Exceptionally High Perfluorooctanoic Acid Uptake in Water by a Zirconium-Based Metal-Organic Framework through Synergistic Chemical and Physical Adsorption

Perfluorooctanoic acid (PFOA) is an environmental contaminant ubiquitous in water resources, which as a xenobiotic and carcinogenic agent, severely endangers human health. The development of techniques for its efficient removal is therefore highly sought after. Herein, we demonstrate an unprecedented zirconium-based MOF (PCN-999) possessing Zr6 and biformate-bridged (Zr6)2 clusters simultaneously, which exhibits an exceptional PFOA uptake of 1089 mg/g (2.63 mmol/g), representing a ca. 50% increase over the previous record for MOFs. Single-crystal X-ray diffraction studies and computational analysis revealed that the (Zr6)2 clusters offer additional open coordination sites for hosting PFOA. The coordinated PFOAs further enhance the interaction between coordinated and free PFOAs for physical adsorption, boosting the adsorption capacity to an unparalleled high standard. Our findings represent a major step forward in the fundamental understanding of the MOF-based PFOA removal mechanism, paving the way toward the rational design of next-generation adsorbents for per- and polyfluoroalkyl substance (PFAS) removal.

Bridging Homogeneous and Heterogeneous Catalysis: Phosphine-Functionalized Metal-Organic Frameworks

Phosphine-functionalized metal-organic frameworks (P-MOFs) as an emerging class of coordination polymers, have provided novel opportunities for the development of heterogeneous catalysts. Yet, compared with the ubiquitous phosphine systems in homogeneous catalysis, heterogenization of phosphines in MOFs is still at its early stage. In this Minireview, we summarize the synthetic strategies, characterization and catalytic reactions based on the P-MOFs reported in literature. In particular, various catalytic reactions are discussed in detail in terms of phosphine ligand structure-function relationship, including the potential obstacles for future development. Finally, we discuss the possible solutions, including new types of reactions and techniques as the perspectives for the development of P-MOF catalysts, highlighting the opportunities and challenges.

Prediction of Fuhrman grade of renal clear cell carcinoma by multimodal MRI radiomics: a retrospective study

AIM

To explore the value of multimodal magnetic resonance imaging (MRI) radiomics combined with traditional radiologist-defined semantic characteristics and conventional (cMRI) and functional MRI (fMRI) texture features in predicting Fuhrman grade of clear cell renal cell carcinoma (ccRCC).

MATERIALS AND METHODS

The data of 89 patients with histopathologically proven ccRCC (low-grade, 54; high-grade, 35) were collected. Texture features were extracted from cMRI (T1- and T2-weighted imaging) and fMRI (Dixon-MRI; blood-oxygen-level dependent [BOLD]-MRI; and susceptibility-weighted imaging [SWI]) images, and the traditional characteristics (TC) were evaluated. Logistic regression analysis was performed to develop models based on TC, cMRI, and fMRI texture features for grading. Receiver operating characteristic (ROC) curve analysis and leave-group-out cross-validation (LGOCV) were performed to test the reliability of combined models.

RESULTS

Two T2-weighted imaging-based, two Dixon_W-based, one Dixon_F-based, one BOLD-based, and three SWI-based texture features, and three TC were extracted for feature selection. TC, cMRI, fMRI, cMRI+fMRI, cMRI+TC, fMRI+TC, and cMRI+fMRI+TC models were constructed. The AUC of the cMRI+fMRI+TC model for differentiating high- from low-grade ccRCC was 0.74, with 81.42% accuracy, 75.93% sensitivity, and 91.43% specificity. The fMRI+TC model exhibited a performance similar to that of the cMRI+fMRI+TC model (p>0.05). The areas under the curve (AUCs) of the fMRI+TC and cMRI+fMRI+TC models were significantly higher than those of the other five models (all p<0.05). For the cMRI+fMRI+TC model, the mean accuracy was 85.40% after 100 LGOCV for the test sets.

CONCLUSION

Multimodal MRI radiomics combined with TC, cMRI, and fMRI texture features may be a reliable quantitative approach for differentiating high-grade ccRCC from low-grade ccRCC.

Integrating Photoactive Ligands into Crystalline Ultrathin 2D Metal-Organic Framework Nanosheets for Efficient Photoinduced Energy Transfer

3D metal-organic frameworks (MOFs) have gained attention as heterogeneous photocatalysts due to their porosity and unique host-guest interactions. Despite their potential, MOFs face challenges, such as inefficient mass transport and limited light penetration in photoinduced energy transfer processes. Recent advancements in organic photocatalysis have uncovered a variety of photoactive cores, while their heterogenization remains an underexplored area with great potential to build MOFs. This gap is bridged by incorporating photoactive cores into 2D MOF nanosheets, a process that merges the realms of small-molecule photochemistry and MOF chemistry. This approach results in recyclable heterogeneous photocatalysts that exhibit an improved mass transfer efficiency. This research demonstrates a bottom-up synthetic method for embedding photoactive cores into 2D MOF nanosheets, successfully producing variants such as PCN-641-NS, PCN-643-NS, and PCN-644-NS. The synthetic conditions were systematically studied to optimize the crystallinity and morphology of these 2D MOF nanosheets. Enhanced host-guest interactions in these 2D structures were confirmed through various techniques, particularly solid-state NMR studies. Additionally, the efficiency of photoinduced energy transfer in these nanosheets was evidenced through photoborylation reactions and the generation of reactive oxygen species (ROS).

