Lung adenocarcinoma with EGFR L858R-K860I and L858R-L861F doublet mutations from which the L858R mutation is undetectable through the cobas EGFR mutation test v2.

In East Asia, epidermal growth receptor factor (EGFR) mutations are the most prevalent and important biomarkers for treating patients with advanced lung cancer. However, as L858R doublet mutations are rare, commercially available EGFR tests may yield false-negative results. To determine whether the L858R mutation of the L858R-K860I and L858R-L861F doublet mutations could be identified using different types of EGFR detection tests and to describe the clinical response of patients with lung cancer with L858R doublet mutations to EGFR tyrosine kinase inhibitors (TKI). Information and samples from four patients with L858R doublet mutations, including three with L858R-K860I and one with L858R-L861F, were retrospectively collected from the archives of our department. For each case, the clinical response to EGFR-TKI was retrieved from the medical records. Archived formalin-fixed paraffin-embedded blocks were subjected to Sanger sequencing, the cobas and Idylla EGFR tests, the IntelliPlex-LCP-DNA assay, and AmoyDx PLC panel. L858R mutations were all detected by Sanger sequencing and the Idylla EGFR test but missed by the cobas assay. The AmoyDx PLC detected L858R only in cases with L858R-K860I while the IntelliPlex-LCP-DNA assay detected L858R in the case with L858R-L861F. Additionally, three of the patients, who had measurable tumors, showed partial responses to afatinib and osimertinib. The L858R mutation associated with L858R-K860I and L858R-L861F doublet mutations could be detected using Idylla but not cobas EGFR tests. Using next-generation sequencing analysis should be considered after initial negative reports from the cobas test, because patients with L858R doublet mutations may benefit from EGFR-TKIs.

Variability of the nutrient stream near Kuroshio's origin.

The Kuroshio-literally "the Black Stream"-is the most substantial current in the Pacific Ocean. It was called the Black Stream because this oligotrophic current is so nutrient-poor in its euphotic zone that the water appears black without the influence of phytoplankton and the associated, often colored dissolved organic matter. Yet, below the euphotic layer, nutrient concentrations increase with depth while current speed declines. Consequently, a core of maximum nutrient flux, the so-called nutrient stream, develops at a depth of roughly between 200 and 800 m. This poorly studied nutrient stream transports nutrients to and supports high productivity and fisheries on the East China Sea continental shelf; it also transports nutrients to and promotes increased productivity and fisheries in the Kuroshio Extension and the subarctic Pacific Ocean. Three modes of the Kuroshio nutrient stream are detected off SE Taiwan for the first time: one has a single-core; one has two cores that are apparently separated by the ridge at 120.6-122° E, and one has two cores that are separated by a southward flow above the ridge. More importantly, northward nutrient transports seem to have been increasing since 2015 as a result of a 30% increase in subsurface water transport, which began in 2013. Such a nutrient stream supports the Kuroshio's high productivity, such as on the East China Sea continental shelf and in the Kuroshio Extension SE of Japan.

A Study on the Place Attachment of Golf Club Members.

The purpose of this study is to explore the members of golf clubs in the central region of Taiwan and find out whether their involvement in activities affects the degree of place attachment and to add the two factors of activity experience and experience value so as to develop a theoretical framework. A questionnaire survey was used to collect 534 samples from golf clubs in central Taiwan for analysis using the following research tools: the Activity Involvement scale, Place Attachment scale, and Likert psychological scale. The results of the study show that (1) activity involvement has a significant positive impact on place attachment, activity experience, and experience value; (2) activity experience has a significant positive impact on experience value; (3) experience value has a significant positive impact on place attachment. This result verifies the theory that activity involvement impacts place attachment. It is suggested that the relevant bodies should strengthen the incentives given in the activities and strengthen the value of the leisure experience so as to facilitate the development of related industries in the future.

Whole plastid transcriptomes reveal abundant RNA editing sites and differential editing status in Phalaenopsis aphrodite subsp. formosana.

BACKGROUND: RNA editing is a process of post-transcriptional level of gene regulation by nucleotide modification. Previously, the chloroplast DNA of Taiwan endemic moth orchid, P. aphrodite subsp. formosana was determined, and 44 RNA editing sites were identified from 24 plastid protein-coding transcripts of leaf tissue via RT-PCR and then conventional Sanger sequencing. However, the RNA editing status of whole-plastid transcripts in leaf and other distinct tissue types in moth orchids has not been addressed. To sensitively and extensively examine the plastid RNA editing status of moth orchid, RNA-Seq was used to investigate the editing status of whole-plastid transcripts from leaf and floral tissues by mapping the sequence reads to the corresponding cpDNA template. With the threshold of at least 5% C-to-U or U-to-C conversion events observed in sequence reads considered as RNA editing sites. RESULTS: In total, 137 edits with 126 C-to-U and 11 U-to-C conversions, including 93 newly discovered edits, were identified in plastid transcripts, representing an average of 0.09% of the nucleotides examined in moth orchid. Overall, 110 and 106 edits were present in leaf and floral tissues, respectively, with 79 edits in common. As well, 79 edits were involved in protein-coding transcripts, and the 58 nucleotide conversions caused the non-synonymous substitution. At least 32 edits showed significant (≧20%) differential editing between leaf and floral tissues. Finally, RNA editing in trnM is required for the formation of a standard clover-leaf structure. CONCLUSIONS: We identified 137 edits in plastid transcripts of moth orchid, the highest number reported so far in monocots. The consequence of RNA editing in protein-coding transcripts mainly cause the amino acid change and tend to increase the hydrophobicity as well as conservation among plant phylogeny. RNA editing occurred in non-protein-coding transcripts such as tRNA, introns and untranslated regulatory regions could affect the formation and stability of secondary structure, which might play an important role in the regulation of gene expression. Furthermore, some unidentified tissue-specific factors might be required for regulating RNA editing in moth orchid.