Impact of perioperative SARS-CoV-2 Omicron infection on postoperative complications in liver cancer hepatectomy: A single-center matched study.

OBJECTIVES: To explore the effects of perioperative SARS-CoV-2 Omicron infection on postoperative complications in patients with liver cancer. METHODS: A propensity-matched study was conducted, which included patients with primary liver cancer who underwent hepatectomy from September 01, 2022 to January 20, 2023. Patients who infected SARS-CoV-2 Omicron during the perioperative period (7 days before to 30 days after surgery) were matched 1:1 with noninfected patients. The primary outcomes, which were COVID-19-related major complications and liver resection-specific complications, were analyzed using multivariate logistic regression. RESULTS: A total of 243 patients were included, with 63 cases of perioperative infections, of which 62 were postoperative infections. The overall 30-day postoperative mortality rate was 1.6% (4/243). Compared to noninfected patients, those with perioperative infections showed no significant difference in the occurrence of adverse postoperative outcomes. However, they had a higher rate of 30-day readmission after surgery (11.1% vs 0%, P = 0.013). Perioperative SARS-CoV-2 infection was not associated with "major cardiorespiratory complications" or "liver resection-specific complications", but age, pre-existing comorbidities, and tumor type were related to these outcomes. CONCLUSION: Perioperative SARS-CoV-2 Omicron infection did not increase the incidence of postoperative complications in patients with liver cancer. However, those patients had a higher rate of 30-day readmission after surgery.

Circulating tumor cells participate in the formation of microvascular invasion and impact on clinical outcomes in hepatocellular carcinoma.

Hepatocellular carcinoma (HCC) is a common malignant tumor worldwide. Although the treatment strategies have been improved in recent years, the long-term prognosis of HCC is far from satisfactory mainly due to high postoperative recurrence and metastasis rate. Vascular tumor thrombus, including microvascular invasion (MVI) and portal vein tumor thrombus (PVTT), affects the outcome of hepatectomy and liver transplantation. If vascular invasion could be found preoperatively, especially the risk of MVI, more reasonable surgical selection will be chosen to reduce the risk of postoperative recurrence and metastasis. However, there is a lack of reliable prediction methods, and the formation mechanism of MVI/PVTT is still unclear. At present, there is no study to explore the possibility of tumor thrombus formation from a single circulating tumor cell (CTC) of HCC, nor any related study to describe the possible leading role and molecular mechanism of HCC CTCs as an important component of MVI/PVTT. In this study, we review the current understanding of MVI and possible mechanisms, discuss the function of CTCs in the formation of MVI and interaction with immune cells in the circulation. In conclusion, we discuss implications for potential therapeutic targets and the prospect of clinical treatment of HCC.

Outcomes of Liver Cancer Patients Undergoing Elective Surgery after Recovering from Mild SARS-CoV-2 Omicron Infection: A Retrospective Cohort Study.

With the emergence of new virus variants, limited data are available on the impact of SARS-CoV-2 Omicron infection on surgery outcomes in cancer patients who have been widely vaccinated. This study aimed to determine whether undergoing hepatectomy poses a higher risk of postoperative complications for liver cancer patients who have had mild Omicron infection before surgery. A propensity-matched cohort study was conducted at a tertiary liver center from 8 October 2022 to 13 January 2023. In total, 238 liver cancer patients who underwent hepatectomy were included, with 57 (23.9%) recovering from preoperative SARS-CoV-2 Omicron infection and 190 (79.8%) receiving COVID-19 vaccination. Pre- and post-matching, there was no significant difference in the occurrence of postoperative outcomes between preoperative COVID-19 recovered patients and COVID-19 negative patients. Multivariate logistic regression showed that the COVID-19 status was not associated with postoperative major pulmonary and cardiac complications. However, preexisting comorbidities (odds ratio [OR], 4.645; 95% confidence interval [CI], 1.295-16.667), laparotomy (OR, 10.572; 95% CI, 1.220-91.585), and COVID-19 unvaccinated (OR, 5.408; 95% CI, 1.489-19.633) had increased odds of major complications related to SARS-CoV-2 infection. In conclusion, liver cancer patients who have recovered from preoperative COVID-19 do not face an increased risk of postoperative complications.

