A novel mouse model of familial combined hyperlipidemia and atherosclerosis.

Within the context of residual cardiovascular risk in post-statin era, emerging evidence from epidemiologic and human genetic studies have demonstrated that triglyceride (TG)-rich lipoproteins and their remnants are causally related to cardiovascular risk. While, carriers of loss-of-function mutations of ApoC3 have low TG levels and are protected from cardiovascular disease (CVD). Of translational significance, siRNAs/antisense oligonucleotide (ASO) targeting ApoC3 is beneficial for patients with atherosclerotic CVD. Therefore, animal models of atherosclerosis with both hypercholesterolemia and hypertriglyceridemia are important for the discovery of novel therapeutic strategies targeting TG-lowering on top of traditional cholesterol-lowering. In this study, we constructed a novel mouse model of familial combined hyperlipidemia through inserting a human ApoC3 transgene (hApoC3-Tg) into C57BL/6 J mice and injecting a gain-of-function variant of adeno-associated virus-proprotein convertase subtilisin/kexin type 9 (AAV-PCSK9)-D377Y concurrently with high cholesterol diet (HCD) feeding for 16 weeks. In the last 10 weeks, hApoC3-Tg mice were orally treated with a combination of atorvastatin (10 mg·kg-1·d-1) and fenofibrate (100 mg·kg-1·d-1). HCD-treated hApoC3-Tg mice demonstrated elevated levels of serum TG, total cholesterol (TC) and low density lipoprotein-cholesterol (LDL-C). Oral administration of atorvastatin and fenofibrate significantly decreased the plaque sizes of en face aorta, aortic sinus and innominate artery accompanied by improved lipid profile and distribution. In summary, this novel mouse model is of considerable clinical relevance for evaluation of anti-atherosclerotic drugs by targeting both hypercholesterolemia and hypertriglyceridemia.

Moscatilin inhibits vascular calcification by activating IL13RA2-dependent inhibition of STAT3 and attenuating the WNT3/ß-catenin signalling pathway.

INTRODUCTION: Vascular calcification, a devastating vascular complication accompanying atherosclerotic cardiovascular disease and chronic kidney disease, increases the incidence of adverse cardiovascular events and compromises the efficacy of vascular interventions. However, effective therapeutic drugs and treatments to delay or prevent vascular calcification are lacking. OBJECTIVES: This study was designed to test the therapeutic effects and mechanism of Moscatilin (also known as dendrophenol) from Dendrobium huoshanense (an eminent traditional Chinese medicine) in suppressing vascular calcification in vitro, ex vivo and in vivo. METHODS: Male C57BL/6J mice (25-week-old) were subjected to nicotine and vitamin D3 (VD3) treatment to induce vascular calcification. In vitro, we established the cellular model of osteogenesis of human aortic smooth muscle cells (HASMCs) under phosphate conditions. RESULTS: By utilizing an in-house drug screening strategy, we identified Moscatilin as a new naturally-occurring chemical entity to reduce HASMC calcium accumulation. The protective effects of Moscatilin against vascular calcification were verified in cultured HASMCs. Unbiased transcriptional profiling analysis and cellular thermal shift assay suggested that Moscatilin suppresses vascular calcification via binding to interleukin 13 receptor subunit A2 (IL13RA2) and augmenting its expression. Furthermore, IL13RA2 was reduced during HASMC osteogenesis, thus promoting the secretion of inflammatory factors via STAT3. We further validated the participation of Moscatilin-inhibited vascular calcification by the classical WNT/ß-catenin pathway, among which WNT3 played a key role in this process. Moscatilin mitigated the crosstalk between WNT3/ß-catenin and IL13RA2/STAT3 to reduce osteogenic differentiation of HASMCs. CONCLUSION: This study supports the potential of Moscatilin as a new naturally-occurring candidate drug for treating vascular calcification via regulating the IL13RA2/STAT3 and WNT3/ß-catenin signalling pathways.

Multi-Scale Superhydrophobic Surface with Excellent Stability and Solar-Thermal Performance for Highly Efficient Anti-Icing and Deicing.

