Inhibition of cysteine-serine-rich nuclear protein 1 ameliorates ischemia-reperfusion injury during liver transplantation in an MAPK-dependent manner.

Hepatic ischemia-reperfusion injury (HIRI) is a critical pathophysiological process during liver transplantation (LT). Multiple genes and signal pathways are dysregulated during HIRI. This study aims to identify genes as potential therapeutic targets for ameliorating HIRI. Datasets containing samples from the human donor liver (GSE151648) and mouse HIRI model (GSE117066) were analyzed to determine differentially expressed genes (DEGs). The selected DEGs were confirmed by real-time PCR and western blot in the hepatocyte hypoxia-reoxygenation (HR) model, mouse HIRI model, and human liver samples after transplantation. Genetic inhibition was used to further clarify the underlying mechanism of the gene in vitro and in vivo. Among the DEGs, CSRNP1 was significantly upregulated (|log FC|= 2.08, P < 0.001), and was positively correlated with the MAPK signal pathway (R = 0.67, P < 0.001). CSRNP1 inhibition by siRNA significantly suppressed apoptosis in the AML-12 cell line after HR (mean Annexin+ ratio = 60.62% vs 42.47%, P = 0.0019), but the protective effect was eliminated with an additional MAPK activator. Knocking down CSRNP1 gene expression by intravenous injection of AAV-shRNA markedly reduced liver injury in mouse HIRI model (ALT: AAV-NC vs AAV-shCsrnp1 = 26,673.5 ± 2761.2 vs 3839.7 ± 1432.8, P < 0.001; AST: AAV-NC vs AAV-shCsrnp1 = 8640.5 ± 1450.3 vs 1786.8 ± 518.3, P < 0.001). Liver-targeted delivery of siRNA by nanoparticles effectively inhibited intra-hepatic genetic expression of Csrnp1 and alleviated IRI by reducing tissue inflammation and hepatocyte apoptosis. Furthermore, CSRNP1 inhibition was associated with reduced activation of the MAPK pathway both in vitro and in vivo. In conclusion, our results demonstrated that CSRNP1 could be a potential therapeutic target to ameliorate HIRI in an MAPK-dependent manner.

A novel nomogram for prognosis stratification in salvage liver transplantation: a national-wide study with propensity score matching analysis in China.

Background: Salvage liver transplantation (SLT) has been reported to be an efficient treatment option for patients with recurrent hepatocellular carcinoma (HCC) after liver resection (LR). However, for recipients who underwent liver transplantation (LT) due to recurrent HCC after LR in China, the selection criteria are not well established. Methods: In this study, data from the China Liver Transplant Registry (CLTR) of 4,244 LT performed from January 2015 to December 2019 were examined, including 3,498 primary liver transplantation (PLT) and 746 SLT recipients. Propensity score matching (PSM) analysis was used to minimize between-group imbalances. The overall survival (OS) and disease-free survival (DFS) between PLT and SLT in recipients fulfilling the Milan or Hangzhou criteria were compared based on the multivariate analysis, nomograms were plotted to further classify the SLT group into low- and high-risk groups. Results: In this study, the 1-, 3- and 5-year OS and DFS of SLT recipients fulfilling Milan criteria (OS, P=0.01; DFS, P<0.001) or Hangzhou criteria (OS, P=0.03; DFS, P=0.003) were significantly reduced when compared to that of PLT group after PSM analysis. Independent risk factors, including preoperative transarterial chemoembolization (TACE), alpha fetoprotein (AFP) level, tumor maximum size and tumor total diameter were selected to draw a prognostic nomogram. The low-risk SLT recipients (1-year, 95.34%; 3-year, 84.26%; 5-year, 77.20%) showed a comparable OS with PLT recipients fulfilling Hangzhou criteria (P=0.107). Conclusions: An optimal nomogram model for prognosis stratification and clinical decision guidance of SLT was established. The low-risk SLT recipients based on the nomograms showed comparable survival with those fulfilling Hangzhou criteria in PLT group.

