Highly Efficient Capture of Volatile Iodine by Conjugated Microporous Polymers Constructed Using Planar 3- and 4-Connected Organic Monomers.

The effective capture and recovery of radioiodine species associated with nuclear fuel reprocessing is of significant importance in nuclear power plants. Porous materials have been proven to be one of the most effective adsorbents for the capture of radioiodine. In this work, we design and synthesize a series of conjugated microporous polymers (CMPs), namely, TPDA-TFPB CMP, TPDA-TATBA CMP, and TPDA-TECHO CMP, which are constructed based on a planar rectangular 4-connected organic monomer and three triangular 3-connected organic monomers, respectively. The resultant CMPs are characterized using various characterization techniques and used as effective adsorbents for iodine capture. Our experiments indicated that the CMPs exhibit excellent iodine adsorption capacities as high as 6.48, 6.25, and 6.37 g g-1 at 348 K and ambient pressure. The adsorption mechanism was further investigated and the strong chemical adsorption between the iodine and the imine/tertiary ammonia of the CMPs, 3D network structure with accessible hierarchical pores, uniform micromorphology, wide π-conjugated structure, and high-density Lewis-base sites synergistically contribute to their excellent iodine adsorption performance. Moreover, the CMPs demonstrated good recyclability. This work provides guidance for the construction of novel iodine adsorbent materials with high efficiency in the nuclear power field.

Expression of Early Growth Response 3 in Skin Cancers.

OBJECTIVE: To assess the expression of early growth response 3 (EGR3) in normal skin and different types of skin tumors: cutaneous squamous cell carcinoma (cSCC), basal cell carcinoma (BCC), melanoma (MM), and cutaneous adnexal tumors containing sebaceous carcinoma (SC), trichoepithelioma (TE) and clear cell hidradenoma (CCH). BACKGROUND: EGR3, expressed in multiple organs, including skin, plays an important role in cell differentiation and tumor growth. Previous studies have shown that EGR3 suppresses tumor growth and is downregulated in various malignancies. However, its distribution in normal skin and its expression especially in skin tumors have not been studied. MATERIALS AND METHODS: Samples of normal cases (n = 4), cSCC (n = 12), BCC (n = 12), MM (n = 12), SC (n = 4), TE (n = 4), and CCH (n = 4) were collected from patients treated in our department between 2018 and 2023. Immunohistochemistry was used to investigate the expression of EGR3. The results were analyzed with the description of the staining pattern and the histochemical score. RESULTS: Immunohistochemical staining showed that EGR3 was uniquely expressed in normal skin in the granular layer and upper part of the stratum spinosum, as well as in sebaceous glands and hair follicles, but not in sweat glands. In skin cancers, BCC, SC, and TE showed positive EGR3 staining, whereas cSCC, MM, and CCH were negative. CONCLUSIONS: EGR3 has a specific expression pattern in normal skin and in skin tumors, which is important for the differential diagnosis of skin tumors, in particular for cSCC and sebaceous gland carcinoma.

Case Report: Clinical and Pathological Findings of Tuberculous Gumma: A Case Report and Literature Review.

Tuberculous gumma (TG) is a rare type of cutaneous tuberculosis thought to occur as a result of the hematogenous spread of Mycobacterium tuberculosis, which is more common in immunosuppressed individuals. An 8-year-old boy presented with a 2-month history of multiple indolent enlarging ulcerated nodules on his left upper extremity. He had a past medical history of bacille Calmette-Guerin vaccine induced lupus vulgaris. Skin biopsy of the nodules showed granulomas and neutrophil-dominated purulent inflammation. Ziehl-Neelsen staining was negative, and the cultures were positive for M. tuberculosis. Furthermore, the M. tuberculosis complex was identified using metagenomic next-generation sequencing. Standard antitubercular therapy was started at full doses, and the skin lesions had significantly improved 3 months later. Here we review the literature since 2000 and describe the clinical and pathological features of TG.

Kimura's disease treated with dupilumab: A case report and literature review.

