A plant NLR receptor employs ABA central regulator PP2C-SnRK2 to activate antiviral immunity.

Defence against pathogens relies on intracellular nucleotide-binding, leucine-rich repeat immune receptors (NLRs) in plants. Hormone signaling including abscisic acid (ABA) pathways are activated by NLRs and play pivotal roles in defence against different pathogens. However, little is known about how hormone signaling pathways are activated by plant immune receptors. Here, we report that a plant NLR Sw-5b mimics the behavior of the ABA receptor and directly employs the ABA central regulator PP2C-SnRK2 complex to activate an ABA-dependent defence against viral pathogens. PP2C4 interacts with and constitutively inhibits SnRK2.3/2.4. Behaving in a similar manner as the ABA receptor, pathogen effector ligand recognition triggers the conformational change of Sw-5b NLR that enables binding to PP2C4 via the NB domain. This receptor-PP2C4 binding interferes with the interaction between PP2C4 and SnRK2.3/2.4, thereby releasing SnRK2.3/2.4 from PP2C4 inhibition to activate an ABA-specific antiviral immunity. These findings provide important insights into the activation of hormone signaling pathways by plant immune receptors.

Identification of the prognostic value of LACTB2 and its correlation with immune infiltrates in ovarian cancer by integrated bioinformatics analyses.

Ovarian cancer (OC) is one of the most common reproductive tumors in women, whereas current treatment options are limited. ß-lactamase-like-protein 2 (LACTB2) has been observed to be associated with various cancers, but its function in OC is unknown. Therefore, we evaluate the prognostic value and the underlying function of LACTB2 in OC. In this study, high expression of LACTB2 was observed in OC compared with normal controls. Kaplan-Meier Plotter analysis revealed that overexpressed LACTB2 is strongly correlated with poor prognosis. We conducted GO/KEGG analysis to investigate the potential biological function of LACTB2 in OC. GESA analysis showed that LACTB2 was closely related to immune-related pathways. Subsequently, we explored the relationship between LACTB2 and 24 types of immune cells in OC. The results suggested that LACTB2 was positively associated with multiple tumor-infiltrating immune cells. Importantly, LACTB2 may modulate immune cell infiltration in OC to influence prognosis. In conclusion, LACTB2 can be used as a promising prognostic biomarker and immunotherapy target for OC.

Comprehensive machine learning-based preoperative blood features predict the prognosis for ovarian cancer.

PURPOSE: Significant advancements in improving ovarian cancer (OC) outcomes have been limited over the past decade. To predict prognosis and improve outcomes of OC, we plan to develop and validate a robust prognosis signature based on blood features. METHODS: We screened age and 33 blood features from 331 OC patients. Using ten machine learning algorithms, 88 combinations were generated, from which one was selected to construct a blood risk score (BRS) according to the highest C-index in the test dataset. RESULTS: Stepcox (both) and Enet (alpha = 0.7) performed the best in the test dataset with a C-index of 0.711. Meanwhile, the low RBS group possessed observably prolonged survival in this model. Compared to traditional prognostic-related features such as age, stage, grade, and CA125, our combined model had the highest AUC values at 3, 5, and 7 years. According to the results of the model, BRS can provide accurate predictions of OC prognosis. BRS was also capable of identifying various prognostic stratifications in different stages and grades. Importantly, developing the nomogram may improve performance by combining BRS and stage. CONCLUSION: This study provides a valuable combined machine-learning model that can be used for predicting the individualized prognosis of OC patients.

A Piezoelectric-Piezoresistive Coupling Electric Field Sensor for Large Dynamic Range AC Electric Field Measurements.

We propose a piezoelectric-piezoresistive coupling electric field sensor capable of performing large dynamic range AC electric field measurements. The electric field sensor utilizes direct coupling between piezoelectric (PE) materials and piezoresistive (PR) strain gauges, in conjunction with an external signal conditioning circuit, to measure AC electric fields effectively. We verified the feasibility of the scheme using a finite element simulation, fabricated a prototype of the electric field sensor, and characterized the properties of the prototype. The testing results indicate that the sensor exhibits an ac resolution of 50 V/m and a linear measurable electric field range of 0 to over 200 kV/m, which keeps the linearity at less than 0.94% from 1 Hz to over 5 kHz. Furthermore, the sensor also has advantages, such as a small size and low power consumption. The sensor can enhance the comprehensive observability and measurability of digital power grids.

