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Oxide-Perovskites for Automotive Catalysts Biotransform and Induce Multicomponent Clearance and Hazard 用于汽车催化剂的氧化物-超微晶石 生物转化和诱导多组分清除与危害
IF 17.1 3区 化学 Q2 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-13 DOI: 10.1021/acsnano.4c10135
Veronica Di Battista, Pernille Høgh Danielsen, Agnieszka Gajewicz-Skretna, Andrzej Kedziorski, Svenja B. Seiffert, Lan Ma-Hock, Trine Berthing, Alicja Mortensen, Andreas Sundermann, Lars Michael Skjolding, Ulla Vogel, Anders Baun, Wendel Wohlleben
Oxide-perovskites designed for automotive catalysts contain multiple metal elements whose presence is crucial to achieving the targeted performance. They are highly stable in exhaust operating conditions; however, little is known about their stability under physiological conditions. As some of the metallic components are hazardous to humans and the environment, perovskite benefits in cleaner air must be balanced with risks in a Safe and Sustainable Design (SSbD) approach. New approach methodologies (NAMs), including in chemico and in silico methods, were used for testing hazards and benefits, including catalytic activity and tolerance for temporary excess of oxygen under dynamic driving conditions. The composition and surface properties of six different lanthanum-based oxide-perovskites compromised their stability under lung physiological conditions, influencing the oxidative damage of the particles and the bioacessibility of leaching metals. We found consistent biotransformation of the oxide-perovskite materials at pH 4.5. The leached lanthanum ions, but not other metals, respeciated into lanthanum phosphate nanoparticles, which increased the overall oxidative damage in additive synergy. The NAM results in the presented SSbD approach were challenged by in vivo studies in rats and mice, which confirmed multicomponent clearance from lungs into urine and supported the comparative ranking of effects against well-characterized spinel materials. Among the perovskites, the version with reduced nickel content and doped with palladium offered the best SSbD balance, despite not improving the conventional benchmark catalytic performance and related sustainability benefits. Redesign by industry may be necessary to better fulfill all SSbD dimensions.
设计用于汽车催化剂的氧化过氧化物包含多种金属元素,这些元素的存在对实现目标性能至关重要。它们在排气操作条件下非常稳定;然而,人们对它们在生理条件下的稳定性知之甚少。由于其中一些金属成分对人体和环境有害,因此在采用安全和可持续设计(SSbD)方法时,必须平衡包晶石在清洁空气方面的优势与风险。新方法(NAM)包括化学和硅学方法,用于测试危害和益处,包括催化活性和在动态驱动条件下对暂时过量氧气的耐受性。六种不同的镧基氧化物-超微晶石的组成和表面特性损害了它们在肺部生理条件下的稳定性,影响了颗粒的氧化损伤和浸出金属的生物可吸收性。我们发现氧化物-超微晶石材料在 pH 值为 4.5 时会发生一致的生物转化。浸出的镧离子(而非其他金属)重新生成了磷酸镧纳米颗粒,这增加了整体氧化损伤的叠加协同作用。在大鼠和小鼠体内进行的研究对所提出的 SSbD 方法中的 NAM 结果提出了质疑,这些研究证实了多组分从肺部进入尿液的清除率,并支持与特征明确的尖晶石材料进行效应比较排序。在这些包晶石中,镍含量降低并掺杂钯的版本提供了最佳的 SSbD 平衡,尽管没有提高传统基准催化性能和相关的可持续发展效益。工业界可能需要重新设计,以更好地满足 SSbD 的所有要求。
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引用次数: 0
Sex differences and immune correlates of Long Covid development, symptom persistence, and resolution Long Covid发病、症状持续和缓解的性别差异和免疫相关性
IF 17.1 3区 化学 Q2 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-13 DOI: 10.1126/scitranslmed.adr1032
