Heterogeneous Ti3C2Tx MXene-MWCNT@MoS2 Film for Enhanced Long-Term Electromagnetic Interference Shielding in the Moisture Environment.

MXene, as a novel two-dimensional (2D) material, has unique inherent features such as lightweight, flexibility, high electrical conductivity, customizable surface chemistry, and facile solution processability. However, utilizing MXene (Ti3C2Tx) films for long-term electromagnetic interference (EMI) shielding poses challenges, as they are susceptible to chemical deterioration through oxidation into TiO2. In this work, an ultrathin heterogeneous film of Ti3C2Tx MXene integrated with multiwalled carbon nanotubes supporting MoS2 clusters (MXene/MWCNT@MoS2) was developed. The heterogeneous film with 15 wt % of MWCNT@MoS2 clusters exhibited improved EMI shielding performance such as the highest EMI shielding effectiveness of 50 dB and the specific shielding effectiveness of 20,355 dB cm2 g -1, mainly attributed to the excellent electrical conductivity, distinctive porous structure, and multiple interfacial interactions. The heterogeneous films underwent extended exposure to a moisture environment (35 days), and their structural stability and EMI shielding performance were enhanced by the integration of MWCNT@MoS2 clusters. As a result, the engineered heterostructure of multilayered hybrid films holds promise as a viable option for improving the EMI shielding effectiveness and stability of Ti3C2Tx MXene.

Prognostic impact of tumor size on patients with metastatic colorectal cancer: a large SEER-based retrospective cohort study.

Given the poor prognosis of metastatic colorectal cancer (mCRC), this research aimed to investigate the correlation between tumor size and prognosis, and develop a novel prediction model to guide individualized treatment. Patients pathologically diagnosed with mCRC were recruited from the Surveillance, Epidemiology, and End Results (SEER) database between 2010 and 2015, and were randomly divided (7:3 ratio) into a training cohort (n = 5597) and a validation cohort (n = 2398). Kaplan-Meier curves were used to analyze the relationship between tumor size and overall survival (OS). Univariate Cox analysis was applied to assess the factors associated with the prognosis of mCRC patients in the training cohort, and then multivariate Cox analysis was used to construct a nomogram model. The area under the receiver-operating characteristics curve (AUC) and calibration curve were used to evaluate the predictive ability of the model. Patients with larger tumors had a worse prognosis. While brain metastases were associated with larger tumors compared to liver or lung metastases, bone metastases tended to be associated with smaller tumors. Multivariate Cox analysis revealed that tumor size was an independent prognostic risk factor (HR 1.28, 95% CI 1.19-1.38), in addition to the other ten variables (age, race, primary site, grade, histology, T stage, N stage, chemotherapy, CEA level and metastases site). The 1-, 3-, and 5-year OS nomogram model yielded AUC values of more than 0.70 in both the training and validation cohorts, and its predictive performance was superior to that of the traditional TNM stage. Calibration plots demonstrated a good agreement between the predicted and observed 1-, 3-, and 5-year OS outcomes in both cohorts. The size of primary tumor was found to be significantly associated with prognosis of mCRC, and was also correlated with specific metastatic organ. In this study, we presented the first effort to create and validate a novel nomogram for predicting 1-, 3- and 5-year OS probabilities of mCRC. The prognostic nomogram was demonstrated to have an excellent predictive ability in estimating individualized OS of patients with mCRC.

Inter-brain coupling reflects disciplinary differences in real-world classroom learning.

The classroom is the primary site for learning. A vital feature of classroom learning is the division of educational content into various disciplines. While disciplinary differences could substantially influence the learning process toward success, little is known about the neural mechanism underlying successful disciplinary learning. In the present study, wearable EEG devices were used to record a group of high school students during their classes of a soft (Chinese) and a hard (Math) discipline throughout one semester. Inter-brain coupling analysis was conducted to characterize students' classroom learning process. The students with higher scores in the Math final exam were found to have stronger inter-brain couplings to the class (i.e., all the other classmates), whereas the students with higher scores in Chinese were found to have stronger inter-brain couplings to the top students in the class. These differences in inter-brain couplings were also reflected in distinct dominant frequencies for the two disciplines. Our results illustrate disciplinary differences in the classroom learning from an inter-brain perspective, suggesting that an individual's inter-brain coupling to the class and to the top students could serve as potential neural correlates for successful learning in hard and soft disciplines correspondingly.

