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In field of electrochemistry, there has been a growing interest in the potential applications of proton-conducting metal-organic frameworks (MOFs). Therefore, how to design and synthesize MOFs with high proton conductivity is considered crucial. In this study, two examples of nitro-containing Cd-based MOFs, MOF-1 {[Cd3(TIPE)1.5(NO3)5Cl(H2O)2]·17H2O}n and MOF-2 {[Cd(TIPE)0.5(nip)]·10H2O}n (TIPE=1,1,2,2-tetrakis(4-(1H-imidazole-1-yl)phenyl)ethene, H2nip=5-Nitroisophthalic Acid), had been successfully designed and synthesized, and their proton-conducting properties were thoroughly investigated. Notably, both materials displayed peak proton conductivity at 98% RH and 90 °C, exhibiting values of 9.13 × 10-3 and 3.00 × 10-3 Sâcm-1 for MOF-1 and MOF-2, respectively. The plausible proton conduction pathways and mechanisms were elucidated through structural analyses, water vapor adsorption studies, and the determination of activation energy (Ea) values. It was found that the difference in proton conductivity between MOF-1 and MOF-2 was mainly associated with the different water absorption rates of the samples. The uniqueness of this study was that for the first time conducted an in-depth study of the role of nitrate in proton conduction, providing new ideas for designing materials with excellent proton conductivity.
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Quantum sensing has emerged as a powerful technique to detect and measure physical and chemical parameters with exceptional precision. One of the methods is to use optically active spin defects within solid-state materials. These defects act as sensors and have made significant progress in recent years, particularly in the realm of two-dimensional (2D) spin defects. In this article, we focus on the latest trends in quantum sensing that use spin defects in van der Waals (vdW) materials. We discuss the benefits of combining optically addressable spin defects with 2D vdW materials while highlighting the challenges and opportunities to use these defects. To make quantum sensing practical and applicable, the article identifies some areas worth further exploration. These include identifying spin defects with properties suitable for quantum sensing, generating quantum defects on demand with control of their spatial localization, understanding the impact of layer thickness and interface on quantum sensing, and integrating spin defects with photonic structures for new functionalities and higher emission rates. The article explores the potential applications of quantum sensing in several fields, such as superconductivity, ferromagnetism, 2D nanoelectronics, and biology. For instance, combining nanoscale microfluidic technology with nanopore and quantum sensing may lead to a new platform for DNA sequencing. As materials technology continues to evolve, and with the advancement of defect engineering techniques, 2D spin defects are expected to play a vital role in quantum sensing.
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Peroxymonosulfate (PMS) activation by solid catalysts for ciprofloxacin (CIP) removal is a promising method for decontaminating wastewater. However, mainstream catalysts suffer from efficiency and durability issues due to mechanical fragility and structural instability. Here, we have developed a durable calcium alginate hydrogel encapsulating fluorinated cobalt oxyhydroxide (FCO/CAH), fabricated by a simple hydrogen-bond-assisted cross-linking reaction, to enhance PMS activation for complete CIP removal. The optimized 2-FCO/CAH could generate abundant singlet oxygen (1O2) and sulfate radicals (SO4Ë-) with PMS, resulting in 0.433 min-1 kinetic constant and approximately 100% CIP degradation within 10 minutes. This exceptional degradation efficiency is due to the even distribution of 2-FCO, which maximizes catalytic sites for PMS activation, and the multichannel cavity structure of CAH, which effectively enriches both PMS and CIP. Furthermore, the durability of 2-FCO/CAH was proved by its negligible decay in CIP removal efficiency (â¼100%) and good microstructure retention after 6 consecutive cycles, facilitated by a stable surface reconstructed interphase on the 2-FCO surface and the strong mechanical property of 2-FCO/CAH. Our work showcases a facile approach to constructing durable hydrogel catalysts that improve PMS-mediated antibiotic degradation.
