Engineering Biomimetic Biosensor Using Dual-Targeting Multivalent Aptamer Regulated 3D DNA Walker Enables High-Performance Detection of Heterogeneous Circulating Tumor Cells.

The phenotypic heterogeneity of circulating tumor cells (CTCs) and the nonspecific adsorption of background cells impede the effective and sensitive detection of rare CTCs. Although leukocyte membrane coating approach has a good antileukocyte adhesion ability and holds great promise for addressing the challenge of capture purity, its limited specificity and sensitivity prevent its use in the detection of heterogeneous CTCs. To overcome these obstacles, a biomimetic biosensor that integrated dual-targeting multivalent aptamer/walker duplex functionalized biomimetic magnetic beads and an enzyme-powered DNA walker signal amplification strategy is designed. As compared to conventional leukocyte membrane coating, the biomimetic biosensor achieves efficient and high purity enrichment of heterogeneous CTCs with different epithelial cell adhesion molecule (EpCAM) expression while minimizing the interference of leukocytes. Meanwhile, the capture of target cells can trigger the release of walker strands to activate an enzyme-powered DNA walker, resulting in cascade signal amplification and the ultrasensitive and accurate detection of rare heterogeneous CTCs. Importantly, the captured CTCs remained viable and can be recultured in vitro with success. Overall, this work provides a new perspective for the efficient detection of heterogeneous CTCs by biomimetic membrane coating and paves the way for early cancer diagnosis.

The compound artemisinin-hydroxychloroquine ameliorates bleomycin-induced pulmonary fibrosis in rats by inhibiting TGF-ß1/Smad2/3 signaling pathway.

Pulmonary fibrosis (PF) is a lethal disease characterized by a progressive decline in lung function. Currently, lung transplantation remains the only available treatment for PF. However, both artemisinin (ART) and hydroxychloroquine (HCQ) possess potential antifibrotic properties. This study aimed to investigate the effects and mechanisms of a compound known as Artemisinin-Hydroxychloroquine (AH) in treating PF, specifically by targeting the TGF-ß1/Smad2/3 pathway. To do this, we utilized an animal model of PF induced by a single tracheal drip of bleomycin (BLM) in Sprague-Dawley (SD) rats. The PF animal models were administered various doses of AH, and the efficacy and safety of AH were evaluated through pulmonary function testing, blood routine tests, serum biochemistry tests, organ index measurements, and pathological examinations. Additionally, Elisa, western blotting, and qPCR techniques were employed to explore the potential molecular mechanisms of AH in treating PF. Our findings reveal that AH effectively and safely alleviate PF by inhibiting BLM-induced specific inflammation, reducing extracellular matrix (ECM) deposition, and interfering with the TGF-ß1/Smad2/3 signaling pathway. Notably, the windfall for this study is that the inhibition of ECM may initiate self-healing in the BLM-induced PF animal model. In conclusion, AH shows promise as a potential therapeutic drug for PF, as it inhibits disease progression through the TGF-ß1/Smad2/3 signaling pathway.

Chlorine and heavy metals removal from municipal solid waste incineration fly ash by electric field enhanced oxalic acid washing.

Electric field enhanced oxalic acid (H2C2O4) washing was conducted to examine the simultaneously removal efficiency of heavy metals (HMs) and chlorine, especially insoluble chlorine from municipal solid waste incineration fly ash (MSW FA). Results show that chlorine and HMs can be effectively removed with a total chlorine, As, Ni and Zn removal rate of 99.10%, 79.08%, 75.42% and 71.43%, when the electrode exchange frequencies is 40 Hz, current density is 50 mA/cm2, H2C2O4 adding amount is 0.5 mol/L and the reaction time is 4 h. Insoluble chlorine removal efficiency is up to 95.32%, much higher than reported studies. And the chlorine content in the residue is lower than 0.14%. Meanwhile, HMs removal efficiency is remarkable, 41.62%-67.51% higher than that of water washing. The high-efficient removal effect is caused by the constantly changing direction of electrons hitting the fly ash surface, which provides more escape channels for internal chlorine and HMs. These results proved that electric field enhanced oxalic acid washing could be a promising method for removing contaminants from MSWI fly ash.

Analysis of the heavy metals (As, Pb, Cu, Zn) by leaching and sequential extraction procedure from a municipal solid waste incinerator fly ash co-processing cement kiln plant.