BACKGROUND: Kimura's disease (KD) is a rare chronic inflammatory disorder characterised by painless, deep subcutaneous nodules that most commonly affect the head and neck region of Asian men. Due to high relapse rates and side effects of current therapies, the treatment of KD is challenging. OBJECTIVES: To present a case of KD that was successfully treated with dupilumab and to review the literature with a focus on the evaluation of the efficacy and safety of dupilumab in KD. METHODS: A review of the available literature on the treatment of KD with dupilumab was performed and a new case was analyzed. To gain further insight into this promising therapy, literature review of 8 articles published between January 2016 and January 2024 were included in this study using the PubMed database. RESULTS: Our patient with KD was successfully treated with dupilumab 300 mg every 2 weeks, at an initial dose of 600 mg. The treatment was well tolerated. In the past, only nine patients with KD treated with dupilumab have been reported and reviewed, half of whom had failed prior treatment. All patients achieved significant efficacy after treatment with dupilumab, with no relapses during an average follow-up of 10.4 months (ranged from 4 to 16 months). CONCLUSION: Dupilumab may be an emerging alternative treatment option for KD patients. Larger randomized controlled studies are needed to confirm these findings.

Atypical plaque psoriasis: a clinicopathological study of 20 cases.

BACKGROUND: Plaque psoriasis is relatively straightforward to identify. When diagnostic concerns arise in atypical cases, a biopsy is needed. It is widely accepted that the Munro microabscess and the spongiform pustule of Kogoj are diagnostic pathological features. However, the diagnostic dilemma is likely to arise in cases without these specific pathological changes and typical clinical features. This study aimed to investigate clinical and pathological clues in distinguishing atypical plaque psoriasis from its mimics. METHODS: We evaluated the clinicopathological features of 20 cases of atypical plaque psoriasis and 40 cases of psoriasis mimics as controls including pityriasis rosea (n = 10), pityriasis lichenoides chronica (n = 8), and subacute dermatitis (n = 22). RESULTS: A retrospective analysis of the clinicopathological characteristics of patients with atypical plaque psoriasis and controls was performed. Pathologically, there were significant differences between the two groups in the types of parakeratosis (P = 0.046), epidermal capture of extravasated erythrocytes (P = 0.011), focal basal liquefied degeneration (P = 0.017), types of inflammatory cells (P = 0.000), and depth of inflammation (P = 0.000). Clinically, we found the presence of scales and crusts was significantly different between the two groups. CONCLUSION: This study offers insight into the clinicopathological features of atypical plaque psoriasis. These differential diagnostic features, compared with its mimics, are proposed to assist the clinician in the diagnosis and treatment of atypical plaque psoriasis.

Conjugated Microporous Polymers Based on Octet and Tetratopic Linkers for Efficient Iodine Capture.

Radioactive iodine from nuclear waste poses a huge threat to public safety and raises concerns about environmental pollution. There is thus a growing demand for developing novel adsorbents for highly effective iodine capture. In this work, we design and synthesize three novel conjugated microporous polymers, namely, TPE-PyTTA-CMP, TPE-TAPP-CMP, and TPE-TPDA-CMP, which are constructed by an imidization reaction based on octet and tetratopic linkers. The iodine vapor adsorption experiments show that the three CMPs have an excellent iodine adsorption capacity as high as 3.10, 3.67, and 4.68 g·g-1 under 348 K and ambient pressure conditions, respectively. The adsorbed iodine in the CMPs can be released into methanol in a dramatically rapid manner, and their excellent iodine adsorption performance can still be maintained after multiple cycles. In addition, the CMPs demonstrate good adsorption performance in an n-hexane solution of iodine, and the kinetic experimental data follow the pseudo-second-order model. The hierarchical porosity, extended π-conjugated skeleton, and rich electron-donor nitrogen sites of the CMPs could contribute to their excellent iodine adsorption performance. The knowledge information obtained in this work could open up new possibilities for designing novel CMPs targeting a wide range of environment-related applications.

High-performance aqueous zinc ion hybrid capacitors obtained by Na2SO4 additive and dense pore structure.

In this study, the electrochemical performance of zinc ion hybrid capacitors (ZICs) was improved by employing carbon-based materials and electrolyte together. First, we prepared pitch-based porous carbon HC-800 as the electrode material, which possessed a large specific surface area (3607 m2 g-1) and a dense pore structure. This provided abundant adsorption sites for zinc ions, and thus stored more charges. Subsequently, 0.5 M Na2SO4 was added to 1 M Zn(CF3SO3)2 electrolyte via the cationic additive strategy, and the adsorption energy of sodium and zinc ions on the zinc electrode was calculated. The results showed that sodium ions would preferentially be adsorbed on the surface of the zinc electrode, which would inhibit the growth of zinc dendrites, and thus prolong the service life of the zinc electrode. Finally, the presence of solvated zinc ions in the narrowly distributed pores of HC-800 was studied, and the results showed that Zn(H2O)62+ underwent a desolvation process, resulting in the removal of two water molecules to form a tetrahedral structure of Zn(H2O)42+, which made the central surface of the zinc ions closer to the surface of HC-800, and thus the more capacitance achieved. Furthermore, the uniform distribution of Zn(H2O)42+ in the dense and neat pores of HC-800, improved the space charge density. Consequently, the assembled ZIC exhibited a high capacity (242.25 mA h g-1 at 0.5 A g-1) and ultra-long cycle stability (capacity retention at 87% after 110 000 charge/discharge cycles at a high current density of 50 A g-1 and a coulombic efficiency of 100%) and an energy density of 186.1 W h kg-1 and power density of 41 004 W kg-1.

