A dual-RPA based lateral flow strip for sensitive,on-site detection of CP4-EPSPS and Cry1Ab/Ac genes in genetically modified crops

Traditional transgenic detection methods require high test conditions and struggle to be both sensitive and efficient.In this study,a one-tube dual recombinase polymerase amplification(RPA)reaction system for CP4-EPSPS and Cry1Ab/Ac was proposed and combined with a lateral flow immunochromatographic assay,named“Dual-RPA-LFD”,to visualize the dual detection of genetically modified(GM)crops.In which,the herbicide tolerance gene CP4-EPSPS and the insect resistance gene Cry1Ab/Ac were selected as targets taking into account the current status of the most widespread application of insect resistance and herbicide tolerance traits and their stacked traits.Gradient diluted plasmids,transgenic standards,and actual samples were used as templates to conduct sensitivity,specificity,and practicality assays,respectively.The constructed method achieved the visual detection of plasmid at levels as low as 100 copies,demonstrating its high sensitivity.In addition,good applicability to transgenic samples was observed,with no cross-interference between two test lines and no influence from other genes.In conclusion,this strategy achieved the expected purpose of simultaneous detection of the two popular targets in GM crops within 20 min at 37°C in a rapid,equipmentfree field manner,providing a new alternative for rapid screening for transgenic assays in the field.

Observation and Analysis of VLF Nocturnal Multimode Interference Phenomenon based on Waveguide Mode Theory

Very low frequency(VLF)signals are propagated between the ground-ionosphere.Multimode interference will cause the phase to show oscillatory changes with distance while propagating at night,leading to abnormalities in the received VLF signal.This study uses the VLF signal received in Qingdao City,Shandong Province,from the Russian Alpha navigation system to explore the multimode interference problem of VLF signal propagation.The characteristics of the effect of multimode interference phenomena on the phase are analyzed according to the variation of the phase of the VLF signal.However,the phase of VLF signals will also be affected by the X-ray and energetic particles that are released during the eruption of solar flares,therefore the two phenomena are studied in this work.It is concluded that the X-ray will not affect the phase of VLF signals at night,but the energetic particles will affect the phase change,and the influence of energetic particles should be excluded in the study of multimode interference phenomena.Using VLF signals for navigation positioning in degraded or unavailable GPS conditions is of great practical significance for VLF navigation systems as it can avoid the influence of multimode interference and improve positioning accuracy.

Co_(3)S_(4)-pyrolysis lotus fiber flexible textile as a hybrid electrocatalyst for overall water splitting

Electrocatalytic overall water splitting(OWS),a pivotal approach in addressing the global energy crisis,aims to produce hydrogen and oxygen.However,most of the catalysts in powder form are adhesively bounding to the electrodes,resulting in catalyst detachment by bubble generation and other uncertain interference,and eventually reducing the OWS performance.To surmount this challenge,we synthesized a hybrid material of Co_(3)S_(4)-pyrolysis lotus fiber(labeled as Co_(3)S_(4)-p LF)textile by hydrothermal and hightemperature pyrolysis processes for electrocatalytic OWS.Owing to the natural LF textile exposing the uniformly distributed functional groups(AOH,ANH_(2),etc.)to anchor Co_(3)S_(4)nanoparticles with hierarchical porous structure and outstanding hydrophily,the hybrid Co_(3)S_(4)-p LF catalyst shows low overpotentials at 10 m A cm^(-2)(η_(10,HER)=100 m Vη_(10,OER)=240 mV)alongside prolonged operational stability during electrocatalytic reactions.Theoretical calculations reveal that the electron transfer from p LF to Co_(3)S_(4)in the hybrid Co_(3)S_(4)-p LF is beneficial to the electrocatalytic process.This work will shed light on the development of nature-inspired carbon-based materials in hybrid electrocatalysts for OWS.

