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Ionic Liquid Additive Mitigating Lithium Loss and Aluminum Corrosion for High-Voltage Anode-Free Lithium Metal Batteries. 离子液体添加剂可减轻高电压无阳极金属锂电池的锂损耗和铝腐蚀。
IF 15.8 1区 材料科学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-15 DOI: 10.1021/acsnano.4c13203
Minghan Zhou, Weijian Liu, Qili Su, Junfeng Zeng, Xueao Jiang, Xuansheng Wu, Zhengjian Chen, Xiwen Wang, Zhe Li, Haijing Liu, Shiguo Zhang

Concentrated electrolytes based on lithium bis(fluorosulfonyl)imide (LiFSI) have been proposed as an effective Li-compatible electrolyte for anode-free lithium metal batteries (AFLMBs). However, these electrolytes suffer from severe aluminum corrosion at an elevated potential. To address this issue, we propose a binary ionic liquid (IL) electrolyte additive comprising the 1-methyl-1-butyl pyrrolidinium cation (Pyr14+), difluoro(oxalate)borate anion (DFOB-), and difluorophosphate (PO2F2-) anion to mitigate the Li inventory loss and Al corrosion in 4 M LiFSI/DME electrolyte simultaneously. On the anode side, the IL additive facilitates the formation of a robust Li3N- and LiF-rich solid electrolyte interphase, promoting highly reversible Li plating/stripping and uniform Li deposition. Additionally, the ILs alter the Li+ solvation structure, leading to enhanced tLi+ and rapid Li+ desolvation kinetics. Concurrently, on the cathode side, the ILs aid in the generation of dense LiF- and AlF-rich passivation films against Al corrosion. By using the IL-added electrolyte, the Cu||LiMn0.7Fe0.3PO4 cell operates stably at 4.5 V, and the Cu||NCM613 cell with a high loading of 4.0 mA h cm-2 sustains 142 cycles until 80% capacity retention. This research contributes to a deeper understanding of the IL additive mechanism at the electrode-electrolyte interfaces and offers a straightforward approach to designing practical high-voltage AFLMB electrolytes.

基于双(氟磺酰)亚胺锂(LiFSI)的浓缩电解质已被提出作为无阳极锂金属电池(AFLMB)的有效锂兼容电解质。然而,这些电解质在电位升高时会受到严重的铝腐蚀。为解决这一问题,我们提出了一种二元离子液体(IL)电解质添加剂,由 1-甲基-1-丁基吡咯烷阳离子(Pyr14+)、二氟(草酸盐)硼酸阴离子(DFOB-)和二氟磷酸根阴离子(PO2F2-)组成,可同时减轻 4 M LiFSI/DME 电解质中的锂库存损失和铝腐蚀。在阳极侧,IL 添加剂有助于形成稳固的富含 Li3N 和 LiF 的固体电解质互相,促进高度可逆的锂镀层/剥离和均匀的锂沉积。此外,IL 还能改变 Li+ 的溶解结构,从而增强 tLi+ 和快速的 Li+ 解溶解动力学。同时,在阴极侧,IL 有助于生成致密的 LiF- 和富含 AlF 的钝化膜,以防止铝腐蚀。通过使用添加了IL的电解液,Cu||LiMn0.7Fe0.3PO4电池可在4.5 V电压下稳定运行,而高负载为4.0 mA h cm-2的Cu||NCM613电池可维持142个循环,直到容量保持在80%。这项研究有助于加深对电极-电解质界面 IL 添加机制的理解,并为设计实用的高电压 AFLMB 电解质提供了一种直接的方法。
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引用次数: 0
Mitophagy-Enhanced Nanoparticle-Engineered Mitochondria Restore Homeostasis of Mitochondrial Pool for Alleviating Pulmonary Fibrosis. 丝裂吞噬增强型纳米粒子工程线粒体可恢复线粒体池的平衡,从而缓解肺纤维化。
IF 15.8 1区 材料科学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-15 DOI: 10.1021/acsnano.4c10328
Yi Wang, Li-Fan Hu, Na-Hui Liu, Jing-Song Yang, Lei Xing, Jee-Heon Jeong, Ling Li, Hu-Lin Jiang

