Effects of ethyl palmitate on the release of aroma compounds in propanediol-ethanol solution and its mechanisms.

Long-chain esters (LCEs) are known to affect aroma perception, but the mechanism of their effects remains unclear. In this study, ethyl palmitate (EP), an important LCE in Osmanthus fragrans flower absolute (OFFA), was selected as a target to identify its role and mechanism. The release characteristics of 10 aroma compounds from OFFA with and without EP were obtained by headspace gas chromatography mass spectrometry (HS-GC/MS) and olfactometry evaluation, respectively. The results show that EP changes the release behaviors of volatile compounds in solution, increases their olfactory detection thresholds (ODTs), and reduces the equilibrium headspace concentrations. According to Whitman's two-film model, EP was found to change the partition coefficients and mass transfer coefficients of the compounds between the liquid and gas phases. This indicates that EP plays an important role in the scent formation of a flavor product and that it is very valuable for the style design of the flavor product.

Control of nitrogen and odor emissions during chicken manure composting with a carbon-based microbial inoculant and a biotrickling filter.

Although aerobic composting is usually utilized in livestock manure disposal, the emission of odorous gases from compost not only induces harm to the human body and the environment, but also causes loss of nitrogen, sulfur, and other essential elements, resulting in a decline in product quality. The impact of biotrickling filter (BTF) and insertion of carbon-based microbial agent (CBMA) on compost maturation, odor emissions, and microbial population during the chicken manure composting were assessed in the current experiment. Compared with the CK group, CBMA addition accelerated the increase in pile temperature (EG group reached maximum temperature 10 days earlier than CK group), increased compost maturation (GI showed the highest increase of 41.3% on day 14 in EG group), resulted in 36.59% and 14.60% increase in NO3--N content and the total nitrogen retention preservation rate after composting. The deodorization effect of biotrickling filter was stable, and the removal rates of NH3, H2S, and TVOCs reached more than 90%, 96%, and 56%, respectively. Furthermore, microbial sequencing showed that CBMA effectively changed the microbial community in compost, protected the ammonia-oxidizing microorganisms, and strengthened the nitrification of the compost. In addition, the nitrifying and denitrifying bacteria were more active in the cooling period than they were in the thermophilic period. Moreover, the abundance of denitrification genes containing nirS, nirK, and nosZ in EG group was lower than that in CK group. Thus, a large amount of nitrogen was retained under the combined drive of BTF and CBMA during composting. This study made significant contributions to our understanding of how to compost livestock manure while reducing releases of odors and raising compost quality.

N-acetylcysteine attenuates the incidence of phlebitis induced by carbomer/vinorelbine gel.

Background: The high incidence and severe clinical manifestations of phlebitis pose a complex and urgent clinical challenge. The rapid and simple establishment of animal phlebitis models and the development of preventive strategies are crucial to resolving this problem. Methods: In this study, we established such models by mixing vinorelbine ditartrate (VNR) and carbomer to form a sustained-release gel carrier, and then injected it around the veins rather than inside the vessels. Furthermore, we analyzed the efficacy of the carbomer/VNR gel in inducing phlebitis by monitoring the morphology of the veins using HE staining, immunohistochemical and immunofluorescence staining, and western blotting. Reactive oxygen species (ROS) and lipid peroxidation levels were determined using flow cytometry. Finally, we evaluated the inhibitory effect of N-acetylcysteine (NAC) on VNR-induced phlebitis in rabbits and rats. Results: Our findings suggested that the carbomer/VNR gel rapidly and easily induced phlebitis due to by retention of the gel in situ, wrapping the veins, and the prolonged release of VNR. NAC alleviated the VNR-induced oxidative stress response and expression of inflammatory cytokines by attenuating mitochondrial damage in venous endothelial cells, thereby preventing the occurrence of phlebitis in rabbits and rats. Conclusion: The in situ carbomer/VNR gel provides a rapid and simple method for establishing an animal model to study the pathogenesis of phlebitis. Furthermore, the observed therapeutic effect of NAC highlights its novel and efficacious role in preventing and treating phlebitis.

