Repeated infusion of CAR or TCR mRNA- nanoparticles -T cells subsided the disease.

CAR-TOr TCR-T is discouraged? Repeated infusion of specific CAR or TCR mRNA- nanoparticles -T cells can alleviate the disease.

Engineering chimeric antigen receptor (CAR) or T cell receptor (TCR) is helpful to create disease-specific T cells for targeted therapy, but the cost and rigor of manufacturing engineering T cells in vitro may be prohibitive, so programming T cells in vivo may be a feasible alternative. An injectable nanocarrier is reported here, which delivers in vitro transcribed (IVT) CAR or TCR mRNA for instantaneous reprogramming of T cells to recognize disease-related antigens. In mouse models of human leukemia, prostate cancer and hepatitis B-induced hepatocellular carcinoma, repeated infusion of these polymer nanocarriers can induce enough host T cells to express tumor-specific CAR or virus-specific TCR, thus leading to disease regression, and the level is similar to that of in vitro engineered lymphocytes. Considering that they are easy to manufacture, distribute and manage, these nanocarriers and related platforms may become treatments for many diseases.

Adoptive T cell therapy is an effective method to treat cancer or infectious pathogens by genetic modification of T cells obtained from patients or donors, which has been supported by a large number of clinical trials and showed impressive results. However, the complexity and high cost of making customized T cell products for each patient, rather than preparing drugs in batches in a standardized form, make it difficult to compete with first-line treatment schemes such as small molecule drugs or monoclonal antibodies. At present, most CAR-T and TCR-T cells are manufactured through complicated processes, including: (i) white blood cell separation, and T cells are extracted from patients who are connected to the separator through two venous catheters for several hours. This is uncomfortable for patients, will generate a lot of money costs, and may eventually limit the large-scale adoption of autologous T cells; (ii) activation and transduction of T cells; (iii) expanding the transduced T cells in a tissue culture medium supplemented with cytokines for about 2 weeks; (iv) T cells are washed and concentrated before administration. For T cell products produced in central facilities and transported to remote treatment centers, cells must be frozen; (v) Every batch of CAR-T products needs to be tested for quality control and release. The whole process must be carried out under GMP-compliant environmental control conditions, and the maintenance and operation costs are very high. Because every CAR-T product is made of the starting material (T cells) of the patient to be treated, there is no economies of scale.

In vitro transcription (IVT)mRNA has become a subversive new drug, which can be used to directly encode protein related to treatment in vivo. The synthesized mRNA molecules can be designed and operated quickly, and mass-produced relatively economically and efficiently. In the past few decades, scientists have learned how to optimize mRNA from pharmacology and immunology, so that it can be used in clinical applications more like drugs.

Here, we explore using mRNA as an injectable drug to reprogram circulating T lymphocytes to express disease-specific receptors instantaneously, thus bypassing the need to extract and culture lymphocytes from patients (Figure 1). In order to protect the therapeutic load and accurately target it to T cells, biodegradable polymer nanocarriers were developed. First, it was proved in vitro that the application of a single nanoparticle can use CD19-specific 1928z CAR(FDA approved for the treatment of B-cell lymphoma) or HBcore18-27 TCR for HBV core antigen (currently in the phase I study for the treatment of patients with HBV-related hepatocellular carcinoma; NCT03634683) routinely transfected more than 70% of cultured T cells. T cells transfected with nanoparticles instantaneously express these CAR transgenes or TCR transgenes on their surfaces for an average of 7 days. In-situ xenotransplantation mouse models of lymphoma, prostate cancer and HBV-induced hepatocellular carcinoma have proved that mRNA particles encoding CAR or TCR can genetically reprogram circulating T cells when given regularly, so as to induce similar therapeutic effects to traditional adoptive transfer T cells transduced by virus in vitro.

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Fig. 1 is a schematic diagram of how to reprogram T cells in situ with IVT mRNA carried by polymer nanoparticles to express disease-specific CARs or TCRs. The surface of these particles is covered with ligands targeting cytotoxic T cells, so once they are injected into the circulation of patients, the transgene they carry can be transferred to lymphocytes, and the cells can be instantly programmed to express their disease-specific CAR or TCR on their surfaces.

At present, the insertion of CAR or TCR into lymphocytes by gene transfer is carried out in a special manufacturing workshop outside the patient’s body, but the process of transferring cells to and from the clean room and the gene transfer procedure itself are labor-intensive, costly and time-consuming. If engineered T-cell therapy reaches its promise of expanding to different populations of various cancer types, the economic and manufacturing challenges may increase.

Here, it is proved that mRNA nano-drugs can achieve effective cell therapy without side effects through the convenience of ready-made drugs. Just like traditional medicine, with this new treatment, patients can easily re-administer medicine as long as they need it.

CAROr TCR gene mRNA nanocarrier transfecting T cells.

In order to deliver IVT mRNA encoding disease-specific receptor gene to human lymphocytes, a biodegradable poly-β-amino ester (PBAE) polymer preparation was used as the carrier matrix (Figure 2a). The PBAE-447 polymer used in the research to concentrate mRNA into nanoparticles was originally developed by Jordan Green Laboratory of Johns Hopkins University. In the past ten years, the key features of PBAE have been widely described. PBAEs escape endosomes by protonation at low pH value, and osmotic pressure accumulates due to buffering, which leads to endosomes destruction. Qualcomm combinatorial library screening of PBAEs for nucleic acid delivery showed that the existence of tertiary amine improved the buffering capacity at low pH and promoted endosome escape. The ester bond in the main chain structure of PBAEs is hydrolyzed in aqueous solution, which makes the toxicity of PBAEs lower than that of other non-degradable cationic polymers, such as PEI, which is widely studied as a nucleic acid delivery carrier. Cationic PBAE self-assembled with anionic nucleic acid into nano-complex through electrostatic interaction (Figure 2b). By coupling anti-CD8 antibody to polyglutamic acid (PGA), the particles were electrostatically adsorbed to form a conjugate, which made the particles have cell targeting. The mRNA nanocarriers thus obtained can be freeze-dried for long-term storage. Before use, the granules were hydrated within a few seconds after adding sterile water to restore their original concentration. Particle tracking analysis (NanoSight NS300, Malven Panalytical) to characterize particles produced in ten independent batches (fig. 2c). The results show that the average particle size of PbAE/PGA-anti-CD8 nanoparticles is 106.9±7.2nm. The zeta potential is 4 2, and the encapsulation efficiency of mRNA detected by Qubit RNA HS kit is 90.9 6.2%. When the used nanoparticle formula PBAE: mRNA is 60: 1,

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Fig. 2 Design and manufacture of lymphocyte programming nanoparticles. A: Schematic diagram of T cell targeting IVT mRNA nanocarriers used in the experiment. In order to create a reagent that can modify primary T lymphocytes simply by contact (which is difficult to achieve by non-viral infection methods), polymer nanoparticles composed of four functional components are designed: (i) surface-anchored targeting ligands, which selectively bind nanoparticles to T cells and initiate rapid receptor-induced endocytosis to internalize them. Anti-CD8 antibody was used in the experiment. (ii) negatively charged coating, which shields the nanoparticles by reducing the surface charge of the nanoparticles, so as to minimize off-target binding. Because it has been widely used in drug delivery platform, PGA was chosen to realize this. (iii) a carrier matrix, which aggregates and prevents nucleic acids from being degraded by enzymes when they are in the endocytosis, but releases them once the particles are transported into the cytoplasm, thus enabling the translation of the encoded protein. Therefore, a biodegradable poly (β-amino ester) (PBAE) polymer formula is used, and its half-life in water is between 1 and 7 hours. (iv) Nucleic acid (IVT mRNA) wrapped in a vector and producing transient expression of disease-specific CAR or TCR. B: Describe how to make nanoparticles. C: particle size distribution, measured by NanoSight NS300 instrument.

Firstly, it is determined whether adding targeted IVT mRNA nanocarriers in human lymphocyte culture can stably transfect cells. In order to test this technique in clinical related systems, the nanoparticles were loaded with IVT mRNA encoding leukemia-specific 1928z CAR (Figure 3a-e). CD19 targeting receptor is the most researched CAR-T cell product. In the second example, IVT mRNA encoding high affinity HBV-specific TCR is provided here (Figure 3f-j). T cell therapy for chronic hepatitis B is a new method to restore antiviral immunity and cure infection. HBcore18-27 TCR against HBV core antigen was isolated from a HLA-A02.01 donor who had solved HBV infection. For 1928z CAR and HBcore18-27 TCR constructs, real-time quantitative PCR and flow cytometry were used to measure their expression levels in human T cells after transfection with single nanoparticles. It was found that the transgenic expression reached its peak at 24 hours after nanoparticles were exposed, and then gradually decreased (Figure 3a,f). It is worth noting that only nanoparticles functionalized with T-cell-specific antibodies (anti-CD8 or anti-CD3) can effectively deliver transgenes, while the gene expression produced by isotype control functionalized nanoparticles is close to the background level (Figure S1). This translates into a high level of expression on the surface of CAR or TCR, reaching a maximum on the second day.(75% 11% T cells express 1928z CAR, Figure 3b, C; On average, 89 4% of T cells expressed HBcore18-27 TCR (fig. 3g,h). As expected, the receptor expression was transient. After 8 days of culture, the receptor expression of CAR and TCR decreased to 28 6% and 26 9% respectively. Next, the virus method was used to compare the functions (killing and cytokine production) of T cells transfected with nanoparticles and T cells designed with these receptors. In order to prove the specificity of tumor antigen, T cells transduced with CAR gene (P28z, targeting prostate specific membrane antigen) or TCR gene (MSLN-TCR, mesothelin specific) unrelated to tumor were used as control group. Using real-time IncuCyte? living cell analysis, it is impossible to measure the significant difference in the ability of T cells transduced by IVT mRNA to selectively lyse antigen-positive target cells (Raji lymphoma cells in 1928z CAR and HepG2 hepatoma cells in HBcAg stably transduced HBcAg for HBcore18-27 TCR) (Figure 3d,i). In addition, similar levels of effector cytokines secreted by T cells were also detected in the nanoparticle transfection group and the virus transduction group (Figure 3e,j).

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Fig. 3 IVT mRNA nanocarriers effectively transfect human T cells by CAR or TCR transgene. Isolated human CD8+T cells were stimulated by beads coated with antibodies against TCR/CD3 and CD28 receptor. After 24 hours, beads were removed, and CD8 targeted nanoparticles (NPs) containing mRNA encoding leukemia-specific 1928zCAR(a-e) or HBcore18-27 TCR(f-j) were mixed into the cell suspension at a concentration of 3 μ 3μg mRNA/10^6 cells. A: QCPR was used to detect the relative 1928z CAR mRNA expression of T cells exposed to 1928z CAR NPs over time. B: T cells were detected by flow cytometry at different time points after incubation with NPs carrying 1928z encoded mRNA. C: Summary chart of gene transfer efficiency in vitro. D: To compare the killing activity of T cells of nanoparticles and retrovirus transfection group on Raji lymphoma cells in vitro. T cells and Raji tumor cells were co-cultured in a ratio of 5:1. The IncuCyte living cell analysis system was used to quantify the immune cell killing of Raji NucLight red blood cells by T cells transfected with 1928z-CAR or control (P28z-CAR) over time. E: The secretion of IL-2(24h), TNF-α and IFN-γ(48h) was detected by e:ELISA.The HBcore18-27 TCR mRNA of f-j is the same.

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Fig. S1 CD3-targeted mRNA nanoparticles selectively transfect human T cells.

