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Clinical remission attainment, definitions, and correlates among patients with severe asthma treated with biologics: a systematic review and meta-analysis 接受生物制剂治疗的重症哮喘患者的临床缓解程度、定义和相关因素:系统回顾和荟萃分析
IF 76.2 4区 化学 Q3 CHEMISTRY, INORGANIC & NUCLEAR Pub Date : 2024-11-14 DOI: 10.1016/s2213-2600(24)00293-5
Amy Shackleford, Liam G Heaney, Charlene Redmond, P Jane McDowell, John Busby
<h3>Background</h3>Clinical remission has emerged as an important treatment goal in severe asthma; however, studies have reported variable attainment due to differences in study populations, definitions, and methods. We aimed to perform a systematic review and meta-analysis of clinical remission attainment, definitions, and correlates among patients with severe asthma who have been treated with biologics.<h3>Methods</h3>In this systematic review and meta-analysis, we searched Web of Science, Embase, and MEDLINE, using the keywords “asthma” and “remission”, for studies published between database inception and June 13, 2024, that reported clinical remission among patients with severe asthma treated with biologics. Studies were eligible for inclusion in both the systematic review and meta-analysis if they were published in English language peer-reviewed journals and reported rates of clinical remission for patients treated with biologics for severe asthma. There were no limitations by study design. Two reviewers independently screened identified papers (AS and CR), with disagreements resolved through consensus or referral to a third reviewer (JB). Study-level data on study characteristics, clinical remission definitions, clinical remission attainment, and the potential correlates of clinical remission were extracted independently by two reviewers (AS and CR) using Covidence. We defined a three-component definition of clinical remission, which included use of maintenance oral corticosteroids, exacerbations, and asthma symptom burden, and a four-component definition, which additionally included lung function. We meta-analysed the rate of attainment of clinical remission and assessed the correlates of clinical remission using DerSimonian-Laird random-effects models. Statistical heterogeneity was assessed using the <em>I</em><sup>2</sup> statistic. This study was registered with PROSPERO, CRD42024507233.<h3>Findings</h3>Our search identified 3014 potentially eligible studies, of which 1812 were screened. 25 studies were included, which reported 28 analyses of clinical remission attainment. 68 definitions of clinical remission were identified, of which 48 were unique. Little consensus was found between studies in terms of the clinical remission definition, particularly for symptoms and lung function. Eight analyses used the three-component definition of clinical remission and 25 used the four-component definition. The pooled proportion of patients who attained clinical remission was 38% (95% CI 29–47; <em>I</em><sup>2</sup>=93%) for the three-component definition and 30% (27–34; <em>I</em><sup>2</sup>=83%) for the four-component definition. Several pulmonary factors were associated with lower clinical remission rates, including worse FEV<sub>1</sub> (odds ratio 0·09 [95% CI 0·01–0·92]; <em>I</em><sup>2</sup>=87%), worse asthma symptoms (0·23 [0·17–0·33]; <em>I</em><sup>2</sup>=0%), longer asthma duration (0·49 [0·32–0·76]; <em>I</em><sup>2</sup>=22%), an
背景临床缓解已成为重症哮喘的一个重要治疗目标;然而,由于研究人群、定义和方法的不同,研究报告的临床缓解率也不尽相同。我们的目的是对接受生物制剂治疗的重症哮喘患者的临床缓解率、定义和相关因素进行系统回顾和荟萃分析。在本系统回顾和荟萃分析中,我们使用关键词 "哮喘 "和 "缓解 "检索了 Web of Science、Embase 和 MEDLINE,以查找从数据库开始到 2024 年 6 月 13 日之间发表的、报告接受生物制剂治疗的重症哮喘患者临床缓解情况的研究。如果研究发表在英语同行评审期刊上,并报告了接受生物制剂治疗的重症哮喘患者的临床缓解率,则符合纳入系统综述和荟萃分析的条件。研究设计不受限制。两名审稿人(AS 和 CR)独立筛选确定的论文,有分歧时达成共识或提交给第三名审稿人(JB)。两位审稿人(AS 和 CR)使用 Covidence 软件独立提取了有关研究特征、临床缓解定义、临床缓解实现情况以及临床缓解潜在相关因素的研究级数据。我们定义了临床缓解的三要素定义,其中包括维持性口服皮质类固醇的使用、病情恶化和哮喘症状负担,以及四要素定义,其中还包括肺功能。我们使用 DerSimonian-Laird 随机效应模型对临床缓解率进行了荟萃分析,并评估了临床缓解的相关因素。统计异质性采用 I2 统计量进行评估。本研究已在 PROSPERO 注册,注册号为 CRD42024507233。共纳入 25 项研究,这些研究报告了 28 项临床缓解的分析结果。确定了 68 种临床缓解的定义,其中 48 种是唯一的。在临床缓解的定义方面,特别是在症状和肺功能方面,各研究之间几乎没有达成共识。有 8 项分析采用了临床缓解的三要素定义,25 项分析采用了四要素定义。达到临床缓解的患者总比例为:三组份定义为 38% (95% CI 29-47;I2=93%),四组份定义为 30% (27-34;I2=83%)。一些肺部因素与较低的临床缓解率相关,包括较差的 FEV1(几率比 0-09 [95% CI 0-01-0-92];I2=87%)、较差的哮喘症状(0-23 [0-17-0-33];I2=0%)、较长的哮喘持续时间(0-49 [0-32-0-76];I2=22%)和使用维持性口服皮质类固醇(0-57 [0-40-0-79];I2=49%)。合并症的存在,尤其是抑郁症(0-38 [0-23-0-61]; I2=6%)和肥胖症(0-41 [0-31-0-54]; I2=0%),是临床缓解的重要非肺部障碍。不同研究对临床缓解的定义大相径庭,并对临床缓解的实现产生了实质性影响,这表明迫切需要进一步达成共识。病程较长、哮喘严重程度较高以及合并症的存在被认为是临床缓解的重要障碍,这表明尽早采用有效的治疗方法和更广泛的可治疗性状方法进行干预可能会改善治疗效果。
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引用次数: 0
Thoracentesis: an old story and some new sources 胸腔穿刺术:一个老故事和一些新来源
IF 76.2 4区 化学 Q3 CHEMISTRY, INORGANIC & NUCLEAR Pub Date : 2024-11-14 DOI: 10.1016/s2213-2600(24)00342-4
Emmanuel Drouin, Eric Wiel, Edouard Lansiaux, Jacalyn Duffin, Arnaud Chambellan