Microplastics removal mechanisms in constructed wetlands and their impacts on nutrient (nitrogen, phosphorus and carbon) removal: A critical review.

Microplastics (MPs) are now prevalent in aquatic ecosystems, prompting the use of constructed wetlands (CWs) for remediation. However, the interaction between MPs and CWs, including removal efficiency, mechanisms, and impacts, remains a subject requiring significant investigation. This review investigates the removal of MPs in CWs and assesses their impact on the removal of carbon, nitrogen, and phosphorus. The analysis identifies crucial factors influencing the removal of MPs, with substrate particle size and CWs structure playing key roles. The review highlights substrate retention as the primary mechanism for MP removal. MPs hinder plant nitrogen uptake, microbial growth, community composition, and nitrogen-related enzymes, reducing nitrogen removal in CWs. For phosphorus and carbon removal, adverse effects of MPs on phosphorus elimination are observed, while their impact on carbon removal is minimal. Further research is needed to understand their influence fully. In summary, CWs are a promising option for treating MPs-contaminated wastewater, but the intricate relationship between MPs and CWs necessitates ongoing research to comprehend their dynamics and potential consequences.

Key issues to consider toward an efficient constructed wetland-microbial fuel cell: the idea and the reality.

The research on constructed wetland (CW) and microbial fuel cell (MFC) has been separate studies worldwide with crucial achievements being made in both fields. Due to environmentally friendly feature (of CW) and rich microbial population and excellent electrode catalytic activity (of MFC), CW and MFC have their own anticipated application prospect in wastewater purification and biological electricity generation. More significantly, the idea of embedding MFC into CW to form CW-MFC expands the scope for both of them and this has received much interest in recent years due to its striking features of sewage treatment efficiency, electricity generation, sustainability, and environmental friendliness. The increasing interest and the lack of soul of CW-MFC emerging to the new researchers reflect the need to recall the idea and summarize its development with regard to achieving its reality via some key issues This forms the basis of the paper. The paper also includes how to enhance the efficiency of electricity generation and supplement energy consumption, the degradation of emerging pollutants, and the degradation mechanism as well as the potential joint application of CW-MFC with other treatment technique. A mass of CW-MFC design parameters has been synthesized from the literature. Challenges and potential directions of CW-MFC in the future are prospected. It is expected that the paper can serve as a linkage for bridging knowledge gaps for further studies of CW-MFC.

Per- and polyfluoroalkyl substances (PFASs) in Chinese surface water: Temporal trends and geographical distribution.

PFAS, recognized as persistent organic pollutants, present risks to both the ecological environment and human health. Studying PFASs in surface water yields insights into pollution dynamics. However, existing research on PFASs surface water pollution in China often focuses on specific regions, lacking comprehensive nationwide analyses. This study examined 48 research papers covering PFAS pollution in Chinese surface water, involving 49 regions and 1338 sampling sites. The results indicate widespread PFAS contamination, even in regions like Tibet. Predominant PFAS types include PFOA and PFOS, and pollution is associated with the relocation of industries from developed to developing countries post-2010. The shift from long-chain to short-chain PFASs aligns with recent environmental policy proposals. Geographic concentration of PFAS pollution correlates with industry distribution and economic development levels. Addressing point source pollution, especially from wastewater plant tailwater, is crucial for combating PFAS contamination. Greater emphasis should be placed on addressing short-chain PFASs.

Interactions between MPs and PFASs in aquatic environments: A dual-character situation.

Microplastics (MPs) and per- and polyfluoroalkyl substances (PFASs) have drawn great attention as emerging threats to aquatic ecosystems. Although the literature to study the MPs and PFASs alone has grown significantly, our knowledge of the overlap and interactions between the two contaminations is scarce due to the unawareness of it. Actually, numerous human activities can simultaneously release MPs and PFASs, and the co-sources of the two are common, meaning that they have a greater potential for interactions. The direct interaction lies in the PFASs adsorption by MPs in water with integrated mechanisms including electrostatic and hydrophobic interactions, plus many influence factors. In addition, the existence and transportation of MPs and PFASs in the aquatic environment have been identified. MPs and PFASs can be ingested by aquatic organisms and cause more serious combined toxicity than exposure alone. Finally, curbing strategies of MPs and PFASs are overviewed. Wastewater treatment plants (WWTPs) can be an effective place to remove MPs from wastewater, while they are also an important point source of MPs pollution in water bodies. Although adsorption has proven to be a successful curbing method for PFASs, more technological advancements are required for field application. It is expected that this review can help revealing the unheeded relationship and interaction between MPs and PFASs in aquatic environments, thus assisting the further investigations of both MPs and PFASs as a whole.

