In situ growth of Mn3O4 nanoparticles on accordion-like Ti3C2Tx MXene for advanced aqueous Zn-Ion batteries.

Manganese-based cathodes are competitive candidates for state-of-the-art aqueous zinc-ion batteries (AZIBs) because of their easy preparation method, sufficient nature reserve, and environmental friendliness. However, their poor cycle stability and low rate performance have prevented them from practical applications. In this study, Mn3O4 nanoparticles were formed in situ on the surface and between the interlayers of Ti3C2Tx MXene, which was pretreated by the intercalation of K+ ions. Ti3C2Tx MXene not only provides abundant active sites and high conductivity but also hinders the structural damage of Mn3O4 during charging and discharging. Benefiting from the well-designed K-Ti3C2@Mn3O4 structure, the battery equipped with the K-Ti3C2@Mn3O4 cathode achieved a maximum specific capacity of 312 mAh/g at a current density of 0.3 A/g and carried a specific capacity of approximately 120 mAh/g at a current density of 1 A/g, which remained stable for approximately 500 cycles. The performance surpasses that of most reported Mn3O4-based cathodes. This study pioneers a new approach for building better cathode materials for AZIBs.

Interlayer Engineering of VS2 Nanosheets via In Situ Aniline Intercalative Polymerization toward Long-Cycling Magnesium-Ion Batteries.

Rechargeable magnesium batteries (RMBs) show great potential in large-scale energy storage systems, due to Mg2+ with high polarity leading to strong interactions within the cathode lattice, and the limited discovery of functional cathode materials with rapid kinetics of Mg2+ diffusion and desirable cyclability retards their development. Herein, we innovatively report the confined synthesis of VS2/polyaniline (VS2/PANI) hybrid nanosheets. The VS2/PANI hybrids with expanded interlayer spacing are successfully prepared through the exfoliation of VS2 and in situ polymerization between VS2 nanosheets and aniline. The intercalated PANI increases the interlayer spacing of VS2 from 0.57 to 0.95 nm and improves its electronic conductivity, leading to rapid Mg-ion diffusivity of 10-10-10-12 cm2 s-1. Besides, the PANI sandwiched between layers of VS2 is conducive to maintaining the structural integrity of electrode materials. Benefiting from the above advantages, the VS2/PANI-1 hybrids present remarkable performance for Mg2+ storage, showing high reversible discharge capacity (245 mA h g-1 at 100 mA g-1) and impressive long lifespan (91 mA h g-1 after 2000 cycles at 500 mA g-1). This work provides new perspectives for designing high-performance cathode materials based on layered materials for RMBs.

Tripartite motif containing 26 prevents steatohepatitis progression by suppressing C/EBPδ signalling activation.

Currently potential preclinical drugs for the treatment of nonalcoholic steatohepatitis (NASH) and NASH-related pathopoiesis have failed to achieve expected therapeutic efficacy due to the complexity of the pathogenic mechanisms. Here we show Tripartite motif containing 26 (TRIM26) as a critical endogenous suppressor of CCAAT/enhancer binding protein delta (C/EBPδ), and we also confirm that TRIM26 is an C/EBPδ-interacting partner protein that catalyses the ubiquitination degradation of C/EBPδ in hepatocytes. Hepatocyte-specific loss of Trim26 disrupts liver metabolic homeostasis, followed by glucose metabolic disorder, lipid accumulation, increased hepatic inflammation, and fibrosis, and dramatically facilitates NASH-related phenotype progression. Inversely, transgenic Trim26 overexpression attenuates the NASH-associated phenotype in a rodent or rabbit model. We provide mechanistic evidence that, in response to metabolic insults, TRIM26 directly interacts with C/EBPδ and promotes its ubiquitin proteasome degradation. Taken together, our present findings identify TRIM26 as a key suppressor over the course of NASH development.

Rationally designed Mn2O3@ZnMn2O4/C core-shell hollow microspheres for aqueous zinc-ion batteries.