Section snippets

Two late 18th century manuscripts

Both of the manuscripts we feature here were written by students hearing the lectures of famous authors, but whose advice on thoracentesis is previously unknown. They are fascinating not only for expanding our understanding of these two important figures but because they provide precise descriptions of the site and technique of thoracic drainage just before auscultation, which would provide the means for locating the pathological change. Student lecture notes could have served as a sort of

Discussion

This Spotlight suggests that until the 18th century, doctors carried out thoracentesis largely in accordance with Hippocrates' recommendations to make the incision low in the chest. The question arose as to whether the approach should be anterior or posterior. We can see that at least two reputed doctors with considerable anatomical knowledge, Astruc and Bichat, raised the question of the drainage technique, with particular reference to the surgical approach. Astruc went further in describing
部分片段两份 18 世纪晚期的手稿我们在此介绍的两份手稿都是由聆听著名作家讲座的学生所写,但他们关于胸腔穿刺术的建议以前却不为人知。这两份手稿之所以引人入胜,不仅是因为它们扩展了我们对这两位重要人物的了解,还因为它们精确描述了听诊前胸腔引流的部位和技术,这将为定位病理变化提供方法。学生的讲课笔记可以作为一种讨论这篇 Spotlight 显示,直到 18 世纪,医生们基本上都是按照希波克拉底的建议进行胸腔穿刺术的,即在胸部低位做切口。问题是,切口应该在前胸还是后胸。我们可以看到,至少有两位具有丰富解剖学知识的著名医生,阿斯特鲁克(Astruc)和比查特(Bichat),提出了引流技术的问题,尤其是手术方法。阿斯特鲁克进一步描述道
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引用次数: 0
Asthma remission: a call for a globally standardised definition 哮喘缓解:呼吁制定全球统一的定义
IF 76.2 4区 化学 Q3 CHEMISTRY, INORGANIC & NUCLEAR Pub Date : 2024-11-14 DOI: 10.1016/s2213-2600(24)00304-7
Marek Lommatzsch, J Christian Virchow
No Abstract
无摘要
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引用次数: 0
Layer-dependent evolution of electronic structures and correlations in rhombohedral multilayer graphene 斜方多层石墨烯电子结构和相关性的层依赖性演化
IF 38.3 4区 化学 Q3 CHEMISTRY, INORGANIC & NUCLEAR Pub Date : 2024-11-13 DOI: 10.1038/s41565-024-01822-y
Yang Zhang, Yue-Ying Zhou, Shihao Zhang, Hao Cai, Ling-Hui Tong, Wei-Yu Liao, Ruo-Jue Zou, Si-Min Xue, Yuan Tian, Tongtong Chen, Qiwei Tian, Chen Zhang, Yiliu Wang, Xuming Zou, Xingqiang Liu, Yuanyuan Hu, Ya-Ning Ren, Li Zhang, Lijie Zhang, Wen-Xiao Wang, Lin He, Lei Liao, Zhihui Qin, Long-Jing Yin

