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Purpose: Whether the diagnosis of non-alcoholic fatty liver disease or metabolic dysfunction-associated fatty disease has a different impact on liver transplant recipients with hepatocellular carcinoma is not yet clear. Methods: Data from a two-center retrospective cohort study were collected to compare and investigate the differences between non-alcoholic fatty liver disease and metabolic dysfunction-associated fatty liver disease in clinicopathologic parameters and prognosis among liver transplant recipients with hepatocellular carcinoma. Results: A total of 268 liver transplant recipients with hepatocellular carcinoma were included. The prevalence among pre- and post-transplant metabolic dysfunction-associated fatty liver disease was 10.82% and 30.22%, while for non-alcoholic fatty liver disease, it was 7.09% and 26.87%, respectively. The clinicopathological parameters were similar between the two pre-transplant groups. In contrast, the post-transplant group with metabolic dysfunction-associated fatty liver disease exhibited a higher prevalence of diabetes mellitus and a greater body mass index. However, the other parameters were similar between the two post-transplant groups (p > 0.05). Factors such as the largest tumor size > 4 cm, microvascular invasion, lack of tumor capsule, post-transplant metabolic dysfunction-associated fatty liver disease, and decreased post-transplant lymphocyte percentage were related to an increased risk of recurrence. Conclusion: In patients undergone liver transplantation for hepatocellular carcinoma, the diagnosis of metabolic dysfunction-associated fatty disease is more strongly associated with metabolic abnormalities than the diagnosis of non-alcoholic fatty liver disease and is an independent predictor of hepatocellular carcinoma recurrence.
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Carcinoma Hepatocelular , Neoplasias Hepáticas , Transplante de Fígado , Hepatopatia Gordurosa não Alcoólica , Humanos , Carcinoma Hepatocelular/cirurgia , Carcinoma Hepatocelular/metabolismo , Carcinoma Hepatocelular/diagnóstico , Carcinoma Hepatocelular/patologia , Transplante de Fígado/efeitos adversos , Hepatopatia Gordurosa não Alcoólica/metabolismo , Hepatopatia Gordurosa não Alcoólica/cirurgia , Hepatopatia Gordurosa não Alcoólica/complicações , Hepatopatia Gordurosa não Alcoólica/patologia , Hepatopatia Gordurosa não Alcoólica/diagnóstico , Masculino , Feminino , Neoplasias Hepáticas/cirurgia , Neoplasias Hepáticas/metabolismo , Neoplasias Hepáticas/diagnóstico , Pessoa de Meia-Idade , Estudos Retrospectivos , Prognóstico , Adulto , IdosoRESUMO
Microlens arrays (MLAs) with a tunable imaging ability are core components of advanced micro-optical systems. Nevertheless, tunable MLAs generally suffer from high power consumption, an undeformable rigid body, large and complex systems, or limited focal length tunability. The combination of reconfigurable smart materials with MLAs may lead to distinct advantages including programmable deformation, remote manipulation, and multimodal tunability. However, unlike photopolymers that permit flexible structuring, the fabrication of tunable MLAs and compound eyes (CEs) based on transparent smart materials is still rare. In this work, we report reconfigurable MLAs that enable tunable imaging based on shape memory polymers (SMPs). The smart MLAs with closely packed 200 × 200 microlenses (40.0 µm in size) are fabricated via a combined technology that involves wet etching-assisted femtosecond laser direct writing of MLA templates on quartz, soft lithography for MLA duplication using SMPs, and the mechanical heat setting for programmable reconfiguration. By stretching or squeezing the shape memory MLAs at the transition temperature (80 °C), the size, profiles, and spatial distributions of the microlenses can be programmed. When the MLA is stretched from 0 to 120% (area ratio), the focal length is increased from 116 to 283 µm. As a proof of concept, reconfigurable MLAs and a 3D CE with a tunable field of view (FOV, 160-0°) have been demonstrated in which the thermally triggered shape memory deformation has been employed for tunable imaging. The reconfigurable MLAs and CEs with a tunable focal length and adjustable FOV may hold great promise for developing smart micro-optical systems.
