Glucocorticoids in lung cancer: Navigating the balance between immunosuppression and therapeutic efficacy.

Glucocorticoids (GCs), a class of hormones secreted by the adrenal glands, are released into the bloodstream to maintain homeostasis and modulate responses to various stressors. These hormones function by binding to the widely expressed GC receptor (GR), thereby regulating a wide range of pathophysiological processes, especially in metabolism and immunity. The role of GCs in the tumor immune microenvironment (TIME) of lung cancer (LC) has been a focal point of research. As immunosuppressive agents, GCs exert a crucial impact on the occurrence, progression, and treatment of LC. In the TIME of LC, GCs act as a constantly swinging pendulum, simultaneously offering tumor-suppressive properties while diminishing the efficacy of immune-based therapies. The present study reviews the role and mechanisms of GCs in the TIME of LC.

Simultaneous removal of tetracycline hydrochloride and hexavalent chromium by heterogeneous Fenton in a photocatalytic fuel cell system.

In this work, a novel double-chamber system (PFC-Fenton), combined photocatalytic fuel cell (PFC) with Fenton, was constructed for tetracycline hydrochloride (TCH) and hexavalent chromium (Cr(VI)) removal and electricity production. Therein, Zn5(OH)6(CO3)2/Fe2O3/BiVO4/fluorine-doped SnO2 (ZIO/BiVO4/FTO) and carboxylated carbon nanotubes/polypyrrole/graphite felt (CCNTs/Ppy/GF) were served as photoanode and cathode, respectively. Under light irradiation, the removal efficiencies of TCH and Cr(VI) with the addition of H2O2 (2 mL) could reach 93.1% and 80.4%, respectively. Moreover, the first-order kinetic constants (7.37 × 10-3 min-1 of TCH and 3.94 × 10-3 min-1 of Cr(VI)) were 5.26 and 5.57 times as much as the absence of H2O2. Simultaneously, the maximum power density could be obtained 0.022 mW/cm2 at a current density of 0.353 mA/cm2. Therein, the main contribution of TCH degradation was ·OH and holes in anode chamber. The synergistic effect of photoelectrons, generated ·O2-, and H2O2 played a crucial role in the reduction of Cr(VI) in cathode chamber. The high-performance liquid chromatography-mass spectrometry indicated that TCH could be partially mineralized into CO2 and H2O. X-ray photoelectron spectroscope and X-ray absorption near-edge structure spectra showed that Cr(VI) could be reduced to Cr(III). After 5 times of cycling, the removal efficiencies of TCH and Cr(VI) were still greater than 70%, indicating the remarkable stability of the PFC-Fenton system. Overall, this system could remove TCH/Cr(VI) and generate power simultaneously without iron sludge formation, demonstrating a promising method to further develop PFC-Fenton technology.

Frailty and risk of adverse outcomes among community-dwelling older adults in China: a comparison of four different frailty scales.

