Combined ATAC-seq,RNA-seq,and GWAS analysis reveals glycogen metabolism regulatory network in Jinjiang oyster(Crassostrea ariakensis)

Glycogen serves as the principal energy reserve for metabolic processes in aquatic shellfish and substantially contributes to the flavor and quality of oysters.The Jinjiang oyster(Crassostrea ariakensis)is an economically and ecologically important species in China.In the present study,RNA sequencing(RNA-seq)and assay for transposase-accessible chromatin using sequencing(ATAC-seq)were performed to investigate gene expression and chromatin accessibility variations in oysters with different glycogen contents.Analysis identified 9483 differentially expressed genes(DEGs)and 7215 genes with significantly differential chromatin accessibility(DCAGs)were obtained,with an overlap of 2600 genes between them.Notably,a significant proportion of these genes were enriched in pathways related to glycogen metabolism,including“Glycogen metabolic process”and“Starch and sucrose metabolism”.In addition,genome-wide association study(GWAS)identified 526 single nucleotide polymorphism(SNP)loci associated with glycogen content.These loci corresponded to 241 genes,63 of which were categorized as both DEGs and DCAGs.This study enriches basic research data and provides insights into the molecular mechanisms underlying the regulation of glycogen metabolism in C.ariakensis.

钽资源及其生产综述

钽(Ta)是一种关键高科技金属,在电工电子、航空航天等战略新兴产业中都有重要应用。当前尚无钽的替代材料,近20年来全球钽供应危机不断加剧。本工作对钽资源及其生产进行全面综述。地壳中已查明Ta储量不足300 kt,钽的提取以钽精矿为主要原料,此外,锡冶炼渣、锂矿石、废钽产品也能生产约37%的金属钽。钽的生产是一个高耗能过程,HF浸出-溶剂萃取-K2TaF7还原工艺是工业上制Ta最常用的工艺,但较高的生产成本和大量废弃物的产生是制约该方法可持续发展的重要因素。钽的清洁生产及高效回收将受到持续关注。

8-bromo-7-methoxychrysin inhibits properties of liver cancer stem cells via downregulation of β-catenin

AIM:To evaluate whether 8-bromo-7-methoxychrysin(BrMC),a synthetic analogue of chrysin,inhibits the properties of cancer stem cells derived from the human liver cancer MHCC97 cell line and to determine the potential mechanisms.METHODS:CD133+cells were sorted from the MHCC97 cell line by magnetic activated cell sorting,and amplified in stem cell-conditioned medium to obtain the enriched CD133+sphere forming cells(SFCs).The stem cell properties of CD133+SFCs were validated by the tumorsphere formation assay in vitro and the xenograft nude mouse model in vivo,and termed liver cancer stem cells(LCSCs).The effects of BrMC on LCSCs in vitro were evaluated by MTT assay,tumorsphere formation assay and transwell chamber assay.The effects of BrMC on LCSCs in vivo were determined using a primary and secondary xenograft model in Balb/c-nu mice.Expressions of the stem cell markers,epithelialmesenchymal transition(EMT)markers andβ-catenin protein were analyzed by western blotting or immunohistochemical analysis.RESULTS:CD133+SFCs exhibited stem-like cell properties of tumorsphere formation and tumorigenesis capacity in contrast to the parental MHCC97 cells.We found that BrMC preferentially inhibited proliferation and self-renewal of LCSCs(P<0.05).Furthermore,BrMC significantly suppressed EMT and invasion of LCSCs.Moreover,BrMC could efficaciously eliminate LCSCs in vivo.Interestingly,we showed that BrMC decreased the expression ofβ-catenin in LCSCs.Silencing ofβ-catenin by small interfering RNA could synergize the inhibition of self-renewal of LCSCs induced by BrMC,while Wnt3a treatment antagonized the inhibitory effects of BrMC.CONCLUSION:BrMC can inhibit the functions and characteristics of LCSCs derived from the liver cancer MHCC97 cell line through downregulation ofβ-catenin expression.

Leaching of iron concentrate separated from kiln slag in zinc hydrometallurgy with hydrochloric acid and its mechanism

It is taken as a novel prospective process to treat iron concentrate from hydrometallurgical zinc kiln slag forcomprehensive utilization of valuable metals by a hydrochloric acid leaching-spray pyrolysis method.The leaching mechanism ofdifferent valuable metals was studied.The results revealed that the leaching rates of Ag,Pb,Cu,Fe,As and Zn were99.91%,99.25%,95.12%,90.15%,87.58%and58.15%,respectively with6mol/L HCl and L/S ratio of10:1at60°C for120min.The actionof SiO2in leaching solution was also studied.The results showed that the precipitation and settlement of SiO2(amorphous)adsorbedpart of metal ions in solution,which greatly inhibited the leaching of Cu,Fe,As and Zn,so it is crucial to control the precipitation ofamorphous SiO2.

