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We report a case of the meyerson phenomenon around cavernous hemangioma. A 23-year-old male presented with a dark purplish red nodule on the back for over 20 years, and pruritic annular erythema and papules with clear boundaries around the nodule for 1 day. Dermatological examination revealed a dark purplish red nodule about 0.7 cm in diameter on the back, encircled by a 1 cm diameter erythema with papules. Dermoscopic examination showed that several small purplish red cavities with clear boundaries and irregularly distributed dotted blood vessels on the skin lesion under the red background. The histopathology showed that the lesion was covered with squamous epithelium. Large irregular lumens, and sinusoids of different sizes contained red blood cells and fibrin in the superficial and deep dermis. The sinusoids were lined with a single layer of endothelial cells. The patient was diagnosed with the meyerson phenomenon around cavernous hemangioma. After surgical resection, the eczema-like dermatitis subsided. But hemangioma reoccurred without discomfort after more than 1 month. The patient is in follow-up.

Contrasting fertilization modifies soil phosphorus (P) transformation and bioavailability, which impact crop P uptake and P migration in the soil profile. A long-term (25-year) fertilizer experiment was employed to investigate crop yield, P uptake and changes in sequentially extracted P fractions in the soil profile, and their relationships on a calcareous soil derived from loess material under a winter wheat and summer maize double-cropping system. The experiment involved seven nutrient management treatments: control (CK, no nutrient input), N, NK, NP, and NPK, representing various combinations of synthetic nitrogen (N), phosphate (P), and potassium (K) applications, as well as combinations of NPK fertilizers with either crop residues (SNPK, where S refers to maize stalk or wheat straw) or manure (MNPK, where M refers to dairy manure). Wheat and maize yields were significantly higher with P input fertilizer relative to the P-omitted treatments. Long-term application of P-containing fertilizers markedly raised the contents of inorganic (Pi) and organic (Po) P fractions at 0–20 cm depth compared with the P-omitted treatments. Moreover, both Pi and Po fractions were markedly higher under MNPK than under NPK and SNPK treatments. For achieving high yield for wheat and maize, the critical contents of labile P were 54 and 63 mg kg−1, and those of moderately labile P were 48 and 49 mg kg−1, respectively, defined by the linear plateau model. In addition, the change points of labile P and moderately labile P were 99 and 70 mg kg−1, above which CaCl2-P content significantly increased. Moreover, long-term P input significantly accumulated different P fractions in the deeper soil layers up to 100 cm, with large portions of organic P being a composite of labile and moderately labile P, especially in MNPK treatment. Our results suggest that excessive P supply with organic manure resulted in massive P accumulation in the topsoil and promoted soil P fraction transformation and availability in the deep soil layers, especially in an organic P form that has often been neglected.

Abstract Objective Neutrophils and aberrant NETosis have been implicated in the pathogenesis of diverse autoimmune diseases; however, their roles in primary Sjögren’s syndrome (pSS) remain unclear. We aimed to reveal the potential roles of neutrophils and neutrophil extracellular traps (NETs) in pSS. Methods pSS patients were enrolled and NETosis markers were measured in plasma and labial glands using ELISA and immunofluorescence. The gene signatures of neutrophils were assessed by RNA-Seq and RT-PCR. Reactive oxygen species (ROS), mitochondrial ROS (MitoSOX) production, and JC-1 were measured by flow cytometry. Results NETosis markers including cell-free DNA (cf-DNA) and myeloperoxidase (MPO) in plasma and labial glands from pSS patients were significantly higher than healthy controls (HCs) and were associated with disease activity. RNA sequencing and RT-qPCR revealed activated type I IFN signaling pathway and higher expression of genes related to type I interferon in pSS neutrophils. Further stimulating with IFN-α 2a in vitro significantly induced ROS production and JC-1 monomer percentage in pSS neutrophils. Conclusions Our data suggest the involvement of neutrophils and enhanced NETosis in pSS patients. Further mechanism study in vitro revealed that type I IFN activation in pSS neutrophils led to mitochondrial damage and related ROS production which finally result in the generation of NETs.

