Predictive Value of Flank Pain and Gross Hematuria on Long-Term Survival in Patients With Upper Tract Urothelial Carcinoma Treated by Radical Nephroureterectomy.

Background: Assessing the prognosis preoperatively in patients with upper tract urothelial carcinoma (UTUC) remains a challenge for urologists. Gross hematuria (GH) and flank pain (FP) are the 2 most common and easily perceived symptoms of UTUC. Therefore, we aimed to investigate the prognostic values of GH and FP in patients with UTUC after undergoing radical nephroureterectomy (RNU). Methods: This article retrospectively analyzed 179 patients with UTUC who underwent RNU and examined the associations between the FP, GH, and long-term survival. After dividing patients into 4 subgroups (presenting as GH without FP, FP without GH, no FP and GH, FP with GH), we focused on the prognostic values of the 4 subgroups using univariate and multivariate analyses. We then proposed a risk stratification model for UTUC based on the independent prognostic factors for cancer-specific survival (CSS) with external validation (146 additional UTUC patients formed the validation cohort). Results: Patients with FP had worse oncological outcomes than those without FP (P < .05). After dividing the 179 patients into 4 subgroups, the "FP without GH" subgroup suffered the worst oncological outcomes (P < .001). The Cox multivariate regression analysis showed that "FP without GH" (P < .001), tumor multifocality (P = .005), and pathological stage (P = .004) were independent prognostic factors for CSS. Good performance of the risk stratification model was achieved in both the training and external validation cohorts. Conclusion: The presence of "flank pain without gross hematuria" was one of the independent risk factors of CSS and OS besides the pathological stage and tumor multifocality. To our knowledge, this is the first study that adding complaint to risk stratification model in UTUC.

Exosome-Mediated miR-4792 Transfer Promotes Bladder Cancer Cell Proliferation via Enhanced FOXC1/c-Myc Signaling and Warburg Effect.

Bladder cancer is the second-most common malignancy in the urogenital system and the most common in men. However, our understanding of the driving mechanisms of bladder cancer remains incomplete. The forkhead box (FOX) family of transcription factors is implicated in urogenital development and bladder malignancies. Many exosomal microRNAs have been identified as regulators and mediators of the expression of FOX, including the expression of FOXC1. miR-4792 has been known as a tumor miRNA suppressor. However, the function of miR-4792/FOXC1 signaling in bladder cancer development remains unknown. Here, we studied the role of miR-4792/FOXC1 signaling in bladder cancer by using multiple bladder cancer cell lines and bladder cancer mouse models through in vitro and in vivo approaches. We showed that FOXC1 is highly expressed in multiple bladder cancer cell lines and bladder tumor tissues. The knockdown of FOXC1 expression in bladder cancer cell lines decreases c-Myc expression levels, retards cell growth, and reduces aerobic glycolysis (also known as the Warburg effect) and lactic acid content. By contrast, the overexpression of FOXC1 elicits the opposite effects. FOXC1-downregulated bladder cancer cells form significantly smaller tumors in vivo. The inhibition of c-Myc reverses the effects of FOXC1 overexpression and leads to reduced cell proliferation, aerobic glycolysis, and lactic acid content. miR-4792 expression is downregulated in bladder tumor tissues. miR-4792 exposure to bladder cancer cells reduces the expression levels of FOXC1 and c-Myc, slows down cell growth, and decreases aerobic glycolysis and lactic acid content. However, the enhanced miR-4792 expression elicits opposite effects. These findings provided the first evidence that the exosome-mediated delivery of miR-4792 could play an important role in bladder cancer development through the downregulation of FOXC1 and c-Myc, which further inhibited aerobic glycolysis and lactic acid content.

MXene-supported Co3O4 quantum dots for superior lithium storage and oxygen evolution activities.

A novel hybrid, composed of Co3O4 quantum dots supported on Ti3C2Tx (MXene) nanosheets, exhibits a strong synergetic effect, and shows superior lithium storage (capacity = 766.5 mA h g-1 at 2 A g-1 after 400 cycles) and oxygen evolution (overpotential = 340 mV at 10 mA cm-2) activities.

Metal-organic framework derived hollow porous CuO-CuCo2O4 dodecahedrons as a cathode catalyst for Li-O2 batteries.

Herein, hollow porous CuO-CuCo2O4 dodecahedrons are synthesized by using a simple self-sacrificial metal-organic framework (MOF) template, which resulted in dodecahedron morphology with hierarchically porous architecture. When evaluated as a cathodic electrocatalyst in lithium-oxygen batteries, the CuO-CuCo2O4 composite exhibits a significantly enhanced electrochemical performance, delivering an initial capacity of 6844 mA h g-1 with a remarkably decreased discharge/charge overpotential to 1.15 V (vs. Li/Li+) at a current density of 100 mA g-1 and showing excellent cyclic stability up to 111 charge/discharge cycles under a cut-off capacity of 1000 mA h g-1 at 400 mA g-1. The outstanding electrochemical performance of CuO-CuCo2O4 composite can be owing to the intrinsic catalytic activity, unique porous structure and the presence of substantial electrocatalytic sites. The ex situ XRD and SEM are also carried out to reveal the charge/discharge behavior and demonstrate the excellent reversibility of the CuO-CuCo2O4 based electrode.

Ultrathin MXene Nanosheets Decorated with TiO2 Quantum Dots as an Efficient Sulfur Host toward Fast and Stable Li-S Batteries.

