2D Ultrathin Titanium Nitride Nanosheets as Separator Coatings for Li-S Batteries

Transition metal nitrides (TMNs) are affirmed to be an appealing candidate for boosting the performance of lithium-sulfur (Li-S) batteries due to their excellent conductivity, strong interaction with sulfur species, and the effective catalytic ability for conversion of polysulfides. However, the traditional bulk TMNs are difficult to achieve large active surface area and fast transport channels for electrons/ions simultaneously. Here, a 2D ultrathin geometry of titanium nitride (TiN) is realized by a facile topochemical conversion strategy, which can not only serve as an interconnected conductive platform but also expose abundant catalytic active sites. The ultrathin TiN nanosheets are coated on a commercial separator, serving as a multifunctional interlayer in Li-S batteries for hindering the polysulfide shuttle effect by strong capture and fast conversion of polysulfides, achieving a high initial capacity of 1357 mAh g-1 at 0.1 C and demonstrating a low capacity decay of only 0.046% per cycle over 1000 cycles at 1 C.

Fast Ionic Conducting Hydroxyapatite Solid Electrolyte Interphase Enables Ultra-Stable Zinc Metal Anodes

Zn metal has been extensively utilized as an anode in aqueous zinc-ion batteries attributed to its affordable cost and superior theoretical capacity. Nevertheless, the presence of dendrites and undesirable side reactions poses challenges to its widespread commercialization. To address these issues, herein, a surface coating composed of hydroxyapatite (HAP) was developed on the Zn anode to create an artificial solid electrolyte interphase. After the application of a hydroxyapatite layer, dendrites and corrosion of the Zn anode are sufficiently inhibited. Furthermore, the hydroxyapatite interphase with a low ionic diffusion barrier enables fast anodic redox kinetics. Consequently, the Zn@HAP symmetric cell possesses a durable lifespan over 2000 h at 1 mA cm-2, while maintaining minimal polarization. Moreover, the practical feasibilities of the Zn@HAP anode are also manifested in full batteries combined with MnO2 cathodes, exhibiting exceptional cycling performance up to 500 cycles at 1 A g-1 and excellent rate capability with a retention of 109 mAh g-1 at 5 A g-1.

Radiotherapy Combined with PD-L1 Antibody Exerts a Synergistic Anti-tumor Effect in a Mouse Model of Esophageal Squamous Cell Carcinoma

PURPOSE/OBJECTIVE(S)

The combination of radiotherapy and immune checkpoint inhibitors (ICIs) has been shown to exert synergistic anti-tumor effects in various tumors. In esophageal squamous cell carcinoma (ESCC), several clinical trials of radiotherapy combined with ICIs are undergoing or have been finished. However, the efficacy and action mechanisms of radiotherapy combined with ICIs is still not clear in ESCC. Our study aimed to investigate whether radiotherapy improved the anti-cancer effect of PD-L1 antibody and the effect of this combination therapy on tumor-immune microenvironment.

MATERIALS/METHODS

The mouse esophageal cancer cell line mEC25 was implanted into the armpits of female C57 mice. When the tumor volume grew to 150-250 mm3, the mice were randomly divided into different groups including control group (administration of IgG antibody), radiotherapy group (12 Gy at 4 Gy per fraction), PD-L1 antibody group (200 mg/kg i.p. for three times) and combination group (fractionated radiation combined with PD-L1 antibody was delivered on day 1, day 4 and day 7, the day when fractionated radiation began was recorded as day 1).The mice were sacrificed on the 1st, 3rd and 7th day after the treatment was ended. The tumor, spleen and draining lymph nodes of the mice were collected and analyzed using flow cytometry (FCM), and the tumor volume and survival time of mice were calculated.

RESULTS

Compared with radiotherapy or PD-L1 antibody alone, the combination therapy significantly prolonged the survival time of mice and decreased the growth rate of xenograft tumors FCM analysis showed that the combination therapy significantly increased the infiltration and cytotoxicity of effector T cells and reduced the proportion of M2 macrophages in tumor, spleen and lymph nodes. In addition, in tumor and spleen, the proportion of regulatory T cells (Tregs) decreased in the group of combination therapy. In tumor, spleen, and lymph nodes, the proportion of central memory T cell (TCM) was increased in the group of combination therapy.

CONCLUSION

The anti-tumor effect of radiotherapy combined with PD-L1 antibody is superior to single treatment in the mouse model of esophageal cancer. Radiotherapy can shape tumor-immune microenvironment, allowing the infiltration of effector T cells and exclusion of immune-suppressive cells such as M2 macrophages and Tregs.