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Seaweeds, despite being rich in beneficial substances, also contain toxic metals such as cadmium (Cd), leading to ongoing debates about their health impacts. This study assessed the risk of Cd exposure from consuming nori and kelp, as well as the potential benefits of these seaweeds in mitigating Cd exposure from rice, using mouse bioassays. The results indicated that all test nori samples (nâ¯=â¯35) had Cd concentration exceeding 1.2⯵gâ¯g-1, while the majority of kelp samples (18 out of 24) contained <0.5⯵gâ¯g-1. When mixed with Cd-free rice at a 5â¯% (w/w) ratio and administered to mice for 14â¯days, kelp samples with 0.36 and 0.50⯵gâ¯g-1 Cd (Kelp-0.36 and Kelp-0.50) did not result in Cd accumulation in the liver or kidneys. Conversely, nori samples with 1.30 and 1.67⯵gâ¯g-1 Cd (Nori-1.30 and Nori-1.67) led to significant Cd accumulation, highlighting the exposure risk associated with nori. This risk was further emphasized by a doubling of Cd accumulation in the tissues of mice fed sushi containing nori compared to those fed sushi without nori. However, the Cd accumulation from consuming Nori-1.30 and Nori-1.67 was comparable to that from rice with a lower Cd concentration (0.93⯵gâ¯g-1), suggesting a lower bioavailability of Cd in nori than in rice. More promisingly, when consumed with Cd-containing rice at a 5â¯% (w/w) ratio, Kelp-0.36, Kelp-0.50, Nori-1.30, and Nori-1.67 reduced the accumulation of rice Cd in mouse tissues by 25.8â¯%-48.1â¯%, primarily by increasing the relative abundances of Bacteroides in the gut of mice and enhancing fecal output, which in turn increased the excretion of rice-derived Cd by 1.46-1.54 times. These findings suggest that kelp consumption may be relatively safe, while caution is advised for nori. Moreover, regular consumption of specific amounts of seaweeds, particularly kelp, could help to reduce Cd exposure from rice.
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Lithium-sulfur (Li-S) batteries have been pursued due to their high theoretical energy density and superb cost-effectiveness. However, the dissolution-conversion mechanism of sulfur inevitably leads to shuttle effects and interface passivation issues, which impede Li-S battery practical application. Herein, the approach of adopting transition metal salts (CoI2) to engineering the electrolyte is proposed. Different from anchored transition metal catalysts in the cathode, soluble cobalt ions can chemically reduce and solidify polysulfides, alleviating the dependence of sulfur conversion on the conductive interface while suppressing the shuttle effect. Importantly, all elements in CoI2 are in the lowest valence state and solid complexes are formed after the redox reaction, which prevents the migration of high valent Co3+ to the anode, thus overcoming the poor compatibility between redox mediator and Li anode. Notably, I3- has the function of eliminating dead sulfur and dead lithium, which we apply to Li-S batteries. After activating I3- at a certain frequency, Li-S batteries indeed achieve a longer and more stable cycle life. By combining the regulatory behavior of anions and cations, the electrolyte is engineered for Li-S batteries with high capacity, long lifespan, and excellent rate performance.
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BACKGROUND AND AIMS: The phenomenon of myosteatosis, characterized by the accumulation of ectopic fat within and surrounding skeletal muscle, has been identified as a potential adverse factor in the prognosis of individuals with cancer. This systematic review and meta-analysis sought to examine the association between myosteatosis and survival rates as well as postoperative complications in patients diagnosed with pancreatic cancer (PC). METHODS: A systematic search was conducted on Web of Science, Embase, and Pubmed until March 25, 2024, to identify pertinent articles assessing the prognostic significance of myosteatosis in patients with PC, utilizing the search terms: myosteatosis, PC, and prognosis. The selected studies were utilized to investigate the prognostic impact of myosteatosis on the survival of PC patients. Forest plots and pooled effects models were employed to present the findings of this meta-analysis. The quality of the included studies was evaluated using the Newcastle-Ottawa Scale (NOS). A total of 565 studies were initially identified from the three databases, with 14 retrospective cohort studies ultimately included in the final quantitative analysis. RESULTS: The meta-analysis revealed a significant association between myosteatosis and both overall survival (OS) [Hazard Ratio (HR): 1.55, 95 % Confidence Interval (CI): 1.40-1.72, P < 0.001, I2 = 0.0 %] and recurrence-free survival (RFS) (HR 1.48, 95 % CI: 1.17-1.86, P = 0.001, I2 = 0.0 %) in patients diagnosed with PC. Subgroup analyses revealed that myosteatosis continued to be a negative prognostic factor in PC across various treatment modalities, patient populations, and myosteatosis assessment methods. Additionally, myosteatosis was identified as a risk factor for postoperative complications, with a pooled odds ratio of 2.20 (95 % CI: 1.45-3.35, P < 0.001, I2 = 37.5 %). All included studies achieved NOS scores of 6 or higher, indicating a relatively high level of methodological quality. CONCLUSION: These results suggest that myosteatosis is significantly associated with both survival outcomes and postoperative complications in patients with PC.