Incorporation of protein induced by vitamin K absence or antagonist-II into transplant criteria expands beneficiaries of liver transplantation for hepatocellular carcinoma: a multicenter retrospective cohort study in China.

INTRODUCTION: In order to maximize the utilization of precious donor liver, precisely determining potential hepatocellular carcinoma (HCC) candidates who will benefit from liver transplantation (LT) is essential. As a crucial diagnostic biomarker for HCC, protein induced by vitamin K absence or antagonist-II (PIVKA-II) has become one of the key indicators for assessing tumor recurrence risk after LT. This study aims to investigate the role of PIVKA-II in recipient selection and prognostic stratification. METHODS: The clinicopathologic data of HCC patients undergoing LT from 2015 to 2020 in six Chinese transplant centers were collected. Univariate and multivariate analyses were performed to determine risk factors for disease free survival (DFS). Based on these risk factors, survival analysis was made by Kaplan-Meier method and their value in prognostic stratification was assessed. RESULTS: A total of 522 eligible HCC patients with pre-LT PIVKA-II records were finally included in this study. Tumor burden>8 cm, α-fetoprotein>400 ng/ml, histopathologic grade III and PIVKA-II>240 mAU/ml were identified as independent risk factors for DFS. DFS of patients with PIVKA-II≤240 mAU/ml ( N =288) were significantly higher than those with PIVKA-II>240 mAU/ml ( N =234) (1-year, 3-year, and 5-year DFS: 83.2, 77.3, and 75.9% vs. 75.1, 58.5, and 50.5%; P <0.001). Compared with Hangzhou criteria ( N =305), incorporating PIVKA-II into Hangzhou criteria (including tumor burden, α-fetoprotein, and histopathologic grade) increased the number of patients with eligibility for LT by 21.6% but achieved comparable DFS and overall survival. CONCLUSIONS: Incorporating PIVKA-II into existing LT criteria could increase the number of eligible HCC patients without compromising post-LT outcomes.

Direct Dioxygen Radical Coupling Driven by Octahedral Ruthenium-Oxygen-Cobalt Collaborative Coordination for Acidic Oxygen Evolution Reaction.

The acidic oxygen evolution reaction (OER) has long been the bottleneck of proton exchange membrane water electrolyzers given its harsh oxidative and corrosive environments. Herein, we suggest an effective strategy to greatly enhance both the acidic OER activity and stability of Co3O4 spinel by atomic Ru selective substitution on the octahedral Co sites. The resulting highly symmetrical octahedral Ru-O-Co collaborative coordination with strong electron coupling effect enables the direct dioxygen radical coupling OER pathway. Indeed, both experiments and theoretical calculations reveal a thermodynamically breakthrough heterogeneous diatomic oxygen mechanism. Additionally, the active Ru-O-Co units are well-maintained upon the acidic OER thanks to the electron transfer from surrounding electron-enriched tetrahedral Co atoms via bridging oxygen bonds that suppresses the overoxidation and thus dissolution of active Ru and Co species. Consequently, the prepared catalyst, even with a low Ru mass loading of ca. 42.8 µg cm-2, exhibits an attractive acidic OER performance with a low overpotential of 200 mV and a low potential decay rate of 0.45 mV h-1 at 10 mA cm-2. Our work suggests an effective strategy to significantly enhance both the acidic OER activity and stability of low-cost electrocatalysts.

AgxZny Protective Coatings with Selective Zn2+/H+ Binding Enable Reversible Zn Anodes.