CSGALNACT2 restricts ovarian cancer migration and invasion by modulating MAPK/ERK pathway through DUSP1.

PURPOSE: Ovarian cancer is one of the leading causes of cancer-related death among women. CSGALNACT2 is a vital Golgi transferase and is related to a variety of human diseases. However, its expression pattern and function in ovarian cancer remain uncertain. METHODS: The Cancer Genome Atlas and GEPIA databases were used to assess the expression of CSGALNACT2 in ovarian cancer patients. RNA-seq, qRT-PCR, and IHC were used to verify the expression of CSGALNACT2 in ovarian cancer tissues. Then, in vivo and in vitro experiments were conducted to evaluate the role of CSGALNACT2 in the progression of ovarian cancer. RNA-seq and GSEA were used to reveal the potential biological function and oncogenic pathways of CSGALNACT2. RESULTS: We demonstrated that the mRNA expression and protein level of CSGALNACT2 were significantly downregulated in ovarian cancer and ovarian cancer metastatic tissues. CSGALNACT2 can significantly inhibit the migration, invasion, and clonogenic growth of ovarian cancer in vitro and is progressively lost during ovarian cancer progression in vivo. CSGALNACT2 suppresses ovarian cancer migration and invasion via DUSP1 modulation of the MAPK/ERK pathway through RNA-seq, KEGG analysis, and Western blotting. Moreover, CSGALNACT2 expression was correlated with immune cell infiltration and had prognostic value in different immune cell-enriched or decreased ovarian cancer. In addition, patients with CSGALNACT2 downregulation are less likely to benefit from immunotherapy. CONCLUSION: As an ovarian cancer suppressor gene, CSGALNACT2 inhibits the development of ovarian cancer, and it might be used as a prognostic biomarker in patients with ovarian cancer.

Pan-precancer and cancer DNA methylation profiles revealed significant tissue specificity of interrupted biological processes in tumorigenesis.

DNA methylation (DNAme) alterations are known to initiate from the precancerous stage of tumorigenesis. Herein, we investigated the global and local patterns of DNAme perturbations in tumorigenesis by analysing the genome-wide DNAme profiles of the cervix, colorectum, stomach, prostate, and liver at precancerous and cancer stages. We observed global hypomethylation in tissues of both two stages, except for the cervix, whose global DNAme level in normal tissue was lower than that of the other four tumour types. For alterations shared by both stages, there were common hyper-methylation (sHyperMethyl) and hypo-methylation (sHypoMethyl) changes, of which the latter type was more frequently identified in all tissues. Biological pathways interrupted by sHyperMethyl and sHypoMethyl alterations demonstrated significant tissue specificity. DNAme bidirectional chaos indicated by the enrichment of both sHyperMethyl and sHypoMethyl changes in the same pathway was observed in most tissues and was a common phenomenon, particularly in liver lesions. Moreover, for the same enriched pathways, different tissues may be affected by distinct DNAme types. For the PI3K-Akt signalling pathway, sHyperMethyl enrichment was observed in the prostate dataset, but sHypoMethyl enrichment was observed in the colorectum and liver datasets. Nevertheless, they did not show an increased possibility in survival prediction of patients in comparison with other DNAme types. Additionally, our study demonstrated that gene-body DNAme changes of tumour suppressor genes and oncogenes may persist from precancerous lesions to the tumour. Overall, we demonstrate the tissue specificity and commonality of cross-stage alterations in DNA methylation profiles in multi-tissue tumorigenesis.

Gene body hypomethylation of pyroptosis-related genes NLRP7, NLRP2, and NLRP3 facilitate non-invasive surveillance of hepatocellular carcinoma.

