Dysregulation of lipid metabolism in chronic kidney disease and the role of natural products.

Dysregulation of lipid metabolism plays a key role in the onset and progression of CKD, and a thorough understanding of its regulatory mechanisms is essential for the development of effective treatments. In recent years, an increasing number of studies have focused on the pharmacological activities of natural products and their application in the treatment of chronic diseases. Natural products, including plant extracts and bioactive compounds, have been shown to exert anti-inflammatory, antioxidant, antifibrosis, and anti-apoptotic effects through various signaling pathways in the treatment of CKD. Many natural products have been shown to target dysregulated lipid metabolism through various signaling pathways. This review summarizes the key regulatory factors and signaling pathways involved in the dysregulation of lipid metabolism in chronic kidney disease (CKD), highlighting their importance as potential therapeutic targets. Recently published research on the potential therapeutic benefits of natural products for the treatment of CKD was described. These studies have revealed the multi-target role of natural products in the regulation of lipid metabolism. Natural products show great potential in targeting lipid metabolism-related pathways, offering a novel research direction for the treatment of CKD while providing a scientific basis and experimental support for the development of new treatment strategies.

Enhancing the Electrocatalytic Oxidation of 5-Hydroxymethylfurfural Through Cascade Structure Tuning for Highly Stable Biomass Upgrading.

Electrocatalytic 5-hydroxymethylfurfural oxidation reaction (HMFOR) provides a promising strategy to convert biomass derivative to high-value-added chemicals. Herein, a cascade strategy is proposed to construct Pd-NiCo2O4 electrocatalyst by Pd loading on Ni-doped Co3O4 and for highly active and stable synergistic HMF oxidation. An elevated current density of 800 mA cm-2 can be achieved at 1.5 V, and both Faradaic efficiency and yield of 2,5-furandicarboxylic acid remained close to 100% over 10 consecutive electrolysis. Experimental and theoretical results unveil that the introduction of Pd atoms can modulate the local electronic structure of Ni/Co, which not only balances the competitive adsorption of HMF and OH- species, but also promote the active Ni3+ species formation, inducing high indirect oxidation activity. We have also discovered that Ni incorporation facilitates the Co2+ pre-oxidation and electrophilic OH* generation to contribute direct oxidation process. This work provides a new approach to design advanced electrocatalyst for biomass upgrading.

Polydimethylsiloxane enabled triple-action water-resistant coating with desirable relaxation rate in clear aligner.

Clear aligners undergo rapid stress relaxation in warm, moist oral environments, compromising therapeutic effectiveness and longevity of treatment. To develop an innovative multilayer composite material with improved stability and reduced stress release, we have engineered an innovative coating characterized by the surface aggregation of polydimethylsiloxane (PDMS), which imparts a pronounced hydrophobic effect. In addition, the chemically and physically cross-linked structure of the coating reduces the free volume created by molecular chain rearrangement owing to the presence of water molecules, thereby minimizing water penetration into the coating. Concurrently, the coating's internal structure is enriched with numerous polar functional groups to capture water molecules that penetrate into the inside of the coating. Through combination of these mechanisms, water molecules are effectively sequestered, thereby impeding their penetration into the polyethylene terephthalate glycol (PETG) substrate. The impact of the polydimethylsiloxane content on the triple-action water-resistance mechanisms was thoroughly examined using attenuated total reflection (ATR)-Fourier transform infrared (FTIR), water absorption rate, water swelling rate, and X-ray photoelectron spectroscopy. The low surface energy cross-linked polyurethane coating is applied to the polyethylene terephthalate glycol (PETG) substrate to create a novel composite material with specific mechanical properties and reduced stress relaxation. The composite material remains stable in simulated oral environment with linear swelling rate of 0.58 % upon water absorption. Additionally, the stress release rate of the composite material within 336 h is notably lower (23.64 %) than that of PETG (62.29 %).

Study on the evaluation and influencing factors of contracted residents on the coordination of primary medical institutions.

