Nitrogen-phosphorus dual-doped auricularia auricula porous carbon as host for Li-S battery.

A nitrogen-phosphorus dual-doped porous spore carbon (NP-PSC) positive electrode matrix was prepared using native auricularia auricula as solid medium based on the principle of biomass rot. Yeast was introduce and cultured by the auricularia auricula solid medium. The freeze-drying and carbonization activation processes made the materials present a three-dimensional porous spore carbon aerogel properties. Yeast fermentation transformed auricularia auricula from blocky structure to porous structure and introduced nitrogen-phosphorus dual-doping. The physical and chemical properties of the prepared materials were characterized in detail. Electrochemical performance of NP-PSC in Li-S batteries was systematically investigated. Porous structure and heteroatom-doping improved the electrochemical performance, which is much superior to conventional activated carbon materials.

Risk assessment and strontium isotopic tracing of potentially toxic metals in creek sediments around a uranium mine, China.

The contamination of creek sediments near industrially nuclear dominated site presents significant environmental challenges, particularly in identifying and quantifying potentially toxic metal (loid)s (PTMs). This study aims to measure the extent of contamination and apportion related sources for nine PTMs in alpine creek sediments near a typical uranium tailing dam from China, including strontium (Sr), rubidium (Rb), manganese (Mn), lithium (Li), nickel (Ni), copper (Cu), vanadium (V), cadmium (Cd), zinc (Zn), using multivariate statistical approach and Sr isotopic compositions. The results show varying degrees of contamination in the sediments for some PTMs, i.e., Sr (16.1-39.6 mg/kg), Rb (171-675 mg/kg), Mn (224-2520 mg/kg), Li (11.6-78.8 mg/kg), Cd (0.31-1.38 mg/kg), and Zn (37.1-176 mg/kg). Multivariate statistical analyses indicate that Sr, Rb, Li, and Mn originated from the uranium tailing dam, while Cd and Zn were associated with abandoned agricultural activities, and Ni, Cu, and V were primarily linked to natural bedrock weathering. The Sr isotope fingerprint technique further suggests that 48.22-73.84% of Sr and associated PTMs in the sediments potentially derived from the uranium tailing dam. The combined use of multivariate statistical analysis and Sr isotopic fingerprint technique in alpine creek sediments enables more reliable insights into PTMs-induced pollution scenarios. The findings also offer unique perspectives for understanding and managing aqueous environments impacted by nuclear activities.

Cerebrolysin potentiates the antidepressant effect of lithium in a rat model of depression.

RATIONALE: Depression is the most prevalent psychiatric disorder worldwide. Although numerous antidepressant treatments are available, there is a serious clinical concern due to their severe side effects and the fact that some depressed patients are resistant to them. Lithium is the drug of choice for bipolar depression and has been used as adjunct therapy with other groups of antidepressants. OBJECTIVES: The present study aims to investigate the effect of lithium augmentation with cerebrolysin on the neurochemical, behavioral and histopathological alterations induced in the reserpine model of depression. METHODS: The animals were divided into control and reserpine-induced model of depression. The model animals were further divided into rat model of depression, rat model treated with lithium, rat model treated with cerebrolysin and rat model treated with a combination of lithium and cerebrolysin. RESULTS: Treatment with lithium, cerebrolysin, or their combination alleviated most of the changes in behavior, oxidative stress parameters, acetylcholinesterase and monoamines in the cortex and hippocampus of the reserpine-induced model of depression. It also improved the alterations in brain-derived neurotrophic factor (BDNF) and histopathology induced by reserpine. CONCLUSIONS: The augmentation of lithium with cerebrolysin showed a clear beneficial effect in the present model of depression suggesting the use of cerebrolysin as an adjuvant in antidepressant treatment.

The water extract of Amydrium sinense (Engl.) H. Li ameliorates Isoproterenol-induced cardiac hypertrophy through inhibiting the NF-κB signaling pathway.

