Risk assessment and source analysis of trace elements in soils around county landfills in Tibet.

The ecology of the Qinghai‒Tibet Plateau is fragile, and the ecosystems in the region are difficult to remediate once damaged. Currently, landfilling is the mainstay of domestic waste disposal in China, and numerous, widely distributed county landfills exist. trace elements (TEs) in waste are gradually released with waste degradation and cannot be degraded in nature, affecting environmental quality and human health. To reduce the chance bias that exists in studies of individual landfills, we selected 11 representative county landfills in Tibet, total of 76 soil samples were collected, eight TEs (arsenic (As), mercury (Hg), chromium (Cr), copper (Cu), lead (Pb), cadmium (Cd), nickel (Ni), and zinc (Zn)) were determined, and analysed for the current status of pollution, risk to human health, and sources of TEs to explore the impact of the landfills. The results showed that only a few landfills had individual TEs exceeding the risk screening value of the Soil Environmental Quality Risk Control Standard for Soil Contamination (GB 15618-2018) (pH > 7.5). Most of the soils around the landfills had moderate levels of pollution, but some individual landfills had higher levels, mainly due to Cd and Hg concentrations. Source analysis showed that Hg originated mainly from atmospheric transport; the other TEs came mainly from the weathering of soil parent material and bedrock. The potential risk from TEs to human health was low, and the risk to children was greater than the risk to adults. Among the three exposure routes, oral ingestion resulted in the highest carcinogenic risk and noncarcinogenic risk, with a contribution rate of more than 95%. Among the TEs, Ni had the highest carcinogenic risk, followed by Cr and As, and As had the highest noncarcinogenic risk.

Metabolomics analysis of the serum metabolic signature of nonalcoholic fatty liver disease combined with prediabetes model rats after the intervention of Lycium barbarum polysaccharides combined with aerobic activity.

Metabolic disorders accompany nonalcoholic fatty liver disease (NAFLD), associated with prediabetes. Lycium barbarum polysaccharides (LBP) seem to be a potential prebiotic, and aerobic exercise has shown protective effects on NAFLD with prediabetes. However, their combined effects on NAFLD and prediabetes remain unclear. This study investigated the effects of LBP and aerobic exercise alone, and their combined effects on the metabolomics of serum, and explored the potential mechanisms utilizing a high-fat diet-induced rat model of NAFLD and prediabetes. It provided the metabolic basis for the pathogenesis and early diagnosis of prediabetes complicated with NAFLD. Untargeted metabolomics profiling was performed using ultra-high-performance liquid chromatography coupled with quadrupole Orbitrap mass spectrometry to analyze the changes in overall metabolites in each group of samples. An orthogonal partial least squares-discriminant analysis model with variable importance on projection >1 and p < 0.05 were used as the screening criteria to screen the significant differential metabolites and analyze the expression changes and functional pathways. Different intervention treatments showed clear discrimination by univariate and multivariate analyses. The model group had a high relative level of expression of lipids. Comparison between the two groups showed steroids with high expression after LBP and aerobic exercise treatment separately and alkaloids and fatty acyls with high expression after aerobic exercise and the combination intervention, respectively. Comparison of the five groups showed some of the metabolites to be differently expressed after the intervention improved lipid and fatty acid metabolism. The three types of intervention had sound effects on the changes in liver index for the diseases studied. Furthermore, the combination treatment may be a better choice for disease prevention and treatment than a single treatment. Our analysis of metabolomics confirmed that the different treatments had significant regulatory effects on the metabolic pathways. Our findings strongly support the possibility that aerobic exercise combined with LBP can be regarded as a potential therapeutic method for NAFLD in prediabetics.

Microglia Modulate Neurodevelopment in Autism Spectrum Disorder and Schizophrenia.

Neurodevelopmental disorders (NDDs) include various neurological disorders with high genetic heterogeneity, characterized by delayed or impaired cognition, communication, adaptive behavior, and psychomotor skills. These disorders result in significant morbidity for children, thus burdening families and healthcare/educational systems. However, there is a lack of early diagnosis and effective therapies. Therefore, a more connected approach is required to explore these disorders. Microglia, the primary phagocytic cells within the central nervous system, are crucial in regulating neuronal viability, influencing synaptic dynamics, and determining neurodevelopmental outcomes. Although the neurobiological basis of autism spectrum disorder (ASD) and schizophrenia (SZ) has attracted attention in recent decades, the role of microglia in ASD and SZ remains unclear and requires further discussion. In this review, the important and frequently multifaceted roles that microglia play during neurodevelopment are meticulously emphasized and potential microglial mechanisms that might be involved in conditions such as ASD and SZ are postulated. It is of utmost importance to acquire a comprehensive understanding of the complexities of the interplay between microglia and neurons to design effective, targeted therapeutic strategies to mitigate the effects of NDDs.