Ice accretion can significantly impact the efficiency and safety of outdoor equipment. Solar-thermal superhydrophobic surface is an effective strategy for anti-icing and deicing. However, droplets easily turn to the Wenzel state during the icing and melting cycle processes, significantly increasing the adhesion and making the droplets difficult to remove from the surface. In this work, a triple-scale solar-thermal superhydrophobic surface is prepared on stainless steel 304 by etching, in situ oxidation, and spin-coating TiN nanoparticles for highly efficient deicing and anti-icing. The multi-scale structure enabled the droplets to recover the Cassie state completely after melting. The contact angle decreased from 162.5° to 136.7° during the icing process and gradually increased to 162.1° during the melting process. In addition, metal oxides and TiN nanoparticles enabled the superhydrophobic surface to exhibit a high solar absorptivity ( α ¯ solar ${{\bar{\alpha }}_{{\mathrm{solar}}}}$ = 0.925). The synergistic effect of the superhydrophobicity and the solar-thermal performance endowed the designed multi-scale surface with excellent anti-icing and deicing performance. This work contributed to the practical development of anti-icing and deicing applications based on solar-thermal superhydrophobic surfaces.

Potential role of APOE ɛ4 allele as a modifier for the association of BDNF Val66Met polymorphisms and cognitive impairment in community-dwelling older adults.

Objective: To determine whether the brain-derived neurotrophic factor (BDNF) Val66Met polymorphism is associated with cognitive impairment (CI) in community-dwelling Chinese older adults, and to investigate whether this relationship is modified by the Apolipoprotein E (APOE) ɛ4 allele. Methods: The study is a secondary analysis of 703 participants aged ≥60 years randomly enrolled from the Beijing Longitudinal Study of Aging II prospective cohort. The education-adjusted Mini-Mental State Examination and the Clinical Dementia Rating Scale were used to measure the cognitive performance of the subjects. The main effects and interactions (additive and multiplicative) of the BDNF Met and the APOE ε4 alleles on CI were estimated by logistic regression models. Results: In total, 84 out of 703 older adults aged ≥60 years old had CI. No significant difference was observed in the risk of CI between participants with the BDNF Met allele and that of subjects without the BDNF Met allele (p = 0.213; p = 0.164). Individuals carrying both the BDNF Met and APOE ε4 alleles had an almost 1.5-fold increased odds of CI compared with carriers of the BDNF Met allele but without the APOE ε4 allele. The additive association indicated a positive interaction of both BDNF Met and APOE ε4 alleles with wide CIs (p = 0.021; p = 0.018). Conclusion: The results suggest that the APOE ε4 allele may be a potential modifier for the association of the BDNF Val66Met polymorphism with CI in community-dwelling older adults.

TRIM56 protects against nonalcoholic fatty liver disease by promoting the degradation of fatty acid synthase.

Nonalcoholic fatty liver disease (NAFLD) encompasses a disease continuum from simple steatosis to nonalcoholic steatohepatitis (NASH). However, there are currently no approved pharmacotherapies for NAFLD, although several drugs are in advanced stages of clinical development. Because of the complex pathophysiology and heterogeneity of NAFLD, the identification of potential therapeutic targets is clinically important. Here, we demonstrated that tripartite motif 56 (TRIM56) protein abundance was markedly downregulated in the livers of individuals with NAFLD and of mice fed a high-fat diet. Hepatocyte-specific ablation of TRIM56 exacerbated the progression of NAFLD, while hepatic TRIM56 overexpression suppressed it. Integrative analyses of interactome and transcriptome profiling revealed a pivotal role of TRIM56 in lipid metabolism and identified the lipogenesis factor fatty acid synthase (FASN) as a direct binding partner of TRIM56. TRIM56 directly interacted with FASN and triggered its K48-linked ubiquitination-dependent degradation. Finally, using artificial intelligence-based virtual screening, we discovered an orally bioavailable small-molecule inhibitor of FASN (named FASstatin) that potentiates TRIM56-mediated FASN ubiquitination. Therapeutic administration of FASstatin improved NAFLD and NASH pathologies in mice with an optimal safety, tolerability, and pharmacokinetics profile. Our findings provide proof of concept that targeting the TRIM56/FASN axis in hepatocytes may offer potential therapeutic avenues to treat NAFLD.