Long-term lamivudine for chronic hepatitis B and cirrhosis: A real-life cohort study

AIM: To investigate clinical outcomes of chronic hepatitis B(CHB) and liver cirrhosis(LC) patients under whole-course management with lamivudine(LAM). METHODS: This was a retrospective-prospective cohort study based on two nonrandom cohorts of Chinese patients(LAM group and history control group). Two hundred thirty-eight patients with LAM treatment for at least 12 mo under whole-course management were included in the LAM group. The management measures included regular follow-up and timely adjustment of the therapeutic regimen according to drug-resistance and relapse. Two hundred thirtyeight patients with CHB or LC without any antiviral treatment and with follow-up over 12 mo were included in the history control group. The LAM and control group patients were 1:1 matched by propensity score method to ensure both patients were similar in general datum,sex,age,E antigen,and diagnosis. The incidence rates of endpoint events [LC,hepatocellular carcinoma(HCC),and death] were compared between the LAM and control groups.RESULTS: Hepatitis B virus-DNA < 1000 copies per m L rate and rate of alanine transaminase < 1.3 of theupper normal limit in LAM and control groups were 89.1% vs 18.5%(P < 0.05) and 89.8% vs 31.1%(P < 0.05),respectively. Viral breakthrough occurred in 77 patients(32.4%); the one-,three-,and fiveyear cumulative rates were 6.8%,33.1%,and 41.3%,respectively. In total,44.5%(106/238) of patients had once stopped LAM,and 63(59.4%) of them developed virologic relapse; the relapse rate of patients with and without reaching Asian Pacific Association for the Study of the Liver endpoint criteria were 52.4% and 69.8%,respectively. Six CHB patients in the LAM group developed LC compared to 47 patients in the control group; the three-,and five-year cumulative rates of CHB at baseline of LAM were lower than those of the control group: 0.7% vs 12.0% and 1.8% vs 23.8%(P < 0.01),respectively. The incidence of HCC in CHB at baseline of LAM was lower than that of the control group; the three-,and five-year cumulative rates were 0% vs 3.2% and 1.1% vs 3.2%(P = 0.05),respectively. The incidence of HCC in LC at baseline of LAM was lower than that of the control group: 9.8%(5/51) vs 25.0%(12/48),and the three-,and five-year cumulative rates were 4.5% vs 20.7% and 8.1% vs 37.5%(P < 0.01),respectively. The mortality rate in the LAM group was lower than the control group. CONCLUSION: Standardized long-term LAM treatment in combination with comprehensive management can reduce the incidence rates of LC and HCC as well as hepatitis B virus-related deaths.

Lithium and manganese extraction from manganese-rich slag originated from pyrometallurgy of spent lithium-ion battery

Mn and Li were selectively extracted from the manganese-rich slag by sulfation roasting−water leaching.The extraction mechanisms of Mn and Li were investigated by means of XRD,TG−DSC,and SEM−EDS.73.71%Mn and 73.28%Li were leached under optimal experimental conditions:acid concentration of 82 wt.%,acid-to-slag mass ratio of 1.5:1,roasting temperature of 800°C,and roasting time of 2 h.During the roasting process,the manganese-rich slag first reacted with concentrated sulfuric acid,producing MnSO_(4),MnSO_(4)·H_(2)O,Li_(2)Mg(SO_(4))_(2),Al_(2)(SO_(4))_(3),and H_(4)SiO_(4).With the roasting temperature increasing,H_(4)SiO_(4) and Al_(2)(SO_(4))_(3) decomposed successively,resulting in generation of mullite and spinel.The mullite formation aided in decreasing the leaching efficiencies of Al and Si,while increasing the Li leaching efficiency.The formation of spinel,however,decreased the leaching efficiencies of Mn and Li.

