Background:Patients with gastric cancer(GC)are prone to lymph node metastasis(LNM),which is an important factor for recurrence and poor prognosis of GC.Nowadays,more and more studies have confirmed that exosomes can p...Background:Patients with gastric cancer(GC)are prone to lymph node metastasis(LNM),which is an important factor for recurrence and poor prognosis of GC.Nowadays,more and more studies have confirmed that exosomes can participate in tumor lymphangiogenesis.An in-depth exploration of the pathological mechanism in the process of LNM in GC may provide effective targets and improve the diagnosis and treatment effect.Materials and Methods:We used sequencing analysis of collected serum to screen out exo-miRNA related to LNM in GC.ELISA,qRT-PCR,Western Blot,RNA pull-down assay,Transwell assay,animal experiments,and other experiments were used to verify the results.Results:In this study,we screened out miR-224-3p related to GC progression and LNM in a vascular endothelial growth Factor C(VEGFC)-independent manner.We found that exo-miR-224-3p derived from GC cells could enter human lymphatic endothelial cells(HLECs)and promote the tube formation and migration of HLECs.In addition,it was revealed that miR-224-3p could bind to the 3′UTR region of GSK3B mRNA.Then,we proved that inhibiting the expression of GSK3B could suppress the phosphorylation ofβ-catenin and promote the transcription of PROX1,thus leading to tumor lymphangiogenesis.Furthermore,it was also found that hnRNPA1 mediated the sorting of miR-224-3p into exosomes,and the high expression of PKM2 promoted the secretion of exomiR-224-3p.Conclusions:Our discovery of the exo-miR-224-3p/GSK3B/β-catenin/PROX1 axis may provide a new direction for the clinical treatment of GC.展开更多
Understanding the complex interactions between urbanization and ecosystem services(ESs)is crucial for optimiz ing planning policies and achieving sustainable urban management.While previous research has largely focuse...Understanding the complex interactions between urbanization and ecosystem services(ESs)is crucial for optimiz ing planning policies and achieving sustainable urban management.While previous research has largely focused on highly urbanized areas,little attention has been given to the phased effect of progressive urbanization on ES networks.This study proposes a conceptual framework that utilizes the network method and space-time replace ment to examine the effect of urbanization on the complex relationships among ESs at different stages,with a particular emphasis on the progressive evolution of the process.We apply this framework to the Horqin area,a typical eco-fragile area in China.Results demonstrate that the connectivity of the ES synergy network exhibits a non-stationary characteristic,initially increasing,then decreasing,and subsequently strengthening.Meanwhile,its modularity shows a rising trend during periods of accelerated urbanization.The performance of the trade off network displays the opposite pattern.Additionally,we observe a gradual replacement of provisioning and regulation services by cultural services in terms of dominance in the synergy network as urbanization advances.By providing guidance for identifying key planning initiatives and implementing ecological protection policies at different stages of development,this study contributes a pathway that can inform development strategies in other regions undergoing progressive urbanization.展开更多
Objective:The aim of this research was to identify whether exosomes were involved in impairing adipogenesis in cancer-associated cachexia(CAC)by detecting the adipodifferentiation capacity and the expressions of adipo...Objective:The aim of this research was to identify whether exosomes were involved in impairing adipogenesis in cancer-associated cachexia(CAC)by detecting the adipodifferentiation capacity and the expressions of adipogenic proteins in gastric cancer(GC)-associated adipocytes.Methods:Western blotting and RT-PCR were used to investigate the expressions of C/EPBβ,C/EPBα,PPARγ,and UCP1 in adipose mesenchymal stem cells(A-MSCs)to evaluate the function of exosomal miR-155.BALB/c nude mice were intravenously injected in vivo with GC exosomes with different levels of miR-155 to determine changes in adipodifferentiation of A-MSCs.Results:Exosomes derived from GC cells suppressed adipogenesis in A-MSCs as characterized by decreased lipid droplets.Similarly,A-MSCs co-cultured with GC exosomes exhibited increased ATP production through brown adipose differentiation characterized by highly dense mitochondria and enhanced UCP1 expression(P<0.05).Mechanistically,exosomal miR-155 secreted from GC cells suppressed adipogenesis and promoted brown adipose differentiation by targeting C/EPBβ,accompanied by downregulated C/EPBαand PPARγand upregulated UCP1(P<0.05).Moreover,overexpression of miR-155 in GC exosomes improved CAC in vivo,which was characterized by fat loss,suppressed expressions of C/EPBβ,C/EPBα,and PPARγin A-MSCs,and high expression of UCP1(P<0.05).Decreasing the level of miR-155 in injected GC exosomes abrogated the improved CAC effects.Conclusions:GC exosomal miR-155 suppressed adipogenesis and enhanced brown adipose differentiation in A-MSCs by targeting C/EPBβof A-MSCs,which played a crucial role in CAC.展开更多
Increasing attention has been paid to rechargeable aqueous batteries due to their high safety and low cost.However,they remain in their infancy because of the limited choice of available anode materials with high spec...Increasing attention has been paid to rechargeable aqueous batteries due to their high safety and low cost.However,they remain in their infancy because of the limited choice of available anode materials with high specific capacity and satisfying cycling performance.Bi metal with layered structure can act as an ideal anode material with high capacity;however,the energy storage mechanism has not well elucidated.Herein,we demonstrate that Bi metal enables affording ultra-high specific capacity(254.3 mAh g^-1),superior rate capability and a capacity retention of 88.8%after 1600 cycles.Different from the previously-reported redox reaction mechanisms of Bi electrode,efficient(de)alloying of K+is responsible for its excellent performance.An excellent aqueous Bi battery is fabricated by matching Bi anode with Co(OH)2 cathode in KOH(1 M)electrolyte.Its outstanding performance is quite adequate and competitive for electrochemical energy storage devices.展开更多
