Microscopic theory of exciton-polariton model involving multiple molecules: Macroscopic quantum electrodynamics formulation and essence of direct intermolecular interactions.

Cavity quantum electrodynamics (CQED) and its extensions are widely used for the description of exciton-polariton systems. However, the exciton-polariton models based on CQED vary greatly within different contexts. One of the most significant discrepancies among these CQED models is whether one should include direct intermolecular interactions in the CQED Hamiltonian. To answer this question, in this article, we derive an effective dissipative CQED model including free-space dipole-dipole interactions (CQED-DDI) from a microscopic Hamiltonian based on macroscopic quantum electrodynamics. Dissipative CQED-DDI successfully captures the nature of vacuum fluctuations in dielectric media and separates them into free-space effects and dielectric-induced effects. The former include spontaneous emissions, dephasings, and dipole-dipole interactions in free space; the latter include exciton-polariton interactions and photonic losses due to dielectric media. We apply dissipative CQED-DDI to investigate the exciton-polariton dynamics (the population dynamics of molecules above a plasmonic surface) and compare the results with those based on the methods proposed by several previous studies. We find that direct intermolecular interactions are a crucial element when employing CQED-like models to study exciton-polariton systems involving multiple molecules.

Assessing low vision care and the utilisation of optical low vision aids among patients with visual impairment in Taiwan.

PURPOSE: The aim of this study was to examine the quality of assessment and the utilisation of optical low vision aids (OLVAs) among people with visual impairment (VI) in Taiwan. METHODS: The study included 577 participants between 4 and 100 years of age (314 males and 263 females). All participants had been certified by the Ministry of the Interior of Taiwan, indicating that they had undergone a thorough and comprehensive low vision assessment, including evaluation of visual acuity (VA), contrast sensitivity, colour vision, visual fields and glare disability. Furthermore, all participants who consented to refraction had received prescriptions for OLVAs. RESULT: All participants were prescribed one or more OLVAs such as eyeglasses, tinted lenses, magnifiers, closed-circuit television magnifiers, telescopes, or screen magnifiers. Among the 577 individuals, 515 received correction for refractive errors, providing the best-corrected VA (BCVA). The improvement in VA was significant at both distance and near, improving from 1.29 ± 0.55 to 1.01 ± 0.52 logMAR (p < 0.001) and from 1.29 ± 0.56 to 1.01 ± 0.52 logMAR (p < 0.001), respectively. Eyeglasses were the primary OLVAs chosen by 333 participants (64.7%), while 53.3%-80.3% of participants combined eyeglasses with other OLVAs to enhance their visual performance. CONCLUSIONS: The most commonly used and effective OLVA was eyeglasses. Skilfully utilising appropriate refractive and VA measurements is crucial for determining the most suitable and beneficial OLVA for individuals with VI.

Primary Squamous Cell Carcinoma of the Pancreas From a Large Cyst: A Case Report.

Pancreatic squamous cell cancer (PSCC) is a rare and aggressive form of pancreatic cancer that has a poor prognosis. The 5-year survival rate for PSCC is estimated to be approximately 10%, and the median overall survival time is 6 to 12 months. Treatment options for PSCC include surgery, chemotherapy, and radiation therapy, but the outcomes are usually not very favorable. The outcomes depend on the stage of the cancer and the patient's overall health and response to treatment. The optimal management remains early diagnosis and surgical resection. We present a rare case of PSCC with spleen invasion, which arises from a large cyst with eggshell calcification, the patient was treated by surgical resection of the tumor and adjuvant chemotherapy. This case report emphasizes the necessity of regular follow for pancreatic cyst.

Successful Treatment of Irinotecan-Induced Muscle Twitching: A Case Report.