Rebecca E. Hamlin, Shaun M. Pienkos, Leslie Chan, Mikayla A. Stabile, Kassandra Pinedo, Mallika Rao, Philip Grant, Hector Bonilla, Marisa Holubar, Upinder Singh, Karen B. Jacobson, Prasanna Jagannathan, Yvonne Maldonado, Susan P. Holmes, Aruna Subramanian, Catherine A. Blish
Sex differences have been observed in acute coronavirus disease 2019 (COVID-19) and Long Covid (LC) outcomes, with greater disease severity and mortality during acute infection in males and greater proportions of females developing LC. We hypothesized that sex-specific immune dysregulation contributes to LC pathogenesis. To investigate the immunologic underpinnings of LC development and symptom persistence, we performed multiomic analyses on blood samples obtained during acute severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and 3 and 12 months after infection in a cohort of 45 participants who either developed LC or recovered. Several sex-specific immune pathways were associated with LC. Males who would later develop LC exhibited increases in transforming growth factor–β (TGF-β) signaling during acute infection, whereas females who would go on to develop LC had reduced TGFB1 expression. Females who developed LC demonstrated increased expression of XIST , an RNA gene implicated in autoimmunity, during acute infection compared with females who recovered. Many immune features of LC were also conserved across sexes, such as alterations in monocyte phenotype and activation state. Nuclear factor κB (NF-κB) transcription factors were up-regulated in many cell types at acute and convalescent time points. Those with ongoing LC demonstrated reduced ETS1 expression across lymphocyte subsets and elevated intracellular IL-4 in T cell subsets, suggesting that ETS1 alterations may drive aberrantly elevated T helper cell 2–like responses in LC. Altogether, this study describes multiple innate and adaptive immune correlates of LC, some of which differ by sex, and offers insights toward the pursuit of tailored therapeutics.
在急性冠状病毒病2019年最新注册送彩金(COVID-19)和Long Covid(LC)结果中观察到了性别差异,男性在急性感染期间的疾病严重程度和死亡率更高,而女性患LC的比例更高。我们假设,性别特异性免疫失调是导致LC发病的原因之一。为了研究 LC 发病和症状持续存在的免疫学基础,我们对严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)急性感染期间以及感染后 3 个月和 12 个月获得的血液样本进行了多组学分析,这些样本包括 45 名患 LC 或已康复的参与者。几种性别特异性免疫途径与 LC 相关。后来患上 LC 的男性在急性感染期间表现出转化生长因子-β(TGF-β)信号转导增加,而后来患上 LC 的女性则表现出 TGFB1 表达减少。与康复的女性相比,患 LC 的女性在急性感染期间体内与自身免疫有关的 RNA 基因 XIST 的表达增加。LC 的许多免疫特征在不同性别间也是一致的,如单核细胞表型和活化状态的改变。在急性期和康复期,许多细胞类型的核因子κB(NF-κB)转录因子上调。淋巴细胞亚群中的ETS1表达减少,T细胞亚群中细胞内IL-4升高,这表明ETS1的改变可能会驱动淋巴瘤中T辅助细胞2样反应的异常升高。总之,这项研究描述了 LC 的多种先天性和适应性免疫相关性,其中一些相关性因性别而异,并为寻求有针对性的疗法提供了启示。
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引用次数: 0
Sex differences in postacute infection syndromes 急性感染后综合征的性别差异
IF 17.1 3区 化学 Q2 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-13 DOI: 10.1126/scitranslmed.ado2102
Julio Silva, Akiko Iwasaki
Postacute infection syndromes like Long Covid disproportionately affect females, differing in prevalence, symptoms, and potential causes from males. This Viewpoint highlights these sex differences, gaps in current understanding, and the critical need for sex-based research.
