Improved ion adsorption capacities and diffusion dynamics in surface anchored MoS2⊥Mo4/3B2 and MoS2⊥Mo4/3B2O2 heterostructures as anodes for alkaline metal-ion batteries.

First-principles calculations were performed to analyze the atomic structures and electrochemical energy storage properties of novel MoS2⊥boridene heterostructures by anchoring MoS2 nanoflakes on Mo4/3B2 and Mo4/3B2O2 monolayers. Both thermodynamic and thermal stabilities of each heterostructure were thoroughly evaluated from the obtained binding energies and through first-principles molecular dynamics simulations at room temperature, confirming the high formability of the heterostructures. The electrochemical properties of MoS2⊥Mo4/3B2 and MoS2⊥Mo4/3B2O2 heterostructures were investigated for their potential use as anodes for alkaline metal ion batteries (Li+, Na+ and K+). It was revealed that Li+ and Na+ can form multiple stable full adsorption layers on both heterostructures, while K+ forms only a single full adsorption layer. The presence of a negative electron cloud (NEC) contributes to the stabilization of a multi-layer adsorption mechanism. For all investigated alkaline metal ions, the predicted ion diffusion dynamics are relatively sluggish for the adsorbates in the first full adsorption layer on MoS2⊥boridene heterostructures due the relatively large migration energies (>0.50 eV), compared to those of second or third full adsorption layers (<0.30 eV). MoS2⊥Mo4/3B2O2 exhibited higher onset and mean open circuit voltages as anodes for alkaline metal-ion batteries than MoS2⊥Mo4/3B2 hybrids because of enhanced interactions between the adsorbate and the Mo4/3B2O2 monolayer with the presence of O-terminations. Tailoring the size and horizontal spacing between two neighboring MoS2 nano-flakes in heterostructures led to high theoretical capacities for LIBs (531 mA h g-1), SIBs (300 mA h g-1) and PIBs (131 mA h g-1) in the current study.

The effect of two surgical modalities for the treatment of subtrochanteric fractures of the femur on postoperative wound complications in patients: A meta-analysis.

Currently, there are two methods of treating subtrochanteric femur fractures: intramedullary nailing and extramedullary plate fixation. However, it remains to be seen whether internal or external fixation is the primary treatment for subrotator femur fractures in adults. In this meta-analysis, we reviewed the effects of internal and external fixation on the treatment of subrotator and subrotator fractures. Until July 2023, the researchers have been researching the Cochrane Library, Embase, Web of Science and PubMed, with English as their only language. The aims of the study are as follows: (1) to assess the efficacy of internal and external fixation for the treatment of postoperative wound infections in adult patients with subrotator femur fractures; (2) to assess the efficacy of various types of internal fixation for the treatment of adult patients with subrotator femur fractures, including postoperative complications, infections, and operative time. Meta-analysis showed that there was no significant difference in the treatment of subrotator fracture with internal versus external fixation in terms of wound infections, intra-operative bleeding, length of incision, and operative time were not significantly different. Therefore, more research is needed to support these findings with a number of large, high-quality randomized studies.

Rhodium-embedded UV photodetectors based on localized surface plasmon resonance on AlN/GaN.

We report a remarkably enhanced responsivity of metal-semiconductor-metal photodetectors embedded with a large-scale periodicity and highly uniform rhodium nanoparticle array based on localized surface plasmon resonance. In this study, we used theoretical simulations of the absorption, scattering, and extinction behaviors, as well as the near electromagnetic field distributions to predict the plasmon resonance wavelength of quasi-triangular-shaped rhodium nanoparticles. More specifically, we successfully implemented a hexagonal close-packed structure with the individual quasi-triangular-shaped rhodium nanoparticle on the AlN/GaN structure by self-assembly nanosphere technology. The characterization results showed that the device embedded with rhodium nanoparticles had a reduced dark current of 7 × 10-14 A, and the maximum responsivity was shifted to a longer wavelength of approximately 310 nm compared to the device without rhodium nanoparticles. Moreover, at a wavelength of 324 nm, the enhancement ratio of the responsivity was as high as 56. Our study makes a significant contribution to the literature with a highly uniform, large-scale distributed rhodium nanoparticle array for enhancing the performance of AlGaN-based photodetectors in the UV region.

