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Background In HER2-positive breast cancer, pathologic complete response (pCR) has been known to be a surrogate marker for favorable prognosis after neoadjuvant chemotherapy. We aimed to identify the clinico-pathologic factors related to pCR in patients with HER2-positive breast cancer treated with neoadjuvant dual HER2-targeted therapy. Methods Two-hundred ninty-five patients with HER2-positive breast cancer who received neoadjuvant chemotherapy with docetaxel, carboplatin, trastuzumab, and pertuzumab (TCHP) were included in this retrospective analysis. We assessed the association between age, clinical T, N stage, pathologic factors such as histologic grade, hormone receptor (HR), tumor-infiltrating lymphocytes, the membranous expression of HER2 protein evaluated by immunohistochemistry (IHC) and pCR. The fluorescent in situ hybridization (FISH) was performed in a tumor with HER2 score of 2+. Results Of the 295 patients, 195 (66.1%) achieved pCR (ypT0/is and ypN0). Besides, 240 (81.4%) patients were HER2 score of 3+, and 55 (18.6%) patients were HER2 score of 2+. The pCR was frequently observed in patients with HER2 score of 3+ (64 of 176 [73.3%]) than in those with HER2 score of 2+ (19 of 55 [34.5%]), regardless of HR status. After adjusting other clinicopathologic factors, the high HER2 protein expression was only an independent factor for pCR (adjusted OR 3.85, 95% CI, 1.66-8.91, p=0.002). Conclusions Our results suggest that high expression of HER2 protein assessed by IHC is important in predicting neoadjuvant TCHP response in HER2-positive breast cancer. Citation Format: Soong June Bae, Ji Soo Jang, Yoonwon Kook, Seung Ho Baek, Jee Hung Kim, Sung Gwe Ahn, Joon Jeong. HER2-protein expression is a predictive marker for treatment response in patients with HER2-positive breast cancer who received neoadjuvant chemotherapy with dual HER2-blockade [abstract]. In: Proceedings of the 2022 San Antonio Breast Cancer Symposium; 2022 Dec 6-10; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2023;83(5 Suppl):Abstract nr P4-06-08.

The process of exsolution for the synthesis of strongly anchored metal nanoparticles (NPs) on host oxide lattices has been proposed as a promising strategy for designing robust catalyst-support composite systems. However, because conventional exsolution processes occur in harsh reducing environments at high temperatures for long periods of time, the choice of support materials and dopant metals are limited to those with inherently high thermal and chemical stability. Herein, we report the exsolution of a series of noble metal catalysts (Pt, Rh, and Ir) from metal oxide nanofibers (WO

BackgroundIt is unclear whether upfront surgery or neoadjuvant chemotherapy is appropriate for first treatment in hormone receptor (HR)-positive human epidermal growth factor receptor 2 (HER2)-negative breast cancer patients with 1–2 suspicious axillary lymph node (ALN) metastases on preoperative breast magnetic resonance imaging (MRI).MethodWe identified 282 patients with HR+HER2- breast cancer and 1–2 suspicious ALN metastases on baseline breast MRI (147 received upfront surgery; 135 received neoadjuvant chemotherapy). We evaluated the predictive clinicopathological factors for pN2-3 in the adjuvant setting and axillary pathologic complete response (pCR) in the neoadjuvant setting.ResultsLymphovascular invasion (LVI)-positive and clinical tumors >3 cm were significantly associated with pN2-3 in patients who received upfront surgery. The pN2-3 rate was 9.3% in patients with a clinical tumor ≤ 3 cm and LVI-negative versus 34.7% in the others (p < 0.001). The pN2-3 rate in patients with a clinical tumor ≤ 3 cm and LVI-negative and in the others were 9.3% versus 34.7% in all patients (p < 0.001), 10.7% versus 40.0% (p = 0.033) in patients aged < 50 years, and 8.5% versus 31.0% in patients aged ≥ 50 years (p < 0.001), respectively. In the neoadjuvant setting, patients with tumor-infiltrating lymphocytes (TILs) ≥ 20% had a higher axillary pCR than those with TILs < 20% (46.7% vs. 15.3%, p < 0.001). A similar significant finding was also observed in patients < 50 years.ConclusionsUpfront surgery may be preferable for patients aged ≥ 50 years with a clinical tumor < 3 cm and LVI-negative, while neoadjuvant chemotherapy may be preferable for those aged < 50 years with TILs ≥ 20%.

