Background LCAR-B38M is a chimeric antigen receptor T cell product with two binding domains targeting B cell maturation antigen. Our previous reports showed a remarkable efficacy of LCAR-B38M in ...patients with relapsed/refractory multiple myeloma (RRMM) at a median follow-up of 2 years. Here, we report long-term safety and efficacy data from a median follow-up of 4 years. Methods LEGEND-2 was a phase 1, single-arm, open-label study conducted in four registered sites in China. Seventy-four participants with RRMM received LCAR-B38M treatment. Lymphodepletion was performed using cyclophosphamide or cyclophosphamide plus fludarabine. LCAR-B38M, at a median dose of 0.513 x 10.sup.6 cells/kg, was intravenously administered either in three split infusions or in a single infusion. The primary objective was the safety of LCAR-B38M, and the secondary objective was efficacy. Results As of May 25, 2021, the median follow-up was 47.8 months. All patients experienced greater than or equal to 1 adverse events (AEs). Grade greater than or equal to 3 AEs were observed in 45/74 (60.8%) patients. Cytokine release syndrome (CRS) occurred in 68/74 (91.9%) cases; 7 (9.5%) had grade greater than or equal to 3 CRS. One patient experienced grade 1 central nervous system toxicity. The overall response rate was 87.8%. Fifty-four out of 74 (73.0%) patients achieved complete response. The median progression-free survival was 18.0 months, and the median overall survival for all patients was not reached. The median duration of response was 23.3 months. Four patients experienced viral infection more than 6 months post-infusion, and four patients developed second primary non-hematological malignancies at a median time of 11.5 months post-CAR-T cell transfer. Conclusions The 4-year follow-up data of LCAR-B38M therapy demonstrated a favorable long-term safety profile and a durable response in patients with RRMM. Trial registration Clinicaltrials.gov NCT03090659 (retrospectively registered on March 27, 2017); ChiCTR-ONH-17012285. Keywords: Multiple myeloma, Chimeric antigen receptor therapy, B cell maturation antigen, Safety, Efficacy
A hundred years on, the energy‐intensive Haber–Bosch process continues to turn the N2 in air into fertilizer, nourishing billions of people while causing pollution and greenhouse gas emissions. The ...urgency of mitigating climate change motivates society to progress toward a more sustainable method for fixing N2 that is based on clean energy. Surface oxygen vacancies (surface Ovac) hold great potential for N2 adsorption and activation, but introducing Ovac on the very surface without affecting bulk properties remains a great challenge. Fine tuning of the surface Ovac by atomic layer deposition is described, forming a thin amorphous TiO2 layer on plasmon‐enhanced rutile TiO2/Au nanorods. Surface Ovac in the outer amorphous TiO2 thin layer promote the adsorption and activation of N2, which facilitates N2 reduction to ammonia by excited electrons from ultraviolet‐light‐driven TiO2 and visible‐light‐driven Au surface plasmons. The findings offer a new approach to N2 photofixation under ambient conditions (that is, room temperature and atmospheric pressure).
Surface oxygen vacancies play a promotional role in the outer amorphous TiO2 (a‐TiO2) thin layer during the adsorption and activation of N2. The process facilitates N2 reduction to ammonia by excited electrons derived from UV‐light‐driven rutile TiO2 nanorod arrays and visible‐light‐driven gold surface plasmons.
Photothermal therapy (PTT) is one of the most promising approaches to combat multidrug‐resistant bacteria with less potential to induce resistance and systemic toxicity. However, uncontrollable ...distribution of photothermal agents leads to lethal temperatures for normal cells, and failure to offer timely and effective antibacterial stewardship. A pH switchable nanoplatform for persistent luminescence imaging‐guided precise PTT to selectively destroy only pathological cells while protecting nearby normal cells in bacterial infected microenvironment is shown. The PLNP@PANI‐GCS is fabricated by grafting polyaniline (PANI) and glycol chitosan (GCS) onto the surface of persistent luminescence nanoparticles (PLNPs). It takes advantage of the long persistent luminescence of PLNPs to realize autofluorescence‐free imaging, the pH‐dependent light–heat conversion property of PANI to get a stronger photothermal effect at pH 6.5 than pH 7.4, and the pH environment responsive surface charge transition of GCS. Consequently, PLNP@PANI‐GCS enables effective response to bacterial‐infected acid region and electrostatic bonding to bacteria in vivo, ensuring the spatial accuracy of near‐infrared light irradiation and specific heating directly to bacteria. In vivo imaging‐guided PTT to bacterial infection abscess shows effective treatment. PLNP@PANI‐GCS has great potential in treating multidrug‐resistant bacterial infection with low possibility of developing microbial drug resistance and little harm to normal cells.
A pH switchable nanoplatform is developed for in vivo persistent luminescent imaging and precise photothermal therapy of bacterial infections. This nanoplatform exhibits specific photothermal therapy to acidic bacterial‐infected regions but no damage to normal tissues.
