Background:Second primary malignancies(SPMs)account for over 30%of total deaths in head and neck cancer(HNC)patients.The increasing use of radiotherapy raises concerns about the elevated risk of radiation-associated S...Background:Second primary malignancies(SPMs)account for over 30%of total deaths in head and neck cancer(HNC)patients.The increasing use of radiotherapy raises concerns about the elevated risk of radiation-associated SPMs.This study aimed to investigate the age-stratified association between radiotherapy and SPM risk in survivors of non-metastatic primary HNC.Methods:Using data from the Surveillance,Epidemiology,and End Results program(2004-2015),incidence rate ratios(IRRs)and standardized incidence ratios(SIRs)were evaluated for solid and hematologic SPMs associated with radiotherapy within different age groups.Follow-up for hematologic and solid SPMs began 2 and 5 years,respectively,after the diagnosis of first primary HNC.The IRRs for SPMs were compared between radiotherapy-exposed and unexposed groups using multivariable modified Poisson regression.The SIRs were computed as the ratio of observed cancers in the cohort to expected cases derived from sex-,age-,and calendar year-matched general population incidence rates.Results:The study included 75,2092-year survivors,with 73.2%being male and a median age of 60 years.Of these,58,063 had survived 5 years or more.Radiotherapy was associated with an increased risk of solid SPMs[IRR=1.16,95%confidence interval(CI)1.08-1.24;P<0.001].The associations varied significantly among young(aged 15-39 years),middle-aged(aged 40-64 years),and elderly(aged 65-89 years)patients.Specifically,radiotherapy was associated with an increased risk of solid SPMs in middle-aged patients(IRR=1.21,95%CI 1.11-1.32;P<0.001),and a decreased risk of hematologic SPMs in elderly patients(IRR=0.77,95%CI 0.60-0.99;P=0.045).Compared with the general population,young patients had an elevated risk of radiotherapy-associated second primary non-Hodgkin lymphoma(SIR=4.01,95%CI 1.47-8.74).Middle-aged patients showed the highest SIR for SPMs in the bones/joints(SIR=7.72,95%CI 4.32-12.73),while elderly patients had the highest SIR for second primary esophageal malignancies(SIR=3.87,95%CI 2.91-5.05).Males were more likely to develop solid SPMs compared to females.Conclusions:This study reveals an age-stratified association between radiotherapy and the risk of SPMs in HNC patients.These findings highlight the importance of considering patient age when making treatment decisions for HNC and suggest that long-term surveillance is necessary for high-risk groups.展开更多
Zn isotope is a useful tool for tracing biogeochemical processes as zinc plays important roles in the biogeochemistry of natural systems. However, the Zn isotope composition in the lake ecosystems has not been well ch...Zn isotope is a useful tool for tracing biogeochemical processes as zinc plays important roles in the biogeochemistry of natural systems. However, the Zn isotope composition in the lake ecosystems has not been well characterized. In order to resolve this problem, we investigate the Zn isotope compositions of suspended particulate matter(SPM) and biological samples collected from the Aha Lake and Hongfeng Lake, and their tributaries in summer and winter, aiming to explore the potential of this novel isotope system as a proxy for biogeochemical processes in aqueous environments. Concentration of dissolved Zn ranges from 0.65 to 5.06 μg/L and 0.74 to 12.04 μg/L for Aha Lake and Hongfeng Lake, respectively, while Zn(SPM) ranges from 0.18 to 0.70 mg/g and 0.24 to 0.75 mg/g for Aha Lake and Hongfeng Lake, respectively. The Zn isotope composition in SPM from Aha Lake and its main tributaries ranges from -0.18‰ to 0.27‰ and -0.17‰ to 0.46‰, respectively, and it varies from -0.29‰ to 0.26‰ and -0.04‰ to 0.48‰, respectively in Hongfeng Lake and its main tributaries, displaying a wider range in tributaries than lakes. These results imply that Zn isotope compositions are mainly affected by tributaries inputting into Aha Lake, while adsorption process by algae is the major factor for the Zn isotope composition in Hongfeng Lake, and ZnS precipitation leads to the light Zn isotope composition of SPM in summer. These data and results provide the basic information of the Zn isotope for the lake ecosystem, and promote the application of Zn isotope in biogeochemistry.展开更多
Content and distribution patterns of rare earth dements (REEs) in the suspended particulate material (SPM) of Daliao River system were investigated and compared with those in the fiver and sea sediments, loess, an...Content and distribution patterns of rare earth dements (REEs) in the suspended particulate material (SPM) of Daliao River system were investigated and compared with those in the fiver and sea sediments, loess, and soils of China. Twenty-seven samples of SPM were taken in Daliao River system and digested with various acids followed by ICP-MS analysis for REEs and ICP-OES analysis for Al, Fe, Mn, Ti, Mg, Ca, Na, and K, to measure the total concentrations of these elements. Results indicated that the spatial change in the content of REEs was great, with the coefficient of variance (CV) from 84% to 105%, while the contents of REEs were significantly correlated with each other. Chondrite-normalized patterns of REEs were characterized by higher enrichment of light REEs than heavy REEs, and a depletion of Eu in the SPM was generally found. The positive anomaly of Eu in the SPM of Xi River was due to anthropogenic source in Shenyang City. Furthermore, chondfite- and upper continent crust-normalized patterns of REEs in the SPM of Daliao River system, sediments of Yangtze River and Yellow River, sediments of Yellow Sea, East Sea, South Sea of China, and loess and soil of China, were very similar to one another. These demonstrated that the weathering and sedimentary processes resulted in constant REE distribution not only in the typical sedimentary rocks, but also in the modem riverine particle, sea sediments, loess, and soils.展开更多
基金supported by the National Natural Science Foundation of China(82101069)the Beijing Natural Science Foundation(7242279),the Beijing Nova Program(20230484283)+2 种基金the Beijing Municipal Science&Technology Commission(Z221100007422130)the Open Project of State Key Laboratory of Trauma and Chemical Poisoning(SKLO202401)the Logistics Independent Research Project of PLA(C24LBJ032).
