To determine distribution of severe acute respiratory syndrome coronavirus 2 in hospital wards in Wuhan, China, we tested air and surface samples. Contamination was greater in intensive care units ...than general wards. Virus was widely distributed on floors, computer mice, trash cans, and sickbed handrails and was detected in air ≈4 m from patients.
Deep learning for digital pathology is hindered by the extremely high spatial resolution of whole-slide images (WSIs). Most studies have employed patch-based methods, which often require detailed ...annotation of image patches. This typically involves laborious free-hand contouring on WSIs. To alleviate the burden of such contouring and obtain benefits from scaling up training with numerous WSIs, we develop a method for training neural networks on entire WSIs using only slide-level diagnoses. Our method leverages the unified memory mechanism to overcome the memory constraint of compute accelerators. Experiments conducted on a data set of 9662 lung cancer WSIs reveal that the proposed method achieves areas under the receiver operating characteristic curve of 0.9594 and 0.9414 for adenocarcinoma and squamous cell carcinoma classification on the testing set, respectively. Furthermore, the method demonstrates higher classification performance than multiple-instance learning as well as strong localization results for small lesions through class activation mapping.
Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) is a new type of coronavirus that causes the Coronavirus Disease 2019 (COVID-19), which has been the most challenging pandemic in this ...century. Considering its high mortality and rapid spread, an effective vaccine is urgently needed to control this pandemic. As a result, the academia, industry, and government sectors are working tightly together to develop and test a variety of vaccines at an unprecedented pace. In this review, we outline the essential coronavirus biological characteristics that are important for vaccine design. In addition, we summarize key takeaways from previous vaccination studies of Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV) and Middle East Respiratory Syndrome Coronavirus (MERS-CoV), highlighting the pros and cons of each immunization strategy. Finally, based on these prior vaccination experiences, we discuss recent progress and potential challenges of COVID-19 vaccine development.
Lung adenocarcinoma (ADC) is the predominant histological type of lung cancer, and radiotherapy is one of the current therapeutic strategies for lung cancer treatment. Unfortunately, biological ...complexity and cancer heterogeneity contribute to radioresistance development. Karyopherin α2 (KPNA2) is a member of the importin α family that mediates the nucleocytoplasmic transport of cargo proteins. KPNA2 overexpression is observed across cancer tissues of diverse origins. However, the role of KPNA2 in lung cancer radioresistance is unclear. Herein, we demonstrated that high expression of KPNA2 is positively correlated with radioresistance and cancer stem cell (CSC) properties in lung ADC cells. Radioresistant cells exhibited nuclear accumulation of KPNA2 and its cargos (OCT4 and c‐MYC). Additionally, KPNA2 knockdown regulated CSC‐related gene expression in radioresistant cells. Next‐generation sequencing and bioinformatic analysis revealed that STAT1 activation and nuclear phospholipid scramblase 1 (PLSCR1) are involved in KPNA2‐mediated radioresistance. Endogenous PLSCR1 interacting with KPNA2 and PLSCR1 knockdown suppressed the radioresistance induced by KPNA2 expression. Both STAT1 and PLSCR1 were found to be positively correlated with dysregulated KPNA2 in radioresistant cells and ADC tissues. We further demonstrated a potential positive feedback loop between PLSCR1 and STAT1 in radioresistant cells, and this PLSCR1‐STAT1 loop modulates CSC characteristics. In addition, AKT1 knockdown attenuated the nuclear accumulation of KPNA2 in radioresistant lung cancer cells. Our results collectively support a mechanistic understanding of a novel role for KPNA2 in promoting radioresistance in lung ADC cells.
Nuclear KPNA2 promotes radioresistance and regulates cancer stem cell properties in lung adenocarcinoma cells. A loop between PLSCR1 and STAT1 is involved in KPNA2‐mediated radioresistance.
Nickel cobaltite (NiCo2O4) aerogels, synthesized with a chloride‐based epoxide‐driven sol–gel process, exhibit ultrahigh specific capacitances (1400 F g−1; see figure), excellent reversibility, and ...outstanding cycle stability, at a relatively high mass loading of 0.4 mg cm−2.
The triglyceride–glucose (TyG) index has been correlated with insulin resistance. We aim to investigate the role of the TyG index on cardiovascular (CV) events in type 2 diabetes mellitus and compare ...the roles of fasting glucose, hemoglobin A1c, and the TyG index in predicting CV events. This retrospective study enrolled 3524 patients with type 2 diabetes from the Kaohsiung Medical University Research Database in 2009 in this longitudinal study and followed them until 2015. The TyG index was calculated as log (fasting triglyceride level (mg/dL) × fasting glucose level (mg/dL)/2). CV events included myocardial infarction, unstable angina, stroke, hospitalization for coronary artery disease, peripheral artery disease, and CV-related death. The association between variables and CV events was assessed using a multivariable stepwise Cox proportional hazard analysis. Two hundred and fifteen CV events (6.1%) were recorded during a follow-up period of 5.93 years. The multivariable stepwise analysis showed that high fasting glucose (HR, 1.007; p < 0.001) and a high TyG index (HR, 1.521; p = 0.004) but not hemoglobin A1c or triglycerides were associated with a higher rate of CV events. Adding fasting glucose and the TyG index to the basic model improved the predictive ability of progression to a CV event (p < 0.001 and p = 0.018, respectively), over that of hemoglobin A1c (p = 0.084) and triglyceride (p = 0.221). Fasting glucose and the TyG index are useful parameters and stronger predictive factors than hemoglobin A1c and triglyceride for CV events and may offer an additional prognostic benefit in patients with type 2 diabetes.