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BACKGROUND: MIB-1, a monoclonal antibody against Ki-67, exhibits specific membrane staining in the immunohistochemistry of hyalinising trabecular tumor (HTT). This specific staining pattern is crucial in diagnosing HTT. Although manual immunohistochemical staining remains the established method for MIB-1 staining, this process is complicated, inconsistent, and prone to false negatives. METHODS: This study aimed to explore whether the classical reaction pattern can be replicated by utilizing the current mainstream automated immunohistochemical staining platforms. Furthermore, we examined the effect of different conditions on staining efficiency and their value in clinical diagnosis assistance. RESULTS: Specimens obtained from eight and six cases of HTT and non-HTT, respectively, from a single center were stained using the manual staining method and the Dako Autostainer Link 48 (AS48), Dako Omnis, Ventana BenchMark ULTRA, and Leica BOND-III automated immunohistochemical staining platforms. The Autostainer Link 48 was found to be the most stable staining platform, while the BenchMark ULTRA with primary antibody incubation at room temperature (RT) and the Omnis platform with antigen retrieval at pH 9.0 were able to reproduce membrane-positive staining for MIB-1 in the HTT specimens. CONCLUSIONS: Our results offer crucial reference value for clinical diagnostic assistance.
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This study delves into the application of Brain-Computer Interfaces (BCIs), focusing on exploiting Steady-State Visual Evoked Potentials (SSVEPs) as communication tools for individuals facing mobility impairments. SSVEP-BCI systems can swiftly transmit substantial volumes of information, rendering them suitable for diverse applications. However, the efficacy of SSVEP responses can be influenced by variables such as the frequency and color of visual stimuli. Through experiments involving participants equipped with electrodes on the brain's visual cortex, visual stimuli were administered at 4, 17, 25, and 40Hz, using white, red, yellow, green, and blue light sources. The results reveal that white and green stimuli evoke higher SSVEP responses at lower frequencies, with color's impact diminishing at higher frequencies. At low light intensity (1W), white and green stimuli elicit significantly higher SSVEP responses, while at high intensity (3W), responses across colors tend to equalize. Notably, due to seizure risks, red and blue lights should be used cautiously, with white and green lights preferred for SSVEP-BCI systems. This underscores the critical consideration of color and frequency in the design of effective and safe SSVEP-BCI systems, necessitating further research to optimize designs for clinical applications.
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Interfaces Cerebro-Computador , Electroencefalografía , Potenciales Evocados Visuales , Estimulación Luminosa , Humanos , Potenciales Evocados Visuales/fisiología , Masculino , Adulto , Estimulación Luminosa/métodos , Femenino , Adulto Joven , Corteza Visual/fisiologíaRESUMEN
The emergence of brain-computer interface (BCI) technology provides enormous potential for human medical and daily applications. Therefore, allowing users to tolerate the visual response of SSVEP for a long time has always been an important issue in the SSVEP-BCI system. We recruited three subjects and conducted visual experiments in groups using different frequencies (17 and 25Hz) and 60Hz light. After recording the physiological signal, use FFT to perform a time-frequency analysis on the physiological signal to check whether there is any difference in the signal-to-noise ratio and amplitude of the 60Hz light source compared with a single low-frequency signal source. The results show that combining a 60Hz light source with low-frequency LEDs can reduce participants' eye discomfort while achieving effective light stimulation control. At the same time, there was no significant difference in signal-to-noise ratio and amplitude between the groups. This also means that 60Hz can make vision more continuous and improve the subject's experience and comfort. At the same time, it does not affect the performance of the original SSVEP-induced response. This study highlights the importance of considering technical aspects and user comfort when designing SSVEP-BCI systems to increase the usability of SSVEP systems for long-term flash viewing.
