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Objectives: Planar cell polarity (PCP) signaling, essential for uniform alignment and directional beating of motile cilia, has been investigated in multiciliated epithelia. As a complex structure connecting the middle ear to the nasopharynx, the eustachian tube (ET) is important in the onset of ear–nose–throat diseases. However, PCP signaling, including the orientation that is important for ciliary motility and clearance function in the ET, has not been studied. We evaluated PCP in the ET epithelium. Study Design: Morphometric examination of the mouse ET. Methods: We performed electron microscopy to assess ciliary polarity in the mouse ET, along with immunohistochemical analysis of PCP protein localization in the ET epithelium. Results: We discovered PCP in the ET epithelium. Motile cilia were aligned in the same direction in individual and neighboring cells; this alignment manifested as ciliary polarity in multiciliated cells. Additionally, PCP proteins were asymmetrically localized between adjacent cells in the plane of the ET. Conclusions: The multiciliated ET epithelium exhibits polarization, suggesting novel structural features that may be critical for ET function. Level of Evidence: NA Laryngoscope, 134:3795–3801, 2024 [ABSTRACT FROM AUTHOR]

Objectives: To determine the clinical characteristics of papilloma involving the external auditory canal (PEAC) in a region of China. Study design: A retrospective study. Methods: Demographics, manifestations, imaging results, histopathology, and treatment of 67 patients diagnosed with PEAC in a period of 6 years were analyzed at Shanghai Eye, Ear, Nose and Throat Hospital in China. Results: PEAC were encountered in patients between the ages of 12 and 82 years (mean 53.8 years). It was more prevalent in men (82%) than in women (18%) (P <.05). The clinical presentation was usually a mass in EAC, aural fullness, and hearing loss. Otoscopic and radiological examination were used together for initial diagnosis and pretreatment planning. Unilateral involvement was more common than bilateral involvement (P <.05). The average time between onset of first symptom and surgical resection and/or biopsy was 6.5 months (range, 0.25–60 months). All patients underwent gross total resection. In 5 patients, (7.5%) carcinoma was detected in the specimen. Fifteen patients (22%) had recurrence; recurrent tumors were detected after an average period of 10 months after surgery (range, 4–24 months). Conclusion: PEAC is largely a benign lesion with a low risk of malignancy. Optimal management is via gross total resection. However, the risk of recurrence is high, which motivates a need for long‐term monitoring. Level of Evidence: 4 Laryngoscope, 131:1132–1137, 2021 [ABSTRACT FROM AUTHOR]

Aim: By activating prostacyclin receptors (IP receptors), prostacyclin (PGI2) exerts cardiovascular protective effects such as vasodilation and inhibition of vascular smooth muscle cell (VSMC) proliferation. However, IP receptors are dysfunctional under pathological conditions, and PGI2 produces detrimental effects that are opposite to its physiological protective effects via thromboxane‐prostanoid (TP) receptors. This attempted to investigate whether or not IP receptor dysfunction facilitates the shift of PGI2 action. Methods: The effects of PGI2 and its stable analog iloprost on VSMC phenotypic transformation and proliferation were examined in A10 cells silencing IP receptors, in human aortic VSMCs (HAVSMCs) knocked down IP receptor by CRISPR‐Cas9, or in HAVSMCs transfected with a dysfunctional mutation of IP receptor IPR212C. Results: PGI2/iloprost treatment stimulated cell proliferation, upregulated synthetic proteins and downregulated contractile proteins, suggesting that PGI2/iloprost promotes VSMC phenotypic transformation in IP‐deficient cells. The effect of PGI2/iloprost was prevented by TP antagonist S18886 or TP knockdown, indicating that the VSMC detrimental effect of PGI2 is dependent on TP receptor. RNA sequencing and Western blotting results showed that RhoA/ROCKs, MEK1/2 and JNK signalling cascades were involved. Moreover, IP deficiency increased the distribution of TP receptors at the cell membrane. Conclusion: PGI2 induces VSMC phenotypic transformation when IP receptors are impaired. This is attributed to the activation of TP receptor and its downstream signaling cascades, and to the increased membrane distribution of TP receptors. The VSMC detrimental effect of PGI2 medicated by IP dysfunction and TP activation might probably exacerbate vascular remodelling, accelerating cardiovascular diseases. [ABSTRACT FROM AUTHOR]

