Case report: Clinical management of recurrent small cell lung cancer transformation complicated with lung cancer-induced acute pancreatitis after lung adenocarcinoma surgery

In the diagnosis and treatment of non-small cell lung cancer (NSCLC), the histological type may change from lung adenocarcinoma to lung squamous cell cancer or small cell lung cancer (SCLC). Pancreatic metastasis is extremely rare in advanced lung cancer, and pancreatitis characterized by lung cancer metastasis-induced acute pancreatitis (MIAP) is more rare. This paper reports in detail the clinical diagnosis and treatment of a female patient with lung adenocarcinoma who relapsed after radical surgery and progressed after multiple treatments. A second pathological biopsy revealed SCLC transformation, and the patient developed pancreatic metastasis and lung cancer MIAP during follow-up treatment. This paper mainly suggests that clinicians should pay attention to the possibility of pathological type transformation in the progression of advanced NSCLC, closely observe the dynamic changes of tumor markers and pay attention to the re-biopsy pathological analysis. In addition, it provides clinical experience and scientific reference for the discovery, diagnosis and treatment of transforming SCLC and lung cancer MIAP

Evidence of spin density waves in La3_3Ni2_2O7−δ_{7-\delta}

The recently discovered superconductivity with critical temperature $T_{c}$ up to 80 K in the Ruddlesden-Popper phases La$_3$Ni$_2$O$_{7-\delta}$ under pressure has drawn great attention. Here we report the positive muon spin relaxation ($\mu^+$SR) study of polycrystalline La$_3$Ni$_2$O$_{7-\delta}$ under ambient pressure. The zero-field $\mu^+$SR experiments reveal the existence of static long range magnetic order in La$_3$Ni$_2$O$_{7-\delta}$, and the the muon spin depolarization spectra are consistent with the spin density wave internal field distribution. The weak transverse field $\mu^+$SR measurements suggest the bulk magnetic transition near $T_{\rm{N}}=148$ K. This is the first research which discovers the existence of the spin density wave in La$_3$Ni$_2$O$_{7-\delta}$ microscopically

No adaptation to warming after selection for 800 generations in the coccolithophore Emiliania huxleyi BOF 92

Ocean warming is suggested to exert profound effects on phytoplankton physiology and growth. Here, we investigated how the coccolithophore Emiliania huxleyi (BOF 92, a non-calcifying strain) responded to changes in temperature in short- and long-term thermal treatments. The specific growth rate after 10 days of acclimation increased gradually with increasing temperatures (14, 17, 21, 24, 28°C) and peaked at ~23°C, followed by a significant decrease to 28°C. Chlorophyll a content, cell size, photosynthetic rate, and respiratory rate increased significantly from 14°C to 24°C, but the cellular particulate organic carbon (POC) and nitrogen (PON) showed the lowest values at the optimal temperature. In contrast, during long-term thermal treatments at 17°C and 21°C for 656 days (~790 generations for 17°C treatment; ~830 generations for 21°C treatment), the warming significantly stimulated the growth in the first 34 days and the last 162 days, but there was no significant difference in specific growth rate from Day 35 to Day 493. Chlorophyll a content, cell size, cellular POC/PON, and the ratio of POC to PON, showed no significant difference between the warming and control for most of the duration of the long-term exposure. The warming-selected population did not acquire persistent traits in terms of growth and cell quotas of POC and PON, which resumed to the levels in the control temperature treatment after about 9 generations in the shift test. In summary, our results indicate that warming by 4°C (17°C and 21°C) enhanced the growth, but did not result in adaptative changes in E. huxleyi (BOF 92) over a growth period of about 800 generations, reflecting that mild or non-stressful warming treatment to E. huxleyi isolated from cold seas does not alter its phenotypic plasticity

Concept for a Future Super Proton-Proton Collider

Following the discovery of the Higgs boson at LHC, new large colliders are being studied by the international high-energy community to explore Higgs physics in detail and new physics beyond the Standard Model. In China, a two-stage circular collider project CEPC-SPPC is proposed, with the first stage CEPC (Circular Electron Positron Collier, a so-called Higgs factory) focused on Higgs physics, and the second stage SPPC (Super Proton-Proton Collider) focused on new physics beyond the Standard Model. This paper discusses this second stage.Comment: 34 pages, 8 figures, 5 table

