Nonselective beta-adrenoceptor blocker use and risk of Parkinson's disease: from multiple real-world evidence.

BACKGROUND: People with hypertension have a higher risk of developing Parkinson's disease (PD), epidemiological evidence suggests that multiple antihypertensives may affect the occurrence and development of PD with inconsistent results. With multisource data, we sought to determine whether specific antihypertensive classes elevated or reduced the risk for PD. METHODS: We used a mixed methods approach that combines 4 methodologies. First, we conducted a disproportionality analysis using the reports causing adverse events in the US Food and Drug Administration Adverse Events Reporting System (FAERS) to explore the effect of different classes of antihypertensive medications on the risk of PD; based on the findings from FAERS, a meta-analysis and a UK Biobank cohort analysis were used to further assess the association of drug use with PD; finally, we employed Mendelian randomization (MR) analysis to validate the causal relationship between the drug target and the occurrence of PD. RESULTS: In the disproportionality analysis using the FAERS (N = 187,266), nonselective beta-adrenoceptor blockers (NBBs) were demonstrated to have a significant association with PD (reporting odds ratio (ROR) = 3.13; 95% CI 2.33-4.22). In the meta-analysis of 12 studies with 12,183,809 participants, PD risk was elevated in NBBs (RR, 1.64; 95% CI, 1.19-2.09) when stratified by subtypes of BBs. Among the 105,763 participants included in the cohort analysis using data from the UK Biobank, individuals who used NBBs had a significantly increased risk of PD compared to nonusers (HR, 1.47; 95% CI 1.04-2.06). The MR analysis revealed a significant association between higher expression of the ß2 adrenergic receptor (ADRB2) gene, a drug target blocked by NBBs, and a reduced risk of PD (OR, 0.85; 95% CI 0.73-0.99). CONCLUSIONS: Our comprehensive study indicated that regular NBB use is associated with an increased risk of PD. In light of the detrimental effects of NBBs on PD, some people should choose alternative antihypertensive treatments.

Selective Expression of a Carbazole-Phenothiazine Derivative Leads to Dual-mode AIEE, TADF and Distinctive Mechanochromism.

In this article, we report a newly designed D-A-D' derivative (CNCzPTZ), which displays selective expression of chromophores. This enables CNCzPTZ with solvatochromism, rare dual-mode AIEE properties, solid-state dual-emissions with phosphorescence and distinctive mechanochromism.CNCzPTZ exhibits dual-mode AIEE properties, since the emission band abruptly shifts from 550 nm to 500 nm as the water fraction increases. In the crystalline state, CNCzPTZ demonstrated dual emission bands of 478 nm and 538 nm.CNCzPTZ shows distinctive mechanochromic property in the solid state due to the planarization.

Multicolored fluorescence variation of a new carbazole-based AIEE molecule by external stimuli.

In this article, we design and synthesize a new carbazole-based molecule, Cz2CN, with a twisted D-A structure, using the carbazole group as the donor and a dicyanoethylene fragment as the acceptor. Such a twisted D-A structure endows Cz2CN with two characteristic emission bands, LE emission and ICT emission. Cz2CN exhibits AIEE, solvatochromism, and different responses to anisotropic shearing force and isotropic hydrostatic pressure, due to the sensitivity of ICT emission to aggregation, solvent polarity and mechanical force. Aggregation benefits the ICT emission, leading to the AIEE of Cz2CN in the THF/water system. Polar solvents can help stabilize the ICT-excited states and make the ICT emission red shift. The original crystalline powder is strongly fluorescent with a high quantum yield of 40.4%. A single crystal of Cz2CN is obtained and dimers without π-π interactions among carbazole groups contribute to the strong emission. Anisotropic shearing alters the emission of Cz2CN powder from sky blue (474 nm) to green (520 nm). The single crystal of Cz2CN undergoes a distinct multicolored variation from sky blue (476 nm) to green (510 nm) and further to orange (590 nm) upon isotropic hydrostatic pressure. The emission of the original powder/crystal of Cz2CN is dominated by LE (locally excited state) emission in HLCT (intercrossed hybridized local and charge transfer excited state). To the best of our knowledge, Cz2CN is an interesting carbazole-based molecule that shows simultaneous AIEE, solvatochromism and force-induced multicolored variation.