Being conductive and flexible, 2D transition metal nitrides and carbides (MXenes) can serve in Li-S batteries as sulfur hosts to increase the conductivity and alleviate the volume expansion. However, the surface functional groups, such as OH and F, weaken the ability of bare MXenes in the chemisorption of polysulfides. Besides, they create numerous hydrogen bonds which make MXenes liable to restack, resulting in substantial loss of active area and, thus, inaccessibility of ions and electrolyte. Herein, a facile, one-step strategy is developed for the growth of TiO2 quantum dots (QDs) on ultrathin MXene (Ti3 C2 Tx ) nanosheets by cetyltrimethylammonium bromide-assisted solvothermal synthesis. These QDs act as spacers to isolate the MXene nanosheets from restacking, and preserve their 2D geometry which guarantees larger electrode-electrolyte contact area and higher sulfur loading. The stronger adsorption energy of polysulfides with TiO2 (than with Ti3 C2 Tx ), as proven by density functional theory calculations, is essential for better on-site polysulfide retention. The ultrathin nature and protected conductivity ensure rapid ion and electron diffusion, and the excellent flexibility maintains high mechanical integrity. In result, the TiO2 QDs@MXene/S cathode exhibits significantly improved long-term cyclability and rate capability, disclosing a new opportunity toward fast and stable Li-S batteries.

Smartly Designed Hierarchical MnO2 @Fe3 O4 /CNT Hybrid Films as Binder-free Anodes for Superior Lithium Storage.

Nowadays, the development of advanced anode materials is highly desirable for the increasing demand for high-performance lithium-ion batteries (LIBs). Nanostructured MnO2 has received utmost attention due to high theoretical capacity (1230 mA h g-1 ), abundant resources, environmental benignity, and shortened electron and ion diffusion paths. Unfortunately, poor electronic conductivity and strong aggregation inclination of MnO2 nanostructures result in disappointing electrochemical performances, which restrict their practical application as sole institute. Here, we propose smartly designed MnO2 @Fe3 O4 /CNT hybrid films, in which MnO2 nanosheets, Fe3 O4 nanoparticles and CNTs are hierarchically assembled in a unique stage of nanosheets-nanoparticles-nanotubes. The resulting MnO2 @Fe3 O4 /CNT hybrid films can be directly used as anodes without any polymer binders, and exhibit significant synergistic interactions among three components, achieving excellent reversible capacity and rate performance.

Dandelion-like Co3O4 mesoporous nanostructures supported by a Cu foam for efficient oxygen evolution and lithium storage.

Novel dandelion-like Co3O4 mesoporous nanostructures, supported by a Cu foam, are prepared by a combination of hydrothermal synthesis and annealing. The resulting Co3O4@Cu foam exhibits superior oxygen evolution (Tafel slope = 42.8 mV dec-1) and lithium storage (capacity = 882 mA h g-1@2C after 100 cycles, 1C = 890 mA g-1) properties, which highlight its great promise in the fields of energy storage and conversion.

Electrospun Polyacrylonitrile-Ionic Liquid Nanofibers for Superior PM2.5 Capture Capacity.

Ambient fine particulate matter (PM) affects both human health and climate. To reduce the PM2.5 (mass of particles below 2.5 µm in diameter) concentration of an individual's living environment, ionic liquid-modified polyacrylonitrile (PAN) nanofibers with superior PM2.5 capture capacity were prepared by electrospinning. Ionic liquid diethylammonium dihydrogen phosphate (DEAP) with high viscosity and hydrophilicity was involved during the electrospinning process. Observations by scanning electron microscopy (SEM), transmission electron microscopy (TEM), and water contact angle measurement suggested that the modification of DEAP on PAN effectively altered the morphology (roughness) and surface properties (hydrophilicity) of the PAN nanofibers. The PM2.5 capture measurement was performed in a closed and static system, which mimicked the static hazy weather without wind flow. As a result, DEAP-modified PAN nanofibers exhibited significantly enhanced PM2.5 capture capacity compared to that of the bare PAN nanofibers. This can be attributed to the improved surface roughness (i.e., improved adsorption sites), hydrophilicity, and dipole moment of PAN upon DEAP modification.

Creating a synergistic interplay between tubular MoS2 and particulate Fe3O4 for improved lithium storage.

A novel three-dimensional MoS2@Fe3O4 nanohybrid, composed of tubular MoS2 uniformly and densely decorated with particulate Fe3O4, is constructed, which exhibits significantly improved lithium storage performances through an impressive synergistic interplay between the two active materials.

Controllable growth of CNTs on graphene as high-performance electrode material for supercapacitors.

Design and synthesis of three-dimensional (3D) structured carbon materials are crucial for achieving high-performance supercapacitors (SC) for energy storage. Here, we report the preparation of 3D architectured GN-CNT hybrid as SC electrodes. Controllable growth of carbon nanotubes on graphene sheets was realized through a facile one-pot pyrolysis strategy. The length of the carbon nanotubes could be rationally tuned by adjusting the amount of precursors. Correspondingly, the resulted GN-CNT hybrid showed adjustable electrochemical performance as an SC electrode. Importantly, the GN-CNT exhibited a high specific surface area of 903 m(2) g(-1) and maximum specific capacitance of 413 F g(-1) as SC electrodes at a scan rate of 5 mV s(-1) in 6 M KOH aqueous solution. This work paves a feasible pathway to prepare carbon electrode materials with favorable 3D architecture and high performance, for use in energy storage and conversion.