The Role of Esophagography in the Diagnosis of Orthotopic Esophageal Squamous Cell Carcinoma in a Mouse Mode

PURPOSE/OBJECTIVE(S)

Animal models play an irreplaceable role in pre-clinical studies of various tumors, mainly including xenogeneic/homograft subcutaneous tumor models. However, the subcutaneous transplanted tumor model is separated from the microenvironment of the primary tissue and fail to accurately simulate the growth of tumor cells in vivo. Therefore, orthotopic tumor models play an increasingly important role. For esophageal squamous cell carcinoma, chemotherapy-induced methods have successfully established mouse models of esophageal squamous cell carcinoma, but past experiments have found that it is still a challenge to confirm the success of the mouse model of esophageal cancer. The pathological diagnosis of the esophageal cancer tissue obtained from the killed mouse model remains the gold standard, but it also represents a lost opportunity to evaluate the efficacy of subsequent treatment. Notedly, esophagography is the primary examination for clinical patients with esophageal cancer. Therefore, the aim of this study is to evaluate whether esophagography can be used to establish a successful in situ mouse model of esophageal cancer.

MATERIALS/METHODS

Referring to previous literature, we used the chemical drug 4-Nitroquinoline N-oxide (4-NQO) to induce orthotopic tumor model: A certain amount of 4-NQO was dissolved in propylene glycol to make a 2% stock solution, and then dissolved in 200ml of sterile water for the daily drinking water of mice. The water was kept in the dark and replaced once a week. After 16 weeks of induction, the drinking water was replaced by the same volume of sterile water and continued to be fed for 12 weeks. The mice were subsequently subjected to esophagography: First, the mice were fixed on a plastic plate, and the gavage needle was slowly inserted into the stomach, then slowly withdrawn out and gradually injected with meglumine diphosphate, with a total amount of 0.1-0.2ml. Then the radiolucent film was taken immediately, and three positions were selected, including the plain film, the standing film and the lateral film. After that, the mice were sacrificed and the esophagus of the mice was isolated and embedded in sections for pathological and immunohistochemical diagnosis. Finally, the results were compared with the imaging results.

RESULTS

Based on the comparison of imaging and pathological results, we found that most of the esophageal segments with filling defects on esophagography were pathologically diagnosed as esophageal squamous cell carcinoma, and another part were diagnosed as esophageal papilloma. Compared with CT and MRI, esophagography has the advantages of simple operation and less consumable materials.

CONCLUSION

We found that esophagography is a new non-invasive auxiliary diagnostic method for the successful establishment of an orthotopic mouse model of esophageal squamous cell carcinoma.

Freestanding and Flexible Interfacial Layer Enables Bottom-Up Zn Deposition Toward Dendrite-Free Aqueous Zn-Ion Batteries

Aqueous rechargeable zinc ion batteries are regarded as a competitive alternative to lithium-ion batteries because of their distinct advantages of high security, high energy density, low cost, and environmental friendliness. However, deep-seated problems including Zn dendrite and adverse side reactions severely impede the practical application. In this work, we proposed a freestanding Zn-electrolyte interfacial layer composed of multicapsular carbon fibers (MCFs) to regulate the plating/stripping behavior of Zn anodes. The versatile MCFs protective layer can uniformize the electric field and Zn²⁺ flux, meanwhile, reduce the deposition overpotentials, leading to high-quality and rapid Zn deposition kinetics. Furthermore, the bottom-up and uniform deposition of Zn on the Zn-MCFs interface endows long-term and high-capacity plating. Accordingly, the Zn@MCFs symmetric batteries can keep working up to 1500 h with 5 mAh cm^-2. The feasibility of the MCFs interfacial layer is also convinced in Zn@MCFs||MnO₂ batteries. Remarkably, the Zn@MCFs||α-MnO₂ batteries deliver a high specific capacity of 236.1 mAh g^-1 at 1 A g^-1 with excellent stability, and maintain an exhilarating energy density of 154.3 Wh kg^-1 at 33% depth of discharge in pouch batteries.

Facile Synthesis of Hybrid Anodes with Enhanced Lithium-Storage Performance Realized by a "Synergistic Effect"

Alloying-type anodes including Si- and Sn-based materials are considered the most exploitable anodes for high-performance lithium-ion batteries. However, problems of poor kinetics properties and structural failures such as grain pulverization and coarsening hinder their large-scale application. Herein, SnO₂/Si@graphite hybrid anodes, with nano-SnO₂ and nano-Si thoroughly mixed with each other and loaded onto graphite flakes, have been prepared by a facile ball milling method. Attributed to the "synergistic effect" between SnO₂ and Si, the mechanical stability and kinetics properties can be remarkably enhanced. Furthermore, graphite substrate supplies a fast electrically conductive path and buffers the volume expansion of active particles. Accordingly, SnO₂/Si@graphite delivers 798.9 mAh g^-1 at 200 mA g^-1 and maintains 550.8 mAh g^-1 after 1000 cycles at 1 A g^-1 in half cells. Impressively, a high energy density of 431.4 Wh kg^-1 (based on the mass of anode and cathode) can be obtained in full cells when paired with the NCM622 cathode. This work presents an effective strategy to exploit high-performance alloying-type anodes for LIBs by designing hybrid materials with multiple active components.