像 Long Covid 这样的急性感染后综合征对女性的影响尤为严重,在发病率、症状和潜在病因方面都与男性不同。本视点强调了这些性别差异、目前认识上的差距以及基于性别进行研究的迫切需要。
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引用次数: 0
Nanobiohybrid Extracellular Vesicle Nanoreactor with Improving Metabolical Activity for Biocatalytic Therapy 用于生物催化治疗的具有改进代谢活性的细胞外囊泡纳米生物杂交反应器
IF 17.1 3区 化学 Q2 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-13 DOI: 10.1021/acsnano.4c12458
Shuangshuang Wan, Wurui Liu, Qian Wu, Kepeng Wang, Yaocheng Li, Peihong Huang, Yu Wu, Yunfei Mu, Yulin Fan, Jun Tao, Jia Yao, Fei Peng, Yu Zou, Lianhui Wang, Zhiyao Yuan, Xianguang Ding
Extracellular vesicles (EVs) hosting enzymatic activities that function as independent metabolic units are attractive natural biocatalytic platforms. However, directly using these metabolically active nanoreactors for effective biocatalytic applications remains challenging, mainly due to their constrained catalytic capabilities. Here, we construct an EV-templated nanobiohybrid system by engineering an EV surface with a photoresponsive zeolitic imidazolate framework (ZIF). The deposition of ZIF nanostructures on EVs not only contributes to improved biocatalytic stability but also enables interfacial coupling between photoexcited electrons from the ZIF and the enzymatic reaction of metabolically active EVs. Nearly 300% of biomass conversion efficiency increment could be achieved by EVs derived from macrophages. This enhanced biocatalysis, high catalytic stability, and low cytotoxicity endowed the EV@ZIF nanosystem with robust biosynthesis and antimicrobial activity. When evaluated in a mouse periodontitis model, we show that the autologous biocatalytic EV@ZIF demonstrated efficient therapeutic capability by killing bacteria and inhibiting inflammation. This nanoengineering strategy will benefit the future optimization of metabolically active EV nanoreactors as biocatalysts for a broad range of therapeutics.
细胞外囊泡(EVs)具有作为独立代谢单元的酶活性,是极具吸引力的天然生物催化平台。然而,直接利用这些具有代谢活性的纳米反应器进行有效的生物催化应用仍然具有挑战性,这主要是由于它们的催化能力受到限制。在这里,我们通过用具有光致伸缩性的唑基咪唑啉框架(ZIF)对电动汽车表面进行工程化处理,构建了一个电动汽车模板纳米生物杂交系统。在 EV 上沉积 ZIF 纳米结构不仅有助于提高生物催化稳定性,还能使 ZIF 的光激发电子与代谢活跃的 EV 的酶反应发生界面耦合。来自巨噬细胞的 EVs 可使生物质转化效率提高近 300%。这种增强的生物催化作用、高催化稳定性和低细胞毒性赋予了 EV@ZIF 纳米系统强大的生物合成和抗菌活性。在小鼠牙周炎模型中进行评估时,我们发现自体生物催化 EV@ZIF 通过杀死细菌和抑制炎症表现出高效的治疗能力。这种纳米工程策略将有助于优化具有代谢活性的 EV 纳米反应器,使其成为广泛治疗的生物催化剂。
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引用次数: 0
Long-Term Outcomes of Component Separation for Abdominal Wall Hernia Repair 腹壁疝修补术中组件分离的长期疗效
IF 16.9 3区 化学 Q2 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-13 DOI: 10.1001/jamasurg.2024.5091
Brian T. Fry, Leah J. Schoel, Ryan A. Howard, Jyothi R. Thumma, Abigail L. Kappelman, Alexander K. Hallway, Anne P. Ehlers, Sean M. O’Neill, Michael A. Rubyan, Jenny M. Shao, Dana A. Telem
ImportanceComponent separation is a reconstructive technique used to facilitate midline closure of large or complex ventral hernias. Despite a contemporary surge in popularity, the incidence and long-term outcomes after component separation remain unknown.ObjectiveTo evaluate the incidence and long-term outcomes of component separation for abdominal wall hernia repair.Design, Setting, and ParticipantsThis cohort study examined 100% Medicare administrative claims data from January 1, 2007, to December 31, 2021. Participants were adults (aged ≥18 years) who underwent elective inpatient ventral hernia repair. Data were analyzed from January through June 2024.ExposureUse of component separation technique during ventral hernia repair.Main Outcomes and MeasuresThe primary outcomes were the incidence of component separation over time and operative recurrence rates up to 10 years after surgery for hernia repairs with and without component separation. The secondary outcome was rate of operative recurrence after component separation stratified by surgeon volume.ResultsAmong 