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Summarizes research studies made early in this century in the fields of cellulose, starch, proteins, and rubber. Included is a description of factors which give rise to the concept of very long, chain-like molecules. (CC)

Lithium-oxygen batteries (LOBs) with ultrahigh theoretical energy density have emerged as one appealing candidate for next-generation energy storage devices. Unfortunately, some fundamental issues remain unsettled, involving large overpotential and inferior rate capability, mainly induced by the sluggish reaction kinetics and parasitic reactions at the cathode. Hence, the pursuit of suitable catalyst capable of efficiently catalyzing the oxygen redox reaction and eliminating the side-product generation, become urgent for the development of LOBs. Here, we report a universal synthesis approach to fabricate a suite of mildly oxidized MXenes (mo-Nb2CTx, mo-Ti3C2Tx, and mo-V2CTx) as cathode catalysts for LOBs. The readily prepared mo-MXenes possess expanded interlayer distance to accommodate massive Li2O2 formation, and in-situ-formed light metal oxide to enhance the electrocatalytic activity of MXenes. Taken together, the mo-V2CTx manages to deliver a high specific capacity of 22752 mAh g-1 at a current density of 100 mA g-1, and a long lifespan of 100 cycles at 500 mA g-1. More impressively, LOBs with mo-V2CTx can continuously operate for 90, 89, and 70 cycles, respectively, under a high current density of 1000, 2000, and 3000 mA g-1 with a cutoff capacity of 1000 mAh g-1. The theoretical calculations further reveal the underlying mechanism lies in the optimized surface, where the overpotentials for the formation/decomposition of Li2O2 are significantly reduced and the catalytic kinetics is accelerated. This contribution offers a feasible strategy to prepare MXenes as efficient and robust electrocatalyst toward advanced LOBs and other energy storage devices.

The effects of small-molecule AMP-activated protein kinase (AMPK) activators in rat epididymal adipocytes were compared. SC4 was the most effective and submaximal doses of SC4 and 5-amino-4-imidazolecarboxamide (AICA) riboside were combined to study the effects of AMPK activation in white adipose tissue (WAT). Incubation of rat adipocytes with SC4 + AICA riboside inhibited noradrenaline-induced lipolysis and decreased hormone-sensitive lipase (HSL) Ser563 phosphorylation, without affecting HSL Ser565 phosphorylation. Preincubation of fat pads from wild-type (WT) mice with SC4 + AICA riboside inhibited insulin-stimulated lipogenesis from glucose or acetate and these effects were lost in AMPKα1 knockout (KO) mice, indicating AMPKα1 dependency. Moreover, in fat pads from acetyl-CoA carboxylase (ACC)1/2 S79A/S212A double knockin versus WT mice, the effect of SC4 + AICA riboside to inhibit insulin-stimulated lipogenesis from acetate was lost, pinpointing ACC as the main AMPK target. Treatment with SC4 + AICA riboside decreased insulin-stimulated glucose uptake, an effect that was still observed in fat pads from AMPKα1 KO versus WT mice, suggesting the effect was partly AMPKα1-independent. SC4 + AICA riboside treatment had no effect on the insulin-induced increase in palmitate esterification nor on sn-glycerol-3-phosphate-O-acyltransferase activity. Therefore in WAT, AMPK activation inhibits noradrenaline-induced lipolysis and suppresses insulin-stimulated lipogenesis primarily by inactivating ACC and by inhibiting glucose uptake.