The recent discovery of superconductivity and magnetism in trilayer rhombohedral graphene (RG) establishes an ideal, untwisted platform to study strong correlation electronic phenomena. However, the correlated effects in multilayer RG have received limited attention, and, particularly, the evolution of the correlations with increasing layer number remains an unresolved question. Here we show the observation of layer-dependent electronic structures and correlations—under surprising liquid nitrogen temperature—in RG multilayers from 3 to 9 layers by using scanning tunnelling microscopy and spectroscopy. We explicitly determine layer-enhanced low-energy flat bands and interlayer coupling strengths. The former directly demonstrates the further flattening of low-energy bands in thicker RG, and the latter indicates the presence of varying interlayer interactions in RG multilayers. Moreover, we find significant splittings of the flat bands, ranging from ~50 meV to 80 meV, at 77 K when they are partially filled, indicating the emergence of interaction-induced strongly correlated states. Particularly, the strength of the correlated states is notably enhanced in thicker RG and reaches its maximum in the six-layer, validating directly theoretical predictions and establishing abundant new candidates for strongly correlated systems. Our results provide valuable insights into the layer dependence of the electronic properties in RG and demonstrate it as a suitable system for investigating robust and highly accessible correlated phases.

最近在三层斜方体石墨烯(RG)中发现的超导性和磁性为研究强相关电子现象提供了一个理想的非扭曲平台。然而,多层 RG 中的相关效应受到的关注有限,尤其是相关性随层数增加而演变的问题仍未解决。在这里,我们利用扫描隧道显微镜和光谱学,在令人惊讶的液氮温度下,观察到了 3 至 9 层 RG 多层中与层相关的电子结构和相关性。我们明确确定了层增强的低能平带和层间耦合强度。前者直接表明了较厚 RG 中低能平坦带的进一步平坦化,后者表明了 RG 多层中存在不同的层间相互作用。此外,我们还发现,在 77 K 时,当平坦带被部分填充时,会出现明显的分裂,范围从 ~50 meV 到 80 meV 不等,这表明出现了相互作用引起的强相关态。特别是,相关态的强度在较厚的 RG 中明显增强,并在六层 RG 中达到最大值,直接验证了理论预测,并为强相关系统建立了丰富的新候选。我们的研究结果为了解 RG 中电子特性的层依赖性提供了宝贵的见解,并证明 RG 是研究稳健、高可及相关相的合适体系。
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引用次数: 0
Presenting the tactile periodic table 展示触觉元素周期表
IF 36.3 4区 化学 Q3 CHEMISTRY, INORGANIC & NUCLEAR Pub Date : 2024-11-13 DOI: 10.1038/s41570-024-00675-2
Michael Fricke, Mona Minkara
Through the collaboration of two members of the ACS Committee on Chemists with Disabilities, a prototype Braille periodic table has been created. This project is part of a wider goal of making chemistry accessible to all.
在美国化学学会残疾化学家委员会两位成员的合作下,盲文元素周期表原型已经制作完成。该项目是实现化学无障碍这一更广泛目标的一部分。
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引用次数: 0
Cracking the triple helix 破解三重螺旋
IF 36.3 4区 化学 Q3 CHEMISTRY, INORGANIC & NUCLEAR Pub Date : 2024-11-13 DOI: 10.1038/s41570-024-00668-1
Michael J. Diaz
A novel method to detect proteins interacting with triplex DNA in living cells has been developed. This approach provides new insights into triplex DNA regulation and highlights potential therapeutic targets to prevent DNA damage.
我们开发了一种新方法来检测活细胞中与三重 DNA 相互作用的蛋白质。这种方法提供了有关三重 DNA 调节的新见解,并突出了防止 DNA 损伤的潜在治疗目标。
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引用次数: 0
Promising excitonic absorption for efficient perovskite solar cells 有望实现激子吸收的高效过氧化物太阳能电池
IF 39.8 4区 化学 Q3 CHEMISTRY, INORGANIC & NUCLEAR Pub Date : 2024-11-12 DOI: 10.1016/j.joule.2024.10.012
Biao Li, Yuxin Yao, Chenxia Kan, Pengjie Hang, Jiangsheng Xie, Qixin Yin, Daoyong Zhang, Xuegong Yu, Deren Yang