Background: The implementation of family doctor contract service is a pivotal measure to enhance primary medical services and execute the hierarchical diagnosis and treatment system. Achieving service coordination among various institutions is both a fundamental objective and a central element of contract services. Objective: The study aims to assess residents' evaluations and determining factors related to the coordination of health services within primary medical institutions across different regions of Shandong Province. The findings intend to serve as a reference for enhancing the coordination services offered by these institutions. Methods: The study employed a multi-stage stratified random sampling method to select three prefecture-level cities in Shandong Province with different economic levels. Within each city, three counties (districts) were randomly sampled using the same method. Within each county (district), three community health service centers and township health centers implementing family doctor contract services were selected randomly. Face-to-face questionnaire surveys were conducted with contracted residents using the coordination dimension of the revised Primary Care Assessment Tools Scale (PCAT) developed by the research team. Data analysis was conducted using such methods as one-way analysis of variance and multiple linear regression. Results: The sample included 3,859 contracted residents. The coordination dimension score of primary medical institutions averaged 3.41 ± 0.18, with the referral service sub-dimension scoring 3.60 ± 0.58 and the information system sub-dimension scoring 3.34 ± 0.65. The overall score of the referral service sub-dimension surpassed that of the information system sub-dimension. Regression results indicated that the city's economic status, the type of contracted institutions, gender, education, marital status, income, occupation, health status, and endowment insurance payment status significantly influenced the coordinated service score of primary medical institutions (p < 0.05). Conclusion: The coordination of primary medical institutions in Shandong Province warrants further optimization. Continued efforts should focus on refining the referral system, expediting information infrastructure development, enhancing the service standards of primary medical institutions, and fostering resident trust. These measures aim to advance the implementation of the hierarchical diagnosis and treatment and two-way referral system.

Caffeic acid mitigates myocardial fibrosis and improves heart function in post-myocardial infarction by inhibiting transforming growth factor-ß receptor 1 signaling pathways.

Myocardial fibrosis is a pathological, physiological change that results from alterations, such as inflammation and metabolic dysfunction, after myocardial infarction (MI). Excessive fibrosis can cause cardiac dysfunction, ventricular remodeling, and heart failure. Caffeic acid (CA), a natural polyphenolic acid in various foods, has cardioprotective effects. This study aimed to explore whether CA exerts a cardioprotective effect to inhibit myocardial fibrosis post-MI and elucidate the underlying mechanisms. Histological observations indicated that CA ameliorated ventricular remodeling induced by left anterior descending coronary artery ligation in MI mice and partially restored cardiac function. CA selectively targeted transforming growth factor-ß receptor 1 (TGFBR1) and inhibited TGFBR1-Smad2/3 signaling, reducing collagen deposition in the infarcted area of MI mice hearts. Furthermore, cell counting (CCK-8) assay, 5-ethynyl-2'-deoxyuridine assay, and western blotting revealed that CA dose-dependently decreased the proliferation, collagen synthesis, and activation of the TGFBR1-Smad2/3 pathway in primary cardiac fibroblasts (CFs) stimulated by TGF-ß1 in vitro. Notably, TGFBR1 overexpression in CFs partially counteracted the inhibitory effects of CA. These findings suggest that CA effectively mitigates myocardial fibrosis and enhances cardiac function following MI and that this effect may be associated with the direct targeting of TGFBR1 by CA.

Evaluation of pretreatment methods for filamentous fungal detection.

In order to obtain the best mass spectrometry identification results for using the most appropriate methods in clinical practice, we explore the optimal pretreatment methods for different species and morphologies of filamentous fungi. 98 fungal strains were treated with formic acid sandwich method, dispersion method, extraction method, and other methods using a medium element mass spectrometer (EXS3000) as a platform. Each strain had three targets, and the identification rates and confidence differences under different pre-treatment methods were compared to evaluate the identification effects of these methods. The mass spectrometry identification rates of 98 filamentous fungi obtained after pre-treatment with formic acid sandwich method, dispersion method, and extraction method were 85.71%, 82.65%, and 75.51%, respectively. The identification rate of the formic acid sandwich method was significantly higher than the other two methods (P < 0 005) has the best identification ability and the obtained confidence is also higher than the other two methods. The use of formic acid sandwich method for mass spectrometry identification of filamentous fungi can achieve ideal identification results, which is suitable for mass spectrometry identification of filamentous fungi in conventional laboratories.

