Intraoperative rapid molecular diagnosis aids glioma subtyping and guides precise surgical resection.

OBJECTIVE: The molecular era of glioma diagnosis and treatment has arrived, and a single rapid histopathology is no longer sufficient for surgery. This study sought to present an automatic integrated gene detection system (AIGS), which enables rapid intraoperative detection of IDH/TERTp mutations. METHODS: A total of 78 patients with gliomas were included in this study. IDH/TERTp mutations were detected intraoperatively using AIGS in 41 of these patients, and they were guided to surgical resection (AIGS detection group). The remaining 37 underwent histopathology-guided conventional surgical resection (non-AIGS detection group). The clinical utility of this technique was evaluated by comparing the accuracy of glioma subtype diagnosis before and after TERTp mutation results were obtained by pathologists and the extent of resection (EOR) and patient prognosis for molecular pathology-guided glioma surgery. RESULTS: With NGS/Sanger sequencing and chromosome detection as the gold standard, the accuracy of AIGS results was 100%. And the timing was well matched to the intraoperative rapid pathology report. After obtaining the TERTp mutation detection results, the accuracy of the glioma subtype diagnosis made by the pathologists increased by 19.51%. Molecular pathology-guided surgical resection of gliomas significantly increased EOR (99.06% vs. 93.73%, p < 0.0001) and also improved median OS (26.77 vs. 13.47 months, p = 0.0289) and median PFS (15.90 vs. 10.57 months, p = 0.0181) in patients with glioblastoma. INTERPRETATION: Using AIGS intraoperatively to detect IDH/TERTp mutations to accurately diagnose glioma subtypes can help achieve maximum safe resection of gliomas, which in turn improves the survival prognosis of patients.

The first prospective application of AIGS real-time fluorescence PCR in precise diagnosis and treatment of meningioma: Case report.

Background: The emergence of the new WHO classification standard in 2021 incorporated molecular characteristics into the diagnosis system for meningiomas, making the diagnosis and treatment of meningiomas enter the molecular era. Recent findings: At present, there are still some problems in the clinical molecular detection of meningioma, such as low attention, excessive detection, and a long cycle. In order to solve these clinical problems, we realized the intraoperative molecular diagnosis of meningioma by combining real-time fluorescence PCR and AIGS, which is also the first known product applied to the intraoperative molecular diagnosis of meningioma. Implications for practice: We applied AIGS to detect and track a patient with TERTp mutant meningioma, summarized the process of intraoperative molecular diagnosis, and expounded the significance of intraoperative molecular diagnosis under the new classification standard, hoping to optimize the clinical decision-making of meningioma through the diagnosis and treatment plan of this case.

Opportunities and challenges related to ferroptosis in glioma and neuroblastoma.

A newly identified form of cell death known as ferroptosis is characterized by the peroxidation of lipids in response to iron. Rapid progress in research on ferroptosis in glioma and neuroblastoma has promoted the exploitation of ferroptosis in related therapy. This manuscript provides a review of the findings on ferroptosis-related therapy in glioblastoma and neuroblastoma and outlines the mechanisms involved in ferroptosis in glioma and neuroblastoma. We summarize some recent data on traditional drugs, natural compounds and nanomedicines used as ferroptosis inducers in glioma and neuroblastoma, as well as some bioinformatic analyses of genes involved in ferroptosis. Moreover, we summarize some data on the associations of ferroptosis with the tumor immunotherapy and TMZ drug resistance. Finally, we discuss future directions for ferroptosis research in glioma and neuroblastoma and currently unresolved issues.

How Nitrogen and Sulfur Doping Modified Material Structure, Transformed Oxidation Pathways, and Improved Degradation Performance in Peroxymonosulfate Activation.

Current research has widely applied heteroatom doping for the promotion of catalyst activity in peroxymonosulfate (PMS) systems; however, the relationship between heteroatom doping and stimulated activation mechanism transformation is not fully understood. Herein, we introduce nitrogen and sulfur doping into a Co@rGO material for PMS activation to degrade tetracycline (TC) and systematically investigate how heteroatom doping transformed the activation mechanism of the original Co@rGO/PMS system. N was homogeneously inserted into the reduced graphene oxide (rGO) matrix of Co@rGO, inducing a significant increase in the degradation efficiency without affecting the activation mechanism transformation. Additionally, S doping converted Co3O4 to Co4S3 in Co@rGO and transformed the cooperative oxidation pathway into a single non-radical pathway with stronger intensity, which led to a higher stability against environmental interferences. Notably, based on density functional theory (DFT) calculations, we demonstrated that Co4S3 had a higher energy barrier for PMS adsorption and cleavage than Co3O4, and therefore, the radical pathway was not easily stimulated by Co4S3. Overall, this study not only illustrated the improvement due to the heteroatom doping of Co@rGO for TC degradation in a PMS system but also bridged the knowledge gap between the catalyst structure and degradation performance through activation mechanism transformation drawn from theoretical and experimental analyses.