Programmed cell death (PCD) resistance is a key driver of cancer occurrence and development. The prognostic relevance of PCD-related genes in hepatocellular carcinoma (HCC) has attracted considerable attention in recent years. However, there is still a lack of efforts to compare the methylation status of different types of PCD genes in HCC and their roles in its surveillance. The methylation status of genes related to pyroptosis, apoptosis, autophagy, necroptosis, ferroptosis, and cuproptosis was analyzed in tumor and non-tumor tissues from TCGA. Whole-genome bisulfite sequencing (WGBS) data of paired tumor tissue and buffy coat samples were used to filter the potential interference of blood leukocytes in cell-free DNA (cfDNA). The WGBS data of healthy individuals' and early-stage HCC patients' cfDNA were analyzed to evaluate the distinguishing ability. The average gene body methylation (gbDNAme) of pyroptosis-related genes (PRGs) was significantly altered in HCC tissues relative to normal tissues, and their distinguishing ability was higher compared to the other types of PCD-related genes. The gbDNAme of NLRP7, NLRP2, and NLRP3 was reflective of the hypomethylation in HCC tissues, and methylation levels of NLRP3 correlated positively with its expression level (r=0.51). The candidate hypomethylated PRGs could discriminate between early HCC patients and healthy controls in cfDNA analysis with high accuracy (area under the receiver operation curve, AUC=0.94). Furthermore, the hypomethylation of PRGs was associated with poor prognosis of HCC. Gene body hypomethylation of PRGs is a promising biomarker for early HCC detection, monitoring of tumor recurrence, and prognosis prediction.

Wafer-Level, High-Performance, Flexible Sensors Based on Organic Nanoforests for Human-Machine Interactions.

High-performance flexible sensors are essential for real-time information analysis and constructing noncontact communication modules for emerging human-machine interactions. In these applications, batch fabrication of sensors that exhibit high performance at the wafer level is in high demand. Here, we present organic nanoforest-based humidity sensor (NFHS) arrays on a 6 in. flexible substrate prepared via a facile, cost-effective manufacturing approach. Such an NFHS achieves state-of-the-art overall performance: high sensitivity and fast recovery time; the best properties are at a small device footprint. The high sensitivity (8.84 pF/% RH) and fast response time (5 s) of the as-fabricated organic nanoforests are attributed to the abundant hydrophilic groups, the ultra-large surface area with a huge number of nanopores, and the vertically distributed structures beneficial to the transfer of molecules up and down. The NFHS also exhibits excellent long-term stability (90 days), superior mechanical flexibility, and good performance repeatability after bending. With these superiorities, the NFHS is further applied as a smart noncontact switch, and the NFHS array is used as the motion trajectory tracker. The wafer-level batch fabrication capability of our NFHS provides a potential strategy for developing practical applications of such humidity sensors.

A glance of coupled water and wastewater treatment systems based on microbial fuel cells.

Microbial fuel cell (MFC) is a variant of the bioelectrochemical system that uses microorganisms as biocatalysts to generate bioenergy by oxidizing organic matter. Due to its two-prong feature of simultaneously treating wastewater and generating electricity, it has drawn extensive interest by scientific communities around the world. However, the pollution purifying capacity and power production of MFC at the laboratory scale have tended to remain steady, and there have been no reports of a performance breakthrough. In recent years, research related to MFC has demonstrated a new trend, namely the coupling of MFC with other wastewater treatment technologies to create a 1 + 1 > 2 impact. MFC-based coupling/hybrid technologies such as sediment MFC (SMFC), constructed wetland MFC (CW-MFC), membrane bioreactor MFC (MBR-MFC), microbial desalination cell (MDC), and MFC coupled nutrient recovery technology, etc. have been increasingly studied. Therefore, this review aims to overview these already-emerging MFC coupling technologies and explores their development trends and challenges to serve as a guide for determining priority research topics in this area. Among these MFC-based coupling/hybrid technologies, literature seems to support that CW-MFC is a good example of integrated MFC technology where CWs are already employed at the field level for wastewater treatment application. MFC-Electroflocculation and MBR-MFCs are typical emerged hybrid systems to own promising potential. However, scalability and practical application potential of these integrated technologies are the challenge towards their reality except for ideal performance in small scale trials.

The unheeded inherent connections and overlap between microplastics and poly- and perfluoroalkyl substances: A comprehensive review.

