Enhanced anaerobic digestion performance and sludge filterability by membrane microaeration for anaerobic membrane bioreactor application.

Slow dissolution/hydrolysis of insoluble/macromolecular organics and poor sludge filterability restrict the application potential of anaerobic membrane bioreactor (AnMBR). Bubble-free membrane microaeration was firstly proposed to overcome these obstacles in this study. The batch anaerobic digestion tests feeding insoluble starch and soluble peptone with and without microaeration showed that microaeration led to a 65.7-144.8% increase in methane production and increased critical flux of microfiltration membrane via driving the formation of large sludge flocs and the resultant improvement of sludge settleability. The metagenomic and bioinformatic analyses showed that microaeration significantly enriched the functional genes and bacteria for polysaccharide and protein hydrolysis, microaeration showed little negative effects on the functional genes involved in anaerobic metabolisms, and substrate transfer from starch to peptone significantly affected the functional genes and microbial community. This study demonstrates the dual synergism of microaeration to enhance the dissolution/hydrolysis/acidification of insoluble/macromolecular organics and sludge filterability for AnMBR application.

TRAIL and Celastrol Combinational Treatment Suppresses Proliferation, Migration, and Invasion of Human Glioblastoma Cells via Targeting Wnt/ß-catenin Signaling Pathway.

OBJECTIVE: To investigate the mechanistic basis for the anti-proliferation and anti-invasion effect of tumor necrosis factor-related apoptosis-induced ligand (TRAIL) and celastrol combination treatment (TCCT) in glioblastoma cells. METHODS: Cell counting kit-8 was used to detect the effects of different concentrations of celastrol (0-16 µmol/L) and TRAIL (0-500 ng/mL) on the cell viability of glioblastoma cells. U87 cells were randomly divided into 4 groups, namely control, TRAIL (TRAIL 100 ng/mL), Cel (celastrol 0.5 µmol/L) and TCCT (TRAIL 100 ng/mL+ celastrol 0.5 µmol/L). Cell proliferation, migration, and invasion were detected by colony formation, wound healing, and Transwell assays, respectively. Quantitative reverse transcription polymerase chain reaction and Western blotting were performed to assess the levels of epithelial-mesenchymal transition (EMT) markers (zona occludens, N-cadherin, vimentin, zinc finger E-box-binding homeobox, Slug, and ß-catenin). Wnt pathway was activated by lithium chloride (LiCl, 20 mol/L) and the mechanism for action of TCCT was explored. RESULTS: Celastrol and TRAIL synergistically inhibited the proliferation, migration, invasion, and EMT of U87 cells (P<0.01). TCCT up-regulated the expression of GSK-3ß and down-regulated the expression of ß-catenin and its associated proteins (P<0.05 or P<0.01), including c-Myc, Cyclin-D1, and matrix metalloproteinase (MMP)-2. In addition, LiCl, an activator of the Wnt signaling pathway, restored the inhibitory effects of TCCT on the expression of ß-catenin and its downstream genes, as well as the migration and invasion of glioblastoma cells (P<0.05 or P<0.01). CONCLUSIONS: Celastrol and TRAIL can synergistically suppress glioblastoma cell migration, invasion, and EMT, potentially through inhibition of Wnt/ß-catenin pathway. This underlies a novel mechanism of action for TCCT as an effective therapy for glioblastoma.

Comprehensive analysis of the association between inflammation indexes and complications in patients undergoing pancreaticoduodenectomy.

Background: During clinical practice, routine blood tests are commonly performed following pancreaticoduodenectomy (PD). However, the relationship between blood cell counts, inflammation-related indices, and postoperative complications remains unclear. Method: We conducted a retrospective study, including patients who underwent PD from October 2018 to July 2023 at the First Hospital of Chongqing Medical University, and compared baseline characteristics and clinical outcomes among different groups. Neutrophil count (NC), platelet count (PLT), lymphocyte count (LC), systemic immune-inflammation index (SII), platelet-to-lymphocyte ratio (PLR), neutrophil-to-lymphocyte ratio (NLR), and the product of platelet count and neutrophil count (PPN) were derived from postoperative blood test results. We investigated the association between these indicators and outcomes using multivariable logistic regression and restricted cubic spline analysis. The predictive performance of these indicators was assessed by the area under the curve (AUC) of the receiver operating characteristic (ROC) curve and decision curve analysis (DCA). Result: A total of 232 patients were included in this study. Multivariate logistic regression and restricted cubic spline analysis showed that all indicators, except for PLT, were associated with clinical postoperative pancreatic fistula (POPF). SII, NLR, and NC were linked to surgical site infection (SSI), while SII, NLR, and PLR were correlated with CD3 complication. PLT levels were related to postoperative hemorrhage. SII (AUC: 0.729), NLR (AUC: 0.713), and NC (AUC: 0.706) effectively predicted clinical POPF. Conclusion: In patients undergoing PD, postoperative inflammation-related indices and blood cell counts are associated with various complications. NLR and PLT can serve as primary indicators post-surgery for monitoring complications.

