extractability of phenanthrene. In general, among organic extractants, methanol showed recoveries comparable to those of mild HPCD for both aged and unaged soil matrices. Hence, this extractant can be suitable after HPCD to evaluate risk of contaminated soils.

Assessment of pyrene bioavailability in soil by mild hydroxypropyl-ß-cyclodextrin extraction.

Bioavailability of organic pollutants in soil is currently a much-debated issue in risk assessment of contaminated sites. Ecorisk of an organic pollutant in soil is strongly influenced by the properties of the soil and its contamination history. To evaluate the effect of aging on the availability of pyrene, earthworm (Eisenia fetida) accumulation and chemical extraction by exhaustive and nonexhaustive techniques in soil spiked with a range of pyrene levels (1.07, 9.72, 88.4, 152, and 429 µg g⁻¹ dry soil) were measured in this study using both unaged (i.e., 0 days) and aged (i.e., 69, 150, and 222 days) soil samples. The results showed that the amount of pyrene accumulated by earthworms did not change greatly with aging time under different high-dose contamination levels, but changed significantly at lower concentrations. Moreover, aging (after 222 days) significantly decreased biological and chemical availability of pyrene. Furthermore, the relationship between earthworm bioaccumulation, hydroxypropyl-ß-cyclodextrin (HPCD), and organic solvent extraction was investigated in order to find a suitable and rapid method to predict pyrene bioavailability. Results showed that, at different levels of pyrene, the mean values of earthworm uptake and HPCD extractability were 10-40% and 10-65%, respectively. Correlation (r² = 0.985) and extraction results for pyrene suggested that mild HPCD extraction was a better method to predict bioavailability of pyrene in soil compared with organic solvent extraction.

Levels and distributions of polycyclic aromatic hydrocarbons in agricultural soils in an emerging e-waste recycling town in Taizhou area, China.

The present study investigated the levels, distributions, profiles and possible sources of polycyclic aromatic hydrocarbons (PAHs) in agricultural soils around Zeguo, an emerging e-waste recycling town in Taizhou area, China. Concentrations of sixteen USEPA priority PAHs and soil organic matter were analyzed in 59 agricultural soil samples. The total PAH concentrations ranged from 262.6 to 3,420.2 microg/kg, with the average values in a gradually descending order: agricultural soil near e-waste recycling plants and workshops (1,336.0 microg/kg) > agricultural soil in villages with open burning and e-waste recycling activities (945.8 microg/kg) > agricultural soil in other villages (466.5 microg/kg). Analysis of the distribution patterns of the PAHs showed that phenanthrene, anthracene, fluoranthene and pyrene were the dominant species. The significant correlations among individual, low-molecular-weight (LMW), high-molecular-weight (HMW) and total PAHs and the very similar PAH profiles in the three sampling areas indicated that the PAHs might have come from similar sources. The ratios of Anthracene to sum of Anthracene and Phenanthrene concentrations (Ant/(Ant+Phe)) and fluoranthene to sum of fluoranthene and pyrene concentrations (Flt/(Flt+Pyr)) were calculated and principal component analysis (PCA) was performed and the results suggested that an anthropogenic source such as the combustion of a petroleum product or coal during the e-waste recycling process seemed to be the main source of PAHs in the Zeguo agricultural soil. In conclusion, soils taken from Zeguo agricultural areas were considered to be heavily polluted, and the emerging e-waste recycling activities had definite effects on PAH soil concentrations.

Degradation of phenanthrene and pyrene in spiked soils by single and combined plants cultivation.

The present study was conducted to investigate the capability of four plant species (tall fescue, ryegrass, alfalfa, and rape seed) grown alone and in combination to the degradation of phenanthrene and pyrene (polycyclic aromatic hydrocarbons, PAHs) in spiked soil. After 65 days of plant growth, plant biomass, dehydrogenase activity, water-soluble phenolic (WSP) compounds, plant uptake and accumulation and residual concentrations of phenanthrene and pyrene were determined. Our results showed that presence of vegetation significantly enhanced the dissipation of phenanthrene and pyrene from contaminated soils. Higher degradation rates of PAHs were observed in the combined plant cultivation (98.3-99.2% phenanthrene and 88.1-95.7% pyrene) compared to the single plant cultivation (97.0-98.0% phenanthrene and 79.8-86.0% pyrene). Contribution of direct plant uptake and accumulation of phenanthrene and pyrene was very low compared to the plant enhanced dissipation. By contrast, plant-promoted biodegradation was the predominant contribution to the remediation enhancement. The correlation analysis indicates a negative relation between biological activities (dehydrogenase activity and WSP compounds) and residual concentrations of phenanthrene and pyrene in planted soils. Our results suggest that phytoremediation could be a feasible choice for PAHs contaminated soil. Moreover, the combined plant cultivation has potential to enhance the process.

Heavy metal and persistent organic compound contamination in soil from Wenling: an emerging e-waste recycling city in Taizhou area, China.

