Effect of autologous bone marrow stem cells-scaffold transplantation on the ongoing pregnancy rate in intrauterine adhesion women: a randomized, controlled trial.

Intrauterine adhesion is a major cause of female reproductive disorders. Although we and others uncontrolled pilot studies showed that treatment with autologous bone marrow stem cells made a few patients with severe intrauterine adhesion obtain live birth, no large sample randomized controlled studies on this therapeutic strategy in such patients have been reported so far. To verify if the therapy of autologous bone marrow stem cells-scaffold is superior to traditional treatment in moderate to severe intrauterine adhesion patients in increasing their ongoing pregnancy rate, we conducted this randomized controlled clinical trial. Totally 195 participants with moderate to severe intrauterine adhesion were screened and 152 of them were randomly assigned in a 1:1 ratio to either group with autologous bone marrow stem cells-scaffold plus Foley balloon catheter or group with only Foley balloon catheter (control group) from February 2016 to January 2020. The per-protocol analysis included 140 participants: 72 in bone marrow stem cells-scaffold group and 68 in control group. The ongoing pregnancy occurred in 45/72 (62.5%) participants in the bone marrow stem cells-scaffold group which was significantly higher than that in the control group (28/68, 41.2%) (RR=1.52, 95%CI 1.08-2.12, P=0.012). The situation was similar in live birth rate (bone marrow stem cells-scaffold group 56.9% (41/72) vs. control group 38.2% (26/68), RR=1.49, 95%CI 1.04-2.14, P=0.027). Compared with control group, participants in bone marrow stem cells-scaffold group showed more menstrual blood volume in the 3rd and 6th cycles and maximal endometrial thickness in the 6th cycle after hysteroscopic adhesiolysis. The incidence of mild placenta accrete was increased in bone marrow stem cells-scaffold group and no severe adverse effects were observed. In conclusion, transplantation of bone marrow stem cells-scaffold into uterine cavities of the participants with moderate to severe intrauterine adhesion increased their ongoing pregnancy and live birth rates, and this therapy was relatively safe.

Prognostic analysis of patients with stage IIIC1p cervical cancer treated by surgery.

BACKGROUND: Cervical cancer (CC) is one of the most common gynaecologic malignancies. The prognosis of stage IIIC1p cervical cancer patients treated by surgery is heterogeneous. Therefore, the aim of this study was to analyse the factors influencing the prognosis in such patients. METHODS: From January 2012 to December 2017, 102 patients with cervical cancer who underwent surgical treatment in the Department of Gynaecology and Tumours, Changzhou Maternal and Child Health Hospital, and had pelvic lymph node metastasis confirmed by pathology were analysed retrospectively. All patients underwent radical hysterectomy with/without oophorectomy with pelvic lymphadenectomy with/without para-aortic lymphadenectomy. Clinical data was collected including age, surgical method, ovarian status, intraoperative blood loss, perioperative complications, tumour size, pathological type, depth of stromal invasion (DSI), whether the lymphatic vascular space was infiltrated, number of pelvic lymph node metastases, location of pelvic lymph node metastases, total number of lymph nodes resected, lymph node ratio (LNR), nature of vaginal margin, whether parametrium was involved, postoperative adjuvant therapy, preoperative neutrophil-lymphocyte ratio (NLR) and prognostic information of patients. Survival curves for overall survival (OS) and disease-free survival (DFS) were plotted using the Kaplan-Meier method, and the difference between the survival curves was tested using the log-rank test. Univariate and multivariate COX regression models were used to assess the factors associated with overall survival and disease-free survival in patients with stage IIIC1p cervical cancer. Nomogram plots were constructed to predict OS and DFS, and the predictive accuracy of the nomograms was measured by Harrell's C-index and calibration curves. RESULTS: A total of 102 patients with stage IIIC1p cervical cancer were included in the study, and the median follow-up time was 63 months (range from 6 to 130 months). The 5-year OS was 64.7%, and the 5-year DFS was 62.7%. Multivariate analysis showed that no postoperative adjuvant therapy, LNR > 0.3 and NLR > 3.8 were independent risk factors for OS and DFS in patients with stage IIIC1p cervical cancer. CONCLUSIONS: Patients with stage IIIC1p cervical cancer have a poor prognosis. Lower OS and DFS were associated with no postoperative adjuvant therapy, LNR > 0.3 and NLR > 3.8.

