Alterations in the mesenchymal-epithelial transition factor(MET)gene are critical drivers of non-small cell lung cancer(NSCLC).In recent years advances in precision therapies targeting MET alterations have significant...Alterations in the mesenchymal-epithelial transition factor(MET)gene are critical drivers of non-small cell lung cancer(NSCLC).In recent years advances in precision therapies targeting MET alterations have significantly expanded treatment options for NSCLC patients.These alterations include MET exon 14 skipping mutations(MET exon 14 skipping),MET gene amplifications,MET point mutations(primarily kinase domain mutations),and MET protein overexpression.Accurate identification of these alterations and appropriate selection of patient populations and targeted therapies are essential for improving clinical outcomes.The East China Lung Cancer Group,Youth Committee(ECLUNG YOUNG,Yangtze River Delta Lung Cancer Cooperation Group)has synthesized insights from China’s innovative drug development landscape and clinical practice to formulate an expert consensus on the diagnosis and treatment of NSCLC patients with MET alterations.This consensus addresses key areas,such as optimal testing timing,testing methods,testing strategies,quality control measures,and treatment approaches.By offering standardized recommendations,this guidance aims to streamline diagnostic and therapeutic processes and enhance clinical decision-making for NSCLC with MET alterations.展开更多
High-voltage dual-ion batteries(DIBs)face significant challenges,including graphite cathode degradation,cathode-electrolyte interphase(CEI)instability,and the thermodynamic instability of conventional carbonate-based ...High-voltage dual-ion batteries(DIBs)face significant challenges,including graphite cathode degradation,cathode-electrolyte interphase(CEI)instability,and the thermodynamic instability of conventional carbonate-based electrolytes,particularly at extreme temperatures.In this study,we develop a stable electrolyte incorporating lithium difluorophosphate(LiDFP)as an additive to enhance the electrochemical performance of DIBs over a wide temperature range.LiDFP preferentially decomposes to form a rapid anion-transporting,mechanically robust CEI layer on graphite,which provides better protection by suppressing graphite's volume expansion,preventing electrolyte oxidative decomposition,and enhancing reaction kinetics.As a result,Li||graphite half cells using LiDFP electrolyte exhibit outstanding rate performance(90.8% capacity retention at 30 C)and excellent cycle stability(82.2% capacity retention after 5000 cycles)at room temperature.Moreover,graphite||graphite full cells with LiDFP electrolyte demonstrate stable discharge capacity across a temperature range of-20 to 40℃,expanding the potential applications of LiDFP.This work establishes a novel strategy for optimizing the interphase through electrolyte design,paving the way for all-climate DIBs with improved performance and stability.展开更多
Objective: Positive peritoneal lavege cytology(CY1) gastric cancer is featured by dismal prognosis, with high risks of peritoneal metastasis. However, there is a lack of evidence on pathogenic mechanism and signature ...Objective: Positive peritoneal lavege cytology(CY1) gastric cancer is featured by dismal prognosis, with high risks of peritoneal metastasis. However, there is a lack of evidence on pathogenic mechanism and signature of CY1and there is a continuous debate on CY1 therapy. Therefore, exploring the mechanism of CY1 is crucial for treatment strategies and targets for CY1 gastric cancer.Methods: In order to figure out specific driver genes and marker genes of CY1 gastric cancer, and ultimately offer clues for potential marker and risk assessment of CY1, 17 cytology-positive gastric cancer patients and 31matched cytology-negative gastric cancer patients were enrolled in this study. The enrollment criteria were based on the results of diagnostic laparoscopy staging and cytology inspection of exfoliated cells. Whole exome sequencing was then performed on tumor samples to evaluate genomic characterization of cytology-positive gastric cancer.Results: Least absolute shrinkage and selection operator(LASSO) algorithm identified 43 cytology-positive marker genes, while Mut Sig CV identified 42 cytology-positive specific driver genes. CD3G and CDKL2 were both driver and marker genes of CY1. Regarding mutational signatures, driver gene mutation and tumor subclone architecture, no significant differences were observed between CY1 and negative peritoneal lavege cytology(CY0).Conclusions: There might not be distinct differences between CY1 and CY0, and CY1 might represent the progression of CY0 gastric cancer rather than constituting an independent subtype. This genomic analysis will thus provide key molecular insights into CY1, which may have a direct effect on treatment recommendations for CY1and CY0 patients, and provides opportunities for genome-guided clinical trials and drug development.展开更多
Individual superatoms are assembled into more complicated nanostructures to diversify their physical properties.Magnetism of assembled superatoms remains,however,ambiguous,particularly in terms of its distance depende...Individual superatoms are assembled into more complicated nanostructures to diversify their physical properties.Magnetism of assembled superatoms remains,however,ambiguous,particularly in terms of its distance dependence.Here,we report density functional theory calculations on the distance-dependent magnetism of transition metal embedded Au_(6)Te_(8)Se_(12)(ATS)superatomic dimers.Among the four considered transition metals,which include V,Cr,Mn and Fe,the Cr-embedded Au_(6)Te_(12)Se_(8)(Cr@ATS)is identified as the most suitable for exploring the inter-superatomic distancedependent magnetism.We thus focused on Cr@ATS superatomic dimers and found an inter-superatomic magnetizationdistance oscillation where three transitions occur for magnetic ordering and/or anisotropy at different inter-superatomic distances.As the inter-superatomic distance elongates,a ferromagnetism(FM)-to-antiferromagnetic(AFM)transition and a sequential AFM-to-FM transition occur,ascribed to competitions among Pauli repulsion and kinetic-energy-gains in formed inter-superatomic Cr-Au-Au-Cr covalent bonds and Te-Te quasi-covalent bonds.For the third transition,in-plane electronic hybridization contributes to the stabilization of the AFM configuration.This work unveils two mechanisms for tuning magnetism through non-covalent interactions and provides a strategy for manipulating magnetism in superatomic assemblies.展开更多
