Deep Electron Redistributions Induced by Dual Junctions Facilitating Electroreduction of Dilute Nitrate to Ammonia.

The electronic states of metal catalysts can be redistributed by the rectifying contact between metal and semiconductor e.g., N-doped carbon (NC), while the interfacial regulation degree is very limited. Herein, a deep electronic state regulation is achieved by constructing a novel double-heterojunctional Co/Co3O4@NC catalyst containing Co/Co3O4 and Co3O4/NC heterojunctions. When used for dilute electrochemical NO3 - reduction reaction (NO3RR), the as-prepared Co/Co3O4@NC exhibits an outstanding Faradaic efficiency for NH3 formation (FENH3) of 97.9%, -0.4 V versus RHE and significant NH3 yield of 303.5 mmol h-1 gcat -1 at -0.6 V at extremely low nitrate concentrations (100 ppm NO3 --N). Experimental and theoretical results reveal that the dual junctions of Co/Co3O4 and Co3O4/NC drive a unidirectional electron transfer from Co to NC (Co→Co3O4→NC), resulting in electron-deficient Co atoms. The electron-deficient Co promotes NO3 - adsorption, the rate-determining step (RDS) for NO3RR, facilitating the dilute NO3RR to NH3. The design strategy provides a novel reference for unidirectional multistage regulation of metal electronic states boosting electrochemical dilute NO3RR, which opens up an avenue for deep electronic state regulation of electrocatalyst breaking the limitation of the electronic regulation degree by rectifying contact.

Deep Electronic State Regulation through Unidirectional Cascade Electron Transfer Induced by Dual Junction Boosting Electrocatalysis Performance.

Unidirectional cascade electron transfer induced by multi-junctions is essential for deep electronic state regulation of the catalytic active sites, while this advanced concept has rarely been investigated in the field of electrocatalysis. In the present work, a dual junction heterostructure (FePc/L-R/CN) is designed by anchoring iron phthalocyanine (FePc)/MXene (L-Ti3 C2 -R, R═OH or F) heterojunction on g-C3 N4 nanosheet substrates for electrocatalysis. The unidirectional cascade electron transfer (g-C3 N4 → L-Ti3 C2 -R → FePc) induced by the dual junction of FePc/L-Ti3 C2 -R and L-Ti3 C2 -R/g-C3 N4 makes the Fe center electron-rich and therefore facilitates the adsorption of O2 in the oxygen reduction reaction (ORR). Moreover, the electron transfer between FePc and MXene is facilitated by the axial Fe─O coordination interaction of Fe with the OH in alkalized MXene nanosheets (L-Ti3 C2 -OH). As a result, FePc/L-OH/CN exhibits an impressive ORR activity with a half-wave potential (E1/2 ) of 0.92 V, which is superior over the catalysts with a single junction and the state-of-the-art Pt/C (E1/2 = 0.85 V). This work provides a broad idea for deep regulation of electronic state by the unidirectional cascade multi-step charge transfer and can be extended to other proton-coupled electron transfer processes.

Enhanced electrochemical CO2 reduction performance of cobalt phthalocyanine with precise regulation of electronic states.

Herein, we report a facile strategy for constructing hybrid coordination configurations by combining functionalized graphene quantum dots (GQDs) with CoPc (CoPc/R-GQDs, with R being -NH2 or -OH) for electrochemical CO2 reduction. Benefiting from the high density of functional groups that can be provided by GQDs and the strong electron-donating property of -NH2, the examined CoPc/NH2-GQDs achieved a 100% faradaic efficiency for CO formation (FECO) at -0.8 to -0.9 V vs. RHE, and high FECO (over 90%) over a wide potential range of 500 mV. This work has presented a novel approach for catalyst design, specifically involving molecular engineering of quantum dots, which can also be applied to other essential electrochemical reactions.

Tuning the Hydroxyl Density of MXene to Regulate the Electrochemical Performance of Anchored Cobalt Phthalocyanine for CO2 Reduction.