Guidelines for the diagnosis, treatment, prevention and control of infections caused by carbapenem-resistant gram-negative bacilli.

The dissemination of carbapenem-resistant Gram-negative bacilli (CRGNB) is a global public health issue. CRGNB isolates are usually extensively drug-resistant or pandrug-resistant, resulting in limited antimicrobial treatment options and high mortality. A multidisciplinary guideline development group covering clinical infectious diseases, clinical microbiology, clinical pharmacology, infection control, and guideline methodology experts jointly developed the present clinical practice guidelines based on best available scientific evidence to address the clinical issues regarding laboratory testing, antimicrobial therapy, and prevention of CRGNB infections. This guideline focuses on carbapenem-resistant Enterobacteriales (CRE), carbapenem-resistant Acinetobacter baumannii (CRAB), and carbapenem-resistant Pseudomonas aeruginosa (CRPA). Sixteen clinical questions were proposed from the perspective of current clinical practice and translated into research questions using PICO (population, intervention, comparator, and outcomes) format to collect and synthesize relevant evidence to inform corresponding recommendations. The grading of recommendations, assessment, development and evaluation (GRADE) approach was used to evaluate the quality of evidence, benefit and risk profile of corresponding interventions and formulate recommendations or suggestions. Evidence extracted from systematic reviews and randomized controlled trials (RCTs) was considered preferentially for treatment-related clinical questions. Observational studies, non-controlled studies, and expert opinions were considered as supplementary evidence in the absence of RCTs. The strength of recommendations was classified as strong or conditional (weak). The evidence informing recommendations derives from studies worldwide, while the implementation suggestions combined the Chinese experience. The target audience of this guideline is clinician and related professionals involved in management of infectious diseases.

Increased CD34 in pancreatic islet negatively predict islet ß-cell decrease in type1 diabetes model.

Islet ß-cell biomarkers can reflect changes in the number and function of islet ß-cells in the prediabetes or early diabetes stage. CD34 is a commonly used stem cell biomarker; however, its expression and function in pancreatic islets remain unclear. In the present study, double immunofluorescence staining, proteomic bioinformatics analysis, and correlation analysis were used to explore the potential of CD34 as an islet ß-cell biomarker. Bioinformatics analysis revealed that the amino acid sequence of CD34 was conserved among multiple species and abundantly expressed on mouse and human pancreatic tissues. Immunofluorescence demonstrated that in the control rat pancreas, CD34 was expressed on glucagon-labeled islet α-cells but not on insulin-labeled islet ß-cells. Furthermore, the proportion of CD34-positive cells, which were also positive for glucagon, was significantly increased in alloxan-induced diabetes models. Statistical analysis revealed that the expression of CD34 was negatively correlated with the number of insulin-labeled islet ß-cells during diabetes progression in dose-dependent fashion in alloxan-induced diabetes models. Furthermore, the results suggested that the transdifferentiation of islet ß-cells into islet α-cells may occur in the process of diabetes. Thus, the present study demonstrated that CD34 is expressed on islet α-cells, and its number is linearly and negatively correlated with the number of islet ß-cells, suggesting that CD34 can be used as a prospective biomarker for islet ß-cells in the early diagnosis of diabetes. The study also suggests the transformation of ß-cells to α-cells in diabetes which provide a potential to be applied towards diabetes mechanism research.

Prediction of boridenes as high-performance anodes for alkaline metal and alkaline Earth metal ion batteries.