Leaf Morphology Genes SRL1 and RENL1 Co-Regulate Cellulose Synthesis and Affect Rice Drought Tolerance

The morphological development of rice(Oryza sativa L.)leaves is closely related to plant architecture,physiological activities,and resistance.However,it is unclear whether there is a co-regulatory relationship between the morphological development of leaves and adaptation to drought environment.In this study,a drought-sensitive,roll-enhanced,and narrow-leaf mutant(renl1)was induced from a semi-rolled leaf mutant(srl1)by ethyl methane sulfonate(EMS),which was obtained from Nipponbare(NPB)through EMS.Map-based cloning and functional validation showed that RENL1 encodes a cellulose synthase,allelic to NRL1/OsCLSD4.The RENL1 mutation resulted in reduced vascular bundles,vesicular cells,cellulose,and hemicellulose contents in cell walls,diminishing the water-holding capacity of leaves.In addition,the root system of the renl1 mutant was poorly developed and its ability to scavenge reactive oxygen species(ROS)was decreased,leading to an increase in ROS after drought stress.Meanwhile,genetic results showed that RENL1 and SRL1 synergistically regulated cell wall components.Our results revealed a theoretical basis for further elucidating the molecular regulation mechanism of cellulose on rice drought tolerance,and provided a new genetic resource for enhancing the synergistic regulation network of plant type and stress resistance,thereby realizing simultaneous improvement of multiple traits in rice.

Liver as a new target organ in Alzheimer's disease:insight from cholesterol metabolism and its role in amyloid-beta clearance

Alzheimer's disease,the primary cause of dementia,is characterized by neuropathologies,such as amyloid plaques,synaptic and neuronal degeneration,and neurofibrillary tangles.Although amyloid plaques are the primary characteristic of Alzheimer's disease in the central nervous system and peripheral organs,targeting amyloid-beta clearance in the central nervous system has shown limited clinical efficacy in Alzheimer's disease treatment.Metabolic abnormalities are commonly observed in patients with Alzheimer's disease.The liver is the primary peripheral organ involved in amyloid-beta metabolism,playing a crucial role in the pathophysiology of Alzheimer's disease.Notably,impaired cholesterol metabolism in the liver may exacerbate the development of Alzheimer's disease.In this review,we explore the underlying causes of Alzheimer's disease and elucidate the role of the liver in amyloid-beta clearance and cholesterol metabolism.Furthermore,we propose that restoring normal cholesterol metabolism in the liver could represent a promising therapeutic strategy for addressing Alzheimer's disease.

Tranylcypromine upregulates Sestrin 2 expression to ameliorate NLRP3-related noise-induced hearing loss

Noise-induced hearing loss is the primary non-genetic factor contributing to auditory dysfunction.However,there are currently no effective pharmacological interventions for patients with noise-induced hearing loss.Here,we present evidence suggesting that the lysine-specific demethylase 1 inhibitor–tranylcypromine is an otoprotective agent that could be used to treat noise-induced hearing loss,and elucidate its underlying regulatory mechanisms.We established a mouse model of permanent threshold shift hearing loss by exposing the mice to white broadband noise at a sound pressure level of 120 d B for 4 hours.We found that tranylcypromine treatment led to the upregulation of Sestrin2(SESN2)and activation of the autophagy markers light chain 3B and lysosome-associated membrane glycoprotein 1 in the cochleae of mice treated with tranylcypromine.The noise exposure group treated with tranylcypromine showed significantly lower average auditory brainstem response hearing thresholds at click,4,8,and 16 k Hz frequencies compared with the noise exposure group treated with saline.These findings indicate that tranylcypromine treatment resulted in increased SESN2,light chain 3B,and lysosome-associated membrane glycoprotein 1 expression after noise exposure,leading to a reduction in levels of 4-hydroxynonenal and cleaved caspase-3,thereby reducing noise-induced hair cell loss.Additionally,immunoblot analysis demonstrated that treatment with tranylcypromine upregulated SESN2 expression via the autophagy pathway.Tranylcypromine treatment also reduced the production of NOD-like receptor family pyrin domaincontaining 3(NLRP3)production.In conclusion,our results showed that tranylcypromine treatment ameliorated cochlear inflammation by promoting the expression of SESN2,which induced autophagy,thereby restricting NLRP3-related inflammasome signaling,alleviating cochlear hair cell loss,and protecting hearing function.These findings suggest that inhibiting lysine-specific demethylase 1 is a potential therapeutic strategy for preventing hair cell loss and noise-induced hearing loss.

Recent advances in recurrent hepatocellular carcinoma therapy

Hepatocellular carcinoma(HCC)is the most prevalent form of primary liver cancer,accounting for 75%-85%of cases.Although treatments are given to cure early-stage HCC,up to 50%-70%of individuals may experience a relapse of the illness in the liver after 5 years.Research on the fundamental treatment modalities for recurrent HCC is moving significantly further.The precise selection of individuals for therapy strategies with established survival advantages is crucial to ensuring better outcomes.These strategies aim to minimize substantial morbidity,support good life quality,and enhance survival for patients with recurrent HCC.For individuals with recurring HCC after curative treatment,no approved therapeutic regimen is currently available.A recent study presented novel approaches,like immunotherapy and antiviral medication,to improve the prognosis of patients with recurring HCC with the apparent lack of data to guide the clinical treatment.The data supporting several neoadjuvant and adjuvant therapies for patients with recurring HCC are outlined in this review.We also discuss the potential for future clinical and translational investigations.