Irinotecan, a topoisomerase I inhibitor, is commonly used in the treatment of advanced colorectal cancer. Its adverse effects include delay diarrhea, severe myelosuppression, and cholinergic-like symptoms. Though 2 cases of irinotecan-induced muscle twitching were reported but the successful treatment of this adverse event still not shown. We present a 24-year-old female patient with advanced colorectal cancer received bevacizumab and FOLFIRI (irinotecan + calcium leucovorin + 5-fluorouracil) treatment. Her right pectoralis major muscle presented with involuntary muscle twitching during the infusion of irinotecan at the sixth cycle of chemotherapy. The muscle twitching was slowly dissipated about 4 hours after the halted of irinotecan infusion. Then lorazepam 2 mg iv was injected before administration of irinotecan in an attempt to prevent the muscle twitching in the seventh cycle of chemotherapy. The patient did not report further muscle twitching. After that, lorazepam was routine administered before each cycle of FOLFIRI regiment. No any muscle twitching was observed after the use of lorazepam. This case provides valuable insight that muscle twitching can occur as rare irinotecan-related adverse effect. Benzodiazepine agonists, such as lorazepam, is the potential treatment of choice.

Macroscopic quantum electrodynamics approach to multichromophoric excitation energy transfer. II. Polariton-mediated population dynamics in a dimer system.

In this study, based on the theory developed in Paper I, we explore the combined effects of molecular fluorescence and excitation energy transfer in a minimal model-a pair of single-vibration-mode chromophores coupled to surface plasmon polaritons. For the chromophores with zero Huang-Rhys factors and strong couplings to surface plasmon polaritons, we find that the frequencies of Rabi oscillations (the strengths of strong light-matter couplings) are associated with the initial excitation conditions. On the other hand, for the chromophores weakly coupled to surface plasmon polaritons, our numerical calculations together with analytical analysis elaborate on the conditions for the superradiant and subradiant decay behaviors. Moreover, we show that the modified decay rate constants can be explicitly expressed in terms of generalized spectral densities (or dyadic Green's functions), revealing a relationship between photonic environments and the collective effects such as superradiance and subradiance. For the chromophores with nonzero Huang-Rhys factors and strong coupling to surface plasmon polaritons, the effects of molecular vibrations emerge. We demonstrate that the low-frequency vibrational modes do not affect the excited state population dynamics, while the high-frequency vibrational modes can modify either the period of Rabi oscillation (Franck-Condon Rabi oscillation) or the amplitude of excited state population. Our study shows that the collective effects, including superradiance and subradiance, can be controlled via dielectric environments and initial excitation conditions, providing new insights into polariton chemistry and the design of quantum optical devices.

Macroscopic quantum electrodynamics approach to multichromophoric excitation energy transfer. I. Formalism.

In this study, we develop a theory of multichromophoric excitation energy transfer (MC-EET) in the framework of macroscopic quantum electrodynamics. The theory we present is general for studying the interplay between energy transfer and fluorescence in the presence of arbitrary inhomogeneous, dispersive, and absorbing media. The dynamical equations of MC-EET, including energy-transfer kernels and fluorescence kernels, allow us to describe the combined effects of molecular vibrations and photonic environments on excitation energy transfer. To demonstrate the universality of the MC-EET theory, we show that under specific conditions, the MC-EET theory can be converted to three representative theories. First, under the Markov approximation, we derive an explicit Förster-type expression for plasmon-coupled resonance energy transfer [Hsu et al., J. Phys. Chem. Lett. 8, 2357 (2017)] from the MC-EET theory. In addition, the MC-EET theory also provides a parameter-free formula to estimate transition dipole-dipole interactions mediated by photonic environments. Second, we generalize the theory of multichromophoric Förster resonance energy transfer [Jang et al., Phys. Rev. Lett. 92, 218301 (2004)] to include the effects of retardation and dielectric environments. Third, for molecules weakly coupled with photonic modes, the MC-EET theory recovers the previous main result in Chance-Prock-Silbey classical fluorescence theory [Chance et al., J. Chem. Phys. 60, 2744 (1974)]. This study opens a promising direction for exploring light-matter interactions in multichromophoric systems with possible applications in the exciton migration in metal-organic framework materials and organic photovoltaic devices.

Simple but accurate estimation of light-matter coupling strength and optical loss for a molecular emitter coupled with photonic modes.

Light-matter coupling strength and optical loss are two key physical quantities in cavity quantum electrodynamics (CQED), and their interplay determines whether light-matter hybrid states can be formed or not in chemical systems. In this study, by using macroscopic quantum electrodynamics (MQED) combined with a pseudomode approach, we present a simple but accurate method, which allows us to quickly estimate the light-matter coupling strength and optical loss without free parameters. Moreover, for a molecular emitter coupled with photonic modes (including cavity modes and plasmon polariton modes), we analytically and numerically prove that the dynamics derived from the MQED-based wavefunction approach is mathematically equivalent to the dynamics governed by the CQED-based Lindblad master equation when the Purcell factor behaves like Lorentzian functions.