We conducted a comprehensive density functional theory investigation using the r2SCAN-rVV10 functional on the structural stability and electrochemical properties of boridenes for their use as anode materials in rechargeable alkaline (earth) metal-ion batteries (Li+, Na+, K+, Mg2+ and Ca2+). According to first-principles molecular dynamics simulations and reaction thermodynamic calculations, Mo4/3B2(OH)2 and Mo4/3B2F2 are unstable in the presence of alkaline (earth) metal ions due to the surface-conversion reactions between the surface terminations and adsorbates. Meanwhile, the bare Mo4/3B2 and Mo4/3B2O2 monolayers not only can accommodate alkaline (earth) metal ions, but also form stable multi-layer adsorption structures for most of the studied metal ions (Li+, Na+, K+, Mg2+ and Ca2+). The predicted gravimetric capacities of the bare Mo4/3B2 monolayer (Mo4/3B2O2) are 625.9 mA h g-1 (357.3 mA h g-1), 247.20 mA h g-1 (392.1 mA h g-1), 101.8 mA h g-1 (206.4 mA h g-1), 667.0 mA h g-1, and 413.0 mA h g-1 (485.4 mA h g-1) for Li+, Na+, K+, Mg2+ and Ca2+ ions, respectively. The bare Mo4/3B2 exhibits lower onset charging open circuit voltages for alkaline (earth) metal ions than that of Mo4/3B2O2. The diffusivities of the metal ions were revealed to be high on the boridene monolayer especially for the outer fully stable adsorption layers, where the migration energy barriers were found to be less than 0.10 eV. Similar to that of MXenes, the negative electron cloud (NEC) also plays a vital role in stabilizing the observed multi-layer adsorption structures for various metal ions on either the bare Mo4/3B2 or Mo4/3B2O2 monolayer.

Nodakenin attenuates cartilage degradation and inflammatory responses in a mice model of knee osteoarthritis by regulating mitochondrial Drp1/ROS/NLRP3 axis.

Osteoarthritis (OA) is a common degenerative disease with few treatments. In traditional Chinese medicine (TCM), Radix Angelicae biseratae (RAB) is commonly used to treat OA. Nodakenin (Nod) is one main coumarin active component in RAB and exhibits anti-inflammatory, anti-oxidative, and anti-apoptotic effects. Reactive oxygen species (ROS) produced by mitochondria play a vital role in the pathogenesis of OA. We hypothesized that Nod might ameliorate cartilage degradation and inflammatory responses by regulating the mitochondrial Drp1/ROS/NLRP3 axis. With this, the effects of Nod on a mouse model of knee OA and activated primary chondrocytes were assessed. The results showed that Nod intervention improved bone volume, lowered trabecular separation, and increased trabecular number in the subchondral bone. Nod decreased the Osteoarthritis Research Society International (OARSI) scores and increased collagen II-positive areas in the articular cartilage of the tibial plateau. Compared with OA mice, Nod-treated animals exhibited lower levels of inflammatory factors in the serum and synovitis of the knee joint. In vitro results indicated that Nod suppressed dynamin-related protein 1 (Drp1) phosphorylation and massive ROS production by Drp1-dependent mitochondrial fission in lipopolysaccharide-stimulated chondrocytes. Moreover, Nod inhibited the mRNA levels of inflammatory cytokines (COX 2, IL-1ß, and TNF-α), nod-like receptor family pyrin domain-containing 3 (NLRP3) inflammasome, and matrix metalloproteinase 13 expression in activated chondrocytes. In conclusion, Nod attenuates cartilage degradation and inflammatory responses in mice with OA by regulating the mitochondrial Drp1/ROS/NLRP3 axis, suggesting its potential for OA therapy.

Vapor-Liquid-Solid Growth of Morphology-Tailorable WS2 toward P-Type Monolayer Field-Effect Transistors.

