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1.
ACS Nano ; 18(42): 29294-29303, 2024 Oct 22.
Artículo en Inglés | MEDLINE | ID: mdl-39397776

RESUMEN

Abundant defect-induced nonradiative recombination greatly reduces the charge separation efficiency in photocatalysts. Dielectric screening of defects has been proven to be an effective strategy to improve the charge separation efficiency; however, it has been rarely reported in photocatalysis. Here, a developed calcium poly(heptazine imide) (CaPHI) is utilized as a model photocatalyst to explore the dielectric screening of defects. Through embedding potassium ions in CaPHI, the dipole moment and polarity of the PHI structure are increased, thus enhancing the dielectric constant and enabling the dielectric screening of defects. In addition, compared to the original CaPHI, the optimized Ca/KPHI exhibits a 79.3% reduction in defect capture cross-section, and a decrease in the nonradiative recombination rate from 0.6224 to 0.1452 ns-1, thus achieving an apparent quantum efficiency of 51.4% for H2 production at 420 nm. This proposed dielectric screening strategy effectively addresses the issue of slow carrier transport and separation caused by defect-induced nonradiative recombination in photocatalysts.

2.
Angew Chem Int Ed Engl ; : e202414503, 2024 Aug 25.
Artículo en Inglés | MEDLINE | ID: mdl-39183183

RESUMEN

Adsorbents-based gas separation technologies are regarded as the potential energy-efficient alternatives towards current thermal-driven methods, and the study on multi-component gas separation is essential to deepen our understanding of the adsorbents for practical use. Relative to the ideal two-component mixtures, both the adsorption behavior and separation mechanisms are obviously more complex in multiple gas mixtures due to their close or even overlapped sizes and properties. The emergence of metal-organic frameworks with controllable pore size and pore chemistry provides the platform for the tailor-made pore structure to satisfy the harsh requirements of multi-component gas separation. This minireview highlights the recent advance of multi-component gas separation using metal-organic frameworks, including multiple impurities removal and selective molecular capture. Combining with the typical cases of hydrocarbon separations (C2, C4, and C8), the detailed discussion about the developed strategies (e.g. self-adaptive binding sites, multiple binding spaces, synergistic binding sites, synergistic sorbent separation technology, gate-opening effect, size and thermodynamic combine effect) that are adaptive to different scenarios would be provided. The review will conclude with our perspective on the existing barriers and the future direction of this topic.

3.
BMC Med ; 22(1): 278, 2024 Jul 02.
Artículo en Inglés | MEDLINE | ID: mdl-38956533

RESUMEN

BACKGROUND: APRI and FIB-4 scores are used to exclude clinically significant fibrosis (defined as stage ≥ F2) in patients with chronic viral hepatitis. However, the cut-offs for these scores (generated by Youden indices) vary between different patient cohorts. This study aimed to evaluate whether serum dithiothreitol-oxidizing capacity (DOC), i.e., a surrogate test of quiescin sulfhydryl oxidase-1, which is a matrix remodeling enzyme, could be used to non-invasively identify significant fibrosis in patients with various chronic liver diseases (CLDs). METHODS: Diagnostic performance of DOC was compared with APRI and FIB-4 for identifying significant fibrosis. ROC curve analyses were undertaken in: a) two chronic hepatitis B (CHB) cohorts, independently established from hospitals in Wenzhou (n = 208) and Hefei (n = 120); b) a MASLD cohort from Wenzhou hospital (n = 122); and c) a cohort with multiple CLD etiologies (except CHB and MASLD; n = 102), which was identified from patients in both hospitals. Cut-offs were calculated using the Youden index. All CLD patients (n = 552) were then stratified by age for ROC curve analyses and cut-off calculations. RESULTS: Stratified by CLD etiology or age, ROC curve analyses consistently showed that the DOC test was superior to APRI and FIB-4 for discriminating between clinically significant fibrosis and no fibrosis, when APRI and FIB-4 showed poor/modest diagnostic performance (P < 0.05, P < 0.01 and P < 0.001 in 3, 1 and 3 cohort comparisons, respectively). Conversely, the DOC test was equivalent to APRI and FIB-4 when all tests showed moderate/adequate diagnostic performances (P > 0.05 in 11 cohort comparisons). DOC had a significant advantage over APRI or FIB-4 scores for establishing a uniform cut-off independently of age and CLD etiology (coefficients of variation of DOC, APRI and FIB-4 cut-offs were 1.7%, 22.9% and 47.6% in cohorts stratified by CLD etiology, 2.0%, 26.7% and 29.5% in cohorts stratified by age, respectively). The uniform cut-off was 2.13, yielded from all patients examined. Surprisingly, the uniform cut-off was the same as the DOC upper limit of normal with a specificity of 99%, estimated from 275 healthy control individuals. Hence, the uniform cut-off should possess a high negative predictive value for excluding significant fibrosis in primary care settings. A high DOC cut-off with 97.5% specificity could be used for detecting significant fibrosis (≥ F2) with an acceptable positive predictive value (87.1%). CONCLUSIONS: This proof-of-concept study suggests that the DOC test may efficiently rule out and rule in significant liver fibrosis, thereby reducing the numbers of unnecessary liver biopsies. Moreover, the DOC test may be helpful for clinicians to exclude significant liver fibrosis in the general population.