Novel Cerium-Based Sulfide Nano-Photocatalyst for Highly Efficient CO2 Reduction.

To address the environmental crisis caused by excessive emissions of CO2 , the development of effective photocatalysts for the conversion of CO2 into chemicals has emerged as one of the most promising strategies. Herein, beyond those well-studied materials, a rare-earth sulfide-based nanocrystal NaCeS2 is fabricated and investigated for efficient and selective conversion of CO2 into CO, where the role of Ce ions is crucial. Firstly, the hybridization of Ce 4f and Ce 5d orbitals contributes to the photoresponsive band structure of NaCeS2 . Secondly, due to the charge rearrangement supplied by the incompletely filled 4f orbitals of Ce ions, NaCeS2 exhibits excellent charge separation efficiency and CO2 adsorption affinity, reducing the energy barrier for the conversion from CO2 to CO. Moreover, a NaCeS2 -MoS2 heterostructure is also designed to further boost the electron transfer from the Mo site to the Ce site, which results in an improvement of the catalytic reduction yield from 7.24 to 23.42 µmol g-1 within 9 h (both better than TiO2 controls). This work offers a platform for the development of rare-earth-based photocatalysts for CO2 conversion.

Nickel-Based High-Entropy Intermetallic as a Highly Active and Selective Catalyst for Acetylene Semihydrogenation.

Acetylene semihydrogenation is a key technology for producing polymer-grade ethylene from crude ethylene. Ni-based catalysts are promising alternatives to noble-metals for this process. However, achieving high catalytic activity and selectivity remains a big challenge. We report a novel catalyst design based on high-entropy intermetallics (HEI), which provide thermally stable isolated Ni without excess counterpart metals and achieve exceptionally high performance. Intermetallic NiGa was multi-metalized to a (NiFeCu)(GaGe), where the Ni and Ga sites were partially substituted with Fe/Cu and Ge, respectively, without altering the parent CsCl-type structure. The NiFeCuGaGe/SiO2 HEI catalyst completely inhibited ethylene overhydrogenation even at complete acetylene conversion, and exhibited five-times higher activity than other 3d-transition-metal-based catalysts. The DFT study showed that the surface energy decreased by multi-metallization, which drastically weakened ethylene adsorption.

Layered Double Hydroxide Hollowcages with Adjustable Layer Spacing for High Performance Hybrid Supercapacitor.

Layered double hydroxides (LDHs) have been considered as promising electrodes for supercapacitors due to their adjustable composition, designable function and superior high theoretic capacity. However, their experimental specific capacity is significantly lower than the theoretical value due to their small interlayer spacing. Therefore, obtaining large interlayer spacing through the intercalation of large-sized anions is an important means to improve capacity performance. Herein, a metal organic framework derived cobalt-nickel layered double hydroxide hollowcage intercalated with different concentrations of 1,4-benzenedicarboxylic acid (H2 BDC) through in-situ cationic etching and organic ligand intercalation method is designed and fabricated. The superior specific capacity and excellent rate performance are benefit from the large specific surface area of the hollow structure and increasing interlayer spacing of LDH after H2 BDC intercalation. The sample with the largest layer spacing displays a maximum specific capacity of 229 mA h g-1 at 1 A g-1 . In addition, the hybrid supercapacitor assembled from the sample with the largest layer spacing and active carbon electrode has a maximum specific capacity of 158 mA h g-1 at 1 A g-1 ; the energy density is as high as 126.4 W h kg-1 at 800 W kg-1 and good cycle stability.

A multi-faceted, location-specific assessment of land degradation threats to peri-urban agriculture at a traditional grain base in northeastern China.