Toxic Effects of Thioacetamide-Induced Femoral Damage in New Zealand White Rabbits by Activating the p38/ERK Signaling Pathway

Thioacetamide (TAA) is widely used in the production of drugs, pesticides and dyeing auxiliaries. Moreover, it is a chemical that can cause liver damage and cancer. TAA has recently been identified to cause bone damage in animal models. However, the type of bone damage that TAA causes and its potential pathogenic mechanisms remain unclear. The toxic effects of TAA on the femurs of New Zealand white rabbits and the underlying toxicity mechanism were investigated in this study. Serum samples, the heart, liver, kidney and femurs were collected from rabbits after intraperitoneal injection of TAA for 5 months (100 and 200 mg/kg). The New Zealand white rabbits treated with TAA showed significant weight loss and femoral shortening. The activities of total bilirubin, total bile acid and gamma-glutamyl transpeptidase in the serum were increased following treatment with TAA. In addition, the cortical bone became thinner, and the trabecular thickness decreased significantly in TAA-treated rabbits, which was accompanied by significantly decreased mineral density of the cortical and trabecular bone. Moreover, there was a significant decrease in modulus of elasticity and maximum load on bone stress in TAA-treated rabbits. The western blotting results showed that the expression of phosphorylated (p)-p38 and p-ERK in femur tissues of rabbits were increased after TAA administration. Collectively, these results suggested that TAA may lead to femoral damage in rabbits by activating the p38/ERK signaling pathway.

Electrochemical Performance Enhancement of Micro-Sized Porous Si by Integrating with Nano-Sn and Carbonaceous Materials

Silicon is investigated as one of the most prospective anode materials for next generation lithium ion batteries due to its superior theoretical capacity (3580 mAh g-1), but its commercial application is hindered by its inferior dynamic property and poor cyclic performance. Herein, we presented a facile method for preparing silicon/tin@graphite-amorphous carbon (Si/Sn@G-C) composite through hydrolyzing of SnCl2 on etched Fe-Si alloys, followed by ball milling mixture and carbon pyrolysis reduction processes. Structural characterization indicates that the nano-Sn decorated porous Si particles are coated by graphite and amorphous carbon. The addition of nano-Sn and carbonaceous materials can effectively improve the dynamic performance and the structure stability of the composite. As a result, it exhibits an initial columbic efficiency of 79% and a stable specific capacity of 825.5 mAh g-1 after 300 cycles at a current density of 1 A g-1. Besides, the Si/Sn@G-C composite exerts enhanced rate performance with 445 mAh g-1 retention at 5 A g-1. This work provides an approach to improve the electrochemical performance of Si anode materials through reasonable compositing with elements from the same family.

AmAMP1 from Acropora millepora and damicornin define a family of coral-specific antimicrobial peptides related to the Shk toxins of sea anemones

A candidate antimicrobial peptide (AmAMP1) was identified by searching the whole genome sequence of Acropora millepora for short (<125AA) cysteine-rich predicted proteins with an N-terminal signal peptide but lacking clear homologs in the SwissProt database. It resembled but was not closely related to damicornin, the only other known AMP from a coral, and was shown to be active against both Gram-negative and Gram-positive bacteria. These proteins define a family of AMPs present in corals and their close relatives, the Corallimorpharia, and are synthesised as preproproteins in which the C-terminal mature peptide contains a conserved arrangement of six cysteine residues. Consistent with the idea of a common origin for AMPs and toxins, this Cys motif is shared between the coral AMPs and the Shk neurotoxins of sea anemones. AmAMP1 is expressed at late stages of coral development, in ectodermal cells that resemble the "ganglion neurons" of Hydra, in which it has recently been demonstrated that a distinct AMP known as NDA-1 is expressed.

