Sinomenine attenuates pulmonary fibrosis by downregulating TGF-ß1/Smad3, PI3K/Akt and NF-κB signaling pathways.

BACKGROUND: Since COVID-19 became a global epidemic disease in 2019, pulmonary fibrosis (PF) has become more prevalent among persons with severe infections, with IPF being the most prevalent form. In traditional Chinese medicine, various disorders are treated using Sinomenine (SIN). The SIN's strategy for PF defense is unclear. METHODS: Bleomycin (BLM) was used to induce PF, after which inflammatory factors, lung histological alterations, and the TGF-/Smad signaling pathway were assessed. By administering various dosages of SIN and the TGF- receptor inhibitor SB-431,542 to human embryonic lung fibroblasts (HFL-1) and A549 cells, we were able to examine proliferation and migration as well as the signaling molecules implicated in Epithelial-Mesenchymal Transition (EMT) and Extra-Cellular Matrix (ECM). RESULTS: In vivo, SIN reduced the pathological changes in the lung tissue induced by BLM, reduced the abnormal expression of inflammatory cytokines, and improved the weight and survival rate of mice. In vitro, SIN inhibited the migration and proliferation by inhibiting TGF-ß1/Smad3, PI3K/Akt, and NF-κB pathways, prevented the myofibroblasts (FMT) of HFL-1, reversed the EMT of A549 cells, restored the balance of matrix metalloenzymes, and reduced the expression of ECM proteins. CONCLUSION: SIN attenuated PF by down-regulating TGF-ß/Smad3, PI3K/Akt, and NF-κB signaling pathways, being a potential effective drug in the treatment of PF.

Modifying temperature-related cardiovascular mortality through green-blue space exposure.

Green-blue spaces (GBS) are pivotal in mitigating thermal discomfort. However, their management lacks guidelines rooted in epidemiological evidence for specific planning and design. Here we show how various GBS types modify the link between non-optimal temperatures and cardiovascular mortality across different thermal extremes. We merged fine-scale population density and GBS data to create novel GBS exposure index. A case time series approach was employed to analyse temperature-cardiovascular mortality association and the effect modifications of type-specific GBSs across 1085 subdistricts in south-eastern China. Our findings indicate that both green and blue spaces may significantly reduce high-temperature-related cardiovascular mortality risks (e.g., for low (5%) vs. high (95%) level of overall green spaces at 99th vs. minimum mortality temperature (MMT), Ratio of relative risk (RRR) = 1.14 (95% CI: 1.07, 1.21); for overall blue spaces, RRR = 1.20 (95% CI: 1.12, 1.29)), while specific blue space types offer protection against cold temperatures (e.g., for the rivers at 1st vs MMT, RRR = 1.17 (95% CI: 1.07, 1.28)). Notably, forests, parks, nature reserves, street greenery, and lakes are linked with lower heat-related cardiovascular mortality, whereas rivers and coasts mitigate cold-related cardiovascular mortality. Blue spaces provide greater benefits than green spaces. The severity of temperature extremes further amplifies GBS's protective effects. This study enhances our understanding of how type-specific GBS influences health risks associated with non-optimal temperatures, offering valuable insights for integrating GBS into climate adaptation strategies for maximal health benefits.

MARCH5 promotes aerobic glycolysis to facilitate ovarian cancer progression via ubiquitinating MPC1.

