Case report: Immune modulation after PD-1 inhibitor therapy in a patient with extranodal NK/T-cell lymphoma secondary to chronic active Epstein-Barr virus disease unveiled by single-cell transcriptomics.

Chronic active Epstein-Barr virus disease (CAEBV) is a systemic lymphoproliferative disorder that is closely linked to Epstein-Barr virus (EBV) infection. The clinical course and severity of CAEBV can vary, and in some cases, it can progress to overt lymphoma, which is characterized by extranodal natural killer/T-cell lymphoma (ENKTL) and has a poor clinical outcome. Although anti-programmed cell death protein-1 (PD-1) therapy has shown effectiveness in some patients with EBV-associated disease, it has been less successful in others, and the exact mechanism of action of PD-1 inhibitor therapy in these diseases remains unclear. In this report, we describe a patient who was diagnosed with ENKTL secondary to CAEBV and experienced rapid disease progression accompanied by hyperinflammation after receiving PD-1 inhibitor therapy. Single-cell RNA sequencing revealed a significant increase in the patient's lymphocyte count, especially in natural killer cells, with increased activity following PD-1 inhibitor therapy. This case raises questions about the efficacy and safety of PD-1 inhibitor therapy in patients with EBV-associated diseases.

Efficient nitrite accumulation and elemental sulfur recovery in partial sulfide autotrophic denitrification system: Insights of seeding sludge, S/N ratio and flocculation strategy.

Partial sulfide autotrophic denitrification (PSAD) has been proposed as a promising process to achieve elemental sulfur recovery and nitrite accumulation, which is required for anaerobic ammonium oxidation reaction. This study investigated the effect of seeding sludge on the start-up performance of PSAD process, with different sludge taken from the oxidation zone (S-o) of wastewater treatment plants, partial denitrification reactor (S-PD), and anoxic/oxic reactor (S-A/O). The results showed that the PSAD process could be achieved rapidly in three systems on day 22, 29 and 26, respectively. In particular, the S-O system completed the start-up in the shortest time of 22 d, with NO3--N and S2- removal efficiency of 85.3% and 99.3%, respectively. Selected the S-O system to operate long term, the nitrite (NO2--N) and biological elemental sulfur (S0) accumulation efficiencies were systematically investigated under different S/N ratios (in a range of 0.71-1.2). The maximum NO2--N and S0 accumulation efficiencies were 85.2% and 73.5%, respectively, at the S/N ratio of 1.1. In addition, the separation and recovery of S0 in effluent was achieved by employing polyaluminum chloride (PAC) as a flocculant. Using 2D Gaussian function as quadratic model for the maximizing of S0 flocculant efficiency (SFR), an optimal condition of PAC dosage 7.92 mL/L and pH 5.14 was obtained, and the SFR reached 94.1%, under such conditions. The findings offered useful information to facilitate the application of the PSAD process.

[Partial Nitritation and Anaerobic Ammonia Oxidation Synergistic Denitrification to Remove Nitrogen and Carbon from Domestic Sewage].

A sequencing batch reactor-anaerobic sequencing batch reactor(SBR-ASBR) process was used to treat domestic sewage. In the SBR, the effects of the anoxic/aerobic time ratio and temperature on the realization of partial nitritation(PN) were investigated. In the ASBR, the effects of different COD/NO2--N(C/N) ratios on the removal of nitrogen and carbon using anaerobic ammonia oxidation(ANAMMOX) and denitrification were studied. The results illustrated that:① After three single cycles and on the 22nd day, the NO2--N accumulation rate(NiAR) was 98.06%, and the nitrate nitrogen generation rate(SNiPR, calculated as N/VSS) was 0.28g·(g·d)-1, and simultaneous nitrification and denitrification removal the TN and COD were 12.29 and 110.36mg·L-1, respectively(temperature=25℃, anoxic/aerobic time ratio=30 min:30 min). ② At an anoxic/aerobic time ratio of 30 min:30 min, the filamentous sludge bulked, the sludge activity decreased, and sludge settleability was poor at 15℃. Furthermore, the conversion rate of NH4+-N to NO2--N was 86.83%, indicating that the effluent NH4+-N concentration was too low to provide suitable matrix concentrations for ANAMMOX at 30℃. The effluent concentrations of NH4+-N and NO2--N were 31.58 mg·L-1 and 35.04mg·L-1, respectively, matching the ratio of the ANAMMOX substrate at 25℃. ③ The SBR-ASBR combined process showed good denitrification performance; the effluent TN, NH4+-N, and COD concentrations were stable at 13.13, 4.83, and 69.96mg·L-1, respectively, and the removal rates were 83.10%, 93.64%, and 75.11%, respectively. When the influent C/N of the ASBR was 2.5, 2.0, and 1.5, respectively, anaerobic ammonia oxidation and denitrification showed the best performance with respect to nitrogen and carbon removal with a C/N of 2.0. The effluent NH4+-N, NO2--N, NO3--N, and COD were 0.09, 0.25, 1.04, and 32.73 mg·L-1, respectively.