Precise electronic state regulation through coordination environment optimization by metal-support interaction is a promising strategy to facilitate catalysis reaction, while the limited density of functional groups in the bulk substrate restricts the regulation degree. Herein, different sizes of Ti3C2Tx MXene with hydroxyl (-OH) terminal including the MXene layer (ML-OH, 3 µm), the MXene nanosheet (MNS-OH, 600 nm), and the MXene quantum dot (MQD-OH, 8 nm) were prepared to anchor CoPc, and the effect of -OH density on the performance of electrochemical CO2 reduction was systematically investigated. Notably, a linear relationship was established by plotting reactivity vs hydroxyl density. With the highest -OH density, CoPc/MQD-OH exhibits a superior Faradaic efficiency for CO formation (FECO) of ∼100% at -0.9 to -1.0 V vs RHE and a high FECO of >90% over a wide potential window from -0.8 to -1.4 V. The mechanism exploration shows that the axial coordination interaction of the -OH terminal with Co increases the electron density of the Co site, thus promoting the adsorption and activation of CO2. This work provides a new insight into designing of molecular catalysts with high efficiency and tunable structure for other electrochemical conversions.

Dopant-Induced Electronic States Regulation Boosting Electroreduction of Dilute Nitrate to Ammonium.

Electrochemically converting NO3 - into NH3 offers a promising route for water treatment. Nevertheless, electroreduction of dilute NO3 - is still suffering from low activity and/or selectivity. Herein, B as a modifier was introduced to tune electronic states of Cu and further regulate the performance of electrochemical NO3 - reduction reaction (NO3 RR) with dilute NO3 - concentration (≤100 ppm NO3 - -N). Notably, a linear relationship was established by plotting NH3 yield vs. the oxidation state of Cu, indicating that the increase of Cu+ content leads to an enhanced NO3 - -to-NH3 conversion activity. Under a low NO3 - -N concentration of 100 ppm, the optimal Cu(B) catalyst displays a 100 % NO3 - -to-NH3 conversion at -0.55 to -0.6 V vs. RHE, and a record-high NH3 yield of 309 mmol h-1 gcat -1 , which is more than 25 times compared with the pristine Cu nanoparticles (12 mmol h-1 gcat -1 ). This research provides an effective method for conversion of dilute NO3 - to NH3 , which has certain guiding significance for the efficient and green conversion of wastewater in the future.

Recent Advances of the Confinement Effects Boosting Electrochemical CO2 Reduction.

Powered by clean and renewable energy, electrocatalytic CO2 reduction reaction (CO2 RR) to chemical feedstocks is an effective way to mitigate the greenhouse effect and artificially close the carbon cycle. However, the performance of electrocatalytic CO2 RR was impeded by the strong thermodynamic stability of CO2 molecules and the high susceptibility to hydrogen evolution reaction (HER) in aqueous phase systems. Moreover, the numerous reaction intermediates formed at very near potentials lead to poor selectivity of reaction products, further preventing the industrialization of CO2 RR. Catalysis in confined space can enrich the reaction intermediates to improve their coverage at the active site, increase local pH to inhibit HER, and accelerate the mass transfer rate of reactants/products and subsequently facilitate CO2 RR performance. Therefore, we summarize the research progress on the application of the confinement effects in the direction of CO2 RR in theoretical and experimental directions. We first analyzed the mechanism of the confinement effect. Subsequently, the confinement effect was discussed in various forms, which can be characterized as an abnormal catalytic phenomenon due to the relative limitation of the reaction region. In specific, based on the physical structure of the catalyst, the confinement effect was divided in four categories: pore structure confinement, cavity structure confinement, active center confinement, and other confinement methods. Based on these discussions, we also have summarized the prospects and challenges in this field. This review aims to stimulate greater interests for the development of more efficient confined strategy for CO2 RR in the future.

Creating Hybrid Coordination Environment in Fe-Based Single Atom Catalyst for Efficient Oxygen Reduction.

Tailoring the local chemistry environment to optimize the geometric and electronic properties of single atom catalysts has received much attention recently. Yet, most efforts have been devoted to establishing the preferable binding between the solid support and the single metal atom. In this work, a hybrid coordination environment was created for Fe-based single atom catalysts, comprising inorganic anchoring site from the support and organic ligands from the precursor. Using N,S co-doped graphene oxide as the support, Fe phthalocyanine was selectively anchored by the N/S sites, creating the unique N/S-Fe-N4 active sites as evidenced by extended X-ray absorption fine structure and Mössbauer spectrometry. Compared with other analogues with different metal centers or support, N/S-Fe-N4 showed much improved activity in oxygen reduction reaction, delivering onset and half-wave potentials of 1.02 and 0.94 V. This was superior over the state-of-the-art 20 wt % Pt/C and the classic Fe-N4 carbon catalysts. Density functional theory calculations revealed that the interaction between phthalocyanine ligands and heteroatom dopant from the support pushed electrons of Fe site to para-position, facilitating O2 adsorption and activation. This work shows the exciting opportunities of creating a hybrid coordination environment in single atom catalysts and paves a new avenue of improving their catalytic performance.