Optimal deployment of swarm positions in cooperative interception of multiple UAV swarms

In order to prevent the attacker from breaking through the blockade of the interception,deploying multiple Unmanned Aerial Vehicle(UAV)swarms on the interception line is a new combat style.To solve the optimal deployment of swarm positions in the cooperative interception,an optimal deployment optimization model is presented by minimizing the penetration zones'area and the analytical expression of the optimal deployment positions is deduced.Firstly,from the view of the attackers breaking through the interception line,the situations of vertical penetration and oblique penetration are analyzed respectively,and the mathematical models of penetration zones are obtained under the condition of a single UAV swarm and multiple UAV swarms.Secondly,based on the optimization goal of minimizing the penetration area,the optimal deployment optimization model for swarm positions is proposed,and the analytical solution of the optimal deployment is solved by using the convex programming theory.Finally,the proposed optimal deployment is compared with the uniform deployment and random deployment to verify the validity of the theoretical analysis.

Mn-based cGAS-STING activation for tumor therapy

Immunotherapy has efficiently revolutionized the treatment of human neoplastic diseases.However,the overall responsive rate of current immunotherapy is still unsatisfactory,benefiting only a small proportion of patients.Therefore,significant attention has been paid to the modulation of tumor microenvironment(TME)for the enhancement of immunotherapy.Interestingly,recent studies have shown that cyclic GMP-AMP synthasestimulator of interferon gene(cGAS-STING)was initially found as an innate immune sensor to recognize cytoplasmic DNA(such as bacterial,viral,micronuclei,and mitochondrial).It is a promising signaling pathway to activate antitumor immune responses via type I interferon production.Notably,Mn^(2+)was found to be a critical molecule to sensitize the activation of the cGAS-STING pathway for better immunotherapy.This activation led to the development of Mn^(2+)-based strategies for tumor immunotherapy via the activation of the cGAS-STING pathway.In this critical review,we aimed to summarize the recent progress of this field,focusing on the following three aspects.First,we briefly introduced the signaling pathway of cGAS-STING activation,and its regulation effect on the antitumor immunity cycle has been discussed.Along with this,several agonists of the cGAS-STING pathway were introduced with their potential as immunotherapeutic drugs.Then,the basic biological functions of Mn^(2+)have been illustrated,focusing on its critical roles in the cGAS-STING pathway activation.Next,we systematically reviewed the Mn^(2+)-based strategies for tumor immunotherapy,which can be classified by the methods based on Mn^(2+)alone or Mn^(2+)combined with other therapeutic modalities.We finally speculated the future perspectives of the field and provided rational suggestions to develop better Mn^(2+)-based therapeutics.

Translocation and transformation of engineered nanomaterials in plant cells and their effect on metabolism

As the climate worsens and the demand for food grows,so does the interest in nanoagriculture.The interaction between plants and nanomaterials(NMs)has been extensively and intensively examined.However,stopping at the outcome of a phenomenon is often insufficient.Therefore,we introduce three important processes of nanoparticleplant interactions:translocation,transformation,and plant metabolism.During the migration of nanoparticles,size and surface electrical properties are the main determining factors.Additionally,the interaction of nanoparticles with cell membranes is another key aspect of research.The transformation of nanoparticles in plants is mainly due to redox substances.The way that nanoparticles affect plant metabolism may be able to shed light on the interaction of nanoparticles with plants.This review adds to the existing knowledge on the design of nanoagrochemicals and summarizes the mechanism of interaction of NMs with plants.In this way,NMs can be used for their beneficial effects and thus contribute to the maintenance of food security and sustainable development.