Anisotropic flexibility and rigidification in a TPE-based Zr-MOFs with scu topology

Tetraphenylethylene (TPE)-based ligands are appealing for constructing metal-organic frameworks (MOFs) with new functions and responsiveness. Here, we report a non-interpenetrated TPE-based scu Zr-MOF with anisotropic flexibility, that is, Zr-TCPE (H4TCPE = 1,1,2,2-tetra(4-carboxylphenyl)ethylene), remaining two anisotropic pockets. The framework flexibility is further anisotropically rigidified by installing linkers individually at specific pockets. By individually installing dicarboxylic acid L1 or L2 at pocket A or B, the framework flexibility along the b-axis or c-axis is rigidified, and the intermolecular or intramolecular motions of organic ligands are restricted, respectively. Synergistically, with dual linker installation, the flexibility is completely rigidified with the restriction of ligand motion, resulting in MOFs with enhanced stability and improved separation ability. Furthermore, in situ observation of the flipping of the phenyl ring and its rigidification process is made by 2H solid-state NMR. The anisotropic rigidification of flexibility in scu Zr-MOFs guides the directional control of ligand motion for designing stimuli-responsive emitting or efficient separation materials.

Monitoring the Activation of Open Metal Sites in [FexM3-x(μ3-O)] Cluster-Based Metal-Organic Frameworks by Single-Crystal X-ray Diffraction

While trinuclear [FexM3-x(μ3-O)] cluster-based metal-organic frameworks (MOFs) have found wide applications in gas storage and catalysis, it is still challenging to identify the structure of open metal sites obtained through proper activations and understand their influence on the adsorption and catalytic properties. Herein, we use in situ variable-temperature single-crystal X-ray diffraction to monitor the structural evolution of [FexM3-x(μ3-O)]-based MOFs (PCN-250, M = Ni2+, Co2+, Zn2+, Mg2+) upon thermal activation and provide the snapshots of metal sites at different temperatures. The exposure of open Fe3+ sites was observed along with the transformation of Fe3+ coordination geometries from octahedron to square pyramid. Furthermore, the effect of divalent metals in heterometallic PCN-250 was studied for the purpose of reducing the activation temperature and increasing the number of open metal sites. The metal site structures were corroborated by X-ray absorption and infrared spectroscopy. These results will not only guide the pretreatment of [FexM3-x(μ3-O)]-based MOFs but also corroborate spectral and computational studies on these materials.

Three-Dimensional Covalent Organic Frameworks with Topology

Reticular chemistry allows the control of crystalline frameworks at atomic precision according to the predesigned topological structures. However, only a limited number of topological structures of three-dimensional (3D) covalent organic frameworks (COFs) have been established. In this work, we developed a series of 3D COFs with an unprecedented she topology, which were constructed with D_3d- and D_4h-symmetric building blocks. The resulting COFs crystallize in a space group of Im3̅m, in which each D_3d unit connects with six D_4h units to form a noninterpenetrated network with a uniform pore size of 2.0 nm. In addition, these COFs exhibited high crystallinity, excellent porosity, and good chemical and thermal stability. The crystalline structures, composition, and physicochemical properties of these networks were unambiguously characterized. Notably, the inbuilt porphyrin units render these COFs as efficient catalysts for photoredox C-C bond forming and photocatalytic carbon dioxide reduction reactions. Thus, this work constitutes a new approach for the construction of 3D she-net COFs and also enhances the structural diversity and complexity of COFs.

Linker Scissoring Strategy Enables Precise Shaping of Metal-Organic Frameworks for Chromatographic Separation

Precise shaping of metal-organic frameworks (MOFs) is significant in both fundamental coordination chemistry and practical applications, such as catalysis, separation, and biomedicine. Herein, we demonstrated a linker scissoring strategy for precisely shaping MOFs through surface conformational pairing. In this strategy, the bidentate linkers which were designed according to the original tetratopic ligands and the coordination environment of MOF surfaces, were utilized as the covering agents. The shape of these covering agents and the surface conformation of metals onto MOFs restricted them to coordinate on specific MOF facets thus precisely controlling the shape of the MOFs. Different shapes of PCN-608 from nanoplate (PCN-NP) to nanorod (PCN-NR) have been targeted by adding different bidentate linkers. The universality of this strategy was demonstrated by controlling the shapes of the NU-MOFs from nanoplate to nanorod. This strategy provides a new guiding principle to synthesize MOF nanocrystals with controlled shapes.

Pregnancy outcome after in-vitro fertilization/intracytoplasmic sperm injection in women with congenital uterus didelphys

OBJECTIVE

To investigate the pregnancy and obstetric outcomes of patients with congenital uterus didelphys who achieved clinical pregnancy after in-vitro fertilization (IVF)/intracytoplasmic sperm injection (ICSI).

METHODS

This was a retrospective matched-cohort study of 83 infertile patients with uterus didelphys who underwent IVF/ICSI and achieved clinical pregnancy from January 2005 to December 2018 at our center. For each patient in the study group, three control patients with normal uterine morphology who underwent IVF/ICSI in 2018 were selected randomly. Patients in the two groups were matched for number of gestational sacs, maternal age, infertility type, cause of infertility, fertilization method, endometrial thickness 1 day before embryo transfer and number of embryos transferred. The classification of congenital uterine anomalies was based on the American Fertility Society system (1988). The pregnancy and obstetric outcomes of the didelphic and control groups were compared separately for singleton and twin pregnancies, and for all pregnancies combined.

RESULTS

In singleton pregnancies, women with uterus didelphys had increased risk of preterm birth (odds ratio (OR), 4.68; rate difference (RD), 0.14; P < 0.001), Cesarean section (OR, 2.80; RD, 0.17; P = 0.016) and birth weight < 2500 g (OR, 4.06; RD, 0.10; P = 0.017) compared to women with normal uterine morphology. In twin pregnancies, the presence of uterus didelphys was associated with increased risk of preterm delivery (OR, 4.79; RD, 0.37; P = 0.006), perinatal mortality (OR, 3.16; RD, 0.19; P = 0.043) and birth weight < 2500 g (OR, 9.57; RD, 0.35; P = 0.001).

