Grand Challenges at the Interface of Engineering and Medicine.

Over the past two decades Biomedical Engineering has emerged as a major discipline that bridges societal needs of human health care with the development of novel technologies. Every medical institution is now equipped at varying degrees of sophistication with the ability to monitor human health in both non-invasive and invasive modes. The multiple scales at which human physiology can be interrogated provide a profound perspective on health and disease. We are at the nexus of creating "avatars" (herein defined as an extension of "digital twins") of human patho/physiology to serve as paradigms for interrogation and potential intervention. Motivated by the emergence of these new capabilities, the IEEE Engineering in Medicine and Biology Society, the Departments of Biomedical Engineering at Johns Hopkins University and Bioengineering at University of California at San Diego sponsored an interdisciplinary workshop to define the grand challenges that face biomedical engineering and the mechanisms to address these challenges. The Workshop identified five grand challenges with cross-cutting themes and provided a roadmap for new technologies, identified new training needs, and defined the types of interdisciplinary teams needed for addressing these challenges. The themes presented in this paper include: 1) accumedicine through creation of avatars of cells, tissues, organs and whole human; 2) development of smart and responsive devices for human function augmentation; 3) exocortical technologies to understand brain function and treat neuropathologies; 4) the development of approaches to harness the human immune system for health and wellness; and 5) new strategies to engineer genomes and cells.

Multifunctional Magnetic Nanoclusters Can Induce Immunogenic Cell Death and Suppress Tumor Recurrence and Metastasis.

Metastasis is the predominant cause of cancer deaths due to solid organ malignancies; however, anticancer drugs are not effective in treating metastatic cancer. Here we report a nanotherapeutic approach that combines magnetic nanocluster-based hyperthermia and free radical generation with an immune checkpoint blockade (ICB) for effective suppression of both primary and secondary tumors. We attached 2,2'-azobis(2-midinopropane) dihydrochloride (AAPH) molecules to magnetic iron oxide nanoclusters (IONCs) to form an IONC-AAPH nanoplatform. The IONC can generate a high level of localized heat under an alternating magnetic field (AMF), which decomposes the AAPH on the cluster surface and produces a large number of carbon-centered free radicals. A combination of localized heating and free radicals can effectively kill tumor cells under both normoxic and hypoxic conditions. The tumor cell death caused by the combination of magnetic heating and free radicals led to the release or exposure of various damage-associated molecule patterns, which promoted the maturation of dendritic cells. Treating the tumor-bearing mice with IONC-AAPH under AMF not only eradicated the tumors but also generated systemic antitumor immune responses. The combination of IONC-AAPH under AMF with anti-PD-1 ICB dramatically suppressed the growth of untreated distant tumors and induced long-term immune memory. This IONC-AAPH based magneto-immunotherapy has the potential to effectively combat metastasis and control cancer recurrence.

Increasing the antioxidant capacity of ceria nanoparticles with catechol-grafted poly(ethylene glycol).

Ceria nanoparticles are remarkable antioxidants due to their large cerium(III) content and the possibility of recovering cerium(III) from cerium(IV) after reaction. Here we increase the cerium(III) content of colloidally stable nanoparticles (e.g., nanocrystals) using a reactive polymeric surface coating. Catechol-grafted poly(ethylene glycols) (PEG) polymers of varying lengths and architectures yield materials that are non-aggregating in a variety of aqueous media. Cerium(IV) on the ceria surface both binds and oxidizes the catechol functionality, generating a dark-red colour emblematic of surface-oxidized catechols with a concomitant increase in cerium(III) revealed by X-ray photoemission spectroscopy (XPS). The extent of ceria reduction depends sensitively on the architecture of the coating polymer; small and compact polymer chains pack with high density at the nanoparticle surface yielding the most cerium(III). Nanoparticles with increased surface reduction, quantified by the intensity of their optical absorption and thermogravimetric measures of polymer grafting densities, were more potent antioxidants as measured by a standard TEAC antioxidant assay. For the same core composition nanoparticle antioxidant capacities could be increased over an order of magnitude by tailoring the length and architecture of the reactive surface coatings.

When function is biological: Discerning how silver nanoparticle structure dictates antimicrobial activity.

Silver nanomaterials have potent antibacterial properties that are the foundation for their wide commercial use as well as for concerns about their unintended environmental impact. The nanoparticles themselves are relatively biologically inert but they can undergo oxidative dissolution yielding toxic silver ions. A quantitative relationship between silver material structure and dissolution, and thus antimicrobial activity, has yet to be established. Here, this dissolution process and associated biological activity is characterized using uniform nanoparticles with variable dimension, shape, and surface chemistry. From this, a phenomenological model emerges that quantitatively relates material structure to both silver dissolution and microbial toxicity. Shape has the most profound influence on antibacterial activity, and surprisingly, surface coatings the least. These results illustrate how material structure may be optimized for antimicrobial properties and suggest strategies for minimizing silver nanoparticle effects on microbes.