218 518 patients who underwent ventral hernia repair, the mean (SD) age of the cohort was 69.1 (10.9) years; 127 857 patients (58.5%) were female and 90 661 (41.5%) male. A total of 23 768 individuals had component separation for their abdominal wall hernia repair. The median (IQR) follow-up time after the index hernia surgery was 7.2 (2.7-10) years. Compared with patients who did not have a component separation, patients undergoing repair with component separation were slightly younger; more likely to be male; and more likely to have comorbidities, including obesity, and had surgeries that were more likely to be performed open and use mesh. Proportional use of component separation increased from 1.6% of all inpatient hernia repairs in 2007 (279 patients) to 21.4% in 2021 (1569 patients). The 10-year adjusted operative recurrence rate after component separation was lower (11.2%; 95% CI, 11.0%-11.3%) when compared with hernia repairs performed without component separation (12.9%; 95% CI, 12.8%-13.0%; P = .003). Operative recurrence was lower for the top 5% of surgeons by component separation volume (11.9%; 95% CI, 11.8%-12.1%) as opposed to the bottom 95% of surgeons by volume (13.6%; 95% CI, 13.4%-13.7%; P = .004).Conclusions and RelevanceThis study found that component separation was associated with a protective effect on long-term operative recurrence after ventral hernia repair among Medicare beneficiaries, which is somewhat unexpected given the intent of its use for higher complexity hernias. Surgeon volume, while significant, had only a minor influence on operative recurrence rates.
重要性组件分离是一种重建技术,用于促进大型或复杂腹壁疝的中线闭合。目标评估腹壁疝修补术中组件分离的发生率和长期疗效。设计、设置和参与者这项队列研究检查了 2007 年 1 月 1 日至 2021 年 12 月 31 日期间 100%的医疗保险行政报销数据。参与者为接受择期住院腹壁疝修补术的成年人(年龄≥18 岁)。主要结果和测量指标主要结果是使用和不使用组件分离技术的疝修补术术后10年内组件分离的发生率和手术复发率。结果218 518名接受腹股沟疝修补术的患者中,平均(标清)年龄为69.1(10.9)岁;127 857名患者(58.5%)为女性,90 661名患者(41.5%)为男性。共有 23 768 人在腹壁疝修补术中进行了组件分离。疝气手术后的随访时间中位数(IQR)为 7.2(2.7-10)年。与未进行组件分离手术的患者相比,接受组件分离修复手术的患者年龄略小,更有可能是男性,更有可能患有包括肥胖症在内的合并症,而且手术更有可能是开放性的,也更有可能使用网片。在所有住院患者的疝修补术中,组件分离术的使用比例从2007年的1.6%(279名患者)增加到2021年的21.4%(1569名患者)。与未进行组件分离的疝修补术相比,组件分离后的 10 年调整后手术复发率较低(11.2%;95% CI,11.0%-11.3%)(12.9%;95% CI,12.8%-13.0%;P = .003)。按组件分离量计算,排名前5%的外科医生的手术复发率较低(11.9%;95% CI,11.8%-12.1%),而按手术量计算,排名后95%的外科医生的手术复发率较低(13.6%;95% CI,13.4%-13.7%;P = .004)。这项研究发现,在医疗保险受益人中,组件分离对腹股沟疝修补术后的长期手术复发具有保护作用,这在一定程度上出乎人们的意料,因为组件分离的目的是用于复杂性较高的疝气。外科医生的数量虽然重要,但对手术复发率的影响很小。
{"title":"Long-Term Outcomes of Component Separation for Abdominal Wall Hernia Repair","authors":"Brian T. Fry, Leah J. Schoel, Ryan A. Howard, Jyothi R. Thumma, Abigail L. Kappelman, Alexander K. Hallway, Anne P. Ehlers, Sean M. O’Neill, Michael A. Rubyan, Jenny M. Shao, Dana A. Telem","doi":"10.1001/jamasurg.2024.5091","DOIUrl":"https://doi.org/10.1001/jamasurg.2024.5091","url":null,"abstract":"ImportanceComponent separation is a reconstructive technique used to facilitate midline closure of large or complex ventral hernias. Despite a contemporary surge in popularity, the incidence and long-term outcomes after component separation remain unknown.ObjectiveTo evaluate the incidence and long-term outcomes of component separation for abdominal wall hernia repair.Design, Setting, and ParticipantsThis cohort study examined 100% Medicare administrative claims data from January 1, 2007, to December 31, 2021. Participants were adults (aged ≥18 years) who underwent elective inpatient ventral hernia repair. Data were analyzed from January through June 2024.ExposureUse of component separation technique during ventral hernia repair.Main Outcomes and MeasuresThe primary outcomes were the incidence of component separation over time and operative recurrence rates up to 10 years after surgery for hernia repairs with and without component separation. The secondary outcome was rate of operative recurrence