Plasma leucine-rich α-2 glycoprotein 1 in ST-elevation myocardial infarction: vertical variation, correlation with T helper 17/regulatory T ratio, and predictive value on major adverse cardiovascular events.

Objective: Leucine-rich α-2 glycoprotein 1 (LRG1) promotes inflammation and myocardial injury, but its clinical role in ST-elevation myocardial infarction (STEMI) is rarely disclosed. Herein, this prospective study aimed to explore the value of plasma LRG1 at different time points to predict major adverse cardiovascular event (MACE) risk in patients with STEMI. Methods: In total, 209 patients with STEMI were enrolled for determining plasma LRG1 at admission and on day (D)1/D7/D30 after admission via enzyme-linked immunosorbent assay, as well as for determination of peripheral blood T helper 17 (Th17) cells and regulatory T (Treg) cells by flow cytometry. In addition, plasma LRG1 was obtained from 30 healthy controls at enrollment. Results: LRG1 was increased in patients with STEMI at admission compared with healthy controls (P < 0.001). In patients with STEMI, LRG1 varied at different time points (P < 0.001), which elevated from admission to D1, and gradually declined thereafter. LRG1 at admission was positively associated with Th17 cells (P = 0.001) and Th17/Treg ratio (P = 0.014). LRG1 at admission (P = 0.013), D1 (P = 0.034), D7 (P = 0.001), and D30 (P = 0.010) were increased in patients with MACE compared with those without. LRG1 at D7 exhibited good ability to estimate MACE risk (area under curve = 0.750, 95% confidence interval = 0.641-0.858). LRG1 at admission > 60 µg/ml (P = 0.031) and D7 > 60 µg/ml (P = 0.018) were linked with increased accumulating MACE. Importantly, LRG1 at D7 > 60 µg/ml was independently correlated with increased MACE risk (hazard ratio = 5.216, P = 0.033). Conclusion: Plasma LRG1 increases from admission to D1 and gradually declines until D30, which positively links with Th17 cells and MACE risk in patients with STEMI.

Long non-coding RNA NORAD regulates megakaryocyte differentiation and proplatelet formation via the DUSP6/ERK signaling pathway.

Megakaryopoiesis and platelet production is a complex process that is underpotential regulation at multiple stages. Many long non-coding RNAs (lncRNAs) are distributed in hematopoietic stem cells and platelets. lncRNAs may play important roles as key epigenetic regulators in megakaryocyte differentiation and proplatelet formation. lncRNA NORAD can affect cell ploidy by sequestering PUMILIO proteins, although its direct effect on megakaryocyte differentiation and thrombopoiesis is still unknown. In this study, we demonstrate NORAD RNA is highly expressed in the cytoplasm during megakaryocyte differentiation. Interestingly, we identified for the first time that NORAD has a strong inhibitory effect on megakaryocyte differentiation and proplatelet formation from cultured megakaryocytes. DUSP6/ERK1/2 pathway is activated in response to NORAD knockdown during megakaryocytopoiesis, which is achieved by sequestering PUM2 proteins. Finally, compared with the wild-type control mice, NORAD knockout mice show a faster platelet recovery after severe thrombocytopenia induced by 6 Gy total body irradiation. These findings demonstrate lncRNA NORAD has a key role in regulating megakaryocyte differentiation and thrombopoiesis, which provides a promising molecular target for the treatment of platelet-related diseases such as severe thrombocytopenia.

Theoretical study on the role of magnesium chloride complexes induced by different magnesium-to-chlorine ratios in magnesium-sulfur batteries.