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Interfaces Cerebro-Computador , Electroencefalografía , Potenciales Evocados Visuales , Estimulación Luminosa , Humanos , Estimulación Luminosa/métodos , Masculino , Potenciales Evocados Visuales/fisiología , Adulto , Femenino , Adulto Joven , Percepción Visual/fisiología , Relación Señal-RuidoRESUMEN
Atomic force microscope generally works by manipulating the absolute magnitude of the van der Waals force between tip and specimen. This force is, however, less sensitive to atom species than to tip-sample separations, making compositional identification difficult, even under multi-modal strategies or other atomic force microscopy variations. Here, we report the phenomenon of a light-modulated tip-sample van der Waals force whose magnitude is found to be material specific, which can be employed to discriminate heterogeneous compositions of materials. We thus establish a near-field microscopic method, named light-modulated van der Waals force microscopy. Experiments discriminating heterogeneous crystalline phases or compositions in typical materials demonstrate a high compositional resolving capability, represented by a 20 dB signal-to-noise ratio on a MoTe2 film under the excitation of a 633 nm laser of 1.2 mW, alongside a sub-10 nm lateral spatial resolution, smaller than the tip size of 20 nm. The simplicity of the light modulation mechanism, minute excitation light power, broadband excitation wavelength, and diversity of the applicable materials imply broad applications of this method on material characterization, particularly on two-dimensional materials that are promising candidates for next-generation chips.
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PREMISE: The expected concomitant increase in multiple stressors such as herbivory and drought may threaten peatland ecosystems. How Sphagnum, the ecological engineers of peatlands, responds to combined stressors remains largely unexplored. Here we aimed to clarify resource allocations in Sphagnum during concomitant herbivory and drought. METHODS: S. magellanicum and S. fuscum were exposed to drought and herbivory together or separately in laboratory experiments and analyzed for growth (biomass production and net photosynthetic rate), defense (phenolics in leachates and phenolics in extraction) and nonstructural carbohydrates (soluble sugar and starch) in relation to untreated controls. RESULTS: Herbivory and drought had significant interactive effects on Sphagnum growth and defense. In both species, drought without herbivory reduced the phenolics in leachate, but with herbivory increased phenolics, indicating a synergistic effect between herbivory and drought on Sphagnum defense. Both stressors significantly decreased biomass production, with the combined stress having a more negative effect. Interestingly, a growth-defense trade-off was found in the drought treatment of both Sphagnum species, but disappeared in the wet treatment. Conversely, a trade-off between soluble sugars and phenolics was found in the wet but not in the drought treatment, suggesting that soluble sugars may play a role in inducing the defense and hence mask the growth-defense trade-off in peat mosses. CONCLUSIONS: Our results emphasize that predicting the impact of combined stressors on peat moss traits is complex and challenging. Future models should account for the effects of multiple environmental stressors to guide peatland conservation under climate warming.
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Cartilage injury is a common occurrence in the modern world. Compared with traditional treatment methods, bio-3D printing technology features better utility in the field of cartilage repair and regeneration, but still faces great challenges. For example, there is currently no means to generate blood vessels inside the scaffolds, and there remains the question of how to improve the biocompatibility of the generated scaffolds, all of which limit the application of bio-3D printing technology in this area. The main objective of this article was to prepare sodium alginate-xanthan gum-hydroxyapatite (SA-XG-HA) porous cartilage scaffolds that can naturally degrade in the human body and be used to promote cartilage damage repair by 3D printing technology. First, the viscosities of SA and XG were analyzed, and their optimal ratio was determined. Second, a mathematical model of the hybrid slurry was established based on the power-law fluid model, in which the printing pressure, needle movement speed, and fiber spacing were established as important parameters affecting the printing performance of the composite. Third, by performing a finite element simulation of the printing process and combining it with the actual printing process, suitable printing parameters were determined (air pressure of 1 bar, moving speed of 9 mm/s, line spacing of 1.6 mm, and adjacent layers of 0-90°). Fourth, composite scaffolds were prepared and tested for their compressive properties, degradation properties, cytotoxicity, and biocompatibility. The results showed that the novel composite scaffolds prepared in this study possessed good mechanical and biological properties. Young's modulus of the composite scaffolds reached 130 KPa and was able to maintain a low degradation rate in simulated body fluid solution for >1 month. The activity of the C5.18 chondrocytes in the scaffold leach solution exceeded 120%. The cells were also able to proliferate densely on the scaffold surface.