Recognition of leukemia by reprogramming host T cells with nanoparticles

Next, it is studied whether IVT mRNA NPs targeting lymphocytes can reprogram the circulating T cells, and the number is large enough to achieve tumor regression with similar effects as traditional methods. As the first in vivo test system, 1× 10 6 CD19+Raji cells expressing firefly luciferase were inoculated into immunocompromised NOD. CG-PRKDCSCID IL 2RGT M1WJL/SZJ (NSG) mice to establish leukemia model. Five days later, mice were recombined into 10× 10 6 CD3+human T cells, and nanoparticles loaded with the gene encoding 1928z CAR (50μg/ dose) were infused six times a week to produce leukemia-specific or control particles loaded with the mRNA encoding GFP (Figure 4a). According to the kinetics of in vitro measurement of CAR surface expression with IVT mRNA nanoparticles, a weekly administration regimen of nanoparticles was selected, which showed the expression of related receptors for 8 days (Figure 3b,c). In order to compare the efficacy of nanoparticle infusion with traditional adoptive T cell therapy, 5×10^6 T cells were transduced into another group of mice by lentivirus encoding 1928z CAR in vitro. This amount is equivalent to the higher dose of CAR-T cells used in clinical research at present. In clinical research, patients were treated with CAR-T cells weighing as high as 1.2×10^7 CAR-T kilogram. In another dosage regimen,The adoptive transfer of lentivirus-transduced CAR-T cells was combined with systemic injection of nanoparticles carrying control GFP mRNA to determine whether nanoparticle-mediated transfection damaged the anti-tumor function of T cells. The mice in the control group were either not treated or infused with untransformed human effector T cells. Tumor growth was continuously quantified by bioluminescence imaging and the difference of survival rate was monitored. It was found that the adoptive transfer of 1928z CAR-T cells engineered in vitro significantly improved the survival rate. Of the 10 mice, 6 tumors were eradicated, and the tumors of the other mice subsided, and the average 32-day survival rate increased (Figure 4b,c). This therapeutic benefit obtained by traditional adoptive T cell therapy is similar to the treatment of IVT mRNA nanoparticles which programmed the same CAR into lymphocytes in vivo, which achieved the eradication of 7 tumors in 10 mice and the average survival time of recurrent animals was 37 days (Figure 4c). Flow cytometry analysis of peripheral blood 2 days after the first administration showed that nanoparticles carrying 1928z effectively reprogrammed circulating T cells to identify leukemia cells (average 10% 4.3% CAR+CD8+, Figure 4d,e). As expected, the transient expression of these CARs lasted for one week (0.8 0.4% of CAR+CD8+T cells on the 7th day). It is worth noting that repeated doses of nanoparticles are as effective as the first injection, with an average of 10.7 3.6% gene transfer to host T cells (Figure 4e). This shows that,Although IVT mRNA is transient, it can be used as a platform for continuous in situ CAR expression in host lymphocytes.

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Fig. 4 CAR lymphocytes programmed with nanoparticles can lead to leukemia regression, and its curative effect is similar to adoptive t cell therapy. A: Timeline and administration scheme of nanoparticles (NP). B: sequential biological imaging of Raji lymphoma cells expressing firefly luciferase injected into NSG mice. C: The survival rate of animals after treatment is depicted as Kaplan-Meier curve. D: Flow cytometry of peripheral T cells before and after injection of nanoparticles carrying IVT mRNA encoding 1928z CAR. E: shows the percentage of CD8+T cells transfected by CAR after repeated infusion of 1928z CAR NPs. Each line represents an animal. The average transfection rate (SD) at each time point is displayed at the top.

Therapeutic response of hosts with normal immune function

In order to study how exclusive targeting limits the interaction of nanoparticles to circulating T cells and how it affects their fate, Ai14 reporter mice with complete immune activity were used. In this transgenic model, all cells contain a termination box flanking loxP, which prevents the transcription of tdTomato protein driven by CAG promoter. Only the cells that successfully transduced the mRNA encoding Cre recombinase (Cre) would cut off the termination cassette flanking loxP, resulting in permanent tdTomato transcription and then strongly amplified tdTomato expression. Firstly, the fluorescence of the whole organ in Ai14 mice was measured after injecting CD3-targeted (or isotype-controlled functionalized) nanoparticles carrying Cre mRNA. The gene expression mediated by non-targeted particles is the highest in the liver, while the gene transfer induced by lymphocyte-targeted nanocarriers is mainly in the spleen, lymph nodes and thymus (Figure 5a,b). Detailed flow cytometry analysis of spleen (Figure 5c) showed that CD3-targeted nanoparticles preferentially transfected T cells (8.1 1.9%) without affecting the activity. Other CD45+ subtypes, such as macrophages (3.2 1.5%), B cells (1.1 0.9%), neutrophils (0.3 0.2%) and DC cells (1.9 0.8%), have lower dtTomato signal levels.

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Fig. 5 Effective T cell targeting in mice with normal immune function. B6. CG-GT (Rosa) 26Sortm14 (CAG-TDtomato) Hze/J (AI Reporter) Mice were injected with 3 doses of nanoparticles containing 15μg mRNA encoding nuclear localization signal (NLS)-Cre intravenously every day. Nanoparticles were targeted to mouse T cells using full-length anti-CD3 MuIgG2a or IgG2a isotype control. Both antibodies were designed as LALAPG variants to eliminate Fc receptor binding and complement activation. 48h after the last injection, the organs were collected and the dtTomato fluorescence of the whole organs was measured by fluorescence IVIS imaging. Single cell suspensions of spleen and blood were labeled with antibodies against various immune cell subtypes and analyzed by flow cytometry. A: The representative dtTomato expression in organs under fluorescence IVIS imaging. B: Quantify the fluorescence signal of each organ. C: It shows the average SD percentage of immune CD45+dtTomato+ cell types in spleen. Macrophages (CD45+, CD11b+, MHCII+, CD11c?, Ly6C?/Low, Ly6G?), B cells (CD45+, B220+), T cells [CD4+T cells (CD45+, TCRβ+, CD4+, CD8-) and CD8+T cells (CD45) were detected.(CD45+, CD11b+, MHCII+, CD11c, Ly6G+) and DC cells (CD45+, CD11c+, CD11b, MHCII+).

Based on these distribution studies, it is then tested whether the measured number of mRNA nanoparticles redirected T cells is enough to reduce established cancers in fully immune hosts. To this end, Eμ-ALL01 leukemia cells expressing luciferase were injected into albino C57BL/6 mice (a model of B-cell acute lymphoblastic leukemia was established in mice with normal immune function), and bioluminescence imaging was used to quantify the difference of tumor progression between treatment groups (Figure 6a). Mice either received CD3-targeted nanoparticles to deliver mRNA encoding 1928z CAR of the whole mouse, or received GFP control (see Figure S2 for methods). The third group did not receive treatment. It was found that only infusion of nanocarriers encoding 1928z CAR could effectively control the progress of leukemia (Figure 6b,c). Compared with GFP control group, the tumor load was reduced by an average of 26 times after three weeks of treatment.

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Fig. 6 Anti-leukemia response of mice with normal immune function. A: Timeline and administration plan. B: signal intensity diagram of e-all 01 luciferase after nanoparticle injection. Each line represents an animal, and each point reflects the photon count of the whole animal. C: Sequential biological imaging of Eμ-ALL01 leukemia cells expressing firefly luciferase by systemic injection in albino C57BL/6 mice. Five representative mice from each group (n=10) are shown.

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Fig. S2 anti-CD3 mouse IgG2a LALA-PG and non-conjugator control.

Therapeutic response of solid tumor

In order to formalize that this technology is not only related to the treatment of hematological malignant tumors, but also related to the treatment of solid tumors, the ability of nanoparticles aimed at introducing prostate cancer-specific CAR gene into circulating host T cells to induce prostate cancer regression in mice was studied. Unlike leukemia cells, leukemia cells express high levels of CD19 antigen and are easily accessed by circulating lymphocytes, while solid malignant tumors are heterogeneous and protected. This means that some tumor cells will escape the recognition of targeted CAR and will be surrounded by immune suppression defense system, which may lead to T cell dysfunction. In fact, the whole genome/transcription analysis of 140 cases of prostate cancer metastasis was used to determine that prostate cancer lesions showed heterogeneous expression of three key cell surface proteins [prostate specific membrane antigen (PSMA), prostate stem cell antigen (PSCA) and receptor tyrosine kinase-like orphan receptor 1(ROR1)] in patients (Figure 7a). In order to summarize human diseases, LNCaP C42 prostate cancer cells were transplanted into the prostate dorsal lobe of NSG mice in situ (Figure 7c), and the cells showed heterogeneous expression of these key cell surface proteins (Figure 7b). In order to continuously monitor the tumor load by bioluminescence imaging, firefly luciferase (Fluc) was used to mark the tumor cells. After orthotopic transplantation, all the mice developed pathological changes repeatedly within three weeks (Figure 7c, right), and were reconstructed with human 10× 10 6 CD3+human T cells.And randomly assigned to different treatment groups or control groups (fig. 7d). Firstly, the therapeutic effect of systemic injection of 10 6 CAR+T cells transduced in vitro against tumor antigen ROR1 on tumor-bearing mice was tested. It was found that although anti-ROR1 CAR-T cells did not achieve tumor clearance, the survival rate of treated mice more than doubled (69 days compared with 32 days in untreated control group; Fig. 7d). In order to determine whether "ready-made" nano-preparations can achieve similar therapeutic effects, ROR1 CAR transgenic nanoparticles (50μg mRNA/ dose; Fig. 7e). Compared with the untreated control group, particle-induced CAR programming prolongs the survival time by an average of 40 days, which is similar to the survival benefit obtained by traditional adoptive T cell therapy (Figure 7d,f). Proper localization and persistence of T cells is a prerequisite for anti-solid tumor activity, so the frequency of ROR1 CAR-T cells infiltrating into prostate cancer over time was evaluated. The flow cytometry analysis of LNCaP C42 prostate cancer resected on the 4th, 7th and 11th days after T cell metastasis showed that T cells were infused into the tumor site by intravenous infusion (average 892 295 car+T cells /mg tumor tissue), but they could not grow (only 1.04 times the overall expansion between the 4th and 11th days; Fig. 7g,h). In addition, in-situ programmed CAR-T cells effectively penetrated into the tumor (average 648 240 CAR+T cells /mg tumor tissue)., and maintain a high level of CAR transgene (average 91 7 CAR+T cells /mg tumor tissue, Figure 7h) before downregulating the receptor. On the same day, the tumor lesions were infiltrated by freshly reprogrammed peripheral T cells after intravenous injection of ROR1 CAR-encoded mRNA nanoparticles (on the 11th day, the average was 1066 225 car+T cells /mg tumor; Fig. 7h), which summarizes the oscillation dynamics of T cell reprogramming induced by mRNA nanoparticles that have been observed in leukemia research (fig. 4e).

In order to determine the reason why adoptive transferred T cells and injected mRNA nanocarriers failed to completely eliminate the disease, the antigenic phenotype of recurrent prostate cancer was identified by flow cytometry. One of the most common escape strategies in cancer is to reduce the expression of target antigen, because CARs produces selective pressure. In preclinical and clinical studies, this phenomenon is reported as the cause of failure when adoptive T cells targeting only a single antigen are used to treat heterogeneous tumors (such as metastatic prostate cancer). It was found that compared with untreated LNCaP C42 prostate cancer expressing ROR1 tumor antigen at different levels, two treatment groups (adoptive transferred T cells or nanoparticle programmed T cells) finally produced ROR1 low/negative immune escape variants (Figure 7i).

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Fig. 7 IVT-mRNA nanocarriers encoding prostate cancer-specific CAR can improve the survival rate of mice with existing diseases. C: Three weeks after transplantation, LNCaP C42 prostate cancer was imaged by bioluminescence in vivo. The picture on the right is a representative photo of prostate dorsal lobe tumor (white arrow). D: Sequential biological imaging of LNCaP C42 prostate cancer cells expressing firefly luciferase transplanted into the prostate of NGS mice in situ. E: Timeline and nanoparticle administration scheme. F: the survival rate of animals after treatment, depicted as Kaplan-Meier curve. G: On the 11th day after treatment, the recovered cells of patients with prostate cancer were detected by multicolor flow cytometry. ROR1 CAR+T cells with adoptive transfer or in situ programming were identified by CD45 and the positive marker of c-myc labeled in the receptor. H: The absolute number of ROR1-CAR+T cells in the tumors isolated on the 4th, 7th and 11th day after the start of treatment. The total number of living cells (trypan blue negative) multiplied by the percentage of ROR1-CAR and CD45 positive. I: Flow cytometry was used to quantitatively detect the expression of ROR1 antigen on LNCaP C42 prostate tumor cells treated with CAR-T cells or ROR1 4-1BBz CAR NP.

HBVIn situ programming of specific T cells

The gene transfer of CARs encoding IVT mRNA can only target T cells to antigens located on the cell surface, so many tumor antigens or virus antigens in cells cannot reach these receptors. It has been proved in vitro that lymphocyte-targeted IVT mRNA nanoparticles can reprogram T cells with engineered TCR, which recognize intracellular HBV core antigen (HBcAg) in HLA background (Figure 3f–J). In view of the fact that more than 300 million people in the world are chronically infected with HBV, and a large number of them develop cirrhosis and liver cancer, it is obviously not feasible to tailor T cell products for each patient. As the first step to treat this disease with IVT mRNA technology, a mouse model of hepatocellular carcinoma (HCC) induced by HBV was established. After laparotomy, 1 million HepG2 cells stably transduced with HBcAg and luciferase were injected into the liver. All mice developed multifocal lesions repeatedly within 7 days (fig. 8a), when they were reconstructed with unstimulated 10× 10 6 CD3+human HLA-A*02:01 T cells, and received twice weekly infusion of nanoparticles loaded with mRNA encoding HBcore18-27 TCR (50μ g/dose) to produce HCC-specific or control particles loaded with mRNA encoding GFP. The mice in the third group were treated with a single dose of 10×10^6 CD3 T cells (HLA-A*02:01).The cells were transduced in vitro with retrovirus vector encoding HBcore18-27 TCR, and the control mice did not receive any treatment. Four days after the second nanoparticle administration (18th day), the liver was isolated to directly quantify the tumor load by bioluminescence imaging, and the single cell suspension was labeled with HBV C18-27 MHC I Pentamer to quantify the percentage of TCR-T cells expressing HBCore 18-27. It was found that enough HBcore antigen-specific T cells were programmed by nanoparticle injection to induce disease regression, and similar therapeutic effects could be achieved compared with engineered lymphocytes in vitro (compared with untreated controls, the photon count was reduced by 13 times and 18.9 times, respectively, Figure 8b,c). Flow cytometry of dissecting liver confirmed that the density of HBcore18-27 TCR-T cells in animals treated with engineered T cells in vitro was equal to that of in-situ programmed nanoparticles (Figure 8d,e).