JAAL-Net: a joint attention and adversarial learning network for skin lesion segmentation.

Objective.Skin lesion segmentation plays an important role in the diagnosis and treatment of melanoma. Existing skin lesion segmentation methods have trouble distinguishing hairs, air bubbles, and blood vessels around lesions, which affects the segmentation performance.Approach.To clarify the lesion boundary and raise the accuracy of skin lesion segmentation, a joint attention and adversarial learning network (JAAL-Net) is proposed that consists of a generator and a discriminator. In the JAAL-Net, the generator is a local fusion network (LF-Net) utilizing the encoder-decoder structure. The encoder contains a convolutional block attention module to increase the weight of lesion information. The decoder involves a contour attention to obtain edge information and locate the lesion. To aid the LF-Net generate higher confidence predictions, a discriminant dual attention network is constructed with channel attention and position attention.Main results.The JAAL-Net is evaluated on three datasets ISBI2016, ISBI2017 and ISIC2018. The intersection over union of the JAAL-Net on the three datasets are 90.27%, 89.56% and 80.76%, respectively. Experimental results show that the JAAL-Net obtains rich lesion and boundary information, enhances the confidence of the predictions, and improves the accuracy of skin lesion segmentation.Significance.The proposed approach effectively improves the performance of the model for skin lesion segmentation, which can assist physicians in accurate diagnosis well.

Thymosin ß4, a potential marker of malignancy and prognosis in hepatocellular carcinoma.

BACKGROUND: The lack of effective early diagnostic markers is an obstacle in clinical diagnosis and treatment of hepatocellular carcinoma (HCC). Matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) is an increasing popular approach for identification of clinically relevant parameters including biomarkers. PATIENTS AND METHODS: 540 subjects, including 274 HCC, 119 liver cirrhosis, 89 hepatitis, and 58 healthy volunteers were enrolled. MALDI-TOF MS was used to select potential novel biomarkers from serum of HCC patients. Its clinical application was evaluated by experiments and clinical data analysis. RESULTS: We identified Thymosin ß4 (Tß4) in serum by MALDI-TOF MS. The expression of Tß4 was detected up-regulating in HCC cells and tissues which enhanced motility of HCC cells. More important, the level of serum Tß4 was significantly elevated in HCC patients. The AUROC showed the optimum diagnostic cut-off was 1063.6 ng/mL, ROC and 95% CI of Tß4 (0.908; 0.880-0.935) were larger than that of serum AFP (0.712; 0.662-0.762; p < 0.001). The sensitivity (91.3% vs 83.1%) and specificity (81.2% vs 20.3%) of serum Tß4 were higher than alpha-fetoprotein (AFP). In AFP-negative HCC, the sensitivity could reach to 80.5%. ROC analysis showed serum Tß4 had a better performance compared with AFP in distinguishing early-stage and small HCC. Tß4 is correlated with TNM stage (p = 0.016) and vascular invasion (p = 0.005). Survival analysis indicated the survival time of Tß4 positive patients was shorter (p < 0.001). Cox analysis suggested Tß4 could be an independent factor for HCC prognosis. CONCLUSION: Tß4 may serve as a novel biomarker for HCC diagnosis and prognosis.

Soil mineralized carbon drives more carbon stock in coniferous-broadleaf mixed plantations compared to pure plantations.