Subsecond multichannel magnetic control of select neural circuits in freely moving flies.

Precisely timed activation of genetically targeted cells is a powerful tool for the study of neural circuits and control of cell-based therapies. Magnetic control of cell activity, or 'magnetogenetics', using magnetic nanoparticle heating of temperature-sensitive ion channels enables remote, non-invasive activation of neurons for deep-tissue applications and freely behaving animal studies. However, the in vivo response time of thermal magnetogenetics is currently tens of seconds, which prevents precise temporal modulation of neural activity. Moreover, magnetogenetics has yet to achieve in vivo multiplexed stimulation of different groups of neurons. Here we produce subsecond behavioural responses in Drosophila melanogaster by combining magnetic nanoparticles with a rate-sensitive thermoreceptor (TRPA1-A). Furthermore, by tuning magnetic nanoparticles to respond to different magnetic field strengths and frequencies, we achieve subsecond, multichannel stimulation. These results bring magnetogenetics closer to the temporal resolution and multiplexed stimulation possible with optogenetics while maintaining the minimal invasiveness and deep-tissue stimulation possible only by magnetic control.

The Effect of Agglomeration on Arsenic Adsorption Using Iron Oxide Nanoparticles.

The presence of arsenic in groundwater and other drinking water sources presents a notable public health concern. Although the utilization of iron oxide nanomaterials as arsenic adsorbents has shown promising results in batch experiments, few have succeeded in using nanomaterials in filter setups. In this study, the performance of nanomaterials, supported on sand, was first compared for arsenic adsorption by conducting continuous flow experiments. Iron oxide nanoparticles (IONPs) were prepared with different synthetic methodologies to control the degree of agglomeration. IONPs were prepared by thermal decomposition or coprecipitation and compared with commercially available IONPs. Electron microscopy was used to characterize the degree of agglomeration of the pristine materials after deposition onto the sand. The column experiments showed that IONPs that presented less agglomeration and were well dispersed over the sand had a tendency to be released during water treatment. To overcome this implementation challenge, we proposed the use of clusters of iron oxide nanoparticles (cIONPs), synthesized by a solvothermal methodology, which was explored. An isotherm experiment was also conducted to determine the arsenic adsorption capacities of the iron oxide nanomaterials. cIONPs showed higher adsorption capacities (121.4 mg/g) than the other IONPs (11.1, 6.6, and 0.6 mg/g for thermal decomposition, coprecipitation, and commercially available IONPs, respectively), without the implementation issues presented by IONPs. Our results show that the use of clusters of nanoparticles of other compositions opens up the possibilities for multiple water remediation applications.

A 3Din vitromodel of the device-tissue interface: functional and structural symptoms of innate neuroinflammation are mitigated by antioxidant ceria nanoparticles.

Objective.The recording instability of neural implants due to neuroinflammation at the device-tissue interface is a primary roadblock to broad adoption of brain-machine interfaces. While a multiphasic immune response, marked by glial scaring, oxidative stress (OS), and neurodegeneration, is well-characterized, the independent contributions of systemic and local 'innate' immune responses are not well-understood. We aimed to understand and mitigate the isolated the innate neuroinflammatory response to devices.Approach.Three-dimensional primary neural cultures provide a unique environment for studying the drivers of neuroinflammation by decoupling the innate and systemic immune systems, while conserving an endogenous extracellular matrix and structural and functional network complexity. We created a three-dimensionalin vitromodel of the device-tissue interface by seeding primary cortical cells around microwires. Live imaging of both dye and Adeno-Associated Virus (AAV) - mediated functional, structural, and lipid peroxidation fluorescence was employed to characterize the neuroinflammatory response.Main results.Live imaging of microtissues over time revealed independent innate neuroinflammation, marked by increased OS, decreased neuronal density, and increased functional connectivity. We demonstrated the use of this model for therapeutic screening by directly applying drugs to neural tissue, bypassing low bioavailability through thein vivoblood brain barrier. As there is growing interest in long-acting antioxidant therapies, we tested efficacy of 'perpetual' antioxidant ceria nanoparticles, which reduced OS, increased neuronal density, and protected functional connectivity.Significance.Our three-dimensionalin vitromodel of the device-tissue interface exhibited symptoms of OS-mediated innate neuroinflammation, indicating a significant local immune response to devices. The dysregulation of functional connectivity of microcircuits surround implants suggests the presence of an observer effect, in which the process of recording neural activity may fundamentally change the neural signal. Finally, the demonstration of antioxidant ceria nanoparticle treatment exhibited substantial promise as a neuroprotective and anti-inflammatory treatment strategy.