Field specific capture of Pb(II) in aqueous samples with three channels in-tip microextraction apparatus based on ion-imprinted polymer.

On-site specific capture is a critical step in accurate analysis of trace Pb(II) in environmental waters. In this connection, a new Pb(II)-imprinted polymer-based adsorbent (LIPA) was in-situ prepared in pipette tip and used as the extraction medium of laboratory-made portable three channels in-tip microextraction apparatus (TIMA). Density function theory was employed to verify the selection of functional monomers for the preparation of LIPA. The physical and chemical properties of the prepared LIPA were inspected with various characterization techniques. Under the beneficial preparation parameters, the LIPA presented satisfactory specific recognition performance towards Pb(II). Selectivity coefficients of LIPA towards Pb(II)/Cu(II) and Pb(II)/Cd(II) were 6.82 and 3.27 times higher than that of non-imprinted polymer-based adsorbent, respectively, and the adsorption capacity towards Pb(II) was as high as 36.8 mg/g. Freundlich isotherm model fitted well with the adsorption data, revealing that the adsorption of Pb(II) on LIPA was a multilayer process. After optimizing the extraction conditions, the developed LIPA/TIMA was employed to field selectively separate and enrich trace Pb(II) in various environmental waters followed by quantification with atomic absorption spectrometry. The enhancement factor, linear range, limit of detection and RSDs for precision were 183, 0.50-10000 ng/L, 0.14 ng/L and 3.2-8.4%, respectively. Accuracy of the developed approach was inspected by means of spiked recovery and confirmation experiments. Achieved results reveal that the developed LIPA/TIMA technique is good for field selective separation and preconcentration of Pb(II) and the introduced approach can be used to measure ultra-trace Pb(II) in a variety of waters.

0.017†nm, 143†ps passively mode-locked fiber laser based on nonlinear polarization rotation.

Mode-locked lasers with ultra-narrow spectral widths and durations of hundreds of picoseconds can be versatile light sources for a variety of newly emergent applications. However, less attention seems to be given to mode-locked lasers that generate narrow spectral bandwidths. We demonstrate a passively mode-locked erbium-doped fiber laser (EDFL) system that relies on a standard fiber Bragg grating (FBG) and the nonlinear polarization rotation (NPR) effect. This laser achieves the longest reported pulse width (to the best of our knowledge) of 143 ps based on NPR and an ultra-narrow spectral bandwidth of 0.017 nm (2.13 GHz) under Fourier transform-limited conditions. The average output power is 2.8 mW, and the single-pulse energy is 0.19 nJ at a pump power of 360 mW.

Molecularly imprinted monolith-based portable in-tip microextraction device for field specific extraction of triazine herbicides in aqueous samples followed by chromatographic quantification.

Field selective extraction is crucial for accurate monitoring of triazine herbicides (TAHs) in aqueous samples. For this purpose, using atrazine as template and 3-acrylamido phenylboronic acid as functional monomer which was quickly screened with calculation simulation technology, a new molecularly imprinted monolith-based adsorbent (MBA) was fabricated and utilized as the extraction phase of laboratory-made multichannel in-tip microextraction device (MIMD). A series of techniques were adopted to characterize the physical and chemical properties of the synthesized MBA. Under the optimized preparation conditions, the recognition factor and capture capacity of MBA towards atrazine were as high as 2.9 and 23.4 mg/g, respectively, and the enrichment factors towards TAHs located in the range of 276-359. The study about adsorption isotherm evidenced the adsorption of MBA towards atrazine was fit for Freundlich adsorption model. Under the beneficial extraction parameters, the introduced MBA/MIMD was utilized to on-site extract TAHs in a variety of aqueous samples prior to HPLC determination. High sensitivity (limit of detection: 0.25-0.64 ng/L), good precision (relative standard deviation: 1.4-9.5%) and satisfying recovery (81.0-113%) were achieved. Accuracy and reliability of the introduced method were inspected through confirmation experiments. Owing to the good results and outstanding merits, the established MBA/MIMD technique is appropriate for field sample preparation of TAHs and the developed method can be utilized to monitor TAHs residuals in various aqueous samples.