Although substantial efforts have been made, controllable synthesis of p-type WS2 remains a challenge. In this work, we employ NaCl as a seeding promoter to realize vapor-liquid-solid (VLS) growth of p-type WS2. Morphological evolution, including a one-dimensional (1D) nanowire to two-dimensional (2D) planar domain and 2D shape transition of WS2 domains, can be well-controlled by the growth temperature and sulfur introduction time. A high growth temperature is required to enable planar growth of 2D WS2, and a sulfur-rich environment is found to facilitate the growth of high-quality WS2. Raman and photoluminescence (PL) mappings demonstrate uniform crystallinity and high quantum efficiency of VLS-grown WS2. Moreover, monolayer WS2-based field-effect transistors (FETs) are fabricated, showing p-type conducting behavior, which is different from previous reported n-type FETs from WS2 grown by other methods. First-principles calculations show that the p-type behavior originates from the substitution of Na at the W site, which will form an additional acceptor level above the valence band maximum (VBM). This facile VLS growth method opens the avenue to realize the p-n WS2 homojunctions and p/n-WS2-based heterojunctions for monolayer wearable electronic, photonic, optoelectronic, and biosensing devices and should also be a great benefit to the development of 2D complementary metal-oxide-semiconductor (CMOS) circuit applications.

Bioinspired Photo-Responsive Liquid Gating Membrane.

Stomata in the plant leaves are channels for gas exchange between the plants and the atmosphere. The gas exchange rate can be regulated by adjusting the opening and closing of stoma under the external stimuli, which plays a vital role in plant survival. Under visible light irradiation, the stomata open for gas exchange with the surroundings, while under intense UV light irradiation, the stomata close to prevent the moisture loss of plants from excessive transpiration. Inspired by this stomatal self-protection behavior, we have constructed a bioinspired photo-responsive liquid gating membrane (BPRLGM) through infusing the photo-responsive gating liquid obtained by dissolving the azobenzene-based photo-responsive surfactant molecules (AzoC8F15) in N,N-Dimethylacetamide (DMAC) into nylon porous substrate, which can reversibly switch the open/closed states under different photo-stimuli. Theoretical analysis and experimental data have demonstrated that the reversible photoisomerization of azobenzene-based surfactant molecules induces a change in surface tension of the photo-responsive gating liquid, which eventually results in the reversible variation of substantial critical pressure for gas through BPRLGM under alternating UV (PCritical (off)) and visible (PCritical (on)) light irradiations. Therefore, driven by a pressure difference ΔP between PCritical (on) and PCritical (off), the reversible switches on the open/closed states of this photo-responsive liquid gating membrane can be realized under photo-stimuli. This bioinspired membrane with switchable open/closed liquid gating performance under photo-stimuli has the opportunity to be used in the precise and contactless control of microfluidics.

Host-guest liquid gating mechanism with specific recognition interface behavior for universal quantitative chemical detection.

Universal visual quantitative chemical detection technology has emerged as an increasingly crucial tool for convenient testing with immediate results in the fields of environmental assessment, homeland security, clinical drug testing and health care, particularly in resource-limited settings. Here, we show a host-guest liquid gating mechanism to translate molecular interface recognition behavior into visually quantifiable detection signals. Quantitative chemical detection is achieved, which has obvious advantages for constructing a portable, affordable, on-site sensing platform to enable the visual quantitative testing of target molecules without optical/electrical equipment. Experiments and theoretical calculations confirm the specificity and scalability of the system. This mechanism can also be tailored by the rational design of host-guest complexes to quantitatively and visually detect various molecules. With the advantages of versatility and freedom from additional equipment, this detection mechanism has the potential to revolutionize environmental monitoring, food safety analysis, clinical drug testing, and more.

Energy saving thermal adaptive liquid gating system.