In magnesium-sulfur batteries, electrolyte exploration is vital for developing high-energy-density, safe, and reliable batteries. This study focused on cyclic THF and chain DME, representative solvents in ether electrolytes. MgCl2, an ideal anionic salt, forms mono-nuclear (MgCl2(DME)2), bi-nuclear ([Mg2(µ-Cl)2(DME)4]2+), and tri-nuclear ([Mg3(µ-Cl)4(DME)5]2+) complexes in DME. With increasing salt concentration, these complexes sequentially form. Under lower salt concentrations, THF and MgCl2 form mono-nuclear complexes ([MgCl2(THF)4]) and continue to form bi-nuclear complexes ([Mg2(µ-Cl)3(THF)6]+). However, at higher salt concentrations, bi-nuclear complexes ([Mg2(µ-Cl)3(THF)6]+) directly form in THF. Comparing HOMO-LUMO values, [Mg(DME)3]2+ is easily oxidized. Energy gaps decrease with Cl- ion addition, enhancing solution conductivity. Ratios of Mg2+ and Cl- in S-reduction complexes differ, suggesting DME is better at a low Mg/Cl ratio, and THF at a high Mg/Cl ratio. This study contributes to understanding complexes and enhancing Mg-S battery performance.

CSAP-UNet: Convolution and self-attention paralleling network for medical image segmentation with edge enhancement.

Convolution operation is performed within a local window of the input image. Therefore, convolutional neural network (CNN) is skilled in obtaining local information. Meanwhile, the self-attention (SA) mechanism extracts features by calculating the correlation between tokens from all positions in the image, which has advantage in obtaining global information. Therefore, the two modules can complement each other to improve feature extraction ability. An effective fusion method is a problem worthy of further study. In this paper, we propose a CNN and SA paralleling network CSAP-UNet with U-Net as backbone. The encoder consists of two parallel branches of CNN and Transformer to extract the feature from the input image, which takes into account both the global dependencies and the local information. Because medical images come from certain frequency bands within the spectrum, their color channels are not as uniform as natural images. Meanwhile, medical segmentation pays more attention to lesion regions in the image. Attention fusion module (AFM) integrates channel attention and spatial attention in series to fuse the output features of the two branches. The medical image segmentation task is essentially to locate the boundary of the object in the image. The boundary enhancement module (BEM) is designed in the shallow layer of the proposed network to focus more specifically on pixel-level edge details. Experimental results on three public datasets validate that CSAP-UNet outperforms state-of-the-art networks, particularly on the ISIC 2017 dataset. The cross-dataset evaluation on Kvasir and CVC-ClinicDB shows that CSAP-UNet has strong generalization ability. Ablation experiments also indicate the effectiveness of the designed modules. The code for training and test is available at https://github.com/zhouzhou1201/CSAP-UNet.git.

WSB1/2 target chromatin-bound lysine-methylated RelA for proteasomal degradation and NF-κB termination.

Proteasome-mediated degradation of chromatin-bound NF-κB is critical in terminating the transcription of pro-inflammatory genes and can be triggered by Set9-mediated lysine methylation of the RelA subunit. However, the E3 ligase targeting methylated RelA remains unknown. Here, we find that two structurally similar substrate-recognizing components of Cullin-RING E3 ligases, WSB1 and WSB2, can recognize chromatin-bound methylated RelA for polyubiquitination and proteasomal degradation. We showed that WSB1/2 negatively regulated a subset of NF-κB target genes via associating with chromatin where they targeted methylated RelA for ubiquitination, facilitating the termination of NF-κB-dependent transcription. WSB1/2 specifically interacted with methylated lysines (K) 314 and 315 of RelA via their N-terminal WD-40 repeat (WDR) domains, thereby promoting ubiquitination of RelA. Computational modeling further revealed that a conserved aspartic acid (D) at position 158 within the WDR domain of WSB2 coordinates K314/K315 of RelA, with a higher affinity when either of the lysines is methylated. Mutation of D158 abolished WSB2's ability to bind to and promote ubiquitination of methylated RelA. Together, our study identifies a novel function and the underlying mechanism for WSB1/2 in degrading chromatin-bound methylated RelA and preventing sustained NF-κB activation, providing potential new targets for therapeutic intervention of NF-κB-mediated inflammatory diseases.

Isoalantolactone exerts anti-melanoma effects via inhibiting PI3K/AKT/mTOR and STAT3 signaling in cell and mouse models.