The municipal solid waste incineration (MSWI) fly ash has been a major problem with the rapid development of the cities in China. And the cement rotary kiln co-processing technique is accepted as an effective method to dispose detrimental heavy metals in MSWI fly ash. This study focused on presented the total leaching content and the morphological distribution of the heavy metals in cement solid samples doped with MSWI fly ash. These samples were collected from a MSWI fly ash co-processing cement rotary kiln plant. The leaching test and the sequential extraction procedure were adopted to measure the migration characteristic of As, Pb, Cu, and Zn. In addition, the leachability of clinker samples under different simulated environmental conditions was also detected to analyze the security of the cement product doped with MSWI fly ash. This work demonstrates the feasibility of the cement rotary kiln MSWI fly ash co-processing technique and provides a scientific guidance to related plant.

p53 mediated transcription of Omi/HtrA2 in aging myocardium.

AIMS: Omi/HtrA2 is a pro-apoptotic protein, increased mRNA and protein levels of Omi/HtrA2 in aging myocardium facilitates apoptosis and affects mitochondrial homeostasis. Our previous study found that p53 can bind to the Omi/HtrA2 promoter. The purpose of this study was to determine whether p53 participates in regulating the expression of Omi/HtrA2 in aging myocardium. METHODS AND RESULTS: we used Western blot to detect the expression of Omi/HtrA2 and p53 nucleoprotein, and then found that both of them were elevated in aging heart. Furthermore, we also observed the increased binding of p53 to Omi/HtrA2 promoter by chromatin immunoprecipitation. To initially explore the regulation mechanism of Omi/HtrA2, plasmid transfection and RNA interference in NIH3T3 cells were used to upregulate or knock down p53, respectively. The mRNA and protein levels of Omi/HtrA2 were increased with the overexpression of p53 by real-time PCR and Western blot, and Omi/HtrA2 promoter activity enhanced after transfected with pcDNA3.1-p53. The result from RNA interference was quite the contrary.Our study demonstrated that the binding ability of p53 to Omi/HtrA2 promoter was increased in aging myocardium, and increased p53 promoted the mRNA and protein levels of Omi/HtrA2 by enhancing the promoter activity of Omi/HtrA2. CONCLUSIONS: p53 acts as a transcriptional factor that induces Omi/HtrA2 expression in aged cardiomyocytes.These results provide a new way to explore the mechanism of increased Omi/HtrA2 in the aging process of heart.

Correction to: Carotid Atherosclerosis in Patients with Atrial Fibrillation.

Due to typesetting mistake, the image of Fig. 1 got corrupted. The original version has been corrected.

Carotid Atherosclerosis in Patients with Atrial Fibrillation.

PURPOSE OF REVIEW: This review aims to explore the relationship between AF and carotid atherosclerosis, and the impact on the outcomes of cardiovascular and cerebrovascular events. Also, our aim is to critically review current knowledge and delineate future directions for effective treatment or prevention as well as strategies for improvement of the quality of life and survival. RECENT FINDINGS: Atrial fibrillation (AF) is the most common arrhythmia, increasing the risk of stroke and cardiovascular morbidity and mortality representing a significant worldwide public health problem. On the other hand, carotid artery atherosclerosis can also significantly increase the risk of stroke, transient ischemic attack (TIA), and death. Firstly, we report epidemiological data on AF patients in different countries and regions having carotid artery abnormalities such as carotid artery plaque formation, atherosclerotic, and even stenosis. Despite geographical variations, these abnormalities were more frequent in AF patients and correlated with the duration of AF and the value of CHA2DS2-VASc score. Moreover, it is evident that AF patients with carotid artery abnormalities have significantly increased risk of adverse outcomes from the heart and brain. According to the CHA(2)DS2 (-VASc) score, AF patients are managed with anticoagulation therapy. Reviewing existing data on the treatment for stroke prevention in patients with AF, carotid artery disease, or both, we found that antiplatelet therapy could be combined with anticoagulant therapy appropriately in certain circumstances. In addition, some emerging technologies, such as the percutaneous permanent carotid filter, may be used safely and effectively to prevent the occurrence of stroke in patients both with AF and carotid artery atherosclerosis.

The role of cardiac resident macrophage in cardiac aging.