Silicone (Si) is one type of anode materials with intriguingly high theoretical capacity. However, the severe volume change associated with the repeated lithiation and delithiation processes hampers the mechanical/electrical integrity of Si anodes and hence reduces the battery's cycle‐life. To address this issue, sequence‐defined peptoids are designed and fabricated with two tailored functional groups, "OH" and "COOH", as cross‐linkable polymeric binders for Si anodes of LIBs. Experimental results show that both the capacity and stability of such peptoids‐bound Si anodes can be significantly improved due to the decreased cracks of Si nanoparticles. Particularly, the 15‐mer peptoid binder in Si anode can result in a much higher reversible capacity (ca. 3110 mAh g−1) after 500 cycles at 1.0 A g−1 compared to other reported binders in literature. According to the density functional theory (DFT) calculations, it is the functional groups presented on the side chains of peptoids that facilitate the formation of Si−O binding efficiency and robustness, and then maintain the integrity of the Si anode. The sequence‐designed polymers can act as a new platform for understanding the interactions between binders and Si anode materials, and promote the realization of high‐performance batteries. [ABSTRACT FROM AUTHOR]

Utilization of lithium (Li) metal anode in solid‐state batteries (SSBs) with sulfide solid‐state electrolyte (SSE) is hindered by the instable Li/SSE interface. A general solution to solve this problem is to place an expensive indium (In) foil between the SSE and Li, while it decreases the output voltage and thus the energy density of the battery. In this work, an alternative strategy is demonstrated to boost the cycling performances of SSB by wrapping a graphene oxide (GO) layer on the anode. According to density functional theory results, initial deposition of a thin Li layer on the defective GO sheets leads to the formation of a dipole structure, due to the electron‐withdrawing ability of GO acting on Li. By incorporating GO sheets in a nanocomposite of copper‐cuprous oxide‐GO (Cu‐Cu2O‐GO, CCG), a composite Li anode enables a high coulombic efficiency above 99.5% over 120 cycles for an SSB using Li10GeP2S12 SSE and LiCoO2 cathode, and the sulfide SSE is not chemically decomposed after cycling. The highest occupied molecule orbital/lowest unoccupied molecular orbital energy gap of this Li/GO dipole structure likely stretches over those of Li and sulfide SSE, enabling stabilized Li/SSE interface that can replace the expensive In layer as Li protective structure in SSBs. [ABSTRACT FROM AUTHOR]

Background and Purpose: Activation of PKC-ζ is closely linked to the pathogenesis of cardiac hypertrophy. PKC-ζ can be activated by certain lipid metabolites such as phosphatidylinositol (3,4,5)-trisphosphate and ceramide. However, its endogenous negative regulators are not well defined. Here, the role of the sirtuin1-PKC-ζ signalling axis and the underlying molecular mechanisms were investigated in cardiac hypertrophy.Experimental Approach: Cellular hypertrophy in cultures of cardiac myocytes, from neonatal Sprague-Dawley rats, was monitored by measuring cell surface area and the mRNA levels of hypertrophic biomarkers. Interaction between sirtuin1 and PKC-ζ was investigated by co-immunoprecipitation and confocal immunofluorescence microscopy. Sirtuin1 activation was enhanced by resveratrol treatment or Ad-sirtuin1 transfection. A model of cardiac hypertrophy in Sprague-Dawley rats was established by abdominal aortic constriction surgery or induced by isoprenaline in vivo.Key Results: Overexpression of PKC-ζ led to cardiac hypertrophy and increased activity of NF-κB, ERK1/2 and ERK5, which was ameliorated by sirtuin1 overexpression. Enhancement of sirtuin1 activity suppressed acetylation of PKC-ζ, hindered its binding to phosphoinositide-dependent kinase 1 and inhibited PKC-ζ phosphorylation in cardiac hypertrophy. Consequently, the downstream pathways of PKC-ζ' were suppressed in cardiac hypertrophy. This regulation loop suggests a new role for sirtuin1 in mediation of cardiac hypertrophy.Conclusions and Implications: Sirtuin1 is an endogenous negative regulator for PKC-ζ and mediates its activity via regulating the acetylation and phosphorylation in the pathogenesis of cardiac hypertrophy. Targeting the sirtuin1-PKC-ζ signalling axis may suggest a novel therapeutic approach against cardiac hypertrophy. [ABSTRACT FROM AUTHOR]