Boosting Electrochemical Oxygen Reduction Performance of Iron Phthalocyanine through Axial Coordination Sphere Interaction.

Precise regulation of the electronic states of catalytic sites through molecular engineering is highly desired to boost catalytic performance. Herein, a facile strategy was developed to synthesize efficient oxygen reduction reaction (ORR) catalysts, based on mononuclear iron phthalocyanine supported on commercially available multi-walled carbon nanotubes that contain electron-donating functional groups (FePc/CNT-R, with "R" being -NH2 , -OH, or -COOH). These functional groups acted as axial ligands that coordinated to the Fe site, confirmed by X-ray photoelectron spectroscopy and synchrotron-radiation-based X-ray absorption fine structure. Experimental results showed that FePc/CNT-NH2 , with the most electron-donating -NH2 axial ligand, exhibited the highest ORR activity with a positive onset potential (Eonset =1.0 V vs. reversible hydrogen electrode) and half-wave potential (E1/2 =0.92 V). This was better than the state-of-the-art Pt/C catalyst (Eonset =1.00 V and E1/2 =0.85 V) under the same conditions. Overall, the functionalized FePc/CNT-R assemblies showed enhanced ORR performance in comparison to the non-functionalized FePc/CNT assembly. The origin of this behavior was investigated using density functional theory calculations, which demonstrated that the coordination of electron-donating groups to FePc facilitated the adsorption and activation of oxygen. This study not only demonstrates a series of advanced ORR electrocatalysts, but also introduces a feasible strategy for the rational design of highly active electrocatalysts for other proton-coupled electron transfer reactions.

Control over Electrochemical CO2 Reduction Selectivity by Coordination Engineering of Tin Single-Atom Catalysts.

Carbon-based single-atom catalysts (SACs) with well-defined and homogeneously dispersed metal-N4 moieties provide a great opportunity for CO2 reduction. However, controlling the binding strength of various reactive intermediates on catalyst surface is necessary to enhance the selectivity to a desired product, and it is still a challenge. In this work, the authors prepared Sn SACs consisting of atomically dispersed SnN3 O1 active sites supported on N-rich carbon matrix (Sn-NOC) for efficient electrochemical CO2 reduction. Contrary to the classic Sn-N4 configuration which gives HCOOH and H2 as the predominant products, Sn-NOC with asymmetric atomic interface of SnN3 O1 gives CO as the exclusive product. Experimental results and density functional theory calculations show that the atomic arrangement of SnN3 O1 reduces the activation energy for *COO and *COOH formation, while increasing energy barrier for HCOO* formation significantly, thereby facilitating CO2 -to-CO conversion and suppressing HCOOH production. This work provides a new way for enhancing the selectivity to a specific product by controlling individually the binding strength of each reactive intermediate on catalyst surface.

Development and preliminary testing of a probe-based duplex real-time PCR assay for the detection of African swine fever virus.

An outbreak of African swine fever (ASF) in China in 2018 caused substantial economic losses to the swine industry. To accurately diagnose clinical infection with ASF virus (ASFV), we developed a TaqMan probe-based duplex real-time PCR that simultaneously detected two discontinuous genes in the virus genome, thereby preventing the inaccurate results obtained with only one reaction. Two sets of ASFV gene-specific primers, along with two fluorescent TaqMan probes were designed to target conserved regions of the B646L and B438L genes. This method had high sensitivity and specificity, with a limit of detection of 10 copies/µL, and it did not cross-react with the genomes of other viral pathogens that affect pigs (i.e., CSFV, PRRSV, PEDV, PRV, PPV and PCV2). Overall, 180 clinical samples from ASFV-infected pig farms were used to compare this method with a commercial kit, which yielded excellent consistency (98.3%). This new diagnostic method should greatly improve the efficiency of ASFV surveillance and reduce economic losses, providing benefits for both animal and public health.

A Tandem Strategy for Enhancing Electrochemical CO2 Reduction Activity of Single-Atom Cu-S1 N3 Catalysts via Integration with Cu Nanoclusters.

