Case report of radiotherapy combined with anlotinib and immunotherapy for a patient with esophageal cancer and esophageal fistula.

BACKGROUND: Esophageal cancer (EC) is a frequent gastrointestinal malignancy. The most common types of EC pathology worldwide are esophageal squamous cell carcinoma (ESCC) and esophageal adenocarcinoma (EAC). Although surgical resection is still the main treatment modality for EC, most patients are already lost to surgery at the time of presentation due to the late stage. In recent years, the development of radiation therapy (RT) combined with targeted therapy (TT) and immunization therapy (IT) has brought more options for the treatment of EC. During radiation therapy, the radiation therapy area is very close to the trachea and esophagus, so radiation therapy may cause damage to the tissues of the trachea and esophagus, which is also known as a tracheoesophageal fistula (TF). We present the case of an EC patient who developed TF during radiation therapy and gradually improved after a combination of anlotinib and immunotherapy. METHODS: The patient was diagnosed with poorly differentiated ESCC by pathological biopsy and treated with "lobaplatin + Tegafur Gimeracil Oteracil Porassium Capsule" for 5 cycles. RESULTS: CT scan of the chest showed progression after treatment. During RT, the patient developed radiotherapy-related adverse effects, which were relieved by symptomatic support therapy. At the end of RT, the patient developed TF, but we chose to let the patient continue his radiation treatment plan with the anti-angiogenic drug "anlotinib." CONCLUSION: After radiation therapy, the patient continued to be treated with anlotinib and immunotherapy with camrelizumab, and the patient's lesion improved.

Revealing Long-Term Indoor Air Quality Prediction: An Intelligent Informer-Based Approach.

Indoor air pollution is an urgent issue, posing a significant threat to the health of indoor workers and residents. Individuals engaged in indoor occupations typically spend an average of around 21 h per day in enclosed spaces, while residents spend approximately 13 h indoors on average. Accurately predicting indoor air quality is crucial for the well-being of indoor workers and frequent home dwellers. Despite the development of numerous methods for indoor air quality prediction, the task remains challenging, especially under constraints of limited air quality data collection points. To address this issue, we propose a neural network capable of capturing time dependencies and correlations among data indicators, which integrates the informer model with a data-correlation feature extractor based on MLP. In the experiments of this study, we employ the Informer model to predict indoor air quality in an industrial park in Changsha, Hunan Province, China. The model utilizes indoor and outdoor temperature, humidity, and outdoor particulate matter (PM) values to forecast future indoor particle levels. Experimental results demonstrate the superiority of the Informer model over other methods for both long-term and short-term indoor air quality predictions. The model we propose holds significant implications for safeguarding personal health and well-being, as well as advancing indoor air quality management practices.

A Lotus Seedpods-Inspired Interfacial Solar Steam Generator with Outstanding Salt Tolerance and Mechanical Properties for Efficient and Stable Seawater Desalination.

Interfacial solar steam generators (ISSGs) can capture solar energy and concentrate the heat at the gas-liquid interface, resulting in efficient water evaporation. However, traditional ISSGs have limitations in long-term seawater desalination processes, such as limited light absorption area, slow water transport speed, severe surface salt accumulation, and weak mechanical performance. Inspired by lotus seedpods, a novel ISSG (rGO-SA-PSF) is developed by treating a 3D warp-knitted spacer fabric with plasma (PSF) and combining it with sodium alginate (SA) and reduces graphene oxide (rGO). The rGO-SA-PSF utilizes a core-suction effect to achieve rapid water pumping and employs aerogel to encapsulate the plasma-treated spacer yarns to create the lotus seedpod-inspired hydrophilic stems, innovatively constructing multiple directional water transport channels. Simultaneously, the large holes of rGO-SA-PSF on the upper layer form lotus seedpod-inspired head concave holes, enabling efficient light capture. Under 1 kW m-2 illumination, rGO-SA-PSF exhibits a rapid evaporation rate of 1.85 kg m-2  h-1 , with an efficiency of 96.4%. Additionally, it shows superior salt tolerance (with no salt accumulation during continuous evaporation for 10 h in 10% brine) and self-desalination performance during long-term seawater desalination processes. This biomimetic ISSG offers a promising solution for efficient and stable seawater desalination and wastewater purification.

An efficient interfacial solar evaporator featuring a hierarchical porous structure entirely derived from waste cotton.