This study introduces a recent field experiment investigating multiscale terrain–circulation–precipitation interactions. When a synoptic‐scale northeasterly wind prevails under the active East Asian ...winter monsoon, stratocumulus cloud decks with severe rainfall exceeding 100 mm·day−1 frequently occur in the northeastern plain area and adjacent mountains in Yilan, Taiwan. The Yilan Experiment of Severe Rainfall (YESR2020) is a field campaign from November 20, 2020, to November 24, 2020, to survey the physical processes leading to severe wintertime rainfall. The three‐dimensional structure of the wind field and the atmospheric environment can be identified through high temporal and spatial resolution sounding observations, which is empowered by the novel Storm Tracker mini‐radiosonde. During YESR2020, the continuously collected meteorological data of two northeasterly episodes captured the variability of local‐scale wind patterns and the features of the severe rainfall induced by stratocumulus. A preliminary analysis indicated that a local‐scale convergence line could appear over the plain area of Yilan under the northeasterly environmental condition. The precipitation hotspot was located in the mountain region of southern Yilan, where the local winds signified turbulence features. Moreover, the severe rainfall of the two northeasterly episodes spotlighted shallow cumulus under stratus with pure warm rain processes. The results of YESR2020 inspire the arrangement of future field observations to explore detailed mechanisms of heavily precipitating stratocumulus over complex topography.
We conducted the Yilan Experiment of Severe Rainfall (YESR2020) to survey physical processes leading to severe rainfall in the northeastern plain area and adjacent mountains in Yilan, Taiwan, when a synoptic‐scale northeasterly wind prevails under the active East Asian winter monsoon with stratocumulus cloud decks. A preliminary analysis indicated that a local‐scale convergence line appeared over the plain area, and the precipitation hotspot was located in the mountain region of southern Yilan, where turbulence features were apparent. The results inspire the arrangement of future field observations to explore mechanisms of heavily precipitating stratocumulus over complex topography.
Coronavirus Disease 2019 (COVID-19) has been the most severe public health challenge in this century. Two years after its emergence, the rapid development and deployment of effective COVID-19 ...vaccines have successfully controlled this pandemic and greatly reduced the risk of severe illness and death associated with COVID-19. However, due to its ability to rapidly evolve, the SARS-CoV-2 virus may never be eradicated, and there are many important new topics to work on if we need to live with this virus for a long time. To this end, we hope to provide essential knowledge for researchers who work on the improvement of future COVID-19 vaccines. In this review, we provided an up-to-date summary for current COVID-19 vaccines, discussed the biological basis and clinical impact of SARS-CoV-2 variants and subvariants, and analyzed the effectiveness of various vaccine booster regimens against different SARS-CoV-2 strains. Additionally, we reviewed potential mechanisms of vaccine-induced severe adverse events, summarized current studies regarding immune correlates of protection, and finally, discussed the development of next-generation vaccines.
Summary
The increased expression of programmed death‐ligands 1 and 2 (PD‐L1 and PD‐L2, respectively) on tumour cells contributes to immune evasion, suggesting that these proteins are attractive ...therapeutic targets. This study aimed to evaluate the validity of cerebrospinal fluid (CSF) soluble PD‐L1 (sPD‐L1) and soluble PD‐L2 (sPD‐L2) as biomarkers for primary central nervous system lymphoma (PCNSL). We determined the CSF concentrations of sPD‐L1 and sPD‐L2 in 46 patients with PCNSL using enzyme‐linked immunosorbent assays (ELISAs). A control group comprised 153 patients with other brain tumours, inflammatory/infectious status, or neurodegenerative diseases. Only CSF sPD‐L1 levels were significantly higher in patients with PCNSL relative to the controls. CSF sPD‐L1 also exhibited superior overall discrimination performance compared to CSF sPD‐L2 in diagnosing PCNSL. Compared with patients with PCNSL with low CSF sPD‐L1 levels, more patients with high levels had high serum lactate dehydrogenase levels, leptomeningeal involvement, and deep‐brain involvement. Furthermore, CSF sPD‐L1 could predict poor survival in PCNSL but CSF sPD‐L2 could not. Intriguingly, CSF sPD‐L1 levels were correlated with disease status and their dynamic changes post treatment could predict time to relapse. In conclusion, this study identified CSF sPD‐L1 as a promising prognostic biomarker, indicating a therapeutic potential of PD‐L1 blockade in PCNSL.
ortho‐Methyl effects are exploited to tune steric hindrance between side‐chain N,N′‐diaryls and polycyclic dihydrodibenzoa,cphenazine, and in turn control the conformations of ...N,N′‐diphenyl‐dihydrodibenzoa,cphenazine (DPAC) and its ortho‐methyl derivatives Mx‐My (x=0, 1 or 2, y=1 or 2, x and y correlate with the number of methyl groups in the ortho‐positiond of N,N′‐diphenyl). The magnitude of steric hindrance increases as x and y increase, and the V‐shaped dihydrodibenzoa,cphenazine skeleton is gradually tuned from a bent (DPAC) to planar (M2‐M2) structure in the ground state. As a result, the relaxation of the excited‐state structure of DPAC and its numerous analogues could be mimicked by model structures Mx‐My, demonstrating for the first time the the conformation change from bent‐to‐planar and hence a large range of energy‐gap tuning of polycyclic conjugated structures controlled by the steric hindrance.
Six (D)PAC: ortho‐Methyl effects are exploited to tune the steric hindrance between side‐chain N,N′‐diaryls and polycyclic dihydrodibenzoa,cphenazine, and in turn control the conformation and color of N,N′‐diphenyl‐dihydrodibenzoa,cphenazine (DPAC) and its ortho‐methyl derivatives. The results show that simple insertion of a small methyl group overcomes the energy barrier to planarization in the ground state.
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