Mechanistic Studies of Stimulus-Response Integrated Catalysis of Single-Atom Alloys under Electric Fields for Electrochemical Nitrogen Reduction.

The present work introduces a novel catalytic strategy to promote the nitrogen reduction reaction (NRR) by employing a cooperative Cu-based single-atom alloy (SAA) and oriented external electric fields (OEEFs) as catalysts. The field strength (F)-dependent reaction pathways are investigated by means of first-principles calculations. Different dipole-induced responses of intermediates to electric fields break the original scaling relationships and effectively tune not only the activity but also the product selectivity of the NRR. When the most active Os1Cu SAA is taken as an example, in the absence of an OEEF, the overpotential (η) of the NRR is 0.62 V, which is even larger than that of the competitive hydrogen evolution reaction (HER). A negative field not only reduces η but switches the preference to the NRR over the HER. In particular, η at F = -1.14 V/Šreaches the bottom of 0.18 V, which is 70% lower than that in the field-free state.

Optomechanical noise suppression with the optimal squeezing process.

Quantum squeezing-assisted noise suppression is a promising field with wide applications. However, the limit of noise suppression induced by squeezing is still unknown. This paper discusses this issue by studying weak signal detection in an optomechanical system. By solving the system dynamics in the frequency domain, we analyze the output spectrum of the optical signal. The results show that the intensity of the noise depends on many factors, including the degree or direction of squeezing and the choice of the detection scheme. To measure the effectiveness of squeezing and to obtain the optimal squeezing value for a given set of parameters, we define an optimization factor. With the help of this definition, we find the optimal noise suppression scheme, which can only be achieved when the detection direction exactly matches the squeezing direction. The latter is not easy to adjust as it is susceptible to changes in dynamic evolution and sensitive to parameters. In addition, we find that the additional noise reaches a minimum when the cavity (mechanical) dissipation κ(γ) satisfies the relation κ = Nγ, which can be understood as the restrictive relationship between the two dissipation channels induced by the uncertainty relation. Furthermore, by taking into account the noise source of our system, we can realize high-level noise suppression without reducing the input signal, which means that the signal-to-noise ratio can be further improved.

Directional Diels-Alder cycloadditions of isoelectronic graphene and hexagonal boron nitride in oriented external electric fields: reaction axis rule vs. polarization axis rule.

The present study introduces the mechanisms for the oriented external electric field (OEEF)-participating cycloadditions of nanographene and the analogous hexagonal boron nitride (h-BN) nanoflakes. Despite the C-C and B-N pairs being isoelectronic, their different ionicities give rise to their distinct response to applied electric fields. For the nanographene models, the Diels-Alder addition obeyed the reaction axis rule and the activation barrier changed under an OEEF perpendicular to the carbon skeleton for enhanced/reduced intermolecular charge transfer, which provides a feasible strategy for the side-selective derivatization of graphene to obtain one-face-only adducts and Janus bifunctional products. By contrast, for the h-BN models, the variation of the activation barrier was pronounced when the electric field was aligned along the in-plane N-B bond rather than the well-accepted reaction axis. Electronic structure analyses indicated that, because of the opposite electron withdrawing/donating nature of the reacting sites of B/N, an OEEF along the N-B bond was capable of further enhancing the polarization via in-plane intramolecular charge transfer, resulting in a stabilized transition state and notable barrier reduction.

Multifunctional Protein Conjugates with Built-in Adjuvant (Adjuvant-Protein-Antigen) as Cancer Vaccines Boost Potent Immune Responses.

Many cancer vaccines are not successful in clinical trials, mainly due to the challenges associated with breaking immune tolerance. Herein, we report a new strategy using an adjuvant-protein-antigen (three-in-one protein conjugates with built-in adjuvant) as an anticancer vaccine, in which both the adjuvant (small-molecule TLR7 agonist) and tumor-associated antigen (mucin 1, MUC1) are covalently conjugated to the same carrier protein (BSA). It is shown that the protein conjugates with built-in adjuvant can increase adjuvant's stimulation, prevent adjuvant's systemic toxicities, facilitate the codelivery of adjuvants and antigens, and enhance humoral and cellular immune responses. The IgG antibody titers elicited by the self-adjuvanting three-in-one protein conjugates were significantly higher than those elicited by the vaccine mixed with TLR7 agonist (more than 15-fold) or other traditional adjuvants. Importantly, the potent immune responses against cancer cells suggest that this new vaccine construct is an effective strategy for the personalized antitumor immunotherapy.

Liposomal Antitumor Vaccines Targeting Mucin 1 Elicit a Lipid-Dependent Immunodominant Response.

