Thyroid cancer is a common endocrine carcinoma that occurs in the thyroid gland. Much effort has been invested in improving its diagnosis, and thyroidectomy remains the primary treatment method. A successful operation without unnecessary side injuries relies on an accurate preoperative diagnosis. Current human assessment of thyroid nodule malignancy is prone to errors and may not guarantee an accurate preoperative diagnosis. This study proposed a machine learning framework to predict thyroid nodule malignancy based on our collected novel clinical dataset. The ten-fold cross-validation, bootstrap analysis, and permutation predictor importance were applied to estimate and interpret the model performance under uncertainty. The comparison between model prediction and expert assessment shows the advantage of our framework over human judgment in predicting thyroid nodule malignancy. Our method is accurate, interpretable, and thus useable as additional evidence in the preoperative diagnosis of thyroid cancer.

Introduction: Sineoculis homeobox homolog 1 (Six1) overexpression has been implicated in several human cancers. To date, its clinical significance and potential function in human thyroid cancer remain unclear. Methods: Immunohistochemistry was used to examine the protein expression of BCAT1 in 89 cases of thyroid cancer tissues. We overexpressed and knockdown Six1 in TPC-1 and B-CPAP thyroid cancer cell lines. Biological roles and potential mechanisms of Six1 were examined using CCK-8, colony formation assay, Matrigel invasion assay, Western blot, PCR, ATP assay, and 2-NBDG uptake assay. Results: We showed that Six1 protein was upregulated in thyroid cancers and was associated with tumor size and nodal metastasis. Analysis of TCGA dataset indicated that Six1 mRNA was higher in thyroid cancers compared with normal thyroid. CCK-8, colony formation and Matrigel invasion assays demonstrated that Six1 overexpression promoted proliferation, colony number and invasion while Six1 siRNA knockdown inhibited the growth rate, colony formation ability and invasive ability in both cell lines. Notably, Six1 upregulated glucose consumption, lactate production level and ATP level. 2-NBDG uptake analysis showed that Six1 overexpression upregulated glucose uptake while Six1 knockdown inhibited glucose uptake. Further analysis revealed that Six1 overexpression upregulated Snail, MMP2 and GLUT3 at both mRNA and protein levels. TCGA analysis demonstrated positive associations between Six1 and Snail, MMP2 and GLUT3 at the mRNA levels. Conclusion: Taken together, our data demonstrated that Six1 was upregulated in human thyroid cancers and promoted cell proliferation and invasion. Our data also revealed new roles of Six1 in thyroid cancer development by modulating glucose metabolism and invasion, possibly through regulation of Snail, MMP2 and GLUT3.

The carbon sequestration and oxygen release of landscape plants are dominant ecological service functions, which can play an important role in reducing greenhouse gases, improving the urban heat island effect and achieving carbon peaking and carbon neutrality. In the present study, we are choosing Lonicera japonica Thunb. as a model plant to show the effects of Cd stress on growth, photosynthesis, carbon sequestration and oxygen release characteristics. Under 5 mg kg⁻¹ of Cd treatment, the dry weight of roots and shoots biomass and the net photosynthetic rate (P_N) in L. japonica had a significant increase, and with the increase in Cd treatment concentration, the dry weight of roots and shoots biomass and P_N in the plant began to decrease. When the Cd treatment concentration was up to 125 mg kg⁻¹, the dry weight of root and shoots biomass and P_N in the plant decreased by 5.29%, 1.94% and 2.06%, and they had no significant decrease compared with the control, indicating that the plant still had a good ability for growth and photoenergy utilization even under high concentrations of Cd stress. The carbon sequestration and oxygen release functions in terms of diurnal assimilation amounts (P), carbon sequestration per unit leaf area (WCO₂), oxygen release per unit leaf area (WO₂), carbon sequestration per unit land area (PCO₂) and oxygen release per unit land area (PO₂) in L. japonica had a similar change trend with the photosynthesis responses under different concentrations of Cd treatments, which indicated that L. japonica as a landscaping Cd-hyperaccumulator, has a good ability for carbon sequestration and oxygen release even under high concentrations of Cd stress. The present study will provide a useful guideline for effectively developing the ecological service functions of landscaping hyperaccumulators under urban Cd-contaminated environment.