CONCLUSIONS

The presence of uterus didelphys was associated with significantly increased risk of some adverse pregnancy outcomes compared to pregnancies with normal uterine morphology in women who underwent IVF/ICSI. A twin pregnancy in women with uterus didelphys was associated with worse perinatal outcome. © 2021 International Society of Ultrasound in Obstetrics and Gynecology.

Neutral particles pushed or pulled by laser pulses: erratum

We present an erratum to our Letter [Opt. Lett.41, 230 (2016)10.1364/OL.41.000230]. This erratum corrects three typing errors. The corrections have no influence on the results and conclusions of the original Letter.

Influence of Metal Identity on Light-Induced Switchable Adsorption in Azobenzene-Based Metal-Organic Frameworks

Energy-efficient capture and release of small gas molecules, particularly carbon dioxide (CO₂) and methane (CH₄), are of significant interest in academia and industry. Porous materials such as metal-organic frameworks (MOFs) have been extensively studied, as their ultrahigh porosities and tunability enable significant amounts of gas to be adsorbed while also allowing specific applications to be targeted. However, because of the microporous nature of MOFs, the gas adsorption performance is dominated by high uptake capacity at low pressures, limiting their application. Hence, methods involving stimuli-responsive materials, particularly light-induced switchable adsorption (LISA), offer a unique alternative to thermal methods. Here, we report the mechanism of a well-known LISA system, the azobenzene-based material PCN-250, for CO₂ and CH₄ adsorption. There is a noticeable difference in the LISA effect dependent on the metal cluster involved, with the most significant being PCN-250-Al, where the adsorption can change by 83.1% CH₄ and 56.1% CO₂ at 298 K and 1 bar and inducing volumetric storage changes of 36.2 and 33.9 cm³/cm³ at 298 K between 5 and 85 bar (CH₄) and 2 and 9 bar (CO₂), respectively. Using UV light in both single-crystal X-ray diffraction and gas adsorption testing, we show that upon photoirradiation, the framework undergoes a "localized heating" phenomenon comparable to an increase of 130 K for PCN-250-Fe and improves the working capacity. This process functions because of the constrained nature of the ligand, preventing the typical trans-to-cis isomerization observed in free azobenzene. In addition, we observed that the degree of localized heating is highly dependent on the metal cluster involved, with the series of isostructural PCN-250 systems showing variable performance based upon the degree of interaction between the ligand and the metal center.

Homogeneously Mixing Different Metal-Organic Framework Structures in Single Nanocrystals through Forming Solid Solutions

Pore engineering plays a significant role in the applications of porous materials, especially in the area of separation and catalysis. Here, we demonstrated a metal-organic framework (MOF) solid solution (MOSS) strategy to homogeneously and controllably mix NU-1000 and NU-901 structures inside single MOF nanocrystals. The key for the homogeneous mixing and forming of MOSS was the bidentate modulator, which was designed to have a slightly longer distance between two carboxylate groups than the original tetratopic ligand. All of the MOSS nanocrystals showed a uniform pore size distribution with a well-tuned ratio of mesopores to micropores. Because of the appropriate pore ratio, MOSS nanocrystals can balance the thermodynamic interactions and kinetic diffusion of the substrates, thus showing exceedingly higher separation abilities and a unique elution sequence. Our work proposes a rational strategy to design mixed-porous MOFs with controlled pore ratios and provides a new direction to design homogeneously mixed MOFs with a high separation ability and unique separation selectivity.

Enhancing the photothermal conversion of tetrathiafulvalene-based MOFs by redox doping and plasmon resonance

Near-infrared (NIR) photothermal materials hold great promise for use in several applications, particularly in photothermal therapy, diagnosis, and imaging. However, current NIR responsive materials often show narrow absorption bands and low absorption efficiency, and have long response times. Herein, we demonstrate that the NIR absorption of tetrathiafulvalene-based metal–organic frameworks (MOFs) can be tuned by redox doping and using plasmonic nanoparticles. In this work, a MOF containing redox-active tetrathiafulvalene (TTF) units and Dy-carboxylate chains was constructed, Dy-m-TTFTB. The NIR absorption of the as-synthesized Dy-m-TTFTB was further enhanced by Ag⁺ or I₂ oxidation, transforming the neutral TTF into a TTF˙⁺ radical state. Interestingly, treatment with Ag⁺ not only generated TTF˙⁺ radicals, but it also formed Ag nanoparticles (NPs) in situ within the MOF pores. With both TTF˙⁺ radicals and Ag NPs, Ag NPs@Dy-m-TTFTB was shown to exhibit a wide range of absorption wavelengths (200–1000 nm) and also a high NIR photothermal conversion. When the system was irradiated with an 808 nm laser (energy power of 0.7 W cm⁻²), Ag NPs@Dy-m-TTFTB showed a sharp temperature increase of 239.8 °C. This increase was higher than that of pristine Dy-m-TTFTB (90.1 °C) or I₂ treated I₃⁻@Dy-m-TTFTB (213.0 °C).

The photo-response of the redox-active metal–organic framework has been systematically tuned by incorporating plasmonic Ag nanoparticles and tetrathiafulvalene radicals, resulting in efficient near-infrared photothermal conversion materials.