Enhancement on the degradation of naproxen in Cu0 activated peroxymonosulfate system by complexing reagents.

In recent years, there has been growing interest in the mechanism (radical or nonradical) of persulfate activation processes. In this study, the enhancement of naproxen (NPX) degradation in a Cu0/peroxymonosulfate (PMS) system by complexing reagents was investigated. Surprisingly, neocuproine (NCP) alters the nature of reactive species in the Cu0/PMS system. A high-valent copper species, Cu(III)-NCP, was found to dominate NPX degradation rather than radicals under acid conditions for the first time. Moreover, systematically designed experiments revealed that the Cu(III)-NCP complex was a strong selective oxidant that reacted with organics through a single electron transfer pathway. Meanwhile, the degradation efficiency of NPX was highly dependent on the solution pH and dosage of Cu0 and NCP, but was irrelevant to the concentration of NPX. Additionally, the enhancement of NCP on other copper based PMS activation systems (i.e., Cu2+/HA/PMS and Cu0/HA/PMS systems) was investigated. Considering that the released copper can be removed by a simple precipitation method to meet the effluent standards, the new complex-enhanced Cu0/PMS system provided a new method to enhance the degradation efficiencies of pollutants by a copper-catalyzed Fenton-like system.

Novel VUV/g-C3N4 system with high adaptability to varied environmental conditions and outstanding degradation capacity for chlorophenols.

Given the limitations of conventional vacuum ultraviolet (VUV) systems, a novel vacuum ultraviolet/graphite carbon nitride (VUV/g-C3N4) system with high adaptability to varying environmental conditions was developed. Compared with conventional VUV and UV/g-C3N4 systems, the VUV/g-C3N4 system demonstrates a much higher ability for the efficient degradation of chlorophenols (CPs). In particular, the VUV/g-C3N4 system exhibits outstanding performance even at low pH and high concentrations of humic acid and SO42-. Alkaline conditions and the presence of HCO3- can further promote CP removal. In addition, the feasibility of the VUV/g-C3N4 system was verified by its stable operation in both river water and tap water. Unlike conventional photochemical systems relying on •OH, the dominant reactive species for CP degradation by the VUV/g-C3N4 system was identified to be •O2-. This study conclusively provided a novel system for the efficient photocatalytic treatment of pollutants.

Efficient removal of halogenated phenols by vacuum-UV system through combined photolysis and OH oxidation: Efficiency, mechanism and economic analysis.

In this study, efficient simultaneous degradation and dechlorination of the photo-recalcitrant emerging disinfection byproduct, 2-chlorophenol (2-CP), was achieved by vacuum-ultraviolet (VUV) system for the first time. Different from the conventional UV system, the combined action of direct photolysis and OH oxidation in VUV system led to a significantly higher removal efficiency for 2-CP. In UV system, 2-CP degradation rate constants was independent of the initial 2-CP concentration, and was increased with enhancing pH. To the contrary, in VUV system, higher initial concentration of 2-CP resulted in lower rate constant, and the degradation rates of 2-CP under both acidic and alkaline conditions were higher than that at the neutral pH. Moreover, humic acid could inhibit 2-CP degradation more prominently in VUV system than in UV system, owing to the scavenging effect of OH by it. The degradation pathways of 2-CP were proposed based on the identified main degradation products by GC-MS/MS. Furthermore, degradation of the other seven typical halogenated phenols by VUV irradiation in tap water, ultrafiltrated water and Mill-Q water were investigated to verify the feasibility of the system. Based on the systematic economic analysis, VUV process is economically feasible for the advanced treatment of tap water to remove halogenated phenols.

Efficient degradation of refractory organic contaminants by zero-valent copper/hydroxylamine/peroxymonosulfate process.

Degradation of naproxen, bisphenol S and ibuprofen in a hydroxylamine enhanced zero-valent copper (Cu0) catalyzed peroxymonosulfate system was investigated for the first time. We found that hydroxylamine addition accelerated the reduction of Cu2+ to Cu+ as well as the corrosion of Cu0, and environmental friendly gas nitrogen was the main product of hydroxylamine. Additionally, hydroxyl radical and sulfate radical were identified to be the dominant reaction species by competitive experiments. The degradation of naproxen, bisphenol S and ibuprofen kept highly efficient in the pH range of 3.0-7.0 in Cu0/hydroxylamine/peroxymonosulfate process, with their degradation products identified by HPLC-MS, which showed that Cu0/hydroxylamine/peroxymonosulfate system could be an alternative to remove non-steroidal antiinflammatory drugs or plasticizers in wastewater. Furthermore, the effects of Cu0, hydroxylamine and peroxymonosulfate dosage were studied and optimized by a BBD based response surface model. This study provided a method to solve the disadvantages of Cu0/peroxymonosulfate systems, and gave a promising method to enhance the efficiencies of ZVMs activated system such as iron, cobalt and copper.