Energy density can be substantially raised and even maximized if the bulk of an electrode material is fully utilized.Transition metal oxides based on conversion reaction mechanism are the imperative choice due to eith...Energy density can be substantially raised and even maximized if the bulk of an electrode material is fully utilized.Transition metal oxides based on conversion reaction mechanism are the imperative choice due to either constructing nanostructure or intercalation pseudocapacitance with their intrinsic limitations.However,the fully bulk utilization of transition metal oxides is hindered by the poor understanding of atomic-level conversion reaction mechanism,particularly it is largely missing at clarifying how the phase transformation(conversion reaction)determines the electrochemical performance such as power density and cyclic stability.Herein,α-Fe_(2)O_(3) is a case provided to claim how the diffusional and diffusionless transformation determine the electrochemical behaviors,as of its conversion reaction mechanism with fully bulk utilization in alkaline electrolyte.Specifically,the discharge productα-FeOOH diffusional from Fe(OH)2 is structurally identified as the atomic-level arch criminal for its cyclic stability deterioration,whereas the counterpartδ-FeOOH is theoretically diffusionless-like,unlocking the full potential of the pseudocapacitance with fully bulk utilization.Thus,such pseudocapacitance,in proof-of-concept and termed as conversion pseudocapacitance,is achieved via diffusionless-like transformation.This work not only provides an atomic-level perspective to reassess the potential electrochemical performance of the transition metal oxides electrode materials based on conversion reaction mechanism but also debuts a new paradigm for pseudocapacitance.展开更多
Diferent from necrosis,apoptosis,autophagy and other forms of cell death,ferroptosis is a mechanism that catalyzes lipid peroxidation of polyunsaturated ftty acids under the action of iron divalent or lipoxygenase,lea...Diferent from necrosis,apoptosis,autophagy and other forms of cell death,ferroptosis is a mechanism that catalyzes lipid peroxidation of polyunsaturated ftty acids under the action of iron divalent or lipoxygenase,leading to cell death.Apatinib is currently used in the third line standard treatment of advanced gastric cancer,targeting the anti-angiogenesis pathway.However,Apatinib mediated ferroptosis in vascular endothelial cells has not been reported yet.Tumor.secreted exosomes can be taken up into target cells to regulate tumor development,but the mechanism related to vascular endothelial cell ferroptosis has not yet been discovered.Here,we show that exosomes secreted by gastric cancer cells carry miR-214.3p into vascular endothelial cells and directdy target zinc finger protein A20 to negatively regulate ACSL4,a key enzyme of lipid peroxidation during frroptosis thereby inhibiting ferroptosis in vascular endothelial cells and reducing the eficiency of Apatinib.In conclusion,inhibition of miR-214-3p can increase the sensitivity of vascular endothelial cells to Apatinib,thereby promoting the antiangiogenic efect of Apatinib,suggesting a potential combination therapy for advanced gastric cancer.展开更多
Owning various crystal structures and high theoretical capacity,metal tellurides are emerging as promising electrode materials for high-performance metal-ion batteries(MBs).Since metal telluride-based MBs are quite ne...Owning various crystal structures and high theoretical capacity,metal tellurides are emerging as promising electrode materials for high-performance metal-ion batteries(MBs).Since metal telluride-based MBs are quite new,fundamental issues raise regarding the energy storage mechanism and other aspects affecting electrochemical performance.Severe volume expansion,low intrinsic conductivity and slow ion diffusion kinetics jeopardize the performance of metal tellurides,so that rational design and engineering are crucial to circumvent these disadvantages.Herein,this review provides an in-depth discussion of recent investigations and progresses of metal tellurides,beginning with a critical discussion on the energy storage mechanisms of metal tellurides in various MBs.In the following,recent design and engineering strategies of metal tellurides,including morphology engineering,compositing,defect engineering and heterostructure construction,for high-performance MBs are summarized.The primary focus is to present a comprehensive understanding of the structural evolution based on the mechanism and corresponding effects of dimension control,composition,electron configuration and structural complexity on the electrochemical performance.In closing,outlooks and prospects for future development of metal tellurides are proposed.This work also highlights the promising directions of design and engineering strategies of metal tellurides with high performance and low cost.展开更多
Hepatic stellate cells(HSCs)are the primary fibrogenic cells in the liver,and their activation plays a crucial role in the development and progression of hepatic fibrosis.Here,we report that retinoid X receptor-alpha(...Hepatic stellate cells(HSCs)are the primary fibrogenic cells in the liver,and their activation plays a crucial role in the development and progression of hepatic fibrosis.Here,we report that retinoid X receptor-alpha(RXRα),a unique member of the nuclear receptor superfamily,is a key modulator of HSC activation and liver fibrosis.RXRαexerts its effects by modulating calcium/calmodulin-dependent protein kinase kinaseβ(CaMKKβ)-mediated activation of AMP-activated protein kinase-alpha(AMPKα).In addition,we demonstrate that K-80003,which binds RXRαby a unique mechanism,effectively suppresses HSC activation,proliferation,and migration,thereby inhibiting liver fibrosis in the CCl4 and amylin liver NASH(AMLN)diet animal models.The effect is mediated by AMPKαactivation,promoting mitophagy in HSCs.Mechanistically,K-80003 activates AMPKαby inducing RXRαto form condensates with CaMKKβand AMPKαvia a two-phase process.The formation of RXRαcondensates is driven by its N-terminal intrinsic disorder region and requires phosphorylation by CaMKKβ.Our results reveal a crucial role of RXRαin liver fibrosis regulation through modulating mitochondrial activities in HSCs.Furthermore,they suggest that K-80003 and related RXRαmodulators hold promise as therapeutic agents for fibrosis-related diseases.展开更多
Li4Ti5O(12)(LTO)has drawn great attention due to its safety and stability in lithium-ion batteries(LIBs).However,high potential plateau at 1.5 V vs.Li reduces the cell voltage,leading to a limited use of LTO.Dual-ion ...Li4Ti5O(12)(LTO)has drawn great attention due to its safety and stability in lithium-ion batteries(LIBs).However,high potential plateau at 1.5 V vs.Li reduces the cell voltage,leading to a limited use of LTO.Dual-ion batteries(DIBs)can achieve high working voltage due to high intercalation potential of cathode.Herein,we propose a DIB configuration in which LTO is used as anode and the working voltage was 3.5 V.This DIB achieves a maximum specific energy of 140 Wh/kg at a specific power of 35 W/kg,and the specific power of 2933 W/kg can be obtained with a remaining specific energy of 11 Wh/kg.Traditional LIB material shows greatly improved properties in the DIB configuration.Thus,reversing its disadvantage leads to upgraded performance of batteries.Our configuration has also widened the horizon of materials for DIBs.展开更多
