In vitro biofilm formation of Gardnerella vaginalis and Escherichia coli associated with bacterial vaginosis and aerobic vaginitis.

Objective: To determine the optimum biofilm formation ratio of Gardnerella vaginalis (G. vaginalis) in a mixed culture with Escherichia coli (E. coli). Methods: G. vaginalis ATCC14018, E. coli ATCC25922, as well as five strains of G. vaginalis were selected from the vaginal sources of patients whose biofilm forming capacity was determined by the Crystal Violet method. The biofilm forming capacity of E. coli in anaerobic and non-anaerobic environments were compared using the identical assay. The Crystal Violet method was also used to determine the biofilm forming capacity of a co-culture of G. vaginalis and E. coli in different ratios. After Live/Dead staining, biofilm thickness was measured using confocal laser scanning microscopy, and biofilm morphology was observed by scanning electron microscopy. Results: The biofilm forming capacity of E. coli under anaerobic environment was similar to that in a 5% CO2 environment. The biofilm forming capacity of G. vaginalis and E. coli was stronger at 106:105 CFU/mL than at other ratios (P<0.05). Their thicknesses were greater at 106:105 CFU/mL than at the other ratios, with the exception of 106:102 CFU/mL (P<0.05), under laser scanning microscopy. Scanning electron microscopy revealed increased biofilm formation at 106:105 CFU/mL and 106:102 CFU/mL, but no discernible E. coli was observed at 106:102 CFU/mL. Conclusion: G. vaginalis and E. coli showed the greatest biofilm forming capacity at a concentration of 106:105 CFU/mL at 48 hours and could be used to simulate a mixed infection of bacterial vaginosis and aerobic vaginitis in vitro.

Perspective on High-Stability Single-Crystal Li-Rich Cathode Materials for Li-Ion Batteries.

Benefiting from anionic and cationic redox reactions, Li-rich materials have been regarded as next-generation cathodes to overcome the bottleneck of energy density. However, they always suffer from cracking of polycrystalline (PC) secondary particles and lattice oxygen release, resulting in severe structural deterioration and capacity decay upon cycling. Single-crystal (SC) design has been proven as an effective strategy to relieve these issues in traditional Li-rich cathodes with PC morphology. Herein, we first reviewed the main synthesis routes of SC Li-rich materials including solid-state reaction, molten salt-assisted, and hydrothermal/solvothermal methods, in which the differences in grain morphology, electrochemical behaviors, and other properties induced by various routes were analyzed and discussed. Furthermore, the distinct characteristics were compared between SC and PC cathodes from the aspects of irreversible capacity, structural stability, capacity/voltage degradation, and gas release. Besides, recent advances in layered SC Li-rich oxide cathodes were summarized in detail, where the unique structural designs and modification strategies could greatly promote their structural/electrochemical stability. At last, challenges and perspectives for the emerging SC Li-rich cathodes were proposed, which provided an exceptional opportunity to achieve high-energy-density and high-stability Li-ion/metal batteries.

High-throughput sequencing reveals differences in microbial community structure and diversity in the conjunctival tissue of healthy and type 2 diabetic mice.

BACKGROUND: To investigate the differences in bacterial and fungal community structure and diversity in conjunctival tissue of healthy and diabetic mice. METHODS: RNA-seq assays and high-throughput sequencing of bacterial 16 S rDNA and fungal internal transcribed spacer (ITS) gene sequences were used to identify differentially expressed host genes and fungal composition profiles in conjunctival tissues of diabetic BKS-db/db mice and BKS (control) mice. Functional enrichment analysis of differentially expressed genes and the correlation between the relative abundance of bacterial and fungal taxa in the intestinal mucosa were also performed. RESULTS: Totally, 449 differential up-regulated genes and 1,006 down-regulated genes were identified in the conjunctival tissues of diabetic mice. The differentially expressed genes were mainly enriched in metabolism-related functions and pathways. A decrease in conjunctival bacterial species diversity and abundance in diabetic mice compared to control mice. In contrast, fungal species richness and diversity were not affected by diabetes. The microbial colonies were mainly associated with cellular process pathways regulating carbohydrate and lipid metabolism, as well as cell growth and death. Additionally, some interactions between bacteria and fungi at different taxonomic levels were also observed. CONCLUSION: The present study revealed significant differences in the abundance and composition of bacterial and fungal communities in the conjunctival tissue of diabetic mice compared to control mice. The study also highlighted interactions between bacteria and fungi at different taxonomic levels. These findings may have implications for the diagnosis and treatment of diabetes.