Site-Isolated Azobenzene-Containing Metal-Organic Framework for Cyclopalladated Catalyzed Suzuki-Miyuara Coupling in Flow

Sites isolation of active metals centers, systematically studied in homogeneous systems, has been an alternative to develop low metal consuming, highly active next generation catalysts in heterogeneous condition. Because of the high porosity and facile synthetic procedures, MOF-based catalysts are excellent candidates for heterogenization of well-defined homogeneous catalysts. Herein, we report the direct Pd coordination on the azobenzene linker within a MOF catalyst through a postsynthetic modification method for a Suzuki-Miyaura coupling reaction. The immobilized cyclopalladated complexes in MOFs were analyzed by a series of characterization techniques including XPS, PXRD, and deuterium NMR (2H NMR) spectroscopy. The heterogeneous nature of the catalyst as well as its stability were demonstrated though "hot filtration" and recycling experiments. Furthermore, we demonstrate that the MOF packed column promoted the reaction between phenyl boronic acid and bromobenzene under microflow conditions with a 85% yield continuously for 12 h. This work sheds light on the potential of site-isolated MOF catalysts in efficient, recyclable and continuous flow systems for industrial application.

Stable Bimetallic Polyphthalocyanine Covalent Organic Frameworks as Superior Electrocatalysts

The development of highly stable covalent organic frameworks (COFs) is extremely compelling for their implementation in practical application. In this work, we rationally designed and synthesized new kinds of ultrastable bimetallic polyphthalocyanine COFs, which are constructed with the dioxin linkage through the nucleophilic aromatic substitution between octahydroxylphthalocyanine and hexadecafluorophthalocyanine. The resulting bimetallic CuPcF₈-CoPc-COF and CuPcF₈-CoNPc-COF exhibited strong robustness under harsh conditions. The eclipsed stacking mode of metallophthalocyanine units supplies a high-speed pathway for electron transfer. With these structural advantages, both COFs displayed considerable activity, selectivity, and stability toward electrocatalytic CO₂ reduction in an aqueous system. Notably, CuPcF₈-CoNPc-COF showed a faradaic efficiency of 97% and an exceptionally high turnover frequency of 2.87 s^-1, which is superior to most COF-based electrocatalysts. Furthermore, the catalytic mechanism was well demonstrated by using a theoretical calculation. This work not only expanded the variety of dioxin-linked COFs, but also constituted a new step toward their practical use in carbon cycle.

Precise Spatial-Designed Metal-Organic-Framework Nanosheets for Efficient Energy Transfer and Photocatalysis

High-efficiency photocatalysis in metal-organic frameworks (MOF) and MOF nanosheets (NSs) are often limited by their short-lived charge separation as well as self-quenching. Here, we propose to use the energy-transfer process (EnT) to increase charge separation, thus enhancing the catalytic performance of a series of MOF NSs. With the use of NS, the photocatalyst can also be well isolated to reduce self-quenching. Tetrakis(4-carboxyphenyl) porphyrin (H₄ TCPP) and 1,3,6,8-tetrakis(p-benzoic acid)pyrene (H₄ TBAPy) linkers were chosen as the acceptor and donor moieties, respectively. Accounting for the precise spatial design afforded by the MOF NSs, the donor and acceptor moieties could be closely positioned on the NSs, allowing for an efficient EnT process as well as a high degree of site isolation. Two templates, donor-on-acceptor NS and acceptor-on-donor NS catalysts, were successfully synthesized, and the results show that the second one has much enhanced catalytic performances over the first one due to site-isolated active photocatalysts.

The impact of maternal hypothyroidism on the prevalence of preeclampsia in a contemporary nationwide cohort

Introduction

Hypothyroidism is common with a prevalence of 3.7% in the general population and 3.1% in women of childbearing age (12–49) in the United State of America (USA) according to the National Health and Nutrition Examination Survey. Studies have found an increased prevalence of hypertension in patients with hypothyroidism. However, there is a dearth of literature exploring the association between hypothyroidism and hypertensive disorders in pregnancy, especially preeclampsia. Our study aims to fill that void.

Purpose

To examine the association between hypothyroidism and preeclampsia.

Methods

We conducted a retrospective cohort study using the latest available data from the USA National Inpatient Sample (2016). Using the ICD-10 codes, we identified patients admitted with a primary diagnosis of delivery and classified them into two cohorts based on the presence or absence of hypothyroidism. We compared the prevalence of preeclampsia and eclampsia among the patient with and without hypothyroidism. We used propensity score matching for age, hypertension, hyperlipidemia, obesity, anemia, hyperthyroidism, sleep apnea, chronic kidney disease, and smoking and repeated the analysis.

Results

We identified 752,054 patients who were admitted for delivery from January 1, 2016 to December 31, 2016. Of these, 726,769 did not have hypothyroidism and 25,285 had hypothyroidism. In the unmatched cohort, 1,572 patients had preeclampsia (6.2%, p&lt;0.001) in the hypothyroidism group and 32,539 (4.5%, p&lt;0.001) patients had preeclampsia in the non-hypothyroidism group. In the unmatched cohort, there was a significantly higher proportion of obesity (13.8% vs 8.2%, p&lt;0.001) and diabetes (3.3% vs 0.9%, p&lt;0.001) in the hypothyroidism group compared to the non hypothyroidism group. There were 25,282 patients in each group after propensity score matching. In the matched cohort, the prevalence of preeclampsia was still high in the hypothyroidism group compared to the non hypothyroidism group (6.2% vs 4.9, p&lt;0.001). The LOS was longer in the hypothyroidism group compared to the non hypothyroidism group (2.99±2.90 vs 2.75±2.42, p&lt;0.001). There was no statistical difference in the prevalence of eclampsia between the two groups (26 patients vs 30 patients, p=0.688). The difference in outcomes of death, cardiac arrest, acute kidney injury, acute respiratory failure and stroke were not statistically significant between these two groups.