Interfacial solar evaporators are widely used to purify water. However, photothermal materials commonly constituting most interfacial solar evaporators remain expensive; additionally, the inherent structure of the evaporators limits their performance. Furthermore, the large amount of waste cotton produced by the textile industry is an environmental threat. To address these issues, we propose an interfacial solar evaporator, H-CA-CS, with a hierarchical porous structure. This evaporator is made entirely of waste cotton and uses carbon microspheres (CMS) and cellulose aerogel (CA) as photothermal and substrate materials, respectively. Additionally, its photothermal layer (CS layer) has large pores and a high porosity, which promote light absorption and timely vapor escape. In contrast, the water transport layer (CA layer) has small pores, providing a robust capillary effect for water transport. Combined with the outstanding light absorption properties of CMS, H-CA-CS exhibited superior overall performance. We found that H-CA-CS has an excellent evaporation rate (1.68 kg m-2 h-1) and an efficiency of 90.6 % under one solar illumination (1 kW m-2), which are superior to those of many waste-based solar evaporators. Moreover, H-CA-CS maintained a mean evaporation rate of 1.61 kg m-2 h-1, ensuring sustainable evaporation performance under long-term scenarios. Additionally, H-CA-CS can be used to purify seawater and various types of wastewater with removal efficiencies exceeding 99 %. In conclusion, this study proposes a method for efficiently using waste cotton to purify water and provides novel ideas for the high-value use of other waste fibers to further mitigate ongoing environmental degradation.

Role of Tim-3 in COVID-19: a potential biomarker and therapeutic target.

T cell immunoglobulin and mucin domain containing protein 3 (Tim-3), an immune checkpoint, is important for maintaining immune tolerance. There is increasing evidence that Tim-3 is aberrantly expressed in patients with COVID-19, indicating that it may play an important role in COVID-19. In this review, we discuss the altered expression and potential role of Tim-3 in COVID-19. The expression of Tim-3 and its soluble form (sTim-3) has been found to be upregulated in COVID-19 patients. The levels of Tim-3 on T cells and circulating sTim-3 have been shown to be associated with the severity of COVID-19, suggesting that this protein could be a potential biomarker of COVID-19. Moreover, this review also highlights the potential of Tim-3 as a therapeutic target of COVID-19.

Fabrication of Textured Ni-Coated Carbon Tubes for a Flexible Strain Sensor: Effect of the Device Elastic Modulus on Sensor Performance.

The exploration of flexible resistive sensors with excellent performance remains a challenge. In this paper, a nickel-coated carbon tube with a textured structure was prepared as a conductive sensitive material and inserted into the poly(dimethylsiloxane) (PDMS) polymer; interestingly, the sensor performance was controlled by the elastic modulus of the matrix resin. The results show that Pd2+ may be adsorbed by the active groups on the surface of a plant fiber as a catalytic center for the reduction of Ni2+. After 300 °C annealing, the inner plant fiber would be carbonized and attached to the outside of the nickel tube; to be precise, the textured Ni-encapsulated C tube was fabricated successfully. It is worth noting that the C tube serves as a layer of support for the external Ni coating, providing sufficient mechanical strength. In addition, resistance sensors with different properties were prepared by controlling the elasticity modulus of the PDMS polymer by introducing different contents of curing agents. The limit uniaxial tensile strain was enhanced from 42 to 49% and sensitivity reduced from 0.2 to 2.0% with the elasticity modulus of the matrix resin increasing from 0.32 to 2.2 MPa. As expected, the sensor is obviously appropriate for the detection of elbow joints, human speaking, and human joints with the reduction of the elasticity modulus of the matrix resin. To be precise, the optimal elastic modulus of the sensor matrix resin would facilitate the improvement of its sensitivity to monitor different human behaviors.

A novel exosome-derived prognostic signature and risk stratification for breast cancer based on multi-omics and systematic biological heterogeneity.