Self-adhesive wearable poly (vinyl alcohol)-based hybrid biofuel cell powered by human bio-fluids.

Advancement of wearable microelectronics demands their power source with continuous energy supply, skin-integration and miniaturization. In light of poly (vinyl alcohol) (PVA) hydrogel with nontoxicity, good biocompatibility and low cost, an advanced wearable PVA-based hybrid biofuel cells (HBFCs) with high self-adhesiveness was developed. Through the reaction between PVA molecules and succinic anhydride (SAA), the carboxylated PVA (PVA/SAA) was obtained, and by incorporation with PDA as crosslinker, the self-adhesive PVA/SAA-DA hydrogel electrolytes formed by dual covalent and hydrogen bonding. With increasing SAA and PDA content, the pore size decreased, and a uniform and dense network formed, endowing the hydrogel with a relatively high absorption capacity of PBS solution of lactate as cell fuel. Meanwhile the various functional groups of hydrogel, including catechol, quinone, amino and hydroxyl groups, contributed to impressive tissue adhesion strength against pigskin under dry and wet conditions. The PVA/SAA-DA hydrogel displayed high conductive property, and the integrated PVA-based HBFC generated open circuit voltage of 0.50 V and maximum power density of 128.76 µW/cm2 in 20 mM lactate solution, which was optimized to be 0.57 V/224.85 µW/cm2 when the pore size was enlarged. The power retention reached above 70% in one week, showing long-term stability of HBFC. The PVA-based HBFC was further adhered to human skin without extra adhesive tapes to scavenge human sweat as biofuel, and the maximum power density reached 85.34 µW/cm2, while by connected with a DC-DC converter, the HBFC could power watch, exhibiting promising application potentials as wearable electronic device to provide bioelectricity.

Fabrication of all-starch-based hydrogels as eco-friendly water-absorbent resin: Structure and swelling behaviors.

Water-absorbent resin has gained wide applications due to the capability in absorbing and retaining substantial amounts of water, while it's a challenge to fabricate a full biobased water-absorbent resin with excellent biodegradability and eco-friendliness. In this study, starch was sulfonated (SS) and crosslinked with epichlorohydrin to fabricate all-starch-based hydrogels (SSH) as water-absorbent resin with advantages of intrinsic biodegradability and low cost. The results confirmed that the hydrogen atoms of -OH groups in starch chains were partially replaced by -SO3- and the substitution degree (DS) of SS reached 0.008-0.344. By controlling DS and gelation process of SS, the swelling ratio (Qe) of SSH was improved in distilled water, reaching 244.47 g/g for samples prepared using SS with medium DS (SSMDSH). SSMDSH showed relatively loose network structure with low cross-linking density and large pore size. Meanwhile, -SO3- groups on SSMDSH chains facilitated strong ion-dipole interactions with water molecules, resulting in an increase in content of non-freezing bound water within hydrogels and thus improvement in water absorption capacity. Besides, SSH showed desired fertilizer absorption performance and complete biodegradability in α-amylase solution, which made it to be a promising candidate in agricultural fields as eco-friendly water-absorbent resin.

Silk nanofibrils-MOF composite membranes for pollutant removal from water.

Membrane separation technology is considered an effective strategy to remove pollutants in sewage. However, it remains a significant challenge to fabricate inexpensive membranes with high purification efficiency. Therefore, the present study proposes the integration of silk nanofibrils (SNFs) and polydopamine⊂metal-organic framework (PDA⊂MOF) nanoparticles to prepare self-supporting membranes, which can effectively intercept nanoparticle pollutants through the size exclusion effect and can strongly adsorb organic dyes and metal ions by SNF. In addition, PDA⊂MOF enables these membranes to adsorb small molecules and heavy metal ions during the filtration process, thereby effectively removing various pollutants from sewage. The integration of size-exclusion and adsorption capabilities enables the SNF/PDA⊂MOF membrane to remove nanoparticles, small-molecule dyes, heavy metal ions, and radioactive elements. This work provides a rational approach for the design and development of the next generation of water treatment membranes and is expected to be used in environmental, food-related, and biomedical fields.

