RESUMEN
Intrahepatic cholestasis of pregnancy (ICP) is an idiopathic disease that occurs during mid-to-late pregnancy and is associated with various adverse pregnancy outcomes, including intrauterine fetal demise. However, since the underlying cause of ICP remains unclear, there is an ongoing debate on the phenotyping criteria used in the diagnostic process. Here, we identified single- and multi-symptomatic ICP (ICP-S and ICP-M) in 104,221 Chinese females from the ZEBRA maternity cohort, with the objective of exploring the risk implications of the two phenotypes on pregnancy outcomes and from environmental exposures. We employed multivariate binary logistic regression to estimate confounder-adjusted odds ratios and found that ICP-M was more strongly associated with preterm birth and low birth weight compared to ICP-S. Throughout pregnancy, incremental exposure to PM2.5, O3, and greenness could alter ICP risks by 17.3%, 12.5%, and -2.3%, respectively, with more substantial associations observed with ICP-M than with ICP-S. The major scientific advancements lie in the elucidation of synergistic risk interactions between pollutants and the protective antagonistic effects of greenness, as well as highlighting the risk impact of preconceptional environmental exposures. Our study, conducted in the context of the "three-child policy" in China, provides epidemiological evidence for policy-making to safeguard maternal and neonatal health.
Asunto(s)
Colestasis Intrahepática , Nacimiento Prematuro , Embarazo , Recién Nacido , Femenino , Humanos , Resultado del Embarazo/epidemiología , Estudios de Cohortes , Pueblos del Este de Asia , Nacimiento Prematuro/epidemiología , Exposición a Riesgos Ambientales , Colestasis Intrahepática/epidemiología , Colestasis Intrahepática/complicacionesRESUMEN
Antibiotic application during the perinatal period is unavoidable in the clinic, but the potential effects on mothers and infants remain unknown. Herein, 25 breast milk samples from mothers who received cefuroxime (CXM) or CXM + cefoxitin (CFX) treatments and fecal samples from their infants were collected to investigate the undesirable effects of antibiotics on the microbiota of mothers and neonates. Furthermore, five fecal samples of infants, whose mothers had antibiotic treatments, were collected at a 6-month postpartum follow-up visit to evaluate the long-term effects on infants' gut microbiota. Moreover, the relative abundance of antibiotic resistance genes (ARGs) in fecal samples was compared to investigate the transfer of ARGs in the infant gut microbiota. The results indicated that the antibiotic treatments had no influence on the microbiota of breast milk. The dominant bacterial phyla in the fecal samples changed to Firmicutes and Proteobacteria after antibiotic treatments, while the bacterial community showed a recuperative trend at the follow-up visits. In addition, the abundance of ARGs in the infant gut microbiota demonstrated a declining trend in the CXM- and CXM + CFX-treated groups, while ARG abundance presented a significant increasing trend after a 6-month recovery period. CONCLUSION: Antibiotic treatments for mothers during the perinatal period disturb the gut microbiota in neonates. The infants' gut microbiota would partly return to their initial state after rehabilitation, but the transfer of ARGs would leave the hidden trouble of antibiotic resistance. Overall, the data presented here can help to guide the scientific use of antibiotics during the perinatal period and provide potential approaches to mitigate the negative consequences. WHAT IS KNOWN: ⢠Antibiotic application during the perinatal period is unavoidable in the clinic. ⢠Misuse of antibiotics can cause various unintended consequences, especially for antibiotic resistance. WHAT IS NEW: ⢠Antibiotic treatments had no influence on the microbiota of breast milk but greatly disturbed the gut microbiota composition in infants. ⢠The gut microbiota in infants would partly return to its initial state after rehabilitation but the transfer of ARGs would leave the hidden trouble of antibiotic resistance.
