Methylation markers for anal cancer screening: A repeated cross-sectional analysis of people living with HIV, 2015-2016.

People living with HIV (PLWH) are at highest risk of anal cancer and will benefit from optimized screening for early disease detection. We compared host DNA methylation markers in high-grade squamous intraepithelial lesions (HSIL) versus samples negative for intraepithelial lesions (NILM) or low-grade intraepithelial lesions (LSIL) in PLWH. We recruited PLWH identifying as male aged ≥18 years undergoing high-resolution anoscopy (HRA) in Seattle, Washington, 2015-2016. Anal brush samples were collected for HPV detection, genotyping, and pyrosequencing methylation (host genes ASCL1, PAX1, FMN2, and ATP10A); clinical data were abstracted from medical records. We assessed associations between methylation and presence and extent of HSIL using generalized estimating equation logistic regression, adjusting for age, CD4 count and HIV viral load. Marker panels using HPV DNA and methylation were also evaluated to predict prevalent HSIL. We analyzed 125 samples from 85 participants (mean age 50.1; standard deviation 11.0 years). ASCL1 (adjusted odds ratio [aOR] per 1 unit increase mean percent methylation: 1.07, 95% CI: 1.01-1.13) and FMN2 (aOR per 1 unit increase mean percent methylation: 1.14, 95% CI: 1.08-1.20) methylation were significantly associated with HSIL versus NILM/LSIL. ASCL1 (aOR: 1.06, 95% CI: 1.01-1.11) and FMN2 (aOR: 1.13, 95% CI: 1.08-1.17) methylation were positively associated with increasing HSIL extent. A panel combining methylation (ASCL1 and FMN2) and HPV DNA (HPV16, HPV18, and HPV31) demonstrated best balance of sensitivity (78.2%) and specificity (73.9%) for HSIL detection compared with methylation or HPV alone. Increasing levels of DNA methylation of ASCL1 and FMN2 were positively associated with HSIL detection in PLWH. Host gene methylation testing shows promise for HSIL screening and triage.

Correlation of Peripheral Blood Inflammatory Indicators to Prognosis After Intravenous Thrombolysis in Acute Ischemic Stroke: A Retrospective Study.

Purpose: According to many previous studies, neutrophil-to-lymphocyte ratio (NLR), lymphocyte-to-monocyte ratio (LMR) and hypersensitive C-reactive protein (CRP) are commonly used as important indicators to assess the prognosis of intravenous thrombolysis in AIS patients. Based on this, we used two novel biomarkers C-NLR (CRP/neutrophil-to-lymphocyte ratio) and C-LMR (CRP×lymphocyte-to-monocyte ratio) to investigate their correlation with 90-day outcomes in AIS patients after intravenous thrombolysis. Patients and Methods: A total of 204 AIS patients who received intravenous thrombolysis at the Stroke Center of Jiangsu Province Hospital of Chinese Medicine from January 2021 to December 2022 were retrospectively included. All patients were followed up 90 days after thrombolysis to assess their prognosis. Patients with a modified Rankin scale score (mRS) of 3-6 were included in the unfavorable outcome group, and those with a score of 0-2 were included in the favorable outcome group. Logistic regression analysis, receiver operating characteristic (ROC) curve, and Kaplan-Meier survival curve were used to investigate the association between C-NLR, C-LMR, and 90-day prognosis in AIS patients treated with early intravenous thrombolysis. Results: C-NLR (OR=1.586, 95% CI=1.098~2.291, P=0.014) and C-LMR (OR=1.099, 95% CI=1.025~1.179, P=0.008) were independent risk factors for 90-day prognosis of AIS patients treated with early intravenous thrombolysis. The higher C-NLR and C-LMR were associated with unfavorable prognosis. Conclusion: C-NLR and C-LMR can be used as biomarkers to predict prognosis of AIS patients treated with early intravenous thrombolysis.

Zuogui Pill Promotes Neurite Outgrowth by Regulating OPN/ IGF-1R/PTEN and Downstream mTOR Signaling Pathway.

