Yolk-shell FeS@N-doped carbon nanosphere as superior anode materials for sodium-ion batteries.

Iron sulfides have shown great potential as anode materials for sodium-ion batteries (SIBs) because of their high sodium storage capacity and low cost. Nevertheless, iron sulfides generally exhibit unsatisfied electrochemical performance induced by sluggish electron/ion transfer and severe pulverization upon the sodiation/desodiation process. Herein, we constructed a yolk-shell FeS@NC nanosphere with an N-doped carbon shell and FeS particle core via a simple hydrothermal method, followed by in-situ polymerization and vulcanization. The FeS particles intimately coupled with N-doped carbon can accelerate the electron transfer, avoid severe volume expansion, and maintain structural stability upon repeated sodiation/desodiation process. Furthermore, the small particle size of FeS can shorten ion-diffusion distance and facilitate ion transportation. Therefore, the FeS@NC nanosphere shows excellent cycling performance and superior rate capability that it can deliver a high capacity of 520.1 mAh g-1 over 800 cycles at 2.0 A g-1 and a remarkable capacity of 625.9 mAh g-1 at 10.0 A g-1.

In situ fluoro-oxygen codoped graphene layer for high-performance lithium metal anode.

Because traditional lithium-ion batteries have been unable to meet the energy density requirements of various emerging fields, lithium-metal batteries (LMBs), known for their high energy density, are considered promising next-generation energy storage batteries. However, a series of problems, including low coulombic efficiency and low safety caused by dendrites, limit the application of lithium metal batteries. Herein, fluoro-oxygen codoped graphene (FGO) was used to modify the copper current collector (FGO@Cu). FGO-coated current collector provides more even nucleation sites to reduce the local effective current density. FGO is partly reduced during cycling and helps form stable LiF-rich SEI. Moreover, graphene's oxygen and fluorine functional groups reconstruct the current density distribution, promoting uniform lithium plating. The FGO@Cu current collector demonstrates superior properties than commercial Cu foil. The FGO@Cu delivers a 97% high CE for over 250 cycles at 1 mA cm-2. The FGO@Cu symmetrical battery cycled at 1 mA cm-2 for over 650 h. LiFePO4 fuel cell with a lithium-plated FGO@Cu collector as an anode exhibits superior cycling stability.

Constructing Highly Stable Zinc Metal Anodes via Induced Zn(002) Growth.

The nonuniform electric field at the surface of a zinc (Zn) anode, coupled with water-induced parasitic reactions, exacerbates the growth of Zn dendrites, presenting a significant impediment to large-scale energy storage in aqueous Zn-ion batteries. One of the most convenient strategies for mitigating dendrite-related issues involves controlling crystal growth through electrolyte additives. Herein, we present thiamine hydrochloride (THC) as an electrolyte additive capable of effectively stabilizing the preferential deposition of the Zn(002) plane. First-principles calculations reveal that THC tends to adsorb on Zn(100) and Zn(101) planes and is capable of inducing the deposition of Zn ion onto the (002) plane and the preferential growth of the (002) plane, resulting in a flat and compact deposition layer. A THC additive not only effectively suppresses dendrite growth but also prevents the generation of side reactions and hydrogen evolution reaction. Consequently, the Zn||Zn symmetric battery exhibits long-term cycling stability of over 3000 h at 1 mA cm-2/1 mAh cm-2 and 1000 h at 10 mA cm-2/10 mAh cm-2. Furthermore, the NH4V4O10||Zn full battery also displays excellent cycling stability and a high reversible capacity of 210 mAh g-1 after 1000 cycles at 1 A g-1, highlighting a significant potential for practical applications.

SiO2 bridged AlN/methylphenyl silicone resin composite with integrated superior insulating property, high-temperature resistance, and high thermal conductivity.