Pulmonary fibrosis (PF) is an interstitial lung disease tightly associated with the disruption of mitochondrial pool homeostasis, a delicate balance influenced by functional and dysfunctional mitochondria within lung cells. Mitochondrial transfer is an emerging technology to increase functional mitochondria via exogenous mitochondrial delivery; however, the therapeutic effect on mitochondrial transfer is hampered during the PF process by the persistence of dysfunctional mitochondria, which is attributed to impaired mitophagy. Herein, we reported engineering mitochondria mediated by mitophagy-enhanced nanoparticle (Mito-MEN), which promoted synchronal regulation of functional and dysfunctional mitochondria for treating PF. Mitophagy-enhanced nanoparticles (MENs) were fabricated through the encapsulation of Parkin mRNA, and the electrostatic interaction favored MENs to anchor isolated healthy mitochondria for the construction of Mito-MEN. Mito-MEN increased the load of functional exogenous mitochondria by enhancing mitochondrial delivery efficiency and promoted mitophagy of dysfunctional endogenous mitochondria. In a bleomycin (BLM)-induced PF mouse model, Mito-MEN repaired mitochondrial function and efficiently relieved PF-related phenotypes. This study provides a powerful tool for synchronal adjustment of mitochondrial pool homeostasis and offers a translational approach for pan-mitochondrial disease therapies.

肺纤维化(PF)是一种间质性肺病,与线粒体池平衡的破坏密切相关。线粒体转移是一项新兴技术,可通过外源线粒体输送增加功能线粒体;然而,在线粒体转移过程中,功能障碍线粒体的持续存在阻碍了线粒体转移的治疗效果,这归因于线粒体吞噬功能受损。在此,我们报道了由有丝分裂强化纳米粒子(Mito-MEN)介导的线粒体工程,它促进了功能性线粒体和功能障碍线粒体的同步调控,从而治疗PF。通过包裹Parkin mRNA制备了丝裂吞噬增强纳米颗粒(MENs),静电相互作用有利于MENs锚定分离的健康线粒体以构建Mito-MEN。Mito-MEN通过提高线粒体输送效率增加了功能性外源线粒体的负荷,并促进了功能障碍内源线粒体的有丝分裂。在博来霉素(BLM)诱导的PF小鼠模型中,Mito-MEN修复了线粒体功能,有效缓解了PF相关表型。这项研究为同步调整线粒体池平衡提供了有力工具,并为泛线粒体疾病疗法提供了一种转化方法。
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引用次数: 0
Correction to "Antitumor Effect by Hydroxyapatite Nanospheres: Activation of Mitochondria-Dependent Apoptosis and Negative Regulation of Phosphatidylinositol-3-Kinase/Protein Kinase B Pathway". 羟基磷灰石纳米球的抗肿瘤作用:激活线粒体依赖性凋亡和磷脂酰肌醇-3-Kinase/蛋白激酶 B 通路的负调控 "一文的更正。
IF 15.8 1区 材料科学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-15 DOI: 10.1021/acsnano.4c14881
Huan Zhao, Chengheng Wu, Dong Gao, Suping Chen, Yuda Zhu, Jing Sun, Hongrong Luo, Kui Yu, Hongsong Fan, Xingdong Zhang
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引用次数: 0
Giant Modulation of Second-Harmonic Generation in CuInP2S6 by Interfacing with MoS2 Atomic Layers. 通过与 MoS2 原子层交界面对 CuInP2S6 中二次谐波发生的巨大调制。
IF 15.8 1区 材料科学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-15 DOI: 10.1021/acsnano.4c12352
Dawei Li, Xinyi Hou, Fanyi Kong, Kun Wang, Xia Hong