Forest soil carbon (C) sequestration has an important effect on global C dynamics and is regulated by various environmental factors. Mixed and pure plantations are common afforestation choices in north China, but how forest type and environmental factors interact to affect soil C stock remains unclear. We hypothesize that forest type changes soil physicochemical properties and surface biological factors, and further contributes to soil active C components, which together affect soil C sequestration capacity and C dynamic processes. Three 46-year-old 25 m × 25 m pure Pinus tabulaeformis forests (PF) and three 47-year-old 25 m × 25 m mixed coniferous-broadleaf (Pinus tabulaeformis-Quercus liaotungensis) forests (MF) were selected as the two treatments and sampled in August 2016. In 2017, soil temperature (ST) at 10 cm were measured every 30 min for the entire vegetation season. Across 0-50 cm (five soil layers, 10 cm per layer), we also measured C components and environmental factors which may affect soil C sequestration, including soil organic carbon (SOC), soil total nitrogen (STN), dissolved organic carbon (DOC), microbial biomass carbon (MBC), soil moisture (SM) and soil pH. We then incubated samples for 56 days at 25 °C to monitor the C loss through CO2 release, characterized as cumulative mineralization carbon (CMC) and mineralized carbon (MC). Our results indicate that ST, pH, SM and litter thickness were affected by forest type. Average SOC stock in MF was 20% higher than in PF (MF: 11.29 kg m-2; PF: 13.52 kg m-2). Higher CMC under PF caused more soil C lost, and CMC increased 14.5% in PF (4.67 g kg-1 soil) compared to MF (4.04 g kg-1 soil) plots over the two-month incubation period. SOC stock was significantly positively correlated with SM (p < 0.001, R2 = 0.43), DOC (p < 0.001, R2 = 0.47) and CMC (p < 0.001, R2 = 0.33), and significantly negatively correlated with pH (p < 0.001, R2 = -0.37) and MC (p < 0.001, R2 = -0.32). SOC stock and litter thickness may have contributed to more DOC leaching in MF, which may also provide more C source for microbial decomposition. Conversely, lower SM and pH in MF may inhibit microbial activity, which ultimately makes higher MC and lower CMC under MF and promotes C accumulation. Soil mineralized C drives more C stock in coniferous-broadleaf mixed plantations compared to pure plantations, and CMC and MC should be considered when soil C balance is assessed.

[Effects of saline-water furrow irrigation on the stability of soil water-stable aggregates in cotton field]. / 咸水沟灌对棉田土壤水稳性团聚体稳定性的影响.

It is of great importance to explore the effects of saline-water furrow irrigation on soil water-stable aggregates for safe and efficient utilization of saline water resources. We conducted a long-term cotton experiment with six levels of saline-water furrow irrigation (1, 2, 4, 6, 8, 10 g·L-1) since 2006 and analyzed the variations of soil salinity and water-stable aggregates in the 10th and 15th years under saline irrigation. The results showed that soil salinity in the 0-30 cm layer at the ditch increased with increasing salinity level of irrigation water. There were significant differences between the 6, 8, 10 g·L-1 and 1 g·L-1 treatments. Soil salinity in each treatment increased gradually with increasing soil depth. Saline-water furrow irrigation tended to reduce the stability of soil water-stable aggregates. When the salinity level of the irrigation water was ≥6 g·L-1, the mass fraction of macroaggregates (>0.25 mm), the mean weight diameter and geometric mean diameter of water-stable aggregates significantly decreased. In contrast, the fractal dimension and mean weight specific surface area increased significantly. The stability of soil water-stable aggregates decreased with soil depth in all treatments. Under the condition of saline-water furrow irrigation for several years, there was no accumulation of soil salinity and instability of water-stable aggregates in the 0-30 cm soil layer at the ditch with each passing year. With the irrigation scheduling of this study, saline-water furrow irrigation with salinity ≤4 g·L-1 did not affect soil salinity and water-stable aggregate stability of cotton field in this area.

Mobile Robot Path Planning Based on Time Taboo Ant Colony Optimization in Dynamic Environment.