Tumor heterogeneity remains a major challenge for disease subtyping, risk stratification, and accurate clinical management. Exosome-based liquid biopsy can effectively overcome the limitations of tissue biopsy, achieving minimal invasion, multi-point dynamic monitoring, and good prognosis assessment, and has broad clinical prospects. However, there is still lacking comprehensive analysis of tumor-derived exosome (TDE)-based stratification of risk patients and prognostic assessment for breast cancer with systematic dissection of biological heterogeneity. In this study, the robust corroborative analysis for biomarker discovery (RCABD) strategy was used for the identification of exosome molecules, differential expression verification, risk prediction modeling, heterogenous dissection with multi-ome (6101 molecules), our ExoBCD database (306 molecules), and 53 independent studies (481 molecules). Our results showed that a 10-molecule exosome-derived signature (exoSIG) could successfully fulfill breast cancer risk stratification, making it a novel and accurate exosome prognostic indicator (Cox P = 9.9E-04, HR = 3.3, 95% CI 1.6-6.8). Interestingly, HLA-DQB2 and COL17A1, closely related to tumor metastasis, achieved high performance in prognosis prediction (86.35% contribution) and accuracy (Log-rank P = 0.028, AUC = 85.42%). With the combined information of patient age and tumor stage, they formed a bimolecular risk signature (Clinmin-exoSIG) and a convenient nomogram as operable tools for clinical applications. In conclusion, as an extension of ExoBCD, this study conducted systematic analyses to identify prognostic multi-molecular panel and risk signature, stratify patients and dissect biological heterogeneity based on breast cancer exosomes from a multi-omics perspective. Our results provide an important reference for in-depth exploration of the "biological heterogeneity - risk stratification - prognosis prediction".

Fabrication of Ni-Encapsulated Carbon Tube/Poly(dimethylsiloxane) Composite Materials for Lightweight and Flexible Electromagnetic Interference Shielding Material.

The exploration of flexible and lightweight electromagnetic interference (EMI) shielding materials with excellent shielding effectiveness, as a means to effectively alleviate electromagnetic pollution, is still a tremendous challenge. This paper proposes a conducting material named the textured Ni-encapsulated carbon tube, which can be applied in EMI shielding material by being inserted in the center of a poly(dimethysiloxane) (PDMS) polymer. We demonstrated that Pd2+ could be absorbed by the active groups on the plant fiber surface to catalyze the reduction of Ni2+ as a catalytic center by means of a textured Ni-encapsulated plant fiber. Owing to the outstanding heat-conducting capability of the Ni coating, the inner plant fiber was carbonized and attached to the Ni-tube inside the surface during annealing. To be precise, the textured Ni-encapsulated C tube was fabricated successfully after annealing at 300 °C. On further increasing the annealing temperature, the C tube disappeared gradually with the Ni coating being oxidized to NiO. Of note, the C tube acted as a support layer for the external Ni coating, providing sufficient mechanical strength. When combined with the coating PDMS layer, a flexible and lightweight EMI shielding material is fabricated successfully. It displays an outstanding EMI shielding effectiveness of 31.34 dB and a higher specific shielding efficiency of 27.5 dB·cm3/g, especially showing excellent mechanical property and flexibility with only 2 mm thickness. This study provides a new method to fabricate outstanding EMI shielding materials.

Preparation of Ag3PO4/α-Fe2O3 hybrid powders and their visible light catalytic performances.

The inefficiency of conventional photocatalytic treatment for removing rhodamine B is posing potential risks to ecological environments. Here, we construct a highly efficient photocatalyst consisting of Ag3PO4 and α-Fe2O3 hybrid powders for the treatment of rhodamine B. Ag3PO4 nanoparticles (nanoparticles, about 50 nm) are uniformly dispersed on the surface of α-Fe2O3 microcrystals (hexagonal sheet, about 1.5 µm). The Ag3PO4-deposited uniformity on the α-Fe2O3 surface first increased, then decreased on increasing the hybrid ratio of Ag3PO4 to α-Fe2O3. When the hybrid ratio of Ag3PO4 to α-Fe2O3 is 1 : 2, the distribution of Ag3PO4 particles on the sheet α-Fe2O3 is more uniform with excellent Ag3PO4/α-Fe2O3 interface performance. The catalytic degradation efficiency of hybrids with the introduction of Ag3PO4 nanoparticles on the α-Fe2O3 surface reached 95%. More importantly, the hybrid material exhibits superior photocatalytic stability. Ag3PO4/α-Fe2O3 hybrids have good reusability, and the photocatalytic efficiency could still reach 72% after four reuses. The excellent photocatalytic activity of the as-prepared hybrids can be attributed to the heterostructure between Ag3PO4 and α-Fe2O3, which can effectively inhibit the photoelectron-hole recombination and broaden the visible light response range.

Apatinib combined with temozolomide treatment for pseudoprogression in glioblastoma: A case report.