Self-sustained and Insulated Radiative/Evaporative Cooler for Daytime Subambient Passive Cooling.

Passive cooling technologies are one of the promising solutions to the global energy crisis due to no consumption of fossil fuels during operation. However, the existing radiative and evaporative coolers still have problems achieving daytime subambient cooling while maintaining evaporation over the long term. Here, we propose a self-sustained and insulated radiative/evaporative cooler (SIREC), which consists of a porous polyethylene film (P-PE) at the top, an air layer in the middle, and poly(vinyl alcohol) hydrogel with lithium bromide (PLH) at the bottom. In particular, the P-PE shows high solar reflectance (R̅solar = 0.91) and long-wave infrared transmittance (τ̅LWIR = 0.92), which reflects sunlight while enhancing the direct radiative heat transfer between outer space and PLH (ε̅LWIR = 0.96) for sky radiative cooling. In addition, the desirable vapor permeability (579 s m-1) of the P-PE also results in good compatibility with PLH for evaporative cooling (EC). Moreover, the PLH's ability to harvest atmospheric water at night provides self-sustainment for daytime EC. The air layer between P-PE and PLH further enhances the subambient cooling performance of the SIREC. These findings indicate promising prospects for the integration of passive cooling technologies.

A Facile and Effective Design for Dynamic Thermal Management Based on Synchronous Solar and Thermal Radiation Regulation.

Passive solar heating and radiative cooling have attracted great interest in global energy consumption reduction due to their unique electricity-free advantage. However, static single radiation cooling or solar heating would lead to overcooling or overheating in cold and hot weather, respectively. To achieve a facile, effective approach for dynamic thermal management, a novel structured polyethylene (PE) film was engineered with a switchable cooling and heating mode obtained through a moisture transfer technique. The 100 µm PE film showed excellent solar modulation from 0.92 (dried state) to 0.32 (wetted state) and thermal modulation from 0.86 (dried state) to 0.05 (wetted state). Outdoor experiments demonstrated effective thermal regulation during both daytime and nighttime. Furthermore, our designed PE film can save 1.3-41.0% of annual energy consumption across the whole country of China. This dual solar and thermal regulation mechanism is very promising for guiding scalable approaches to energy-saving temperature regulation.

A proteome-wide screen identifies the calcium binding proteins, S100A8/S100A9, as clinically relevant therapeutic targets in aortic dissection.

Aortic dissection (AD) is a fatal cardiovascular disease with limited pharmacotherapies. To discover novel therapeutic targets for AD, the present study was conducted on ascending aorta samples from AD patients versus those from control subjects using proteomic analysis. Integrated proteomic data analysis identified S100 calcium-binding proteins A8 and A9 (S100A8/A9) as new therapeutic targets for AD. As assessed by ELISA, the circulating levels of S100A8/A9 were elevated in AD patients. In addition, we validated the upregulation of S100A8/A9 in a mouse model of AD. In vitro and in vivo studies substantiated that S100A8/A9, as danger-associated molecular pattern molecules, promotes the smooth muscle cells phenotypic switch by inhibiting serum response factor (SRF) activity but elevating NF-κB dependent inflammatory response. Depletion of S100A8/A9 attenuates the occurrence and development of AD. As a proof of concept, we tested the safety and efficacy of pharmacological inhibition of S100A8/A9 by ABR-25757 (paquinimod) in a mouse model of AD. We observed that ABR-25757 ameliorated the incidence of rupture and improved elastin morphology associated with AD. Further single-cell RNA sequencing disclosed that the phenotypic switch of vascular smooth muscle cells (VSMCs) and inflammatory response pathways were responsible for ABR-25757-mediated protection against AD. Thus, this study reveals the regulatory mechanism of S100A8/A9 in AD and offers a potential therapeutic avenue to treat AD by targeting S100A8/A9.