In dual-ion batteries (DIBs), energy storage is achieved by intercalation/de-intercalation of both cations and anions. Due to the mismatch between ion diameter and layer space of active materials, however, volume expa...In dual-ion batteries (DIBs), energy storage is achieved by intercalation/de-intercalation of both cations and anions. Due to the mismatch between ion diameter and layer space of active materials, however, volume expansion and exfoliation always occur for electrode materials. Herein, an integrated electrode Co3O4/carbon fiber paper (CFP) is prepared as the anode of DIB. As the Co3O4 nanosheets grow on CFP substrate vertically, it promotes the immersion of electrolyte and shortens the pathway for ionic transport. Besides, the strong interaction between Co3O4 and CFP substrate reduces the possibility of sheet exfoliation. An integrated-electrode-based DIB is therefore packaged using Co3O4/CFP as anode and graphite as cathode. As a result, a high energy density of 72 Wh/kg is achieved at a power density of 150 W/kg. The design of integrated electrode provides a new route for the development of high-performance DIBs.展开更多
The application of commercial carbon fiber cloth(CFC) in energy storage equipment is limited by its low specific capacitance and energy density. By a simple one-step activation treatment, the specific surface area of ...The application of commercial carbon fiber cloth(CFC) in energy storage equipment is limited by its low specific capacitance and energy density. By a simple one-step activation treatment, the specific surface area of CFCs with porous structure can be increased considerably from 3.9 up to 875 m^2/g and the electrochemical properties of CFCs can be improved by three orders of magnitude(1324 mF/cm^2). Moreover,the hydrophobicity of CFCs can be transformed into superhydrophilicity. However, the electrochemical performance of CFCs does not show a positive correlation with specific surface area but have a strong relationship with the hierarchical pore distribution forged by the annealing treatment. Only moderate micropore and mesoporous ratio enables optimizing the electrochemical performance of CFCs.展开更多
BACKGROUND Neoadjuvant or perioperative chemotherapy combined with surgery can reduce postoperative recurrence and improve the long-term survival rate of patients with locally advanced resectable gastric carcinoma.Niv...BACKGROUND Neoadjuvant or perioperative chemotherapy combined with surgery can reduce postoperative recurrence and improve the long-term survival rate of patients with locally advanced resectable gastric carcinoma.Nivolumab combined with chemotherapy has been recommended by the National Comprehensive Cancer Network guidelines as a first-line therapy for advanced gastric carcinoma/adenocarcinoma of the gastroesophageal junction and serves as the basis for immunotherapy combined with chemotherapy to become a neoadjuvant therapy.Herein,we report a case in which pathologic complete response was achieved by neoadjuvant administration of toripalimab,Herceptin,and docetaxel,oxaliplatin,calcium folinate,and fluorouracil(FLOT)chemotherapy followed by surgery for human epidermal growth factor receptor 2(HER2)-and programmed deathligand 1(PD-L1)-positive locally advanced gastric carcinoma.We hope that this case will shed some light on neoadjuvant therapy for gastric carcinoma.CASE SUMMARY The patient was diagnosed with locally advanced adenocarcinoma of the cardia.Immunohistochemistry of the baseline tissues suggested that the tissues were HER2-(fluorescent in situ hybridization)and PD-L1-positive(combined positive score=1).The patient underwent surgery following a four-cycle neoadjuvant therapy comprising Herceptin,toripalimab,and FLOT chemotherapy.The postoperative pathological findings showed mild atypical hyperplasia of the local glands with chronic mucosal inflammation(proximal stomach),no clear residual tumor(tumor regression grade 0),no regional lymph node metastasis,and negative upper and lower cut ends.The levels of tumor markers were reduced to normal levels after re-examination.With good postoperative recovery,the four-cycle preoperative chemotherapy was continued at the same dosage as that previously administered.After the treatment,the patient was monitored every 3 mo with a follow-up of 12 mo(4 times).As of February 27,2022,he was in a good condition without disease progression.The clinical trial registration number is E2019401.CONCLUSION There are many ongoing studies on neoadjuvant immunotherapy combined with chemotherapy or radiotherapy;however,most of these studies are phase II studies with small cohorts.According to the results of some current studies,these combined regimens have shown promising results in terms of efficacy and safety.However,the clinical efficacy and safety of the neoadjuvant therapies used in these combined regimens need to be confirmed by additional prospective phase III clinical trials,and further exploration of molecular markers for effective populations is required.展开更多
Objective:The mainstay treatment of esophageal squamous cell carcinoma(ESCC)involves chemotherapy and immunotherapy.However,alternative therapies are required for patients who are refractory or intolerant to existing ...Objective:The mainstay treatment of esophageal squamous cell carcinoma(ESCC)involves chemotherapy and immunotherapy.However,alternative therapies are required for patients who are refractory or intolerant to existing therapies.Methods:In this single-arm,multicenter,open-label phase Ib study,30 patients received an intravenous infusion of SCT200,an antiepidermal growth factor receptor(EGFR)monoclonal antibody,6.0 mg/kg once a week for 6 weeks,followed by 8.0 mg/kg once every 2 weeks until disease progression or intolerable toxicity.The primary endpoint was the objective response rate(ORR).The secondary endpoints were progression-free survival(PFS),overall survival(OS),and safety.Results:Thirty patients were enrolled between July 2018 and May 2019.The ORR was 16.7%(95%CI:5.6%–34.7%).The median PFS and OS were 3.1 months(95%CI:1.5–4.3)and 6.8 months(95%CI:4.7–10.1),respectively.A numerical difference without any statistical significance in ORR was observed in patients with different EGFR expressions(≥50%:25.0%vs.<50%:0%,P=0.140)or TP53 mutation abundance(<10%:23.8%vs.≥10%:0%,P=0.286).Improved median PFS(3.4 vs.1.4 months,P=0.006)and OS(8.0 vs.4.2 months,P=0.027)were associated with TP53 mutation abundance of<10%.The most common treatment-related adverse events of grade 3 or 4(occurring in≥2 patients)were hypomagnesemia[7(23.3%)]and rash[2(6.7%)].No treatmentrelated death occurred.Conclusions:SCT200 monotherapy as the second-or further-line treatment for advanced ESCC showed favorable efficacy,with an acceptable safety profile.TP53 mutation abundance might serve as a potential predictive biomarker.展开更多
A facile hydrolysis method was applied to fabricate high-performance Co-layered double hydroxide（LDH）nanocages/graphene composites for supercapacitors. The materials exhibit enhanced rate capability than the counter...A facile hydrolysis method was applied to fabricate high-performance Co-layered double hydroxide（LDH）nanocages/graphene composites for supercapacitors. The materials exhibit enhanced rate capability than the counterpart electrode free of graphene while maintaining a high specific capacitance. In addition,such Co-LDH nanocages/graphene composites display an excellent cycling stability; the capacitance retention of Co-LDH nanocages/graphene composite electrode remains 90.4% after 10000 cycles at a current density of 2 A g（-1）. The integration of high capacity of double hydroxide and outstanding conductivity of graphene makes the delicately-designed composites promising candidates for electrode materials for supercapacitors.展开更多