Asunto(s)
Biomarcadores , Ditiotreitol , Cirrosis Hepática , Humanos , Cirrosis Hepática/diagnóstico , Cirrosis Hepática/sangre , Masculino , Persona de Mediana Edad , Biomarcadores/sangre , Femenino , Adulto , Anciano , Oxidación-Reducción , Curva ROC , Estudios de Cohortes , Oxidorreductasas actuantes sobre Donantes de Grupos Sulfuro/sangre , Prueba de Estudio Conceptual
4.
Nano Lett ; 24(29): 8872-8879, 2024 Jul 24.
Artículo en Inglés | MEDLINE | ID: mdl-38989682

RESUMEN

Parlous structure integrity of the cathode and erratic interfacial microdynamics under high potential take responsibility for the degradation of solid-state lithium metal batteries (LMBs). Here, high-voltage LMBs have been operated by modulating the polymer electrolyte intrinsic structure through an intermediate dielectric constant solvent and further inducing the gradient solid-state electrolyte interphase. Benefiting from the chemical adsorption between trimethyl phosphate (TMP) and the cathode, the gradient interphase rich in LiPFxOy and LiF is induced, thereby ensuring the structural integrity and interface compatibility of the commercial LiNi0.8Co0.1Mn0.1O2 (NCM811) cathode even at the 4.9 V cutoff voltage. Eventually, the specific capacity of NCM811|Li full cell based on TMP-modulated polymer electrolyte increased by 27.7% from 4.5 to 4.9 V. Such a universal screening method of electrolyte solvents and its derived electrode interfacial manipulation strategy opens fresh avenues for quasi-solid-state LMBs with high specific energy.