Activation of peroxymonosulfate system by copper-based catalyst for degradation of naproxen: Mechanisms and pathways.

Organic degradation by zero-valent metal (ZVM)-activated peroxymonosulfate (PMS) systems has drawn great attention in water treatment. Among various types of ZVM, zero-valent copper (ZVC) showed greatest activating capacity. However, the disadvantages of the released Cu2+ limit the practical utilization of ZVC. In this study, the activation capacity of four normal-sized copper catalysts, namely, copper sheet, graphene-copper sheet, copper foam, and graphene-copper foam, for PMS was investigated using Naproxen (NPX) as the probe compound. Results showed that the degradation efficiency of NPX increased by 10%, while the release of Cu2+ decreased by 30% by coating the copper with graphene. Stability tests showed that all of the four catalysts exhibited considerable stability in PMS activation. Furthermore, we found for the first time that the hydroxyl radical was the dominant species in the degradation of NPX rather than the sulfate radical, which was proved by ESR and radical scavenging experiments. Finally, six intermediates were identified by HPLC-MS/MS, and the degradation pathways were proposed. This study confirmed the feasibility of graphene coating on metals to achieve the enhancement of PMS activation.

Enhanced mineralization of atrazine by surface induced hydroxyl radicals over light-weight granular mixed-quartz sands with ozone.

A light-weight granular mixed-quartz sand (denoted as L-GQS) combined with stirring-assisted bubble column reactor was firstly applied in catalytic ozonation of atrazine. The L-GQS, with a density of 2.36 g cm-3 and average diameter of ca. of 4 mm, was readily churned up and uniformly distributed within the solution in the reactor. The introduction of L-GQS was found to exhibit enhanced catalytic ozonation of atrazine, with the increase in degradation rate and the dissolved organic carbon (DOC) removal being more than 2-fold for the catalytic process (L-GQS dosage = 5 g L-1, [atrazine]0 = 50 µM, [O3] = 25 mg L-1, gas flow = 0.2 L min-1, at pH 7.0 and 293 K). The L-GQS settled at the bottom of the reactor after experimentation, allowing its easy separation from the solution. A complete characterization of the material (XRD, XPS, FTIR, FE-SEM/EDS, BET and pHpzc) revealed that L-GQS consisted of α-quartz, ß-cristobalite, anorthoclase and small amount of iron oxy-hydroxides. Hydroxyl groups, Bronsted acid sites and Lewis acid sites on the surface of L-GQS all contributed to the atrazine adsorption, ozone decomposition and ·OH generation. The L-GQS catalyzed ozonation exhibited superior atrazine degradation and mineralization rates in a wide range of pH (3.0-9.0) and reaction temperatures (278 K-293 K). Also, an enhancement of DOC abatement was observed both in presence of natural organic matter isolates and natural water matrices (river water) when L-GQS was used. Finally, the degradation mechanism was proposed, based on the intermediates and by-products formation analyzed by LC-QTOF-MS/MS and ionic chromatography. Our results indicate that the L-GQS combined with stirring-assisted bubble column reactor could be utilized as an enhancement of ozone-based advanced oxidation processes.

[Synergistic Enhancement on Oxidation of Phenol by Fenton Processes by Adding Ce3+ and Cu2+ Ions].

Synergistic effect of Ce3+ and Cu2+ on the oxidation efficiency of phenol in different initial pH and H2O2 concentrations by Fenton processes was studied. The experiment results illustrated that Ce3+/Cu2+/Fe2+/H2O2 system had a wider scope of application than Fenton process in the aspect of pH and H2O2 concentration. Phenol was still efficiently degraded by Ce3+/Cu2+/Fe2+/H2O2 at a higher pH (pH=5.0) and a higher H2O2 concentration (2.0 mmol·L-1). In addition, Cu2+ could react with quinone-like substrates, the oxidation intermediates of phenol, to produce Cu+, which could catalyze the decomposition of H2O2 to form·OH, while Ce3+ could accelerate the formation of quinone-like substrates and facilitate the cycling of Fe3+ and Fe2+, to enhance the decomposition of H2O2 to form·OH, the mechanism analysis illuminated the synergy of Ce3+ and Cu2+. The reactive species in Ce3+/Cu2+/Fe2+/H2O2 system was still proved to be·OH, resulting from the scavenging experiments by adding different radical scavengers.