Crystal-State Photochromism and Dual-Mode Mechanochromism of an Organic Molecule with Fluorescence, Room-Temperature Phosphorescence, and Delayed Fluorescence.

A D-A-D' type pure organic molecule, named ODFRCZ, has unique triple-emission character covering fluorescence, phosphorescence, and delayed fluorescence (DF). The phosphorescence of ODFRCZ has a rather long lifetime of about 350 ms at room temperature. One dimer of ODFRCZ with enhanced parallel molecular packing acts more effectively to prompt ISC processes, which further generates room-temperature phosphorescence (RTP), owing to the larger transition dipole moment and closer energy level between S1 and Tn . ODFRCZ is a rare example of an organic RTP molecule that shows dual-stimuli responsiveness of dual-mode mechanochromism (fluorescence red-shift and RTP/DF on-off switch) and reversible crystal-state photochromism. This work may broaden the knowledge for stimuli-responsive RTP organic molecules and lay the foundation for their wide-scale applications.

Pressure-induced emission band separation of the hybridized local and charge transfer excited state in a TPE-based crystal.

We herein report a newly synthesized simple molecule, named TPE[double bond, length as m-dash]C4, with twisted D-A structure. TPE[double bond, length as m-dash]C4 showed two intrinsic emission bands ascribed to the locally excited (LE) state and the intramolecular charge transfer (ICT) state, respectively. In the crystal state, the LE emission band is usually observed. However, by applying hydrostatic pressure to the powder sample and the single crystal sample of TPE[double bond, length as m-dash]C4, dual-fluorescence (445 nm and 532 nm) was emerged under high pressure, owing to the pressure-induced emission band separation of the hybridized local and charge transfer excited state (HLCT). It is found that the emission of TPE[double bond, length as m-dash]C4 is generally determined by the ratio of the LE state to the ICT state. The ICT emission band is much more sensitive to the external pressure than the LE emission band. The HLCT state leads to a sample with different responsiveness to grinding and hydrostatic pressure. This study is of significance in the molecular design of such D-A type molecules and in the control of photoluminescence features by molecular structure. Such results are expected to pave a new way to further understand the relationship between the D-A molecular structure and stimuli-responsive properties.

A Mechanochromic Single Crystal: Turning Two Color Changes into a Tricolored Switch.

The single crystal of M-4-B was obtained by attaching the boron of BH3 to the amine linker between a tetraphenylethylene (TPE) unit and rhodamine B. M-4-B showed a novel sequential tricolor switching from dark blue to bluish-green and to a reddish color upon grinding. The boron atom played a key role in developing the single crystal.

Mechanically Induced Multicolor Change of Luminescent Materials.

Mechanofluorochromic or piezochromic fluorescence chemistry involves the switching and tuning of the luminescent properties of solid-state materials induced by exogenous forces, such as grinding, shearing, compression, tension, and so forth. Up until now, most reported mechanochromic systems, including liquid crystals, organic molecules, organometallic compounds, polymers, and dye-doped polymers, have displayed reversible two-color changes, which arise from either supramolecular or chemical structure transformations. However, fluorescent materials that undergo mechanically induced multicolor changes remain rare; this Minireview is focused on such materials. Topics are categorized according to the different applied forces that are required to induce the multicolor change, including mechanical control of either the supramolecular structures or the chemical structures, and mechanical control of both the supramolecular structures and chemical structures.

Association of vitamin B6 intake with the risk and prognosis of diabetic retinopathy: a NHANES-based study.

CLINICAL RELEVANCE: Investigating the role of dietary vitamin B6 intake in the risk and prognosis of diabetic retinopathy (DR) could facilitate the management of DR. BACKGROUND: This study aimed to assess the association between dietary vitamin B6 intake and the risk of DR and further explore the association between vitamin B6 intake and mortality in patients with DR. METHODS: This retrospective cohort study gained data from the National Health and Nutrition Examination Survey (NHANES) 2005-2006 and 2007-2008. The intake of dietary vitamin B6 was assessed by two 24-h dietary recall interviews. Mortality information in the National Death Index was recorded from the date of survey participation through 31 December 2019. Multivariate regression analyses were employed to assess the association between vitamin B6 intake and the risk of DR, and the association between vitamin B6 intake and the risk of mortality in patients with DR. RESULTS: A total of 5559 subjects were included, of which 693 (12.47%) had DR. Among these patients with DR, 429 (61.90%) were survivors. Multivariate analyses showed that the intake of vitamin B6 was negatively associated with the risk of DR (odds ratio = 0.81, 95% confidence level: 0.69-0.95, p = 0.012), and patients with DR with an increased intake of vitamin B6 had a significantly decreased risk of all-cause death (hazard ratio = 0.81, 95% confidence level: 0.66-0.99, p = 0.041) or cardiovascular disease-related death (hazard ratio = 0.76, 95% confidence level: 0.58-0.98, p = 0.037). CONCLUSION: The intake of vitamin B6 was negatively associated with the risk of DR, and in patients with DR, a higher intake of vitamin B6 was associated with a lower risk of all-cause death and cardiovascular disease-related death, indicating the possible protective role of increased vitamin B6 intake.