Probing and manipulating the intriguing nonlinear optical responses in van der Waals (vdW) ferroelectrics offer opportunities for their applications in nanophotonics. Here, we report the observation of giant and tunable second-harmonic generation (SHG) in ferroelectric CuInP2S6 (CIPS) and CIPS/MoS2 heterostructures. The results show that CIPS, ranging from multilayer to bulk-like samples, all exhibit strong SHG with giant anisotropy. The SHG anisotropy is attributed to the local strain along the a-axis that naturally exists in CIPS, as evidenced by piezoresponse force microscopy measurement. We further realized the strong modulation of SHG in CIPS by interfacing with monolayer MoS2. A combination of polarization, temperature, and thickness-dependent SHG and photoluminescence analyses shows that the nonlinear optical signal control in CIPS/MoS2 heterostructures is unrelated to the polar symmetry of CIPS and MoS2 but is driven by light absorption-mediated interfacial coupling. Our study provides a material platform based on vdW ferroelectric heterostructures for achieving dynamic control of nonlinear optical responses, which shows great potential applications in modern nanophotonics.

探究和操纵范德华(vdW)铁电中有趣的非线性光学响应为其在纳米光子学中的应用提供了机会。在此,我们报告了在铁电体 CuInP2S6 (CIPS) 和 CIPS/MoS2 异质结构中观察到的巨型可调二次谐波发生 (SHG)。结果表明,从多层到块状样品,CIPS 都表现出具有巨大各向异性的强 SHG。压电响应力显微镜测量证明,SHG 各向异性归因于 CIPS 中自然存在的沿 a 轴的局部应变。通过与单层 MoS2 的连接,我们进一步实现了对 CIPS 中 SHG 的强调制。结合偏振、温度和厚度依赖性 SHG 和光致发光分析表明,CIPS/MoS2 异质结构中的非线性光学信号控制与 CIPS 和 MoS2 的极对称性无关,而是由光吸收介导的界面耦合驱动的。我们的研究为实现非线性光学响应的动态控制提供了一个基于 vdW 铁电异质结构的材料平台,它在现代纳米光子学中显示出巨大的应用潜力。
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引用次数: 0
Peroxynitrite-Free Nitric Oxide-Embedded Nanoparticles Maintain Nitric Oxide Homeostasis for Effective Revascularization of Myocardial Infarcts 不含过亚硝酸盐的一氧化氮包埋纳米粒子可维持一氧化氮的平衡,从而实现心肌梗塞的有效血管再通
IF 17.1 1区 材料科学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-15 DOI: 10.1021/acsnano.4c10118
Jiaxiong Zhang, Shuya Wang, Quan Sun, Jian Zhang, Xiaojing Shi, Meilian Yao, Jing Chen, Qiong Huang, Guogang Zhang, Qun Huang, Kelong Ai, Yongping Bai
Revascularization is crucial for treating myocardial infarction (MI). Nitric oxide (NO), at an appropriate concentration, is recognized as an ideal and potent pro-angiogenic factor. However, the application of NO in the treatment of MI is limited. Improper NO supplementation is harmful to revascularization because NO is converted into harmful peroxynitrite (ONOO) in MI tissues with high reactive oxygen species (ROS) levels. We overcome these obstacles by embedding biliverdin and NO into Prussian blue (PB) nanolattices to obtain an ONOO-free NO-embedded nanomedicine (OFEN). Unlike previous NO donors, OFEN provides NO stably and spontaneously for a longer time (>7 days), which makes it possible to maintain a stable concentration of NO, suitable for angiogenesis, through dose optimization. More importantly, based on the synergy between PB and biliverdin, OFEN converts ROS into beneficial O2 and inhibits the production of ONOO from the source. OFEN specifically targets MI tissues and achieves sustained and stable NO delivery at the MI site. OFEN effectively promotes revascularization in the MI tissue, significantly reduces myocardial death and fibrosis, and ultimately promotes the complete recovery of cardiac function. Our strategy provides a promising approach for the treatment of myocardial and other ischemic diseases.
血管重建是治疗心肌梗塞(MI)的关键。适当浓度的一氧化氮(NO)被认为是一种理想而有效的促血管生成因子。然而,NO 在治疗心肌梗死中的应用还很有限。一氧化氮补充不当对血管再通有害,因为一氧化氮会在活性氧(ROS)水平较高的心肌梗死组织中转化为有害的过氧化亚硝酸盐(ONOO-)。我们克服了这些障碍,将胆绿素和氮氧化物嵌入普鲁士蓝(PB)纳米晶格,获得了不含ONOO的氮氧化物嵌入纳米药物(OFEN)。与以往的氮氧化物供体不同,OFEN能在更长的时间(7天)内稳定、自发地提供氮氧化物,这使得通过剂量优化来维持适合血管生成的稳定的氮氧化物浓度成为可能。更重要的是,基于 PB 和胆绿素的协同作用,OFEN 可将 ROS 转化为有益的 O2,并从源头抑制 ONOO- 的产生。OFEN 专门针对心肌梗死组织,在心肌梗死部位实现持续稳定的 NO 输送。OFEN 能有效促进心肌梗死组织的血管再通,显著减少心肌死亡和纤维化,并最终促进心脏功能的完全恢复。我们的策略为治疗心肌和其他缺血性疾病提供了一种前景广阔的方法。
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引用次数: 0
YAP1 regulates thrombopoiesis by binding to MYH9 in immune thrombocytopenia. 在免疫性血小板减少症中,YAP1通过与MYH9结合调节血栓形成。
IF 21 1区 材料科学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-14 DOI: 10.1182/blood.2023023601
Shuhong Hu, Yifei Liu, Xiang Zhang, Xiaoqi Wang, Yanting Li, Mengqian Chu, Jie Yin, Yanglan Fang, Changgeng Ruan, Li Zhu, Depei Wu, Yang Xu