Objective： The expression of tumor biomarkers may change after chemotherapy. However, whether secreted protein acidic and rich in cysteine （SPARC） expression changes after chemotherapy in gastric cancer （GC） is u...Objective： The expression of tumor biomarkers may change after chemotherapy. However, whether secreted protein acidic and rich in cysteine （SPARC） expression changes after chemotherapy in gastric cancer （GC） is unclear, qqais study investigated the influence of chemotherapy on SPARC expression in GC. Methods： Immunohistochemistry was used to analyze SPARC expression in 132 GC cases （including 54 cases with preoperative chemotherapy and 78 cases without preoperative chemotherapy）. SPARC expression of postoperative specimens with and without preoperative chemotherapy was assessed to analyze the influence of chemotherapy on SPARC expression. Results： SPARC was highly expressed in GC compared with the desmoplastic stroma surrounding tumor cells and noncancerous tissues. High SPAKC expression was correlated with invasion depth, lymph node, and TNM stage. After chemotherapy, a lower proportion of high SPARC expression was observed in patients with preoperative chemotherapy than in the controls. For 54 patients with preoperative chemotherapy; gross type, histology, depth of invasion, lymph node, TNM stage, and SPARC expression were related to overall survival. Further multivariate analysis showed that lymph node, histology, and SPARC expression after chemotherapy were independent prognostic factors. Conclusiou： SPARC expression may change after chemotherapy in GC. SPARC expression should be reassessed for patients with GC after chemotherapy.展开更多
1.Introduction Catalysis[1]plays a vital role in the chemical industries,which affect our daily life.The preparation of suitable catalysts for the selective and efficient synthesis of desired products from raw materia...1.Introduction Catalysis[1]plays a vital role in the chemical industries,which affect our daily life.The preparation of suitable catalysts for the selective and efficient synthesis of desired products from raw materials is important[2].Noble metals have long been widely used as commercial catalysts because of their incomparably high activities and stabilities in heterogeneous catalysis.However,the scarcity and corresponding high prices of noble metals will make it difficult to meet the increasing demands for such catalysts.Only the surface atoms of catalysts are involved in the catalytic process because of the low coordination environment and high activity,and much effort has been devoted to downsizing metal particles to decrease costs and enhance performance[3,4].The report in 2011 by Zhang and his group[5]of the first fabrication of a Pt single-atom catalyst(SAC)supported on iron oxide(Pt1/FeOx)and its high activity and stability in CO oxidation and preferential oxidation(PROX)of CO made SACs a practical reality(Fig.1)[6].Since then,SACs have become one of the main focuses of catalysis research,and much effort has been devoted to the study of noble-metal SACs[7–10].SACs provide single active sites,which give high activities and selectivities,and differ from those of conventional catalysts.They therefore could bridge the gap between homogeneous and heterogeneous catalysis.A review by Yang et al.[11]and some other papers[12–14]have summarized progress in the preparation,characterization,and performances of SACs in various reactions.However,the question arises as to whether non-noble metals have excellent catalytic properties when they are downsized to single atoms and can completely eliminate our dependence on scarce noble metals.The answer is optimistic and research in this area indicates a promising future.展开更多
To evaluate the efficacy and safety of KN026,a novel bispecific HER2(ECD2 and ECD4)antibody,plus KN046,a PD-L1,and CTLA4 bispecific antibody,in patients with advanced HER2-positive solid tumors.We conducted two sequen...To evaluate the efficacy and safety of KN026,a novel bispecific HER2(ECD2 and ECD4)antibody,plus KN046,a PD-L1,and CTLA4 bispecific antibody,in patients with advanced HER2-positive solid tumors.We conducted two sequentially designed phase Ib and Il studies with similar target populations and evaluation schedules.The primary endpoints included safety,maximum tolerated dose(MTD),the recommended phase Il dose(RP2D)for the phase Ib study,and the objective response rate(ORR)and duration of response(DoR)for the phase llstudy.Hereby,we solely report the results from 113 nonbreast cancer patients.In phase Ib,MTD was not reached.Dose 3 was confirmed to be acceptable for the phase lIl study.An objective response has been exclusively observed in HER2-positive patients.Any grade treatment-related adverse events(TRAEs)were reported in 108(95.6%)patients.The most common TRAEs were infusion reactions(38.9%),anemia(37.2%),elevated AST(31.0%),and diarrhea(30.1%).Among the 108 patients evaluated for efficacy,the overall ORR was 55.6%(95%Cl,45.7%,65.1%).In the HER2-positive GC subgroup,38 patients received this regimen as the 1st-line treatment and 30 patients achieved an objective response,with an ORR of 78.9%(95%Cl,62.7%,90.4%).Among 27 pretreated patients,the ORR was 44.4%(95%Cl,25.5%,64.7%).In the other HER2-positive solid tumor subgroup(n=34),the ORR was 52.9%(95%CI 35.1%,70.2%).Thus,KN026 plus KN04 exhibits promising efficacy and acceptable safety profiles in HER2-positive nonbreast cancer,as does the 1st-line treatment for GC.展开更多
基金supported by grants from the National Natural Science Foundation of China(Nos.82072664,81974374,82173125,82103677).
文摘Background:Patients with gastric cancer(GC)are prone to lymph node metastasis(LNM),which is an important factor for recurrence and poor prognosis of GC.Nowadays,more and more studies have confirmed that exosomes can participate in tumor lymphangiogenesis.An in-depth exploration of the pathological mechanism in the process of LNM in GC may provide effective targets and improve the diagnosis and treatment effect.Materials and Methods:We used sequencing analysis of collected serum to screen out exo-miRNA related to LNM in GC.ELISA,qRT-PCR,Western Blot,RNA pull-down assay,Transwell assay,animal experiments,and other experiments were used to verify the results.Results:In this study,we screened out miR-224-3p related to GC progression and LNM in a vascular endothelial growth Factor C(VEGFC)-independent manner.We found that exo-miR-224-3p derived from GC cells could enter human lymphatic endothelial cells(HLECs)and promote the tube formation and migration of HLECs.In addition,it was revealed that miR-224-3p could bind to the 3′UTR region of GSK3B mRNA.Then,we proved that inhibiting the expression of GSK3B could suppress the phosphorylation ofβ-catenin and promote the transcription of PROX1,thus leading to tumor lymphangiogenesis.Furthermore,it was also found that hnRNPA1 mediated the sorting of miR-224-3p into exosomes,and the high expression of PKM2 promoted the secretion of exomiR-224-3p.Conclusions:Our discovery of the exo-miR-224-3p/GSK3B/β-catenin/PROX1 axis may provide a new direction for the clinical treatment of GC.