We developed a tandem electrocatalyst for CO2 -to-CO conversion comprising the single Cu site co-coordinated with N and S anchored carbon matrix (Cu-S1 N3 ) and atomically dispersed Cu clusters (Cux ), denoted as Cu-S1 N3 /Cux . The as-prepared Cu-S1 N3 /Cux composite presents a 100 % Faradaic efficiency towards CO generation (FECO ) at -0.65 V vs. RHE and high FECO over 90 % from -0.55 to -0.75 V, outperforming the analogues with Cu-N4 (FECO only 54 % at -0.7 V) and Cu-S1 N3 (FECO 70 % at -0.7 V) configurations. The unsymmetrical Cu-S1 N3 atomic interface in the carbon basal plane possesses an optimized binding energy for the key intermediate *COOH compared with Cu-N4 site. At the same time, the adjacent Cux effectively promotes the protonation of *CO2 - by accelerating water dissociation and offering *H to the Cu-S1 N3 active sites. This work provides a tandem strategy for facilitating proton-coupled electron transfer over the atomic-level catalytic sites.

Homogeneous Catalysts Based on First-Row Transition-Metals for Electrochemical Water Oxidation.

Strategies that enable the renewable production of storable fuels (i. e. hydrogen or hydrocarbons) through electrocatalysis continue to generate interest in the scientific community. Of central importance to this pursuit is obtaining the requisite chemical (H+ ) and electronic (e- ) inputs for fuel-forming reduction reactions, which can be met sustainably by water oxidation catalysis. Further possibility exists to couple these redox transformations to renewable energy sources (i. e. solar), thus creating a carbon neutral solution for long-term energy storage. Nature uses a Mn-Ca cluster for water oxidation catalysis via multiple proton-coupled electron-transfers (PCETs) with a photogenerated bias to perform this process with TOF 100∼300 s-1 . Synthetic molecular catalysts that efficiently perform this conversion commonly utilize rare metals (e. g., Ru, Ir), whose low abundance are associated to higher costs and scalability limitations. Inspired by nature's use of 1st row transition metal (TM) complexes for water oxidation catalysts (WOCs), attempts to use these abundant metals have been intensively explored but met with limited success. The smaller atomic size of 1st row TM ions lowers its ability to accommodate the oxidative equivalents required in the 4e- /4H+ water oxidation catalysis process, unlike noble metal catalysts that perform single-site electrocatalysis at lower overpotentials (η). Overcoming the limitations of 1st row TMs requires developing molecular catalysts that exploit biomimetic phenomena - multiple-metal redox-cooperativity, PCET and second-sphere interactions - to lower the overpotential, preorganize substrates and maintain stability. Thus, the ultimate goal of developing efficient, robust and scalable WOCs remains a challenge. This Review provides a summary of previous research works highlighting 1st row TM-based homogeneous WOCs, catalytic mechanisms, followed by strategies for catalytic activity improvements, before closing with a future outlook for this field.

TRIM24 promotes stemness and invasiveness of glioblastoma cells via activating Sox2 expression.

BACKGROUND: Glioblastoma stem cells (GSCs) are a subpopulation of glioblastoma (GBM) cells that are critical for tumor invasion and treatment resistance. However, little is known about the function and mechanism of tripartite motif-containing 24 (TRIM24) in GSCs. METHODS: Immunofluorescence, flow cytometry, and western blot analyses were used to evaluate TRIM24 and cluster of differentiation (CD)133 expression profiles in GBM surgical specimens and GSC tumorspheres. Different TRIM24 expression levels in patients' tumors, as measured by both immunohistochemistry and western blot, were related to their corresponding MRI data. Wound healing, Matrigel invasion, and xenograft immunohistochemistry were conducted to determine GBM cell invasion. RESULTS: We identified that TRIM24 was coexpressed with CD133 and Nestin in GBM tissues and tumorsphere cells. Limiting dilution assays and xenotransplantation experiments illustrated that knockdown of TRIM24 expression reduced GSC self-renewal capacity and invasive growth. TRIM24 expression levels were positively associated with the volumes of peritumoral T2 weighted image abnormality. Rescue experiments indicated TRIM24 participation in GBM infiltrative dissemination. Chromatin immunoprecipitation, reporter gene assay, PCR, western blot, and immunohistochemistry demonstrated that TRIM24 activated the expression of the pluripotency transcription factor sex determining region Y-box 2 (Sox2) to regulate GBM stemness and invasion in vitro and in vivo. Finally, the close relationship between TRIM24 and Sox2 was validated by testing samples enrolled in our study and exploring external databases. CONCLUSIONS: Our findings uncover essential roles of the TRIM24-Sox2 axis in GBM stemness and invasiveness, suggesting TRIM24 as a potential target for effective GBM management.