OBJECTIVE: Pathologic cardiac hypertrophy (PCH) is a precursor to heart failure. Amydrium sinense (Engl.) H. Li (AS), a traditional Chinese medicinal plant, has been extensively utilized to treat chronic inflammatory diseases. However, the therapeutic effect of ASWE on PCH and its underlying mechanisms are still not fully understood. METHODS: A cardiac hypertrophy model was established by treating C57BL/6 J mice and neonatal rat cardiomyocytes (NRCMs) in vitro with isoprenaline (ISO) in this study. The antihypertrophic effects of AS water extract (ASWE) on cardiac function, histopathologic manifestations, cell surface area and expression levels of hypertrophic biomarkers were examined. Subsequently, the impact of ASWE on inflammatory factors, p65 nuclear translocation and NF-κB activation was investigated to elucidate the underlying mechanisms. RESULTS: In the present study, we observed that oral administration of ASWE effectively improved ISO-induced cardiac hypertrophy in mice, as evidenced by histopathological manifestations and the expression levels of hypertrophic markers. Furthermore, the in vitro experiments demonstrated that ASWE treatment inhibited cardiac hypertrophy and suppressed inflammation response in ISO-treated NRCMs. Mechanically, our findings provided evidence that ASWE suppressed inflammation response by repressing p65 nuclear translocation and NF-κB activation. ASWE was found to possess the capability of inhibiting inflammation response and cardiac hypertrophy induced by ISO. CONCLUSION: To sum up, ASWE treatment was shown to attenuate ISO-induced cardiac hypertrophy by inhibiting cardiac inflammation via preventing the activation of the NF-kB signaling pathway. These findings provided scientific evidence for the development of ASWE as a novel therapeutic drug for PCH treatment.

Granulation of hydrometallurgically synthesized spinel lithium manganese oxide using cross-linked chitosan for lithium adsorption from water.

A drastic increase in demand for electric vehicles and energy storage systems increases lithium (Li) need as a critical metal for the 21st century. Lithium manganese oxides stand out among inorganic adsorbents because of their high capacity, chemical stability, selectivity, and affordability for lithium recovery from aqueous media. This study investigates using hydrometallurgically synthesized lithium manganese oxide (Li1.6Mn1.6O4) in granular form coated with cross-linked chitosan for lithium recovery from water. Characterization methods such as SEM, FTIR, XRD, and BET reveal the successful synthesis of the composite adsorbent. Granular cross-linked chitosan-coated and delithiated lithium manganese oxide (CTS/HMO) adsorbent demonstrated optimal removal efficiency of 86 % at pH 12 with 4 g/L of adsorbent dosage. The Langmuir isotherm at 25 °C, which showed monolayer adsorption with a maximum capacity of 4.94 mg/g, a better fit for the adsorption behavior of CTS/HMO. Adsorption was endothermic and thermodynamically spontaneous. Lithium adsorption followed the pseudo-first-order kinetic model.

Staining and bleaching susceptibility of zirconia-reinforced lithium silicate glass-ceramics with different thicknesses, translucencies, and fabrication methods.

STATEMENT OF PROBLEM: The influence of different thicknesses, translucencies, and fabrication methods on the spectrophotometric and topographical properties of zirconia-reinforced lithium silicate glass-ceramics (ZLSs) for dental restorations remains unclear. PURPOSE: The purpose of this in vitro study was to investigate the effect of thicknesses, translucencies, and fabrication methods on the color stability, translucency parameter, opalescence parameter, whiteness stability, transmitted irradiance, light transmittance, opacity, gloss, and roughness of ZLSs exposed to coffee staining and bleaching treatments. MATERIAL AND METHODS: Two pressable ZLSs (VITA AMBRIA, VA and Celtra Press, CP) and 2 machinable ZLSs (VITA Suprinity, VS and Celtra Duo, CD) were examined at high translucency (HT) and low translucency (LT) levels in 2 thicknesses (n=160). The specimens were evaluated at baseline, after coffee staining, and after bleaching. The color stability (ΔE2000), translucency parameter (TP), opalescence parameter (OP), whiteness index (WID), and whiteness stability (ΔWID) were measured with a spectrophotometer. Transmitted irradiance (It), light transmission (T), and opacity (O) were obtained from a light-polymerizing unit and a polymerization light collection device. Roughness stability (ΔSa%) was determined with an optical profilometer, and gloss stability (ΔGU%) was recorded with a gloss meter. Data of ΔCIE2000, ΔWID, ΔSa%, and ΔGU% were analyzed by 4-way ANOVA, and data of the TP, OP, WID, It, T, and O were analyzed by repeated 4-way ANOVA (α=.05). RESULTS: VS-HT exceeded the ΔCIE2000 acceptability threshold after coffee staining and bleaching protocols. Pressable ZLSs exhibited greater color stability than machinable ZLSs. The 1-mm-thick VA, CP, and CD materials exceeded the ΔWID perceptibility threshold after bleaching. The highest TP and OP was displayed by the 1-mm-thick CP after bleaching. ΔGU increased after water storage and decreased after coffee staining and bleaching. ΔSa% significantly increased after bleaching (P<.05). CONCLUSIONS: The color stability and other spectrophotometric properties of ZLSs depended on material thickness. The effects of ZLS fabrication methods and translucency levels on their measured properties were inconsistent. Subjecting 1-mm-thick ZLS materials to acidic media adversely impacted their stainability and surface texture.