AIM AND OBJECTIVE: Zuogui pill (ZGP) is the traditional Chinese medicine for tonifying kidney yin. Clinical and animal studies have shown that ZGP effectively enhances neurologic impairment after ischemic stroke, which may be related to promoting neurite outgrowth. This investigation aimed to prove the pro-neurite outgrowth impact of ZGP and define the underlying molecular pathway in vitro. MATERIALS AND METHODS: The major biochemical components in the ZGP were investigated using UPLC-QTOF-MS. All-trans retinoic acid (ATRA) was employed to stimulate SH-SY5Y cells to develop into mature neurons, followed by oxygen-glucose deprivation and reoxygenation damage (OGD/R). Then the cells were supplemented with different concentrations of ZGP, and cell viability was identified by CCK-8. The neurites' outgrowth abilities were detected by wound healing test, while immunofluorescence staining of ß-III-tubulin was used to label neurites and measure their length. Western blot was employed to discover the changes in protein levels. RESULTS: ZGP improved the cell viability of differentiated SH-SY5Y cells following OGD/R damage, according to the CCK-8 assay. Concurrently, ZGP promoted neurite outgrowth and improved neurite crossing and migration ability. Protein expression analysis showed that ZGP upregulated the expression of GAP43, OPN, p-IGF-1R, mTOR, and p-S6 proteins but downregulated the expression of PTEN protein. Blocking assay with IGF-1R specific inhibitor Linstinib suggested IGF-1R mediated mTOR signaling pathway was involved in the pro-neurite outgrowth effect of ZGP. CONCLUSION: This work illustrated the molecular mechanism underpinning ZGP's action and offered more proof of its ability to promote neurite outgrowth and regeneration following ischemic stroke.

Association of fasting blood glucose level with 90-day unfavorable outcome in acute ischemic stroke patients.

OBJECTIVES: Fasting blood glucose (FBG) is a risk factor for Acute Ischemic Stroke (AIS). We aimed to systematically assess the association of FBG level and 90-day unfavorable outcome in AIS patients. METHODS: FBG levels and related information of the patients were collected at admission. The unfavorable outcome was defined as 90-day mRS 3-6. FBG levels were analyzed as continuous variables and tertiles (Q1-Q3). Odds ratios and 95% confidence intervals were calculated by using multivariate logistic regression analysis. RESULTS: Overall, 677 AIS patients were included. FBG were significantly associated with unfavorable outcome at 90 days (adjusted OR 1.15 [95%Cl, 1.05-1.25], P = 0.002). Participants were categorized based on the FBG tertile cut-off points, the Odds ratios was 2.55-fold higher in Q3 than those in Q1 after adjusting (OR 2.55[95%Cl, 1.23-5.3], p = 0.012). Threshold effect analysis showed when FBG ≥ 5.5 mmol/L, the correlation between FBG and 90-day unfavorable outcome increased significantly. Subgroup analysis showed that there was no significant interaction between FBG and 90-day unfavorable outcome. Non-diabetic AIS patients with hyperglycemia (FBG ≥ 7 mmol/L) have a worse prognosis in comparison to those with normal glucose (FBG ˂ 5.6 mmol/L) (OR 8.59 [ 95%Cl, 2.24-32.97], p = 0.002). CONCLUSION: FBG is an independent predictor of 90-day unfavorable outcome after stroke in AIS patients. When FBG ≥ 5.5 mmol/L, the risk of 90-day unfavorable outcome increases significantly.

[Effect and mechanism of Zuogui Pills on neural function recovery in ischemic stroke mice based on OPN/IGF-1/mTOR].