BACKGROUND There is a high annual incidence of acute,nonvariceal upper gastrointestinal bleeding in Chinese adults.Early endoscopic intervention can reduce rates of rebleeding,surgery,and mortality.The metal clip is t...BACKGROUND There is a high annual incidence of acute,nonvariceal upper gastrointestinal bleeding in Chinese adults.Early endoscopic intervention can reduce rates of rebleeding,surgery,and mortality.The metal clip is the most common method for establishing homeostasis;however,it possesses several limitations.In patients with bleeding secondary to large gastric ulcers,the clip will often fail to stop the bleeding.This article highlights the use of an elastic traction ring as a novel hemostatic method for patients with upper gastrointestinal bleeding.CASE SUMMARY An elderly male presented to the emergency room with complaints of hematemesis and melena.Endoscopic examination revealed an ulcer(Forrest IIa)in the lesser curvature of the gastric antrum.Six tissue clips and one elastic traction ring were inserted into the stomach cavity to suture the ulcer.The patient recovered quickly without postoperative gastrointestinal bleeding.Two months later,the patient's ulcer was significantly healed.CONCLUSION To our best knowledge,this is the first report to demonstrate the safety and efficacy of elastic traction rings for upper gastrointestinal bleeding.Elastic traction rings should be considered a routine therapeutic modality for patients with upper gastrointestinal bleeds.展开更多
The ultrathinβ-Sn(001)films have attracted tremendous attention owing to its topological superconductivity(TSC),which hosts Majorana bound state(MBSs)for quantum computation.Recently,β-Sn(001)thin films have been su...The ultrathinβ-Sn(001)films have attracted tremendous attention owing to its topological superconductivity(TSC),which hosts Majorana bound state(MBSs)for quantum computation.Recently,β-Sn(001)thin films have been successfully fabricated via phase transition engineering.However,the understanding of structural phase transition ofβ-Sn(001)thin films is still elusive.Here,we report the direct growth of ultrathinβ-Sn(001)films epitaxially on the highly oriented pyrolytic graphite(HOPG)substrate and the characterization of intricate structural-transition-induced superstructures.The morphology was obtained by using atomic force microscopy(AFM)and low-temperature scanning tunneling microscopy(STM),indicating a structure-related bilayer-by-bilayer growth mode.The ultrathinβ-Sn film was made of multiple domains with various superstructures.Both high-symmetric and distorted superstructures were observed in the atomic-resolution STM images of these domains.The formation mechanism of these superstructures was further discussed based on the structural phase transition ofβtoα-Sn at the atomic-scale thickness.Our work not only brings a deep understanding of the structural phase transition of Sn film at the two-dimensional limit,but also paves a way to investigate their structure-sensitive topological properties.展开更多
Group-V elemental nanofilms were predicted to exhibit interesting physical properties such as nontrivial topological properties due to their strong spin-orbit coupling,the quantum confinement,and surface effect.It was...Group-V elemental nanofilms were predicted to exhibit interesting physical properties such as nontrivial topological properties due to their strong spin-orbit coupling,the quantum confinement,and surface effect.It was reported that the ultrathin Sb nanofilms can undergo a series of topological transitions as a function of the film thickness h:from a topological semimetal(h>7.8 nm)to a topological insulator(7.8 nm>h>2.7 nm),then a quantum spin Hall(QSH)phase(2.7 nm>h>1.0 nm)and a topological trivial semiconductor(h<1.0 nm).Here,we report a comprehensive investigation on the epitaxial growth of Sb nanofilms on highly oriented pyrolytic graphite(HOPG)substrate and the controllable thermal desorption to achieve their specific thickness.The morphology,thickness,atomic structure,and thermal-strain effect of the Sb nanofilms were characterized by a combination study of scanning electron microscopy(SEM),atomic force microscopy(AFM),and scanning tunneling microscopy(STM).The realization of Sb nanofilms with specific thickness paves the way for the further exploring their thickness-dependent topological phase transitions and exotic physical properties.展开更多
In conventional electrides,excess electrons are localized in crystal voids to serve as anions.Most of these electrides are metallic and the metal cations are primarily from the s-block,d-block,or rare-earth elements.H...In conventional electrides,excess electrons are localized in crystal voids to serve as anions.Most of these electrides are metallic and the metal cations are primarily from the s-block,d-block,or rare-earth elements.Here,we report a class of p-block metal-based electrides found in bilayer SnO and PbO,which are semiconducting and feature electride states in both the valence band(VB)and conduction band(CB),as referred to 2D“bipolar”electrides.These bilayers are hybrid electrides where excess electrons are localized in the interlayer region and hybridize with the orbitals of Sn atoms in the VB,exhibiting strong covalent-like interactions with neighboring metal atoms.Compared to previously studied hybrid electrides,the higher electronegativity of Sn and Pb enhances these covalent-like interactions,leading to largely enhanced semiconducting bandgap of up to 2.5 eV.Moreover,the CBM primarily arises from the overlap between metal states and interstitial charges,denoting a potential electride and forming a free-electron-like(FEL)state with small effective mass.This state offers high carrier mobilities for both electron and hole in bilayer SnO,suggesting its potential as a promising p-type semiconductor material.展开更多
The BRAF gene is an important signaling molecule in human cells that is involved in the regulation of cell growth,differentiation,and survival.When the BRAF gene mutates,it can lead to abnormal activation of the signa...The BRAF gene is an important signaling molecule in human cells that is involved in the regulation of cell growth,differentiation,and survival.When the BRAF gene mutates,it can lead to abnormal activation of the signaling pathway,which promotes cell proliferation,inhibits cell apoptosis,and ultimately contributes to the occurrence and development of cancer.BRAF mutations are widely present in various cancers,including malignant melanoma,thyroid cancer,colorectal cancer,non-small cell lung cancer,and hairy cell leukemia,among others.BRAF is an important target for the treatment of various solid tumors,and targeted combination therapies,represented by BRAF inhibitors,have become one of the main treatment modalities for a variety of BRAF-mutation-positive solid tumors.展开更多
