Mechanical stretch preconditioned adipose-derived stem cells elicit polarization of anti-inflammatory M2-like macrophages and improve chronic wound healing.

Transplantation of adipose-derived stem cells (ASCs) is a promising option in the field of chronic wounds treatment. However, the effectiveness of ASCs therapies has been hampered by highly inflammatory environment in chronic wound areas. These problems could be partially circumvented using efficient approaches that boost the survival and anti-inflammatory capacity of transplanted ASCs. Here, by application of mechanical stretch (MS), we show that ASCs exhibits increased survival and immunoregulatory properties in vitro. MS triggers the secretion of macrophage colony stimulating factor (M-CSF) from ASCs, a chemokine that is linked to anti-inflammatory M2-like macrophages polarization. When the MS-ASCs were transplanted to chronic wounds, the wound area yields significantly faster closure rate and lower inflammatory mediators, largely due to macrophages polarization driven by transplanted MS-ASCs. Thus, our work shows that mechanical stretch can be harnessed to enhance ASCs transplantation efficiency in chronic wounds treatment.

Aspiration of thrombus for intermediate-risk subacute pulmonary embolism.

Pulmonary embolism is the most common cardiovascular disease after myocardial infarction and stroke. Konstantinides (Eur Heart J 41(4):543-603, 2020) Current guidelines categorize patients with PE as being at low, intermediate, and high risk of early death, with the intermediate-risk group experiencing the greatest uncertainty regarding treatment recommendations. Rapid reduction of the thrombus load by thrombolysis significantly reduces symptoms and decreases mortality, but is accompanied by a high risk of bleeding. Meyer (N Engl J Med 370(15):1402-11, 2014) Mechanical thrombectomy (CDTE) have been proven safe and efficient, yet current ESC guidelines suggest the utilization of catheter interventions only for hypotensive patients with high bleeding risk, failed systemic thrombolysis, and cardiogenic shock or if a patient does not respond to conservative therapy Konstantinides (Eur Heart J 41(4):543-603, 2020). Here, we report a case of an intermediate-risk patient with pulmonary embolism who underwent thrombus aspiration and showed significant improvement in symptoms after treatment.

DeepKa Web Server: High-Throughput Protein pKa Prediction.

DeepKa is a deep-learning-based protein pKa predictor proposed in our previous work. In this study, a web server was developed that enables online protein pKa prediction driven by DeepKa. The web server provides a user-friendly interface where a single step of entering a valid PDB code or uploading a PDB format file is required to submit a job. Two case studies have been attached in order to explain how pKa's calculated by the web server could be utilized by users. Finally, combining the web server with post processing as described in case studies, this work suggests a quick workflow of investigating the relationship between protein structure and function that are pH dependent. The web server of DeepKa is freely available at http://www.computbiophys.com/DeepKa/main.

Unlocking the potential of senescence-related gene signature as a diagnostic and prognostic biomarker in sepsis: insights from meta-analyses, single-cell RNA sequencing, and in vitro experiments.

Cellular senescence is closely associated with the pathogenesis of sepsis. However, the diagnostic and prognostic value of senescence-related genes remain unclear. In this study, 866 senescence-related genes were collected from CellAge. The training cohort, GSE65682, which included 42 control and 760 sepsis samples, was obtained from the Gene Expression Omnibus (GEO). Feature selection was performed using gene expression difference detection, LASSO analysis, random forest, and Cox regression. TGFBI and MAD1L1 were ultimately selected for inclusion in the multivariate Cox regression model. Clustering based on the expressions of TGFBI and MAD1L1 was significantly associated with sepsis characteristics and prognoses (all P < 0.05). The risk signature served as a reliable prognostic predictor across the GSE65682, GSE95233, and GSE4607 cohorts (pooled hazard ratio = 4.27; 95% confidence interval [CI] = 1.63-11.17). Furthermore, it also served as a robust classifier to distinguish sepsis samples from control cases across 14 cohorts (pooled odds ratio = 5.88; 95% CI = 3.54-9.77). Single-cell RNA sequencing analyses from five healthy controls and four sepsis subjects indicated that the risk signature could reflect the senescence statuses of monocytes and B cells; this finding was then experimentally validated in THP-1 and IM-9 cells in vitro (both P < 0.05). In all, a senescence-related gene signature was developed as a prognostic and diagnostic biomarker for sepsis, providing cut-in points to uncover underlying mechanisms and a promising clinical tool to support precision medicine.