To explore the effect and mechanism of Zuogui Pills in promoting neural tissue recovery and functional recovery in mice with ischemic stroke. Male C57BL/6J mice were randomly divided into a sham group, a model group, and low-, medium, and high-dose Zuogui Pills groups(3.5, 7, and 14 g·kg~(-1)), with 15 mice in each group. The ischemic stroke model was established using photochemical embolization. Stiker remove and irregular ladder walking behavioral tests were conducted before modeling and on days 7, 14, 21, and 28 after medication. Triphenyl tetrazolium chloride(TTC) staining was performed on day 3 after modeling, and T2-weighted imaging(T2WI) and diffusion-weighted imaging(DWI) were performed on day 28 after medication to evaluate the extent of brain injury. Hematoxylin-eosin(HE) staining was performed to observe the histology of the cerebral cortex. Axonal marker proteins myelin basic protein(MBP), growth-associated protein 43(GAP43), mammalian target of rapamycin(mTOR), and its downstream phosphorylated s6 ribosomal protein(p-S6), as well as mechanism-related proteins osteopontin(OPN) and insulin-like growth factor 1(IGF-1), were detected using immunofluorescence and Western blot. Zuogui Pills had a certain restorative effect on the neural function impairment caused by ischemic stroke in mice. TTC staining showed white infarct foci in the sensory-motor cortex area, and T2WI imaging revealed cystic necrosis in the sensory-motor cortex area. The Zuogui Pills groups showed less brain tissue damage, fewer scars, and more capillaries. The number of neuronal axons in those groups was higher than that in the model group, and neuronal activity was stronger. The expression of GAP43, OPN, IGF-1, and mTOR proteins in the Zuogui Pills groups was higher than that in the model group. In summary, Zuogui Pills can promote the recovery of neural function and axonal growth in mice with ischemic stroke, and its mechanism may be related to the activation of the OPN/IGF-1/mTOR signaling pathway.

R&D mode and coordination of green products in sustainable supply chain considering power structures.

Green product R&D has a significant impact on the sustainable development of the economy and environment, and green product R&D can be carried out by manufacturers, retailers, third-party companies, and enterprise alliances. The decision-making order in the supply chain depends on the power structures, which can affect the choice of the supply chain decision-making. To study the optimal choice of green product R&D mode in different power structures and the influence of power structure on product price, market demand, green level, and enterprise profits, This paper compares five modes including green product R&D by manufacturers, green product R&D by retailers, green product R&D outsourced by manufacturers to third-party companies, green product R&D outsourced by retailers to third-party companies and green product R&D by manufacturers and retailers in the three power structures of manufacturers as core enterprises, retailers as core enterprises, and equal power between manufacturers and retailers to study the selection strategy of green product R&D modes in the sustainable supply chain. The conclusion provides a strategic reference for the selection of green product R&D mode in different power structures. The findings indicate that when manufacturers are core enterprises, retailers' green product R&D is better than that of manufacturers. When retailers are core enterprises, manufacturers' green product R&D is better than that of retailers. In the same power structure, manufacturers' green product R&D is better than outsourcing to third-party companies, retailers' green product R&D is better than outsourcing to third-party companies, and manufacturers and retailers jointly conduct green product R&D better than manufacturers or retailers alone. When manufacturers and retailers have equal power, the market demand and the product green level are the highest, and the retail price is the lowest. When manufacturers are core enterprises, manufacturers' profits are the highest. When retailers are core enterprises, retailers' profits are the highest. Finally, a two-part pricing contract is used to coordinate the optimal selection strategies.

Lignocellulose-Based Optical Biofilter with High Near-Infrared Transmittance via Lignin Capturing-Fusing Approach.

Near-infrared (NIR) transparent optical filters show great promise in night vision and receiving windows. However, NIR optical filters are generally prepared by laborious, environmentally unfriendly processes that involve metal oxides or petroleum-based polymers. We propose a lignin capturing-fusing approach to manufacturing optical biofilters based on molecular collaboration between lignin and cellulose from waste agricultural biomass. In this process, lignin is captured via self-assembly in a cellulose network; then, the lignin is fused to fill gaps and hold the cellulose fibers tightly. The resulting optical biofilter featured a dense structure and smooth surface with NIR transmittance of ~90%, ultralow haze of close to 0%, strong ultraviolet-visible light blocking (~100% at 400 nm and 57.58% to 98.59% at 550 nm). Further, the optical biofilter has comprehensive stability, including water stability, solvent stability, thermal stability, and environmental stability. Because of its unique properties, the optical biofilter demonstrates potential applications in the NIR region, such as an NIR-transmitting window, NIR night vision, and privacy protection. These applications represent a promising route to produce NIR transparent optical filters starting from lignocellulose biomass waste.

An all-natural, bioinspired, biodegradable electrical insulating composite based on lignocellulose and mica tailings.