Circular economy strategies for mitigating metals shortages in electric vehicle batteries under China's carbon-neutral target.

Concerns over supply risks of critical metals used in electric vehicle (EV) batteries are frequently underscored as impediments to the widespread development of EVs. With the progress to achieve carbon neutrality by 2060 for China, projecting the critical metals demand for EV batteries and formulating strategies, especially circular economy strategies, to mitigate the risks of demand-supply imbalance in response to potential obstacles are necessary. However, the development scale of EVs in the transport sector to achieve China's carbon neutrality is unclear, and it remains uncertain to what extent circular economy strategies might contribute to the reduction of primary raw materials extraction. Consequently, we explore the future quantity of EVs in China required to achieve carbon neutrality and quantify the primary supply security levels of critical metals with the effort of battery cascade utilization, technology substitutions, recycling efficiency improvement, and novel business models, by integrating dynamic material flow analysis and national energy technology model. This study reveals that although 18%-30% of lithium and 20%-41% of cobalt, nickel, and manganese can be supplied to EVs through the reuse and recycling of end-of-life batteries, sustainable circular economy strategies alone are insufficient to obviate critical metals shortages for China's EV development. However, the supplementary capacity offered by second-life EV batteries, which refers to the use of batteries after they have reached the end of their first intended life, may prove adequate for China's prospective novel energy storage applications. The cumulative primary demand for lithium, cobalt, and nickel from 2021 to 2060 would reach 5-7 times, 23-114 times, and 4-19 times the corresponding mineral reserves in China. Substantial reduction of metals supply risks apart from lithium can be achieved by the cobalt-free battery technology developments combined with efficient recycling systems, where secondary supply can satisfy the demand as early as 2054.

Stability of potassium, calcium and phosphorus electrolytes in three different tubes in patients with essential thrombocytosis.

Proper blood collection and timely analysis are vital steps for reliable results. This study aims to compare potassium(K), calcium(Ca), and phosphorus(P) concentrations in serum separator tube (SST), lithium heparin tube without gel (LiH), and lithium heparin tube with a barrier (Barricor)tubes in essential thrombocytosis(ET) patients. Additionally, we assessed short-term stability of these analytes at room temperature. K, Ca and P concentrations of blood taken from 40 ET patients into SST, LiH and Barricor tubes were measured at 0, 2, 4 and 8 h. We calculated the percentage difference and defined the maximum permissible difference (MPD) using the Biological Variation Database. Intertube comparisons were conducted using Passing-Bablok regression and Bland-Altman analysis. Comparing SST to LiH, the percentage difference values for all tests exceeded the MPD. When comparing Barricor to LiH, K and Ca tests were above MPD, except for P. At the 8th hour, LiH showed clinically significant changes in all three electrolytes. Barricor exhibited stability for K, Ca, and P for up to 8 h, with only Ca levels borderline higher than the MPD. Our study reveals clinically significant alterations in K, Ca, and P concentrations in SST compared to LiH tubes, and in K and Ca concentrations in Barricor compared to LiH tubes. While K, Ca and P concentrations were stable for up to 4 h at room temperature in all tube types tested, significant changes were observed in all electrolytes at 8 h in the LiH tube.