This article aims to improve the problem of slow convergence speed, poor global search ability, and unknown time-varying dynamic obstacles in the path planning of ant colony optimization in dynamic environment. An improved ant colony optimization algorithm using time taboo strategy is proposed, namely, time taboo ant colony optimization (TTACO), which uses adaptive initial pheromone distribution, rollback strategy, and pheromone preferential limited update to improve the algorithm's convergence speed and global search ability. For the poor global search ability of the algorithm and the unknown time-varying problem of dynamic obstacles in a dynamic environment, a time taboo strategy is first proposed, based on which a three-step arbitration method is put forward to improve its weakness in global search. For the unknown time-varying dynamic obstacles, an occupancy grid prediction model is proposed based on the time taboo strategy to solve the problem of dynamic obstacle avoidance. In order to improve the algorithm's calculation speed when avoiding obstacles, an ant colony information inheritance mechanism is established. Finally, the algorithm is used to conduct dynamic simulation experiments in a simulated factory environment and is compared with other similar algorithms. The experimental results show that the TTACO can obtain a better path and accelerate the convergence speed of the algorithm in a static environment and can successfully avoid dynamic obstacles in a dynamic environment.

A UAV-Based Eddy Covariance System for Measurement of Mass and Energy Exchange of the Ecosystem: Preliminary Results.

Airborne eddy covariance (EC) measurement is one of the most effective methods to directly measure the surface mass and energy fluxes at the regional scale. It offers the possibility to bridge the scale gap between local- and global-scale measurements by ground-based sites and remote-sensing instrumentations, and to validate the surface fluxes estimated by satellite products or process-based models. In this study, we developed an unmanned aerial vehicle (UAV)-based EC system that can be operated to measure the turbulent fluxes in carbon dioxides, momentum, latent and sensible heat, as well as net radiation and photosynthetically active radiation. Flight tests of the developed UAV-based EC system over land were conducted in October 2020 in Inner Mongolia, China. The in-flight calibration was firstly conducted to correct the mounting error. Then, three flight comparison tests were performed, and we compared the measurement with those from a ground tower. The results, along with power spectral comparison and consideration of the differing measurement strategies indicate that the system can resolve the turbulent fluxes in the encountered measurement condition. Lastly, the challenges of the UAV-based EC method were discussed, and potential improvements with further development were explored. The results of this paper reveal the considerable potential of the UAV-based EC method for land surface process studies.

Development and validation of a prognostic and immunotherapeutically relevant model in hepatocellular carcinoma.

BACKGROUND: The tumor immune microenvironment is pivotal in predicting clinical outcomes and therapeutic efficacy in cancer patients. This study aims to develop an immune prediction model (IPM) to effectively predict prognosis and immunotherapeutic response in patients with hepatocellular carcinoma (HCC). METHODS: An IPM was constructed and validated based on immune-related genes. The influence of IPM on the HCC immune microenvironment, as well as the possible mechanism, was comprehensively analyzed. The value of the model in predicting the response of HCC patients to immunotherapy was also evaluated. RESULTS: A novel IPM based on eight genes was developed and validated to predict the prognosis of HCC patients. These genes are matrix metalloproteinase 12 (MMP12), heme oxygenase 1 (HMOX1), C-X-C motif chemokine receptor 6 (CXCR6), hepatoma-derived growth factor (HDGF), placental growth factor (PGF), tyrosine kinase 2 (TYK2), retinoid X receptor beta (RXRB), and cyclin-dependent kinase 4 (CDK4). High-risk patients showed significantly poorer survival than low-risk patients. A nomogram was also established based on the IPM and tumor, node, metastasis (TNM) classification, which showed some net clinical benefit. Gene set enrichment analysis (GSEA) revealed several significantly enriched oncological signatures and immunologic signatures. Furthermore, high-risk patients were characterized by severe clinicopathological characteristics and immune cell infiltration. Finally, we found the that the IPM showed a significant positive correlation with programmed cell death 1 (PDCD1), cluster of differentiation 274 (CD274), and cytotoxic T-lymphocyte-associated antigen 4 (CTLA-4) expression, suggesting a potentially enhanced effects of immunotherapy antibodies in HCC patients with a high risk score. CONCLUSIONS: A novel IPM that could predict clinical prognosis and immunotherapeutic response in HCC patients was developed. Our findings not only provide new insights into the identification of HCC patients with poor survival, but also deepen our understanding of the immune microenvironment, as well as the mechanism of immunotherapy, in HCC.