Conclusion

Our study shows that hypothyroidism is associated with an increased prevalence of preeclampsia. The association existed even after propensity score matching for other common risk factors for preeclampsia. Given the retrospective nature of the study, we could not establish causation. Further prospective studies are required to find out if hypothyroidism leads to increased incidence of preeclampsia and if patients from hypothyroidism would benefit from prophylaxis for preeclampsia.

Funding Acknowledgement

Type of funding sources: None. Study design

1026 Assessing the Reliability of 3D Imaging for Wound Measurements

Aim

To investigate the inter and intra reliability of using 3D imaging to measure wounds.

Method

20 wound models of 4 different shaped wounds in 5 different colours were created from plastic mouldable beads. 3D images were taken using the BlasterX Senz3D camera and measured using the GPC Wound Measure application (version 3.15.0.0, UK). Intra-user reliability was determined comparing 20 wound measurements of each wound model. Inter-user reliability was determined by 5 different clinicians photographing each model and independently measuring each wound photo. The inter- and intra-rater measurements for wound surface area and volume were compared using the ICC and differences from the overall mean plotted on Bland-Altman graphs.

Results

The interclass co-efficient (ICC) for inter-rater reliability in measuring surface area was 0.958 (95% CI 0.919-0.981, p &lt; 0.005). The intra-rater reliability when measuring wound surface area was 0.996 (95% CI 0.993-0.998, p &lt; 0.005). For wound volume, the ICC for inter-rater reliability was 0.925 (95% CI 0.857-0.967, p &lt; 0.005) and 0.999 (95% CI 0.998-0.999, p &lt; 0.005) for intra-user reliability. 5.5% of measurements were outside 2 SD of the mean for wound volume.

Conclusions

3D imaging offers a quick, reliable, and easy to use solution to measuring wounds. We have shown it is a reliable and reproducible method of measuring wounds between different clinicians.

P–357 The risk factors for early pregnancy loss based on a logistic model following 13,977 infertile patients after in vitro fertilization

Study question

What are the risk factors for early pregnancy loss (EPL) after in vitro fertilization-embryo transfer (IVF-ET)?

Summary answer

The maternal age, gestational sac diameter, embryonic length, yolk sac diameter, heart rate of day 27–29 and endometrium thickness on transfer day were risk factors. What is known already: The first routine ultrasound scan is commonly arranged on day 27–29 after IVF-ET in most reproductive centers in China to determine the location and viability of the embryo. Individual maternal factors, such as a high maternal age (MA) and abnormal ultrasound parameters such as embryonic bradycardia and excessively large or small yolk sac diameter (YSD) have been shown to be associated with pregnancy failures. However, few studies focused on the risk factors of the IVF population, and little is known about the clinical meaning of ultrasound indicators of 27–29 days after transplantation.

Study design, size, duration

This was a retrospective study in a single reproductive centre. The infertile patients included in this study underwent IVF treatment between June 2016 to December 2017. Participants/materials, setting, methods: During this period, 13,977 women were identified with a singleton pregnancy by TVS at day 27–29 after IVF-ET. The gestational sac diameter (GSD), embryonic length (EL), embryonic heart rate (EHR) and YSD and the presence of intrauterine hematoma (IUH) were measured. The clinical characteristics were also collected. The first trimester pregnancy outcome of these women was noted at 12 weeks of gestation. A backward Wald logistic regression model was established to screen the risk factors.

Main results and the role of chance

1,926 cases of spontaneous miscarriage ≤12 weeks of gestation, which were assigned as EPL and 12,051 women with an ongoing pregnancy for &gt;12 weeks of gestation.

When compared with the ongoing pregnancy group, the MA, infertility duration and transfer cycle were significantly higher, and the day–14 human chorionic gonadotrophin and the endometrium (EM) thickness on transfer day were significantly lower in the EPL group (p &lt; 0.001). Based on the TVS measurements, the GSD (18.5±3.6 vs. 13.2±4.8 mm), EL (3.5±0.9 vs. 1.2±1.6 mm), YSD (3.6±0.4 vs. 2.6±1.5 mm) and EHR (114.5±12.2 vs. 42.4±53.5 bpm) were significantly greater in the ongoing pregnancy group than those in the EPL group (p &lt; 0.001). The incidence of IUH (16.0% vs. 18.8%, P = 0.002) was also markedly higher in the EPL group

MA, GSD, EL, YSD, EHR and EM on transfer day finally entered the logistic model after stepwise screening. The probability of EPL was: exp(z)/(1 + exp(z)), where z = 2.432 + (0.092 × MA) - (0.074 × EM) - (0.114 ×GSD) - (0.245 × EL) - (0.034 × HR) - (0.159 × YSD).

Limitations, reasons for caution

Data on smoking and clinical symptoms such as vaginal bleeding or abdominal pain were not included in the final analysis which might be possible risk factors. These predictors were derived from an IVF population, the situation may not be the same in the general population.

Wider implications of the findings: The risk factors for EPL after IVF-ET are clearly identified in this study. The logistic model which incorporates readily available data that are routinely collected in clinical practice could be used for calculating the risk of EPL and effectively guide subsequent medical plans.

Trial registration number

None

P–405 The diagnosis and management of heterotopic intramural pregnancy after in vitro fertilization-embryo transfer: six-case series

Study question

What are the ultrasonic characteristics of heterotopic intramural pregnancy (HIMP)? How to manage and what about the clinical outcomes of HIMP?

Summary answer

Expectant management may be a considerable choice for an non-viable intramural pregnancy (IMP). Most intrauteine pregnancies (IUPs) of HIMPs seems to have good outcomes.