The van der Waals interface structures and behaviors are of great impor-tance in determining the physical properties of two-dimensional atomic crystals and their heterostructures.The delicate interfacial properties ar...The van der Waals interface structures and behaviors are of great impor-tance in determining the physical properties of two-dimensional atomic crystals and their heterostructures.The delicate interfacial properties are sensitively dependent on the mechanical behaviors of atomically thin films under external strain.Here,we investigated the strain-engineered rippling structures at the CVD-grown bilayer-MoS_(2) interface with advanced atomic force microscopy(AFM).The in-plane compressive strain is sequentially introduced into the 1L-substrate and 2L-1L interface of bilayer-MoS_(2) flakes via a fast-cooling process.The thermal strain-engi-neered rippling structures were directly visualized at the central 2H-and 3R-MoS_(2) bilayer regions with friction force microscopy(FFM)and bimodal AFM techniques.These rippling structures can be further artifi-cially manipulated into the beating-like rippling features and fully erased via the contact mode AFM scanning.Our results shed lights on the strain-engineered interfacial structures of two-dimensional materials and also inspire the further investigation on the interface engineering of their elec-tronicandoptical properties.展开更多
Mesoporous g-C3N4 nanorods （NRs） are synthesized through the nano-confined thermal condensation of cyanamide in silica nanotubes （NTs） with porous shells.The gas bubbles retained during condensation and the limite...Mesoporous g-C3N4 nanorods （NRs） are synthesized through the nano-confined thermal condensation of cyanamide in silica nanotubes （NTs） with porous shells.The gas bubbles retained during condensation and the limited cyanamide precursor inside the silica NTs lead to the formation of mesoporous g-C3N4.This nano-confined reaction is an alternative method to the traditional templating process for the synthesis of mesoporous materials.The as-prepared mesoporous g-C3N4 NRs exhibit remarkably improved photocatalytic activity and high stability in water splitting and degradation of Rhodamine B compared with bulk g-C3N4.展开更多
Background:Gallbladder cancer(GBC)is often diagnosed at an advanced stage with limited therapeutic options and poor prognosis.The five-year survival rate of this cancer when diagnosed at an advanced stage is below 5%,...Background:Gallbladder cancer(GBC)is often diagnosed at an advanced stage with limited therapeutic options and poor prognosis.The five-year survival rate of this cancer when diagnosed at an advanced stage is below 5%,and the median survival time is less than a year with standard gemcitabine-based chemotherapy.Survival benefit with second-line treatment is unknown.Thus,there is an urgent need for novel treatment strategies and targeted therapy based on next generation sequencing(NGS)may be of value.Methods:Comprehensive genomic profiling(CGP)was performed with NGS panel on paraffin-embedded tumors from a cohort of 108 Chinese and 107 US GBC patients.Clinical data were collected using an IRB approved protocol from a single-center in US and from China.Results:In Chinese and US GBC cohorts,an average of 6.4 vs.3.8 genomic alterations(GAs)were identified per patient.The most frequent alterations were TP53(69.4%),CDKN2A/B(26%),ERBB2(18.5%),PIK3CA(17%)and CCNE1(13%)in Chinese cohort,TP53(57.9%),CDKN2A/B(25%),SMAD4(17%),ARID1A(14%),PIK3CA(14%)and ERBB2(13.1%)in US patients.NFE2L2 mutations were present in 6.5%of Chinese patients and not observed in the US cohort.Interestingly,ERBB2 genetic aberrations were significantly associated with better pathological tumor differentiation and tended to co-occurrence with CDKN2A/B mutations in both the Chinese and US GBC cases.Out of the top 9 dysregulated genetic pathways in cancer,Chinese patients harbored more frequent mutations in ERBB genes(30.6%vs.19.0%,P=0.04).High frequency of PI3K/mTOR pathway variations was observed in both Chinese(37%)and US cohort(33%)(P=0.5).Additionally,both Chinese and US GBC patients exhibited a relatively high tumor mutational burden(TMB)(17.6%and 17.0%,respectively).In the Chinese cohort,a significant association was seen between direct repair gene alterations and TMB≥10 muts/Mb(P=0.004).Conclusions:In our study,over 83%Chinese and 68%US GBC patients had actionable alterations that could potentially guide and influence personalized treatment options.The identification of high TMB,ERBB2,CDKN2A/B,PI3K/mTOR pathway and DNA repair mutations indicated that both Chinese and US GBC patients may benefit from targeted or immune checkpoint inhibitors.展开更多
The phase behavior of water is a topic of perpetual interest due to its reinai kable anomalous properties and importance to biology,material science,geoscience,nanoscience,etc.It is predicted confined water at interfa...The phase behavior of water is a topic of perpetual interest due to its reinai kable anomalous properties and importance to biology,material science,geoscience,nanoscience,etc.It is predicted confined water at interface can exist in large amounts of crystalline or amorphous states.However,the experimental evidence of coexistence of liquid water phases at interface is still insufficient.Here,a special folding few-layers graphene film was elaborate prepared to form a hydrophobic/hydrophobic interface,which can provide a suited platform to study the structure and properties of confined liquid water.The real-space visualization of intercalated water layers phases at the folding interface is obtained using advanced atomic force microscopy(AFM).The folding graphene interface displays complicated internal interfacial characteristics.The intercalated water molecules present themselves as two phases,low-density liquid(LDL,solid-like)and high-density liquid(HDL,liquid-like),according to their specific mechanical properties taken in two multifrequency-AFM(MF-AFM)modes.Furthermore,the water molecules structural evolution is demonstrated in a series of continuous MF-AFM measurements.The work preliminary confirms the existence of two liquid phases of water in real space and will inspire further experimental work to deeply understanding their liquid dynamics behavior.展开更多
Background:Cholangiocarcinoma(CCA)is a diverse group of malignancies arising from the intra-or extrahepatic biliary epithelium and characterized by its late diagnosis and fatal outcome.Extrahepatic cholangiocarcinoma(...Background:Cholangiocarcinoma(CCA)is a diverse group of malignancies arising from the intra-or extrahepatic biliary epithelium and characterized by its late diagnosis and fatal outcome.Extrahepatic cholangiocarcinoma(ECC)accounts for 90%of CCA.However,little is known about the comprehensive genomic alterations of ECC in Chinese population for providing clinical managements especially targeted therapy.Methods:Comprehensive genomic profiling(CGP)was performed with next generation sequencing panel on paraffin-embedded tumor from a cohort of 80 Chinese ECC patients.Results:The most frequently altered genes were TP53(68%),KRAS(46%),SMAD4(22%),ARID1A(20%)and CDKN2A(19%).Mutual exclusivity was observed between multiple genes including ARID1A:TP53,KRAS:LRP1B and NF2:TP53.Genetic alterations with potential therapeutic implications were identified in 43%of patients.The top three actionable alterations include CDKN2A(n=11),BRAF(n=5)and ERBB2(n=4).Potentially actionable alterations were mainly enriched in the G1-S transition,homologous recombination repair,MAPK/ERK pathway.Conclusions:This is the largest data set of ECC cases providing a comprehensive view on genetic alterations in Chinese population which differs significantly from a US cohort,and indicates the potential clinical implications for targeted therapies.展开更多