Excess sulfur and Fe elements drive changes in soil and vegetation at abandoned coal gangues, Guizhou China.

Coal gangue piles accumulate outside mines and can persist for years, negatively impacting the regional environment. To determine the main cause of soil pollution at coal gangues, several coal gangues in Guizhou Province, China that had undergone natural recovery via native plants for 8 years were investigated in summer 2019. Three plots (2 m × 2 m) from the coal gangue area were selected for the treatment (GP). Control plots that were 100 m away from GP were also investigated in contrast (CK-near). In addition, plots from forest, farmland and lake land that were far from GP and largely undisturbed were also investigated as more extreme contrasts (CK-far). A series of soil indicators that can be affected by coal-gangue, such as heavy metals (Mn, Cr, Cd, Ni, Zn, Cu, Pb), As, pH, cation exchange capacity (CEC), sulfur (S) and iron (Fe), were tested for in the plots. Plant species, coverage and height were also analyzed to uncover biodiversity and dominant species information. The results suggested that coal gangue significantly influences soil S, pH and plant species after 8 years of natural recovery. The CK-far plots contained relatively low soil sulfur content, normal pH (close to 7) and abundant plant biodiversity. Generally, pH related positively with both the Patrick (R = 0.79, n = 22, p < 0.001) and Shannon indices (R = 0.67, n = 22, p < 0.001); the soil S related negatively with both the Patrick (R = 0.85, n = 22, p < 0.001) and Shannon indices (R = - 0.79, n = 22, p < 0.001). S content was highest (S = 1.0%) in GP plots, was lower in CK-near plots (S = 0.3%) and was the lowest of all in the plots distant from the coal mine (S = 0.1%, CK-far). S content was negatively correlated with pH. Soil pH decreased significantly, from 7.0 in CK-far, to 5.9 in CK-near, to 4.2 in GP. Soil Fe was 3.4 times higher in GP and CK-near than in CK-far. The excess sulfur and Fe elements and the acidified soil drove changes in soil and vegetation in the coal gangue areas. After 8 years of natural recovery, only a few plants, like Miscanthus floridulus, were able to live near the coal gangue in the area where the soil was still acidic and high in S and Fe.

SNHG7 Facilitates Hepatocellular Carcinoma Occurrence by Sequestering miR-9-5p to Upregulate CNNM1 Expression.

Background: Hepatocellular carcinoma (HCC), the fourth leading cause of cancer-related deaths worldwide, has increased public concern. Data from previous work have validated that long noncoding RNAs are active participators in the malignant processes of a host of cancers. Small nucleolar RNA host gene 7 (SNHG7) has been revealed to act as a tumor promoter in several cancers and SNHG7 inhibition was revealed to suppress cell invasion in HCC. Nevertheless, the specific role of SNHG7 in HCC deserves deeper exploration. Aim of the Study: This work aimed to uncover the role and the regulatory mechanisms of SNHG7 in HCC. Materials and Methods: The expression of SNHG7 and cyclin mediator 1 (CNNM1) in HCC cells were analyzed by quantitative real-time polymerase chain reaction. The influences of SNHG7 on HCC occurrence were studied by cell counting kit-8 (CCK-8), colony formation, flow cytometry analysis, and Western blot assays. Luciferase reporter assay or RNA immunoprecipitation assay was conducted to confirm the relationship between miR-9-5p and SNHG7 (or CNNM1). Results: SNHG7 was overexpressed in HCC tissues and cell lines. SNHG7 facilitated cell proliferation, while suppressed cell apoptosis in HCC. Moreover, miR-9-5p expression was negatively modulated by SNHG7 and therefore was downregulated in HCC cells. We also found that CNNM1 existed in miR-9-5p induced RNA-induced silencing complex and a series of assays verified that CNNM1 acted as the target gene of miR-9-5p. Consequently, the messenger RNA and protein level of CNNM1 were detected to be inversely regulated by miR-9-5p. Moreover, rescue assays demonstrated that CNNM1 overexpression could countervail the SNHG7 depletion-mediated cellular functions of HCC cells. Conclusions: SNHG7 sponges miR-9-5p to upregulate CNNM1 in promoting HCC progression.