Stable Aqueous Suspensions of Manganese Ferrite Clusters with Tunable Nanoscale Dimension and Composition.

Manganese ferrite clusters (MFCs) are spherical assemblies of tens to hundreds of primary nanocrystals whose magnetic properties are valuable in diverse applications. Here we describe how to form these materials in a hydrothermal process that permits the independent control of product cluster size (from 30 to 120 nm) and manganese content of the resulting material. Parameters such as the total amount of water added to the alcoholic reaction media and the ratio of manganese to iron precursor are important factors in achieving multiple types of MFC nanoscale products. A fast purification method uses magnetic separation to recover the materials making production of grams of magnetic nanomaterials quite efficient. We overcome the challenge of magnetic nanomaterial aggregation by applying highly charged sulfonate polymers to the surface of these nanomaterials yielding colloidally stable MFCs that remain non-aggregating even in highly saline environments. These non-aggregating, uniform, and tunable materials are excellent prospective materials for biomedical and environmental applications.

Magnetic Nanoparticles in Biology and Medicine: Past, Present, and Future Trends.

The use of magnetism in medicine has changed dramatically since its first application by the ancient Greeks in 624 BC. Now, by leveraging magnetic nanoparticles, investigators have developed a range of modern applications that use external magnetic fields to manipulate biological systems. Drug delivery systems that incorporate these particles can target therapeutics to specific tissues without the need for biological or chemical cues. Once precisely located within an organism, magnetic nanoparticles can be heated by oscillating magnetic fields, which results in localized inductive heating that can be used for thermal ablation or more subtle cellular manipulation. Biological imaging can also be improved using magnetic nanoparticles as contrast agents; several types of iron oxide nanoparticles are US Food and Drug Administration (FDA)-approved for use in magnetic resonance imaging (MRI) as contrast agents that can improve image resolution and information content. New imaging modalities, such as magnetic particle imaging (MPI), directly detect magnetic nanoparticles within organisms, allowing for background-free imaging of magnetic particle transport and collection. "Lab-on-a-chip" technology benefits from the increased control that magnetic nanoparticles provide over separation, leading to improved cellular separation. Magnetic separation is also becoming important in next-generation immunoassays, in which particles are used to both increase sensitivity and enable multiple analyte detection. More recently, the ability to manipulate material motion with external fields has been applied in magnetically actuated soft robotics that are designed for biomedical interventions. In this review article, the origins of these various areas are introduced, followed by a discussion of current clinical applications, as well as emerging trends in the study and application of these materials.

2D Gadolinium Oxide Nanoplates as T1 Magnetic Resonance Imaging Contrast Agents.

Millions of people a year receive magnetic resonance imaging (MRI) contrast agents for the diagnosis of conditions as diverse as fatty liver disease and cancer. Gadolinium chelates, which provide preferred T1 contrast, are the current standard but face an uncertain future due to increasing concerns about their nephrogenic toxicity as well as poor performance in high-field MRI scanners. Gadolinium-containing nanocrystals are interesting alternatives as they bypass the kidneys and can offer the possibility of both intracellular accumulation and active targeting. Nanocrystal contrast performance is notably limited, however, as their organic coatings block water from close interactions with surface Gadoliniums. Here, these steric barriers to water exchange are minimized through shape engineering of plate-like nanocrystals that possess accessible Gadoliniums at their edges. Sulfonated surface polymers promote second-sphere relaxation processes that contribute remarkable contrast even at the highest fields (r1 = 32.6 × 10-3 m Gd-1 s-1 at 9.4 T). These noncytotoxic materials release no detectable free Gadolinium even under mild acidic conditions. They preferentially accumulate in the liver of mice with a circulation half-life 50% longer than commercial agents. These features allow these T1 MRI contrast agents to be applied for the first time to the ex vivo detection of nonalcoholic fatty liver disease in mice.

Lead-Free Halide Perovskites for Light Emission: Recent Advances and Perspectives.