5.
Hepatol Int ; 18(4): 1110-1121, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-38913149

RESUMEN

BACKGROUND AND AIMS: The efficacy of achieving HBsAg clearance through pegylated interferon (PEG-IFNα) therapy in patients with chronic hepatitis B (CHB) remains uncertain, especially regarding the probability of achieving functional cure among patients with varying baseline HBsAg levels. We aimed to investigate the predictive value of HBsAg quantification for HBsAg seroclearance in CHB patients undergoing PEG-IFNα treatment. METHODS: A systematic search was conducted in PubMed, Embase, and the Cochrane Library up to January 11, 2022. Subgroup analyses were performed for HBeAg-positive and HBeAg-negative patients, PEG-IFNα monotherapy and PEG-IFNα combination therapy, treatment-naive and treatment-experienced patients, and patients with or without liver cirrhosis. RESULTS: This predictive model incorporated 102 studies. The overall HBsAg clearance rates at the end of treatment (EOT) and the end of follow-up (EOF) were 10.6% (95% CI 7.8-13.7%) and 11.1% (95% CI 8.4-14.1%), respectively. Baseline HBsAg quantification was the most significant factor. According to the model, it is projected that when baseline HBsAg levels are 100, 500, 1500, and 10,000 IU/ml, the HBsAg clearance rates at EOF could reach 53.9% (95% CI 40.4-66.8%), 32.1% (95% CI 24.8-38.7%), 14.2% (95% CI 9.8-18.8%), and 7.9% (95% CI 4.2-11.8%), respectively. Additionally, treatment-experienced patients with HBeAg-negative status, and without liver cirrhosis exhibited higher HBsAg clearance rates after PEG-IFNα treatment. CONCLUSION: A successful predictive model has been established to predict the achievement of functional cure in CHB patients receiving PEG-IFNα therapy.


Asunto(s)
Antivirales , Antígenos de Superficie de la Hepatitis B , Hepatitis B Crónica , Interferón-alfa , Polietilenglicoles , Humanos , Hepatitis B Crónica/tratamiento farmacológico , Hepatitis B Crónica/sangre , Interferón-alfa/uso terapéutico , Interferón-alfa/administración & dosificación , Antígenos de Superficie de la Hepatitis B/sangre , Antivirales/uso terapéutico , Polietilenglicoles/uso terapéutico , Polietilenglicoles/administración & dosificación , Proteínas Recombinantes/uso terapéutico , Valor Predictivo de las Pruebas
6.
Proc Natl Acad Sci U S A ; 121(21): e2322944121, 2024 May 21.
Artículo en Inglés | MEDLINE | ID: mdl-38748586

RESUMEN

While aqueous zinc-ion batteries exhibit great potential, their performance is impeded by zinc dendrites. Existing literature has proposed the use of hydrogel electrolytes to ameliorate this issue. Nevertheless, the mechanical attributes of hydrogel electrolytes, particularly their modulus, are suboptimal, primarily ascribed to the substantial water content. This drawback would severely restrict the dendrite-inhibiting efficacy, especially under large mass loadings of active materials. Inspired by the structural characteristics of wood, this study endeavors to fabricate the anisotropic carboxymethyl cellulose hydrogel electrolyte through directional freezing, salting-out effect, and compression reinforcement, aiming to maximize the modulus along the direction perpendicular to the electrode surface. The heightened modulus concurrently serves to suppress the vertical deposition of the intermediate product at the cathode. Meanwhile, the oriented channels with low tortuosity enabled by the anisotropic structure are beneficial to the ionic transport between the anode and cathode. Comparative analysis with an isotropic hydrogel sample reveals a marked enhancement in both modulus and ionic conductivity in the anisotropic hydrogel. This enhancement contributes to significantly improved zinc stripping/plating reversibility and mitigated electrochemical polarization. Additionally, a durable quasi-solid-state Zn//MnO2 battery with noteworthy volumetric energy density is realized. This study offers unique perspectives for designing hydrogel electrolytes and augmenting battery performance.

7.
Adv Mater ; 36(29): e2401693, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38733317

RESUMEN

Flexible metal-organic framework (MOF) adsorbents commonly encounter limitations in removing trace impurities below gate-opening threshold pressures. Topology reconfiguration can fundamentally eliminate intrinsic structural flexibility, yet remains a formidable challenge and is rarely achieved in practical applications. Herein, a solvent-mediated approach is presented to regulate the flexible CuSnF6-dpds-sql (dpds = 4,4''-dipyridyldisulfide) with sql topology into rigid CuSnF6-dpds-cds with cds topology. Notably, the cds topology is unprecedented and first obtained in anion-pillared MOF materials. As a result, rigid CuSnF6-dpds-cds exhibits enhanced C2H2 adsorption capacity of 48.61 cm3 g-1 at 0.01 bar compared to flexible CuSnF6-dpds-sql (21.06 cm3 g-1). The topology transformation also facilitates the adsorption kinetics for C2H2, exhibiting a 6.5-fold enhanced diffusion time constant (D/r2) of 1.71 × 10-3 s-1 on CuSnF6-dpds-cds than that of CuSnF6-dpds-sql (2.64 × 10-4 s-1). Multiple computational simulations reveal the structural transformations and guest-host interactions in both adsorbents. Furthermore, dynamic breakthrough experiments demonstrate that high-purity C2H4 (>99.996%) effluent with a productivity of 93.9 mmol g-1 can be directly collected from C2H2/C2H4 (1/99, v/v) gas-mixture in a single CuSnF6-dpds-cds column.