In article number 1802912, Zhe Peng, Chuying Ouyang, Deyu Wang and co‐workers report an interesting feature of SEI‐functionalized artificial layers, derived from a LiF decorated carbon layered structure. Surface chemistry and modeling analysis give evidence of a special conversion of LiF into C‐Fx surface components on defective carbon sheets during Li plating, and the as‐formed SEI‐functionalized layer can retard electron transfer by three orders of magnitude to avoid undesirable Li deposition on the top surface, and ameliorates Li+ ion migration to enable uniform and dendrite‐free Li deposition beneath such an interlayer. [ABSTRACT FROM AUTHOR]

Lithium (Li) metal is a key anode material for constructing next generation high energy density batteries. However, dendritic Li deposition and unstable solid electrolyte interphase (SEI) layers still prevent practical application of Li metal anodes. In this work, it is demonstrated that an uniform Li coating can be achieved in a lithium fluoride (LiF) decorated layered structure of stacked graphene (SG), leading to the formation of an SEI‐functionalized membrane that retards electron transfer by three orders of magnitude to avoid undesirable Li deposition on the top surface, and ameliorates Li+ ion migration to enable uniform and dendrite‐free Li deposition beneath such an interlayer. Surface chemistry analysis and density functional theory calculations demonstrate that these beneficial features arise from the formation of C–Fx surface components on the SG sheets during the Li coating process. Based on such an SEI‐functionalized membrane, stable cycling at high current densities up to 3 mA cm−2 and Li plating capacities up to 4 mAh cm−2 can be realized in LiPF6/carbonate electrolytes. This work elucidates the promising strategy of modifying Li plating behavior through the SEI‐functionalized carbon structure, with significantly improved cycling stability of rechargeable Li metal anodes. A surface conversion of LiF into C–Fx components on a defective carbon sheet can be achieved during Li plating to provide a solid electrolyte interphase (SEI)‐functionalization of a layered carbon structure. Uniform Li deposition with dendrite‐free features can be realized beneath the SEI‐functionalized layer for significantly improved cycling stability of Li metal anodes. [ABSTRACT FROM AUTHOR]

Objectives: To assess vestibular function, video head impulse test (vHIT) is taken as the gold standard by evaluating the vestibulo-ocular reflex (VOR). However, vHIT requires the patient to wear a specialized head-mounted goggle equipment that needs to be calibrated before each use. For this, we proposed an intelligent head impulse test (iHIT) setting with a monocular infrared camera instead of the head-mounted goggle and contributed correspondingly a video classification approach with deep learning to vestibular function determination., Methods: Within the iHIT framework, a monocular infrared camera was set in front of the patient to capture test videos, based on which a dataset DiHIT of HIT video clips was set up. We then proposed a two-stage multi-modal video classification network, trained on the dataset DiHIT, that took as input the eye motion and head motion data extracted from the facial keypoints via HIT clips and outputted the identification of the semicircular canal (SCC) being tested (SCC identification) and determination of VOR abnormality (SCC qualitation)., Results: Experiments on this dataset DiHIT showed that it achieved the accuracy of 100% in prediction of SCC identification. Furthermore, it attained predictive accuracies of 84.1% in horizontal and 79.0% in vertical SCC qualitation., Conclusions: Compared with existing video-based HIT, iHIT eliminates goggles, does not require equipment calibration, and achieves complete automation. Furthermore, iHIT will bring more benefits to users due to its low cost and ease of operation. Codes and use case pipeline are available at: https://github.com/dec1st2023/iHIT., Level of Evidence: 3 Laryngoscope, 2024., (© 2024 The American Laryngological, Rhinological and Otological Society, Inc.)