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Objectives Previous studies have demonstrated EGFR L718Q as one of the resistant mechanisms to osimertinib. In vitro studies showed that EGFR L858R/L718Q mutant cancer cells were sensitive to second-generation EGFR-TKI. However, whether second-generation EGFR-TKI could offer equal therapeutic benefits clinically has not yet been reported. Materials and methods We performed capture-based sequencing on longitudinal plasma samples and pleural effusion samples obtained at various treatment milestones from an advanced lung adenocarcinoma patient undergoing targeted therapy. Results The EGFR-mutant patient underwent disease progression after 14 months of osimertinib administration. Targeted NGS sequencing identified a newly emerged EGFR L718Q mutation with remaining EGFR L858R and loss of T790M. Partial response was achieved one month after commencement of afatinib treatment; however, the patient experienced disease progression four months later with the emergence of a KRAS G12A mutation. Conclusions To the best of our knowledge, this is the first clinical evidence of afatinib’s efficacy targeting concomitant EGFR L858R and L718Q mutations after osimertinib resistance. We also demonstrate that EGFR L718Q might be a potential resistance mechanism.

The properties of three kinds of superhydrophobic surfaces (SHSs) and three kinds of superslippery liquid-infused surfaces (SLIPSs) composed of microspheres with different morphologies (solid spher...

Inkjet printing is an attractive technique in the field of flexible electronics due to the direct writing, digital controls and non-contact operation process. In this work, we successfully printed graphite oxide and Ag nanoparticles on the substrate of flexible carbon cloth to form a flexible, conductive and hydrophilic layer, which could be used as a new substrate with an electron transport layer of large surface area. In addition, Ni-Co LDH nanosheets as the main active materials were synthesized for improving the electrochemical activity via a convenient electrochemical deposition method. The binder-free Ni-Co LDH/Ag/rGO@CC electrode exhibits outstanding electrochemical performance along with a high capacity of 173 mA h g−1 at 1 A g−1. Moreover, an asymmetric supercapacitor (ASC) was assembled with Ni-Co LDH/Ag/rGO@CC electrode as the positive electrode materials and activated carbon coated CC as the negative electrode materials, showing a high capacity of 95 mA h g−1 at 0.6 A g−1, and maximum energy density of 76 Wh kg−1 at a power density of 480 W kg−1.

In recent years, the tenable design and synthesis of the core/shell heterostructure as electrode for the supercapacitor, have attained a huge attention and concerns. In this article, the three-dimensional heterostructure consisting of FeCo2O4 ultrathin nanosheets grown on the space of vertical Co3O4 nanowires has been designed and synthesized onto nickel foam (NF) for pseudocapacitive electrode applications. According to previous research, the NF@ FeCo2O4 electrodes can only exhibit specific capacity of 1172 F g−1 at a current density of 1 A g−1. In addition, although the capacity of the NF@Co3O4 electrodes can reach to 1482 F g−1 and it has the disadvantage of agglomeration, which restricts the diffusion of ions and has a negative effect on the progress of electrochemical reactions. Therefore, a core-shell nanostructure is fabricated by an improved two-step hydrothermal process, which improves the probability of ion reaction with more efficient charge transfer. Furthermore, in as-prepared unique core/shell heterostructure, the resultant electrode possesses the merits of large capacitance of 1680 F g−1 at a current density of 1 A g−1, an excellent rate capability of 70.1% at 20 A g−1 and only 9.8% loss of initial capacitance at a high charge/discharge current density after 2000 cycles. These results demonstrate that this kind of distinct electrode has potential utilization for supercapacitor.

Composite electrodes that possess both rational structures and appropriate integration are needed to deliver high electrochemical performance in energy storage devices. In this paper, a flexible and binder-free electrode material based on a heterogeneous core-shell structure of CuCo2O4@Ni(OH)2 nanosheets grown on carbon cloth was fabricated by a simple method. The unique three-dimensional hierarchical structure gives the electrode a large specific surface area, which enables rapid response and increases of specific capacitance. The CuCo2O4@Ni(OH)2/carbon fiber cloth (CFC) composite electrode exhibited a specific capacitance of 2160 F g−1 at 1 A g−1 and a good rate capability energy of 82.7% at 20 A g−1. A flexible all-solid-state asymmetric supercapacitor (FAASC) was assembled with the CuCo2O4@Ni(OH)2/CFC electrode as the positive electrode, and activated carbon (AC)/CFC as the negative electrode. This device showed both a high energy density and power density (58.9 W h kg−1 at a power density of 400 W kg−1), and good long-term cycling stability. Furthermore, the assembled CuCo2O4@Ni(OH)2/CFC//AC/CFC devices were capable of driving a blue light-emitting diode after a short charge. The remarkable performance of this CuCo2O4@Ni(OH)2/CFC electrode indicates that this heterogeneous structure has great potential for applications in flexible high-performance energy storage devices.

Although strategies for smart control of droplets by utilizing slippery surfaces that are typically made by infusing lubricants into porous surfaces are booming, no surface can smartly control the start or stop of droplet sliding without external environmental stimuli. A strategy for how surfaces alone, if constituted by lubricant-infused porous hydrophobic sticky surfaces (LIPHSS) with a specific interface self-adjusting system, can achieve the target of smart control of a drop's slide is presented here. The continuous self-adjustment of the interface formed by droplets and LIPHSS leads to the occurrence of droplet sinking behavior. The droplet's sinking reduces its sliding angle (SA) and thus can trigger the sliding of the droplet deposited on LIPHSS with a tilt base angle between the SA after sinking and the SA before sinking. Furthermore, regulating lubricant layer thickness and tilt base angle is an important way to achieve smart control of the time required to initiate the sliding of the droplet. The uniqueness of the study is focused on the clever extension of the sinking behavior of droplets on LIPHSS to achieve a programmable time delay switch to smart control the sliding of droplets.