The rapid development of modern electrical engineering puts forward urgent demand for high-performance electrical insulating materials. In this study, inspired by the layered structure of natural nacre, we present a novel biomimetic composite insulating film (referred to as M/C film) that is derived from agricultural waste corncobs and industrial waste mica tailings through a sol-gel-film transformation process. The novel insulating film has excellent tensile strength (94 MPa), high dielectric strength (68 kV mm-1), low dielectric loss, good heat resistance (T0 = 235 °C), and excellent UV shielding properties. Meanwhile, the M/C film presents environmental impacts much lower than those petrochemical-based plastic film as it can be 100 % recycled in a closed-loop recycling process and easily biodegraded in the environment (lignocellulose goes back to the carbon cycle and the mica return to the geological cycle). It is a potential alternative for petrochemical plastics and provides a possible way to utilize agricultural waste and mica tailings.

Direct dissolution of unbleached pulp from corncob and wheat straw in N-methylmorpholine-N-oxide.

Lignocellulose, as a kind of abundant natural resource, continuously developed to convert high value-added biological products is of great significance. Herein, we report a N-methylmorpholine-N-oxide (NMMO) solvent system to completely dissolve unbleached pulp to prepare a renewable lignin-containing cellulose film. The viscosity of the completely dissolved cellulose solution was measured using a high-pressure rotary rheometer. The shear viscosity exceeded 85 Pa·s at a shear rate of 1.62 s-1. It exhibited shear-thinning non-Newtonian fluid behavior with increasing shear rate. CF-WS had excellent tensile strength (>73 MPa), and exhibited unique optical properties of high transmittance in the visible region and high shielding performance in the ultraviolet region. When the thickness is only 0.016 mm, the UV shielding rate exceeds 75 % (λ < 380 nm). The structure of the bioplastic was revealed by SEM, XPS, and Raman spectroscopy. Directly dissolving lignocellulose in NMMO aqueous solution is expected to yield bioplastics with high strength and biodegradability. It is a potential substitute for petrochemical plastics and provides a possible way for the utilization of agricultural waste.

Admission thyroid function in relation to 90-day outcome of acute ischemic stroke.

OBJECTIVE: Thyroid function may be useful prognostic predictor of acute ischemic stroke. However, the relationship between thyroid function and stroke prognosis remains controversial. We aimed to explore the correlation between thyroid function at admission and 90-day functional outcome in patients with acute ischemic stroke. METHODS: Our data were collected from patients with AIS (acute ischemic stroke) registered in the Stroke Center of Jiangsu Provincial Hospital of Chinese Medicine from January 2021 to July 2021.The outcome was divided into good outcome as mRS (Modified Rankin Scale) score <3, poor outcome as mRS≥3 (including hemorrhage, recurrence, and death within 90 days after stroke).Univariate, multivariate logistic regression analysis, tertile analysis and subgroup analysis were used to evaluate the relationship between TSH (Thyroid-stimulating hormone), FT3 (Free Triiodothyronine), FT4 (Free thyroxine) and 90-day outcome. RESULTS: 699 patients with AIS were included in this study. In univariate analysis, FT3 was negatively correlated with poor outcome of AIS patients at 90-day, TSH was not statistically correlated with 90-day outcome. Multivariate analysis showed that FT3 was negatively correlated poor outcome of AIS patients at 90-day. After adjusting for potential confounders, TSH was negatively correlated with poor outcome. Participants were categorized based on the tertile cut-off points of FT3 and TSH. With the increase of TSH value, the incidence of poor outcomes in Q3 was 0.57 times higher than that of Q1. Similarly, with the increase of FT3 value, the incidence of poor outcomes in Q3 is 0.3 times than that of Q1. CONCLUSIONS: FT3 and TSH were negatively correlated with poor 90-day outcome in patients with AIS. Measurement of thyroid function on admission may provide independent prognostic information for 90-day outcome of AIS.

Relationship between mean blood pressure during hospitalization and clinical outcome after acute ischemic stroke.