基金supported by the National Natural Science Foundation Projects of China(Grant No.42071284).
文摘Understanding the complex interactions between urbanization and ecosystem services(ESs)is crucial for optimiz ing planning policies and achieving sustainable urban management.While previous research has largely focused on highly urbanized areas,little attention has been given to the phased effect of progressive urbanization on ES networks.This study proposes a conceptual framework that utilizes the network method and space-time replace ment to examine the effect of urbanization on the complex relationships among ESs at different stages,with a particular emphasis on the progressive evolution of the process.We apply this framework to the Horqin area,a typical eco-fragile area in China.Results demonstrate that the connectivity of the ES synergy network exhibits a non-stationary characteristic,initially increasing,then decreasing,and subsequently strengthening.Meanwhile,its modularity shows a rising trend during periods of accelerated urbanization.The performance of the trade off network displays the opposite pattern.Additionally,we observe a gradual replacement of provisioning and regulation services by cultural services in terms of dominance in the synergy network as urbanization advances.By providing guidance for identifying key planning initiatives and implementing ecological protection policies at different stages of development,this study contributes a pathway that can inform development strategies in other regions undergoing progressive urbanization.
基金supported by a grant from National Natural Science Foundation of China(Grant Nos.82072664,81772629,81802363,81702431,81702437,81772843,81974374).
文摘Objective:The aim of this research was to identify whether exosomes were involved in impairing adipogenesis in cancer-associated cachexia(CAC)by detecting the adipodifferentiation capacity and the expressions of adipogenic proteins in gastric cancer(GC)-associated adipocytes.Methods:Western blotting and RT-PCR were used to investigate the expressions of C/EPBβ,C/EPBα,PPARγ,and UCP1 in adipose mesenchymal stem cells(A-MSCs)to evaluate the function of exosomal miR-155.BALB/c nude mice were intravenously injected in vivo with GC exosomes with different levels of miR-155 to determine changes in adipodifferentiation of A-MSCs.Results:Exosomes derived from GC cells suppressed adipogenesis in A-MSCs as characterized by decreased lipid droplets.Similarly,A-MSCs co-cultured with GC exosomes exhibited increased ATP production through brown adipose differentiation characterized by highly dense mitochondria and enhanced UCP1 expression(P<0.05).Mechanistically,exosomal miR-155 secreted from GC cells suppressed adipogenesis and promoted brown adipose differentiation by targeting C/EPBβ,accompanied by downregulated C/EPBαand PPARγand upregulated UCP1(P<0.05).Moreover,overexpression of miR-155 in GC exosomes improved CAC in vivo,which was characterized by fat loss,suppressed expressions of C/EPBβ,C/EPBα,and PPARγin A-MSCs,and high expression of UCP1(P<0.05).Decreasing the level of miR-155 in injected GC exosomes abrogated the improved CAC effects.Conclusions:GC exosomal miR-155 suppressed adipogenesis and enhanced brown adipose differentiation in A-MSCs by targeting C/EPBβof A-MSCs,which played a crucial role in CAC.
基金financial support provided by the National Natural Science Foundation of China(Grant Nos.51932003,51872115 and 51802110)2020 International Cooperation Project of the Department of Science and Technology of Jilin Province,Program for the Development of Science and Technology of Jilin Province(20190201309JC)+3 种基金Jilin Province/Jilin University Co-Construction Project Funds for New Materials(SXGJSF2017-3,Branch-2/440050316A36)the Open Project Program of Wuhan National Laboratory for Optoelectronics(2018WNLOKF022)Program for JLU Science and Technology Innovative Research Team(JLUSTIRT,2017TD-09)the Fundamental Research Funds for the Central Universities JLU,“Double-First Class”Discipline for Materials Science&Engineering。
文摘Increasing attention has been paid to rechargeable aqueous batteries due to their high safety and low cost.However,they remain in their infancy because of the limited choice of available anode materials with high specific capacity and satisfying cycling performance.Bi metal with layered structure can act as an ideal anode material with high capacity;however,the energy storage mechanism has not well elucidated.Herein,we demonstrate that Bi metal enables affording ultra-high specific capacity(254.3 mAh g^-1),superior rate capability and a capacity retention of 88.8%after 1600 cycles.Different from the previously-reported redox reaction mechanisms of Bi electrode,efficient(de)alloying of K+is responsible for its excellent performance.An excellent aqueous Bi battery is fabricated by matching Bi anode with Co(OH)2 cathode in KOH(1 M)electrolyte.Its outstanding performance is quite adequate and competitive for electrochemical energy storage devices.
基金This research is supported by the National Natural Science Foundation of China (51932003,51872115)2020 International Cooperation Project of the Department of Science and Technology of Jilin Province (20200801001GH)+5 种基金Program for the Development of Science and Technology of Jilin Province (20190201309JC)the Jilin Province/Jilin University Co-Construction Project-Funds for New Materials (SXGJSF2017-3,Branch-2/440050316A36)Project for Self-innovation Capability Construction of Jilin Province Development and Reform Commission (2021C026)the Open Project Program of Wuhan National Laboratory for Optoelectronics (2018WNLOKF022)the Program for JLU Science and Technology Innovative Research Team (JLUSTIRT,2017TD-09)the Fundamental Research Funds for the Central Universities JLU,and“Double-First Class”Discipline for Materials Science&Engineering.
文摘Energy density can be substantially raised and even maximized if the bulk of an electrode material is fully utilized.Transition metal oxides based on conversion reaction mechanism are the imperative choice due to either constructing nanostructure or intercalation pseudocapacitance with their intrinsic limitations.However,the fully bulk utilization of transition metal oxides is hindered by the poor understanding of atomic-level conversion reaction mechanism,particularly it is largely missing at clarifying how the phase transformation(conversion reaction)determines the electrochemical performance such as power density and cyclic stability.Herein,α-Fe_(2)O_(3) is a case provided to claim how the diffusional and diffusionless transformation determine the electrochemical behaviors,as of its conversion reaction mechanism with fully bulk utilization in alkaline electrolyte.Specifically,the discharge productα-FeOOH diffusional from Fe(OH)2 is structurally identified as the atomic-level arch criminal for its cyclic stability deterioration,whereas the counterpartδ-FeOOH is theoretically diffusionless-like,unlocking the full potential of the pseudocapacitance with fully bulk utilization.Thus,such pseudocapacitance,in proof-of-concept and termed as conversion pseudocapacitance,is achieved via diffusionless-like transformation.This work not only provides an atomic-level perspective to reassess the potential electrochemical performance of the transition metal oxides electrode materials based on conversion reaction mechanism but also debuts a new paradigm for pseudocapacitance.