Wolfberry is well known for its health benefits in Asian countries. This study consisted of two experiments. In Experiment 1, nine boars were provided 40 g dried wolfberry per 100 kg body weight per day in addition to regular feed for 160 days (divided into 40 days phases: I, II, III, and IV) under step-down air temperature conditions. Controls (n = 9) were fed regular feed only. Significant (p < .05 or p < .01) or slight improvements in sperm progressive motility, total abnormality rate, sperm concentration, and total sperm per ejaculate were observed in the wolfberry group during phases II and III. No differences were observed in semen volume. After combining the data from phases II ~ IV, significant improvements were detected in all aforementioned traits (p < .05 or p < .01), except semen volume. In Experiment 2, the wolfberry group (n = 5) was fed wolfberry for 90 days and exhibited significantly reduced head, tail, and total abnormality rates (p < .05 or p < .01) in both fresh semen and semen stored for 72 hr at 17°C compared to the control group (n = 5). SOD activity also significantly increased in this group of boars. Collectively, the findings of this study suggest that wolfberry has a positive effect on boar semen quality.

Herein, a design of multifunctional hybrid adsorbent made of a magnetic core and a zeolite imidazolate framework (ZIF-8) shell embedded with carbon dots (CDs) is synthesized to combine detection with separation and recycling of uranium from aqueous solution. The adsorbents retain the strong superparamagnetic behavior of Fe3O4 nanoparticles and similar luminescence of carbon dots. Interestingly, the adsorbents not only exhibit obviously fluorescence response for U (VI) but also enhance U (VI) adsorption performance via assisting with the loaded‑carbon dots. The adsorption processes of U(VI) on Fe3O4-CMC@ZIF-8 and Fe3O4-CMC@ZIF-8@CDs well fit with the pseudo-second-order model. The maximum U(VI) adsorption amount of Fe3O4-CMC@ZIF-8@CDs is high as 606.06 mg/g at pH = 4.0 and T = 298 K with Langmuir model, which is obviously higher than that of Fe3O4-CMC@ZIF-8 (564.97 mg/g). Particularly, BET, FTIR and XPS results show that the improvement of adsorption properties on Fe3O4-CMC@ZIF-8@CDs is mainly ascribed to the large specific surface area and abundant nitrogen/oxygen functional groups on the surface, suggesting that the main interaction mechanisms are diffusion and coordination. The design for hybrid materials provides a convenient way to achieve a multifunctional adsorbent with detection, separation and recycling properties for uranium.

With the depletion of terrestrial uranium deposits, a large amount of uranium(VI) (U(VI)) in seawater has attracted the attention of researchers and energy suppliers. However, the extremely low concentration of U(VI) and the complex environment enhance the difficulty of extracting U(VI) from seawater. In this study, a multi-active polyacrylonitrile (PAN) adsorbent was constructed to extract U(VI) from seawater. Poly(amido)amine (PAMAM) with hyperbranched topology was grown onto the surface of PAN fiber by a multi-step method, forming a swollen layer in water. The highest adsorption capacity of the material reached 555.5 mg/g. Importantly, during a continuous 50-day simulated seawater dynamic adsorption process, the material reached an adsorption equilibrium in 15 days, with the adsorption amount of 1.3 mg/g. The ocean test in the Yellow Sea of China showed that the adsorption capacity of the material was 0.6 mg/g in 34 days in seawater environment. The effect of molecular chain conformation and swelling behavior on adsorption properties were investigated. The study on the adsorption mechanism of the material shows that the lone pair of electrons of the N atom coordinates with U(VI).

Attentional control has an important role in attentional bias in social anxiety. This study aimed to investigate whether attentional bias in social anxiety was caused by attentional control deficit. Event-related potentials and behavioural attentional bias index (trial-level attentional bias variability) were recorded as participants completed the dot-probe task. The behaviour result showed that compared with the low socially anxious individuals, the high socially anxious individuals had a marginally higher score of attentional bias variability. For event-related potentials results, target-locked frontocentral N2 amplitude was significantly larger under the incongruent condition than the congruent condition in the low socially anxious group, whereas there was no significant difference between these two conditions in the high socially anxious group. The low socially anxious group also exhibited reduced target-locked P2 amplitude from the congruent condition to the incongruent condition. Our findings provide electrophysiological evidence of attentional control dysregulation in socially anxious individuals, which contributes to modifying social anxiety-related attentional bias.

Recently, taking advantage of slippery liquid-infused surfaces (SLIPS) has been proposed as a simple passive ice removal method. However, the process of frost formation and ice freeze on SLIPS is accompanied by the lubricant migration from the structured substrate to the surface of frozen droplets which would lead to the sacrifice of lubricant. In this paper, highly transparent and robust slippery coatings were carried out by infusing lubricant into tube-like SiO2 composite structure. The tubular material and a stack-hole composite structure contribute a lot to lock the lubricating oil, thus reducing the loss of lubricant during the icing/deicing cycles. The ultra-low ice adhesion strength (∼17 kPa) encourages the SLIPS to be a promising candidate for anti-icing applications. Moreover, capillary action within the unique structure as well endows SLIPS with the self-healing property. As a consequence, the as-prepared samples achieve long-term anti-icing stability while ensuring a glass substrate transmittance of up to 92.01%. In addition, surfaces maintain all the slippery characteristics after being directly exposed to running water for 30 min. Such good stability offers a possibility of applying SLIPS to everyday life.

The lack of flexibility of the substrates and the readily shed off of the active materials during the deformation process limit applications of wearable electronic devices. An effective approach is to design an electrode with both high flexibility and stability, which ensure that the device will not be affected in practical applications. In this paper, we design 3D Cu(OH)2 nanowires directly grown on carbon fiber cloth by a quasi-stable electroless Cu deposition and a rapid alkali assistant oxidation process. The Cu-electroless plating ensures high conductivity and excellent binding force between the active material and the substrate, which issued in low internal resistance and remarkable cycle stability. Moreover, the flexible all-solid-state asymmetric supercapacitor (FASSASC) assembled with the Cu(OH)2/CPCC (Cu-plated carbon cloth) as positive pole, possess high areal capacitances (242.5 mF cm−2 at 1 mA cm−2), relatively large energy and power density (4.9 × 10−2 mWh cm−2, 0.6 mW cm−2 respectively), with outstanding cycling stability and flexibility (90.5% capacitance retention after 5000 cycles under bending). Remarkably, we also assembled a self-charging power pack integrated of flexible all-solid-state asymmetric supercapacitors (FASSASCs) and commercial solar cells, which can capture energy from the sun, and then store it to furnish a durative and stable electrical output. Such a device could be powered by the self-charging function without time and location limit. These superior characteristics demonstrate that the Cu(OH)2/CPCC//AC/CC FASSASC a good candidate for next-generation flexible, wearable and portable electronic devices.