OBJECTIVE: The optimal blood pressure (BP) targets for acute ischemic stroke are unclear. We aimed to assess the relationship between Mean BP and clinical outcomes during hospitalization. MATERIALS AND METHODS: We included 649 patients with Acute ischemic stroke (AIS) from December 2020 to July 2021. BP was measured daily, and mean blood pressure was calculated. Clinical events recorded within 90 days of randomization were: recurrent ischemic stroke, symptomatic intracranial hemorrhage, and death. The modified Rankin Scale (mRS) was used to measure primary outcomes 3 months after AIS. Logistic multiple regression analysis was performed by statistical software R. RESULT: There is a nonlinear U-shaped relationship between SBP and poor outcomes. This means higher SBP and lower SBP will increase the incidence of poor outcomes. The optimal mean SBP during hospitalization was 135-150 mmHg, and patients with SBP < 135mmhg OR 2.4 [95% Cl, (1.16 ~ 4.97)], P = 0.018; and > 150mmhg OR 2.04 [95% Cl, 1.02 ~ 4.08], p = 0.045 had a higher probability of poor outcomes. CONCLUSION: Our study shows that the optimal SBP of patients with AIS during hospitalization was 135-150 mmHg. The findings suggest that the relationship between mean SBP and 3-month functional outcome after AIS was U-shaped. Both higher SBP and lower SBP lead to poor prognosis in AIS patients.

Lignin self-assembly and auto-adhesion for hydrophobic cellulose/lignin composite film fabrication.

Large amounts of lignin are produced as a by-product of paper pulping, resulting in a tremendous waste of natural resources with potential uses across various areas. To achieve the value-added utilization of agricultural waste and lignin, we developed a method for the fabrication of a lignin structure-designed hydrophobic film (LSHF) directly through solvent/anti-solvent self-assembly (acetic acid aqueous solution/n-hexane) and auto-adhesion of acetic acid lignin (AL) on the surface of a lignocellulose film (LCF). As the morphology structure revealed, the LSHF had a rough surface composed of lignin colloidal spheres, which significantly improved the water contact angle (WCA) from ~80° to ~130°. Furthermore, benefiting from the auto-adhesion of lignin, the WCA was more stable in 240 s, demonstrating that the LSHF had a lower WCA decrease (15.53 % - 25.55 % decrease) than the LCF (41.97 % - 61.11 % decrease) and the sample without auto-adhesion (100 % decrease). Simultaneously, auto-adhesion endowed the LSHF with a ~50 % increase in tensile strength. This work provides a novel strategy for the fabrication of hydrophobic cellulose/lignin composite films via lignin self-assembly and auto-adhesion.

Effect of Human Immunodeficiency Virus Infection on Human Papillomavirus Clearance Among Women in Senegal, West Africa.

BACKGROUND: Persistent infection with high-risk human papillomavirus (HPV) is associated with development of invasive cervical cancer. METHODS: Longitudinal data was collected from 174 Senegalese women. We employed marginal Cox proportional hazards models to examine the effect of human immunodeficiency virus (HIV) status (HIV positive vs HIV negative) and HIV type (HIV-1 vs HIV-2 vs dual HIV-1/HIV-2) on clearance of type-specific HPV infection. Analyses were stratified by incident versus prevalent HPV infection. RESULTS: Incident HPV infections in HIV-positive women were less likely to clear than those in HIV-negative women (adjusted hazard ratio [HR] = 0.60; 95% confidence interval [CI], .38-.94). Among HIV-positive women, HIV-2-infected women and HIV-1/2 dually infected women were more likely to clear HPV incident infections than HIV-1-infected women (HR = 1.66; 95% CI, .95-2.92 and HR = 2.17; 95% CI, 1.12-4.22, respectively). Incident HPV infections in HIV-positive women with CD4 cell count ≤500 cells/µL were less likely to clear than those in HIV-positive women with CD4 cell count >500 cells/µL (HR = 0.65; 95% CI, .42-1.01). No significant associations were observed for prevalent HPV infections. CONCLUSIONS: HIV infection reduced the likelihood of clearance of incident HPV infection. Furthermore, among HIV-positive women, low CD4 cell count and dual HIV infection were each associated with reduced likelihood of clearance.

Fabrication of lignin-containing cellulose bio-composite based on unbleached corncob and wheat straw pulp.