A high-temperature-resistance insulating layer with high thermal conductivity is the key component for fabricating the instant metal-based electric heating tube. However, it is still a challenge for materials to possess excellent high-temperature resistance, superior insulating property, and high thermal conductivity at the same time. Here, a novel SiO2 bridged AlN/MSR composite based on methylphenyl silicone resin (MSR) and AlN filler was reported. MSR with a high thermal decomposition temperature of 452.0 °C and a high withstand voltage of 5.6 kV was first synthesized by adjusting the contents of alkyl and phenyl groups. The superior high-temperature resistant insulating property is 3.7 and 2.4 times higher than the national standard requirement of 1.5 kV and commercial silicone resin, respectively. The hydrogen bonds formed between SiO2, AlN, and MSR and the electrostatic adsorption between SiO2 and AlN can remarkably improve the uniform dispersion of AlN in MSR and thus enhance the insulating property, thermal conductivity, and thermal stability. With the addition of 2 wt% SiO2 and 50 wt% AlN, the SiO2-AlN/MSR composite exhibits an extremely high withstand voltage of 7.3 kV, a high thermal conductivity of 0.553 W·m-1·K-1, and an enhanced decomposition temperature of 475 °C. The superior insulating property and thermal conductivity are 4.9 and 1.3 times higher than the national standard requirement and pure MSR, respectively. This novel composite shows great potential for application in the fields requiring integrated superior insulating property, high-temperature resistance, and high thermal conductivity.

Characterization of bacteriophage BUCT631 lytic for K1 Klebsiella pneumoniae and its therapeutic efficacy in Galleria mellonella larvae.

Severe infections caused by multidrug-resistant Klebsiella pneumoniae (K. pneumoniae) highlight the need for new therapeutics with activity against this pathogen. Phage therapy is an alternative treatment approach for multidrug-resistant K. pneumoniae infections. Here, we report a novel bacteriophage (phage) BUCT631 that can specifically lyse capsule-type K1 K. pneumoniae. Physiological characterization revealed that phage BUCT631 could rapidly adsorb to the surface of K. pneumoniae and form an obvious halo ring, and it had relatively favorable thermal stability (4-50 â€‹°C) and pH tolerance (pH â€‹= â€‹4-12). In addition, the optimal multiplicity of infection (MOI) of phage BUCT631 was 0.01, and the burst size was approximately 303 â€‹PFU/cell. Genomic analysis showed that phage BUCT631 has double-stranded DNA (total length of 44,812 bp) with a G â€‹+ â€‹C content of 54.1%, and the genome contains 57 open reading frames (ORFs) and no virulence or antibiotic resistance related genes. Based on phylogenetic analysis, phage BUCT631 could be assigned to a new species in the genus Drulisvirus of the subfamily Slopekvirinae. In addition, phage BUCT631 could quickly inhibit the growth of K. pneumoniae within 2 â€‹h in vitro and significantly elevated the survival rate of K. pneumoniae infected Galleria mellonella larvae from 10% to 90% in vivo. These studies suggest that phage BUCT631 has promising potential for development as a safe alternative for control and treatment of multidrug-resistant K. pneumoniae infection.

Acinetobacter Baumannii Phages: Past, Present and Future.

Acinetobacter baumannii (A. baumannii) is one of the most common clinical pathogens and a typical multi-drug resistant (MDR) bacterium. With the increase of drug-resistant A. baumannii infections, it is urgent to find some new treatment strategies, such as phage therapy. In this paper, we described the different drug resistances of A. baumannii and some basic properties of A. baumannii phages, analyzed the interaction between phages and their hosts, and focused on A. baumannii phage therapies. Finally, we discussed the chance and challenge of phage therapy. This paper aims to provide a more comprehensive understanding of A. baumannii phages and theoretical support for the clinical application of A. baumannii phages.

Study on the Influence of Saturation on Freeze-Thaw Damage Characteristics of Sandstone.