Manganese-based oxides are common cathode materials for aqueous zinc ion batteries (AZIBs) because of their great capacity and high working voltage. However, the sharp decline of capacity caused by the dissolution of manganese-based cathode materials and the low-rate performance restrict their development. To address these problems, unique core-shell structured Mn2O3@ZnMn2O4/C hollow microspheres are reported as an ideal cathode material for AZIBs. Benefiting from the hollow structure, the zeolitic imidazolate framework (ZIF)-derived carbon and ZnMn2O4. Its application in AZIBs as the cathode demonstrates its satisfactory rate performance, high cycle stability, and excellent reversibility. Its high reversible capacity is remarkable, which reaches its maximum of 289.9 mA h g-1 at 200 mA g-1 and maintains a capacity of 203.5 mA h g-1 after cycling for 700 times at 1000 mA g-1. These excellent performances indicate that this material is a potential cathode material of AZIBs.

Association between triglyceride glucose index and adverse clinical outcomes in patients with acute myocardial infarction and LDL-C≤1.8 mmol/L who underwent percutaneous coronary intervention: a prospective cohort study.

Background: Recently, the triglyceride glucose (TyG) index has emerged as a reliable predictive indicator for adverse outcomes of cardiovascular disease. However, the roles of the TyG index in patients with acute myocardial infarction (AMI) and low-density lipoprotein cholesterol (LDL-C)≤1.8 mmol/L after percutaneous coronary intervention (PCI) remain unclear. Methods: A total of 599 patients diagnosed with AMI and LDL-C ≤ 1.8 mmol/L at the 1-month follow-up after PCI were consecutively enrolled between January 2017 and January 2020. The patients were subsequently divided into three groups based on tertiles of the TyG index. The parameters, including the TyG index, were compared to explore the risk factors associated with major adverse cardiovascular and cerebrovascular events (MACCEs) during the 1-year follow-up. Results: Sixty-nine patients (11.5%) with 90 MACCEs were recorded during the 1-year follow up, including 13 patients (8.6%) in the Tertile 1 group, 36 (12.0%) in the Tertile 2 group, and 20 (13.4%) in the Tertile 3 group. Patients with a higher TyG index had a significantly increased incidence of MACCEs compared to those with a lower TyG index (22.1% vs. 14.0% vs. 9.9%, p=0.010). Kaplan-Meier analysis demonstrated that patients with a higher TyG index had a significantly lower probability of survival without MACCEs. Furthermore, a binary logistic regression model indicated that the TyG index was the only independent predictor for MACCEs in these patients. Conclusion: A higher TyG index was associated with a higher incidence of MACCEs in patients with AMI and well-controlled LDL-C levels after PCI. This suggests that the TyG index can serve as a predictive indicator for adverse cardiovascular outcomes in these patients.

Controllable construction of hierarchically porous carbon composite of nanosheet network for advanced dual-carbon potassium-ion capacitors.

Benefitting from the abundance and inexpensive nature of potassium resources, potassium-ion energy storage technology is considered a potential alternative to current lithium-ion systems. Potassium-ion capacitors (PICs) as a burgeoning K-ion electrochemical energy storage device, are capable of delivering high energy at high power without sacrificing lifespan. However, owing to the sluggish kinetics and significant volume change induced by the large K+-diameter, matched electrode materials with good ion accessibility and fast K+ intercalation/deintercalation capability are urgently desired. In this work, pine needles and graphene oxide (GO) are utilized as precursors to fabricate oxygen-doped activated carbon/graphene (OAC/G) porous nanosheet composites. The introduction of GO not only induces the generation of interconnected nanosheet network, but also increases the oxygen-doping content of the composite, thus expanding the graphite interlayer spacing. Experimental analysis combined with first-principle calculations reveal the transport/storage mechanism of K+ in the OAC/G composite anode, demonstrating that the high surface area, sufficient reactive sites, enlarged interlayer distance and open channels in the porous nanosheet network contribute to rapid and effective K+ diffusion and storage. When incorporated with pine needle-activated carbon as cathode, the assembled dual-carbon PICs can function at a high voltage of 5 V, exhibiting a high energy density of 156.7 Wh kg-1 at a power density of 500 W kg-1 along with a satisfied cycle life, which highlights their potential application in economic and advanced PICs.