In order to improve the accuracy of the stock market prices forecasting, two hybrid forecasting models are proposed in this paper which combine the two kinds of empirical mode decomposition (EMD) ...with the long short-term memory (LSTM). The financial time series is a kind of non-linear and non-stationary random signal, which can be decomposed into several intrinsic mode functions of different time scales by the original EMD and the complete ensemble empirical mode decomposition with adaptive noise (CEEMDAN). To ensure the effect of historical data onto the prediction result, the LSTM prediction models are established for all each characteristic series from EMD and CEEMDAN deposition. The final prediction results are obtained by reconstructing each prediction series. The forecasting performance of the proposed models is verified by linear regression analysis of the major global stock market indices. Compared with single LSTM model, support vector machine (SVM), multi-layer perceptron (MLP) and other hybrid models, the experimental results show that the proposed models display a better performance in one-step-ahead forecasting of financial time series.
•A new hybrid time series forecasting method is established by combining EMD and CEEMDAN algorithm with LSTM neural network.•The forecasting efficiency of financial time series is improved by the model.•The forecasting results of the proposed model are more accurate than other similar models.
The ever‐increasing demand for clean and renewable power sources has sparked intensive research on water splitting to produce hydrogen, in which the exploration of electrocatalysts is the central ...issue. Herein, a new strategy, metal–organic framework template‐directed fabrication of hierarchically structured Co3O4@X (X = Co3O4, CoS, C, and CoP) electrocatalysts for efficient oxygen evolution reaction (OER) is developed, where Co3O4@X are derived from cobalt carbonatehydroxide@zeolitic‐imidazolate‐framework‐67 (CCH@ZIF‐67). Unique hierarchical structure and synergistic effect of resulting catalysts endow abundant exposed active sites, facile ion diffusion path, and improved conductivity, being favorable for improving catalytic activity of them. Consequently, these derivatives Co3O4@X reveal highly efficient electrocatalytic performance with long‐term durability for the OER, much superior to previously reported cobalt‐based catalysts as well as the Ir/C catalyst. Particularly, Co3O4@CoP exhibits the highest electrocatalytic capability with the lower overpotential of 238 mV at the current density of 10 mA cm−2. Furthermore, Co3O4@X can also efficiently catalyze other small molecules through electro‐oxidation reaction (e.g., glycerol, methanol, or ethanol). It is expected that the strategy presented here can be extended to the fabrication of other composite electrode materials with hierarchical structures for more efficient water splitting.
A new strategy for the fabrication of hierarchically structured composites as highly effective and stable electrocatalysts is proposed. The oxidation, sulfurization, carbonization, and phosphorization of premade cobalt carbonate hydroxide@zeolitic‐imidazolate‐framework‐67 (CCH@ZIF‐67) produced Co3O4@X (X = Co3O4, CoS, C, and CoP) derivatives, respectively, which as electrocatalysts exhibit excellent performance in the oxygen evolution reaction with low overpotential and high stability.
Defects have been found to enhance the electrocatalytic performance of NiFe‐LDH for oxygen evolution reaction (OER). Nevertheless, their specific configuration and the role played in regulating the ...surface reconstruction of electrocatalysts remain ambiguous. Herein, cationic vacancy defects are generated via aprotic‐solvent‐solvation‐induced leaking of metal cations from NiFe‐LDH nanosheets. DFT calculation and in situ Raman spectroscopic observation both reveal that the as‐generated cationic vacancy defects tend to exist as VM (M=Ni/Fe); under increasing applied voltage, they tend to assume the configuration VMOH, and eventually transform into VMOH‐H which is the most active yet most difficult to form thermodynamically. Meanwhile, with increasing voltage the surface crystalline Ni(OH)x in the NiFe‐LDH is gradually converted into disordered status; under sufficiently high voltage when oxygen bubbles start to evolve, local NiOOH species become appearing, which is the residual product from the formation of vacancy VMOH‐H. Thus, we demonstrate that the cationic defects evolve along with increasing applied voltage (VM → VMOH → VMOH‐H), and reveal the essential motif for the surface restructuration process of NiFe‐LDH (crystalline Ni(OH)x → disordered Ni(OH)x → NiOOH). Our work provides insight into defect‐induced surface restructuration behaviors of NiFe‐LDH as a typical precatalyst for efficient OER electrocatalysis.
Along with increasing voltage during the OER process, the structural evolution of cationic defects within NiFe‐LDH, where the simple vacancy VM changes to VMOH and then to the most reactive VMOH‐H, and the surface restructuration, where surface crystalline Ni(OH)x is converted to disordered Ni(OH)x and then to the surface local NiOOH species, are voltage‐regulated concurrent events defining the eventual catalytic performance of the precatalyst.