Abstract: Immune thrombocytopenia (ITP) is a complicated bleeding disease characterized by a sharp platelet reduction. As a dominating element involved in ITP, megakaryocytes (MKs) are responsible for thrombopoiesis. However, the mechanism underlying the dysregulation of thrombopoiesis that occurs in ITP remains unidentified. In this study, we examined the role of Yes-associated protein 1 (YAP1) in thrombopoiesis during ITP. We observed reduced YAP1 expression with cytoskeletal actin misalignment in MKs from patients with ITP. Using an experimental ITP mouse model, we showed that reduced YAP1 expression induced aberrant MK distribution, reduced the percentage of late MKs among the total MKs, and caused submaximal platelet recovery. Mechanistically, YAP1 upregulation by binding of GATA-binding protein 1 to its promoter promoted MK maturation. Phosphorylated YAP1 promoted cytoskeletal activation by binding its WW2 domain to myosin heavy chain 9, thereby facilitating thrombopoiesis. Targeting YAP1 with its activator XMU-MP-1 was sufficient to rescue cytoskeletal defects and thrombopoiesis dysregulation in YAP1+/- mice with ITP and patients. Taken together, these results demonstrate the crucial role of YAP1 in thrombopoiesis, providing potential for the development of diagnostic markers and therapeutic options for ITP.

