A Prognostic Nomogram with High Accuracy Based on 2D-SWE in Patients with Acute-on-chronic Liver Failure

BACKGROUND AND AIMS

Acute-on-chronic liver failure (ACLF) is associated with very high mortality. Accurate prediction of prognosis is critical in navigating optimal treatment decisions to improve patient survival. This study was aimed to develop a new nomogram integrating two-dimensional shear wave elastography (2D-SWE) values with other independent prognostic factors to improve the precision of predicting ACLF patient outcomes.

METHODS

A total of 449 consecutive patients with ACLF were recruited and randomly allocated to a training cohort (n=315) or a test cohort (n=134). 2D-SWE values, conventional ultrasound features, laboratory tests, and other clinical characteristics were included in univariate and multivariate analysis. Factors with prognostic value were then used to construct a novel prognostic nomogram. Receiver operating curves (ROCs) were generated to evaluate and compare the performance of the novel and published models including the Model for End-Stage Liver Disease (MELD), MELD combined with sodium (MELD-Na), and Jin's model. The model was validated in a prospective cohort (n=102).

RESULTS

A ACLF prognostic nomogram was developed with independent prognostic factors, including 2D-SWE, age, total bilirubin (TB), neutrophils (Neu), and the international normalized ratio (INR). The area under the ROC curve (AUC) was 0.849 for the new model in the training cohort and 0.861 in the prospective validation cohort, which were significantly greater than those for MELD (0.758), MELD-Na (0.750), and Jin's model (0.777, all p <0.05). Calibration curve analysis revealed good agreement between the predicted and observed probabilities. The new nomogram had superior overall net benefit and clinical utility.

CONCLUSIONS

We established and validated a 2D-SWE-based noninvasive nomogram to predict the prognosis of ACLF patients that was more accurate than other prognostic models.

[Safety and feasibility of robotic-assisted thoracoscopic day surgery for pulmonary nodules: a retrospective analysis based on propensity score matching]

Objective: To evaluate the safety and feasibility of robotic-assisted thoracoscopic day surgery for pulmonary nodules. Methods: Clinical data of 523 patients with pulmonary nodule underwent robotic-assisted thoracoscopic surgery in the Department of Thoracic Surgery, Xiangya Hospital, Central South University from January 2021 to June 2022 were retrospectively analyzed, which including 223 males and 300 females, aged from 19 to 72 (54.0±11.7) years. Those patients were divided into the day surgery group (DSG) and inpatient surgery group (ISG) according to perioperative management methods. Propensity score matching (PSM) (1∶2) was performed according to the general baseline information, T stage of the tumor, surgery approach, and tumor position, and a total of 178 patients were finally included. Clinical outcomes of DSG were observed. The differences in incidence of postoperative complications, treatment-related costs and resource consumption between DSG and ISG were compared. Subgroup analysis was performed according to surgery method to evaluate the difference between DSG and ISG in lobectomy and sublobectomy. Results: In 81 cases DSG, eight patients were transferred to thoracic surgery ward, and the day surgery discharge rate was 90% (73/81). There was no statistically significant difference in incidence of postoperative complications between DSG and ISG (P=0.612). The length of stay after surgery, period of chest draining, average hospital cost, and drug cost of DSG were statistically significant lower than ISG, ((2.19±0.84) vs (4.74±1.81) days, (1.70±0.65) vs (3.45±1.85) days, (6.64±0.74) vs (8.29±0.97)×10⁴ CNY, (0.35±0.07) vs (0.69±0.18)×10⁴ CNY), respectively(all P<0.05). The drainage volume and VAS score at discharge in DSG and ISG group were(220.47±120.02) ml and(242.21±129.96) ml, 1.68±0.79 and 1.64±0.91, respectively, with no statistically significant difference (P>0.05). In subgroup analysis, there was no statistically significant difference in incidence of postoperative complications, drainage volume after surgery and VAS score at discharge between DSG and ISG both for lobectomy and sublobectomy patients. And the results of the length of stay after surgery, period of chest draining, and drug cost in DSG were also significantly lower than ISG (P<0.05). Conclusions: Robotic-assisted thoracoscopic day surgery for pulmonary nodule is safe and feasible, with the advantage of short length of stay after surgery, short period of chest draining, less average hospital cost and drug cost. There is no difference in incidence of postoperative complications between DSG and ISG.

Zn isotope fractionation in laterites from Yunnan province, southwest China: Implications for the Zn cycles and its environmental impacts in (sub-) tropics

The weathering and development of laterites can influence trace element cycling in (sub-) tropics. Zinc (Zn) is a ubiquitous trace metal that involves both abiotic and biotic processes in soils. To explore Zn behavior in laterites, Zn cycling in (sub-) tropics, and the environmental impacts, Zn isotope systematics were presented for two laterite profiles from Yunnan province, southwest China. The laterite samples exhibit the δ⁶⁶Zn of 0.02 ‰-0.56 ‰, indicating a light shift of Zn isotope ratios (Δ⁶⁶Zn_{laterite-parent rock} = -0.47 ‰-0.07 ‰) relative to bulk parent granite. This observation is attributed to the preferential preservation of light Zn isotopes on the surface of secondary Fe oxides. As a result, laterites are likely to control the instantaneous riverine δ⁶⁶Zn in (sub-) tropical regions heavier than unweathered rocks. The isotopic signature of different vegetation covered soils show that shrub-covered soils are stronger leached (average τ_Zn = -0.61) and have a smaller Δ⁶⁶Zn_{laterite-parent rock} (=-0.15 ‰), relative to forest-covered soils (=-0.20 ‰). Due to the strong loss of Zn (average τ_Zn = -0.61 to -0.12) and large amounts of low-bioavailable Zn preserved in oxides, the micronutrient supplies for plant growth are difficult to maintain and need more fertilization. This study is helpful for a better understanding of global Zn cycling and the management of micronutrients in (sub-) tropical soil-plant systems.

Optimized ventilation strategy for surgery on patients with obesity from the perspective of lung protection: A network meta-analysis

Objectives

New ventilation modes have been proposed to support the perioperative treatment of patients with obesity, but there is a lack of consensus regarding the optimal strategy. Therefore, a network meta-analysis update of 13 ventilation strategies was conducted to determine the optimal mode of mechanical ventilation as a protective ventilation strategy decreases pulmonary atelectasis caused by inflammation.

Methods

The following databases were searched: MEDLINE; Cochrane Library; Embase; CINAHL; Google Scholar; and Web of Science for randomized controlled trials of mechanical ventilation in patients with obesity published up to May 1, 2022.

Results

Volume-controlled ventilation with individualized positive end-expiratory pressure and a recruitment maneuver (VCV+PEEPind+RM) was found to be the most effective strategy for improving ratio of the arterial O2 partial pressure to the inspiratory O2 concentration (PaO2/FiO2), and superior to pressure-controlled ventilation (PCV), volume-controlled ventilation (VCV), volume-controlled ventilation with recruitment maneuver (VCV+RM), volume-controlled ventilation with low positive end-expiratory pressure (VCV+lowPEEP), volume-controlled ventilation with lower positive expiratory end pressure (PEEP) and recruitment maneuver (VCV+lowPEEP+RM), and the mean difference [MD], the 95% confidence intervals [CIs] and [quality of evidence] were: 162.19 [32.94, 291.45] [very low]; 180.74 [59.22, 302.27] [low]; 171.07 [40.60, 301.54] [very low]; 135.14 [36.10, 234.18] [low]; and 139.21 [27.08, 251.34] [very low]. Surface under the cumulative ranking curve (SUCRA) value showed VCV+PEEPind+RM was the best strategy for improving PaO2/FiO2 (SUCRA: 0.963). VCV with high positive PEEP and recruitment maneuver (VCV+highPEEP+RM) was more effective in decreasing postoperative pulmonary atelectasis than the VCV+lowPEEP+RM strategy. It was found that volume-controlled ventilation with high positive expiratory end pressure (VCV+highPEEP), risk ratio [RR] [95% CIs] and [quality of evidence], 0.56 [0.38, 0.81] [moderate], 0.56 [0.34, 0.92] [moderate]. SUCRA value ranked VCV+highPEEP+RM the best strategy for improving postoperative pulmonary atelectasis intervention (SUCRA: 0.933). It should be noted that the quality of evidence was in all cases very low or only moderate.