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Hearing sensitivity and noise protection are mediated and determined by negative feedback of the cochlear efferent system. Type II auditory nerves (ANs) innervate outer hair cells (OHCs) in the cochlea and provide an input to this efferent control. However, little is known about underlying channel information. Here, we report that ATP-gated P2x7 receptor had a predominant expression at type II ANs and the synaptic areas under inner hair cells and OHCs with lateral and medial olivocochlear efferent nerves. Knockout (KO) of P2x7 increased hearing sensitivity with enhanced acoustic startle response (ASR), auditory brainstem response (ABR), and cochlear microphonics (CM) by increasing OHC electromotility, an active cochlear amplifier in mammals. P2x7 KO also increased susceptibility to noise. Middle level noise exposure could impair active cochlear mechanics resulting in permanent hearing loss in P2x7 KO mice. These data demonstrate that P2x7 receptors have a critical role in type II AN function and the cochlear efferent system to control hearing sensitivity; deficiency of P2x7 receptors can impair the cochlear efferent suppression leading to hearing oversensitivity and susceptibility to noise.
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The liver plays an important role in regulating lipid metabolism in animals. This study investigated the function and mechanism of lncLLM in liver lipid metabolism in hens at the peak of egg production. The effect of lncLLM on intracellular lipid content in LMH cells was evaluated by qPCR, Oil Red O staining, and detection of triglyceride (TG) and cholesterol (TC) content. The interaction between lncLLM and MYH9 was confirmed by RNA purification chromatin fractionation (CHIRP) and RNA immunoprecipitation (RIP) analysis. The results showed that lncLLM increased the intracellular content of TG and TC and promoted the expression of genes related to lipid synthesis. It was further found that lncLLM had a negative regulatory effect on the expression level of MYH9 protein in LMH cells. The intracellular TG and TC content of MYH9 knockdown cells increased, and the expression of genes related to lipid decomposition was significantly reduced. In addition, this study confirmed that the role of lncLLM is at least partly through mediating the ubiquitination of MYH9 protein to accelerate the degradation of MYH9 protein. This discovery provides a new molecular target for improving egg-laying performance in hens and treating fatty liver disease in humans.
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Pollos , Metabolismo de los Lípidos , Cadenas Pesadas de Miosina , ARN Largo no Codificante , Ubiquitinación , Animales , Cadenas Pesadas de Miosina/metabolismo , Cadenas Pesadas de Miosina/genética , ARN Largo no Codificante/genética , ARN Largo no Codificante/metabolismo , Triglicéridos/metabolismo , Colesterol/metabolismo , Línea Celular , Hígado/metabolismoRESUMEN
[This retracts the article DOI: 10.3892/etm.2020.8996.].
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Hepatic ischemia-reperfusion injury (IRI) is a severe complication that occurs in the process of liver transplantation, hepatectomy, and other end-stage liver disease surgery, often resulting in the failure of surgery operation and even patient death. Currently, there is no effective way to prevent hepatic IRI clinically. Here, it is reported that the ultra-small copper-based multienzyme-like nanoparticles with catalase-like (CAT-like) and superoxide dismutase-like (SOD-like) catalytic activities significantly scavenge the surge-generated endogenous reactive oxygen species (ROS) and effectively protects hepatic IRI. Density functional theory calculations confirm that the nanoparticles efficiently scavenge ROS through their synergistic effects of the ultra-small copper SOD-like activity and manganese dioxides CAT-like activity. Furthermore, the results show that the biocompatible CMP NPs significantly protected hepatocytes from IRI in vitro and in vivo. Importantly, their therapeutic effect is much stronger than that of N-acetylcysteamine acid (NAC), an FDA-approved antioxidative drug. Finally, it is demonstrated that the protective effects of CMP NPs on hepatic IRI are related to suppressing inflammation and hepatocytic apoptosis and maintaining endothelial functions through scavenging ROS in liver tissues. The study can provide insight into the development of next-generation nanomedicines for scavenging ROS.