after component separation stratified by surgeon volume.ResultsAmong 218 518 patients who underwent ventral hernia repair, the mean (SD) age of the cohort was 69.1 (10.9) years; 127 857 patients (58.5%) were female and 90 661 (41.5%) male. A total of 23 768 individuals had component separation for their abdominal wall hernia repair. The median (IQR) follow-up time after the index hernia surgery was 7.2 (2.7-10) years. Compared with patients who did not have a component separation, patients undergoing repair with component separation were slightly younger; more likely to be male; and more likely to have comorbidities, including obesity, and had surgeries that were more likely to be performed open and use mesh. Proportional use of component separation increased from 1.6% of all inpatient hernia repairs in 2007 (279 patients) to 21.4% in 2021 (1569 patients). The 10-year adjusted operative recurrence rate after component separation was lower (11.2%; 95% CI, 11.0%-11.3%) when compared with hernia repairs performed without component separation (12.9%; 95% CI, 12.8%-13.0%; <jats:italic>P</jats:italic> = .003). Operative recurrence was lower for the top 5% of surgeons by component separation volume (11.9%; 95% CI, 11.8%-12.1%) as opposed to the bottom 95% of surgeons by volume (13.6%; 95% CI, 13.4%-13.7%; <jats:italic>P</jats:italic> = .004).Conclusions and RelevanceThis study found that component separation was associated with a protective effect on long-term operative recurrence after ventral hernia repair among Medicare beneficiaries, which is somewhat unexpected given the intent of its use for higher complexity hernias. Surgeon volume, while significant, had only a minor influence on operative recurrence rates.","PeriodicalId":15,"journal":{"name":"ACS Earth and Space Chemistry","volume":"108 1","pages":""},"PeriodicalIF":16.9,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142610345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
High-Na-Content Birnessite via P′3-Stacking with Tunable Active Facets for Advanced Aqueous Sodium-Ion Batteries 通过 P′3-堆叠技术将高纳含量桦木岩与可调谐活性面相结合,用于先进的钠离子水电池
IF 17.1 3区 化学 Q2 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-13 DOI: 10.1021/acsnano.4c09448
Yang Zhao, Xiaohui Zhu, Qinghua Zhang, Lin Gu, Zhengyi Shi, Ce Qiu, Tingting Chen, Mingzhu Ni, Yuhang Zhuang, Serguei V. Savilov, Sergey M. Aldoshin, Hui Xia
Layered Na-birnessites are promising cathode materials for aqueous sodium-ion batteries due to their high theoretical capacity, low cost, and environmental benignity. However, the general O′3 Na-birnessites possess low Na content and dominant inactive {001} exposed facets, which compromise their Na storage capability and cycling stability. Herein, we develop a high-Na-content P′3-Na0.71MnO2·0.15H2O with highly enriched {010} active facets by a hydrothermal conversion method. In comparison with the O′3 Na-birnessite, the P′3 Na-birnessite with a high ratio of {010}/{001} exposed facets provides greatly increased open channels for Na+ diffusion, while the P′3 stacking affords a lower Na+ diffusion barrier, resulting in improved electrode kinetics with a large specific capacity of 176 mAh g–1 at 0.2 A g–1. More importantly, the P′3 Na-birnessite manifests solo Na+ intercalation/deintercalation with extraordinary cycling stability in an aqueous electrolyte, achieving 90.5% capacity retention after 60,000 cycles. When coupled with the NaTi2(PO4)3 anode, the P′3 Na-birnessite-based full cell delivers both high energy density and long cycle life, demonstrating the potential application in aqueous sodium-ion batteries. This study demonstrates an efficient method to prepare high-Na-content P′3 birnessite with tunable exposed facets and provides important insights into developing highly stable layered cathodes for sustainable aqueous sodium-ion batteries.