In order to explore the evolution mechanism of freeze-thaw disasters and the role of water in the freezing-thawing cycles of rocks, the macro mechanical indexes and microstructural characteristics of seven different saturation sandstones after certain freeze-thaw cycles were analyzed. Electron microscope scanning, nuclear magnetic resonance, and uniaxial compression tests were employed to study the migration law of water in the rock, the crack growth law, and the damage mechanism during freeze-thaw cycles. The results showed that when the saturation was 85%, the peak load curve of sandstone with different saturation appeared at the minimum point, and the porosity of sandstone reached the maximum. The damage variable increased sharply when the saturation was 75-85%. This proves that 85% saturation is the critical value of sandstone after five freeze-thaw cycles. The water migration freezing model is established, and the migration direction of capillary film water during freezing is micropore → mesopore → macropore. The migration of water is accompanied by the expansion and generation of cracks. Then we study the mechanism and law of crack expansion, and the crack propagation rate is positively related to the theoretical suction. The theoretical suction and theoretical ice pressure increased linearly with the decrease in temperature, which accelerated the crack propagation. The crack propagation rate in decreasing order is Vmacropore > Vmesopore > Vmicropore. The research results can provide a theoretical basis for evaluating the stability of rocks under the action of freeze-thaw cycles in cold regions.

Efficacy in Galleria mellonella Larvae and Application Potential Assessment of a New Bacteriophage BUCT700 Extensively Lyse Stenotrophomonas maltophilia.

In recent years, Stenotrophomonas maltophilia (S. maltophilia) has become an important pathogen of clinically acquired infections accompanied by high pathogenicity and high mortality. Moreover, infections caused by multidrug-resistant S. maltophilia have emerged as a serious challenge in clinical practice. Bacteriophages are considered a promising alternative for the treatment of S. maltophilia infections due to their unique antibacterial mechanism and superior bactericidal ability compared with traditional antibiotic agents. Here, we reported a new phage BUCT700 that has a double-stranded DNA genome of 43,214 bp with 70% GC content. A total of 55 ORFs and no virulence or antimicrobial resistance genes were annotated in the genome of phage BUCT700. Phage BUCT700 has a broad host range (28/43) and can lyse multiple ST types of clinical S. maltophilia (21/33). Furthermore, bacteriophage BUCT700 used the Type IV fimbrial biogenesis protein PilX as an adsorption receptor. In the stability test, phage BUCT700 showed excellent thermal stability (4 to 60°C) and pH tolerance (pH = 4 to 12). Moreover, phage BUCT700 was able to maintain a high titer during long-term storage. The adsorption curve and one-step growth curve showed that phage BUCT700 could rapidly adsorb to the surface of S. maltophilia and produce a significant number of phage virions. In vivo, BUCT700 significantly increased the survival rate of S. maltophilia-infected Galleria mellonella (G. mellonella) larvae from 0% to 100% within 72 h, especially in the prophylactic model. In conclusion, these findings indicate that phage BUCT700 has promising potential for clinical application either as a prophylactic or therapeutic agent. IMPORTANCE The risk of Stenotrophomonas maltophilia infections mediated by the medical devices is exacerbated with an increase in the number of ICU patients during the Corona Virus Disease 2019 (COVID-19) epidemic. Complications caused by S. maltophilia infections could complicate the state of an illness, greatly extending the length of hospitalization and increasing the financial burden. Phage therapy might be a potential and promising alternative for clinical treatment of multidrug-resistant bacterial infections. Here, we investigated the protective effects of phage BUCT700 as prophylactic and therapeutic agents in Galleria mellonella models of infection, respectively. This study demonstrates that phage therapy can provide protection in targeting S. maltophilia-related infection, especially as prophylaxis.

Genomic characterization of a new phage BUCT541 against Klebsiella pneumoniae K1-ST23 and efficacy assessment in mouse and Galleria mellonella larvae.

