Molecular subgroups of adult medulloblastoma: a long-term single-institution study

Background Recent transcriptomic approaches have demonstrated that there are at least 4 distinct subgroups in medulloblastoma (MB); however, survival studies of molecular subgroups in adult MB have been inconclusive because of small sample sizes. The aim of this study is to investigate the molecular subgroups in adult MB and identify their clinical and prognostic implications in a large, single-institution cohort. Methods We determined gene expression profiles for 13 primary adult MBs. Bioinformatics tools were used to establish distinct molecular subgroups based on the most informative genes in the dataset. Immunohistochemistry with subgroup-specific antibodies was then used for validation within an independent cohort of 201 formalin-fixed MB tumors, in conjunction with a systematic analysis of clinical and histological characteristics. Results Three distinct molecular variants of adult MB were identified: the SHH, WNT, and group 4 subgroups. Validation of these subgroups in the 201-tumor cohort by immunohistochemistry identified significant differences in subgroup-specific demographics, histology, and metastatic status. The SHH subgroup accounted for the majority of the tumors (62%), followed by the group 4 subgroup (28%) and the WNT subgroup (10%). Group 4 tumors had significantly worse progression-free and overall survival compared with tumors of the other molecular subtypes. Conclusions We have identified 3 subgroups of adult MB, characterized by distinct expression profiles, clinical features, pathological features, and prognosis. Clinical variables incorporated with molecular subgroup are more significantly informative for predicting adult patient outcome

Distribution Measurement and Mechanism Research on Deformation due to Losing Water of Overburden Layer

Abstract Based on FBG fiber Bragg grating technology and BOTDA distributed optical fiber sensing technology, this study used fine sand to simulate overburden layer in vertical shaft model equipment. The placing technique and test method for optical fiber sensors in the overburden layer were studied, combined with MODFLOW software to simulate the change of the water head value when the overburden layer was losing water, and obtained the deformation features of overburden layer. The results showed that at the beginning of water loss, the vertical deformation increased due to larger hydraulic pressure drop, while the deformation decreased gradually and tended to be stable with the hydraulic pressure drop reducing. The circumferential deformation was closely related to the distance between the drainage holes, variations of water head value and the method of drainage. The monitoring result based on optical fiber sensing technology was consistent to the characteristics of water loss in overburden layer simulated by MODFLOW software, which showed that the optical fiber sensing technology applied to monitor shaft overburden layer was feasible

Cross-Linked ZnO Nanowalls Immobilized onto Bamboo Surface and Their Use as Recyclable Photocatalysts

A novel recyclable photocatalyst was fabricated by hydrothermal method to immobilize the cross-linked ZnO nanowalls on the bamboo surface. The resultant samples were characterized by using scanning electron microscopy (SEM), X-ray diffraction (XRD), energy dispersive spectroscopy (EDS), and Fourier transformation infrared (FTIR) techniques. FTIR spectra demonstrated that the cross-linked wurtzite ZnO nanowalls and bamboo surface were interconnected with each other by hydrogen bonds. Meanwhile, the cross-linked ZnO nanowalls modified bamboo (CZNB) presented a superior photocatalytic ability and could be recycled at least 3 times with a photocatalytic efficiency up to 70%. The current research provides a new opportunity for the development of a portable and recycled biomass-based photocatalysts which can be an efficiently degraded pollutant solution and reused several times

A Retrospective Study of Progression-Free and Overall Survival in Pediatric Medulloblastoma Based on Molecular Subgroup Classification: A Single-Institution Experience

BackgroundMedulloblastoma (MB) has been classified into four core subgroups according to the transcriptional profile in recent years. However, some disagreement among researchers remains regarding the prognoses and most effective treatments of the different subgroups with different age distributions.ObjectiveThe objective of this study was to analyze MB prognosis in children population based on the classification of four molecular subgroups.MethodsFrom January 2011 to January 2013, 84 consecutive MB patients aged underwent tumor removal at Beijing Tiantan Hospital. A total of 55 patients who ranged in age from 4 to 18 years underwent detailed follow-up. Molecular subgrouping was performed using RT-PCR.ResultsThe 2-year progression-free survival (PFS) and overall survival (OS) rates for the entire cohort were 76.2 ± 5.8 and 81.8 ± 5.2%, respectively. Univariate analysis revealed that the Group 4 patients had a better survival (2-year OS, 90.6 ± 5.2%) than the SHH subgroup (P = 0.002) and Group 3 patients (P = 0.008). Only two of the 23 non-metastasized Group 4 patients relapsed, and chemotherapy did significantly affect these patients (PFS, P = 0.685). One out of five WNT patients had tumor relapse and died at last. Large cell/anaplastic (LC/A) histology and chemotherapy were independent risk factors in multivariate analysis.ConclusionIn our study, the non-metastasized Group 4 patients had an excellent prognosis. The SHH subgroup and Group 3 patients had worst prognoses. LC/A histology had a dismal prognosis in our cohorts, which warrants intensive treatment

