Suicide among lymphoma patients.

BACKGROUND: Higher suicide rates were observed in patients diagnosed with lymphoma. In this study, we accurately identified patients with high-risk lymphoma for suicide by constructing a nomogram with a view to effective interventions and reducing the risk of suicide. METHODS: 235,806 patients diagnosed with lymphoma between 2000 and 2020 were picked from the Surveillance, Epidemiology, and End Results (SEER) database and randomly divided into training (N = 165,064) and validation set (N = 70,742). A combination of the Least absolute shrinkage and selection operator (LASSO) and Cox proportional hazards regression identified the predictors that constructed the nomogram. To assess the discrimination, calibration, clinical applicability, and generalization of this nomogram, we implemented receiver operating characteristic curves (ROC), calibration curves, decision curve analysis (DCA), and internal validation. The robustness of the results was assessed by the competing risks regression model. RESULTS: Age at diagnosis, gender, ethnicity, marital status, stage, surgery, radiotherapy, and annual household income were key predictors of suicide in lymphoma patients. A nomogram was created to visualize the risk of suicide after a lymphoma diagnosis. The c-index for the training set was 0.773, and the validation set was 0.777. The calibration curve for the nomogram fitted well with the diagonal and the clinical decision curve indicated its clinical benefit. LIMITATION: The effects of unmeasured and unnoticed biases and confounders were difficult to eliminate due to retrospective studies. CONCLUSION: A convenient and reliable model has been constructed that will help to individualize and accurately quantify the risk of suicide in patients diagnosed with lymphoma.

Intra- and interspecific ecophysiological responses to waterlogging stress in two contrasting waterlogging-tolerant arbor species.

At present, establishing planted forests, typically composed of not more than two tree species, to avoid forest losses has received increasing attention. In addition, investigating the impact of environmental stress such as waterlogging on different planting patterns is essential for improving wetland ecosystem resilience. Knowledge about the impact of waterlogging on planted forests is crucial for developing strategies to mitigate its adverse effects. Here, we conducted experimentally a simulated pure and mixed planting system composed of two contrasting WL-tolerant species (Cleistocalyx operculatus and Syzygium cumini) to determine their ecophysiological responses based on the type of interaction. Results showed that the aboveground growth performance of S. cumini was better than that of C. operculatus under well-watered conditions regardless of the planting model, which is contrary to the belowground accumulation that was significantly improved in C. operculatus. Intra- and interspecific interactions in different planting models facilitated the growth performance of C. operculatus while provoking a significant competition in S. cumini under waterlogging. Such phenomenon was explained through the remarkable ability of C. operculatus to naturally increase its root network under stress on non-stress conditions compared with S. cumini. In this study, two main factors are proposed to play key roles in the remarkable performance of C. operculatus compared with S. cumini following the planting model under waterlogging. The high level of nitrogen and phosphor absorption through C. operculatus primary roots and the significant starch biosynthesis constituted the key element that characterized the facilitation or competition within the intra- or interspecific interactions shown in C. operculatus compared with S. cumini. Furthermore, the intraspecific competition is more pronounced in S. cumini than in C. operculatus when grown in a pure planting pattern, particularly when subjected to waterlogging. However, when the two species are planted together, this competition is alleviated, resulting in enhanced waterlogging tolerance.

[Alcohol extract of root and root bark of Toddalia asiatica alleviates CIA in rats through anti-inflammatory and proapoptotic effects].

This study aims to investigate the therapeutic effect of alcohol extract of root and root bark of Toddalia asiatica(TAAE) on collagen-induced arthritis(CIA) in rats through phosphatidylinoinosidine-3 kinase/protein kinase B(PI3K/Akt) signaling pathway. To be specific, CIA was induced in rats, and then the rats were treated(oral, daily) with TAAE and Tripterygium Glycoside Tablets(TGT), respectively. The swelling degree of the hind leg joints was scored weekly. After 35 days of administration, the histopathological changes were observed based on hematoxylin and eosin(HE) staining. Enzyme-linked immunosorbent assay(ELISA) was employed to detect the levels of cytokines [tumor necrosis factor-α(TNF-α), interleukin(IL)-6)]. Terminal deoxynucleotidyl transferase dUTP nick end labeling(TUNEL) staining was performed to detect the apoptosis of synoviocytes in rats. Western blot was used to detect the expression levels of apoptosis-related proteins B-cell lymphoma 2(Bcl-2)-associated X(Bax), Bcl-2, and caspase-3 and pathway-related proteins phosphoinositide 3-kinase(PI3K), phosphorylated(p)-PI3K, protein kinase B(Akt), and p-Akt. RT-qPCR was conducted to examine the mRNA levels of Bax, Bcl-2, caspase-3, TNF-α, IL-6, and IL-1ß and pathway-related proteins PI3K, p-PI3K, Akt, and p-Akt. TAAE can alleviate the joint swelling in CIA rats, reduce serum levels of inflammatory cytokines, improve synovial histopathological changes, promote apoptosis of synoviocytes, and inhibit synovial inflammation. In addition, RT-qPCR and Western blot results showed that TAAE up-regulated the level of Bax, down-regulated the level of Bcl-2, and activated caspase-3 to promote apoptosis in synoviocytes. TAAE effectively down-regulated the protein levels of p-PI3K and p-Akt. In this study, TAAE shows therapeutic effect on CIA in rats and reduces the inflammation. The mechanism is that it suppresses PI3K/Akt signaling pathway and promotes synoviocyte apoptosis. Overall, this study provides a new clue for the research on the anti-inflammatory mechanism of TAAE and lays a theoretical basis for the better clinical application of TAAE in the treatment of inflammatory and autoimmune diseases.