Partial substitution of synthetic nitrogen fertilizer with manure (organic substitution) is highly recommended to minimize environmental risks without compromising crop productivity in intensive agricultural systems. However, our understanding of the effect of organic substitution on soil organic carbon (OC) and total nitrogen (TN) in deep soil and its impact on crop productivity remains limited. Here we investigated OC and TN changes in soil profile down to 100 cm, crop yield, and sustainable yield index under synthetic nitrogen, phosphate, and potassium fertilizers (NPK), NPK plus straw (NPKS), and organic substitution (NPKM) treatments over two decades in four upland fields across different climate zones. Compared with the initial values, two decades of NPKM treatment significantly (p < 0.05) increased OC and TN stocks in either topsoil (by 25.6–103.8 and 15.8–89.8%) or deep soil (by 2.9–71.3 and 5.7–36.9%), respectively, across all sites. The increases in OC and TN stocks in 0–100 cm soil receiving NPKM were significantly higher than those receiving NPK at all sites and NPKS at three high-evaporation sites. Compared with NPKS and NPK treatments, crop yield and N uptake were significantly increased under NPKM treatment only at the Qiyang site. Furthermore, OC sequestration in the entire soil profile down to 100 cm and TN accumulation in topsoil exhibited significant positive correlations with crop N uptake, relative crop yield, and sustainable yield index. In conclusion, long-term partial substitution of synthetic N fertilizer with manure facilitates soil OC and TN sequestration in the entire 100 cm profile and thus maintains high crop productivity in upland areas.

BackgroundsObservational studies have identified associations between smoking, alcohol use, body mass index (BMI), and the levels of vitamin D with primary biliary cholangitis (PBC). However, there was a lack of randomization control studies to estimate the causal relationship. This study was to investigate the causal estimates for the effects of those risk factors on PBC.MethodsThe genetic instrument variants were extracted from genome-wide association studies in European ancestry. Two-sample mendelian randomization (MR) and multivariable mendelian randomization were used to determine genetically causal estimates. Primary analyses consisted of random-effects and fix-mode inverse-variance-weighted methods, followed by secondary sensitivity analyses to verify the results.ResultsOur study showed that BMI was a causal factor for PBC (OR 1.35; 95% CI=1.03-1.77; p=0.029). In addition, we found that serum vitamin D levels had a protective effect on PBC after adjusting for BMI (OR 0.51; 95% CI=0.32-0.84; p=0.007). However, we failed to identify evidence supporting that genetic causal effect of smoking and alcohol intake were associated with PBC in European countries.ConclusionOur results enriched findings from previous epidemiology studies and provided evidence from MR that serum vitamin D concentrations and BMI were independent causal factors for PBC, suggesting that ensuing vitamin D sufficiency and healthy lifestyles might be a cost-effective measure for early intervention for PBC.

BackgroundProgrammed cell death protein-1/programmed cell death ligand-1 (PD-1/PD-L1) inhibitors therapy is now a routine scheme in cancers. However, the effect of preexisting autoantibodies on the safety and efficacy of PD-1/PD-L1 inhibitors in cancer patients is not well understood.MethodsThe present retrospective cohort study evaluated the safety and efficacy of PD-1/PD-L1 inhibitors in patients with preexisting autoantibodies. Patients who received PD-1/PD-L1 inhibitors in the Department of Medical Oncology, Peking Union Medical College Hospital between November 2017 and August 2021 were reviewed.Results67 (37.9%) of the 177 patients, 27 (20.3%) of the 133 patients, and 16 (11.0%) of 146 patients who received PD-1/PD-L1 inhibitors were positive for ANA, anti-Ro52, and antithyroid antibodies, respectively. Preexisting ANA and anti-Ro52 antibody were not associated with the increased risk of immune-related adverse events (irAEs), while thyroid dysfunction was more frequent in patients with positive antithyroid antibody (75.0% versus 13.8%, p < 0.001). The median progression-free survival (PFS, 13.1 versus 7.0 months, p = 0.015) was significantly longer in the ANA-positive patients, while the median overall survival (OS, 14.5 versus 21.8 months, p = 0.67) did not differ significantly between the ANA-positive and ANA-negative groups. Moreover, the preexisting anti-Ro52 and antithyroid antibodies were not significantly associated with PFS and OS.ConclusionsThe presence of ANA and anti-Ro52 antibody were not associated with a higher risk of irAEs, whereas patients positive for antithyroid antibody should monitor closely immune-related thyroid dysfunction. Preexisting ANA might be a predictor of longer PFS, while anti-Ro52 and antithyroid antibodies had no significant effect on survival outcomes in patients receiving PD-1/PD-L1 inhibitors therapy.