Synthesis, characterization, and property test of crystalline polyferric sulfate adsorbent used in treatment of contaminated water with a high As(Ⅲ) content

A crystalline polyferric sulfate(PFS) adsorbent was synthesized by oxidizing and precipitating ferrous ions in air atmospheric conditions. The morphology, structure, specific surface area(SSA), and adsorptive efficacy of the adsorbent to As(Ⅲ) were characterized by scanning electron microscope(SEM) and transmission electron microscopy(TEM) images, X-ray diffraction(XRD) patterns, Fourier-transform infrared(FTIR) spectra, BET SSA analyses, and adsorption experiments. The adsorbent showed a near-spherical aggregate structure and had good crystallinity. A significant amount of α-goethite co-precipitated with PFS in the case of the initial ferrous concentration of 1 mol/L and increased SSA of the adsorbent. The stability region of ferric compounds in the process was drawn and applied to analyze the iron behavior during the synthesis. The adsorption of As(Ⅲ) in high As(Ⅲ)-containing solutions fitted the Langmuir isotherm model adequately. The absorbent with co-precipitation of α-goethite showed good adsorbability for As(Ⅲ) and good filtering performance in the high As(Ⅲ)-containing solution of 10–100 mg/L under acidic, neutral, and alkaline conditions(pH 2.09–9.01). After the adsorption process, the stability of the residues bearing As(Ⅲ) was evaluated by toxic characteristic leaching procedure(TCLP) tests. The results indicated that the residues were extremely stable, and the concentrations of arsenic in the leaching solutions were less than 0.01 mg/L.

Synthesis, in-situ coating and characterization of scorodite with high leaching stability

To improve stability of scorodite,a method of simultaneous synthesis and in-situ coating of scorodite was proposed.Scorodite particles with polyhedral and raspberry-like morphologies were synthesized in an Fe(Ⅱ).As(Ⅴ).H2O system at 90℃and pH 1.5 by blowing oxygen gas into the system.When the initial Fe/As molar ratio exceeded 1:1,a coating of sulfate-containing iron(hydr)oxides formed on the surfaces of scorodite particles during synthesis.To evaluate the leaching stability of synthesized scorodite samples,toxicity characteristic leaching procedure(TCLP)tests were conducted at pH 4.93 for 60 h,and long-term leaching tests were conducted for 30.40 d within a pH range of 5.40.10.88.The leaching results indicated that the release of arsenic from scorodite was noticeably postponed by the coating,and the average arsenic concentrations in the leaching solutions were as low as 0.12 mg/L in the TCLP tests and lower than 0.5 mg/L in the long-term leaching tests.

Highly active CoP-CO_(2)N confined in nanocarbon enabling efficient electrocatalytic immobilizing-conversion of polysulfide targeting high-rate lithium-sulfur batteries

Lithium-sulfur batteries suffer from poor cycling stability because of the intrinsic shuttling effect of intermediate polysulfides and sluggish reaction kinetics,especially at high rates and high sulfur loading.Herein,we report the construction of a CoP-CO_(2)N@N-doped carbon polyhedron uniformly anchored on three-dimensional carbon nanotubes/graphene(CoP-CO_(2)N@NC/CG)scaffold as a sulfur reservoir to achieve the trapping-diffusion-conversion of polysulfides.Highly active CoP-CO_(2)N shows marvelous catalytic effects by effectively accelerating the reduction of sulfur and the oxidation of Li_(2)S during the discharging and charging process,respectively,while the conductive NC/CG network with massive mesoporous channels ensures fast and continuous long-distance electron/ion transportation.DFT calculations demonstrate that the CoP-CO_(2)N with excellent intrinsic conductivity serves as job-synergistic immobilizing-conversion sites for polysulfides through the formation of P…Li/N…Li and Co…S bonds.As a result,the S@CoP-CO_(2)N@NC/CG cathode(sulfur content 1.7 mg cm^(-2))exhibits a high capacity of988 mAh g^(-1)at 2 C after 500 cycles,which is superior to most of the electrochemical performance reported.Even under high sulfur content(4.3 mg cm^(-2)),it also shows excellent cyclability with high capacity at 1 C.