Semiconductor metal oxides (SMO)-based gas-sensing materials suffer from insufficient detection of a specific target gas. Reliable selectivity, high sensitivity, and rapid response-recovery times under various working conditions are the main requirements for optimal gas sensors. Chemical warfare agents (CWA) such as sarin are fatal inhibitors of acetylcholinesterase in the nerve system. So, sensing materials with high sensitivity and selectivity toward CWA are urgently needed. Herein, micro-nano octahedral Co3 O4 functionalized with hexafluoroisopropanol (HFIP) were deposited on a layer of reduced graphene oxide (rGO) as a double-layer sensing materials. The Co3 O4 micro-nano octahedra were synthesized by direct growth from electrospun fiber templates calcined in ambient air. The double-layer rGO/Co3 O4 -HFIP sensing materials presented high selectivity toward DMMP (sarin agent simulant, dimethyl methyl phosphonate) versus rGO/Co3 O4 and Co3 O4 sensors after the exposure to various gases owing to hydrogen bonding between the DMMP molecules and Co3 O4 -HFIP. The rGO/Co3 O4 -HFIP sensors showed high stability with a response signal around 11.8 toward 0.5 ppm DMMP at 125 °C, and more than 75 % of the initial response was maintained under a saturated humid environment (85 % relative humidity). These results prove that these double-layer inorganic-organic composite sensing materials are excellent candidates to serve as optimal gas-sensing materials.

The introduction of organic groups onto graphene oxide (GO) platelets can supply additional active sites for adsorption of uranium(VI) (U(VI)) to improve the adsorption capacity. However, as a result of the existence of stabilizing π-conjugation system, a facile and effective modification method remains a challenge. Therefore, a novel strategy is exploited by nano-sized architectural design of multi-activity GO through post-decoration with amidoxime functionalized diaminomaleonitrile (DM-AO). The post-modification of DM-AO successfully activated the inert sites in GO platelets. Meanwhile, the amidoxime group in DM-AO can improve the adsorption selectivity. Adsorption amount of U(VI) on the as prepared GO-DM-AO reached at 935 mg g−1, which is increased by 209% increment compared with that of pristine GO at the same concentration. The adsorption efficiency of GO-DM-AO is greatly improved, and the time to reach the adsorption equilibrium is half of that of GO. Excitingly, the excellent removal efficiency could still maintained even after 5 cycles of adsorption-desorption. The outstanding adsorption amount, short adsorption equilibrium time, and excellent removal efficiency can provide a theoretical guidance for further immobilization of U(VI) from seawater.

Marine biofouling is a catastrophic problem for maritime industries, which catches researchers’ attention. Antifouling coatings have been proved to be an effective approach to against fouling organisms. Herein, we firstly synthesized polydimethylsiloxane with aminopropyl-terminated pendant groups (APDMS) through a ring opening polycondensation, and then APDMS was reacted with bisphenol A type epoxy resin (DGEBA) to form the epoxy modified polysiloxane-based resin (EAPDMS). The curing behavior of DGEBA/APDMS was studied by differential scanning calorimetry (DSC) with a non-isothermal curing method. The adhesion strength of EAPDMS was remarkably improved. The results of dynamic mechanical properties (DMA) and tensile tests showed an obvious enhancement of mechanical properties in the modified resin system. Marine field tests revealed that coatings exhibited excellent antifouling performance within 3 months. In brief, the EAPDMS coatings possess outstanding mechanical properties and excellent adhesion strength, showing high potential in the marine antifouling field.

Superhydrophobic coatings have been applied in various fields because of their advantages such as self-cleaning, drag reduction, dustproof, anti-icing, corrosion resistant etc. However, in this study, a new idea imitating the process of growing grass was proposed to solve the low adhesion, weak wear resistance and poor corrosion resistance of the general superhydrophobic coatings: the ratio of epoxy resin to ZnO seeds were strictly controlled so that ZnO seeds are not completely coated. On this basis, a cluster-like ZnO coating composed of interdigitated ZnO rods was prepared. After modification with stearic acid, the coating exhibited superhydrophobic properties with a contact angle of 163° and the coating showed excellent abrasion resistance and noticeable robustness. Due to the barrier from both epoxy resin/ZnO seeds and cluster-like ZnO, the coating performed excellent corrosion resistance. At the same time, the cluster-like ZnO/epoxy resin coating prepared like seeds rooting has good firmness and can be adapted to various harsh environments such as tape peeling, friction between objects, etc., which can expand the application of the superhydrophobic coatings.

Background There is currently no definite clinical implication for the subtypes of lung squamous cell carcinoma according to the 2015 WHO classification. This study aimed to investigate postoperative recurrence of the two major subtypes of lung squamous cell carcinoma: keratinizing squamous cell carcinoma (KSCC) and nonkeratinizing squamous cell carcinoma (NKSCC). Methods We identified the patients with KSCC and NKSCC who had undergone complete resection in Shanghai Chest Hospital between April 2015 and June 2016. Disease-free survival (DFS) was compared using Kaplan-Meier statistical analysis. Variables selected by univariate analysis were evaluated in multivariate analysis using the Cox proportional hazard model. Results A total of 334 patients included 231 (69.2%) cases with KSCC and 103 (30.8%) cases with NKSCC. There were more smokers in keratinizing than nonkeratinizing subtype (84.8% versus 72.8%, p = 0.009). The percentage of stage Ⅲ was higher in NKSCC than that in KSCC (35% versus 22.9%, p = 0.012). The 2-year DFS rates of stage Ⅰ, stage Ⅱ and stage Ⅲ were 90.1%, 66.4% and 37.7% in KSCC, 83.3%, 67.7% and 52.8% in NKSCC, respectively. There were no significant differences of 2-year DFS rates between KSCC and NKSCC. Furthermore, KSCC and NKSCC had no significant differences in recurrence patterns and metastatic sites. Conclusion There were no significant differences of postoperative recurrence between KSCC and NKSCC.

