Nomograms to predict lung metastasis in malignant primary osseous spinal neoplasms and cancer-specific survival in lung metastasis subgroup.

Purpose: To construct and validate nomograms for predicting lung metastasis probability in patients with malignant primary osseous spinal neoplasms (MPOSN) at initial diagnosis and predicting cancer-specific survival (CSS) in the lung metastasis subgroup. Methods: A total of 1,298 patients with spinal primary osteosarcoma, chondrosarcoma, Ewing sarcoma, and chordoma were retrospectively collected. Least absolute shrinkage and selection operator (LASSO) and multivariate logistic analysis were used to identify the predictors for lung metastasis. LASSO and multivariate Cox analysis were used to identify the prognostic factors for 3- and 5-year CSS in the lung metastasis subgroup. Receiver operating characteristic (ROC) curves, calibration curves, and decision curve analyses (DCA) were used to estimate the accuracy and net benefits of nomograms. Results: Histologic type, grade, lymph node involvement, tumor size, tumor extension, and other site metastasis were identified as predictors for lung metastasis. The area under the curve (AUC) for the training and validating cohorts were 0.825 and 0.827, respectively. Age, histologic type, surgery at primary site, and grade were identified as the prognostic factors for the CSS. The AUC for the 3- and 5-year CSS were 0.790 and 0.740, respectively. Calibration curves revealed good agreements, and the Hosmer and Lemeshow test identified the models to be well fitted. DCA curves demonstrated that nomograms were clinically useful. Conclusion: The nomograms constructed and validated by us could provide clinicians with a rapid and user-friendly tool to predict lung metastasis probability in patients with MPOSN at initial diagnosis and make a personalized CSS evaluation for the lung metastasis subgroup.

Long non-coding RNA KRT8P41/miR-193a-3p/FUBP1 axis modulates the proliferation and invasion of chordoma cells.

Chordomas are low-grade malignancies accounting for 1-4% of primary bone malignancies. Moreover, local recurrences increase the rate of metastasis. Our previous study identified the far upstream element (FUSE)-binding protein 1 (FUBP1) as a biomarker and potential therapeutic target for chordoma. In this study, lncRNA KRT8P41 was identified as a lncRNA positively correlated with FUBP1. In chordoma patients, higher lncRNA KRT8P41 expression was correlated with a poorer prognosis. LncRNA KRT8P41 silencing significantly inhibited chordoma cell proliferation and invasion. miR-193a was negatively correlated with lncRNA KRT8P41 and FUBP1; lncRNA KRT8P41 inhibited miR-193a expression, and miR-193a inhibited FUBP1 expression. Furthermore, miR-193a directly bound to lncRNA KRT8P41 and FUBP1 and lncRNA KRT8P41 competed with FUBP1 for miR-193a binding and relieved miR-193a-mediated FUBP1 inhibition. LncRNA KRT8P41 silencing inhibited, whereas miR-193a inhibition promoted chordoma cell proliferation and invasion; the inhibition of miR-193a attenuated the roles of lncRNA KRT8P41. Within chordoma tissues, the expression of miR-193a was decreased, and the expression of FUBP1 increased compared to normal control tissues. LncRNA KRT8P41 exhibited a positive correlation with FUBP1 and a negative correlation with miR-193a in vivo. Therefore, it was concluded that lncRNA KRT8P41, miR-193a-3p, and FUBP1 form a lncRNA-miRNA-mRNA axis, modulating the proliferation and invasion of chordoma cells.

CD3D, GZMK, and KLRB1 Are Potential Markers for Early Diagnosis of Rheumatoid Arthritis, Especially in Anti-Citrullinated Protein Antibody-Negative Patients.

Early diagnosis and monitoring of rheumatoid arthritis (RA) progress are critical for effective treatment. In clinic, the detection of rheumatoid factor (RF) and anti-citrullinated protein antibodies (ACPA) are usually combined to diagnose early RA. However, the poor specificity of RF and high heterogeneity of ACPA make the early diagnosis of RA still challenging. Bioinformatics analysis based on high-throughput omics is an emerging method to identify novel and effective biomarkers, which has been widely used in many diseases. Herein, utilizing an integrated strategy based on expression correlation analysis and weighted gene coexpression network analysis (WGCNA), we identified 76 RA-trait different expression genes (DEGs). Combined with protein-protein interaction (PPI) network construction and clustering, new hub genes associated in RA synovia, CD3D, GZMK, and KLRB1, were identified. We verified the specificity of these genes in the synovium of RA patients through three external datasets. We also observed high sensitivity and specificity of them for ACPA-negative patients. CD3D, GZMK, and KLRB1 are potentially key mediators of RA pathogenesis and markers for RA diagnosis.