This work presents the synthesis of LaFeO3/SnO2 nanotubes (NTs) based on the GRR process, with perovskite LaFeO3 NTs prepared by electrospun nanofibers as the starting material resulting in a significantly enhanced catalytic activity.

Hazardous gases threaten human health and the environment due to their toxicity and flammability. Managing such risks requires reliable gas detection techniques. However, accurate detection of target environmental gases remains challenging. Recent advances in materials science have enabled the combination of molecular separation membranes with chemical sensors to achieve high selectivity in the detection of target gas molecules. Herein, we discuss the underlying gas separation mechanisms for different types of membrane overlayers, including graphene oxide, metal-organic frameworks, and metal oxides, as well as their integration with sensing materials. Furthermore, we discuss the relationship between sensing performance and surface chemistry, catalytic properties, and membrane nanostructure. We conclude by highlighting future directions for selective detection of environmental gas species.

The development of highly efficient catalysts in the cathodes of rechargeable Li-O2 batteries is a considerable challenge. Polyelemental catalysts consisting of two or more kinds of hybridized catalysts are particularly interesting because the combination of the electrochemical properties of each catalyst component can significantly facilitate oxygen evolution and oxygen reduction reactions. Despite the recent advances that have been made in this field, the number of elements in the catalysts has been largely limited to two metals. In this study, we demonstrate the electrochemical behavior of Li-O2 batteries containing a wide range of catalytic element combinations. Fourteen different combinations with single, binary, ternary, and quaternary combinations of Pt, Pd, Au, and Ru were prepared on carbon nanofibers (CNFs) via a joule heating route. Importantly, the Li-O2 battery performance could be significantly improved when using a polyelemental catalyst with four elements. The cathode containing quaternary nanoparticles (Pt-Pd-Au-Ru) exhibited a reduced overpotential (0.45 V) and a high discharge capacity based on total cathode weight at 9130 mAh g-1, which was ∼3 times higher than that of the pristine CNF electrode. This superior electrochemical performance is be attributed to an increased catalytic activity associated with an enhanced O2 adsorbability by the quaternary nanoparticles.

The colorimetric gas sensor offers an opportunity for the simple and rapid detection of toxic gaseous substances based on visually discernible changes in the color of the sensing material. In particular, the accurate detection of trace amounts of certain biomarkers in a patient's breath provides substantial clues regarding specific diseases, for example, hydrogen sulfide (H2S) for halitosis and ammonia (NH3) for kidney disorder. However, conventional colorimetric sensors often lack the sensitivity, selectivity, detection limit, and mass-productivity, impeding their commercialization. Herein, we report an inexpensive route for the meter-scale synthesis of a colorimetric sensor based on a composite nanofiber yarn that is chemically functionalized with an ionic liquid as an effective H2S adsorbent and lead acetate as a colorimetric dye. As an eye-readable and weavable sensing platform, the single-strand yarn exhibits enhanced sensitivity supported by its high surface area and well-developed porosity to detect the breath biomarker (1 ppm of H2S). Alternatively, the yarn loaded with lead iodide dyes could reversibly detect NH3 gas molecules in the ppm-level, demonstrating the facile extensibility. Finally, we demonstrated that the freestanding yarns could be sewn into patterned textiles for the fabrication of a wearable toxic gas alarm system with a visual output.

Catalysis with single-atom catalysts (SACs) exhibits outstanding reactivity and selectivity. However, fabrication of supports for the single atoms with structural versatility remains a challenge to...