MARCH5 is a ring-finger E3 ubiquitin ligase located in the outer membrane of mitochondria. A previous study has reported that MARCH5 was up-regulated and contributed to the migration and invasion of OC cells by serving as a competing endogenous RNA. However, as a mitochondrial localized E3 ubiquitin ligase, the function of MARCH5 in mitochondrial-associated metabolism reprogramming in human cancers remains largely unexplored, including OC. We first assessed the glycolysis effect of MARCH5 in OC both in vitro and in vivo. Then we analyzed the effect of MARCH5 knockdown or overexpression on respiratory activity by evaluating oxygen consumption rate, activities of OXPHOS complexes and production of ATP in OC cells with MARCH5. Co-immunoprecipitation, western-blot, and in vitro and vivo experiments were performed to investigate the molecular mechanisms underlying MARCH5-enhanced aerobic glycolysis s in OC. In this study, we demonstrate that the abnormal upregulation of MARCH5 is accompanied by significantly increased aerobic glycolysis in OC. Mechanistically, MARCH5 promotes aerobic glycolysis via ubiquitinating and degrading mitochondrial pyruvate carrier 1 (MPC1), which mediates the transport of cytosolic pyruvate into mitochondria by localizing on mitochondria outer membrane. In line with this, MPC1 expression is significantly decreased and its downregulation is closely correlated with unfavorable survival. Furthermore, in vitro and in vivo assays revealed that MARCH5 upregulation-enhanced aerobic glycolysis played a critical role in the proliferation and metastasis of OC cells. Taken together, we identify a MARCH5-regulated aerobic glycolysis mechanism by degradation of MPC1, and provide a rationale for therapeutic targeting of aerobic glycolysis via MARCH5-MPC1 axis inhibition.

Nicotine downregulates miR-375-3p via neurotrophic tyrosine receptor kinase 2 to enhance the malignant behaviors of laryngopharyngeal squamous epithelial cells.

Nicotine exposure from smoking constitutes a significant global public health concern. Furthermore, smoking represents a pivotal risk factor for head and neck squamous cell carcinoma (HNSCC). However, the influence of nicotine on HNSCC remains relatively underexplored. Our aim was to unravel the molecular mechanisms that underlie the effect of nicotine on the metastatic cascade of HNSCC. In this study, we discovered a significant association between smoking and HNSCC metastasis and prognosis. Nicotine significantly enhanced HNSCC cell proliferation, migration, invasion, and epithelial-mesenchymal transition (EMT) in vitro. Analysis of TCGA-HNSCC and FDEENT-HNSCC cohorts revealed reduced miR-375-3p levels in HNSCC tumor tissues, particularly among current smokers. Additionally, miR-375-3p level was strongly correlated with both lymph node metastasis and tumor stage. By downregulating miR-375-3p, nicotine promotes HNSCC cell metastasis in vitro and hematogenous metastatic capacity in vivo. Utilizing transcriptomic sequencing, molecular docking, dual-luciferase reporter assay, and fluorescence in situ hybridization (FISH), we demonstrated that miR-375-3p specifically binds to 3' untranslated region (3'UTR) of NTRK2 mRNA. Thus, this study uncovers a novel nicotine-induced mechanism involving miR-375-3p-mediated NTRK2 targeting, which promotes HNSCC metastasis. These findings have implications for improving the prognosis of patients with HNSCC, especially in smokers.

Spatio-temporal pattern assessment of China's environmental performance and its spatial drivers: evidence from city-level data over 2003-2019.

A comprehensive assessment of China's environmental performance (EP) and an investigation into its driving factors are essential prerequisites for advancing environmental protection efforts. However, existing studies have often exhibited a one-sided EP evaluation approach and lacked a systematic perspective. Consequently, this study has adopted a holistic approach by integrating environmental protection and pollution within the same theoretical framework. We have employed the "P-S-R" model to comprehensively assess the EP of 272 cities from 2003 to 2019. Concurrently, we have applied the spatial Durbin model to analyze EP drivers utilizing three spatial matrices. The findings of this study reveal several vital insights. Firstly, the mean EP value for China is 0.1138, indicating a low level, but it demonstrates a consistent upward trend over the years. When comparing cities with high EP, they are predominantly situated in northern China, northeastern China, and certain areas along the southeastern coast. Secondly, from a spatial perspective, the directionality of EP exhibits a trend from "northeast to the southwest," with the center of gravity located in and around Zhumadian, Henan Province, gradually shifting towards the northeast. The majority of cities fall within the H-H and L-L clusters, displaying significant positive spatial autocorrelation effects. Thirdly, EP drivers encompass a wide range of factors, including economic development, urbanization, resource dependence, industrial structure, infrastructure construction, environmental regulation, government regulatory capacity, scientific and technological innovation, and foreign direct investment. These drivers also exhibit significant spillover effects. Finally, the characteristics of EP development vary between resource-based cities (RBCs) and non-resource-based cities (non-RBCs), as well as among the eastern, central, and western regions. Moreover, there are disparities in the driving factors' direct, indirect, and overall effects. Consequently, we must propose tailored strategies and recommendations to enhance EP, considering the heterogeneous effects of influencing factors across different city types, regions, and collaboration approaches.