The role of neutrophils in corneal nerve regeneration.

BACKGROUND: To investigate the role of neutrophils in corneal nerve regeneration. METHODS: A mouse model simulating corneal nerve injury was established and samples from corneal scraping with and without neutrophil closure were collected. These samples were used for corneal nerve staining, ribonucleic acid sequencing, and bioinformatics. Differential expression analysis was used to perform enrichment analysis to identify any significant differences between these two groups. The differential genes were then intersected with neutrophil-associated genes and a protein-protein interaction network was constructed using the intersected genes. The immune infiltration between the two groups was examined along with the immune cell variation between the high and low gene expression groups. RESULTS: Neutrophil removal delays corneal epithelial and nerve regeneration. A total of 546 differential genes and 980 neutrophil-associated genes, with 27 genes common to both sets were obtained. Molecular Complex Detection analysis yielded five key genes, namely integrin subunit beta 2 (ITGB2), matrix metallopeptidase 9 (MMP9), epidermal growth factor (EGF), serpin family E member 1 (SERPINE1), and plasminogen activator urokinase receptor (PLAUR). Among these genes, ITGB2, SERPINE1, and PLAUR exhibited increased expression in the neutrophil-confined group, while MMP9 and EGF showed decreased expression, with MMP9 and EGF displaying a more significant difference. Immune infiltration was also observed between the two groups, revealing significant differences in the infiltration of M0 macrophages, activated mast cells, and neutrophils. Moreover, the neutrophil levels were lower in the groups with low MMP9 and EGF expressions and higher in the high-expression group. CONCLUSION: Neutrophil confinement might significantly affect the MMP9 and EGF expression levels. Strategies to inhibit MMP9 could potentially yield therapeutic benefits.

Skinless Polyphenylene Sulfide Foam with Enhanced Thermal Insulation Properties Fabricated by Constructing Aligned Gas Barrier Layers for Surface-Constrained sc-CO2 Foaming.

A solid skin layer inevitably forms on the foam surface for supercritical carbon dioxide (sc-CO2) foaming technology, leading to deterioration of some inherent properties of polymeric foams. In this work, skinless polyphenylene sulfide (PPS) foam was fabricated with a surface-constrained sc-CO2 foaming method by innovatively constructing aligned epoxy resin/ferromagnetic graphene oxide composites (EP/GO@Fe3O4) as a CO2 barrier layer under a magnetic field. Introduction of GO@Fe3O4 and its ordered alignment led to an obvious decrease in the CO2 permeability coefficient of the barrier layer, a significant increase of the CO2 concentration in the PPS matrix, and a decrease of desorption diffusivity in the depressurization stage, suggesting that the composite layers effectively inhibited the escape of CO2 dissolved in the matrix. Meanwhile, the strong interfacial interaction between the composite layer and the PPS matrix remarkably enhanced the heterogeneous nucleation of cells at the interface, resulting in elimination of the solid skin layer and formation of an obvious cellular structure on the foam surface. Moreover, by the alignment of GO@Fe3O4 in EP, the CO2 permeability coefficient of the barrier layer became much lower, and the cell density on the foam surface further increased with decreasing cell size, which was even higher than that of the cross section of foam, attributed to stronger heterogeneous nucleation at the interface than the homogeneous nucleation in the core region of the sample. As a result, the thermal conductivity of the skinless PPS foam reached as low as 0.0365 W/m·k, decreasing by 49.5% compared with that of regular PPS foam, showing a remarkable improvement in the thermal insulation properties of PPS foam. This work provided a novel and effective method for fabricating skinless PPS foam with enhanced thermal insulation properties.

Heterogeneous pattern of gene expression driven by TTN mutation is involved in the construction of a prognosis model of lung squamous cell carcinoma.