An improved bioinspired strategy to construct nitrogen and phosphorus dual-doped network porous carbon with boosted kinetics potassium ion capacitors.

Potassium-ion capacitors (PICs) have drawn appreciable attention because PICs can masterly integrate the virtues of the high energy density of battery-type anode and high power density of capacitor-type cathode. However, the sanguine scenario involves the incompatible capacity and sluggish kinetics in the PIC device. Herein, we report the synthesis of nitrogen and phosphorus-doped network porous carbon materials (NPMCs) via a self-sacrifice template strategy, which possesses a desired three-dimensional structure and prosperous electrochemical properties for K+ storage capacity. The obtained hierarchical porous carbon delivers a high reversible capacity of 420 mA h g-1 at 0.05 A g-1 and good cycling performance owing to its high concentration of reversible carbon defects and strong charge transfer kinetics. As expected, an advanced PIC device was assembled with a working voltage as high as 4.5 V, delivering an extraordinary energy density of 81.6 W h kg-1 as well as a splendid long life. Systematic characterization analysis combined with density functional theory calculations indicates that the strategy for preparing PIC devices with outstanding performance in this work can provide new insights for the development of PICs for an extensive range of applications.

Polyvinylpyrrolidone assisted transformation of Cu-MOF into N/P-co-doped Octahedron carbon encapsulated Cu3P nanoparticles as high performance anode for lithium ion batteries.

The large volume expansion and poor electrical conductivity of copper phosphide (Cu3P) during the cycle limit their further application as anode of lithium-ion batteries. Therefore, polyvinylpyrrolidone (PVP) modified Cu3(BTC)2-derived (BTC = 1, 3, 5-Benzentricarboxylic acid) in-situ N/P-co-doped Octahedron carbon encapsulated Cu3P nanoparticles (Cu3P@NPC) are successfully prepared through a two-step process of carbonization and phosphating. The N/P-co-doped Octahedron carbon matrix improves the conductivity of Cu3P and moderates the volume expansion during the lithiation/delithiation process. Meanwhile, the interaction between the Cu3P and the doped carbon matrix is methodically explored by using density functional theory (DFT). Through the analysis of the partial charge density, the density of states and the Bader charge, and the calculation results verify the correctness of the experimental observation results, that is, Cu3P@NPC has good electrochemical performance. The results show that Cu3P@NPC, as the anode of Lithium-ion batteries, has excellent electrochemical performance: it exhibits satisfactory rate performance (251.9 mAh g-1 at 5.0 A g-1) and excellent cycle performance (336.4 mAh g-1 at 1 A g-1 over 1000 cycles). This article provides an effective strategy for the encapsulation of metal phosphide nanoparticles in a doped carbon matrix.

Carbon defects applied to potassium-ion batteries: a density functional theory investigation.

Functionalized carbon nanomaterials are potential candidates for use as anode materials in potassium-ion batteries (PIBs). The inevitable defect sites in the architectures significantly affect the physicochemical properties of the carbon nanomaterials, thus defect engineering has recently become a vital research area for carbon-based electrodes. However, one of the major issues holding back its further development is the lack of a complete understanding of the effects accounting for the potassium (K) storage of different carbon defects, which have remained elusive. Owing to pressing research demands, the construction strategies, adsorption difficulties, and structure-activity relationships of the carbon defect-involved reaction centers for the K adsorption are systematically summarized using first principles calculations. Carbon defects affect the ability to trap K by affecting the geometry, charge distribution, and conductive behavior of the carbon surface. The results show that carbon doping with pyridinic-N, pyrrolic-N, and P defect sites tend to act as trapping K sites because of electron-deficient sites. However, graphite-N and sulfur doping are less capable of trapping K. In addition, it has been proved using calculations that the defects can inhibit the growth of the K dendrite. Finally, using the molten salt method, we prepared the undoped and nitrogen-doped carbon materials for comparison, verifying the results of the calculation.