One-Step Preparation of Graphene Oxide/Cellulose Nanofibril Hybrid Aerogel for Adsorptive Removal of Four Kinds of Antibiotics

Via a one-step ultrasonication method, cellulose nanofibril/graphene oxide hybrid (GO-CNF) aerogel was successfully prepared. The as-prepared GO-CNF possessed interconnected 3D network microstructure based on GO nanosheets grown along CNF through hydrogen bonds. The aerogel exhibited superior adsorption capacity toward four kinds of antibiotics. The removal percentages (R%) of these antibiotics were 81.5%, 79.5%, 79.1%, and 73.9% for Doxycycline (DXC), Chlortetracycline (CTC), Oxytetracycline (OTC), and tetracycline (TC), respectively. Simultaneously, the adsorption isotherms were well fitted to Langmuir model and kinetics study implied that the adsorption process was attributed to pseudo-second-order model. The maximum theoretical adsorption capacities of GO-CNF were 469.7, 396.5, 386.5, and 343.8 mg·g−1 for DXC, CTC, OTC, and TC, respectively, calculated by the Langmuir isotherm models. After five cycles, importantly, the regenerated aerogels still could be used with little degradation of adsorption property. Consequently, the as-synthesized GO-CNF was a successful application of effective removal of antibiotics

Synthesis and Characterization of Uniform Spherical Nanoporous TiO 2

The spherical nanoporous TiO2 aerogels were prepared by a simple ethanol-thermal method, using spherical cellulose alcohol-gel as the template. The morphology, crystalline structure, pore size, specific surface area, and the photocatalytic activity of obtained TiO2 aerogel were separately characterized by scanning electron microscopy (SEM), transmission electron microscopy (TEM), X-ray diffraction (XRD), X-ray photoelectron spectroscopy (XPS), N2 adsorption-desorption isotherms, and double beam UV-VIS spectrophotometer. The characteristics of TiO2 aerogels presented uniform sphere shape, good internal structural morphology, high specific surface area (ranging from 111.88 to 149.95 m2/g), and good crystalline anatase phase. Moreover, methyl orange dye was used as the target pollutant to characterize the photocatalytic activities and the adsorption performance. The photocatalytic experiment shows that the obtained spherical TiO2 aerogels had a higher degradation ratio of 92.9% on methyl orange dye compared with aspherical TiO2 aerogels prepared from other concentrations of tetrabutyl orthotitanate (TBOT)

Spawns Structure of Rod-Like ZnO Wrapped in Cellulose Nanofibers for Electromagnetic Wave Absorption

Spawns structure of rod-like ZnO wrapped in the cellulose nanofibers was successfully fabricated through a facile one-step hydrothermal method, and their electromagnetic wave absorption properties were investigated. The structure and properties of the composite aerogel were characterized. The enlarged morphology images showed that the as-prepared cellulose nanofiber/ZnO samples were spawns structure of rod-like ZnO wrapped in the cellulose nanofibers. The composite aerogel in a wax matrix exhibited excellent electromagnetic wave absorption performance over 2–18 GHz. The widest absorption bandwidth of 30 wt% contained with reflection loss values less than −10 dB was up to 12 GHz (6–18 GHz) at the thickness of 5.5 mm and the minimum reflection loss value reached −26.32 dB at 15.2 GHz when the thickness of the absorber was 3 mm

Combination therapy with oral treprostinil for pulmonary arterial hypertension. A double-blind placebo-controlled clinical trial

Rationale: Oral treprostinil improves exercise capacity in patients with pulmonary arterial hypertension (PAH), but the effect on clinical outcomes was unknown. Objectives: To evaluate the effect of oral treprostinil compared with placebo on time to first adjudicated clinical worsening event in participants with PAH who recently began approved oral monotherapy. Methods: In this event-driven, double-blind study, we randomly allocated 690 participants (1:1 ratio) with PAH to receive placebo or oral treprostinil extended-release tablets three times daily. Eligible participants were using approved oral monotherapy for over 30 days before randomization and had a 6-minute-walk distance 150 m or greater. The primary endpoint was the time to first adjudicated clinical worsening event: death; hospitalization due to worsening PAH; initiation of inhaled or parenteral prostacyclin therapy; disease progression; or unsatisfactory long-term clinical response. Measurements and Main Results: Clinical worsening occurred in 26% of the oral treprostinil group compared with 36% of placebo participants (hazard ratio, 0.74; 95% confidence interval, 0.56–0.97; P = 0.028). Key measures of disease status, including functional class, Borg dyspnea score, and N-terminal pro–brain natriuretic peptide, all favored oral treprostinil treatment at Week 24 and beyond. A noninvasive risk stratification analysis demonstrated that oral treprostinil–assigned participants had a substantially higher mortality risk at baseline but achieved a lower risk profile from Study Weeks 12–60. The most common adverse events in the oral treprostinil group were headache, diarrhea, flushing, nausea, and vomiting. Conclusions: In participants with PAH, addition of oral treprostinil to approved oral monotherapy reduced the risk of clinical worsening. Clinical trial registered with www.clinicaltrials.gov (NCT01560624)