Objective: To investigate the impact that TTN mutation had on the gene heterogeneity expression and prognosis in patients with lung adenocarcinoma. Methods: In this study, the Cancer Genome Atlas (TCGA) dataset was used to analyze the TTN mutations in lung adenocarcinoma. Lung adenocarcinoma data was collected from the TCGA database, clinical information of patients was analyzed, and bioinformatics statistical methods were applied for mutation analysis and prognosis survival analysis. The results were verified using the GEO dataset. Results: The incidence of TTN mutations in lung adenocarcinoma was found to be 73%, and it was related to the prognosis of lung adenocarcinoma. Ten genes were screened with significant contributions to prognosis. A prognosis model was constructed and verified by LASSO COX analysis in the TCGA and GEO datasets based on these ten beneficial factors. The independent prognostic factor H2BC9 for TTN mutation-driven gene heterogeneity expression was screened through multi-factor COX regression analysis. Conclusion: Our data showed that the gene heterogeneity expression, which was driven by TTN mutations, prolonged the survival of lung adenocarcinoma patients and provided valuable clues for the prognosis of TTN gene mutations in lung adenocarcinoma.

Construction of fully biodegradable poly(L-lactic acid)/poly(D-lactic acid)-poly(lactide-co-caprolactone) block polymer films: Viscoelasticity, processability and flexibility.

Development of biodegradable polymer films is essential for sustainable energy conservation and ecological protection. In this work, to improve the processability and toughness of poly(lactic acid) (PLA) films, poly(lactide-co-caprolactone) (PLCL) segments were introduced into poly(L-lactic acid) (PLLA)/poly(D-lactic acid) (PDLA) chains via chain branching reactions during reactive processing, and fully biodegradable/flexible PLLA/D-PLCL block polymer with long-chain branches and stereocomplex (SC) crystalline structure was prepared. Compared with neat PLLA, PLLA/D-PLCL exhibited much higher complex viscosity/storage modulus, lower tanδ values in terminal region and obvious strain-hardening behavior. Through biaxial drawing, PLLA/D-PLCL films were prepared, which showed improved uniformity and non-preferred orientation. With increasing draw ratio, the total crystallinity (Xc) and Xc for SC crystal both increased. By introduction of PDLA, the two phases of PLLA and PLCL penetrated and entangled with each other, and the phase structure transformed from "sea-island" structure to "co-continuous network" structure, which was beneficial for exerting the toughening effect of flexible PLCL molecules on PLA matrix. The tensile strength and elongation at break of PLLA/D-PLCL films increased from 51.87 MPa and 28.22 % of neat PLLA film to 70.82 MPa and 148.28 %. This work provided a new strategy for developing fully biodegradable polymer films with high performance.

Self-Assembled Construction of Robust and Super Elastic Graphene Aerogel for High-Efficient Formaldehyde Removal and Multifunctional Application.

Simultaneously achieving exceptional mechanical strength and resilience of graphene aerogel (GA) remains a challenge, while GA is an ideal candidate for formaldehyde removal. Herein, flexible polyethyleneimine (PEI) is grafted chemically onto carbon nanotube (CNT) surface, and CNT-PEI@reduced GA (rGA) is fabricated via hydrothermal self-assembly, pre-frozen, and hydrazine reduction process. Introducing CNT-PEI contributes to well-interconnected/robust 3D network construction by connecting reduced graphene oxide (rGO) nanosheets through enhancing cross-linking, while entangled CNT-PEI is intercalated into rGO layers to avoid serious restacking of sheets, producing larger surface area and more formaldehyde adsorption sites. Ultralight CNT-PEI@rGA exhibits extreme high strength (276.37 kPa), reversible compressibility at 90% strain, and structural stability, while FA adsorption capacity reached 568.41 mg g-1 , ≈3.28 times of rGA, derivable from synergistic chemical-physical adsorption effect. Furthermore, CNT-PEI@rGA is ground into powder for first preparing polyoxymethylene (POM)/CNT-PEI@rGA composite, while formaldehyde emission amount is 69.63%/73.96% lower than that of POM at 60/230 °C. Moreover, CNT-PEI@rGA presents outstanding piezoresistive-sensing and thermal insulation properties, exhibiting high strain sensitivity, wide strain detection range, and long-term durability.