Zinc (Zn) metal anodes suffer from the dendrite growth and hydrogen evolution reaction (HER) in classical aqueous electrolytes, which severely limit their lifespan. We propose a rational design of AgxZny protective coatings with selective binding to Zn2+ against H+ to simultaneously regulate the Zn growth pattern and the HER kinetics. We further demonstrate that by tuning the composition of the AgxZny coating the Zn deposition behavior can be readily tuned from the conventional plating/stripping (on Zn-AgZn3 coating) to alloying/dealloying (on Ag-AgZn coating), resulting in precise control of the Zn growth pattern. Moreover, the synergy of Ag and Zn further suppresses the competitive HER. As a result, the modified Zn anodes possess a significantly enhanced lifespan. This work provides a new strategy for enhancing the stability of Zn and potentially other metal anodes by precisely manipulating the binding strength of protons and metal charge carriers in aqueous batteries.

An acid-alkaline furfural hybrid battery for furoate and bipolar hydrogen production.

We propose an acid-alkaline furfural hybrid battery that can achieve a discharging power density of 47 mW cm-2 under 100 mA cm-2 energy output with a H2 faradaic efficiency (FE) up to ca. 200% and a furoate FE of around 97% with the aid of our developed Pt-Cu electrocatalyst.

Sputtered binder-free Cu3N electrode materials for high-performance quasi-solid-state asymmetric supercapacitors.

Developing high-efficiency electrode materials is of great importance in manufacturing supercapacitor devices with superior electrochemical performance. Herein, we for the first time report a binder-free method for controllable growth of Cu3N electrode materials via magnetron sputtering for supercapacitor applications. Benefiting from their unique polyhedral structure and good electrical conductivity, Cu3N electrodes can achieve an areal capacity of 90.7 mC cm-2 at 1 mA cm-2 and outstanding cycling stability with a capacity retention of 97.4% after 20 000 cycles. In particular, the assembled Cu3N//active carbon quasi-solid-state asymmetric supercapacitor can exhibit a maximum energy density of 13.2 µW h cm-2 and a power density of 4.8 mW cm-2 with an operating voltage of 1.6 V. These remarkable performances demonstrate the great potential of sputtered Cu3N electrode materials for future energy storage applications.

Synergy of VN and Fe2O3 Enables High Performance Anodes for Asymmetric Supercapacitors.

Fe2O3 is one of the most common anode materials beyond carbons but suffers from unsatisfactory capacity and poor stability, which are associated with the insufficient utilization of active material and the structural instability caused by the phase transformation. In this work, we report an effective strategy to overcome the above issues through electronic structure optimization by constructing delicately designed Fe2O3@VN core-shell structure. The Fe2O3@VN/CC exhibits a much higher areal capacity of 254.8 mC cm-2 at 5 mA cm-2 (corresponding to 318.5 mF cm-2, or 265.4 F g-1) than the individual VN (48 mC cm-2, or 60 mF cm-2) or Fe2O3/CC (93.36 mC cm-2, or 116.7 mF cm-2), along with enhanced stability. Moreover, the assembled asymmetric supercapacitor devices based on Fe2O3@VN/CC anode and RuO2/CC cathode show a high stack energy density of 0.5 mWh cm-3 at a power density of 12.28 mW cm-3 along with good stability (80% capacitance retention after 14000 cycles at 10 mA cm-2). This work not only establishes the Fe2O3@VN as a high-performance anode material but also suggests a general strategy to enhance the electrochemical performance of traditional anodes that suffer from low capacity (capacitance) and poor stability.

A Hydrazine-Nitrate Flow Battery Catalyzed by a Bimetallic RuCo Precatalyst for Wastewater Purification along with Simultaneous Generation of Ammonia and Electricity.

The traditional technologies for industrial and agricultural effluent treatment are often energy-intensive. Herein, we suggest an electrochemical redox strategy for spontaneous and simultaneous decontamination of wastewater and generation of both fuels and electricity at low cost. Using hydrazine and nitrate effluents as a demonstration, we propose a hydrazine-nitrate flow battery (HNFB) that can efficiently purify the wastewater and meanwhile generate both ammonia fuel and electricity with the assistance of our developed bimetallic RuCo precatalyst. Specifically, the battery delivers a peak power density of 12 mW cm-2 and continuously operates for 20 h with an ammonia yield rate of ca. 0.38 mmol h-1 cm-2 under 100 mA cm-2 . The generated electricity can further drive a hydrazine electrolyzer to produce hydrogen fuel. Our work provides an alternative pathway to purify wastewater and generate high value-added fuels at low cost.