Conclusions

This research suggests that VCV+PEEPind+RM is the optimal ventilation strategy for patients with obesity and is more effective in increasing PaO2/FiO2, improving lung compliance, and among the five ventilation strategies for postoperative atelectasis, VCV+highPEEP+RM had the greatest potential to reduce atelectasis caused by inflammation.

Systematic Review Registration

https://www.crd.york.ac.uk/PROSPERO/, identifier CRD42021288941.

Role of RNA m6A modification in titanium dioxide nanoparticle-induced acute pulmonary injury: An in vitro and in vivo study

RNA N⁶-methyladenosine (m⁶A) modification regulates the cell stress response and homeostasis, but whether titanium dioxide nanoparticle (nTiO₂)-induced acute pulmonary injury is associated with the m⁶A epitranscriptome and the underlying mechanisms remain unclear. Here, the potential association between m⁶A modification and the bioeffects of several engineered nanoparticles (nTiO₂, nAg, nZnO, nFe₂O₃, and nCuO) were verified thorough in vitro experiments. nFe₂O₃, nZnO, and nTiO₂ exposure significantly increased the global m⁶A level in A549 cells. Our study further revealed that nTiO₂ can induce m⁶A-mediated acute pulmonary injury. Mechanistically, nTiO₂ exposure promoted methyltransferase-like 3 (METTL3)-mediated m⁶A signal activation and thus mediated the inflammatory response and IL-8 release through the degeneration of anti-Mullerian hormone (AMH) and Mucin5B (MUC5B) mRNAs in a YTH m⁶A RNA-binding protein 2 (YTHDF2)-dependent manner. Moreover, nTiO₂ exposure stabilized METTL3 protein by the lipid reactive oxygen species (ROS)-activated ERK1/2 pathway. The scavenging of ROS with ferrostatin-1 (Fer-1) alleviates the ERK1/2 activation, m⁶A upregulation, and the inflammatory response caused by nTiO₂ both in vitro and in vivo. In conclusion, our study demonstrates that m⁶A is a potential intervention target for alleviating the adverse effects of nTiO₂-induced acute pulmonary injury in vitro and in vivo, which has far-reaching implications for protecting human health and improving the sustainability of nanotechnology.

Enhancing CO2 Electroreduction Selectivity toward Multicarbon Products via Tuning the Local H2O/CO2 Molar Ratio

Mass transfer plays an important role in controlling the surface coverage of reactants and the kinetics of surface reactions, thus significantly adjusting the catalytic performance. Herein, we reported that H₂O diffusion was modulated by controlling the thicknesses of the carbon black (CB) layer between the gas diffusion electrode (GDE) of Cu and the electrolyte. As a consequence, the product distribution over the GDE of Cu was effectively regulated during CO₂ electroreduction. Interestingly, a volcano-type relationship between the thickness of the CB layer and the faradaic efficiency (FE) for multicarbon (C₂₊) products was observed over the GDE of Cu. Especially, when the applied total current density was set as 800 mA cm^-2, the FE for the C₂₊ products over the GDE of Cu coated by a CB layer with a thickness of 6.6 μm reached 63.2%, which was 2.8 times higher than that (16.8%) over the GDE of Cu without a CB layer.

Gut commensal E. coli outer membrane proteins activate the host food digestive system through neural-immune communication

The gastrointestinal tract facilitates food digestion, with the gut microbiota playing pivotal roles in nutrient breakdown and absorption. However, the microbial molecules and downstream signaling pathways that activate food digestion remain unexplored. Here, by establishing a food digestion system in C. elegans, we discover that food breakdown is regulated by the interaction between bacterial outer membrane proteins (OMPs) and a neural-immune pathway. E. coli OmpF/A activate digestion by increasing the neuropeptide NLP-12 that acts on the receptor CCKR. NLP-12 is homologous to mammalian cholecystokinin, known to stimulate dopamine, and we found that loss of dopamine receptors or addition of a dopamine antagonist inhibited OMP-mediated digestion. Dopamine and NLP-12-CKR-1 converge to inhibit PMK-1/p38 innate immune signaling. Moreover, directly inhibiting PMK-1/p38 boosts food digestion. This study uncovers a role of bacterial OMPs in regulating animal nutrient uptake and supports a key role for innate immunity in digestion.

Comparison of Various Regional Analgesia Methods for Postoperative Analgesic Effects in Video-assisted Thoracoscopic Surgery: A Systematic Review and Network Meta-analysis

BACKGROUND

The optimal analgesia for video-assisted thoracoscopic surgery (VATS) is still unknown.

OBJECTIVES

Our aim was to conduct a network meta-analysis and systematic review to compare the efficacy of different analgesic strategies in VATS.

STUDY DESIGN

Bayesian network meta-analysis.

METHODS

We searched PubMed, Embase, Medline, Springer, Google Scholar, and Web of Science to evaluate all relevant randomized controlled trials that investigated the analgesic effects of different regional analgesia methods for VATS published through July 2021. After a comprehensive search of electronic databases, the following methods were identified: epidural analgesia (EA), local anesthetics (LA), superficial serratus anterior plane block (SSAPB), deep serratus anterior plane block (DSAPB), erector spinae plane block (ESPB), paravertebral block (PVB), and intercostal nerve block (ICNB). Primary outcomes were the visual analog scale score at rest, at 2 hours, 6 hours and 24 hours postoperatively. The secondary outcomes were postoperative analgesic consumption, incidence of nausea and emesis, and pruritus.

RESULT

Overall, 35 trials met our inclusion criteria. EA and PVB were relatively more advantageous in terms of analgesic effect at 2 hours and 6 hours postoperatively; the EA group was superior to the DSAPB, ESPB, and ICNB groups at 24 hours postoperatively. EA was found to be superior to other analgesia techniques for 24 hour postoperative analgesic consumption., PVB showed advantages in reducing postoperative nausea, emesis, and pruritus.

LIMITATIONS

Different concentrations and volumes of local anesthetics might affect the analgesic effects of the various analgesia techniques.

CONCLUSION

EA and PVB have certain advantages in analgesia, but the incidence of postoperative pruritus after EA is higher. At the same time, considering the risk of coagulation and puncture complications, PVB may be a better choice.

A simple method for rapid screening and diagnosis of common organic acidemias: quantitative detection of serum and urine organic acid profiles based on liquid chromatography-tandem mass spectrometry

Organic acid (OA) analysis is a specific test for inherited metabolic disorders (IMDs); however, the previous detection methods are laborious and costly. This study aims to develop a rapid method for the simultaneous quantification of serum and urine OA profiles. The method was established based on the liquid chromatography-tandem mass spectrometry (LC-MS/MS) technique. The specificity, sensitivity, robustness, and accuracy of the established method were validated. Fifteen healthy subjects and nine IMD patients were measured for clinical validation. OAs with their intrinsic isomers were completely separated. The LC-MS/MS analysis time was 5.5 min. Calibration curves were linear within the ranges of 27.00 μg/g for all OAs. The average correlation relationship (R) varied from 0.9891 to 0.9998. The limit of detection and limit of quantification varied from 0.003 to 0.07 μg/g and 0.006 to 0.08 μg/g, respectively. No obvious carryover was observed. The intra-assay, inter-assay, and total imprecisions were 1.22-4.14%, 0.90-5.20%, and 1.67-5.90%, respectively. The mean spiked recovery at the three levels varied from 94.31 to 106.68%. The matrix effects can be compensated for by internal standard correction. Nine IMD patients were identified. A robust LC-MS/MS method for the rapid determination of serum and urine OA profiles without derivatization or liquid-liquid extraction was developed and validated. The analysis of five common OAs can be completed in short minutes. This innovative LC-MS/MS method for OA profiles may present its potential in future rapid screening and diagnosis of IMDs.

D2D-Assisted Multi-User Cooperative Partial Offloading in MEC Based on Deep Reinforcement Learning

Mobile edge computing (MEC) and device-to-device (D2D) communication can alleviate the resource constraints of mobile devices and reduce communication latency. In this paper, we construct a D2D-MEC framework and study the multi-user cooperative partial offloading and computing resource allocation. We maximize the number of devices under the maximum delay constraints of the application and the limited computing resources. In the considered system, each user can offload its tasks to an edge server and a nearby D2D device. We first formulate the optimization problem as an NP-hard problem and then decouple it into two subproblems. The convex optimization method is used to solve the first subproblem, and the second subproblem is defined as a Markov decision process (MDP). A deep reinforcement learning algorithm based on a deep Q network (DQN) is developed to maximize the amount of tasks that the system can compute. Extensive simulation results demonstrate the effectiveness and superiority of the proposed scheme.