Review on chronic metabolic diseases surrounding bile acids and gut microbiota: What we have explored so far.

Bile acid, the final product of cholesterol breakdown, functions as a complex regulator and signaling factor in human metabolism. Chronic metabolic diseases pose significant medical challenges. Growing research underscores bile acids' capacity to enhance metabolism via diverse pathways, regulating disorders and offering treatment potential. Numerous bile-acid-triggered pathways have become treatment targets. This review outlines bile acid synthesis, its role as a signal in chronic metabolic diseases, and highlights its interaction with gut microbiota in different metabolic conditions. Exploring host-bacteria-bile acid links emerges as a valuable future research direction with clinical implications.

Long-term PM2.5 exposure and early-onset diabetes: Does BMI link this risk?

OBJECTIVE: Limited studies investigated the association between high-level fine particulate matter (PM2.5) pollution and early-onset diabetes, leaving the possible metabolic mechanisms unclear. We assessed the association of cumulative PM2.5 exposure with diabetes, including early-onset, in high-pollution areas of China and explored whether metabolic factors mediated this association. METHODS: 124,204 participants (≥18 years) from 121 counties in Hunan province, China, were enrolled between 2005 and 2020, with follow-up until 2021. The ground-level air pollution concentrations at each participant's residence were calculated using a high-quality dataset in China. The independent association of PM2.5 with incident diabetes and early-onset diabetes was assessed by Cox proportional hazards models. Restricted cubic splines were utilized to establish the exposure-response relationships. The role of metabolism-related mediators was estimated by mediation analysis. RESULTS: During a median follow-up of 8.47 (IQR, 6.65-9.82) years, there were 3650 patients with new-onset diabetes. Each 1 µg/m3 increase in the level of cumulative PM2.5 exposure was positively related to an increased incidence of diabetes (HR 1.177, 95 % CI 1.172-1.181) among individuals in the PM2.5 > 50 µg/m3 group after adjusting for multiple variables. The relationship of the PM2.5 dose-response curve for diabetes was non-linear. Significant associations between PM2.5 exposure and early-onset diabetes risk were observed, with this risk showing an increase with the earlier age of early diabetes onset. Males, young individuals (≤45 years), and those with a lower body mass index (BMI <24 kg/m2) appeared to be more susceptible to diabetes. Moreover, change in BMI significantly mediated 31.06 % of the PM2.5-diabetes relationship. CONCLUSIONS: Long-term cumulative PM2.5 exposure increased the risk of early-onset diabetes, which is partially mediated by BMI. Sustained air pollution control measures, priority protection of vulnerable individuals, and effective management of BMI should be taken to reduce the burden of diabetes.

Self-assembly behavior of amphiphilic poly(amidoamine) dendrimers with a shell of aniline pentamer.

A series of amphiphilic poly(amidoamine) dendrimers (PAMAM, G2-G5) composed of a hydrophilic core and a hydrophobic shell of aniline pentamer (AP) were synthesized and characterized. The modified dendrimers self-assembled to vesicular aggregates in water with the critical aggregation concentration (CAC) decreased in the order of G2 > G3 > G4 > G5. It was found that the modified dendrimers self-organized into spherical aggregates with a bilayer vesicular structures and that the dendrimers in higher generation have more order structure, which may be attributed to the crystallization induced by the compacted effect of AP segments. In addition, larger spherical vesicles were observed under acidic and alkaline conditions, as compared with sizes of aggregates in neutral medium. At low pH, the tertiary amine groups of PAMAM-AP were transformed to ammonium salts; the polarons were formed from AP units by doping with strong acids, thereby leading to the stability of vesicular aggregates being better than that in double distilled water. Nevertheless, in high pH environment, the deprotonation of PAMAM-AP caused the enhancement of π-π interactions, resulting in generation of twins or multilayered vesicles.