Expression of Hedgehog Signaling Pathway Proteins in Basal Cell Carcinoma: Clinicopathologic Study.

Objective: Basal cell carcinoma (BCC) is the most common type of cancer with a growing incidence rate over recent decades. The increasing economic burden and incidence of BCC have generated major interest in developing targeted therapies for this disease. The critical role of the Hedgehog (Hh) pathway in the pathogenesis of BCC has become evidently demonstrated. The purpose of this study was to observe the expression of PTCH1 and Gli1 in BCC and further evaluate their relationship with clinicopathological features. Methods: This retrospective study included 84 patients with BCC. Information of 84 patients with pathologically diagnosed BCC (including location, sex, tumor size, pathological type, and depth of invasion) were collected, and tissue paraffin blocks were collected for immunohistochemical staining. Western blot analysis for PTCH1 and Gli1 were also performed. The staining intensity and percentage of stained cells were expressed as a histochemical score (HSCORE). Results: PTCH1 and Gli1 were overexpressed in BCC compared with adjacent normal epidermis. Our study found that the expression of PTCH1 and Gli1 in BCC in exposed sites was significantly higher than in non-exposed sites. Moreover, no significant difference was observed in sex, Breslow thickness, tumor size or pathological type (P>0.05). Conclusion: PTCH1 and Gli1 were overexpressed in BCC. Higher PTCH1 and Gli1 expression were in exposed sites lesions. Our study suggests that UV radiation may be associated with aberrant activation of the Hh-PTCH1-Gli1 intercellular signaling pathway in BCC. The molecular mechanism of UV-related PTCH1 and Gli1 differential expression deserves more rigorous research in the future.

Digital mobile fronthaul based on delta-sigma modulation employing a simple self-coherent receiver.

The coherent digital radio-over-fiber (DRoF) system is a promising candidate for future mobile fronthaul networks (MFNs) due to its high receiver sensitivity and excellent robustness against nonlinearities. However, conventional coherent receivers with complicated structure and heavy algorithms are too expensive and power-hungry for cost-sensitive MFN applications. In addition, currently deployed digital MFNs based on common public radio interface (CPRI) suffer from low spectral efficiency and high data rate. Towards these issues we propose a novel DRoF downlink scheme employing a simple self-coherent receiver. In baseband unit (BBU), the radio signal is converted to a digital bit stream by a band-pass delta-sigma modulator (BP-DSM), which can be simply recovered with the utilization of a band-pass filter at the receiver. In remote radio unit (RRU), an electro-absorption modulated laser (EML) acts as a low-cost coherent homodyne receiver in virtue of injection locking technique. In the experiment, the injection-locked operation of the DSM signal is successfully achieved, and two modified schemes are proposed for the DSM signal to increase the locking range with a tolerable sensitivity penalty. The experimental results demonstrate the superiority of our approach in two aspects: 1) the EML-based coherent receiver outperforms a PIN photodiode in terms of receiver sensitivity; 2) compared to the analog RoF system, a 5-dB improvement in loss budget is obtained when DSM is employed with the aid of a simple equalizer.

Nanozyme-mediated signal amplification for ultrasensitive photoelectrochemical sensing of Staphylococcus aureus based on Cu-C3N4-TiO2 heterostructure.

Food-borne pathogens are one of the leading causes of food poisoning, which vigorously affect food safety and human health. Therefore, the development of early and rapid detection methods for food pollution evaluation is the key to food safety and quality control. Herein, a simple and inexpensive photoelectrochemical (PEC) sensor is developed for highly selective and ultrasensitive detection of Staphylococcus aureus (S. aureus). The technique is based on "signal-off" that employs Cu-C3N4-TiO2 heterostructures as photoactive materials and monolayer Cu-C3N4 nanozyme as a signal amplifier. In the presence of S. aureus, the aptamer-modified Cu-C3N4 (Cu-C3N4@Apt, a signal amplifier) and S. aureus were specifically anchored on the surface of the ligand-modified photoelectrode. The Cu-C3N4@Apt nanozyme acted as a peroxidase to catalyze the oxidation of 4-chloro-1-naphthol (4-CN) to produce insoluble precipitate on the electrode surface and resulted in a significant decrease in photocurrent. Based on the signal-amplification by the Cu-C3N4@Apt nanozyme, the constructed PEC sensor demonstrated a wide linear range between 10-108 CFU/mL for the S. aureus detection with the detection limit (LOD) as low as 3.40 CFU/mL. Furthermore, the PEC sensor was capable of determining S. aureus in spiked orange juice and milk, with the recovery of 91%-113%, indicating the reliability of the sensor for S. aureus detection in real samples. This investigation provides a feasible strategy for the design of highly selective and ultrasensitive PEC sensors to determine analytes in complex systems.

