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Nasopharyngeal carcinoma (NPC) is a malignant epithelial tumor originating in the nasopharynx and has a high incidence in Southeast Asia and North Africa. To develop these comprehensive guidelines for the diagnosis and management of NPC, the Chinese Society of Clinical Oncology (CSCO) arranged a multi‐disciplinary team comprising of experts from all sub‐specialties of NPC to write, discuss, and revise the guidelines. Based on the findings of evidence‐based medicine in China and abroad, domestic experts have iteratively developed these guidelines to provide proper management of NPC. Overall, the guidelines describe the screening, clinical and pathological diagnosis, staging and risk assessment, therapies, and follow‐up of NPC, which aim to improve the management of NPC.

Accumulating evidence has demonstrated that microRNAs (miRNAs) are involved in multiple processes in cancer development and progression. miR-326 has been identified as a tumor suppressor miRNA in several types of human cancer. However, the specific function of miR-326 and its target the nin one binding protein (NOB1) in colorectal carcinoma (CRC) remains unclear. In the present study, we found that miR-326 inhibited cell proliferation, migration and invasion, and induced cell apoptosis and cell cycle arrest of CRC cells by directly targeting NOB1. Furthermore, the upregulation of miR-326 in CRC cells was revealed to be associated with a feedback loop involving downregulation of the NOB1, which mimics the phenotype induced by miR-326. Importantly, we found that the CRC patients with high expression of miR-326 or low expression of NOB1 tend to obtain a better prognosis. Thus, for the first time, we provide convincing evidence that downregulation of miR-326 inhibited tumor proliferation and tumor metastasis by directly targeting NOB1 in CRC. NOB1 and miR-326 could be potential therapeutic targets for CRC.

Deep-seated large-scale toppling failure presents unique challenges in the study of natural slope deformation process in mountainous regions.An active deep-seated toppling process was identified in the Erguxi slope located in southwest China,which affected a large area and damaged critical transportation infrastructure with the volume of the deforming rock mass exceeding 24×10~6 m~3.It poses significant risks to the downstream Shiziping Hydropower Station by damming the Zagunao River.Field investigation and monitoring results indicate that the deformation of the Erguxi slope is in the advanced stage of deep-seated toppling process,with the formation of a disturbed belt but no identifiable master failure surface.It was postulated that the alternating tensile and shear strength associated with the hard/soft laminated rock strata of metasandstone and phyllite layers preclude the development of either a tensile or shear failure surface,which resulted in the continuous deformation and displacement without a catastrophic mass movement.The slope movement is in close association with the unfavorable geological conditions of the study area in addition to the construction of transportation infrastructure and the increase of the reservoir level.On the basis of the mechanism and intensity of the ongoing toppling deformation,a qualitative grading system was proposed to describe the toppling process and toevaluate the slope stability.This paper summarized the field observation and monitoring data on the toppling deformation for better characterizing its effect on the stability of the Erguxi slope.The qualitative grading system intends to provide a basis for quantitative study of large-scale deep-seated toppling process in metamorphic rocks.

Aim： To investigate the antiproliferative effect of triptolide on B-NHL cell line Raji cells, to study its effect on lymph node metastasis in patients with non-Hodgkin＇s lymphoma （NHL） in vitro, and to explore the underlying mechanism regulating SDF-1/CXCR4 axis. Methods： The effects of triptolide on the growth of Raji cells were studied by 3-（4,5-dimethyl-2-thiazolyl）-2,5-diphenyl-2H-tetrazolium （MTT） assay. The effects of triptolide on SDF-1 mRNA expression in lymph node stromal cells from patients with NHL were determined by reverse transcriptase-polymerase chain reaction （RT-PCR）. The effects of triptolide on CXCR4 expression on lym- phoma cells freshly isolated from the lymph nodes of these patients were studied by flow cytometric analysis. Chemotaxis assays were performed to observe the effects of triptolide on migration of primary lymphoma cells towards recombinant human SDF-1α （rhSDF-1α） or cultured lymph node stromal cells in vitro. Results： Triptolide inhibited the proliferation of B-NHL cell line Raji cells in a dose- and time-dependent manner with a 24-h IC50 value of 43.06 nmol/L and a 36-h IC50 value of 25.08 nmol/L. The expression of SDF-1α mRNA in lymph node stromal cells obtained from patients with NHL was decreased after treatment by triptolide at concentrations of 25 and 50 nmol/L for 24 h. Flow cytometry analysis showed that the CXCR4 expression on primary lymphoma cells were downregulated gradually in a dose-dependent manner following triptolide treatment. Chemotaxis assays revealed that the migration of freshly isolated lymphoma cells towards either rhSDF-1 or cultured lymph node stromal cells was markedly inhibited by the addition of triptolide in vitro, and the inhibition was dose-dependent. Conclusion： Triptolide can inhibit the proliferation of B-NHL cell line Raji cells. Moreover, triptolide is able to inhibit the migration of lymphoma cells via lymph nodes in vitro. The potential antitumor mechanisms of triptolide are related to the antiproliferative effect and the blockage of SDF-1/CXCR4 axis.

