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Myelodysplastic syndromes. 骨髓增生异常综合征。
IF 81.5 3区 化学 Q2 CHEMISTRY, PHYSICAL Pub Date : 2022-11-17 DOI: 10.1038/s41572-022-00402-5
Huan Li, Fang Hu, Robert Peter Gale, Mikkael A Sekeres, Yang Liang

Myelodysplastic syndromes (MDS) are a family of myeloid cancers with diverse genotypes and phenotypes characterized by ineffective haematopoiesis and risk of transformation to acute myeloid leukaemia (AML). Some epidemiological data indicate that MDS incidence is increasing in resource-rich regions but this is controversial. Most MDS cases are caused by randomly acquired somatic mutations. In some patients, the phenotype and/or genotype of MDS overlaps with that of bone marrow failure disorders such as aplastic anaemia, paroxysmal nocturnal haemoglobinuria (PNH) and AML. Prognostic systems, such as the revised International Prognostic Scoring System (IPSS-R), provide reasonably accurate predictions of survival at the population level. Therapeutic goals in individuals with lower-risk MDS include improving quality of life and minimizing erythrocyte and platelet transfusions. Therapeutic goals in people with higher-risk MDS include decreasing the risk of AML transformation and prolonging survival. Haematopoietic cell transplantation (HCT) can cure MDS, yet fewer than 10% of affected individuals receive this treatment. However, how, when and in which patients with HCT for MDS should be performed remains controversial, with some studies suggesting HCT is preferred in some individuals with higher-risk MDS. Advances in the understanding of MDS biology offer the prospect of new therapeutic approaches.

骨髓增生异常综合征(MDS)是一个具有不同基因型和表型的髓系癌症家族,其特征是造血功能低下和转化为急性髓系白血病(AML)的风险。一些流行病学数据表明,资源丰富地区MDS发病率正在上升,但这是有争议的。大多数MDS病例是由随机获得的体细胞突变引起的。在一些患者中,MDS的表型和/或基因型与骨髓衰竭疾病如再生障碍性贫血、阵发性夜间血红蛋白尿(PNH)和AML的表型和/或基因型重叠。预后系统,如经修订的国际预后评分系统(IPSS-R),在人群水平上提供了相当准确的生存预测。低风险MDS患者的治疗目标包括改善生活质量和减少红细胞和血小板输注。高风险MDS患者的治疗目标包括降低AML转化的风险和延长生存期。造血细胞移植(HCT)可以治愈MDS,但只有不到10%的患者接受了这种治疗。然而,如何、何时以及在哪些MDS患者中进行HCT仍然存在争议,一些研究表明HCT更适合一些高危MDS患者。对MDS生物学的理解的进步为新的治疗方法提供了前景。
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引用次数: 8
Myelodysplastic syndromes. 骨髓增生异常综合征。
IF 81.5 3区 化学 Q2 CHEMISTRY, PHYSICAL Pub Date : 2022-11-17 DOI: 10.1038/s41572-022-00407-0
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引用次数: 637
Correction: Image processing tools for the validation of CryoEM maps 更正:用于验证CryoEM地图的图像处理工具
IF 3.4 3区 化学 Q2 CHEMISTRY, PHYSICAL Pub Date : 2022-11-11
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引用次数: 0
List of participants 参会人员名单
IF 3.4 3区 化学 Q2 CHEMISTRY, PHYSICAL Pub Date : 2022-11-11
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引用次数: 0
Poster list 海报列表
IF 3.4 3区 化学 Q2 CHEMISTRY, PHYSICAL Pub Date : 2022-11-11
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引用次数: 0
Tuning the degree of CO2 activation by carbon doping Cun− (n = 3–10) clusters: an IR spectroscopic study† 调节二氧化碳活化程度的碳掺杂Cun - (n = 3-10)簇:一个红外光谱研究†
IF 3.4 3区 化学 Q2 CHEMISTRY, PHYSICAL Pub Date : 2022-11-03 DOI: 10.1039/D2FD00128D
Olga V. Lushchikova, Máté Szalay, Tibor Höltzl and Joost M. Bakker

Copper clusters on carbide surfaces have shown a high catalytic activity towards methanol formation. To understand the interaction between CO2 and the catalytically active sites during this process and the role that carbon atoms could play in this, they are modeled by copper clusters, with carbon atoms incorporated. The formed clusters CunCm? (n = 3–10, m = 1–2) are reacted with CO2 and investigated by IR multiple-photon dissociation (IR-MPD) spectroscopy to probe the degree of CO2 activation. IR spectra for the reaction products [CunC·CO2]?, (n = 6–10), and [CunC2·CO2]?, (n = 3–8) are compared to reference spectra recorded for products formed when reacting the same cluster sizes with CO, and with density functional theory (DFT) calculated spectra. The results reveal a size- and carbon load-dependent activation and dissociation of CO2. The complexes [CunC·CO2]? with n = 6 and 10 show predominantly molecular activation of CO2, while those with n = 7–9 show only dissociative adsorption. The addition of the second carbon to the cluster leads to the exclusive molecular activation of the CO2 on all measured cluster sizes, except for Cu5C2? where CO2 dissociates. Combining these findings with DFT calculations leads us to speculate that at lower carbon-to-metal ratios (CMRs), the C can act as an oxygen anchor facilitating the OCO bond rupture, whereas at higher CMRs the carbon atoms increasingly attract negative charge, reducing the Cu cluster’s ability to donate electron density to CO2, and consequently its ability to activate CO2.