Rational Design of Pillared SnS/Ti3C2Tx MXene for Superior Lithium-Ion Storage

MXenes have been widely explored in energy storage because of their extraordinary properties; however, the majority of research on their application was staged at multilayered MXenes or assisted by carbon materials. Scientifically speaking, the two most distinctive properties of MXenes are usually neglected, composed of large interlayer spacing and abundant surface chemistry, which distinguish MXenes from other two-dimensional materials. Herein, few-layered MXene (f-MXene) nanosheet powders can be easily prepared according to the modified solution-phase flocculation method, completely avoiding the restacking phenomenon of f-MXene nanosheets in preparation and oxidation issues during the storage process. Via further employing the solvothermal reaction and annealing treatment, we successfully constructed pillared SnS/Ti₃C₂T_x composites decorated with in situ formed TiO₂ nanoparticles. In the composites, MXenes can play the role of a conductive network, a buffer matrix for volume expansion of SnS, while the active SnS nanoplates can fully deliver the advantage of high capacity and further induce interlayer engineering of Ti₃C₂T_x during cycling. As a result, the pillared SnS/Ti₃C₂T_x MXene composites exhibit obvious improvement in electrochemical performance. Interestingly, there is an apparent enhancement of capacity at succedent cycling, which can be ascribed to the "pillar effect" of Ti₃C₂T_x MXenes. The efforts and attempts made in this work can further broaden the development of pillared MXene composites.

Dual Immobilization of SnOx Nanoparticles by N-Doped Carbon and TiO2 for High-Performance Lithium-Ion Battery Anodes

The grain aggregation engendered kinetics failure is regarded as the main reason for the electrochemical decay of nanosized anode materials. Herein, we proposed a dual immobilization strategy to suppress the migration and aggregation of SnO_x nanoparticles and corresponding lithiation products through constructing SnO_x/TiO₂@PC composites. The N-doped carbon could anchor the tin oxide particles and inhibit their aggregation during the preparation process, leading to a uniform distribution of ultrafine SnO_x nanoparticles in the matrix. Meanwhile, the incorporated TiO₂ component works as parclose to suppress the migration and coarsening of SnO_x and corresponding lithiation products. In addition, the N-doped carbon and TiO₂/Li_xTiO₂ can significantly improve the electrical and ionic conductivities of the composites, enabling a good diffusion and charge-transfer dynamics. Owing to the dual immobilization from the "synergistic effect" of N-doped carbon and the "parclose effect" of TiO₂, the conversion reaction of SnO_x remains fully reversible throughout the cycling. Thereby, the composites exhibit excellent cycling performance in half cells and can be fully utilized in full cells. This work may provide an inspiration for the rational design of tin-based anodes for high-performance lithium-ion batteries.

Rational Design of an Electron/Ion Dual-Conductive Cathode Framework for High-Performance All-Solid-State Lithium Batteries

All-solid-state lithium batteries (ASSLBs) have been paid increasing attention because of the better security compared with conventional lithium-ion batteries with flammable organic electrolytes. However, the poor ion transport between the cathode materials greatly hinders the capacity performance of ASSLBs. Herein, an electron/ion dual-conductive electrode framework is proposed for superior performance ASSLBs. Highly electronic conductive reduced graphene oxide and carbon nanotubes interconnect with active materials in the cathodes, constructing a three-dimensional continuous electron transport network. The composite electrolyte penetrates into the porous structure of the electrode, forming a consecutive ionic conductive framework. Furthermore, the thin electrolyte film formed on the surface of the cathode effectively lowers the interfacial resistance with the electrolyte membrane. Highly electron/ion conductive electrodes, combined with the polyethylene oxide-Li_6.4La₃Zr_1.4Ta_0.6O₁₂ (PEO-LLZTO) composite electrolyte, show excellent capacity performance for both LiFePO₄ and sulfur (lithium-sulfur battery) active materials. In addition, the LiFePO₄ cathode demonstrates superior capacity performance and rate capability at room temperature. Furthermore, the relationship between the low Coulombic efficiency and Li dendrite growth has been revealed in this work. An effective layer is formed on the surface of Li metal by the simple modification of cupric fluoride (CuF₂), which can stabilize the electrolyte/anode interface. Finally, high-performance ASSLBs with high Coulombic efficiency can be achieved.

Partial Atomic Tin Nanocomplex Pillared Few-Layered Ti3C2Tx MXenes for Superior Lithium-Ion Storage

MXenes have attracted great interest in various fields, and pillared MXenes open a new path with larger interlayer spacing. However, the further study of pillared MXenes is blocked at multilayered state due to serious restacking phenomenon of few-layered MXene nanosheets. In this work, for the first time, we designed a facile NH4+ method to fundamentally solve the restacking issues of MXene nanosheets and succeeded in achieving pillared few-layered MXene. Sn nanocomplex pillared few-layered Ti3C2Tx (STCT) composites were synthesized by introducing atomic Sn nanocomplex into interlayer of pillared few-layered Ti3C2Tx MXenes via pillaring technique. The MXene matrix can inhibit Sn nanocomplex particles agglomeration and serve as conductive network. Meanwhile, the Sn nanocomplex particles can further open the interlayer spacing of Ti3C2Tx during lithiation/delithiation processes and therefore generate extra capacity. Benefiting from the "pillar effect," the STCT composites can maintain 1016 mAh g-1 after 1200 cycles at 2000 mA g-1 and deliver a stable capacity of 680 mAh g-1 at 5 A g-1, showing one of the best performances among MXene-based composites. This work will provide a new way for the development of pillared MXenes and their energy storage due to significant breakthrough from multilayered state to few-layered one.