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B cells possess anti-tumor functions mediated by granzyme B, in addition to their role in antigen presentation and antibody production. However, the variations in granzyme B+ B cells between tumor and non-tumor tissues have been largely unexplored. Therefore, we integrated 25 samples from the Gene Expression Omnibus database and analyzed the tumor immune microenvironment. The findings uncovered significant inter- and intra-tumoral heterogeneity. Notably, single-cell data showed higher proportions of granzyme B+ B cells in tumor samples compared to control samples, and these levels were positively associated with disease-free survival. The elevated levels of granzyme B+ B cells in tumor samples resulted from tumor cell chemotaxis through the MIF- (CD74 + CXCR4) signaling pathway. Furthermore, the anti-tumor function of granzyme B+ B cells in tumor samples was adversely affected, potentially providing an explanation for tumor progression. These findings regarding granzyme B+ B cells were further validated in an independent clinic cohort of 40 liver transplant recipients with intrahepatic cholangiocarcinoma. Our study unveils an interaction between granzyme B+ B cells and intrahepatic cholangiocarcinoma, opening up potential avenues for the development of novel therapeutic strategies against this disease.
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Neoplasias dos Ductos Biliares , Colangiocarcinoma , Transplante de Fígado , Humanos , Granzimas/genética , Colangiocarcinoma/genética , Colangiocarcinoma/cirurgia , Prognóstico , Neoplasias dos Ductos Biliares/genética , Neoplasias dos Ductos Biliares/cirurgia , Ductos Biliares Intra-Hepáticos , Microambiente TumoralRESUMO
BACKGROUND: Metabolic dysfunction-associated fatty liver disease was proposed by international consensus to redefine the metabolic abnormal condition. However, its impact on liver transplant recipients with hepatitis B virus-related hepatocellular carcinoma has not been explored. METHODS: A two-center retrospective cohort study on liver transplant recipients with hepatitis B virus-related hepatocellular carcinoma was performed to analyze the impact of metabolic dysfunction-associated fatty liver disease on the clinicopathologic parameters and prognosis. RESULTS: There were 201 liver transplant recipients enrolled from two hospitals in our study. The pre- and post-transplant prevalences of metabolic dysfunction-associated fatty liver disease were 9.95% and 28.86%, respectively. The clinicopathological parameters revealed a similarity between patients with and without pre-transplant metabolic dysfunction-associated fatty liver disease. In contrast, the group with post-transplant metabolic dysfunction-associated fatty liver disease was linked with older age, a higher hepatitis recurrence rate and incidence of cardiovascular disease, usage of calcineurin inhibitors, a greater body mass index and waist circumference, lower albumin and high-density lipoprotein cholesterol levels, and poorer tumor-free survival and overall survival. The multivariate analysis showed the largest tumor size >4 cm (95% confidence intervals: 0.06~0.63, p = 0.006), microvascular invasion (95% confidence intervals: 1.61~14.92, p = 0.005), post-transplant metabolic dysfunction-associated fatty liver disease (95% confidence intervals: 1.40~10.60, p = 0.009), and calcineurin inhibitors-based regimen (95% confidence intervals: 0.33~0.96, p = 0.036) were the independent risk factors for recurrent hepatocellular carcinoma. CONCLUSIONS: Our study suggests that post-transplant metabolic dysfunction-associated fatty liver disease is more closely to metabolic abnormalities and that it can help identify liver transplant recipients at high risk of recurrent hepatocellular carcinoma.
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Carcinoma Hepatocelular , Hepatite B , Neoplasias Hepáticas , Transplante de Fígado , Hepatopatia Gordurosa não Alcoólica , Humanos , Carcinoma Hepatocelular/etiologia , Carcinoma Hepatocelular/cirurgia , Vírus da Hepatite B , Neoplasias Hepáticas/etiologia , Transplante de Fígado/efeitos adversos , Estudos Retrospectivos , Inibidores de Calcineurina , Hepatopatia Gordurosa não Alcoólica/complicações , Hepatite B/complicaçõesRESUMO
Flexible electronic skin is a flexible sensor system that imitates human skin. Recently, flexible sensors have been successfully developed. However, the droplet sliding sensing technology on a flexible electronic skin surface is still challenging. In this Letter, a flexible droplet sliding sensing surface is proposed and fabricated by laser-reduced graphene oxide (LRGO). The LRGO shows porous structures and low surface energy, which are beneficial for infusing lubricants and fabricating stable slippery surfaces. The slippery surface guarantees free sliding of droplets. The droplet sliding sensing mechanism is a combination of triboelectricity and electrostatic induction. After a NaCl droplet slides from lubricant-infused LRGO, a potential difference (â¼0.2â mV) can be measured between two Ag electrodes. This study reveals considerable potential applications in intelligent robots and the medical field.
