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While vegetable uptake of traditional metal contaminants is a well-studied pathway to human exposure and risk, a paucity of information exists on the uptake of emerging metal contaminants. This study evaluated the uptake of the Technology-critical elements (TCEs) gallium (Ga), germanium (Ge), niobium (Nb), tantalum (Ta), thallium (Tl), and rare earth elements (REEs) into lettuce cultivated in 21 European urban soils. For comparison, the uptake of cadmium (Cd) was also analysed. First, the uptake was predicted by multiplying soil concentrations with previously established bioconcentration factors (BCFs). Subsequently, multiple regression models incorporating geochemical variables as predictors were used to determine whether prediction accuracy could be improved. A "3-predictor model" incorporated soil TCE concentration, pH, and organic matter (OM), and a "7-predictor model" added data on clay content and the soil concentrations of Fe, Al, and Mn as well. With the exception of Cd, Ge, and Tl, the BCF approach provided unsatisfactory predictions (R 2  < 0.5), while the 7-predictor models yielded the best predictions, even when accounting for the greater number of predictors. While the most important predictors of uptake varied somewhat between the TCEs, the concentrations of TCEs in the soil generally explained the largest proportion of the variation. The least influential predictors in our dataset were [Mn soil ], [Fe soil ], and soil OM. Incorporating geochemical data generally improved the predictions of uptake by lettuce, and these findings underscore the need for more detailed characterisations of the uptake potential of TCEs by food plants and subsequent consequences for human health., Competing Interests: Declaration of competing interest The authors declare no conflict of interest., (Copyright © 2025 The Authors. Published by Elsevier Ltd.. All rights reserved.)

Allogeneic haematopoietic stem cell transplantation (alloHSCT) is safe and effective for adolescents and adults with inborn errors of immunity (IEI) with severe disease manifestations of their disease. The haematopoietic cell transplantation comorbidity index (HCT-CI) score predicts transplant survival in non-malignant diseases, including IEIs. We hypothesised that immune dysregulation pre-transplant may also influence transplant outcomes. We calculated the pre-transplant immune dysregulation and disease activity score (IDDA v2.1) for 82 adolescent and adult IEI patients (aged ≥ 13 years). Three-year overall survival (OS) for the whole cohort was 90% (n = 82) with a median follow up of 44.7 months (range 8.4 to 225.8). Events were defined as acute graft-versus-host disease (GvHD) grades II or above, chronic GvHD of any grade, graft failure, or death from any cause. Three-year event free survival (EFS) for the whole cohort was 72%. In multivariable analysis the IDDA v2.1 score pre-transplant and HCT-CI score significantly impacted OS (hazard ratio 1.08, p = 0.028) and EFS (hazard ratio 1.04, p = 0.0005). Importantly, 35% of this cohort had a high IDDA v2.1 score (≥ 15) and low HCT-CI score (< 3) suggesting that the risks of alloHSCT may be underestimated in a proportion of patients with IEI if the HCT-CI score is used alone. These findings support the potential for improved outcomes following successful modulation of immune dysregulation pre-transplant. The IDDA v2.1 score has utility as an objective measurement of pre-transplant immune dysregulation providing additional information reagrding the risks and potential complications of alloHSCT in an individual IEI patient., Competing Interests: Declarations. Competing Interests: The authors declare no competing interests., (© 2024. The Author(s).)