层状 Na-birnessites 具有理论容量高、成本低和对环境无害等优点,是一种很有前途的水性钠离子电池阴极材料。然而,一般的 O′3 钠桦烷石的钠含量较低,且主要存在不活泼的{001}裸露面,这影响了其钠储存能力和循环稳定性。在此,我们通过水热转化方法开发出了一种具有高度富集{010}活性面的高纳含量 P′3-Na0.71MnO2-0.15H2O 。与 O′3 Na-birnessite 相比,具有高比例{010}/{001}裸露面的 P′3 Na-birnessite 大大增加了 Na+ 扩散的开放通道,而 P′3 堆叠则降低了 Na+ 扩散阻力,从而改善了电极动力学,在 0.2 A g-1 条件下可获得 176 mAh g-1 的大比容量。更重要的是,P′3 Na-birnessite 在水性电解质中表现出独特的 Na+ 插层/脱插层能力和非凡的循环稳定性,在 60,000 次循环后可达到 90.5% 的容量保持率。与 NaTi2(PO4)3 阳极配合使用时,基于 P′3 Na-birnessite 的全电池可实现高能量密度和长循环寿命,证明了其在水性钠离子电池中的应用潜力。这项研究展示了制备具有可调暴露面的高纳含量 P′3 比尔内斯特的有效方法,并为开发用于可持续水性钠离子电池的高稳定性层状阴极提供了重要启示。
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引用次数: 0
Benefits of Different Balanced Resuscitation Ratios for Thoracic vs Abdominopelvic Traumatic Hemorrhage 胸腔创伤性出血与腹盆腔创伤性出血采用不同平衡复苏比例的益处
IF 16.9 3区 化学 Q2 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-13 DOI: 10.1001/jamasurg.2024.4522
Danielle Brabender, Kazuhide Matsushima, Morgan Schellenberg, Kenji Inaba, Charles Wade, John B. Holcomb, Matthew Martin
This comparative effectiveness research uses data from the Pragmatic, Randomized Optimal Platelet and Plasma Ratios (PROPPR) randomized clinical trial to compare benefits with balanced resuscitation for thoracic vs abdominopelvic traumatic hemorrhage.
这项比较有效性研究利用实用、随机最佳血小板和血浆比例(PROPPR)随机临床试验的数据,比较了胸腔与腹盆腔创伤性出血采用均衡复苏的益处。
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引用次数: 0
Imaging in Diagnosis and Active Surveillance for Prostate Cancer 前列腺癌诊断和主动监测中的成像技术
IF 16.9 3区 化学 Q2 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-13 DOI: 10.1001/jamasurg.2024.4811
Thomas Li, Sunny Nalavenkata, Jonathan Fainberg
ImportanceActive surveillance (AS) has become an increasingly important option for managing low-risk and select intermediate-risk prostate cancer. Although imaging, particularly multiparametric magnetic resonance imaging (mpMRI), has emerged in the prebiopsy pathway for the diagnosis of prostate cancer, the role of mpMRI in patient selection for AS and the necessity of prostate biopsies during AS remain poorly defined. Despite well-founded biopsy schedules, there has been substantial investigation into whether imaging may supplant the need for prostate biopsies during AS. This review aimed to summarize the contemporary role of imaging in the diagnosis and surveillance of prostate cancer.ObservationsMultiparametric MRI is the most established form of imaging in prostate cancer, with routine prebiopsy use being shown to help urologists distinguish between clinically significant and clinically insignificant disease. The visibility of these lesions on mpMRI closely correlates with their behavior, with visible disease portending a worse prognosis. Combined with other clinical data, risk calculators may better delineate patients with higher-risk disease and exclude them from undergoing AS. While current evidence suggests that mpMRI cannot replace the need for prostate biopsy during AS due to the possibility of missing higher-risk disease, the addition of prostate biomarkers may help to reduce the frequency of these biopsies. The role of prostate-specific antigen positron emission tomography/computed tomography is still emerging but has shown promising early results as an adjunct to mpMRI in initial diagnosis.Conclusions and RelevanceImaging in prostate cancer helps to better select patients appropriate for AS, and future studies may strengthen the predictive capabilities of risk calculators. Multiparametric MRI has been shown to be imperative to rationalizing biopsies for patients enrolled in AS. However, heterogeneity in the evidence of mpMRI during AS has suggested that further prospective studies and randomized clinical trials, particularly in homogenizing reporting standards, may reveal a more defined role in monitoring disease progression.