SOA Amplified 100 Gb/s/λ PAM-4 TDM-PON Supporting PR-30 Power Budget with >18 dB Dynamic Range

Semiconductor optical amplifier (SOA) is considered an excellent candidate for power amplification at O-band due to its low cost and small footprint. In passive optical networks (PONs), SOA is popular as a booster and pre-amplifier to improve the link power budget. However, whether as a booster or pre-amplifier, SOA will induce different degrees of nonlinearity when the output power is high, which degrades the transmission performance of the system and leads to a limited receiver dynamic range. In this paper, we experimentally demonstrate the feasibility of using SOA in both transmitter and receiver sides for power budget improvement in 100 Gb/s/λ four-level pulsed amplitude modulation (PAM-4) time division multiplexed PON (TDM-PON) system at O-band. For compensating the linear and nonlinear impairments induced by transceivers and SOA, a look-up-table (LUT) pre-compensation at the optical line terminal (OLT) side and a simple feed-forward equalizer (FFE) at the optical network unit (ONU) side are adopted for downstream transmission. For upstream transmission, a 2nd-order Volterra nonlinear equalizer (VNLE) is utilized at the OLT side, and no pre-compensation is used at the transmitter of the ONU, which releases the digital signal processing (DSP) pressure of ONUs in a multi-user scenario. For the soft-decision FEC (SD-FEC) threshold (1 × 10−2), the IEEE PR-30 power budget requirement is met, and >18 dB dynamic range is achieved in both 25 km downstream and upstream transmission.

Fabrication of functional group-rich monoliths for magnetic field-assisted in-tube solid phase microextraction of inorganic selenium species in water samples followed by online chromatographic determination.

Efficient separation and enrichment is a crucial step in the analysis of Se(IV) and Se(VI). In the present study, for the first time, online monolith-based magnetic field-assisted in-tube solid phase microextraction (MFA/IT-SPME) was applied to capture inorganic selenium species in water samples. To this aim, porous monoliths mixed with magnetic nanoparticles were synthesized in a silica capillary and employed as a microextraction column (MEC) for MFA/IT-SPME. After that, a magnetic coil utilized to induce variable magnetic fields in adsorption and desorption steps was entwined around the MEC. Se(IV) was coordinated with o-phenylenediamine to form a coordination compound that was infused onto the MEC to be captured. Results evidenced that application of magnetic field during the extraction procedure assisted the capture of the Se(IV)-OPA complex, with an enhancement in the extraction efficiency from 83% to 97%. Under the optimized conditions, MFA/IT-SPME was online combined with HPLC equipped with a diode array detector (DAD) to perform quantification of Se(IV) and Se(VI) in environmental water samples. Total inorganic Se was quantified after pre-reduction of Se(VI) to Se(IV) prior to applying the established approach, and a subtraction method was adopted to calculate the Se(VI) and Se(IV) contents. The limit of detection for Se(IV) was as low as 0.012 µg L-1. The reliability of the suggested method was investigated by assaying Se(IV) and Se(VI) species in real-life water samples with satisfactory recoveries (81.1%-116%) and repeatability (RSDs below 9%).

Efficient entrapment of inorganic Se species in water and beer samples with functional groups-rich monolith-based adsorbent.