Effects of Maize Silage Harvest Stage on Growth Performance and Economic Benefits of Beef Cattle

[Objectives]This study aimed to investigate the effects of whole-crop maize silage harvested at different stages on growth and economic benefits of beef cattle.[Methods]A total of 30 Simmental crossbred cattle weighing about 378 kg were randomly divided into three groups,respectively fed for 70 days with whole-crop maize silage harvested at milk stage(GroupⅠ),dough stage(GroupⅡ)and physiological maturity stage(GroupⅢ).Moreover,the cattle in all groups were given the same concentrate diet.[Results]There were significant differences in dry matter,crude protein and neutral detergent fiber between whole-crop maize silages harvested at different stages(P<0.05).The dry matter in GroupⅡandⅢwas significantly higher than that in GroupⅠ(P<0.05).The crude protein content peaked in GroupⅡ,up to 6.37%,which was significantly higher than that in GroupⅠ(by 12.74%,P<0.05)and GroupⅢ(by 9.26%,P<0.05).Starch content significantly increased with the postponing of maize harvest(P<0.05).The content of neutral detergent fiber in Group I was significantly higher than that in GroupⅡ(P<0.05)and GroupⅢ(P<0.05).The average daily weight gain in GroupⅡwas 8.53%higher than that in GroupⅠ(P<0.05)and 3.70%higher than that in GroupⅢ(P>0.05).The dry matter intake in GroupⅡwas significantly higher than that in GroupⅠ(P<0.05)and GroupⅢ(P<0.05).There was no significant difference in feed/gain ratio between the groups(P>0.05).The economic benefit in GroupⅡwas the highest,up to 9.99 yuan/day per capita.,followed by that in GroupⅢ,9.79 yuan/day per capita,and that in GroupⅠwas the lowest,only 8.03 yuan/day per capita.[Conclusions]The whole-crop maize silage harvested at dough stage has the best quality and produces the highest economic returns for beef cattle.

Effects of Whole-plant Corn Silage and Whole-plant Wheat Silage on Growth Performance and Economic Benefits of Beef Cattle

[Objectives]This study was conducted to study the effects of whole-plant corn silage and whole-plant wheat silage on growth performance and economic benefits of beef cattle.[Methods]Thirty Simmental crossbred cattle were selected and randomly divided based on their weight into two groups,15 cows in each group,with an average weight of 398 kg.Each group was fed the same concentrated feed,and the whole-plant corn silage and wheat silage were fed as roughage feed,respectively.The experimental period was 90 d.[Results](1)There was no significant difference in the initial weight of beef cattle between test group 1 and test group 2(P>0.05).Compared with group 2,group 1 had a higher final weight,average daily gain,and dry matter intake of beef cattle,without significant differences(P>0.05).Group 1 was 0.58%,1.99%,and 1.43%higher than group 2,respectively.The feed-to-gain ratio of test group 1 decreased by 0.54%compared with test group 2(P>0.05),with no significant difference therebetween.(2)The economic benefit of group 1 was 11.45 yuan/(day·capita),while the economic benefit of group 2 was 2.41 yuan/(day·capita),and group 1 was 9.04 yuan/(day·capita)higher than group 2.[Conclusions]Whole-plant corn silage for feeding beef cattle has the advantages of good weight gain and low breeding cost,and can be popularized in beef cattle fattening.

A two-stage but time-saving reconstructive scheme to treat severe lower limb length discrepancy:Two case reports

Limb length discrepancy(LLD)is a common orthopedic condition that can result in significant functional impairment,pain,and cosmetic deformities.Current reconstructive techniques for severe LLD are primarily based on callus distraction,which is a time-consuming process that can lead to complications,such as significant infection,joint stiffness,and stress fractures.To reduce the therapeutic time and minimize the risk of complications,we investigated the use of vascularized bone flaps as a technical supplement to callus distraction in the reconstruction of short limbs.We present two cases of severe LLD in the upper and lower legs,in which a twostage reconstruction approach was used.In the first stage,external fixation was applied to the affected limb to correct the soft tissue length and convert the short deformity into a bone defect.In the second stage,the bone defect was reconstructed using bilateral(patient A)or unilateral(patient B)free vascularized fibula bone grafts.Both patients had complete survival of the fibular grafts without stress fractures,and bone consolidation took 8 months(patient A)and 4 months(patient B).Compared to the traditional callus distraction,the two-stage approach was found to be more time-saving and reliable.The entire reconstructive scheme required 18 and 4 months for patients A and B,respectively,whereas the traditional callus distraction required 41 and 17 months,respectively.These findings suggest that the use of vascularized bone flaps as a technical supplement for callus distraction may provide an effective and efficient alternative for the treatment of severe LLD.Further studies are needed to validate these results and assess the long-term outcomes of this approach.