Advancements in longevity research have provided insights into the impact of cardiac aging on the structural and functional aspects of the heart. Notable changes include the gradual remodeling of the myocardium, the occurrence of left ventricular hypertrophy, and the decline in both systolic and diastolic functions. Macrophages, a type of immune cell, play a pivotal role in innate immunity by serving as vigilant agents against pathogens, facilitating wound healing, and orchestrating the development of targeted acquired immune responses. Distinct subsets of macrophages are present within the cardiac tissue and demonstrate varied functions in response to myocardial injury. The differentiation of cardiac macrophages according to their developmental origin has proven to be a valuable strategy in identifying reparative macrophage populations, which originate from embryonic cells and reside within the tissue, as well as inflammatory macrophages, which are derived from monocytes and recruited to the heart. These subsets of macrophages possess unique characteristics and perform distinct functions. This review aims to summarize the current understanding of the roles and phenotypes of cardiac macrophages in various conditions, including the steady state, aging, and other pathological conditions. Additionally, it will highlight areas that require further investigation to expand our knowledge in this field.

Synergistic Effect and Mechanism of Nano-C-S-H Seed and Calcium Sulfoaluminate Cement on the Early Mechanical Properties of Portland Cement.

The combined utilization of mineral accelerators and nano-seeding materials is a novel method to promote the early strength of cement-based materials. In this paper, the effects of nano-C-S-H seed (NCS) on the early compressive strength of the Portland cement (PC)- calcium sulfoaluminate cement (CSA) binder were investigated. The results showed that NCS and CSA synergistically contributed to the early strength of PC. In detail, a 326.3% increase in the 10 h compressive strength of PC paste was obtained through the addition of NCS (2 wt%) and CSA (5%) in common. This was higher than the sum of the increases observed with the single additions of CSA (157.9%) or NCS (87.6%), with the same above dosage, in PC. Meanwhile, the early strength enhancement effects of NCS and CSA, when used together in PC, lasted longer than the effects of either used alone. Moreover, the synergetic effect mechanism was analyzed by isothermal calorimeter, QXRD, TGA, MIP, and SEM techniques. The calorimetry, XRD, and TGA results demonstrated that the synergistic mechanism was associated with the synergistic promotion effects of CSA and NCS on the hydrates. The fast hydration of CSA produced large amounts of ettringite and also consumed partial free water to promote the performance of the seeding effect of NCS which, simultaneously, further accelerated the precipitation of C-S-H gel and CH. The high alkie environment was also beneficial for the continuous generation of ettringite. In addition, the results of MIP and SEM measurements showed that the micro-filling effect of NCS significantly optimized the pore structure of a PC-CSA blend-hardened paste. Thus, the synergistic strength enhancement effects of CSA and NCS on PC were attributed to the matching of the promotion of hydration generation and the optimization of pore structures in hardening cement paste. The results of this article provide a new approach to achieving the rapid development of the early strength of cementitious materials, with potential applications in precast concrete and low-temperature construction.

Incorporation and solidification mechanism of manganese doped cement clinker.

Using municipal and industrial solid waste as a substitute raw material and fuel in cement rotary kiln co-processing is considered an economic and environmentally friendly alternative to the use of traditional fuels. However, the presence of heavy metals in solid waste is a growing concern in the cement rotary kiln co-processing technique. The solidification mechanism of heavy metals in cement clinker is directly related to their stabilization. Cement clinkers doped with manganese oxide (MnO2: 0.0%-5.0% wt%) were prepared in a laboratory to investigate the impacts of extrinsic Mn on cement clinker calcination. The insignificant changes in X-ray diffractometer patterns indicated that the fixed Mn had little influence on the mineral lattice structure. Raman spectra and X-ray photoelectron spectroscopy revealed the transformation of the silicate phase when the Mn dose was increased. Moreover, the satisfactory solidification ratio confirmed the incorporation of Mn in the cement clinker. These results provided evidence of the influence rule of Mn in the cement clinker calcination process. Furthermore, Raman spectroscopy showed great potential for the qualitative and semi-quantitative analysis of the cementitious materials derived from cement rotary kiln co-processing. These results will be important for the further development of green cement manufacturing technology.

Catalytic oxidation of chlorobenzene and PCDD/Fs over V2O5-WO3/TiO2: insights into the component effect and reaction mechanism.