One-Pot Synthesis of a Copolymer Micelle Crosslinked Binder with Multiple Lithium-Ion Diffusion Pathways for Lithium-Sulfur Batteries

Fast lithium-ion diffusion is very important to obtain high capacity and excellent cycling stability of lithium-sulfur batteries. In this study, a copolymer micelle crosslinked binder (FNA) for lithium-sulfur batteries was successfully synthesized through a one-pot environmentally friendly approach. The micelles were used as crosslinkers and carriers for the electrolyte. The FNA binder provided multiple lithium-ion diffusion pathways to increase the lithium-ion diffusion, which reduced the polarization of the sulfur cathode during the cycling process. The lithium-ion diffusion pathways of the FNA were provided by the electrolyte hosted in the micelles, the polyethylene oxide and polypropylene oxide segments, and the carboxylate and sulfonate groups in the FNA. In addition, FNA possesses strong lithium polysulfides adsorption and high adhesion properties. Therefore, the electrode with the FNA binder presented a reversible capacity of 571 mAh g^-1 with a capacity fade of 0.032 % after 1000 cycles at a cycling rate of 0.5 C, which is much higher than those of the polyvinylidene fluoride (PVDF) sulfur cathode.

Flowerlike Ti-Doped MoO3 Conductive Anode Fabricated by a Novel NiTi Dealloying Method: Greatly Enhanced Reversibility of the Conversion and Intercalation Reaction

Anodes made of molybdenum trioxide (MoO₃) suffer from insufficient conductivity and low catalytic reactivity. Here, we demonstrate that by using a dealloying method, we were able to fabricate anode of Ti-doped MoO₃ (Ti-MoO₃), which exhibits high catalytic reactivity, along with enhanced rate performance and cycling stability. We found that after doping, interestingly, the Ti-MoO₃ forms nanosheets and assembles into a micrometer-sized flowerlike morphology with enhanced interlayer distance. The density functional theory result has further concluded that the band gap of the Ti-doped anode has been reduced significantly, thus greatly enhancing the electronic conductivity. As a result, the structure maintains stability during the Li⁺ intercalation/deintercalation processes, which enhances the cycling stability and rate capability. This engineering strategy and one-step synthesis route opens up a new pathway in the design of anode materials.

Novel Synthesis of Red Phosphorus Nanodot/Ti3C2Tx MXenes from Low-Cost Ti3SiC2 MAX Phases for Superior Lithium- and Sodium-Ion Batteries

MXenes, synthesized from MAX, have emerged as new energy-storage materials for a good combination of metallic conductivity and rich surface chemistry. The reported MXenes are synthesized mostly from Al-based MAX. It is still a big challenge to synthesize MXenes from abundant Si-based MAX because of its strong Ti-Si bonds. Here, we report for the first time a high-energy ultrasonic cell-crushing extraction method to successfully prepare Ti₃C₂T_x MXenes from Si-based MAX using a single low-concentration etchant. This novel strategy for preparing MXenes has a high extraction efficiency and is a fast preparation process of less than 2 h for selective etching of Si. Furthermore, through the high-energy ball-milling technology, unique P-O-Ti bonded red phosphorus nanodot/Ti₃C₂T_x (PTCT) composites were successfully prepared, which enable superior electrochemical performance in lithium- and sodium-ion batteries because of the double-morphology structure, where the amorphous nano red phosphorus particles were strongly absorbed to Ti₃C₂T_x MXene sheets, facilitating the transport of alkali ions during cycling processes. This novel synthesis method of Ti₃C₂T_x MXenes from Si-based MAX and unique P-O-Ti bonded PTCT composites opens a new door for preparing high-performance MXene-based materials and facilitating the development of low-cost MXenes and other two-dimensional materials for next-generation energy storage.

Preparation of an Amorphous Cross-Linked Binder for Silicon Anodes

An amorphous cross-linked binder is prepared from abundant and low-cost sodium alginate and carboxymethyl cellulose by protonation and mixing and is used to improve the electrochemical performance of silicon anodes in lithium-ion batteries. The amorphous cross-linked structure, formed by intermolecular hydrogen bonding between the functional groups in the two polymers, effectively enhances the flexibility and strength of the binder, resulting in strong adhesion between the binder and other components in the silicon anodes. Furthermore, the binder tolerates large volume changes and reduces the pulverization of silicon during the charge-discharge process. The hydrogen bonding in the binder helps to maintain the anode integrity during the volume change, leading to an excellent cycling stability and superior rate capability with a capacity of 1863 mAh g^-1 at 500 mA g^-1 after 150 cycles.