Tuning the band gap of perovskites toward the ideal band gap enables the enhancement of the power conversion efficiency (PCE) of perovskite solar cells (PSCs). Here, we demonstrate that the optical band-gap narrowing can be achieved by employing the excitonic absorption in perovskites through tuning their exciton binding energy (Eb), which directly leads to a photocurrent gain and hence improves the PCE of PSCs. With combined theoretical and experimental studies, it is revealed that the Eb is deeply correlated with the density of vacancy defects in perovskites due to their potential screening effect. Using the precursor engineering, we enhance the Eb by decreasing the density of vacancy defects in perovskites films. As a result, the improved excitonic absorption in formamidinium lead iodide (FAPbI3) obviously broadens the spectral response and thus boosts the efficiency of the champion PSC up to 26.31% (certified 26.09%), mainly due to an enhanced photocurrent.
将过氧化物的带隙调谐到理想带隙可提高过氧化物太阳能电池(PSCs)的功率转换效率(PCE)。在这里,我们证明了可以通过调节激子结合能(Eb),利用包晶石中的激子吸收来实现光带隙的缩小,这直接导致了光电流的增益,从而提高了 PSCs 的 PCE。结合理论和实验研究,我们发现 Eb 与过氧化物中的空位缺陷密度密切相关,这是由于空位缺陷具有潜在的屏蔽效应。利用前驱体工程学,我们通过降低过氧化物薄膜中空位缺陷的密度来提高 Eb。因此,碘化甲脒铅 (FAPbI3) 中激子吸收的改善明显拓宽了光谱响应,从而将冠军 PSC 的效率提高到 26.31%(认证值为 26.09%),这主要是由于光电流的增强。
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引用次数: 0
De-doping engineering for efficient and heat-stable perovskite solar cells 去掺杂工程实现高效、热稳定的过氧化物太阳能电池
IF 39.8 4区 化学 Q3 CHEMISTRY, INORGANIC & NUCLEAR Pub Date : 2024-11-12 DOI: 10.1016/j.joule.2024.10.011
Yun Seop Shin, Ji Won Song, Dong Gyu Lee, Jaehwi Lee, Jongdeuk Seo, Jina Roe, Gwang Yong Shin, Dongshin Kim, Jiwoo Yeop, Dongmin Lee, Minjin Kim, Yimhyun Jo, Hyungsu Jang, Jung Geon Son, Woojin Lee, Jeongmin Son, Sujung Park, Shinuk Cho, Tae Joo Shin, Gi-Hwan Kim, Dong Suk Kim
In conventional n-i-p perovskite solar cells, unsolved issues persist, particularly concerning notorious performance degradation under prolonged heat exposure at 85°C. By reducing the concentration of 4-tert-butylpyridine (tBP) and lithium bis(trifluoromethanesulfonyl)imide and adjusting their molar ratio to one, we achieved a dramatic increase in the heat stability of the PSC while boosting its power conversion efficiency (PCE). The formation of a 1:1 Li+-tBP complex was crucial for preventing free tBP molecules in the hole-transporting layer (HTL), suppressing the de-doping of the p-type HTL by tBP and the release of tBP vapor under heat stress. Consequently, the PSCs accomplished a PCE of 26.18% (certified 26.00%) while demonstrating remarkable resilience to heat exposure at 85°C due to the raised glass transition temperature of the HTL. Furthermore, a perovskite solar mini-module with an aperture area of 25 cm2 achieved a PCE of 23.29%, highlighting their potential for commercial PSC deployment.
在传统的n-i-p包晶太阳能电池中,仍存在一些尚未解决的问题,尤其是在85°C高温下长时间暴露时性能下降的问题。通过降低 4-叔丁基吡啶(tBP)和双(三氟甲磺酰基)亚胺锂的浓度并将它们的摩尔比调整为 1,我们显著提高了 PSC 的热稳定性,同时提高了其功率转换效率(PCE)。1:1 Li+-tBP 复合物的形成对于防止空穴传输层(HTL)中出现游离的 tBP 分子、抑制 tBP 对 p 型 HTL 的去掺杂以及热应力下 tBP 蒸汽的释放至关重要。因此,PSCs 的 PCE 达到了 26.18%(认证值为 26.00%),同时由于 HTL 玻璃化转变温度的提高,在 85°C 的高温下表现出了卓越的耐热性。此外,孔径面积为 25 平方厘米的过氧化物太阳能微型模块的 PCE 达到了 23.29%,这突出表明了它们在商用 PCSC 部署方面的潜力。
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引用次数: 0
Front Cover: Reductive-Transmetalation Reactions of ZnR2/(AlCp*)4 Heterobimetallic Combinations and Application Towards CO2 Insertion (Eur. J. Inorg. Chem. 31/2024) 封面:ZnR2/(AlCp*)4异种金属组合的还原-转金属反应及其在二氧化碳插入中的应用(欧洲分子化学杂志 31/2024)
IF 2.2 4区 化学 Q3 CHEMISTRY, INORGANIC & NUCLEAR Pub Date : 2024-11-11 DOI: 10.1002/ejic.202483101
Prof. Dr. Eva Hevia, Dr. Fabian Dankert