重要性主动监测(AS)已成为管理低危和部分中危前列腺癌的一个日益重要的选择。虽然成像技术,尤其是多参数磁共振成像(mpMRI),已成为前列腺癌活检前诊断的重要手段,但 mpMRI 在选择前列腺癌患者方面的作用以及在前列腺癌主动监测期间进行前列腺活检的必要性仍未明确。尽管活组织检查计划有充分的依据,但人们对影像学是否能取代前列腺癌术中前列腺活组织检查的必要性进行了大量的研究。多参数磁共振成像是前列腺癌最成熟的成像形式,常规活检前使用该成像技术可帮助泌尿科医生区分有临床意义和无临床意义的疾病。这些病灶在 mpMRI 上的可见度与其表现密切相关,可见病灶预示着较差的预后。结合其他临床数据,风险计算器可以更好地划分出高风险疾病患者,并将其排除在接受强直性脊柱炎治疗的范围之外。虽然目前的证据表明,mpMRI 可能会遗漏较高风险的疾病,因此不能取代强直性脊柱炎期间的前列腺活组织检查,但增加前列腺生物标记物可能有助于减少这些活组织检查的频率。前列腺特异性抗原正电子发射断层扫描/计算机断层扫描的作用仍在不断显现,但作为 mpMRI 在初步诊断中的辅助手段,其早期结果很有希望。多参数磁共振成像已被证明对合理安排前列腺癌患者的活检至关重要。然而,AS期间mpMRI证据的异质性表明,进一步的前瞻性研究和随机临床试验,特别是在统一报告标准方面,可能会揭示其在监测疾病进展方面更明确的作用。
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引用次数: 0
Light-Triggered Droplet Gating Strategy Based on Janus Membrane Fabricated by Femtosecond Laser 基于飞秒激光制造的 Janus 膜的光触发液滴门控策略
IF 17.1 3区 化学 Q2 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-13 DOI: 10.1021/acsnano.4c08108
Kangru Cheng, Wenlong Xu, Hao Wu, Bowen Chen, Haoxiang Yang, Zehang Cui, Hao Yu, Zilong Cheng, Yanlei Hu, Jiawen Li, Hongyuan Jiang, Jiaru Chu, Dong Wu
The characteristics of the directed transport of liquids based on Janus membranes play a crucial role in practical applications in energy, materials, physics, chemistry, medicine, biology, and other fields. Although extensive progress has been made, it is still difficult to realize the accurate controllability of liquid directional transmembrane transport. The current gating strategies for the directed transport of liquids based on Janus membranes still have some limitations: (a) using magnetic fluid may cause contamination due to the addition of new substances and (b) utilizing hydrophobicity/hydrophilicity conversion of titanium dioxide requires a long switching time (over 30 min). Herein, a strategy is proposed to precisely control liquid directional transport by altering the wettability of droplets on Janus films prepared by a femtosecond laser through photothermal effects. Infrared laser irradiation on Janus film coated with CNTs can effectively convert light energy into thermal energy, rapidly increase the surface temperature of Janus film, and change the wettability of the liquid on the film. Liquid transmembrane directional transport can be achieved within a few seconds without contaminating the transported liquid. The proposed gating strategy can enable the application of Janus membranes in various scenarios such as microchemical reactions, biological cell culture, and interface self-propulsion.