Renal Yolk Sac Tumor Clinically Misdiagnosed as Nephroblastoma: A Case Report.

Background: Yolk sac tumor is a germ cell tumor (GCT) that occurs in infants and adolescents and affects various sites. There is a trend to treat pediatric renal tumors before a tissue diagnosis. We report a renal yolk sac tumor clinically misdiagnosed as Wilms tumor, based on ultrasound (US) and MRI.Case Report: This 21-month-old male infant was discovered to have a space occupying lesion in the right kidney. Because the tumor was large, initial radiotherapy preceded surgical resection. Histologically, the tumor was a yolk sac tumor.Conclusion: Imaging examination of renal yolk sac tumor can easily be misdiagnosed as Wilms tumor. SIOP treatment plan for Wilms tumor requires preoperative chemotherapy, which is different from the treatment regimen for yolk sac tumor. Preoperative alpha-fetoprotein could have been helpful in avoiding this clinical misdiagnosis.

Pan-cancer antagonistic inhibition pattern of ATM-driven G2/M checkpoint pathway vs other DNA repair pathways.

DNA repair mechanisms keep genome integrity and limit tumor-associated alterations and heterogeneity, but on the other hand they promote tumor survival after radiation and genotoxic chemotherapies. We screened pathway activation levels of 38 DNA repair pathways in nine human cancer types (gliomas, breast, colorectal, lung, thyroid, cervical, kidney, gastric, and pancreatic cancers). We took RNAseq profiles of the experimental 51 normal and 408 tumor samples, and from The Cancer Genome Atlas and Clinical Proteomic Tumor Analysis Consortium databases - of 500/407 normal and 5752/646 tumor samples, and also 573 normal and 984 tumor proteomic profiles from Proteomic Data Commons portal. For all the samplings we observed a congruent trend that all cancer types showed inhibition of G2/M arrest checkpoint pathway compared to the normal samples, and relatively low activities of p53-mediated pathways. In contrast, other DNA repair pathways were upregulated in most of the cancer types. The G2/M checkpoint pathway was statistically significantly downregulated compared to the other DNA repair pathways, and this inhibition was strongly impacted by antagonistic regulation of (i) promitotic genes CCNB and CDK1, and (ii) GADD45 genes promoting G2/M arrest. At the DNA level, we found that ATM, TP53, and CDKN1A genes accumulated loss of function mutations, and cyclin B complex genes - transforming mutations. These findings suggest importance of activation for most of DNA repair pathways in cancer progression, with remarkable exceptions of G2/M checkpoint and p53-related pathways which are downregulated and neutrally activated, respectively.

A meta-analysis on morphological, physiological and biochemical responses of plants with PGPR inoculation under drought stress.

Plant growth-promoting rhizobacteria (PGPR) can help plants to resist drought stress. However, the mechanisms of how PGPR inoculation affect plant status under drought remain incompletely understood. We performed a meta-analysis of plant response to PGPR inoculation by compiling data from 57 PGPR-inoculation studies, including 2, 387 paired observations on morphological, physiological and biochemical parameters under drought and well-watered conditions. We compare the PGPR effect on plants performances among different groups of controls and treatments. Our results reveal that PGPR enables plants to restore themselves from drought-stressed to near a well-watered state, and that C4 plants recover better from drought stress than C3 plants. Furthermore, PGPR is more effective underdrought than well-watered conditions in increasing plant biomass, enhancing photosynthesis and inhibiting oxidant damage, and the responses of C4 plants to the PGPR effect was stronger than that of C3 plants under drought conditions. Additionally, PGPR belonging to different taxa and PGPR with different functional traits have varying degrees of drought-resistance effects on plants. These results are important to improve our understanding of the PGPR beneficial effects on enhanced drought-resistance of plants.

Amino-modified silica membrane capable of DNA extraction and enrichment for facilitated isothermal amplification detection of Mycoplasma pneumoniae.