Transition-metal chalcogenides(TMCs)materials have attracted increasing interest both for fundamental research and industrial applications.Among all these materials,two-dimensional(2D)compounds with honeycomb-like str...Transition-metal chalcogenides(TMCs)materials have attracted increasing interest both for fundamental research and industrial applications.Among all these materials,two-dimensional(2D)compounds with honeycomb-like structure possess exotic electronic structures.Here,we report a systematic study of TMC monolayer AgTe fabricated by direct depositing Te on the surface of Ag(111)and annealing.Few intrinsic defects are observed and studied by scanning tunneling microscopy,indicating that there are two kinds of AgTe domains and they can form gliding twin-boundary.Then,the monolayer AgTe can serve as the template for the following growth of Te film.Meanwhile,some Te atoms are observed in the form of chains on the top of the bottom Te film.Our findings in this work might provide insightful guide for the epitaxial growth of 2D materials for study of novel physical properties and for future quantum devices.展开更多
Nanocontact properties of two-dimensional(2D)materials are closely dependent on their unique nanomechanical systems,such as the number of atomic layers and the supporting substrate.Here,we report a direct observation ...Nanocontact properties of two-dimensional(2D)materials are closely dependent on their unique nanomechanical systems,such as the number of atomic layers and the supporting substrate.Here,we report a direct observation of toplayer-dependent crystallographic orientation imaging of 2D materials with the transverse shear microscopy(TSM).Three typical nanomechanical systems,MoS_(2) on the amorphous SiO_(2)/Si,graphene on the amorphous SiO_(2)/Si,and MoS_(2) on the crystallized Al_(2)O_(3),have been investigated in detail.This experimental observation reveals that puckering behaviour mainly occurs on the top layer of 2D materials,which is attributed to its direct contact adhesion with the AFM tip.Furthermore,the result of crystallographic orientation imaging of MoS_(2)/SiO_(2)/Si and MoS_(2)/Al_(2)O_(3) indicated that the underlying crystalline substrates almost do not contribute to the puckering effect of 2D materials.Our work directly revealed the top layer dependent puckering properties of 2D material,and demonstrate the general applications of TSM in the bilayer 2D systems.展开更多
Scanning probe microscopy(SPM)allows the spatial imaging,measurement,and manipulation of nano and atomic scale surfaces in real space.In the last two decades,numerous advanced and functional SPM methods,particularly a...Scanning probe microscopy(SPM)allows the spatial imaging,measurement,and manipulation of nano and atomic scale surfaces in real space.In the last two decades,numerous advanced and functional SPM methods,particularly atomic force microscopy(AFM),have been developed and applied in various research fields,from mapping sample morphology to measuring physical properties.Herein,we review the recent progress in functional AFM methods and their applications in studies of two-dimensional(2D)materials,particularly their interfacial physical properties on the substrates.This review can inspire more exciting application works using advanced AFM modes in the 2D and functional materials fields.展开更多
文摘Alterations in the mesenchymal-epithelial transition factor(MET)gene are critical drivers of non-small cell lung cancer(NSCLC).In recent years advances in precision therapies targeting MET alterations have significantly expanded treatment options for NSCLC patients.These alterations include MET exon 14 skipping mutations(MET exon 14 skipping),MET gene amplifications,MET point mutations(primarily kinase domain mutations),and MET protein overexpression.Accurate identification of these alterations and appropriate selection of patient populations and targeted therapies are essential for improving clinical outcomes.The East China Lung Cancer Group,Youth Committee(ECLUNG YOUNG,Yangtze River Delta Lung Cancer Cooperation Group)has synthesized insights from China’s innovative drug development landscape and clinical practice to formulate an expert consensus on the diagnosis and treatment of NSCLC patients with MET alterations.This consensus addresses key areas,such as optimal testing timing,testing methods,testing strategies,quality control measures,and treatment approaches.By offering standardized recommendations,this guidance aims to streamline diagnostic and therapeutic processes and enhance clinical decision-making for NSCLC with MET alterations.
基金the financial support received from the National Natural Science Foundation of China(22378426,22138013)the Natural Science Foundation of Shandong Province(ZR2022MB088)the Taishan Scholar Project(ts201712020)。
文摘High-voltage dual-ion batteries(DIBs)face significant challenges,including graphite cathode degradation,cathode-electrolyte interphase(CEI)instability,and the thermodynamic instability of conventional carbonate-based electrolytes,particularly at extreme temperatures.In this study,we develop a stable electrolyte incorporating lithium difluorophosphate(LiDFP)as an additive to enhance the electrochemical performance of DIBs over a wide temperature range.LiDFP preferentially decomposes to form a rapid anion-transporting,mechanically robust CEI layer on graphite,which provides better protection by suppressing graphite's volume expansion,preventing electrolyte oxidative decomposition,and enhancing reaction kinetics.As a result,Li||graphite half cells using LiDFP electrolyte exhibit outstanding rate performance(90.8% capacity retention at 30 C)and excellent cycle stability(82.2% capacity retention after 5000 cycles)at room temperature.Moreover,graphite||graphite full cells with LiDFP electrolyte demonstrate stable discharge capacity across a temperature range of-20 to 40℃,expanding the potential applications of LiDFP.This work establishes a novel strategy for optimizing the interphase through electrolyte design,paving the way for all-climate DIBs with improved performance and stability.