Theory of molecular emission power spectra. II. Angle, frequency, and distance dependence of electromagnetic environment factor of a molecular emitter in plasmonic environments.

Our previous study [S. Wang et al., J. Chem. Phys. 153, 184102 (2020)] has shown that in a complex dielectric environment, molecular emission power spectra can be expressed as the product of the lineshape function and the electromagnetic environment factor (EEF). In this work, we focus on EEFs in a vacuum-NaCl-silver system and investigate molecular emission power spectra in the strong exciton-polariton coupling regime. A numerical method based on computational electrodynamics is presented to calculate the EEFs of single-molecule emitters in a dispersive and lossy dielectric environment with arbitrary shapes. The EEFs in the far-field region depend on the detector position, emission frequency, and molecular orientation. We quantitatively analyze the asymptotic behavior of the EFFs in the far-field region and qualitatively provide a physical picture. The concept of EEF should be transferable to other types of spectra in a complex dielectric environment. Finally, our study indicates that molecular emission power spectra cannot be simply interpreted by the lineshape function (quantum dynamics of a molecular emitter), and the effect of the EEFs (photon propagation in a dielectric environment) has to be carefully considered.

Theory of molecular emission power spectra. I. Macroscopic quantum electrodynamics formalism.

We study the emission power spectrum of a molecular emitter with multiple vibrational modes in the framework of macroscopic quantum electrodynamics. The theory we present is general for a molecular spontaneous emission spectrum in the presence of arbitrary inhomogeneous, dispersive, and absorbing media. Moreover, the theory shows that the molecular emission power spectra can be decomposed into the electromagnetic environment factor and lineshape function. In order to demonstrate the validity of the theory, we investigate the lineshape function in two limits. In the incoherent limit (single molecules in a vacuum), the lineshape function exactly corresponds to the Franck-Condon principle. In the coherent limit (single molecules strongly coupled with single polaritons or photons) together with the condition of high vibrational frequency, the lineshape function exhibits a Rabi splitting, the spacing of which is exactly the same as the magnitude of exciton-photon coupling estimated by our previous theory [S. Wang et al., J. Chem. Phys. 151, 014105 (2019)]. Finally, we explore the influence of exciton-photon and electron-phonon interactions on the lineshape function of a single molecule in a cavity. The theory shows that the vibronic structure of the lineshape function does not always disappear as the exciton-photon coupling increases, and it is related to the loss of a dielectric environment.

EpCAM Signaling Promotes Tumor Progression and Protein Stability of PD-L1 through the EGFR Pathway.

Although epithelial cell adhesion molecule (EpCAM) has previously been shown to promote tumor progression, the underlying mechanisms remain largely unknown. Here, we report that the EGF-like domain I within the extracellular domain of EpCAM (EpEX) binds EGFR, activating both AKT and MAPK signaling to inhibit forkhead transcription factor O3a (FOXO3a) function and stabilize PD-L1 protein, respectively. Treatment with the EpCAM neutralizing antibody, EpAb2-6, inhibited AKT and FOXO3a phosphorylation, increased FOXO3a nuclear translocation, and upregulated high temperature requirement A2 (HtrA2) expression to promote apoptosis while decreasing PD-L1 protein levels to enhance the cytotoxic activity of CD8+ T cells. In vivo, EpAb2-6 markedly extended survival in mouse metastasis and orthotopic models of human colorectal cancer. The combination of EpAb2-6 with atezolizumab, an anti-PD-L1 antibody, almost completely eliminated tumors. Moreover, the number of CD8+ T cells in combination-treated tumors was increased compared with atezolizumab alone. Our findings suggest a new combination strategy for cancer immunotherapy in patients with EpCAM-expressing tumors. SIGNIFICANCE: This study shows that treatment with an EpCAM neutralizing antibody promotes apoptosis while decreasing PD-L1 protein to enhance cytotoxic activity of CD8+ T cells.

Geraniin inhibits oral cancer cell migration by suppressing matrix metalloproteinase-2 activation through the FAK/Src and ERK pathways.