For rapid hydrogen gas (H2) sensing, we propose the facile synthesis of the hollow structure of Pt-decorated molybdenum disulfide (h-MoS2/Pt) using ultrathin (mono- or few-layer) two-dimensional nanosheets. The controlled amphiphilic nature of MoS2 surface produces ultrathin MoS2 NS-covered polystyrene particles via one-step Pickering emulsification. The incorporation of Pt nanoparticles (NPs) on the MoS2, followed by pyrolysis, generates the highly porous h-MoS2/Pt. This hollow hybrid structure produces sufficiently permeable pathways for H2 and maximizes the active sites of MoS2, while the Pt NPs on the hollow MoS2 induce catalytic H2 spillover during H2 sensing. The h-MoS2/Pt-based chemiresistors show sensitive H2 sensing performances with fast sensing speed (response, 8.1 s for 1% of H2 and 2.7 s for 4%; and recovery, 16.0 s for both 1% and 4% H2 at room temperature in the air). These results mark the highest H2 sensing speed among 2D material-based H2 sensors operated at room temperature in air. Our fabrication method of h-MoS2/Pt structure through Pickering emulsion provides a versatile platform applicable to various 2D material-based hollow structures and facilitates their use in other applications involving surface reactions.

Background: In ER+/HER2- breast cancer, several lines of evidence suggest that tumors with high level of tumor-infiltrating lymphocytes (TILs) have a greater chance of obtaining a pathological complete response (pCR) after neoadjuvant chemotherapy. In addition, high 21-gene recurrence score (RS) is associated with an increasing rate of pCR in luminal tumors. We investigated the relationship between TIL and RS in 1,883 patients with early ER+HER2- breast cancer. Method: In 1,883 ER+ breast cancer patients with 21-gene assay, TIL level was evaluated. Correlation between continuous TIL and RS was investigated. Logistic-regression analysis was performed to identify risk factors for high RS (26). The cut-off for high TIL was 50%. Recurrence-free survival (RFS) was investigated. Results: A weak positive correlation between TIL level and RS was observed (correlation coefficient=0.283, p< 0.001) in all patients. Average TIL level of the high RS tumors was significantly higher. Two parameters were positively correlated in both two groups classified by age 50 years (correlation coefficient=0.281 in the age 50; correlation coefficient=0.288 in the age>50). Either continuous TILs or binary high TIL level was demonstrated to be an independent factor for high RS. When all patients were divided into 4 groups using TIL and RS (low-RS/low-TIL, low-RS/high-TIL, high-RS/low-TIL, and high-RS/high-TIL), the RFS was worst in the low-TIL/high-RS group (p< 0.001). Conclusions: Our findings show that TIL level is correlated with RS in ER+ breast cancer regardless of age and suggest that high TIL level can be regarded as a risk factor for high RS. Multigene assay could be integrated in designing clinical trials evaluating immune-check point blockades in luminal breast cancer. Recurrence-free survival according to RS and TIL Table 1. 5-years RFS according to TIL and RS Citation Format: Sung Gwe Ahn, Ji Soo Jang, Yoonwon Kook, Seung Ho Baek, Sae Byul Lee, Soong June Bae, Joon Jeong. Tumor-infiltrating lymphocytes (TILs) and 21-gene recurrence score in 1,883 patients with ER+/HER2- breast cancer [abstract]. In: Proceedings of the 2022 San Antonio Breast Cancer Symposium; 2022 Dec 6-10; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2023;83(5 Suppl):Abstract nr P6-01-03.

Though highly promising as powerful gas sensors, oxide semiconductor chemiresistors have low surface reactivity, which limits their selectivity, sensitivity, and reaction kinetics, particularly at room temperature (RT) operation. It is proposed that a hybrid design involving the nanostructuring of oxides and passivation with selective gas filtration layers can potentially overcome the issues with surface activity. Herein, unique bi-stacked heterogeneous layers are introduced; that is, nanostructured oxides covered by conformal nanoporous gas filters, on ultrahigh-density nanofiber (NF) yarns via sputter deposition with indium tin oxide (ITO) and subsequent self-assembly of zeolitic imidazolate framework (ZIF-8) nanocrystals. The NF yarn composed of ZIF-8-coated ITO films can offer heightened surface activity at RT because of high porosity, large surface area, and effective screening of interfering gases. As a case study, the hybrid sensor demonstrated remarkable sensing performances characterized by high NO selectivity, fast response/recovery kinetics (60-fold improvement), and large responses (12.8-fold improvement @ 1 ppm) in comparison with pristine yarn@ITO, especially under highly humid conditions. Molecular modeling reveals an increased penetration ratio of NO over O