Temperature-Dependent Electrochemical Performance of Ta-Substituted SrCoO3 Perovskite for Supercapacitors.

Developing new electrode materials with good temperature-dependent electrochemical performance has become a great issue for the deployment of hybrid supercapacitors with wide temperature tolerance. In this work, a series of Ta-substituted SrCo1-x Tax O3-δ (x=0.05, 0.10, 0.15, 0.20) perovskites have been studied as positive electrodes for hybrid supercapacitors in terms of their structures, elemental valence states and electrochemical performances. Incorporating Ta into SrCoO3-δ perovskite not only stabilizes the crystallite structure but also notably improves electrochemical activities. The SrCo0.95 Ta0.05 O3-δ @CC delivers the highest specific capacity (Qsp ) of 227.91 C g-1 at 1 A g-1 , which is attributed to the highest oxygen vacancy content and the fastest oxygen diffusion kinetics. The hybrid supercapacitor SrCo0.95 Ta0.05 O3-δ @CC//AC@CC exhibits a high energy density of 22.82 Wh kg-1 @775.09 W kg-1 and a stable long-term cycle life (5000 cycles) with 90.7 % capacity retention. As temperature increases from 25 to 85 °C, the capacitance properties are improved at elevated temperatures for both electrode and device due to the increased electrolyte conductivity. The outstanding electrochemical results present that SrCo1-x Tax O3-δ perovskite holds good prospects for hybrid supercapacitors with wide temperature tolerance.

Mechanical stiffness promotes skin fibrosis via Piezo1-Wnt2/Wnt11-CCL24 positive feedback loop.

Skin fibrosis is characterized by the excessive accumulation of extracellular matrix (ECM) caused by fibrotic disorders of the skin. In recent years, ECM stiffness has emerged as a prominent mechanical cue that precedes skin fibrosis and drives its progression by promoting fibroblasts activation. However, how stiffness influences fibroblasts activation for skin fibrosis progression remains unknown. Here, we report a positive feedback loop mediated by the mechanosensitive ion channel Piezo1 and aberrant tissue mechanics in driving skin fibrosis. Piezo1 is upregulated in fibrotic skin in both humans and mice. Piezo1 knockdown dermal fibroblasts lose their fibroproliferative phenotypes despite being grown on a stiffer substrate. We show that Piezo1 acts through the Wnt2/Wnt11 pathway to mechanically induce secretion of C-C motif chemokine ligand 24 (CCL24, also known as eotaxin-2), a potent cytokine associated with fibrotic disorders. Importantly, adeno-associated virus (AAV)-mediated Piezo1 knockdown ameliorated the progression of skin fibrosis and skin stiffness in mice. Overall, increased matrix stiffness promotes skin fibrosis through the inflammatory Piezo1-Wnt2/Wnt11-CCL24 pathway. In turn, a stiffer skin microenvironment increases Piezo1 expression to exacerbate skin fibrosis aggression. Therefore, targeting Piezo1 represents a strategy to break the positive feedback loop between fibroblasts mechanotransduction and aberrant tissue mechanics in skin fibrosis.

In-situ growth of zinc sulfide on the surface of alginate-based biomass carbon: A new material for removing methylene blue/basic fuchsin and copper ions.

This work aims to prepare a composite adsorbent with a fixed shape to improve the performance of carbon materials and to solve the problem of adsorbent in powder form which is difficult to recycle after use. The BC-ZnS composite system was successfully prepared by hydrothermal method based on the preparation of biomass carbon (BC) using alginate (Alg), while the ZnS component was grown in-situ on the surface of BC. The effects of Alg, Zn source, hydrothermal temperature and time on the synthesis of BC-ZnS were explored, the results indicated that ZnS was successfully grown in-situ on the BC surface, while the BC maintained its original morphology. BC-ZnS showed excellent adsorption capacity for methylene blue (MB), basic fuchsin (BF), and copper ions (Cu2+), reaching 301.50 mg/g for MB and exhibiting good cyclic stability. The adsorption of MB/BF/Cu2+ by BC-ZnS was characterized by the presence of multiple forces, where the BC component mainly depended on the electrostatic force of Alg residue, while the ZnS involves electrostatic forces, ion exchange and Lewis acid/base soft-soft interactions. The adsorption process conforms to pseudo-first-kinetics and is a spontaneous entropy-increasing process. BC-ZnS can be a candidate for reusable wastewater treatment and has excellent potential for application.