A life prediction method based on MDFF and DITCN-ABiGRU mixed network model.

A single network model exhibits limitations in the life prediction of rotating machinery for the various fault types and uncertain fault occurrence. Therefore, a network prediction model combining multi-domain feature fusion (MDFF) and distributed TCN-Attention-BiGRU (DITCN-ABiGRU) is proposed to enable a more accurate life prediction of rotating machinery. Firstly, the features of vibration signals collected from multiple sensors are extracted in the time, frequency, and time-frequency domains. Subsequently, dimensionality reduction optimization is conducted on these multi-domain features to eliminate useless information features. The temporal convolutional network (TCN) model is constructed to capture the critical information reflecting the fault characteristics of rotating machinery through the attention mechanism, and the dependencies of the whole training process are captured by the BiGRU network. Finally, precise prediction of the lifespan of rotating machinery is achieved by constructing a health indicator curve (HI). The proposed methods are verified through the life prediction of rolling bearings from the IEEE PHM Challenge 2012 dataset and ball screw pairs from a designed experiment. The experimental results show that the proposed MDFF and DITCN-ABiGRU model achieves a better score and lower error than the convolutional neural network (CNN) and GRU models.

Effects of Percutaneous Kyphoplasty for the Treatment of Thoracic Osteoporotic Vertebral Compression Fractures with or without Intravertebral Cleft in Elderly Patients.

Background: Few studies have focused on percutaneous kyphoplasty (PKP) in the treatment of thoracic osteoporotic vertebral compression fractures (OVCFs) with intervertebral cleft (IVC). Hence, the objective of this retrospective study was to compare the clinical and radiographic outcomes of PKP in elderly patients with thoracic OVCFs, with or without IVC. Methods: A total of 106 patients were enrolled in this study and divided into two groups: the IVC group and the NIVC group (without IVC). Radiographic measures included anterior vertebral height (AVH), thoracic kyphosis (TK), lumbar lordosis (LL), pelvic incidence (PI), pelvic tilt (PT), and sacral slope (SS). Clinical function measures included Oswestry disability index (ODI) and visual analog scale (VAS) scores. Results: There were no significant differences in the preoperative basic data between the groups classified as IVC and NIVC. However, both groups showed significant improvements in AVH and TK throughout the follow-up periods compared to the preoperative measurements (P<0.05). The recovery of AVH in the IVC group was found to be inferior to that in the NIVC group at 3 years after operation (P<0.05). There were no significant differences in LL, PI, PT and SS in both groups compared with the preoperative results and no statistically significant differences between the two groups at the same follow-up time (P>0.05). The VAS and ODI scores during all follow-up periods were significantly lower than those before operation (P<0.05). At 3 years after operation, the VAS and ODI scores of the IVC group were higher than those of the NIVC group (P<0.05). Conclusion: PKP is an adoptable measure to treat thoracic OVCFs with or without IVC. Our study revealed that the NIVC group was superior to the IVC group in terms of improved vertebral height and pain recovery at long-term follow-up (3 years).

Perceived Value, Government Regulations, and Farmers' Agricultural Green Production Technology Adoption: Evidence from China's Yellow River Basin.

