Case report: The diagnostic pitfall of Warthin-like mucoepidermoid carcinoma

Warthin-like mucoepidermoid carcinoma (WL-MEC) is a newly reported variant of mucoepidermoid carcinoma. Its histological feature is easy to confused with metaplastic Warthin Tumor, and its relationship with Warthin tumor in histogenesis is controversial. In this study, we presented two cases of WL-MEC, discussing their clinicopathological and molecular features. Notably, one case was initially misdiagnosed during the first onset of the tumor. Case 1 was a 60-year-old female with a mass in the right parotid gland. Case 2 featured a 29-year-old male who developed a lump at the original surgical site 6 months after a “Warthin tumor” resection from the submandibular gland. Histologically, both tumor exhibited a prominent lymphoid stroma and cystic pattern, accompanied by various amounts of epithelial nests composed of squamoid cells, intermediate cells and mucinous cells. The characteristic eosinophilic bilayer epithelium of Warthin tumor was not typically presented in either case. Both cases tested positive for MAML2 gene rearrangement. To contextualize our findings, we conducted a comprehensive review of forty-eight WL-MEC cases documented in the English literature, aiming to synthesizing a reliable differential diagnostic approach. WL-MEC is a rare yet clinically relevant variant, posing a diagnostic pitfall for pathologists. Our study underscores the importance of a meticulous evaluation of both clinical and histological features, coupled with the detection of MAML2 rearrangement, as a credible method for distinguishing WL-MEC from other benign and malignant lesions, particularly metaplastic Warthin tumor

Investigation into the factors that influence inverse bulging effect during sheet hydro-mechanical deep drawing

The factors that influence inverse bulging effect during sheet hydro-mechanical deep drawing are especially researched in this paper. According to the different inverse bulging process, two modes can be singled: the initial inverse bulging (IIB) and the local inverse bulging (LIB). IIB includes two parameters: inverse bulging height ratio (HIb/t) and inverse bulging pressure ratio (PIb/t). LIB is influenced by IIB and has a direct relationship with liquid chamber pressure in the forming process. The optimal inverse bulging parameters of hemispherical bottom cylindrical part and flat bottom cylindrical part are obtained by numerical simulation. Process parameters including the clearance between the punch and the blank holder and the blank holder entrance radius that have a large influence on inverse bulging effect are optimized, so as to make inverse bulging effect behave better in hydroforming process. Finally, the accuracy of the numerical simulation results was verified by experiments

Investigation into the factors that influence inverse bulging effect during sheet hydro-mechanical deep drawing

The factors that influence inverse bulging effect during sheet hydro-mechanical deep drawing are especially researched in this paper. According to the different inverse bulging process, two modes can be singled: the initial inverse bulging (IIB) and the local inverse bulging (LIB). IIB includes two parameters: inverse bulging height ratio (HIb/t) and inverse bulging pressure ratio (PIb/t). LIB is influenced by IIB and has a direct relationship with liquid chamber pressure in the forming process. The optimal inverse bulging parameters of hemispherical bottom cylindrical part and flat bottom cylindrical part are obtained by numerical simulation. Process parameters including the clearance between the punch and the blank holder and the blank holder entrance radius that have a large influence on inverse bulging effect are optimized, so as to make inverse bulging effect behave better in hydroforming process. Finally, the accuracy of the numerical simulation results was verified by experiments

Antioxidant Effects of Roasted Licorice in a Zebrafish Model and Its Mechanisms

Licorice (Gan-Cao, licorice) is a natural antioxidant and roasted licorice is the most common processing specification used in traditional Chinese medicine prescriptions. Traditional Chinese medicine theory deems that the honey-roasting process can promote the efficacy of licorice, including tonifying the spleen and augmenting “Qi” (energy). The antioxidant activity and mechanisms underlying roasted licorice have not yet been reported. In this study, we found that roasted licorice could relieve the oxidative stress injury induced by metronidazole (MTZ) and could restrain the production of excessive reactive oxygen species (ROS) induced by 2,2′-azobis (2-methylpropionamidine) dihydrochloride (AAPH) in a zebrafish model. It was further found that roasted licorice could exert its oxidative activity by upregulating the expression of key genes such as heme oxygenase 1 (HO-1), NAD(P)H quinone dehydrogenase 1 (NQO1), glutamate–cysteine ligase modifier subunit (GCLM), and glutamate–cysteine ligase catalytic subunit (GCLC) in the nuclear factor erythroid 2-related factor 2 (NRF2) signaling pathway both in vivo and in vitro. Furthermore, consistent results were obtained showing that rat serum containing roasted licorice was estimated to reduce cell apoptosis induced by H2O2. Then, the UHPLC-Q-Exactive Orbitrap MS analysis results elucidated the chemical composition of rat plasma containing roasted licorice extracts, including ten prototype chemical components and five metabolic components. Among them, six compounds were found to have binding activity with Kelch-like ECH-associated protein 1 (KEAP1), which plays a crucial role in the transcriptional activity of NRF2, using a molecular docking simulation. The results also showed that liquiritigenin had the strongest binding ability with KEAP1. Immunofluorescence further confirmed that liquiritigenin could induce the nuclear translocation of NRF2. In summary, this study provides a better understanding of the antioxidant effect and mechanisms of roasted licorice, and lays a theoretical foundation for the development of a potential antioxidant for use in clinical practice

Integrated Transcriptomic and Glycomic Profiling of Glioma Stem Cell Xenografts

Bone marrow-derived human mesenchymal stem cells (BM-hMSCs) have the innate ability to migrate or home toward and engraft in tumors such as glioblastoma (GBM). Because of this unique property of BM-hMSCs, we have explored their use for cell-mediated therapeutic delivery for the advancement of GBM treatment. Extravasation, the process by which blood-borne cellssuch as BM-hMSCsenter the tissue, is a highly complex process but is heavily dependent upon glycosylation for glycan–glycan and glycan–protein adhesion between the cell and endothelium. However, in a translationally significant preclinical glioma stem cell xenograft (GSCX) model of GBM, BM-hMSCs demonstrate unequal tropism toward these tumors. We hypothesized that there may be differences in the glycan compositions between the GSCXs that elicit homing (“attractors”) and those that do not (“non-attractors”) that facilitate or impede the engraftment of BM-hMSCs in the tumor. In this study, glycotranscriptomic analysis revealed significant heterogeneity within the attractor phenotype and the enrichment of high mannose type <i>N</i>-glycan biosynthesis in the non-attractor phenotype. Orthogonal validation with topical PNGase F deglycosylation on the tumor regions of xenograft tissue, followed by nLC–ESI–MS, confirmed the presence of increased high mannose type <i>N</i>-glycans in the non-attractors. Additional evidence provided by our glycomic study revealed the prevalence of terminal sialic acid-containing <i>N</i>-glycans in non-attractors and terminal galactose and <i>N</i>-acetyl-glucosamine <i>N</i>-glycans in attractors. Our results provide the first evidence for differential glycomic profiles in attractor and non-attractor GSCXs and extend the scope of molecular determinates in BM-hMSC homing to glioma