Performance of an automated registration-based method for longitudinal lesion matching and comparison to inter-reader variability.

Objective.Patients with metastatic disease are followed throughout treatment with medical imaging, and accurately assessing changes of individual lesions is critical to properly inform clinical decisions. The goal of this work was to assess the performance of an automated lesion-matching algorithm in comparison to inter-reader variability (IRV) of matching lesions between scans of metastatic cancer patients.Approach.Forty pairs of longitudinal PET/CT and CT scans were collected and organized into four cohorts: lung cancers, head and neck cancers, lymphomas, and advanced cancers. Cases were also divided by cancer burden: low-burden (<10 lesions), intermediate-burden (10-29), and high-burden (30+). Two nuclear medicine physicians conducted independent reviews of each scan-pair and manually matched lesions. Matching differences between readers were assessed to quantify the IRV of lesion matching. The two readers met to form a consensus, which was considered a gold standard and compared against the output of an automated lesion-matching algorithm. IRV and performance of the automated method were quantified using precision, recall, F1-score, and the number of differences.Main results.The performance of the automated method did not differ significantly from IRV for any metric in any cohort (p> 0.05, Wilcoxon paired test). In high-burden cases, the F1-score (median [range]) was 0.89 [0.63, 1.00] between the automated method and reader consensus and 0.93 [0.72, 1.00] between readers. In low-burden cases, F1-scores were 1.00 [0.40, 1.00] and 1.00 [0.40, 1.00], for the automated method and IRV, respectively. Automated matching was significantly more efficient than either reader (p< 0.001). In high-burden cases, median matching time for the readers was 60 and 30 min, respectively, while automated matching took a median of 3.9 minSignificance.The automated lesion-matching algorithm was successful in performing lesion matching, meeting the benchmark of IRV. Automated lesion matching can significantly expedite and improve the consistency of longitudinal lesion-matching.

Thermal Management of the Solar Evaporation Process.

Solar-driven interfacial evaporation has caught wide attention for water purification due to its green and environment-friendly properties. The key issue is how to effectively utilize solar radiation for evaporation. To fully understand the thermal management of the solar evaporation process, a multiphysics model has been built by the finite element method to clarify the heat transfer process for the improvement of solar evaporation. Simulation results indicate that the evaporation performance can be improved by tuning the thermal loss, local heating, convective mass transfer, and evaporation area. The thermal radiation loss of the evaporation interface and thermal convection loss to the bottom water should be avoided, and local heating is good for evaporation. Convection above the interface can improve evaporation performance, although it would enhance the thermal convective loss. In addition, evaporation also can be improved by increasing the evaporation area from 2D to 3D structures. Experimental results confirm that the solar evaporation ratio can be improved from 0.795 kg m-2 h-1 to 1.122 kg m-2 h-1 at 1 sun with a 3D interface and thermal insulation between the interface and bottom water. These results can provide a design principle for the solar evaporation system based on thermal management.

Janus Interface Engineering Boosting Visibly Transparent Radiative Cooling for Energy Saving.

Visibly transparent radiative cooling (VTRC) shows great potential in energy-saving buildings or car glasses for lighting and cooling. How to balance the lighting and cooling performance is of significance to VTRC. In addition, the thermal radiative performance on the inner side should also be determined for cooling. Here, we designed a Janus VTRC coating consisting of a thermal emitter, PDMS, and a transparent near-infrared reflector, TiO2/Ag/TiO2. On the outer side, the visible transmittance T̅vis = 0.70, while the solar reflectance R̅solar = 0.40, and the thermal emittance in the atmospheric window ε̅LWIR = 0.94 can be achieved experimentally. On the inner side, the thermal emittance ε̅IR can be 0.90 or 0.01 depending on the substrate (glass or near-infrared reflector), which acts as the radiative conductor or barrier for energy saving in hot or cold internal situations. Compared with glass, the designed PDMS/NIR/glass achieves an average temperature drop of 14.6 °C experimentally. The energy-saving calculation based on seven cities in China shows that the VTRC coating can save 34-44% of the annual cooling energy consumption. This Janus visibly transparent radiative cooling technology with internal and external regulation provides a potential strategy for energy saving under the requirement of simultaneous lighting and cooling.

