Clinical Significance of CLDN18.2 Expression in Metastatic Diffuse-Type Gastric Cancer.

PURPOSE: Isoform 2 of tight junction protein claudin-18 (CLDN18.2) is a potential target for gastric cancer treatment. A treatment targeting CLDN18.2 has shown promising results in gastric cancer. We investigated the clinical significance of CLDN18.2 and other cell-adherens junction molecules (Rho GTPase-activating protein [RhoGAP] and E-cadherin) in metastatic diffuse-type gastric cancer (mDGC). MATERIALS AND METHODS: We evaluated CLDN18.2, RhoGAP, and E-cadherin expression using two-plex immunofluorescence and quantitative data analysis of H-scores of 77 consecutive mDGC patients who received first-line platinum-based chemotherapy between March 2015 and February 2017. RESULTS: CLDN18.2 and E-cadherin expression was significantly lower in patients with peritoneal metastasis (PM) than those without PM at the time of diagnosis (P=0.010 and 0.013, respectively), whereas it was significantly higher in patients who never developed PM from diagnosis to death than in those who did (P=0.001 and 0.003, respectively). Meanwhile, CLDN18.2 and E-cadherin expression levels were significantly higher in patients with bone metastasis than in those without bone metastasis (P=0.010 and 0.001, respectively). Moreover, we identified a positive correlation between the expression of CLDN18.2 and E-cadherin (P<0.001), RhoGAP and CLDN18.2 (P=0.004), and RhoGAP and E-cadherin (P=0.001). Conversely, CLDN18.2, RhoGAP, and E-cadherin expression was not associated with chemotherapy response and survival. CONCLUSIONS: CLDN18.2 expression was reduced in patients with PM but significantly intact in those with bone metastasis. Furthermore, CLDN18.2 expression was positively correlated with other adherens junction molecules, which is clinically associated with mDGC and PM pathogenesis.

Comparison of the Differences in Survival Rates between the 7th and 8th Editions of the AJCC TNM Staging System for Gastric Adenocarcinoma: a Single-Institution Study of 5,507 Patients in Korea.

PURPOSE: The aims of this study were to compare the 7th and 8th editions of the American Joint Committee on Cancer (AJCC) staging manuals on tumor, node, and metastasis (TNM) staging systems and to evaluate whether the 8th edition represents a better refinement of the 7th staging system, when applied for the classification of gastric cancers. MATERIALS AND METHODS: A total of 5,507 gastric cancer patients, who underwent treatment from January 1989 to December 2013 at a single institute, were included. We compared patient survival rates across the disease groups classified according to the 7th and 8th editions of the AJCC TNM staging systems. RESULTS: Stage migration was observed in 6.4% (n=355) of the patients. Of these, 3.5% (n=192) and 2.9% (n=158) of patients showed a higher stage and lower stage, respectively. According to the 8th edition of the AJCC TNM staging criteria, the 5-year overall survival rates of the patients with stage IIIB and IIIC showed a significant difference (40.8% vs. 20.2%, P<0.001) whereas no significant differences in the 5-year overall survival rates were observed according to the 7th edition criteria (37.6% vs. 33.2%, P=0.381). CONCLUSIONS: Restaging stage III cancers according to the 8th edition of the AJCC TNM classification criteria improved survival rate discrimination, particularly, in institutes where the stage III patients were not distinctly categorized.

Bio-inspired, colorful, flexible, defrostable light-scattering hybrid films for the effective distribution of LED light.

Bioluminescent jellyfish has a unique structure derived from fiber/polymer interfaces that is advantageous for effective light scattering in the dark, deep sea water. Herein, we demonstrate the fabrication of bio-inspired hybrid films by mimicry of the jellyfish's structure, leading to excellent light-scattering performance and defrosting capability. A haze value reaching 59.3% and a heating temperature of up to 292 °C were achieved with the films. Accordingly, the developed surface constitutes an attractive optical device for lighting applications, especially for street or vehicle luminaries for freezing Arctic-climate countries. The morphological details of the hybrid films were revealed by scanning electron microscopy. The light-scattering properties of these films were examined by ultraviolet-visible-infrared spectrophotometry and anti-glare effect analyses. The defrosting performance of the hybrid films was evaluated via heating tests and infra-red observations.

Flexible, Freestanding, and Binder-free SnO(x)-ZnO/Carbon Nanofiber Composites for Lithium Ion Battery Anodes.

Here, we demonstrate the production of electrospun SnO(x)-ZnO polyacrylonitrile (PAN) nanofibers (NFs) that are flexible, freestanding, and binder-free. This NF fabric is flexible and thus can be readily tailored into a coin for further cell fabrication. These properties allow volume expansion of the oxide materials and provide shortened diffusion pathways for Li ions than those achieved using the nanoparticle approach. Amorphous SnO(x)-ZnO particles were uniformly dispersed in the carbon NF (CNF). The SnO(x)-ZnO CNFs with a Sn:Zn ratio of 3:1 exhibited a superior reversible capacity of 963 mA·h·g(-1) after 55 cycles at a current density of 100 mA·g(-1), which is three times higher than the capacity of graphite-based anodes. The amorphous NFs facilitated Li2O decomposition, thereby enhancing the reversible capacity. ZnO prevented the aggregation of Sn, which, in turn, conferred stable and high discharge capacity to the cell. Overall, the SnO(x)-ZnO CNFs were shown to exhibit remarkably high capacity retention and high reversible and rate capacities as Li ion battery anodes.

Electrically-charged recyclable graphene flakes entangled with electrospun nanofibers for the adsorption of organics for water purification.

Graphene flakes were entrapped between nylon 6 nanofiber layers and the resulting assembly was used as a recyclable water purification membrane. Water purification was achieved via adsorption of the model organic pollutant (methylene blue; MB) on the surface of the graphene component. Desorption of these MB molecules was achieved by applying high voltage, which increased the removal efficiency of the recycled membrane. The adsorption and desorption mechanisms were evaluated in detail. The material characteristics of the membrane were analyzed by scanning electron microscopy, Raman, UV-visible, and Fourier transform infrared analyses.

Highly flexible transparent self-healing composite based on electrospun core-shell nanofibers produced by coaxial electrospinning for anti-corrosion and electrical insulation.

Coaxial electrospinning was used to fabricate two types of core-shell fibers: the first type with liquid resin monomer in the core and polyacrylonitrile in the shell, and the second type with liquid curing agent in the core and polyacrylonitrile in the shell. These two types of core-shell fibers were mutually entangled and embedded into two flexible transparent matrices thus forming transparent flexible self-healing composite materials. Such materials could be formed before only using emulsion electrospinning, rather than coaxial electrospinning. The self-healing properties of such materials are associated with release of healing agents (resin monomer and cure) from nanofiber cores in damaged locations with the subsequent polymerization reaction filing the micro-crack with polydimethylsiloxane. Transparency of these materials is measured and the anti-corrosive protection provided by them is demonstrated in electrochemical experiments.