The White Matter Integrity and Functional Connection Differences of Fornix (cres)/Stria Terminalis in Individuals with Mild Cognitive Impairment Induced by Occupational Aluminum Expose.

Long-term aluminum (Al) exposure increases the risk of mild cognitive impairment (MCI). The aim of present study was to investigate the neural mechanisms of Al-induced MCI. In our study, a total of 52 individuals with occupational Al exposure > 10 years were enrolled and divided into two groups: MCI (Al-MCI) and healthy controls (Al-HC). Plasma Al concentrations and Montreal Cognitive Assessment (MoCA) score were collected for all participants. And diffusion tensor imaging and resting-state functional magnetic resonance imaging were used to examine changes of white matter (WM) and functional connectivity (FC). There was a negative correlation between MoCA score and plasma Al concentration. Compared with the Al-HC, fractional anisotropy value for the right fornix (cres)/stria terminalis (FX/ST) was higher in the Al-MCI. Furthermore, there was a difference in FC between participants with and without MCI under Al exposure. We defined the regions with differing FC as a "pathway", specifically the connectivity from the right temporal pole to the right FX/ST, then to the right sagittal stratum, and further to the right anterior cingulate and paracingulate gyri, and right inferior frontal gyrus, orbital part. In summary, we believe that the observed differences in WM integrity and FC in the right FX/ST between participants with and without MCI under long-term Al exposure may represent the neural mechanisms underlying MCI induced by aluminum exposure.Significance Statement Our study illuminates the neural "pathway" linking long-term aluminum exposure to mild cognitive impairment. Through integrated plasma aluminum assessments, cognitive evaluations, and advanced neuroimaging, we unveil differences in white matter integrity and functional connectivity, particularly in the right fornix/stria terminalis. These findings elucidate the neurobiological mechanisms underlying Al-induced MCI, highlighting the importance of addressing occupational Al exposure as a modifiable risk factor for cognitive decline.

Low-energy hole subband dispersions in a cylindrical Ge nanowire: the effects of the nanowire growth direction.

We examine the validity of the spherical approximationγs=(2γ2+3γ3)/5in the Luttinger-Kohn Hamiltonian in calculating the subband dispersions of the hole gas. We calculate the realistic hole subband dispersions (without the spherical approximation) in a cylindrical Ge nanowire by using quasi-degenerate perturbation theory. The realistic low-energy hole subband dispersions have a double-well anticrossing structure, that consists with the spherical approximation prediction. However, the realistic subband dispersions are also nanowire growth direction dependent. When the nanowire growth direction is restricted in the (100) crystal plane, the detailed growth direction dependences of the subband parameters are given. We find the spherical approximation is good approximation, it can nicely reproduce the real result in some special growth directions.

PD-L1 (Programmed Death Ligand 1) Regulates T-Cell Differentiation to Control Adaptive Venous Remodeling.

OBJECTIVE: Patients with end-stage renal disease depend on hemodialysis for survival. Although arteriovenous fistulae (AVF) are the preferred vascular access for hemodialysis, the primary success rate of AVF is only 30% to 50% within 6 months, showing an urgent need for improvement. PD-L1 (programmed death ligand 1) is a ligand that regulates T-cell activity. Since T cells have an important role during AVF maturation, we hypothesized that PD-L1 regulates T cells to control venous remodeling that occurs during AVF maturation. Approach and results: In the mouse aortocaval fistula model, anti-PD-L1 antibody (200 mg, 3×/wk intraperitoneal) was given to inhibit PD-L1 activity during AVF maturation. Inhibition of PD-L1 increased T-helper type 1 cells and T-helper type 2 cells but reduced regulatory T cells to increase M1-type macrophages and reduce M2-type macrophages; these changes were associated with reduced vascular wall thickening and reduced AVF patency. Inhibition of PD-L1 also inhibited smooth muscle cell proliferation and increased endothelial dysfunction. The effects of anti-PD-L1 antibody on adaptive venous remodeling were diminished in nude mice; however, they were restored after T-cell transfer into nude mice, indicating the effects of anti-PD-L1 antibody on venous remodeling were dependent on T cells. CONCLUSIONS: Regulation of PD-L1 activity may be a potential therapeutic target for clinical translation to improve AVF maturation.