免疫性血小板减少症(ITP)是一种以血小板急剧减少为特征的复杂出血性疾病。巨核细胞(MKs)是参与 ITP 的主要因素,负责血栓形成。然而,ITP 中血栓生成失调的机制仍未确定。在这项研究中,我们研究了是相关蛋白 1(YAP1)在 ITP 期间血栓形成中的作用。我们观察到,在 ITP 患者的 MK 中,YAP1 表达减少,细胞骨架肌动蛋白错位。通过使用实验性 ITP 小鼠模型,我们发现 YAP1 表达减少会诱发 MK 分布异常,降低晚期 MK 在 MK 总数中所占的比例,并导致血小板恢复至最低水平。从机制上讲,YAP1通过GATA结合蛋白1(GATA1)与其启动子结合而上调,促进了MK的成熟。磷酸化的YAP1通过其WW2结构域与肌球蛋白重链9(MYH9)结合,促进细胞骨架活化,从而促进血栓形成。通过激活剂XMU-MP-1靶向YAP1足以挽救患有ITP的YAP1+/-小鼠和患者的细胞骨架缺陷和血栓形成失调。综上所述,这些结果证明了 YAP1 在血栓形成中的关键作用,为开发 ITP 的诊断标记和治疗方案提供了可能。
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引用次数: 0
Interface Engineering for Efficient Photocarrier Generation and Transfer in Strongly Coupled Metallic/Semiconducting 1T'/2H MoS2 Heterobilayers. 强耦合金属/半导体 1T'/2H MoS2 异硅层中高效光载流子生成和传输的界面工程。
IF 15.8 1区 材料科学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-14 DOI: 10.1021/acsnano.4c11792
Junhao Dong, Zhanggui Wu, Changan HuangFu, Yi Su, Xiaoyan Zheng, Wensheng Wu, Baisheng Sa, Jiajie Pei, Liying Jiao, Jingying Zheng, Hongbing Zhan, Qianting Wang

Developing alternative two-dimensional (2D) metallic/semiconducting (M/S) van der Waals heterostructures (vdWHs) along with an understanding of interfacial photocarrier behavior is crucial for designing high-performance optoelectronic devices. Here, we comprehensively explored the photophysical model of photocarrier generation and interfacial transfer in as-grown 2D 1T'/2H MoS2 vdWHs using various spectroscopic characterizations. We demonstrated the transitions of activated photocarrier transfer trajectories by tuning the pump photon energies across the 2H MoS2 bandgap. The importance of confined bilayer transfer systems and strong interlayer coupling at vdW interfaces for transfer efficiency was elucidated. Additionally, the fluorophlogopite substrate was found to be an external method for regulating photocarrier generation in individual 2H layers through the p-doping effect at the substrate-2H layer interfaces, and this influence was alleviated after introducing the 2H-1T' vdW interface. Particularly, 1T' MoS2 as a broadband hot carrier absorber enabled the ultrafast (∼133 fs) injection and extraction of energetic hot carriers into the 2H layer via a photothermionic emission mechanism, achieving a high efficiency of ∼41% under 900 nm photoexcitation at room temperature. Our work offers fundamental insights into the complex interfacial carrier photophysics in 2D M/S vdWHs, providing a way of constructing advanced multifunctional devices by using these emerging materials as active components and interface engineering.

开发替代性二维(2D)金属/半导体(M/S)范德华异质结构(vdWHs)以及了解界面光载流子行为对于设计高性能光电器件至关重要。在这里,我们利用各种光谱特性全面探索了在生长的二维 1T'/2H MoS2 vdWHs 中产生光载流子和界面转移的光物理模型。我们通过调整泵浦光子在 2H MoS2 带隙上的能量,证明了活化光电载流子转移轨迹的转变。我们阐明了密闭双层转移系统和 vdW 界面的强层间耦合对转移效率的重要性。此外,研究还发现氟磷灰石衬底是通过衬底-2H 层界面的 p 掺杂效应调节单个 2H 层中光电载流子生成的外部方法,而在引入 2H-1T' vdW 界面后,这种影响得到了缓解。特别是,1T' MoS2 作为一种宽带热载流子吸收体,能够通过光热离子发射机制将高能热载流子超快(∼133 fs)注入和提取到 2H 层,在室温 900 纳米光激发下实现了 ∼41% 的高效率。我们的工作从根本上揭示了二维 M/S vdWHs 中复杂的界面载流子光物理,为利用这些新兴材料作为活性元件和界面工程构建先进的多功能器件提供了一条途径。
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引用次数: 0
Interfacially Assembled Anion Exchange Membranes for Water Electrolysis. 用于电解水的界面组装阴离子交换膜。
IF 15.8 1区 材料科学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-14 DOI: 10.1021/acsnano.4c10212
Hansoo Kim, Sungkwon Jeon, Juyeon Choi, Young Sang Park, Sung-Joon Park, Myung-Seok Lee, Yujin Nam, Hosik Park, MinJoong Kim, Changsoo Lee, Si Eon An, Jiyoon Jung, SeungHwan Kim, Jeong F Kim, Hyun-Seok Cho, Albert S Lee, Jung-Hyun Lee

