Impact of tissue sampling on detection of venous invasion in colorectal cancer: a prospective analysis.

AIMS: Venous invasion (VI) is a powerful yet under-reported prognostic factor in colorectal cancer (CRC). Efforts to improve its detection have largely focused upon histological assessment, with less attention paid to tissue-sampling strategies. This study aimed to prospectively determine the number of tumour blocks required to optimise VI detection in CRC resections. In addition, the relationship between linear spiculation (LS) and extramural venous invasion (EMVI) was investigated. METHODS AND RESULTS: A standardised tissue sampling protocol was developed and applied prospectively to 217 CRC resections [AJCC 8th edition, stage 1 (n = 32); stage 2 (n = 84); stage 3 (n = 87); stage 4 (n = 14); and post-neoadjuvant therapy (n = 46)]. Elastin stains were performed on all tumour blocks. VI was identified in 55% of cases (EMVI = 37%; IMVI alone = 18%). The sensitivity of VI detection increased with increasing numbers of tumour blocks submitted [one block (35%), three blocks (66%), five blocks (84%), six blocks (95%) and seven blocks (97%)]. Similar findings were observed for EMVI [one block (35%), three blocks (73%), five blocks (89%), six blocks (96%) and seven blocks (96%)]. LS was identified macroscopically in 22% of specimens. In cases where no neoadjuvant therapy had been given, EMVI was significantly associated with LS (71% in LS+ cases versus 29% in LS- cases; P < 0.001). In addition, tumour blocks targeting LS were associated with a fivefold higher rate of EMVI compared with blocks that did not (P < 0.001). CONCLUSIONS: Our findings demonstrate the impact of tissue sampling and quality of gross examination on VI detection and may inform practices in future CRC protocols.

Impact of Environmental Conditions on Secondary Organic Aerosol Production from Photosensitized Humic Acid.

Recent studies have shown the potential of the photosensitizer chemistry of humic acid, as a proxy for humic-like substances in atmospheric aerosols, to contribute to secondary organic aerosol mass. The mechanism requires particle-phase humic acid to absorb solar radiation and become photoexcited, then directly or indirectly oxidize a volatile organic compound (VOC), resulting in a lower volatility product in the particle phase. We performed experiments in a photochemical chamber, with aerosol-phase humic acid as the photosensitizer and limonene as the VOC. In the presence of 26 ppb limonene and under atmospherically relevant UV-visible irradiation levels, there is no significant change in particle diameter. Calculations show that SOA production via this pathway is highly sensitive to VOC precursor concentrations. Under the assumption that HULIS is equally or less reactive than the humic acid used in these experiments, the results suggest that the photosensitizer chemistry of HULIS in ambient atmospheric aerosols is unlikely to be a significant source of secondary organic aerosol mass.

Organic Peroxides and Sulfur Dioxide in Aerosol: Source of Particulate Sulfate.

Sulfur oxides (SOx) are important atmospheric trace species in both gas and particulate phases, and sulfate is a major component of atmospheric aerosol. One potentially important source of particulate sulfate formation is the oxidation of dissolved SO2 by organic peroxides, which comprises a major fraction of secondary organic aerosol (SOA). In this study, we investigated the reaction kinetics and mechanisms between SO2 and condensed-phase peroxides. pH-dependent aqueous phase reaction rate constants between S(IV) and organic peroxide standards were measured. Highly oxygenated organic peroxides with O/C > 0.6 in α-pinene SOA react rapidly with S(IV) species in the aqueous phase. The reactions between organic peroxides and S(IV) yield both inorganic sulfate and organosulfates (OS), as observed by electrospray ionization ion mobility mass spectrometry. For the first time, 34S-labeling experiments in this study revealed that dissolved SO2 forms OS via direct reactions without forming inorganic sulfate as a reactive intermediate. Kinetics of OS formation was estimated semiquantitatively, and such reaction was found to account for 30-60% of sulfur reacted. The photochemical box model GAMMA was applied to assess the implications of the measured SO2 consumption and OS formation rates. Our findings indicate that this novel pathway of SO2-peroxide reaction is important for sulfate formation in submicron aerosol.

Modeling Photosensitized Secondary Organic Aerosol Formation in Laboratory and Ambient Aerosols.

