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Background: The current study analyzed resected stage I–IIIA pulmonary lymphoepithelioma-like carcinoma (LELC) cases to define the clinical characteristics, prognosis and long-term outcomes of resected LELC, with the purpose of guiding clinical management for this rare tumor.Methods: Resected stage I–IIIA LELC, adenocarcinoma (ADC) and squamous cell carcinoma (SCC) cases from our center were enrolled. Propensity score matching (PSM) was applied to minimize the selection bias. Overall survival (OS) and disease-free survival (DFS) were compared between groups. Multivariate analyses were performed to identify the prognostic factors, and a nomogram was developed.Results: A total of 159 LELCs, 2,757 ADCs, and 1,331 SCCs were included. LELC, dominated among younger patients and non-smokers. LELC was a poorly differentiated disease that lacked driver gene mutations and was positive for immunohistochemistry indicators of squamous cell lineage. Survival analyses revealed that OS was significantly better for LELC than for other common non-small cell lung cancers (NSCLCs) both before PSM (all P < 0.001) and after PSM (all P < 0.05). Further analyses revealed that early pathological node stage and preoperative albumin level ≥35 were identified as independent prognostic factors favoring OS and DFS.Conclusions: LELC, dominated among younger and non-smoking populations, lacked driver gene mutations and was positive for immunohistochemistry indicators of squamous cell lineage. The survival outcome of LELC was better than other common NSCLCs.

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Heterogeneous bimetallic catalysts are widely used in industrial processes, and the structural features of the bimetallic catalysts have profound impacts on their properties in numerous catalytic processes. Bimetallic nanoclusters with particle sizes ≤1 nm have shown better performances in various catalytic reactions in comparison to conventional bimetallic nanoparticles with sizes above 1 nm. Despite the progress made in recent years in the synthesis and catalytic studies of bimetallic nanoclusters, achieving a fundamental understanding of the structure−reactivity relationships at the molecular and atomic levels remains challenging because of the complexity of the bimetallic catalysts with particle sizes ≤1 nm. In this work, we have studied the structural features of supported bimetallic PtSn species with different sizes (∼0.6 to ∼1.6 nm), which is shown to be associated with the size-dependent formation process of bimetallic PtSn species according to theoretical modeling and experimental studies. Furthermore, the catalytic consequences of their size-dependent structural features are reflected in the dehydrogenation of propane to propylene, in which the subnanometer PtSn clusters are more active than the PtSn alloy nanoparticles.

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