Conventional graphene oxide (GO)-based gas membranes, having a narrow pore-size range of less than 0.3 nm, exhibit limited gas molecular permeability because of the kinetic diameters of most volatile organic and sulfur compound (VOCs/VSCs) molecules being larger than 0.3 nm. Here, we employ GO nanosheets (NSs) with a tunable pore-size distribution as a molecular sieving layer on two-dimensional (2D) metal oxide NSs-based gas sensors, i.e., PdO-sensitized WO3 NSs to boost selectivity toward specific gas species. The pore size, surface area, and pore density of GO NSs were simply manipulated by controlling H2O2 concentration. In addition, the pore size-tuned GO NSs were coated on cellulose filtering paper as a free-standing nanoporous membrane. Holey GO membrane showed a highly selective H2S permeability characteristic, exhibiting superior cross-selectivity to CH3COCH3 (0.46 nm), C2H5OH (0.45 nm), and C7H8 (0.59 nm) with larger kinetic diameters compared with H2S (0.36 nm). Such pore-size-tuned GO nanoporous layer is scalable and robust, highlighting a great promise for designing low cost and highly efficient gas-permeable membrane for outstanding selective gas sensing platform.

Two-dimensional (2D) inorganic nanomaterials have attracted enormous interest in diverse research areas because of their intriguing physicochemical properties. However, reliable method for the synthesis and composition manipulation of polycrystalline inorganic nanosheets (NSs) are still considered grand challenges. Here, we report a robust synthetic route for producing various kinds of inorganic porous NSs with desired multiple components and precise compositional stoichiometry by employing tunicin, i.e., cellulose extracted from earth-abundant marine invertebrate shell waste. Cellulose fibrils can be tightly immobilized on graphene oxide (GO) NSs to form stable tunicin-loaded GO NSs, which are used as a sacrificial template for homogeneous adsorption of diverse metal precursors. After a subsequent pyrolysis process, 2D metallic or metal oxide NSs are formed without any structural collapse. The rationally designed tunicin-loaded GO NS templating route paves a new path for the simple preparation of multicompositional inorganic NSs for broad applications, including chemical sensing and electrocatalysis.

Highly sensitive and selective chemical sensors are needed for use in a wide range of applications such as environmental toxic gas monitoring, disease diagnosis, and food quality control. Although some chemiresistive sensors have been commercialized, grand challenges still remain: ppb-level sensitivity, accurate cross-selectivity, and long-term stability. Metal-organic frameworks (MOFs) with record-breaking surface areas and ultrahigh porosity are ideal sensing materials because chemical sensors rely highly on surface reactions. In addition, MOFs can be used as a membrane to utilize their unique gas adsorption and separation characteristics. Furthermore, the use of MOFs as precursors to enable facile production of various nanostructures is further combined with other functional materials. Based on these fascinating features of MOFs, there have been great efforts to elucidate reaction mechanisms and address limitations in MOF-based chemiresistors. In this review, we present a comprehensive overview and recent progress in chemiresistive sensors developed by using pure MOFs, MOF membranes, and MOF derivatives.