Urbanization-induced cultivated land degradation can hamper the ability of peri-urban agriculture (PUA) to deliver clean food and agroecosystem services. Detailed geo-information about which cultivated lands are being influenced by urbanization will be important to designing future measures for the conservation of PUA. This information will be especially relevant for traditional grain bases because PUA is often underappreciated in these regions. For this reason, we performed a multi-faceted and location-specific assessment, including soil pollution, soil fertility, basic tillage conditions and land fragmentation, of cultivated land in a rural-urban transition zone outside of a city in northeast China. We also illustrated the combined risks in different urbanized environments via GIS-based two-step spatial clustering. The results indicated that, in general, cultivated lands were more polluted and fragmented, as well as less fertile and tillable, the closer they were to the urban area. Most of the affected cultivated lands were located within 8 km of the urban periphery. Furthermore, certain urban environments exposed the surrounding cultivated lands to specific degradation in relation to different combined risks. PUA in long-standing industrial areas mainly faced risks of polluted agricultural production, underutilization and impaired landscape ecological security (LES), whereas cultivated lands close to a recently developed residential area were characterized by risks of supplying service disruption, unsustainable agricultural production, underutilization and impaired LES. The present study highlighted that PUA associated with traditional grain bases must be preserved to enhance urban sustainability and resilience, and suggests that measures which can adapt to multi-faceted local degradation issues will be the most effective protection for peri-urban areas. Furthermore, the results also suggest that multi-functional and profitable agriculture will contribute to breaking the vicious circle of land degradation in peri-urban cultivated areas of traditional grain bases.

Active site tuning based on pseudo-binary alloys for low-temperature acetylene semihydrogenation.

The development of an efficient catalytic system for low-temperature acetylene semihydrogenation using nonnoble metals is important for the cost-effective production of polymer-grade pure ethylene. However, it remains challenging owing to the intrinsic low activity. Herein, we report a flexibly tunable catalyst design concept based on a pseudo-binary alloy, which enabled a remarkable enhancement in the catalytic activity, selectivity, and durability of a Ni-based material. A series of (Ni1-xCux)3Ga/TiO2 catalysts exhibiting L12-type pseudo-binary alloy structures with various Cu contents (x = 0.2, 0.25, 0.33, 0.5, 0.6, and 0.75) were prepared for active site tuning. The optimal catalyst, (Ni0.8Cu0.2)3Ga/TiO2, exhibited outstandingly high catalytic activity among reported 3d transition metal-based systems and excellent ethylene selectivity (96%) and long-term stability (100 h) with near full conversion even at 150 °C. A mechanistic study revealed that Ni2Cu hollow sites on the (111) surface weakened the strong adsorption of acetylene and vinyl adsorbate, which significantly accelerated the hydrogenation process and inhibited undesired ethane formation.

Interfacial carbon dots introduced distribution-structure modulation of Pt loading on graphene towards enhanced electrocatalytic hydrogen evolution reaction.

To easily load Pt on smoothy graphene synthesized by cathodic exfoliation method and achieve adjacent plane distribution of Pt, carbon dots (CDs) are used to construct anchoring points to load highly dispersed Pt species due to strong interaction between CDs and Pt species. The composite of Pt-CDs/graphene is synthesized via a continuous process of cathodic exfoliation-hydrothermal-impregnation-reduction. Characterization results indicate the distribution configuration of Pt varies from coated structure of CDs@Pt to dispersed configuration of CDs&Pt or Pt&CDs, then to wrapping configuration of Pt@CDs with increased amount of CDs. It's found that suitable introduction of CDs promotes the adjacent plane distribution of Pt species. The obtained best Pt-4CDs/G shows the low overpotential of 36 mV (10 mA⋅cm-2) and high mass activity of 3747.8 mA mg-1 at -40 mV towards electrocatalytic hydrogen evolution reaction (HER), 9.2 times more active than that of Pt/C (406.2 mA mg-1). The superior HER performance of Pt-4CDs/G is attributed to its relatively adjacent plane distribution of Pt, which supports high electrochemically active surface area and more adjacent Pt sites for H* adsorption. Benefitting from that, the HER process for Pt-4CDs/G favorably follows the Tafel pathway, resulting in low hydrogen adsorption free energy and excellent HER activity.

Deficiency of interleukin-1 receptor antagonist in mice differentially affects bone properties under different genomic backgrounds.