Farmers' agricultural green production technology (AGPT) adoption behavior has attracted extensive attention, while few studies explored the interactive effect of perceived value and government regulations in this process. Therefore, we analyze the interaction effect between perceived value and different government regulations on farmers' AGPT adoption by the Poisson regression model, using micro-survey data from 1491 households in China's Yellow River basin. Furthermore, we examine the heterogeneous effect of perceived value and government regulations on farmers' AGPT adoption behavior considering the change in production scale and farmers' age. The results suggest that perceived value can substitute for incentive government regulation and guiding government regulation, respectively. While binding government regulation can inhibit the promotion effect of perceived value on farmers' AGPT adoption. In addition, the larger the production scale, the more influential the effects of perceived value and government regulations on farmers' AGPT adoption are. In contrast, with the increase in farmer's age, the promotion effect of perceived value becomes weak while the effect of government regulations experiences a U-shaped trend. Finally, the conclusions and policy implications are set forth.

Beneficial associations between outdoor visible greenness at the workplace and metabolic syndrome in Chinese adults.

BACKGROUND: Greenness surrounding residential places has been found to significantly reduce the risk of diseases such as hypertension, obesity, and metabolic syndrome (MetS). However, it is unclear whether visible greenness exposure at the workplace has any impact on the risk of MetS. METHODS: Visible greenness exposure was assessed using a Green View Index (GVI) based on street view images through a convolutional neural network model. We utilized logistic regression to examine the cross-sectional association between GVI and MetS as well as its components among 51,552 adults aged 18-60 in the city of Hangzhou, China, from January 2018 to December 2021. Stratified analyses were conducted by age and sex groups. Furthermore, a scenario analysis was conducted to investigate the risks of having MetS among adults in different GVI scenarios. RESULTS: The mean age of the participants was 40.1, and 38.5% were women. We found a statistically significant association between GVI and having MetS. Compared to the lowest quartile of GVI, participants in the highest quartile of GVI had a 17% (95% CI: 11-23%) lower odds of having MetS. The protective association was stronger in the males, but we did not observe such differences in different age groups. Furthermore, we found inverse associations between GVI and the odds of hypertension, low high-density lipoprotein cholesterol, obesity, and high levels of FPG. CONCLUSIONS: Higher exposure to outdoor visible greenness in the workplace environment might have a protective effect against MetS.

CDK4/6i enhances the antitumor effect of PD1 antibody by promoting TLS formation in ovarian cancer.

Ovarian cancer is insensitive to immunotherapy and has a high mortality rate. CDK4/6 inhibitors (CDK4/6i) regulate the tumor microenvironment and play an antitumor role. Our previous research demonstrated that lymphocyte aggregation (tertiary lymphoid structures, TLSs) was observed after CDK4/6i treatment. This may explain the synergistic action of CDK4/6i with the anti-PD1 antibody. However, the key mechanism by which CDK4/6i promotes TLS formation has not been elucidated. We examine the link between TLS and prognosis. Animal models and high-throughput sequencing were used to explore the potential mechanism by which CDK4/6i promotes TLS formation. Our results showed the presence of TLSs was associated with a favorable prognosis for ovarian cancer. CDK4/6i promoted TLS formation and enhanced the immunotherapeutic effect of the anti-PD1 antibody. The potential mechanism of CDK4/6i affecting the formation of TLS may be through modulating SCD1 and its regulatory molecules ATF3 and CCL4. Our findings provide a theoretical basis for the application of CDK4/6i in ovarian cancer.

Predicting survival of advanced laryngeal squamous cell carcinoma: comparison of machine learning models and Cox regression models.

Laryngeal squamous cell carcinoma (LSCC) is a common tumor type. High recurrence rates remain an important factor affecting the survival and quality of life of advanced LSCC patients. We aimed to build a new nomogram and a random survival forest model using machine learning to predict the risk of LSCC progress. The study included 671 patients with AJCC stages III-IV LSCC. To develop a prognostic model, Cox regression analyses were used to assess the relationship between clinic-pathologic factors and disease-free survival (DFS). RSF analysis was also used to predict the DFS of LSCC patients. The ROC curve revealed that the Cox model exhibited good sensitivity and specificity in predicting DFS in the training and validation cohorts (1 year, validation AUC = 0.679, training AUC = 0.693; 3 years, validation AUC = 0.716, training AUC = 0.655; 5 years, validation AUC = 0.717, training AUC = 0.659). Random survival forest analysis showed that N stage, clinical stage, and postoperative chemoradiotherapy were prognostically significant variables associated with survival. The random forest model exhibited better prediction ability than the Cox regression model in the training cohort; however, the two models showed similar prediction ability in the validation cohort.