Microplastics (MPs) and poly- and perfluoroalkyl substances (PFASs) are receiving global attention due to their widespread presences and considerable level in the environment. Although the occurrence and fate of MPs and PFASs alone have been extensively studied, little was known about their unheeded connection and overlap between the two. Therefore, this review attempts to reveal it for the purpose of providing a new view from joint consideration of the two in the future studies. Initially, the critically examined data on the co-sources and existence of MPs and PFASs are summarized. Surprisingly, some products could be co-source of MPs and PFASs which are general in daily life while the distribution of the two is primary influenced by the human activity. Then, their interactions are reviewed based on the fact that PFASs can be sorbed onto MPs which are regarded as a vector of contaminations. The electrostatic interaction and hydrophobic contact are the predominant sorption mechanisms and could be influenced by environmental factors and properties of MPs and PFASs. The effects of MPs on the transport of PFASs in the environments, especially in aquatic environments are then discussed. Additionally, the current state of knowledge on the combined toxicity of MPs and PFASs are presented. Finally, the existing problems and future perspectives are outlined at the end of the review. This review provides an advanced understanding of the overlap, interaction and toxic effects of MPs and PFASs co-existing in the environment.

Towards Effective, Sustainable Solution for Hospital Wastewater Treatment to Cope with the Post-Pandemic Era.

Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) has spread across the globe since the end of 2019, posing significant challenges for global medical facilities and human health. Treatment of hospital wastewater is vitally important under this special circumstance. However, there is a shortage of studies on the sustainable wastewater treatment processes utilized by hospitals. Based on a review of the research trends regarding hospital wastewater treatment in the past three years of the COVID-19 outbreak, this review overviews the existing hospital wastewater treatment processes. It is clear that activated sludge processes (ASPs) and the use of membrane bioreactors (MBRs) are the major and effective treatment techniques applied to hospital wastewater. Advanced technology (such as Fenton oxidation, electrocoagulation, etc.) has also achieved good results, but the use of such technology remains small scale for the moment and poses some side effects, including increased cost. More interestingly, this review reveals the increased use of constructed wetlands (CWs) as an eco-solution for hospital wastewater treatment and then focuses in slightly more detail on examining the roles and mechanisms of CWs' components with respect to purifying hospital wastewater and compares their removal efficiency with other treatment processes. It is believed that a multi-stage CW system with various intensifications or CWs incorporated with other treatment processes constitute an effective, sustainable solution for hospital wastewater treatment in order to cope with the post-pandemic era.

Stimulation of atrazine degradation by activated carbon and cathodic effect in soil microbial fuel cell.

Soil microbial fuel cells (MFCs) have been increasingly studied in recent years and have attracted significant attention as an environmentally sustainable bioelectrochemical technology. However, the poor conductivity of the soil matrix and the neglect of the cathodic function have limited its application. In this study, quartz sand and activated carbon were subjected to investigation on their influence on atrazine degradation. Atrazine was introduced in different layers (cathode, upper layer) to explore the cathodic effect on atrazine removal. The results revealed that activated carbon could reduce the internal resistance (693 Ω) and generate the highest power density (25.51 mW/m2) of the soil MFCs, and thus increase the removal efficiency (97.92%) of atrazine. The dynamic degradation profiles of atrazine were different for different adding layers. The cathode electrode acted as an electron donor could increase the distance of the effective influence of the soil MFCs' cathode from the middle to the cathode layer. The cathode (region) and the region close to the cathode could degrade atrazine with the atrazine removal efficiencies ranging from 60.67% to 92.79%, and the degradation ability of the cathode was stronger than that of other layers. The degradation effect followed the order: cathode > upper > lower > middle). Geobacter, Desulfobulbus, and Desulfuromonas belonging to the δ-Proteobacteria class were identified as the dominant electroactive microorganisms in the anode layer, while their relative abundances are quite low in the upper and cathode layers. Pseudomonas is an atrazine-degrading bacterium, but its relative abundance was only 0.13-0.51%. Thus, bioelectrochemistry rather than microbial degradation was the primary driving force.

Curbing per- and polyfluoroalkyl substances (PFASs): First investigation in a constructed wetland-microbial fuel cell system.

The presence of per- and polyfluoroalkyl substances (PFASs) in water environments has been linked to a slew of negative health effects in both animals and humans, but the green and eco-sustainable removal technologies remain largely unknown. Constructed wetland coupled microbial fuel cell (CW-MFC) is termed a "green process" to control pollutants and recover energy. However, so far, no study has investigated the removal of PFASs and their effects on the performance of the CW-MFC systems. Here, we investigated the removal performance of PFOA and PFOS in the CW-MFC systems both in the absence and presence of electricity circuit, and explored the distribution and fate of PFASs and their interactions with other elements in the systems. Our findings demonstrated excellent removal efficiency of >96% PFOA and PFOS in CW-MFC systems. PFOA and PFOS were distributed throughout the system via wastewater flow, while electrode material and plants are the main enrichment sites in which MFC enhanced up to 10% PFASs removal. However, a loss of 7.2-13.5% of nitrogen removal and a decrease of 7.3% in bioelectricity output were observed when PFASs were introduced in the system. The driven force led to the loss of nitrogen removal and bioelectricity generation lies in the accumulation of PFASs in system composition, which affected microbial activity and community composition, damaging the health of the plant, and in turn reducing CW-MFC's functioning. No doubt, CW-MFC systems provide an alternative technique for PFASs removal, alleviating some limitations to the physical and chemical techniques, but further investigation is highly needed.