Urbanisation and ecosystem health in the Middle Reaches of the Yangtze River urban agglomerations, China: A U-curve relationship

Rapid urbanisation in global urban agglomerations has caused serious disturbances to the structure, function, and health state of ecosystems. Investigating the driving mechanisms behind the impact of urbanisation level (UL) on ecosystem health index (EHI) is important for constructing ecological civilisation and developing superior urban agglomerations in China. However, no in-depth studies exist on these mechanisms in various urban agglomerations, which makes formulation and implementation of effective ecosystem management and control policies difficult. In this study, we estimated UL and EHI based on multisource data, and a set of spatial regression models were then used to analyse the driving mechanisms at global and local scales in the Middle Reaches of the Yangtze River urban agglomeration (MRYRUA) in China between 1995 and 2015. Our results demonstrated that EHIs in the MRYRUA were 0.627, 0.613, and 0.610 in 1995, 2005, and 2015, respectively, with 2.71% decreases during the study period. The EHI in the surrounding mountainous regions was considerably higher than that in the plains. There was a significant spatial dependence between the UL and EHI. Low UL and high EHI, high UL and low EHI, and low UL and low EHI were the dominant relationship types in the MRYRUA (25.61%, 11.83%, and 11.27%, respectively). A 10% increase in UL resulted in 1.79%, 2.50%, and 2.99% decrease in EHI for each reference year in the spatial error model with lag dependence model. A U-shaped relationship was identified between UL and EHI in different urban agglomerations and cities of different administrative levels. Therefore, the results of this study can provide a scientific basis for the formulation of macro-control policies and locally specific control policies for ecosystem protection in the MRYRUA.

Advances in postoperative adjuvant therapy for primary liver cancer

Hepatocellular carcinoma (HCC) is a highly heterogeneous, invasive, and conventional chemotherapy-insensitive tumor with unique biological characteristics. The main methods for the radical treatment of HCC are surgical resection or liver transplantation. However, recurrence rates are as high as 50% and 70% at 3 and 5 years after liver resection, respectively, and even in Milan-eligible recipients, the recurrence rate is approximately 20% at 5 years after liver transplantation. Therefore, reducing the postoperative recurrence rate is key to improving the overall outcome of liver cancer. This review discusses the risk factors for recurrence in patients with HCC radical surgical resection and adjuvant treatment options that may reduce the risk of recurrence and improve overall survival, including local adjuvant therapy (e.g., transcatheter arterial chemoembolization), adjuvant systemic therapy (e.g., molecular targeted agents and immunotherapy), and other adjuvant therapies (e.g., antiviral and herbal therapy). Finally, potential research directions that may change the paradigm of adjuvant therapy for HCC are analyzed.

Aggregation properties and structure of chia seed gum and gluten protein mixtures after freezing storage

Chia seed gum (CSG) plays an important role in the aggregation and structural properties of gluten protein. The experimental results showed that adding 1.0 % CSG increased the freezing rate and shortened the freezing time by 42.3 % compared with gluten without CSG. At the same time, CSG had no significant effect on the composition of the gluten subunit but could better control the change in binding water and delay the structural deterioration caused by the extension of time (30 d). The viscoelasticity of gluten was increased, but only with the addition of 0.2-0.6 % CSG. In addition, it increased the denaturation transition temperature (Tp) and the degradation temperature (Td) of gluten protein to reduce the occurrence of recrystallization and resist pyrolysis. During frozen storage, gluten can form fine ice crystals and inhibit the transformation of α-helices and β-turns to random coils and β-sheets, which is more conducive to long-term frozen storage.

Characterization of a novel aminopeptidase P from Trichinella spiralis and its participation in the intrusion of intestinal epithelial cells

Aminopeptidases P are metalloproteases belonging to the M24 peptidase family. It specifically hydrolyzes the N-terminus of polypeptides free of acidic amino acids, and plays an important role in the nutrition, metabolism and growth of parasites. The aim of this study was to characterize a novel Trichinella spiralis aminopeptidase P (TsAPP) and to investigate its functions in the invasion of T. spiralis. TsAPP contained two domains of creatinase (a creatinase N and creatinase N2) and a domain of peptidase M24C and APP. The complete TsAPP sequence was cloned and expressed in Escherichia coli BL21 cells. The recombinantly produced TsAPP was used to raise polyclonal antibodies that were subsequently used to detect the expression of the protein in the different life stages of T. spiralis. TsAPP was expressed in various T. spiralis stages. TsAPP was primarily localized in the cuticle, stichosome and intrauterine embryos of this nematode. rTsAPP has an enzymatic activity of a natural aminopeptidase P to hydrolyze the substrate H-Ala-Pro-OH. rTsAPP promoted the larval intrusion of intestinal epithelium cells (IECs). The results showed that TsAPP is involved in the T. spiralis intrusion of IECs and it might be a potential candidate vaccine target against Trichinella infection.

Single-cell RNA analysis of chemokine expression in heterogeneous CD14+ monocytes with lipopolysaccharide-induced bone resorption

Lipopolysaccharide (LPS)-induced bone resorption has normally been found in inflammatory bone diseases, but the underlying mechanism is currently unclear. Since LPS binds to CD14 and activates Toll-like receptor 4 (TLR4) in monocytes, the present study focused on CD14⁺ monocytes and observed their responses after LPS treatment during the progression of local bone destruction. CD14⁺ monocytes were obtained from human peripheral blood mononuclear cells (PBMCs) by magnetic cell separation (MACS), and their classification was confirmed by fluorescence-activated cell sorting (FACS). Single-cell RNA sequencing (scRNA-seq) was further utilized to analyze their subpopulations, and the results showed that physiological CD14⁺ monocytes were heterogeneous and divided into 6 subsets, that could be easily agitated. After priming with a suitable concentration of LPS, heterogeneous CD14⁺ monocytes became pathological and expressed a large number of chemokines as a "cascade effect". Some of these chemokines have been validated in an animal model of mouse calvarial bone invasion. Taken together, our research has linked enhanced chemokine expression with stimulation of heterogeneous CD14⁺ monocytes, and indicated that inflammatory responses caused by microbiome infection are responsible for the recruitment and mobilization of CD14⁺ monocytes into bone resorption sites, which may explain the pathogenesis of LPS-associated bone diseases.

Moderate sedation by total intravenous remimazolam-alfentanil vs. propofol-alfentanil for third molar extraction: A prospective randomized controlled trial

Background

Oral dental treatment cause anxiety, fear, and physical stress. This study aimed to investigate the efficacy and safety of moderate sedation by remimazolam with alfentanil vs. propofol with alfentanil in third molar extraction.

Methods

This single-center, randomized, single-blind clinical trial included 100 adults who underwent third molar ambulatory extraction. All patients had continuous infusion of Alfentanil 0.2 μg/kg/min. Group remimazolam with alfentanil (group RA) had an induction dose of 80 μg/kg and maintenance dosage of 5 μg/kg/min. In group propofol with alfentanil (PA group), propofol was infused at an initial concentration of 1.8 μg/mL under target controlled infusion (TCI) mode and a maintenance concentration of 1.5 μg/mL. The incidence rates of adverse effects were recorded and compared. Depth of sedation was assessed using the modified observer alertness/sedation assessment (MOAA/S) and entropy index. Recovery characteristics were recorded and complications observed for next 24 h.

Results

The incident of adverse events 6 (12%) in the group RA was lower than the group PA 25 (50%) [Mean difference 0.136 (95%CI, 0.049–0.377); P &lt; 0.05], with no serious adverse events during the sedation procedure. The incidence of injection pain in group RA was significantly lower than that in group PA [4 vs. 26%, mean difference 0.119 (95%CI, 0.025–0.558); P = 0.004]. Before starting local anesthesia, the mean arterial pressure, heart rate, and respiratory rate of the PA group were lower than those of the RA group. None of the patients required further treatments for a decreased heart rate, blood pressure, or low SpO2. The rate of moderate sedation success was 100% in both groups. The MOAA/S score was similar between the groups indicating that the depth of sedation was effective. Group RA had significantly shorter recovery and discharge times than those of group PA.

Conclusions

Remimazolam with alfentanil is a safer and more effective alternative for ambulatory sedation and can reduce recovery and discharge time and the incidence of perioperative adverse events compare with propofol.