8.
World J Hepatol ; 16(3): 405-417, 2024 Mar 27.
Artículo en Inglés | MEDLINE | ID: mdl-38577530

RESUMEN

BACKGROUND: Models for predicting hepatitis B e antigen (HBeAg) seroconversion in patients with HBeAg-positive chronic hepatitis B (CHB) after nucleos(t)ide analog treatment are rare. AIM: To establish a simple scoring model based on a response-guided therapy (RGT) strategy for predicting HBeAg seroconversion and hepatitis B surface antigen (HBsAg) clearance. METHODS: In this study, 75 previously treated patients with HBeAg-positive CHB underwent a 52-week peginterferon-alfa (PEG-IFNα) treatment and a 24-wk follow-up. Logistic regression analysis was used to assess parameters at baseline, week 12, and week 24 to predict HBeAg seroconversion at 24 wk post-treatment. The two best predictors at each time point were used to establish a prediction model for PEG-IFNα therapy efficacy. Parameters at each time point that met the corresponding optimal cutoff thresholds were scored as 1 or 0. RESULTS: The two most meaningful predictors were HBsAg ≤ 1000 IU/mL and HBeAg ≤ 3 S/CO at baseline, HBsAg ≤ 600 IU/mL and HBeAg ≤ 3 S/CO at week 12, and HBsAg ≤ 300 IU/mL and HBeAg ≤ 2 S/CO at week 24. With a total score of 0 vs 2 at baseline, week 12, and week 24, the response rates were 23.8%, 15.2%, and 11.1% vs 81.8%, 80.0%, and 82.4%, respectively, and the HBsAg clearance rates were 2.4%, 3.0%, and 0.0%, vs 54.5%, 40.0%, and 41.2%, respectively. CONCLUSION: We successfully established a predictive model and diagnosis-treatment process using the RGT strategy to predict HBeAg and HBsAg seroconversion in patients with HBeAg-positive CHB undergoing PEG-IFNα therapy.

10.
ChemSusChem ; 17(12): e202301849, 2024 Jun 24.
Artículo en Inglés | MEDLINE | ID: mdl-38316609

RESUMEN

The construction of heterojunctions is challenging, requiring atomic-level contact and interface matching. Here, we have achieved atomic-level interfacial matching by constructing poly(heptazine imide)/poly(triazine imide) crystalline carbon nitride heterojunctions in an in-situ one-step method. The content of poly(triazine imide) in heterojunctions is positively related to the proportion of lithium chloride in potassium chloride and lithium chloride mixed-salts. The optimized heterojunction achieves an apparent quantum efficiency of 48.34 % for photocatalytic hydrogen production at 420 nm, which is at a good level in polymeric carbon nitride photocatalysts. The proposed ion-thermal assisted heterojunction construction strategy contributes to the development of polymeric carbon nitride photocatalysts with high crystallization and high charge separation efficiency.