Plants boost pyrrhotite-driven nitrogen removal in constructed wetlands.

Pyrrhotite is a promising electron donor for autotrophic denitrification. Using pyrrhotite as the substrate in constructed wetlands (CWs) can enhance the nitrogen removal performance in carbon-limited wastewater treatment. However, the role of plants in pyrrhotite-integrated CW is under debate as the oxygen released from plant roots may destroy the anoxic condition for autotrophic denitrification. This study compared pyrrhotite-integrated CWs with and without plants and identified the effects of plants' presence in nitrogen removal, pyrrhotite oxidized dissolution, and microbial community. The results show that plants enhanced the TN removal significantly (from 41.6 ± 3.9 % to 97.1 ± 2.6 %). Plants can accelerate the PAD in CW through the strengthening of pyrrhotite dissolution. Enriched functional (Thiobacillus and Acidiferrobacter) and a more complex bacterial co-occurrence network has been found in CW with plants. This study identified the role of plants in PAD acceleration, providing an in-depth understanding of pyrrhotite in CW systems.

Ozone based inactivation and disinfection in the pandemic time and beyond: Taking forward what has been learned and best practice.

The large-scale global COVID-19 has a profound impact on human society. Timely and effectively blocking the virus spread is the key to controlling the pandemic growth. Ozone-based inactivation and disinfection techniques have been shown to effectively kill SARS-CoV-2 in water, aerosols and on solid surface. However, the lack of an unified information and discussion on ozone-based inactivation and disinfection in current and previous pandemics and the absence of consensus on the main mechanisms by which ozone-based inactivation of pandemic causing viruses have hindered the possibility of establishing a common basis for identifying best practices in the utilization of ozone technology. This article reviews the research status of ozone (O3) disinfection on pandemic viruses (especially SARS-CoV-2). Taking sterilization kinetics as the starting point while followed by distinguishing the pandemic viruses by enveloped and non-enveloped viruses, this review focuses on analyzing the scope of application of the sterilization model and the influencing factors from the experimental studies and data induction. It is expected that the review could provide an useful reference for the safe and effective O3 utilization of SARS-CoV-2 inactivation in the post-pandemic era.

Serum Levels of CXCR4, SDF-1, MCP-1, NF-κB and ERK1/2 in Patients with Skeletal Fluorosis.

C-X-C motif chemokine receptor 4 (CXCR4), stromal cell-derived factor-1 (SDF-1), monocyte chemoattractant protein-1 (MCP-1), extracellular signal-regulated kinase 1/2 (ERK1/2) and nuclear factor-κB (NF-κB) affect bone cells and play an important role in bone and joint diseases, but the data on CXCR4, SDF-1, MCP-1, ERK1/2 and NF-κB in the serum of skeletal fluorosis (SF) patients are inconclusive. Thus, according to the "Diagnostic Criteria for Endemic Skeletal Fluorosis" (WS 192-2008), we enrolled patients with SF (n = 60) as the SF group and those without SF as the controls (n = 60). Serum levels of CXCR4, SDF-1, MCP-1, ERK1/2 and NF-κB were detected by enzyme-linked immunosorbent assays (ELISAs). Serum SDF-1, CXCR4, MCP-1 and NF-κB levels were significantly higher in the SF group than in the control group. Within the serum of SF patients, CXCR4 and SDF-1 levels were positively correlated with NF-κB levels. There was no correlation between MCP-1 levels and those of ERK1/2 or NF-κB. SDF-1 and CXCR4 may activate the NF-κB pathway, and MCP-1 affects the occurrence and development of SF by regulating osteocytes through other pathways. The SDF-1/CXCR4 axis and MCP-1 signalling pathway provide a new theoretical basis for the occurrence and development of SF.