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Fig. 8 In-situ programming of HBV-specific T cells using nanoparticles loaded with TCR transgenes. A: A xenograft tumor model of HCC mice induced by HBV was established. HepG2 cells stably transduced with HBcAg and luciferase were injected into the liver of NSG mice reconstructed with human T cells by surgery. Three weeks after implantation, HepG2 tumor was observed by bioluminescence imaging in vivo, and it was assigned to the nanoparticle group (50μg of mRNA encoding HBcore18-17 TCR six times a week) or the T cell treatment group (5×10^6 T cells were transduced with lentivirus encoding HBcore18-17 TCR mRNA vitro). B, c: quantification of bioluminescent liver signal after 6 weeks of treatment. D: Multicolor flow cytometry for recovering cells from the liver 18 days after the start of treatment. The adoptive transfer or in situ programming of HBcore18-27 TCR+ T cells were identified by the positive markers of CD45, CD8 and MHC Pentamer. The absolute number is shown in E. The total cell count of living cells (trypan blue negative) is multiplied by the percentage of HBcore18-27 TCR++,CD8+ and CD45+.

In a word, the results show that repeated infusion of T cell targeting polymer nanocarriers can deliver tumor-specific CAR or virus-specific TCR transgenes to a sufficient number of host T cells, and induce disease regression at a level similar to that of in vitro engineering lymphocyte mass injection.

TCell-programmed nanoparticles are biocompatible

Systematic administration of nano-drugs may cause infusion reaction in patients, which usually delays or stops clinical transformation. These reactions can be manifested as fever, chills, stiffness, rash, chest pain or dyspnea, and in rare cases, they can be fatal. Identifying the risk of infusion reaction early in the process of drug development is helpful to alleviate potential safety concerns after the product enters clinical trials, save time and money for developers, and avoid potential dangerous complications for patients.

The detection cascade scheme developed by NCL is used here, which can indicate the infusion reaction. Specifically, the influence of nanoparticles on complement activation (NCL method ITA-5.2), its hemolysis characteristics (ITA-1) and its influence on T cell oxidative stress (ITA-32) were analyzed. In order to study these effects of nanoparticle concentration in clinical correlation, the theoretical plasma concentration (TPC) was first calculated, which is an effective mouse dose (in the experiment: 50μg mRNA/ dose), and scaled to the equivalent human dose (=2.03μg mRNA/mL blood; Fig. 9a). In order to evaluate the effect of T-cell-targeted mRNA nanoparticles on red blood cells, the hemolysis test was carried out by measuring the release of hemoglobin by spectrophotometry after exposure to different concentrations of particles. The performance of hemolysis test was tested by negative (PBS) and positive (Triton-X) controls. It was found that the hemolysis rate of TPC particles was lower than 2% (the average was 1.21 0.26%, while that of PBS control was 0.7 0.11%; Fig. 9b), which is defined as non-hemolytic. Nano-particles also did not induce the activation of complement iC3b or Bb, while C4d was slightly higher than twice the determination threshold at TPC concentration (average 2.3 0.13%, compared with 1 0.003% in PBS control; Fig. 9c). Finally, mitochondrial oxidative stress was measured as the key determinant of nanoparticle-induced damage, because reactive oxygen species (ROS)Over-production will cause damage to organelles and DNA, and eventually lead to cell death. In addition, another consequence of ROS overproduction is the activation of cell signaling pathways that stimulate the expression of pro-inflammatory and fibrotic cytokines. Compared with PBS control, T-cell-programmed nanoparticles only induced a very mild increase in oxidative stress (average 3.6 0.2 times) (Figure 9d).

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Fig. 9 In vitro analysis of possible infusion reactions. A: calculation of theoretical plasma concentration. Hemolytic activity of b: t cells targeting mRNA nanoparticles. C: quantitative determination of complement activation by enzyme immunoassay. The 2-fold change relative to the negative PBS control is defined as the determination threshold (dotted line). Study on oxidative stress response of lymphocyte mitochondria after d: NP transfection.

Under the guidance of in vitro evaluation of the possible infusion reaction caused by T cell programming mRNA nanoparticles, a comprehensive toxicity assessment was conducted for rodents. Rats are the first rodent species to predict the toxicity of nucleic acid-based molecular therapy to human health, because their metabolic physiology (especially kidney and liver functions) is closer to humans than mice. SD rats (6-8 weeks old) were injected with a dose of nanoparticles carrying 100μg mRNA, which is equivalent to the rat dose of 50μg mRNA in mice, based on the standardization of body surface dose. These experiments were carried out using 1928z CAR nanoparticles. 1928z CAR recognizes human CD19, but does not cross-react with rat CD19 to ensure that the change of measured parameters can be attributed to nanoparticles rather than their reprogramming activities. The control group was injected with 25mM sodium acetate buffer (carrier control group) or not. After 48 hours, the animals were killed, blood samples were taken to determine clinical biochemical indexes, and gross anatomy was carried out. The following tissues were evaluated by pathologists certified by the Committee: lung, liver, heart, brain, kidney, spleen, bone marrow and duodenum. There were no histological changes attributable to nanoparticle drug therapy (fig. 10a). The few lesions noted are mild to mild, which are considered accidental and have nothing to do with the study. Two of the five rats in all groups had the least inflammatory infiltration in the liver. These tiny infiltrations are considered as background lesions and have nothing to do with treatment. Similarly, all groups have individuals with mild to mild chronic inflammation of renal pelvis.The chronic nature of the lesion is inconsistent with the acute treatment effect, so it is considered accidental. Compared with the control group, the whole blood platelet count of the animals in the nanoparticle treatment group was slightly lower (407 115 k/μ l and 290.4 56.3 k/μ l respectively; Fig. 10b). Compared with the control group, the animals in the nanoparticle group also had slight hypoglycemia (average 45.4 26 mg/dl and 78.3 69.8 mg/dl, respectively; Fig. 10c). All other serum chemical indexes (including liver function and renal function) of the rats treated with nanoparticles were similar to those of the control group, indicating that no systemic toxicity occurred. Serum IL-6 level moderately increased to an average of 16.5 pg/ml 5.9 pg/ml (Figure 10d), which can be considered as safe according to previous reports.

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Fig. 10 The infusion of nanocarriers has nothing to do with acute systemic toxicity. Female SD rats were intravenously injected with CD8-targeted IVT mRNA encoding 1928z CAR. After 48 hours, a pathologist certified by the Committee made a comprehensive histopathological evaluation and serum chemical analysis in a blind way. A: representative H&E stained sections of various organs isolated from control or nanoparticle-treated animals. B: blood cell count. C: serum chemistry. D: Detection of serum TNF-α, IL-1β and IL-6 cytokines.

summary

Although T cells modified by CAR and TCR have transformed a few hematologic cancer, it is obvious that their current clinical application only represents a small part of the possibility that this technology may provide. Theoretically, therapeutic T cells can treat malignant tumors and chronic infections with targeted antigens, as proved by a large number of preclinical reports. However, at present, the method of producing disease-specific T cells in vitro is very complicated and cannot support the treatment of a large number of patients, because a new lymphocyte cluster must be produced for each patient. In order to make it easier for patients to obtain T cell products, the field has turned to allogeneic technology to provide a larger scale and lower cost. Several clinical T cell companies have begun to test CAR-T cells, which are "ready-made" products made by healthy unrelated donors rather than patients. Although this method can treat cancer patients who can’t make autologous T cells because of their low lymphocyte count or poor T cell quality, it requires several extra cell engineering steps to prevent donor cells from attacking the host, which in turn prevents patients’ own T cells from rejecting the infusion products. This is usually done by multiple gene editing to remove natural TCR and HLA molecules from T cell products. However, these extra operations increase the complexity, time and cost of the manufacturing process, while reducing the cell yield and vitality. In order to prevent rejection, patients who receive universal CAR-T cells first severely suppress immunity through lymph depletion chemotherapy.This takes time and exposes patients to additional toxicity. Therefore, in vitro engineering of allogeneic cell products is unlikely to significantly increase the number of patients receiving T cell therapy, especially those patients with infectious diseases who need rapid intervention to keep the endogenous immune system intact.

Previously, an injectable DNA-based nano-reagent was described, which can program circulating T cells with leukemia-specific CAR transgene. In order to overcome the inherent low gene transfer of plasmid DNA, plasmid DNA must enter the nucleus to be transcribed into mRNA. The transposon/transposase system encoding CAR was loaded on nanoparticles, and the system was randomly inserted into the genome of the target cell. Although this study provides proof of concept that it is possible to program CAR-T cells in situ with injectable nano-reagents, it will be challenging to transform this DNA nano-drug into clinic for the following reasons: ① Unpredictable genotoxicity and expression kinetics. These nanoparticles stably integrate their therapeutic CAR transgenes into target cells, resulting in permanent genomic changes and unpredictable genotoxicity of various cell types. In addition, once nanoparticles are injected into patients, doctors cannot control the kinetics of CAR expression in vivo; ② The copy number of CAR gene related to each nanoparticle is low. The number of CAR genes that can be loaded into these DNA nanoparticles is limited by the size of the vector skeleton and promoter sequence, and the requirement of stable integration of transposase expression vectors. This greatly limits the efficiency of in-situ gene transfer, especially when trying to deliver large transgenes encoding TCRα and β chains; ③ Abundant tumor antigens are needed to expand the small population of in situ transfected CAR-T cells to the number related to treatment. This amplification period takes time,This is a disadvantage for patients with rapidly progressive diseases or definite solid tumors.

Here, we explore the use of IVT mRNA to quickly and specifically program antigen recognition ability into circulating T cells as a strategy to treat cancer and infectious diseases. Compared with DNA nanocarriers, the synthesized mRNA molecules can be directly translated into therapeutic target proteins without entering the nucleus, thus ensuring high transfection rate and rapid therapeutic effect. Their tailoring size (the actual CAR coding or TCR coding sequence in this study +276 bases of 5′ UTR and polyA region) leads to a high copy number per nanoparticle. In addition, because the delivered mRNA plays its role in cytoplasm, uncontrolled insertion mutation and promoter dependence are avoided. It is proved here that simply injecting well-designed mRNA nanocarriers can selectively introduce CAR gene or TCR gene into host T cells, and program them to make the number sufficient to cause disease regression, which is similar to the adoption method. Several ongoing clinical trials are testing the repeated infusion of in vitro engineered mRNA CAR-T cells (NCT01355965, NCT01897415, NCT02277522 and NCT02624258) in cancer patients, and the first data shows that the instantaneous CAR expression after cell infusion is enough to trigger an anti-tumor response.

Three important reasons why IVT mRNA has rapidly become a new adoptive T cell therapy tool are its inherent safety, efficient translation of recombinant protein and its ability to control the pharmacokinetics of treatment, which is similar to traditional small molecule drugs. In fact, the kinetics of T cells expressing CAR measured in mice after multiple doses is similar to the profile of drugs with a definite half-life (Figure 4e). This is in sharp contrast to the rather unpredictable T cell dynamics after the adoptive transfer of engineering T cells. In this case, the cell concentration in the blood rises to the highest, and then decreases within a variable period of several days to several months. Although in-situ programming has obtained the ability to control the pharmacokinetic characteristics of the therapy and reprogram the fresh population of host lymphocytes regularly, thus potentially bypassing some major obstacles in the wide application of T cell therapy (such as T cell failure and dysfunction, and long-term toxicity), this technology still has some limitations: (1) It depends on the existence of a sufficient number of functional T cells in patients. Lymphocytosis is common in patients with advanced cancer who receive a large number of chemotherapy drugs. Therefore, the patient’s blood is likely to need to be pre-screened before the clinical trial of ready-made nano-reagents. (2) The efficacy of drugs can be passivated by immune response. Because T-cell programmed nanoparticles are regularly injected into patients with intact immunity, anti-drug antibodies may be formed. For the clinical transformation of this technology, it is important to select a fully humanized CD8 targeting ligand.To provide CAR/TCR structure with low immune risk, and synthesize mRNA with pseudouridine (or N1- methyl-pseudouridine described recently) and 5- methylcytosine to reduce innate immune response.