The standardized extract of Centella asiatica L. Urb attenuates the convulsant effect induced by lithium/pilocarpine without affecting biochemical and haematological parameters in rats.

BACKGROUND: Status epilepticus (SE) is a type of epileptic activity characterized by a failure of the inhibitory mechanisms that limit seizures, which are mainly regulated by the GABAergic system. This imbalance increases glutamatergic neurotransmission and consequently produces epileptic activity. It is also associated with oxidative stress due to an imbalance between reactive oxygen species (ROS) and antioxidant defences. Unfortunately, long-term treatment with anti-epileptic drugs (AEDs) may produce hepatotoxicity, nephrotoxicity, and haematological alterations. In this way, some secondary metabolites of plants have been used to ameliorate the deterioration of nervous system disorders through their antioxidant properties, in addition to their anticonvulsant effects. An example is Centella asiatica, a plant noted to have a reputed neuroprotective effect related to its antioxidant activity. However, similar to conventional drugs, natural molecules may produce side effects when consumed in high doses, which could occur with Centella asiatica. Therefore, we aimed to evaluate the effect of a standardized extract of Centella asiatica L. Urb with tested anticonvulsant activity on biochemical and haematological parameters in rats subjected to lithium/pilocarpine-induced seizures. METHODS: Twenty-eight adult male Wistar rats were randomly divided into four groups (n = 7 each): vehicle (purified water), Centella asiatica (200 and 400 mg/kg), and carbamazepine (CBZ) (300 mg/kg) as a pharmacological control of anticonvulsant activity. Treatments were administered orally every 24 h for 35 consecutive days. On Day 36, SE was induced using the lithium/pilocarpine model (3 mEq/kg, i.p. and 30 mg/kg s.c., respectively), and the behavioural and biochemical effects were evaluated. RESULTS: Centella asiatica 400 mg/kg increased the latency to the first generalized seizure and SE onset and significantly reduced the time to the first generalized seizure compared to values in the vehicle group. Biochemical parameters, i.e., haematic cytometry, blood chemistry, and liver function tests, showed no significant differences among the different treatments. CONCLUSION: The dose of Centella asiatica that produces anticonvulsant activity in the lithium/pilocarpine model devoid of hepatotoxicity, nephrotoxicity, and alterations in haematological parameters suggests that the standardized extract of this plant could be of utility in the development of new safe therapies for the treatment of convulsions associated with epilepsy.

The Protective Effect of Lithium Against Rotenone may be Evolutionarily Conserved: Evidence from Eisenia fetida, a Primitive Animal with a Ganglionic Brain.

Chronic exposure to stress is a non-adaptive situation that is associated with mitochondrial dysfunction and the accumulation of reactive oxygen species (ROS), especially superoxide anion (SA). This accumulation of ROS produces damage-associated molecular patterns (DAMPs), which activate chronic inflammatory states and behavioral changes found in several mood disorders. In a previous study, we observed that an imbalance of SA triggered by rotenone (Ro) exposure caused evolutionarily conserved oxi-inflammatory disturbances and behavioral changes in Eisenia fetida earthworms. These results supported our hypothesis that SA imbalance triggered by Ro exposure could be attenuated by lithium carbonate (LC), which has anti-inflammatory properties. The initial protocol exposed earthworms to Ro (30 nM) and four different LC concentrations. LC at a concentration of 12.85 mg/L decreased SA and nitric oxide (NO) levels and was chosen to perform complementary assays: (1) neuromuscular damage evaluated by optical and scanning electron microscopy (SEM), (2) innate immune inefficiency by analysis of Eisenia spp. extracellular neutrophil traps (eNETs), and (3) behavioral changes. Gene expression was also evaluated involving mitochondrial (COII, ND1), inflammatory (EaTLR, AMP), and neuronal transmission (nAchR α5). LC attenuated the high melanized deposits in the circular musculature, fiber disarrangement, destruction of secretory glands, immune inefficiency, and impulsive behavior pattern triggered by Ro exposure. However, the effects of LC and Ro on gene expression were more heterogeneous. In summary, SA imbalance, potentially associated with mitochondrial dysfunction, appears to be an evolutionary component triggering oxidative, inflammatory, and behavioral changes observed in psychiatric disorders that are inhibited by LC exposure.