Thermal transfer systems involving temperature control through heating, ventilation, and air conditioning applications have emerged as one of the largest energy issues in buildings. Traditional approaches mainly comprise closed and open systems, both of which have certain advantages and disadvantages in a single heating or cooling process. Here we report a thermal adaptive system with beneficial energy-saving properties, which uses functional liquid to exhibit high metastability, providing durability in a temperature-responsive liquid gating system. With an efficient use of energy, this system achieves smart "breathing" during both heating and cooling processes to dynamically tune the indoor temperature. Theoretical modeling and experiments demonstrate that the adaptive, sandwich-structured, membrane-based system can achieve temperature control, producing obvious advantages of energy saving compared with both closed and open systems through the bistable interfacial design of the liquid gating membrane. Further energy saving evaluation of the system on the basis of simulation with current global greenhouse plantation data shows a reduction of energy consumption of 7.9 × 1013 kJ/year, a percentage change of ∼11.6%. Because the adaptive system can be applied to a variety of thermal transfer processes, we expect it to prove useful in a wide range of real-world applications.

Carbon Dioxide Chemically Responsive Switchable Gas Valves with Protonation-Induced Liquid Gating Self-Adaptive Systems.

Carbon dioxide (CO2 ) capture and storage technologies are promising to limit CO2 emission from anthropogenic activities, to achieve carbon neutrality goals. CO2 capture requires one to separate CO2 from other gases, and therefore a gas flow system that exhibits discernible gating behaviors for CO2 would be very useful. Here we propose a self-adaptive CO2 gas valve composed of chemically responsive liquid gating systems. The transmembrane critical pressures of the liquid gate vary upon the presence of CO2 , due to the superamphiphiles assembled by poly(propylene glycol) bis(2-aminopropyl ether) and oleic acid in gating liquids that are protonated specifically by CO2 . It is shown that the valve can perform self-adaptive regulation for specific gases and different concentrations of CO2 . This protonation-induced liquid gating mechanism opens a potential platform for applications of CO2 separators, detectors, sensors and beyond.

Efficient oil-water separation coating with robust superhydrophobicity and high transparency.

There has been a growing interest in oil-water separation due to the massive economic and energy loss caused by world-wide oil spill. In the past decades, a new type of superhydrophobic surface has been developed for the efficient oil-water separation, but its large-scale use is significantly limited by its expensive, sophisticated, and fragile roughness structure. Meanwhile, to handle complex operating conditions, the transparency of the superhydrophobic surface has been more attractive due to its potential visual oil-water separation and optical application scenarios. Herein, we showed a simple and versatile strategy to fabricate superhydrophobic coating with robustness and high transparency. Subsequently, this multifunctional superhydrophobic coating was utilized for oil-water separation and indicated excellent separation efficiency. In this strategy, candle soot composed of carbon nanoparticles was deposited onto the substrate and used as a rough surface template. Then, a filmy and hard silica shell was modified onto this template via chemical vapor deposition to reinforce the roughness structure. Following, this soot-silica coated substrate was calcined in air to remove the candle soot template. Finally, based on a rational surface design, this robust silica coating achieved excellent superhydrophobicity thereby showing inherently oil-water separation benefits. This reinforced superhydrophobic coating presented robust superhydrophobicity even after 410 s sand impacting with the height of 40 cm and 20 cycles of sandpaper abrasion. Also, it retained excellent oil-water separation efficiency even after reuses.

Light-responsive and corrosion-resistant gas valve with non-thermal effective liquid-gating positional flow control.

Safe and precise control of gas flow is one of the key factors to many physical and chemical processes, such as degassing, natural gas transportation, and gas sensor. In practical application, it is essential for the gas-involved physicochemical process to keep everything under control and safe, which significantly relies on the controllability, safety, and stability of their valves. Here we show a light-responsive and corrosion-resistant gas valve with non-thermal effective liquid-gating positional flow control under a constant pressure by incorporating dynamic gating liquid with light responsiveness of solid porous substrate. Our experimental and theoretical analysis reveal that the photoisomerization of azobenzene-based molecular photoswitches on the porous substrate enabled the gas valve to possess a light-responsive and reversible variation of substantial critical pressure of non-thermal effective gas flow switch. Moreover, the chemically inert gating liquid prevented the solid substrate from corrosion and, by combining with the high spatiotemporal resolution of light, the gas valve realizes a precisely positional open and close under a steady-state pressure. The application demonstrations in our results show the potentials of the new gas valve for bringing opportunities to many applications, such as gas-involved reaction control in microfluidics, soft actuators, and beyond.