In Situ Alloying Sites Anchored on an Amorphous Aluminum Nitride Matrix for Crystallographic Reorientation of Zinc Deposits.

Secondary aqueous zinc-ion batteries (ZIBs) are considered as one of the promising energy storage devices, but their widespread application is limited by the Zn dendrite issues. In this work, we propose a rational design of surface protective coatings to solve this problem. Specifically, a silver (Ag) nanoparticle embedded amorphous AlN matrix (AlN/Ag) protective layer is developed. The former would alloy in situ with Zn to form AgZn3 alloy sites, which subsequently induce the Zn deposition with preferred (002) facets. The latter can effectively alleviate the structural expansion during repeated Zn plating/stripping. Consequently, the delicately designed AlN/Ag@Zn anode delivers an enhanced stability with a long lifespan of more than 2600 h at 1 mA cm-2 and 1 mAh cm-2. Moreover, the AlN/Ag@Zn||Mn1.4V10O24·nH2O full batteries can be operated for over 8000 cycles under 5 A g-1. Our work not only suggests a promising Zn anode protective coating but also provides a general strategy for the rational design of surface protective layers for metal anodes.

Recent Advances in Copper-Doped Titanium Implants.

Titanium (Ti) and its alloys have been extensively used as implant materials in clinical practice due to their high corrosion resistance, light weight and excellent biocompatibility. However, the insufficient intrinsic osteogenic capacity of Ti and its alloys impedes bone repair and regeneration, and implant-related infection or inflammation remains the leading cause of implant failure. Bacterial infections or inflammatory diseases constitute severe threats to human health. The physicochemical properties of the material are critical to the success of clinical procedures, and the doping of Cu into Ti implants has been confirmed to be capable of enhancing the bone repair/regeneration, angiogenesis and antibacterial capability. This review outlines the recent advances in the design and preparation of Cu-doped Ti and Ti alloy implants, with a special focus on various methods, including plasma immersion implantation, magnetron sputtering, galvanic deposition, microarc oxidation and sol-gel synthesis. More importantly, the antibacterial and mechanical properties as well as the corrosion resistance and biocompatibility of Cu-doped Ti implants from different methods are systematically reviewed, and their prospects and limitations are also discussed.

Surface and Interface Engineering of Zn Anodes in Aqueous Rechargeable Zn-Ion Batteries.

Rechargeable zinc-ion batteries (ZIBs) have shown great potential as an alternative to lithium-ion batteries. The ZIBs utilize Zn metal as the anode, which possesses many advantages such as low cost, high safety, eco-friendliness, and high capacity. However, on the other hand, the Zn anode also suffers from many issues, including dendritic growth, corrosion, and passivation. These issues are largely related to the surface and interface properties of the Zn anode. Many efforts have therefore been devoted to the modification of the Zn anode, aiming to eliminate the above-mentioned problems. This review gives a comprehensive summary on the mechanism behind these issues as well as the recent progress on Zn anode modification with focus on the strategies of surface and interface engineering, covering the design and application of both the Zn anode supports and surface protective layers, along with abundant examples. In addition, the promising research directions and perspective on these strategies are also presented.

Electrostatic Shielding Regulation of Magnetron Sputtered Al-Based Alloy Protective Coatings Enables Highly Reversible Zinc Anodes.