Geraniin has been reported to have numerous biological activities, including antiviral, antihypertensive, antihyperglycaemic, liver protective, antidiabetic, and apoptotic activities. However, the anti-migration effects of geraniin on oral cancer remain elusive. In this study, we revealed the potential antitumor mechanisms of geraniin through the inhibition of the migration and invasion of human oral cancer cell lines SCC-9 and SCC-14. The results of gelatin zymography and Western blot assays revealed that geraniin significantly reduced the activity and expression of matrix metalloproteinase-2 (MMP-2) of oral cancer cells in a concentration-dependent manner. Furthermore, geraniin potently suppressed the phosphorylation of focal adhesion kinase (FAK), Src, and extracellular signal-regulated kinase (ERK)1/2 but did not affect the phosphorylation of p38 mitogen-activated protein kinase (MAPK) and c-Jun N-terminal kinase 1/2. Moreover, blocking the MAPK/ERK1/2 pathway significantly enhanced the anti-migration ability of geraniin in oral cancer cells. In conclusion, we demonstrated that geraniin inhibits the motility of SCC-9 and SCC-14 cells in vitro through a molecular mechanism that involves the attenuation of MMP-2 expression and activity mediated by decreased FAK/Src and ERK1/2 pathways.

Integrating Landscape Metrics and Hydrologic Modeling to Assess the Impact of Natural Disturbances on Ecohydrological Processes in the Chenyulan Watershed, Taiwan.

The Chenyulan watershed, located in the central mountain area of Taiwan, has been suffering from earthquakes, typhoons, and heavy rainfalls in recent decades. These sequential natural disturbances have a cumulative impact on the watershed, leading to more fragile and fragmented land cover and loss of capacity of soil water conservation. In this study, the Soil and Water Assessment Tool (SWAT) and a landscape metrics tool (FRAGSTATS) were used to assess the direct impact (e.g., by annual rainfall) and indirect impact (e.g., by landscape configuration and composition) of natural disturbances on the ecohydrological processes of the Chenyulan watershed. Six SPOT satellite images from 2008 to 2013 were analyzed by using the nearest feature line embedding (NFLE) approach and reclassified into six land cover types: forest, cultivated land, grassland, river, landslide, and built-up. Forest was found to have the largest patch size, indicating that it is more resilient to disturbances, while agricultural land tended to expand from the river side toward the hill. Two land cover change scenarios were compared in the SWAT model. The results showed that there was no significant difference in simulated streamflow during 2004⁻2015 and sediment loading during 2004⁻2009; however, the model performed better for sediment loading during 2010⁻2015 with dynamic land cover change (coefficient of determination (R²) = 0.66, Nash-Sutcliffe efficiency coefficient (NSE) = 0.62, percent bias (PBIAS) = 10.5%, root mean square error observation standard deviation ratio (RSR) = 0.62) than with constant land cover (R² = 0.61, NSE = 0.54, PBIAS = -17.3%, RSR = 0.68), indicating that long-term land cover change should be considered in hydrologic modeling. Changes in landslides during 2008⁻2013 were found to significantly affect ecohydrological processes, especially after 2011. In general, annual precipitation plays a dominant role, and landscape composition had by far the strongest influence on water yield and sediment yield compared to landscape configuration. The results can be useful for understanding the effects of land cover change on ecohydrological processes in the Chenyulan watershed and the potential impact of ecohydrological changes on the environment and public health.

Extracellular domain of EpCAM enhances tumor progression through EGFR signaling in colon cancer cells.

Epithelial cell adhesion molecule (EpCAM) is highly expressed in colon cancers, but its role in cancer progression remains to be elucidated. In this work, we found that the extracellular domain of EpCAM (EpEX) activated EGFR and downstream ERK1/2 signaling to promote colon cancer cell migration and proliferation, as well as tumor growth. Mechanistically, we discovered that EpEX-EGFR-ERK1/2 signaling positively regulated intramembrane proteolysis (RIP) of EpCAM and shedding of the intracellular domain (EpICD). Treatment with an EGFR inhibitor ablated the EpEX-induced phosphorylation of ERK1/2 and AKT. Additionally, treatment with inhibitors of either EGFR or MEK decreased EpEX-induced EpICD shedding and further revealed that EpICD is necessary for nuclear accumulation of ß-catenin and the induction of HIF1α target gene expression in vitro and in vivo. Moreover, an anti-EpCAM neutralizing monoclonal antibody, EpAb2-6, inhibited the nuclear translocation of EpICD and ß-catenin and induced apoptosis in colon cancer cells. Importantly, analysis of colorectal cancer tissues showed that nuclear accumulation of EpICD was highly correlated with metastasis and poor prognosis, suggesting that it may play an important functional role in cancer progression. Thus, we provide novel insights into the mechanisms and functions of EpEX-mediated signaling, which may be considered as a promising target for the treatment of colon cancer.

