Prognostic significance of circulating tumor cell measurement in the peripheral blood of patients with nasopharyngeal carcinoma

Objective: Nasopharyngeal Carcinoma (NPC) is lethal cancer. Typically, relapse and metastasis are the outcomes of most patients. Against this backdrop, this study aimed to investigate the correlation between Circulating Tumor Cell (CTC) profiles and clinicopathological features in patients with NPC. Patients and methods: A total of 119 blood samples from 79 patients were collected from patients with NPC during treatment. CanPatrolTM CTC enrichment and RNA In Situ Hybridization (RNA-ISH) were used to characterize CTCs, including epithelial, Mesenchymal (MCTCs), and epithelial/mesenchymal mixed types according to their surface markers. Results: The number of CTCs and MCTCs in the pre-treatment group was significantly higher than that in the post-treatment group (p < 0.05). The total number of CTCs and MCTCs cell numbers was significant correlation with Tumor-Node-Metastasis (TNM) staging (p < 0.05), Progression-Free Survival (PFS), and Overall Survival (OS). The PFS of patients with > 7 CTCs or > 5 MCTCs per 5 mL blood was significantly shorter PFS than those patients with ≤ 7 CTCs or ≤ 5 MCTCs (p < 0.05). Patients treated with targeted therapy combined with chemoradiotherapy had poorer PFS and OS rates than those treated with chemoradiotherapy (p < 0.05). The Kaplan-Meier survival analysis also demonstrated that patients with changes in CTC > 4 were strongly associated with PFS and OS rates (p < 0.05). Conclusion: CTC and MCTC number detection in patients with NPC is a useful biomarker for predicting patient progress. Patients with more than 7 CTCs or 5 MCTCs in 5 mL of blood had shorter PFS and OS rates. CTC and MCTC count changes were also significantly associated with the patient's therapy

Removal of Cd(II) from Water by HPEI Modified Humin

Humin is the waste residue from the process of preparing humic acid, which accounts for a large proportion of the raw material (weathered coal humic acid). Its Cd(II) adsorption performance is far inferior to that of humic acid. How to regenerate humin is of great significance to the low-cost treatment of Cd(II) pollution in wastewater. In this study, humin was modified by hyperbranched polyethyleneimine to enhance the adsorption capacity for Cd(II). Fourier transform infrared spectroscopy and the X-ray photoelectron spectrometer showed that hyperbranched polyethyleneimine was grafted to the surface of humin. Flame atomic absorption spectroscopy showed that the saturated Cd(II) adsorption capacity of the modified humin was increased to 11.975 mg/g, which is about 5 times than that of humin and is also higher than that of humic acid. The adsorption kinetics, adsorption isotherm, and thermodynamic properties of humic acid, humin, and modified humin were also studied. This study may provide a foundation for research utilizing natural resources to reduce heavy metal pollution in the environment