In order to redirect circulating T cells to resident tumor cells in situ, several biotechnological drug manufacturers have developed bispecific antibodies, including BiTEs, DART and diabodies. Among them, blinatumomab (a CD19-specific BiTE) has shown encouraging results in the clinical study of patients with hematological malignancies. However, BiTEs must be continuously infused, which will produce systemic toxicity. In addition, like traditional monoclonal antibodies, BiTE does not undergo active biological distribution or self-expansion after infusion. In contrast, the gene modification system based on nanoparticles described here can produce new tumor-specific T cells, which, as a "living drug", actively locate at the target, increase in number and continuously destroy cancer cells. People’s interest in CAR-T cell therapy is still strong, so it is time to introduce ready-made nano-reagents as a competitive technology, which can quickly reprogram T cells, identify and destroy tumors without laboratory operation.

Before conducting clinical research on humans, we will refer to the FDA’s regulations on nano-drugs and expand cooperation with NCL to confirm the safety of nano-particles in large animal species. Different from the treatment methods established in clinic (such as small molecules or antibodies), CAR-programmed nanoparticles are multi-component three-dimensional structures, which require repeatable manufacturing processes to reliably realize the expected physical and chemical characteristics, biological behavior and pharmacological characteristics. The safety and effectiveness of this nano-drug may be affected by small changes in many parameters, which need to be carefully monitored, especially in the case of targeting unexpected sites and potential toxicity. In addition, compared with traditional drugs, nano-drugs need additional development and regulatory considerations.

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Mueller, K. T. et al. Cellular kinetics of CTL019 in relapsed/refractory B-cell acute lymphoblastic leukemia and chronic lymphocytic leukemia. Blood 130, 2317–2325 (2017).

Beatty, G. L. et al. Activity of mesothelin-specific chimeric antigen receptor T cells against pancreatic carcinoma metastases in a phase 1 trial. Gastroenterology 155, 29–32 (2018).

Foster, J. B., et al. The emerging role of in vitro-transcribed mRNA in adoptive T cell immunotherapy. Mol. Ther. 27, 747–756 (2019).

Calmes-Miller, J. FDA approves second CAR T-cell therapy. Cancer Discov. 8, 5–6 (2018).

Parayath, N.N., et al. In vitro-transcribed antigen receptor mRNA nanocarriers for transient expression in circulating T cells in vivo. Nat Commun 11, 6080 (2020).

Smith, T. T. et al. In situ programming of leukaemia-specific T cells using synthetic DNA nanocarriers. Nat. Nanotechnol. 12, 813–820 (2017).

Kah, J. et al. Lymphocytes transiently expressing virus-specific T cell receptors reduce hepatitis B virus infection. J. Clin. Invest. 127, 3177–3188 (2017).

The head singer settled in, why choose Netease Cloud?

Editor’s Note: This article is from WeChat WeChat official account "Tech Planet" (ID:tech618), by Li Xiaolei, published by 36Kr with authorization.

Just like 16 years ago, Jason once again became a "crab eater" by taking part in "My Show" and becoming a champion. 

On September 21st, Netease Cloud Music officially announced that it had reached a brand-new strategic cooperation with famous musician Jason. This means that the two parties will carry out innovative operations in music copyright, personal music IP development, music works creation and online music performance. This is also the first in-depth cooperation mode between the head singer and the streaming music platform involving music copyright, personal IP, operation announcement and so on. 

Since 2004, Jason, who has been groping in the music industry, has witnessed the changes of the music industry from the record era to the streaming media era. For the head singers, the new music industry, which is slowly unfolding in front of them, has undergone tremendous changes compared with the past. 

The hard power of music streaming media platform has been extended to the comprehensive operation of musicians and music works, including the redevelopment of music copyright, concerts, IP peripheral and other diversified commercial operations. 

The cooperation with Jason is also the first shot for Netease Cloud Music to open the ∞ Unlimited Music Plan. While supporting original musicians, Netease Cloud Music has another "abacus"-through the "Infinite Music Plan", more mainstream musicians will be held in hand to provide them with a new service model based on the music platform, which will inject more vitality into new and old music. 

The combination of head singers and head music platforms will also become another competitive trend in the music industry.

From the earliest signing of Shangteng Entertainment, to Tianyu Media, and then to the independent studio, Jason, who debuted in the draft, has turned into the top male singer in the Chinese music scene and won the Grand Slam of the mainland music award. In 16 years, he released 14 music albums and left more than 200 singles. 

When Jason debuted as an amateur in 2004, it was a period of drastic changes in the music industry.

Dao Lang became a key figure in Chinese music this year. At that time, there was no concept of "sinking the market", but the first album "The First Snow in 2002" released by Dao Lang, with its unique music type, "entered" the urban and rural markets in one fell swoop, bringing about a change in music types. 

In the record era, musicians mostly earned their income by selling physical albums and records. The sales volume of Dao Lang’s first album claimed to be as high as 2.6 million. Pay-as-you-go CRBT became popular from this year, and the profit of record companies was replaced by the service fee of paying for downloading CRBT. Song Ke, who was the CEO of Taihe Wheat Field at that time, even spent tens of millions to buy out the color ring back tones copyright of Dao Lang’s three songs. 

Over the past 10 years, the mode of music announcement and profit has undergone tremendous changes. The mode of music profit has changed from records and ringtones to establishing exposure on streaming media platforms and social platforms and selling digital singles and albums. At the same time, on the basis of gaining influence, we will tour and develop and sell the surrounding IP products. 

Most mainstream head musicians came out of the era of traditional record industry, and the traditional announcement and distribution modes that prevailed in the past, such as playing charts, releasing records, signing sales tours and performing in various places, have long since fallen behind in this era. 

In the fast-paced moment, the streaming media platform has obviously become an important part of musicians’ communication channels, and the rise of Tik Tok and Aauto Quicker has also opened a new door for musicians. 

In other words, the Internet is reconstructing the traditional music industry, and the cooperation between digital music platform and record companies, brands and musicians has gradually become closer. To some extent, digital music platform plays an important role in promoting the value of the whole industry chain in the music industry. 

Jason’s hand in hand with Netease Cloud Music is clearly an insight into this trend. In fact, this is also a new mode of all-round music cooperation with head singers initiated by Netease Cloud Music.

Under this brand-new mode, Netease Cloud Music will provide multi-dimensional module services such as accurate and intelligent recommendation of works, personal music IP development, exclusive music brand activities, music linkage at home and abroad, cross-border integration of original music, offline and offline music performances, new interaction in Yuncun community, and commercial development of music content. 

For example, relying on personalized recommendation, song list, music review, Mlog and other product features, Netease Cloud Music has built a "music community" with unique vitality, which will help musicians reach users from multiple channels. In terms of music creation, in June this year, Netease Cloud Music also strategically invested in the AI Music Company "AIVA", and will develop innovative products to assist musicians in their creation in the future.

In the era of traditional records, the profit logic is to sell physical album records, relying more on obtaining exclusive copyright. Since her debut, Jason has released 14 albums, more than 200 high-quality music works and more than 40 OST golden songs. For Jason, who has left a large number of works, he can earn a lot of money only by his current copyright and concerts. 

In the era of digital streaming media, besides copyright, how to expand the rich and multidimensional vitality of music and make a music work have a longer tail value and influence has become a new proposition. 

Under this change, it is very important for musicians and platforms to change with the trend.

In April this year, the internal letter of Netease Cloud Music’s 7th anniversary mentioned that "we are witnessing the’ most civilian’ moment in China’s music history". Netease Cloud Music should complete the mission of "delivering the beautiful power of music", and "providing surprises for users", "serving musicians" and "the team should love music" are listed as the most important things.

The internal letter also emphasized that "the service for musicians should be more active, more detailed and more in place". In fact, as early as 2016, Netease Cloud Music pioneered the "Musician Index" and successively launched independent musician support programs such as "Stone Project" and "Ladder Project". Today, with 160,000 original musicians in Yuncun, it seems a natural thing to expand cooperation with mainstream artists in the head. 

In single sales, Netease Cloud Music had a cooperation example with Hua Chenyu’s "I really want to love this world" before. With the energy of the song itself and the operation of Netease Cloud Music, 45 days after its launch, the single has sold more than 16.67 million copies in Netease Cloud Music, with sales exceeding 50 million yuan, which is called "half a billion singles" by netizens. 

In addition to these figures, at present, there are more than 1 million messages in Netease Cloud Music Review Zone. More than 400,000 points were praised by the hottest comments, which is the additional significance given to the songs by Netease Cloud Music Community atmosphere. Some users talk about the background of the song in the comment area, which is a music dedicated to the depressed group, and some users talk about their own depressed experiences and get comfort in the comment area. 

For singers, tours, concerts and other large and small stage presentations are particularly important. Since Jason’s debut, she has held 61 large-scale concerts and toured more than 30 cities at home and abroad, with a total of 1.3 million people watching. In 2018 and 2019, she broke the box office record of a single concert in the Bird’s Nest for two consecutive years.

In the operation of online concerts, Netease Cloud Music has already had the experience of actually operating online performances, including LIVE on the cloud, "Fish Dining in Sodagreen" and the new solo concert of Mr.R&Beats in Wilber Pan. 

Not only that, Netease Cloud Music also took the lead in launching supporting services for paying to watch online performances. Take the online concert of the 7th anniversary of TFBOYS debut as an example. The ticket prices of online concerts are 30 yuan, 158 yuan and 860 yuan, respectively. The higher the price, the more rights and interests you can enjoy, and more products you can enjoy during the week. In the end, the record of this concert reached 786,000 simultaneous online users, which also broke the world record of online paid concerts. 

Today, online performances are gradually normalized, and offline performances complement the ecology. The importance of online performance planning and supporting services is also more prominent. 

Netease Cloud Music launched the "Infinite Music Plan", the essential purpose of which is to strengthen and innovate the deep cooperation mode with the mainstream artists in the head, and give full play to the superior resources of the music platform to carry out all-round integration with the mainstream artists in the head. Taking music as the benchmark core, we will create high-quality, personalized and topical music content. 

While releasing the potential of music IP, it is actually exploring the possibility of music cross-border.

Netease Cloud Music, while continuously supporting original musicians, has also begun to provide a new service model based on the music platform for head singers. To some extent, this is another evolution of the streaming music platform. 

However, in today’s diversified music channels, if we want to be re-recognized and maintain the popularity, it will test our ability to adapt to the operation and publicity of streaming media era more comprehensively. 

It is understood that after the cooperation between Jason and Netease Cloud Music, Netease Cloud Music will launch "Jason Music Week", which will promote many widely sung songs in Jason on the whole platform in terms of song list, cloud circle, Mlog and platform announcement.

From the user’s point of view, mastering the youth market is the key to the future for any industry. There is no doubt that Jason’s incremental audience market comes from young people. You should know that among the active users of Netease Cloud Music, the post-95 generation accounts for more than 60%. For most singers, reaching these new users, being re-recognized and liked is also an important measure to stimulate the original vitality of music. 

At the same time, the community atmosphere of Netease Cloud Music, including music reviews, Mlog, and Japanese push, will undoubtedly drive all kinds of music to find exclusive user groups, and even bring about the proliferation of quantity and the breakthrough of the circle. 

Undoubtedly, in the current music market, the music platform plays a key role in linking the upstream and downstream. 

In the past six months, Netease Cloud Music has successively reached cooperation with Ghibli, Warner Copyright, Shaocheng Times, Rolling Stone Records, Universal Music Group, Indie Works, BPMT(BPM Tokyo), CUBE Entertainment, etc. Almost every month, one or two copyright cooperation agreements have been reached, and the richness of the music library has already reached the leading level in China. 

On September 14th, Netease Cloud Music just announced that it has reached a strategic cooperation with Bertelsmann Music Group (hereinafter referred to as BMG). The two parties will carry out deep-seated and diversified cooperation in the upstream and downstream fields of music copyright, deep development of music IP, music performance, online karaoke and so on. 

Judging from the cooperation of various companies, the cooperation between Netease Cloud Music and various copyright parties is not simply the cooperation of music copyright authorization, but has expanded to more fields. Music copyright, deep development of music IP and deep operation of music performance have been repeatedly mentioned, and this cooperation mode will also become a new trend of copyright cooperation. It is no longer new to obtain music copyright alone. How to inject more three-dimensional vitality into a music work is the key to the competition of streaming media music platforms in the future. 