RATIONALE: Glioblastoma is the most common malignant tumor of the central nervous system, which originates from glial cells and corresponding precursors. Due to its strong invasion and rapid growth, the prognosis of patients after treatment is very poor and easy to relapse. PATIENT CONCERNS: In August 2015, a 48 years old man with a relapse of glioblastoma. DIAGNOSES: The patient was diagnosed by computed tomography, magnetic resonance imaging, and pathological biopsy in this case report. INTERVENTIONS: The patient underwent 2 surgeries, radiotherapy, and multiple regular chemotherapy sessions over the next 6 years. Apatinib, an inhibitor of vascular endothelial growth factor receptor 2 was given to treat recurrent glioma. OUTCOMES: It was found that radiotherapy combined with temozolomide administration often increased the size of the original lesion or produced a new glioblastoma lesion. The lesion development was similar to tumor progression, which was called pseudoprogression. And it significantly prolonged the survival of this patient. LESSONS: Surgery, radiotherapy and chemotherapy with apatinib and temozolomide are effective to treat the patients with pseudoprogression in glioblastoma.

Stability Analysis: Rational Design of a Ag Nanoparticle/Polymer Brush for Fabricating Cu Coating on a PET Surface.

Excellent stability of a catalytic center would facilitate the prolongation of the cycle of a chemical plating bath and the reduction of environmental pollution. In this study, silane (3-aminopropyltriethoxysilane (KH550) and γ-(2,3-epoxypropoxy)propytrimethoxysilane (KH560)) was incorporated in AgNO3 solution to rationally prepare a Ag nanoparticle/polymer brush (Ag/PB) catalytic solution. The effects of the KH560 relative content on the Ag/PB structure and stability were studied. The epoxy group in the KH560 could react with an amino group in the KH550 through direct ring-opening reaction to form a secondary amino group and hydroxyl, which could coadsorb Ag nanoparticles by means of a chelating structure; hence, Ag/PB with superior Ag-adsorbed intensity was established on a polyethylene terephthalate (PET) surface. Ag particles on PB with 75% KH560 revealed the best stability of those measured, and the relative Ag surplus was 56.7% after stability testing. The generated Ag/PB that served as catalytic centers to catalyze the electroless copper plating resulted in a facile technology for preparing Cu/PET composite material. This means that the technology has potential application in a green process for preparing metal/polymer composite materials.

Synthesis and Docking Study of N-(Cinnamoyl)-N'-(substituted)acryloyl Hydrazide Derivatives Containing Pyridinium Moieties as a Novel Class of Filamentous Temperature-Sensitive Protein Z Inhibitors against the Intractable Xanthomonas oryzae pv. oryzae Infections in Rice.

Xanthomonas oryzae pv. oryzae (Xoo) is an offensive phytopathogen that can invade a wide range of plant hosts to develop bacterial diseases, including the well-known rice bacterial leaf blight. However, few agrochemicals have been identified to effectively prevent and eliminate Xoo-induced diseases. Thus, designing novel antibacterial compounds on the basis of the potential targets from Xoo may lead to the discovery of highly efficient and innovative anti-Xoo agents. Filamentous temperature-sensitive protein Z (FtsZ), an important functional protein in the progression of cell division, has been widely reported and exploited as a target for creating antibacterial drugs in the field of medicine. Therefore, the fabrication of innovative frameworks targeting XooFtsZ may be an effective method for managing bacterial leaf blight diseases via blocking the binary division and reproduction of Xoo. As such, a series of novel N-(cinnamoyl)-N'-(substituted)acryloyl hydrazide derivatives containing pyridinium moieties were designed, and the anti-Xoo activity was determined. The bioassay results showed that compound A7 had excellent anti-Xoo activity (EC50 = 0.99 mg L-1) in vitro and distinct curative activity (63.2% at 200 mg L-1) in vivo. Further studies revealed that these designed compounds were XooFtsZ inhibitors, validating by the reduced GTPase activity of recombinant XooFtsZ, the nonfilamentous XooFtsZ assembly observed in the TEM images, and the prolonged Xoo cells from the fluorescence patterns. Computational docking studies showed that compound A7 had strong interactions with ASN34, GLN193, and GLN197 residues located in the α helix regions of XooFtsZ. The present study demonstrates the developed FtsZ inhibitors can serve as agents to control Xoo-induced infections.