Herein, we developed a facile integrated Mycoplasma pneumoniae diagnosis platform by combining amino-modified silica membrane (AMSM)-based nucleic acids fast extraction and enrichment with colorimetric isothermal amplification detection. AMSM demonstrates a strong ability to capture and enrich nucleic acids in complicated biological matrices, and the purified AMSM/nucleic acids composite could be directly used to perform isothermal amplification including denaturation bubble-mediated strand exchange amplification (SEA) and loop-mediated isothermal amplification (LAMP) reactions. Through comparing clinical specimens, excellent performance of AMSM-based SEA assay with 93.33% sensitivity and 100% specificity relative to real-time PCR was observed, and for AMSM-based LAMP was 96.67% and 100%, respectively. The diagnostic procedure could be completed within 55 min, and the colorimetric-based visual result further alleviates the use of sophisticated equipment. The proposed approach possesses great potential as a simple and time-saving alternative for point-of-care testing (POCT) of M. pneumoniae in resource-limited regions.

A robust hollow metal-organic framework with enhanced diffusion for size selective catalysis.

Single crystalline (SC) hollow metal-organic frameworks (MOFs) are excellent host materials for molecular and nanoparticle catalysts. However, due to synthetic challenges, chemically robust SC hollow MOFs are rare. This work reports the construction of a defect-free and chemically stable SC hollow MOF, MOF-801(h), through templated growth from a unit cell mismatched core, UiO-66. Under the protection of excess MOF-801 ligand, fumaric acid, the MOF-801 shell was perfectly retained while the isoreticular UiO-66 core was selectively and completely etched away by formic acid. The combination of a large cavity, small aperture and short diffusion length allows the Pt nanoparticle encapsulated composite catalyst, Pt⊂MOF-801(h), to perform size selective hydrogenation of nitro compounds at an accelerated speed. Impressively, the catalyst can undergo concentrated HCl or boiling water treatment while maintaining its crystallinity, morphology, catalytic activity, and size selectivity. In addition, Au nanoparticles encapsulated catalyst, Au⊂MOF-801(h), was used for the size selective nucleophilic addition of HCl to terminal alkynes for the first time, which is a harsh reaction involving high concentrations of a strong acid.

YKL-39 is an independent prognostic factor in gastric adenocarcinoma and is associated with tumor-associated macrophage infiltration and angiogenesis.

BACKGROUND: Gastric cancer has a high incidence and mortality rate. Angiogenesis is necessary for tumor infiltration and metastasis and affects patient prognosis. YKL-39 has monocyte chemotactic activity and pro-angiogenic activity in some tumors. In this study, we investigated the relationship between YKL-39 and tumor-associated macrophages and microangiogenesis in gastric cancer to determine its potential as a prognostic biomarker. MATERIALS AND METHODS: A total of 119 patients with gastric cancer who had undergone gastrectomy at the 940th Hospital of the Joint Security Force between 2014 and 2018 were included in this study. We assayed the protein expression of YKL-39, CD68, and CD34 by immunohistochemistry in tissues of 119 patients with gastric cancer, as well as the intracellular expression of YKL-39 and CD68 by immunofluorescence. Data were analyzed with SPSS Statistics 25.0 to explore the impact of expression of YKL-39, CD68, and CD34 in gastric cancer patients and the relationship among them. RESULTS: Our results show that YKL-39 was expressed in both the nucleus and cytoplasm of gastric cancer cells and tumor mesenchyme. YKL-39 protein expression was associated with the depth of tumor infiltration, lymph node metastasis, and TNM stage; CD68 protein expression was associated with lymph node metastasis and TNM stage; CD34 protein expression was not associated with clinicopathological characteristics. Expression of YKL-39 was positively correlated with CD68 and CD34 (p < 0.001), and high expression of YKL-39 was associated with poor prognosis (p < 0.05). CONCLUSION: In gastric cancer, YKL-39 expression is positively correlated with the degree of tumor-associated macrophage infiltration and angiogenesis, and is a potential prognostic marker for gastric cancer.

Evaluation of Root-Analog Implants and Standardized Specimens Fabricated by Selective Laser Melting.