Mechanical stiffness promotes skin fibrosis through FAPα-AKT signaling pathway.

BACKGROUND: Myofibroblasts contribute to the excessive production, remodeling and cross-linking of the extracellular matrix that characterizes the progression of skin fibrosis. An important insight into the pathogenesis of tissue fibrosis has been the discovery that increased matrix stiffness during fibrosis progression is involved in myofibroblast activation. However, mechanistic basis for this phenomenon remains elusive. OBJECTIVE: To explore the role of fibroblast activation protein-α (FAPα) in mechanical stiffness-induced skin fibrosis progression. METHODS: RNA-seq was performed to compare differential genes of mouse dermal fibroblasts (MDFs) grown on low or high stiffness plates. This process identified FAPα, which is a membrane protein usually overexpressed in activated fibroblasts, as a suitable candidate. In vitro assay, we investigate the role of FAPα in mechanical stiffness-induced MDFs activation and downstream pathway. By establishing mouse skin fibrosis model and intradermally administrating FAPα adeno-associated virus (AAV) or a selective Fap inhibitor FAPi, we explore the role of FAPα in skin fibrosis in vivo. RESULTS: We show that FAPα, a membrane protein highly expressed in myofibroblasts of skin fibrotic tissues, is regulated by increased matrix stiffness. Genetic deletion or pharmacological inhibition of FAPα significantly inhibits mechanical stiffness-induced activation of myofibroblasts in vitro. Mechanistically, FAPα promotes myofibroblast activation by stimulating the PI3K-Akt pathway. Furthermore, we showed that administration of the inhibitor FAPi or FAPα targeted knockdown ameliorated the progression of skin fibrosis. CONCLUSION: Taken together, we identify FAPα as an important driver of mechanical stiffness-induced skin fibrosis and a potential therapeutic target for the treatment of skin fibrosis.

Flexible All-Solid-State Asymmetric Supercapacitors Based on PPy-Decorated SrFeO3-δ Perovskites on Carbon Cloth.

The defective structure and high oxygen vacancy concentration of SrFeO3-δ perovskite enable fast ion-electron transport, but its low conductivity still hinders the high electrochemical performance. Herein, to enhance the conductivity of SrFeO3-δ-based electrodes, polypyrrole-modified SrFeO3-δ perovskite on carbon cloth (PPy@SFO@CC) has been successfully fabricated by electrodeposition of polypyrrole (PPy) on the surface of SFO@CC. The optimal PPy700@SFO@CC electrode exhibits a specific capacitance of 421 F g-1 at 1 A g-1. It was found that the outside PPy layer not only accelerates the electron transport and ion diffusion but also creates more oxygen vacancies in SrFeO3-δ, enhancing the charge storage performance significantly. Moreover, the NiCo2O4@CC//PPy700@SFO@CC device maintains a specific capacitance of 63.6% after 3000 cycles, which is ascribed to the weak adhesion forces between the active materials and carbon cloth. Finally, the all-solid-state flexible supercapacitor NiCo2O4@CC//PPy700@SFO@CC is constructed with PVA-KOH as the solid electrolyte, delivering an energy density of 16.9 W h kg-1 at a power density of 984 W kg-1. The flexible supercapacitor retains 69% of its specific capacitance after 1000 bending and folding times, demonstrating a certain degree of foldability. The present study opens new avenues for perovskite oxide-based flexible all-solid-state supercapacitors.

Dynamics of cutaneous atmospheric oxygen uptake in response to mechanical stretch revealed by optical fiber microsensor.

Skin expands and regenerates in response to mechanical stretch. This important homeostasis process is critical for skin biology and can be exploited to generate extra skin for reconstructive surgery. Atmospheric oxygen uptake is important in skin homeostasis. However, whether and how cutaneous atmospheric oxygen uptake changes during mechanical stretch remains unclear, and relevant research tools to quantify oxygen flux are limited. Herein, we used the scanning micro-optrode technique (SMOT), a non-invasive self-referencing optical fiber microsensor, to achieve real-time measurement of cutaneous oxygen uptake from the atmosphere. An in vivo mechanical stretch-induced skin expansion model was established, and an in vitro Flexcell Tension system was used to stretch epidermal cells. We found that oxygen influx of skin increased dramatically after stretching for 1 to 3 days and decreased to the non-stretched level after 7 days. The enhanced oxygen influx of stretched skin was associated with increased epidermal basal cell proliferation and impaired epidermal barrier. In conclusion, mechanical stretch increases cutaneous oxygen uptake with spatial-temporal characteristics, correlating with cell proliferation and barrier changes, suggesting a fundamental mechanistic role of oxygen uptake in the skin in response to mechanical stretch. Optical fiber microsensor-based oxygen uptake detection provides a non-invasive approach to understand skin homeostasis.