Design of a Scalable Dendritic Copper@Ni2+, Zn2+ Cation-Substituted Cobalt Carbonate Hydroxide Electrode for Efficient Energy Storage.

Design and fabrication of novel electrode materials with excellent specific capacitance and cycle stability are urgent for advanced energy storage devices, and the combinability of multiple modification methods is still insufficient. Herein, Ni2+, Zn2+ double-cation-substitution Co carbonate hydroxide (NiZnCo-CH) nanosheets arrays were established on 3D copper with controllable morphology (3DCu@NiZnCo-CH). The self-standing scalable dendritic copper offers a large surface area and promotes fast electron transport. The 3DCu@NiZnCo-CH electrode shows a markedly improved electrochemical performance with a high specific capacity of ∼1008 C g-1 at 1 A g-1 (3.2, 2.83, and 1.26 times larger than Co-CH, ZnCo-CH, and NiCo-CH, respectively) and outstanding rate capability (828.8 C g-1 at 20 A g-1) due to its compositional and structural advantages. Density functional theory (DFT) calculation results illustrate that cation doping adjusts the adsorption process and optimizes the charge transfer kinetics. Moreover, an aqueous hybrid supercapacitor based on 3DCu@NiZnCo-CH and rGO demonstrates a high energy density of 42.29 Wh kg-1 at a power density of 376.37 W kg-1, along with superior cycling performance (retained 86.7% of the initial specific capacitance after 10,000 cycles). Impressively, these optimized 3DCu@NiZnCo-CH//rGO devices with ionic liquid can be operated stably in a large potential range of 4 V with greatly enhanced energy density and power capability (110.12 Wh kg-1 at a power density of 71.69 W kg-1). These findings may shed some light on the rational design of transition-metal compounds with tunable architectures by multiple modification methods for efficient energy storage.

Achieving a combination of decent biocompatibility and large near-linear-elastic deformation behavior in shell-core-like structural TiNb/NiTi composite.

As expected from the material design, a novel shell-core-like structural TiNb/NiTi composite possessing both decent biocompatibility and large near-linear-elastic deformation behavior (namely as near-linear elasticity accompanied by high elastic strain limit) was prepared successfully by a hot pack-rolling combined with cold rolling procedure. Non-cytotoxic TiNb outer shell obstructs the NiTi inner core from cells and provides the decent biocompatibility of TiNb/NiTi composite. Large near-linear-elastic deformation behavior for this TiNb/NiTi composite has been confirmed to be associated with intrinsic elastic deformation, two types of reversible stress-induced martensitic transformations (i.e. ß↔α'' and B2↔B19' transformations) occurring in a homogeneous manner, together with the (001) compound twin in B19' martensitic plates. Our study provides a new design approach for developing NiTi-based composites with both decent biocompatibility and large near-linear-elastic deformation behavior for biomedical or engineering applications.

Radioactive and normal stent insertion for the treatment of malignant airway stenosis: A meta-analysis.

PURPOSE: To demonstrate the advantage of radioactive stent (RS) for treating malignant airway stenosis (MAS) in reducing the stent restenosis rate and increasing overall survival (OS). MATERIALS AND METHODS: Relevant studies in Pubmed, Embase, and Cochrane Library databases were identified. The rate of stent restenosis was the primary endpoint, whereas secondary endpoints were rates of stent-related complications, OS, and complete relief of dyspnea. This meta-analysis was conducted using RevMan v5.3. RESULTS: Five total studies including 131 and 119 patients that underwent RS and normal stent (NS) insertion, respectively, were identified and included in this meta-analysis. Four studies were randomized controlled trials and one study was retrospective study. Pooled rates of complete relief of dyspnea, chest pain, hemoptysis, and fistula formation were similar between these two groups (p = 0.72, 0.77, 0.92, and 0.62, respectively). Pooled Δstenosis grade was comparable between these two groups (p = 0.72). RS insertion was linked to a significant lower pooled stent restenosis rate, increased OS, and higher 3-month survival rate relative to NS insertion (p< 0.00001, 0.0001, and 0.03, respectively). Pooled 6-months survival rates was higher in RS group without significant difference (p = 0.06). Pooled stent restenosis rate was significant higher in RS group based on each subgroup analysis. No evidence of publication bias for these endpoints was detected via funnel plot. CONCLUSIONS: This meta-analysis revealed that RS insertion was sufficient to reduce rates of stent restenosis and to prolong patient OS relative to NS insertion when used to treat MAS.