11.
Nat Commun ; 15(1): 625, 2024 Jan 20.
Artículo en Inglés | MEDLINE | ID: mdl-38245536

RESUMEN

Olefin/paraffin separations are among the most energy-intensive processes in the petrochemical industry, with ethylene being the most widely consumed chemical feedstock. Adsorptive separation utilizing molecular sieving adsorbents can optimize energy efficiency, whereas the size-exclusive mechanism alone cannot achieve multiple olefin/paraffin sieving in a single adsorbent. Herein, an unprecedented sieving adsorbent, BFFOUR-Cu-dpds (BFFOUR = BF4-, dpds = 4,4'-bipyridinedisulfide), is reported for simultaneous sieving of C2-C4 olefins from their corresponding paraffins. The interlayer spaces can be selectively opened through stronger guest-host interactions induced by unsaturated C = C bonds in olefins, as opposed to saturated paraffins. In equimolar six-component breakthrough experiments (C2H4/C2H6/C3H6/C3H8/n-C4H8/n-C4H10), BFFOUR-Cu-dpds can simultaneously divide olefins from paraffins in the first column, while high-purity ethylene ( > 99.99%) can be directly obtained through the subsequent column using granular porous carbons. Moreover, gas-loaded single-crystal analysis, in-situ infrared spectroscopy measurements, and computational simulations demonstrate the accommodation patterns, interaction bonds, and energy pathways for olefin/paraffin separations.

12.
Small ; 20(22): e2306536, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38168889

RESUMEN

Effective strategies toward building exquisite nanostructures with enhanced structural integrity and improved reaction kinetics will carry forward the practical application of alloy-based materials as anodes in batteries. Herein, a free-standing 3D carbon nanofiber (CNF) skeleton incorporated with heterostructured binary metal selenides (ZnSe/SnSe) nanoboxes is developed for Na-ion storage anodes, which can facilitate Na+ ion migration, improve structure integrity, and enhance the electrochemical reaction kinetics. During the carbonization and selenization process, selenium/nitrogen (Se/N) is co-doped into the 3D CNF skeleton, which can improve the conductivity and wettability of the CNF matrices. More importantly, the ZnSe/SnSe heterostructures and the Se/N co-doping CNFs can have a synergistic interfacial coupling effect and built-in electric field in the heterogeneous interfaces of ZnSe/SnSe hetero-boundaries as well as the interfaces between the CNF matrix and the selenide heterostructures, which can enable fast ion/electron transport and accelerate surface/internal reaction kinetics for Na-ion storage. The ZnSe/SnSe@Se,N-CNFs exhibit superior Na-ion storage performance than the comparative ZnSe/SnSe, ZnSe and SnSe powders, which deliver an excellent rate performance (882.0, 773.6, 695.7, 634.2, and 559.0 mAh g-1 at current rates of 0.1, 0.2, 0.5, 1, and 2 A g-1) and long-life cycling stability of 587.5 mAh g-1 for 3500 cycles at 2 A g-1.

13.
Adv Mater ; 36(4): e2304997, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-37707488

RESUMEN

Despite great prospects, Zn//MnO2 batteries suffer from rampant and vertical deposition of zinc sulfate hydroxide (ZSH) at the cathode surface, which leads to a significant impact on their electrochemical performance. This phenomenon is primarily due to the drastic increase in the electrolyte pH value upon discharging, which is closely associated with the electrodissolution of Mn-based active materials. Herein, the pH value change is effectively inhibited by employing an electrolyte additive with excellent pH buffering capability. As such, the formation of ZSH at the cathode is postponed, resulting in the deposition of ZSH in a horizontal arrangement. This strategy can significantly enhance the utilization efficiency of cathode active material, while also enabling a solid electrolyte interphase layer at the Zn anode to address low Zn stripping/plating reversibility. With the optimal electrolyte, the Zn//MnO2 battery realizes a 25.6% increase in the specific capacity at 0.2 A g-1 compared to that with the baseline electrolyte, great rate capability (161.6 mAh g-1 at 5 A g-1 ), and superior capacity retention (90.2% over 5,000 cycles). In addition, the pH buffering strategy is highly applicable in hydrogel electrolytes. This work underscores the importance of pH regulation for Zn//MnO2 batteries and provides enlightening insights.