Glutamine coated titanium for synergistic sonodynamic and photothermal on tumor therapy upon targeted delivery.

Introduction: The application of titanium dioxide nanoparticles (TiO2 NPs) for cancer therapy has been studied for decades; however, the targeted delivery of TiO2 NPs to tumor tissues is challenging, and its efficiency needs to be improved. Method: In this study, we designed an oxygen-deficient TiO2-x coated with glutamine layer for targeted delivery, as well as the enhanced separation of electrons (e-) and holes (h+) following the joint application of sonodynamic therapy (SDT) and photothermal therapy (PTT). Results: This oxygen-deficient TiO2-x possesses relatively high photothermal and sonodynamic efficiency at the 1064 nm NIR-II bio-window. The GL-dependent design eased the penetration of the TiO2-x into the tumor tissues (approximately three-fold). The in vitro and in vivo tests showed that the SDT/PTT-based synergistic treatment achieved more optimized therapeutic effects than the sole use of either SDT or PTT. Conclusion: Our study provided a safety targeted delivery strategy, and enhanced the therapeutic efficiency of SDT/PTT synergistic treatment.

Efficient bio-cementation between silicate tailings and biogenic calcium carbonate: Nano-scale structure and mechanism of the interface.

Biogenic calcium carbonate (bio-CaCO3) cementing tailings is an efficient technology to immobilize heavy metals in waste tailings. However, the underlying mechanism of interface cementation has not yet been clearly established, which limits the technological development. In this study, we used advanced techniques, including atomic force microscopy-based Lorentz contact resonance (AFM-LCR) spectroscopy, AFM-based nanoscale infrared (AFM-IR) spectroscopy, and solid-state nuclear magnetic resonance (ssNMR) spectroscopy, to reveal the structural, mechanical, and chemical properties of the interface on the nanoscale. Ureolytic bacteria produced bio-CaCO3 to fill in pore space and to bind cement tailings particles, which prevented the formation of leachate containing heavy metals. After cementation, a strong 40-300 nm thin interface was formed between the taillings and bio-CaCO3 particles. Unlike chemically synthesized CaCO3, bio-CaCO3 is strongly negatively charged, which gives it better adhesion ability. Fourier transform infrared (FTIR), AFM-IR, and 29Si ssNMR spectra indicated that the Si-OH and Si-O-Si groups on the silicate surface were converted to deprotonated silanol groups (≡Si-O-) at a high pH and they formed strong chemical bonds of Si-O-Ca on the interface through a Ca ion bridge. In addition, hydrogen bonding with Si-OH also played a role at the cementation interface. These findings provide the nano-scale interfacial structure and mechanism of bio-CaCO3 cementing silicate tailings and accelerate the development of tailings disposal technology.

Metal-organic frameworks doped with metal ions for efficient sterilization: Enhanced photocatalytic activity and photothermal effect.

Photocatalytic and photothermal disinfection is a promising strategy for addressing the challenges of environmental microbial contamination. In this work, we choose a metal-organic framework (MOF), ZIF-8, as an inexpensive and ideal model for metal ion doping, and manipulate the band structure, thermal vibration in molecules, charge distribution, and robustness of the metal-ligand coordination bond of the metal-ion-doped ZIFs for their use in photo-disinfection. The effects of their absorption edge, rate of the photo-induced temperature rise, transient photocurrent response, photo-generated reactive oxygen species (ROS) type, and crystal stability on the photo-disinfection performance are systematically studied by varying the metal ion type (Co2+, Ni2+, or Cu2+) and doping concentration (1-100%). The results show that the efficiency of light harvesting and photogenerated carrier separation is facilitated in all doped ZIFs. The photothermal conversion gradually improves with the increasing concentration of doped Co2+/Cu2+. Remarkably, the photo-generated ROS type changes from the original singlet oxygen (1O2) to multiple ROS (1O2 and •O2-) due to the introduction of Co(II) sites. Consequently, compared with pristine ZIF-8 and other doped ZIFs, Co2+-doped ZIF-8 with a 5% doping concentration shows the highest sterilization efficiency (6.6 log10 CFU mL-1) against Escherichia coli (E. coli) under simulated sunlight within one hour by virtue of the enhanced photothermal effect and the generation of multiple ROS. This work provides insights into the application of metal-ion-doped MOF photocatalysts to the disinfection of environments with pathogenic microorganisms.