Soil temperatures and active carbon components as key drivers of C stock dynamics between two different stand ages of Larix principis-rupprechtii plantation.

Forest soils sequester a large amount of carbon (C) and have a significant effect on the global C balance. Forests are commonly managed to maintain certain age structures but the effects of this management on soil C pools (kg C m-2) is still uncertain. We compared 40-year-old (1GF) and 24-year-old (2GF) plantations of Larix principis-rupprechtii in North China. Specifically, we measured environmental factors (e.g., soil temperature, moisture, and pH), the active C and nitrogen (N) pools (e.g., soil organic C, soil total N, dissolved organic C and N, microbial biomass C and N), and soil processes (e.g., C mineralization and microbial activity in different seasons) in five soil layers (0-50 cm, 10 cm for each soil layer) across the growing seasons in three 25 m × 25 m plots in each age class (1GF and 2GF). Findings indicated that the soil organic C pool in the older 1GF forest (12.43 kg C m-2) was significantly higher than 2GF forests (9.56 kg C m-2), and that soil temperature in 1GF forests was 9.8 °C, on average, 2.9% warmer than temperature in 2GF forests. The C lost as carbon dioxide (CO2) as a result of mineralization in the 2GF plots may partly explain the lower soil organic C pool in these younger forests; microorganisms likely drive this process.

Anti-tumor activity and mechanism of oligoclonal hepatocellular carcinoma tumor-infiltrating lymphocytes in vivo and in vitro.

Objective: To explore a method for culturing hepatocellular carcinoma and tumor-infiltrating lymphocytes (HCC-TIL) and investigate the mechanism of TIL in killing tumors. Methods: The distribution of regulatory T cells (Treg) in HCC was detected by immunohistochemistry. Conventional TIL and oligoclonal TIL were isolated by the traditional method of enzyme digestion combined with mechanical treatment for whole HCC and micro HCC tissue block culturing method. MTT was used to compare the killing activity of TIL. Flow cytometry was used to analyze the proportion of CD8+ T cells and Treg cells in TIL. Tumor-bearing mice were established, and TIL adoptive immunotherapy was performed. Results: Treg cells were mainly distributed in the stroma of HCC. In vitro experiments showed oligoclonal TIL had higher cytotoxicity to tumor cells which negatively correlated with the proportion of Treg cells. In vivo experiments showed oligoclonal TIL had a higher anti-tumor effect. IFN-γ in peripheral blood and the positive rate of intratumoral lymphocytic infiltration in oligoclonal TIL group were both higher. TGF-ß and IL-10 in peripheral blood and the positive rate of intratumoral FoxP3 and IL-17 were both lower than those in conventional TIL group. Conclusion: The oligoclonal TIL culture method could obtain TIL with higher purity, and cytotoxicity to tumor cells was associated with Treg cells. The oligoclonal TIL had cytotoxicity to autologous HCC cells and significant inhibitory effect on the growth of transplanted tumors. The mechanism might be associated with the inhibition of Treg cells proliferation, increase of IFN-γ secretion, and decrease of TGF-ß, IL-10, and IL-17 secretion.