Evaluation of Front-Face Fluorescence for Assessing Cyanobacteria Fouling in Ultrafiltration.

Cyanobacteria fouling in ultrafiltration (UF) drinking water treatment poses a significant threat to the stability and sustainability of the process. Both phycocyanin found in cyanobacteria and the polymer membrane exhibit strong fluorescence, which could be readily detected using front-face excitation-emission matrix (FF-EEM) spectroscopy. In this study, FF-EEM was employed for the nondestructive and in situ characterization of algae fouling evolution in UF, while also analyzing fouling mechanisms and reversibility. The results indicated that phycocyanin fluorescence on the membrane surface showed a linear correlation with the specific algal cell count on the membrane surface before reaching saturation. As fouling progressed, membrane fluorescence decreased, which was associated with the extent of the surface coverage on the membrane. The plateau in membrane fluorescence indicated full coverage, coinciding with the cake filtration mechanism, cake compression, and deterioration of fouling reversibility. These findings highlight the promise of FF-EEM as a valuable tool for monitoring and evaluating fouling of cyanobacteria in UF systems.

UV/Fe(II)/S(IV) Pretreatment for Ultrafiltration of Microcystis aeruginosa-Laden Water: Fe(II)/Fe(III) Triggered Synergistic Oxidation and Coagulation.

Ultrafiltration (UF) has been proven effective in removing algae during seasonal algal blooms, but the algal cells and the metabolites can induce severe membrane fouling, which undermines the performance and stability of the UF. Ultraviolet-activated sulfite with iron (UV/Fe(II)/S(IV)) could enable an oxidation-reduction coupling circulation and exert synergistic effects of moderate oxidation and coagulation, which would be highly preferred in fouling control. For the first time, the UV/Fe(II)/S(IV) was systematically investigated as a pretreatment of UF for treating Microcystis aeruginosa-laden water. The results showed that the UV/Fe(II)/S(IV) pretreatment significantly improved the removal of organic matter and alleviated membrane fouling. Specifically, the organic matter removal increased by 32.1% and 66.6% with UV/Fe(II)/S(IV) pretreatment for UF of extracellular organic matter (EOM) solution and algae-laden water, respectively, while the final normalized flux increased by 12.0-29.0%, and reversible fouling was mitigated by 35.3-72.5%. The oxysulfur radicals generated in the UV/S(IV) degraded the organic matter and ruptured the algal cells, and the low-molecular-weight organic matter generated in the oxidation penetrated the UF and deteriorated the effluent. The over-oxidation did not happen in the UV/Fe(II)/S(IV) pretreatment, which may be attributed to the cyclic redox Fe(II)/Fe(III) coagulation triggered by the Fe(II). The UV-activated sulfate radicals in the UV/Fe(II)/S(IV) enabled satisfactory organic removal and fouling control without over-oxidation and effluent deterioration. The UV/Fe(II)/S(IV) promoted the aggregation of algal foulants and postponed the shift of the fouling mechanisms from standard pore blocking to cake filtration. The UV/Fe(II)/S(IV) pretreatment proved effective in enhancing the UF for algae-laden water treatment.

Simultaneous ammonium and water recovery from landfill leachate using an integrated two-stage membrane distillation.