Extracellular vesicle-derived silk fibroin nanoparticles loaded with MFGE8 accelerate skin ulcer healing by targeting the vascular endothelial cells.

BACKGROUND: Reduced supplies of oxygen and nutrients caused by vascular injury lead to difficult-to-heal pressure ulcers (PU) in clinical practice. Rapid vascular repair in the skin wound is the key to the resolution of this challenge, but clinical measures are still limited. We described the beneficial effects of extracellular vesicle-derived silk fibroin nanoparticles (NPs) loaded with milk fat globule EGF factor 8 (MFGE8) on accelerating skin blood vessel and PU healing by targeting CD13 in the vascular endothelial cells (VECs). METHODS: CD13, the specific targeting protein of NGR, and MFGE8, an inhibitor of ferroptosis, were detected in VECs and PU tissues. Then, NPs were synthesized via silk fibroin, and MFGE8-coated NPs (NPs@MFGE8) were assembled via loading purified protein MFGE8 produced by Chinese hamster ovary cells. Lentivirus was used to over-express MFGE8 in VECs and obtained MFGE8-engineered extracellular vesicles (EVs-MFGE8) secreted by these VECs. The inhibitory effect of EVs-MFGE8 or NPs@MFGE8 on ferroptosis was detected in vitro. The NGR peptide cross-linked with NPs@MFGE8 was assembled into NGR-NPs@MFGE8. Collagen and silk fibroin were used to synthesize the silk fibroin/collagen hydrogel. After being loaded with NGR-NPs@MFGE8, silk fibroin/collagen hydrogel sustained-release carrier was synthesized to investigate the repair effect on PU in vivo. RESULTS: MFGE8 was decreased, and CD13 was increased in PU tissues. Similar to the effect of EVs-MFGE8 on inhibiting ferroptosis, NPs@MFGE8 could inhibit the mitochondrial autophagy-induced ferroptosis of VECs. Compared with the hydrogels loaded with NPs or NPs@MFGE8, the hydrogels loaded with NGR-NPs@MFGE8 consistently released NGR-NPs@MFGE8 targeting CD13 in VECs, thereby inhibiting mitochondrial autophagy and ferroptosis caused by hypoxia and accelerating wound healing effectively in rats. CONCLUSIONS: The silk fibroin/collagen hydrogel sustained-release carrier loaded with NGR-NPs@MFGE8 was of great significance to use as a wound dressing to inhibit the ferroptosis of VECs by targeting CD13 in PU tissues, preventing PU formation and promoting wound healing.

Agricultural waste biochar after potassium hydroxide activation: Its adsorbent evaluation and potential mechanism.

The agricultural waste (Goji branch) was pyrolyzed into biochars with one-step potassium hydroxide (KOH) activation under different processing conditions. The biochars were first characterized in structural features and functional groups and then evaluated for adsorptive performance with methylene blue as a model pollutant. Different adsorption models were applied to fit the adsorption process and reveal the possible mechanisms. The adsorption capacity was found to strongly correlate (R2 = 0.9642) with the surface area of the biochars, among which biochar K50%W29%C-700 (pyrolysis at 700 °C in the presence of 50 % KOH and 29 % water) possessed the largest surface area (1378 m2/g) and exhibited the highest adsorption capacity (769 mg/g) compared to its homologous products. Biochar K50%W29%C-700 also showed excellent recyclability and potent adsorption capacity toward other common organic pollutants. The results suggest that traces of water in agricultural wastes could significantly intensify the KOH-involved activation efficiency of producing porous biochar.

Efficacy of crown lengthening for restoration of maxillary anterior tooth defects.