Liquid-Based Adaptive Structural Materials.

Structural materials are used to provide stable mechanical architectures and transmit or support forces, and they play an important role in materials science and technology. During the long process of the exploitation of structural materials, the functionality of structural materials has gained prominence. Adaptive structures responding to external stimuli have come to the fore with significant advantages in structural materials. However, many solid adaptive structural materials still suffer from their single function and the lack of dynamic performance, such as issue around fouling and energy consumption, defects present everywhere in materials at the microscale, etc. To meet the increasing demands, more and more researchers have started turning their attention to liquid-based materials owing to their intrinsic spontaneous, dynamic, and functional properties. Liquid-based adaptive structural materials (LASMs) have been proposed and developed. Building upon both dynamic liquids and fixed solids, LASMs have been demonstrated to possess both dynamic adaptivity (from the active liquid part) and stable mechanical structure (from the fixed solid part), which are desired in many applications such as 3D printing, droplet manipulation, omniphobic surfaces, microfluidics, mass separation, etc. A unifying view of the recent progress of LASMs is presented, including liquid with particles, liquid with surfaces, as well as liquid with membranes. In addition, the discussion of the prospects and challenges are provided for promoting the development of LASMs.

Protein kinase C-θ knockout decreases serum IL-10 levels and inhibits insulin secretion from islet ß cells.

Various subtypes of protein kinase C (PKC) are expressed in islet ß cells and regulate ß cell proliferation and survival. PKC-θ is distributed in the immune system and promotes the secretion of IL-10, which manifests a critical role in the onset of diabetes, by the immune cells. However, the role of PKC-θ in islets has not been concerned. In the present study, we investigated the role of PKC-θ in the protection of islet ß cells and insulin secretion. Fasting glucose and insulin measurement, glucose tolerant test, immunofluorescence, and ELISA were conducted to study the influence of PKC-θ knockout on islet ß cell survival and function, and explore the mechanism underlying this regulation. PKC-θ knockout mice at 2 weeks manifested normal serum insulin levels, glucose tolerance, and ß cell mass. Knockout mice at 8 weeks show decreased ß cell mass, but manifested normal insulin levels and glucose tolerance. Knockout mice at 16 weeks manifested impaired glucose tolerance, ß cell mass, and decreased glucose stimulated insulin secretion. Furthermore, knockout mice manifested decreased serum IL-10 level compared with normal mice since 2 weeks. IL-10 injection into knockout mice improved glucose tolerance, serum insulin level, and reduced ß cell mass, and IL-10 administration into cultured pancreatic tissue increased glucose stimulated insulin secretion. PKC-θ knockout decreases the secretion of IL-10, reduces ß cell mass and insulin secretion in pancreatic islets. The present study illuminates the critical role of PKC-θ in protecting the survival and function of islet ß cells.

The diagnostic value of 18F-FDG PET/CT in identifying the causes of fever of unknown origin.

BACKGROUND: This study investigated the clinical significance of 18F-fluorodeoxyglucose positron emission tomography / computed tomography (18F-FDG PET/CT) in identifying the causes of fever of unknown origin (FUO). METHODS: Patients with a fever who received an 18F-FDG PET/CT examination were retrospectively selected. The means of the two groups were compared using an independent-samples t-test. RESULTS: Among the 89 included patients, 66 were diagnosed using 18F-FDG PET/CT. The sensitivity, specificity and diagnostic accuracy of 18F-FDG PET/CT for the diagnosis of patients with FUO were 84.5%, 25.8%, and 64.0%, respectively. The detection rates of 18F-FDG PET/CT for neoplastic diseases, infectious diseases and non-infectious inflammatory diseases were 100%, 61.3%, and 75%, respectively. The difference in C-reactive protein (CRP) levels between the two groups was statistically significant. CONCLUSIONS: 18F-FDG PET/CT has great clinical importance in diagnosing and identifying causes of FUO and improves the accuracy of FUO diagnosis when combined with serum CRP levels.