Dual Resonance Behavior and Enhanced Microwave Absorption Performance of Fe3O4@C@MoS2 Composites with Shape Magnetic Anisotropy.

Ternary hierarchical Fe3O4@C@MoS2 composites and binary hierarchical Fe3O4@C composites were successfully fabricated by a modified mixed solvothermal method, a self-oxidation polymerization method, and a hydrothermal process. Their magnetic properties and microwave absorption performance were investigated. Dual resonance behavior was observed in the Fe3O4@C@MoS2 composites. One of the resonances was attributed to natural resonance with a resonance frequency of 2.58 GHz, which was much higher than that for Fe3O4 bulk (1.5 GHz). The other originated from the superparamagnetic/ferromagnetic relaxation with a resonance frequency of 12.45 GHz. The minimum reflection loss (RLmin) reached -64.30 dB with a matched thickness of 2.24 mm at 11.64 GHz, and the maximum effective absorption bandwidth (EABmax) covered 6.39 GHz with a matched thickness of 1.89 mm. In addition, the maximum Radar cross section (RCS) reduction value reached 31.90 dB m2 at a scattering angle of 0°. Electron holography analysis confirmed a dense magnetic absorption network in the Fe3O4@C@MoS2 composites. The boost in microwave absorption performance was caused by the synergistic effects of magnetic and dielectric properties owing to the ternary hierarchical structure, shape magnetic anisotropy, and incorporation of 1T/2H MoS2. Besides, the binary hierarchical Fe3O4@C composites also exhibited good absorbing performance caused by natural resonance, with an RLmin of -52.90 dB at 5.80 mm, an EABmax of 5.98 GHz at 3.38 mm, and a relatively high RCS reduction value of 13.04 dB m2 at θ = 20°. This work paves the way for designing multicomponent hierarchical absorbers with broadband and intensive microwave absorption.

Molybdenum disulfide nanoflowers - doped sodium alginate/polyvinyl alcohol porous xerogel for methylene blue and copper ion adsorption.

In order to improve the adsorption performance of MoS2, as well as to solve the problems of MoS2-powder in adsorption, which is prone to agglomeration and difficulty to be recycled, we prepared MoS2-nanoflowers(MoS2-NFs), and mixed them with sodium alginate/polyvinyl alcohol(SA/PVA) to prepare MoS2-NFs/SA/PVA xerogel(MSP) by freezing-lyophilization. Then two forms of xerogels - block-MSP(MSPB) and spherical-MSP(MSPS) were prepared, and they were used as methylene blue(MB) and Cu2+ adsorbent. It was found that MoS2-NFs were evenly dispersed inside the SA/PVA with no agglomeration, while the interior of MSPB/MSPS showed the structure of parallel-pores and radial-pores, respectively. The adsorption capacity of MSPB/MSPS on MB can reach 233 mg/g, which is five times higher than SA/PVA-gel, showing excellent synergistic-adsorption effect, and the adsorption capacity for Cu2+ reaches 271 mg/g. The adsorption mechanism indicated that the adsorption of MB by MSPB/MSPS conformed to pseudo-first-order model, with electrostatic force as the main force. And their adsorption of Cu2+ conformed to pseudo-second-order model and was dominated by Lewis acid/base soft-soft interactions. Notably, after long-term adsorption, MSPB/MSPS maintains its shape and more than 90 % of the adsorption capacity, ensuring the recovery and reuse of materials. So, MSPB/MSPS has great potential in adsorption, providing a new solution for sewage purification.

Mechanical stiffness promotes skin fibrosis through Piezo1-mediated arginine and proline metabolism.