Sulforaphane suppresses oral cancer cell migration by regulating cathepsin S expression.

Sulforaphane has been demonstrated to exert numerous biological effects, such as neuroprotective, anti-inflammatory, and anticancer effects. However, the detailed effects of sulforaphane on human oral cancer cell migration and the underlying mechanisms remain unclear. In this study, we observed that sulforaphane attenuated SCC-9 and SCC-14 cell motility and invasiveness by reducing cathepsin S expression. Moreover, sulforaphane increased microtubule-associated protein 1 light chain 3 (LC3) conversion, and the knockdown of LC3 by siRNA increased cell migration ability. Regarding the mechanism, sulforaphane inhibited the cell motility of oral cancer cells through the extracellular signal-regulated kinase (ERK) pathway, which in turn reversed cell motility. In conclusion, sulforaphane suppress cathepsin S expression by inducing autophage through ERK signaling pathway. Thus, cathepsin S and LC3 may be new targets for oral cancer treatment.

Tricetin suppresses human oral cancer cell migration by reducing matrix metalloproteinase-9 expression through the mitogen-activated protein kinase signaling pathway.

Tricetin is a flavonoid derivative and a potent anti-inflammatory and anticancer agent. However, the molecular mechanism underlying the effects of tricetin on human oral cancer cell migration remains unclear. The cell migration and invasion abilities of three oral cancer cell lines (SCC-9, HSC-3, and OECM-1) were analyzed using Boyden chamber migration assays. Our results demonstrated that tricetin attenuates 12-O-tetradecanoylphorbol-13-acetate-induced SCC-9, HSC-3, and OECM-1 cell invasiveness and migration by reducing matrix metalloproteinase (MMP)-9 enzyme activity. The reverse transcription polymerase chain reaction and luciferase reporter assay revealed that tricetin downregulates the mRNA expression and promoter activity of MMP-9. In addition, Western blot analysis revealed that tricetin significantly reduced the levels of phosphorylated c-Jun N-terminal kinase (JNK) 1/2 and p38 levels but not those of extracellular signal-regulated kinase 1/2. In conclusion, this study demonstrated that tricetin suppresses MMP-9 enzymatic activity by downregulating the p38/JNK1/2 pathway and might be a beneficial chemopreventive agent.

MMP-11 promoted the oral cancer migration and Fak/Src activation.

Matrix metalloproteinase-11 (MMP-11) has been observed in most invasive human carcinomas. The current study investigated the association between the clinicopathological characteristics and MMP-11 expression in oral squamous cell carcinoma (OSCC) patients. Immunohistochemistry (IHC) staining was performed to assess MMP-11 expression in 279 patients with OSCC. In addition, the metastatic effects of the MMP-11 overexpression on the OSCC cells were also investigated. We found that MMP-11 expression was present in 118/279 (42.3%) cases and expression of MMP-11 was associated with higher incidence of lymph node metastasis and worse grade of tumor differentiation. Importantly, OSCC patients with strong expression of MMP-11 had a significantly lower survival rate (p=0.010). Furthermore, MMP-11 overexpression in OSCC cells increased in vitro cell migration. Mechanistically, MMP-11 increased the cell motility of OSCC cells through focal adhesion kinase/Src kinase (FAK/Src) pathway. In conclusion, our results revealed that the MMP-11 expression in OSCC samples can predict the progression, especially lymph node metastasis, and the survival of OSCC patients in Taiwan.

Ophthalmologic abnormalities among students with cognitive impairment in eastern Taiwan: The special group with undetected visual impairment.