What is known already

Heterotopic pregnancy (HP) post in vitro fertilization is very rare in infertility women, with a prevalence of 0.04%. HIMP is one of the rarest types of HP, where one gestational sac (GS) is embedded within the endometrial cavity and the other one GS is implanted in the myometriun. HIMP was firstly and only described by Jiangtao Lyu et al. in 2018. So far, little is known about its natural history and ultrasonic imaging characteristics. And there is no consensus regarding the ultrasound diagnosis and clinical management for HIMP due to few evidence-based medicine records.

Study design, size, duration

A retrospective observational study was conducted of 6 infertile women who obtained a HIMP through in vitro fertilization-embryo transfer (IVF-ET) between January 2009 and December 2019 at our reproductive centre.

Participants/materials, setting, methods

Six infertile women conceived a HIMP via IVF-ET were retrospectively retrieved between January 2009 and December 2019 at the Reproductive and Genetic Hospital of CITIC-Xiangya (Changsha City, China). The ultrasound diagnosis, clinical management and pregnancy outcome of these cases were analysed. The ultrasound findings, therapeutic methods and clinical outcomes were obtained from the hospital’s electronic medical records. This study was approved by the local ethics committee. Main results and the role of chance: Six women with HIMPs were retrospectively analysed. Among them, 5 cases were revealed by ultrasound scans; however, one case was misdiagnosed. The diagnostic accuracy was 83.3%.

Five cases of HIMP were diagnosed at initial scan. The diagnostic time ranged from 22 to 38 days after ET (5 + 6 - 7 + 6 weeks). Among them, an intramural GS was observed in all 5 cases; embryonic cardiac activity (ECA) was detected in one case by the followed-up scans; there was a yolk sac only in one case; an empty GS was noted in 3 cases. An IUP was revealed in all 6 cases, and ECA was observed in 5 cases at the initial diagnosis or later. A GS with a yolk sac only was showed in one case.

Among the 5 diagnostic women, one case with a live IMP was treated with laparoscopy at 8 + 1 weeks, 4 cases were managed expectantly. Of them, the IUPs of 4 cases delivered live infants and one case managed expectantly experienced miscarriage. In one case, IMP was misdiagnosed as interstitial pregnancy at day–28 scan. Exploratory laparoscopy and foetal reduction were performed at 8 + 2 weeks. Laparoscopy confirmed an IMP and the retained IUP delivered a live infant.

Limitations, reasons for caution

The case numbers are too few to draw any objective conclusions, because of the extreme rarity of HIMP. Thus, a further multi-centre larger prospective study will help to confidently illustrate the clinical significance, and effective and appropriate management method for women with a HIMP.

Wider implications of the findings: Our study showed that HIMP may not be as rare as previously reported. Increased awareness of this condition, better comprehension of the diagnostic criteria and improved resolution of ultrasound equipment may result in more frequent and accurate detection of HIMP, which will be helpful for early management to preserve IUP.

Trial registration number

Not applicable.

Ligand-Directed Conformational Control over Porphyrinic Zirconium Metal-Organic Frameworks for Size-Selective Catalysis

Zirconium-based metal-organic frameworks (Zr-MOFs) have aroused enormous interest owing to their superior stability, flexible structures, and intriguing functions. Precise control over their crystalline structures, including topological structures, porosity, composition, and conformation, constitutes an important challenge to realize the tailor-made functionalization. In this work, we developed a new Zr-MOF (PCN-625) with a csq topological net, which is similar to that of the well-known PCN-222 and NU-1000. However, the significant difference lies in the conformation of porphyrin rings, which are vertical to the pore surfaces rather than in parallel. The resulting PCN-625 exhibits two types of one-dimensional channels with concrete diameters of 2.03 and 0.43 nm. Furthermore, the vertical porphyrins together with shrunken pore sizes could limit the accessibility of substrates to active centers in the framework. On the basis of the structural characteristics, PCN-625(Fe) can be utilized as an efficient heterogeneous catalyst for the size-selective [4 + 2] hetero-Diels-Alder cycloaddition reaction. Due to its high chemical stability, this catalyst can be repeatedly used over six times. This work demonstrates that Zr-MOFs can serve as tailor-made scaffolds with enhanced flexibility for target-oriented functions.

High dose insulin promotes the proliferation of vascular smooth muscle cells via AP-1/SM-α pathway

Proliferation of vascular smooth muscle cells (VSMCs) participates in multiple cardiovascular disorders, while the mechanism remains unclear. This study aims to investigate the effects of insulin on VSMC. Insulin was used to stimulate rat VSMCs, and the effects on cell cycle and proliferation were subsequently analyzed using flow cytometry. Furthermore, AP-1 and SM-α overexpression vectors were constructed and transfected into VSMCs. AP-1 and SM-α were inhibited by SR11302 and SM-α siRNA, respectively. The mRNA and protein expression levels were subsequently detected using the reversetranscription quantitative polymerase chain reaction and western blotting, respectively. AP-1 and SM-α gene promoter binding sites were determined using luciferase and chromatin immunoprecipitation assays. As a result, we found that high dose of insulin promoted proliferation of VSMCs and increased the percentage of cells in the S phase by downregulating AP-1. AP-1 was identified to bind to the SM-α gene promoter at locus 2-177 to upregulate SM-α gene expression. Inhibition of AP-1 led to the decrease of SM-α expression. Overexpression of SM-α directly suppressed proliferation of VSMCs, while knocking it down promoted the process. Therefore, this study revealed that insulin downregulated the expression of the SM-α gene by inhibiting AP-1, which in turn facilitated proliferation of VSMCs.