The increased mechanics of fibrotic skin tissue continuously regulate fibroblast functions such as survival and differentiation. Although all these processes consume metabolites, it is unclear whether and how cells adapt their metabolic activity to increased matrix stiffness. Here, we show that transferring mouse dermal fibroblasts from soft to stiff substrates causes an up-regulation of arginine and proline metabolism. Increased matrix stiffness stimulates the expression and activity of key metabolic enzymes, leading to the synthesis of L-proline, a major source of collagen. In addition, the novel mechanosensitive channel Piezo1 was identified as a key regulator of arginine and proline metabolism in fibroblasts under increased stiffness. Consistently, targeting Piezo1 to dermal fibroblasts in vivo effectively reduces fibrosis and arginine-proline metabolism in mouse skin. Therefore, mechanical stiffness is a critical environmental cue for fibroblast metabolism and skin fibrosis progression.

A Droplet Method for Synthesis of Multiclass Ultrathin Metal Halides.

2D metal halides have attracted increasing research attention in recent years; however, it is still challenging to synthesize them via liquid-phase methods. Here it is demonstrated that a droplet method is simple and efficient for the synthesis of multiclass 2D metal halides, including trivalent (BiI3 , SbI3 ), divalent (SnI2 , GeI2 ), and monovalent (CuI) ones. In particular, 2D SbI3 is first experimentally achieved, of which the thinnest thickness is ≈6 nm. The nucleation and growth of these metal halide nanosheets are mainly determined by the supersaturation of precursor solutions that are dynamically varying during the solution evaporation. After solution drying, the nanosheets can fall on the surface of many different substrates, which further enables the feasible fabrication of related heterostructures and devices. With SbI3 /WSe2 being a good demonstration, the photoluminescence intensity and photo responsivity of WSe2 is obviously enhanced after interfacing with SbI3 . The work opens a new pathway for 2D metal halides toward widespread investigation and applications.

Basis for Accurate Protein pKa Prediction with Machine Learning.

pH regulates protein structures and the associated functions in many biological processes via protonation and deprotonation of ionizable side chains where the titration equilibria are determined by pKa's. To accelerate pH-dependent molecular mechanism research in the life sciences or industrial protein and drug designs, fast and accurate pKa prediction is crucial. Here we present a theoretical pKa data set PHMD549, which was successfully applied to four distinct machine learning methods, including DeepKa, which was proposed in our previous work. To reach a valid comparison, EXP67S was selected as the test set. Encouragingly, DeepKa was improved significantly and outperforms other state-of-the-art methods, except for the constant-pH molecular dynamics, which was utilized to create PHMD549. More importantly, DeepKa reproduced experimental pKa orders of acidic dyads in five enzyme catalytic sites. Apart from structural proteins, DeepKa was found applicable to intrinsically disordered peptides. Further, in combination with solvent exposures, it is revealed that DeepKa offers the most accurate prediction under the challenging circumstance that hydrogen bonding or salt bridge interaction is partly compensated by desolvation for a buried side chain. Finally, our benchmark data qualify PHMD549 and EXP67S as the basis for future developments of protein pKa prediction tools driven by artificial intelligence. In addition, DeepKa built on PHMD549 has been proven an efficient protein pKa predictor and thus can be applied immediately to, for example, pKa database construction, protein design, drug discovery, and so on.

Humidity-Responsive Guar Gum Fibers by Wet Spinning.

In this study, guar gum fibers were obtained by wet spinning, in which epichlorohydrin (ECH) and calcium chloride (CaCl2) were used as the cross-linking agent and metal complexing agent, respectively. The fibers' chemical structure, morphology, crystallinity, and thermal and mechanical properties were analyzed by Fourier infrared spectroscopy, scanning electron microscopy, and so forth. The results showed that ECH reacted with guar gum and formed ether bonds. Meanwhile, ECH can effectively increase the number of cross-linking points and improve the mechanical properties of the fibers. When the ECH content was 12% (w/w), the breaking strength could reach 2.4 cN/dtex. The conductivity of MC-GG fibers varied with the relative humidity and could reach 2.845 × 10-2 S/cm at maximum. Meanwhile, the contact angle of MC-GG fibers was 33°, indicating that the fibers had good hydrophilicity and humidity response ability and had excellent potential in the field of smart fabrics.

The impact of the COVID-19 pandemic on the care of pulmonary hypertension patients outside the Hubei province in China.