Incidence, Predictors, and Strategies for Failure of Retrograde Microcatheter Tracking After Successful Wiring of Septal Collateral Channels in Chronic Total Occlusions.

BACKGROUND: Retrograde microcatheter collateral channel (CC) tracking after successful wiring of septal CC is crucial for retrograde revascularization of coronary chronic total occlusion (CTO). However, the incidence, predictors, and strategies for failure of retrograde microcatheter CC tracking after successful wiring of septal CC remain unclear. METHODS: In total, 298 patients with CTO who underwent retrograde septal CC PCI between January 2015 and May 2019 were retrospectively analyzed. Clinical data were compared to investigate the predictors of initial microcatheter tracking failure. RESULTS: The initial and final microcatheter tracking success rates were 79.2% (236/298) and 96.6% (288/298), respectively. The procedural success rate was 94.0% (280/298). The right coronary artery-to-left anterior descending artery septal ratio (48.4% vs 33.1%, p=0.037) and CC tortuosity (34.6% vs 20.8%, p=0.045) were significantly higher in the initial microcatheter CC tracking failure group than in the successful tracking group. Multivariate logistic regression analysis revealed that severe collateral tortuosity (odds ratio [OR]: 13.241, 95% confidence interval [CI]: 3.429-27.057, p=0.038), CC entry angle of <90° (OR:4.921, 95% CI: 1.128-9.997, p=0.002), CC exit angle of <90° (OR:5.037, 95% CI: 2.237-11.182, p=0.004), use of Finecross MG as initial microcatheter (OR:1.826, 95% CI: 1.127-3.067, p=0.035), and shunning initial retrograde application of Guidezilla (OR:0.321, 95% CI: 0.267-0.915, p=0.024) were variables independently associated with initial microcatheter CC tracking failure in patients with CTO undergoing retrograde septal CC PCI. CONCLUSION: The overall initial microcatheter CC tracking failure was 20.8%. Severecollateral tortuosity, CC entry, and exit angle of <90°, use of Finecross MG as initial microcatheter, and shunning initial retrograde application of Guidezilla were variables independently associated with initial microcatheter CC tracking failure in patients with CTO undergoing retrograde septal PCI.

Active Retrograde Extra Backup with a Mother-and-Child Catheter to Facilitate Retrograde Microcatheter Collateral Channel Tracking in Recanalization of Coronary Chronic Total Occlusion.