摘要Background:Second primary malignancies(SPMs)account for over 30%of total deaths in head and neck cancer(HNC)patients.The increasing use of radiotherapy raises concerns about the elevated risk of radiation-associated SPMs.This study aimed to investigate the age-stratified association between radiotherapy and SPM risk in survivors of non-metastatic primary HNC.Methods:Using data from the Surveillance,Epidemiology,and End Results program(2004-2015),incidence rate ratios(IRRs)and standardized incidence ratios(SIRs)were evaluated for solid and hematologic SPMs associated with radiotherapy within different age groups.Follow-up for hematologic and solid SPMs began 2 and 5 years,respectively,after the diagnosis of first primary HNC.The IRRs for SPMs were compared between radiotherapy-exposed and unexposed groups using multivariable modified Poisson regression.The SIRs were computed as the ratio of observed cancers in the cohort to expected cases derived from sex-,age-,and calendar year-matched general population incidence rates.Results:The study included 75,2092-year survivors,with 73.2%being male and a median age of 60 years.Of these,58,063 had survived 5 years or more.Radiotherapy was associated with an increased risk of solid SPMs[IRR=1.16,95%confidence interval(CI)1.08-1.24;P<0.001].The associations varied significantly among young(aged 15-39 years),middle-aged(aged 40-64 years),and elderly(aged 65-89 years)patients.Specifically,radiotherapy was associated with an increased risk of solid SPMs in middle-aged patients(IRR=1.21,95%CI 1.11-1.32;P<0.001),and a decreased risk of hematologic SPMs in elderly patients(IRR=0.77,95%CI 0.60-0.99;P=0.045).Compared with the general population,young patients had an elevated risk of radiotherapy-associated second primary non-Hodgkin lymphoma(SIR=4.01,95%CI 1.47-8.74).Middle-aged patients showed the highest SIR for SPMs in the bones/joints(SIR=7.72,95%CI 4.32-12.73),while elderly patients had the highest SIR for second primary esophageal malignancies(SIR=3.87,95%CI 2.91-5.05).Males were more likely to develop solid SPMs compared to females.Conclusions:This study reveals an age-stratified association between radiotherapy and the risk of SPMs in HNC patients.These findings highlight the importance of considering patient age when making treatment decisions for HNC and suggest that long-term surveillance is necessary for high-risk groups.
基金supported by the National Natural Science Foundation of China(No.40903005)
摘要Zn isotope is a useful tool for tracing biogeochemical processes as zinc plays important roles in the biogeochemistry of natural systems. However, the Zn isotope composition in the lake ecosystems has not been well characterized. In order to resolve this problem, we investigate the Zn isotope compositions of suspended particulate matter(SPM) and biological samples collected from the Aha Lake and Hongfeng Lake, and their tributaries in summer and winter, aiming to explore the potential of this novel isotope system as a proxy for biogeochemical processes in aqueous environments. Concentration of dissolved Zn ranges from 0.65 to 5.06 μg/L and 0.74 to 12.04 μg/L for Aha Lake and Hongfeng Lake, respectively, while Zn(SPM) ranges from 0.18 to 0.70 mg/g and 0.24 to 0.75 mg/g for Aha Lake and Hongfeng Lake, respectively. The Zn isotope composition in SPM from Aha Lake and its main tributaries ranges from -0.18‰ to 0.27‰ and -0.17‰ to 0.46‰, respectively, and it varies from -0.29‰ to 0.26‰ and -0.04‰ to 0.48‰, respectively in Hongfeng Lake and its main tributaries, displaying a wider range in tributaries than lakes. These results imply that Zn isotope compositions are mainly affected by tributaries inputting into Aha Lake, while adsorption process by algae is the major factor for the Zn isotope composition in Hongfeng Lake, and ZnS precipitation leads to the light Zn isotope composition of SPM in summer. These data and results provide the basic information of the Zn isotope for the lake ecosystem, and promote the application of Zn isotope in biogeochemistry.
基金the National Basic Key Research Program of China (2004CB418502)the National Natural Science Foundation of China (40671002)
摘要Content and distribution patterns of rare earth dements (REEs) in the suspended particulate material (SPM) of Daliao River system were investigated and compared with those in the fiver and sea sediments, loess, and soils of China. Twenty-seven samples of SPM were taken in Daliao River system and digested with various acids followed by ICP-MS analysis for REEs and ICP-OES analysis for Al, Fe, Mn, Ti, Mg, Ca, Na, and K, to measure the total concentrations of these elements. Results indicated that the spatial change in the content of REEs was great, with the coefficient of variance (CV) from 84% to 105%, while the contents of REEs were significantly correlated with each other. Chondrite-normalized patterns of REEs were characterized by higher enrichment of light REEs than heavy REEs, and a depletion of Eu in the SPM was generally found. The positive anomaly of Eu in the SPM of Xi River was due to anthropogenic source in Shenyang City. Furthermore, chondfite- and upper continent crust-normalized patterns of REEs in the SPM of Daliao River system, sediments of Yangtze River and Yellow River, sediments of Yellow Sea, East Sea, South Sea of China, and loess and soil of China, were very similar to one another. These demonstrated that the weathering and sedimentary processes resulted in constant REE distribution not only in the typical sedimentary rocks, but also in the modem riverine particle, sea sediments, loess, and soils.