In this work, titania supported catalysts (V-W/Ti) with different vanadium-tungsten contents were prepared and evaluated in the catalytic oxidation of chlorobenzene, which was used as the model compound of dioxins. The results showed that V2O5 is the main active component for chlorobenzene oxidation, and doping of WO3 affects the valence distributions of vanadium, contributing a bimetallic synergistic effect. The catalysts were investigated by XRD, SEM-EDS mapping, Raman, and XPS, and the changes in V element valence state and chlorine content on fresh and used catalysts were observed by XPS. Moreover, in situ FTIR studies and chlorine balance were also conducted, the addition of WO3 is helpful to the breakage of C-Cl, and a reaction mechanism for the catalytic oxidation of chlorobenzene was proposed. 3 V-5 W/Ti catalyst with better catalytic activity was selected for catalytic oxidation of PCDD/Fs using a lab scale PCDD/Fs generating and decomposing system. The degradation efficiency was 66.5% at 200 °C and 62.2% at 300 °C, which indicated that the low reaction temperature of 200 °C was conducive to the catalytic degradation of PCDDs, while the high temperature of 300 °C was facilitated the degradation of PCDFs.

The study on the effect of flotation purification on the performance of α-hemihydrate gypsum prepared from phosphogypsum.

Phosphogypsum (PG) is a massive industrial solid waste. In this paper, PG was purified by flotation method, and α-hemihydrate gypsum (α-HH) was prepared by the autoclaving method. The morphology of α-HH was adjusted by adding different doses of Maleic acid and Aluminium sulfate. The results showed that after flotation purification, the impurity content in PG was significantly reduced, the soluble phosphorus content decreased from 0.48 to 0.07%, the PG purity increased from 73.12 to 94.37%, and the PG whiteness risen from 19.4 to 40.5. Then the performance of α-HH prepared from PG before and after purification was compared. Fixing the amount of aluminium sulfate at 0.2 wt%, the reaction temperature at 140 °C, and the reaction time at 120 min, the average length/diameter ratio of α-HH crystals decreased from 7.2 to 0.6 as the amount of Maleic acid increased from 0 to 0.17 wt%. When the amount of Maleic acid was 0.13 wt%, the α-hemihydrate gypsum reached the best mechanical properties. The mechanical strength of high strength gypsum prepared from PG concentrate was significantly better than that of raw PG, indicating that flotation purification can effectively improve the performance of PG. In this study, a new method of PG purification and resource utilization was proposed.

Long-Term Cardiac Damage Associated With Abdominal Irradiation in Mice.

Aims: Irradiation is an effective treatment for tumors but has been associated with cardiac dysfunction. However, the precise mechanisms remain incompletely elucidated. This study investigated the long-term cardiac damage associated with abdominal irradiation and explored possible mechanisms. Methods and Results: Wild-type C57BL6/J mice were divided into two groups: untreated controls (Con) and treatment group receiving 15 Gy of abdominal gamma irradiation (AIR). Both groups received normal feeding for 12 months. The AIR group showed reductions in left ventricular ejection fraction (LVEF), fractional shortening (FS), left ventricular end-diastolic internal diameter (LVID; d), left ventricular end-diastolic volume (LV Vol. diastolic volume (LV Vol; d) and mitral transtricuspid flow late diastolic filling velocity (MV A). It also showed increased fibrosis, reduced conduction velocity and increased conduction heterogeneity. Non-targeted metabolomics showed the differential metabolites were mainly from amino acid metabolism. Further KEGG pathway annotation and enrichment analysis revealed that abnormalities in arginine and proline metabolism, lysine degradation, d-arginine and d-ornithine metabolism, alanine, aspartate and glutamate metabolism, and arginine biosynthesis. Conclusion: Abdominal irradiation causes long-term damage to the non-irradiated heart, as reflected by electrical and structural remodeling and mechanical dysfunction associated with abnormal amino acid biosynthesis and metabolism.

Polymorphisms in the K13-Propeller Gene in Artemisinin-Resistant Plasmodium in Mice.