碳化物表面的铜簇对甲醇的形成具有较高的催化活性。为了了解在这一过程中二氧化碳与催化活性位点之间的相互作用以及碳原子在其中可能发挥的作用,我们用铜簇来模拟它们,其中包含了碳原子。形成的星团是什么?(n = 3-10, m = 1-2)与CO2反应,利用红外多光子解离(IR- mpd)光谱研究CO2活化程度。反应产物[CunC·CO2]?, (n = 6-10), [CunC2·CO2]?, (n = 3-8)与相同簇大小的CO反应形成的产物记录的参考光谱以及密度泛函理论(DFT)计算的光谱进行了比较。结果揭示了一个大小和碳负载依赖的活化和解离的二氧化碳。配合物[cu·CO2]?当n = 6和10时,主要表现为CO2的分子活化,而当n = 7-9时,主要表现为解离吸附。在簇中加入第二个碳会导致CO2在所有测量的簇大小上的唯一分子活化,除了Cu5C2?二氧化碳在这里分解。将这些发现与DFT计算相结合,我们推测,在较低的碳金属比(cmr)下,碳原子可以作为氧锚,促进OCO键断裂,而在较高的cmr下,碳原子越来越多地吸引负电荷,降低了Cu簇向CO2提供电子密度的能力,从而降低了其激活CO2的能力。
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引用次数: 0
Asplenia and spleen hypofunction. 脾虚、脾功能减退。
IF 81.5 3区 化学 Q2 CHEMISTRY, PHYSICAL Pub Date : 2022-11-03 DOI: 10.1038/s41572-022-00405-2
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引用次数: 2
Asplenia and spleen hypofunction. 脾虚、脾功能减退。
IF 81.5 3区 化学 Q2 CHEMISTRY, PHYSICAL Pub Date : 2022-11-03 DOI: 10.1038/s41572-022-00399-x
Marco Vincenzo Lenti, Sarah Luu, Rita Carsetti, Faith Osier, Rodney Ogwang, Obiageli E Nnodu, Ursula Wiedermann, Jo Spencer, Franco Locatelli, Gino Roberto Corazza, Antonio Di Sabatino

Asplenia (the congenital or acquired absence of the spleen) and hyposplenism (defective spleen function) are common causes of morbidity and mortality. The spleen is a secondary lymphoid organ that is responsible for the regulation of immune responses and blood filtration. Hence, asplenia or hyposplenism increases susceptibility to severe and invasive infections, especially those sustained by encapsulated bacteria (namely, Neisseria meningitidis, Streptococcus pneumoniae, Haemophilus influenzae type b). Asplenia is predominantly due to splenectomy for either traumatic events or oncohaematological conditions. Hyposplenism can be caused by several conditions, including haematological, infectious, autoimmune and gastrointestinal disorders. Anatomical disruption of the spleen and depletion of immune cells, especially IgM memory B cells, seem to be predominantly responsible for the clinical manifestations. Early recognition of hyposplenism and proper management of asplenia are warranted to prevent overwhelming post-splenectomy infections through vaccination and antibiotic prophylaxis. Although recommendations are available, the implementation of vaccination strategies, including more effective and immunogenic vaccines, is needed. Additionally, screening programmes for early detection of hyposplenism in high-risk patients and improvement of patient education are warranted.

脾功能不全(先天性或后天的脾缺失)和脾功能低下(脾功能缺陷)是常见的发病和死亡原因。脾是一个次级淋巴器官,负责调节免疫反应和血液过滤。因此,脾功能减退或脾功能减退增加了对严重和侵袭性感染的易感性,特别是那些由包膜细菌(即脑膜炎奈瑟菌、肺炎链球菌、b型流感嗜血杆菌)维持的感染。脾功能减退主要是由于创伤性事件或血液肿瘤条件下脾切除术所致。脾功能减退可由多种情况引起,包括血液病、感染性疾病、自身免疫性疾病和胃肠道疾病。脾脏的解剖破坏和免疫细胞的耗竭,特别是IgM记忆B细胞,似乎是临床表现的主要原因。早期认识到脾功能低下和适当管理脾功能不全是必要的,以防止压倒性的脾切除术后感染,通过疫苗接种和抗生素预防。虽然已有建议,但仍需要实施疫苗接种战略,包括更有效的免疫原性疫苗。此外,在高危患者中早期发现功能低下的筛查计划和改善患者教育是必要的。
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引用次数: 9
Concluding remarks: Challenges and future developments in biological electron cryo-microscopy 结束语:生物电子冷冻显微镜的挑战和未来发展
IF 3.4 3区 化学 Q2 CHEMISTRY, PHYSICAL Pub Date : 2022-10-28 DOI: 10.1039/D2FD90062A
Werner Kühlbrandt

During the past 10 years, biological electron cryo-microscopy (cryoEM) has undergone a process of rapid transformation. Many things we could only dream about a decade ago have now become almost routine. Nevertheless, a number of challenges remain, to do with sample preparation, the correlation between tomographic analysis and light microscopy, data validation, and the growing impact of artificial intelligence and structure prediction. This year’s Faraday Discussion examined these challenges in some detail. The concluding remarks present a concise summary of the meeting and a brief outlook to the future.

在过去的十年中,生物电子冷冻显微镜(cryoEM)经历了一个快速转变的过程。许多十年前我们只能梦想的事情现在几乎已经成为日常。然而,许多挑战仍然存在,涉及样品制备,层析分析与光学显微镜之间的相关性,数据验证以及人工智能和结构预测日益增长的影响。今年的法拉第大会详细探讨了这些挑战。结束语是对会议的简要总结和对未来的简要展望。
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引用次数: 0
Gallbladder cancer. 胆囊癌症。
IF 81.5 3区 化学 Q2 CHEMISTRY, PHYSICAL Pub Date : 2022-10-27 DOI: 10.1038/s41572-022-00403-4
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引用次数: 26
期刊
Faraday Discussions
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