Genomic landscape of hepatocellular carcinoma in Egyptian patients by whole exome sequencing

Background Hepatocellular carcinoma (HCC) is the most common primary liver cancer. Chronic hepatitis and liver cirrhosis lead to accumulation of genetic alterations driving HCC pathogenesis. This study is designed to explore genomic landscape of HCC in Egyptian patients by whole exome sequencing. Methods Whole exome sequencing using Ion Torrent was done on 13 HCC patients, who underwent surgical intervention (7 patients underwent living donor liver transplantation (LDLT) and 6 patients had surgical resection}. Results Mutational signature was mostly S1, S5, S6, and S12 in HCC. Analysis of highly mutated genes in both HCC and Non-HCC revealed the presence of highly mutated genes in HCC (AHNAK2, MUC6, MUC16, TTN, ZNF17, FLG, MUC12, OBSCN, PDE4DIP, MUC5b, and HYDIN). Among the 26 significantly mutated HCC genes—identified across 10 genome sequencing studies—in addition to TCGA, APOB and RP1L1 showed the highest number of mutations in both HCC and Non-HCC tissues. Tier 1, Tier 2 variants in TCGA SMGs in HCC and Non-HCC (TP53, PIK3CA, CDKN2A, and BAP1). Cancer Genome Landscape analysis revealed Tier 1 and Tier 2 variants in HCC (MSH2) and in Non-HCC (KMT2D and ATM). For KEGG analysis, the significantly annotated clusters in HCC were Notch signaling, Wnt signaling, PI3K-AKT pathway, Hippo signaling, Apelin signaling, Hedgehog (Hh) signaling, and MAPK signaling, in addition to ECM-receptor interaction, focal adhesion, and calcium signaling. Tier 1 and Tier 2 variants KIT, KMT2D, NOTCH1, KMT2C, PIK3CA, KIT, SMARCA4, ATM, PTEN, MSH2, and PTCH1 were low frequency variants in both HCC and Non-HCC. Conclusion Our results are in accordance with previous studies in HCC regarding highly mutated genes, TCGA and specifically enriched pathways in HCC. Analysis for clinical interpretation of variants revealed the presence of Tier 1 and Tier 2 variants that represent potential clinically actionable targets. The use of sequencing techniques to detect structural variants and novel techniques as single cell sequencing together with multiomics transcriptomics, metagenomics will integrate the molecular pathogenesis of HCC in Egyptian patients

Tailoring perovskite crystallization and interfacial passivation in efficient, fully textured perovskite silicon tandem solar cells

Fully textured perovskite silicon tandem solar cells are promising for future low-cost photovoltaic deployment. However, the fill factor and open-circuit voltage of these devices are currently limited by the high density of defects at grain boundaries and at interfaces with charge transport layers. To address this, we devise a strategy to simultaneously enhance perovskite crystallization and passivate the perovskite/C60 interface. By incorporating urea (CO(NH2)2) as an additive in the solution step of the hybrid evaporation/spin-coating perovskite deposition method, the crystallization kinetics are accelerated, leading to the formation of the desired photoactive phase at room temperature. With that, perovskite films with large grain sizes (>1 μm) and improved optoelectronic quality are formed at low annealing temperatures (100°C). Concurrently, remnant urea molecules are expelled at the perovskite surface, which locally displaces the C60 layer, thus reducing interfacial non-radiative recombination losses. With this strategy, the resulting tandem solar cells achieve 30.0% power conversion efficiency

Antigen presentation safeguards the integrity of the hematopoietic stem cell pool

Hematopoietic stem and progenitor cells (HSPCs) are responsible for the production of blood and immune cells. Throughout life, HSPCs acquire oncogenic aberrations that can cause hematological cancers. Although molecular programs maintaining stem cell integrity have been identified, safety mechanisms eliminating malignant HSPCs from the stem cell pool remain poorly characterized. Here, we show that HSPCs constitutively present antigens via major histocompatibility complex class II. The presentation of immunogenic antigens, as occurring during malignant transformation, triggers bidirectional interactions between HSPCs and antigen-specific CD4(+4) T cells, causing stem cell proliferation, differentiation, and specific exhaustion of aberrant HSPCs. This immunosurveillance mechanism effectively eliminates transformed HSPCs from the hematopoietic system, thereby preventing leukemia onset. Together, our data reveal a bidirectional interaction between HSPCs and CD4(+4) T cells, demonstrating that HSPCs are not only passive receivers of immunological signals but also actively engage in adaptive immune responses to safeguard the integrity of the stem cell pool

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

The role of commercial law in protecting consumers A comparative study between Kuwaiti, British, French and American law

SIGLEAvailable from British Library Document Supply Centre- DSC:DX184042 / BLDSC - British Library Document Supply CentreGBUnited Kingdo

An application of TPB constructs on energy-saving behavioural intention among university office building occupants: a pilot study in Malaysian tropical climate

Buildings account for a vast amount of energy consumption in Malaysia. Occupant behaviour patterns are a major factor affecting the energy performance of buildings. Identifying energy waste due to occupant behaviour will allow stakeholders to develop effective strategies to curtail energy consumption in buildings. The purpose of this study was to investigate the effects of theory of planned behaviour constructs on energy-saving behavioural intention among university building occupants. Data from a survey questionnaire was collected from 292 occupants (students and staff) at one case study building at a public university in Malaysia. Data analysed using the structural equation model showed that attitude and perception significantly influence occupants’ energy-saving behaviour. Our results indicate that respondents showed moderate behaviour on three sub-constructs: duration of equipment use, frequency of equipment use, and energy saving practice. The current pilot study provides a basis for an improved theoretical framework that considers other variables to be applied in a larger scale study. The implications for behaviour models in terms of policy recommendations and suggestions for occupant engagement campaigns are discussed. © 2019, Springer Nature B.V