All these measures mean that Netease Cloud Music is exploring the deep water area of the music platform. In addition to copyright competition, the more important problem left for the music platform has become how to inspire musicians, users and industries to have greater value. 

While absorbing the head musicians headed by Jason, and providing them with high-quality music services, high-quality music content and the community ecology fed back by peripheral services, the differentiation advantage of Netease Cloud is gradually strengthened, followed by the continuous destruction of songs and music-related content. Once this closed loop of musician-content-community ecology is formed, it will undoubtedly become the competitive advantage of Netease Cloud Music in the future. 

Grasping the head musician firmly is another dimension of the music platform besides music copyright competition and user competition. In the future, how to provide more complete music operation for head musicians and independent musicians, pay attention to creation and announcement, and provide new music services will all become the new "homework" of the platform. Only by doing this problem well can you become an "excellent student" in the industry.

Grain and oil crops should be harvested, and growers should "copy homework" like this.

  How to increase production and increase efficiency of grain and oil crops? Recently, the reporter learned that the National Agricultural Technology Center, together with the Expert Steering Group of Scientific Fertilization and Water-saving Agriculture of the Ministry of Agriculture and Rural Affairs, has selected five practical technical models for increasing fertilizer and water production and increasing efficiency, which are suitable for the production of grain and oil crops such as rice, wheat and corn. The arrangement is as follows, for the reference of farmers.

  The foliar fertilization technology model of "one spray and more promotion" for grain and oil crops 

  This model is suitable for grain and oil crops such as rice, corn, soybean, etc. In view of the realistic scenes such as late fertilizer removal, high temperature and drought, scanty rain, and occurrence of diseases and pests, water-soluble fertilizers, stress-resistant agents, regulators, pesticides and fungicides are scientifically mixed and sprayed as needed to promote the stable growth of strong seedlings, post-disaster recovery, grain filling maturity, yield increase and pest control.

  The technical points are as follows: firstly, the fertilizer is carefully selected, and the quick-acting nitrogen fertilizer, potassium dihydrogen phosphate, water-soluble fertilizer with large elements and medium and trace elements are selected for the later supplementary fertilizer; Water-soluble fertilizers containing humic acid, amino acids and trace elements are selected for adjusting nutrition; The growth regulator can be brassinolide, triacontanol, indolebutyric acid, etc. Apply pesticides according to the occurrence of pests and diseases. Fertilizer products should be registered or put on record by the agricultural and rural departments. The second is to optimize the combination. Neutral or acidic fertilizers can be directly mixed with pesticides with similar pH values, and mixing tests should be carried out before mixing alkaline fertilizers with pesticides. The third is efficient spraying, using modern equipment such as unmanned aerial vehicle, high gap spray bar sprayer and vehicle-mounted stretcher to spray.

  Technical model of "lateral deep fertilization" for rice 

  Integrate lateral deep fertilization, remote sensing diagnosis, and drone topdressing, give full play to the advantages of agricultural machinery and agronomy, and accurately control the dosage of fertilizer varieties, the proportion of nutrient forms and the timing of fertilization, so as to realize mechanized and precise fertilization in the whole growth period.

  Technical points: First, the variety of base fertilizer is optimized, and the special formula fertilizer for slow (controlled) release is selected, which has uniform particles and moderate hardness and is convenient for machine application. Secondly, fertilization and transplanting should be synchronized, and the fertilizer should be evenly and quantitatively applied to the sides of the seedlings with a depth of 4-6 cm, and the nutrients are concentrated in the root zone, which is sufficient and easy to absorb. The third is intelligent nutrition diagnosis, and multi-spectral remote sensing diagnosis is carried out in the middle and late stage to guide the UAV to apply fertilizer accurately, efficiently and as needed, supplement nutrition in the later stage, enhance photosynthesis, enhance stress resistance, prevent premature aging, protect big ears, increase grain weight and achieve high yield.

  Technical mode of "mechanical deep application+topdressing by drone+one spraying and three prevention" for wheat 

  Integrate seed and fertilizer sowing together, "one spraying and three prevention" technology, subsoiling layered fertilization seeder, unmanned aerial vehicle and other equipment, supporting slow (controlled) release of fertilizer, overall planning of base fertilizer topdressing, combination of quick-acting slow release and compatibility of nutrient forms, and solve the problems of large loss of base fertilizer and premature aging in the later stage.

  Key technical points: First, mechanical deep application, selecting slow (controlled) release new fertilizers, rotary tillage after spreading, the depth is more than 20 cm, or adopting simultaneous sowing of seeds and fertilizers to ensure nutrient supply and promote root growth. Second, the drone topdressing, according to the situation of wheat seedlings, strengthen fertilizer operation, focusing on topdressing wheat fields that are frozen in early spring and weak seedlings in late sowing to promote growth and improve tillering. The third is to spray three defenses, mixed with water-soluble fertilizers, regulators, pesticides and fungicides, etc., to increase grain size and weight, and prevent pests and diseases.

  Technical model for increasing yield of ultra-deep subsoiling maize in dryland by one-step layered fertilization 

  Integrate key technologies such as super subsoiling and three-layer fertilization to effectively solve long-term problems such as weak root system and late fertilization.

  Technical points: First, ultra-deep loosening is increased from 25-30 cm to 50 cm, breaking the bottom of the plow, fully storing natural precipitation, and promoting the root to be tied to 50 cm. The second is layered fertilization. The fertilization depth is divided into three layers: shallow, medium and deep. The seed fertilizer depth is 8 cm, the middle fertilizer depth is 16 cm, and the deep fertilizer depth is 28 cm. The common compound fertilizer is replaced by functional fertilizers with long-term effect and root growth promotion, so as to realize accurate supply of nutrients.

  Production technology model of bill of lading with integrated water and fertilizer for corn drip irrigation 

  On the basis of drip irrigation water and fertilizer integration technology, measures such as compact and dense varieties, reasonable close planting, dripping seedling emergence, chemical control and lodging prevention and control of pests and diseases are integrated.

  Key technical points: First, crop density is increased by more than 30% by strengthening water and fertilizer supply support, from less than 5,000 plants to more than 6,500 plants. Second, the coupling of water and fertilizer, drip with fertilizer after sowing to promote the whole seedling to be strong, supply water and fertilizer on demand, in stages, in a balanced and accurate way throughout the whole process, and move nitrogen and potassium backward to ensure that fertilizer is not removed in the later stage. Third, chemical control and lodging prevention, planting plots with high density, overgrowth and easy lodging, using special chemical control agents during 6-8 leaves spreading to enhance lodging resistance and drought resistance, and realize short stalks, large ears and high yield of crops.

Exploring the "disease" of emergency department: Why no one wants to do emergency department?

  "The hospital’s medical environment has been greatly improved, and doctors are still really busy, but doctors and patients seem to be a little wary of each other. The most troublesome thing is that no one wants to do emergency treatment now. "

  April 22nd is the 60th birthday of Sun Changyi, director of the emergency department of xuanwu hospital (hereinafter referred to as xuanwu hospital), and it is also the day for him to bid farewell to the emergency department and retire gloriously.

  Looking back on his 33-year emergency care career, Sun Changyi felt a lot: "When I first went to work, not to mention being an old doctor, even our newly graduated students had a full sense of mission. Everyone really did it. I remember that in summer, in order to care for critically ill patients in ICU wards, we all spread a mat on the floor next to the hospital bed to sleep, and the nurses came to deal with the patients on call at midnight. "

  Today’s emergency department is another look that Sun Changyi is familiar with: "The hospital’s medical environment has been greatly improved, and doctors are still really busy, but doctors and patients seem to be a little wary of each other. The most troublesome thing is that no one wants to do emergency treatment now. Our hospital is a top three hospital, and it is hard to recruit people in the emergency department, let alone primary hospitals. "

  At the same time that the emergency department is "cold", the public’s demand for emergency medical resources is growing day by day, and the number of patients in the emergency department is growing rapidly. According to the public data of the Statistical Information Center of the National Health and Family Planning Commission, in 2007, there were 51.879 million emergency department visits, and in 2012, this number doubled to 107.805 million visits.

  Yu Xuezhong, chairman of the Emergency Medicine Branch of the Chinese Medical Association and director of the emergency department of Peking Union Medical College Hospital (hereinafter referred to as Union Medical College Hospital), commented to Outlook News Weekly that the emergency department was "hot outside and cold inside", indicating that "the emergency system is overloaded and worried about functional failure".

  Yu Xuezhong, for example, said that more than a decade ago, doctors in the emergency department simply dared not imagine that ambulances carrying seriously ill patients would be transferred to other medical institutions. Now, due to the frequent "no beds" in emergency departments of large hospitals, it is common for ambulances to be transferred to other medical institutions. "If we turn a blind eye to this kind of danger of’ boiling frogs in warm water’, there may be a risk that the emergency system will collapse in the future."

  Why is the emergency department "seriously ill"? What kind of "treatment" is needed for the diseases in the emergency department? Many problems are unavoidable.

  "Overloaded" Emergency Department

  The "overload" of the emergency department is becoming more and more shocking.

  At 9 o’clock in the morning, the narrow corridor of the emergency department in xuanwu hospital was crowded with people. However, in Sun Changyi’s view, this situation is "not bad. If it is six or seven o’clock in the evening, it will probably be too crowded to walk."

  According to Sun Changyi, there are currently 40 doctors, 120 nurses and more than 80 beds in the emergency department of xuanwu hospital, with an average of 450 patients a day. "Among more than 70 top-three hospitals in Beijing, the emergency department of our hospital has the smallest area, but the number of emergency patients is quite large, basically ranking 5 ~ 7. In 2015, among the hospitals managed by Beijing Hospital Authority, our disease difficulty coefficient ranked first, which means that the emergency patients we treated were very serious. " Sun Changyi said.

  Under the crowded situation of emergency department and the increasing pressure of emergency patients, the area of emergency department is expected to expand in the expansion plan to be completed in xuanwu hospital, and the number of emergency beds will increase accordingly.

  Yu Xuezhong has experienced many "expansions" in the emergency department of Union Medical College Hospital. His feeling is: "The emergency department seems to always lack a bed."

  Yu Xuezhong said that the emergency department of Union Medical College Hospital was established in 1983. At the beginning of its establishment, the average daily emergency volume was about 30-40 person-times, reaching more than 100 person-times in 1996 and rising to 500-600 person-times in 2012. In order to adapt to the increase in the number of emergency patients, the number of emergency beds has increased from 21 to more than 100. "However, the growth rate of beds seems to never keep up with the growth rate of patients. The newly added beds are always filled up quickly, and the emergency department is always overcrowded."

  A survey of emergency resources led by Union Medical College Hospital and covering 33 tertiary hospitals in 31 provinces (autonomous regions and municipalities) shows that most emergency departments were established in the 1980s, when the department area was 500 to 600 square meters. Although the scale of emergency department will be expanded once every five to ten years, and the existing area mostly reaches 5,000-8,000 square meters, the annual emergency department is 5-15 times higher than that at the beginning of the establishment of the department, and the emergency departments in most hospitals are still very crowded, with aisles and corridors full of "extra beds".

  Yu Xuezhong said that "Big Mac" emergency departments with a building area of over 10,000, employees of over 100 and annual emergency volume of over 100,000 are common in China, but no matter how the emergency departments are enlarged and expanded, chaos and crowding are almost inseparable.

  The "chaos" and "crowding" in the emergency department are closely related to the "hidden rules" of emergency department.

  According to Yu Xuezhong, the outpatient resources in large hospitals are limited, and patients are often hard to find the first number, but the emergency number is not limited in principle, so some patients who "have no access to the number" turn to the emergency department to see a doctor. As a result, some problems that should have been solved in the specialist clinic were pushed to the emergency department, which objectively led to the crowded emergency department. "Although there is no document stipulating that emergency treatment must be’ come to the net’, it is actually carried out in this way. Emergency treatment can never say’ no’ to patients, otherwise it will face moral condemnation from from ruin, and the snowball will naturally get bigger and bigger. This situation is more prominent in the famous big hospitals. " Yu Xuezhong said.

  From the perspective of future medical reform, the situation of "chaos" and "crowding" in the emergency department is likely to intensify.

  Yu Xuezhong explained that at present, the medical reform is pushing for a graded diagnosis and treatment system. According to the relevant system design, a large number of patients need to make the first outpatient consultation in primary hospitals, and the outpatient service in large hospitals can only be obtained through referral from primary hospitals. However, emergency treatment can still go directly to large hospitals, which obviously leads to a decline in the number of outpatients in 3A hospitals and an increase in the number of emergency treatments, which puts pressure on the emergency department from the policy and may make the emergency department more crowded in the future. "

  "Not in a hurry" emergency patients

  However, most of the "overloaded" emergency departments are "not in a hurry" emergency patients.