INTRODUCTION In three phase III randomized controlled trials, ceftaroline fosamil was shown to be non-inferior to vancomycin plus aztreonam for the treatment of complicated skin and soft tissue infections (cSSTIs). This exploratory analysis evaluated the impact of underlying comorbidities on clinical outcomes in patients with cSSTI pooled from these three studies. METHODS CANVAS 1 and 2 and COVERS evaluated ceftaroline fosamil (600 mg every 12 h [q12h]; 600 mg every 8 h [q8h; COVERS]) versus vancomycin plus aztreonam (1 g q12h each [CANVAS 1 and 2]; vancomycin 15 mg/kg q12h and aztreonam 1 g q8h [COVERS]) in hospitalized adults with cSSTI. The primary efficacy variable in each trial was clinical response at the test-of-cure (TOC) visit. Subgroup analyses were performed on the pooled clinically evaluable (CE) population, exploring the impact of age and various baseline comorbidities. RESULTS Overall, 1808 patients were included in the CE population (1005 ceftaroline fosamil; 803 vancomycin plus aztreonam). Clinical cure rates at TOC were 89.7% (ceftaroline fosamil) and 90.8% (vancomycin plus aztreonam) (difference [95% confidence interval] - 1.13 [- 3.87, 1.67]). Clinical response rates were similar between treatment groups, regardless of age (≤ 65 years or > 65 years), and in subgroups of patients with and without diabetes mellitus, peripheral vascular disease, cancer/malignancy, renal impairment, and obesity; within these subgroups, efficacy and safety results were generally consistent with those of the overall cSSTI population. CONCLUSIONS This analysis provides supportive evidence of the efficacy of ceftaroline fosamil in patients with cSSTI and underlying comorbidities. TRIAL REGISTRATION CANVAS 1, NCT00424190 and CANVAS 2, NCT00423657 (both trials first posted on ClinicalTrials.gov 18/01/2007); COVERS, NCT01499277 (first posted on ClinicalTrials.gov 26/12/2011).

Tungsten diselenide (WSe2) possesses extraordinary electronic properties for applications in electronics, optoelectronics, and emerging exciton physics. The synthesis of monolayer WSe2 film is of topmost for device arrays and integrated circuits. The monolayer WSe2 film has yet been reported by thermal chemical vapor deposition (CVD) approach, and the nucleation mechanism remains unclear. Here, we report a pre-seeding strategy for finely regulating the nuclei density at an early stage and achieving a fully covered film after chemical vapor deposition growth. The underlying mechanism is heterogeneous nucleation from the pre-seeding tungsten oxide nanoparticles. At first, we optimized the precursor concentration for pre-seeding. Besides, we confirmed the superiority of the pre-seeding method, compared with three types of substrate pretreatments, including nontreatment, sonication in an organic solvent, and oxygen plasma. Eventually, the high-quality synthetic WSe2 monolayer film exhibits excellent device performance in field-effect transistors and photodetectors. We extracted thermodynamic activation energy from the nucleation and growth data. Our results may shed light on the wafer-scale production of homogeneous monolayer films of WSe2, other 2D materials, and their van der Waals heterostructures. Web of Science

In the highly dynamic metabolic landscape of a neuron, mitochondrial membrane architectures can provide critical insight into the unique energy balance of the cell. Current theoretical calculations of functional outputs like ATP and heat often represent mitochondria as idealized geometries and therefore can miscalculate the metabolic fluxes. To analyze mitochondrial morphology in neurons of mouse cerebellum neuropil, 3D tracings of complete synaptic and axonal mitochondria were constructed using a database of serial TEM tomography images and converted to watertight meshes with minimal distortion of the original microscopy volumes with a granularity of 1.6 nanometer isotropic voxels. The resulting in silico representations were subsequently quantified by differential geometry methods in terms of the mean and Gaussian curvatures, surface areas, volumes, and membrane motifs, all of which can alter the metabolic output of the organelle. Finally, we identify structural motifs that are present across this population of mitochondria; observations which may contribute to future modeling studies of mitochondrial physiology and metabolism in neurons.

Circulating cell-free DNA (ccfDNA) is used increasingly as a cancer biomarker for prognostication, as a correlate for tumor volume, or as input for downstream molecular analysis. Determining optimal blood processing and ccfDNA quantification are crucial for ccfDNA to serve as an accurate biomarker as it moves into the clinical realm. Whole blood was collected from 50 subjects, processed to plasma, and used immediately or frozen at -80°C. Plasma ccfDNA was extracted and concentration was assessed by real-time quantitative PCR (qPCR), fluorimetry, and droplet digital PCR (ddPCR). For the 24 plasma samples from metastatic pancreatic cancer patients, the variant allele fractions (VAF) of KRAS G12/13 pathogenic variants in circulating tumor DNA (ctDNA) were measured by ddPCR. Using a high-speed (16,000 × g) or slower-speed (4100 × g) second centrifugation step showed no difference in ccfDNA yield or ctDNA VAF. A two- versus three-spin centrifugation protocol also showed no difference in ccfDNA yield or ctDNA VAF. A higher yield was observed from fresh versus frozen plasma by qPCR and fluorimetry, whereas a higher yield was observed for frozen versus fresh plasma by ddPCR, however, no difference was observed in ctDNA VAF. Overall, our findings suggest factors to consider when implementing a ccfDNA extraction and quantification workflow in a research or clinical setting.