Effect of Shikonin on Spinal Cord Injury in Rats Via Regulation of HMGB1/TLR4/NF-kB Signaling Pathway.

BACKGROUND/AIMS: Shikonin, a compound extracted from Zicao, has been demonstrated to hold anti-bacterial, anti-inflammatory, and anti-tumor activities in various diseases and it has been shown to protect human organs from injuries. However, the effect of shikonin on the recovery of spinal cord injury (SCI) remains unknown. This study was designed to estimate the potential therapeutic effect and underlying mechanism of shikonin on SCI in vivo. METHODS: In the study, we used HE staining, ELISA assay, transfection assay, TUNEL assay, real time PCR and Western blot to detect the effects of shikonin on spinal cord injury in rats. RESULTS: we showed that shikonin could promote the recovery of motor function and tissue repair after SCI treatment in rats SCI model. Moreover, we demonstrated that shikonin inhibited the spinal cord edema in SCI model of rats. According to further investigation, shikonin induced the reduction of inflammatory response through decreasing the expression levels of HMGB1, TLR4 and NF-κB after SCI injury. In addition, we also found that shikonin could suppress the apoptosis and expression of caspase-3 protein in SCI model of rats. CONCLUSION: Our results demonstrated that shikonin induced the recovery of tissue repair and motor function via inactivation of HMGB1/TLR4/NF-κB signaling pathway in SCI model of rats. Meanwhile, shikonin regulated the inflammation response in SCI by suppressing the HMGB1/TLR4/NF-κB signaling pathway. The described mechanism sheds novel light on molecular signaling pathway in spinal cord injury and secondary injury including inflammatory response.

Remediation of arsenic-contaminated groundwater by in-situ stimulating biogenic precipitation of iron sulfides.

Severe health problems due to elevated arsenic (As) in groundwater have made it urgent to develop cost-effective technologies for As removal. This field experimental study tested the feasibility of in-situ As immobilization via As incorporation into newly formed biogenic Fe(II) sulfides in a typical As-affected strongly reducing aquifer at the central part of Datong Basin, China. After periodic supply of FeSO4 into the aquifer for 25 d to stimulate microbial sulfate reduction, dissolved sulfide concentrations increased during the experiment, but the supplied Fe(II) reacted quickly with sulfide to form Fe(II)-sulfides existing majorly as mackinawite as well as a small amount of pyrite-like minerals in sediments, thereby restricting sulfide build-up in groundwater. After the completion of field experiment, groundwater As concentration decreased from an initial average value of 593 µg/L to 159 µg/L, with an overall As removal rate of 73%, and it further declined to 136 µg/L adding the removal rate up to 77% in 30 d after the experiment. The arsenite/Astotal ratio gradually increased over time, making arsenite to be the predominant species in groundwater residual As. The good correlations between dissolved Fe(II), sulfide and As concentrations, the increased abundance of As in newly-formed Fe sulfides as well as the reactive-transport modeling results all indicate that As could have been adsorbed onto and co-precipitated with Fe(II)-sulfide coatings once microbial sulfate reduction was stimulated after FeSO4 supply. Under the strongly reducing conditions, sulfide may facilitate arsenate reduction into arsenite and promote As incorporation into pyrite or arsenopyrite. Therefore, the major mechanisms for the in-situ As-contaminated groundwater remediation can be As surface-adsorption on and co-precipitation with Fe(II) sulfides produced during the experimental period.

Understanding arsenic mobilization using reactive transport modeling of groundwater hydrochemistry in the Datong basin study plot, China.

This paper discusses the reactive transport and evolution of arsenic along a selected flow path in a study plot within the central part of Datong basin. The simulation used the TOUGHREACT code. The spatial and temporal trends in hydrochemistry and mineral volume fraction along a flow path were observed. Furthermore, initial simulation of major ions and pH fits closely to the measured data. The study shows that equilibrium conditions may be attained at different stress periods for each parameter simulated. It is noted that the variations in ionic chemistry have a greater impact on arsenic distribution while reducing conditions drive the mobilization of arsenic. The study concluded that the reduction of Fe(iii) and As(v) and probably SO4/HS cycling are significant factors affecting localized mobilization of arsenic. Besides cation exchange and water-rock interaction, incongruent dissolution of silicates is also a significant control mechanism of general chemistry of the Datong basin aquifer.