Intraindividual Tumor Heterogeneity of Mismatch Repair Status in Metastatic Colorectal Cancer.

Heterogeneous mismatch repair (MMR) status in metastatic colorectal cancer (mCRC) may associate with refractoriness to immunotherapy. We aimed here to study the concordance in MMR status between primary and paired metastasis in mCRC. Our study included 84 patients diagnosed with mCRC with primary and matched metastatic cancers. Immunohistochemistry was used to determine the MMR status of primary lesions and matched metastases. Pooled analysis of 913 cases was used to evaluate the prevalence and organ specificity of MMR status heterogeneity. The correlations between MMR pattern heterogeneity and clinical outcomes were analyzed. MMR status heterogeneity between primary and corresponding metastatic sites was exhibited by 10 (11.9%) patients. The prevalence of the heterogeneous MMR phenotype was significantly higher in primary tumors with deficient MMR (dMMR) than with proficient MMR (pMMR), which was verified in the pooled analysis ( P <0.001). Among patients with a dMMR primary tumor, the discrepancy was detected in liver, lung, ovary, peritoneum, and distant lymph node metastases. However, the discrepancy was confined to liver (26/440) or peritoneum (7/112) ( P =0.02) in patients with a pMMR primary tumor. Patients with or without MMR status heterogeneity experienced comparable overall survival ( P =0.452). Heterogeneous MMR patterns generally existed in a subset of patients with mCRC, particularly those with dMMR primary tumors. Testing the metastatic site may be valuable because the discordance of MMR status may potentially affect immune surveillance and immunotherapy.

High-Efficient Ultrathin PdCuMo Porous Nanosheets with Abundant Defects for Oxygen Reduction Reaction.

To reduce the over-dependence on Pt, Pd-based catalysts have become one of the most effective candidates for oxygen reduction reaction (ORR). In order to further accelerate the ORR kinetics and strengthen the catalytic performance of Pd catalysts, component optimization and morphology design have been adopted. Although great progress has been made, it is still difficult to obtain porous ultrathin nanosheets with excellent performance by a simple method. Here, ultrathin PdCuMo porous nanosheets (PdCuMo NSs) were successfully prepared. This structure possessed a large specific surface area with rich cavities and structural defects, significantly enhancing its ORR performance. In special, the mass activity of PdCuMo NSs was 1.46 A mg-1 at 0.90 V, which was 12.2, 8.6, and 2.7 times as high as that of Pd/C, Pt/C, and PdCuMo nanoparticles (PdCuMo NPs), respectively. In addition, it had an excellent ability to resist CO poisoning and exhibited remarkable long-term stability.

Downregulation of DEAD-box helicase 21 (DDX21) inhibits proliferation, cell cycle, and tumor growth in colorectal cancer via targeting cell division cycle 5-like (CDC5L).

Identification of novel anti-tumor target is crucial for cancer diagnosis, prognosis, and therapeutic strategy. The study aimed to explore the roles and interaction of DEAD-box helicase 21 (DDX21) and cell division cycle 5-like (CDC5L) in colorectal cancer (CRC) progression. Levels of DDX21 and CDC5L were detected in colorectal cancer cell lines by RT-qPCR and Western blot assay. The role of DDX21 and CDC5L on the cell proliferation, cell cycle and tumor growth were evaluated both in vitro and in vivo. The interaction of DDX21 and CDC5L was predicted by The STRING publicly available data and verified by immunoprecipitation. The results showed that DDX21 was dramatically upregulated in colorectal cancer cells. In vivo and in vitro experiments revealed that downregulation of DDX21 suppressed colorectal cancer cell proliferation, colony formation, cell cycle development, and tumor growth, while overexpression of CDC5L reversed the suppressive effects of DDX21 silencing. Furthermore, DDX21 interacted with CDC5L to exert the tumor-promoting effects in CRC. In summary, the data indicate a novel role for DDX21/CDC5L in the development of CRC, which enrich the therapeutic strategy for CRC.

