单孔、两孔及三孔胸腔镜下早期非小细胞肺癌根治术的效果比较研究

目的:通过比较不同胸腔镜手术方式治疗早期非小细胞肺癌根治术术后的相关临床指标,为临床手术方式提供经验。方法:收集我院2017年1月～2019年12月收治的行肺癌根治术的早期非小细胞肺癌病例共100例,分别采用单孔胸腔镜(40例),两孔胸腔镜(32例)及三孔胸腔镜(28例)手术方式,比较三组手术术中及术后的相关指标。结果:单孔胸腔镜组术中出血量、术后引流量明显少于两孔胸腔镜组和三孔胸腔镜组(P0.05),而两孔胸腔镜组明显少于三孔胸腔镜组(P0.05);单孔胸腔镜组术后胸管留置时间和术后住院时间均短于两孔胸腔镜组和三孔胸腔镜组(P0.05),而两孔胸腔镜组明显短于三孔胸腔镜组(P0.05)。三组组内疼痛评分术后24h低于术后12h,术后48h低于术后24h,差异均有统计学意义(P0.05)。三组组间不同时间点疼痛评分比较发现,单孔胸腔镜组疼痛评分低于两孔胸腔镜组和三孔胸腔镜组(P0.05),而两孔胸腔镜组低于三孔胸腔镜组(P0.05)。三组清扫淋巴结数目、淋巴结站数和术后并发症发生率差异均无统计学意义(P0.05)。结论:单孔胸腔镜早期非小细胞肺癌根治术与两孔、三孔胸腔镜手术相比优势明显,且不会显著增加术后并发症,可作为临床首选。     

Could urinary ACE2 protein level help identify individuals susceptible to SARS-CoV-2 infection and complication?

Science China Life Sciences -     

Desert breath—How fog promotes a novel type of soil biocenosis,forming the coastal Atacama Desert’s living skin

The Atacama Desert is the driest non‐polar desert on Earth, presenting precarious conditions for biological activity. In the arid coastal belt, life is restricted to areas with fog events that cause almost daily wet–dry cycles. In such an area, we discovered a hitherto unknown and unique ground covering biocenosis dominated by lichens, fungi, and algae attached to grit‐sized (~6 mm) quartz and granitoid stones. Comparable biocenosis forming a kind of a layer on top of soil and rock surfaces in general is summarized as cryptogamic ground covers (CGC) in literature. In contrast to known CGC from arid environments to which frequent cyclic wetting events are lethal, in the Atacama Desert every fog event is answered by photosynthetic activity of the soil community and thus considered as the desert's breath. Photosynthesis of the new CGC type is activated by the lowest amount of water known for such a community worldwide thus enabling the unique biocenosis to fulfill a variety of ecosystem services. In a considerable portion of the coastal Atacama Desert, it protects the soil from sporadically occurring splash erosion and contributes to the accumulation of soil carbon and nitrogen as well as soil formation through bio‐weathering. The structure and function of the new CGC type are discussed, and we suggest the name grit–crust. We conclude that this type of CGC can be expected in all non‐polar fog deserts of the world and may resemble the cryptogam communities that shaped ancient Earth. It may thus represent a relevant player in current and ancient biogeochemical cycling.     

Molten salt synthesis and luminescence of Dy3+‐doped Y3Al5O12 phosphors

Dy³⁺‐doped Y₃Al₅O₁₂ phosphors were prepared at a relatively low temperature using molten salt synthesis. The phase of the prepared Dy³⁺‐doped Y₃Al₅O₁₂ phosphors was confirmed using X‐ray powder diffraction. Results indicated that Dy³⁺ doping did not change the Y₃Al₅O₁₂ phase. Following excitation at 352 nm, emission spectra of the Dy³⁺‐doped Y₃Al₅O₁₂ phosphors consisted of blue, yellow, and red emission bands. The influence of Dy³⁺ concentration and excitation wavelength on emission was investigated. The ratio of yellow light to blue light varied with change in Dy³⁺ doping concentration, due to changes in the structure around Dy³⁺. Emission intensities also changed when the excitation wavelength was changed. This variation is luminescence generated a system for tunable white light for Dy³⁺‐doped Y₃Al₅O₁₂ phosphors.     

刺楸年轮中重金属含量动态变化及富集特性

为探索刺楸对受污染土壤重金属的富集和修复效应, 以南京栖霞山的乡土树种刺楸及其根际周边土壤为研究对象, 截取其根基部年轮盘及根际土壤样本, 采用ICP-AES法测定年轮及土壤样本中重金属(Cu、Cd、Cr、Mn、Ni、Pb、Zn)元素含量。结果表明: 栖霞山样地中的土壤受Mn、Pb和Zn污染最为严重, 存在Cu、Cd、Mn、Pb、Zn元素的高度复合污染, Cd、Cr、Cu、Ni、Zn在土壤和年轮中存在相关性, Mn和Pb则没有表现出明显的相关性; 刺楸修复受Cd、Mn、Pb、Zn污染的土壤效果并不显著, 更适用于Cr、Cu、Ni污染的土壤修复; 鉴于Cu元素含量变化特征, 刺楸也可以作为反映当地污染历史的记录载体; 刺楸年轮中的重金属元素之间存在交互作用, 其中Cd与Zn元素含量高度相关(r=0.984, p<0.01), 在刺楸年轮吸收重金属元素的过程中, Cu与Cd、Cr、Mn、Zn元素具有协同作用, Mn元素对其他元素有一定的拮抗作用。     

Knockdown of DNA‐binding protein A enhances the chemotherapy sensitivity of colorectal cancer via suppressing the Wnt/β‐catenin/Chk1 pathway

DNA‐binding protein A (dbpA) is reported to be upregulated in many cancers and associated with tumor progress. The present study aimed to investigate the role of dbpA in 5‐fluorouracil (5‐FU)‐resistant and oxaliplatin (L‐OHP)‐resistant colorectal cancer (CRC) cells. We found that 5‐FU and L‐OPH treatment promoted the expression of dbpA. Enhanced dbpA promoted the drug resistance of SW620 cells to 5‐FU and L‐OHP. DbpA knockdown inhibited cell proliferation, induced cell apoptosis, and cell cycle arrested in SW620/5‐FU and SW620/L‐OHP cells. Besides, dbpA short hairpin RNA (shRNA) enhanced the cytotoxicity of 5‐FU and L‐OHP to SW620/5‐FU and SW620/L‐OHP cells. Meanwhile, dbpA shRNA inhibited the activation of the Wnt/β‐catenin pathway that induced by 5‐FU stimulation in SW620/5‐FU cells. Activation of the Wnt/β‐catenin pathway or overexpression of checkpoint kinase 1 (Chk1) abrogated the promoting effect of dbpA downregulation on 5‐FU sensitivity of CRC cells. Importantly, downregulation of dbpA suppressed tumor growth and promoted CRC cells sensitivity to 5‐FU in vivo. Our study indicated that the knockdown of dbpA enhanced the sensitivity of CRC cells to 5‐FU via Wnt/β‐catenin/Chk1 pathway, and DbpA may be a potential therapeutic target to sensitize drug resistance CRC to 5‐FU and L‐OHP.