To detect gatifloxacin （GAT） residue in swine urine, an electrochemical immunoassay was established, An indirect competitive immunoassay was developed, in which the coating antigen is immobilized in an enzyme-linked immunosorbent assay （ELISA） plate and GAT residue from the sample competes with the limited binding sites in added anti-GAT antibody. Horseradish peroxidase （HRP） conjugated to goat anti-rabbit IgG was used as the enzymatic label. A carbon fiber working electrode was constructed and current signals were detected by using hydrogen peroxide as a substrate and hydroquinone as an electrochemical mediator. The electrochemical immunoassay was evaluated by analysis of GAT in buffer or swine urine and an average value of half inhibition concentration （IC50） of 8.9 ng/ml was obtained. Excellent specificity of the antibody was achieved with little cross-reaction with Iomefloxacin （3.0%）, ciprofloxacin （3.0%）, and ofloxacin （1.9%） among commonly used （fluoro）quinolones. In conclusion, the im- munoassay system developed in this research can be used as a rapid, powerful and on-site analytical tool to detect GAT residue in foods and food products.

Summary Citrate is a common primary metabolite which often characterizes fruit flavour. The key regulators of citrate accumulation in fruit and vegetables are poorly understood. We systematically analysed the dynamic profiles of organic acid components during the development of kiwifruit (Actinidia spp.). Citrate continuously accumulated so that it became the predominate contributor to total acidity at harvest. Based on a co‐expression network analysis using different kiwifruit cultivars, an Al‐ACTIVATED MALATE TRANSPORTER gene (AcALMT1) was identified as a candidate responsible for citrate accumulation. Electrophysiological assays using expression of this gene in Xenopus oocytes revealed that AcALMT1 functions as a citrate transporter. Additionally, transient overexpression of AcALMT1 in kiwifruit significantly increased citrate content, while tissues showing higher AcALMT1 expression accumulated more citrate. The expression of AcALMT1 was highly correlated with 17 transcription factor candidates. However, dual‐luciferase and EMSA assays indicated that only the NAC transcription factor, AcNAC1, activated AcALMT1 expression via direct binding to its promoter. Targeted CRISPR‐Cas9‐induced mutagenesis of AcNAC1 in kiwifruit resulted in dramatic declines in citrate levels while malate and quinate levels were not substantially affected. Our findings show that transcriptional regulation of a major citrate transporter, by a NAC transcription factor, is responsible for citrate accumulation in kiwifruit, which has broad implications for other fruits and vegetables.

Objective The neural mechanisms regulating muscle activity exhibit variations under different contraction levels and speeds. This study aims to systematically characterize motor unit (MU) behavior during isometric elbow flexion tasks performed at different force levels and contraction speeds, using high-density surface electromyography (HDsEMG) decomposition. Methods HDsEMG signals were recorded from the biceps and triceps brachii muscles of 61 participants during force-tracking tasks at four force levels (10%, 30%, 50%, and 70% of maximum voluntary contraction, MVC) and three contraction speeds (5%, 10%, and 20%MVC/s). A convolution kernel compensation algorithm was used to decompose the sEMG signals into MU spike trains. Motor unit features were extracted and analyzed, including recruitment thresholds, discharge rates, action potential amplitude, common drive measures, and force-tracking performance. Main results Across varying contraction levels and speeds, the number of identified MUs from each condition ranged from 9 to 15 for the biceps brachii and 3 to 9 MUs for triceps brachii. Motor unit recruitment and action potential amplitudes increased with force, consistent with the size principle. Faster contractions led to higher discharge rates at recruitment and derecruitment, greater common drive (as indicated by principal component analysis), and higher force-tracking error. These adaptations are more pronounced in the biceps brachii, which was the primary muscle involved in the contraction. Conclusion and Significance Motor unit behavior is modulated by contraction force and speed, with faster contractions eliciting higher discharge rates and common drive. These findings underscore the neuromechanical adaptability of the motor unit system and have implications for motor function assessment, rehabilitation, and the development of myoelectric interfaces.