Background: Data on which frailty scales are most suitable for estimating risk in Chinese community populations remain limited. Herein we examined and compared four commonly used frailty scales in predicting adverse outcomes in a large population-based cohort of Chinese older adults. Methods: A total of 5402 subjects (mean age 66.3 ± 9.6 years, 46.6% male) from the WHO Study on global AGEing and adult health (SAGE) in Shanghai were studied. Frailty was measured using a 35-item frailty index (FI), the frailty phenotype (FP), FRAIL, and Tilburg Frailty Indicator (TFI). Multivariate logistic regression models were performed to evaluate the independent association between frailty and outcomes including 4-year disability, hospitalization, and 4- and 7-year all-cause mortality. The accuracy for predicting these outcomes was determined by evaluating the area under the curve (AUC). The prevalence of frailty, sensitivity, and specificity were calculated using our proposed cut-off points and other different values. Results: Prevalence of frailty ranged from 4.2% (FRAIL) to 16.9% (FI). FI, FRAIL and TFI were comparably associated with 4-year hospitalization, and 4- and 7-year mortality (adjusted odds ratios [aORs] 1.44-1.69, 1.91-2.22 and 1.85-2.88, respectively). FRAIL conferred the greatest risk of 4-year disability, followed by FI and TFI (aOR 5.55, 3.50, and 1.91, respectively). FP only independently predicted 4- and 7-year mortality (aOR 1.57 and 2.21, respectively). AUC comparisons showed that FI, followed by TFI and FRAIL, exhibited acceptable predictive accuracy for 4-year disability, 4- and 7-year mortality (AUCs 0.76-0.78, 0.71-0.71, 0.65-0.72, respectively), whereas all scales poorly predicted 4-year hospitalization (AUCs 0.53-0.57). For each scale, while specificity estimates (85.3-97.3%) were high and similar across all outcomes, their sensitivity estimates (6.3-56.8%) were not sufficient yet. Prevalence of frailty, sensitivity, and specificity varied considerably when different cut-off points were used. Conclusion: Frailty defined using any of the four scales was associated with an increased risk of adverse outcomes. Although FI, FRAIL and TFI exhibited fair-to-moderate predictive accuracy and high specificity estimates, their sensitivity estimates were not sufficient yet. Overall, FI performed best in estimating risk, while TFI and FRAIL were additionally useful, the latter perhaps being more applicable to Chinese community-dwelling older adults.

Fabrication of a waste cotton fabrics-based nanosystem for simultaneous removal of Cu(II) and Pb(II).

Herein, a waste cotton fabrics-based nanosystem was fabricated to simultaneously remove copper (Cu(II)) and lead ions (Pb(II)) from water and soil. Therein, carboxyl-functionalized zinc oxide microsphere (ZnO-COOH) with peanut shape was carried by cotton fabric (CF) to get CF/ZnO-COOH nanosystem. CF/ZnO-COOH with a good foldable property possessed a high removal capacity for Cu(II) and Pb(II) via electrostatic attraction and chelation. The result indicated that their removal efficiencies of CF/ZnO-COOH could reach over 95% after 2 h. The adsorption process was consistent with Langmuir (R2 = 0.9905 of Cu(II) and R2 = 0.9846 of Pb(II)) and pseudo-second-order kinetic models (R2 = 0.9999 of Cu(II) and R2 = 0.9999 of Pb(II)). The thermodynamic data showed that the adsorption process was spontaneous and exothermic. Additionally, CF/ZnO-COOH also possessed a high fixation ability for Cu(II) and Pb(II) in sand-soil column, especially for Pb(II) (15 cm, 0.4 µg kg-1). Therefore, this wok provides an environmentally friendly and efficient way to remove Cu(II) and Pb(II) from water and soil concurrently.

Carbon Nanotubes-Based Fuel Cell for Cr(VI) Removal and Electricity Generation.

A fuel cell, an energy transducer, can convert chemical energy into electrical energy. In this work, graphite felt (GF) loaded with polypyrrole (PPy) and carboxylic carbon nanotubes (CNTs-COOH) was used as a cathode (GF/PPy/CNTs-COOH) in a double-chamber nonbiofuel cell (D-nBFC) to remove Cr(VI) efficiently. Therein, Na2S2O3 in an alkaline solution and Cr(VI) in a strongly acidic solution were employed as anode and cathode solutions, respectively. An agar salt bridge, consisting of saturated KCl solution, was used to transport ions between the anode and cathode. This system suggested that the removal efficiency of Cr(VI) could reach 99.6%. The maximum current, power, and power density could achieve 136.8 µA, 18.7 µW, and 20.8 mW/m2 at 90 min, respectively. Additionally, GF/PPy/CNTs-COOH also had good electrocatalytic stability and reusability after four cycles, which played an important role in the development of the D-nBFC system. Therefore, this study provides an environmentally friendly and efficient method to remove Cr(VI) and generate electricity simultaneously.

Tobacco Waste Liquid-Based Organic Fertilizer Particle for Controlled-Release Fulvic Acid and Immobilization of Heavy Metals in Soil.