基金supported by the National Natural Science Foundation of China (No. U20A20371)the National Key Technology Research and Development Program of the Ministry of Science and Technology of China (No. D171100006517004)+2 种基金Beijing Municipal Administration of Hospitals’ Youth Program (QML20191103)Clinical Medicine Plus X-Young Scholars Project, Peking Universitythe Fundamental Research Funds for the Central Universities and the Science Foundation of Peking University Cancer Hospital。
文摘Objective: Positive peritoneal lavege cytology(CY1) gastric cancer is featured by dismal prognosis, with high risks of peritoneal metastasis. However, there is a lack of evidence on pathogenic mechanism and signature of CY1and there is a continuous debate on CY1 therapy. Therefore, exploring the mechanism of CY1 is crucial for treatment strategies and targets for CY1 gastric cancer.Methods: In order to figure out specific driver genes and marker genes of CY1 gastric cancer, and ultimately offer clues for potential marker and risk assessment of CY1, 17 cytology-positive gastric cancer patients and 31matched cytology-negative gastric cancer patients were enrolled in this study. The enrollment criteria were based on the results of diagnostic laparoscopy staging and cytology inspection of exfoliated cells. Whole exome sequencing was then performed on tumor samples to evaluate genomic characterization of cytology-positive gastric cancer.Results: Least absolute shrinkage and selection operator(LASSO) algorithm identified 43 cytology-positive marker genes, while Mut Sig CV identified 42 cytology-positive specific driver genes. CD3G and CDKL2 were both driver and marker genes of CY1. Regarding mutational signatures, driver gene mutation and tumor subclone architecture, no significant differences were observed between CY1 and negative peritoneal lavege cytology(CY0).Conclusions: There might not be distinct differences between CY1 and CY0, and CY1 might represent the progression of CY0 gastric cancer rather than constituting an independent subtype. This genomic analysis will thus provide key molecular insights into CY1, which may have a direct effect on treatment recommendations for CY1and CY0 patients, and provides opportunities for genome-guided clinical trials and drug development.
基金financial support from the National Key R&D Program of China(Grant No.2023YFA1406500)the National Natural Science Foundation of China(Grant Nos.11974422,12104504,and 12204534)+1 种基金the Fundamental Research Funds for the Central Universitiesthe Research Funds of Renmin University of China(Grant No.22XNKJ30)。
文摘Individual superatoms are assembled into more complicated nanostructures to diversify their physical properties.Magnetism of assembled superatoms remains,however,ambiguous,particularly in terms of its distance dependence.Here,we report density functional theory calculations on the distance-dependent magnetism of transition metal embedded Au_(6)Te_(8)Se_(12)(ATS)superatomic dimers.Among the four considered transition metals,which include V,Cr,Mn and Fe,the Cr-embedded Au_(6)Te_(12)Se_(8)(Cr@ATS)is identified as the most suitable for exploring the inter-superatomic distancedependent magnetism.We thus focused on Cr@ATS superatomic dimers and found an inter-superatomic magnetizationdistance oscillation where three transitions occur for magnetic ordering and/or anisotropy at different inter-superatomic distances.As the inter-superatomic distance elongates,a ferromagnetism(FM)-to-antiferromagnetic(AFM)transition and a sequential AFM-to-FM transition occur,ascribed to competitions among Pauli repulsion and kinetic-energy-gains in formed inter-superatomic Cr-Au-Au-Cr covalent bonds and Te-Te quasi-covalent bonds.For the third transition,in-plane electronic hybridization contributes to the stabilization of the AFM configuration.This work unveils two mechanisms for tuning magnetism through non-covalent interactions and provides a strategy for manipulating magnetism in superatomic assemblies.
文摘BACKGROUND There is a high annual incidence of acute,nonvariceal upper gastrointestinal bleeding in Chinese adults.Early endoscopic intervention can reduce rates of rebleeding,surgery,and mortality.The metal clip is the most common method for establishing homeostasis;however,it possesses several limitations.In patients with bleeding secondary to large gastric ulcers,the clip will often fail to stop the bleeding.This article highlights the use of an elastic traction ring as a novel hemostatic method for patients with upper gastrointestinal bleeding.CASE SUMMARY An elderly male presented to the emergency room with complaints of hematemesis and melena.Endoscopic examination revealed an ulcer(Forrest IIa)in the lesser curvature of the gastric antrum.Six tissue clips and one elastic traction ring were inserted into the stomach cavity to suture the ulcer.The patient recovered quickly without postoperative gastrointestinal bleeding.Two months later,the patient's ulcer was significantly healed.CONCLUSION To our best knowledge,this is the first report to demonstrate the safety and efficacy of elastic traction rings for upper gastrointestinal bleeding.Elastic traction rings should be considered a routine therapeutic modality for patients with upper gastrointestinal bleeds.
基金Project supported by the National Natural Science Foundation of China(Grant Nos.61674045,61911540074,and 21622304)the Fund from the Ministry of Science and Technology of China(Grant No.2016YFA0200700)+1 种基金the Strategic Priority Research Program and Key Research Program of Frontier Sciences(Chinese Academy of Sciences)(Grant Nos.XDB30000000 and QYZDB-SSW-SYS031)Zhihai Cheng was supported by the Fundamental Research Funds for the Central Universities and the Research Funds of Renmin University of China(Grant No.21XNLG27).