Uranium (VI) is very essential element in nuclear technique and the enrichment uranium has attracted lots of attention. In this work, l -Arginine and Ag nanoparticles (AgNPs) functionalized reduced graphene oxide ternary hydrogel composites (Ag- l -Arg-rGH) were successfully synthesized, which combined the insertion of AgNPs with one-step thermal reduction and an assembly of graphene oxide nanosheets, using l -Arginine ( l -Arg) as both a functional and cross-linking agents. The Ag- l -Arg-rGH composites exhibited great enhanced sorption capacity. Kinetic data best fitted the pseudo-second-order model. The thermodynamic data fitted the Langmuir isotherm model and the calculated maximum adsorption capacity is 434.78 mg/g. In addition, the anti-algae experimental results indicated adsorbent showed marked algal inhibition with the presence of AgNPs in the Ag- l -Arg-rGH composites. In the simulated seawater experiments, The distribution coefficient (Kd) value of uranium(VI) with other competing ions was 2.41 × 104 mL g−1. Thereby, the Ag- l -Arg-rGH composites possessed a promising potential for the enrichment uranium (VI) from nature seawater.

High electrochemical properties of negative electrode materials are highly desirable for flexible asymmetric supercapacitors (ASCs). Although benefiting from the unique structure and broad operation potential, molybdenum disulfide (MoS2) has caused concern as a negative electrode material because its low electrochemical stability and poor conductivity hinder the exploitation of its application in flexible ASCs. Here we investigated a facile two-step hydrothermal approach to fabricate MoS2/Ketjen black (KB) composites on flexible carbon cloth. Following the construction of flower-like MoS2 on carbon cloth, KB nanospheres were embedded in MoS2 via a secondary hydrothermal route. The as-prepared MoS2/KB electrode presents a high capacitance of 429 F g−1 at a current specific of 1 A g1. In addition, the hybrid ASC device of NiCo2O4//MoS2/KB was built, which delivers a high energy density of 25.7 Wh kg−1 and power density of 16 kW kg−1. These results are ascribed to the favorable structure of MoS2 and inherently superior conductivity of KB, which improves wettability, structural stability and electronic conductivity. In brief, the proposed all-solid-state ASC device offers potential application in future portable electronics and flexible energy storage devices.

In recent years, metal-organic frameworks (MOFs), especially zeolite-imidazole frameworks (ZIFs), have been attracting widespread attention as templates for the synthesis of sensing materials. Limited researches, however, have been carried out to utilize bimetallic ZIFs in gas sensing, as the existing studies mostly involve monometallic ZIFs. Here in, the core-shell structure of ZnO and Co3O4 composite (CS-ZnO/Co3O4) was synthesized via chemical etched to Co/Zn based zeolitic imidazolate framework (Co/Zn-ZIF) with subsequent annealing. The morphology, composition and surface characteristics of the as-obtained samples were confirmed by X-ray diffraction (XRD), X-ray photoelectron spectroscopy (XPS), scanning electron microscopy (SEM), transmission electron microscope (TEM) and Brunauer-Emmett-Teller (BET). Moreover, the gas sensing measurements were implemented under various atmospheres. The response of CS-ZnO/Co3O4 sensor to 100 ppm ethanol at 200 °C achieves 38.87, which is 2.8 times that of single-shell ZnO/Co3O4 (SS-ZnO/Co3O4). The improved response is mainly attributed to the core-shell structure, which offers larger surface area, more active sites for gas diffusion and the formation of p-n heterojunction between ZnO and Co3O4.

3D Ni-Multiwall carbon nanotubes/carbon nanofibers nanostructure has received many attentions due to the large specific surface and excellent electrochemical performance. The aggregation of CNTs and high-cost manufacturing are challenges facing the preparation of hybrid 3D Ni-MWCNTs/CNFs nanomaterials. In this article, MWCNTs have grown on electrospun CNFs by using low-cost reagents and an efficient production process. The direct growth of CNTs on electrospun CNFs completed via one-step process electrospinning of Ni (AC)/PVP/PAN solution and following CVD treatment. The hybrid 3D Ni-MWCNTs/CNFs showed a large surface area of 530 m2/g higher than Ni/CNFs of 375 m2/g. The diameter of the electrospun CNFs and grown CNTs about 150 and 20 nm of hierarchical 3D Ni-MWCNTs/CNFs observed by SEM and TEM images, respectively. The hybrid structure and full carbonization were confirmed by XRD and Raman spectrums. The 3D Ni-MWCNTs/CNFs showed a comparable gas sensing properties with high response and rapid response-recovery times versus Ni/CNFs, electrospun CNFs, and commercial CNTs at RT toward 100 ppb DMMP gas (Dimethyl methyl phosphonate is a simulant gas for sarin nerve agent) with excellent selectivity. In fact, the synthetic procedure promises to be an effective approach to synthesize the hybrid 3D CNTs/CNFs nanomaterials with high sensing performance.

Anti-diatom testing is a basic method to evaluate the anti-fouling performance of coatings. Many existing results of anti-diatom performances are evaluated based on their attachment number or coverage area, ignoring the influence of the crawling and adhesion behavior of diatoms on the analysis results. Here, a Folium Sennae-like film with multiple structural units was prepared by considering the influence of diatom attachment behaviors on the analysis results. The anti-diatom performances of different parts (divided and called four parts: edge, surface, cross striation, and vertical pattern) on the Folium Sennae-like film were evaluated using the counting and area methods. Obviously, the anti-diatom performance of the Folium Sennae-like film was superior to that of epoxy resin without structure. Under equal areas, the average numbers of diatoms on the cross striation and the vertical pattern were similar to the surface. It was found that the attachment behavior of Halamphora sp. is affected by microstructure units, rather than the combined structure of which the scale is much larger than that of diatoms. Meanwhile, the average attachment area for the unit number of diatoms was calculated. The diatom attachment area without microstructure, surface, cross striation, or vertical pattern was 81.751, 106.950, 73.904, and 84.376 μm2, respectively. Moreover, the static and dynamic motion behaviors of Halamphora sp. were studied, and the theory for Halamphora sp. attachment was modeled in three dimensions. The variable morphology of Halamphora sp. lead to inaccurate results for diatom analyses based on the counting and area methods, which is summarized here. This study discusses the evaluation method of coatings by anti-diatom performance, further promoting the research of diatoms in the field of antifouling.