PURPOSE: To evaluate root-analog implants (RAIs) fabricated by selective laser melting (SLM). MATERIALS AND METHODS: Two types of implants (a maxillary right first molar RAI and a screw-cylinder-type molar implant) were designed using CAD software. Both implant types were fabricated with the SLM technique using Ti-6Al-4V powder. The stress distribution and micromotion of the implants were evaluated using finite element analysis, and the mechanical properties of the printed implants (relative density and compression test), surface properties of an SLM-fabricated specimen (morphology, roughness, and contact angle test), and biocompatibility of an SLM-fabricated specimen (osteoblast attachment, metal ion precipitation analysis, cell viability, and osteogenic gene expression) were evaluated. RESULTS: The RAI model exhibited better stress distribution and less micromotion than the screw-cylinder implant model. The screw-cylinder implant was better than the RAI at withstanding pressure, but both implant types could withstand masticatory forces. The densities of both implant types were similar to those of the bulk materials. Block samples made using the same SLM technique as the RAI exhibited good surface properties and excellent biocompatibility. CONCLUSION: The properties of the molar RAI fabricated with the SLM technique suggest that it may have potential for future clinical use, but this will need to be verified by in vivo studies.

A Biocompatible Self-Powered Piezoelectric Poly(vinyl alcohol)-Based Hydrogel for Diabetic Wound Repair.

Acute and chronic wounds, caused by trauma, tumors, diabetic foot ulcers, etc., are usually difficult to heal, while applying exogenous electrical stimulation to enhance the endogenous electric field in the wound has been proven to significantly accelerate wound healing. However, traditional electrical stimulation devices require an additional external power supply, making them poor in portability and comfort. In this work, a self-powered piezoelectric poly(vinyl alcohol) (PVA)/polyvinylidene fluoride (PVDF) composite hydrogel is constructed by establishing a distinctive preparation process of freezing/thawing-solvent replacement-annealing-swelling. The hydrogen bonding in the hydrogel is remarkably enhanced by the annealing-swelling process, which is stronger between PVA/PVDF molecules than that between PVA molecules, promoting transformation of the α-phase into the electroactive ß-phase PVDF and facilitating formation of a much more crystalline structure with high cross-linking density. Hence, an obvious piezoelectric response with high piezoelectric coefficient and electrical signal output with superior stability and sensitivity and excellent mechanical strength and stretchability was achieved for hydrogels. PVA/PVDF composite hydrogels with good cytocompatibility significantly promote proliferation, migration, and secretion of extracellular matrix proteins and growth factors of fibroblasts, possibly through activating the AKT and ERK1/2 signaling pathways. In a wound model of diabetic rats, piezoelectric hydrogels could not only rapidly attract wound exudate and maintain the wet environment of the wound bed but also convert the mechanical energy generated by rats' physical activities into electrical energy, so as to provide local piezoelectric stimulation to the wound bed evenly and symmetrically in real time. Such an effect significantly promotes re-epithelialization and collagen deposition and increases angiogenesis and secretion of growth factors in wound tissue. Besides, it regulates the macrophage phenotype from the M1 subtype (pro-inflammatory subtype) to the M2 subtype (anti-inflammatory subtype) and reduces the expression levels of inflammatory factors, thus accelerating wound healing. The development of such a novel piezoelectric hydrogel provides new therapeutic strategies for chronic wound healing.

A facile strategy to construct biocompatible poly(vinyl alcohol)-based self-healing hydrogels.

Endowing polymer hydrogels with good self-healing ability can autonomously repair damage with improved reliability. In this work, the benzaldehyde group was first grafted onto a biocompatible poly(vinyl alcohol) (PVA) molecular chain by esterification to obtain aldehyde-functionalized PVA (APVA), and the reversible imine bonds were further formed by reacting with amine groups on a quaternized chitosan (HTCC) chain. And thus, the self-healing APVA/HTCC hydrogel was fabricated with such imine bonds as crosslinking points together with hydrogen bonds. Many more imine bonds of hydrogels formed with increasing aldehyde content, resulting in increasing crosslinking density, decreasing average pore diameter and formation of a compact dynamic network, imparting certain mechanical strength and toughness with hydrogels. Furthermore, the healing efficiency of the hydrogel reached as high as 91.7% by self-healing without any external stimulus and its microstructure could be reconstructed after damage, exhibiting rapid recovery and dynamic features. Biocompatible self-healing PVA-based hydrogels exhibited great potential application in biomedical fields, like smart infill biomaterials, tissue engineering scaffolds, etc.