OBJECTIVE: To explore the feasibility and safety of the active retrograde backup (ARB) for treatment of chronic total occlusion (CTO) during retrograde percutaneous coronary intervention (PCI). BACKGROUND: Guiding support plays an important role in guidewire and microcatheter coronary channel (CC) tracking in retrograde PCI therapy for patients with CTO. However, the feasibility and safety of retrograde active use of a mother-and-child catheter are still unclear. Patients and Methods. A total of 271 consecutive patients with CTO who underwent retrograde PCI between January 2015 and January 2020 were retrospectively analyzed. Clinical data of two groups were compared to evaluate the feasibility and safety of ARB. RESULTS: Of the 271 patients, 69.0% (187/271) underwent therapy through the septal branch, 31.0% (84/271) through the epicardial collateral channel, and 47.6% (129/271) through active retrograde extra backup with a mother-and-child catheter to facilitate retrograde microcatheter collateral CC tracking. The time of wire CC tracking was shorter in the ARB group than that in the non-ARB group (25.4 ± 8.5 vs 26.4 ± 9.7, p=0.348), but there was no significant difference. The duration of the retrograde microcatheter tracking (10.2 ± 3.8 vs 15.5 ± 6.8, p=0.012) and the retrograde approach (62.8 ± 20.3 vs 70.4 ± 24.3, p=0.026) in the ARB group was significantly shorter than that in the non-ARB group. The radiation dose (223.6 ± 112.7 vs. 295.2 ± 129.3, p=0.028), fluoroscopy time (50.6 ± 21.3 vs 62.3 ± 32.1, p=0.030), and contrast volume (301.8 ± 146.7 vs 352.2 ± 179.5, p=0.032) in the ARB group were significantly lower than that in the non-ARB group. There were no life-threatening procedural complications in either group. Complications unrelated to ARB included two cases of donor-vessel dissection, one case of CC perforation, and two cases of target-vessel perforation. There was no statistically significant difference in major adverse cardiac and cerebrovascular events between the groups during hospitalization (p > 0.05). CONCLUSION: ARB is feasible, safe, and conducive to guidewire and microcatheter CC tracking in the recanalization of coronary CTO. It improves procedural efficiency and is worthy of further promotion.

Gender Disparities in Clinical Outcome After Alcohol Septal Ablation for Hypertrophic Obstructive Cardiomyopathy in the Chinese Han Population: A Cohort Study.

BACKGROUND: Sex differences in the long-term prognosis of symptomatic hypertrophic obstructive cardiomyopathy (HOCM) patients undergoing alcohol septal ablation (ASA) remain unclear, especially in the Chinese Han population. METHOD: This cohort study included 320 HOCM Chinese Han patients who underwent ASA because of symptomatic left ventricular outflow tract (LVOT) obstruction. Patients were grouped according to sex: females (mean±standard deviation age [SD] 50.7±6.8 years) and males (mean±SD age 52.6±7.3 years). Individuals were followed over the long term. RESULTS: Pre-procedure, women had more symptoms (New York Heart Association [NYHA] class III-IV 67.3% vs 56.3%, p=0.03), more atrial fibrillation (23.5% vs 14.6%, p=0.047) than men. Transient complete atrioventricular block after ASA was more common in woman than in men (34.0 vs 23.4%; p=0.048). Residual LVOT gradient, post-procedural residual left ventricular wall thickness, NYHA functional class, and adverse arrhythmic events were comparable between the two groups. The 10-year survival rate (77% vs 89%, p=0.037) and the annual adverse arrhythmic event rate (1.3% vs 0.4%, p<0.01) following ASA were significantly worse in women compared with men. Kaplan-Meier analysis showed a significantly lower survival in women compared with men (p=0.023). In multivariable modelling, female sex remained independently associated with higher all-cause mortality (hazard ratio, 1.12; 95% confidence interval, 1.08-1.27; p=0.03) when adjusted for age, NYHA class III-IV symptoms, and other cardiovascular comorbidities. CONCLUSIONS: Female patients with HOCM undergoing ASA tended to have more severe symptoms and adverse arrhythmic events. The 10-year survival rate after ASA was significantly worse in women compared with men with HOCM. Sex may need to be considered as an important factor in the clinical management of patients with symptomatic HOCM.

Design and fabrication of a Nb/NiTi superelastic composite with high critical stress for inducing martensitic transformation and large recoverable strain for biomedical applications.

A novel Nb/NiTi superelastic composite with a shell-core structure was designed and fabricated to achieve a combination of biocompatibility and superelasticity (large recoverable strain ε accompanied by high critical stress for inducing martensitic transformation σSIM). The good biocompatibility is mainly attributed to the outer non-cytotoxic Nb shell that prevents inner NiTi core from direct contact with cells. Meanwhile, the inner NiTi core endows the composite with superelasticity through a fully reversible stress-induced martensitic transformation between B2 parent phase and B19' martensite. These results might shed some light on design and development of novel superelastic composites for biomedical applications.