All-carbon fiber-based chemiresistor is fabricated by assembling reduced graphene oxide (RGO) fiber and carbon nanotube (CNT) fiber as reversible NO2 sensing layer and flexible heater, respectively. Both graphene oxide (GO) and CNT fibers were synthesized by wet-spinning technique facilitating lyotropic nematic liquid crystal (LC) property. Randomly entangled CNT fiber-based heater, which is embedded in one surface of colorless polyimide (cPI) film with thickness of ˜200 μm, exhibits high bending stability and heating property up to 100 °C. Single reduced graphene oxide (RGO) fiber obtained after heat treatment at 900 °C in H2/N2 ambient was integrated on the CNT fiber-embedded cPI heater, thereby establishing a new type of all-carbon fiber sensing platform. As a result, accelerated NO2 adsorption and desorption kinetics were achieved with RGO fiber at an elevated temperature. In particular, a 9.22-fold enhancement in desorption kinetic (kdes = 8.85 × 10–3 s–1) was observed at 100 °C compared with the desorption kinetic (kdes = 0.96 × 10–3 s–1) at 50 °C, which was attributed to the effective heating by CNT fiber networks. This work pioneered a research on the use of emerging carbonaceous fibers for potential application in wearable chemical detectors.

Hydroelectric nanogenerators have been previously proposed to recycle various water resources and polluted water. However, as conventional hydroelectric nanogenerators only utilize water resources, they cannot provide a fundamental solution for water recycling. In this study, a water purification membrane is proposed that can simultaneously generate electricity during the purification process (electricity generation and purification membrane (EPM)) for water recycling. As polluted water passes through the EPM, the water is purified in the perpendicular direction, while electricity is simultaneously produced in the horizontal direction by the movement of ions. Notably, the EPM exhibits high energy generation performance (maximum power 16.44 µW and energy 15.16 mJ) by the streaming effect of water-streaming carbon nanotubes (CNTs). Moreover, by using a poly(acrylic acid)/carboxymethyl cellulose (PAA/CMC) binder to EPM, the energy-generation performance and long-term stability are substantially improved and outstanding mechanical stability is provided, regardless of the acidity of the water source (pH 1-10). More importantly, the EPM exhibits the water purification characteristics of90% rejection of sub-10 nm pollutants and potentiality of ångstrom level cation rejection, with simultaneous and continuous energy generation. Overall, this study proposes an efficient EPM model, which can be potentially used as a next-generation renewable energy generation approach, thus laying the foundation for effective utilization of polluted water resources.

Continuous monitoring of hydrogen sulfide (H2S) in human breath for early stage diagnosis of halitosis is of great significance for prevention of dental diseases. However, fabrication of a highly selective and sensitive H2S gas sensor material still remains a challenge, and direct analysis of real breath samples has not been properly attempted, to the best of our knowledge. To address the issue, herein, we introduce facile cofunctionalization of WO3 nanofibers with alkaline metal (Na) and noble metal (Pt) catalysts via the simple addition of sodium chloride (NaCl) and Pt nanoparticles (NPs), followed by electrospinning process. The Na-doping and Pt NPs decoration in WO3 grains induces the partial evolution of the Na2W4O13 phase, causing the buildup of Pt/Na2W4O13/WO3 multi-interface heterojunctions that selectively interacts with sulfur-containing species. As a result, we achieved the highest-ranked sensing performances, that is, response (Rair/Rgas) = 780 @ 1 ppm and selectivity (RH2S/REtOH) = 277 against 1 ppm ethanol, among the chemiresistor-based H2S sensors, owing to the synergistic chemical and electronic sensitization effects of the Pt NP/Na compound cocatalysts. The as-prepared sensing layer was proven to be practically effective for direct, and quantitative halitosis analysis based on the correlation (accuracy = 86.3%) between the H2S concentration measured using the direct breath signals obtained by our test device (80 cases) and gas chromatography. This study offers possibilities for direct, highly reliable and rapid detection of H2S in real human breath without the need of any collection or filtering equipment.