Over the past decades, the spread of multi-drug-resistant Klebsiella pneumoniae (MDR-KP) is becoming a new threat and new effective therapies against this pathogen are needed. Bacteriophage (phage) therapy is considered to be a promising alternative treatment for MDR-KP infections compared with antibacterial drug usage. Here, we reported a new phage BUCT541 which can lyse MDR-KP ST23. The genome of BUCT541 is a double-stranded linear 46,100-bp long DNA molecule with 48% GC content through the Next generation sequencing (NGS) data. A total of 81 open reading frames and no virulence or antimicrobial resistance genes are annotated in the BUCT541 genome. BUCT541 was able to lyse 7 of the 30 tested MDR-KP according to the host range analysis. And the seven sensitive strains belonged to the K. pneumoniae K1-ST23. BUCT541 exhibited high thermal stability (4-70°C) and broad pH tolerance (pH 3-11) in the stability test. The in vivo results showed that BUCT541 (4 × 105 plaque-forming units (PFU)/each) significantly increased the survival rate of K. pneumoniae infected Galleria mellonella from 5.3% to 83.3% within 48 h. Moreover, in the mouse lung infection model, high doses of BUCT541 (2 × 107 PFU/each) cured 100% of BALB/c mice that were infected with K. pneumoniae. After 30 h of treatment with phage BUCT541 of the multiplicity of infection (MOI) = 10, the K. pneumoniae in the lungs of mice was lower than 104 CFU/mL, compared to the control group 109 CFU/mL. Together, these findings indicate that phage BUCT541 holds great promise as an alternative therapy with excellent stability and a wide lysis range for the treatment of MDR-KP ST23 infection.

Characterization and Comparative Genomics Analysis of a New Bacteriophage BUCT610 against Klebsiella pneumoniae and Efficacy Assessment in Galleria mellonella Larvae.

The spread of multidrug-resistant Klebsiella pneumoniae (MDR-KP) has become an emerging threat as a result of the overuse of antibiotics. Bacteriophage (phage) therapy is considered to be a promising alternative treatment for MDR-KP infection compared with antibiotic therapy. In this research, a lytic phage BUCT610 was isolated from hospital sewage. The assembled genome of BUCT610 was 46,774 bp in length, with a GC content of 48%. A total of 83 open reading frames (ORFs) and no virulence or antimicrobial resistance genes were annotated in the BUCT610 genome. Comparative genomics and phylogenetic analyses showed that BUCT610 was most closely linked with the Vibrio phage pYD38-A and shared 69% homology. In addition, bacteriophage BUCT610 exhibited excellent thermal stability (4-75 °C) and broad pH tolerance (pH 3-12) in the stability test. In vivo investigation results showed that BUCT610 significantly increased the survival rate of Klebsiella pneumonia-infected Galleria mellonella larvae from 13.33% to 83.33% within 72 h. In conclusion, these findings indicate that phage BUCT610 holds great promise as an alternative agent with excellent stability for the treatment of MDR-KP infection.

Characterization of the Bacteriophage BUCT603 and Therapeutic Potential Evaluation Against Drug-Resistant Stenotrophomonas maltophilia in a Mouse Model.

Stenotrophomonas maltophilia (S. maltophilia) is a common opportunistic pathogen that is resistant to many antibiotics. Bacteriophages are considered to be an effective alternative to antibiotics for the treatment of drug-resistant bacterial infections. In this study, we isolated and characterized a phage, BUCT603, infecting drug-resistant S. maltophilia. Genome sequencing showed BUCT603 genome was composed of 44,912 bp (32.5% G + C content) with 64 predicted open reading frames (ORFs), whereas no virulence-related genes, antibiotic-resistant genes or tRNA were identified. Whole-genome alignments showed BUCT603 shared 1% homology with other phages in the National Center for Biotechnology Information (NCBI) database, and a phylogenetic analysis indicated BUCT603 can be classified as a new member of the Siphoviridae family. Bacteriophage BUCT603 infected 10 of 15 S. maltophilia and used the TonB protein as an adsorption receptor. BUCT603 also inhibited the growth of the host bacterium within 1 h in vitro and effectively increased the survival rate of infected mice in a mouse model. These findings suggest that bacteriophage BUCT603 has potential for development as a candidate treatment of S. maltophilia infection.