Clinical trial registration

http://www.chictr.org.cn/index.aspx, identifier: ChiCTR2200058106.

Pseudocapacitive features of freestanding nickel-zinc organometallic nanostructured arrays for high-energy density coin-cell asymmetric supercapacitors

Binder-free two-dimensional mesh-like structure of nickel-zinc metal-organic framework on in-situ-coated carbon cloth (Ni-Zn MOF/CC) and Ni-Zn MOF powder were developed via a solvo-hydrothermal reaction for electrochemical storage application. The electrochemical properties of these electrodes show that the electrodes self-assembled on carbon cloth substrates exhibit remarkably excellent performance. The Ni-Zn MOF/CC electrode exhibited a capacitance of 653.54 F/g at 1 A/g through a capacity retaining of 87.65 % after 10000 cycles. Furthermore, the Ni-Zn MOF//AC coin-cell asymmetric supercapacitor device (CASD) exhibited remarkable energy and power densities of 54.31 Wh/kg and 825 W/kg, respectively, with adequate capacitance retention up to 94.63% over 5000 cycles at 1.5 V. The CASD also exhibited a significant power density of 4950 W/kg at 19.67 W h/kg, which suggests that these in-situ developed MOF-based electrodes may discover application in energy storage devices.

Effect of subfreezing storage on the qualities of dough and bread containing pea protein

BACKGROUND

In this paper, -6, -9 and -12 °C were selected as subfreezing temperatures of dough containing pea protein based on the results of low-field nuclear magnetic relaxation time. The effect of storage at subfreezing temperatures on dough properties was then investigated and compared with sample storage at -18 °C.

RESULTS

The pH value, springiness, resilience, cohesiveness of dough and sensory score of bread gradually decreased and the hardness and water loss rate of dough gradually increased with the extension of storage time. However, dough hardness, viscoelasticity and fermentation volume were maintained more effectively in subfreezing storage than in -18 °C storage. The subfreezing temperature could alleviate the damage of gluten network structure in frozen dough by ice crystals and was beneficial in maintaining the elasticity of gluten proteins. The network system of pea protein, gluten protein and starch granules in dough storage at -9 and -12 °C was more tightly connected and the microstructure was similar to that at -18 °C. There was no significant difference between the quality of bread made from the dough stored at subfreezing temperature and that stored at -18 °C for 1-6 weeks, and the preservation effect at -12 °C was closer to that at -18 °C.

CONCLUSION

Subfreezing storage can keep the stability of dough containing pea protein close to traditional frozen storage (-18 °C), which provides a new method for storage and transportation of frozen dough. © 2022 Society of Chemical Industry.

Source tracing and chemical weathering implications of strontium in agricultural basin in Thailand during flood season: A combined hydrochemical approach and strontium isotope

⁸⁷Sr/⁸⁶Sr of river water are of great significance in constraining oceanic strontium (Sr) record and terrestrial climate change due to the connection of continental weathering and the adjacent ocean. This work presents the geochemical characteristics of dissolved Sr and hydrochemistry, and estimates chemical weathering rate together with elemental Sr flux during the flood season of the Mun River, the largest tributary of Mekong River. Hydrochemistry analysis indicates the dominance of Cl^- and HCO₃^- for major anions with the average of 34.6 and 43.0 mg/L, respectively, and Na⁺ and Ca²⁺ together dominated the cationic composition with the average of 22.9 and 10.5 mg/L, respectively. The ion concentrations during flood season were lower than that in dry season, implying tremendous river runoff due to extreme rainfall. The dissolved Sr ranges 6.1-237.5 μg/L with higher contents in the upper Mun. Sr contents in flood season are lower and less fluctuated than that in dry season, whereas the divergence between up and downstream becomes larger. ⁸⁷Sr/⁸⁶Sr ranges 0.7100-0.7597, slightly higher than global average. Elemental molar ratio analysis partly corroborates the inference from correlation analysis, but ⁸⁷Sr/⁸⁶Sr does not correlate with Na/Ca, indicating additional influence except for the weathering of evaporites and silicates. Comparing to regional wastewater and rainwater, the lower reaches exhibits superimposed impact of agricultural inputs on weathering to dissolved loads, especially in downstream with more tributary convergence. Extreme rainfall during flood season and extensive agricultural production activities may interfere in altering riverine solutes. Silicate weathering rate and CO₂ consumption rate are calculated as well as the yearly ⁸⁷Sr in excess to the Mekong River and finally to the Pacific Ocean with a Sr flux of 1.98 × 10³ tons/year, indicating significant influence on seawater strontium isotope evolution in the long run. Together with tropical climate and high-intensity precipitation, the accelerated chemical weathering process seems inevitable. Therefore, the impact of agricultural interference in the pan-Mekong River basin needs more systematic and multi-angle research to provide a comprehensive insight on better watershed management under tropical climatic conditions.

Improving immunoassay detection accuracy of anti-SARS-CoV-2 antibodies through dual modality validation

A novel test strategy is proposed with dual-modality detection techniques for COVID-19 antibody detection. The full-length S protein of SARS-CoV-2 was chemically immobilized on a glass surface to capture anti-SARS-CoV-2 IgG in patient serum and was detected through either Electrochemical Impedance Spectroscopy (EIS) or fluorescence imaging with labeled secondary antibodies. Gold nanoparticles conjugated with protein G were used as the probe and the bound GNP-G was detected through EIS measurements. Anti-human-IgG conjugated with the fluorescent tag Alexa Fluor 488 was used as the probe for fluorescence imaging. Clinical SARS-CoV-2 IgG positive serum and negative controls were used to validate both modalities. For fluorescence-based detection, a high sensitivity was noticed with a quantification range of 0.01-0.1 A.U.C. and a LOD of 0.004 A.U.C. This study demonstrates the possibility of utilizing different measurement techniques in conjunction for improved COVID-19 serology testing.

Efficient Electroreduction of Nitrate into Ammonia at Ultralow Concentrations Via an Enrichment Effect

The electroreduction of nitrate (NO₃ ^- ) pollutants to ammonia (NH₃ ) offers an alternative approach for both wastewater treatment and NH₃ synthesis. Numerous electrocatalysts have been reported for the electroreduction of NO₃ ^- to NH₃ , but most of them demonstrate poor performance at ultralow NO₃ ^- concentrations. In this study, a Cu-based catalyst for electroreduction of NO₃ ^- at ultralow concentrations is developed by encapsulating Cu nanoparticles in a porous carbon framework (Cu@C). At -0.3 V vs reversible hydrogen electrode (RHE), Cu@C achieves Faradaic efficiency for NH₃ of 72.0% with 1 × 10^-3 m NO₃ ^- , which is 3.6 times higher than that of Cu nanoparticles. Notably, at -0.9 V vs RHE, the yield rate of NH₃ for Cu@C is 469.5 µg h^-1 cm^-2 , which is the highest value reported for electrocatalysts with 1 × 10^-3 m NO₃ ^- . An investigation of the mechanism reveals that NO₃ ^- can be concentrated owing to the enrichment effect of the porous carbon framework in Cu@C, thereby facilitating the mass transfer of NO₃ ^- for efficient electroreduction into NH₃ at ultralow concentrations.

Establishment of an early diagnosis model of colon cancerous bowel obstruction based on 1H NMR

Objective

To prospectively establish an early diagnosis model of acute colon cancerous bowel obstruction by applying nuclear magnetic resonance hydrogen spectroscopy(1H NMR) technology based metabolomics methods, combined with machine learning.

Methods

In this study, serum samples of 71 patients with acute bowel obstruction requiring emergency surgery who were admitted to the Emergency Department of Sichuan Provincial People’s Hospital from December 2018 to November 2020 were collected within 2 hours after admission, and NMR spectroscopy data was taken after pretreatment. After postoperative pathological confirmation, they were divided into colon cancerous bowel obstruction (CBO) group and adhesive bowel obstruction (ABO) control group. Used MestReNova software to extract the two sets of spectra bins, and used the MetaboAnalyst5.0 website to perform partial least square discrimination (PLS-DA), combining the human metabolome database (HMDB) and the Kyoto Encyclopedia of Genes and Genomes (KEGG) to find possible different Metabolites and related metabolic pathways.