Attitude change after a curriculum on the science and philosophy of well-being and happiness for high school students: A classroom-randomized trial.

BACKGROUND: Multiple interventions have been tested to promote well-being in high school students, often focusing on depression prevention. AIMS: To test the impact of a one-semester active learning curriculum covering the modern science and philosophy of well-being and happiness on attitudinal measures related to the curriculum and standard measures of depression and well-being. SAMPLE: Subjects were first-year students in an urban high school in Beijing, China (equivalent to US tenth grade). METHODS: Nine classrooms were randomly assigned to the intervention curriculum (n = 252), and nine classrooms were randomly assigned to a traditional psychology curriculum (n = 263). Students completed questionnaires pre- and post-semester including a Positive Attitude Scale (PAS, concerning Relatedness, Competence, Autonomy, Gratitude, Calmness, Mindfulness, and Hope), Positive and Negative Affect Scale (PANAS), Centers for Epidemiological Studies Depression Scale (CES-D), Life Satisfaction Scale (LS), Subjective Happiness Scale (SHS), Meaning in Life Questionnaire (MLQ), and a test of knowledge about well-being (Knowledge Test, KT). RESULTS: In a hierarchical linear model, there were statistically significant intervention effects on six of the seven subscales of the PAS, on PANAS balance, and on the KT. CES-D, LS, SHS, and MLQ were improved but not significantly so. Notable overall secular trends in measures of well-being were observed, with a peak in September and nadir in April. CONCLUSIONS: A one-semester course for high school students regarding well-being and happiness demonstrated significant changes in positive attitudes, affective balance, and knowledge about happiness. Circannual trends in well-being measures over the academic year have implications for those designing school intervention studies.

Ultrasonic-assisted electrodeposition of Ni/diamond composite coatings and its structure and electrochemical properties.

Ni/diamond composite coatings have been synthesized by ultrasonic-assisted electrodeposition in a Ni electroplating bath containing diamond nanoparticles. The influences of current density and ultrasonic agitation on the coating composition, morphology, topography, phase structure, and electrochemical characteristics of the electrodeposits were evaluated. Ultrasonic agitation was provided using an external ultrasonic bath at a frequency of 40 kHz and acoustic power of 300 W. Coating samples were also prepared under magnetic stirring for comparison with the ultrasonic-assisted deposits. This work reveals that the diamonds have been incorporated and evenly distributed in the composites. The coatings exhibit dense, granular like morphology with pyramid-like grains. As current density increases, the diamond amount of ultrasonic-assisted electrodeposits first increased to maximum of 11.4 wt% at 3 A dm-2 and then decreases to 9.9 wt% at 5 A dm-2, and the RTC of the preferred orientation (200) plane increases from 76.3% up to 93.4%. The crystallite size was 60-80 nm and the Ra of the magnetic and ultrasonic agitations were 116 nm, 110 nm, respectively. The maximum Rp of 39.9, 50.3 kΩ cm2 was obtained at 4 A dm-2 when respectively immersed 30 min and 7 days, illustrating the best corrosion resistance of the coatings of 4 A dm-2. The effects of mechanical and ultrasonic agitations on the mechanism of the co-electrodeposition process were both proposed. The incorporation of diamond particles enhances the hardness and wear-resisting property of the electrodeposits. The ultrasonic-assisted electrodeposited Ni/diamond coating has better corrosion resistance than that prepared under mechanical stirring conditions.

Tensile behaviors of Ti3C2Tx (MXene) films.