Effects of PFOS at ng/L levels on photostability of extracellular polymeric substances under solar irradiation by fluorescence and infrared spectroscopy.

The ubiquitous EPS (extracellular polymeric substances), as a type of dissolved organic carbon, plays a key role in carbon cycling in water environment. When EPS meet the omnipresent PFOS (perfluorooctane sulfonate), they must interact with each other and exert profound effect on behavior and fate of both, which is still not well known. We hypothesized that the highly persistent PFOS at real environmental levels may significantly influence behavior of EPS under solar irradiation which may retard carbon turnover. In this study, 3D-EEM fluorescence spectroscopy and FTIR spectroscopy were used to probe responses of composition and structure of EPS under solar irradiation in the absence and presence of PFOS (5-500 ng/L). The experimental results showed that PFOS at ng/L levels significantly affected responses of EPS to sunlight irradiation and the effects were dependent on the components in EPS. Photostability of humic-like substances was significantly increased in the presence of PFOS; Degradation and unfolding of proteins induced by solar light were reduced by PFOS. In addition, degradation of both hydrophilic and hydrophobic functional groups by sunlight was inhibited by PFOS. The novel findings provide new insights for assessing the environmental behavior of EPS and PFOS and understanding the effect of PFOS on carbon cycling in water environments.

Environmental concentration PFOS as a light shield for lake exopolymers against photodegradation by formation of sandwiched supramolecular nanostructures.

EPS (exopolymers) play a central role in global carbon cycling due to huger amount in aquatic environment, and PFOS (Perfluorooctane sulfonate) is also ubiquitous and persistent pollutant. Whether and how can PFOS of environmental concentrations affect behavior and fate of EPS was unclear. In this study, for the first time interaction between lake EPS and PFOS of environmental concentrations was visually probed by AFM-IR technique. It was found that EPS could effectively trap PFOS and the latter of environmental concentrations could trigger nanoscale reassembly of the former. Sandwiched PFOS-EPS nanostructures were formed via supramolecular interaction between EPS and PFOS, confirmed by fluorescence quenching titration and FTIR spectroscopy. The PFOS microlayers sandwiched in EPS was proven to be a light shield that could protect EPS from photodegradation because of its high reflectivity and nearly zero absorbance of UV-Vis light. The light shielding effect of PFOS was confirmed by evidences from photodegradation experiments, including change of concentrations of ions released and molecular weight distribution patterns. These novel findings provided valuable information for deep insight into environmental behavior of PFOS and its effects on biogeochemical carbon cycle of biopolymers in global waters.

Nano-scale analysis of uranium release behavior from river sediment in the Ili basin.

Due to the limitations of the conventional water sample pretreatment methods, some of the colloidal uranium (U) has long been misidentified as "dissolved" phase. In this work, the U species in river water in the Ili Basin was classified into submicron-colloidal (0.1-1 µm), nano-colloidal (0.1 µm-3 kDa) and dissolved phases (< 3 kDa) by using high-speed centrifugation and ultrafiltration. The U concentration in the river water was 5.39-8.75 µg/L, which was dominated by nano-colloidal phase (55-70%). The nano-colloidal particles were mainly composed of particulate organic matter (POM) and had a very high adsorption capacity for U (accounting for 70 ± 23% of colloidal U). Sediment disturbance, low temperature, and high inorganic carbon greatly improved the release of nano-colloidal U, but high levels of Ca2+ inhibited it. The simulated river experiments indicated that the flow regime determined the release of nano-colloidal U, and large amounts of nano-colloidal U might be released during spring floods in the Ili basin. Moreover, global warming increases river flow and inorganic carbon content, which may greatly promote the release and migration of nano-colloidal U.

Safety and efficacy of a modified technique of laparoscopic radical hysterectomy for cervical cancer.