Folic acid supplementation improved cognitive deficits associated with lithium administration during pregnancy in rat offspring.

INTRODUCTION: The present study aimed to analyse both neurobehavioural and biochemical results of neonates born of mothers exposed to different doses of lithium along with the groups that received lithium at the highest dose with folic acid as a preventive treatment. MATERIALS AND METHODS: Male and female rats were mated in separate cages, and pregnant rats were divided into eight first group as (1) vehicle; (2) propylthiouracil (PTU)-induced hypothyroidism; (3-4) received two different doses of lithium carbonate (15 and 30 mg/kg); (5-7) the highest doses of lithium (30 mg/kg) plus three different doses of folic acid (5, 10 and 15 mg/kg); and (8) received just folic acid (15 mg/kg). All treatments were dissolved in drinking water and continued until delivery, followed by returning to a regular diet without treatment. RESULTS: Lithium (30 mg/kg) disrupts both behavioural and biochemical markers, including TSH, T3 and T4 as measuring indicators to assess thyroid function, IL-10 and TNF-α as anti-inflammatory and inflammatory agents, respectively, malondialdehyde as an oxidative stress marker, alongside SOD, and catalase activity as antioxidant indicators. Besides, folic acid, almost at the highest dose (15 mg/kg), attenuated memory impairement and anxiety-like behaviour caused by lithium. Moreover, the groups treated with folic acid alone in comparison with vehicles demonstrated higher levels of antioxidant and anti-inflammatory indicators. CONCLUSION: According to the results, prenatal exposure to a high dose of lithium (30 mg/kg) leads to foetal neurodevelopmental disorder and growth restriction through various mechanisms more likely attributed to hypothyroidism, which means it should be either prohibited or prescribed cautiously during pregnancy.

Exploring the Impact of Recycling on Demand-Supply Balance of Critical Materials in Green Transition: A Dynamic Multi-Regional Waste Input-Output Analysis.

Addressing our climate urgency requires various renewable and low-carbon technologies, which often contain critical materials that face potential supply risks. Existing studies on the critical material implications of green transition have used various methodologies, each with pros and cons in providing a system understanding. Here, we integrated the dynamic material flow analysis and input-output modeling principles in an integrated multi-regional waste input-output model to assess the demand-supply balance and recycling potentials for cobalt, lithium, neodymium, and dysprosium under various energy scenarios projected to 2050. We show that although all four critical materials are likely to face strong growth in annual demand (as high as a factor of 25 compared to the 2015 level), only cobalt has a higher cumulative demand by 2050 than the known reserves. Nevertheless, considering the sheer scale of demand increase and long lead time of opening or expanding new mines, recycling efforts are urgently needed to supplement primary supply toward global green transition. This model integration is proven useful and can be extended to more critical materials and green technologies.

Closed-loop recycling of spent lithium-ion batteries based on selective sulfidation: An unconventional approach.

The facile recycling of spent lithium-ion batteries (LIBs) has attracted considerable attention because of its great importance to environmental protection and resource utilization. A novel process is developed for cyclic utilization of spent LiNixCoyMnzO2 (NCM) batteries. The spent NCM was converted into water-soluble Li2CO3, acid-dissolved MnO, and nickel-cobalt sulfides through selective sulfidation, based on roasting condition optimization and thermodynamic calculation. More than 98 % of lithium is extracted preferentially from calcined NCM through water leaching, and over 99 % of manganese is extracted selectively from water leaching residue with H2SO4 solution of 0.4 mol/L in the absence of additional reductant. The nickel and cobalt sulfides were concentrated into the leaching residue without metal impurities. The obtained Li2CO3, MnSO4, and nickel-cobalt sulfides can be regenerated as new NCM, showing good electrochemical performance, and its discharge capacity is 169.8 mAh/g at 0.2C. After 100 cycles at 0.2C, the discharge specific capacity can still be maintained at 143.24 mAh/g, and its capacity retention ratio is as high as 92  %. An environmental assessment and economic evaluation indicate that the process is an economical and eco-friendly approach for green recycling of spent LIBs.