As the most representative member of a new emerging family of 2D material, titanium carbides or nitrides (MXenes), Ti3C2Tx and its 2D assembly format, Ti3C2Tx film, have displayed outstanding performance in a broad range of practical applications. However the mechanical behaviors of Ti3C2Tx films are rarely reported. We report a systematic study of the tensile behavior of Ti3C2Tx films. Ti3C2Tx films with various thicknesses (2-17 µm) were prepared by the vacuum filtration method. Quasi-static tension and cyclic tension tests were performed to investigate the deformation and fracture mechanism of Ti3C2Tx films. It was found that: (1) the relative sliding between Ti3C2Tx flakes is the dominant deformation mechanism of Ti3C2Tx films. Cyclic loading-releasing in tension suppresses the inter-layer sliding of Ti3C2Tx flakes effectively and thus the tensile strength of thicker Ti3C2Tx film (5 µm) film improves from 57 MPa to 67 MPa. (2) The mechanical properties of Ti3C2Tx films are found to be thickness dependent. When the film thickness increases from 2.3 to 17 µm, the tensile strength and elastic modulus drop from 61 to 36 MPa and from 17 to 8 GPa, respectively. This is interpreted as more structural defects presented in the through-the-thickness direction as film thickness is increased. (3) Moderate ultrasonication pretreatment (30 min) reduces the Ti3C2Tx flake size significantly while improving the compactness of the Ti3C2Tx film; and the resulting Ti3C2Tx film shows a linear stress-strain relationship without plastic-like deformation. As a result, the tensile strength of 5 µm thick Ti3C2Tx film is enhanced to 85 MPa; (4) Structural defects of the Ti3C2Tx film have significant effects on both the brittle-like fracture behavior and the distribution of tensile strength.

Facile synthesis and electrochemical properties of a novel Ni-B/TiC composite coating via ultrasonic-assisted electrodeposition.

A novel Ni-B/TiC composite coating was synthesized by ultrasonic-assisted direct current electrodeposition. Ultrasonic technology was adopted to prevent the agglomeration of nanoparticle, improve the structure and corrosion resistance, using an ultrasonic bath at frequency 40 KHz and acoustic power 300 W. The influences of current density and deposition time on its structure and electrochemical behaviors were studied. Under ultrasonic dispersion, the composite coatings are smooth, compact with protrusion structure sparsely distributed on it. The average roughness (Sa) was about 13.6-26.1 nm. The crystallite size is 10-21 nm. The preferred orientation is Ni (1 1 1) texture. EIS results indicated that the corrosion resistance was greatly improved by ultrasonic-assisted method. The corrosion mechanism is consistent with one-time constant EEC model of Rs(CPEdlRct). With the increase of immersion time, the Rct of the composite coating often first increased and then decreased. Under ultrasonic, current density 2 A dm-2 and deposition time 20 min were the appropriate parameters for the optimal corrosion resistance and excellent long-term electrochemical stability in 3.5 wt% NaCl corrosive solution. This coating shows good application prospect for corrosion protection in aggressive environment.

Expression of ERCC1 and TYMS in colorectal cancer patients and the predictive value of chemotherapy efficacy.

The present study investigated the expression of excision repair cross-complementing gene 1 (ERCC1) and thymidylate synthase (TYMS) in patients with colorectal cancer and the predictive value of chemotherapy. Eighty patients with colorectal cancer chemotherapy admitted to Binzhou Medical University Hospital from June 2013 to June 2015 were randomly selected, and 80 cancer tissues and 68 adjacent tissues were taken for analysis. RT-qPCR was used to detect ERCC1 as well as the expression level of TYMS. The relationship of the expression level with the chemotherapy efficacy, clinical pathology and survival time in colorectal cancer patients receiving standard chemotherapy, was compared. The expression of ERCC1 and TYMS mRNA in cancer tissues was significantly higher than that in the adjacent tissues (P<0.05). There was no correlation between ERCC1 mRNA expression, TYMS mRNA and clinicopathological features of colorectal cancer (P>0.05). The predictive effect of ERCC1 on colorectal cancer chemotherapy was 0.919 (95% CI, 0.862-0.976), P<0.001. The AUC of TYMS for predicting the efficacy of chemotherapy on colon cancer was 0.831 (95% CI, 0.735-0.926), and both had higher predictive values. The expression levels of ERCC1 and TYMS mRNA in 80 patients with colorectal cancer were divided into the low and high expression groups. The 3-year survival rate of patients in the low expression group was significantly higher than that in the high expression group, and the difference between the two groups was statistically significant (P<0.05). ERCC1 and TYMS had a high predictive value for the efficacy of chemotherapy in patients with colorectal cancer, and patients with lower expression of ERCC1 and TYMS had improved 3-year survival rates than patients with higher expression. Therefore, for patients with colorectal cancer, ERCC1 and TYMS can be used as predictors of the efficacy of chemotherapy.