Most marine antifouling coatings rely on the release of toxic biocides to prevent fouling organisms from attaching, causing environmental pollution. This work proposes a biocide-free environmentally friendly marine antifouling strategy. Slippery-liquid-infused electrostatic flocking surfaces (S-EFSs) were prepared by combining electrostatic flocking and slippery liquid infusion. They exhibited complete mussel resistance after comparing adhesion to the surface of different materials in the laboratory. In addition, the unique surface morphology including lubricant was found to be crucial to their antifouling performance. Real-time polymerase chain reaction showed that different surfaces significantly affected the gene-expression levels of the mussels' foot proteins, where higher levels on S-EFSs meant that the mussels tried to secrete more proteins but they failed to adhere. Moreover, a 148-day field test showed that S-EFSs can resist not only mussels but also tubeworms, tunicates, and barnacles, and the total fouling area decreased by more than 50% compared to control samples. Notably, the maturity of electrostatic flocking technology and the simplicity of the modification steps used endow this strategy with the potential to significantly reduce the economic loss caused by marine biofouling in practical applications.

To deal with unwanted biofouling adsorption, which impacts the economy and the environment, significant research has been devoted to composite systems involving a photocatalyst combined with self-renewal resin to provide synergistic antifouling. Here, photocatalyst based on three-dimensional (3D) network of carbon-oxygen-doped nitrogen-deficient carbon nitride and acrylic fluoroboron polymer as a system was successfully synthesized. 3D networks carbon nitride with carbon-oxygen dopants and nitrogen defects were prepared as skeletons, which effectively support and regulate the hydrolysis rate of the polymer. These composite systems exhibits excellent diatom anti-adhesion performance and high antibacterial rates for Escherichia coli and Staphylococcus aureus of up to 91.87% and 88.52%, respectively. In addition, self-cleaning function of the composite system are proved by and higher efficiency of chemical oxygen demand (COD) removal owing to efficient charge-carrier separation and transfer within the 3D network carbon nitride network. The great potential applications of this strategy demonstrated in marine engineering in the future.

Background: During the COVID-19 pandemic, many patients admitted to hospital for treatment have recovered and been discharged; however, in some instances, these same patients are re-admitted due to a second fever or a positive COVID-19 PCR test result. To ascertain whether it is necessary to treat these patients in hospitals, especially in asymptomatic cases, we summarize and analyze the clinical and treatment characteristics of patients re-admitted to hospital with a second COVID-19 infection.Methods: Of the 141 COVID-19 cases admitted to the Wenzhou Central Hospital between January 17, 2020, to March 5, 2020, which were followed until March 30, 2020, 12 patients were re-admitted with a second COVID-19 infection. Data was collected and analyzed from their clinical records, lab indexes, commuted tomography (CT), and treatment strategies.Results: Most of the 141 patients had positive outcomes from treatment, with only 12 (8.5%) being re-admitted. In this sub-group: one (8.3%) had a fever, a high white blood cell count (WBC), and progressive CT changes; and one (8.3%) had increased transaminase. The PCR tests of these two patients returned negative results. Another 10 patients were admitted due to a positive PCR test result, seven of which were clinically asymptomatic. Compared to the CT imaging following their initial discharge, the CT imaging of all patients was significantly improved, and none required additional oxygen or mechanical ventilation during their second course of treatment.Conclusions: The prognoses of the re-admitted patients were good with no serious cases. We conclude that home treatment with concentrated medical observation is a safe and feasible course of treatment if the patient returns a positive PCR test result but does not display serious clinical symptoms. During medical observation, patients with underlying conditions should remain a primary focus, but most do not need to be re-admitted to the hospital.

Background: Plant polyploidization is frequently associated with changes in nutrient contents. However, the possible contribution of metabolites to this change has not been investigated by characterizing the metabolite contents of diploid and tetraploid forms of rice ( Oryza sativa L.). Results: We compared the metabolites of a group of diploid–tetraploid japonica brown rice and a group of diploid–tetraploid indica brown rice based on liquid chromatography-tandem mass spectrometry. In total, 401 differential expression metabolites were identified between diploids and tetraploids; of these, between the japonica and indica groups, 180 showed opposite expression trends but 221 showed the same trends (141 up-regulated vs 69 down-regulated). Hierarchical cluster analysis of differential metabolites between diploid and tetraploid species showed a clear grouping pattern, in which the relative contents of lipids, amino acids and derivatives, and phenolic acids increased in tetraploids. Further analysis revealed that the lipids in tetraploid rice increased significantly, especially unsaturated fatty acids and phospholipids. Conclusions: This study provides more basis for the changes in rice nutritional quality following polyploidization, and may serve as a new theoretical reference for breeding eutrophic or functional rice varieties via polyploidization.

Mussels are typical marine fouling organisms that attach to surfaces though secretions, which is generally the focus of research on mussel-related fouling. This study reveals “a flowering tree” structure on mussel shells with antifouling performance. Based on the antifouling mechanism of surface microstructure, we prepared mussel-like shells (P) using the biomimetic replication method. Mussel adhesion experiments were conducted to examine the anti-mussel performances of the mussel shells and P. The anti-diatom performances of the mussel-like shells were also evaluated using three types of diatoms. The mussels responded differently to different locations on the shells, and the flowering tree microstructure exhibited excellent antifouling performance. In addition, VP (P immersed in vinyl silicon oil) and HP (P immersed in hydroxyl silicone oil) were prepared. The anti-diatom performance of VP was better than those of P and HP, indicating that hydrophobicity has a greater influence on anti-diatom performance than electronegativity. The newly discovered antifouling micro-nano structure was parameterized, revealing that a branch of the flowering tree has an inclination of 13.3° to the surface with a height of 210.1 nm. The results of this study provide insights for further investigations of bionic micro-nano structures in the field of antifouling.