Resources recovery from landfill leachate (LFL) has been attracting growing attention instead of merely purifying the wastewater. An integrated two-stage membrane distillation (ITMD) was proposed to simultaneously purify LFL and recover ammonia in this study. The results showed that organics could be always effectively rejected by the ITMD regardless of varying feed pH, with COD removal higher than 99%. With feed pH increased from 8.64 to 12, the ammonia migration (50-100%) and capture (36-75%) in LFL were considerably enhanced, boosting the separated ammonia enrichment to 1.3-1.7 times due to the improved ammonium diffusion. However, the corresponding membrane flux of the first MD stage decreased from 13.7 to 10.5 L/m2·h. Elevating feed pH caused the deprotonation of NOM and its binding with inorganic ions, constituting a complex fouling layer on the membrane surface in the first MD stage. In contrast, the membrane permeability and fouling of the second MD were not affected by feed pH adjustment because only volatiles passed through the first MD. More importantly, it was estimated that ITMD could obtain high-quality water and recover high-purity ammonium from LFL with relatively low ammonium concentration at an input cost of $ 2-3/m3, which was very competitive with existing techniques. These results demonstrated that the ITMD can be a valuable candidate strategy for simultaneous water purification and nutrient recovery from landfill leachate.

Cake Layer Fouling Potential Characterization for Wastewater Reverse Osmosis via Gradient Filtration.

It is of great importance to quantitatively characterize feed fouling potential for the effective and efficient prevention and control of reverse osmosis membrane fouling. A gradient filtration method with microfiltration (MF 0.45 µm) → ultrafiltration (UF 100 kDa) → nanofiltration (NF 300 Da) was proposed to extract the cake layer fouling index, I, of different feed foulants in this study. MF, UF, and NF showed high rejection of model suspended solids (kaolin), colloids (sodium alginate and bovine serum albumin), and dissolved organic matters (humic acid) during constant-pressure individual filtration tests, where the cake layer was the dominant fouling mechanism, with I showing a good linear positive correlation with the foulant concentration. MF → UF → NF gradient filtration tests of synthetic wastewater (i.e., model mixture) showed that combined models were more effective than single models to analyze membrane fouling mechanisms. For each membrane of gradient filtration, I showed a positive correlation with the targeted foulant concentration. Therefore, a quantitative assessment method based on MF → UF → NF gradient filtration, the correlation of combined fouling models, and the calculation of I would be useful for characterizing the fouling potentials of different foulants. This method was further successfully applied for characterizing the fouling potential of real wastewater (i.e., sludge supernatant from a membrane bioreactor treating dyeing and finishing wastewater).

Layered metal oxides loaded ceramic membrane activating peroxymonosulfate for mitigation of NOM membrane fouling.

Catalytic membrane can achieve sieving separation and advanced oxidation simultaneously, which can improve the effluent water quality while reducing membrane fouling. In this study, the catalytic membranes (M2+Al@AM) were fabricated by loading different binary layered metal oxides (M2+Al-LMO: MnAl-LMO, CuAl-LMO and CoAl-LMO) on alumina ceramic substrate membranes (AM) via vacuum filtration followed by calcination process. The performance of the catalytic membranes was investigated by filtering actual surface water. It was found that the presence of peroxymonosulfate (PMS) could mitigate membrane fouling effectively, as evidenced by the increase of normalized flux from 0.28 to 0.62 in CoAl@AM/PMS system, from 0.25 to 0.52 in CuAl@AM/PMS system, and from 0.22 to 0.31 in MnAl@AM/PMS system, respectively. Correspondingly, the CoAl@AM exhibited the highest removal for UV254, TOC and fluorescent components in the surface water, followed by CuAl@AM and MnAl@AM. Quenching effect of phenol and furfuryl alcohol proposed the surface-bound radicals and singlet oxygen were the major reactive oxygen species in the M2+Al@AM/PMS systems. Interface free energy calculations confirmed the in-situ PMS activation could enhance the repulsive interactions between NOM and the membranes, thus mitigating membrane fouling. This work provides an original but simple strategy for catalytic ceramic membrane preparation and new insights into the mechanism of membrane fouling mitigation in catalytic membrane system.

Chemical Cleaning and Membrane Aging in MBR for Textile Wastewater Treatment.