In contemporary life, plastic, a kind of petroleum carbon source, has been produced and used in varieties of applications. However, the vast consumption of petroleum-based plastic and the burning of agricultural wastes make the environmental problems increasingly severe. Furthermore, a large number of lignocellulosic resources (such as corncob and wheat straw) are often wasted and burned, which will aggravate the environmental damage. In this paper, we use unbleached corncob and wheat straw pulp to fabricate the lignin-containing cellulose bio-composites (LCBs) to reduce non-renewable energy consumption and utilize agricultural wastes. The LCBs were obtained by a direct manufacturing process in benzyltrimethyl ammonium hydroxide (BzMe3NOH) aqueous solution under mild conditions, constituting an entwined composite structure of cellulose micro/nano-fibers. This unique micro/nano-structure provides bio-composites with the outstanding mechanical performance of 96.7 MPa and a high haze of 90.1%. Meanwhile, with the inherent lignin, the LCBs could filter over 81.8% UV-C. As the raw material used is pure natural lignocellulose, the bio-composites prepared have innate environmental friendliness. With exceptional mechanical strength, UV-shielding property, and innate environmental friendliness, the LCBs are possible and potential substitutes for traditional petroleum-based plastic that is easily aging or non-biodegradable.

Facile one-step fabrication of all cellulose composites with unique optical performance from wood and bamboo pulp.

Cellulosic substrates completely originating from biomass have gained increasing attention for utilization in photoelectric devices due to their biodegradability, sustainability, and renewability. Herein, a simple one-step strategy was used to fabricate transparent (84.2%-90% at 550 nm) all-cellulose composites (ACCs) with customized optical haze (14.7%-83.7% at 550 nm) from wood and bamboo pulp due to their variable solubility. Surface roughness, coagulation bath composition, and the size of the undissolved cellulose fibers contributed to optical haze regulation. Fabricated ACCs demonstrated water resistance, thermal stability, and good mechanical properties. Moreover, an enhancement in the power conversion efficiency of a perovskite solar cell was achieved by simple attachment. Compared with non-sustainable petroleum base materials, ACCs exhibit biodegradability and renewability, which makes the composites promising in large-scale production and various applications due to their tunable haze.

Detection of 14 High-Risk Human Papillomaviruses Using Digital LAMP Assays on a Self-Digitization Chip.

Cervical cancer is the fourth-leading cause of cancer deaths among women worldwide and most cases occur in developing countries. Detection of high-risk (HR) HPV, the etiologic agent of cervical cancer, is a primary screening method for cervical cancer. However, the current gold standard for HPV detection, real-time PCR, is expensive, time-consuming, and instrumentation-intensive. A rapid, low-cost HPV detection method is needed for cervical cancer screening in low-resource settings. We previously developed a digital loop-mediated isothermal amplification (dLAMP) assay for rapid, quantitative detection of nucleic acids without the need for thermocycling. This assay employs a microfluidic self-digitization chip to automatically digitize a sample into an array of nanoliter wells in a simple assay format. Here we evaluate the dLAMP assay and self-digitization chip for detection of the commonly tested 14 high-risk HPVs in clinical samples. The dLAMP platform provided reliable genotyping and quantitative detection of the 14 high-risk HPVs with high sensitivity, demonstrating its potential for simple, rapid, and low-cost diagnosis of HPV infection.

Pathology of Senegalese breast cancers.

INTRODUCTION: Breast cancer is among the most common cancers among women in most of Africa. However, features of histologically confirmed breast cancers presenting in specific regional populations is limited. Our study describes the clinic-pathologic features of invasive breast cancer diagnosed in women undergoing biopsy for a clinically apparent mass in Senegal, West Africa. METHODS: A prospective cohort of 522 Senegalese women presenting consecutively to Dantec Hospital (University of Dakar Tumor Institute) with a breast mass were included in the study cohort. Demographic data was collected by survey and 197 (37.7%) core needle biopsy-confirmed invasive breast cancers available for review were subsequently centrally reviewed at the University of Washington in Seattle to further to characterize the pathologic features and to perform immunohistochemistry for ER/PR and HER2. RESULTS: Seventy six (76.1%) of the 522 Senegalese women presenting for biopsy of a clinically apparent breast mass were diagnosed with invasive breast cancer. The average age of a woman with invasive cancer was 46 years old, and most (83%) presented with Stage III or IV disease. The predominant histologic subtype among the 197 biopsy-confirmed cancers was invasive ductal carcinoma (98%), with few cases of invasive lobular carcinoma (2%). Cancers were classified into four clinically relevant treatment IHC groups by combined ER/PR status and HER2 status as follows: ER-/PR-, HER2- (n=92; 46.7%), ER-/PR-, HER2+ (n=20; 10.1%), ER+/PR+, HER2- (n=76; 38.6%) and ER+/PR+, HER2+ (n=9; 4.6%). Age at time of diagnosis was similar between these four subgroups although more HER2 positive cases were pre-menopausal (p=0.05). Stage of disease at presentation differed by IHC group (p=0.008), with HER2+ cancers significantly more likely to present with stage IV disease than other IHC groups, including ER-/PR-, HER2-. There were no significant differences between groups by age group, ethnicity, place of residence or birth, or parity. CONCLUSION: Our analysis of breast cancer cases in Senegal shows a distribution of clinically relevant IHC groups like that seen in the few prior studies of breast cancer in West Africa, with higher frequencies of triple negative cancers than in most United States and European populations. Mean age at presentation, delayed presentation, and genetic/regional risk factors likely influence these differences. A better understanding of the frequencies of the pathologic features of breast cancers in the West African population may help guide future genetic studies as well as appropriate clinical management of breast cancer in these populations.