基金grants from the National Science Foundation of China(Nos.82173125,81974374,82072664,82103677)Tianjin Key Medical Discipline(Specialty)Construction Project(TJYXZDXK-009A)The Science&Technology Development Fund of Tianjin Education Commission for Higher Education(2020KJ127).
文摘Diferent from necrosis,apoptosis,autophagy and other forms of cell death,ferroptosis is a mechanism that catalyzes lipid peroxidation of polyunsaturated ftty acids under the action of iron divalent or lipoxygenase,leading to cell death.Apatinib is currently used in the third line standard treatment of advanced gastric cancer,targeting the anti-angiogenesis pathway.However,Apatinib mediated ferroptosis in vascular endothelial cells has not been reported yet.Tumor.secreted exosomes can be taken up into target cells to regulate tumor development,but the mechanism related to vascular endothelial cell ferroptosis has not yet been discovered.Here,we show that exosomes secreted by gastric cancer cells carry miR-214.3p into vascular endothelial cells and directdy target zinc finger protein A20 to negatively regulate ACSL4,a key enzyme of lipid peroxidation during frroptosis thereby inhibiting ferroptosis in vascular endothelial cells and reducing the eficiency of Apatinib.In conclusion,inhibition of miR-214-3p can increase the sensitivity of vascular endothelial cells to Apatinib,thereby promoting the antiangiogenic efect of Apatinib,suggesting a potential combination therapy for advanced gastric cancer.
基金supported by the International Collaboration Program of Jilin Provincial Department of Science and Technology,China(20230402051GH)the National Natural Science Foundation of China(51932003,51902050)+2 种基金the Open Project Program of Key Laboratory of Preparation and Application of Environmental friendly Materials(Jilin Normal University)of Ministry of China(2021006)the Fundamental Research Funds for the Central Universities JLU“Double-First Class”Discipline for Materials Science&Engineering。
文摘Owning various crystal structures and high theoretical capacity,metal tellurides are emerging as promising electrode materials for high-performance metal-ion batteries(MBs).Since metal telluride-based MBs are quite new,fundamental issues raise regarding the energy storage mechanism and other aspects affecting electrochemical performance.Severe volume expansion,low intrinsic conductivity and slow ion diffusion kinetics jeopardize the performance of metal tellurides,so that rational design and engineering are crucial to circumvent these disadvantages.Herein,this review provides an in-depth discussion of recent investigations and progresses of metal tellurides,beginning with a critical discussion on the energy storage mechanisms of metal tellurides in various MBs.In the following,recent design and engineering strategies of metal tellurides,including morphology engineering,compositing,defect engineering and heterostructure construction,for high-performance MBs are summarized.The primary focus is to present a comprehensive understanding of the structural evolution based on the mechanism and corresponding effects of dimension control,composition,electron configuration and structural complexity on the electrochemical performance.In closing,outlooks and prospects for future development of metal tellurides are proposed.This work also highlights the promising directions of design and engineering strategies of metal tellurides with high performance and low cost.
基金supported by grants from the National Natural Science Foundation of China,China(81672749,81772993,81971551,82302954,and K2918001)Natural Science Foundation of Fujian Province,China(2024J08346)+4 种基金Xiamen Municipal Bureau of Ocean Development,China(16PYY007SF17 and 23YYZP022QCB33)Xiamen Science&Technology Department,China(3502Z20231022,3502Z20193004,3502Z20150007,and 2023CXY0107)National Key R&D Program of China,China(2020YFA0112900)the Postdoctoral Science Foundation of China(2023M732956)fund from NucMito Pharmaceuticals Co.,Ltd.,China.
文摘Hepatic stellate cells(HSCs)are the primary fibrogenic cells in the liver,and their activation plays a crucial role in the development and progression of hepatic fibrosis.Here,we report that retinoid X receptor-alpha(RXRα),a unique member of the nuclear receptor superfamily,is a key modulator of HSC activation and liver fibrosis.RXRαexerts its effects by modulating calcium/calmodulin-dependent protein kinase kinaseβ(CaMKKβ)-mediated activation of AMP-activated protein kinase-alpha(AMPKα).In addition,we demonstrate that K-80003,which binds RXRαby a unique mechanism,effectively suppresses HSC activation,proliferation,and migration,thereby inhibiting liver fibrosis in the CCl4 and amylin liver NASH(AMLN)diet animal models.The effect is mediated by AMPKαactivation,promoting mitophagy in HSCs.Mechanistically,K-80003 activates AMPKαby inducing RXRαto form condensates with CaMKKβand AMPKαvia a two-phase process.The formation of RXRαcondensates is driven by its N-terminal intrinsic disorder region and requires phosphorylation by CaMKKβ.Our results reveal a crucial role of RXRαin liver fibrosis regulation through modulating mitochondrial activities in HSCs.Furthermore,they suggest that K-80003 and related RXRαmodulators hold promise as therapeutic agents for fibrosis-related diseases.
基金the financial supports from the National Natural Science Foundation of China (51932003, 51902050, 51872115 & 51802110)Program for the Development of Science and Technology of Jilin Province (20190201309JC)+4 种基金the Open Project Program of Wuhan National Laboratory for Optoelectronics (2018WNLOKF022)the Jilin Province/Jilin University co-Construction Project-Funds for New Materials (SXGJSF2017-3, Branch-2/440050316A36)Program for JLU Science and Technology Innovative Research Team (JLUSTIRT, 2017TD-09)the Fundamental Research Funds for the Central Universities JLU“Double-First Class” Discipline for Materials Science & Engineering.