[Identification of Sulfate Sources in the Groundwater System of Zaozhuang: Evidences from Isotopic and Hydrochemical Characteristics].

Karst groundwater is an important source of water supply for the industrial and agricultural proposes and drinking water in Zaozhuang City. In recent years, with the development of industrialization and increasing of domestic water consumption, the sulfate pollution of karst groundwater has become a serious problem. 36 samples of surface and different depth of groundwater were collected in southern Zaozhuang City in August, 2014. Based on the analysis of the hydrochemical composition and the isotopic characteristics of δD, δ18O-H2O, and δ34 S-SO42-, this paper analyzed the influence of hydrogeochemical evolution of groundwater and human input in the area, in order to identify the scope and ways of sulfate pollution. The results showed that the basic hydrochemical type was HCO3·SO4-Ca, formation of geochemical components mainly included the dissolution of carbonate and sulfate minerals, oxidation of pyrite and the influence of human activities. Moreover, the main recharge of groundwater in study area was the atmospheric precipitation. The hydraulic connection was closely linked between the surface water and different depth of groundwater. The variation range of groundwater δ34 S-SO42- values was from 0.2‰ to 9.3‰, and the relationship between the δ34 S-SO42- value and SO42- value of groundwater showed different sources of sulfate. The sources of sulfate in groundwater included the dissolution of gypsum, the oxidation of pyrite, the leaching of fertilizer and infiltration of domestic sewage and industrial wastewater. In addition to the original geological factors, wastewater infiltration of industrial and mining enterprises was the main reason for the increase of sulfate content in the groundwater.

In-situ arsenic remediation by aquifer iron coating: Field trial in the Datong basin, China.

An aquifer Fe-coating technology was evaluated for in-situ As remediation. The groundwater in the aimed aquifer has low dissolved Fe(II) concentration and high As(III) concentration, which has a low affinity toward Fe-oxides/hydroxides. To overcome these challenges, dissolved Fe(II) (5.0 mM) and NaClO (2.6 mM) were injected into the studied aquifer to promote the formation of Fe oxides/hydroxides and to oxidize As(III) into As(V), thus removing aqueous As via adsorption and/or co-precipitation. During field experiment, As concentration in groundwater from the pumping well significantly decreased. Fe and As speciation calculations indicate that incorporation of negatively charged As(V) into goethite was the probable mechanism for As removal. Both chemical sequential extraction results and spectroscopic data also support that alternating injection of Fe(II) and NaClO can achieve aquifer Fe coating and immobilize As via adsorption onto Fe oxides/hydroxides. Geochemical modelling further confirms that although competition for sorption sites between As and other dissolved species is expected in the natural groundwater system, high surface area of the Fe oxides/hydroxides can provide sufficient sites for As retention. The ability to effectively decrease As concentration of in-situ aquifer Fe-coating technology indicates that this approach should have extensive applicability to similar high As groundwater occurred worldwide.

An isotope hydrochemical approach to understand fluoride release into groundwaters of the Datong Basin, Northern China.

The hydrogeochemical and isotopic investigations of high fluoride (up to 8.26 mg L(-1)) groundwater in the Datong Basin, Northern China were carried out in order to evaluate the geochemical controls on fluoride enrichment. The groundwater fluoride concentration tends to increase along with the regional groundwater flow path away from the basin margins, towards the central parts of the basin. Groundwater with high F concentrations has a distinctive major ion chemistry, being generally HCO3(-)-rich, Na-rich, Ca-poor, and having weak alkaline pH values (7.2 to 8.2) and Na-HCO3 waters. These data indicate that variations in the groundwater major ion chemistry and possibly pH, which are controlled by water-rock interaction processes in the aquifer, are important in mobilizing F. Positive correlations between fluoride with lithogenic sodium (LNa) and HCO3(-) in groundwater show that the high fluoride content and alkaline sodic characteristics of groundwater result from dissolution of fluorine-bearing minerals. The occurrence and behavior of fluorine in groundwater are mainly controlled by fluorite precipitation as a function of Ca(2+) concentration. A positive correlation between fluoride and δ(18)O, low F(-)/Cl(-) ratios, and the low tritium level in the fluoride-rich groundwater indicate the effects of long-term water-rock interactions and intensive evapotranspiration.