The tumor-associated antigen mucin 1 (MUC1) has been pursued as an attractive target for cancer immunotherapy, but the poor immunogenicity of the endogenous antigen hinders the development of vaccines capable of inducing effective anti-MUC1 immunodominant responses. Herein, we prepared synthetic anti-MUC1 vaccines in which the hydrophilic MUC1 antigen was N-terminally conjugated to one or two palmitoyl lipid chains (to form amphiphilic Pam-MUC1 or Pam2 -MUC1). These amphiphilic lipid-tailed MUC1 antigens were self-assembled into liposomes containing the NKT cell agonist αGalCer as an adjuvant. The lipid-conjugated antigens reshaped the physical and morphological properties of liposomal vaccines. Promising results showed that the anti-MUC1 IgG antibody titers induced by the Pam2 -MUC1 vaccine were more than 30- and 190-fold higher than those induced by the Pam-MUC1 vaccine and the MUC1 vaccine without lipid tails, respectively. Similarly, vaccines with the TLR1/2 agonist Pam3 CSK4 as an adjuvant also induced conjugated lipid-dependent immunological responses. Moreover, vaccines with the αGalCer adjuvant induced significantly higher titers of IgG antibodies than vaccines with the Pam3 CSK4 adjuvant. Therefore, the non-covalent assembly of the amphiphilic lipo-MUC1 antigen and the NKT cell agonist αGalCer as a glycolipid adjuvant represent a synthetically simple but immunologically effective approach for the development of anti-MUC1 cancer vaccines.

Methotrexate-induced epidermal necrosis: A case series of 24 patients.

BACKGROUND: Methotrexate-induced epidermal necrosis (MEN) is a rare but life-threatening cutaneous reaction that mimics Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN). OBJECTIVES: To investigate the clinicopathology, risk factors, and prognostic factors of MEN. METHODS: We enrolled 24 patients with MEN and 150 controls and analyzed the demographics, pathology, and plasma concentrations of methotrexate (MTX). RESULTS: Patients with MEN showed extensive skin necrosis (mean, 33.2% total body surface area) but no target lesions. The histopathology displayed keratinocyte dystrophy. Early signs of MEN included painful skin erosions, oral ulcers, and leukopenia/thrombocytopenia. Although 79.2% patients received leucovorin treatment, there was 16.7% mortality. Risk factors for MEN included older age (>60 years), chronic kidney disease, and high initial dosage of MTX without folic acid supplementation. Renal insufficiency delayed MTX clearance. Severe renal disease and leukopenia predicted poor prognosis in MEN, but none of the SCORe of Toxic Epidermal Necrosis criteria were associated with mortality of MEN. LIMITATIONS: The study was limited by the small sample size. CONCLUSION: MEN exhibited distinct clinicopathologic features from SJS/TEN. Recognition of the early signs and prognostic factors is important, because the rapid institution of leucovorin may be helpful. To reduce the risk of MEN, physicians should avoid prescribing MTX to high-risk patients and titrate the dosage slowly upward with folic acid supplementation.

[Study of mtDNA 12S rRNA A1555G, GJB2, GJB3 gene mutation in Uighur and Han people with hereditary nonsyndromic hearing loss in Xinjiang].

OBJECTIVE: To study mtDNA, GJB2, GJB3 and determine gene mutation situs and frequency in Uighur and Han people with hereditary nonsyndromic hearing loss, and to compare the differences of gene mutation situs and frequency between Uighur and Han people. METHODS: Blood samples were obtained from 93 patients (43 Uygur and 50 Han) with hereditary non-syndromic hearing loss and 110 normal people (56 Uygur and 54 Han). Genomic DNA was extracted from isolated leukocytes, and amplified by polymerase chain reaction (PCR). PCR products of GJB3 were sequenced directly; while PCR products of mitochondrial DNA 12S rRNA A1555G point mutations were analyzed by PCR-Alw26I digestion, and positive ones were further sequenced. GJB2 genes of 83 patients (43 Uygur and 40 Han) with hereditary non-syndromic hearing loss and 98 normal people (46 Uygur and 52 Han) were directly sequenced. RESULTS: Among GJB3 genes of 93 patients, 2 cases of 33C-T, 2 cases of of 766G-A, 7 cases of 357C-T, and 4 cases of 798C-T were detected. Mitochondrial DNA 12SrRNA A1555G mutation was detected in 8 patients (2 Uygur and 6 Han). Nine kinds of base changes of GJB2 were detected: 109G-A, 233-235delC, 79G-A, 196G-A, 341A-G, 564G-A, 380G-A, 71G-A, and 35delG. In the control group, detected GJB3 mutations included 4 cases of 357C-T, 5 cases of 798C-T, and 2 cases of 93C-T; while 9 kinds of base changes of GJB2 were detected: 341A-G, 380G-A, 457G-A, 79-GA, 109G-A, 281A-G, 21G-T, 171G-T, and 368C-A. For mtDNA 12SrRNA A1555G, the difference between study group of and control group of Han people was statistically significant (P < 0.05). For GJB2 mutation 79G-A, the difference between study group and control group was statistically significant (P < 0.05) in both Uygur and Han people; while for GJB2 mutation 341A-G, the difference in study group between Uygur and Han people was statistically significant (P < 0.05). And for GJB3 mutation 798C-T, the difference was statistically significant both between study group and control group, and between Uygur and Han people (P < 0.05). CONCLUSIONS: In Xinjiang, mutation rate was high for mtDNA 12SRNA A1555G. while GJB3 gene mutations were not the main cause of the hereditary nonsyndromic hearing loss. There were certain ethnic and geographical characteristics of GJB2and GJB3 mutations.

