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BackgroundKidney is a major extramedullary organ involved in leukemia, but clinicians have insufficient understanding of it due to rare case reports.ObjectiveTo analyze the clinicopathological manifestations of kidney injury in leukemia.MethodsFive patients with kidney injury in leukemia were recruited from Peking University People's Hospital from June 2010 to June 2020. Their demographics, clinical manifestations, ultrasonic and laboratory examination results, pathological examination results of renal biopsy species, therapeutic regimen and follow-up were retrospectively analyzed.ResultsAll these patients were male, with an onset age ranging from 19 to 73 years old. Two of them had B-cell acute lymphoblastic leukemia after allogeneic stem cell transplantation, the remaining three had B-cell chronic lymphocytic leukemia. All of them had acute kidney injury with proteinuria, and pathologically manifestation of acute interstitial nephritis. In addition, two of them also had leukemia-related glomerular disease. Renal pathology indicated extramedullary recurrence in the two cases of B-cell acute lymphoblastic leukemia, and progression in the other three cases of B-cell chronic lymphoblastic leukemia. Four patients received regular chemotherapy, and two of them obtained a reduction in serum creatinine levels, but the other two showed no improvement in renal function.ConclusionKidney injury in leukemia commonly manifests as acute kidney injury clinically, acute interstitial nephritis pathologically, and may be complicated by secondary glomerulopathy. Prompt renal biopsy, especially immunohistochemical staining for renal interstitial infiltrating cells, may be helpful for accurate diagnosis and appropriate treatment guidance.

For the production of cyclic carbonates from the cycloaddition of CO2 with epoxides, halogen pollution and product purity are two of the most common problems due to the usage of homogeneous halogen-containing catalysts such as ammonium salt and alkali metal halide. Hence, the development of a novel, halogen-free and efficient catalyst for the synthesis of high-purity cyclic carbonates is significant. Here, a series of acid–base bifunctional Ce1-xZrxO2 nanorods were successfully prepared. The Ce1-xZrxO2 nanorods could catalyze the cycloaddition of CO2 with epoxides efficiently without any halogen addition. Especially for the Ce0.7Zr0.3O2 catalyst, a conversion of 96% with 100% 1,2-butylene carbonate selectivity was achieved. The excellent catalytic performance of Ce1-xZrxO2 nanorods is attributed to the formation of the CeO2-ZrO2 solid solution, which contributes to abundant moderate acidic–basic active sites on the catalyst surface. It is the synergistic effect of moderate acidic–basic sites that dominates the conversion of CO2 with epoxides, which will supply important references for the synthesis of efficient metal oxide catalyst for the cycloaddition of CO2 with epoxides. [ABSTRACT FROM AUTHOR]