文摘The ultrathinβ-Sn(001)films have attracted tremendous attention owing to its topological superconductivity(TSC),which hosts Majorana bound state(MBSs)for quantum computation.Recently,β-Sn(001)thin films have been successfully fabricated via phase transition engineering.However,the understanding of structural phase transition ofβ-Sn(001)thin films is still elusive.Here,we report the direct growth of ultrathinβ-Sn(001)films epitaxially on the highly oriented pyrolytic graphite(HOPG)substrate and the characterization of intricate structural-transition-induced superstructures.The morphology was obtained by using atomic force microscopy(AFM)and low-temperature scanning tunneling microscopy(STM),indicating a structure-related bilayer-by-bilayer growth mode.The ultrathinβ-Sn film was made of multiple domains with various superstructures.Both high-symmetric and distorted superstructures were observed in the atomic-resolution STM images of these domains.The formation mechanism of these superstructures was further discussed based on the structural phase transition ofβtoα-Sn at the atomic-scale thickness.Our work not only brings a deep understanding of the structural phase transition of Sn film at the two-dimensional limit,but also paves a way to investigate their structure-sensitive topological properties.
基金Project supported by the National Natural Science Foundation of China(Grant Nos.21622304,61674045,11604063,and 61911540074)the National Key Research and Development Program of China(Grant No.2016YFA0200700)+2 种基金the Strategic Priority Research Program and Key Research Program of Frontier Sciences and Instrument Developing Project(Chinese Academy of Sciences,CAS)(Grant Nos.XDB30000000,QYZDB-SSW-SYS031,and YZ201418)Z.H.Cheng was supported by Distinguished Technical Talents Project and Youth Innovation Promotion Association CAS,the Fundamental Research Funds for the Central Universities,Chinathe Research Funds of Renmin University of China(Grant No.18XNLG01).
文摘Group-V elemental nanofilms were predicted to exhibit interesting physical properties such as nontrivial topological properties due to their strong spin-orbit coupling,the quantum confinement,and surface effect.It was reported that the ultrathin Sb nanofilms can undergo a series of topological transitions as a function of the film thickness h:from a topological semimetal(h>7.8 nm)to a topological insulator(7.8 nm>h>2.7 nm),then a quantum spin Hall(QSH)phase(2.7 nm>h>1.0 nm)and a topological trivial semiconductor(h<1.0 nm).Here,we report a comprehensive investigation on the epitaxial growth of Sb nanofilms on highly oriented pyrolytic graphite(HOPG)substrate and the controllable thermal desorption to achieve their specific thickness.The morphology,thickness,atomic structure,and thermal-strain effect of the Sb nanofilms were characterized by a combination study of scanning electron microscopy(SEM),atomic force microscopy(AFM),and scanning tunneling microscopy(STM).The realization of Sb nanofilms with specific thickness paves the way for the further exploring their thickness-dependent topological phase transitions and exotic physical properties.
基金the financial support from the Ministry of Science and Technology(MOST)of China(Grant No.2023YFA1406500)the National Natural Science Foundation of China(Grant Nos.11974422 and 12104504)+1 种基金the Fundamental Research Funds for the Central Universities,and the Research Funds of Renmin University of China(Grant No.22XNKJ30)(W.J.)supported by the Outstanding Innovative Talents Cultivation Funded Programs 2023 of Renmin University of China.
文摘In conventional electrides,excess electrons are localized in crystal voids to serve as anions.Most of these electrides are metallic and the metal cations are primarily from the s-block,d-block,or rare-earth elements.Here,we report a class of p-block metal-based electrides found in bilayer SnO and PbO,which are semiconducting and feature electride states in both the valence band(VB)and conduction band(CB),as referred to 2D“bipolar”electrides.These bilayers are hybrid electrides where excess electrons are localized in the interlayer region and hybridize with the orbitals of Sn atoms in the VB,exhibiting strong covalent-like interactions with neighboring metal atoms.Compared to previously studied hybrid electrides,the higher electronegativity of Sn and Pb enhances these covalent-like interactions,leading to largely enhanced semiconducting bandgap of up to 2.5 eV.Moreover,the CBM primarily arises from the overlap between metal states and interstitial charges,denoting a potential electride and forming a free-electron-like(FEL)state with small effective mass.This state offers high carrier mobilities for both electron and hole in bilayer SnO,suggesting its potential as a promising p-type semiconductor material.
基金supported by the Natural Science Foundation of China(grant number 82002456)China Postdoctoral Science Foundation(grant number 2022M723207)+10 种基金the Medical Scientific Research Foundation of Zhejiang Province,China(grant number 2023KY666)Zhejiang Traditional Chinese Medicine Science Fund Project(grant number 2024ZL372)Qiantang Cross Fund Project(grant number 2023-16)National Natural Science Foundation of China of Zhejiang Cancer Hospital Cultivation Project(grant number PY2023006)the Medical Scientific Research Foundation of Zhejiang Province,China(grant number 2024KY812)the Natural Science Foundation of Zhejiang Province(grant number LQ24H160036)Beijing Health Technologies Promotion Program[grant number BHTPP2022041]Peking University Clinical Scientist Training Program and the Fundamental Research Funds for the Central Universities[grant number BMU2024PYJH010]Science Foundation of Peking University Cancer Hospital[grant number PY202333]the Beijing Natural Science Foundation[grant number 7232248]Beijing Hospitals Authority Youth Programme[grant number QML20231902].
文摘The BRAF gene is an important signaling molecule in human cells that is involved in the regulation of cell growth,differentiation,and survival.When the BRAF gene mutates,it can lead to abnormal activation of the signaling pathway,which promotes cell proliferation,inhibits cell apoptosis,and ultimately contributes to the occurrence and development of cancer.BRAF mutations are widely present in various cancers,including malignant melanoma,thyroid cancer,colorectal cancer,non-small cell lung cancer,and hairy cell leukemia,among others.BRAF is an important target for the treatment of various solid tumors,and targeted combination therapies,represented by BRAF inhibitors,have become one of the main treatment modalities for a variety of BRAF-mutation-positive solid tumors.
基金supported by the National Key R&D Program of China(MOST)(Grant Nos.2023YFA1406500 and 2018YFE0202700)the National Natural Science Foundation of China(NSFC)(Nos.21622304,61674045,11604063,11974422,and 12104504)+2 种基金the Strategic Priority Research Program(Chinese Academy of Sciences,CAS)(No.XDB30000000)the Fundamental Research Funds for the Central Universities and the Research Funds of Renmin University of China[Nos.21XNLG27(Z.C.)and 22XNH095(H.D.)]supported by the Outstanding Innovative Talents Cultivation Funded Programs 2023 of Renmin University of China.