14.
Adv Mater ; 36(4): e2310336, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-38009638

RESUMEN

Transition metal chalcogenide (TMD) electrodes in sodium-ion batteries exhibit intrinsic shortcomings such as sluggish reaction kinetics, unstable conversion thermodynamics, and substantial volumetric strain effects, which lead to electrochemical failure. This report unlocks a design paradigm of VSe2- x /C in-plane heterojunction with built-in anion vacancy, achieved through an in situ functionalization and self-limited growth approach. Theoretical and experimental investigations reveal the bifunctional role of the Se vacancy in enhancing the ion diffusion kinetics and the structural thermodynamics of Nax VSe2 active phases. Moreover, this in-plane heterostructure facilitates complete face contact between the two components and tight interfacial conductive contact between the conversion phases, resulting in enhanced reaction reversibility. The VSe2- x /C heterojunction electrode exhibits remarkable sodium-ion storage performance, retaining specific capacities of 448.7 and 424.9 mAh g-1 after 1000 cycles at current densities of 5 and 10 A g-1 , respectively. Moreover, it exhibits a high specific capacity of 353.1 mAh g-1 even under the demanding condition of 100 A g-1 , surpassing most previous achievements. The proposed strategy can be extended to other V5 S8- x and V2 O5- x -based heterojunctions, marking a conceptual breakthrough in advanced electrode design for constructing high-performance sodium-ion batteries.

15.
ACS Omega ; 8(50): 47540-47559, 2023 Dec 19.
Artículo en Inglés | MEDLINE | ID: mdl-38144058

RESUMEN

The Qaidam Basin is a prominent oil and gas exploration and production base of NW China's Jurassic coal-bearing strata. Coal-bearing mudstones are important source rocks for unconventional reservoirs and can record valuable paleoenvironment and paleoclimate information. Here, geochemical analysis including total organic carbon (TOC), total sulfur, organic carbon isotopic composition, rock pyrolysis, X-ray diffraction, and major and trace elements were carried out on mudstone samples from the Middle Jurassic coal-bearing strata of the Dameigou section in the Qaidam Basin to reveal the paleoclimatic and paleoenvironmental conditions during the deposition of the strata and their controls on organic matter accumulation. Results show that the Middle Jurassic Dameigou and Shimengou formations include three significant stages based on their average TOC values of (3.32%, Stage I; 0.87%, Stage II; and 4.42%, Stage III) from the bottom to the top. The organic matter in mudstones in Stages I and II are mainly derived from terrestrial higher plants, while the organic matter has mixed sources of higher plant debris and lower aquatic organisms in Stage III. Paleoclimate parameters indicate that the mudstones in Stage I were deposited under humid and warm conditions, while the climate in Stage II changed to semiarid and warm conditions before turning dry and hot in Stage III. The varying paleoenvironmental characteristics under different paleoclimatic conditions have also been reconstructed. Our results suggest that the accumulation of organic matter in Stages I and II was primarily controlled by redox conditions, while paleoproductivity is the major controlling factor for organic matter accumulation in Stage III.

16.
Angew Chem Int Ed Engl ; 62(45): e202311988, 2023 Nov 06.
Artículo en Inglés | MEDLINE | ID: mdl-37743256

RESUMEN

In aqueous electrolytes, the uncontrollable interfacial evolution caused by a series of factors such as pH variation and unregulated Zn2+ diffusion would usually result in the rapid failure of metallic Zn anode. Considering the high correlation among various triggers that induce the anode deterioration, a synergistic modulation strategy based on electrolyte modification is developed. Benefitting from the unique pH buffer mechanism of the electrolyte additive and its capability to in situ construct a zincophilic solid interface, this synergistic effect can comprehensively manage the thermodynamic and kinetic properties of Zn anode by inhibiting the pH variation and parasitic side reactions, accelerating de-solvation of hydrated Zn2+ , and regulating the diffusion behavior of Zn2+ to realize uniform Zn deposition. Thus, the modified Zn anode can achieve an impressive lifespan at ultra-high current density and areal capacity, operating stably for 609 and 209 hours at 20 mA cm-2 , 20 mAh cm-2 and 40 mA cm-2 , 20 mAh cm-2 , respectively. Based on this exceptional performance, high loading Zn||NH4 V4 O10 batteries can achieve excellent cycle stability and rate performance. Compared with those previously reported single pH buffer strategies, the synergistic modulation concept is expected to provide a new approach for highly stable Zn anode in aqueous zinc-ion batteries.