Impacts of Sulfur and Microalgae Co-fertilization on Saline-alkaline Soil of Sunflower Field in Hetao Irrigation District

[Objectives]To evaluate the impacts of the elemental sulfur(S 0)and micro-algae(MA)co-fertilization on saline-alkaline soil of sunflower field in the Hetao Irrigation District(HID).[Methods]The greenhouse pot experiment was conducted with four treatments:control(CK),single S 0 fertilization(S),single MA fertilization(A),and S 0 and MA co-fertilization(SA)for comparing the selected soil properties and sunflower plant heights and weights in different treatments.[Results]The results showed that the mean soil organic matter(SOM)under the SA(25.08 g/kg)was significantly higher than that for the CK(20.59 g/kg),S(22.47 g/kg),and A(22.95 g/kg).The mean pH under the SA(7.75)was significantly lower than that for the CK(8.14),S(7.82),and A(7.96).The mean soil exchangeable Na+concentration under the SA was significantly lower than that for the S.The mean soil electrical conductivity(EC)under the SA was 9.76%lower than that for the S.The means of Cl-(1.22 g/kg)and SO 2-4(1.90 g/kg)in soil under the SA were lower than that for the S(1.30,2.06 g/kg)and A(1.31,1.97 g/kg),respectively.For plant height 3 at the late stage of plant growth,the mean plant height 3 under the SA(89.00 cm)was higher than that of the CK(69.60 cm)and A(74.33 cm).The total weights of the fresh sunflower heads,fresh stems,and dry seeds under the SA were higher than that for the CK,S,and A.[Conclusions]In conclusion,the S 0 and MA co-fertilization had positive effects on improving saline-alkaline soils,the soil under the S 0 and MA co-fertilization could be better conditions for promoting sunflower growth than that for the S,Z,and CK,and thereby the S 0 and MA co-fertilization could be a new idea to improve saline-alkaline soil in the cold and arid regions.

Seepage simulation of high concrete-faced rockfill dams based on generalized equivalent continuum model

This research focused on the three-dimensional(3 D) seepage field simulation of a high concrete-faced rockfill dam(CFRD) under complex hydraulic conditions. A generalized equivalent continuum model of fractured rock mass was used for equivalent continuous seepage field analysis based on the improved node virtual flow method. Using a high CFRD as an example, the generalized equivalent continuum range was determined, and a finite element model was established based on the terrain and geological conditions, as well as structural face characteristics of the dam area. The equivalent seepage coefficients of different material zones or positions in the dam foundation were calculated with the Snow model or inverse analysis. Then, the 3 D seepage field in the dam area was calculated under the normal water storage conditions, and the corresponding water head distribution, seepage flow, seepage gradient, and seepage characteristics in the dam area were analyzed. The results show that the generalized equivalent continuum model can effectively simulate overall seepage patterns of the CFRD under complex hydraulic conditions and provide a reference for seepage analysis of similar CFRDs.

Plasmonic characteristics of suspended graphene-coated wedge porous silicon nanowires with Ag partition

We investigate a graphene-coated nanowire waveguide(GCNW) composed of two suspended wedge porous silicon nanowires and a thin Ag partition. The plasmonic characteristics of the proposed structure in terahertz(THz) frequency band are simulated by the finite element method(FEM). The parameters including the gap between the nanowires and Ag partition, the height of the nanowire, the thickness of the Ag partition, and the Fermi level of graphene, are optimized. The simulation results show that a normalized mode field area of ~10-4 and a figure of merit of ~100 can be achieved. Compared with the cylindrical GCNW and isolated GCNW, the proposed wedge GCNW has good electric field enhancement.A waveguide sensitivity of 32.28 is obtained, which indicates the prospects of application in refractive index(RI) sensing in THz frequency band. Due to the adjustable plasmonic characteristics by changing the Fermi level(EF), the proposed structure has promising applications in the electro-optic modulations, optical interconnects, and optical switches.