Effects of Diabetes on Elemental Levels and Nanostructure of Root Canal Dentin.

INTRODUCTION: This study evaluated the effects of diabetes mellitus (DM) on the nanostructure of root canal dentin using high-resolution transmission electron microscopy (HRTEM) and inductively coupled plasma mass spectrometry (ICP-MS). METHODS: Twenty extracted human premolars from diabetic and nondiabetic patients (n = 10 in each group) were decoronated and sectioned horizontally into 40 2-mm-thick dentin discs, with each disc designated for a specific test. ICP-MS was used to determine the different elemental levels of copper, lithium, zinc, selenium, strontium, manganese, and magnesium in diabetic and nondiabetic specimens. HRTEM was used to analyze the shape and quantity of the apatite crystals in diabetic and nondiabetic dentin at the nanostructural level. Statistical analysis was performed using Kolmogorov-Smirnov and Student t test (P < .05). RESULTS: ICP-MS revealed significant differences in trace element concentrations between the diabetic and nondiabetic specimens (P < .05), with lower levels of magnesium, zinc, strontium, lithium, manganese, and selenium (P < .05), and higher levels of copper in diabetic specimens (P < .05). HRTEM revealed that diabetic dentin exhibited a less compact structure with smaller crystallites and significantly more crystals in the 2500 nm2 area (P < .05). CONCLUSION: Diabetic dentin exhibited smaller crystallites and altered elemental levels more than nondiabetic dentin, which could explain the higher root canal treatment failure rate in diabetic patients.

High performance C-A-S-H seeds from fly ash-carbide slag for activating lithium slag towards a low carbon binder.

In this work, one-step synthesis of high-performance C-A-S-H (calcium alumina silicate hydrate) seeds from low-calcium fly ash (FA) and carbide slag (CS) by 7 days of mechanochemical mixing was proposed and used to activate lithium slag (LS) cement. The results showed that the seeding effect of C-A-S-H seeds was increased with the increasing Ca/Si (i.e. from 1.0 to 1.5), i.e. the mortar compressive strength of 1 day and 28 days were increased by 67% and 29% with the addition of 1.0% C-A-S-H nano-seeds at Ca/Si = 1.5 in the presence of polycarboxylate superplasticizer (PCE), respectively. Moreover, the chloride resistance of lithium slag cement was improved significantly, i.e. the electric flux was decreased by more than 30% than that of plain lithium slag cement mortar. The performance difference of various C-A-S-H seeds is mainly attributed to their high proportion and polymerization degree, more stretch and three-dimensional foil-like morphology at high Ca/Si. This study provides guidance for obtaining low-cost and high-performance C-A-S-H seeds from wastes and the highly efficient utilization of LS as supplementary cementitious materials (SCMs) in the future.

Atomic Layer Deposition of Alumina-Coated Thin-Film Cathodes for Lithium Microbatteries.

This work shows the electrochemical performance of sputter-deposited, binder-free lithium cobalt oxide thin films with an alumina coating deposited via atomic layer deposition for use in lithium-metal-based microbatteries. The Al2O3 coating can improve the charge-discharge kinetics and suppress the phase transition that occurs at higher potential limits where the crystalline structure of the lithium cobalt oxide is damaged due to the formation of Co4+, causing irreversible capacity loss. The electrochemical performance of the thin film is analysed by imposing 4.2, 4.4 and 4.5 V upper potential limits, which deliver improved performances for 3 nm of Al2O3, while also highlighting evidence of Al doping. Al2O3-coated lithium cobalt oxide of 3 nm is cycled at 147 µA cm-2 (~2.7 C) to an upper potential limit of 4.4 V with an initial capacity of 132 mAh g-1 (65.7 µAh cm-2 µm-1) and a capacity retention of 87% and 70% at cycle 100 and 400, respectively. This shows the high-rate capability and cycling benefits of a 3 nm Al2O3 coating.

Lithium and phosphorus-functionalized graphitic carbon nitride monolayer for efficient hydrogen storage: A DFT study.