Association between postural tremor and risk of disability in community-dwelling older people.

BACKGROUND: The prevalence of postural tremor increases with age and the tremor has been found to be associated with aging-related physiological decline. However, whether postural tremor in older adults is associated with adverse outcomes such as disability is unclear. This study investigated the association between postural tremor and the risk of disability in activities of daily living (ADL) among community-dwelling older people. METHODS: Data were derived from a population-based study of Chinese adults aged ≥55 years. Postural tremor was assessed at baseline using a two-step method (i.e., tremor screening followed by examination of positive cases). ADL disability was determined using an 8-item questionnaire, which covered the mobility and self-care domains of ADL. Participants free of ADL disability at baseline were followed for up to 4 years. RESULTS: The prospective analyses included 5868 participants. Participants with postural tremor were at greater risk of incident ADL disability, particularly disability in the mobility domain of ADL. After multivariate adjustment, postural tremor was not significantly associated with incident ADL disability (multivariate-adjusted relative risk [RR] = 1.05, 95% confidence interval [CI] = 0.77-1.43), and was marginally associated with incident disability in the mobility domain of ADL (multivariate-adjusted RR = 1.36, 95% CI = 0.98-1.88). The risk of mobility-related ADL disability was significantly increased among men, but not women, with postural tremor (multivariate-adjusted RR = 1.84, 95% CI = 1.11-3.05). Older age and an increased number of chronic comorbidities mainly explained the higher risk of ADL disability in older people with postural tremor. CONCLUSIONS: Postural tremor in older adults is associated with greater incidence of ADL disability, particularly mobility-related ADL disability. The association is largely due to older age and a higher prevalence of chronic comorbidities in older people with postural tremor. Postural tremor is not a strong independent predictor of ADL disability in older people.

Upstream stimulatory factor 2 inhibits erastin-induced ferroptosis in pancreatic cancer through transcriptional regulation of pyruvate kinase M2.

Ferroptosis is considered as a potential target in cancer treatment including chemotherapy and radiotherapy, however, its regulatory mechanism on pancreatic cancer (PC) is not fully understood. Herein, we explored the role of upstream stimulatory factor 2 (USF2) and pyruvate kinase M2 (PKM2) in ferroptosis in PC cells. USF2 and PKM2 were highly expressed in PC tissues and USF2 was positively correlated with PKM2. PC cell lines BxpC-3 and AsPC-1 were transfected with small interfering RNAs against USF2/PKM2 or USF2 overexpressing plasmids or co-transfected with small interfering RNAs against PKM2 and USF2 overexpressing plasmids. Twenty-four hours after cell transfection, ferroptotic cell death was induced by incubation with 20 µmol/l erastin for 24 h. Ferroptotic cell death was promoted by USF2 knockdown and inhibited by USF2 overexpression. USF2 knockdown increased lipid reactive oxygen species and malonaldehyde generation and decreased glutathione concentration and glutathione peroxidase 4 expressions, indicating the enhanced lipid peroxidation. USF2 knockdown also increased ferrous iron levels and ferritin heavy chain expressions and reduced solute carrier family 7 member 11 expressions. However, USF2 overexpression reversed these changes. Furthermore, dual-luciferase reporter assay, chromatin immunoprecipitation assay and DNA pull down assay validated that USF2 transcriptionally regulated PKM2 expression through binding to its promoter. Interestingly, PKM2 also negatively regulated ferroptosis and PKM2 knockdown markedly impaired the effects of USF2 on lipid peroxidation and ferroptotic cell death. This study demonstrated that USF2 negatively regulated ferroptosis in PC cells through transcriptional regulation of PKM2, providing new evidences for uncovering the regulatory mechanism of ferroptosis on PC.

Population flow based spatial-temporal eigenvector filtering modeling for exploring effects of health risk factors on COVID-19.