Genomic Analysis of the Serratia marcescens Bacteriophage BUCT660.

Here, we report the complete genome sequence of bacteriophage BUCT660, which comprises a linear double-stranded DNA (dsDNA) genome of 272,720 bp and a G+C content of 47%. BUCT660 contains 316 open reading frames and 2 tRNA-encoding genes. The results of transmission electron microscopy (TEM) indicate that BUCT660 is a member of the family Caudooviricetes.

Clinical and Molecular Analysis of ST11-K47 Carbapenem-Resistant Hypervirulent Klebsiella pneumoniae: A Strain Causing Liver Abscess.

Klebsiella pneumoniae has been the predominant pathogen of liver abscess, but ST11-K47 carbapenem-resistant hypervirulent Klebsiella pneumoniae (CR-hvKP) has rarely been studied as the causative organism. We identified an ST11-K47 CR-hvKP (HvKp-su1) from the drainage fluid of a liver abscess in a Chinese man who was diagnosed with liver abscess combined with diabetes, pneumonia, pleural infection, abdominal abscess, and splenic abscess. HvKp-su1 was non-hypermucoviscous and lacked the magA and rmpA genes and pLVPK plasmid but exhibited high virulence, with a high mortality rate (90%) to wax moth larvae (G. mellonella), similar to the hypervirulent Klebsiella pneumoniae ATCC43816 (91.67%). Whole-genome sequencing and bioinformatics analysis indicated that HvKp-su1 possesses a plasmid similar to a type of pLVPK-like plasmid (JX-CR-hvKP-2-P2), which is an uncommon plasmid in CR-hvKP. HvKp-su1 carried multiple resistance genes, including blaKPC-2. blaTEM-1, blaSHV-55, and blaCTX-M-65; hypervirulence genes such as aerobactin (iutA), salmochelin (iroEN), and yersiniabactin (ybtAEPQSTUX); and the type 3 fimbriae-encoding system (mrkACDF). Moreover, v_5377 and v_5429 (cofT, CFA/III (CS8)) located on plasmid 1 were simultaneously predicted to be virulence genes. After the long-term combination use of antibiotics, the patient successfully recovered. In summary, our study clarified the clinical and molecular characteristics of a rare ST11-K47 CR-hvKP (HvKp-su1), raising great concerns about the emergence of ST11-K47 CR-hvKP with multidrug resistance and hypervirulence, and providing insights into the control and treatment of liver abscess caused by ST11-K47 CR-hvKP.

Employing Ni-Embedded Porous Graphitic Carbon Fibers for High-Efficiency Lithium-Sulfur Batteries.

The rational electrode design is one of the most important ways to enhance the electrochemical properties of lithium-sulfur batteries (LSBs). In this contribution, we use Ni-embedded porous graphitic carbon fiber (PGCF@Ni) as the scaffold to construct a novel cathode and anode for LSBs. With the help of elaborate surface engineering, the constructed solid electrolyte interface (SEI)@Li/PGCF@Ni anodes can effectively restrain the growth of lithium dendrites during the cycle, exhibiting an ultralow overpotential of ∼10 mV for 2000 h at 1 mA cm-2/1 mA h cm-2. The underlying mechanism is further investigated by COMSOL Multiphysics simulations. Additionally, the PGCF@Ni/S cathode fabricated by the molten sulfurizing method manifests superior rate performance and stability. Ultimately, the assembled SEI@Li/PGCF@Ni||PGCF@Ni/S full battery exhibits prominent electrochemical property with a high capacity retention of about 77.9% after 600 cycles at 1 C. Such success at the performance improvement in LSBs may open up avenues toward other rational designs of high-quality electrodes in electrochemical energy storage.

A green, efficient, closed-loop direct regeneration technology for reconstructing of the LiNi0.5Co0.2Mn0.3O2 cathode material from spent lithium-ion batteries.