Lead-based halide perovskites have received great attention in light-emitting applications due to their excellent properties, including high photoluminescence quantum yield (PLQY), tunable emission wavelength, and facile solution preparation. In spite of excellent characteristics, the presence of toxic element lead directly obstructs their further commercial development. Hence, exploiting lead-free halide perovskite materials with superior properties is urgent and necessary. In this review, the deep-seated reasons that benefit light emission for halide perovskites, which help to develop lead-free halide perovskites with excellent performance, are first emphasized. Recent advances in lead-free halide perovskite materials (single crystals, thin films, and nanocrystals with different dimensionalities) from synthesis, crystal structures, optical and optoelectronic properties to applications are then systematically summarized. In particular, phosphor-converted LEDs and electroluminescent LEDs using lead-free halide perovskites are fully examined. Ultimately, based on current development of lead-free halide perovskites, the future directions of lead-free halide perovskites in terms of materials and light-emitting devices are discussed.

Nanoparticle-Catalyzed Green Chemistry Synthesis of Polybenzoxazole.

Enabling catalysts to promote multistep chemical reactions in a tandem fashion is an exciting new direction for the green chemistry synthesis of materials. Nanoparticle (NP) catalysts are particularly well suited for tandem reactions due to the diverse surface-active sites they offer. Here, we report that AuPd alloy NPs, especially 3.7 nm Au42Pd58 NPs, catalyze one-pot reactions of formic acid, diisopropoxy-dinitrobenzene, and terephthalaldehyde, yielding a very pure thermoplastic rigid-rod polymer, polybenzoxazole (PBO), with a molecular weight that is tunable from 5.8 to 19.1 kDa. The PBO films are more resistant to hydrolysis and possess thermal and mechanical properties that are superior to those of commercial PBO, Zylon. Cu NPs are also active in catalyzing tandem reactions to form PBO when formic acid is replaced with ammonia borane. Our work demonstrates a general approach to the green chemistry synthesis of rigid-rod polymers as lightweight structural materials for broad thermomechanical applications.

Libraries of Uniform Magnetic Multicore Nanoparticles with Tunable Dimensions for Biomedical and Photonic Applications.

Multicore iron oxide nanoparticles, also known as colloidal nanocrystal clusters, are magnetic materials with diverse applications in biomedicine and photonics. Here, we examine how both of their characteristic dimensional features, the primary particle and sub-micron colloid diameters, influence their magnetic properties and performance in two different applications. The characterization of these basic size-dependent properties is enabled by a synthetic strategy that provides independent control over both the primary nanocrystal and cluster dimensions. Over a wide range of conditions, electron microscopy and X-ray diffraction reveal that the oriented attachment of smaller nanocrystals results in their crystallographic alignment throughout the entire superstructure. We apply a sulfonated polymer with high charge density to prevent cluster aggregation and conjugate molecular dyes to particle surfaces so as to visualize their collection using handheld magnets. These libraries of colloidal clusters, indexed both by primary nanocrystal dimension (dp) and overall cluster diameter (Dc), form magnetic photonic crystals with relatively weak size-dependent properties. In contrast, their performance as MRI T2 contrast agents is highly sensitive to cluster diameter, not primary particle size, and is optimized for materials of 50 nm diameter (r2 = 364 mM-1 s-1). These results exemplify the relevance of dimensional control in developing applications for these versatile materials.

Emission Quenching and Recovery of Illuminated Perovskite Quantum Dots Due to Iodide Ion Migration.

All-inorganic lead halide perovskite quantum dots (PQDs) are well-known to easily lose their luminescence emission under light illumination, which is often attributed to a photoinduced degradation mechanism. Here, we demonstrate that such quenched emission of PQDs can completely recover in the dark at room temperature, which occurs through a spontaneous "self-healing" mechanism. Our findings indicate that the loss of emission under light illumination is not due to the generally accepted photoinduced degradation, as otherwise the complete recovery would not be possible. Instead, we attribute the emission loss and its subsequent recovery to the migration of iodide ions on the PQD surface. Under illumination, the iodide ions migrate out and associate to adjacent lead ions on the PQD surface, leading to halide vacancies, lattice distortions, and fluorescence quenching. During the recovery process, the migrated iodide ions spontaneously migrate back and fill halide vacancies, resulting in fluorescence recovery. The results of this study offer a useful solution on how to improve the emission and photostability of PQDs.

Recent progress in transition metal selenide electrocatalysts for water splitting.

The urgent demand of scalable hydrogen production has motivated substantial research on low cost, efficient and robust catalysts for water electrolysis. In order to replace noble metals and their derivatives, transition metal (Fe, Co, Ni, Mo, Cu, etc.) selenides have demonstrated promising catalysis on both hydrogen and oxygen evolutions. Very recently, a number of reports have presented a variety of approaches to enhance their electrocatalytic activity. This review summarizes the most recent progress in transition metal selenide electrocatalysts for HER, OER, and overall water splitting. The merits and limitations of metal selenides are also discussed in the aspects of structure and composition. Moreover, we highlight new strategies and future challenges for design and synthesis of high performance electrocatalysts.