BACKGROUND AND AIM: Although the anti-cancer activity of isoalantolactone (IATL) has been extensively studied, the anti-melanoma effects of IATL are still unknown. Here, we have investigated the anti-melanoma effects and mechanism of action of IATL. MTT and crystal violet staining assays were performed to detect the inhibitory effect of IATL on melanoma cell viability. Apoptosis and cell cycle arrest induced by IATL were examined using flow cytometry. The molecular mechanism of IATL was explored by Western blotting, confocal microscope analysis, molecular docking, and cellular thermal shift assay (CETSA). A B16F10 allograft mouse model was constructed to determine the anti-melanoma effects of IATL in vivo. The results showed that IATL exerted anti-melanoma effects in vitro and in vivo. IATL induced cytoprotective autophagy in melanoma cells by inhibiting the PI3K/AKT/mTOR signaling. Moreover, IATL inhibited STAT3 activation both in melanoma cells and allograft tumors not only by binding to the SH2 domain of STAT3 but also by suppressing the activity of its upstream kinase Src. These findings demonstrate that IATL exerts anti-melanoma effects via inhibiting the STAT3 and PI3K/AKT/mTOR signaling pathways, and provides a pharmacological basis for developing IATL as a novel phytotherapeutic agent for treating melanoma clinically.

Role of Type VI secretion system in pathogenic remodeling of host gut microbiota during Aeromonas veronii infection.

Intestinal microbial disturbance is a direct cause of host disease. The bacterial Type VI secretion system (T6SS) often plays a crucial role in the fitness of pathogenic bacteria by delivering toxic effectors into target cells. However, its impact on the gut microbiota and host pathogenesis is poorly understood. To address this question, we characterized a new T6SS in the pathogenic Aeromonas veronii C4. First, we validated the secretion function of the core machinery of A. veronii C4 T6SS. Second, we found that the pathogenesis and colonization of A. veronii C4 is largely dependent on its T6SS. The effector secretion activity of A. veronii C4 T6SS not only provides an advantage in competition among bacteria in vitro, but also contributes to occupation of an ecological niche in the nutritionally deficient and anaerobic environment of the host intestine. Metagenomic analysis showed that the T6SS directly inhibits or eliminates symbiotic strains from the intestine, resulting in dysregulated gut microbiome homeostasis. In addition, we identified three unknown effectors, Tse1, Tse2, and Tse3, in the T6SS, which contribute to T6SS-mediated bacterial competition and pathogenesis by impairing targeted cell integrity. Our findings highlight that T6SS can remodel the host gut microbiota by intricate interplay between T6SS-mediated bacterial competition and altered host immune responses, which synergistically promote pathogenesis of A. veronii C4. Therefore, this newly characterized T6SS could represent a general interaction mechanism between the host and pathogen, and may offer a potential therapeutic target for controlling bacterial pathogens.

Enhanced Electrocatalytic Nitrate Reduction to Ammonia Using Functionalized Multi-Walled Carbon Nanotube-Supported Cobalt Catalyst.

Ammonia (NH3) is vital in modern agriculture and industry as a potential energy carrier. The electrocatalytic reduction of nitrate (NO3-) to ammonia under ambient conditions offers a sustainable alternative to the energy-intensive Haber-Bosch process. However, achieving high selectivity in this conversion poses significant challenges due to the multi-step electron and proton transfer processes and the low proton adsorption capacity of transition metal electrocatalysts. Herein, we introduce a novel approach by employing functionalized multi-walled carbon nanotubes (MWCNTs) as carriers for active cobalt catalysts. The exceptional conductivity of MWCNTs significantly reduces charge transfer resistance. Their unique hollow structure increases the electrochemical active surface area of the electrocatalyst. Additionally, the one-dimensional hollow tube structure and graphite-like layers within MWCNTs enhance adsorption properties, thus mitigating the diffusion of intermediate and stabilizing active cobalt species during nitrate reduction reaction (NitRR). Using the MWCNT-supported cobalt catalyst, we achieved a notable NH3 yield rate of 4.03 mg h-1 cm-2 and a high Faradaic efficiency of 84.72% in 0.1 M KOH with 0.1 M NO3-. This study demonstrates the potential of MWCNTs as advanced carriers in constructing electrocatalysts for efficient nitrate reduction.

