Emerging role of carbon monoxide in intestinal transplantation

Understanding CO adsorption in MOFs combining atomic simulations and machine learning

This study introduces a computational method integrating molecular simulations and machine learning (ML) to assess the CO adsorption capacities of synthesized and hypothetical metal-organic frameworks (MOFs) at various pressures. After extracting structural, chemical, and energy-based features of the synthesized and hypothetical MOFs (hMOFs), we conducted molecular simulations to compute CO adsorption in synthesized MOFs and used these simulation results to train ML models for predicting CO adsorption in hMOFs. Results showed that CO uptakes of synthesized MOFs and hMOFs are between 0.02-2.28 mol/kg and 0.45-3.06 mol/kg, respectively, at 1 bar, 298 K. At low pressures (0.1 and 1 bar), Henry's constant of CO is the most dominant feature, whereas structural properties such as surface area and porosity are more influential for determining the CO uptakes of MOFs at high pressure (10 bar). Structural and chemical analyses revealed that MOFs with narrow pores (4.4-7.3 Å), aromatic ring-containing linkers and carboxylic acid groups, along with metal nodes such as Co, Zn, Ni achieve high CO uptakes at 1 bar. Our approach evaluated the CO uptakes of ~ 100,000 MOFs, the most extensive and diverse set studied for CO capture thus far, as a robust alternative to computationally demanding molecular simulations and iterative experiments.

Carbon Monoxide in Pancreatic Islet Transplantation: A New Therapeutic Alternative to Patients With Severe Type 1 Diabetes Mellitus

Pancreatic islet transplantation is a minimally invasive procedure to replace β-cells in a subset of patients with autoimmune type 1 diabetic mellitus, who are extremely sensitive to insulin and lack counter-regulatory measures, and thereby increasing their risk of neuroglycopenia and hypoglycemia unawareness. Thus, pancreatic islet transplantation restores normoglycemia and insulin independence, and prevents long-term surgical complications associated with whole-organ pancreas transplantation. Nonetheless, relative inefficiency of islet isolation and storage process as well as progressive loss of islet function after transplantation due to unvoidable islet inflammation and apoptosis, hinder a successful islet transplantation. Carbon monoxide (CO), a gas which was once feared for its toxicity and death at high concentrations, has recently emerged as a medical gas that seems to overcome the challenges in islet transplantation. This minireview discusses recent findings about CO in preclinical pancreatic islet transplantation and the underlying molecular mechanisms that ensure islet protection during isolation, islet culture, transplantation and post-transplant periods in type 1 diabetic transplant recipients. In addition, the review also discusses clinical translation of these promising experimental findings that serve to lay the foundation for CO in islet transplantation to replace the role of insulin therapy, and thus acting as a cure for type 1 diabetes mellitus and preventing long-term diabetic complications.