OBJECTIVE: The appearance of the gingival tissue around the teeth is essential in the aesthetics of the anterior maxillary region of the oral cavity. Abnormalities in symmetry and contour can significantly compromise the appearance of the natural or restored dentition, so the outcome is highly relevant to treatment choice. This study evaluated the efficacy of crown lengthening for restoration of maxillary anterior tooth defects. METHODS: A total of 80 patients (87 affected teeth) diagnosed with maxillary anterior tooth loss in Ganzhou People's Hospital between May 2020 and August 2021 were retrospectively enrolled and divided into an experimental group or a reference group according to different treatment methods, with 40 cases in each group. The reference group received a post and core procedure, while the experimental group received crown lengthening plus a post and core procedure. Outcome measures included clinical efficacy, gingival periodontal-related indices, and dental aesthetics indices. RESULTS: Crown lengthening plus post and core procedure was associated with a significantly higher clinical efficacy (95.65%) versus post and core procedure alone (78.05%) (P<0.05). Postoperatively, the levels of probing depth (PD), plaque index (PLI), bleeding index (BI), and gingival index (GI) were lower in patients of the experimental group than those in the reference group (all P<0.05). Crown lengthening plus post and core procedure resulted in more Kay class I and II patients and fewer Kay class III and IV versus the post and core procedure alone (P<0.05). The position of gingival margin (PGM) and gingival recession (GR) of patients in the experimental group were higher than those in the reference group after operation (P<0.05). Logistic regression analysis showed that the morphology of broken ends, plaque control, hygiene habits, and smoking were influencing factors for maxillary anterior tooth defects (all P<0.05). Patients were more satisfied (97.50%) in the experimental group than those in the reference group (80.00%) (P<0.05). CONCLUSION: Crown lengthening improves the periodontal condition of patients with maxillary anterior tooth loss, reduces gingival sulcus bleeding, and improves dental aesthetics and patient satisfaction. Further clinical studies are required prior to clinical promotion.

ELAVL1 promotes LPS-induced endothelial cells injury through modulation of cytokine storm.

Sepsis is a life-threatening systemic organ dysfunction caused by the host's unregulated response to a widespread bacterial infection. Endothelial injury is a major pathophysiologic symptom of sepsis and is considered a critical factor in promoting the progression of disease severity. ELAV like RNA binding protein 1(ELAVL1) is a ubiquitously expressed RNA-binding protein that may play an important role during sepsis. Nonetheless, the molecular mechanisms of ELAVL1 on endothelial cell damage in sepsis have not been well defined. Here, we aimed to confirm the role of ELAVL1 in sepsis-induced endothelial cell damage using lipopolysaccharide (LPS)-induced zebrafish and endothelial cells (ECs) models. We found that zebrafish larvae treated with LPS exhibited systemic endothelial cell damage, mostly manifested as pericardial edema, curved tail, and impaired angiogenesis. LPS treatments also significantly induced the expression levels of inflammatory cytokines (interleukin-6 (IL-6), IL-8, and tumor necrosis factor (TNF)-α) in vivo. In vitro, we observed the increase of ELAVL1 cytoplasmic translocation with LPS treatment. Mechanistically, targeted disruption of the ELAVL1 gene decreased the expression of TNF-α, IL-6, and IL-8 during induction of sepsis and alleviated LPS-induced blood vessel injury in zebrafish. Taken together, our study indicates that ELAVL1 knockdown may alleviate sepsis-induced endothelial cells injury by suppressing cytokine storm. Our research suggests that inhibition of ELAVL1 could reduce the level of inflammatory cytokine production induced by LPS and protect against endothelial cell injury. ELAVL1 might be a potential therapeutic target to block endothelial cells injury associated with sepsis.

Synthesis of sulfur-containing benzo[b]pyrrolo[2,1-c][1,4]oxazine-3,9-diones: blue light promoted radical cyclization process.