The COVID-19 pandemic has had great impact on human health and social economy. Several studies examined spatial and temporal patterns of health risk factors associated with COVID-19, but population flow spillover effect has not been sufficiently considered. In this paper, a population flow-based spatial-temporal eigenvector filtering model (FLOW-ESTF) was developed to consider spatial-temporal patterns and population flow connectivity simultaneously. The proposed FLOW-ESTF method efficiently improved model prediction accuracy, which could help the government aware of the infection risk level and to make suitable control policies. The selected population flow spatial-temporal eigenvector contributed most to modeling and the visualization of corresponding eigenvector set helped to explore the underlying spatial-temporal patterns and pandemic transmission nodes. The model coefficients could reflect how health risk factors contribute the modeling of state-level COVID-19 weekly increased cases and how their influence changed through time, which could help people and government to better aware the potential health risks and to adjust control measures at different stage. The extracted population flow spatial-temporal eigenvector not only represents influence of population flow and its spillover effects but also represents some possible omitted health risk factors. This could provide an efficient path to solve the problem of spatial and temporal autocorrelation in COVID-19 modeling and an intuitive way to discover underlying spatial patterns, which will partially compensate for the problems of insufficient consideration of potential risk variables and missing data.

Kaempferol and atherosclerosis: From mechanism to medicine.

Natural products possess pleiotropic cardiovascular protective effects owing to their anti-oxidation, anti-inflammation and anti-thrombotic properties. Kaempferol, (3,5,7-trihydroxy-2-(4-hydroxyphenyl)-4H-1-benzopyran-4-one), is a kind of naturally occurring flavonoid existing in many common fruits and vegetables (e.g., onions, broccoli, strawberries and grapes) and particularly in traditional Chinese medicine as exemplified by Ginkgo biloba. Epidemiological, preclinical and clinical studies have revealed an inverse association between the consumption of kaempferol-containing foods and medicines and the risk of developing cardiovascular diseases. Numerous translational studies in experimental animal models and cultured cells have demonstrated a wide range of pharmacological activities of kaempferol. In this article, we reviewed the antioxidant, anti-inflammatory and cardio-protective activities of kaempferol and elucidated the potential molecular basis of the therapeutic capacity of kaempferol by focusing on its anti-atherosclerotic effects. Overall, the review presents the health benefits of kaempferol-containing plants and medicines and reflects on the potential of kaempferol as a possible drug candidate to prevent and treat atherosclerosis, the underlying pathology of most cardiovascular diseases.

An Ectopic Parathyroid Adenoma Mimicking Submandibular Gland on 99mTc-MIBI Parathyroid Scintigraphy.

ABSTRACT: A 67-year-old woman complained of continuous low back pain for 4 months. She was referred for a 99mTc-MIBI parathyroid scintigraphy with neck SPECT/CT imaging. The planar images showed no abnormal uptake. However, on the SPECT/CT scan, a soft tissue nodule with high uptake was noted adjacent to the left submandibular gland, mimicking normal submandibular gland uptake. Pathological examination from surgical specimen showed that it was an ectopic parathyroid adenoma.

Highly solar reflectance and infrared transparent porous coating for non-contact heat dissipations.

Passive daytime radiative cooling (PDRC) can dissipate heat to outer space with high solar reflectance ( R ¯ solar ) and thermal emittance ( ε ¯ LWIR ) in the atmospheric transmission window. However, for the non-contact heat dissipation, besides the high R ¯ solar , a high infrared transmittance ( τ ¯ LWIR ) is needed to directly emit thermal radiation through the IR-transparent coating to outer space. In this work, An IR-transparent porous PE (P-PE) coating with R ¯ solar = 0.96 and τ ¯ LWIR = 0.88 was prepared for non-contact heat dissipations. Under the direct sunlight of 860 W m-2, the IR-transparent coating obtained a 4°C lower heater temperature than the normal PDRC coating under the same condition. In addition, the spectral reflectance of the P-PE coating after immersing in air or water changed little, which showed excellent durability for long-term outdoor applications. These results indicate the P-PE coating can be a potential IR-transparent coating for non-contact heat dissipations under direct sunlight.