Here we reported two anti-Mi-2 autoantibody-positive dermatomyositis (DM) patients with a characteristic antinuclear antibody (ANA) immunofluorescence pattern. Autoantibodes were screened by indirect immunofluorescence (IIF) on HEp-2 cells (Euroimmun, Lübeck, Germany) and confirmed by line immunoblot (ANA Profile 3—Euroimmun, Germany). These two patients were positive for ANA (speckled, titer 1:320), followed by confirmation of positive anti-Mi-2α and anti-Mi-2β positive and negative for all other antibodies. We found a characteristic ANA pattern of the anti-Mi-2 antibody that differed from the AC-4 pattern, especially in the morphology of mitotic cells (metaphase, anaphase, and telophase). Thus, we would like to suggest reporting this characteristic antinuclear antibody pattern as a new AC type, as AC-X.

Seeking food security, contemporary Chinese agriculture has followed a trajectory of overfertilization and associated environmental problems, hence the need for nitrogen-balancing practices that do not compromise yield and quality. Here we present a national meta-analysis using 224 studies with 1972 comparisons to quantify the potential to reduce nitrogen (N) fertilization to improve environmental outcomes while maintaining yield and grain protein. We calculated a nitrogen reduction ratio (NRR), as 100 × ( N _C − N _T )/ N _C ; where N is N fertilizer rate and subscripts indicate farmer practice (C) and reduced N rate treatment (T). Our meta-analysis showed that the NRR that maintained yield and grain protein content at the level of current practice was up to 10% in wheat and up to 30% in maize and rice. Larger yield-neutral NRR could be achieved in more fertile, heavier-textured soils, and with practices including enhanced-efficiency N fertilizer, combined application of organic and inorganic N fertilizer, and incorporated straw. Assuming a reduction in N fertilizer usage by 10% for wheat and by 30% for maize and rice in the current cropping area, there is a potential to save 5.7 Mt N yr ^−1 ; reduce loss of reactive nitrogen by 1.26 Mt N yr ^−1 , equivalent to 63% of annual total Nr losses for rice in China, reduce N-related greenhouse emissions by 75.2 Mt CO _2 -eq yr ^−1 , equivalent to 14.5%–25% of the emissions associated with the N fertilizer chain in China; and improve N use efficiency by 23%. Our results highlight the feasibility of maintaining yield and grain protein, and achieving substantial environmental benefits with reduced fertilization rate, and the environmental and agronomic scenarios where these outcomes are more likely.

Plastic film mulching often increases the yield of winter wheat in the Loess Plateau of China, but the physiological mechanisms are unclear, especially in response to the interaction between mulch and water supply. In this study, we investigated the interactive effects of initial soil water (dry, moderate, and wet), soil cover (plastic mulch, bare soil), and seasonal conditions on the dynamics of dry matter partitioning, water-soluble carbohydrates (WSC), and flag leaf senescence, and their relations with yield and its components. Plastic mulch increased dry matter accumulation at anthesis and maturity relative to bare soil, with no interaction with season or initial soil water. Allocation of dry matter to leaf, stem, and spike did not change with soil cover. Compared with bare soil, mulch increased WSC accumulation by 14% at anthesis and its translocation by 16%. Soil cover did not influence the senescence of flag leaf after anthesis as indicated by similar dynamics of the C:N ratio. Grain yield was higher under plastic mulch than bare soil in two out of three seasons, and was associated with a higher translocation amount of WSC and post-anthesis dry matter that linked grain weight, grain number, and harvest index.

