Iris metastasis from clear cell renal cell carcinoma: A case report

BACKGROUND Clear cell renal cell carcinoma(ccRCC)is a common type of tumor that can metastasize to any organs and sites.However,it is extremely rare for ccRCC to metastasize to the iris.Here,we describe a rare case of iris metastasis from ccRCC with a history of left nephrectomy in 2010.CASE SUMMARY A 62-year-old male was admitted to the hospital due to blurred vision and red eyes,and a mass was found on the iris in the right eye.B-scan ultrasonography revealed a well-bounded high-density lesion at the corner of the anterior chamber at the 3-4 o’clock position.Phacoemulsification with simultaneous intraocular lens implantation and iridocyclectomy was performed in the right eye.The lesion was confirmed to be metastatic ccRCC by histological and immunohistochemical analyses.The patient was still alive at 9 mo after surgical treatment.Ocular metastasis can be an initial sign with a poor prognosis.Timely detection and treatment may improve survival.Clinicians should pay attention to similar metastatic diseases to prevent misdiagnosis leading to missed treatment oppor-tunities.CONCLUSION This report of the characteristics and successful management of a rare case of iris metastasis from ccRCC highlights the importance of a comprehensive medical history,histopathology,immunohistochemistry,and clinical manifestation for successful disease diagnosis.

Affection of Single-Nucleotide Polymorphisms in miR-27a, miR-124a, and miR-146a on Susceptibility to Type 2 Diabetes Mellitus in Chinese Han People

Background：Polymorphisms of microRNA （miRNA）,as a novel mechanism,are closely associated with disease states by interfering with miRNA function.Direct correlations have been identified between single-nucleotide polymorphisms （SNPs） in miRNA,but the effect on type 2 diabetes mellitus （T2DM） onset among Chinese population remains unclear.Therefore,the aim of this study was to identify correlations between common SNPs in miR-27a,miR-146a,and miR-124a with T2DM among a Chinese population,as well as to explore diabetic pathological mechanisms and the impact of environmental factors.Methods：SNPscan technology was used to genotype 995 patients newly diagnosed with T2DM and 967 controls.Logistic regression analysis was performed to compare mutation frequencies between cases and controls.Results：We found no significant correlations between all genotypes of these miRNAs and T2DM in our research.However,stratification analysis identified a lower risk of T2DM associated with the rs531564GC genotype among younger subjects （age ＜ 45 years） （adjusted P =0.043; odds ratio [OR] =0.73; 95％ confidence interval [CI] =0.54-0.99）.Furthermore,the rs895819CC genotype in overweight people （24 ＜ body mass index [BMI] ＜ 28） was significantly associated with an increased risk of T2DM （adjusted P =0.042; OR =1.73; 95％ CI =1.02-2.94）,while the rs2910164 genotype in miR-146a was not significantly correlated with T2DM.The genetic risk score was calculated based on the number of risk alleles of the three SNPs and was found to be correlated to total cholesterol （adjusted P =0.021）.Conclusions：The rs531564GC genotype acted as a protective factor to decrease the risk of T2DM in younger subjects （age ＜ 45 years）,while the presence of the rs895819CC genotype increased the risk of illness among overweight subjects （24 ＜ BMI ＜ 28 kg/m2）.The presence of SNPs in miRNA might promote disease by affecting miRNA expression and gene function.Thus,miRNA mimics or inhibitors that directly regulate miRNA expression present novel and promising therapeutic targets.

Association of Common Genetic Variants in Mitogen-activated Protein Kinase Kinase Kinase Kinase 4 with Type 2 Diabetes Mellitus in a Chinese Han Population

Background： A study has identified several novel susceptibility variants of the mitogen-activated protein kinase kinase kinase kinase 4 （MAP4K4） gene for type 2 diabetes mellitus （T2DM） within the German population. Among the variants, five single nucleotide polymorphisms （SNPs） of MAP4K4 （rs1003376, rs1 1674694, rs2236935, rs2236936, and rs6543087） showed significant association with T2DM or diabetes-related quantitative traits. We aimed to evaluate whether common SNPs in the MAP4K4 gene were associated with T2DM in the Chinese population. Methods： Five candidate SNPs were genotyped in 996 patients newly diagnosed with T2DM and in 976 control subjects, using the SNPscanTM method. All subjects were recruited from the Second Affiliated Hospital, Harbin Medical University from October 2010 to September 2013. We evaluated the T2DM risk conferred by individual SNPs and haplotypes using logistic analysis, and the association between the five SNPs and metabolic traits in the subgroups. Results： Of the five variants, SNP rs2236935T/C was significantly associated with T2DM in this study population （odds ratio = 1.293; 95% confidence interval： 1.034-1.619, P= 0.025）. In addition, among the controls, rs1003376 was significantly associated with an increased body mass index （P = 0.045） and homeostatic model assessment-insulin resistance （P = 0.037）. Conclusions： MAP4K4 gene is associated with T2DM in a Chinese Han population, and MAP4K4 gene variants may contribute to the risk toward the development of T2DM.

π-Stacked Thermally Activated Delayed Fluorescence Emitters with Alkyl Chain Modulation

Molecules bearing separateπ-electron donor(D)and acceptor(A)groups that undergo face-to-face D/A interactions have been utilized to develop thermally activated delayed fluorescence(TADF)materials.Theseπ-stacked D/A architectures are constructed on various scaffolds,which have either a long D/A distance or permitted conrotatory motion.Here,we develop a novel spiro-based scaffold with a short D/A distance and restricted circumvolution motions because of both the rigid spiro-scaffold and large rotation hindrance between the nearly coplanar D and A.We append different alkyl chains,which can modulate charge transfer and luminescence properties,at the nitrogen of the D moiety to develop four TADF molecules,which can modulate chargetransfer and luminescence properties.Because of the introduction of the solubilized alkyl chain,these molecules were used to fabricate solutionprocessed devices,among which a maximum external quantum efficiency of 18.9%was realized.By modulating interactions between the D/A building blocks,these TADF constructs exemplify that the alkyl side chains of TADF molecules,which used to be considered as solubilizing units,have vital impact on the optoelectronic properties and thus offer a new route to the design of solution-processable TADF emitters.