  In Sun Changyi’s impression, among the daily average of 450 emergency patients in xuanwu hospital, non-emergency patients account for at least 1/3, and those who need immediate rescue only account for about 5%~10% of the total emergency patients.

  Union Medical College Hospital once broke the news that the patient lived in the emergency ward for 7 years, and the patient was "discharged" from the emergency department until he filed a lawsuit with the court.

  According to Yu Xuezhong’s estimation, generally speaking, less than 50% of the patients really need to see the emergency department. "The emergency department is full of non-emergency patients, which means that limited emergency resources are being abused."

  "Emergency is not urgent" first stems from the public’s misunderstanding of emergency.

  Emergency, that is, emergency treatment. In Yu Xuezhong’s view, there are three main original intentions for hospitals to set up emergency departments: one is to save lives; The second is to stabilize the patient’s pulse, blood pressure, heart rate, blood oxygen and other vital signs, and relieve his potential life danger; The third is to relieve patients’ acute pain, such as rash and fishbone sticking. "In short, the existence of emergency is to ensure that the public can get professional and scientific treatment in the shortest time in the emergency of sudden illness and accidental injury. However, the public’s understanding of emergency may be the aggravation of chronic diseases, and it may be that there was no disease in the past but now there are symptoms. These are usually not emergency areas in the strict sense. "

  For example, Yu Xuezhong said that an emergency is not necessarily a serious illness. For example, a patient with a fishbone must be very urgent, but this emergency is usually not a serious illness; Severe illness is not necessarily an emergency. For example, chronic respiratory diseases that the elderly are prone to often belong to severe illness, but this kind of serious illness does not necessarily need immediate treatment. "Patients who are both acute and severe are the real emergency patients, but this proportion is not high in the emergency department."

  In this regard, the emergency department has no good strategy. The only thing it can do is to comprehensively analyze, eliminate the false and retain the true through the triage desk, reconnaissance and determine the patient’s condition, and classify the patients according to this, and deal with the patients according to their priorities.

  It is difficult to distinguish between emergency and non-emergency, which also objectively aggravates the "emergency is not urgent" Yu Xuezhong said, generally speaking, you don’t need to see an emergency department for a common cold, but if the patient happens to have myocarditis, he may die if he doesn’t go to the emergency department immediately. For another example, the elderly occasionally feel chest tightness, but this may be a potential myocardial infarction. If the patient is careless and delays the treatment of myocardial infarction, it may have serious consequences. "Because some diseases are not well differentiated in symptoms, patients and their families simply go to the big hospital to see the emergency department without distinction. Although it has been repeatedly proved that it is just’ wolf coming’, this behavior is understandable."

  Emergency detention is also an important factor of "emergency is not urgent".

  According to Yu Xuezhong, European and American countries usually stipulate that the emergency department is an emergency medical place, and it will be transferred to a specialized ward after 24 hours. However, in China, even if the country relaxes the time for emergency patients to stay under observation to 72 hours, the phenomenon of "overtime" still exists everywhere, and the problem of emergency detention is very prominent. "This is not that the emergency department’ intercepts’ patients, but that the specialist wards of the top three hospitals often have no beds. If specialists don’t take patients away, they can only keep patients in the emergency ward."

  Yu Xuezhong explained that the Union Medical College Hospital clearly stipulates that after each specialty is handed over in the morning, there will be the chief doctor on duty in the department to check the patient list and diagnosis results in the emergency department, and the appropriate patients will be received in the specialized ward for treatment. "That is to say, our emergency doctors have no power to forcibly transfer patients to specialist wards, and they can only recommend them to specialists, and the leading power is in the hands of specialists."

  Sun Changyi’s statement is more straightforward: "When specialists come to the emergency department to accept patients, they obviously prefer those patients with high gold content and high quality, that is, patients with no complications, and some elderly patients with many complications and poor payment ability are often left behind in the emergency department. According to our statistics, among the patients admitted by our department, 66% are over 80 years old, and 1/3 are with more than three organ failures. For patients with three organ failures, the mortality rate is usually as high as 85%. "

  Zhu Huadong, deputy director of the emergency department of Union Medical College Hospital, told this reporter that specialists have their difficulties in "picking" emergency patients. "At present, the medical and health management and medical insurance departments are conducting strict assessments on hospitals and professional departments, and have more detailed indicators on ward utilization rate, bed turnover rate, average hospitalization expenses and hospitalization time. Hospitalization of patients with severe chronic diseases and complications means that the assessment results will be’ delayed’. Under the pressure of assessment, specialists naturally tend to provide limited beds to patients who are beneficial to the assessment results. "

  For example, because Beijing stipulates that patients can’t stay in hospital for more than 11 days, patients who are not expected to leave the hospital for 11 days are unwilling to accept them in specialized wards. "So we sometimes joke that if you are going to get sick, if your illness happens to catch up with the research project in the hospital, then you can live in the hospital that is difficult to live in. Although this is absurd, it really happened. " A doctor who asked not to be named told this reporter.

  The lost emergency doctor

  Behind the "emergency is not urgent" is the unspeakable bitterness and embarrassment of emergency doctors.

  In Sun Changyi’s view, the labor intensity of no department in the hospital can be compared with that of emergency department. "It’s normal for doctors and nurses in emergency departments to rest in the white night (one day’s white shift, one day’s night shift, one day’s night shift and one day’s rest day), and staying up late is more common. Even on holidays, other departments are on holiday and the clinic is closed, but the door of the emergency room is always open. "

  The work pressure of emergency doctors is also reflected in the wide spectrum of diseases of patients, the unpredictable types and quantity of patients, and various uncontrollable factors. "The number of patients treated by specialists in outpatient clinics is relatively fixed every day, and the types of diseases of patients are relatively fixed. The situation is obviously relatively easy to control." Zhu Huadong said.

  At the same time, the income and treatment of emergency doctors are often "not available".

  According to Yu Xuezhong, the emergency department of Union Medical College Hospital has always been the registration fee of 1 yuan and the treatment fee of 4 yuan, compared with the specialist special number of 300-500 yuan and the specialist expert number of 14 yuan, even though the doctors who accept patients already have senior titles. "As far as Beijing is concerned, other hospitals are implementing this charging standard except five pilot hospitals that have cancelled drug addition."

  In addition, because the "three noes" patients (no identity, no family members, no money) and drug addicts often "visit" the emergency department, the probability of emergency doctors suffering economic losses due to patients’ arrears is correspondingly increased.

  Sun Changyi said that emergency doctors usually hesitate when they hear that the patients with "three noes" are sent by 110, because the medical expenses incurred by the patients with "three noes" are often not "paid". "Take our hospital as an example. Although the Civil Affairs Bureau has certain subsidies, the emergency department has hundreds of thousands of unrecoverable money every year. xuanwu hospital’s policy in this regard is really good. The hospital bears these bad debts, which has not deducted the performance of the emergency department and has not affected the income of emergency doctors. However, as far as I know, emergency departments in many places are not so lucky. Some doctors will be deducted from their wages and bonuses because they don’t get their money back. "

  According to the analysis of the industry, when entering the profession for the first time, the advantage of emergency doctors is that they can meet all kinds of patients and diseases in a short time, and their horizons are broader, and there are many opportunities to start work. However, because of their fine disciplines and many experts, many diseases can’t be encountered for a lifetime, and there are few opportunities for actual combat. Therefore, when the specialists with the same qualifications are still working hard in the ward to write medical records, emergency doctors may have been on duty with their own teams. However, if we look at it from the time dimension of 10 years, most of the specialists at this time have begun to appreciate the beauty and profundity of the vast world in this field, but the emergency doctors with the same experience are often repeating the business that they used to be familiar with, and it is inevitable that they will be tired and feel bleak in the future.

  Under various factors, it is very common that emergency departments can’t recruit people and can’t keep people.

  Sun Changyi said that xuanwu hospital’s emergency departments have had difficulties in recruiting for several years in a row. "The funniest thing is that only one doctor in our department has resigned so far this year, which has surprised many colleagues, because everyone knows that the emergency department is a’ big family’ for doctors to’ run away’."

  Yu Xuezhong’s embarrassment is: "With the golden signboard of Union Medical College Hospital, although the emergency department is not dissatisfied, medical students often have no choice but to choose our department."

  The famous Union Medical College Hospital is still facing such a dilemma, and the rumor that medical students are "holding their noses and doing emergency work" seems to be true.

  The "aisle" theory of emergency medicine

  In fact, not only some doctors "dislike" the emergency department, but even within the medical discipline, emergency medicine is often a forgotten corner, and all kinds of misunderstandings, misunderstandings and misunderstandings emerge one after another.

  In November 2015, the "2014 China Hospital Rankings" led by the Hospital Management Institute of Fudan University was released. In this ranking, which has been published for six years in a row, the number of medical specialties participating in the evaluation has reached 34, but there is no figure of emergency medicine.

  In many people’s minds, the emergency department is just an "aisle" and an advanced "triage desk" for patients to enter specialized wards. It only deals with mild patients such as colds and diarrhea. When they encounter heart failure, myocardial infarction, or severe trauma, they are immediately helpless. At this time, emergency doctors often spread their hands and quickly let nurses divert patients to relevant specialized wards.

  Guo Shubin, director of the emergency department of Beijing Chaoyang Hospital (hereinafter referred to as Chaoyang Hospital), finds it difficult to agree with this concept. In his view, with the continuous progress and development of medical specialty technology, the achievements of specialty are gradually recognized and familiar by the society, but the bottleneck brought by "specialization" is becoming increasingly prominent. In recent years, the pace of developing general practice has been accelerated, which provides an opportunity for the development of emergency medicine.

  For example, Guo Shubin said that at present, the research progress and diagnosis and treatment level of diseases in various specialist systems in China have reached a certain level, such as interventional therapy in cardiology department, examination and treatment under digestive gastroscope, etc., but for a patient with acute upper gastrointestinal bleeding complicated with acute myocardial infarction, the specialist’s "high-level" diagnosis and treatment means will be stretched, because specialists are likely to only look at the diseases in their own specialty. "More and more people have noticed that the division of medical specialties is too fine, which is not suitable for patients, because patients are often not a single disease, especially for elderly patients with multiple organs and systems. If the hospital sets up a comprehensive ward under the emergency department, it will solve the medical needs of these patients. "

  In this sense, Guo Shubin believes that the so-called long-term integration and long-term integration must be separated. Since the development of medicine, the concept of holistic medicine has been paid attention to again, and within the medical discipline, emergency medicine has always been adhering to the concept of holistic medicine. "Therefore, the’ aisle’ theory and the’ triage desk’ theory of the emergency department have long been outdated and are not worth refuting."

  Yu Xuezhong said that at present, emergency medicine is a second-class discipline on the same level as internal medicine, surgery, gynecology and pediatrics. "This is the country’s recognition of emergency medicine from the management. In particular, the professional content of emergency medicine has been added to the current senior title promotion examination, which has solved the problem of senior title promotion for emergency doctors. Under this circumstance, the future emergency medicine is obviously a sunrise discipline, and emergency doctors will be very attractive jobs. "

  Future emergency

  In addition to building a comprehensive ward to treat patients with multiple diseases, Chaoyang Hospital is also exploring the emergency mode linked with primary hospitals in order to change the crowded situation of emergency departments.

  Guo Shubin believes that the top three hospitals and primary hospitals can have a division of labor after the establishment of the medical association. The emergency department of the top three hospitals is mainly responsible for treating critical and serious diseases. Emergency doctors need to quickly receive consultations and make judgments. After processing, patients can be transferred to primary hospitals, and primary hospitals will undertake the treatment and rehabilitation of non-emergency patients.

  Specifically, the hundreds of monitoring beds in the emergency department of Chaoyang Hospital will basically be used to meet the treatment of critical emergency patients, and the non-emergency patients identified after triage in the emergency department will be diverted to relevant cooperative primary hospitals. "This is the way we have just explored. If it goes well, it is expected to change the congestion of the emergency department and prevent the abuse of emergency resources."

  According to Guo Shubin’s analysis, this model can take into account the economic and social benefits of both top three hospitals and primary hospitals. For the third-class hospitals, in terms of economic benefits, patients usually spend the most at the beginning of emergency rescue. If the emergency department is occupied by a large number of non-emergency patients at this time, it will obviously reduce the economic benefits of the hospital. In terms of social benefits, the crowded emergency department is also an important cause of public dissatisfaction. For grass-roots hospitals, this model can make them obtain more stable patients, and the economic and social benefits of grass-roots hospitals can naturally be realized.

  This model is equivalent to turning the primary hospital into a treatment area in the emergency department of a third-class hospital. Guo Shubin emphasized that the key point is that doctors and nurses must be sent from the emergency department of Chaoyang Hospital to the relevant cooperative hospitals as department directors and head nurses. "This can ensure the position and level of medical decision-making, thus ensuring the equality of medical quality and achieving the purpose of risk sharing and benefit sharing."