基于 Janus 膜的液体定向传输特性在能源、材料、物理、化学、医学、生物等领域的实际应用中发挥着至关重要的作用。尽管已经取得了广泛的进展,但要实现液体定向跨膜传输的精确可控性仍然困难重重。目前基于 Janus 膜的液体定向传输选通策略仍存在一些局限性:(a)使用磁性流体可能会因添加新物质而造成污染;(b)利用二氧化钛的疏水性/亲水性转换需要较长的切换时间(超过 30 分钟)。本文提出了一种策略,通过光热效应改变飞秒激光制备的 Janus 薄膜上液滴的润湿性,从而精确控制液体的定向传输。红外激光照射涂有 CNTs 的 Janus 薄膜,能有效地将光能转化为热能,迅速提高 Janus 薄膜的表面温度,改变薄膜上液体的润湿性。液体跨膜定向传输可在几秒钟内实现,且不会污染传输的液体。所提出的门控策略可使 Janus 膜应用于各种场合,如微化学反应、生物细胞培养和界面自推进。
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引用次数: 0
P-d Correlation-Determined Charge Order Stiffness and Corresponding Quantum Melting in Monolayer 1T-TiSe2 单层 1T-TiSe2 中由 P-d 相关性决定的电荷阶刚度和相应的量子熔化
IF 17.1 3区 化学 Q2 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-13 DOI: 10.1021/acsnano.4c11704
Cheng-Yen Liu, Meng Zhao, Zhongjie Wang, Chun-Lei Gao
1T-TiSe2, a promising candidate of the sought-after excitonic insulator, possesses an enigmatic charge density wave (CDW) order of which the microscopic origin is formidable to settle owing to the chicken-and-egg entanglement between the electron and lattice degrees of freedom. Its CDW experiences an intriguing but elusive quantum melting and eventually enters the superconducting phase under metal intercalation, suggesting the possible role of melted-order fluctuation in gluing the electron paring. Employing the spectroscopic imaging scanning tunneling microscope (STM), we access the pure electronic behavior by visualizing the CDW melting process of monolayer 1T-TiSe2 in both the space and energy-band dimensions. In real space, the native lattice imperfections disturb the local order parameter and stimulate the melting of CDW. In energy-band space, different states exhibit varying stiffness against the melting stimuli, yielding distinctive melted textures. The evolution of CDW topological defects and the structure factor in the quantum melting process provide a straightforward avenue to evaluate the CDW coherency, which shows that the CDW stiffness scales with the strength of the p-d Coulomb correlation. Our study reveals the quantum melting of CDW with an altering band-orbital-correlation character and puts compelling emphasis on the indispensable role of excitonic interaction in stabilizing the charge order of monolayer TiSe2.
1T-TiSe2 是备受追捧的激子绝缘体的有望候选者,它具有神秘的电荷密度波(CDW)阶,由于电子和晶格自由度之间的鸡生蛋、蛋生鸡的纠缠关系,其微观起源难以确定。它的电荷密度波(CDW)经历了有趣但难以捉摸的量子熔化,并最终在金属插层作用下进入超导阶段,这表明熔化阶波动可能在粘合电子配位方面发挥了作用。利用光谱成像扫描隧道显微镜(STM),我们从空间和能带两个维度观察了单层 1T-TiSe2 的 CDW 熔化过程,从而获得了纯电子行为。在实际空间中,原生晶格缺陷会扰乱局部有序参数并刺激 CDW 熔化。在能带空间中,不同状态对熔化刺激表现出不同的刚度,从而产生独特的熔化纹理。量子熔化过程中 CDW 拓扑缺陷和结构因子的演变为评估 CDW 相干性提供了一个直接的途径,这表明 CDW 的硬度与 p-d 库仑相关性的强度成比例。我们的研究揭示了具有带-轨道-相关性变化特征的 CDW 量子熔化,并令人信服地强调了激子相互作用在稳定单层 TiSe2 电荷秩序中不可或缺的作用。
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ACS Earth and Space Chemistry
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