Lithium nickel manganese cobalt oxide in the spent lithium ion batteries (LIBs) contains a lot of lithium, nickel, cobalt and manganese. However, how to effectively recover these valuable metals under the premise of reducing environmental pollution is still a challenge. In this work, a green, efficient, closed-loop direct regeneration technology is proposed to reconstruct LiNi0.5Co0.2Mn0.3O2 (NCM523) cathode materials from spent LIBs. Firstly, the failure mechanism of NCM523 cathode materials in the spent LIBs is analyzed deeply. It is found that the spent NCM523 material has problems such as the dissolution of lithium and transition metals, surface interface failure and structural transformation, resulting in serious deterioration of electrochemical performance. Then NCM523 material was directly regenerated by supplementing metal ions, granulation, ion doping and heat treatment. Meanwhile, PO43- polyanions were doped into the regenerated NCM material in the recovery process, showing excellent electrochemical performance with discharge capacity of 189.8 mAh g-1 at 0.1 C. The recovery process proposed in this study puts forward a new strategy for the recovery various lithium nickel cobalt manganese oxide (e.g., LiNi1/3Co1/3Mn1/3O2, LiNi0.5Co0.2Mn0.3O2, LiNi0.6Co0.2Mn0.2O2 and LiNi0.8Co0.1Mn0.1O2) and accelerates the industrialization of spent lithium ion battery recycling.

FeSe2@C Microrods as a Superior Long-Life and High-Rate Anode for Sodium Ion Batteries.

Transition-metal selenides have emerged as promising anode materials for sodium ion batteries (SIBs). Nevertheless, they suffer from volume expansion, polyselenide dissolution, and sluggish kinetics, which lead to inadequate conversion reaction toward sodium and poor reversibility during the desodiation process. Therefore, the transition-metal selenides are far from long cycling stability, outstanding rate performance, and high initial Coulombic efficiency, which are the major challenges for practical application in SIBs. Here, an efficient anode material including an FeSe2 core and N-doped carbon shell with inner void space as well as high conductivity is developed for outstanding rate performance and long cycle life SIBs. In the ingeniously designed FeSe2@NC microrods, the N-doped carbon shell can facilitate mass transport/electron transfer, protect the FeSe2 core from the electrolyte, and accommodate volume variation of FeSe2 with the help of the inner void of the core. Thus, the FeSe2@NC microrods can maintain strong structural integrity upon long cycling and ensure a good reversible conversion reaction of FeSe2 during the discharge/charge process. As a result, the as-prepared FeSe2@NC microrods exhibit excellent sodium storage performance and ultrahigh stability, achieving an excellent rate capability (411 mAh g-1 at 10.0 A g-1) and a long-term cycle performance (401.3 mAh g-1 after 2000 cycles at 5.0 A g-1).

Anchoring SnS2 on TiC/C Backbone to Promote Sodium Ion Storage by Phosphate Ion Doping.

Tin disulfide (SnS2 ) shows promising properties toward sodium ion storage with high capacity, but its cycle life and high rate capability are still undermined as a result of poor reaction kinetics and unstable structure. In this work, phosphate ion (PO4 3- )-doped SnS2 (P-SnS2 ) nanoflake arrays on conductive TiC/C backbone are reported to form high-quality P-SnS2 @TiC/C arrays via a hydrothermal-chemical vapor deposition method. By virtue of the synergistic effect between PO4 3- doping and conductive network of TiC/C arrays, enhanced electronic conductivity and enlarged interlayer spacing are realized in the designed P-SnS2 @TiC/C arrays. Moreover, the introduced PO4 3- can result in favorable intercalation/deintercalation of Na+ and accelerate electrochemical reaction kinetics. Notably, lower bandgap and enhanced electronic conductivity owing to the introduction of PO4 3- are demonstrated by density function theory calculations and UV-visible absorption spectra. In view of these positive factors above, the P-SnS2 @TiC/C electrode delivers a high capacity of 1293.5 mAh g-1 at 0.1 A g-1 and exhibits good rate capability (476.7 mAh g-1 at 5 A g-1 ), much better than the SnS2 @TiC/C counterpart. This work may trigger new enthusiasm on construction of advanced metal sulfide electrodes for application in rechargeable alkali ion batteries.