Efficacy and safety of standard and low dose ticagrelor versus clopidogrel in east AsianPatients with chronic total occlusion undergoing percutaneous coronary intervention: a single center retrospective study.

BACKGROUND: Patients with coronary chronic total occlusion (CTO) require effective antiplatelet therapy after percutaneous coronary intervention (PCI). Ticagrelor has more pronounced platelet inhibition than clopidogrel. However, the most appropriate dose of ticagrelor in East Asian populations remains unclear. METHOD: We compared ticagrelor (180 mg loading dose, 90 mg twice daily thereafter and 120 mg loading dose, 60 mg twice daily thereafter) and clopidogrel (300 mg loading dose, 75 mg daily thereafter) for prevention of cardiovascular events in 525patients with CTO undergoing PCI. RESULTS: The rate of in-hospital major adverse cardiac and cerebral events (MACCE) was not different between the groups. At 1-year follow-up, target vessel revascularization (TVR) in both ticagrelor groups were significantly lower than that in the clopidogrel group (p = 0.047); TVR was significantly decreased in 60 mg ticagrelor compared to standard dose clopidogrel (p = 0.046). At 1-year follow-up, overall MACCE in both ticagrelor groups were significantly lower than that in the clopidogrel group (p = 0.023). Kaplan-Meier analysis showed MACCE-free survival was significantly higher in both ticagrelor groups than in the clopidogrel group (p = 0.024). During hospitalization, minor bleeding was significant increased in the 90 mg ticagrelor group (p = 0.021). At 1-year follow-up, risk of major and minor bleeding were significantly increased in the 90 mg ticagrelor group. CONCLUSION: In East Asian patients with CTO undergoing PCI, 60 mg ticagrelor was as effective as 90 mg, at the same time significantly reduced risk of bleeding.

Incidence, Predictors, and Prognosis of Coronary Slow-Flow and No-Reflow Phenomenon in Patients with Chronic Total Occlusion Who Underwent Percutaneous Coronary Intervention.

BACKGROUND: The incidence and prognosis of coronary slow-flow (CSF) and no-reflow phenomenon (NRP) in patients with coronary chronic total occlusion (CTO) who underwent percutaneous coronary intervention (PCI) remain unclear. METHODS: This single-center prospective study aimed to investigate the incidence of CSF/NRP during CTO interventional therapy, determine predictors of CSF/NRP, and evaluate its effect on patient outcomes. RESULTS: In this study, 552 patients with CTO who underwent PCI were included. CSF/NRP occurred in 16.1% of them. They had higher incidences of diabetes mellitus (53.9% vs 36.3%, p=0.002) and hypertension (50.6% vs 37.1%, p=0.018) and a lower incidence of retrograde filling grade >2 (34.8% vs 47.1%, p=0.036). Patients with CSF/NRP had a higher neutrophil ratio (55.6±19.4 vs 52.4±18.3, p=0.038) and levels of low-density lipoprotein (LDL; 3.0±0.8 vs 2.8±0.6, p=0.029), fasting glucose (FG; 8.3±1.3 vs 6.8±1.1, p=0.005), uric acid (332.6±82.9 vs 308.2±62.8, p=0.045), and high-sensitivity C-reactive protein (Hs-CRP; 9.8±4.8 vs 7.3±3.9, p=0.036). A multivariate logistic regression analysis revealed that diabetes mellitus (odds ratio [OR], 1.962; 95% confidence interval [CI]: 1.198-2.721; p=0.042), mean platelet volume (MPV; OR,1.284; 95% CI, 1.108-1.895; p=0.046), LDL cholesterol (LDL-C; OR, 1.383; 95% CI, 1.105-2.491; p=0.036), FG (OR, 2.095; 95% CI, 1.495-2.899; p=0.018), Hs-CRP(OR, 2.218; 95% CI, 1.556-3.519; p=0.029), and retrograde filling of grade >2 (OR, 0.822; 95% CI, 0.622-0.907; p=0.037) were independent predictors of CSF/NRP in CTO patients who underwent PCI. Kaplan-Meier analysis revealed that the patients in the CSF/NRP group had a significantly lower cumulative major cardiac and cerebrovascular events (MACCE)-free survival than those in the non-CSF/NRP group (p<0.0001). CONCLUSION: Of the patients with CTO who underwent PCI, 16.1% developed CSF/NRP and had a significantly lower cumulative MACCE-free survival rate. Diabetes mellitus; higher levels of MPV, LDL-C, FG, and Hs-CRP; and a lower incidence of retrograde filling grade >2 were independent predictors of CSF/NRP in CTO patients who underwent PCI. Thus, they can be used for risk stratification.