Stress, personal characteristics and burnout among first postgraduate year residents: a nationwide study in Taiwan.

BACKGROUND: Many studies have recognized that the first postgraduate year (PGY-1) of residency training is the most stressful year. Failing to cope with the stress will have negative impact on their work performance and the quality of patient care. AIMS: To investigate stress and burnout in first postgraduate year (PGY-1) residents and to explore the relationship among stress, personal characteristics and burnout. METHODS: A total of 555 PGY-1 residents completed the job stress questionnaire, a Chinese version of the Copenhagen Burnout Inventory, NEO-Five Factor Inventory, Positive and Negative Affectivity Schedule Scale and Coping Strategies Inventory. Working hours were also collected. The association among stress, burnout, personality, coping strategies and affectivity was examined by Pearson correlation. Hierarchical multiple regression was performed to analyze the contribution of predictors to burnout. RESULTS: Residents identified their working environment and emotional pressures and demands from patients as their primary sources of stress. They exhibited less neuroticism, more conscientiousness and a propensity for positive affectivity, as well as a tendency to use engagement coping strategies. Burnout was positively correlated with stress, neuroticism, negative affectivity, disengagement coping and weekly work hours. Job stress and work hours explained 24.7% of variance in burnout; personality and coping strategies explained an additional 10.4% and 5.4% of variance, respectively. Besides job stress and work-hours, introversion, conscientiousness, having negative affectivity and using disengagement coping predicted burnout. CONCLUSIONS: Resident's personal characteristics were closely related to stress and burnout. Therefore, in addition to assessing their work-related stress, exploring their personal characteristics should be taken into account for early identification of residents at risk of burnout.

One-step synthesis of silver nanoparticles at the air-water interface using different methods.

Silver nanoparticles were synthesized in a one-step process at the air-AgNO(3) aqueous solution interface under Langmuir monolayers of 5,10,15,20-tetra-4-oxy(2-stearic acid) phenyl porphyrin (TSPP) at room temperature by using different methods including UV-light irradiation, ambient light irradiation, and formaldehyde gas reduction. It was found that parallel aligned one-dimensional (1D) chains composed of discrete silver nanoparticles with the size of 3-5 nm were formed under UV-light irradiation for a short time, while large areas of uniform silver spherical nanoparticles were formed under natural daylight illumination for several days or by formaldehyde gas treatment for several hours. The average size of the spherical nanoparticles ranges from 6.88 ± 0.46 to 11.10 ± 1.47 nm, depending on the experimental conditions. The 1D chains formed under UV-light irradiation result from the templating effect of parallel aligned linear supramolecular arrays formed by TSPP at the air-water interface, and rapid nucleation and growth of the nanoparticles. The formation of the uniform silver nanoparticles under daylight illumination or by formaldehyde gas treatment, however, should be ascribed to a kinetically controlled growth process of the nanoparticles.

Synthesis of one-dimensional silver oxide nanoparticle arrays and silver nanorods templated by Langmuir monolayers.

One-dimensional (1D) silver oxide nanoparticle arrays were synthesized by illuminating the composite Langmuir-Blodgett monolayers of porphyrin derivatives/Ag(+) and n-hexadecyl dihydrogen phosphate (n-HDP)/Ag(+) deposited on carbon-coated copper grids with daylight and then exposing them to air. Transmission electron microscopy (TEM) observation shows that the nanoparticle size is around 3 nm, with the separation of about 2-3 nm. High-resolution TEM (HRTEM) investigation indicates that the particles are made up of Ag(2)O. Ag nanorods with the width of 15-35 nm and the length of several hundreds of nanometers were synthesized by irradiating the composite Langmuir monolayers of porphyrin derivatives/Ag(+) and n-HDP/Ag(+) by UV-light directly at the air/water interface at room temperature. HRTEM image and selected-area electron diffraction (SAED) pattern indicate that the nanorods are single crystals with the (110) face of the face-centered cubic (fcc) silver parallel to the air/water interface. The formation of the 1D arrays and the nanorods should be attributed to the templating effect of the linear supramolecules formed by porphyrin derivative or n-HDP molecules in Langmuir monolayers through non-covalent interactions.