Conceptual design and safety characteristics of a new multi-mission high flux research reactor

Research reactors with neutron fluxes higher than 10^(14) n cm^(−2) s^(−1) are widely used in nuclear fuel and material irradiation,neutron-based scientific research,and medical and industrial isotope production.Such high flux research reactors are not only important scientific research facilities for the development of nuclear energy but also represent the national comprehensive technical capability.China has several high flux research reactors that do not satisfy the requirements of nuclear energy development.A high flux research reactor has the following features:a compact core arrangement,high power density,plate-type fuel elements,a short refueling cycle,and high coolant velocity in the core.These characteristics make it difficult to simultaneously realize high neutron flux and optimal safety margin.A new multi-mission high flux research reactor was designed by the Institute of Nuclear and New Energy Technology at Tsinghua University in China;the reactor can simul-taneously realize an average neutron flux higher than 2.0×10^(15) n cm^(−2) s^(−1) and fulfill the current safety criterion.This high flux research reactor features advanced design concepts and has sufficient safety margins according to the preliminary safety analysis.Based on the analysis of the station blackout accident,loss of coolant accident,and reactivity accident of a single-control drum rotating out accidently,the maximum temperature of the cladding surface,minimum departure from nucleate boiling ratio,and temperature difference to the onset of nucleate boiling temperature satisfy the design limits.

Evaluation of progressive early rehabilitation training mode in intensive care unit patients with mechanical ventilation

BACKGROUND Mechanical ventilation is a common resuscitation method in the intensive care unit(ICU).Unfortunately,this treatment process prolongs the ICU stay of patients with an increased incidence of delirium,which ultimately affects the prognosis.AIM To evaluate the effect of progressive early rehabilitation training on treatment and prognosis of patients with mechanical ventilation in ICU.METHODS The convenience sampling method selected 190 patients with mechanical ventilation admitted to the Fourth Hospital of Hebei Medical University from March 2020 to March 2021.According to the random number table method,they were divided into the control and intervention groups.The control group received routine nursing and rehabilitation measures,whereas the intervention group received progressive early rehabilitation training.In addition,the incidence and duration of delirium were compared for the two groups along with mechanical ventilation time,ICU hospitalization time,functional independence measure(FIM)score,Barthel index,and the incidence of complications(deep venous thrombosis,pressure sores,and acquired muscle weakness).RESULTS In the intervention group,the incidence of delirium was significantly lower than in the control group(28%vs 52%,P<0.001).In the intervention group,the duration of delirium,mechanical ventilation time,and ICU stay were shorter than in the control group(P<0.001).The FIM and Barthel index scores were significantly higher in the intervention group than the control group(P<0.001).The total incidence of complications in the intervention group was 3.15%,which was lower than 17.89%in the control group(P<0.001).CONCLUSION Progressive early rehabilitation training reduced the incidence of delirium and complications in ICU patients with mechanical ventilation,which improved prognosis and quality of life.

Layer regrouping for water-flooded commingled reservoirs at a high water-cut stage

Layer regrouping is to divide all the layers into several sets of production series according to the physical properties and recovery percent of layers at high water-cut stage, which is an important technique to improve oil recovery for high water-cut multilayered reservoirs. Dif- ferent regroup scenarios may lead to different production performances. Based on unstable oil-water flow theory, a multilayer commingled reservoir simulator is established by modifying the production split method. Taking into account the differences of layer properties, including per- meability, oil viscosity, and remaining oil saturation, the pseudo flow resistance contrast is proposed to serve as a characteristic index of layer regrouping for high water-cut multilayered reservoirs. The production indices of multi- layered reservoirs with different pseudo flow resistances are predicted with the established model in which the data are taken from the Shengtuo Oilfield. Simulation results show that the pseudo flow resistance contrast should be less than 4 when the layer regrouping is implemented. The K-means clustering method, which is based on the objec- tive function, is used to automatically carry out the layer regrouping process according to pseudo flow resistances. The research result is applied to the IV-VI sand groups of the second member of the Shahejie Formation in the Shengtuo Oilfield, a favorable development performance is obtained, and the oil recovery is enhanced by 6.08 %.

Effect of glucocorticoid on MIP-1α and NF-кb expressing in the lung of rats undergoing mechanical ventilation with a high tidal volume