文摘Li4Ti5O(12)(LTO)has drawn great attention due to its safety and stability in lithium-ion batteries(LIBs).However,high potential plateau at 1.5 V vs.Li reduces the cell voltage,leading to a limited use of LTO.Dual-ion batteries(DIBs)can achieve high working voltage due to high intercalation potential of cathode.Herein,we propose a DIB configuration in which LTO is used as anode and the working voltage was 3.5 V.This DIB achieves a maximum specific energy of 140 Wh/kg at a specific power of 35 W/kg,and the specific power of 2933 W/kg can be obtained with a remaining specific energy of 11 Wh/kg.Traditional LIB material shows greatly improved properties in the DIB configuration.Thus,reversing its disadvantage leads to upgraded performance of batteries.Our configuration has also widened the horizon of materials for DIBs.
基金Supports from the National Natural Science Foundation of China (51872115 and 51802110)the National Key R&D Program of China (2016YFA0200400)+2 种基金the Jilin Province/Jilin University Co-construction Project-Funds for New Materials (SXGJSF20173, Branch-2/440050316A36)the Program for JLU Science and Technology Innovative Research Team (JLUSTIRT, 2017TD-09)“Double-First Class” Discipline for Materials Science & Engineering, are greatly acknowledged
文摘In dual-ion batteries (DIBs), energy storage is achieved by intercalation/de-intercalation of both cations and anions. Due to the mismatch between ion diameter and layer space of active materials, however, volume expansion and exfoliation always occur for electrode materials. Herein, an integrated electrode Co3O4/carbon fiber paper (CFP) is prepared as the anode of DIB. As the Co3O4 nanosheets grow on CFP substrate vertically, it promotes the immersion of electrolyte and shortens the pathway for ionic transport. Besides, the strong interaction between Co3O4 and CFP substrate reduces the possibility of sheet exfoliation. An integrated-electrode-based DIB is therefore packaged using Co3O4/CFP as anode and graphite as cathode. As a result, a high energy density of 72 Wh/kg is achieved at a power density of 150 W/kg. The design of integrated electrode provides a new route for the development of high-performance DIBs.
基金supported by the National Natural Science Foundation of China (51932003, 51872115, and 51802110)2020 International Cooperation Project of the Department of Science and Technology of Jilin Porvince+5 种基金Program for the Development of Science & Technology of Jilin Province (Item No.20190201309JC)the Jilin Province/Jilin University co-Construction Project-Funds for New Materials (SXGJSF2017-3, Branch-2/440050316A36)the Open Project Program of Wuhan National Laboratory for Optoelectronics (2018WNLOKF022)the Program for JLU Science & Technology Innovative Research Team (JLUSTIRT, 2017TD-09)the Fundamental Research Funds for the Central Universities JLU“Double-First Class” Discipline for Materials Science & Engineering。
文摘The application of commercial carbon fiber cloth(CFC) in energy storage equipment is limited by its low specific capacitance and energy density. By a simple one-step activation treatment, the specific surface area of CFCs with porous structure can be increased considerably from 3.9 up to 875 m^2/g and the electrochemical properties of CFCs can be improved by three orders of magnitude(1324 mF/cm^2). Moreover,the hydrophobicity of CFCs can be transformed into superhydrophilicity. However, the electrochemical performance of CFCs does not show a positive correlation with specific surface area but have a strong relationship with the hierarchical pore distribution forged by the annealing treatment. Only moderate micropore and mesoporous ratio enables optimizing the electrochemical performance of CFCs.
基金Supported by Chinese Research Hospital Association,No.Y2019FH-DTCC-SC3。
文摘BACKGROUND Neoadjuvant or perioperative chemotherapy combined with surgery can reduce postoperative recurrence and improve the long-term survival rate of patients with locally advanced resectable gastric carcinoma.Nivolumab combined with chemotherapy has been recommended by the National Comprehensive Cancer Network guidelines as a first-line therapy for advanced gastric carcinoma/adenocarcinoma of the gastroesophageal junction and serves as the basis for immunotherapy combined with chemotherapy to become a neoadjuvant therapy.Herein,we report a case in which pathologic complete response was achieved by neoadjuvant administration of toripalimab,Herceptin,and docetaxel,oxaliplatin,calcium folinate,and fluorouracil(FLOT)chemotherapy followed by surgery for human epidermal growth factor receptor 2(HER2)-and programmed deathligand 1(PD-L1)-positive locally advanced gastric carcinoma.We hope that this case will shed some light on neoadjuvant therapy for gastric carcinoma.CASE SUMMARY The patient was diagnosed with locally advanced adenocarcinoma of the cardia.Immunohistochemistry of the baseline tissues suggested that the tissues were HER2-(fluorescent in situ hybridization)and PD-L1-positive(combined positive score=1).The patient underwent surgery following a four-cycle neoadjuvant therapy comprising Herceptin,toripalimab,and FLOT chemotherapy.The postoperative pathological findings showed mild atypical hyperplasia of the local glands with chronic mucosal inflammation(proximal stomach),no clear residual tumor(tumor regression grade 0),no regional lymph node metastasis,and negative upper and lower cut ends.The levels of tumor markers were reduced to normal levels after re-examination.With good postoperative recovery,the four-cycle preoperative chemotherapy was continued at the same dosage as that previously administered.After the treatment,the patient was monitored every 3 mo with a follow-up of 12 mo(4 times).As of February 27,2022,he was in a good condition without disease progression.The clinical trial registration number is E2019401.CONCLUSION There are many ongoing studies on neoadjuvant immunotherapy combined with chemotherapy or radiotherapy;however,most of these studies are phase II studies with small cohorts.According to the results of some current studies,these combined regimens have shown promising results in terms of efficacy and safety.However,the clinical efficacy and safety of the neoadjuvant therapies used in these combined regimens need to be confirmed by additional prospective phase III clinical trials,and further exploration of molecular markers for effective populations is required.
基金supported by a grant from the Science&Technology Development Fund of the Tianjin Education Commission for Higher Education(Grant No.2018KJ046).