The physical and mental health of university students in the context of covid-19 / Saúde física e mental dos estudantes universitários no contexto da covid-19 / Salud física y mental de los estudiantes universitarios en el contexto de covid-19

ABSTRACT Introduction The isolation policy caused by COVID-19 is plaguing physical exercise behavior, which seems to affect college students' physical and mental health. Objective Understand the current situation of college students' exercise behavior during COVID-19, analyzing the physical and mental health status to provide policy guidance on formulating appropriate exercise behavior for college students in the context of the epidemic. Methods 250 students from 20 colleges and universities in China were randomly selected as observation volunteers. The adherents' exercise-related behavior and physical and mental health were observed and analyzed by questionnaire, and subsequently evaluated according to statistical methods. Results The results showed that exercise motivation, exercise frequency, exercise duration, and exercise items of the surveyed individuals affected the physical and mental health of college students; these effects were statistically significant (p<0.05). Conclusion Under the control of COVID-19, college students should correct their motivation to exercise by choosing their own exercise programs to set a frequency and prolong the duration of exercise to improve their physical and mental health. Level of evidence II; Therapeutic studies - investigating treatment outcomes.

RESUMO Introdução A política de isolamento causada pela COVID-19 está assolando o comportamento de exercício físico, o que parece afetar a saúde física e mental dos estudantes universitários. Objetivo Compreender a situação atual do comportamento de exercício físico dos estudantes universitários durante a COVID-19, analisando o estado de saúde física e mental dos estudantes universitários para fornecer uma orientação política sobre a formulação de comportamento de exercício físico adequado aos estudantes universitários no contexto da epidemia. Métodos Um total de 250 estudantes de 20 faculdades e universidades na China foram selecionados aleatoriamente como voluntários de observação. O comportamento relacionado ao exercício físico, saúde física e mental dos adeptos foi observado e analisado por questionário, posteriormente avaliado segundo métodos estatísticos. Resultados Os resultados mostraram que a motivação do exercício, a frequência do exercício, a duração do exercício e os itens de exercício dos indivíduos pesquisados afetaram a saúde física e mental dos estudantes universitários, estes efeitos foram estatisticamente significativos (p<0,05). Conclusão Sob o controle da COVID-19, os estudantes universitários devem corrigir sua motivação ao exercício, escolhendo seus próprios programas de exercícios para fixar uma frequência e prolongar a duração do exercício para melhorar sua saúde física e mental. Nível de evidência II; Estudos terapêuticos - investigação dos resultados do tratamento.

RESUMEN Introducción La política de aislamiento causada por COVID-19 está asolando el comportamiento del ejercicio físico, que parece afectar a la salud física y mental de los estudiantes universitarios. Objetivo Comprender la situación actual de la conducta de ejercicio de los estudiantes universitarios durante la COVID-19 analizando el estado de salud física y mental de los estudiantes universitarios para proporcionar orientación política sobre la formulación de una conducta de ejercicio adecuada para los estudiantes universitarios en el contexto de la epidemia. Métodos se seleccionó aleatoriamente a un total de 250 estudiantes de 20 facultades y universidades de China como voluntarios de observación. El comportamiento relacionado con el ejercicio y la salud física y mental de los adherentes se observaron y analizaron mediante cuestionario, evaluándose posteriormente según métodos estadísticos. Resultados Los resultados mostraron que la motivación para el ejercicio, la frecuencia de ejercicio, la duración del ejercicio y los ítems de ejercicio de las personas encuestadas afectaban a la salud física y mental de los estudiantes universitarios, siendo estos efectos estadísticamente significativos (p<0,05). Conclusión Bajo el control del COVID-19, los estudiantes universitarios deben corregir su motivación para hacer ejercicio eligiendo sus propios programas de ejercicio para establecer una frecuencia y prolongar la duración del ejercicio para mejorar su salud física y mental. Nivel de evidencia II; Estudios terapéuticos - investigación de los resultados del tratamiento.