An efficient multiple fibers solid-phase microextraction method based on porous monolith was established for Se(IV) and Se(VI) analysis. Poly(4-vinylphenylboronic acid/styrene-co-ethylene dimethacrylate/divinylbenzene) monolith was fabricated and employed as the extraction phase for efficient entrapment of Se(IV) complexed with o-phenylenediamine, followed by elution with a methanol/formic acid (99/1.0, v/v) mixture and quantification by high-performance liquid chromatography with diode array detector. The Se(VI) species was measured by the difference between total inorganic Se and Se(IV) after pre-reduction. Different characterization techniques were employed to inspect the structure and morphology of prepared adsorbent. A series of key extraction factors were optimized so as to achieve the expected extraction performance. Under the optimized separation and capture parameters, the linear range and limit of detection for Se(IV) in water sample were 0.050-200 and 0.013 µg/L, respectively. For beer sample, the corresponding values were 0.010-300 and 0.032 µg/L. The developed microextraction approach was successfully utilized to detect trace Se(IV) and Se(VI) in environmental water and beer samples with satisfactory fortified recovery and repeatability. Results well reveal the attractive merits of the established method in the analysis of Se species, including simple preparation of adsorbent, convenient extraction procedure, good sensitivity, high cost-effectiveness, and eco-friendliness.

Development of monolith/aminated carbon nanotubes composite-based solid-phase microextraction of phenoxycarboxylic acids herbicides in water and soil samples.

In this study, a new adsorbent based on monolith/aminated carbon nanotubes composite was facilely prepared and employed as the extraction phase of multiple monolithic fibers solid-phase microextraction for the capture of phenoxycarboxylic acids herbicides. The adsorbent was fabricated by mingling aminated carbon nanotubes in the poly (allylthiourea-co-ethylene glycol dimethacrylate) monolith. Various techniques were employed to characterize the morphology, structure, and pore size of the prepared adsorbent. The proposed microextraction method displayed satisfactory capture performance towards studied analytes through multi-interactions such as hydrogen-bonding, hydrophobic and π-π interactions. Under the optimized conditions, a sensitive and reliable method to quantify trace analytes in water and soil samples was developed. The limits of detection were in the ranges of 0.13-0.25 µg/L and 0.20-0.61 µg/kg for water and soil samples, respectively. The practicality of the introduced method was demonstrated by applying it to monitor the contents of studied analytes in environmental water and soil samples. Satisfactory fortified recoveries (76.4-119%) and reproducibility were obtained. The achieved results well demonstrated that the suggested microextraction technique can efficiently extract phenoxycarboxylic acids and the developed method exhibits a promising potential for reliable and sensitive quantification of trace analytes in complex samples.

Recent advances in graphene nanoribbons for biosensing and biomedicine.

In recent years, a new type of quasi-one-dimensional graphene-based material, graphene nanoribbons (GNRs), has attracted increasing attention. The limited domain width and rich edge configurations of GNRs endow them with unique properties and wide applications in comparison to two-dimensional graphene. This review article mainly focuses on the electrical, chemical and other properties of GNRs, and further introduces the typical preparation methods of GNRs, including top-down and bottom-up strategies. Then, their biosensing and biomedical applications are highlighted in detail, such as biosensors, photothermal therapy, drug delivery, etc. Finally, the challenges and future prospects in the synthesis and application of functionalized GNRs are discussed. It is expected that GNRs will have significant practical use in biomedical applications in the future.

Investigating the Causal Relationship Between Physical Activity and Chronic Back Pain: A Bidirectional Two-Sample Mendelian Randomization Study.

Background: Recent observational studies have reported a negative association between physical activity and chronic back pain (CBP), but the causality of the association remains unknown. We introduce bidirectional Mendelian randomization (MR) to assess potential causal inference between physical activity and CBP. Materials and Methods: This two-sample MR used independent genetic variants associated with physical activity and CBP as genetic instruments from large genome-wide association studies (GWASs). The effects of both directions (physical activity to CBP and CBP to physical activity) were examined. Inverse variance-weighted meta-analysis and alternate methods (weighted median and MR-Egger) were used to combine the MR estimates of the genetic instruments. Multiple sensitivity analyses were conducted to examine the robustness of the results. Results: The MR set parallel GWAS cohorts, among which, those involved in the primary analysis were comprised of 337,234 participants for physical activity and 158,025 participants (29,531 cases) for CBP. No evidence of a causal relationship was found in the direction of physical activity to CBP [odds ratio (OR), 0.98; 95% CI, 0.85-1.13; p = 0.81]. In contrast, a negative causal relationship in the direction of CBP to physical activity was detected (ß = -0.07; 95% CI, -0.12 to -0.01; p = 0.02), implying a reduction in moderate-vigorous physical activity (approximately 146 MET-minutes/week) for participants with CBP relative to controls. Conclusion: The negative relationship between physical activity and CBP is probably derived from the reduced physical activity of patients experiencing CBP rather than the protective effect of physical activity on CBP.