Membrane bioreactors have been widely used in textile wastewater treatment. Intensive chemical cleaning is indispensable in the MBR for textile wastewater treatment due to the severe membrane fouling implied. This work investigated the aging of three different membranes, polyvinylidene fluoride (PVDF), polyether sulfone (PES), and polytetrafluoroethylene (PTFE), in the MBRs for textile wastewater treatment. Pilot-scale MBRs were operated and the used membrane was characterized. Batch chemical soaking tests were conducted to elucidate the aging properties of the membranes. The results indicated that the PVDF membrane was most liable to the chemical cleaning, and the PES and PTFE membranes were rather stable. The surface hydrophobicity of the PVDF increased in the acid aging test, and the pore size and pure water flux decreased due to the elevated hydrophobic effect; alkaline oxide aging destructed the structure of the PVDF membrane, enlarged pore size, and increased pure water flux. Chemical cleaning only altered the interfacial properties (hydrophobicity and surface zeta potential) of the PES and PTFE membranes. The fluoro-substitution and the dehydrofluorination of the PVDF, chain scission of the PES molecules, and dehydrofluorination of the PTFE were observed in aging. A chemically stable and anti-aging membrane would be of great importance in the MBR for textile wastewater treatment due to the intensive chemical cleaning applied.

Activation of 5-Hydroxytryptamine 4 Receptor Improves Colonic Barrier Function by Triggering Mucin 2 Production in a Mouse Model of Type 1 Diabetes.

Diabetes leads to intestinal barrier dysfunction. 5-Hydroxytryptamine 4 receptor (5-HT4R) is distributed in the colonic mucosa, but little is known about the role of its activation in diabetes-evoked colonic barrier dysfunction. This study investigates whether activation of 5-HT4Rs on goblet cells (GCs) protects the colon from commensal bacterial translocation in diabetic mice. Expression of 5-HT4R detected inside the colonic epithelium by RNAscope in situ hybridization was further observed within the mucin 2 (MUC2)-immunoreactive GCs. In diabetic mice, neither 5-HT4R transcription nor protein levels were altered compared with those in nondiabetic mice. Bacterial translocation was characterized by 16S rRNA RNAscope in situ hybridization and manifested in both crypts and lamina propria of the colon in diabetic mice. Mucin production and MUC2 expression were significantly decreased in diabetic mice. Furthermore, the loss of mitochondrial cristae of GCs and the down-regulation of mitofilin, the core protein maintaining mitochondrial homeostasis, were observed in diabetic mice. Long-term treatment with 5-HT4R agonist in diabetic mice not only prevented bacterial penetration of the whole colonic mucosa but also promoted mucin production and MUC2 expression. Markedly, 5-HT4R agonist also restored the mitochondrial cristae of GCs and up-regulated mitofilin. However, co-administration of 5-HT4R antagonist abolished the effects of 5-HT4R agonist on diabetic mice. These findings indicate that 5-HT4R in colonic mucosa is an effective target for the treatment of diabetes-induced colonic mucous barrier dysfunction.

Photolytic quorum quenching effects on the microbial communities and functional gene expressions in membrane bioreactors.

Photolytic quorum quenching by ultraviolet A (UVA) irradiation is an effective strategy for controlling membrane bioreactor (MBR) biofouling; however, its effects on MBR microbial communities and functional genes have not yet been explored. Here, we report on the effects of the UVA irradiation, which mitigates membrane biofouling, on the microbial community structures, alpha and beta diversities, and functional gene expressions in the MBR mixed liquor and biocake (membrane fouling layer) for the first time. The results show that the microbial communities become less diversified when alternating UVA is applied to the MBRs. The changes in the community structure are highly influenced by spatiotemporal factors, such as microbial habitats (mixed liquor and biocake) and reactor operation time, although UVA irradiation also has some impacts on the community. The relative abundance of the Sphingomonadaceae family, which can decompose the furan ring of autoinducer-2 (AI-2) signal molecules, becomes greater with continuous UVA irradiation. Xanthomonadaceae, which produces biofilm-degrading enzymes, is also more abundant with UVA photolysis than without it. Copies of monooxygenase and hydroxylase enzyme-related genes increase in the MBR with longer UVA exposures (i.e., continuous UVA). These enzymes seem to be inducible by UVA, enhancing the AI-2 inactivation. In conclusion, UVA irradiation alters the microbial community and the metabolism in the MBR, contributing to the membrane biofouling mitigation.

Effect of ferrate pre-oxidation on algae-laden water ultrafiltration: Attenuating membrane fouling and decreasing formation potential of disinfection byproducts.