We have explored the consequence of lithium and phosphorous functionalization on the graphitic carbon nitride (g-C3N4) monolayer for hydrogen storage using density functional theory. Both pristine and Li and P decorated g-C3N4 show a semiconductor nature. The substantial overlap between the s orbital of Li and the p orbital of nitrogen near the Fermi level shows the binding between Li and the g-C3N4. The repositioning of HOMO and LUMO is noticed in the Li and P decorated g-C3N4. The Bader charge analysis indicates the charge allocation from the Li and P atom to the g-C3N4, which results in the adsorption of H2 by electrostatic interaction. The hydrogen storage capacity of 5.78 wt% is obtained after functionalizing Li and P into the g-C3N4. The obtained adsorption energies for the H2 adsorption and the H2 desorption temperature confirm that Li and P functionalized g-C3N4 is a fascinating candidate for the reversible loading of H2 at ambient conditions.

Safety and efficacy of lithium in patients with amyotrophic lateral sclerosis: a systematic review and meta-analysis of randomized controlled trials.

OBJECTIVES: This study provides a systematic review and meta-analysis of randomized controlled trials (RCTs) investigating the safety and efficacy of lithium in amyotrophic lateral sclerosis (ALS) patients. METHODS: PubMed, Web of Science, Cochrane CENTRAL, Scopus, and Your Journals@Ovid were searched up to 9 December 2022. RCTs investigating lithium, either alone or with any supplement, in ALS patients were included. Meta-analysis was performed using RevMan and results are presented in forest plot. RESULTS: Four RCTs with 469 patients met the inclusion criteria and were included in our study. Lithium doses varied among the included studies and one study used a combined therapy of lithium with valproate. Meta-analysis showed no difference between lithium and placebo regarding severe adverse events (odds ratio = 1.13, 95% confidence interval: 0.73 to 1.75, P = 0.58). No significant differences were observed with regard to survival rate between the two groups (hazard ratio = 0.95, 95% confidence interval: 0.65 to 1.37, P = 0.77). There were also no significant differences between the two groups with regard to average changes of revised amyotrophic lateral sclerosis functional rating scale (P = 0.35) and forced vital capacity percentage predicted (P = 0.73). Subgroup analysis showed no significant differences regarding all investigated outcomes either for lithium alone or lithium with valproate. CONCLUSION: Current evidence suggests a safety profile with no benefit of lithium for ALS. However, given the limited number of RCTs and the safety findings, we recommend further well-designed RCTs to investigate lithium and valproate in ALS patients.

Appropriate Macronutrients or Mineral Elements Are Beneficial to Improve Depression and Reduce the Risk of Depression.

Depression is a common mental disorder that seriously affects the quality of life and leads to an increasing global suicide rate. Macro, micro, and trace elements are the main components that maintain normal physiological functions of the brain. Depression is manifested in abnormal brain functions, which are considered to be tightly related to the imbalance of elements. Elements associated with depression include glucose, fatty acids, amino acids, and mineral elements such as lithium, zinc, magnesium, copper, iron, and selenium. To explore the relationship between these elements and depression, the main literature in the last decade was mainly searched and summarized on PubMed, Google Scholar, Scopus, Web of Science, and other electronic databases with the keywords "depression, sugar, fat, protein, lithium, zinc, magnesium, copper, iron, and selenium". These elements aggravate or alleviate depression by regulating a series of physiological processes, including the transmission of neural signals, inflammation, oxidative stress, neurogenesis, and synaptic plasticity, which thus affect the expression or activity of physiological components such as neurotransmitters, neurotrophic factors, receptors, cytokines, and ion-binding proteins in the body. For example, excessive fat intake can lead to depression, with possible mechanisms including inflammation, increased oxidative stress, reduced synaptic plasticity, and decreased expression of 5-Hydroxytryptamine (5-HT), Brain Derived Neurotrophic Factor (BDNF), Postsynaptic density protein 95(PSD-95), etc. Supplementing mineral elements, such as selenium, zinc, magnesium, or lithium as a psychotropic medication is mostly used as an auxiliary method to improve depression with other antidepressants. In general, appropriate nutritional elements are essential to treat depression and prevent the risk of depression.