17.
BMC Infect Dis ; 23(1): 456, 2023 Jul 10.
Artículo en Inglés | MEDLINE | ID: mdl-37430256

RESUMEN

BACKGROUND & AIMS: This study aimed to establish multivariate prediction models according to a response-guided therapy (RGT) based strategy at baseline and week 12 and 24 of follow-up to predict the functional cure for HBeAg-negative patients with chronic hepatitis B (CHB) treated with pegylated interferonα (PEG-IFNα). METHODS: A total of 242 HBeAg-negative patients with CHB were treated with PEG-IFNα for 52 weeks and followed up for 24 weeks. Responses at the end of follow-up (EOF) were defined as hepatitis B surface antigen (HBsAg) loss, and patients were defined as either responders or non-responders. RESULTS: The three most meaningful predictors were an age ≤ 40 years, alanine aminotransferase (ALT) levels ≤ 40 U/L, and HBsAg levels ≤ 100 IU/mL at baseline; ALT levels ≥ 80 U/L, anti-HBc levels ≤ 8.42 S/CO, and HBsAg levels ≤ 50 IU/mL at week 12; and ALT levels ≥ 40 U/L, anti-HBc levels ≤ 8.46 S/CO, and HBsAg levels ≤ 0.2 IU/mL at week 24. The response rates of patients with a score of 0-1 and 4-5 at baseline, week 12, and 24 were 13.5%, 7.8%, and 11.7%; and 63.6%, 68.1%, and 98.1%, respectively. At week 12, the cumulative scores were 0-2, 3-4, 5-7, and 8-10 (response rates 5.0%, 18.9%, 41.3%, and 71.4%, respectively). At week 24, the cumulative scores were 0-3, 4-6, 7-10, and 11-15 (response rates: 1.3%, 12.3%, 37.0%, and 92.5%, respectively). At baseline, patients with scores of 0-1 were slightly recommended; at week 12, patients with 0-1 or 0-2 cumulative scores were recommended to stop treatment. At week 24, patients with a score of 0-1 or a cumulative score of 0-6 were recommended to stop treatment. CONCLUSION: We established a multi-parameter prediction model for the functional cure of HBeAg-negative patients with CHB treated with PEG-IFNα.


Asunto(s)
Antígenos e de la Hepatitis B , Hepatitis B Crónica , Humanos , Adulto , Antígenos de Superficie de la Hepatitis B , Hepatitis B Crónica/tratamiento farmacológico , Alanina Transaminasa , Interferón-alfa/uso terapéutico , Polietilenglicoles/uso terapéutico
18.
Blood Adv ; 7(21): 6790-6799, 2023 11 14.
Artículo en Inglés | MEDLINE | ID: mdl-37399456