Vapor Deposition Red Phosphorus to Prepare Nitrogen-Doped Ti3C2Tx MXenes Composites for Lithium-Ion Batteries

MXenes have great application prospect in energy storage fields due to a series of special physicochemical properties. However, the application of MXenes is greatly limited due to low intrinsic capacity. Here, through spray drying and vapor deposition methods, N-doped Ti₃C₂T_x and phosphorus composites (N-Ti₃C₂T_x/P) were prepared for the first time. The red phosphorus particles were absorbed to a walnut-like N-Ti₃C₂T_x matrix, facilitating the transport of Li⁺ and electrons. When used as anodes for lithium-ion batteries, the battery can cycle up to 1040 cycles with a high stable capacity of 801 mAh/g at 500 mA/g. Impressively, there is an obvious increase of capacity in the subsequent cycles at higher current density due to the increment of interlayer spacing of Ti₃C₂T_x nanosheets. XPS measurements confirm that the Ti-O-P bond was formed in the composites, granting the robust structure of the composites and leading to superior performances during cycling. The facile synthesis method of red phosphorus by vapor deposition will facilitate the development of other 2D materials combined with high-capacity red phosphorus for energy storage.

The relationship of platelet to lymphocyte ratio and neutrophil to monocyte ratio to radiographic grades of knee osteoarthritis

OBJECTIVE

Accumulating data show that platelet to lymphocyte ratio (PLR) and neutrophil to monocyte ratio (NMR) undergo changes during inflammation in various diseases; however, the clinical features remain unclear in knee osteoarthritis (OA) patients. The purpose of our study was to evaluate PLR and NMR in knee OA patients, and assess their relationship to knee OA's radiographic grades.

METHODS

A retrospective study on 132 adult knee OA patients and 162 healthy controls (HC) was performed. All clinical characteristics of the knee OA patients were obtained from their medical records. PLR and NMR were compared between knee OA patients and HC by non-parametric tests. Correlations of PLR and NMR with Kellgren-Lawrence (KL) classification (KL grade 2, KL grade 3, and KL grade 4) were also analyzed through a Spearman correlation test. Ordinal polytomous logistic regression was used to determine independent factors influencing radiographic grades of knee OA patients.

RESULTS

PLR was increased significantly in knee OA patients, while a statistical difference in NMR was not observed. However, PLR was not relevant to KL grades, while NMR was negatively correlated with these (r = -0.330, P < 0.01) and was independently associated with KL grades of knee OA.

CONCLUSION

PLR could reflect the inflammation response of knee OA. NMR emerged as an independent factor and could be used as a potential marker indicating the severity of knee OA.

Characteristics and Follow-Up of 13 pedigrees with Gitelman syndrome

CONTEXT

Gitelman syndrome (GS) is clinically heterogeneous. The genotype and phenotype correlation has not been well established. Though the long-term prognosis is considered to be favorable, hypokalemia is difficult to cure.

OBJECTIVE

To analyze the clinical and genetic characteristics and treatment of all members of 13 GS pedigrees.

METHODS

Thirteen pedigrees (86 members, 17 GS patients) were enrolled. Symptoms and management, laboratory findings, and genotype-phenotype associations among all the members were analyzed.

RESULTS

The average ages at onset and diagnosis were 27.6 ± 10.2 years and 37.9 ± 11.6 years, respectively. Males were an average of 10 years younger and exhibited more profound hypokalemia than females. Eighteen mutations were detected. Two novel mutations (p.W939X, p.G212S) were predicted to be pathogenic by bioinformatic analysis. GS patients exhibited the lowest blood pressure, serum K⁺, Mg²⁺, and 24-h urinary Ca²⁺ levels. Although blood pressure, serum K⁺ and Mg²⁺ levels were normal in heterozygous carriers, 24-h urinary Na⁺ excretion was significantly increased. During follow-up, only 41.2% of patients reached a normal serum K⁺ level. Over 80% of patients achieved a normal Mg²⁺ level. Patients were taking 2-3 medications at higher doses than usual prescription to stabilize their K⁺ levels. Six patients were taking spironolactone simultaneously, but no significant elevation in the serum K⁺ level was observed.

CONCLUSION

The phenotypic variability of GS and therapeutic strategies deserve further research to improve GS diagnosis and prognosis. Even heterozygous carriers exhibited increased 24-h Na⁺ urine excretion, which may make them more susceptible to diuretic-induced hypokalemia.