Boosting the Utilization and Electrochemical Performances of Polyaniline by Forming a Binder-Free Nanoscale Coaxially Coated Polyaniline/Carbon Nanotube/Carbon Fiber Paper Hierarchical 3D Microstructure Composite as a Supercapacitor Electrode.

Nanoscale polyaniline (PANI) is formed on a hierarchical 3D microstructure carbon nanotubes (CNTs)/carbon fiber paper (CFP) substrate via a one-step electrochemical polymerization method. The chemical and structural properties of the binder-free PANI/CNTs/CFP electrode are characterized by field emission scanning electron microscopy, transmission electron microscopy, Fourier transform infrared spectroscopy, and Raman spectroscopy. The specific capacitance of PANI/CNTs/CFP tested in a symmetric two-electrode system reaches 731.6 mF·cm-2 (1354.7 F·g-1) at a current density of 1 mA·cm-2 (1.8 A·g-1). The symmetric supercapacitor device demonstrates excellent cycling performance up to 10,000 cycles with a capacitance retention of 81.4% at a current density of 1 mA·cm-2 (1.8 A·g-1). The results demonstrate that the binder-free CNTs/CFP composite is a strong backbone for depositing ultrathin PANI layers at a high mass loading. The hierarchical 3D microstructure PANI/CNTs/CFP provides enough space and transporting channels to form an efficient electrode-electrolyte interface for the supercapacitance reaction. The formed nanoscale PANI film coaxially coated on the sidewalls of CNTs enables efficient charge transfer and a shortened diffusion length. Hence, the utilization efficiency and electrochemical performances of PANI are significantly improved. The rational design strategy of a CNT-based binder-free hierarchical 3D microstructure can be used in preparing various advanced energy-storage electrodes for electrochemical energy-storage and conversion systems.

Approaching treatment for immunological rejection of living-donor liver transplantation in rats.

BACKGROUND: The anti-immunological rejection therapy for small-for-size syndrome (SFSS) after live donor liver transplantation (LDLT) play a central role in keeping graft survival. The hepatocyte number and grafts function has undergone real-time changes with the proliferation and apoptosis of the grafts after reperfusion. Lacking an accurate and effective treatment regiments or indicators to guide the use of immunosuppressive drugs in SFS liver transplantation has made immunotherapy after SFS liver transplantation an urgent problem to be solved. Herein, we established small-for-size (SFS) and normal size liver transplantation model in rats to explore the effective indicators in guiding immunotherapy, to find an effective way for overcoming SFSS. METHODS: Lewis rats (donors) and BN rats (recipients) were used to mimic allograft liver transplantation and treated with tacrolimus. Local graft immune response was analyzed through haematoxylin and eosin and immunohistochemistry. Flow cytometry was used to assess the overall immune status of recipient. The pharmacokinetics mechanism of immunosuppressive drugs was explored through detecting CYP3A2 expression at mRNA level and protein levels. RESULTS: The results showed the local immune reaction of SFS grafts and systemic immune responses of recipient were significantly increased compared with those in normal size grafts and their recipient at four days after liver transplantation. Regression equation was used to regulate the tacrolimus dose which not only controlled tacrolimus serum concentration effectively but alleviated liver damage and improved survival rate. CONCLUSIONS: This study showed that AST level and tacrolimus serum concentrations are effective indicators in guiding immunotherapy. Regression equation (TD = - 0.494TC-0.0035AST + 260.487) based on AST and tacrolimus serum concentration can be used as a reference for adjustment of immunotherapy after SFS liver transplantation, which is applicable in clinical practice.