RESUMEN

Chimeric antigen receptor T-cell (CAR-T) therapy represents a major advance in cancer immunotherapy; however, it can be associated with life-threatening neurotoxicity linked to blood-brain barrier disruption and endothelial activation. Defibrotide was shown to reduce endothelial cell activation in vitro and is approved in the United States for treatment of veno-occlusive disease/sinusoidal obstruction syndrome (VOD/SOS) in patients with renal or pulmonary dysfunction after hematopoietic cell transplantation (HCT), and in the European Union for severe VOD/SOS after HCT in patients aged >1 month. Defibrotide may stabilize the endothelium during CAR-T therapy and reduce the rate of CAR-T-associated neurotoxicity. This phase 2 study evaluated the safety and efficacy of defibrotide for prevention of CAR-T-associated neurotoxicity in patients with relapsed/refractory large B-cell lymphoma receiving axicabtagene ciloleucel. Part 1 established the recommended phase 2 dose (RP2D; 6.25 mg/kg); 20 patients (from parts 1 and 2) receiving the RP2D were evaluable for efficacy. Rate of CAR-T-associated neurotoxicity by day 30 (primary end point) was ∼50%, lower than reported in the ZUMA-1 trial (64%). Median event duration of grade ≥3 neurotoxicity was 7 days. No unexpected defibrotide-related safety findings and defibrotide-related treatment-emergent adverse events or deaths were reported. Results showed modest reduction in rate of CAR-T-associated neurotoxicity and high-grade neurotoxicity event duration relative to historical data; however, reduction was unlikely to meet the primary end point, so the study was terminated early. Nevertheless, results contribute valuable data for potential therapeutic insight on the management of CAR-T-associated neurotoxicity. This trial was registered at www.clinicaltrials.gov as #NCT03954106.


Asunto(s)
Enfermedad Veno-Oclusiva Hepática , Receptores Quiméricos de Antígenos , Humanos , Estados Unidos , Receptores Quiméricos de Antígenos/uso terapéutico , Polidesoxirribonucleótidos/uso terapéutico , Enfermedad Veno-Oclusiva Hepática/tratamiento farmacológico , Linfocitos T
19.
J Colloid Interface Sci ; 647: 546-553, 2023 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-37248161

RESUMEN

Room-temperature sodium-sulfur (RT Na-S) batteries have been attracting enormous interests due to their low-cost, high capacity and environmental benignity. However, the shuttle effect and the sluggish electrochemical reaction activity of sodium polysulfides (NaPSs) seriously restrict their practical application. To solve these issues, we rationally designed an advanced Sn-doped In2S3/S/C cathode for RT Na-S batteries by magnetron sputtering in this work, which exhibited a high reversible capacity (1663.5 mAh g-1 at 0.1 A g-1) and excellent cycling performance (902.9 mAh g-1 after 50 cycles). The in situ electrochemical impedance spectroscopy indicated that the Sn-doped In2S3 coating can accelerate charge-transfer kinetics and facilitate the diffusion of Na+. Furthermore, theoretical calculation revealed that doping of Sn into In2S3 can reduce the energy band gap, thus accelerating the electron transfer and promoting the electrochemical conversion of active species. It is demonstrated that adjusting the electronic structure is a reliable method to improve the electrocatalytic effect of catalyst and significantly improve the performance of S cathode in RT Na-S batteries.

20.
Angew Chem Int Ed Engl ; 62(27): e202304400, 2023 Jul 03.
Artículo en Inglés | MEDLINE | ID: mdl-37158757

RESUMEN

Sluggish storage kinetics and insufficient performance are the major challenges that restrict the transition metal dichalcogenides (TMDs) applied for zinc ion storage, especially at the extreme temperature conditions. Herein, a multiscale interface structure-integrated modulation concept was presented, to unlock the omnidirectional storage kinetics-enhanced porous VSe2-x ⋅n H2 O host. Theory research indicated that the co-modulation of H2 O intercalation and selenium vacancy enables enhancing the interfacial zinc ion capture ability and decreasing the zinc ion diffusion barrier. Moreover, an interfacial adsorption-intercalation pseudocapacitive storage mechanism was uncovered. Such cathode displayed remarkable storage performance at the wide temperature range (-40-60 °C) in aqueous and solid electrolytes. In particular, it can retain a high specific capacity of 173 mAh g-1 after 5000 cycles at 10 A g-1 , as well as a high energy density of 290 Wh kg-1 and a power density of 15.8 kW kg-1 at room temperature. Unexpectedly, a remarkably energy density of 465 Wh kg-1 and power density of 21.26 kW kg-1 at 60 °C also can be achieved, as well as 258 Wh kg-1 and 10.8 kW kg-1 at -20 °C. This work realizes a conceptual breakthrough for extending the interfacial storage limit of layered TMDs to construct all-climate high-performance Zn-ion batteries.

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