Conductive metal-organic frameworks (cMOFs) are emerging materials for various applications due to their high surface area, high porosity, and electrical conductivity. However, it is still challenging to develop cMOFs having high surface reactivity and durability. Here, highly active and stable cMOF are presented via the confinement of bimetallic nanoparticles (BNPs) in the pores of a 2D cMOF, where the confinement is guided by dipolar-interaction-induced site-specific nucleation. Heterogeneous metal precursors are bound to the pores of 2D cMOFs by dipolar interactions, and the subsequent reduction produces ultrasmall (≈1.54 nm) and well-dispersed PtRu NPs confined in the pores of the cMOF. PtRu-NP-decorated cMOFs exhibit significantly enhanced chemiresistive NO2 sensing performances, owing to the bimetallic synergies of PtRu NPs and the high surface area and porosity of cMOF. The approach paves the way for the synthesis of highly active and conductive porous materials via bimetallic and/or multimetallic NP loading.

The development of highly efficient catalysts in the cathodes of rechargeable Li-O

Supported metal catalysts represent one of the major milestones in heterogeneous catalysis. Such catalytic systems are feasible for use in a broad range of applications, including renewable energy devices, sensors, automotive emission control systems, and chemical reformers. The lifetimes of these catalytic platforms depend strongly on the stability of the supported nanoparticles. With this regard, nanoparticles synthesized via ex-solution process emphasize exceptional robustness as they are socketed in the host oxide. Ex-solution refers to a phenomenon which yields selective growth of fine and uniformly distributed metal nanocatalysts on oxide supports upon partial reduction. This type of advanced structural engineering is a game-changer in the field of heterogeneous catalysis with numerous studies showing the benefits of ex-solution process. In this review, we highlight the latest research efforts regarding the origin of the ex-solution phenomenon and the mechanism underpinning particle formation. We also propose research directions to expand the utility and functionality of the current ex-solution techniques.

The cost-effective direct writing of polymer nanofibers (NFs) has garnered considerable research attention as a compelling one-pot strategy for obtaining key building blocks of electrochemical and optical devices. Among the promising applications, the changes in optical response from external stimuli such as mechanical deformation and changes in the thermal environment are of great significance for emerging applications in smart windows, privacy protection, aesthetics, artificial skin, and camouflage. Herein, we propose a rational design for the mass production of customized NFs through the development of focused electric-field polymer writing (FEPW) coupled with the roll-to-roll technique. As a proof of key applications, we demonstrate multistimuli-responsive (mechano- and thermochromism) membranes with an exceptional production scale (over 300 cm

Catalysis with single-atom catalysts (SACs) exhibits outstanding reactivity and selectivity. However, fabrication of supports for the single atoms with structural versatility remains a challenge to be overcome, for further steps toward catalytic activity augmentation. Here, we demonstrate an effective synthetic approach for a Pt SAC stabilized on a controllable one-dimensional (1D) metal oxide nano-heterostructure support, by trapping the single atoms at heterojunctions of a carbon nitride/SnO

For rapid hydrogen gas (H

The development of freestanding fiber-type chemiresistors, having high integration ability with various portable electronics including smart clothing systems, is highly demanding for the next-generation wearable sensing platforms. However, critical challenges stemming from the irreversible chemical sensing kinetics and weak reliability of the freestanding fiber-type chemiresistor hinder their practical use. In this work, for the first time, we report on the potential suitability of the freestanding and ultraporous reduced graphene oxide fiber functionalized with WO3 nanorods (porous WO3 NRs-RGO composite fiber) as a sensitive nitrogen dioxide (NO2) detector. By employing a tunicate cellulose nanofiber (TCNF), which is a unique animal-type cellulose, the numerous mesopores are formed on a wet-spun TCNF-GO composite fiber, unlike a bare GO fiber with dense surface structure. More interestingly, due to the superior wettability of TCNF, the aqueous tungsten precursor is uniformly adsorbed on an ultraporous TCNF-GO fiber, and subsequent heat treatment results in the thermal reduction of a TCNF-GO fiber and hierarchical growth of WO3 NRs perpendicular to the porous RGO fiber (porous WO3 NRs-RGO fiber). The freestanding porous WO3 NRs-RGO fiber shows a notable response to 1 ppm NO2. Furthermore, we successfully demonstrate reversible NO2 sensing characteristics of the porous WO3 NRs-RGO fiber, which is integrated on a wrist-type wearable sensing device.