  Guo Shubin revealed that in the future, Chaoyang Hospital will also enable emergency medical staff of relevant cooperative hospitals to receive regular training from Chaoyang Hospital through telemedicine and other means, and carry out more extensive and comprehensive cooperation in medical teaching and research to effectively improve the business ability of primary hospitals and truly strengthen primary hospitals.

  However, will the future emergency department become no longer crowded and "overloaded" because of these practical explorations?

???? "Lookout" Newsweek reporter Zhang Ranran Hu Yongshun

An overloaded truck in Kyushu, Lanzhou, failed to brake and hit three cars, causing 10 injuries.

  Gansu, China Network March 17 th According to the report of the Western Business Daily (reporter Guo Xiurui, Wei Xiaoqian, intern Gu Zhi), it crashed into a tree, hit a lamppost and hit a billboard … On the afternoon of March 16th, a truck loaded with cement blocks suddenly lost control when driving from north to south to a gentle slope in Kyushu. After hitting three cars, it rushed into the curb, knocked down trees and lampposts on the roadside, and was finally successfully "intercepted" by the billboard. Ten people were injured in the accident. At present, the Hebei Brigade of the Traffic Police Detachment of Lanzhou Public Security Bureau is under further investigation, and it is initially determined that the truck is overloaded and the brakes are out of order.

  Out-of-control car crashes into 10 people and is injured.

  At 3: 30 pm, the reporter arrived at the scene and found that the scene had been blocked and the traffic police were conducting a detailed investigation on the scene of the accident. "It’s crazy, I can’t stop." Witnesses told reporters that at that time, the vehicle rushed down the ramp like crazy, first hitting a car driving in the opposite direction, then hitting a truck, and then hitting a van, but at this time the out-of-control truck did not stop, rushed to the curb, hit the tree and hit the lamppost, and finally hit the billboard next to the flood drainage ditch before being stopped. "Fortunately, there are not many pedestrians on this section, otherwise the consequences will be unimaginable." The police at the scene of the accident told the reporter that the road section belongs to a sharp turning slope road, and there are fewer pedestrians in the accident section, otherwise the consequences of the vehicle losing control are unimaginable.

  The driver of out-of-control car was stuck in fire emergency rescue.

  After seeing someone trapped in the car, several employees of a nearby repair shop ran to save people and opened the door of one of the seriously deformed cars to rescue the trapped people inside. After the incident, the traffic police, firefighters and 120 emergency personnel in the jurisdiction immediately rushed to the scene to carry out rescue. Due to the serious deformation of the out-of-control truck cab, the driver’s leg was stuck and could not be taken out. Fire officers and soldiers used the demolition tool to demolish the car body and rescue the injured. After nearly 30 minutes of intense rescue by fire officers and soldiers, all the trapped wounded were successfully rescued.

  After preliminary investigation, the vehicle ran out of control and crashed 200 meters before stopping. The accident caused 4 vehicles to be damaged and 10 people were injured, two of whom were seriously injured. Affected by the accident, the road was temporarily closed, and after the rescue, the road resumed normal traffic.

  At present, the traffic police department is investigating the cause of the accident.

Central Meteorological Observatory: Cold air affects the wind in many places in the north, and the atmospheric diffusion conditions in North China and other places have improved.

  CCTV News:On February 28, the Central Meteorological Observatory issued a daily weather warning. Yesterday, cold air gradually penetrated into China, bringing strong winds, cooling and sand-blowing weather to many places in the north. Meteorological monitoring showed that there were 6 ~ 8 gusts in Inner Mongolia, southern Heilongjiang, Jilin and Liaoning, and the local level was 9 ~ 10; Sand blowing appeared in parts of southeastern Inner Mongolia, western Jilin and northern Liaoning. This morning, Xinjiang, central Gansu, Inner Mongolia and other places experienced 4 ~ 8℃ cooling, and the local temperature dropped by 10 ~ 12℃.

  Today and tomorrow, cold air will continue to affect most areas in the north. It is estimated that there will be 4 ~ 8℃ cooling in southeastern Inner Mongolia, North China, Huanghuai and Northeast China, and the local cooling rate will reach 10℃. Most of the above areas are accompanied by northerly winds of 4~6 and gusts of 7 or so.

  With the arrival of cold air, the wind will increase, and the atmospheric diffusion conditions in central and southern North China and Fenwei Plain will gradually improve this morning, and the haze weather in these areas will weaken and dissipate from north to south. From March 1 to 3, the atmospheric diffusion conditions in most parts of the country were good.

  In terms of precipitation, the overall precipitation in China is weak this week, and rain and snow mainly appear in the Qinghai-Tibet Plateau and southwest China. Among them, today and tomorrow, parts of the Qinghai-Tibet Plateau, northeastern Inner Mongolia and Heilongjiang will have small to medium snow and local heavy snow; From February 28th to March 3rd, there was light rain and local moderate rain in the eastern part of southwest China.

  Meteorologists reminded that due to the influence of cold air, there are strong winds in many places in the north today and tomorrow. The public should pay attention to staying away from temporary structures and paying attention to their own safety when going out; There will be weak rain and snow in the Qinghai-Tibet Plateau, Southwest China and Northeast China in the next three days. The public should be alert to the adverse effects of rain and snow on traffic and urban operation, such as slippery roads, icy roads and low visibility.

As standard, the Eye of the God is a high-level intelligent driver, and the Han family intelligent driver version is available for sale at 168,800.

In February, the domestic auto market has ushered in a new stage of development with more electricity than oil. The China brand camp, which has occupied the market dominance in the first half of electrification, is accelerating to lead the market into a brand-new development stage in the second half of intelligentization. On February 10th, BYD’s heavyweight officials announced that they would drive with the eyes of the gods and create an era of intelligent driving for all. Wang Chao’s flagship car BYD Han DM-i Intelligent Driving Edition and Han EV Intelligent Driving Edition all come standard with the Eye of the God, officially listed, and the strongest high-level intelligent driving at the same level can be used when it is listed.

Among them, the Han DM-i Smart Driving Edition launched a total of five models with a price of 168,800 ~ 225,800 yuan; Han EV Smart Driving Edition has launched five models, with the price of 179,800 ~ 235,800 yuan, creating a B+C-class car for all people to drive, and adding it will not increase the price!

Strong and intelligent driving, fully evolved, as the first choice of B and C smart cars for mainstream families, Han Family Smart Driving Edition carries the mission of bringing safer and smarter travel experience to users, and comprehensively leads the new trend of smart driving popularization in the mid-to-high-end car market!

At the same time, Hanzhi Driving Edition has also prepared six kinds of car buying gifts for users, including "exclusive rejuvenation gift, exclusive worry-free gift, exclusive VIP gift, exclusive Zhilian gift, limited-time optional gift and extended warranty service".

Piloting HNOA 10 big scene with high speed, driving 1000km without taking over with ease and wisdom.

The Hanzhijia version enjoys the Eye of the Gods C-high-order intelligent driving three-eye version (DiPilot 100) at the beginning, and the middle and high-grade upgraded Eye of the Gods B-high-order intelligent driving laser version (DiPilot 300). The hardware comes standard with a full-stack self-developed vehicle computing platform and a high-precision intelligent driving sensor.

Among them, Hanzhi Driving Edition equipped with Eye of God C has as many as 29 intelligent driving sensors, consisting of 5 high-precision millimeter-wave radars, 12 ultrasonic radars and 12 high-definition cameras. In terms of function, it supports 10 scenarios including high-speed navigation, covering intelligent driving navigation of high-speed and urban expressway, changing lanes and bypassing silky, and taking over the whole process of 1000km high-speed;

All parts of the Hanzhi Driving Edition support high-speed navigation, and the paddle is turned on, which is easy to use in the whole country! The 10 major scenes comprehensively cover "intelligent driving status display and intelligent driving start-up instructions, full scene rendering of parking and traveling, optimal traffic efficiency, automatic ramp-up, autonomous overtaking, large curvature cornering, shifting the lever to change lanes, construction obstacle avoidance bypass, intelligent comity, NOA degradation ACC/ACC automatic recovery NOA", so as to realize the national expressway and expressway can be easily opened, and it is basically unnecessary to take over when driving for 1,000 kilometers at a time.

City pilot CNOA 10 major scenes, comfortable and intelligent driving can be opened in urban areas all over the country.

Furthermore, users who need intelligent driving guidance on urban roads can choose three models, namely, Chinese DM-i intelligent driving version equipped with Eye of God B, Chinese EV intelligent driving version with top and sub-top, which are more advanced in intelligent driving calculation. They also have a high-perception laser radar, which additionally supports 10 scenarios of urban navigation. All urban areas in China can drive, and it is easy to drive as long as there is a road. It is a full-scene high-order intelligent driving that truly integrates driving and parking.

Specifically, the top 10 scenes of urban navigation in Hanzhi Driving Edition include "intelligent driving status display and intelligent driving start description, full scene rendering, traffic light recognition and countdown, game traffic, full scene detour & comity, driving around the island, intelligent comity cart, alternating backlight glare, lane chaos/lane-free road traffic, NOA demotion ACC/ACC automatic recovery NOA", and its intelligent driving ability is comparable to that of the old one.

Six modes of automatic parking, all kinds of complex parking spaces can be easily "entered"

In addition to high-speed navigation and urban navigation, Hanzhi Driving Edition can also realize convenient, efficient and elegant full-scene automatic parking, support six parking modes, cover 300+ parking scenes, and the parking success rate is over 99%, so that there are no more difficult parking spaces in the world.

Specifically, the six modes of automatic parking, including "remote parking in narrow parking space, parking service, parking in space without drawing lines, parking in T-shaped parking space and parking in lateral/oblique parking spaces, parking in self-selected parking spaces and low-speed emergency braking MEB", make parking in one step.There are no dead ends in parking, and everyone is an old driver..

In addition, in the face of narrow parking spaces, users can also choose to park and park vehicles easily through one-button remote control of APP, which is convenient for getting on and off.

Active safety that can predict, respond quickly, and stop accurately, and protect the safe travel of intelligent driving.

Safety is the greatest luxury of an electric car, and intelligent driving is the strongest guardian for safe travel! The launch of the Eye of God has enabled BYD to build a set of security systems covering all dimensions.

Active safety, which can predict, respond quickly and stop accurately, is also one of the core abilities of the Eye of God. Take the AEB automatic emergency braking function as an example. The AEB function of Hanzhi Driving Edition can detect and stop the static front car in advance at a speed of 100 kilometers per hour, and will gradually release the AEB capability at a speed of 120-140 kilometers per hour to escort the users’ intelligent driving.

The integration of intelligence and electricity, electrification and intelligence lead the fuel industry for two generations.

The Han family is the earliest dynasty IP equipped with the high-level intelligent driving of the eyes of the gods, and its intelligent driving footprint has already spread all over the country!

Previously, the Han family achieved the all-round flagship product strength without short boards by relying on the inductance Longyan, the fifth-generation DM technology and the rear five-link chassis driving control, and also won the annual B+C class car double sales crown!

Nowadays, the strong Han people have evolved again, and the standard is the high-level intelligent driving of the Eye of the God. With the full-system intelligent driving version, high-speed navigation and urban navigation can be opened all over the country, and all roads are easy to open. The intelligent parking in the whole scene is significantly ahead of the industry! At the same time, the active safety ability brought by the eye of God can actively avoid risks, nip in the bud and raise safety to a new height!

The Chinese EV intelligent driving version has two models, middle and high. At the same time, it combines the global 800V platform, the long battery life up to 701km, and the high-order intelligent driving of God’s Eye B blessed by laser radar to form the "strongest intelligent electric combination boxing";

Han DM-i Smart Driving Edition not only started smart driving, but also upgraded the entry model to open the panoramic sunroof. It also has a golden power combination with an acceleration of 0.000 to 6.9s and a fuel consumption of 3.8L It can be called "the best choice for a 200,000-class smart plug-in car".

Whether it is EV pure electricity or DM plug-in, the Han family has the strongest electrification strength in the industry, and has already been ahead of fuel for more than one generation. Now it comes standard with the strongest intelligent driving in the industry, and the intelligence is also one generation ahead. Hanzhi Driving Edition will launch a general attack on fuel vehicles of the same class with the strong advantage of leading fuel vehicles of the same class for at least two generations.

Conclusion:

Along the way, based on the huge data base and strong R&D strength, BYD Eye of God has achieved the most data, the fastest iteration and the best experience, and has evolved the strongest high-level intelligent driving ability at the same level.

This is the Han family that has no shortcomings in all directions and comprehensive product strength. It is fully equipped with the eyes of the gods, and there is no shortcomings!