AIM: Objective to investigate the feasibility, safety, and short-term efficacy of laparoscopic radical hysterectomy without uterine lifter combined with self-locking nylon band. METHODS: The clinical data of 152 patients who underwent a laparoscopic radical hysterectomy in the Department of gynecology and oncology of Changzhou maternal and child health hospital from January 2017 to June 2020 were analyzed retrospectively, including 97 patients who used uterine lifter (traditional laparoscopic radical hysterectomy) and 55 patients who underwent operation without uterine lifter but combining with self-locking nylon band (modified laparoscopic radical hysterectomy). The differences in operation time, intraoperative blood loss, the width of excised parauterine tissue, the length of the excised vaginal wall, postoperative pathology and short-term prognosis between the two groups were compared and analyzed. RESULTS: There were no significant differences between the two groups in operation time, intraoperative blood loss, the width of parauterine tissue, and the length of the vaginal wall (p > 0.05). There were no significant differences in the number of lymph nodes, pelvic lymph node metastasis rate and depth of cervical interstitial infiltration between the two groups (p > 0.05), the infiltration rate of lymphatic vascular space in the traditional group was higher than that in the improved group (p < 0.05). CONCLUSION: It is feasible and safe for laparoscopic radical hysterectomy without uterine lifter combining with a self-locking nylon band to seal the vaginal wall. The uterine lifter may lead to lymphatic vascular space infiltration of tumor cells.

Temporospatial nano-heterogeneity of self-assembly of extracellular polymeric substances on microplastics and water environmental implications.

Environmental behavior and ecotoxicity of microplastics (MPs) are significantly influenced by the omnipresent self-assembly of microbial extracellular polymeric substances (EPS) on them. However, mechanisms of EPS self-assembly onto MPs at nanoscale resolution and effects of aging are unclear. For the first time, temporospatial nano-heterogeneity of self-assembly of EPS onto fresh and one-year aged polypropylene (PP) MPs were investigated by atomic-force-microscopy-infrared-spectroscopy (AFM-IR). Natural aging caused high degree nanoscale fragmentation of MPs physically and chemically. Self-assembly of EPS on MPs was aging-dependent. Polysaccharides were assembled on MP surface faster than proteins. Initially, regardless of the fresh or aged MPs, polysaccharides and proteins, with the former being predominant, were successively and separately assembled to different nanospaces because of their competition for binding sites. More and more proteins and polysaccharides were superimposed on each other with assembly time due to intermolecular forces. The nanochemical textural analysis showed that the nano-heterogeneity of EPS assembly to MPs was clearly correlated with the aging-induced nanochemical and nanomechanical heterogeneity of MP surface. The spontaneous self-assembly of EPS with temporospatial nano-heterogeneity on MPs have multiple impacts on behavior, ecotoxicity and fate of MPs and their associated pollutants as well as other key ecological processes in aquatic environment.

Analysis of recurrence factors associated with conservative surgery for ovarian-type endometriosis.

Background: To investigate the factors associated with postoperative recurrence in patients with ovarian-type endometriosis (EMS) who were treated with conservative surgery and to provide ideas for preventing disease recurrence in advance of treatment. Methods: The study included data from 289 inpatients with ovarian-type EMS who underwent conservative laparoscopic surgery in the Department of Gynecology, Changzhou Maternal and Child Health Care Hospital, Nanjing Medical University, from 2018 to 2020. We collected general clinical data, postoperative recurrence, drug treatment, and follow-up information. The factors associated with recurrence were analyzed using SPSS 26.0 software. Results: A total of 289 patients were included in this study, including 49 patients with recurrence and 240 without recurrence. In the univariate analysis of recurrence, revised American Fertility Society (r-AFS) score, preoperative dysmenorrhea, EMS fertility index (EFI) score, combined myoma, and postoperative pregnancy affected postoperative recurrence of patients. The critical value of r-AFS was 70 according to the subject receiver operating characteristic curve (ROC), and the Youden index was 0.513. R-AFS >70 had a sensitivity of 57.1%, specificity of 94.2%, the positive predictive value of 66.7%, the negative predictive value of 91.5%, and diagnostic accuracy of 87.9% for the diagnosis of recurrent ovarian endometrioid cysts. Using multifactorial binary logistic regression, results showed that r-AFS score >70 [odd ratio (OR) =1.042; 95% confidence interval (CI): 1.028-1.055; P<0.05], myoma (OR =2.995; 95% CI: 1.429-6.275; P<0.05), and preoperative dysmenorrhea (OR =1.994; 95% CI: 1.071-3.713; P<0.05) were risk factors for recurrence. EFI score (OR =0.785; 95% CI: 0.661-0.931; P<0.05), postoperative pregnancy (OR =0.349; 95% CI: 0.132-0.920; P<0.05) were protective factors for recurrence. The differences were statistically significant, and the remaining differences were not statistically significant. Conclusions: Preoperative r-AFS level, preoperative dysmenorrhea, and combined myoma are risk factors for postoperative recurrence, so patients with an r-AFS score over 70 should be more alert to possible recurrence. Moreover, EFI score and postoperative pregnancy are protective factors for postoperative recurrence. Postoperative patients should routinely take medication for prevention, and patients with the intention to become pregnant should be encouraged to conceive as soon as possible to reduce recurrence.