A New Intermetallic NiSn5 Phase: Induced Synthesis, Crystal Structure Resolution, and Investigation of Its Mechanism

Benefiting from the nanoscale effect, some metastable compounds can be synthesized in nanoparticles under normal conditions. The new intermetallic NiSn₅ phase is synthesized by us for the first time by using a seed crystal induction method. This tetragonal phase in the P4/ mcc space group has stoichiometric Ni atom defects, yielding Ni_0.62Sn₅. A study of the growth mechanism reveals that the FeSn₅/CoSn₅ seed crystal plays a vital role in the formation of the NiSn₅ phase. An investigation of the phase evolution during lithiation/delithiation processes indicates the irreversibility of NiSn₅ as an anode for lithium ion batteries.

New, Effective, and Low-Cost Dual-Functional Binder for Porous Silicon Anodes in Lithium-Ion Batteries

In this work, a new effective and low-cost binder applied in porous silicon anode is designed through blending of low-cost poly(acrylic acid) (PAA) and poly(ethylene- co-vinyl acetate) (EVA) latex (PAA/EVA) to avoid pulverization of electrodes and loss of electronic contact because of huge volume changes during repeated charge/discharge cycles. PAA with a large number of carboxyl groups offers strong binding strength among porous silicon particles. EVA with high elastic property enhances the ductility of the PAA/EVA binder. The high-ductility PAA/EVA binder tolerates the huge silicon volume variations and keeps the electrode integrity during the charge/discharge cycle process. EVA colloids acting as host materials for electrolytes increase the electrolyte uptake of electrodes. The porous silicon electrode with the PAA/EVA binder exhibits a reversible capacity of 2120 mA h g^-1 at 500 mA g^-1 after 140 cycles because of the excellent ductility and lithium-ion transport properties of the PAA/EVA binder.

Ultra-stable binder-free rechargeable Li/I2 batteries enabled by "Betadine" chemical interaction

An activated carbon cloth/polymer-iodine (ACC/PVP-I2) composite was prepared by the "Betadine" method and employed as a high-performance cathode for rechargeable Li/I2 batteries. Due to the synergistic effect of ACC and PVP-I2, Li/I2 cells with ACC/PVP-I2 as the cathode exhibited superior electrochemical performance.

Polyiodide-Shuttle Restricting Polymer Cathode for Rechargeable Lithium/Iodine Battery with Ultralong Cycle Life

Rechargeable lithium/iodine (Li/I₂) batteries have attracted much attention because of their high gravimetric/volumetric energy densities, natural abundance and low cost. However, problems of the system, such as highly unstable iodine species under high temperature, their subsequent dissolution in electrolyte and continually reacting with lithium anode prevent the practical use of rechargeable Li/I₂ cells. A polymer-iodine composite (polyvinylpyrrolidone-iodine) with high thermostability is employed as cathode material in rechargeable Li/I₂ battery with an organic electrolyte. Because of the chemical interaction between polyvinylpyrrolidone (PVP) and polyiodide, most of the polyiodide in the cathode could be effectively trapped during charging/discharging. In-situ Raman observation revealed the evolution of iodine species in this system could be controlled during the process of I₅^- ↔ I₃^- ↔ I^-. Herein, the Li/I₂ battery delivered a high discharge capacity of 278 mAh g^-1 at 0.2 C and exhibited a very low capacity decay rate of 0.019% per cycle for prolonged 1100 charge/discharge cycles at 2 C. More importantly, a high areal capacity of 4.1 mAh cm^-2 was achieved for the electrode with high iodine loading of 21.2 mg cm^-2. This work may inspire new approach to design the Li/I₂ (or Li/polyiodide) system with long cycle life.

Metallic Sn-Based Anode Materials: Application in High-Performance Lithium-Ion and Sodium-Ion Batteries

With the fast-growing demand for green and safe energy sources, rechargeable ion batteries have gradually occupied the major current market of energy storage devices due to their advantages of high capacities, long cycling life, superior rate ability, and so on. Metallic Sn-based anodes are perceived as one of the most promising alternatives to the conventional graphite anode and have attracted great attention due to the high theoretical capacities of Sn in both lithium-ion batteries (LIBs) (994 mA h g-1) and sodium-ion batteries (847 mA h g-1). Though Sony has used Sn-Co-C nanocomposites as its commercial LIB anodes, to develop even better batteries using metallic Sn-based anodes there are still two main obstacles that must be overcome: poor cycling stability and low coulombic efficiency. In this review, the latest and most outstanding developments in metallic Sn-based anodes for LIBs and SIBs are summarized. And it covers the modification strategies including size control, alloying, and structure design to effectually improve the electrochemical properties. The superiorities and limitations are analyzed and discussed, aiming to provide an in-depth understanding of the theoretical works and practical developments of metallic Sn-based anode materials.