Visual Chemical Detection Mechanism by a Liquid Gating System with Dipole-Induced Interfacial Molecular Reconfiguration.

Chemical detection has a wide range of applications. The detection of a certain substance is so vital that new detection mechanisms with features such as low-cost, accessibility, and readily available visual markers are in demand. Herein, a liquid-gating-based chemical-detection mechanism is reported, which has a dynamic gas/liquid interface due to dipole-induced interfacial molecular reconfiguration. The mechanism exhibits a sensitive relationship between the dipole-force-induced rearrangement of interfacial molecules and transmembrane gating behavior. These features can be utilized to create visual markers for detection by converting the analyte-mediated interfacial interaction to a pressure-driven marker movement. This "green" detection mechanism requires no electrical energy input and has readily available markers for anyone to observe directly. This new mechanism opens a window for a more in-depth exploration of combining liquid-gating mechanisms with detection mechanisms.

Dynamic Curvature Nanochannel-Based Membrane with Anomalous Ionic Transport Behaviors and Reversible Rectification Switch.

Biological nanochannels control the movements of different ions through cell membranes depending on not only those channels' static inherent configurations, structures, inner surface's physicochemical properties but also their dynamic shape changes, which are required in various essential functions of life processes. Inspired by ion channels, many artificial nanochannel-based membranes for nanofluidics and biosensing applications have been developed to regulate ionic transport behaviors by using the functional molecular modifications at the inner surface of nanochannel to achieve a stimuli-responsive layer. Here, the concept of a dynamic nanochannel system is further developed, which is a new way to regulate ion transport in nanochannels by using the dynamic change in the curvature of channels to adjust ionic rectification in real time. The dynamic curvature nanochannel-based membrane displays the advanced features of the anomalous effect of voltage, concentration, and ionic size for applying simultaneous control over the curvature-tunable asymmetric and reversible ionic rectification switching properties. This dynamic approach can be used to build smart nanochannel-based systems, which have strong implications for flexible nanofluidics, ionic rectifiers, and power generators.

Bidirectional effects of moxifloxacin on the pro­inflammatory response in lipopolysaccharide­stimulated mouse peritoneal macrophages.

Sepsis is a systemic inflammatory condition in response to life­threatening infections, and macrophages are a key source of inflammatory cytokines. Moxifloxacin (MXF) has antibacterial activity in Gram­positive and Gram­negative bacteria. The present study investigated the effects of MXF on a lipopolysaccharide (LPS)­stimulated inflammatory response and gene expression in macrophages. Peritoneal macrophages were isolated from male C57BL/6J mice and treated with LPS and/or MXF. The mRNA and protein expression of toll­like receptor 4 (TLR4), sphingosine kinase 1 (SPHK1) and nuclear factor (NF)­κB was determined by quantitative polymerase chain reaction, western blotting and immunofluorescence analysis. The expression of tumor necrosis factor (TNF)­α and interleukin (IL)­6 was determined with ELISAs. The data demonstrated that MXF dose­dependently decreased the viability of macrophages, and 8 and 16 µg/ml MXF prevented the LPS­induced increase in TLR4, SPHK1, NF­κB p65, TNF­α and IL­6 expression. The inhibition was most effective at a concentration of 16 µg/ml MXF, whereas, 64 µg/ml MXF exerted a pro­inflammatory effect. Collectively, the data demonstrated a bidirectional effect of MXF: Lower MXF concentrations (8 and 16 µg/ml) inhibited the inflammatory response; however, a higher MXF concentration (64 µg/ml) had a pro­inflammatory effect on LPS­treated mouse peritoneal macrophages. In conclusion, these results suggested the importance of MXF as an inhibitor of the inflammatory response at an optimal dose. MXF inhibition of the inflammatory response may be mediated by TLR4 signaling.