Every year, a large amount of tobacco waste liquid (TWL) is discharged into the environment, resulting in serious pollution for the environment. In this work, a TWL-based particle (OACT) was fabricated by CaO, attapulgite (ATP), and TWL, and, then, OACT was coated by amino silicon oil (ASO) to form OACT@ASO. Therein, OACT@ASO had high controlled-release ability for fulvic acid (FA), because of the nanonetworks structure for ATP and the high content of FA in TWL. The release ratio (RR) of FA from OACT@ASO reached 94% at 75 h in deionized water, and 23% at 32 d in silica sand. Furthermore, the release mechanism of FA from OACT@ASO was consistent with the First-order law. Additionally, OACT@ASO also possessed high immobilization capacity for Cu(II), Cd(II), and Pb(II) (CCP) in soil. Notably, a pot experiment indicated that OACT@ASO could facilitate the growth of pakchoi seedlings and decrease the absorption of CCP by pakchoi seedlings. Thus, this study provides a new kind of organic fertilizer which could not only release FA, but also immobilize CCP in soil.

Highly Efficient and Simultaneous Removal of Cr(VI) and Imidacloprid through a Ferrocene-Modified MIL-100(Fe) Composite from an Aqueous Solution.

A novel nanocomposite [Fc-MIL-100(Fe)] was constructed by combining ferrocene (Fc) with the porous structural metal-organic framework [MIL-100(Fe)]. The proposed composite material could simultaneously and efficiently remove hexavalent chromium [Cr(VI)] and imidacloprid and reduced strongly noxious Cr(VI) to weakly noxious trivalent chromium [Cr(III)]. The removal efficiencies of the composite material for Cr(VI) and imidacloprid could reach 95% after 15 h. The adsorption process was determined by kinetics, isotherms, and thermodynamics. The results demonstrated that the adsorption kinetics of Cr(VI) followed the pseudo-second-order model mainly by chemisorption; meanwhile, the adsorption of imidacloprid by the material conformed to the pseudo-first-order kinetics, which indicated that physical adsorption was the main process. Additionally, the intraparticle diffusion model revealed that the uptake of imidacloprid and Cr(VI) occurred via intraparticle diffusion at the composite material. The adsorption procedure for Cr(VI) was fitted to the Langmuir model (R2 = 0.995) via monolayer adsorption, and that for imidacloprid was fitted to the Freundlich model (R2 = 0.995) due to multilayer or heterogeneous adsorption. The thermodynamic research confirmed that the adsorption procedure was exothermic and spontaneous. Infrared spectroscopy, X-ray photoelectron spectra, and the pH effect implied that intermolecular hydrogen bonding and electrostatic interaction played a crucial role during the removal process. Fc-MIL-100(Fe) also exhibited long-term stability and satisfactory regeneration and reusability. Therefore, this method may enhance an environmentally friendly and prospective approach for concurrently removing imidacloprid and Cr(VI) from wastewater.

A sodium hyposulfite fuel cell for efficient Cr(VI) removal.

This work shows a strategy of reducing hexavalent chromium (Cr(VI)) by sodium hyposulfite (Na2S2O3) with self-generated electricity via a dual-chamber non-biological fuel cell (D-nBFC). Therein, Na2S2O3 was electro-oxidized on graphite felt (GF) at anode and Cr(VI) in strong acidic solution was electro-reduced at GF/CCP cathode (GF decorated with conductive carbon paint (CCP)). Additionally, an agar salt bridge, consisting of saturated KCl solution, was introduced to form complete circuit by offering ions. The results showed that Cr(VI) was reduced to trivalent chromium (Cr(III)) and the D-nBFC system could produce electricity in this process. This system could obtain a high Cr(VI) removal efficiency (97.0%), 110 µA maximum current, and 13.4 mW m-2 maximum power density in 4 h. In addition, the proposed system had high reusability after five cycles and the relative standard deviation was only 3.4% (n = 5). Thus, this D-nBFC system provides a promising and eco-friendly method for treatment of Cr(VI) pollution and generating electricity simultaneously, and also has potential application value for other heavy metals remediation.

Surface migration of Pb(II) from water and soil using an aerogel/graphite felt primary cell system.