Conductive Metallophthalocyanine Framework Films with High Carrier Mobility as Efficient Chemiresistors

The poor electrical conductivity of two-dimensional (2D) crystalline frameworks greatly limits their utilization in optoelectronics and sensor technology. Herein, we describe a conductive metallophthalocyanine-based NiPc-CoTAA framework with cobalt(II) tetraaza[14]annulene linkages. The high conjugation across the whole network combined with densely stacked metallophthalocyanine units endows this material with high electrical conductivity, which can be greatly enhanced by doping with iodine. The NiPc-CoTAA framework was also fabricated as thin films with different thicknesses from 100 to 1000 nm by the steam-assisted conversion method. These films enabled the detection of low-concentration gases and exhibited remarkable sensitivity and stability. This study indicates the enormous potential of metallophthalocyanine-based conductive frameworks in advanced stand-off chemical sensors and provides a general strategy through tailor-make molecular design to develop sensitive and stable chemical sensors for the detection of low-concentration gases.

Modulating the stacking modes of nanosized metal-organic frameworks by morphology engineering for isomer separation

Modulating different stacking modes of nanoscale metal-organic frameworks (MOFs) introduces different properties and functionalities but remains a great challenge. Here, we describe a morphology engineering method to modulate the stacking modes of nanoscale NU-901. The nanoscale NU-901 is stacked through solvent removal after one-pot solvothermal synthesis, in which different morphologies from nanosheets (NS) to interpenetrated nanosheets (I-NS) and nanoparticles (NP) were obtained successfully. The stacked NU-901-NS, NU-901-I-NS, and NU-901-NP exhibited relatively aligned stacking, random stacking, and close packing, respectively. The three stacked nanoscale NU-901 exhibited different separation abilities and all showed better performance than bulk phase NU-901. Our work provides a new morphology engineering route for the modulation of the stacking modes of nano-sized MOFs and improves the separation abilities of MOFs.

[Research progress in imaging characteristics of precancerous nodules in hepatocellular carcinoma cells]

Hepatocarcinogenesis is a multi-step process in which detection of precancerous lesions and advanced hepatocellular carcinoma in its progressive stage is crucially important for predicting tumor behavior, estimating the extent of lesions, implementing the optimal treatment strategy, and improving the survival of patients. The rapid development and wide application of liver imaging technology, especially the application of hepatocyte-specific gadoxetate disodium MRI contrast agent (Gd-EOB-DTPA MRI), not only provide information on vascular changes of liver nodules and hepatocyte function, but also has become a precise diagnostic method for differentiating cirrhotic regenerative nodule (RN), low-grade dysplastic nodule (LGDN), high-grade dysplastic nodule (HGDN), early hepatocellular carcinoma and HCC. Hence, the risk for malignant progression is stratified. This review summarizes the value of Gd-EOB-DTPA MRI for early HCC diagnosis and analyzes the key concepts in the multi-step process of HCC development as well as the imaging manifestations of precancerous lesions that may eventually be transformed into typical HCC.

[Risk analysis for hypervascular transformation of precancerous lesion of hepatocellular carcinoma]

Objective: To investigate the risk factors for diagnosis of transformation of high-grade dysplastic nodules (HGDN) to hypervascular hepatocellular carcinoma (HCC) in patients with chronic liver disease with gadoxetate disodium-enhanced magnetic resonance imaging (MRI). Methods: 2 037 cases that underwent gadoxetate disodium-enhanced magnetic resonance imaging from January 2012 to December 2014 were retrospectively analyzed. 51 cases of HGDN with a background of chronic liver disease were screened and followed-up for at least 2 times with gadoxetate disodium-enhanced MRI scans and contrast enhanced CT scans was performed within 1 month before and after the first MRI. The endpoint of study was transformation of HGDN to hypervascular hepatocellular carcinoma, with a deadline of April 2019. Transformation was divided into transformed (group A) and untransformed (group B) group according to the presence or absence of hypervascularization. Linear regression was used to analyze the possible risk factors for hypervascular transformation. Results: There were 36 nodules in group A and 79 nodules in group B, and hypervascular transformation rate was 31.3% (36/115). On univariate analysis, the length and diameter of nodule was > 10.2 mm (P = 0.034), with annual growth rate > 2% (P < 0.001), and lipid content (P = 0.007) was related to the occurrence of hypervascularity. On multivariate analysis, the annual growth rate of nodules was an independent risk factor for the occurrence of hypervascularity (P < 0.000 1). Conclusion: The annual growth rate of HGDN in patients with chronic liver disease diagnosed with gadoxetate disodium-enhanced MRI imaging can be used as a potential predictor of hypervascularization.

Visible-light harvesting pyrene-based MOFs as efficient ROS generators

The utilization of reactive oxygen species (ROS) in organic transformations is of great interest due to their superior oxidative abilities under mild conditions. Recently, metal-organic frameworks (MOFs) have been developed as photosensitizers to transfer molecular oxygen to ROS for photochemical synthesis. However, visible-light responsive MOFs for oxygen activation remains scarce. Now we design and synthesize two porous MOFs, namely, PCN-822(M) (M = Zr, Hf), which are constructed by a 4,5,9,10-(K-region) substituted pyrene-based ligand, 4,4',4'',4'''-((2,7-di-tert-butylpyrene-4,5,9,10-tetrayl)tetrakis(ethyne-2,1-diyl))-tetrabenzoate (BPETB^4-). With the extended π-conjugated pyrene moieties isolated on the struts, the derived MOFs are highly responsive to visible light, possessing a broad-band adsorption from 225-650 nm. As a result, the MOFs can be applied as efficient ROS generators under visible-light irradiation, and the hafnium-based MOF, PCN-822(Hf), can promote the oxidation of amines to imines by activating molecular oxygen via synergistic photo-induced energy and charge transfer.