The present study was conducted to investigate the levels and sources of heavy metals (Cu, Cr, Cd, Pb, Zn, Hg and As) and persistent organic compounds including polycyclic aromatic hydrocarbons (PAHs) and polychlorinated biphenyls (PCBs) in soils taken from Wenling, an emerging e-waste recycling city in Taizhou, China. The results suggested that most heavy metals exceeded the respective Grade II value of soil quality standards from State Environmental Protection Administration of China and also exceeded the Dutch optimum values. Total PAHs in soil ranged from 371.8 to 1231.2 microg/kg, and relatively higher PAHs concentrations were found in soils taken from simple household workshops. PCBs were detectable in all samples with total concentrations ranging from 52.0 to 5789.5 microg/kg, which were 2.1-232.5 times higher than that from the reference site (24.9 microg/kg). Results of this study suggested soil in the Wenling e-waste recycling area were heavily contaminated by heavy metals, PAHs and PCBs. Furthermore, compared with large-scale plants, simple household workshops contributed more heavy metals, PAHs and PCBs pollution to the soil environment, indicating that soil contamination from e-waste recycling in simple household workshops should be given more attention.

Enhanced phytoremediation potential of polychlorinated biphenyl contaminated soil from e-waste recycling area in the presence of randomly methylated-beta-cyclodextrins.

The crude recycling of electronic and electric waste (e-waste) is now creating soil pollution problems with organic compounds such as polychlorinated biphenyls (PCBs). The present study aimed to compare the phytoremediation potential of four plant species (rice, alfalfa, ryegrass and tall fescue) for PCBs contaminated soil from Taizhou city, one of the largest e-waste recycling centers in China. In addition, the enhanced effects of randomly methylated-beta-cyclodextrins (RAMEB) on PCBs phytoremediation potential were evaluated. Higher PCBs removal percentages of 25.6-28.5% in rhizosphere soil were observed after 120 days, compared with those of the non-rhizosphere (10.4-16.9%) and unplanted controls (7.3%). The average PCBs removal percentages of four plant species increased from 26.9% to 37.1% in the rhizosphere soil with addition of RAMEB. Meanwhile, relatively high microbial counts and dehydrogenase activity were detected in planted soils and a stimulatory effect by RAMEB addition was found. The present study indicated that all the plant candidates were feasible for phytoremediation of PCBs contaminated soil from the e-waste recycling area, and tall fescue with RAMEB amendment seemed as a promising remediation strategy. High PCBs removal percentage was due to the increased PCBs bioavailability as well as biostimulation of microbial communities after plantation and RAMEB addition.

Hormesis response of marine and freshwater luminescent bacteria to metal exposure.

The stimulatory effect of low concentrations of toxic chemicals on organismal metabolism, referred to as hormesis, has been found to be common in the widely used luminescence bioassay. This paper aims to study the hormesis phenomenon in both marine and freshwater luminescent bacteria, named Photobacterium phosphorem and Vibrio qinghaiensis. The effects of Cu (II), Zn (II), Cd (II) and Cr (VI) on luminescence of these two bacteria were studied for 0 to 75 minutes exposure by establishing dose- and time-response curves. A clear hormesis phenomenon was observed in all four testing metals at low concentrations under the condition of luminescence assays.

Enhancement of phenanthrene and pyrene degradation in rhizosphere of tall fescue (Festuca arundinacea).

A greenhouse experiment was conducted with varying concentrations of phenanthrene (11-344 mg kg(-1)) and pyrene (15-335 mg kg(-1)) spiked in the soil to evaluate the phytoremediation of PAHs contaminated soil using tall fescue (Festuca arundinacea). After 65-day of tall fescue growth, plant biomass, microbial viable counts, dehydrogenase activity, water-soluble phenolic compounds, phenanthrene and pyrene residual concentrations and removal percentages were determined. The results showed that target PAHs (phenanthrene and pyrene) did not affect plant biomass at lower concentrations but a reduced biomass (only 53.5% of shoot and 29.7% of root compared to control) was observed at higher concentrations. Higher biological activities (microbial viable counts, water-soluble phenolic compounds, dehydrogenase activity) and PAHs degradation rates were detected in planted soils than unplanted controls. After harvest, 91.7-97.8% of phenanthrene and 70.8-90.0% of pyrene had been degraded in the planted soils, which were 1.88-3.19% and 8.85-20.69% larger than those in corresponding unplanted soils. This enhanced dissipation of target PAHs in planted soils might be derived from increased biological activity in the rhizosphere. The results of the present study suggest that the presence of tall fescue roots were effective in promoting the phytoremediation of PAHs contaminated soil.

Hormesis response of marine and freshwater luminescent bacteria to metal exposure

The stimulatory effect of low concentrations of toxic chemicals on organismal metabolism, referred to as hormesis, has been found to be common in the widely used luminescence bioassay. This paper aims to study the hormesis phenomenon in both marine and freshwater luminescent bacteria, named Photobacterium phosphorem and Vibrio qinghaiensis. The effects of Cu (II), Zn (II), Cd (II) and Cr (VI) on luminescence of these two bacteria were studied for 0 to 75 minutes exposure by establishing dose- and time-response curves. A clear hormesis phenomenon was observed in all four testing metals at low concentrations under the condition of luminescence assays.