Organic phosphorus (Po) may play a vital role in phosphorus availability via its mineralization by alkaline phosphatase (ALP), being encoded by phoD gene, in calcareous soil. Understanding the effects of long-term fertilization on the community of phoD harboring bacteria and the related alteration of the P availability owing to the changes in ALP secretion may offer a chance to elucidate the Po contribution to soil available P. Based on a long-term experiment, we analyzed the phoD gene harboring microbial diversity, abundance and composition, ALP and Po forms, and their relationship. The treatments involved were control without any fertilizers (CK), synthetic nitrogen and potassium (NK), synthetic nitrogen, phosphorus and potassium (NPK), NPK and crop stalk return (SNPK), and NPK plus organic manure (MNPK). Fertilization increased the abundance and diversity of phoD gene harboring microbial over CK. Those receiving NPK and NPK treatments integrated with organic supplements significantly improved the relative abundance of Proteobacteria but decreased Gemmatimonadetes at the phylum level, while all fertilized treatments appreciably increased the relative abundance of Lysobacter but decreased that of Gemmatirosa and Afipia, at the genus level. SNPK and MNPK treatments noticeably increased the relative abundance of Methylobacter but reduced Pseudomonas and Streptomyces relative to those receiving synthetic fertilizer treatments. Long-term fertilization markedly raised ALP activity, which was significantly and positively correlated with the relative abundance of the phylum Proteobacteria as represented by the genera Methylobacterium and Lysobacter. ALP was closely associated with moderately labile Po, followed by enzyme P, recalcitrant Po, and labile Po. The changes in phoD bacteria and ALP were mainly driven by soil organic carbon, Olsen P and pH. We concluded that the long-term fertilization, especially the addition of organic supplements, profoundly modified the soil properties and subsequently changed the diversity and relative abundance of phoD gene harboring bacteria, which promoted the activity of ALP, and thus the mineralization of various forms of Po (mainly moderately labile Po) to enhance the P availability.

The root system of a plant provides vital functions including resource uptake, storage, and anchorage in soil. The uptake of macro-nutrients like nitrogen (N), phosphorus (P), potassium (K), and sulphur (S) from the soil is critical for plant growth and development. Small signaling peptide (SSP) hormones are best known as potent regulators of plant growth and development with a few also known to have specialized roles in macronutrient utilization. Here we describe a high throughput phenotyping platform for testing SSP effects on root uptake of multiple nutrients. The SSP, CEP1 (C-TERMINALLY ENCODED PEPTIDE) enhanced nitrate uptake rate per unit root length in Medicago truncatula plants deprived of N in the high-affinity transport range. Single structural variants of M. truncatula and Arabidopsis thaliana specific CEP1 peptides, MtCEP1D1:hyp4,11 and AtCEP1:hyp4,11, enhanced uptake not only of nitrate, but also phosphate and sulfate in both model plant species. Transcriptome analysis of Medicago roots treated with different MtCEP1 encoded peptide domains revealed that hundreds of genes respond to these peptides, including several nitrate transporters and a sulfate transporter that may mediate the uptake of these macronutrients downstream of CEP1 signaling. Likewise, several putative signaling pathway genes including LEUCINE-RICH REPEAT RECPTOR-LIKE KINASES and Myb domain containing transcription factors, were induced in roots by CEP1 treatment. Thus, a scalable method has been developed for screening synthetic peptides of potential use in agriculture, with CEP1 shown to be one such peptide.