High-performance and durable anion exchange membranes (AEMs) are critical for realizing economical green hydrogen production through alkaline water electrolysis (AWE) or AEM water electrosysis (AEMWE). However, existing AEMs require sophisticated fabrication protocols and exhibit unsatisfactory electrochemical performance and long-term durability. Here we report an AEM fabricated via a one-pot, in situ interfacial Menshutkin reaction, which assembles a highly cross-linked polymer containing high-density quaternary ammoniums and nanovoids inside a reinforcing porous support. This structure endows the membrane with high anion-conducting ability, water uptake (but low swelling), and mechanical and thermochemical robustness. Consequently, the assembled membrane achieves excellent AWE (0.97 A cm-2 at 1.8 V) and AEMWE (5.23 A cm-2 at 1.8 V) performance at 5 wt % KOH and 80 °C, significantly exceeding that of commercial and previously developed membranes, and excellent long-term durability. Our approach provides an effective method for fabricating AEMs for various energy and environmental applications.

高性能、耐用的阴离子交换膜(AEM)对于通过碱性水电解(AWE)或 AEM 水电解(AEMWE)实现经济的绿色制氢至关重要。然而,现有的 AEM 需要复杂的制造工艺,其电化学性能和长期耐久性并不令人满意。在此,我们报告了一种通过单锅原位界面门舒特金反应制造的 AEM,该反应将含有高密度季铵和纳米固体的高交联聚合物组装在一个增强多孔支撑物内。这种结构使膜具有较高的阴离子传导能力、吸水性(但膨胀性较低)以及机械和热化学稳健性。因此,组装后的膜在 5 wt % KOH 和 80 °C 条件下实现了出色的 AWE(0.97 A cm-2 at 1.8 V)和 AEMWE(5.23 A cm-2 at 1.8 V)性能,大大超过了商业膜和之前开发的膜,并且具有出色的长期耐久性。我们的方法为各种能源和环境应用提供了制造 AEM 的有效方法。
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引用次数: 0
Site-Specific Stochastic Rates and Energetics of Ag Nucleation on Highly Ordered Pyrolytic Graphite. 高有序热解石墨上银成核的特定位点随机速率和能量学。
IF 15.8 1区 材料科学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-14 DOI: 10.1021/acsnano.4c09981
Iván Elías Mondaca-Medina, Hang Ren

Nucleation is a fundamentally important step in electrochemical phase transition reactions, e.g., in electrodeposition, which is pertinent for emerging battery technology, nanoparticle synthesis, and many industrial processes. Surface defects have been suggested to enhance nucleation rates. However, directly quantifying the nucleation rates at specific surface sites is challenging due to the ensemble averaging effect in bulk measurements. Herein, we report the measurement of rates and energetics of electronucleation across the model surface of highly oriented pyrolytic graphite (HOPG). Specifically, scanning electrochemical cell microscopy (SECCM) is used to confine the nucleation spatially in the nanoscale cell, allowing one nucleation event to be measured at one time. The scanning capability further allows the mapping of Ag nucleation at the step edge vs basal plane. A stochastic model is developed to extract the nucleation rate and energetics from voltammetric experiments. We observed a ∼57 mV difference in the median nucleation overpotential between the step edge and basal plane, corresponding to a ∼12 kJ mol-1 difference in the nucleation energy barrier. The voltammetric method to measure the nucleation rate explored here can be extended to understand the heterogeneity of nucleation rates in other electrochemical nucleation systems, e.g., metal anode batteries.