To develop a zero energy consumption electrokinetic remediation method of Pb(II) in water and soil, a primary cell system was constructed via synergistic effects of the electromigration, ion exchange, precipitation and hydrogen bond. The primary cell system used cathode of calcium alginate aerogel/graphite felt (CAA/GF) and another piece of CAA/GF was placed on the top of the water and soil. Thus the electric field in the system could drive positively charged Pb(II) towards the top of and thus Pb(II) was surface migrated, promoting removal of Pb(II). This system achieved Pb(II) removal efficiency of 97.8% and maximum power density of 32.1 mW m-2. Additionally, the CAA/GF presented a good reusability. This work provides a promising and facile method to remove heavy metals from water and soil, which might have a huge application prospect.

Associations of Lifestyle Factors With Cognition in Community-Dwelling Adults Aged 50 and Older: A Longitudinal Cohort Study.

In the absence of an effective treatment to alter the progressive course of cognitive decline and dementia, identification of modifiable risk factors that could promote healthy cognitive aging has become a public health research priority. This study seeks to comprehensively determine the contemporaneous associations of a broad spectrum of time-varying modifiable lifestyle factors with age-related cognitive decline in a large population-based cohort of older adults. A total of 5,711 subjects aged 50 and older from the WHO Study on global AGEing and adult health (SAGE) in Shanghai were studied. Repeated measures of lifestyle factors and cognitive performance were conducted in 2009-2010 and 2014-2015. Linear random slope models were used to evaluate the contemporaneous associations between time-varying lifestyle factors and cognitive performance. Person-mean centering method was used to disaggregate the between- and within-person effects in the time-varying lifestyle factors in the random slope models. We found that higher vegetable and fruit consumption, as well as higher level of physical activity were positively associated with all cognitive domains. Body mass index (BMI) was negatively associated with all cognitive domains, whereas waist-to-hip ratio (WHR) was negatively associated with verbal fluency score only. Sedentary time was negatively associated with digit span score but positively associated with verbal fluency score. The between-person effects seem to be more dominant than within-person effects. Overall, our findings suggest better management of multiple lifestyle factors may protect against cognitive decline in later life. Higher vegetable and fruit consumption and physical activity are protective, whereas obesity is detrimental to cognitive decline in older adults. This study underpins the development of multi-domain lifestyle recommendations to promote healthy cognitive aging.

Association Between Metformin and Sulfonylurea Monotherapies and Cancer Incidence: A Real-World Cohort Study in Shanghai, China.

INTRODUCTION: Previous studies have shown that patients with type 2 diabetes mellitus have an increased risk of cancer. The use of antidiabetic medication (ADM) may play an important role in the cancer development. The relationship between oral ADM and cancer incidence has not been investigated in type 2 diabetes mellitus patients in mainland China yet. METHODS: A community-based diabetes cohort was extracted from the Shanghai Community Diabetes Management System database, which is a patient registry from general practices. The cohort included 2353 newly onset type 2 diabetes mellitus patients from 2006 to 2010 aged 35 years or more. Patients were grouped into nonusers of antidiabetic medication (n = 722), metformin monotherapy (n = 374), sulfonylurea monotherapy (n = 653), metformin and sulfonylurea combination therapy (n = 302), and other medication therapies (n = 302) on the basis of initial treatment type at registry entry. Cancer incidence was identified from the Shanghai Cancer Registry Organization. Comparisons between monotherapy and nonuser of medication were conducted using Cox proportional hazards models. RESULTS: A total of 94 cancer cases were identified during 5 years median follow-up. Compared with nonusers, sulfonylurea monotherapy was associated with significantly lower risk of cancer [adjusted HR = 0.50 (95% CI 0.29-0.85)] whereas risk was 49% lower with metformin monotherapy [adjusted HR = 0.51 (95% CI 0.27-0.99)]. CONCLUSION: The real-world evidence suggested that the use of metformin or sulfonylurea was associated with lower risk of cancer incidence in a cohort of newly onset type 2 diabetes mellitus patients.