The uncontrolled zinc dendrite growth during plating leads to quick battery failure, which hinders the widespread applications of aqueous zinc-ion batteries. The growth of Zn dendrites is often promoted by the "tip effect". In this work, we propose a generate strategy to eliminate the "tip effect" by utilizing the electrostatic shielding effect, which is achieved by coating Zn anodes with magnetron sputtered Al-based alloy protective layers. The Al can form a surface insulating Al2O3 layer and by manipulating the Al content of Zn-Al alloy films, we are able to control the strength of the electrostatic shield, therefore realizing a long lifespan of Zn anodes up to 3000 h at a practical operating condition of 1.0 mA cm-2 and 1.0 mAh cm-2. In addition, the concept can be extended to other Al-based systems such as Ti-Al alloy and achieve enhanced stability of Zn anodes, demonstrating the generality and efficacy of our strategy.

Construction of 3D CrN@nitrogen-doped carbon nanosheet arrays by reactive magnetron sputtering for the free-standing electrode of supercapacitor.

Owing to their favorable chemical stabilities and electronic conductivities, transition metal nitrides (TMNs) have been targeted as the potential electrode materials for the supercapacitors. Herein, 3D CrN@nitrogen-doped carbon nanosheet arrays (NCs) were successfully deposited on carbon paper (CP) by reactive magnetron sputtering method. The CrN@NCs@CP electrode exhibited satisfactory electrochemical properties: initially, the electrode showed a 132.1 mF cm-2specific capacitance at 1.0 mA cm-2current density; subsequently, the electrode demonstrated a 95.9% capacitance retention after 20 000 galvanostatic charge-discharge cycles at 5.0 mA cm-2current density. The specific capacitance of the CrN@NCs@CP electrode was significantly higher than that of the CrN@CP electrode (4.1 mF cm-2at 1.0 mA cm-2). Furthermore, the symmetric supercapacitor that incorporated two CrN@NCs@CP electrodes demonstrated 5.28µWh cm-2(2.7 Wh kg-1) energy density at 0.41 mW cm-2power density. These findings exemplify the suitability of the 3D composite electrodes of TMNs for energy storage application.

A Survey on How Ocular Surface Demodex Infestation Interactively Associates with Diabetes Mellitus and Dry Eye Disease.

PURPOSE: Prevention of ocular surface (OS) Demodex infestation plays an important role in OS hygiene and variety of factors may be associated with it, in which diabetes mellitus (DM) or dry eye disease (DED) has caught the attention of most scholars. However, there has been no research on whether there was a potential interaction between DM and DED in the process of OS Demodex infestation. This cross-sectional study was implemented in Zhujiang Hospital of Southern Medical University. METHODS: Ophthalmologic interviews, questionnaires, and examinations were conducted. Factors including general information, DM status, dry eye condition, etc. were collected to study the correlation of DM and DED on OS Demodex infestation. RESULTS: After statistical analysis, we found that both DM (P < 0.001) and DED (P = 0.013 < 0.05) are closely associated with OS Demodex infestation. Compared with DED, DM has higher priority association with OS Demodex infestation, and patients with both diseases have a significant higher risk of OS Demodex infestation (R = 0.197, P < 0.001). Meanwhile, age (R = 0.299, P < 0.001) and hypertension (P < 0.05) were also correlated with OS Demodex infestation. CONCLUSION: This study provides a new evidence-based basis for clinical prevention and management of OS Demodex infestation.

Mn-doped CoSe2 nanosheets as high-efficiency catalysts for the oxygen evolution reaction.

In this work, we introduce for the first time an aqueous solution method followed by a selenization step to prepare Mn-doped CoSe2 nanosheets supported on nickel foam for the oxygen evolution reaction. These findings provide us highly efficient electrocatalysts instead of noble metal catalysts for the oxygen evolution reaction.