Hitting a baseball, one of the most difficult skills in all of sports, requires complex hand-eye coordination, but its link with basic visuomotor capabilities remains largely unknown. Here we examined basic visuomotor skills of baseball players and demographically matched nonathletes by measuring their ocular-tracking and manual-control performance. We further investigated how these two capabilities relate to batting performance in baseball players. Compared to nonathletes, baseball players showed better ocular-tracking and manual-control capabilities, which remain unchanged with increasing baseball experience. Both, however, become more correlated with batting accuracy with increasing experience. Ocular-tracking performance is predictive of batting skill, accounting for ≥ 70% of the variance in batting performance across players with ≥ 10 years of experience. A simple linear additive-noise cascade model with shared front-end visual noise that limits batting performance can explain many of our results. Our findings show that fundamental visuomotor capabilities can predict the complex, learned skill of baseball batting.

e15558 Background: Colorectal carcinoma (CRC) is one of the most frequent and lethal cancers in the world. Important therapeutic progress of immune checkpoint inhibitors (ICIs) is limited to molecular niche of CRC with microsatellite-stable(MSS). The identification of genomic alterations in the DNA damage response (DDR) pathway have been recognized as pathogenic factors in hereditary cancer predisposition. Few studies showed the effects of ICIs on DDR pathway in patients with MSS CRC. Some reports suggested that DDR could reshape tumor immune microenvironment by regulating tissue repair and local immune response. Here we evaluated the molecular roles of DDR pathway and the immune microenvironment in efficacy of immunotherapy in MSS CRC. Methods: A total of 67 patients with MSS CRC were enrolled into the study. All samples were collected and detected by using NGS with a 1021 gene panel which containing 56 DDR genes (Supplementary table 1). Furthermore, comprehensive bioinformatics analysis were performed by the TCGA and MSK data. We defined pathway alteration as at least one gene in DDR pathway mutated. Results: In our results, three DDR pathway alteration showed poor prognosis (P = 0.0167) compared with DDR wild type in TCGA data (Figure 1A). The MSK data demonstrated that three DDR pathway alteration were associated with a better prognosis in MSS CRC patients through ICIs therapy (P = 0.0416, P = 0.00627, respectively, Figure 1B). The clinical data suggested the patient with DDR pathway alteration had longer OS (354.7 ± 134.0 days, PR) than the others with DDR wild type (247.1± 258.4 days, PD/SD) after PD-1-targeted therapies (P = 1.587e-08). Moreover, the patient with DDR pathway alteration showed significant longer PFS (312.3 ± 179.2 days, PR) compared with DDR wild type (163.3 ± 157.7 days, PD/SD) through immune therapies (P = 4.249e-10). Moreover, significant results of immune infiltrate deconvolution revealed resting memory CD4+ T cells were the most prevalent population between DDR pathway alteration and DDR wild type using CIBERSORT analysis (P = 0.0295, Figure 1C). The activated memory CD4+ T cells in DDR pathway alteration were lower than DDR wild type (P = 0.00858, Figure 1C-D) in patients with MSS CRC. The effects of DDR pathway alteration on immune microenvironment was also necessary for effective PD-1-targeted therapy in future study. Our results suggest that two or more DDR pathways and CD4 + T cells may serve as immunotherapy markers for advanced MSS colorectal cancer. Conclusions: Mutations in DDR pathway may serve as a biomarker for PD-1-targeted therapy through memory CD4+ T cells for MSS CRC patients, which warrants further studies.

e23519 Background: Both undifferentiated sarcoma of soft tissue and undifferentiated carcinomas can arise in multiple tissue and are with an aggressive clinical course. While undifferentiated sarcomas that remain a diagnosis of exclusion and show extreme genomic complexity, less is known about undifferentiated carcinoma. Methods: Sixty-two patients diagnosed as undifferentiated sarcoma (n = 36, 10 bone/limbs, 9 abdomen, 9 pelvis, and 8 chest/intrathoracic) or carcinoma (n = 26, excluding undifferentiated carcinoma of nasopharynx and thyroid, 15 chest/intrathoracic, 8 abdomen, and 3 pelvis) were recruited in the study. Mutational analysis was performed by next-generation sequencing of 1021 tumor related genes, which enabled analysis of TMB and MSI as well. PD-L1 expression data was available in 24 patients. Results: Fifty-eight patients (93.5%, 58/62) had at least 1 mutation identified and 542 SNV, 115 CNV and 5 fusions were identified in total in the 62 patients. The top 5 mutant genes were TP53 (56.5%, 35/62), TERT (11.3 %, 7/62), SMARCA4 (9.7%, 6/62), LRP1B (9.7%, 6/62), and MLL2 (9.7%, 6/62). Interestingly, mutation in TP53 was more common in undifferentiated carcinoma (73.08%, 19/26) than sarcoma (44.44%, 16/36, p = 0.0377). Two ERBB2 CNV and 1 KIF5B-RET fusion were identified in 2 gastric carcinoma and 1 lung large cell carcinoma. However, no carcinoma but 2 sarcoma (1 polymorphic undifferentiated sarcoma in the limb and 1 undifferentiated small round cell sarcoma in the lung) showed MSI-H, with TMB as high as 22.08 and 65.28 respectively, while the median TMB was 3.84 mutations/Mb. Among the 24 patients with PD-L1 data, 16 were > 1%, and 5 were > 50%, with no significant difference between undifferentiated carcinoma and sarcoma. Conclusions: In spite of the genome complexity in undifferentiated sarcoma of soft tissue and carcinoma, there was limited actionable mutations in these two aggressive tumors. However, immunotherapy should be considered since over half of these patients were PD-L1 positive and nearly a quarter of them had high PD-L1 expression.