Ultrasonic-assisted electrodeposition of Ni-Cu/TiN composite coating from sulphate-citrate bath: Structural and electrochemical properties.

Ni-Cu/TiN nanocomposites were electrodeposited by incorporation of TiN nanoparticles in Ni-Cu matrix from sulphate-citrate bath with additives. Ultrasonic assistance was performed in an external ultrasonic bath at ultrasonic frequency of 40 KHz and acoustic power of 300 W. The effects of current density on surface morphology, structural and electrochemical properties of Ni-Cu/TiN nanocomposites were examined. Results indicated that the presence of TiN changes the texture of nickel coating. Corrosion resistance of the composite deposit was enhanced by ultrasonic-assisted electrodeposition. The average roughness value (Ra) of Ni-Cu/TiN is 26-34 nm, which is rougher than Ni-Cu alloy (Ra = 4-5 nm). Not only the ultrasonic agitation, but also the current density affects the corrosion properties of the products. Ni-Cu/TiN nanocomposite electrodeposited at 5 A dm-2 has the highest corrosion resistance.

Predictive value of IL-18 and IL-10 in the prognosis of patients with colorectal cancer.

Predictive value of serum interleukin 10 (IL-10) and interleukin 18 (IL-18) expression in patients with colorectal cancer (CRC) was investigated. This study retrospectively analyzed the medical records of 146 patients with CRC admitted to the Binzhou Medical University Hospital as the study group, and collected the physical examination data of 82 volunteers as the control group. The expression levels of IL-10 and IL-18 in the serum were measured by enzyme-linked immunosorbent assay (ELISA). A 60-month follow-up on patients in the study group was performed to make records of their prognosis. The expressions of IL-10 and IL-18 were statistically different in patients with different Dukes stages, tumor sizes, histological grades, and different situations of distant metastasis of cancer cells (P<0.05); with a gradual downward trend following the operation. The expression levels of serum IL-10 and IL-18 in the study group 7 days after the operation were lower than the levels before the operation (P<0.05), and the expression levels of IL-10 and IL-18 of patients in the study group on the day of discharge were lower than the expression levels 7 days after the operation (P<0.05). The expressions of IL-10 and IL-18 of patients with reoccurred CRC after the operation were significantly higher than that of patients without recurrence of CRC in the study group (P<0.05). Thus, IL-10 and IL-18 are highly expressed in the serum of CRC patients, which makes IL-10 and IL-18 useful to serve as indicators to determine the prognosis of CRC patients. The lower the expression levels of IL-10 and IL-18, the lower the cancer recurrence rate, the better the prognosis and the longer the survival time.

Nature-Inspired, Graphene-Wrapped 3D MoS2 Ultrathin Microflower Architecture as a High-Performance Anode Material for Sodium-Ion Batteries.