Effect of ferrate [Fe(VI)] pre-oxidation on improving FeCl3/ultrafiltration (UF) of algae-laden source water was investigated. Fe(VI) disrupted algae cells and the in situ formed ferric (hydr)oxides aggregated with cell debris. Particle size and zeta potential of algae increased by 20% and 55% on average, respectively, after treatment with 0.02 mM of Fe(VI). These variations facilitated the formation of algae-ferric floc. Fe(VI) degraded algal extracellular organic matter into lower molecular weight products (fulvic-like and humic-like substances). Membrane flux, reversible membrane resistance (Rr) and irreversible membrane resistance (Rir) were improved by 51%, 61%, and 52% in Fe(VI) (0.02 mM)/FeCl3/UF treatment group compared with FeCl3/UF treatment after three filtration cycles. Fe(VI)/FeCl3/UF removed more than 10% ~ 34% of the dissolved organic compounds (DOC) and 6% ~ 17% of the total nitrogen (TN) compared with FeCl3/UF. Due to the enhanced removal of DOC and TN, formation potential of 12 kinds of carbonaceous-disinfection byproducts (C-DBPs) and 7 kinds of nitrogenous-disinfection byproducts (N-DBPs) decreased by 32.5% and 22.5%, respectively. Fe(VI) pre-oxidant was effective for alleviating membrane fouling and reducing formation potential of DBPs in algal laden water treatment.

Front-face fluorescence excitation-emission matrix (FF-EEM) for direct analysis of flocculated suspension without sample preparation in coagulation-ultrafiltration for wastewater reclamation.

Fluorescence spectroscopy has been suggested as a promising online monitoring technique in water and wastewater treatment processes due to its high sensitivity and selectivity. However, a pre-filtration is still indispensable in fluorescence measurement for removing ubiquitous particles and flocs in real samples to eliminate the strong light scattering that could attenuate fluorescence detection significantly. This study proposed a front-face fluorescence spectroscopy, which could characterize the liquid sample with suspended solids directly without pre-filtration. Front-face excitation-emission matrix (FF-EEM) coupled with parallel factor (PARAFAC) analysis was used for analyzing fluorescence components and to probe coagulation of secondary effluent and fouling in the subsequent ultrafiltration (UF), and conventional right-angle fluorescence EEM (RA-EEM) was also compared. The results showed that FF-EEM was less susceptible to turbidity (induced by standard particles) in the secondary effluent compared to RA-EEM. FF-EEM could successfully measure dissolved fluorophores in coagulated suspension without pre-filtration, while conventional RA-EEM was undermined significantly due to the existing flocs. FF-EEM coupled with PARAFAC could accurately probe dissolved organic matter and fouling in coagulation- UF wastewater reclamation processes. Therefore, it was demonstrated that this front-face fluorescence without any sample preparation step might be highly promising in real-time online fluorescence monitoring in multi water and wastewater treatment processes.

Low-dose Ultraviolet-A irradiation selectively eliminates nitrite oxidizing bacteria for mainstream nitritation.

Nitritation is currently known as a bottleneck for mainstream nitrite shunt or partial nitritation/anammox (PN/A). Here we propose a new approach to selectively eliminate nitrite oxidizing bacteria (NOB) for mainstream nitritation by low-dose ultraviolet-A (UVA) irradiation. The results showed that mainstream nitritation was rapidly achieved within 10 days with UVA irradiation at the dose of 0.87 µE L-1 s-1, and nitrite accumulation ratio (NO2--N/(NO2--N + NO3--N) ×100%) stabilized over 80%. Microbial community analysis revealed that two typical NOB populations (Nitrospira and Ca. Nitrotoga) detected in the control reactor were suppressed efficiently in UVA irradiation reactor, whereas the Nitrosomonas genus of ammonium oxidizing bacteria (AOB) remained at similar level. Intracellular reactive oxygen species (ROS) analysis indicated that NOB-dominant sludge tends to generate more intracellular ROS compared with AOB-dominant sludge in the presence of UVA, leading to the inactivation and elimination of NOB. Additionally, amounts of microalgae found in UVA irradiation reactor could help to suppress NOB by generating ROS during photosynthesis. Briefly, the UVA irradiation approach proposed in this study was shown to be promising in NOB suppression for reliable mainstream nitritation.

Biodegradation of Polyvinyl Chloride (PVC) in Tenebrio molitor (Coleoptera: Tenebrionidae) larvae.