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Rapeseed (Brassica napus L.) is a major oilseed crop in the middle and lower reaches of the Yangtze River in China. However, it is susceptible to waterlogging stress. This study aimed to investigate the physiological characteristics, cellular changes, and gene expression patterns of rapeseed under waterlogging stress, with the goal of providing a foundation for breeding waterlogging-tolerant rapeseed. The results revealed that waterlogging-tolerant rapeseed exhibited higher levels of soluble sugars and antioxidant enzyme activity, particularly in the roots. Conversely, waterlogging-sensitive rapeseed displayed greater changes in malondialdehyde, proline, and hydrogen peroxide levels. Cellular observations showed that after experiencing waterlogging stress, the intercellular space of rapeseed leaf cells expanded, leading to disintegration of mitochondria and chloroplasts. Moreover, the area of the root xylem increased, the number of vessels grew, and there were signs of mitochondrial disintegration and vacuole shrinkage, with more pronounced changes observed in waterlogging-sensitive rapeseed. Furthermore, significant differences were found in the transcription levels of genes related to anaerobic respiration and flavonoid biosynthesis, and different varieties demonstrated varied responses to waterlogging stress. In conclusion, there are differences in the response of different varieties to waterlogging stress at the levels of morphology, physiological characteristics, cell structure, and gene transcription. Waterlogging-tolerant rapeseed responds to waterlogging stress by regulating its antioxidant defense system. This study provides valuable insights for the development of waterlogging-tolerant rapeseed varieties.
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Brassica napus , Estrés Fisiológico , Brassica napus/fisiología , Brassica napus/genética , Brassica napus/metabolismo , Estrés Fisiológico/fisiología , Agua/metabolismo , Regulación de la Expresión Génica de las Plantas , Raíces de Plantas/fisiología , Raíces de Plantas/metabolismo , Hojas de la Planta/fisiología , Hojas de la Planta/metabolismo , China , Antioxidantes/metabolismoRESUMEN
Vascular calcification (VC) arises from the accumulation of calcium salts in the intimal or tunica media layer of the aorta, contributing to higher risk of cardiovascular events and mortality. Despite this, the mechanisms driving VC remain incompletely understood. We previously described that nesfatin-1 functioned as a switch for vascular smooth muscle cells (VSMCs) plasticity in hypertension and neointimal hyperplasia. In this study, we sought to investigate the role and mechanism of nesfatin-1 in VC. The expression of nesfatin-1 was measured in calcified VSMCs and aortas, as well as in patients. Loss- and gain-of-function experiments were evaluated the roles of nesfatin-1 in VC pathogenesis. The transcription activation of nesfatin-1 was detected using a mass spectrometry. We found higher levels of nesfatin-1 in both calcified VSMCs and aortas, as well as in patients with coronary calcification. Loss-of-function and gain-of-function experiments revealed that nesfatin-1 was a key regulator of VC by facilitating the osteogenic transformation of VSMCs. Mechanistically, nesfatin-1 promoted the de-ubiquitination and stability of BMP-2 via inhibiting the E3 ligase SYTL4, and the interaction of nesfatin-1 with BMP-2 potentiated BMP-2 signaling and induced phosphorylation of Smad, followed by HDAC4 phosphorylation and nuclear exclusion. The dissociation of HDAC4 from RUNX2 elicited RUNX2 acetylation and subsequent nuclear translocation, leading to the transcription upregulation of OPN, a critical player in VC. From a small library of natural compounds, we identified that Curculigoside and Chebulagic acid reduced VC development via binding to and inhibiting nesfatin-1. Eventually, we designed a mass spectrometry-based DNA-protein interaction screening to identify that STAT3 mediated the transcription activation of nesfatin-1 in the context of VC. Overall, our study demonstrates that nesfatin-1 enhances BMP-2 signaling by inhibiting the E3 ligase SYTL4, thereby stabilizing BMP-2 and facilitating the downstream phosphorylation of SMAD1/5/9 and HDAC4. This signaling cascade leads to RUNX2 activation and the transcriptional upregulation of MSX2, driving VC. These insights position nesfatin-1 as a potential therapeutic target for preventing or treating VC, advancing our understanding of the molecular mechanisms underlying this critical cardiovascular condition.