e15058 Background: The mesenchymal epithelial transition factor receptor (MET) is a potential therapeutic target in a number of cancers, commonly activated by amplification, mutation and fusion. Methods: Rare tumor was defined as solid tumors with an incidence lower than 2.5/100,000 per year. We retrospectively analyzed the next-generation sequencing and clinicopathological data of 3453 Chinese rare tumors patients in the Geneplus database, including 1021 genes, MSI loci, tumor mutational burden (TMB), and programmed cell death ligand-1 (PD-L1) expression analysis information. Results: MET-positive was identified in 115 patients (3.3%), including 109 cases of amplification (3.2%), 8 cases of exon 14 skipping (0.2%) and 1 cases of fusion. The prevalence of MET-positive varied widely across tumors systems and subtypes. Urinary, neural, skin and respiratory systems were the top 4 systems with 8.3% (1/12), 7.9% (58/732), 4.2% (1/24) and 2.9% (6/207) MET-positive rate, respectively. Considering the tumor subtypes, glioblastoma, sarcomatoid carcinoma, neuroendocrine tumor and glioma were higher, reaching 15.7% (16/102), 13.2% (7/53), 9.8% (4/41), and 7.4% (36/487) respectively (Table). Totally, 73.0% of patients had at least one common targetable gene mutation, including ATM，BRAF，BRCA，CDKN2A，EGFR substitution, ERBB2, FGFR1,2,3, KIT, NF1, PIK3CA, PTEN and RET. The proportions of TMB-H (≥9 mut/Mb) and MSI-H were very low, with only 8.9% and 2.2%, while PD-L1 positive rate reached to 60.9%. Conclusions: The treatment options for rare tumors are still limited. The approval of MET receptor tyrosine kinase has brought hope to patients with Non-Small Cell Lung Cancer. The MET-positive rate in rare tumors is higher than 2.7% in lung adenocarcinoma, so MET receptor tyrosine kinase have great application potential in rare tumors. However, since most patients co-occurred with other targetable driver mutations or PD-L1 positive, how to choose the best treatment strategy should be solved. The deployment of the best treatment strategy is a problem that should be solved in the follow-up study.[Table: see text]

9087 Background: Genomic profiling of cerebrospinal fluid (CSF) could be used to detect actionable mutations to guide the clinical treatment of NSCLC patients with central nervous system (CNS) metastases. Examining the performance of CSF samples in a real-world setting can further confirms the potential of CSF in genotyping for guiding therapy in clinical practice. Methods: A total of 1097 samples were collected from 773 treated NSCLC patients with CNS metastases in a real-world setting, including 117(10.67%) CSF samples, 287(26.16%) tissue samples and 693(63.17%) plasma samples. All samples were subjected to the targeted next-generation sequencing of 1021 cancer-relevant genes. Results: Of these 1097 treated samples, somatic alterations were identified in 112 (95.72%) of the CSF samples, comparing with 287 (100%) of tumor tissue samples and 592 (85.43%) of plasma. Among the tumor tissue samples, 242 were non-intracranial tissues, which could not reveal the unique genetic profiles of intracranial metastases. The median of maximal somatic allele frequency of CSF samples (72.35%) was significantly higher than those of plasma (1.30%) and tumor tissues (37.30%) (all p

Tumor mutation burden (TMB) is an independent indicator used to select patients sensitive to immunotherapy. The present study aimed to investigate the clinicopathological and molecular characteristics of patients with hypermutant lung cancer to identify an economical, simple and complementary method for predicting TMB and immunotherapy responses. In total, 1,000 patients with lung cancer were randomly selected, and their samples were submitted to next-generation sequencing, with their TMB status reviewed. The threshold of hypermutation was set to 17.24 mutations (muts)/Mb. The proportion of smokers was higher in the hypermutant cohort (n=67) compared with in the non-hypermutant cohort (n=933; 85.1 vs. 46.6%; P

Electrolysis of water is currently one of the cleanest and most efficient ways to produce high-purity hydrogen. The oxygen evolution reaction (OER) at the anode of electrolysis is the key factor affecting the reaction efficiency, which involves the transfer of four electrons and can slow down the overall reaction process. In this work, using nickel foam coated with MXene (Ti3C2Tx) as the carrier, a three-dimensional flower-shaped layered double hydroxide (NiCo-LDH) is grown on Ti3C2Tx by a hydrothermal method to fabricate a NiCo-LDH/Ti3C2Tx/NF hybrid electrocatalyst for enhanced OER performance. The results reveal that the hybrid electrocatalyst has excellent OER activity in alkaline solution, in which a low overpotential of 223 mV and a small Tafel slope of 47.2 mV dec−1 can be achieved at a current density of 100 mA cm−2. The interface interaction and charge transfer between Ti3C2Tx and NiCo-LDH can accelerate the electron transfer rate during the redox process and improve the catalytic activity of the overall reaction. This NiCo-LDH/Ti3C2Tx/NF hybrid electrocatalyst may have important research significance and great application potential in catalytic electrolysis of water.

It is still a challenge to obtain uranium (U) adsorbents with high selectivity, excellent cycle stability and excellent performance through design and synthesis. In this paper, the TiO

Tyrosine kinase inhibitors (TKI) resistance is a predominant cause of therapy failure of Philadelphia chromosome-positive acute lymphoblastic leukemia (Ph+ ALL). The mutation in the BCR-ABL kinase domain, as the indicator of drug resistance, suggested recurrence and poor prognosis. Our data aimed to evaluate the factors having significant roles in the prognostic value of the acquired BCR-ABL mutations. Three hundred and thirteen Ph+ ALL patients (64 patients with BCR-ABL mutations and 171 patients without BCR-ABL mutations) were enrolled in this study. Univariate and multivariable logistic regression analysis was used to evaluate the relationship between clinical features and BCR-ABL KD mutation. Univariate analysis showed that the patients with higher WBC (P=0.005), MMR after first induced chemotherapy (P=0.053), and Age≥45 years (P=0.072) were more likely to occur BCR-ABL mutations during the treatments. Finally, multivariable logistic regression indicated that higher WBC (≥22×109/L) was an independent risk of resistance to TKI and raise the possibility of KD mutations in Ph+ ALL patients. The happen of BCR-ABL mutations mean poor prognosis with shorter OS (P=0.000) and allogeneic hematopoietic stem-cell transplantation (allo-HSCT) would improve the long-term survival (OS: P=0.000). Conversely, for the defined low-risk populations, no significant difference was found between the transplant group and the non-transplant group in subgroup analysis, providing a rationale to potentially avoid allo-HSCT in this subgroup of patients.