Asunto(s)
Antibacterianos , Microbioma Gastrointestinal , Antibacterianos/efectos adversos , Bacterias/genética , Farmacorresistencia Microbiana/genética , Heces/microbiología , Femenino , Humanos , Lactante , Recién Nacido , EmbarazoRESUMEN
Purpose: This study aimed to explore the role of the protein kinase A (PKA) pathway in proliferative vitreoretinopathy (PVR) and the effect of the PKA inhibitor H89 on experimental PVR. Methods: Epiretinal membranes (ERMs) were acquired from PVR patients and analyzed by frozen-section immunofluorescence. An in vivo model was developed by intravitreal injecting rat eyes with ARPE-19 cells and platelet-rich plasma, and changes in eye structures and vision function were observed. An in vitro epithelial-mesenchymal transition (EMT) cell model was established by stimulating ARPE-19 cells with transforming growth factor (TGF)-ß. Alterations in EMT-related genes and cell function were detected. Mechanistically, PKA activation and activity were explored to assess the relationship between TGF-ß1 stimulation and the PKA pathway. The effect of H89 on the TGF-ß-Smad2/3 pathway was detected. RNA sequencing was used to analyze gene expression profile changes after H89 treatment. Results: PKA was activated in human PVR membranes. In vivo, H89 treatment protected against structural changes in the retina and prevented decreases in electroretinogram b-wave amplitudes. In vitro, H89 treatment inhibited EMT-related gene alterations and partially reversed the functions of the cells. TGF-ß-induced PKA activation was blocked by H89 pretreatment. H89 did not affect the phosphorylation or nuclear translocation of regulatory Smad2/3 but increased the expression of inhibitory Smad6. Conclusions: PKA pathway activation is involved in PVR pathogenesis, and the PKA inhibitor H89 can effectively inhibit PVR, both in vivo and in vitro. Furthermore, the protective effect of H89 is related to an increase in inhibitory Smad6.
Asunto(s)
Isoquinolinas/antagonistas & inhibidores , Sulfonamidas/antagonistas & inhibidores , Vitreorretinopatía Proliferativa/tratamiento farmacológico , Anciano , Animales , Células Cultivadas , Subunidades Catalíticas de Proteína Quinasa Dependientes de AMP Cíclico/metabolismo , Electrorretinografía , Membrana Epirretinal/metabolismo , Células Epiteliales/metabolismo , Femenino , Humanos , Isoquinolinas/farmacología , Sistema de Señalización de MAP Quinasas/fisiología , Masculino , Persona de Mediana Edad , Epitelio Pigmentado de la Retina/efectos de los fármacos , Proteínas Smad/fisiología , Sulfonamidas/farmacología , Factor de Crecimiento Transformador beta/antagonistas & inhibidoresRESUMEN
[This corrects the article DOI: 10.1002/advs.201901438.].
RESUMEN
The quantum well (QW) realizes new functionalities due to the discrete electronic energy levels formed in the well-shaped potential. Magnetic tunnel junctions (MTJs) combined with a quasi-QW structure of Cr/ultrathin-Fe/MgAl2O4(001)/Fe, in which the Cr quasi-barrier layer confines Δ 1 up-spin electrons to the Fe well, are prepared with perfectly lattice-matched interfaces and atomic layer number control. Resonant peaks are clearly observed in the differential conductance of the MTJs due to the formation of QWs. Furthermore, enhanced tunnel magnetoresistance (TMR) peaks at the resonant bias voltages are realized for the MTJs at room temperature, i.e., it is observed that TMR ratios at specific and even high bias-voltages (V bias) are larger than zero-bias TMR ratios for the MTJs with odd Fe atomic layers, in contrast to the earlier experimental studies. In addition, a new finding in this study is unique sign changes in the temperature coefficient of resistance (TCR) depending on the Fe thickness and V bias, which is interpreted as a signature of the QW formation of Δ1 symmetry electronic states. The present study suggests that the spin-dependent resonant tunneling via the QWs formed in Cr/ultrathin-Fe/MgAl2O4/Fe structures should open a new pathway to achieve a large TMR at practically high V bias.
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SnSe nanocrystal electrodes on three-dimensional (3D) carbon fabric and Au-coated polyethylene terephthalate (PET) wafer have been prepared by a simple spray-painting process and were further investigated as binder-free active-electrodes for Lithium-ion batteries (LIBs) and flexible stacked all-solid-state supercapacitors. The as-painted SnSe nanocrystals/carbon fabric electrodes exhibit an outstanding capacity of 676 mAh g(-1) after 80 cycles at a current density of 200 mA g(-1) and a considerable high-rate capability in lithium storage because of the excellent ion transport from the electrolyte to the active materials and the efficient charge transport between current collector and electrode materials. The binder-free electrodes also provide a larger electrochemical active surface compared with electrodes containing binders, which leads to the enhanced capacities of energy-storage devices. A flexible stacked all-solid-state supercapacitor based on the SnSe nanocrystals on Au-coated PET wafers shows high capacitance reversibility with little performance degradation at different current densities after 2200 charge-discharge cycles and even when bent. This allows for many potential applications in facile, cost-effective, spray-paintable, and flexible energy-storage devices. The results indicate that the fabrication of binder-free electrodes by a spray painting process is an interesting direction for the preparation of high-performance energy-storage devices.