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Proteína Morfogenética Ósea 2 , Músculo Liso Vascular , Nucleobindinas , Osteogénesis , Transducción de Señal , Calcificación Vascular , Músculo Liso Vascular/metabolismo , Músculo Liso Vascular/patología , Nucleobindinas/metabolismo , Nucleobindinas/genética , Humanos , Calcificación Vascular/metabolismo , Calcificación Vascular/patología , Calcificación Vascular/genética , Proteína Morfogenética Ósea 2/metabolismo , Animales , Masculino , Proteínas de Unión al Calcio/metabolismo , Proteínas de Unión al Calcio/genética , Miocitos del Músculo Liso/metabolismo , Proteínas de Unión al ADN/metabolismo , Proteínas de Unión al ADN/genética , Histona Desacetilasas/metabolismo , Histona Desacetilasas/genética , Aorta/metabolismo , Aorta/patologíaRESUMEN
PURPOSE: Hand-sewn anastomosis as the gold standard of vascular anastomosis cannot fully meet the requirements of vascular anastomosis in speed and quality. Various vascular couplers have been developed to ameliorate this situation. Most of them are mainly used for venous anastomosis rather than arterial anastomosis, even though it is generally acknowledged that in almost all operations involving vascular reconstruction, it is the arteries that need to be anastomosed faster and more accurately and not the veins. A dedicated device is needed for creating arterial anastomosis in an easy, timesaving, less damaging but reliable procedure. Therefore, we plan to develop a novel arterial coupler device and test pre-clinical safety and effectiveness. METHODS: In this cohort study, the rationality of this novel arterial coupler was preliminarily tested by finite element analysis before it was manufactured. Several factors restrict the use of vascular couplers in arterial anastomosis, such as arterial eversion, fixation, etc. The manufactured arterial couplers underwent in vitro and in vivo experiments. In vitro, isolated arteries of beagles were anastomosed with the assistance of an arterial coupler, and the anastomosed arteries were evaluated through anti-traction tests. In animal experiments, the bilateral femoral arteries of 5 beagles served as a control group. After dissection, the femoral artery on one side was randomly selected to be anastomosed with a quick arterial coupler (QAC) (QAC group), and the femoral artery on the other side was anastomosed by the same person using an end-to-end suture technique with a 6-0 Prolene suture (suture group). The bilateral femoral arteries of 5 beagles were used for coupler-assisted anastomosis and hand-sewn anastomosis in vivo, respectively. Success rate, blood loss, anastomotic time, clamp time, total operation time, and patency rate were recorded. The patency of anastomosed arteries was assessed using vascular Doppler ultrasound, electromagnetic flowmeter, and pathological examination (6 weeks after surgery). RESULTS: As a novel arterial coupler, QAC was successfully designed and manufactured by using poly lactic-co-glycolic acid raw materials and 3-dimensions printing technology. Its rationality was preliminarily tested through finite element analysis and related mechanical analysis methods. The isolated arteries were successfully anastomosed with the assistance of QAC in vitro testing, which showed good anti-traction properties. In animal studies, QAC-assisted arterial anastomosis has superior profiles compared to hand-sewn anastomosis in anastomotic time (7.80 ± 1.41 vs. 16.38 ± 1.04 min), clamp time (8.80 ± 1.41 vs. 14.14 ± 1.57 min), and total operation time (46.64 ± 2.38 vs. 51.96 ± 3.65 min). The results of electromagnetic flowmeter, vascular Doppler ultrasound, and pathological examination showed that QAC-assisted anastomotic arteries were superior to hand-sewn arteries in terms of postoperative blood flow (16.86 ± 3.93 vs. 10.36 ± 0.92 mL/min) and vascular patency in 6 weeks after surgery. CONCLUSION: QAC is a well-designed and easily maneuverable device specialized for end-to-end arterial anastomosis. Application of this device may decrease thermal ischemia time and improve the patency of anastomotic arteries, thus, improving outcomes.