Highly Efficient (>13%) and Robust Flexible Perovskite Solar Cells Using an Ultrasimple All-Carbon-Electrode Configuration.

Fragile and expensive transparent conductive oxide anodes and noble metal cathodes in typical perovskite photovoltaic devices pose unavoidable issues, i.e., poor flexibility and high material cost, making it inaccessible to commercial application. Here, we report an ultrasimple indium tin oxide (ITO)-free and HTL-free all-carbon-electrode flexible perovskite solar cell (AC-F-PSC) with an architecture of PEN/carbon/SnO2/perovskite/carbon which contains an anode made of a carbon-based integrator (CNT-GR) comprising carbon nanotubes and low-dose graphene, and a cathode made of the commonly used conductive carbon. The CNT-GR anode exhibits low sheet resistance, high light transmittance, and superior flexibility beyond ITO. Density functional theory calculations reveal that O atoms from GR anchored onto the interwoven CNT network have strong covalent binding capacity with bond-deficient Sn ions, inhibiting the formation of oxygen vacancies in SnO2. Such a binding effect induces a significant reduction of the conduction band minimum of SnO2, yielding favorable energy level alignment for carrier transport at the SnO2/perovskite interface. Also, a heat-pressing approach as a tiny trick is used to fill the gaps at the perovskite/carbon cathode interface. The resulting AC-F-PSC device attains an efficiency of 13.14%, which is a record value among reported carbon-electrode F-PSCs, with superior mechanical flexibility, i.e., ∼71% of initial efficiency after bending 4000 cycles at 4 mm bending radius. This PSC based on an ultrasimple all-carbon-electrode offers a promising route for robust and cost-effective flexible photovoltaic devices.

Tetraspanin CD63 reduces the progression and metastasis of head and neck squamous cell carcinoma via KRT1-mediated cell cycle arrest.

Despite the fact that metastasis is the leading cause of death in patients with head and neck squamous cell carcinoma, fundamental questions about the mechanisms that enable or inhibit metastasis remain unanswered. Tetraspanin CD63 has been linked to tumor progression and metastasis. However, few studies have examined the role of CD63 in HNSCC. In this study, we discovered that CD63 levels were abnormally altered in HNSCC tissue compared to adjacent tissue (n = 69 pairs), and that this was linked to prognosis. Through functional in vitro and in vivo experiments, the roles of CD63 in HNSCC were confirmed. Overexpression of CD63 inhibited the progression and metastasis of HNSCC cells. Using mass spectrometry and co-immunoprecipitation assays, we discovered that KRT1 could be a direct interacting partner of CD63. Furthermore, both CD63 and KRT1 expression was significantly decreased in metastatic tissue compared with primary tumor tissue (n = 13 pairs), suggesting that CD63 and KRT1 play a role in reducing the metastasis of HNSCC. In summary, we reveal a previously unrecognized role of CD63 in regulating KRT1-mediated cell cycle arrest in HNSCC cells, and our findings contribute to defining an important mechanism of HNSCC progression and metastasis.

Farmers' adoption behavior of conservation tillage technology: a multidimensional heterogeneity perspective.

Adopting conservation tillage technology can promote sustainable agriculture development. There have been many studies on all farmers' conservation tillage behaviors, but few studies are based on a farmer's multidimensional heterogeneity perspective. Given the background, we conduct an empirical evaluation using micro survey data from 819 households in the middle and upper reaches of the Yellow River Basin. This paper uses the entropy method to classify farm households into three types: economically dominant, resource dominant, and socially dominant. Furthermore, we use the Heckman sample selection model to discuss the factors that affect the adoption of conservation tillage technology by different types of farmers. The results show that land fragmentation degree can inhibit economically dominant farmers conservation tillage technology adoption behavior. Social relations can positively influence resource dominant farmers. The share of non-farm income will positively impact socially dominant farmers. This paper further proposes policy implications, based on the findings that different types of farmers have various factors influencing conservation tillage technology adoption behavior.