When IL-1 receptor antagonist (IL-1rn) is knocked out, mice have shown strain background dependent and major QTL regulated susceptibility to spontaneously inflammatory arthritis disease (SAD). The impact on bone properties resulting from the interactions of IL-1rn, genomic background strains, and the QTL locus, is unknown. Bone properties in the four specifically bred mouse strains with mutation of IL-1rn and variations in genomic components were investigated with high-resolution MicroCT and genomic analytical tools. Two congenic mouse strains were also measured to evaluate the influence on bone properties by a QTL in the region in chromosome 1. Our results reveal that several bone phenotypes, including bone mineral density (BMD), bone volume, tibial length, and cortical thickness of the tibia are different between wild type and IL-1rn knockout mice in both Balb/c and DBA/1 backgrounds, but IL-1rn knockout affects BMD differently between the two mouse strains. The absence of IL-1rn decreases BMD in Balb/c mice but increases BMD in DBA/1-/- mice compared to their respective wild type counterparts. A QTL transferred from the Balb/c genetic background which affects arthritis in congenic strains appears to also regulate BMD. While several genes, including Ctsg and Prg2, may affect BMD, Ifi202b is the most favored candidate gene for regulating BMD as well as SAD. In conclusion, the previously mentioned bone phenotypes are each influenced in different ways by the loss of IL-1ra when considered in mice from varying genomic backgrounds.

Highly-dispersed nickel species on nitrogen-doped porous carbon: Significant local pH-buffering capacity and favorable CO desorption for efficient and robust electro-reduction of CO2.

Electrocatalytic reduction of CO2 (CO2RR) to value-added fuels and chemicals can potentially serve as a promising strategy to curb CO2 accumulation and carbon neutral cycle, but is still plagued by sluggish kinetics, poor selectivity and weak durability. Herein, we developed highly-dispersed nickel species on the nitrogen-doped carbon materials (Ni/NC) via the double solvent method (DSM), followed by the pyrolysis. The as-prepared Ni/NC possesses high CO2-to-CO selectivity of 93.2%∼98.6% at broad potential range (0.57 âˆ¼ 0.97 VRHE), decent jCO of 57.9 mAcm-2 at -1.07 VRHE, and significant robustness (retaining 96.3% of the initial faradaic efficiency for CO formation after 50 h electrolysis). As manifested by the rotating ring-disk electrode (RRDE) tests, the DSM-based Ni/NC possesses more significant pH-buffering capacity than Ni nanoparticles, thus promotes the CO2-to-CO. DFT calculations unveil that Ni/NC exhibits relatively lower d-band center, hence resulting in favorable desorption of CO from the catalyst surface that intrinsically boost the CO2-to-CO compared with the nanoparticle catalyst. These results suggest that the DSM-derived Ni/NC catalysts is a promising candidate towards large-scale application of CO2-to-CO.

Total and component forest aboveground biomass inversion via LiDAR-derived features and machine learning algorithms.

Forest aboveground biomass (AGB) and its biomass components are key indicators for assessing forest ecosystem health, productivity, and carbon stocks. Light Detection and Ranging (LiDAR) technology has great advantages in acquiring the vertical structure of forests and the spatial distribution characteristics of vegetation. In this study, the 56 features extracted from airborne LiDAR point cloud data were used to estimate forest total and component AGB. Variable importance-in-projection values calculated through a partial least squares regression algorithm were utilized for LiDAR-derived feature ranking and optimization. Both leave-one-out cross-validation (LOOCV) and cross-validation methods were applied for validation of the estimated results. The results showed that four cumulative height percentiles (AIH 30, AIH 40, AIH 20, and AIH 25), two height percentiles (H 8 and H 6), and four height-related variables (H mean, H sqrt, H mad, and H curt) are ranked more frequently in the top 10 sensitive features for total and component forest AGB retrievals. Best performance was acquired by random forest (RF) algorithm, with R 2 = 0.75, root mean square error (RMSE) = 22.93 Mg/ha, relative RMSE (rRMSE) = 25.30%, and mean absolute error (MAE) = 19.26 Mg/ha validated by the LOOCV method. For cross-validation results, R 2 is 0.67, RMSE is 24.56 Mg/ha, and rRMSE is 25.67%. The performance of support vector regression (SVR) for total AGB estimation is R 2 = 0.66, RMSE = 26.75 Mg/ha, rRMSE = 28.62%, and MAE = 22.00 Mg/ha using LOOCV validation and R 2 = 0.56, RMSE = 30.88 Mg/ha, and rRMSE = 31.41% by cross-validation. For the component AGB estimation, the accuracy from both RF and SVR algorithms was arranged as stem > bark > branch > leaf. The results confirmed the sensitivity of LiDAR-derived features to forest total and component AGBs. They also demonstrated the worse performance of these features for retrieval of leaf component AGB. RF outperformed SVR for both total and component AGB estimation, the validation difference from LOOCV and cross-validation is less than 5% for both total and component AGB estimated results.