文摘The van der Waals interface structures and behaviors are of great impor-tance in determining the physical properties of two-dimensional atomic crystals and their heterostructures.The delicate interfacial properties are sensitively dependent on the mechanical behaviors of atomically thin films under external strain.Here,we investigated the strain-engineered rippling structures at the CVD-grown bilayer-MoS_(2) interface with advanced atomic force microscopy(AFM).The in-plane compressive strain is sequentially introduced into the 1L-substrate and 2L-1L interface of bilayer-MoS_(2) flakes via a fast-cooling process.The thermal strain-engi-neered rippling structures were directly visualized at the central 2H-and 3R-MoS_(2) bilayer regions with friction force microscopy(FFM)and bimodal AFM techniques.These rippling structures can be further artifi-cially manipulated into the beating-like rippling features and fully erased via the contact mode AFM scanning.Our results shed lights on the strain-engineered interfacial structures of two-dimensional materials and also inspire the further investigation on the interface engineering of their elec-tronicandoptical properties.
基金This work is supported by National Natural Science Foundation of China （Nos. 21671067 and 21471058）, the National Key Research and Development Program of China （No. 2016YFB0701103）, National Program for Support of Top-notch Young Professionals and Shuguang Program （No. 15SG21）.
文摘Mesoporous g-C3N4 nanorods （NRs） are synthesized through the nano-confined thermal condensation of cyanamide in silica nanotubes （NTs） with porous shells.The gas bubbles retained during condensation and the limited cyanamide precursor inside the silica NTs lead to the formation of mesoporous g-C3N4.This nano-confined reaction is an alternative method to the traditional templating process for the synthesis of mesoporous materials.The as-prepared mesoporous g-C3N4 NRs exhibit remarkably improved photocatalytic activity and high stability in water splitting and degradation of Rhodamine B compared with bulk g-C3N4.
文摘Background:Gallbladder cancer(GBC)is often diagnosed at an advanced stage with limited therapeutic options and poor prognosis.The five-year survival rate of this cancer when diagnosed at an advanced stage is below 5%,and the median survival time is less than a year with standard gemcitabine-based chemotherapy.Survival benefit with second-line treatment is unknown.Thus,there is an urgent need for novel treatment strategies and targeted therapy based on next generation sequencing(NGS)may be of value.Methods:Comprehensive genomic profiling(CGP)was performed with NGS panel on paraffin-embedded tumors from a cohort of 108 Chinese and 107 US GBC patients.Clinical data were collected using an IRB approved protocol from a single-center in US and from China.Results:In Chinese and US GBC cohorts,an average of 6.4 vs.3.8 genomic alterations(GAs)were identified per patient.The most frequent alterations were TP53(69.4%),CDKN2A/B(26%),ERBB2(18.5%),PIK3CA(17%)and CCNE1(13%)in Chinese cohort,TP53(57.9%),CDKN2A/B(25%),SMAD4(17%),ARID1A(14%),PIK3CA(14%)and ERBB2(13.1%)in US patients.NFE2L2 mutations were present in 6.5%of Chinese patients and not observed in the US cohort.Interestingly,ERBB2 genetic aberrations were significantly associated with better pathological tumor differentiation and tended to co-occurrence with CDKN2A/B mutations in both the Chinese and US GBC cases.Out of the top 9 dysregulated genetic pathways in cancer,Chinese patients harbored more frequent mutations in ERBB genes(30.6%vs.19.0%,P=0.04).High frequency of PI3K/mTOR pathway variations was observed in both Chinese(37%)and US cohort(33%)(P=0.5).Additionally,both Chinese and US GBC patients exhibited a relatively high tumor mutational burden(TMB)(17.6%and 17.0%,respectively).In the Chinese cohort,a significant association was seen between direct repair gene alterations and TMB≥10 muts/Mb(P=0.004).Conclusions:In our study,over 83%Chinese and 68%US GBC patients had actionable alterations that could potentially guide and influence personalized treatment options.The identification of high TMB,ERBB2,CDKN2A/B,PI3K/mTOR pathway and DNA repair mutations indicated that both Chinese and US GBC patients may benefit from targeted or immune checkpoint inhibitors.
基金the Ministry of Science and Technology(MOST)of China(No.2016YFA0200700)the National Natural Science Foun-dation of China(NSFC)(Nos.21622304,61674045,and 11604063)+1 种基金the Strategic Priority Research Program,the Key Research Program of Frontier Sciences and Instrument Developing Project of Chinese Academy of Sciences(CAS)(Nos.XDB30000000,QYZDB-SSW-SYS031,and YZ201418)Z.H.Cheng was supported by Distinguished Technical Talents Project and Youth Innovation Promotion Association CAS,the Fundamental Research Funds for the Central Universities and the Research Funds of Renmin University of China(No.18XNLG01).
文摘The phase behavior of water is a topic of perpetual interest due to its reinai kable anomalous properties and importance to biology,material science,geoscience,nanoscience,etc.It is predicted confined water at interface can exist in large amounts of crystalline or amorphous states.However,the experimental evidence of coexistence of liquid water phases at interface is still insufficient.Here,a special folding few-layers graphene film was elaborate prepared to form a hydrophobic/hydrophobic interface,which can provide a suited platform to study the structure and properties of confined liquid water.The real-space visualization of intercalated water layers phases at the folding interface is obtained using advanced atomic force microscopy(AFM).The folding graphene interface displays complicated internal interfacial characteristics.The intercalated water molecules present themselves as two phases,low-density liquid(LDL,solid-like)and high-density liquid(HDL,liquid-like),according to their specific mechanical properties taken in two multifrequency-AFM(MF-AFM)modes.Furthermore,the water molecules structural evolution is demonstrated in a series of continuous MF-AFM measurements.The work preliminary confirms the existence of two liquid phases of water in real space and will inspire further experimental work to deeply understanding their liquid dynamics behavior.