The selective and controllable construction of spio-tricyclic skeletons through visible light promoted radical cyclization still remains challenging. Herein, a general and convenient protocol for the blue light-promoted radical-mediated cascade spiro-cyclization/Michael addition of N-arylpropiolamides with thiophenols under metal-free conditions was developed. In this protocol, commercially available hydrochloric acid was employed as the cheap promoter and air as the sustainable oxidant. In addition, many functional groups tolerate the reaction conditions and produce a series of sulfur-containing benzo[b]pyrrolo[2,1-c][1,4]oxazine-3,9-diones.

Genome-centric polyhydroxyalkanoate reconciliation reveals nutrient enriched growth dependent biosynthesis in Bacillus cereus IBA1.

Microbiological polyhydroxyalkanoates (PHAs) are rooted as the most promising bio-replacements of synthetic polymers. Inherent properties of these PHAs further expand their applicability in numerous industrial, environmental, and clinical sectors. To propel these, a new environmental, endotoxin free gram-positive bacterium i.e., Bacillus cereus IBA1 was identified to harbor advantageous PHA producer characteristics through high-throughput omics mining approaches. Unlike traditional fermentations, nutrient enriched strategy was used to enhance PHA granular concentrations by ∼2.3 folds to 2.78 ± 0.19 g/L. Additionally, this study is the first to confirm an underlying growth dependent PHA biogenesis through exploring PHA granule associated operons which harbour constitutively expressing PHA synthase (phaC) coupled with differentially expressing PHA synthase subunit (phaR) and regulatory protein (phaP, phaQ) amid different growth phases. Moreover, the feasibility of this promising microbial phenomenon could propel next-generation biopolymers, and increase industrial applicability of PHAs, thereby significantly contributing to the sustainable development.

A review on mechanistic understanding of microplastic pollution on the performance of anaerobic digestion.

Anaerobic digestion (AD) has emerged as a promising technology for diverting the organic waste from the landfills along with the production of clean energy. AD is a microbial-driven biochemical process wherein the plethora of microbial communities participate in converting the putrescible organic matter into biogas. Nevertheless, the AD process is susceptible to the external environmental factors such as presence of physical (microplastics) and chemical (antibiotics, pesticides) pollutants. The microplastics (MPs) pollution has received recent attention due to the increasing plastic pollution in terrestrial ecosystems. This review was aimed for holistic assessment of impact of MPs pollution on AD process to develop efficient treatment technology. First, the possible pathways of MPs entry into the AD systems were critically evaluated. Further, the recent literature on the experimental studies pertaining to the impact of different types of MPs at different concentrations on the AD process was reviewed. In addition, several mechanisms such as direct exposure of MPs on the microbial cells, indirect impact of MPs through the leaching of toxic chemicals and reactive oxygen species (ROS) formation on AD process were elucidated. Besides, the risk possessed by the increase of antibiotic resistance genes (ARGs) after the AD process due to the MPs stress on microbial communities were discussed. Overall, this review deciphered the severity of MPs pollution on AD process at different levels.

The role of hygrodynamic resistance compared to biofilm formation in helping pathogenic bacteria dominate air-conditioning units recovered from odour problems.

We previsouly found that installing filters in odourous air-conditioning units (ACUs) to block the entry of skin squames could well tackle the odour problems. In this study, we revisited and sampled the ACUs installed with filters earlier to study the bacterial communities inside the ACUs using 16S amplicon sequencing. We identified 26 genera and found that the skin bacteria isolated in the previous work were absent in this study. Two pathogenic bacteria, Methylobacterium and Sphingomonas, dominated ACUs instead. Afterwards, these two bacteria were identified to species level (Methylobacterium organophilum and Sphingomonas paucimobilis, respectively), and examined in terms of their biofilm formation ability and resistance to changing moisture conditions together with another prevalent species isolated in our previous study, namely Micrococcus luteus, in order to understand the mechanisms of the survival of bacteria in ACUs. In general, M. organophilum and M. luteus showed good biofilm formation ability at all tested temperature levels, but S. paucimobilis only displayed limited biofilm formation. Whereas, all these three bacteria well maintained their survival after wet-dry cycles. These results suggest that compared to biofilm formation, ability to survive under hygrodynamics tends to play a more important role in helping bacteria dominate ACUs. Further, this study implies that the absence of odour problem does not guarantee a healthy environment, more attentions should be given to limit the abundance of hydrodynamic-resistant pathogenic bacteria.