The Effect of Low-Dose Esketamine on Postoperative Neurocognitive Dysfunction in Elderly Patients Undergoing General Anesthesia for Gastrointestinal Tumors: A Randomized Controlled Trial.

Purpose: This study aims to evaluate the effects of the intraoperative application of low-dose esketamine on postoperative neurocognitive dysfunction (PND) in elderly patients undergoing general anesthesia for gastrointestinal tumors. Methods: Sixty-eight elderly patients were randomly allocated to two groups: the esketamine group (group Es) (0.25 mg/kg loading, 0.125mg/kg/h infusion) and the control group (group C) (received normal saline). The primary outcome was the incidence of delayed neurocognitive recovery (DNR). The secondary outcomes were intraoperative blood loss, the total amount of fluid given during surgery, propofol and remifentanil consumption, cardiovascular adverse events, use of vasoactive drugs, operating and anesthesia time, the number of cases of sufentanil remedial analgesia, the incidence of postoperative delirium (POD), the intraoperative hemodynamics, bispectral index (BIS) value at 0, 1, 2 h after operation and numeric rating scale (NRS) pain scores within 3 d after surgery. Results: The incidence of DNR in group Es (16.13%) was lower than in group C (38.71%) (P <0.05). The intraoperative remifentanil dosage and the number of cases of dopamine used in group Es were lower than in group C (P <0.05). Compared with group C, DBP was higher at 3 min after intubation, and MAP was lower at 30 min after extubation in group Es (P<0.05). The incidence of hypotension and tachycardia in group Es was lower than in group C (P <0.05). The NRS pain score at 3 d after surgery in group Es was lower than in group C (P <0.05). Conclusion: Low-dose esketamine infusion reduced to some extent the incidence of DNR in elderly patients undergoing general anesthesia for gastrointestinal tumors, improved intraoperative hemodynamics and BIS value, decreased the incidence of cardiovascular adverse events and the intraoperative consumption of opioids, and relieved postoperative pain.

Killing Two Birds with One Stone: Upgrading Organic Compounds via Electrooxidation in Electricity-Input Mode and Electricity-Output Mode.

The electrochemically oxidative upgrading reaction (OUR) of organic compounds has gained enormous interest over the past few years, owing to the advantages of fast reaction kinetics, high conversion efficiency and selectivity, etc., and it exhibits great potential in becoming a key element in coupling with electricity, synthesis, energy storage and transformation. On the one hand, the kinetically more favored OUR for value-added chemical generation can potentially substitute an oxygen evolution reaction (OER) and integrate with an efficient hydrogen evolution reaction (HER) or CO2 electroreduction reaction (CO2RR) in an electricity-input mode. On the other hand, an OUR-based cell or battery (e.g., fuel cell or Zinc-air battery) enables the cogeneration of value-added chemicals and electricity in the electricity-output mode. For both situations, multiple benefits are to be obtained. Although the OUR of organic compounds is an old and rich discipline currently enjoying a revival, unfortunately, this fascinating strategy and its integration with the HER or CO2RR, and/or with electricity generation, are still in the laboratory stage. In this minireview, we summarize and highlight the latest progress and milestones of the OUR for the high-value-added chemical production and cogeneration of hydrogen, CO2 conversion in an electrolyzer and/or electricity in a primary cell. We also emphasize catalyst design, mechanism identification and system configuration. Moreover, perspectives on OUR coupling with the HER or CO2RR in an electrolyzer in the electricity-input mode, and/or the cogeneration of electricity in a primary cell in the electricity-output mode, are offered for the future development of this fascinating technology.

Syn-Selective Chlorosulfonylation of Alkynes via a Copper-Powder-Initiated Atom Transfer Radical Addition Reaction and Mechanistic Studies.

Copper-powder-catalyzed syn-selective chlorosulfonylation of readily available alkynes by an atom transfer radical addition (ATAR) process has been developed, providing straightforward access to a broad range of (Z)-ß-chlorovinylsulfones in good yields under mild conditions. In addition, this method is ligand-free and features excellent stereoselectivity and high atom economy. Moreover, the product was obtained without an apparent loss of yield when the reaction was performed on the gram scale at a low catalyst loading. In this reaction, the copper powder not only acts as a sulfone radical initiator but also produces the catalytically active CuCl species. Mechanistic investigations and DFT calculation studies revealed that the stereoselectivity is controlled by the thermodynamic stabilities of the in situ-generated cyclic alkenyl CuII complex intermediate, which can serve as a chlorine atom transfer agent.