Nanocarbon Catalysts: Recent Understanding Regarding the Active Sites.

Although carbon itself acts as a catalyst in various reactions, the classical carbon materials (e.g., activated carbons, carbon aerogels, carbon black, carbon fiber, etc.) usually show low activity, stability, and oxidation resistance. With the recent availability of nanocarbon catalysts, the application of carbon materials in catalysis has gained a renewed momentum. The research is concentrated on tailoring the surface chemistry of nanocarbon materials, since the pristine carbons in general are not active for heterogeneous catalysis. Surface functionalization, doping with heteroatoms, and creating defects are the most used strategies to make efficient catalysts. However, the nature of the catalytic active sites and their role in determining the activity and selectivity is still not well understood. Herein, the types of active sites reported for several mainstream nanocarbons, including carbon nanotubes, graphene-based materials, and 3D porous nanocarbons, are summarized. Knowledge about the active sites will be beneficial for the design and synthesis of nanocarbon catalysts with improved activity, selectivity, and stability.

Base-enhanced electrochemical water oxidation by a nickel complex in neutral aqueous solution.

A nickel complex, [Ni(TMC)(CH3CN)](NO3)2 (TMC = 1,4,8,11-tetramethyl-1,4,8,11-tetraazacyclotetradecane, 1), was found to be an efficient water oxidation catalyst in pH 7 phosphate buffer. It exhibits pseudo first order kinetics in electrochemical water oxidation with a catalytic rate of 9.95 s-1, the highest rate for nickel WOCs at neutral pH. Complex 1 also shows superior catalytic activity with respect to that of a copper analogue, [Cu(TMC)(H2O)](NO3)2, under the same conditions. Kinetic studies indicate a more than one order of magnitude rate acceleration with the added bases due to an atom-proton transfer (APT) pathway.

A novel prognostic six-CpG signature in glioblastomas.

AIMS: We aimed to identify a clinically useful biomarker using DNA methylation-based information to optimize individual treatment of patients with glioblastoma (GBM). METHODS: A six-CpG panel was identified by incorporating genome-wide DNA methylation data and clinical information of three distinct discovery sets and was combined using a risk-score model. Different validation sets of GBMs and lower-grade gliomas and different statistical methods were implemented for prognostic evaluation. An integrative analysis of multidimensional TCGA data was performed to molecularly characterize different risk tumors. RESULTS: The six-CpG risk-score signature robustly predicted overall survival (OS) in all discovery and validation cohorts and in a treatment-independent manner. It also predicted progression-free survival (PFS) in available patients. The multimarker epigenetic signature was demonstrated as an independent prognosticator and had better performance than known molecular indicators such as glioma-CpG island methylator phenotype (G-CIMP) and proneural subtype. The defined risk subgroups were molecularly distinct; high-risk tumors were biologically more aggressive with concordant activation of proangiogenic signaling at multimolecular levels. Accordingly, we observed better OS benefits of bevacizumab-contained therapy to high-risk patients in independent sets, supporting its implication in guiding usage of antiangiogenic therapy. Finally, the six-CpG signature refined the risk classification based on G-CIMP and MGMT methylation status. CONCLUSIONS: The novel six-CpG signature is a robust and independent prognostic indicator for GBMs and is of promising value to improve personalized management.

Thermoregulated Phase-Transition Synthesis of Two-Dimensional Carbon Nanoplates Rich in sp2 Carbon and Unimodal Ultramicropores for Kinetic Gas Separation.

The development of highly selective, chemically stable and moisture-resistant adsorbents is a key milestone for gas separation. Porous carbons featured with random orientation and cross-linking of turbostratic nanodomains usually have a wide distribution of micropores. Here we have developed a thermoregulated phase-transition-assisted synthesis of carbon nanoplates with more than 80 % sp2 carbon, unimodal ultramicropore and a controllable thickness. The thin structure allows oriented growth of carbon crystallites, and stacking of crystallites in nearly parallel orientation are responsible for the single size of the micropores. When used for gas separation from CH4 , carbon nanoplates exhibit high uptakes (5.2, 5.3 and 5.1 mmol g-1 ) and selectivities (7, 71 and 386) for CO2 , C2 H6 and C3 H8 under ambient conditions. The dynamic adsorption capacities are close to equilibrium uptakes of single components, further demonstrating superiority of carbon nanoplates in terms of selectivity and sorption kinetics.