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Photothermal responsive slippery surfaces with switchable superwettability are promising in the fields of biomedicine, self-cleaning, anti-corrosion, and lab-on-a-chip systems. However, the development of a light switchable slippery surface that combines high-performance photothermal materials with hierarchical microstructures of special orientation remains challenging, which limits the applications in anisotropic droplet manipulation. Herein, we demonstrate a photothermal responsive slippery surface based on laser-structured graphene and polyvinylidene difluoride composites (L-G@PVDF) for controllable droplet manipulation. The L-G@PVDF film exhibits high light absorption (â¼95.4%) in the visible and NIR region. After lubricating with paraffin, the resultant surface shows excellent self-healing ability and light-responsive wettability change due to the photothermal effect of L-G@PVDF and the hot melting effect of paraffin. Additionally, by introducing anisotropic grooved structures, the paraffin-infused L-G@PVDF surface displays anisotropic wettability that further affects droplet manipulation under light irradiation. Also, the photothermal responsive slippery property endows the paraffin-infused L-G@PVDF surface with excellent anti-frosting and de-icing capability. Moreover, the smart paraffin-infused L-G@PVDF surface can be combined with a microfluidics chip for light-driven automatic sampling. This study offers insight into the rational design of photothermal responsive slippery surfaces for controllable droplet manipulation.
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Grafite , Grafite/química , Parafina , Molhabilidade , LasersRESUMO
In this minireview, we comprehensively reviewed recent progress on fabricating anti-icing/de-icing surfaces by femtosecond laser technologies. Typical bioinspired micro-/nano-structures fabrication strategies, superhydrophobic surfaces with anti-icing properties, and photothermal surfaces with de-icing properties are summarized. At last, we discussed challenges and prospects in anti-icing/de-icing surfaces fabricated by femtosecond laser technologies.
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Self-healing materials (SHMs) with unique mechanical and electronic properties are promising for self-reparable electronics and robots. However, the self-healing ability of emerging two-dimensional (2D) materials, for instance, MXenes, has not been systematically investigated, which limits their applications in self-healing electronics. Herein, we report the homogeneous self-healing assembly (homo-SHA) of MXene and the heterogeneous self-healing assembly (hetero-SHA) of MXene and graphene oxide (GO) under moisture treatments. The self-healing mechanism has been attributed to the hydration induced interlayer swelling of MXene and GO and the recombination of hydrogen bond networks after water desorption. The multiform hetero-SHA of MXene and GO not only enables facile fabrication of free-standing soft electronics and robots, but also endows the resultant devices with damage-healing properties. As proof-of-concept demonstrations, free-standing soft electronic devices including a generator, a humidity sensor, a pressure sensor, and several robotic devices have been fabricated. The hetero-SHA of MXene and GO is simple yet effective, and it may pioneer a new avenue to develop miniature soft electronics and robots based on 2D materials.
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Graphene oxide (GO) films with natural "quantum-confined-superfluidics" (QSF) channels for moisture actuation have emerged as a smart material for actuators and soft robots. However, programming the deformation of GO by engineering QSF nanochannels around 1 nm is extremely challenging. Herein, we report the reconfigurable, reversible, and redefinable deformation of GO under moisture actuation by tailoring QSF channels via moisture-assisted strain-induced wrinkling (MSW). The shape fixity ratio of a general GO film can reach â¼84% after the MSW process, and the shape recovery ratio is â¼83% at room temperature under moisture actuation. The flexible shaping and deformation abilites, as well as the self-healing property of GO make it possible to fabricate soft robots using GO. Besides, as a proof-of-concept, passive electronics and soft robots capable of crawling, turning, switching circuit, and automatic somersault are demonstrated. With unique shaping and deformation abilities, GO may bring great implications for future soft robotics.
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Grafite , Robótica , Materiais InteligentesRESUMO
Stimuli-responsive actuators (SRAs) that can harvest environmental energies and convert them to mechanical works without additional energy-supplying systems have revealed great potential for robotic applications. However, at present, the practical usage of SRAs is significantly limited due to the problems with respect to solo responsiveness, simple deformation, and the difficulties for large-scale and cost-effective production. In this paper, multi-responsive paper actuators with multicoating nanoarchitectonics that enable complex deformation have been fabricated through a very simple painting process on common papers. The resultant paper actuator permits large-scale and low-cost production (A4 size: â¼0.5 dollar). The paper actuators that consist of a paper/graphite/polydimethylsiloxane sandwich structure can be actuated by multi-form stimuli, including moisture, temperature, light, and volatile organic compounds. More importantly, the bending deformation of the paper actuators can be further programmed by controlling the pencil drawing orientation, providing the feasibility of performing more complex deformations. Several multi-responsive paper actuators, including organic compound-responsive smart devices working in the liquid environment, moisture-enabled terrestrial crawling actuator, and a light-responsive attitude-control actuator integrated with an airplane model, have been demonstrated. The development of multi-responsive yet cost-effective paper actuators may hold great promise for a wide range of practical applications, for instance, soft micro-electromechanical systems, lab-on-a-chip systems, smart homes, and robotics.