Variation of sexual dimorphism and asymmetry in disease expression of inflammatory arthritis among laboratory mouse models with different genomic backgrounds.

Sex difference has shown in the arthritis diseases in human population and animal models. We investigate how the sex and symmetry vary among mouse models with different genomic backgrounds. Disease data of sex and limbs accumulated in the past more than two decades from four unique populations of murine arthritis models were analyzed. They are (1) interleukin-1 receptor antagonist (IL-1ra) deficient mice under Balb/c background (Balb/c KO); (2) Mice with collagen II induced arthritis under DBA/1 background; (3) Mice with collagen II induced arthritis under C57BL/6 (B6) background and (4) A F2 generation population created by Balb/c KO X DBA/1 KO. Our data shows that there is a great variation in sexual dimorphism for arthritis incidence and severity of arthritis in mice harboring specific genetic modifications. For a F2 population, the incidence of arthritis was 57.1% in female mice and 75.6% in male mice. There was a difference in severity related to sex in two populations: B6.DR1/ B6.DR4 (P < 0.001) and F2 (P = 0.023) There was no difference Balb/c parental strain or in collagen-induced arthritis (CIA) in DBA/1 mice. Among these populations, the right hindlimbs are significantly higher than the scores for the left hindlimbs in males (P < 0.05). However, when examining disease expression using the collagen induced arthritis model with DBA/1 mice, sex-dimorphism did not reach statistical significance, while left hindlimbs showed a tendency toward greater disease expression over the right. Sexual dimorphism in disease expression in mouse models is strain and genomic background dependent. It sets an alarm that potential variation in sexual dimorphism among different racial and ethnic groups in human populations may exist. It is important to not only include both sexes and but also pay attention to possible variations caused by disease expression and response to treatment in all the studies of arthritis in animal models and human populations.

High-entropy intermetallics on ceria as efficient catalysts for the oxidative dehydrogenation of propane using CO2.

The oxidative dehydrogenation of propane using CO2 (CO2-ODP) is a promising technique for high-yield propylene production and CO2 utilization. The development of a highly efficient catalyst for CO2-ODP is of great interest and benefit to the chemical industry as well as net zero emissions. Here, we report a unique catalyst material and design concept based on high-entropy intermetallics for this challenging chemistry. A senary (PtCoNi)(SnInGa) catalyst supported on CeO2 with a PtSn intermetallic structure exhibits a considerably higher catalytic activity, C3H6 selectivity, long-term stability, and CO2 utilization efficiency at 600 °C than previously reported. Multi-metallization of the Pt and Sn sites by Co/Ni and In/Ga, respectively, greatly enhances propylene selectivity, CO2 activation ability, thermal stability, and regenerable ability. The results obtained in this study can promote carbon-neutralization of industrial processes for light alkane conversion.

Extracellular Vesicle/Macrophage Axis: Potential Targets for Inflammatory Disease Intervention.

Extracellular vesicles (EVs) can regulate the polarization of macrophages in a variety of inflammatory diseases by mediating intercellular signal transduction and affecting the occurrence and development of diseases. After macrophages are regulated by EVs, they mainly show two phenotypes: the proinflammatory M1 type and the anti-inflammatory M2 type. A large number of studies have shown that in diseases such as mastitis, inflammatory bowel disease, Acute lung injury, and idiopathic pulmonary fibrosis, EVs promote the progression of the disease by inducing the M1-like polarization of macrophages. In diseases such as liver injury, asthma, and myocardial infarction, EVs can induce M2-like polarization of macrophages, inhibit the inflammatory response, and reduce the severity of the disease, thus indicating new pathways for treating inflammatory diseases. The EV/macrophage axis has become a potential target for inflammatory disease pathogenesis and comprehensive treatment. This article reviews the structure and function of the EV/macrophage axis and summarizes its biological functions in inflammatory diseases to provide insights for the diagnosis and treatment of inflammatory diseases.

Hydrogen sulfide attenuates ferroptosis and stimulates autophagy by blocking mTOR signaling in sepsis-induced acute lung injury.