The Front Cover shows a gull on a beautiful sunset flying with a series of smaller cartoonish gulls. In between these gulls, the ingredients for a novel reductive transmetalation route are provided: “AlCp*” and ZnR2 (R=aryl), which selectively react to yield compounds of the generic formula [AlCp*R2]. As an example, a crystal structure is shown that spreads its newly introduced aryl rings as wings to fly with the big gull. Corroborated by quantum chemical calculations, such compounds found application for selective CO2 insertion in their AlCp* moieties to yield small inorganic rings. More information can be found in the Research Article by E. Hevia and F. M. Dankert.

封面展示了一只海鸥在美丽的夕阳下与一系列较小的卡通海鸥一起飞翔。在这些海鸥之间,提供了一种新型还原转金属路线的成分:"AlCp*"和 ZnR2(R=芳基),它们选择性地反应生成通式为 [AlCp*R2] 的化合物。例如,图中所示的晶体结构将新引入的芳基环张开,就像展翅高飞的大海鸥。量子化学计算证实,这种化合物可用于在其 AlCp* 分子中选择性地插入二氧化碳,从而生成小型无机环。更多信息,请参阅 E. Hevia 和 F. M. Dankert 的研究文章。Dankert 的研究文章中。
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引用次数: 0
Pyrene-Functionalized Silicon Hybrid Porous Polymer for an Efficient Adsorption of Dyes 用于高效吸附染料的芘官能化硅杂化多孔聚合物
IF 2.2 4区 化学 Q3 CHEMISTRY, INORGANIC & NUCLEAR Pub Date : 2024-11-11 DOI: 10.1002/ejic.202483102
Nan Yang, Rungthip Kunthom, Hongzhi Liu

The Cover Feature illustrates the integration of a 3D porous polymer and its interaction with Congo Red molecules, highlighting the polymer′s efficient dye adsorption. The large cube represents a polymer network, with red and blue bonds indicating molecular bonds between different monomers. Floating chemical structures depict Congo Red dissolved in an aqueous solution with its adsorption into the material leading to a clearer background. More information can be found in the Research Article by N. Yang, R. Kunthom and H. Liu.

封面特写展示了三维多孔聚合物的整合及其与刚果红分子的相互作用,突出了聚合物对染料的高效吸附。大立方体表示聚合物网络,红色和蓝色键表示不同单体之间的分子键。浮动的化学结构描绘了溶解在水溶液中的刚果红,其吸附在材料中使背景更加清晰。更多信息,请参阅 N. Yang、R. Kunthom 和 H. Liu 的研究文章。
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引用次数: 0
期刊
European Journal of Inorganic Chemistry
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