The combination of organic manure and inorganic fertilizer plays a role in increasing crop yield and nutrient efficiency, but such effectiveness varies with crop, soil, management, and climate. Here, a 6-year field experiment was conducted to evaluate the effects of substituting organic manure with inorganic fertilizer on crop yield, grain protein content, and nitrogen and phosphorus efficiency under a winter wheat-summer maize cropping system on Anthrosol. Five treatments were included: recommended nitrogen (N), phosphorus (P) and potassium (K) fertilizers (NPK), 75% NPK + 25% organic manure (M), 50% NPK + 50% M, 25% NPK + 75% M, and 100% M, respectively. Wheat, maize, and annual yield were 1643–8438 kg ha−1, 4847–11,104 kg ha−1, and 10,007–17,496 kg ha−1. Organic manure treatments produced the same crop yield as NPK treatment except for 100% M. Grain protein content of wheat and maize was 7.9–15.1% and 5.6–12.6%. Organic manure treatments yielded significantly lower wheat grain protein content but had no significant effect on maize grain protein content relative to NPK treatment. Nitrogen uptake efficiency and nitrogen use efficiency at the cropping system level were 0.67–1.16 and 35.7–60.5 kg kg−1. Phosphorus uptake efficiency and phosphorus use efficiency were 0.28–0.75 and 167–531 kg kg−1. Compared with NPK treatment, 50% M, 75% M, and 100% M improved nitrogen use efficiency but decreased nitrogen uptake efficiency and phosphorus efficiencies. Annual N and P budgets were −1.3–79.1 kg ha−1 a−1 and 25.6–100.1 kg ha−1a−1, and both increased with the increase in organic manure input. Based on crop yield, grain protein content, nitrogen, and phosphorus efficiency and their budget, substitution of 25% inorganic fertilizer with organic manure is the rational combination under the winter wheat–summer maize system on an Anthrosol.

Biostimulants can enhance horticultural crop production. However, their application in hydroponically grown lettuce is still limited, and information regarding their relative efficacy is lacking. A greenhouse trial was conducted to address this issue. Five nutrient solution treatments were evaluated on two lettuce cultivars: butterhead and red oak-leaf. The treatments included a half-strength modified Hoagland solution (Hs-H); a full-strength modified Hoagland solution (Fs-H); and Hs-H supplemented with 50 mg L−1 fulvic acid (FA), 334 mg L−1 seaweed extract (SE), or 5 mL L−1 gamma polyglutamic acid (PGA). The results indicated that the shoot biomass observed after biostimulant supplementation was significantly greater than or comparable to that observed with Fs-H. Nutrient solutions supplemented with SE and PGA led to a greater increase in the root biomass than that realized with Hs-H and Fs-H treatments. The Hs-H + FA treatment resulted in the lowest root-to-shoot ratio on a fresh weight basis among all treatments. The nitrate concentration in the shoot was significantly reduced following biostimulant supplementation compared to that realized with Fs-H and Hs-H treatments. Nutrient solutions supplemented with SE and PGA also decreased soluble sugar concentrations compared to that achieved using Hs-H and Fs-H treatments. FA and SE improved nutrient uptake for both cultivars, but PGA had a minimal effect on nutrient uptake. The two cultivars varied in their responses to biostimulant supplementation with regard to biomass, quality traits, and nutrient uptake. This study supports using fulvic acid and seaweed extract, rather than γ-PGA, in hydroponic lettuce production systems.

Soon after its independence from the British in August 1947, Pakistan's socio-political culture became entangled into a monopoly of the right-wing with feudal lords, especially in the Punjab province. The pseudo right-wing political parties exploited Pakistan's religious foundations and established a cultural hegemony. Historically, Punjab had remained the epicentre of political bargains since its inception; therefore, it retained strong alliances for stable government in the centre. Somehow, dissident voices and views from any other political ideology were deemed to be anti-state or anti-religious. This paper analyses through Antonio Gramsci's Theory of Cultural Hegemony how the right wing manipulated the opinion of the masses to legitimize their rule, which ultimately led to the decline of socialism. This paper illustrates the underlying ultra-religious campaigns in the electoral manoeuvring of the right wing from 1977 to 1997, thereby gaining the consent of the people. This study also outlines the systematic othering and demonizing of the left wing in society by pseudo right-wing factions. [ABSTRACT FROM AUTHOR]