Asunto(s)
Suministros de Energía Eléctrica , Nanopartículas/química , Selenio/química , Estaño/química , Carbono/química , Electroquímica , Electrodos , Oro/química , Tereftalatos Polietilenos/químicaRESUMEN
Hierarchical ZnCo2O4/nickel foam architectures were first fabricated from a simple scalable solution approach, exhibiting outstanding electrochemical performance in supercapacitors with high specific capacitance (â¼1400 F g(-1) at 1 A g(-1)), excellent rate capability (72.5% capacity retention at 20 A g(-1)), and good cycling stability (only 3% loss after 1000 cycles at 6 A g(-1)). All-solid-state supercapacitors were also fabricated by assembling two pieces of the ZnCo2O4-based electrodes, showing superior performance in terms of high specific capacitance and long cycling stability. Our work confirms that the as-prepared architectures can not only be applied in high energy density fields, but also be used in high power density applications, such as electric vehicles, flexible electronics, and energy storage devices.
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Anatase TiO2 modified FeS nanowires assembled by numerous nanosheets were synthesized by using a typical hydrothermal method. The carbon-free nanocoated composite electrodes exhibit improved reversible capacity of 510 mAh g(-1) after 100 discharge/charge cycles at 200 mA g(-1), much higher than that of the pristine FeS nanostructures, and long-term cycling stability with little performance degradation even after 500 discharge/charge cycles at current density of 400 mA g(-1). Full batteries fabricated using the FeS@TiO2 nanostructures anode and the LiMn2O4 nanowires cathode with excellent stability, and good rate capacities could also be achieved. The enhanced electrochemical performance of the composite electrodes can be attributed to the improved conductively of the integrated electrodes and the enhanced kinetics of lithium insertion/extraction at the electrode/electrolyte interface because of the incorporation of anatase TiO2 phase.
RESUMEN
We have successfully fabricated flexible asymmetric supercapacitors (ASCs) based on acicular Co9S8 nanorod arrays as positive materials and Co3O4@RuO2 nanosheet arrays as negative materials on woven carbon fabrics. Co9S8 nanorod arrays were synthesized by a hydrothermal sulfuration treatment of acicular Co3O4 nanorod arrays, while the RuO2 was directly deposited on the Co3O4 nanorod arrays. Carbon cloth was selected as both the substrate and the current collector for its good conductivity, high flexibility, good physical strength, and lightweight architecture. Both aqueous KOH solutions and polyvinyl alcohol (PVA)/KOH were employed as electrolyte for electrochemical measurements. The as-fabricated ASCs can be cycled reversibly in the range of 0-1.6 V and exhibit superior electrochemical performance with an energy density of 1.21 mWh/cm(3) at a power density of 13.29 W/cm(3) in aqueous electrolyte and an energy density of 1.44 mWh/cm(3) at the power density of 0.89 W/cm(3) in solid-state electrolyte, which are almost 10-fold higher than those reported in early ASC work. Moreover, they present excellent cycling performance at multirate currents and large currents after thousands of cycles. The high-performance nanostructured ASCs have significant potential applications in portable electronics and electrical vehicles.
RESUMEN
Aligned Ca2Ge7O16 nanowire arrays were successfully grown on carbon textiles to form hierarchical 3D structures by using a facile hydrothermal method on a large scale. Typical Ca2Ge7O16 nanowires are single crystals that show preferred growth along the [001] direction. The 3D hierarchical structures were used as binder-free anodes for lithium-ion batteries, which showed the features of highly reversible capacity (900-1100â mA h g(-1) at a current density of 300â mA g(-1)), remarkable cycling stability, even over 100â cycles, and good rate capability, with a capacity of about 500â mA h g(-1) at 3â A g(-1). Furthermore, highly bendable full cells were also fabricated, which showed high flexibility, with little voltage change after bending 600â times, and superior temperature tolerance within the range 4-60 °C, thus demonstrating their promising potential for applications in high-performance lithium-ion batteries.