文摘Objective:The mainstay treatment of esophageal squamous cell carcinoma(ESCC)involves chemotherapy and immunotherapy.However,alternative therapies are required for patients who are refractory or intolerant to existing therapies.Methods:In this single-arm,multicenter,open-label phase Ib study,30 patients received an intravenous infusion of SCT200,an antiepidermal growth factor receptor(EGFR)monoclonal antibody,6.0 mg/kg once a week for 6 weeks,followed by 8.0 mg/kg once every 2 weeks until disease progression or intolerable toxicity.The primary endpoint was the objective response rate(ORR).The secondary endpoints were progression-free survival(PFS),overall survival(OS),and safety.Results:Thirty patients were enrolled between July 2018 and May 2019.The ORR was 16.7%(95%CI:5.6%–34.7%).The median PFS and OS were 3.1 months(95%CI:1.5–4.3)and 6.8 months(95%CI:4.7–10.1),respectively.A numerical difference without any statistical significance in ORR was observed in patients with different EGFR expressions(≥50%:25.0%vs.<50%:0%,P=0.140)or TP53 mutation abundance(<10%:23.8%vs.≥10%:0%,P=0.286).Improved median PFS(3.4 vs.1.4 months,P=0.006)and OS(8.0 vs.4.2 months,P=0.027)were associated with TP53 mutation abundance of<10%.The most common treatment-related adverse events of grade 3 or 4(occurring in≥2 patients)were hypomagnesemia[7(23.3%)]and rash[2(6.7%)].No treatmentrelated death occurred.Conclusions:SCT200 monotherapy as the second-or further-line treatment for advanced ESCC showed favorable efficacy,with an acceptable safety profile.TP53 mutation abundance might serve as a potential predictive biomarker.
基金Supports by the Jilin Province/Jilin University co-Construction Project-Funds for New Materials (SXGJSF2017-3, Branch2/440050316A36)the National Key R&D Program of China (2016YFA0200400)+2 种基金the NSFC (51372095), the Program for JLU Science and Technology Innovative Research Team (JLUSTIRT)“Double-First Class” Discipline for Materials Science & Engineeringthe Special Funding for Academic Leaders
文摘A facile hydrolysis method was applied to fabricate high-performance Co-layered double hydroxide（LDH）nanocages/graphene composites for supercapacitors. The materials exhibit enhanced rate capability than the counterpart electrode free of graphene while maintaining a high specific capacitance. In addition,such Co-LDH nanocages/graphene composites display an excellent cycling stability; the capacitance retention of Co-LDH nanocages/graphene composite electrode remains 90.4% after 10000 cycles at a current density of 2 A g（-1）. The integration of high capacity of double hydroxide and outstanding conductivity of graphene makes the delicately-designed composites promising candidates for electrode materials for supercapacitors.
文摘Objective： The expression of tumor biomarkers may change after chemotherapy. However, whether secreted protein acidic and rich in cysteine （SPARC） expression changes after chemotherapy in gastric cancer （GC） is unclear, qqais study investigated the influence of chemotherapy on SPARC expression in GC. Methods： Immunohistochemistry was used to analyze SPARC expression in 132 GC cases （including 54 cases with preoperative chemotherapy and 78 cases without preoperative chemotherapy）. SPARC expression of postoperative specimens with and without preoperative chemotherapy was assessed to analyze the influence of chemotherapy on SPARC expression. Results： SPARC was highly expressed in GC compared with the desmoplastic stroma surrounding tumor cells and noncancerous tissues. High SPAKC expression was correlated with invasion depth, lymph node, and TNM stage. After chemotherapy, a lower proportion of high SPARC expression was observed in patients with preoperative chemotherapy than in the controls. For 54 patients with preoperative chemotherapy; gross type, histology, depth of invasion, lymph node, TNM stage, and SPARC expression were related to overall survival. Further multivariate analysis showed that lymph node, histology, and SPARC expression after chemotherapy were independent prognostic factors. Conclusiou： SPARC expression may change after chemotherapy in GC. SPARC expression should be reassessed for patients with GC after chemotherapy.
文摘1.Introduction Catalysis[1]plays a vital role in the chemical industries,which affect our daily life.The preparation of suitable catalysts for the selective and efficient synthesis of desired products from raw materials is important[2].Noble metals have long been widely used as commercial catalysts because of their incomparably high activities and stabilities in heterogeneous catalysis.However,the scarcity and corresponding high prices of noble metals will make it difficult to meet the increasing demands for such catalysts.Only the surface atoms of catalysts are involved in the catalytic process because of the low coordination environment and high activity,and much effort has been devoted to downsizing metal particles to decrease costs and enhance performance[3,4].The report in 2011 by Zhang and his group[5]of the first fabrication of a Pt single-atom catalyst(SAC)supported on iron oxide(Pt1/FeOx)and its high activity and stability in CO oxidation and preferential oxidation(PROX)of CO made SACs a practical reality(Fig.1)[6].Since then,SACs have become one of the main focuses of catalysis research,and much effort has been devoted to the study of noble-metal SACs[7–10].SACs provide single active sites,which give high activities and selectivities,and differ from those of conventional catalysts.They therefore could bridge the gap between homogeneous and heterogeneous catalysis.A review by Yang et al.[11]and some other papers[12–14]have summarized progress in the preparation,characterization,and performances of SACs in various reactions.However,the question arises as to whether non-noble metals have excellent catalytic properties when they are downsized to single atoms and can completely eliminate our dependence on scarce noble metals.The answer is optimistic and research in this area indicates a promising future.
基金supported by the National Natural Science Foundation of China(91959205 to L.S.)the Natural Science Foundation of Beijing Municipality(Z200015 to X.T.Z).
文摘To evaluate the efficacy and safety of KN026,a novel bispecific HER2(ECD2 and ECD4)antibody,plus KN046,a PD-L1,and CTLA4 bispecific antibody,in patients with advanced HER2-positive solid tumors.We conducted two sequentially designed phase Ib and Il studies with similar target populations and evaluation schedules.The primary endpoints included safety,maximum tolerated dose(MTD),the recommended phase Il dose(RP2D)for the phase Ib study,and the objective response rate(ORR)and duration of response(DoR)for the phase llstudy.Hereby,we solely report the results from 113 nonbreast cancer patients.In phase Ib,MTD was not reached.Dose 3 was confirmed to be acceptable for the phase lIl study.An objective response has been exclusively observed in HER2-positive patients.Any grade treatment-related adverse events(TRAEs)were reported in 108(95.6%)patients.The most common TRAEs were infusion reactions(38.9%),anemia(37.2%),elevated AST(31.0%),and diarrhea(30.1%).Among the 108 patients evaluated for efficacy,the overall ORR was 55.6%(95%Cl,45.7%,65.1%).In the HER2-positive GC subgroup,38 patients received this regimen as the 1st-line treatment and 30 patients achieved an objective response,with an ORR of 78.9%(95%Cl,62.7%,90.4%).Among 27 pretreated patients,the ORR was 44.4%(95%Cl,25.5%,64.7%).In the other HER2-positive solid tumor subgroup(n=34),the ORR was 52.9%(95%CI 35.1%,70.2%).Thus,KN026 plus KN04 exhibits promising efficacy and acceptable safety profiles in HER2-positive nonbreast cancer,as does the 1st-line treatment for GC.