PURPOSE: Students with cognitive impairment are at increased risk of suffering from visual impairment due to refractive errors and ocular disease, which can adversely influence learning and daily activities. The purpose of this study was to evaluate the ocular and visual status among students at the special education school in Hualien. METHODS: All students at the National Hualien Special Education School were evaluated. Full eye examinations were conducted by a skilled ophthalmologist. The students' medical records and disability types were reviewed. RESULTS: A total of 241 students, aged 7-18 years, were examined. Visual acuity could be assessed in 138 students. A total of 169/477 (35.4%) eyes were found to suffer from refractive errors, including 20 eyes with high myopia (≤-6.0 D) and 16 eyes with moderate hypermetropia (+3.0 D to +5.0 D). A total of 84/241 (34.8%) students needed spectacles to correct their vision, thus improving their daily activities and learning process, but only 15/241 (6.2%) students were wearing suitable corrective spectacles. A total of 55/241 students (22.8%) had ocular disorders, which influenced their visual function. The multiple disability group had a statistically significant higher prevalence of ocular disorders (32.9%) than the simple intellectual disability group (19.6%). CONCLUSION: Students with cognitive impairment in eastern Taiwan have a high risk of visual impairment due to refractive errors and ocular disorders. Importantly, many students have unrecognized correctable refractive errors. Regular ophthalmic examination should be administered to address this issue and prevent further disability in this already handicapped group.

Resveratrol suppresses TPA-induced matrix metalloproteinase-9 expression through the inhibition of MAPK pathways in oral cancer cells.

BACKGROUND: Naturally occurring agents, such as resveratrol, have been determined to benefit health. Numerous studies have demonstrated that resveratrol has antioxidative, cardioprotective, and neuroprotective properties. However, the effect of resveratrol exerts on the metastasis of oral cancer cells remains unclear. In this study, we investigated the effect the anti-invasive activity of resveratrol on a human oral cancer cell line (SCC-9) in vitro and the underlying mechanisms. METHODS: Cell viability was examined by MTT assay, whereas cell motility was measured by migration and wound-healing assays. Zymography, reverse-transcriptase polymerase chain reaction (PCR), and promoter assays confirmed the inhibitory effects of resveratrol on matrix metalloproteinase-9 (MMP-9) expression in oral cancer cells. RESULTS: We established that various concentrations (0-100 µM) of resveratrol inhibited the 12-O-tetradecanoylphorbol-13-acetate (TPA)-induced migration capacities of SCC-9 cells and caused no cytotoxic effects. Zymography and Western blot analyses suggested that resveratrol inhibited TPA-induced MMP-9 gelatinolytic activity and protein expression. In addition, the results indicated that resveratrol inhibited the phosphorylation of c-Jun N-terminal kinase (JNK)1/2 and extracellular-signal-regulated kinase (ERK)1/2 involved in downregulating protein expression and the transcription of MMP-9. CONCLUSION: In summary, resveratrol inhibited MMP-9 expression and oral cancer cell metastasis by downregulating JNK1/2 and ERK1/2 signals pathways and, thus, exerts beneficial effects in chemoprevention.

Thrombin regulates matrix metalloproteinase-9 expression in human monocytes.

We investigated whether thrombin, the final activator of coagulation cascade, regulates expression of matrix metalloproteinases (MMP)-9 in human monocytes. We show that thrombin stimulation induced MMP-9 secretion of monocytes dose- and time-dependently as revealed by gelatin zymography. Real-time RT-PCR and Western blot analysis demonstrated that thrombin up-regulated mRNA and protein levels of MMP-9. Pre-incubation with anti-protease-activated receptor (PAR)-1 or anti-PAR-3 antibody partially inhibited the thrombin-induced MMP-9 secretion. Simultaneous incubation with both showed synergistic effect, indicating the involvement of both receptors in this thrombin effect. BAPTA, a Ca(2+) chelator, abolished the thrombin-induced MMP-9 secretion, indicating the requirement of Ca(2+) mobilization in this process. Inhibition of thrombin-induced MMP-9 secretion by either MEK inhibitor or p38 kinase inhibitor revealed that the thrombin effect was mediated by both ERK1/2 and p38 pathways. The activation of NFkappaB by thrombin as demonstrated by electromobility shift assay was also shown to be critical to the thrombin-induced MMP-9 up-regulation.