Background: GuiZhi-ShaoYao-ZhiMu decoction (GSZD), a traditional Chinese herbal medication, has been frequently used as an add-on medication to methotrexate (MTX) for rheumatoid arthritis (RA) treatment in China. This meta-analysis evaluated the efficacy and safety of adding GSZD to MTX for RA treatment. Methods: We performed a systematic search of PubMed, Web of Science, EMBASE, and the Cochrane Library (all databases) for English-language studies and WanFang, VIP, and CNKI for Chinese-language studies up to 28 July 2020. Data from selected studies, mainly the response rates and rate of adverse events (AEs), were extracted independently by two authors, and a random-effects model (Mantel–Haenszel method) was used for the meta-analysis. Results: A total of 14 randomized controlled trials and 1224 patients were included (623 patients in the GSZD + MTX group and 601 patients in the MTX group). For efficacy, the meta-analysis found that combining GSZD with MTX increased the effective rate [relative risk (RR) = 1.24, 95% confidence interval (CI): 1.18–1.30, based on 1069 patients], defined as >30% efficacy, American College of Rheumatology 20, or a decrease of disease activity score 28 >0.6. Adding GSZD reduced the swollen and tender joint counts, the duration of morning stiffness, the levels of C-reactive protein and rheumatoid factor, and erythrocyte sedimentation rate. The adjuvant therapeutic effect of GSZD was independent of the dose of MTX or the combined utilization of other drugs in both groups. For safety, adding GSZD was associated with a lower rate of total AEs (RR = 0.46, 95% CI: 0.26–0.83, based on 615 patients) and gastrointestinal tract AEs (RR = 0.46, 95% CI: 0.24–0.88, based on 537 patients). Conclusion: Combining GSZD with MTX may be a more efficacious and safer strategy for treating RA compared with MTX alone. Further large studies are warranted to investigate the long-term efficacy and safety of adding GSZD to MTX for RA treatment.

Breast cancer is one of the most commonly diagnosed malignancies. Although endocrine therapy improves the survival of patients with hormone receptor (HR)-positive breast cancer, the post-endocrine therapy strategy for metastatic breast cancer remains challenging. Herein, we report two patients who benefited from antiestrogen agents combined with an immunotherapy regimen to support the notion that an immunotherapy combination regimen may be a potential treatment for patients with HR-positive metastatic breast cancer post-endocrine therapy. Case 1 involved a patient with relapsed breast cancer with ovarian and brain metastases after endocrine therapy. After undergoing surgery for the ovarian lesions, she received three cycles of chemotherapy. Given that the lesions in the brain did not change, chemotherapy was discontinued. A high T cell receptor (TCR) repertoire (high Shannon index and clonality) was observed in the tumor. Considering the patient's preference and safety, and the efficacy of immunotherapy, she was administered with letrozole combined with pembrolizumab. The patient achieved a partial response, and the progression-free survival (PFS) was more than 21 months. Case 2 involved a patient with breast cancer with multiple bone metastases. After failure of combined radiotherapy and chemotherapy, the patient received tamoxifen combined with pembrolizumab based on the patient's preference and clinical biomarkers of a positive differentiation cluster of eight tumor-infiltrating lymphocytes and a high TCR repertoire (high Shannon index and clonality) in the tumor. The patient's bone pain and biomarkers were relieved after the treatment. The patients completed six cycles of pembrolizumab, and the PFS was more than 21 months. In conclusion, our study confirmed that antiestrogen agents combined with an immunotherapy regimen is a promising treatment for patients with HR-positive metastatic breast cancer.

With the growing demand for nuclear energy, uranium extraction from seawater (UES) is becoming increasingly important due to the ocean reserves 4.5 billion tons for uranium(VI) [U(VI)]. Herein, two kinds of amidoxime modified bamboo charcoal (AOOBCS and AOOBCH) with porous structure, anti-bacterial, and super-hydrophilic properties were successfully synthetized by two etching methods (soaking and hydrothermal). The super-hydrophilic property of AOOBCH accelerated the contact between the amidoxime group and uranyl ions (UO22+), and promoted the action of anti-bacterial substances (bamboo-quinone) on bacteria to restrain the form of bacterial membrane. In addition, the amidoxime groups not only didn’t destroy the super-hydrophilic surface, but also adjusted the adsorbents’ pKa by changing the amidoxime grafting rate. Under PH = 7, the adsorption capacity of AOOBCH was about 1.97 times that of AOOBCS and 2.95 times that of BC. Importantly, the AOOBCH exhibited ultra-high uptake capacity (6.37 mg g−1) and exceptional selectivity for U(VI) in 100-fold interfering ions simulated seawater system due to the chelation between C(NH2) N O H and UO22+ to form a more stable coordination structure (Eads = −36.56 eV). Benefiting from the superior performance and selectivity, the AOOBCH is a potential candidate for UES.

Objective We aimed to analyse FGFR1 rare variants in a series of Chinese congenital hypogonadotropic hypogonadism (CHH) patients. In addition, we intended to understand the clinical characteristics and the response to treatment of CHH patients with FGFR1 rare variants. Patients and methods A total of 357 CHH patients were recruited at Peking Union Medical College Hospital. We used Sanger sequencing to analyse FGFR1 gene. In silico analysis was carried out to study the pathogenicity of novel missense variants. The clinical, endocrinological and therapeutic effects from patients carrying FGFR1 rare variants were analysed retrospectively. Results Thimissense mutations.rty patients in this series were found to harbour 29 FGFR1 rare variants, with 8 recurrent and 21 novel variants. After comprehensive analysis, 18 out of 21 novel variants were classified as likely pathogenic (LP) ones. These variants are widely spread throughout the FGFR1 gene and almost all FGFR1 functional domains, which exhibited no hot spot. Cryptorchidism, cleft palate and dental abnormality incidence in this CHH series that possessed FGFR1 LP variants were approximately 38.5%, 7.6% and 3.8%, respectively. Among patients who accepted the fertility-promoting treatment, 8 out of 10 patients succeeded in spermatogenesis. Conclusions Eighteen novel LP variants were found to expand the spectrum of FGFR1 rare variants. In CHH patients possessing FGFR1 variants, we found that the rate of spermatogenesis was high following fertility-promoting therapy and the existence of cryptorchidism may represent the underlying factors which affect spermatogenesis.

Supplemental material, sj-pdf-1-taj-10.1177_2040622321993438 for Chinese traditional medicine (GuiZhi-ShaoYao-ZhiMu decoction) as an add-on medication to methotrexate for rheumatoid arthritis: a meta-analysis of randomized clinical trials by Chenxi Feng, Rongrong Chen, Keer Wang, Chengping Wen and Zhenghao Xu in Therapeutic Advances in Chronic Disease