文摘Background:Cholangiocarcinoma(CCA)is a diverse group of malignancies arising from the intra-or extrahepatic biliary epithelium and characterized by its late diagnosis and fatal outcome.Extrahepatic cholangiocarcinoma(ECC)accounts for 90%of CCA.However,little is known about the comprehensive genomic alterations of ECC in Chinese population for providing clinical managements especially targeted therapy.Methods:Comprehensive genomic profiling(CGP)was performed with next generation sequencing panel on paraffin-embedded tumor from a cohort of 80 Chinese ECC patients.Results:The most frequently altered genes were TP53(68%),KRAS(46%),SMAD4(22%),ARID1A(20%)and CDKN2A(19%).Mutual exclusivity was observed between multiple genes including ARID1A:TP53,KRAS:LRP1B and NF2:TP53.Genetic alterations with potential therapeutic implications were identified in 43%of patients.The top three actionable alterations include CDKN2A(n=11),BRAF(n=5)and ERBB2(n=4).Potentially actionable alterations were mainly enriched in the G1-S transition,homologous recombination repair,MAPK/ERK pathway.Conclusions:This is the largest data set of ECC cases providing a comprehensive view on genetic alterations in Chinese population which differs significantly from a US cohort,and indicates the potential clinical implications for targeted therapies.
基金This project was supported by the Ministry of Science and Technology(MOST)of China(No.2016YFA0200700)the National Natural Science Foundation of China(NSFC)(Nos.61674045 and 61911540074)+2 种基金the Strategic Priority Research Program and Key Research Program of Frontier Sciences(Chinese Academy of Sciences,CAS)(Nos.XDB30000000 and QYZDB-SSW-SYS031)Grant-in-Aid for Scientific Research from Japan Society for the Promotion of Science(JSPS)from the Ministry of Education,Culture,Sports,Science,and Technology of Japan(Nos.JP16H06327,JP16H06504,JP17H01061,and JP17H010610)Osaka University’s International Joint Research Promotion Program(Nos.J171013014,J171013007,J181013006,and Ja19990011).Z.H.C.was supported by the Fundamental Research Funds for the Central Universities and the Research Funds of Renmin University of China(No.21XNLG27).
文摘Transition-metal chalcogenides(TMCs)materials have attracted increasing interest both for fundamental research and industrial applications.Among all these materials,two-dimensional(2D)compounds with honeycomb-like structure possess exotic electronic structures.Here,we report a systematic study of TMC monolayer AgTe fabricated by direct depositing Te on the surface of Ag(111)and annealing.Few intrinsic defects are observed and studied by scanning tunneling microscopy,indicating that there are two kinds of AgTe domains and they can form gliding twin-boundary.Then,the monolayer AgTe can serve as the template for the following growth of Te film.Meanwhile,some Te atoms are observed in the form of chains on the top of the bottom Te film.Our findings in this work might provide insightful guide for the epitaxial growth of 2D materials for study of novel physical properties and for future quantum devices.
基金This work was supported by the National Natural Science Foundation of China(NSFC,Grant Nos.21622304,61674045,and 11604063)Ministry of Science and Technology(MOST)of China(Grant No.2016YFA0200700)+5 种基金Strategic Priority Research Program,Key Research Program of Frontier Sciences and Instrument Developing Project of Chinese Academy of Sciences(CASGrant Nos.XDB30000000,QYZDB-SSW-SYS031,and YZ201418)Grant-in-Aid for Scientific Research from Japan Society for the Promotion of Science(JSPS)from the Ministry of Education,Culture,Sports,Science,and Technology of Japan(Grant Nos.JP16H06327,JP16H06504,JP17H01061,and JP17H010610)Osaka University’s International Joint Research Promotion Program(Grant Nos.J171013014,J171013007,J181013006,and Ja19990011)Z.H.Cheng was supported by Distinguished Technical Talents Project and Youth Innovation Promotion Association CAS,the Fundamental Research Funds for the Central Universities,and the Research Funds of Renmin University of China(Grant No.18XNLG01)S.Chen appreciate the support from Beijing Natural Science Foundation(Grant No.2192024).
文摘Nanocontact properties of two-dimensional(2D)materials are closely dependent on their unique nanomechanical systems,such as the number of atomic layers and the supporting substrate.Here,we report a direct observation of toplayer-dependent crystallographic orientation imaging of 2D materials with the transverse shear microscopy(TSM).Three typical nanomechanical systems,MoS_(2) on the amorphous SiO_(2)/Si,graphene on the amorphous SiO_(2)/Si,and MoS_(2) on the crystallized Al_(2)O_(3),have been investigated in detail.This experimental observation reveals that puckering behaviour mainly occurs on the top layer of 2D materials,which is attributed to its direct contact adhesion with the AFM tip.Furthermore,the result of crystallographic orientation imaging of MoS_(2)/SiO_(2)/Si and MoS_(2)/Al_(2)O_(3) indicated that the underlying crystalline substrates almost do not contribute to the puckering effect of 2D materials.Our work directly revealed the top layer dependent puckering properties of 2D material,and demonstrate the general applications of TSM in the bilayer 2D systems.
基金supported by the National Natural Science Foundation of China(NSFC)(Nos.61911540074,61674045,11604063,11622437,11974422,and 12172047)the Ministry of Science and Technology(MOST)of China(Nos.2016YFA0200700 and 2018YFE0202700)+1 种基金the support of the Strategic Priority Research Program of the Chinese Academy of Sciences(CAS)(No.XDB30000000)Z H C and W J received Fundamental Research Funds for the Central Universities and Research Funds of Renmin University of China(Nos.21XNLG27 and 19XNQ025).
文摘Scanning probe microscopy(SPM)allows the spatial imaging,measurement,and manipulation of nano and atomic scale surfaces in real space.In the last two decades,numerous advanced and functional SPM methods,particularly atomic force microscopy(AFM),have been developed and applied in various research fields,from mapping sample morphology to measuring physical properties.Herein,we review the recent progress in functional AFM methods and their applications in studies of two-dimensional(2D)materials,particularly their interfacial physical properties on the substrates.This review can inspire more exciting application works using advanced AFM modes in the 2D and functional materials fields.