Designing Multiscale Porous Metal by Simple Dealloying with 3D Morphological Evolution Mechanism Revealed via X-ray Nano-tomography.

Designing materials with multiscale, hierarchical structure is critical to drive the advancement of new technology. Specifically, porous metals with multiscale porosity from nanometer to micrometer sizes would lead to enhanced physical and chemical properties-the micron-sized pores can increase the effective diffusivity of ion transport within the porous media, and the nano-sized pores provide high specific surface area, enabling functionalities that are unique to nanoporous metals. A new ternary precursor alloy selection concept utilizing the different mixing enthalpies is demonstrated in this work for the design of multiscale, bimodal porous copper from a simple, one-step dealloying of Cu-Fe-Al ternary alloy. The nanoporosity in the bimodal porous structure is formed from dealloying of the Cu-rich phase, whereas the microporosity is controlled by dissolving the Fe-rich phase, determined by both the initial Fe particle size and sintering profile. In addition to advancing the materials design method, the multiscale pore formation during dealloying was directly visualized and quantified via an interrupted in situ synchrotron X-ray nano-tomography. The 3D morphological analysis on tortuosity showed that the presence of the microporosity can compensate the increase of the diffusion path length due to nanoporosity, which facilitates diffusion within the porous structure. Overall the focus of the work is to introduce a new strategy to design multiscale porous metals with enhanced transport properties, and sheds light on the fundamental mechanisms on the 3D morphological evolution of the system using advanced synchrotron X-ray nano-tomography for future materials development and applications.

Expression profiles of long noncoding RNAs and messenger RNAs in the border zone of myocardial infarction in rats.

BACKGROUND: The participation of long noncoding RNAs (lncRNAs) in myocardial infarction has recently been noted. However, their underlying roles in the border zone of myocardial infarction remain unclear. This study uses microarrays to determine the profiles of lncRNAs and mRNAs in the border zone. METHODS: Bioinformatics methods were employed to uncover their underlying roles. Highly dysregulated lncRNAs was further validated via PCR. RESULTS: Four hundred seven lncRNAs and 752 mRNAs were upregulated, while 132 lncRNAs and 547 mRNAs were downregulated in the border zone of myocardial infarction. A circos graph was constructed to visualize the chromosomal distribution and classification of the dysregulated lncRNAs and mRNAs. The upregulated mRNAs in the border zone were most highly enriched in cytokine activity, binding, cytokine receptor binding and related processes, as ascertained through Go analysis. Pathway analysis of the upregulated mRNAs showed the most significant changes were in the TNF signaling pathway, cytokine-cytokine receptor interaction and chemokine signaling pathway and similar pathways and interactions. An lncRNA-mRNA co-expression network was established to probe into the underlying functions of the 10 most highly dysregulated lncRNAs based on their co-expressed mRNAs. In the co-expression network, we found 16 genes directly involved in myocardial infarction, including Alox5ap, Itgb2 and B4galt1. The lncRNAs AY212271, EF424788 and MRAK088538, among others, might be associated with myocardial infarction. BC166504 is probably a key lncRNA in the border zone of myocardial infarction. CONCLUSIONS: The results may have revealed some aberrantly expressed lncRNAs and mRNAs that contribute to the underlying pathophysiological mechanisms of myocardial infarction.