Tumour microbiota structure predicts hypopharyngeal carcinoma recurrence and metastasis.

Objectives: The relationship between microbiota and HPSCC recurrence and metastasis remains uncertain. This study aimed to investigate the role of the tumour microbiota in the disease-free survival (DFS) of HPSCC patients. Materials and methods: Formalin-fixed paraffin-embedded (FFPE) tumour tissues were collected from 103 patients with HPSCC for 16S rRNA sequencing. We analysed the tumour microbiota in HPSCC patients with recurrence/metastasis and nonrecurrence/metastasis. The linear predictor score (LPS) was calculated based on the Cox regression model to assess the risk of recurrence and metastasis. Then, a time-dependent ROC curve was used to evaluate the prognostic power of the LPS. Results: The phyla Bacteroidota, Firmicutes and Proteobacteria were the most abundant bacterial taxa in the tumour tissues. Eubacterium_coprostanoligenes_group (hazard ratio [HR] = 0.289, 95% confidence interval [CI] 0.137-0.608, p= 0.001) and Prevotella (HR = 3.744, 95% CI 1.439-9.738, p= 0.007) were independent predictors of DFS. The predicting classifier for recurrence and metastasis risk yielded an area under the curve (AUC) of 0.838 at 3 years and 0.860 at 5 years. Conclusion: Our study demonstrated the relationship between tumour microbiota and recurrence and metastasis in patients with HPSCC.

Plasma Extracellular Vesicles-Derived miR-99a-5p: A Potential Biomarker to Predict Early Head and Neck Squamous Cell Carcinoma.

Purpose: This study aimed to investigate the applicability of plasma extracellular vesicles (EVs) miR-99a-5p as a potential head and neck squamous cell carcinoma (HNSCC) diagnostic biomarker. Methods: The miRNA expression of HNSCC tissue and plasma EVs were profiled by small RNA sequencing. qRT-PCR was performed to detect miR-99a-5p expression in HNSCC (n = 93) and benign disease (n = 39) plasma EVs and formalin-fixed and paraffin-embedded (FFPE) tissue (n = 110). We constructed receiver-operating characteristic curves to investigate the diagnostic efficiency of plasma EVs miR-99a-5p. Results: Tumor tissue exhibited lower miR-99a-5p than para-tumor tissue. Patients with high miR-99a-5p expression exhibited significantly more p16 positive status. In contrast, HNSCC plasma EVs harbored more miR-99a-5p than the benign disease group. Plasma EVs miR-99a-5p distinguished HNSCC with area under the curve (AUC) of 0.7494 (95% CI: 0.6692-0.8296; p < 0.0001), with 61.54% sensitivity and 75.27% specificity, respectively. Furthermore, plasma EVs miR-99a-5p also distinguished early HNSCC with AUC of 0.7394 (95% CI: 0.6284-0.8504; p = 0.0002), with 79.07% sensitivity and 61.54% specificity, respectively. Conclusion: Plasma EVs miR-99a-5p is a potential biomarker for predicting early HNSCC.

Epidemiological, Clinical, and Oncological Outcomes of non-Alcohol Drinking and non-Smoking Laryngeal Squamous Cell Carcinoma Patients: A Distinct Entity.