GANT61 elevates chemosensitivity to cisplatin through regulating the Hedgehog, AMPK and cAMP pathways in ovarian cancer.

Background: This study aimed to explore the effect of GANT61 on ovarian cancer (OC) chemosensitivity. Materials & methods: OC cells (Caov-3 and SKOV-3) were treated by GANT61 alone or combined with cisplatin/taxol. The mRNA sequencing was conducted, followed by rescue experiments. Results: GANT61 reduced OC cell viability in a dose-dependent manner and enhanced chemosensitivity to cisplatin but not to taxol. In total, 545 dysregulated genes were identified after the addition of GANT61 to cisplatin-treated OC cells, which were enriched in the AMPK, Hedgehog and cAMP pathways, then further validated by western blot. Furthermore, rescue experiments observed that AMPK pathway inhibitor and cAMP pathway inhibitor attenuated GANT61's chemosensitivity to cisplatin. Conclusion: GANT61 enforces OC chemosensitivity to cisplatin by regulating the Hedgehog, AMPK and cAMP pathways.

Eukaryotic translation initiation factor 3B is overexpressed and correlates with deteriorated tumor features and unfavorable survival profiles in cervical cancer patients.

OBJECTIVE: This study aimed to detect the expression of eukaryotic translation initiation factor 3B (EIF3B) and investigate its correlation with tumor features and survival in cervical cancer patients. METHODS: This study retrospectively reviewed 187 cervical cancer (squamous cell carcinoma) patients underwent tumor resection. Immunohistochemistry was performed to determine the expression of EIF3B in tissue samples. Besides, disease free survival (DFS) and overall survival (OS) were calculated. The median follow-up duration was 69 months, and the last follow-up date was 2017/12/31. RESULTS: EIF3B expression was higher in tumor tissue compared to paired adjacent tissue (45.5% vs. 32.1%, P= 0.015). Besides, EIF3B high expression was associated with higher Federation of Gynecology and Obstetrics (FIGO) Stage (P= 0.001) and presence of lymph node metastasis (P= 0.002). As to survival profiles, Kaplan-Meier curves disclosed that DFS (P< 0.001) and OS (P< 0.001) were both shorter in EIF3B high expression group compared to EIF3B low expression group. Multivariate Cox's regression analysis disclosed that EIF3B high expression, pathological grade III (vs I/II) and FIGO Stage III/IV (vs I/II) were independent predictive factors for unfavorable DFS as well as OS in cervical cancer patients (all P value < 0.05). CONCLUSION: EIF3B is overexpressed, and its high expression correlates with higher FIGO Stage, lymph node metastasis and unfavorable survival profiles in cervical cancer patients.

The kinetics, thermodynamics and mineral crystallography of CaCO3 precipitation by dissolved organic matter and salinity.

Calcium carbonate (CaCO3) precipitation is an important geochemical process. In the estuary zone and some arid shallow lakes, DOM (dissolved organic matter) and salinity are two frequent changing factors that may affect CaCO3 precipitation. The joint effect of DOM and salinity on CaCO3 precipitation kinetics and thermodynamics are still unclear. In this study, effects of DOM on CaCO3 precipitation process at 0.5‰ and 70‰ salinity were investigated by QCM (Quartz Crystal Microbalance) technique, real-time pH measurement and single-injection nanoliter ITC (isothermal titration calorimetry). The mineral crystallography was analyzed by SEM-EDS. Both DOM and salinity had inhibitory effect on CaCO3 precipitation. DOM had more pronounced inhibitory effect on CaCO3 precipitation at lower salinity. Regardless of DOM, 70‰ salinity inhibited CaCO3 precipitation >0.5‰ salinity. The CaCO3 precipitation kinetics followed the first-order kinetic model and the adhesion kinetics of the instantaneous nucleation and crystal growth stage could be well described by the exponential function. CaCO3 precipitation was an endothermic process and high salinity strongly hindered CaCO3 precipitation. The effect of DOM on the absorbed heat was significant at 0.5‰ salinity. At 70‰ salinity, regardless of the effect of DOM, CaCO3 precipitation rate was greatly slowed down because it needed much more heat. CaCO3 minerals were dominated by rhombohedral calcite while CaCO3 minerals were mainly shaped as spherical vaterite at 0.5‰ salinity and rhombohedral calcite at 70‰ salinity. The crystal phase changed during CaCO3 precipitation at 0.5‰ salinity. In conclusion, the presence of DOM had substantial impact on the micrograph of the CaCO3 minerals. The percentage of flawed crystals with rough surface increased significantly with increased DOM concentration.