Influence of inoculum-to-substrate ratio on biogas enhancement during biochar-assisted co-digestion of food waste and sludge.

High accumulation of volatile fatty acids (VFAs) is one of the major concerns during mesophilic anaerobic co-digestion of food waste (FW) and sewage sludge (SS). Therefore, improving the stability of the anaerobic digestion process could surpass quick acidification while accelerating methanogenesis. In this study, the suitability of biochar-assisted co-digestion was evaluated at different inoculum and substrate ratios (I/S ratios: 0.1, 0.3, 0.6, and 0.9). The maximum methane yield of 256.85 mL/gVSadd was observed at an I/S ratio of 0.6. The results indicated fast volatile solid removal (∼ 47.17% to 73%) and a critical role of biochar addition in alleviating the underlying inhibitions. Substantial changes in the microbial community composition including Methanosata, Methanobrevibacter, and Methanosarcina were also observed which predominated and stabilised the methanogenesis process at higher I/S ratios. These results emphasised that the anaerobic co-digestion of FW/sludge is a promising approach, wherein the biochar amendment at different I/S ratios should be well maintained to avoid inhibitions from excess microbial VFA acidification of organic waste feedstocks.

Effect of different-sized bulking agents on nitrification process during food waste digestate composting.

Food waste digestate (FWD) disposal is a serious bottleneck in anaerobic digestion plants to achieve a circular bioeconomy. FWD could be recycled into nitrogen-rich compost; however, the co-composting process optimisation along with bulking agents is required to reduce nitrogen loss and unwanted gaseous emissions. In the present study, two different-sized bulking agents, namely, wood shaving (WS) and fine sawdust (FS), were used to investigate their impact on FWD composting performance along with the nitrogen dynamics. The mixing of FWD with different bulking agents altered the physiochemical characteristics of composting matrix and the effective composting performance was observed through reduced ammonium nitrogen and increased seed germination index during 28 days of composting. The carbon loss of 19-22% through CO2 emission indicated similar carbon mineralisation with both types of sawdust; however, the nitrogen transformation pathways were different. Only WS treatment demonstrated the nitrification process, whereas the nitrogen loss was higher with FS. A total nitrogen loss of ∼15% was observed in treatments with FS, whereas WS treatments displayed a nitrogen loss of 12%. The outcome of the present study could significantly contribute to the practical aspect of the FWD composting operation with the promotion of the bio-recycling economy.

Regulation of acidogenic fermentation through exogenous additives for promoting carbon conversion of food waste in two-phase anaerobic system.

In this study, exogenous Megasphaera elsdenii inoculum and acetate supplementation were introduced at the acidogenic phase to regulate the acidogenic fermentation pathway and assess their effects on food waste (FW) carbon conversion in two-phase anaerobic digestion (AD) system. These two additives significantly accelerated organic removal efficiency and subsequently increased FW hydrolysis and acidogenesis by 16% and 35%, respectively. As expected, two exogenous additives promoted butyrate fermentation during FW acidogenesis. With regard to the role of exogenous additives, both hydrogen and butyrate yields increased by over 60%. This desired increment resulted in a 25% increase in methane production. The overall carbon conversion from FW in the integrated two-phase AD system was enhanced by biochemical additives, which was 1.3-fold higher than that in control without any additives. Collectively, findings demonstrate the feasibility of regulating acidogenic fermentation via exogenous biochemical additives and its benefits on FW carbon conversion during AD process.