In response to the increasing concern for energy management, molybdenum disulfide (MoS2) has been extensively researched as an attractive anode material for sodium-ion batteries (SIBs). The proficient cycling durability and good rate performance of SIBs are the two key parameters that determine their potential for practical use. In this study, nature-inspired three-dimensional (3D) MoS2 ultrathin marigold flower-like microstructures were prepared by a controlled hydrothermal method. These microscale flowers are constructed by arbitrarily arranged but closely interconnected two-dimensional ultrathin MoS2 nanosheets. The as-prepared MoS2 microflowers (MFs) have then been chemically wrapped by layered graphene sheets to form the bonded 3D hybrid MoS2-G networks. TEM, SEM, XRD, XPS, and Raman characterizations were used to study the morphology, crystallization, chemical compositions, and wrapping contact between MoS2 and graphene. The ultrathin nature of MoS2 in 3D MFs and graphene wrapping provide strong electrical conductive channels and conductive networks in an electrode. Benefitting from the 2 nm ultrathin crystalline MoS2 sheets, chemically bonded graphene, defect-induced sodium storage active sites, and 3D interstitial spaces, the prepared electrode exhibited an outstanding specific capacity (606 mA h g-1 at 200 mA g-1), remarkable rate performance (345 mA h g-1 at 1600 mA g-1), and long cycle life (over 100 cycles with tremendous Coulombic efficiencies beyond 100%). The proposed synthesis strategy and 3D design developed in the present study reveal a unique way to fabricate promising anode materials for SIBs.

Low expression of B-Cell-Associated protein 31 is associated with unfavorable prognosis in human colorectal cancer.

Colorectal cancer (CRC) is one of the most common cancers worldwide. B cell-associated protein 31 (BAP31) was shown to participate in the apoptosis, and to be an immunotherapy target and a, prognostic factor for cancer, but its role in CRC has not been elucidated. In this study, we examined the expression of BAP31 in CRC to evaluate its prognostic values. We investigated the BAP31 expression level in 142 tissues (108 CRC and 17 paired human adjacent normal mucosa, and 17 liver metastatic CRC tissues) from 108 patients, using tissue microarray-based immunohistochemistry. We further investigated the association between BAP31 expression and overall survival (OS) and disease-free survival (DFS) in 77 CRC patients using Kaplan-Meier analysis. Univariate and multivariate Cox regression analyses were applied to evaluate the potential prognostic value of BAP31 in CRC patients. BAP31 expression level was significantly increased in CRC tissues (p = 0.0014) and liver metastatic CRC tissues (p < 0.0001) compared with corresponding adjacent normal mucosa. BAP31 expression was also significantly increased in liver metastatic CRC tissues compared with corresponding primary CRC tissues (p = 0.0116). Kaplan-Meier analyses showed that CRC patients with low BAP31 expression had significantly lower survival rate (p = 0.001) and lower disease-free survival rate (P = 0.009). Furthermore, multivariate Cox analysis showed that BAP31 was an independent prognostic factor for OS (hazard ratio = 0.410, 95% confidence interval = 0.195-0.862, p = 0.019). CONCLUSIONS: Our study demonstrated that BAP31 is a potential prognostic marker for CRC patients after surgery.

Hierarchical Porous Nanosheets Constructed by Graphene-Coated, Interconnected TiO2 Nanoparticles for Ultrafast Sodium Storage.

Sodium-ion batteries (SIBs) are considered promising next-generation energy storage devices. However, a lack of appropriate high-performance anode materials has prevented further improvements. Here, a hierarchical porous hybrid nanosheet composed of interconnected uniform TiO2 nanoparticles and nitrogen-doped graphene layer networks (TiO2 @NFG HPHNSs) that are synthesized using dual-functional C3 N4 nanosheets as both the self-sacrificing template and hybrid carbon source is reported. These HPHNSs deliver high reversible capacities of 146 mA h g-1 at 5 C for 8000 cycles, 129 mA h g-1 at 10 C for 20 000 cycles, and 116 mA h g-1 at 20 C for 10 000 cycles, as well as an ultrahigh rate capability up to 60 C with a capacity of 101 mA h g-1 . These results demonstrate the longest cyclabilities and best rate capability ever reported for TiO2 -based anode materials for SIBs. The unprecedented sodium storage performance of the TiO2 @NFG HPHNSs is due to their unique composition and hierarchical porous 2D structure.

Honeycomb-like NiCo2S4 nanosheets prepared by rapid electrodeposition as a counter electrode for dye-sensitized solar cells.