Effect of nucleoside analogues in the treatment of hepatitis B cirrhosis and its effect on Th17 cell

OBJECTIVE

We conducted this study to analyze the effects of nucleoside analogues in the treatment of hepatitis B cirrhosis and its effect on Th17 cells.

PATIENTS AND METHODS

120 patients were randomly divided into lamivudine combined with adefovir dipivoxil group (combined group) and entecavir group. There were 59 cases in the combined group and 59 cases in entecavir group. The combined group was administered lamivudine 100 mg/d + adefovir dipivoxil 10 mg/d and entecavir group was administered entecavir 0.5 mg/d. The treatment was continued until there was virus negativity and it maintains for at least 3 months.

RESULTS

The treatment effects were compared. We compared the average rate of viral clearance time and virus clearance of two groups of patients; the difference was not statistically significant (p>0.05). The relapse rate after a negative test of entecavir group was lower than that of the combined group (p<0.05). Before and after treatment, the levels of TBIL, ALT and ALB in the two groups were compared; the differences were not statistically significant (p>0.05). The Th17 cell proportion and the level of IL-17 after treatment of the entecavir group were lower than those before treatment. The combined group exhibited no change, and the entecavir group was lower than combined group; the differences were statistically significant (p<0.05).

CONCLUSIONS

Therefore, the effects of the combination of lamivudine and adefovir dipivoxil is the same as single entecavir treatment of hepatitis B cirrhosis suppression of viral replication. It does not increase liver injury and the antiviral effects of entecavir may be related to inhibition of the expression of Th17 cells and effector molecules IL-17.

Facial Synthesis of Three-Dimensional Cross-Linked Cage for High-Performance Lithium Storage

Silicon/C composite is a promising anode material for high-energy Li-ion batteries. However, synthesizing high-performance Si-based materials at large scale and low cost remains a huge challenge. Here, we for the first time report the preparation of an interconnected three-dimensional (3D) porous Si-hybrid architecture by using a spray drying method. In this unique structure, the highly robust C-CNT-RGO cages not only can improve the conductivity of the electrode and buffer the volume expansion but also suppress the Si nanoparticles aggregation. As a result, the 3D Si@po-C/CNT/RGO electrode achieves long-life cycling stability at high rates (a reversible capacity of 854.9 mA h g(-1) at 2 A g(-1) after 500 cycles and capacity decay less than 0.013% per cycle) and good rate capability (1454.7, 1198.8, 949.2, 597.8, and 150 mA h g(-1) at current densities of 1, 2, 4, 10, and 20 A g(-1), respectively). Moreover, this novel electrode could deliver high reversible capacities and long-life stabilities even with high mass loading density (764.9 mA h g(-1) at 1.0 mg cm(-2) after 500 cycles and 472.2 mA h g(-1) at 1.5 mg cm(-2) after 400 cycles, respectively). This cheap and scalable strategy can be extended to fabricate other materials with large volume expansion (Sn, Ge, transition-metal oxides) and 3D porous carbon for other potential applications.

Frailty and Health-Related Quality of Life in End Stage Renal Disease Patients of All Ages

BACKGROUND: Frailty is associated with worse health-related quality of life (HRQOL) in older adults and worse clinical outcomes in adults of all ages with end stage renal disease (ESRD). It is unclear whether frail adults of all ages with ESRD are more likely to experience worse HRQOL. OBJECTIVE: The goal of this study was to identify factors associated with worsening HRQOL in this population. DESIGN, SETTING AND MEASUREMENTS: We studied 233 adults of all ages with ESRD enrolled (11/2009-11/2013) in a longitudinal cohort study. Frailty status was measured at enrollment and HRQOL was reported (Excellent, Very Good, Good, Fair or Poor) at the initial assessment and follow-up (median follow-up 9.4 months). We studied factors associated with Fair/Poor HRQOL at follow-up using logistic regression and factors associated with HRQOL change using multinomial regression. All models were adjusted for age, sex, race, education, BMI, diabetes status, history of a previous transplant, type of dialysis and time between assessments. RESULTS: Fair/Poor HRQOL was reported by 28% at initial assessment and 33% at follow-up. 47.2% of participants had stable HRQOL, 22.8% better HRQOL, and 30.0% worse HRQOL at follow-up (P<0.001). In adjusted models, only frailty was associated with Fair/Poor HRQOL at follow-up (OR: 2.79, 95% CI: 1.32-5.90) and worsening HRQOL at follow-up (RR: 2.91, 95%CI: 1.08-7.80). CONCLUSIONS: Frail adults of all ages with ESRD are more likely to experience fair/poor HRQOL and worsening HRQOL over time. Frailty represents a state of decreased physiologic reserve that impacts not only clinical outcomes but also the patient-centered outcome of HRQOL.