Tailor-Made Pyrazolide-Based Metal-Organic Frameworks for Selective Catalysis

The predesignable porous structures in metal-organic frameworks (MOFs) render them quite attractive as a host-guest platform to address a variety of important issues at the frontiers of science. In this work, a perfluorophenylene functionalized metalloporphyrinic MOF, namely, PCN-624, has been rationally designed, synthesized, and structurally characterized. PCN-624 is constructed by 12-connected [Ni₈(OH)₄(H₂O)₂Pz₁₂] (Pz = pyrazolide) nodes and fluorinated 5,10,15,20-tetrakis(2,3,5,6-tetrafluoro-4-(1 H-pyrazol-4-yl)phenyl)-porphyrin (TTFPPP) linker with an ftw-a topological net. Notably, PCN-624 exhibits extinguished robustness under different conditions, including organic solvents, strong acid, and base aqueous solutions. The pore surface of PCN-624 is decorated with pendant perfluorophenylene groups. These moieties fabricate densely fluorinated nanocages resulting in the selective guest capture of the material. More importantly, PCN-624 can be employed as an efficient heterogeneous catalyst for the selective synthesis of fullerene-anthracene bisadduct. Owing to the high chemical robustness of PCN-624, it can be recycled over five times without significant loss of its catalytic activity. All of these results demonstrate that MOFs can serve as a powerful platform with great flexibility for functional design to solve various synthetic problems.

Osteoinduction of Calcium Phosphate Ceramics in Four Kinds of Animals for 1 Year: Dog, Rabbit, Rat, and Mouse

INTRODUCTION

Bone grafts are in great demand. Synthetic materials have been extensively studied as substitutes for autografts. Calcium phosphate ceramics are promising synthetic bone replacement materials. Because they share chemical similarities with human bone mineral, they show excellent biocompatibility and osteoinductivity.

OBJECTIVE

Calcium phosphate ceramics have been used to fill bone defects in preclinical study in a variety of animals. This study aimed to investigate the osteogenesis ability of calcium phosphate ceramics in 4 kinds of animals.

METHODS

Φ3 × 5 mm hydroxyapatite/β-tricalcium phosphate (HA/β-TCP) cylinders were implanted into the dorsal muscle of rats and mice, whereas Φ5 × 10 mm cylinders were implanted into the dorsal muscle of dogs and rabbits. One year after implantation, the ceramics were harvested to perform hematoxylin and eosin (HE) staining and Masson-trichrome staining. The new bone tissues were observed and the area percentage of new bone was compared in the 4 kinds of animals.

RESULTS

A large number of new bone and bone marrow tissues were observed in dogs, rabbits, and mice, but not in rats; and the area percentage of new bone in mice was significantly higher than that in dogs and rabbits (P < .05). Calcium phosphate ceramics have good biocompability and biological safety, and the degree of ease of osteogenesis was as follows: mouse > dog > rabbit > rat.

CONCLUSION

To achieve better effects for bone transplantation, mouse should be chosen as the preferred experimental model based on these advantages: economic, convenience, and osteogenesis ability.

Imaging findings of adrenal primitive neuroectodermal tumors: a series of seven cases

OBJECTIVE

To explore the imaging features of adrenal primitive neuroectodermal tumors (PNETs).

MATERIALS AND METHODS

This retrospective study included seven patients with surgically and pathologically confirmed adrenal PNETs. Among them, six underwent computed tomography (CT) scans, and one underwent magnetic resonance imaging. The imaging findings, including size, shape, margin, hemorrhage, calcification, cystic degeneration, regional lymph nodes involvement, tumor thrombus formation and enhancement pattern, were retrospectively analyzed.

RESULTS

Among the seven adrenal PNET patients, six were male, and one was female. The median age was 26 years (range 2-56 years). The disease generally presented with either insidious symptoms (n = 4) or non-specific symptoms, including right flank pain (n = 1) and left upper abdominal discomfort (n = 2). On the pre-enhanced CT images, the tumor usually appeared as a well-defined, rounded or oval, heterogeneous mass without calcification. Certain tissue characteristics, such as cystic degeneration (n = 5), capsule (n = 4) and hemorrhage (n = 2), were observed. Regional lymph node involvement was observed in three cases, and renal vein thrombus was observed in one case. All cases showed mild heterogeneous enhancement of the tumor on the enhanced CT images.

CONCLUSION

An adrenal PNET commonly presents as a relatively large, well-defined, heterogeneous mass with cystic degeneration, necrosis and a characteristic mild contrast-enhancement pattern on multiphase enhanced images. PNET should be considered when the diagnosis of common tumors is not favored by signs on images.

CLINICAL TRIAL REGISTRATION STATEMENT

This study was approved by the medical ethics committee of Xiangya Hospital, Central South University. The approval number is 201512538.

Neutral particles pushed or pulled by laser pulses

Acceleration of neutral particles is of great importance in many areas, such as controlled chemical reactions, atomic nanofabrication, and atom optics. Recent experimental studies have shown that pulsed lasers can be used to push neutral Rydberg atoms forward [Nature 461, 1261 (2009)10.1038/nature08481; Nat. Photonics 6, 386 (2012)10.1038/nphoton.2012.87]. Our simulation shows that pulsed lasers can also be used to pull Rydberg atoms back toward a light source. In particular, we proposed a method of using two laser pulses on a neutral atom, then selective operations on the neutral atom (pushing or pulling) can be performed by adjusting the delay time between the two laser pulses.