All-Day Freshwater Harvesting by Selective Solar Absorption and Radiative Cooling.

Solar interfacial evaporation for freshwater harvesting has received attention recently due to its high evaporation rate and environmental friendliness. Traditional interfacial evaporation mostly uses black porous polymers to absorb solar radiation and transport water which involve high thermal radiation loss to the environment and heat conduction loss to the bulk water. In addition, the freshwater collection ratio is usually lower than the solar evaporation ratio due to the high temperature of the condensation surface under solar irradiation, and no freshwater can be harvested at night due to the absence of sunlight. Here, we design an all-day freshwater-harvesting device using a solar-selective absorber (SSA) and sky radiative cooling. The prepared SSA with a high solar absorptance of 0.92 and a mid-infrared thermal emittance of 0.11 provides a great solar-thermal conversion performance (87.1% vs 51.4% for the black porous polymer at 25 °C) by minimizing the thermal radiation loss, and a hollow structure is also used to reduce the conductive heat loss, resulting in a high solar evaporation rate (1.23 vs 0.79 kg m-2 h-1 for the black porous polymer). In addition, a transparent radiative cooling polymer after plasma treatment is used for freshwater collection by enhancing the solar transmittance (0.92) and mid-infrared thermal emittance (0.91 at 25 °C). A theoretical freshwater collection rate of 0.044 kg m-2 h-1 is achieved at night-time. Outdoor results show that the all-day water harvesting is 0.87 kg m-2. This strategy to achieve all-day water collection by coupling with the SSA and transparent radiative cooling has potential application in the field of desalination and freshwater harvesting in tropical desert areas.

Structural and functional brain alterations in patients with idiopathic rapid eye movement sleep behavior disorder.

OBJECTIVE: To investigate structural and functional alterations in patients with idiopathic rapid eye movement (REM) sleep behavior disorder (iRBD) compared with healthy controls. METHODS: Twenty-seven patients with polysomnography-confirmed iRBD and 33 healthy subjects were recruited. All subjects underwent a 3-tesla structural and resting-state functional magnetic resonance imaging (fMRI) examination. Voxel-based morphometry (VBM) analysis was performed to assess grey matter alterations between groups. The amplitude of low-frequency fluctuations (ALFF) was calculated and then compared to measure differences in spontaneous brain activity. Correlations were performed to explore associations between imaging metrics and clinical characteristics in iRBD patients. RESULTS: Compared with healthy controls, patients with iRBD had decreased grey matter volume in the frontal, temporal, parietal, occipital cortices as well as increased grey matter volume in cerebellum posterior lobe, putamen, and thalamus. Patients with iRBD also exhibited increased ALFF values in the right parahippocampal gyrus. Olfaction correlated with ALFF value changes in occipital cortices. CONCLUSIONS: Patients with iRBD had widespread decreases of grey matter volume. Increases of grey matter volume in cerebellum, putamen, and thalamus may suggest a compensatory effect, while the altered ALFF values in parahippocampal gyrus and occipital cortices may play a role in the underlying process of neurodegeneration in this disorder.

Recreational Nitrous Oxide Abuse: Prevalence, Neurotoxicity, and Treatment.

Nitrous oxide (N2O), also known as "laughing gas," is a colorless, nonirritating gas. Clinically, it is widely used as an inhaled anesthetic, analgesic, and anxiolytic. In recent years, recreational abuse of N2O has become increasingly common, especially among young adults and adolescents, but many of them lack awareness of the possible side effects associated with this drug. N2O abuse can damage multiple systems, especially the nervous system, but the exact mechanism of N2O toxicity remains controversial. At present, an increasing number of cases of nervous system damage caused by N2O abuse have been reported both at home and abroad. Discontinuation of N2O use and timely supplementation with vitamin B12 are essential for a good prognosis. Long-term abuse without timely treatment will eventually lead to irreversible neurological damage. In this article, we discuss the epidemiology of N2O abuse, neurotoxicity mechanisms, clinical manifestations, relevant auxiliary examinations, treatments, and prognosis to improve social awareness of N2O exposure risk, especially among users and clinicians.