Enhanced stability of food waste anaerobic digestion under low inoculum to substrate ratio by using biochar.

The influence of biochar on anaerobic digestion (AD) of organic waste have been widely studied. However, the effect of biochar on the mitigation of acidification and subsequently the stimulation of methanogenesis recovery during mono food waste (FW) digestion process under a low inoculum to substrate (I/S) ratio (i.e. a high organic loading) is rarely investigated. In this study, the benefit of biochar with respect to methane production from FW was explored in a mono FW AD system with four different additional amounts of biochar, i.e. 0, 5, 10 and 15 g/L. Results revealed that biochar boosted methane production in AD at a low I/S ratio by 390-530% through stimulating methanogenic activity, improving organics removal and enhancing process stability. The biochar dosage of 10 g/L demonstrated the highest biodegradability of 92.3% and the highest specific methane production of 553.0 mL/g VSremoved among all groups. Without biochar addition, volatile fatty acids (VFAs) accumulated to 20 g/L and the highest total ammonium-N (TAN) was > 1200 mg/L. The suppression of methanogenesis was significantly correlated with VFA and TAN (p < 0.05). Therefore, biochar addition presented a positive effect on VFAs degradation and buffering capacity which could be an effective approach to enhance methane production from FW digestion at a low inoculum to substrate ratio without the fear of system failure.

Moderate potassium ferrate dosage enhances methane production from the anaerobic digestion of waste activated sludge.

The annual increase of waste activated sludge (WAS) has become an urgent problem to be solved in sewage plants worldwide. Anaerobic digestion (AD) of WAS is an attractive choice to maximize the resource utilization rate. Nevertheless, the disintegration of sludge complex polymers is difficult, resulting in a low bioconversion rate. Potassium ferrate (PF), as a green oxidant with strong oxidizing property, has attracted great attention in WAS pretreatment recently. The effects of PF pretreatment on WAS hydrolysis and its dosage-response on methane production were investigated in the present study. Results show that as PF dosage raise from 0 to 50 g-K2FeO4/ kg-TS (total solids), the methane yield enhanced significantly by 40.3% from 0.083 to 0.12 L/g-VSadded (volatile solids). Nevertheless, the further increase in PF dosage resulted in decreased methane production. Especially with the PF dosage of 500 g-K2FeO4/ kg-TS, methane production is even slightly lower than the control reactor without PF oxidation. The mechanism analysis showed that although the dissolution of polysaccharides and proteins was enhanced with the high dosage of PF, the accompanying released humic-like substances and high concentration of ferric ions should be the main reasons inhibiting methane production.

Hydrochar prepared from digestate improves anaerobic co-digestion of food waste and sewage sludge: Performance, mechanisms, and implication.

This work reported a new waste functionalization and utilization method, which use digestate to prepare hydrochar to improve methane production from food waste (FW) and sewage sludge (SS). Experimental results presented that 10 g/L hydrochar obtained the cumulative methane production of 133.11 ± 1.18 mL/g volatile solids added, 26.99 % higher than that without hydrochar addition. By monitoring the conversion of model metabolic intermediates, 10 g/L hydrochar was determined to favor hydrolysis, acidogenesis and methonogenesis bio-processes involved in methane production, thus improving the degradation of solubilized organics and consumption of short-chain fatty acids (SCFAs) during the co-digestion. Microbial investigation revealed that 10 g/L hydrochar enriched the microbes relevant to methane production (e.g., Methanosaeta and Syntrophomonas), but reduced the abundances of hydrolysis- and acidogenesis-related microbes (e.g., Acinetobacter). This hydrochar-based preparation and utilization strategy might offer a novel paradigm for waste-control-waste, bringing economic and environmental benefits.

Radiation Dose Reduction and Surgical Efficiency Improvement in Endoscopic Transforaminal Lumbar Interbody Fusion Assisted by Intraoperative O-arm Navigation: A Retrospective Observational Study.