Honeycomb-like nickel cobalt sulfide (NiCo2S4) nanosheets were directly deposited on fluorine-doped tin oxide substrate by a rapid voltammetric deposition method. The method was also controllable and feasible for preparing NiCo2S4 on flexible Ti foil without any heating processes. Compared with Pt, CoS and NiS, NiCo2S4 exhibited low charge-transfer resistances and excellent electrocatalytic activity for [Formula: see text] reduction, acting as a counter electrode for a dye-sensitized solar cell. The NiCo2S4-based solar cell showed higher power conversion efficiency (7.44%) than that of Pt-based solar cell (7.09%) under simulated illumination (AM 1.5 G, 100 mW cm-2). The device based on the flexible NiCo2S4/Ti foil achieved a power conversion efficiency of 5.28% under the above illumination conditions. This work can be extended to flexible and wearable technologies due to its facile technique.

Up-regulation of mir-10b predicate advanced clinicopathological features and liver metastasis in colorectal cancer.

Given the emerging role of microRNA in tumor disease progression, we investigated the association between miRNA 10b expression, liver metastasis, and clinicopathological of colorectal cancer (CRC). Two hundred and forty-six pairs of samples (including CRC samples and normal adjacent tissues) from CRC patients were collected from May 2004 to May 2009. All samples verified to contain at least 80% tumor cells, and were immediately frozen in liquid nitrogen and stored at -80°C or fixed in 10% formalin for paraffin embedding. The expression of miRNA-10b in CRC tissues was evaluated using a quantitative real-time polymerase chain reaction RT-PCR. Correlation between miR-10b expression and poor clinicopathological of CRC patients were analyzed using Student's t-tests and Chi-square tests. A Kaplan-Meier survival curve was generated following a log-rank test. miR-10b expression was up-regulated in CRC tissues (P < 0.0001) and in patients diagnosed as colorectal liver metastasis (CLM) at initial involvement or during follow-up. When the Tumor Node Metastasis (TNM) stage was taken into consideration, the expression levels of miR-10b were positively correlated with advanced TNM stages. In addition, the miR-10b expression of patients diagnosed as CLM at initial involvement was significantly higher than those without liver metastasis (nCLM). Similarly, those patients developed with CLM during follow-up (FCLM) was also markedly higher than those with nCLM. miR-10b expression was also found correlated with advanced stage (P < 0.0001), lymph node metastasis (P = 0.025), venous infiltration (P = 0.007), poorer differentiation (P = 0.002), and served as an independent prognostic factor of poor overall survival (P < 0.0001). This study demonstrated the expression of miR-10b had strong potential to serve as a noninvasive biomarker for CRC prognosis and predicting liver metastasis.

Cell fusion between gastric epithelial cells and mesenchymal stem cells results in epithelial-to-mesenchymal transition and malignant transformation.

BACKGROUND: The discovery of cancer stem cells and tumor heterogeneity prompted the exploration of additional mechanisms aside from genetic mutations for carcinogenesis and cancer progression. The aim of the present study was to investigate the effect of cell fusion between mesenchymal stem cells and the gastric epithelial cells in tumorigenesis. METHODS: Cell fusion between cord blood mesenchymal stem cells and human gastric epithelial cells was performed in vitro. Cell scratch and transwell assays were performed to determine migration and invasion abilities of the hybrids. The expressions of epithelial-mesenchymal transition-related proteins and genes were analyzed by immunocytochemistry and real time quantitative PCR. Tumorigenesis of the hybrids was evaluated through in vivo inoculation in nude mice. RESULTS: Hybrids expressed the phenotypes of both donor cells. Aneuploidy was observed in 84.1% of cells. The hybrids showed increased proliferation, migration and invasion abilities compared with the parental cells. In addition, the expression of N-cadherin and vimentin in the hybrids was significantly higher than that of the epithelial cells, and the mRNA expression of the epithelial-mesenchymal transition-related genes, Twist and Slug, in the hybrids was also increased compared with that of the parental epithelial cells. Furthermore, the hybrids formed masses of epithelial origin with glandular structures in BALB/c nude mice. CONCLUSIONS: These findings suggest that cell fusion between gastric epithelial cells and mesenchymal stem cells may result in epithelial to mesenchymal transition and malignant transformation.