Comparative portrayal of ocular surface microbe with and without dry eye.

rRNA gene high-throughput sequencing was performed in the conjunctival swab samples to investigate the composition of the OS bacterial community in DE (n=35) and NDE (n=54) and compared the composition of MGD (n=25) and NMGD (n=10) among DE subjects. Deep sequencing of OS 16S rDNA from DE (n=35) and NDE (n=54) demonstrated great a difference in alpha and beta diversity between the OS bacterial flora (P < 0.05). The similar OS microbial structures were shown at the phylum and genus levels by bioinformatics analysis between them, and in LEfSe (linear discriminant analysis effect size) analysis, Bacteroidia and Bacteroidetes were enriched in DE, while Pseudomonas was plentiful in NDE (linear discriminant analysis [LDA] > 4.0). Among the DE group, there was no significant difference in α and ß diversity between MGD and NMGD (P > 0.05). Surprisingly, Bacilli was the dominant microbe in MGD, and Bacteroidetes was the superior bacteria in NMGD among DE subjects (LDA > 4.0). Different diversity of OS bacteria composition between DE and NDE and the altered diversity of OS bacteria may play an important role in DE. Moreover, the lower dominance of OS bacteria in DE may be associated with the occurrence and development of DE. Although there was no significant difference in alpha and beta analysis, the OS dominant microbe between MGD and NMGD among DE was different.

How Ocular Surface Microbiota Debuts in Type 2 Diabetes Mellitus.

High glucose represents a good environment for bacterial growth on the skin, on the ocular surface (OS) and in the tears of type 2 diabetes mellitus (T2DM) patients, affecting the conjunctival bacterial community. This study aimed to investigate the OS bacterial flora of T2DM patients and healthy subjects using 16S rRNA sequencing-based bacterial identification. Among 23 healthy subjects (CON) and 31 T2DM patients, 54 eyes were examined to investigate the OS bacterial community. Factors potentially affecting the microbial growth were controlled. Results showed the OS microbiota presented higher diversity in the T2DM group than in the CON group. Bioinformatic analysis showed a lower abundance of Proteobacteria and a higher abundance of Bacteroidetes at the phyla level as well as a significantly increased abundance of Acinetobacter and Pseudomonas at the genus level in the T2DM group. The difference in OS microbiota at taxonomic level was associated with Ocular Surface Disease Index and course of T2DM. These findings indicate the OS flora in T2DM patients is significantly different from that in healthy subjects, which may be closely associated with OS discomfort and course of T2DM.

Construction of 3D Si@Ti@TiN thin film arrays for aqueous symmetric supercapacitors.

We report the preparation of 3D binder-free Si@Ti@TiN thin film array electrodes for supercapacitors using deep silicon etching and magnetron sputtering for the first time. This work not only offers the 3D array structure of Si@Ti@TiN thin films, but also paves a promising way for the construction of high-energy storage systems.

Accelerating the water splitting kinetics of CoP microcubes anchored on a graphene electrocatalyst by Mn incorporation.

CoP is considered as an efficient electrocatalyst for the hydrogen evolution reaction (HER) in acidic electrolytes but its performance in alkaline solutions is generally poor because of its slow reaction kinetics, which further limits its application in overall water splitting. Herein, we demonstrate a strategy to greatly accelerate its HER and OER kinetics in alkaline solutions through Mn incorporation. Ternary Mn x Co1-x P microcubes with a tunable Mn/Co ratio strongly anchored on rGO were synthesized using Prussian blue analogues as precursors. The synergy between the high activity of Mn x Co1-x P microcubes and the good conductivity of rGO leads to the superior performance of the hybrid toward water splitting in 1 M KOH. The optimized Mn0.6Co0.4P-rGO electrocatalyst shows high activity and stability towards both the HER and OER with low overpotentials of 54 and 250 mV at 10 mA cm-2, respectively. Furthermore, the water electrolyzer using Mn0.6Co0.4P-rGO as both the cathode and anode only requires a cell voltage as low as 1.55 V to reach a current density of 10 mA cm-2, making Mn0.6Co0.4P-rGO a competitive and cost-effective electrocatalyst for water splitting.