What’s even more surprising is that the new car does not increase the price, and the high-level intelligent driving function is installed at the factory and can be used when it goes on the market. It has evolved into a "strong Han complete body" version of Hanzhi driving, which has become the first choice for mainstream families in B and C smart cars, and will lead the intelligent driving revolution of mainstream B+C cars; Together with BYD’s all-new smart driving version, it will promote the rapid popularization of smart driving in the domestic mainstream auto market and create an era of smart driving for all!

Qi Xiangdong, President of Qihoo 360: Solving big data security problems with big data methods

  Cctv news(Reporter Gao Yuting) On the morning of May 25th, 2016 China Big Data Industry Summit and China E-commerce Innovation and Development Summit opened in Guiyang. Qi Xiangdong, President of Qihoo 360 Technology Co., Ltd. delivered a speech at the opening ceremony.

  The following is the full text of Qi Xiangdong’s speech:

  Good morning, leaders, ladies and gentlemen, friends! We are doing safety, and safety is stepping on the brakes, so I will mainly talk about safety today. It is a great honor to attend this conference. The theme of this conference is "Data creates value, innovation drives the future", which coincides with the theme of "Data-driven security" of the China Security Conference held last year.

  Let’s talk about three points.

  First, big data is also a double-edged sword, which can benefit society and people. If it is used by some people, it can also harm social and public interests. Just now, Baidu Li talked about artificial intelligence, which really makes us impulsive and yearning, like autonomous driving and unmanned aircraft. However, if autonomous driving is realized, big data needs to be continuously transmitted from the end to the cloud, and then from the cloud to the end. In this process, the data is hijacked, and the drone and self-driving car will be cracked, and its direction control will no longer be the owner’s meaning.

  Smart home can also bring us a lot of convenience. On the way off work, you can remotely control the oven, soymilk machine and washing machine to work through your mobile phone. But also, if these big data in the cloud are replaced by hackers through data deception, then the hardware of these smart homes may become stupid hardware, or it may become a weapon that harms family safety. When you get home, a hacker may remotely control your washing machine to run at 90 degrees and 1200 rpm for a whole day. Some time ago, a cyber fraud case was cracked in Guangdong. A hacker obtained the names, card numbers and passwords of many bank users through cyber attacks, and organized a group of people to steal credit cards, involving 1.5 billion RMB, involving 49 banks. In February this year, the largest cyber theft case occurred in the history of the world. The head of the Bangladesh Central Bank said that if the hacker hadn’t made a spelling mistake that day, there would have been a $1 billion transaction.

  General Secretary of the Supreme Leader said at the 4.19 Network Information Work Symposium that security is the premise of development, so governments and enterprises at all levels must not forget to consider security issues when developing big data. Once a big data center in the cloud has a major security breach, it may lead to the loss of customers in this center.

  Second, traditional security ideas have no way to solve the problem of big data security. The traditional way to solve network security is to divide the boundaries. We separate the internal network from the external network, isolate the risks with terminal equipment, and solve the security problems with the network to hold the boundaries. However, with the emergence of mobile Internet and cloud technology, mobile terminals shuttle among 4G, WiFi and wired cables, and the network boundary has disappeared. We find more than 120 vulnerabilities in software and hardware and websites every day. Every Trojan horse and every vulnerability may attack our pre-deployed security equipment and security software.

  On December 31st, last year, the network of Ukrainian electric power company was attacked, which caused the first power outage due to network attack in history. In March this year, Syrian hacker groups controlled the chemical formula of the water plant through cyber attacks, which led to the water supply of the water plant being stopped. If such an attack is not found, then the water we drink may be poisonous.

  In fact, cyber attacks occur every day, and China is the biggest victim of cyber attacks. Last year, 360-Day Eye Lab detected that the hacker department of "OceanLotus" launched a sophisticated and targeted cyber attack on China for three years. These examples all show that the traditional network protection methods have failed, and it is urgent to solve the big data problem and security problem. 

  Third, use big data methods to solve big data problems. In his speech on 4.19, the Supreme Leader General Secretary put forward five new concepts of network security for the first time. Among them, he said that network security is dynamic, not static, and it is out of date to rely on installing several security devices and network software, which requires dynamic and comprehensive network protection software. The General Secretary requires comprehensive network security situational awareness. These arguments are summed up to solve the problem of big data security with big data methods. It is no longer a problem for hackers to access our system, but they must look for data that they think is valuable after entering the network. If they can find it in time before they find it and take it away, they can cut off the attack and find the source.

  A person can disguise his voice and fingerprints, but there is no way to disguise his behavior. This is data. Therefore, data can see through everything, and it can also show that any access behavior on all networks will leave traces. A hacker’s behavior on the Internet is different from that of normal employees’ network access behavior. Using big data, we can find out whether it has been attacked, who has been attacked, what kind of data the attacker cares about us, and what measures should be taken to cut off this attack. This method is called a new security system under data-driven security thinking, which includes vulnerability mining technology, network attack technology, network sample analysis technology, network address resolution database, network access database and so on. The huge big data system and big data technology composed of all kinds of big data is the traditional big data in internet plus.

  Three years ago, 360 seized the opportunity, and the user coverage rate reached 96.1%. From this, we also mastered the largest malware database in the world. With these big data and 360 powerful big data analysis capabilities, the only global network security situational awareness system in China has been developed. Last year, we discovered 29 organizations that launched APT attacks against the government of China, covering 31 provinces, controlling tens of thousands of computers in important systems in China, with the longest latency of 8 years.

  In short, cyber attacks can be seen and managed with the ability of big data. This set of maps has also been brought to the Expo, and everyone has the opportunity to see it in the afternoon. This afternoon, three products for protecting smart city big data were released with the help of the Expo platform. Welcome to visit and guide.

  Thank you!

Fat Donglai responded to the explosion of Changsha BBK Supermarket: the nature of assistance will not be popularized to other cities for the time being.

Recently, Fat Donglai "exploded" the BBK supermarket in Changsha, and the daily sales of BBK supermarket exceeded one million yuan.

In this regard, Fat Donglai responded that it is a helping nature and will not be popularized to other cities for the time being.

Previously reported: Looking back on Fat Donglai’s taking over the BBK incident.

From March 31st to April 2nd, Yu Donglai, the chairman of Henan Pangdonglai Trading Group, led a senior management team to Hunan, inspected some BBK stores and logistics centers in Changsha and Xiangtan, and held discussions and exchanges between the two sides, and officially launched the campaign to lead BBK supermarkets.

It is reported that BBK will combine the corporate culture and business strategy of Pangdonglai, make systematic adjustments in many aspects, and give priority to building a sample of Pangdonglai-style stores in Changsha, so as to inject long-term cultural support and business motivation into BBK supermarkets and other businesses.

This assistance action plan will take 2-3 months to transform 2-3 BBK supermarket stores. The remaining BBK stores will also refer to the sample stores, and then be comprehensively transformed under the leadership of the BBK team. On April 3rd, BBK Group reported that the first store, BBK Supermarket Meixihu Store, had recruited 40 supermarket clerks, with a salary of 4,000 yuan/month.

Pangdonglai responded to the explosion of Changsha BBK Supermarket: the nature of helping.
Figure/red net

From April 5 th to 7 th, the help team from Fat Donglai has arrived in Changsha one after another, and will be systematically adjusted in terms of employee salary, policy mechanism, store layout, product reorganization and price optimization.

Pangdonglai responded to the explosion of Changsha BBK Supermarket: the nature of helping.
Figure/BBK time

On April 11th, Pangdonglai’s "No.1 Store" BBK Meixi Xintiandi Store introduced a variety of Pangdonglai’s own products and put them on the shelves one after another.

Pangdonglai responded to the explosion of Changsha BBK Supermarket: the nature of helping.
Tuyuan network

It is reported that during the China Supermarket Week in 2024, Fat Donglai displayed 20 "high-popularity and beautiful goods" from the perspectives of quality, raw materials and users’ love. A BBK related person revealed to reporters that these "20 popular and beautiful products worthy of recommendation from Fat East" will be introduced to the first store.

Pangdonglai responded to the explosion of Changsha BBK Supermarket: the nature of helping.
Figure/lianshang. com

It is worth mentioning that online celebrity’s "big moon cake"-three-layer brushed shortcake, which consumers had the highest voice before, was also among them, and it was put on the shelves at 10 am on April 11th. It is reported that the online celebrity "big moon cake" on the shelves this time has two flavors: taro mashed potato crisp and red bean souffle.

Pangdonglai responded to the explosion of Changsha BBK Supermarket: the nature of helping.
Tuyuan network

On April 12th, it was reported that Fat Donglai exploded its own brand product-DL craft wheat beer, which was put on the shelves of BBK Changsha Meixihu Store. The first batch of hundreds of boxes were sold out in less than an hour.

Pangdonglai responded to the explosion of Changsha BBK Supermarket: the nature of helping.
Citizens lined up at BBK Supermarket. Tuyuan network

According to the latest news of BBK, the store sales have exceeded 1 million yuan on April 14th. Before the reform, the average daily sales of the store was around 150,000 yuan, with an average daily passenger flow of 2,000 people. On the first day of adjustment, on April 11, sales reached 210,000 yuan and passenger flow reached 4,200; The next day, on April 12, the sales volume was 380,000 and the passenger flow was 7,100. On the third day, on April 13th, the sales volume was 800,000, and the passenger flow was 11,000. On April 14th, the sales reached 1.01 million yuan, and the passenger flow reached 13,000.

Pangdonglai responded to the explosion of Changsha BBK Supermarket: the nature of helping.
There is a surge of people in BBK supermarket. Figure/red net

It is reported that at present, the single product of vegetables and fruits in the store is relatively complete, but all the display props still need to be replaced, and the temporary cartons are piled up, which cannot reflect the display effect. Even so, on April 14th, the sales of fruit alone reached 320,000 yuan, which has surpassed the best store of Fat Donglai and a relative.

(Yangcheng Evening News Yangcheng School Comprehensive Cold and Warm Video, Hunan Daily, Red Net, xiaoxiang morning herald, Lianshang.com, etc.)

Original title: After the explosive reform, the daily sales of BBK Supermarket in Changsha soared, and Fat Donglai responded: helping nature

"Mai Passerby" was shortlisted for the Tokyo Film Festival, and Guo Fucheng attended the red carpet premiere

1905 movie network news On the evening of October 28, film director Huang Qingxun and other creative staff attended the opening ceremony of the 32nd Tokyo International Film Festival held in Roppongi, Tokyo, where they made a red carpet appearance.

Once the cast of "Mai Passerby" appeared, it attracted a lot of attention from foreign media, and the creators also shared with everyone about the film’s front and back scenes. The actor Guo Fucheng said in an interview, "These highly topical social issues are not limited to Hong Kong, and I hope to attract the attention of Asian and even international audiences through the film festival."


The film "Mai Passerby" was shortlisted for the "Asian Future" section of the 32nd Tokyo International Film Festival in 2019. The film held its world premiere on October 29 and its second screening on October 30. Once tickets were issued, they were all sold out, and tickets were hard to come by. As the first big screen screening, it was able to hold its world premiere at the Tokyo International Film Festival. The creators are very much looking forward to the performance of "Mai Passerby".

The actor, Kwok Fu-cheng, said in an interview with the media, "I am very happy to be able to participate in the film festival and get the recognition of the industry. The film’Mai Passerby ‘brings out highly topical social issues that are not limited to Hong Kong. I hope to attract the attention of Asian and even international audiences through the film festival."


After the film was completed, it received invitations from film festivals around the world. In addition to being shortlisted for the "Asian Future" section of the 32nd Tokyo International Film Festival, the film "Mai Passer" was also selected as the closing film of the 4th London East Asia Film Festival.


"Mai Passerby" is produced by Zheng Baorui, directed by newly promoted director Huang Qingxun, and starred by Guo Fucheng. It is also escorted by a group of powerful actors such as Wan Ziliang, Bao Qijing, and Zhang Daming. It can be called the most anticipated Hong Kong topic of the year.

The film is inspired by the tragic reality of society around the world. Although the reasons for each of them to encounter difficulties are different, they meet together in a 24-hour restaurant by chance, and the fast food restaurant becomes their temporary "home". They are also people who have fallen into the world. In the temporary "home" here, they warm each other, help each other, find the warmth of their families from strangers, and find the dream of life together.


The "Tokyo International Film Festival" is the largest and most popular film festival in the Japanese-speaking region, and the only A-category competitive international film festival event in Japan recognized by the International Association of Film Producers (FIAPF). The "Asian Future" section of the Tokyo International Film Festival focuses on encouraging new Asian directors, with the Best Asian Future Film Award. The 32nd Tokyo International Film Festival is now open and will be held in Roppongi, Tokyo from October 28 to November 5 this year.