Tenebrio molitor larvae (Coleoptera: Tenebrionidae) are capable of depolymerizing and biodegrading polystyrene and polyethylene. We tested for biodegradation of Polyvinyl Chloride (PVC) in T. molitor larvae using rigid PVC microplastic powders (MPs) (70-150 µm) with weight-, number-, and size-average molecular weights (Mw, Mn and Mz) of 143,800, 82,200 and 244,900 Da, respectively, as sole diet at 25 °C. The ingestion rate was 36.62 ± 6.79 mg MPs 100 larvae-1 d-1 during a 16-day period. The egested frass contained about 34.6% of residual PVC polymer, and chlorinated organic carbons. Gel permeation chromatography (GPC) analysis indicated a decrease in the Mw, Mn and Mz by 33.4%, 32.8%, and 36.4%, respectively, demonstrating broad depolymerization. Biodegradation and oxidation of the PVC MPs was supported by the formation of OC and OC functional groups using frontier transform infrared spectroscopy (FTIR) and 1H nuclear magnetic resonance (1H NMR), and by significant changes in the thermal characteristics using thermo-gravimetric analysis (TGA). Chloride released was counted as about 2.9% of the PVC ingested, indicating limited mineralization of the PVC MPs. T. molitor larvae survived with PVC as sole diet at up to 80% over 5 weeks but did not complete their life cycle with a low survival rate of 39% in three months. With PVC plus co-diet wheat bran (1:5, w/w), they completed growth and pupation as same as bran only in 91 days. Suppression of gut microbes with the antibiotic gentamicin severely inhibited PVC depolymerization, indicating that the PVC depolymerization/biodegradation was gut microbe-dependent. Significant population shifts and clustering in the gut microbiome and unique OTUs were observed after PVC MPs consumption. The results indicated that T. molitor larvae are capable of performing broad depolymerization/biodegradation but limited mineralization of PVC MPs.

Impacts of Natural Organic Matter Adhesion on Irreversible Membrane Fouling during Surface Water Treatment Using Ultrafiltration.

To understand impacts of organic adhesion on membrane fouling, ultrafiltration (UF) membrane fouling by dissolved natural organic matter (NOM) was investigated in the presence of background cations (Na+ and Ca2+) at typical concentrations in surface water. Moreover, NOM adhesion on the UF membrane was investigated using atomic force microscopy (AFM) with colloidal probes and a quartz crystal microbalance with dissipation monitoring (QCM-D). The results indicated that the adhesion forces at the NOM-membrane interface increased in the presence of background cations, particularly Ca2+, and that the amount of adhered NOM increased due to reduced electrostatic repulsion. However, the membrane permeability was almost not affected by background cations in the pore blocking-dominated phase but was aggravated to some extent in the cake filtration-governed phase. More importantly, the irreversible NOM fouling was not correlated with the amount of adhered NOM. The assumption for membrane autopsies is doubtful that retained or adsorbed organic materials are necessarily a primary cause of membrane fouling, particularly the irreversible fouling.

Fouling Mechanisms Analysis via Combined Fouling Models for Surface Water Ultrafiltration Process.

Membrane fouling is still the bottleneck affecting the technical and economic performance of the ultrafiltration (UF) process for the surface water treatment. It is very important to accurately understand fouling mechanisms to effectively prevent and control UF fouling. The rejection performance and fouling mechanisms of the UF membrane for raw and coagulated surface water treatment were investigated under the cycle operation of constant-pressure dead-end filtration and backwash. There was no significant difference in the UF permeate quality of raw and coagulated surface water. Coagulation mainly removed substances causing turbidity in raw surface water (including most suspended particles and a few organic colloids) and thus mitigated UF fouling effectively. Backwash showed limited fouling removal. For the UF process of both raw and coagulated surface water, the fittings using single models showed good linearity for multiple models mainly due to statistical illusions, while the fittings using combined models showed that only the combined complete blocking and cake layer model fitted well. The quantitative calculations showed that complete blocking was the main reason causing flux decline. Membrane fouling mechanism analysis based on combined models could provide theoretical supports to prevent and control UF fouling for surface water treatment.

The pathological autopsy of coronavirus disease 2019 (COVID-2019) in China: a review.