BACKGROUND： Ventilator induced lung injury （VILI） is a serious complication in the treatment of mechanical ventilating patients, and it is also the main cause that results in exacerbation or death of patients. In this study, we produced VILI models by using glucocorticoid in rats with high tidal volume mechanical ventilation, and observed the content of macrophage inflammatory protein-1α （MIP-1α） in plasma and bronchoalveolar lavage fluid （BALF） and the expression of MIP-1α mRNA and nuclear factor-kappa B （NF-кB） p65 mRNA in the lung so as to explore the role of glucocorticoid in mechanical ventilation.METHODS： Thirty-two healthy Wistar rats were randomly divided into a control group, a ventilator induced lung injury （VILI） group, a dexamethasone （DEX） group and a budesonide （BUD） group. The content of MIP-1a in plasma and BALF was measured with ELISA and the level of MIP-1α mRNA and NF-кBp65 mRNA expressing in the lung of rats were detected by RT-PCR. The data were expressed as mean±SD and were compared between the groups.RESULTS： The content of MIP-1α in plasma and BALF and the level of MIP-1α mRNA and NF-кBp65 mRNA in the lung in the DEX and BUD groups were signifi cantly lower than those in the VILI group （P〈0.001）. Although the content of MIP-1α in plasma and BALF and the level of MIP-1α mRNA and NF-кBp65 mRNA in the lung in the BUD group were higher than those in the DEX group, there were no signifi cant differences between them （P〉0.05）.CONCLUSIONS： Glucocorticoid could down-regulate the expression of MIP-1α by inhibiting the activity of NF-кB in the lung and may exert preventive and therapeutic effects on VILI to some extent. The effect of local use of glucocorticoid against VILI is similar to that of systemic use, but there is lesser adverse reaction.

超声造影判定术前直肠癌T分期的临床应用价值

背景准确判定直肠癌T分期状态,对于指导临床治疗有着重要价值.超声具有操作简便,无创等优点,在直肠癌诊治中发挥着重要作用.超声造影(contrast-enhanced ultrasonography,CEUS)可动态反映直肠癌的微循环灌注状态,显示病灶浸润范围,提高病灶边界精确度,有助于准确判定直肠癌的T分期状态.目的探讨运用CEUS判定术前直肠癌T分期的临床应用价值.方法选取在浙江医院行手术切除治疗的66例直肠癌患者作为研究对象.所有患者术前均行经直肠常规超声检查以及CEUS检查,观察并记录病灶的CEUS增强特征及T分期结果,与术后病理结果进行比较分析.结果CEUS判定术前直肠癌T分期的总诊断符合率92.42%(61/66)明显高于常规超声的总诊断符合率72.73%(48/66),差异有统计学意义(P<0.05);CEUS判定直肠癌T2和T3期的诊断符合率明显高于常规超声,差异有统计学意义(P<0.05);两种检查对T1和T4期的诊断符合率比较无明显统计学差异(P>0.05).结论CEUS能实时动态反映直肠癌的微循环灌注状态,能清晰显示病灶浸润范围,从而准确判定术前直肠癌T分期,具有较高临床应用价值.

胃癌血流灌注状态与血清血管新生指标的相关性

背景准确评估肿瘤组织的微循环血流灌注情况,对于临床治疗以及预后评估有着重要意义.超声造影(contrast-enhanced ultrasonography,CEUS)是一种敏感度极高的微循环血流监测手段,能客观反映肿瘤组织的微循环血流灌注状态,可为临床诊治提供可靠的血流动力学信息.目的运用CEUS评估胃癌(gastric cancer,GC)血流灌注状态,并探讨其与血管新生指标的相关性.方法选取在浙江医院行手术切除的66例GC患者作为研究对象(GC组).所有患者术前三天内行CEUS检查,运用时间-强度曲线测定GC组织、癌旁正常组织的增强强度、达峰时间,并采用酶联免疫吸附法(enzymelinked immunosorbent assay,ELISA)测定患者血清血管内皮生长因子(vascular endothelial growth factor,VEGF)、血管生成素-2(Angiopoietin-2,Ang-2)水平,术后测定组织标本微血管密度(microvessel density,MVD).同期选取72例健康志愿者作为对照组进行比较分析.结果GC组织的增强强度明显高于癌旁正常组织,差异有统计学意义(P<0.05);GC组织的达峰时间明显短于癌旁正常组织,差异有统计学意义(P<0.05);GC组织的MVD明显高于癌旁正常组织,差异有统计学意义(P<0.05);GC组的VEGF、Ang-2明显高于对照组,差异有统计学意义(P<0.05);GC组织的增强强度分别与VEGF、Ang-2、MVD呈正相关(r=0.85,r=0.81,r=0.88,P<0.05);GC组织的达峰时间分别与VEGF、Ang-2、MVD呈负相关(r=-0.72,r=-0.73,r=-0.86,P<0.05).结论CEUS能动态评估GC血流灌注状态,其血流参数与VEGF、Ang-2、MVD相关性良好,能为临床评估GC血管新生状态提供无创性影像学手段.