Self-Assembly of NaOL-DDA Mixtures in Aqueous Solution: A Molecular Dynamics Simulation Study.

The self-assembly behaviors of sodium oleate (NaOL), dodecylamine (DDA), and their mixtures in aqueous solution were systematically investigated by large-scale molecular dynamics simulations, respectively. The interaction mechanisms between the surfactants, as well as the surfactants and solvent, were revealed via the radial distribution function (RDF), cluster size, solvent-accessible surface area (SASA), hydrogen bond, and non-bond interaction energy. Results showed that the molecules more easily formed aggregates in mixed systems compared to pure systems, indicating higher surface activity. The SASA values of DDA and NaOL decreased significantly after mixing, indicating a tighter aggregation of the mixed surfactants. The RDF results indicated that DDA and NaOL strongly interacted with each other, especially in the mixed system with a 1:1 molar ratio. Compared to van der Waals interactions, electrostatic interactions between the surfactant molecules were the main contributors to the improved aggregation in the mixed systems. Besides, hydrogen bonds were found between NaOL and DDA in the mixed systems. Therefore, the aggregates in the mixed systems were much more compact in comparison with pure systems, which contributed to the reduction of the repulsive force between same molecules. These findings indicated that the mixed NaOL/DDA surfactants had a great potential in application of mineral flotation.

Probing the Interaction Mechanism between Benzohydroxamic Acid and Mineral Surface in the Presence of Pb2+ Ions by AFM Force Measurements and First-Principles Calculations.

Probing the interaction mechanism between organic molecules and material surfaces in the presence of metal ions is of great importance in many fields, such as mineral flotation. The collectability of benzohydroxamic acid (BHA) to a spodumene (LiAl(SiO3)2) mineral surface during mineral flotation could be enhanced with the addition of metal ion activators-Pb2+ ions. Pb2+ ions could be added as either Pb-BHA complex formed by premixing Pb2+ ions and BHA molecules at a given ratio or sequential addition of Pb2+ ions and BHA molecules. However, the complete understanding of the interaction mechanisms (e.g., adhesion) between BHA and the spodumene mineral surface in the presence of Pb2+ ions remains very limited. In this study, atomic force microscopy (AFM) was used to measure the intermolecular forces between BHA and the spodumene mineral surface in aqueous solutions. A BHA model molecule, that is, N-hydroxy-4-mercaptobenzamide (MBHA), was synthesized to prepare a BHA-functionalized AFM probe for force measurements. Two model systems (i.e., a Pb-BHA complex interacting with the spodumene mineral surface (model I) and BHA with a Pb2+-activated spodumene surface (model II)) were investigated for comparing the role of Pb2+ in BHA-mineral adhesion. The adhesion measured for model I (23.7 mN/m) is much higher than that of model II (12.5 mN/m), as further supported by the adsorption energies obtained from density functional theory (DFT) calculations. The calculation results showed a higher adsorption energy for model I (∼188.58 kJ/mol) than model II (∼128.16 kJ/mol), which is due to the better spodumene flotation recovery for the Pb-BHA complex as a collector than the sequential addition of Pb2+ and BHA. This work provides useful information on the intermolecular interactions between chemical additives and mineral surfaces in complex mineral flotation processes, and the methodology can be readily extended to other related interfacial processes such as membrane technology, water treatment, oil production, and bioengineering processes.

Activation role of lead ions in benzohydroxamic acid flotation of oxide minerals: New perspective and new practice.

Metal ions are commonly used as activators to improve the anionic collector flotation of oxide minerals with an accepted activation mechanism that the prior addition of metal ions can adsorb onto the oxide mineral surface to increase the number of active sites for subsequent attachment of a collector. The improved flotation of cassiterite (or scheelite) with the use of lead nitrate (LN) as the activator and benzohydroxamic acid (BHA) as the collector is a typical example. However, our recent research showed that a soluble metal-organic complex (lead-BHA complex) produced by pre-mixing LN and BHA further improved the collecting ability and selectivity in the flotation of cassiterite and for that, the existing activation mechanism cannot completely explain this further improved performance. We believe that the lead ion and its hydroxide species can directly interact with water molecules to form Pb(H2O)n2+ and Pb(OH)(H2O)n+ complexes in water solution, and those bonded water molecules will in turn affect the interaction of (hydroxide) lead ion with the cassiterite surface and the BHA. In this work, solution chemistry calculation was used to identify the major active components of the lead-BHA complex in water solution at different pH levels, and based on density functional theory, the adsorption energies of different activation mechanisms were calculated via accurate first-principle calculations, indicating a much stronger interaction of the adsorption of HO-Pb-BHA complex on cassiterite surface (-48.11 kcal/mol) compared with that of the sequential adsorption of Pb(OH)(H2O)5+ and BHA anion (-13.29 kcal/mol) at optimal flotation pH 8-9. That is, the difference in two activation systems can be explained based on thermodynamics. With such, a new hypothetic activation model was proposed to explain the improved performance of soluble lead-BHA complex and then, the proposed model was verified by the flotation experiment and adsorption test results. This work can help enrich the activation theory of metal ions in anionic collector flotation of minerals.