Purpose: To explore the discrepancy in clinicopathological and prognostic features between smoking and alcohol drinking (SA) and non-smoking and non-alcohol drinking (NSNA) patients with laryngeal squamous cell carcinoma (LSCC). Methods: This retrospective study including 1735 patients with LSCC was conducted from January 2005 to December 2010, which were categorized into 4 groups, NSNA group, smoking only group, alcohol-drinking only group, and SA group. We compared overall survival (OS) and disease-free survival (DFS) using the Kaplan-Meier method and indicated clinicopathological features by Cox proportional hazards regression models before and after propensity score matching (PSM). Results: A total of 415 patients (23.92%) were identified as NSNA. The SA group was predominantly patients ≤60 years old (46.63%) while the NSNA group was more older (58.07%). NSNA group was more likely to present at earlier disease stage and more female. No significant difference in OS (P = .685) and DFS (P = .976) was found between the 2 groups. In addition to age and recurrence and metastasis being common independent prognostic factors in terms of OS in both groups of patients, NSNA group also exhibited other factors, namely tumor area >3.7 cm2 and positive resection margin. For DFS, N + stage, tumor size >3.7 cm2, and positive resection margin were prognostic features specific to NSNA group. Conclusion: The outcome is similar in LSCC patients with and without SA. NSNA group shows a distinct profile from that found in SA group. Clinicopathological features from NSNA group should be considered for LSCC management.

Smoking-mediated nicotinic acetylcholine receptors (nAChRs) for predicting outcomes for head and neck squamous cell carcinomas.

BACKGROUND: As a human tumor disease, head and neck squamous cell carcinoma (HNSCC) is associated with a high mortality rate worldwide. Nicotinic acetylcholine receptors (nAChRs) are transmembrane receptor proteins and exert their biological effects following activation by nicotine. We aimed to construct a prognostic signature based on the expression of nAChRs among smokers with HNSCC. METHODS: The transcriptome profile of nAChRs was obtained from The Cancer Genome Atlas (TCGA). Following the integration of survival information, univariate Cox regression and least absolute shrinkage and selection operator (LASSO) analyses were performed to screen the prognosis-related nAChRs and construct a prognostic signature. Kaplan-Meier (KM), receiver operating characteristic (ROC), principal component analysis (PCA), and independent prognostic analysis were utilized to verify the predictive power of the nAChR-associated prognostic signature. The expression of α5 nAChR in clinical samples was verified by quantitative reverse transcriptase PCR. RESULTS: Subunits α2, α5, α9, and ß4 were related to the prognosis. The prognostic signature comprised the expression of subunits α5, α9, and ß4. The nAChR-associated signature showed high sensitivity and specificity for prognostic prediction and was an independent factor for overall survival. Based on the clinical variables and expression of nAChRs, a nomogram was constructed for predicting the outcomes of HNSCC patients who were smokers in the clinical settings. In clinical specimens, α5 nAChR showed high expression in HNSCC tissues, especially among smokers. CONCLUSIONS: The nAChR-associated signature constructed in this study may provide a better system for the classification of HNSCC patients and facilitate personalized treatment according to their smoking habits.

Multifunctional Histidine Cross-Linked Interface toward Efficient Planar Perovskite Solar Cells.

Interface engineering mediated by a designed chemical agent is of paramount importance for developing high-performance perovskite solar cells (PSCs). It is especially critical for planar SnO2-based PSCs due to the presence of abundant surface defects on SnO2 and/or perovskite surfaces. Herein, a novel multifunctional agent histidine (abbreviated as His) capable of cross-linking SnO2 and perovskite is employed to modify the SnO2/perovskite interface. Density functional theory (DFT) calculations and experimental results demonstrate that the carboxylate oxygen of His can form a Sn-O bond to fill the oxygen vacancies on the surface of SnO2, while its positively charged imidazole ring can occupy the cationic vacancies and its -NH3+ group interacts with the I- ion on the perovskite lattice. This cross-linking contributes to the significantly decreased interfacial trap state density and nonradiative recombination loss. In addition, it facilitates electron extraction/transfer and also improves interfacial contact and the quality of perovskite film. Correspondingly, the His-modified device delivers a superior power conversion efficiency (PCE) of 22.91% (improved from 20.13%) and an excellent open-circuit voltage (Voc) of 1.17 V (improved from 1.11 V), along with significantly suppressed hysteresis. Furthermore, the unencapsulated device based on His modification shows much better humidity and thermal stability than the pristine one. The present work provides guidance for the design of innovative multifunctional interfacial material for highly efficient PSCs.