Predictive value of the resistance of the probe to pass through the lesion in the diagnosis of peripheral pulmonary lesions using radial probe endobronchial ultrasound with a guide sheath

BackgroundTransbronchial lung biopsy guided by radial probe endobronchial ultrasonography with a guide sheath (EBUS-GS-TBLB) is becoming a significant approach for diagnosing peripheral pulmonary lesions (PPLs). We aimed to explore the clinical value of the resistance of the probe to pass through the lesion in the diagnosis of PPLs when performing EBUS-GS-TBLB, and to determine the optimum number of EBUS-GS-TBLB.MethodsWe performed a prospective, single-center study of 126 consecutive patients who underwent EBUS-GS-TBLB for solid and positive-bronchus-sign PPLs where the probe was located within the lesion from September 2019 to May 2022. The classification of probe resistance for each lesion was carried out by two bronchoscopists independently, and the final result depended on the bronchoscopist responsible for the procedures. The primary endpoint was the diagnostic yield according with the resistance pattern. The secondary endpoints were the optimum number of EBUS-GS-TBLB and factors affecting diagnostic yield. Procedural complications were also recorded.ResultsThe total diagnostic yield of EBUS-GS-TBLB was 77.8%, including 83.8% malignant and 67.4% benign diseases (P=0.033). Probe resistance type II displayed the highest diagnostic yield (87.5%), followed by type III (81.0%) and type I (61.1%). A significant difference between the diagnostic yield of malignant and benign diseases was detected in type II (P = 0.008), whereas others did not. Although most of the malignant PPLs with a definitive diagnosis using EBUS-GS-TBLB in type II or type III could be diagnosed in the first biopsy, the fourth biopsy contributed the most sufficient biopsy samples. In contrast, considerably limited tissue specimens could be obtained for each biopsy in type I. The inter-observer agreement of the two blinded bronchoscopists for the classification of probe resistance was excellent (κ = 0.84).ConclusionThe probe resistance is a useful predictive factor for successful EBUS-GS-TBLB diagnosis of solid and positive-bronchus-sign PPLs where the probe was located within the lesion. Four serial biopsies are appropriate for both probe resistance type II and type III, and additional diagnostic procedures are needed for type I

Minicircle-oriP-IFNγ: A Novel Targeted Gene Therapeutic System for EBV Positive Human Nasopharyngeal Carcinoma

) in which the transgene expression was under the transcriptional regulation of oriP promoter.. Immunohistochemistry was used to detect the expression and the activity of the IFNγ in tumor sections. Our results demonstrated that mc-oriP vectors mediated comparable gene expression and anti-proliferative effect in the EBV-positive NPC cell line C666-1 compared to mc-CMV vectors. Furthermore, mc-oriP vectors exhibited much lower killing effects on EBV-negative cell lines compared to mc-CMV vectors. The targeted expression of mc-oriP vectors was inhibited by EBNA1-siRNA in C666-1. This selective expression was corroborated in EBV-positive and -negative tumor models. as a safe and highly effective targeted gene therapeutic system for the treatment of EBV positive NPC

Differential Characteristics of Viral siRNAs between Leaves and Roots of Wheat Plants Naturally Infected with Wheat Yellow Mosaic Virus, a Soil-Borne Virus

RNA silencing is an important innate antiviral defense in plants. Soil-borne plant viruses naturally infect roots via soil-inhabiting vectors, but it is unclear how antiviral RNA silencing responds to virus infection in this particular tissue. In this study, viral small interfering RNA (siRNA) profiles from leaves and roots of wheat plants naturally infected with a soil-borne virus, wheat yellow mosaic virus (WYMV, genus Bymovirus), were analyzed by deep sequencing. WYMV siRNAs were much more abundant in roots than leaves, which was positively correlated with the accumulation of viral RNA. WYMV siRNAs in leaves and roots were predominantly 21- and 22-nt long and equally derived from the positive- and negative-strands of the viral genome. WYMV siRNAs from leaves and roots differed in distribution pattern along the viral genome. Interestingly, compared to siRNAs from leaves (and most other reports), those from roots obviously had a lower A/U bias at the 5′-terminal nucleotide. Moreover, the expression of Dicer-like genes upon WYMV infection were differently regulated between leaves and roots. Our data suggest that RNA silencing in roots may operate differently than in leaves against soil-borne virus invasion