Results

22 patients were classified as CBO group and 30 were classified as ABO control group. Compared with ABO group, the level of Xanthurenic acid, 3-Hydroxyanthranilic acid, Gentisic acid, Salicyluric acid, Ferulic acid, Kynurenic acid, CDP, Mandelic acid, NADPH, FAD, Phenylpyruvate, Allyl isothiocyanate, and Vanillylmandelic acid increased in the CBO group; while the lecel of L-Tryptophan and Bilirubin decreased. There were significant differences between two groups in the tryptophan metabolism, tyrosine metabolism, glutathione metabolism, phenylalanine metabolism and synthesis pathways of phenylalanine, tyrosine and tryptophan (all P<0.05). Tryptophan metabolism pathway had the greatest impact (Impact = 0.19). The early diagnosis model of colon cancerous bowel was established based on the levels of six metabolites: Xanthurenic acid, 3-Hydroxyanthranilic acid, Gentisic acid, Salicylic acid, Ferulic acid and Kynurenic acid (R2 = 0.995, Q2 = 0.931, RMSE = 0.239, AUC = 0.962).

Conclusion

This study firstly used serum to determine the difference in metabolome between patients with colon cancerous bowel obstruction and those with adhesive bowel obstruction. The study found that the metabolic information carried by the serum was sufficient to discriminate the two groups of patients and provided the theoretical supporting for the future using of the more convenient sample for the differential diagnosis of patients with colon cancerous bowel obstruction. Quantitative experiments on a large number of samples were still needed in the future.

Resource Allocation in Multi-Carrier Multiplexed NOMA Cooperative System

Non-orthogonal multiple access (NOMA) cooperative communication technology can combine the advantages of NOMA and cooperative communication, providing high spectrum efficiency and increasing user coverage for next-generation wireless systems. However, the research on NOMA cooperative communication technology is still in a preliminary stage and has mainly concentrated on the scenario of fewer users. This paper focuses on a user-centered NOMA collaboration system in an ultra-dense network, and it constructs a resource allocation optimization problem to meet the demands of each user. Then, this paper decomposes the optimization problem into two subproblems; one is the grouping match among multiple relays and users, and the other is jointly allocating power and subcarrier resources. Accordingly, a dynamic packet matching algorithm based on Gale-Shapley and an iterative algorithm based on the difference of convex functions programing are proposed. Compared with existing schemes, the proposed algorithms can improve system throughput while ensuring the quality of service of users.

FYN regulates cell adhesion at the blood-testis barrier and the apical ectoplasmic specialization via its effect on Arp3 in the mouse testis

FYN is a non-receptor tyrosine kinase of the SRC family that facilitates virus entry across epithelial tight junctions. However, the role of FYN in mammalian testes in maintaining the blood-testis barrier (BTB) integrity and the adhesion of germ cells to Sertoli cells are not well defined. Here, we show that FYN is a component of the BTB and the apical ectoplasmic specialization (ES) at Sertoli-Sertoli and Sertoli-spermatid interfaces, respectively, and is expressed extensively in mouse testes during postnatal development. FYN was shown to be structurally linked to the actin and microtubule-based cytoskeletons. An in vivo model was used to explore the modulatory effect of FYN on BTB and apical ES dynamics within the testes when adult mice were treated intraperitoneally with CdCl₂ (3 mg/kg body weight). The CdCl₂-induced epithelial restructuring was associated with a transient increase in the interaction between FYN and the actin branching/nucleation protein Arp3, as well as an induction of Arp3 phosphorylation, which possibly lead to actin cytoskeleton remodeling, resulting in BTB damage and germ cell loss in the seminiferous epithelium. Based on the results, we propose a model in which FYN and Arp3 form a protein complex that is responsible for junction reorganization events at the apical ES and the BTB. It is also possible for viruses to break through the BTB and enter the immunoprivileged testicular microenvironment via this mechanism.

Reference intervals of 14 biochemical markers for children and adolescence in China: the PRINCE study

OBJECTIVES

The Pediatric Reference Intervals in China (PRINCE) was initiated to establish the reference intervals (RIs) of Chinese children, as well as to make it possible to compare the variability of biochemical markers among countries internationally.

METHODS

Healthy participants, aged up to 20 years, from 11 provinces across China, were enrolled in PRINCE and according to a standard screening procedure, that included a questionnaire survey, physical examinations and laboratory tests. Fasting venous blood specimens were collected. All serum specimens were analyzed with Cobas C702 in the center laboratory, i.e. clinical laboratory of Beijing Children's Hospital, with certified qualification (ISO15189). The nonparametric method recommended by Clinical Laboratory Standards Institute guidelines, was used to calculate the age- and sex-specified RIs.

RESULTS

Among the 15,150 participants enrolled, 12,352 children (6,093 males and 6,259 females) were included to calculate RIs. The RIs for total protein, albumin, globulin, calcium, phosphate, potassium, sodium, chlorine, alkaline phosphatase, γ-glutamyl transpeptadase, alanine aminotransferase, aspartate aminotransferase, creatinine and urea were established by age- or sex-partitions. Most biochemical markers displayed larger variability and higher dispersion during the periods between 28 days and 1 year old, and included 4-6 age partitions commonly during 1 to <20 years old. In addition, differences of RIs between sexes usually occurs around the initiation of puberty at 12-13 years old.

CONCLUSIONS

The age- and sex-specified RIs of 14 biochemical markers in PRINCE study can provide a solid reference, which will be transferred into relevant RIs for other clinical laboratory's platforms according to the CLSI guidelines.

Super-assembly of integrated gold magnetic assay with loop-mediated isothermal amplification for point-of-care testing

With the increasing global threat of various diseases and infections, it is essential to develop a fast, low-cost, and easy-to-use point-of-care testing (POCT) system for inspections at all levels of medical institutions and self-examination at home. In this work, gold magnetic nanoparticles (GMNPs) are used as the key material, and a rapid visual detection method is designed through integrating loop-mediated isothermal amplification (LAMP) and lateral flow assay (LFA) biosensor for detecting a variety of analytes which includes whole blood, buccal swabs, and DNA. It is worth to note that the proposed method does not need DNA extraction. Furthermore, uracil DNA glycosylase (UDG) is employed to eliminate carrier contamination for preventing false positive results. The whole detection process can be finished within 25 min. The accuracy of detection is measured by assessing the polymorphisms of the methylenetetrahydrofolate reductase (MTHFR) C677T. The detection limit of the newly developed extraction-free detection system for MTHFR C677T is 0.16 ng/μL. A preliminary clinical study of the proposed method is carried out by analyzing 600 clinical samples (including 200 whole blood samples, 100 buccal swabs, and 300 genomic DNA samples). The results indicate that the proposed method is 100% consistent with the sequencing results which provides a new choice for POCT and shows a broad application prospect in all levels of medical clinics and at home.

ELECTRONIC SUPPLEMENTARY MATERIAL

Supplementary material (details for MTHFR C677T primer sequences, the cell count results of samples at different dilution ratios, genotyping results and frequency samples, a Hardy-Weinberg equilibrium test, the sensitivity of the system, detection results of multiple samples, and optimization of the system) is available in the online version of this article at 10.1007/s12274-022-4692-9.

US Shear-Wave Elastography Dispersion for Characterization of Chronic Liver Disease

Background Little is known about the benefits of the use of dispersion slope (DS) as a viscosity-related parameter derived from two-dimensional (2D) shear-wave elastography (SWE) in the stratification of hepatic pathologic stages. Purpose To evaluate whether DS as an additional parameter can improve the diagnostic performance in detecting liver necroinflammation, fibrosis, and steatosis. Materials and Methods In this prospective study, consecutive participants with chronic liver disease who underwent liver biopsy and 2D SWE were recruited between July 2019 and September 2020. DS and liver stiffness (LS) measurements were obtained with use of a 2D SWE system immediately before biopsy. The biopsy specimens were assessed to obtain the scores of fibrosis, necroinflammation, and steatosis. Differences in the area under the receiver operating characteristic curve (AUC) were used to compare the diagnostic performance of DS, LS, and a combination of DS and LS. Results There were 159 participants evaluated (among them, 79 participants with chronic hepatitis B and 11 participants with nonalcoholic fatty liver disease). The distributions of DS values among various necroinflammatory activities (P = .02) and fibrosis stages (P < .001) were different. Moreover, DS was only associated with fibrosis after subgroup analysis based on the fibrosis stages and necroinflammatory activities (P < .001). The AUCs of DS in detecting clinically significant fibrosis (fibrosis stage ≥F2), cirrhosis (fibrosis stage of F4), and moderate to severe necroinflammatory activity (necroinflammatory activity ≥A2) were 0.72 (95% CI: 0.64, 0.79), 0.71 (95% CI: 0.63, 0.78), and 0.64 (95% CI: 0.55, 0.71), respectively. The differences of AUCs were not apparent for the DS and LS combination model after excluding DS (fibrosis stage ≥F2: 0.00 [95% CI: 0.00, 0.01], fibrosis stage of F4: -0.01 [95% CI: -0.02, 0.00], and necroinflammatory activity ≥A2: 0.00 [95% CI: 0.00, 0.01]). Conclusion The addition of dispersion slope derived from two-dimensional shear-wave elastography did not improve the diagnostic performance in detecting liver fibrosis, necroinflammation, or steatosis in patients with primarily viral hepatitis. ClinicalTrials.gov registration no.: NCT03777293 © RSNA, 2022 Online supplemental material is available for this article.