The coronavirus disease 2019 (COVID-2019) that emerged in Wuhan, China, has rapidly spread to many countries across all six WHO regions. However, its pathobiology remains incompletely understood and many efforts are underway to study it worldwide. To clarify its pathogenesis to some extent, it will inevitably require lots of COVID-2019-associated pathological autopsies. Pathologists from all over the world have raised concerns with pathological autopsy relating to COVID-2019. The issue of whether a person died from COVID-2019 infection or not is always an ambiguous problem in some cases, and ongoing epidemiology from China may shed light on it. This review retrospectively summarizes the research status of pathological autopsy for COVID-2019 deaths in China, which will be important for the cause of death, prevention, control and clinical strategies of COVID-2019. Moreover, it points out several challenges at autopsy. We believe pathological studies from China enable to correlate clinical symptoms and pathological features of COVID-2019 for doctors and provide an insight into COVID-2019 disease.

Application of membrane distillation to anaerobic digestion effluent treatment: Identifying culprits of membrane fouling and scaling.

Membrane distillation (MD) has great potential in the treatment of high-salinity and low-biodegradability wastewater, but membrane fouling restricts its real applications. In this work, MD was applied to treat anaerobic digestion effluent, and the feed pH was adjusted to investigate the membrane organic fouling and inorganic scaling. The results show that the fouling of MD membranes during the treatment of anaerobic digestion effluent was substantially alleviated at a low feed pH (pH=5). Scanning electron microscopy (SEM) coupled with energy-dispersive X-ray spectroscopy (EDS) and attenuated total reflection Fourier transform infrared spectroscopy (ATR-FTIR) were used to characterize the fouled membranes. The MD membrane scaling was primarily attributed to the deposition of calcium-, magnesium-, phosphate-, and silicon-related inorganic compounds during the treatment of cow dung anaerobic digestion effluent. Feed acidification significantly decreased inorganic scaling as well as fouling by organic matter, and organic fouling dominated the fouling process in the low-pH environment. By comparing the components in acid and alkaline cleaning solutions, it was found that the deposition of organics on the membranes via adsorption to inorganic scaling was the primary cause of more severe organic fouling with increasing feed pH. Hence, restricting inorganic scaling could be an effective way to control MD membrane fouling by organics during treatment of anaerobic digestion effluent.

Celastrol enhances TRAIL-induced apoptosis in human glioblastoma via the death receptor pathway.

PURPOSE: Glioblastoma is the most common, malignant and devastating type of primary brain tumor. Tumor necrosis factor-related apoptosis-induced ligand (TRAIL) is characterized by its lethality to precancerous and cancerous cells. However, many kinds of tumor cells, including most glioma cells, tend to evade TRAIL-induced apoptosis. Celastrol is a pleiotropic compound from a traditional Chinese medicine that has proven to be useful as a sensitizer for TRAIL treatment. However, the underlying mechanism and role of celastrol in the sensitization of glioma cells remain to be elucidated. METHODS: The viability of glioma cell lines was examined by the CCK-8 assay. The expression of DR5 was detected by reverse transcriptase quantitative real-time PCR. The protein expression of DR5, cleaved caspase-8, cleaved caspase-3 and PARP were measured by western blot. The apoptosis rates and the sub-G1 population were detected by flow cytometry. The cellular morphological changes were assessed by TUNEL apoptosis and Hoechst 33258 staining assays. The knockdown of DR5 expression was conducted by siRNA. RESULTS: In this study, we observed that celastrol treatment inhibited cell viability in a dose-dependent manner, while glioma and normal human astroglial cell lines were resistant to TRAIL treatment. We also observed that the antiproliferative effects of TRAIL in combination with a noncytotoxic concentration of celastrol were significantly greater than those of celastrol or TRAIL alone. In addition, cell death induced by the combination treatment was apoptotic and occurred through the death receptor pathway via activation of caspase-8, caspase-3, and PARP. Furthermore, celastrol upregulated death receptor 5 (DR5) at the mRNA and protein levels, and siRNA-mediated DR5 knockdown reduced the killing effect of the combination drug treatment on glioma cells and reduced the activation of caspase-3, caspase-8 and PARP. CONCLUSIONS: Taken together, the results of our study demonstrate that celastrol sensitizes glioma cells to TRAIL via the death receptor pathway and that DR5 plays an important role in the effects of this cotreatment. The results indicate that this cotreatment is a promising tumor-killing therapeutic strategy with high efficacy and low toxicity.