Mechanically induced multicolor switching based on a single organic molecule.

Asserting its independence: A single organic molecule containing pyrene and rhodamine B chromophores separated by a peptide spacer formed a mechanochromic material whose fluorescence could be switched from blue to bluish-green and reddish by grinding. Modulation of the overlapped packing pattern of the pyrene excimer for blue emission was crucial for the reversible tricolored switching observed.

Clinical prognostic value of OSGIN2 in gastric cancer and its proliferative effect in vitro.

This study explored the promoting effect of oxidative stress-induced growth inhibitor family member 2(OSGIN2) on gastric cancer (GC) through public databases and in vitro experiments. The potential relationship between OSGIN2 expression, prognosis, functional enrichment of associated differential genes, immune infiltration, and mutational information in gastric cancer were comprehensively investigated using bioinformatics analysis. OSGIN2 was knocked down using small interfering RNA (siRNA) transfection for subsequent cell function testing. The results showed that gastric carcinoma cells and tissues contained high levels of OSGIN2, which was associated with a poor prognosis for GC patients. It was important in the cell cycle, autophagy, etc., and was related to a variety of tumor-related signal pathways. Knockdown of OSGIN2 inhibited tumor cell proliferation and contributed to cell cycle arrest. It was also correlated with tumor immune infiltrating cells (TILs), affecting antitumor immune function. Our analysis highlights that OSING2, as a new biomarker, has diagnostic and prognostic value in gastric cancer and is a potentially effective target in GC treatment.

A dipeptide-based multicolored-switching luminescent solid material: when molecular assemblies meet mechanochemical reaction.

Color schemes: A mechanochromic material composed of two types of peptides bearing a pyrene group and rhodamine B moieties, respectively, displays multiluminescent colors, such as blue, green, and reddish in one sample (see picture). The mechanochromic behavior is based on a combined switching of molecular assemblies and chemical structure.

Green Synthesis, Surface Activity, Micellar Aggregation, and Foam Properties of Amide Quaternary Ammonium Surfactants.

A series of amide quaternary ammonium surfactants with the formula C n H2n+1CONH(CH2)2N+(CH3)3·CH3CO3 - (n = 9, 11, 13, 15) were synthesized using a fatty acid, N,N-dimethylethylenediamine, and a green reagent dimethyl carbonate. A comparative study of the four surfactants in terms of surface activity, aggregation characteristics, and foam properties was conducted. The results show that these amide quaternary ammonium surfactants reduce the surface tension of water to a minimum value of 23.69 mN·m-1 at a concentration of 1.55 × 10-4 mol·L-1 and self-assemble spontaneously into aggregates, which are mostly vesicles. Furthermore, with increasing the alkyl chain length, their critical micelle concentration (CMC) values and surface tension values at the CMC (γCMC) decrease and then increase, and the degree of counterion binding (ß) decreases. It is also found that these amide quaternary ammonium surfactants exhibit excellent foam ability and foam stability.

Chinese Medical Students' Acceptance and Use of e-Health Services.

A web-based survey was conducted among 238 Chinse medical students to examine their acceptance and use of e-Health services. Chinese medical students are found to have limited experience and low satisfaction with current e-Health services, which indicates an urgent need to improve e-Health practice training based on a consumer-centered model of health care.

Preparation of Piper nigrum Microcapsules by Spray Drying and Optimization with Response Surface Methodology.

To overcome the problems of incomplete flavor components from Piper nigrum extract and the Piper nigrum product easy deterioration in the storage process, microcapsules of the whole Piper nigrum were prepared by spray-drying combined with enzymatic hydrolysis. Under the best conditions for the microencapsulation obtained by the response surface methodology, which have been determined as the ratio of core and wall material (1:0.2, w/w), proportion of wall materials (starch sodium octenyl succinate : maltodextrin : xanthan gum) (1:1:0.2, w/w/w), wall material concentration (11%, w/v) and inlet air temperature (180°C), the embedding rate of the prepared Piper nigrum microcapsules reached 90.21%. Fourier transform infrared spectroscopy, scanning electron microscopy and particle size distribution studies established that the Piper nigrum powder was entrapped within the microcapsules, which had intact morphology and uniform particle size distribution. Besides, gas chromatography-mass spectrometry analysis demonstrated that the prepared Piper nigrum microcapsules could preserve the major of the volatile aroma components of Piper nigrum, carene, D-limonene, α-phellandrene, and (-)-ß-pinene. The obtained results showed that the microcapsules might contribute to the development of preserving original flavor from Piper nigrum and have potential applications in the commodity market.