Dynamics of nitrogen and active nitrogen components across seasons under varying stand densities in a Larix principis-rupprechtii (Pinaceae) plantation.

Changes in the concentration of soil nitrogen (N) or its components may directly affect ecosystem functioning in forestry. Thinning of forest stands, a widely used forestry management practice, may transform soil nutrients directly by altering the soil environment, or indirectly by changing above- or belowground plant biomass. The study objectives were to determine how tree stem density affects the soil N pool and what mechanisms drive any potential changes. In this study, N and its active components were measured in the soil of a Larix principis-rupprechtii plantation across two full growing seasons, in 12 (25 × 25 m) plots: (low thinning, removal of 15% of the trees, three plot repetitions), moderate thinning (MT) (35% removal) and heavy thinning (HT) (50% removal) and no thinning control. Environmental indices, like the light condition, soil respiration, soil temperatures, and prescription, were measured in the plots also. Results indicated that soil total nitrogen (STN) was affected by tree stem density adjustments in the short-term; STN generally increased with decreasing tree stem density, reaching its highest concentration in the MT treatment before decreasing in HT. This pattern was echoed by the DON/STN ratio dissolved organic nitrogen (DON) under MT. A lower DON/STN was measured across the seasons. Microbial biomass nitrogen (MBN) and the SOC/STN (soil organic carbon (SOC)) ratio and density treatments influenced MBN concentration and inhibited SOC/STN. MT tended to accumulate more STN, produce lower DON/STN and had a generally higher microbial activity, which may be partly ascribed to the higher MBN value, MBN/STN ratio and lower DON/STN. The water conditions (soil moisture), light and soil temperatures could partly be responsible for the N pool dynamic in the different density treatments.

Response of soil organic carbon and nitrogen to nitrogen deposition in a Larix principis-rupprechtii plantation.

Plant growth and ecosystem production are limited by nitrogen (N), however, the mechanisms of N limitation in terrestrial carbon (C) sequestration in soil remains unclear. To examine these mechanisms N was deposited at rates of 0, 50, 100, and 150 kg N ha-1 yr-1 for two years in a subalpine Larix principis-rupprechtii plantation. Soil C and N components were measured three times encompassing the entire growing season (spring, summer, and autumn) in the second year of the experiment. Results showed that N-deposition affected soil organic carbon (SOC) in the upper soil layer (0-10 cm) especially in the summer season. Dissolved organic carbon (DOC) played the key role in C loss under the high-N treatment (p < 0.01) with higher N-deposition significantly increasing both DOC and DOC/SOC in summer (p < 0.01). In the summer season when there was sufficient precipitation and higher temperatures, the average DOC across all treatments was higher than spring and autumn. The active C components contributed to SOC sequestration in low and medium N- treatment and DOC, DON dynamics in summer were responsible for the C and N pool loss under the high N-treatment.

Midkine promotes hepatocellular carcinoma metastasis by elevating anoikis resistance of circulating tumor cells.

Midkine is overexpressed in hepatocellular carcinoma (HCC) and plays a role in tumor progression, but less is known about its role in resistance of circulating tumor cells (CTCs) to anoikis which leading to recurrence and metastasis. The aim of the present study was to analyze whether midkine was associated with HCC progression with anoikis resistance. We found that cultured HCC cells were more resistant to anoikis, which paralleled midkine expression, and midkine treatment significantly inhibited anoikis in a dose-dependent manner. Furthermore, in in vitro and in vivo assays, knockdown of midkine resulted in significant sensitivity to anoikis, decreased cell survival and significantly decreased tumor occurrence rate. Patients with midkine-elevated HCC had higher CTC counts and less apoptotic CTCs, as well as significantly higher recurrence rate and shorter recurrence-free interval. To understand the molecular mechanism underlying the midkine with HCC progression, we performed in vitro and in vivo studies. We found that midkine plays an important role in enhancement of HCC cell resistance to anoikis, thereby promoting subsequent metastasis. Activation of PI3K/Akt/NF-κB/TrkB signaling by midkine-activated anaplastic lymphomakinase (ALK) is responsible for anoikis resistance.