OBJECTIVE: Endoscopic transforaminal lumbar interbody fusion (Endo-TLIF) has gained increasing popularity among spine surgeons. However, with the use of fluoroscopy, intraoperative radiation exposure remains a major concern. Here, we aim to introduce Endo-TLIF assisted by O-arm-based navigation and compare the results between O-arm navigation and fluoroscopy groups. METHODS: Sixty-four patients were retrospectively analyzed from May 2019 to September 2020; the nonnavigation group comprised 34 patients, and the navigation group comprised 30 patients. Data on radiation dose, blood loss, postoperative drains, surgery time, complications, and length of hospital stay (LOS) were collected. Clinical outcomes were evaluated from postoperative data such as fusion rate, Oswestry Disability Index (ODI), and visual analogue scale (VAS). Radiation dose and surgery time were selected as primary outcomes; the others were second outcomes. RESULTS: All patients were followed up for at least 12 months. No significant differences were detected in intraoperative hemorrhage, postoperative drains, hospital LOS, or complications between the 2 groups. The radiation dose was significantly lower in the navigation group compared with the nonnavigation group. The time of cannula placement and pedicle screw fixation was significantly reduced in the navigation group. No significant differences were detected between the clinical outcomes in the 2 groups (VAS and ODI scores). CONCLUSION: The present study demonstrates that O-arm-assisted Endo-TLIF is efficient and safe. Compared with fluoroscopy, O-arm navigation could reduce the radiation exposure and surgical time in Endo-TLIF surgery, with similar clinical outcomes. However, the higher doses exposed to patients remains a negative effect of this technology.

Recent advances in conductive materials amended anaerobic co-digestion of food waste and municipal organic solid waste: Roles, mechanisms, and potential application.

Recently, conductive materials (i.e., carbon-based and iron-based materials) as a feasible and attractive approach have been introduced to anaerobic co-digestion (ACoD) system for promoting its performance and stability through direct interspecies electron transfer. Owing to the key roles of conductive materials in ACoD process, it is imperative to gain a profound understanding of their specific functions and mechanisms. Here, this review critically examined the state of the art of conductive materials assisted ACoD of food waste and common municipal organic solid waste. Then, the fundamental roles of conductive materials on ACoD enhancement and the relevant mechanisms were discussed. Last, the perspectives for co-digestate treatment, reutilization, and disposal were summarized. Moreover, the main challenges to conductive materials amended ACoD in on-site application were proposed and the future remarks were put forward. Collectively, this review poses a scientific basis for the potential application of conductive materials in ACoD process in the future.

Injectable cartilage matrix hydrogel loaded with cartilage endplate stem cells engineered to release exosomes for non-invasive treatment of intervertebral disc degeneration.

Low back pain, mainly caused by intervertebral disc degeneration (IVDD), is a common health problem; however, current surgical treatments are less than satisfactory. Thus, it is essential to develop novel non-invasive surgical methods for IVDD treatment. Here, we describe a therapeutic strategy to inhibit IVDD by injecting hydrogels modified with the extracellular matrix of costal cartilage (ECM-Gels) that are loaded with cartilage endplate stem cells (CESCs). After loaded with CESCs overexpressing Sphk2 (Lenti-Sphk2-CESCs) and injected near the cartilage endplate (CEP) of rats in vivo, ECM-Gels produced Sphk2-engineered exosomes (Lenti-Sphk2-Exos). These exosomes penetrated the annulus fibrosus (AF) and transported Sphk2 into the nucleus pulposus cells (NPCs). Sphk2 activated the phosphatidylinositol 3-kinase (PI3K)/p-AKT pathway as well as the intracellular autophagy of NPCs, ultimately ameliorating IVDD. This study provides a novel and efficient non-invasive combinational strategy for IVDD treatment using injectable ECM-Gels loaded with CESCs that express Sphk2 with sustained release of functional exosomes.