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Electro-responsive actuators (ERAs) hold great promise for cutting-edge applications in e-skins, soft robots, unmanned flight, and in vivo surgery devices due to the advantages of fast response, precise control, programmable deformation, and the ease of integration with control circuits. Recently, considering the excellent physical/chemical/mechanical properties (e.g., high carrier mobility, strong mechanical strength, outstanding thermal conductivity, high specific surface area, flexibility, and transparency), graphene and its derivatives have emerged as an appealing material in developing ERAs. In this review, we have summarized the recent advances in graphene-based ERAs. Typical the working mechanisms of graphene ERAs have been introduced. Design principles and working performance of three typical types of graphene ERAs (e.g., electrostatic actuators, electrothermal actuators, and ionic actuators) have been comprehensively summarized. Besides, emerging applications of graphene ERAs, including artificial muscles, bionic robots, human-soft actuators interaction, and other smart devices, have been reviewed. At last, the current challenges and future perspectives of graphene ERAs are discussed.
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Flatheads are valuable commercial fish species endemic to the Indo-West Pacific. Due to their economic value and unique biological traits, such as metamorphosis and camouflage, they serve as ideal marine organisms for studies on demersal adaptation and evolution. The brown-spotted flathead (Platycephalus sp.1) is the most widely distributed in the northwestern Pacific. Despite the lack of a valid scientific name, it has been long recognized and exploited in the marine fisheries of China, Japan, and Korea. In the current study, we applied Illumina, PacBio, and Hi-C sequencing to assemble a chromosome-scale genome for this species. The assembled genome was 660.63 Mb long with a scaffold N50 of 28.65 Mb and 100% of the contigs were anchored onto 24 chromosomes. We predicted 22 743 protein-coding genes, 94.8% of which were functionally annotated. Comparative genomic analyses suggested that Platycephalus sp.1 diverged from its common ancestor with Gasterosteus aculeatus ~88.4 million years ago. The expanded gene families were significantly enriched in immune, biosynthetic, and metabolic pathways. Furthermore, three shared Gene Ontology terms and 377 common positively selected genes were identified between flathead and flatfish species, suggesting that these genes may contribute to demersal adaptation in flatheads. The assembled genomic data provide a valuable molecular resource for further research on the biological and adaptive evolution of flathead species.
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Adaptação Fisiológica/genética , Cromossomos/genética , Peixes/genética , Genoma , Genômica/métodos , Animais , Oceano Pacífico , FilogeniaRESUMO
Graphene oxide (GO), which has many oxygen functional groups, is a promising candidate for use in moisture-responsive sensors and actuators due to the strong water-GO interaction and the ultrafast transport of water molecules within the stacked GO sheets. In the last 5 years, moisture-responsive actuators based on GO have shown distinct advantages over other stimuli-responsive materials and devices. Particularly, inspired by nature organisms, various moisture-enabled soft robots have been successfully developed via rational assembly of the GO-based actuators. Herein, the milestones in the development of moisture-responsive soft robots based on GO are summarized. In addition, the working mechanisms, design principles, current achievement, and prospects are also comprehensively reviewed. In particular, the GO-based soft robots are at the forefront of the advancement of automatable smart devices.
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Due to unique optical and electrical properties, micro-/nano-structures have become an essential part of optoelectronic devices. Here, we summarize the recent developments in micro-/nano-structures fabricated by laser technologies for optoelectronic devices. The fabrication of micro-/nano-structures by various laser technologies is reviewed. Micro-/nano-structures in optoelectronic devices for performance improvement are reviewed. In addition, typical optoelectronic devices with micro-nano structures are also summarized. Finally, the challenges and prospects are discussed.
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As a superior self-protection strategy, invisibility has been a topic of long-standing interest in both academia and industry, because of its potential for intriguing applications that have only appeared thus far in science fiction. However, due to the strong dispersion of passive materials, achieving cross-wavelength invisibility remains an open challenge. Inspired by the natural ecological relationship between transparent midwater oceanic animals and the cross-wavelength detection strategy of their predators, we propose a cross-wavelength invisibility concept that integrates various invisibility tactics, where a Boolean metamaterial design procedure is presented to balance divergent material requirements over cross-scale wavelengths. As proof of concept, we experimentally demonstrate longwave cloaking and shortwave transparency simultaneously through a nanoimprinting technique. Our work extends the concept of stealth techniques from individual invisibility tactics targeting a single-wavelength spectrum to an integrated invisibility tactic targeting a cross-wavelength applications and may pave the way for development of cross-wavelength integrated metadevices.