Lycium barbarum polysaccharides related RAGE and Aβ levels in the retina of mice with acute ocular hypertension and promote maintenance of blood retinal barrier

Our previous study verified the protective effects of Lycium barbarum polysaccharides(LBP)on retinal neurons and blood vessels in acute ocular hypertension(AOH)mice.To investigate the effect of LBP on the reactivity of retinal glial cells,an AOH mouse model was established in one eye by maintaining ocular hypertension of 90 mm Hg for 60 minutes.Either LBP solution(1 mg/kg)or phosphate-buffered saline was administrated to the mice by gavage daily,starting 7 days before the AOH insult and continuing until the mice were sacrificed for specimen collection on day 4 post-insult.After AOH insult,increased numbers of astrocytes and microglia were observed,together with decreased expression of the following glial cell biomarkers in the retinal ganglion cells of AOH mice:glial fibrillary acidic protein,glutamine synthetase,aquaporin-4,S-100 proteins,ionized calcium-binding adaptor molecule 1,amyloid precursor protein and receptor of advanced glycosylation end-products.After intervention with LBP,the above changes were significantly reduced.Remarkably,morphological remodeling of blood vessel-associated retinal astrocytes,marked by glial fibrillary acidic protein,was also observed.These results,taken together,suggest that LBP regulated the production of amyloid-βand expression of receptor of advanced glycosylation end-products,as well as mediating the activity of retinal glial cells,which may lead to the promotion of better maintenance of the blood-retinal barrier and improved neuronal survival in AOH insult.This study was approved by the Committee for the Use of Live Animals in Teaching and Research(approval No.CULTRA-#1664-08).

Experimental study on dynamic stall control based on AC-DBD actuation

To explore AC-DBD's ability in controlling dynamic stall,a practical SC-1095 airfoil of a helicopter was selected,and systematic wind tunnel experiments were carried out through direct aerodynamic measurements.The effectiveness of dynamic stall control under steady and unsteady actuation is verified.The influence of parameters such as constant actuation voltage,pulsed actuation voltage,pulsed actuation frequency and duty ratio on dynamic stall control effect is studied under the flow condition of k=0.15 above the airfoil,and the corresponding control mechanism is discussed.Steady actuation can effectively reduce the hysteresis loop area of dynamic lift,and control the peak drag and moment coefficient.For unsteady actuation,there is an optimal duty ratio DC=50%,which has the best effect in improving the lift and drag characteristics,and there is a threshold of pulsed actuation voltage in dynamic stall control.The optimal dimensionless frequency will not be found;different F+have different control advantages in different aerodynamic coefficients of different pitching stages.Unsteady actuation has obvious control advantages in improving the lift-drag characteristics and hysteresis,while steady actuation can better control the large nose-down moment.

Integrated silicon-based suspended racetrack micro-resonator for biological solution sensing with high-order mode

A biological sensing structure with a high-order mode(E^(y)_(21))is designed,which is composed of a suspended racetrack micro-resonator(SRTMR)and a microfluidic channel.The mode characteristics,coupling properties,and sensing performances are simulated by using the finite element method(FEM).To analyze the mode confinement property,the confinement factors in the core and cladding of the suspended waveguide for the E^(x)_(11),E^(y)_(11),and E^(y)_(21) are calculated.The simulation results show that the refractive index(RI)sensitivity of the proposed sensing structure can be improved by using the high-order mode(Ey 21).The RI sensitivity for the E^(y)_(21) mode is~201 nm/RIU,which is twice to thrice higher than those for the E^(x)_(11) mode and the E^(y)_(11) mode.Considering a commercial spectrometer,the proposed sensing structure based on the SRTMR achieves a limit of detection(LOD)of -4.7×10^(-6) RIU.Combined with the microfluidic channel,the SRTMR can possess wide applications in the clinical diagnostic assays and biochemical detections.

Successful individualized endodontic treatment of severely curved root canals in a mandibular second molar:A case report

BACKGROUND The incidence rate of severely curved root canals in mandibular molars is low,and the root canal treatment of mandibular molars with this aberrant canal anatomy may be technically challenging.CASE SUMMARY A 26-year-old Chinese female patient presented with intermittent and occlusal pain in the left mandibular second molar.The patient had undergone filling restoration for caries before endodontic consultation.With the aid of cone beam computed tomography(CBCT),a large periapical radiolucency was observed,and curved root canals in a mandibular second molar were confirmed,depicting a severe and curved distolingual root.Nonsurgical treatments,including novel individualized preparation skills and techniques and the use of bioceramic materials as an apical barrier,were performed,and complete healing of the periapical lesion and a satisfactory effect were achieved.CONCLUSION A case of severely curved root canals in a mandibular second molar was successfully treated and are reported herein.The complex anatomy of the tooth and the postoperative effect were also evaluated via the three-dimensional reconstruction of CBCT images,which accurately identified the aberrant canal morphology.New devices and biomaterial applications combined with novel synthesis techniques can increase the success rate of intractable endodontic treatment.