Aberrant cytokine expression in COVID-19 patients: Associations between cytokines and disease severity.

Cytokines play pleiotropic, antagonistic, and collaborative in viral disease. The high morbidity and mortality of coronavirus disease 2019 (COVID-19) make it a significant threat to global public health. Elucidating its pathogenesis is essential to finding effective therapy. A retrospective study was conducted on 71 patients hospitalized with COVID-19. Data on cytokines, T lymphocytes, and other clinical and laboratory characteristics were collected from patients with variable disease severity. The effects of cytokines on the overall survival (OS) and event-free survival (EFS) of patients were analyzed. The critically severe and severe patients had higher infection indexes and significant multiple organ function abnormalities than the mild patients (P < 0.05). IL-6 and IL-10 were significantly higher in the critically severe patients than in the severe and mild patients (P < 0.05). IL-6 and IL-10 were closely associated with white blood cells, neutrophils, T lymphocyte subsets, D-D dimer, blood urea nitrogen, complement C1q, procalcitonin C-reactive protein. Moreover, the IL-6 and IL-10 levels were closely correlated to dyspnea and dizziness (P < 0.05). The patients with higher IL-10 levels had shorter OS than the group with lower levels (P < 0.05). The older patients with higher levels of single IL-6 or IL-10 tended to have shorter EFS (P < 0.05), while the patients who had more elevated IL-6 and IL-10 had shorter OS (P < 0.05). The Cox proportional hazard model revealed that IL-6 was the independent factor affecting EFS. IL-6 and IL-10 play crucial roles in COVID-19 prognosis.

Serological immunochromatographic approach in diagnosis with SARS-CoV-2 infected COVID-19 patients.

An outbreak of new coronavirus SARS-CoV-2 was occurred in Wuhan, China and rapidly spread to other cities and nations. The standard diagnostic approach that widely adopted in the clinic is nucleic acid detection by real-time RT-PCR. However, the false-negative rate of the technique is unneglectable and serological methods are urgently warranted. Here, we presented the colloidal gold-based immunochromatographic (ICG) strip targeting viral IgM or IgG antibody and compared it with real-time RT-PCR. The sensitivity of ICG assay with IgM and IgG combinatorial detection in nucleic acid confirmed cases were 11.1%, 92.9% and 96.8% at the early stage (1-7 days after onset), intermediate stage (8-14 days after onset), and late stage (more than 15 days), respectively. The ICG detection capacity in nucleic acid-negative suspected cases was 43.6%. In addition, the concordance of whole blood samples and plasma showed Cohen's kappa value of 0.93, which represented the almost perfect agreement between two types of samples. In conclusion, serological ICG strip assay in detecting SARS-CoV-2 infection is both sensitive and consistent, which is considered as an excellent supplementary approach in clinical application.

Hardness of Polycrystalline Wurtzite Boron Nitride (wBN) Compacts.

Wurtzite boron nitride (wBN), due to its superior properties and many potential practical and scientific applications, such as ideal machining/cutting/milling ferrous and carbide materials, especially as an ideal dielectric substrate material for optical, electronic, and 2-D graphene-based devices, has recently attracted much attention from both academic and industrial fields. Despite decades of research, there is an ongoing debate about if the single-phase wBN is harder than diamond because of the difficulty to make pure wBN material. Here we report the successful synthesis of pure single-phase polycrystalline wurtzite-type boron nitride (wBN) bulk material by using wBN powder as a starting material with a well-controlled process under ultra-high pressure and high temperature. The cubic boron nitride (cBN) was also successfully prepared for the first time from wBN starting material for comparison and verification. The X-ray diffraction (XRD) and TEM clearly confirmed that a pure single-phase wBN compact was produced. The microstructure and mechanical properties including Vickers hardness, fracture toughness, and thermal stability for the pure single-phase wBN was first evaluated.

Experimental study on the pressure-generation efficiency and pressure-seal mechanism for large volume cubic press.

Measuring the pressure of a gasket (Pg) and cell (Pc) in situ is the key point to understanding the mechanism of pressure-generation and pressure-seal for the widely used large volume cubic press. However, it is a challenge to measure Pg due to the large deformation in the gasket zone and the complex rheological behavior of the pressure transmitting medium. Herein, a method of in situ electric resistance measurement has been developed to measure Pg. The open circuit failure in electric resistance measurement was avoided by using powder electrodes which could match the mould-pressed pyrophyllite cube in rheological behavior during compression. The relationships between press-load vs. Pc and press-load vs. Pg were obtained through in situ electric resistance measurements of bismuth, thallium, barium, and manganin. It was found that Pg exceeded Pc at around 5 GPa and Pc generated in the large volume cubic press was limited to the rapid rise of Pg above 5 GPa. Furthermore, the maximum ΔP (ΔP = Pc - Pg) above 0.9 GPa has been observed when Pc was released to a pressure range of 3-4 GPa, and this also leads to a large probability of high pressure cavity seal failure.