Size dependent electrochemical detection of trace heavy metal ions based on nano-patterned carbon sphere electrodes.

The challenge in efficient electrochemical detection of trace heavy metal ions (HMI) for early warning is to construct an electrode with a nano-patterned architecture. In this study, a range of carbon electrodes with ordered structures were fabricated using colloidal hollow carbon nanospheres (HCSs) as sensing materials for trace HMI (represented by Pb(ii)) detection by square wave anodic stripping voltammetry. The regular geometrical characteristics of the carbon electrode allow it to act as a model system for the estimation of electron transfer pathways by calculating contact points between HCSs and a glassy carbon electrode. A clear correlation between the contact points and the electron transfer resistance has been established, which fits well with the quadratic function model and is dependent on the size of HCSs. To our knowledge, this is the first clear function that expresses the structure-sensing activity relationship of carbon-based electrodes. The prepared carbon electrode is capable of sensing Pb(ii) with a sensitivity of 0.160 µA nM(-1), which is much higher than those of other electrodes reported in the literature. Its detection limit of 0.6 nM is far below the guideline value (72 nM) given by the US Environmental Protection Agency. In addition, the carbon electrode could be a robust alternative to various heavy metal sensors.

Using hollow carbon nanospheres as a light-induced free radical generator to overcome chemotherapy resistance.

Under evolutionary pressure from chemotherapy, cancer cells develop resistance characteristics such as a low redox state, which eventually leads to treatment failures. An attractive option for combatting resistance is producing a high concentration of produced free radicals in situ. Here, we report the production and use of dispersible hollow carbon nanospheres (HCSs) as a novel platform for delivering the drug doxorubicine (DOX) and generating additional cellular reactive oxygen species using near-infrared laser irradiation. These irradiated HCSs catalyzed sufficiently persistent free radicals to produce a large number of heat shock factor-1 protein homotrimers, thereby suppressing the activation and function of resistance-related genes. Laser irradiation also promoted the release of DOX from lysosomal DOX@HCSs into the cytoplasm so that it could enter cell nuclei. As a result, DOX@HCSs reduced the resistance of human breast cancer cells (MCF-7/ADR) to DOX through the synergy among photothermal effects, increased generation of free radicals, and chemotherapy with the aid of laser irradiation. HCSs can provide a unique and versatile platform for combatting chemotherapy-resistant cancer cells. These findings provide new clinical strategies and insights for the treatment of resistant cancers.

The predictive but not prognostic value of MGMT promoter methylation status in elderly glioblastoma patients: a meta-analysis.

BACKGROUND: The clinical implication of O6-methylguanine-DNA methyltransferase (MGMT) promoter status is ill-defined in elderly glioblastoma patients. Here we report a meta-analysis to seek valid evidence for its clinical relevance in this subpopulation. METHODS: Literature were searched and reviewed in a systematic manner using the PubMed, EMBASE and Cochrane databases. Studies investigating the association between MGMT promoter status and survival data of elderly patients (≥65 years) were eligible for inclusion. RESULTS: Totally 16 studies were identified, with 13 studies included in the final analyses. The aggregate proportion of MGMT promoter methylation in elderly patients was 47% (95% confidence interval [CI]: 42-52%), which was similar to the value for younger patients. The analyses showed differential effects of MGMT status on overall survival (OS) of elderly patients according to assigned treatments: methylated vs. unmethylated: (1) temozolomide (TMZ)-containing therapies: hazard ratio [HR] 0.49, 95% CI 0.41-0.58; (2) TMZ-free therapies: HR 0.97, 95% CI 0.77-1.21. More importantly, a useful predictive value was observed by an interaction analysis: TMZ-containing therapies vs. RT alone: (1) methylated tumors: HR 0.48, 95% CI 0.36-0.65; (2) unmethylated tumors: HR 1.14; 95% CI 0.90-1.44. CONCLUSION: The meta-analysis reports an age-independent presence of MGMT promoter methylation. More importantly, the study encouraged routine testing of MGMT promoter status especially in elderly glioblastoma patients by indicating a direct linkage between biomarker test and individual treatment decision. Future studies are needed to justify the mandatory testing in younger patients.