Photosensitized reactions involving imidazole-2-carboxaldehyde (IC) have been experimentally observed to contribute to secondary organic aerosol (SOA) growth. However, the extent of photosensitized reactions in ambient aerosols remains poorly understood and unaccounted for in atmospheric models. Here we use GAMMA 4.0, a photochemical box model that couples gas-phase and aqueous-phase aerosol chemistry, along with recent laboratory measurements of the kinetics of IC photochemistry, to analyze IC-photosensitized SOA formation in laboratory and ambient settings. Analysis of the laboratory results of Aregahegn et al. (2013) suggests that photosensitized production of SOA from limonene, isoprene, α-pinene, ß-pinene, and toluene by 3IC* occurs at or near the surface of the aerosol particle. Reactive uptake coefficients were derived from the experimental data using GAMMA 4.0. Simulations of aqueous aerosol SOA formation at remote ambient conditions including IC photosensitizer chemistry indicate less than 0.3% contribution to SOA growth from direct reactions of 3IC* with limonene, isoprene, α-pinene, ß-pinene, and toluene, and an enhancement of less than 0.04% of SOA formation from other precursors due to the formation of radicals in the bulk aerosol aqueous phase. Other, more abundant photosensitizer species, such as humic-like substances (HULIS), may contribute more significantly to aqueous aerosol SOA production.

Photoactivated Production of Secondary Organic Species from Isoprene in Aqueous Systems.

Photoactivated reactions of organic species in atmospheric aerosol particles are a potentially significant source of secondary organic aerosol material (SOA). Despite recent progress, the dominant chemical mechanisms and rates of these reactions remain largely unknown. In this work, we characterize the photophysical properties and photochemical reaction mechanisms of imidazole-2-carboxaldehyde (IC) in aqueous solution, alone and in the presence of isoprene. IC has been shown previously in laboratory studies to participate in photoactivated chemistry in aerosols, and it is a known in-particle reaction product of glyoxal. Our experiments confirmed that the triplet excited state of IC is an efficient triplet photosensitizer, leading to photosensitization of isoprene in aqueous solution and promoting its photochemical processing in aqueous solution. Phosphorescence and transient absorption studies showed that the energy level of the triplet excited state of IC (3IC*) was approximately 289 kJ/mol, and the lifetime of 3IC* in water under ambient temperature is 7.9 µs, consistent with IC acting as an efficient triplet photosensitizer. Laser flash photolysis experiments displayed fast quenching of 3IC* by isoprene, with a rate constant of (2.7 ± 0.3) × 109 M-1 s-1, which is close to the diffusion-limited rate in water. Mass spectrometry analysis showed that the products formed include IC-isoprene adducts, and chemical mechanisms are discussed. Additionally, oxygen quenches 3IC* with a rate constant of (3.1 ± 0.1) × 109 M-1 s-1.

Biological relevance of oxidative debris present in as-prepared graphene oxide.

The influence of oxidative debris (OD) present in as-prepared graphene oxide (GO) suspensions on proteins and its toxicity to human embryonic kidney cells (HEK-293T) are reported here. The OD was removed by repeated washing with aqueous ammonia to produce the corresponding base-washed GO (bwGO). The loading (w/w) of bovine serum albumin (BSA) was increased by 85% after base washing, whereas the loading of hemoglobin (Hb) and lysozyme (Lyz), respectively, was decreased by 160% and 100%. The secondary structures of 13 different proteins bound to bwGO were compared with the corresponding proteins bound to GO using the UV circular dichroism spectroscopy. There was a consistent loss of protein secondary structure with bwGO when compared with proteins bound to GO, but no correlation between either the isoelectric point or hydrophobicity of the protein and the extent of structure loss was observed. All enzymes bound to bwGO and GO indicated significant activities, and a strong correlation between the enzymatic activity and the extent of structure retention was noted, regardless of the presence or absence of OD. At low loadings (<100 µg/mL) both GO and bwGO showed excellent cell viability but substantial cytotoxicity (~40% cell death) was observed at high loadings (>100 µg/mL). In control studies, OD by itself did not alter the growth rate even after a 48-h incubation. Thus, the presence of OD in GO played a very important role in controlling the chemical and biological nature of the protein-GO interface and the presence of OD in GO improved its biological compatibility when compared to bwGO.