成核是电化学相变反应(如电沉积)中的一个基本重要步骤,与新兴电池技术、纳米粒子合成和许多工业过程息息相关。有人认为表面缺陷会提高成核率。然而,由于批量测量中的集合平均效应,直接量化特定表面位点的成核率具有挑战性。在此,我们报告了高取向热解石墨(HOPG)模型表面电子成核率和能量的测量结果。具体来说,扫描电化学电池显微镜(SECCM)用于将成核空间限制在纳米级电池中,允许一次测量一个成核事件。扫描功能还可进一步绘制阶梯边缘与基底面的银成核图。我们建立了一个随机模型,以便从伏安法实验中提取成核率和能量。我们观察到阶梯边缘和基底面之间的中值成核过电位相差 ∼57 mV,对应于成核能垒相差 ∼12 kJ mol-1。本文探讨的测量成核率的伏安法可扩展用于了解其他电化学成核系统(如金属阳极电池)中成核率的异质性。
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引用次数: 0
Ruxolitinib for pediatric patients with treatment-naïve and steroid-refractory acute graft-versus-host disease: the REACH4 study. Ruxolitinib治疗治疗无效和类固醇难治性急性移植物抗宿主病的儿科患者(REACH4)。
IF 15.8 1区 材料科学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-14 DOI: 10.1182/blood.2023022565
Franco Locatelli, Hyoung Jin Kang, Bénédicte Bruno, Virginie Gandemer, Fanny Rialland, Maura Faraci, Yoshiyuki Takahashi, Katsuyoshi Koh, Henrique Bittencourt, Grace Cleary, Christine Rosko, Xuechan Li, Annie St Pierre, Anirudh Prahallad, Cristina Diaz-de-Heredia

Abstract: In REACH4, a phase 1/2, open-label, single-arm, multicenter study, the pharmacokinetics (PK), efficacy, and safety of ruxolitinib were evaluated in treatment-naïve and steroid-refractory pediatric patients with grade 2 to 4 acute graft-versus-host disease (aGVHD; n = 45). Ruxolitinib dosing was based on age and targeted the exposure in adults receiving 10 mg twice daily; group 1 (aged ≥12 to <18 years) received 10 mg twice daily and preliminary starting doses for groups 2 (aged ≥6 to <12 years) and 3 (aged ≥2 to <6 years) were 5 mg twice daily and 4 mg/m2 twice daily, respectively. The phase 1 primary objective was to assess ruxolitinib PK parameters and define an age-appropriate recommended phase 2 dose (RP2D) for patients aged <12 years. The phase 2 primary objective was to measure the activity of ruxolitinib as assessed by overall response rate (ORR) at day 28; the key secondary objective was to assess the durable ORR at day 56. Ruxolitinib exposure was comparable across age groups; starting doses were confirmed as the RP2D. The median duration of ruxolitinib exposure was 3.8 months (range, 0.3-11.2). ORR in all patients was 84.4% (90% confidence interval [CI], 72.8-92.5) at day 28, with a durable ORR at day 56 of 66.7% (90% CI, 53.4-78.2); high response rates were observed across age groups and in both treatment-naïve and steroid-refractory subgroups. Adverse events were consistent with those expected in patients with aGVHD (anemia, decreased neutrophil and leukocyte count) treated with ruxolitinib. In pediatric patients with aGVHD, ruxolitinib showed clinically meaningful efficacy with no new safety signals. This trial was registered at www.clinicaltrials.gov as #NCT03491215.

在一项1/2期、开放标签、单臂、多中心研究REACH4(NCT03491215)中,我们评估了Ruxolitinib在II-IV级急性移植物抗宿主病(aGVHD;n=45)治疗无效和类固醇难治性儿科患者中的药代动力学(PK)、疗效和安全性。Ruxolitinib的剂量是根据年龄确定的,目标是每日两次、每次10毫克的成人暴露量;第1组(≥12至
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引用次数: 0
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ACS Nano
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