Photoluminescence Loss and Recovery of α-CsPbI3 Quantum Dots Originated from Chemical Equilibrium Shift of Oleylammonium.

α-CsPbI3 perovskite quantum dots (PQDs) have great potentials in red-emitting LED and solar cell applications. However, their instability with quick photoluminescence loss with time greatly limits their development. In this study, we found that the nonluminous aged α-CsPbI3 PQDs instantly regained fluorescence emission after a surface treatment with trioctylphosphine. Meanwhile, this surface treatment also worked on fresh α-CsPbI3 PQDs to enhance photoluminescence emission. The structures and compositions of fresh and aged PQDs before and after surface treatment were analyzed in detail. We demonstrated that a surface chemical equilibrium shift mechanism involving oleylammonium led to the PL loss and recovery of α-CsPbI3 PQDs. This chemical equilibrium shift also played an important role in other PQD stabilities against long-term storage, temperature, UV irradiation and ethanol, which were all significantly improved after treatment. The treated α-CsPbI3 PQDs were phase stable for more than 6 months. Oleic acid and oleylamine are common ligands used in PQD syntheses; this study shall promote the understanding of PQD surface chemistry and the preparation of stable α-CsPbI3 PQDs.

Room Temperature Synthesis of All Inorganic Lead-Free Zero-Dimensional Cs4SnBr6 and Cs3KSnBr6 Perovskites.

Lead halide perovskites are excellent candidates for photoelectronic and photovoltaic applications, but the toxicity from lead is extremely concerning. Recently, Sn-based zero-dimensional lead-free perovskites synthesized using solid-state reaction techniques have become a new focus in the field. Here, we report a simple room temperature antisolvent method for the synthesis of all inorganic lead-free green emissive Cs4SnBr6 (emission at 524 nm) and cyan emissive Cs3KSnBr6 (emission at 500 nm) zero-dimensional perovskites. Their photoluminescence quantum yields reach 20% and 35%, respectively. In addition, they maintain their emission for 46 and 55 h in the air, respectively, compared to only 5 min of CsSnBr3. This method provides a convenient way to do the research and apply these highly emissive perovskites.

Ruddlesden-Popper Perovskites: Synthesis and Optical Properties for Optoelectronic Applications.

Ruddlesden-Popper perovskites with a formula of (A')2(A) n -1B n X3 n +1 have recently gained widespread interest as candidates for the next generation of optoelectronic devices. The variations of organic cation, metal halide, and the number of layers in the structure lead to the change of crystal structures and properties for different optoelectronic applications. Herein, the different synthetic methods for 2D perovskite crystals and thin films are summarized and compared. The optoelectronic properties and the charge transfer process in the devices are also delved, in particular, for light-emitting diodes and solar cells.

Latest progress in constructing solid-state Z scheme photocatalysts for water splitting.

Artificial Z scheme photocatalysis has been considered as a promising strategy for producing the clean energy source of hydrogen gas. The core of the Z scheme is a two-step excitation process in a tandem structured photosystem aiming to satisfy both the criteria of wide range solar spectrum absorption and strong thermodynamic driving force for photolysis reactions. Therefore, efficient connection and matching between the two photosystems is the key to improve the photocatalytic activity. Recently, new progress has been achieved concerning the principles and applications of state-of-the-art solid-state Z schematic systems to enhance the photocatalytic efficiency and repress competitive reactions. This review summarizes the latest approaches to all-solid-state Z schemes for photocatalytic water splitting, including new tandem structures, new morphologies, and new connection modes to improve light absorption as well as carrier transportation. The challenges for developing novel high performance Z scheme photocatalysts are also discussed.

Strong Blue Emission from Sb3+-Doped Super Small CsPbBr3 Nanocrystals.

Colloidal lead halide perovskite nanocrystals (NCs) have high tunability in the visible light region and high photoluminescence quantum yields (PL QYs) for green and red emissions, but bright blue emission is still a challenge. Super small CsPbBr3 perovskite NCs emit blue light around 460 nm with a narrow peak width, and they do not have the problem of phase separation like their Cl-Br counterparts. However, the blue emission from super small CsPbBr3 NCs easily becomes green over time, and their PL QY is still low. The doping of Sb3+ ions successfully reduced the surface energy, improved the lattice energy, passivated the defect states below the band gap, eventually boosted the PL QY of blue emission to 73.8%, and resulted in better spectral stability even at elevated temperatures in solution (40-100 °C). Its CIE coordinates were (0.14, 0.06), which are close to the primary blue color (0.155, 0.070) according to the NTSC TV color standard.