Preparation of nanocellulose and lignin-carbohydrate complex composite biological carriers and culture of heart coronary artery endothelial cells.

Lignin-carbohydrate complexes, i.e. LCC-48 and LCC-72 were isolated with vibrational ball milling for 48 h and 72 h, respectively. Composite tubular carriers were prepared by casting film formation and crimping with the LCCs and cellulose nanofibrils (CNFs) as raw materials. The structures and chemical properties of different milling time LCCs were analyzed. The carriers were used to culture human coronary artery endothelial cells (HCAEC), and the activities of these cells were examined in vitro. The FT-IR and chemical composition results showed that the biocarriers were composed of lignin moieties and polysaccharides. The SEM and inverted microscope studies revealed that a large number of cells adhered to the porous carriers. HCAEC grown on the LCC-72/CNF carriers outperformed the LCC-48/CNF and control groups in every observed category, including cell proliferation rate and metabolic activity. In summary, tubular carriers prepared from LCC/CNF composite had high biocompatibility and have potential applications in heart tissue engineering.

Self-digitization chip for quantitative detection of human papillomavirus gene using digital LAMP.

Digital nucleic acid amplification and detection methods provide excellent sensitivity and specificity and allow absolute quantification of target nucleic acids. Isothermal methods such as digital loop-mediated isothermal amplification (digital LAMP) have potential for use in rapid disease diagnosis in low-resource settings due to their speed and lack of thermal cycling. We previously developed a self-digitization (SD) chip, a simple microfluidics device that automatically digitizes a sample into an array of nanoliter wells, for use in digital LAMP. In this work, we improve the SD chip design to increase sample loading efficiency, speed, and completeness, and test a range of well volumes and numbers. We demonstrate the diagnostic capability of this platform by applying it to quantifying human papillomavirus 18 gene.

Prevalence and Correlates of ß- and γ-Human Papillomavirus Detection in Oral Samples From Mid-Adult Women.

BACKGROUND: Little is known about the epidemiology of ß and γ human papillomaviruses (HPVs) in oral cavities of healthy women. METHODS: We performed multiplex polymerase chain reaction analysis for detection of 46 ß-HPVs and 51 γ-HPVs in stored oral rinse samples from healthy mid-adult women (age, 30-50 years). A total of 407 women were tested for ß-HPVs, and 310 were tested for γ-HPVs. We used log-binomial regression to identify determinants of ß-HPV and γ-HPV in separate models. Using paired fingernail data from a subset of 184 women, we also evaluated whether fingernail ß-HPV detection was associated with concurrent detection of the same type in the oral cavity. RESULTS: Oral HPV prevalence was 20.6% for ß-HPV and 10.7% for γ-HPV. In multivariate analysis, oral ß-HPV detection was associated with increasing age (adjusted prevalence ratio [aPR] per 5-year difference, 1.37; 95% confidence interval [CI], 1.01-1.86) and a greater lifetime number of oral sex partners (aPR for reporting ≥6 vs 0-5 partners, 2.06; 95% CI, 1.01-4.20). In a separate model, concurrent detection of the same ß-HPV type in fingernails was strongly associated with oral ß-HPV detection (aPR, 31.44; 95% CI, 19.81-49.49). No significant determinants of γ-HPV detection were identified. CONCLUSIONS: Our results suggest a sexual transmission route for ß-HPVs and support the hypothesis that fingers may serve as a source of transmission or autoinoculation of ß-HPVs to the oral cavity.