Multi-isotopes revealing the coastal river anthropogenic pollutants and natural material flux to ocean: Sr, C, N, S, and O isotope study

Coastal river exports massive terrestrial materials to the adjacent marine environment with information about chemical weathering, providing critical insights on riverine flux and the potential impact on marine ecosystem. In this study, the preliminary data of dissolved strontium (Sr) and ⁸⁷Sr/⁸⁶Sr in a typical coastal river in southeastern China were collected along with hydrochemistry and C, N, S, and O isotopes to discriminate the source of terrestrial weathering and the riverine flux. Sr concentrations exhibited a range of 0.084 ~ 1.307 μmol L^-1, and ⁸⁷Sr/⁸⁶Sr values ranged 0.7089 ~ 0.7164. The total cationic charge (TZ⁺) ranged 0.2 ~ 11.7 meq L^-1 with the predominant Ca²⁺ which accounted for > 50% of TZ⁺, while the anions were dominated by HCO₃^-. The extremely high Na⁺ and Cl^- near the estuary indicated seawater mixing in such a coastal river. δ¹³C-DIC, δ¹⁵N-NO₃^-, δ¹⁸O-NO₃^-, and δ³⁴S-SO₄^2- of river water ranged - 24.1‰ ~  - 9.2‰, 0.3‰ ~ 22.7‰, - 2.1‰ ~ 21.4‰, and - 9.3‰ ~ 18.0‰, respectively. δ¹³C enhanced correspondingly to decreased δ³⁴S, confirming the attendance of H₂SO₄ in carbonate weathering. Most δ¹⁸O values exhibited within ± 10‰, indicating the dominant nitrification process. δ¹⁵N presented slightly negative relationship with δ¹³C and no obvious correlation with δ³⁴S, indicating relatively limited impact of denitrification. The depleted δ¹³C and δ¹⁵N may be attributed to carbonate dissolution with nitric acids and the oxidation of organic matters into C and N pools. Quantitative analysis revealed that silicate weathering accounts for 79% of total dissolved Sr, indicating the dominant weathering process. The estimated monthly flux of dissolved Sr to the East China Sea was 138.1 tons, demonstrating an potential impact on seawater Sr isotope evolution. Overall, the investigations of multi-isotopes revealed the enhancement of weathering rates and the consequently depleted CO₂ consumption, which further proved the involvement of strong acids (H₂SO₄ and HNO₃). This study provides scientific insight in terrestrial weathering and anthropogenic impact of a typical coastal watershed and may orient the management of environmental issues related to coastal ecosystems.

Effect of different factors on treatment of oily wastewater by TiO2/Al2O3-PVDF ultrafiltration membrane

An ultrafiltration membrane developed by our research group was applied to treat simulated emulsified oil wastewater. ATR-FTIR, SEM, TEM, and Zeta potential analyzes demonstrated that the modified ultrafiltration membrane (MM) has excellent stability and anti-fouling capacity than origin membrane (OM), which possesses a pure water flux of 260 L·m^-2·h^-1 and oil/water (o/w) rejection of 98.5 ± 0.33%. Inorganic salt CaCl₂ has more considerable influence than MgSO₄ and NaCl under the same mass concentration in the two membranes UF process. Along with concentration increasing, flux sharply reduces; meanwhile, the rejection has an opposite trend. Moreover, permeation flux has a maximum value, and the rejection also gets its optimal state under neutral conditions during the pH value of 2-12. The membrane also exhibits excellent anti-fouling performance and anti- o/w adsorption properties with an adsorption rate below 0.8% compared with OM, which has an adsorption rate of nearly 2.1%, respectively. A kind of new UF membrane developed by our research group was applied to treat simulated o/w. ATR-FTIR, SEM, TEM, and Zeta potential analyzes demonstrated that PVDF-Al₂O₃/TiO₂ material has excellent stability and anti-fouling capacity. CaCl₂ has the greatest influence than MgSO₄ and NaCl under the same mass concentration. Moreover, permeation flux has maximum value and the rejection also gets its optimal state under neutral conditions during pH 2-12. The membrane also exhibits excellent anti-fouling performance and anti-O/W adsorption properties with adsorption rate below 0.8% compared with OM which has an adsorption rate nearly 2.1%, respectively.

Anthropogenic rare earth elements in urban lakes: Their spatial distributions and tracing application

Anthropogenic activities associated with various new technologies are increasingly disrupting the geochemical cycles of rare earth elements (REEs). For example, samarium (Sm) and gadolinium (Gd) have emerged as microcontaminants in the natural waters of developed areas. Surface water samples of 13 urban lakes were collected in Wuhan, the largest city in central China, with a population of over 11 million. The aim of this study was to examine to what extent REE anomalies occur and the relationship between the concentration of anthropogenic REEs in lakes and the surrounding environment. In this study, based on land-use type and point of interest (POIs) data, buffer extraction, density estimation and Spearman correlation analysis were first proposed to identify different sources of anthropogenic REEs, which mainly included hospitals, factories, population, urban land and cropland. The PAAS-normalized REE patterns indicate that all lake samples display pronounced positive Sm and Gd anomalies, ranging from 5.92 to 19.88 and 1.73 to 14.97, respectively. Spearman correlation analysis showed that hospital density was positively correlated with anthropogenic Gd concentration, and a positive relationship between proportion of cropland and the concentration of anthropogenic Sm. By utilizing Gd_anth, Sm_anth, and the conventional ion ratio (NO₃^-/Cl^-), a three-dimensional tracer system was established, and the system accurately obtained a characterization of the impact of WWTPs, hospitals, factories and agriculture on the lakes. Moreover, the results from this hydrochemical method were consistent with the analysis of geographic information systems, which indicated that this anthropogenic contaminant as a tracer was reliable for analysing the source of urban water pollution.

Effect of Recombinant Netrin-1 Protein Combined with Peripheral Blood Mesenchymal Stem Cells on Angiogenesis in Rats with Arteriosclerosis Obliterans

This work was aimed to explore the effect of recombinant netrin-1 protein and peripheral blood mesenchymal stem cells (MSCs) on the angiogenesis ability of atherosclerosis. 28 Sprague Dawley (SD) rats were taken as research models. The arterial occlusion models were created by surgery and then divided into the saline control group (n =7), netrin-1 treatment group (n =7), MSCs treatment group (n =7), and netrin-1 + MSCs combined treatment group (n =7). The peripheral blood MSCs were extracted from the peritoneal cavity of diseased SD rats and cultured alone or in combination with netrin-1. The individually cultured MSCs and netrin-1 were locally injected into the ischemic tissues of SD rats. The Tarlov scoring was performed at the first, second, and third week of treatment, respectively. The expression of vascular endothelial growth factor (VEGF) was also measured by quantitative real-time polymerase chain reaction (qRT-PCR), and the capillary density was measured by immunofluorescence staining. The mean maximum contractility of the gastrocnemius muscle in each group was determined in the third week after treatment. The Tarlov score of the netrin-1 + MSCs group was significantly higher than that of the control group (P < 0.05) at the second week. To the 4th week of treatment, the Tarlov score of the netrin-1 + MSCs group was highly increased compared to the netrin-1 group and the MSCs group (P < 0.05). The expression of VEGF in the treatment groups was greatly increased each week compared to the control group (P < 0.05). Compared with the netrin-1 and the MSCs groups, the VEGF was also notably increased in the netrin-1 + MSCs group (P <0.05). The capillary densities of the treatment groups were observably greater than that of the control group in the second and third weeks (P <0.05), while the capillary density in the netrin-1 + MSCs group was also significantly increased than those in the netrin-1 group and the MSCs group (P < 0.05). The mean maximum contractility of the netrin-1 + MSCs group was remarkably higher than that of the other groups (P < 0.05). The netrin-1 + MSCs group achieved the higher Tarlov score, higher VEGF expression, higher capillary density, and better muscle recovery than netrin-1 and MSCs treatments.