Introduction: Artemisinin-based combination therapies (ACTs) act as first-line antimalarial drugs and play a crucial role in the successful control of falciparum malaria. However, the recent emergence of resistance of Plasmodium falciparum to ACTs in South East Asia is of particular concern. Hence, there is an urgent need to identify the genetic determinants of and understand the molecular mechanisms underpinning such resistance. Artemisinin resistance (AR) is primarily driven by the mutations in the P. falciparum K13 protein, which is widely recognized as the major molecular marker of AR. However, association of K13 mutations with in vivo AR has been ambiguous due to the absence of a tractable model. Methods: In this study, we have successfully produced artemisinin- and piperaquine-resistant P. berghei K173 following drug administrations. Prolonged parasite clearance and early recrudescence were found following daily exposure to high doses of artemisinin and piperaquine. We have also sequenced the DNA of artemisinin-resistant strains and piperaquine-resistant strains of P. berghei K173 to explore the relationship between PfK13 and AR. Results: The resistance index of P. berghei K173 reached 12.4 after 30 artemisinin-resistant generations, but AR declined gradually after 30 generations. On the 50th generation, the resistance index of artemisinin-resistant strains was only 5.0 compared with the severe drug resistance of piperaquine-resistant strains (I90=148.8). DNA sequencing of artemisinin-resistant strains showed that there were 9 meaningful mutations at P. berghei K13-propeller domain, but the above mutations did not include common clinical point mutations. Conclusion: Our data show that artemisinin is less susceptible to severe resistance compared with other antimalarial drugs. In addition, mutation on P. berghei K13 has a multi-drug-resistant phenotype and may be used as a biomarker to monitor its resistance. More studies need to be conducted on the new mutations detected so as to understand their association, if any, with ACT resistance.

Activation of NADPH oxidase mediates mitochondrial oxidative stress and atrial remodeling in diabetic rabbits.

AIMS: The mechanisms of atrial fibrillation (AF) in diabetes mellitus (DM) involve a complex interplay between increased oxidative stress, mitochondrial dysfunction and atrial remodeling. In this study, we examined the effects of nicotinamide adenine dinucleotide phosphate (NADPH) oxidase activation on mitochondrial oxidative stress and atrial remodeling in a rabbit model of diabetes mellitus (DM). MAIN METHODS: Healthy rabbits were selected and randomly divided into control, diabetic and apocynin administration group. Parameters of echocardiography, atrial electrophysiology, oxidative stress and mitochondrial function were compared between the different groups. KEY FINDINGS: Compared to the control group, the DM group showed higher activity of NADPH oxidase, increased oxidative stress, larger left atrial diameter, a reduction in atrial mean conduction velocity. These findings were associated with increased interstitial fibrosis of the atria and higher atrial fibrillation (AF) inducibility. Moreover, atrial ultrastructure and mitochondrial function such as the mitochondrial respiratory control rate (RCR) were impaired. NADPH oxidase inhibition using the pharmacological agent apocynin improved these changes. SIGNIFICANCE: NADPH oxidase activity plays an important role in mitochondrial oxidative stress, which is associated with AF inducibility by promoting adverse atrial remodeling. The NADPH oxidase inhibitor apocynin can prevent these pathological changes and may be a potential drug for AF treatment.

Red blood cell distribution width and atrial fibrillation.

Atrial fibrillation (AF) is the most frequent arrhythmia encountered in clinical practice and is a major health problem associated with remarkable morbidity, mortality and has considerable healthcare costs. Red blood cell distribution width (RDW) reflects the heterogeneity of the volume and size of red blood cells. It is an easily measured and inexpensive index that has been associated with several cardiovascular disease states. Accumulating evidence suggests that RDW is a prognostic marker of AF in various clinical settings. In this article, we review the available data regarding the prognostic role of RDW in AF development and perpetuation in diverse disease states as well as its role on the prediction of adverse outcomes.

Mesoporous Silica Membranes Silylated by Fluorinated and Non-Fluorinated Alkylsilanes for the Separation of Methyl Tert-Butyl Ether from Water.

It is of great significance to separate hazardous methyl tert-butyl ether (MTBE) from water in terms of environmental protection and human health. In the present work, α-Al2O3-suppotred silica membranes were prepared by the sol-gel and dip-coating technique. Two fluorinated alkylsilanes (1H,1H,2H,2H-perfluorooctyltriethoxysilane (PFOTES) and trifluoropropyltriethoxysilane (TFPTES)) and two non-fluorinated alkylsilanes (octyltriethoxysilane (OTES) and propyltriethoxysilane (PTES)) were adopted to silylate the silica membrane by the post-grafting method which is used for the separation of MTBE from water by pervaporation. The results show that silylation enhances the hydrophobicity of silica membranes. The silylated silica membranes are selective towards MTBE, and the MTBE/water separation factor varies with grafting agents in the order: PFOTES > TFPTES > OTES > PTES. Membranes silylated with fluorinated carbon chains seem to be more selective towards MTBE than those with non-fluorinated carbon chains. The total flux is proportional to the pore volume of silica membranes, which depends on grafting agents in the order: PTES > PFOTES > OTES > TFPTES. Considering both total flux and selectivity, the PFOTES-SiO2 membrane is most effective in separation, with a MTBE/water separation factor of 24.6 and a total flux of 0.35 kg m-2 h-1 under a MTBE concentration of 3.0% and a feed temperature of 30 °C.