In order to improve the interfacial properties of carbon fiber/polyimide (CF/PI) composite, silanization reaction carbon nanotubes (CNTs) were introduced to the surface of carbon fiber by ...electrophoretic deposition to prepare CF/CNT/PI composite. The effects of carbon fiber surface treatment on the mechanical properties of the composites were studied. The results showed that the interlaminar shear strength and bending strength of the composite materials were increased by 11% and 9%, respectively. The scanning electron microscope and Atomic Force Microscope (AFM) was used to analyze the fine structure of composite interface phase. The results show that the introduction of CNTs creates an interface transition layer of CNTs reinforced PI resin between the fiber and the matrix.
This study compared the prevalences of metabolic syndrome and of cardiac or kidney comorbidities among patients with hepatocellular carcinoma (HCC) associated with metabolic dysfunction-related fatty ...liver disease (MAFLD), chronic infection with hepatitis B or C virus (HBV or HCV), or the combination of MAFLD and chronic HBV infection.
Medical records were retrospectively analyzed for patients with HCC who underwent hepatectomy between March 2013 and March 2023. Patients with HCC of different etiologies were compared in terms of their clinicodemographic characteristics and laboratory data before surgery.
Of the 2422 patients, 1,822 (75.2%) were chronically infected with HBV without MAFLD and HCV, 415 (17.2%) had concurrent MAFLD and chronic HBV infection but no HCV infection, 121 (5.0%) had MAFLD without hepatitis virus infection, and 64 (2.6%) were chronically infected with HCV in the presence or absence of MAFLD and HBV infection. Compared to patients chronically infected with HBV without MAFLD and HCV, those with MAFLD but no hepatitis virus infection showed significantly lower prevalence of cirrhosis, ascites, portal hypertension, alpha-fetoprotein concentration ≥ 400 ng/mL, tumor size > 5 cm, multinodular tumors and microvascular invasion. Conversely, they showed significantly higher prevalence of metabolic syndrome, hypertension, type 2 diabetes, abdominal obesity, history of cardiovascular disease, T-wave alterations, hypertriglyceridemia and hyperuricemia, as well as higher risk of arteriosclerotic cardiovascular disease. Compared to patients with MAFLD but no hepatitis virus infection, those with concurrent MAFLD and chronic infection with HBV showed significantly higher prevalence of cirrhosis, ascites and portal hypertension, but significantly lower prevalence of hypertension and history of cardiovascular disease. Compared to patients with other etiologies, those chronically infected with HCV in the presence or absence of MAFLD and HBV infection, showed significantly higher prevalence of cirrhosis, portal hypertension, ascites, and esophagogastric varices.
Patients with HCC associated with MAFLD tend to have a background of less severe liver disease than those with HCC of other etiologies, but they may be more likely to suffer metabolic syndrome or comorbidities affecting the heart or kidneys.
Esophageal squamous cell carcinoma (ESCC) is one of the deadliest cancers. We performed exome sequencing on 113 tumor-normal pairs, yielding a mean of 82 non-silent mutations per tumor, and 8 cell ...lines. The mutational profile of ESCC closely resembles those of squamous cell carcinomas of other tissues but differs from that of esophageal adenocarcinoma. Genes involved in cell cycle and apoptosis regulation were mutated in 99% of cases by somatic alterations of TP53 (93%), CCND1 (33%), CDKN2A (20%), NFE2L2 (10%) and RB1 (9%). Histone modifier genes were frequently mutated, including KMT2D (also called MLL2; 19%), KMT2C (MLL3; 6%), KDM6A (7%), EP300 (10%) and CREBBP (6%). EP300 mutations were associated with poor survival. The Hippo and Notch pathways were dysregulated by mutations in FAT1, FAT2, FAT3 or FAT4 (27%) or AJUBA (JUB; 7%) and NOTCH1, NOTCH2 or NOTCH3 (22%) or FBXW7 (5%), respectively. These results define the mutational landscape of ESCC and highlight mutations in epigenetic modulators with prognostic and potentially therapeutic implications.
Approximately 5.0% of gastric cancer (GC) patients are diagnosed before the age of 40 and are not candidates for screening programs in most countries and regions. The incidence of gastric cancer in ...young adults (GCYA) has declined over time in most countries except in the United States. Genetic alterations, environmental factors, and lifestyle may predispose some young adults to GC. According to molecular classifications, the cancer of most GCYA patients belongs to the genomically stable or microsatellite stable/epithelial-mesenchymal transition subtype, with the common genetic aberrations being mutations in CDH1. What characterizes GCYA are a higher prevalence in females, more aggressive tumor behaviors, diagnosis at advanced stages, fewer comorbidities and being better treatment candidates, and a similar or better survival outcome when compared with older patients. Considering the greater loss of life-years in younger patients, lowering the incidence of GC and diagnosing at a relatively early stage are the two most effective ways to decrease GC mortality. To achieve these goals, the low awareness of GCYA among general people, policy-makers, clinicians, and researchers should be changed.
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