The Coronavirus disease 2019 (COVID-19) pandemic has severely affected the lives of people around the world, especially some patients with severe chronic diseases. This study aims to evaluate the impact of the COVID-19 outbreak from December 2019 to April 2020 on treating patients with PH. A questionnaire regarding the medical condition of PH patients during the COVID-19 pandemic was designed by PH diagnostic experts in The First Affiliated Hospital of Guangzhou Medical University, China Respiratory Center. One hundred and fifty-six subjects with PH from non-Hubei regions in China were invited to participate in this survey online. 63.4% (n = 99) of them had difficulty seeing a doctor, and the main reason was fear of contracting severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in the hospital. Medical treatment was affected in 25% (n = 39) of patients, and who lived in rural areas, and discontinued medical therapy for financial reasons were at a higher risk of medical treatment being affected. Patients who reduced nutrition, and had difficulty seeing a doctor were more likely to get deteriorated. During the epidemic, the hospitalization rate of PH patients was 33.33%. Patients with aggravated PH had a high risk of hospitalization (odds ratio [OR] = 2.844), while patients who visited a doctor during the epidemic reduced the risk of hospitalization (OR = 0.33). In conclusion, during the COVID-19 pandemic, PH patients had difficulty seeing a doctor, and their medical treatment was affected, even worsened, and increased the risk of hospitalization.

C3-Selective Trifluoromethylthiolation and Difluoromethylthiolation of Pyridines and Pyridine Drugs via Dihydropyridine Intermediates.

Herein, we report a method for C3-selective C-H tri- and difluoromethylthiolation of pyridines. The method relies on borane-catalyzed pyridine hydroboration for generation of nucleophilic dihydropyridines; these intermediates react with trifluoromethylthio and difluoromethylthio electrophiles to form functionalized dihydropyridines, which then undergo oxidative aromatization. The method can be used for late-stage functionalization of pyridine drugs for the generation of new drug candidates.

High-Efficiency and High-Quality Extraction of Hemicellulose of Bamboo by Freeze-Thaw Assisted Two-Step Alkali Treatment.

Hemicellulose is a major component of the complex biomass recalcitrance structure of fiber cell walls. Even though biomass recalcitrance protects plants, it affects the effective utilization of lignocellulosic biomass resources. Therefore, the separation and extraction of hemicellulose is very important. In this study, an improved two-step alkali pretreatment method was proposed to separate hemicellulose efficiently. Firstly, 16.61% hemicellulose was extracted from bamboo by the weak alkali treatment. Then, the physical freezing and the alkali treatment were carried out by freezing at -20 °C for 12.0 h and thawing at room temperature, heating to 80 °C, and treating with 5.0% sodium hydroxide for 90 min; the extraction yield of hemicellulose reached 73.93%. The total extraction yield of the two steps was 90.54%, and the molecular weight and purity reached 44,865 g·mol-1 and 89.60%, respectively. It provides a new method for breaking the biomass recalcitrance of wood fiber resources and effectively extracting hemicellulose.

Blood Cells and Venous Thromboembolism Risk: A Two-Sample Mendelian Randomization Study.

Background: Previous studies have shown that various cell indices are associated with a higher risk of venous thromboembolism (VTE), however, whether these findings reflect a causal relationship remains unclear. Therefore, we performed a two-sample Mendelian randomization (MR) analysis to assess the causal association of various blood cells with VTE risk. Study Design and Methods: Summary statistics of genetic instruments representing cell indices for erythrocytes, leukocytes, and platelets were extracted from genome-wide association studies of European ancestry, by Two-Sample Mendelian Randomization. Inverse variance weighting (IVW) was used as the primary analytical method for MR. Sensitivity analyses were performed to detect horizontal pleiotropy and heterogeneity. Results: Genetically predicted red blood cell distribution width, mean reticulocyte volume, and mean red blood cell volume were positively associated with VTE, with odds ratio (OR) of 1.002 [CI 1.000-1.003, P = 0.022), 1.003 (CI 1.001-1.004, P = 0.001, respectively)] and 1.001 (CI 1.000-1.002, P = 0.005). Genetically predicted monocyte count was negatively correlated with VTE, with OR = 0.998 (CI 0.996-0.999, P = 0.041). Conclusion: Genetically liability to high- red blood cell distribution width, mean reticulocyte volume, mean red blood cell volume, and low monocyte count are associated with the higher risk of VTE. Targeting these factors might be a potential strategy to prevent VTE.