Sepsis often leads to multiple organ failure or even death and is a significant health problem that contributes to a heavy economic burden. The lung is the first organ to be affected by sepsis. Presently, there is no specific drug or method to treat sepsis and sepsis-induced acute lung injury (ALI). H2S, along with CO and NO, is a physiological gas that acts as a signaling molecule and plays an active role in fighting various lung infections. GYY4137 is a novel H2S donor that is stable in vivo and in vitro. However, particularly in the context of ferroptosis, GYY4137 affects cecal ligation and puncture (CLP)-induced ALI by a mechanism that is not understood. Ferroptosis is a new form of cell necrosis. The primary mechanism is the accumulation of cellular lipid ROS in an iron-dependent manner. The principal objective of this project was to investigate the effects of GYY4137 on ferroptosis and autophagy in a mouse model of sepsis-induced ALI. We divided the experimental mice randomly into 5 groups: (1) sham group; (2) CLP group; (3) CLP + DMSO group: (4) CLP + GYY4137 (25 mg/kg) group; and (5) CLP + GYY4137 (50 mg/kg) group. (6) CLP + Rapamycin (2.0 mg/Kg) group. (7) CLP + Chloroquine (80 mg/Kg) group. (8) the Chloroquine (80 mg/Kg) + GYY (50 mg/Kg) group. The findings showed that GYY4137 significantly protected against CLP-induced ALI by improving sepsis-induced lung histopathological changes, diminishing lung tissue damage, ameliorating oxidative stress, and attenuating the severity of lung injury in mice. In this study, we found that GYY4137 could alleviate septicemia-induced ferroptosis in ALI by increasing the expression of GPx4 and SLC7A11 in lung tissue after CLP. One unexpected finding was the extent to which the levels of ferritin and ferritin light chain increased after CLP, which may be a compensatory mechanism for storing abnormally increased iron. We also found that the expression of p-mTOR, P62, and Beclin1 was significantly increased and that LC3II/LC3I declined after LPS stimulation, but the effect was inhibited by treatment with GYY4137, indicating that GYY4137 could inhibit the activation of autophagy in sepsis-induced ALI by blocking mTOR signaling.

Effects of acupuncture on the pregnancy outcomes of frozen-thawed embryo transfer: A systematic review and meta-analysis.

Background: Acupuncture is increasingly used as adjuvant therapy for infertile women undergoing frozen-thawed embryo transfer (FET); however, its effects and safety are highly controversial. This study aimed to evaluate the pooled effects of adjuvant acupuncture on FET pregnancy outcomes. Methods: We considered only randomized controlled trials (RCTs) that compared acupuncture with sham acupuncture or no adjuvant treatment during FET and the primary outcome was clinical pregnancy rate. Two authors separately selected studies, extracted data, and performed a risk of bias assessment. Pooled data were expressed as risk ratio (RR) or mean difference (MD), with a 95% confidence interval (CI). In addition, we conducted subgroup and sensitivity analyses to investigate the sources of heterogeneity, and we also constructed funnel plots to assess the likelihood of publication bias. Finally, Grading of Recommendation, Assessment, Development, and Evaluation (GRADE) was applied to evaluate the quality of evidence. Results: A total of 14 RCTs with a total of 1,130 participants were included in the study. We found significant effects of acupuncture adjuvant to FET on the outcomes of clinical pregnancy rate (RR = 1.54, 95% CI [1.28, 1.85], I 2 = 34%; 14 trials), biochemical pregnancy rate (RR = 1.51, 95% CI [1.21, 1.89]; 5 trials), endometrial thickness (MD = 0.97, 95% CI [0.43, 1.51]; 12 trials), and endometrial pattern (RR = 1.41, 95% CI [1.13, 1.75]; 7 trials). For live birth rate (RR = 1.48, 95% CI [0.90, 2.43], 4 trials), there were no statistical effectiveness. For subgroup analyses, most variables had tolerable heterogeneity (I 2 = 0%) except for trials that were sham-controlled, performed acupuncture only after FET, or <5 times, which appeared to interpret most of the heterogeneity. Additionally, the quality of evidence of all outcomes in this review ranged from low to moderate. Conclusion: Acupuncture could be instrumental in the pregnancy outcomes of FET, and has very few risks of severe adverse events; however, the quality of evidence is unsatisfactory. Further research with rigorous methodological quality should be considered, and the protocols of acupuncture also need more investigations (e.g., appropriate control groups, sessions, and times).