Heavy Metals Removing from Municipal Solid Waste Incineration Fly Ashes by Electric Field-Enhanced Washing.

Municipal solid waste incineration (MSWI) fly ash contains chlorides, heavy metals, and organic pollutants, which requires appropriate disposal to eliminate this risk. In this study, the effects of agents on heavy metals removal from MSWI fly ash by electric field-enhanced washing were systematically studied. The results show that when these fly ashes were washed at a current density of 35 mA/cm2, polarity switching frequency of 40 Hz, Ethylenediaminetetraacetic acid (EDTA) dosage of 0.5 mol/L, and a pH of 2 for 4 h, almost all of the Cd and Ni could be were removed, with a removal efficiency of 100.00% and 99.59%, respectively. Meanwhile, it also shows a significant effect on Cu and Zn, with a removal efficiency higher than 85%. After washing, the results of the sequential extraction procedure showed that the residual forms of Pb, Cu, Zn, Cd, Ni, and As increased obviously. According to GB5085.3-2007, the toxicity of the treated MSWI fly ash were below their thresholds of 5 and 1 mg/L for Pb and Cd, respectively. Thus, a novel technology for heavy metals removal from MSWI fly ash is proposed.

Cardiac arrhythmias in patients with COVID-19.

The emergence of coronavirus disease 2019 (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has become a major global public health concern. Although SARS-CoV-2 causes primarily respiratory problems, concurrent cardiac injury cannot be ignored since it may be an independent predictor for adverse outcomes. Cardiac arrhythmias are often observed in patients with COVID-19, especially in severe cases, and more likely contribute to the high risk of adverse outcomes. Arrhythmias should be regarded as one of the main complications of COVID-19. Mechanistically, a number of ion channels can be adversely affected in COVID-19, leading to alterations in cardiac conduction and/or repolarization properties, as well as calcium handling, which can predispose to cardiac arrhythmogenesis. In addition, several antimicrobials that are currently used as potential therapeutic agents for COVID-19, such as chloroquine, hydroxychloroquine and azithromycin, have uncertain benefit, and yet may induce electrocardiographic QT prolongation with potential ventricular pro-arrhythmic effects. Continuous electrocardiogram monitoring, accurate and prompt recognition of arrhythmias are important. The present review focuses on cardiac arrhythmias in patients with COVID-19, its underlying mechanisms, and proposed preventive and therapeutic strategies.

ß2-adrenergic receptor autoantibodies alleviated myocardial damage induced by ß1-adrenergic receptor autoantibodies in heart failure.

Aims: ß1-adrenergic receptor autoantibodies (ß1-AAs) and ß2-adrenergic receptor autoantibodies (ß2-AAs) are present in patients with heart failure (HF); however, their interrelationship with cardiac structure and function remains unknown. This study explored the effects of the imbalance between ß1-AAs and ß2-AAs on cardiac structure and its underlying mechanisms in HF. Methods and results: Patients with left systolic HF who suffered from coronary heart disease (65.9%) or dilated cardiomyopathy (34.1%) were divided into New York Heart Association Classes I-II (n = 51) and Classes III-IV (n = 37) and compared with healthy volunteers as controls (n = 41). Total immunoglobulin G from HF patient serum comprising ß1-AAs and/or ß2-AAs were determined and purified for in vitro studies from neonatal rat cardiomyocytes (NRCMs). In addition, HF was induced by doxorubicin in mice. We observed that the increased ratio of ß1-AAs/ß2-AAs was associated with worsening HF in patients. Moreover, ß2-AAs from patients with HF suppressed the hyper-shrinking and apoptosis of NRCMS induced by ß1-AAs from some patients. Finally, ß2-AAs alleviated both myocardial damage and ß1-AAs production induced by doxorubicin in mice. Conclusion: ß2-AAs were capable of antagonizing the effects imposed by ß1-AAs both in vitro and in vivo. The imbalance of ß1-AAs and ß2-AAs in patients with HF is a mechanism underlying HF progression, and the increasing ratio of ß1-AAs/ß2-AAs should be considered a clinical assessment factor for the deterioration of cardiac function in patients with HF.