Oral administration of branched-chain amino acids ameliorates high-fat diet-induced metabolic-associated fatty liver disease via gut microbiota-associated mechanisms

Branched-chain amino acids (BCAAs), essential amino acids for the human body, are mainly obtained from food. High levels of BCAAs in circulation are considered as potential markers of metabolic-associated fatty liver disease (MAFLD) in humans. However, there are conflicting reports about the effects of supplement of BCAAs on MAFLD, and research on BCAAs and gut microbiota is not comprehensive. Here, C57BL/6J mice were fed with a high-fat diet with or without BCAAs to elucidate the effects of BCAAs on the gut microbiota and metabolic functions in a mouse model of MAFLD. Compared to high-fat diet (HFD) feeding, BCAA supplementation significantly reduced the mouse body weight, ratio of liver/body weight, hepatic lipid accumulation, serum levels of total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C) and alanine aminotransferase (ALT), and the expressions of the lipogenesis-related enzymes Fas, Acc, and Scd-1 and increased expressions of the lipolysis-related enzymes Cpt1A and Atgl in the liver. BCAAs supplementation also counteracted HFD-induced elevations in serum BCAAs levels by stimulating the enzymatic activity of BCKDH. Furthermore, BCAAs supplementation markedly improved the gut bacterial diversity and altered the gut microbiota composition and abundances, especially those of genera, in association with MAFLD and BCAAs metabolism. These data suggest that BCAA treatment improves HFD-induced MAFLD through mechanisms involving intestinal microbes.

Performance of HDL-C measurements assessed by a 4-year trueness-based EQA/PT program in China

Objectives

A trueness-based EQA/PT program for high density lipoprotein cholesterol (HDL-C) was initiated. We analyzed the 4 year EQA/PT program to overview the measurement standardization for HDL-C in China.

Methods

Two levels of freshly frozen, commutable serum external quality assessment/proficiency testing (EQA/PT) materials were prepared and determined by reference measurement procedure each year. The samples were delivered to clinical laboratories and measured 15 times in 3 days. The precision [coefficient of variation (CV)], trueness (bias), and accuracy [total error (TE)] were calculated and used to evaluate measurement performance. The pass rates of individual laboratories and peer groups were analyzed using the acceptable performance from the National Cholesterol Education Program (NCEP) and biological variation as the evaluation criteria.

Results

More than 60% of laboratories use heterogeneous systems, and there was a decrease in the percentage from 2016 to 2019. About 95, 78, and 33% of laboratories met the minimum, desirable and optimum TE criteria derived from biological variation. The pass rates were 87.0% (84.7–88.8%), 58.7% (55.3–62.4%), and 97.3% (95.6–98.3%) that met the acceptable performance of TE, bias, and CV of NCEP. The homogeneous systems had higher pass rates of TE, bias, and CV than the heterogeneous groups in 2016, but they did not show apparent advantages in 2017–2019.

Conclusions

The trueness-based EQA/PT program can be used to evaluate the accuracy, reproducibility, and trueness of results. For some IVD manufacturers and individual laboratories, accuracy, especially trueness, are still problems. Efforts should be made to improve the situation and achieve better HDL-C measurement standardization.

Experience of using a smartphone WeChat applet for dental anxiety assessment and preoperative evaluation: A nationwide multicenter study

Introduction

Dental anxiety is a multivariate phenomenon that regularly occurs during a dental procedure. Although it may lead to patients' safety concerns and adverse events in routine treatment, it is often ignored. The purpose of this research is to develop a novel WeChat Applet for dental anxiety (WADA) with the following features and aims: (1) to help patients with dental anxiety management; (2) provide patient with a physical status self-evaluation; and(3) provide a platform for online assessment and tele-consultancy by dentists. We aimed to test and verify whether such an applet could play a beneficial role before and after a dental procedure and facilitate management of high-risk patients during the COVID-19 pandemic.

Materials and methods

During the 12-month survey period (August 2020 to July 2021), a total of 180 patients aged 3–74 years from eight different cities (n = 180 at the end of treatment, n = 25 for the System Usability Scale (SUS) and follow-up interview) and 20 medical staff from eight different cities (n =20 for follow-up interview) were evaluated by WADA. At the end of the survey period, the results of the interviews were analyzed thematically.

Results

WADA assessment results from 180 patients and follow-up interview results from 45 participants were analyzed. In this study with a male to female ratio of 2:3, 75% were found to be suffering from dental anxiety, 86% were found with postoperative complications, and 11 cases were found to have contraindications to surgery. The total SUS score for WADA is 72.25 above the mean score, proving that WADA is a relevant and useful tool before and after dental treatment. Based on the results of the interviews, the following themes were identified: patient satisfaction; dentists' effectiveness; multi-center data integration; and increase its frequency of usage.

Conclusions

The WADA was developed for dental procedures and is effective for reducing treatment risks, improving patients' satisfaction and dentists' convenience, especially in terms of facilitating management of high-risk patient during the COVID-19 pandemic.

Guaranteeing QoS for NOMA-Enabled URLLC Based on κ–μ Shadowed Fading Model

Sixth-generation (6G) wireless communication scenarios are complex and diverse. Small-scale fading is a key part of wireless channels and its impact on performance in scenarios with time sensitivity and 6G ultrareliable and low latency communications (URLLC) quality-of-service requirements cannot be ignored. Therefore, it is necessary to accurately characterize small-scale fading when designing wireless communication systems. In this paper, we derive approximate closed form expressions for the probability density function, cumulative distribution function and moment-generating function of the postprocessing signal-to-noise ratio following the zero-forcing detector in a cell-free massive multiple-input multiple-output (CF mMIMO) system. CF mMIMO system is a nonorthogonal multiple access (NOMA) system that enables users to share all channel uses and can ensure the fairness of the communication quality experienced by different users. Our key contributions include the extension of the κ–μ shadowed fading model to a CF mMIMO system and the proposal of theoretical tools (the derived closed-form expression) to improve its mathematical tractability. By exploiting the statistical characterizations of the arrival and service processes, another important contribution is the exploitation of the upper bound of the queuing delay violation probability (UB-QDVP) over the Mellin transforms of the arrival and service processes in the proposed CF mMIMO system under the κ–μ shadowed fading model. Corroborated by extensive simulations, our analyses validate that the CF mMIMO system outperforms the orthogonal multiple access and power-domain NOMA systems and reveal the relationships among different small-scale fading types, energy efficiency, delay and the UB-QDVP, as well as the accuracy and effectiveness of the proposed theoretical tools based on the κ–μ shadowed fading model.

Deficiency of GntR Family Regulator MSMEG_5174 Promotes Mycobacterium smegmatis Resistance to Aminoglycosides via Manipulating Purine Metabolism

The increasing incidence of drug-resistant tuberculosis is still an emergency for global public health and a major obstacle to tuberculosis treatment. Therefore, deciphering the novel mechanisms of mycobacterial antibiotic resistance is crucial for combatting the rapid emergence of drug-resistant strains. In this study, we identified an unexpected role of Mycobacterium smegmatis GntR family transcriptional regulator MSMEG_5174 and its homologous gene Mycobacterium tuberculosis Rv1152 in aminoglycoside antibiotic resistance. Deficiency of MSMEG_5174 rendered Mycobacterium smegmatis highly resistant to aminoglycoside antibiotic treatment, and ectopic expression of Rv1152 in MSMEG_5174 mutants restored antibiotic-induced bacterial killing. We further demonstrated that MSMEG_5174 negatively regulates the expression of purine metabolism-related genes and the accumulation of purine metabolites. Moreover, overexpression of xanthine dehydrogenase MSMEG_0871 or xanthine treatment elicited a significant decrease in aminoglycoside antibiotic lethality for Mycobacterium smegmatis. Together, our findings revealed MSMEG_5174 as a metabolic regulator and hint toward unexplored crosstalk between purine metabolism and antibiotic resistance.