Lovastatin induces apoptosis of HepG-2 cells by activating ROS-dependent mitochondrial and ER stress pathways.

BACKGROUND: Statins can reduce the malignancies through stimulating apoptosis. We aimed to elucidate the role of lovastatin in HepG-2 cells. METHODS: HepG-2 and non-tumor L-O2 cells were used as the cell models. CCK-8, flow cytometric analysis and carboxy fluorescein diacetate succinimidyl ester (CFDA-SE) labeling were performed to monitor the viability, apoptosis and proliferation. RESULTS: We found that lovastatin exerted the most tumor suppressing effects on liver cancer cells among the three tested statins. Lovastatin treatment significantly reduced cell viability and proliferation, and induced apoptosis in HepG-2. However, drug resistance effects were observed in the non-tumor L-O2 cells. The apoptosis triggered by lovastatin was accompanied by high intracellular levels of ROS. Pretreatment with the ROS blocker N-acetyl-cysteine (NAC) could mitigate the lovastatin-induced cytotoxicity in HepG-2 cells. Mechanistically, lovastatin increased HepG-2 cell apoptosis by triggering mitochondrial and endoplasmic reticulum (ER) stress pathways through ROS accumulation. CONCLUSIONS: Lovastatin significantly induced cell apoptosis by activating ROS-dependent mitochondrial and ER stress pathways in HepG-2 cells.

Intrahepatic splenosis mimics hepatocellular carcinoma in a patient with chronic hepatitis B: A case report and literature review.

BACKGROUND: Splenosis is a benign and relatively uncommon condition caused by trauma or splenectomy or other procedures involving splenic tissue. It is usually asymptomatic, and often diagnosed accidentally, especially misdiagnosed as malignant tumor. METHODS: A 54-year-old man with prior history of chronic hepatitis B virus infection and underwent splenectomy for traumatic splenic rupture following a traffic accident 23 years previously was admitted to our hospital and found a hepatic mass in the right upper quadrant during an imaging examination. The diagnosis of his was not clear and finally he agreed to receive a surgical treatment. RESULTS: During the operation, we found a mass in the right posterior lobe of the liver and a hard nodule on the right side of the diaphragm, both were completely resected, and postoperative histopathologic examination revealed that all excised tissues were proved to have histological structure typical for the spleen. CONCLUSIONS: The occurrence of intrahepatic splenosis is rare with only few cases previously reported in the literature. It is a benign disease and sometimes difficult to distinguish from diseases of the liver. The need for positive surgical resection of splenosis is still controversial.

Randomized Controlled Trial of Hepatic Portal Reocclusion as a New Option for Detecting Bile Leakage during Hepatic Resection.

BACKGROUND/AIMS: To explore the possibility and feasibility of hepatic portal reocclusion for detecting bile leakage during hepatectomy. METHODS: Data were prospectively collected from 200 patients who underwent hepatectomy alone for removal of various benign or malignant tumors between March 2014 and November 2014. The surgical procedure used a conventional method for all patients, and one additional step (hepatic portal reocclusion) was included in group B. The postoperative outcomes of the patients in group A (subjected to the traditional procedure) and group B (subjected to hepatic portal reocclusion) were compared during the same period, and the incidence rates of postoperative bile leakage and other complications in the 2 groups were also analyzed. RESULTS: The incidence of postoperative bile leakage in group B was significantly lower than that in group A (1.0 vs. 9.2%, p = 0.009), although no significant differences in postoperative indicators of liver dysfunction and other complications were observed between the 2 groups (p > 0.05). CONCLUSIONS: Hepatic portal reocclusion effectively reduced the incidence of bile leakage compared to the traditional procedure, without significantly affecting liver function. Therefore, this method might be an alternative to other tests for bile leakage.