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The surface wettability of plants exhibits many unique advantages, which enhances the environmental adaptability of plants. In view of the rapid development of responsive materials, smart surfaces have been explored extensively to regulate surface wettability through external stimuli. Herein, we summarized recent advancements in bioinspired surfaces with switchable wettability. Typical bioinspired surfaces with switchable wettability and their emerging applications have been reviewed. In the end, we have discussed the remaining challenges and provided perspective on future development.
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Solar interfacial evaporation has been recognized as a versatile energy conversion protocol for cutting-edge applications such as water treatment and power generation (e.g., hydro voltaic effect). Recently, to enhance water evaporation rates, water temperature and evaporation area have been considered as essential ingredients, and thus photothermal materials and three-dimensional hierarchical structures have been developed to promote light-to-heat conversion efficiency and enhance interfacial evaporation. However, less attention has been paid to the airflow effect, because the interfacial floatability of photothermal membranes should be considered under air blast. Here, inspired from the stable interfacial floatability of lotus leaves, we report the airflow enhanced solar interfacial evaporation approach using a graphene-based Janus membrane. Laser-induced graphene (LIG) film was treated unilaterally by O2 plasma, forming a LIG/oxidized LIG (LIG-O) Janus membrane with distinct wettability on two sides. Higher water evaporation rate of 1.512 kg m-2 h-1 is achieved. The high solar interfacial evaporation performance can be attributed to the two advantages: (i) the combination of microscale capillary water transporting and nanoscale light trapping; (ii) hydrophobic/hydrophilic Janus membrane for stable interfacial floatability under airflow. Our approach is feasible for developing high-performance solar interfacial evaporation devices for practical clean energy utilization.
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Graphene-based actuators featuring fast and reversible deformation under various external stimuli are promising for soft robotics. However, these bimorph actuators are incapable of complex and programmable 3D deformation, which limits their practical application. Here, inspired from the collective coupling and coordination of living cells, we fabricated a moisture-responsive graphene actuator swarm that has programmable shape-changing capability by programming the SU-8 patterns underneath. To get better control over the deformation, we fabricated SU-8 micropattern arrays with specific geometries and orientations on a continuous graphene oxide film, forming a swarm of bimorph actuators. In this way, predictable and complex deformations, including bending, twisting, coiling, asymmetric bending, 3D folding, and combinations of these, have been achieved due to the collective coupling and coordination of the actuator swarm. This work proposes a new way to program the deformation of bilayer actuators, expanding the capabilities of existing bimorph actuators for applications in various smart devices.
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Recent years have witnessed the rise of graphene and its applications in various electronic devices. Specifically, featuring excellent flexibility, transparency, conductivity, and mechanical robustness, graphene has emerged as a versatile material for flexible electronics. In the past decade, facilitated by various laser processing technologies, including the laser-treatment-induced photoreduction of graphene oxides, flexible patterning, hierarchical structuring, heteroatom doping, controllable thinning, etching, and shock of graphene, along with laser-induced graphene on polyimide, graphene has found broad applications in a wide range of electronic devices, such as power generators, supercapacitors, optoelectronic devices, sensors, and actuators. Here, the recent advancements in the laser fabrication of graphene-based flexible electronic devices are comprehensively summarized. The various laser fabrication technologies that have been employed for the preparation, processing, and modification of graphene and its derivatives are reviewed. A thorough overview of typical laser-enabled flexible electronic devices that are based on various graphene sources is presented. With the rapid progress that has been made in the research on graphene preparation methodologies and laser micronanofabrication technologies, graphene-based electronics may soon undergo fast development.
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Moisture-responsive actuators based on graphene oxide (GO) have attracted intensive research interest in recent years. However, current GO actuators suffer from low mechanical strength. Inspired by the robustness of nacre's structure, moisture-responsive actuators with high mechanical strength and self-healing properties were successfully developed based on GO and cellulose fiber (CF) hybrids. The hybrid paper demonstrated significantly improved tensile strength, â¼20 times higher than that of pure GO paper, and self-healing properties. A broken paper can be well cured under moist conditions, and the mechanical properties of the self-healed hybrid paper can still maintain similar tensile strength to the pristine one. After controllable ultraviolet light photoreduction treatment, a hybrid paper with a photoreduction gradient along the normal direction was prepared, which can act as a moisture-responsive actuator. A maximum bending curvature of â¼1.48 cm-1 can be achieved under high relative humidity (RH = 97%). As a proof-of-concept, a butterfly-like actuator that can deform itself with moisture actuation was demonstrated. Our approach may pave a new way for designing robust and self-healable graphene actuators.