Background Sepsis-associated encephalopathy (SAE) is characterized by diffuse brain dysfunction, long-term cognitive impairment, and increased morbidity and mortality. The current treatment for SAE is mainly symptomatic; the lack of specific treatment options and a poor understanding of the underlying mechanism of disease are responsible for poor patient outcomes. Fgr is a member of the Src family of tyrosine kinases and is involved in the innate immune response, hematologic cancer, diet-induced obesity, and hemorrhage-induced thalamic pain. This study investigated the protection provided by an Fgr kinase inhibitor in SAE and the underlying mechanism(s) of action. Methods A cecal ligation and puncture (CLP)-induced mouse sepsis model was established. Mice were treated with or without an Fgr inhibitor and a PGC-1α inhibitor/activator. An open field test, a novel object recognition test, and an elevated plus maze were used to assess neurobehavioral changes in the mice. Western blotting and immunofluorescence were used to measure protein expression, and mRNA levels were measured using quantitative PCR (qPCR). An enzyme-linked immunosorbent assay was performed to quantify inflammatory cytokines. Mitochondrial membrane potential and morphology were measured by JC-1, electron microscopy, and the MitoTracker Deep Red probe. Oxidative stress and mitochondrial dysfunction were analyzed. In addition, the regulatory effect of Fgr on sirtuin 1 (SIRT1) was assessed. Results CLP-induced sepsis increased the expression of Fgr in the hippocampal neurons. Pharmacological inhibition of Fgr attenuated CLP-induced neuroinflammation, the survival rate, cognitive and emotional dysfunction, oxidative stress, and mitochondrial dysfunction. Moreover, Fgr interacted with SIRT1 and reduced its activity and expression. In addition, activation of SIRT1/PGC-1α promoted the protective effects of the Fgr inhibitor on CLP-induced brain dysfunction, while inactivation of SIRT1/PGC-1α counteracted the benefits of the Fgr inhibitor. Conclusions To our knowledge, this is the first report of Fgr kinase inhibition markedly ameliorating SAE through activation of the SIRT1/PGC-1α pathway, and this may be a promising therapeutic target for SAE. Graphical Abstract

Background The Partners at Care Transitions Measure (PACT-M) is a measure that assesses the quality and safety of care during the transition from hospital to home from the patient’s perspective. The aim of this study was to examine the psychometric properties of the Chinese version of the PACT-M in Mainland China. Methods This was a cross-sectional study. A convenience sample of patients was recruited from three tertiary hospitals affiliated with Zhengzhou University, China. A total of 402 participants were interviewed before discharge, and 306 participants were interviewed one month after discharge from hospital to home using the Chinese version of the PACT-M. The statistical methods used in this study include the critical ratio value, item total correlation, test-retest, Cronbach’s alpha, confirmatory factor analysis and exploratory factor analysis. Results The Chinese version of the PACT-M consists of PACT-M 1 and PACT-M 2 , both of which have two dimensions, the number of items in both parts are consistent with the original English language version. The Cronbach’s alpha values of the PACT-M 1 and PACT-M 2 were 0.802 and 0.741, and the test-retest reliability values were 0.885 and 0.837. The item content validity index and scale content validity index values of the PACT-M 1 and PACT-M 2 were all 1.0. Conclusion The Chinese version of the PACT-M shows acceptable validity and reliability and can be used to assess the quality and safety of transitional care from hospital to home from the patient’s perspective in mainland China.

This study investigates age-related differences in motor unit (MU) properties and neuromuscular control during isometric elbow flexion across the human lifespan. High-density surface electromyography (sEMG) was recorded from the biceps brachii of 44 participants, divided into three groups: Child (8–14 years), Adult (20–40 years), and Elder (65–80 years). MU spike trains were extracted noninvasively by sEMG decomposition. Then the discharge rate, MU action potential (MUAP) morphology, recruitment threshold, and common neural drive were quantified and compared across age groups. This study provides novel insights into force tracking performance, revealing that both children and elders exhibit higher errors compared to young adults, likely due to immature or declining motor control systems. Significant differences in MU discharge patterns were observed across force levels and age groups. Children and elders displayed lower MU discharge rates at low force levels, which increased at higher forces. In contrast, adults demonstrated higher MU action potential peak-to-peak amplitudes (PPV) and recruitment thresholds (RTs), along with steeper PPV-RT slopes, suggesting a narrower RT range in children and older adults. Principal component analysis revealed a strong correlation between common neural drive and force across all groups, with neural drive being weaker in elders. Overall, young adults exhibited the most efficient and synchronized MU control, while children and older adults showed distinct deviations in discharge intensity, recruitment strategies, and neural synergy. These findings comprehensively characterize MU adaptations across the lifespan, offering implications for developmental neurophysiology and age-specific neuromuscular diagnostics and interventions.