The difference of human gut microbiome in colorectal cancer with and without metastases.

Metastasis of colorectal cancer is deemed to be closely related to the changes in the human gut microbiome. The purpose of our study is to distinguish the differences in gut microbiota between colorectal cancer with and without metastases. Firstly, this study recruited colorectal cancer patients who met the established inclusion and exclusion criteria in the Oncology Department of Zhejiang Hospital of Traditional Chinese Medicine from February 2019 to June 2019. Fresh stool samples from healthy volunteers, non-metastatic patients, and metastatic patients were collected for 16S rRNA gene sequencing, to analyze the diversity and abundance of intestinal microorganisms in each group. The results showed that the microbial composition of the control group was more aplenty than the experimental group, while the difference also happened in the Tumor and the metastases group. At the phylum level, the abundance of Bacteroidetes significantly declined in the Tumor and the metastases group, compared with the control group. At the class level, Bacilli increased in experimental groups, while its abundance in the Tumor group was significantly higher than that in the metastases group. At the order level, the Tumor group had the highest abundance of Lactobacillales, followed by the metastases group and the control group had the lowest abundance. Overall, our study showed that the composition of the flora changed with the occurrence of metastasis in colorectal cancer. Therefore, the analysis of gut microbiota can serve as a supplement biological basis for the diagnosis and treatment of metastatic colorectal cancer which may offer the potential to develop non-invasive diagnostic tests.

More than Carbazole Derivatives Activate Room Temperature Ultralong Organic Phosphorescence of Benzoindole Derivatives.

The mechanism of carbazole (Cz)-based phosphors is still unclear since its isomer (1H-benzo[f]indole, Bd) is discovered in 2020. Herein, the successful synthesis of four Cz/Bd derivatives is reported, named as 2CzBr, CzBdBr, 2BdBr, and 3Bd, and the general mechanism for their ultralong organic phosphorescence (UOP) is provided. Bd and its derivatives give double groups of phosphorescence, including the short-wavelength phosphorescence with a short lifetime and the ultralong phosphorescence at long wavelengths, assigned to their neutral molecules and radical cations, respectively. Interestingly, the doped poly(methyl methacrylate) (PMMA) films of CzBdBr and 2BdBr show photo-activated ultralong phosphorescence at room temperature. The activation of Bd derivatives 'UOP involves three factors: 1) well dispersion in the matrix with limited amount, 2) generation of their radical cations and 3) the matrix-mediated stabilization of radical cations. The function of Cz derivatives to activate the Bd derivatives' UOP could be replaced by photo-activation or using other matrixes. Significantly, the application of the doped PMMA films is practiced and gives an exciting result that the high-resolution QR code could be reversibly printed and erased on the film. This research has expanded the understanding in the field of organic phosphorescence and it may pave a new way for its development.

The new exploration of pure total flavonoids extracted from Citrus maxima (Burm.) Merr. as a new therapeutic agent to bring health benefits for people.

The peel and fruit of Citrus varieties have been a raw material for some traditional Chinese medicine (TCM). Pure total flavonoids from Citrus maxima (Burm.) Merr. (PTFC), including naringin, hesperidin, narirutin, and neohesperidin, have been attracted increasing attention for their multiple clinical efficacies. Based on existing in vitro and in vivo research, this study systematically reviewed the biological functions of PTFC and its components in preventing or treating liver metabolic diseases, cardiovascular diseases, intestinal barrier dysfunction, as well as malignancies. PTFC and its components are capable of regulating glycolipid metabolism, blocking peroxidation and persistent inflammation, inhibiting tumor progression, protecting the integrity of intestinal barrier and positively regulating intestinal microbiota, while the differences in fruit cultivation system, picking standard, manufacturing methods, delivery system and individual intestinal microecology will have impact on the specific therapeutic effect. Thus, PTFC is a promising drug for the treatment of some chronic diseases, as well as continuous elaborate investigations are necessary to improve its effectiveness and bioavailability.