Numerical study of MHD mixed convection under volumetric heat source in vertical square duct with wall effects

Magnetohydrodynamic (MHD) mixed convection under strong magnetic field and volumetric heat source for buoyancy-assisted flows are studied numerically in this paper. Blanket is one of key components for energy conversion in Tokamak fusion reactor. The physical model employed for simulations is refined from dual-coolant lead-lithium (DCLL) blanket. A magnetic-convection code based on a consistent and conservative scheme is developed with the help of finite volume method, and validated by some Benchmark analytical solutions. The flows inside duct with thermal insulating and electric conducting walls under exponential neutron volumetric heat source are simulated. Based on Boussinesq assumption, the influences of wall electrical conductivity and buoyancy on velocity fields, temperature distributions and Nusselt numbers are investigated. Results illustrates that the wall conductance ratio dominates the flow at low Grashof numbers and high wall conductance ratio, while buoyancy effect dominates the jet flow near side wall at a high Grashof number. In addition, the velocity along flow direction substantially impacts features of the Nusselt number and temperature distribution. Besides, the jet flow results in a higher Nusselt number and lower temperature.

2018世界肾脏日：关注女性和肾脏疾病

女性是现代家庭和社会的重要贡献者。但目前在世界范围内,男性和女性在受教育程度、医疗保健等方面仍存在显著差异。2018年第13个世界肾脏日恰逢国际妇女节,其主题是"肾脏和女性健康",给我们提供了一个关注女性健康,尤其是女性肾脏健康的重要契机。为此,世界肾脏日指导委员会(World Kidney Day Steering Committee)特别组织了全球具有代表性的5位女性肾脏病学家,撰写了述评文章,借机呼吁肾脏病学术领域和全社会更加重视女性健康,让更多女性从肾脏病学术研究中获益。关注女性肾脏健康,利在当代功在千秋!

Balloon pulmonary angioplasty for chronic thromboembolic pulmonary hypertension:State of the art

Chronic thromboembolic pulmonary hypertension(CTEPH)is a complex chronic disease in which pulmonary artery stenosis or obstruction caused by organized thrombus can lead to increased pulmonary artery pressure and pulmonary vascular resistance,ultimately triggering progressive right heart failure and death.Currently,its exact mechanism is not fully understood.Pulmonary endarterectomy(PEA)has immediate effects with low perioperative mortality and satisfactory prognosis in experienced expert centers for CTEPH patients with proximal lesions.Nevertheless,37%of patients are deemed unsuitable for PEA surgery due to comorbidities and other factors,and nearly half of the operated patients have residual or recurrent pulmonary hypertension.Riociguat is the only approved drug for CTEPH,although its effect is limited.Balloon pulmonary angioplasty(BPA)is a promising alternative treatment for patients with CTEPH.After more than 30 years of development and refinements,emerging evidence has confirmed its role in patients with inoperable CTEPH or residual/recurrent pulmonary hypertension,with acceptable complications and comparable longterm prognosis to PEA.This review summarizes the pathophysiology of CTEPH,BPA history and development,therapeutic principles,indications and contraindications,interventional procedures,imaging modalities,efficacy and prognosis,complications and management,bridging and hybrid therapies,ongoing clinical trials and future prospects.

Lei-Shi Li:a giant in international nephrology

China and the world of nephrology lost one of their most distinguished clinicians and physician-scientists on 16 March 2010.

Surveillance Renal Allograft Biopsy on Diagnosis of BK Virus Nephropathy in Chinese Renal Transplant Recipients

Objective: We prospectively investigated 121 renal allograft biopsy specimens performed in our center. Methods: BKVAN was diagnosed by light microscopic examination and a positive immunohistochemistry staining of anti-SV40 large T antibody in a biopsy specimen. Results: Of the 121 patients, nine were diagnosed with BKVAN (7.4%). Nine patients whith BKVN classically presents as allograft dysfunction with an asymptomatic rise in serum creatinine, about 3 to 39 months posttransplant. Urinary decoy cells are positive in two patients (22.2%). The histologic changes of BKVN are not pathognomonic, and can be mistaken for allograft rejection, ie, tubulointerstitial nephritis with varying degrees of inflammatory infiltrates, tubulitis and tubular atrophy, and fibrosis. Typical findings on histology are focal interstitial mononuclear inflammatory cell infiltrates, presence of plasma cells, necrotic tubular epithelium, and presence of homogenous intranuclear inclusion bodies. Immunohistochemistry with SV40 staining were positive in allograft. Graft loss occurred in one patient and the other 8 showed progressive allograft dysfunction. Conclusion: The definitive diagnosis of BKV disease requires renal biopsy. Immunohistochemistry with SV40 staining has been used as an indirect method to document the presence of BKVAN.