Ca2+ complexation of dissolved organic matter in arid inland lakes is significantly affected by drastic seasonal change of salinity.

CaCO3 precipitation is one of the most common and important geochemical processes in the arid inland waters and it can be significantly affected by interaction of DOM with Ca2+. Effects of the drastic seasonal change of water salinity on interaction of DOM with Ca2+ in the arid inland waters were completely unknown. In the present study, complexation of DOM with Ca2+ in the freshwater (0.5‰ salinity) and hypersaline water (70‰ salinity) were comparatively examined by excitation-emission matrix (EEM) fluorescence quenching titration and isothermal titration calorimetry (ITC). The complexation of DOM with Ca2+ was significantly influenced by the drastic change of salinity. The ITC complexation is exothermic at 0.5‰ salinity but turns to an endothermic process at 70‰ salinity. More energy is needed for the complex reaction between DOM and Ca2+ under the hypersaline condition than in the fresh water. Fluorescence quenching titration indicates that DOM has stronger binding ability toward Ca2+ in the freshwater than in the saline water, and more fractions of DOM in the freshwater are accessible to Ca2+ than in the saline water. Ca2+ complexation in the DOM is dominated by the tryptophan-like components at both salinities and the complexation of Ca2+ with fulvic acid-like components is ignorable. The findings is important for understanding the aquatic geochemical processes in some lakes that seriously affected by irrigation water use in the arid zone.

Expression of VEGF and HIF-1α in locally advanced cervical cancer: potential biomarkers for predicting preoperative radiochemotherapy sensitivity and prognosis.

Locally advanced cervical cancer (LACC) is an early-stage cervical cancer characterized by a local tumor diameter of ≥4 cm. Patients with LACC have a relatively poor prognosis. Although preoperative radiochemotherapy (PRCT) might offer a valuable opportunity for subsequent radical surgery, surgeons should also consider the nonresponsive rate, the adverse effects of PRCT, and the surgical complications before designing a treatment plan. Therefore, biomarkers for predicting PRCT sensitivity and prognosis in patients with LACC are of high importance. We investigated the prognostic significance of vascular endothelial growth factor (VEGF) and hypoxia inducible factor-1α (HIF-1α) in patients with LACC. A total of 43 patients with LACC who underwent PRCT (one course each of intravenous chemotherapy and after-loading intracavitary brachytherapy followed by a radical hysterectomy) during the period 2009-2014 were included in this study. VEGF and HIF-1α expression levels were evaluated by immunohistochemistry in LACC lesions before and after PRCT. In addition, we analyzed the association of these proteins with the clinical response and pathological findings of pelvic lymph node metastasis (PLNM) after the subsequent surgery. The total clinical response rate was 81.39% after PRCT, including five complete responses and 30 partial responses. VEGF and HIF-1α expression before PRCT was significantly higher than after PRCT (VEGF: 85.71% vs 66.67%; HIF-1α: 83.33% vs 59.52%, P<0.05). In addition, the same trend was found in patients with PLNM compared to those without PLNM (VEGF: 100% vs 77.78%; HIF-1α: 100% vs 74.07%, P<0.05). The areas under the receiver operating characteristic curves were 0.896 and 0.835 when using pre-PRCT VEGF and HIF-1α expression levels, respectively, to diagnose PLNM in patients with LACC. Serial detection of VEGF and HIF-1α demonstrated a sensitivity of 66.67% and specificity of 88.89%. These findings suggest that VEGF and HIF-1α expressions are potential biomarkers for PRCT and have great clinical significance for the prediction of PRCT response and prognosis in patients with LACC.