A survey on heavy metal concentrations in residential neighborhoods: The influence of secondary water supply systems

Water quality deterioration often occurs in secondary water supply systems (SWSSs), and increased heavy metal concentrations can be a serious problem. In this survey, twelve residential neighborhoods were selected to investigate the influence of SWSSs on the seasonal changes in heavy metal concentrations from input water to tank and tap water. The concentrations of nine evaluated heavy metals in all groups of water samples were found to be far below the specified standard levels in China. The concentrations of Fe, Mn, and Zn increased significantly from the input water samples to the tank and tap water samples in spring and summer (p < 0.05), especially for the water samples that had been stagnant for a long time. Negative correlations were found between most of the heavy metals and residual chlorine (Fe, Cu, Zn, and As, r = -0.186 to -0.519, p < 0.05). In particular, a high negative correlation was observed between Fe and residual chlorine (r = -0.489 to -0.519, p < 0.01) in spring and summer. Fe and Mn displayed positive correlations with turbidity (r = 0.672 and 0.328, respectively; p < 0.05). In addition, Cr and As were found to be positively associated with some nutrients (NO₃^-, TN, and SO₄^2-; r = 0.420-0.786, p < 0.01). The material of the storage tanks had little influence on the difference in heavy metal concentrations. Overall, this survey illustrated that SWSSs may pose a chronic threat to water quality and could provide useful information for practitioners.

In-situ Pt nanoparticles decorated BiOBr heterostructure for enhanced visible light-based photocatalytic activity: Synergistic effect

Advanced functional materials for photocatalytic hydrogen (H₂) generation using abundant solar energy are the core of new and renewable energy research. In this paper, we report the in-situ deposition of platinum quantum-sized particles (Pt QDs) on bismuth oxybromide (BBr) 3D marigold flowers with exposed (101)/(110) facets (i.e. BBr-Pt) hierarchies prepared by a simple solvo-thermal method acting as a surfactant/structure stabilizer in the presence of CTAB. Synthesized samples were characterized by a series of analytical techniques. Intimate contact as demonstrated by HRTEM, effect of Pt loading in 3D-BiOBr nanostructure on photocatalytic H₂ production and crystal violet (CV) dye degradation rate under white LED light irradiation was studied. This was greatly improved by loading Pt QDs on BBr, the latter showing the highest photocatalytic activity for BBr-2Pt nanostructure, due to the synergistic effect of quantum-sized Pt nanoparticles and exposed ((101) and (110) planes). The BBr-2Pt nanostructure photocatalysts showed highest H₂ generation of 320.69 μmol g^-1, which is 142 folds larger than bare BBr (2.26 μmol g^-1).

An impedimetric biosensor for COVID-19 serology test and modification of sensor performance via dielectrophoresis force

Coronavirus disease 2019 (COVID-19) has caused significant global morbidity and mortality. The serology test that detects antibodies against the disease causative agent, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has often neglected value in supporting immunization policies and therapeutic decision-making. The ELISA-based antibody test is time-consuming and bulky. This work described a gold micro-interdigitated electrodes (IDE) biosensor for COVID antibody detection based on Electrochemical Impedance Spectroscopy (EIS) responses. The IDE architecture allows easy surface modification with the viral structure protein, Spike (S) protein, in the gap of the electrode digits to selectively capture anti-S antibodies in buffer solutions or human sera. Two strategies were employed to resolve the low sensitivity issue of non-faradic impedimetric sensors and the sensor fouling phenomenon when using the serum. One uses secondary antibody-gold nanoparticle (AuNP) conjugates to further distinguish anti-S antibodies from the non-specific binding and obtain a more significant impedance change. The second strategy consists of increasing the concentration of target antibodies in the gap of IDEs by inducing an AC electrokinetic effect such as dielectrophoresis (DEP). AuNP and DEP methods reached a limit of detection of 200 ng/mL and 2 μg/mL, respectively using purified antibodies in buffer, while the DEP method achieved a faster testing time of only 30 min. Both strategies could qualitatively distinguish COVID-19 antibody-positive and -negative sera. Our work, especially the impedimetric detection of COVID-19 antibodies under the assistance of the DEP force presents a promising path toward rapid, point-of-care solutions for COVID-19 serology tests.

Comparison of four different immunoassays and a rapid isotope-dilution liquid chromatography-tandem mass spectrometry assay for serum folate

OBJECTIVES

Accurate measurement of serum folate is essential for the diagnosis and management of various disorders. This study aims to investigate the between-method differences of four immunoassays and a rapid isotope-dilution liquid chromatography-tandem mass spectrometry (ID-LC-MS/MS) method.

METHODS

Roche Cobas (USA), Abbott Alinity i2000 (USA), Beckman Coulter Access (USA), Mindray CL-6000i (China), and the ID-LC-MS/MS method were compared using 46 human serum samples. The results were analysed by Passing-Bablok regressions and Bland-Altman plots. A bias of 13.31% based on biological variation was used as the bias criterion.

RESULTS

All the within-run and total coefficients of variation (CVs) met the specification. The folate concentrations determined by all the assays were significantly different (p=0.0028). All assays had correlation coefficients over 0.97 with each other. The 95% confidence intervals (CIs) for the slope seldom contained 1 and few 95% CIs for the intercept contained 0 in the regression equations. Compared to ID-LC-MS/MS, the biases of all assays ranged from -20.91 to 13.56 nmol/L, and the mean relative biases ranged from -9.85 to 40.33%. The predicted mean relative biases at the medical decision levels rarely met the criterion.

CONCLUSIONS

Assays for serum folate had good correlations with each other but lacked good agreement. The accuracy and consistency of assays for serum folate should be measured and assessed routinely. Standardization work to improve the accuracy of serum folate assays, such as the extension of traceability to reference methods or materials, calibration standardization efforts, and assay-adjusted cut-offs should be promoted.

A broadly applicable, stress-mediated bacterial death pathway regulated by the phosphotransferase system (PTS) and the cAMP-Crp cascade

Recent work indicates that killing of bacteria by diverse antimicrobial classes can involve reactive oxygen species (ROS), as if a common, self-destructive response to antibiotics occurs. However, the ROS-bacterial death theory has been challenged. To better understand stress-mediated bacterial death, we enriched spontaneous antideath mutants of Escherichia coli that survive treatment by diverse bactericidal agents that include antibiotics, disinfectants, and environmental stressors, without a priori consideration of ROS. The mutants retained bacteriostatic susceptibility, thereby ruling out resistance. Surprisingly, pan-tolerance arose from carbohydrate metabolism deficiencies in ptsI (phosphotransferase) and cyaA (adenyl cyclase); these genes displayed the activity of upstream regulators of a widely shared, stress-mediated death pathway. The antideath effect was reversed by genetic complementation, exogenous cAMP, or a Crp variant that bypasses cAMP binding for activation. Downstream events comprised a metabolic shift from the TCA cycle to glycolysis and to the pentose phosphate pathway, suppression of stress-mediated ATP surges, and reduced accumulation of ROS. These observations reveal how upstream signals from diverse stress-mediated lesions stimulate shared, late-stage, ROS-mediated events. Cultures of these stable, pan-tolerant mutants grew normally and were therefore distinct from tolerance derived from growth defects described previously. Pan-tolerance raises the potential for unrestricted disinfectant use to contribute to antibiotic tolerance and resistance. It also weakens host defenses, because three agents (hypochlorite, hydrogen peroxide, and low pH) affected by pan-tolerance are used by the immune system to fight infections. Understanding and manipulating the PtsI-CyaA-Crp–mediated death process can help better control pathogens and maintain beneficial microbiota during antimicrobial treatment.

Highly active and thermostable submonolayer La(NiCo)OΔ catalyst stabilized by a perovskite LaCrO3 support

It is important to develop highly active and stable catalysts for high temperature reactions, such as dry reforming of methane. Here we show a La(NiCo)O_Δ (LNCO) submonolayer catalyst (SMLC) stabilized by the surface lattice of a perovskite LaCrO₃ support and demonstrate a Ni-Co synergistic effect. The submonolayer/support type catalyst was prepared by in-situ hydrogen reduction of a LaNi_0.05Co_0.05Cr_0.9O₃ precursor synthesized by a sol-gel method. The LNCO-SMLC is highly active and very stable during a 100 h on stream test at 750 °C under the reaction conditions of dry reforming of methane. The catalyst also shows good anti-coking ability. We found that the synergistic effect between Ni and Co atoms in LNCO-SMLC remarkably improved the thermostability of the catalyst. This work provides a useful concept for designing atomically dispersed catalysts with high thermostability.