Laboratory studies play a crucial role in understanding the chemical nature of the interstellar medium (ISM), but the disconnect between experimental timescales and the timescales of reactions in space can make a direct comparison between observations, laboratory, and model results difficult. Here we study the survival of reactive fragments of the polycyclic aromatic hydrocarbon (PAH) coronene, where individual C atoms have been knocked out of the molecules in hard collisions with He atoms at stellar wind and supernova shockwave velocities. Ionic fragments are stored in the DESIREE cryogenic ion-beam storage ring where we investigate their decay for up to one second. After 10 ms the initially hot stored ions have cooled enough so that spontaneous dissociation no longer takes place at a measurable rate; a majority of the fragments remain intact and will continue to do so indefinitely in isolation. Our findings show that defective PAHs formed in energetic collisions with heavy particles may survive at thermal equilibrium in the interstellar medium indefinitely, and could play an important role in the chemistry in there, due to their increased reactivity compared to intact or photo-fragmented PAHs., Ion storage rings allow reactions to be studied over orders of magnitude in time, bridging the gap between typical experimental and astronomical timescales. Here the authors observe that polycyclic aromatic hydrocarbon fragments produced upon collision with He atoms at velocities typical of stellar winds and supernova shockwaves remain intact up to second timescales, thus may play an important role in interstellar chemistry.

The COVID-19 pandemic has claimed millions of lives worldwide, sickened many more, and has resulted in severe socioeconomic consequences. As society returns to normal, understanding the spread and persistence of SARS CoV-2 on commonplace surfaces can help to mitigate future outbreaks of coronaviruses and other pathogens. We hypothesize that such an understanding can be aided by studying the binding and interaction of viral proteins with nonbiological surfaces. Here, we propose a methodology for investigating the adhesion of the SARS CoV-2 spike glycoprotein on common inorganic surfaces such as aluminum, copper, iron, silica, and ceria oxides as well as metallic gold. Quantitative adhesion was obtained from the analysis of measured forces at the nanoscale using an atomic force microscope operated under ambient conditions. Without imposing further constraints on the measurement conditions, our preliminary findings suggest that spike glycoproteins interact with similar adhesion forces across the majority of the metal oxides tested with the exception to gold, for which attraction forces ∼10 times stronger than all other materials studied were observed. Ferritin, which was used as a reference protein, was found to exhibit similar adhesion forces as SARS CoV-2 spike protein. This study results show that glycoprotein adhesion forces for similar ambient humidity, tip shape, and contact surface are nonspecific to the properties of metal oxide surfaces, which are expected to be covered by a thin water film. The findings suggest that under ambient conditions, glycoprotein adhesion to metal oxides is primarily controlled by the water capillary forces, and they depend on the surface tension of the liquid water. We discuss further strategies warranted to decipher the intricate nanoscale forces for improved quantification of the adhesion.

A single-atom Pt1 /CeO2 catalyst formed by atom trapping (AT, 800 °C in air) shows excellent thermal stability but is inactive for CO oxidation at low temperatures owing to over-stabilization of Pt2+ in a highly symmetric square-planar Pt1 O4 coordination environment. Reductive activation to form Pt nanoparticles (NPs) results in enhanced activity; however, the NPs are easily oxidized, leading to drastic activity loss. Herein we show that tailoring the local environment of isolated Pt2+ by thermal-shock (TS) synthesis leads to a highly active and thermally stable Pt1 /CeO2 catalyst. Ultrafast shockwaves (>1200 °C) in an inert atmosphere induced surface reconstruction of CeO2 to generate Pt single atoms in an asymmetric Pt1 O4 configuration. Owing to this unique coordination, Pt1 δ+ in a partially reduced state dynamically evolves during CO oxidation, resulting in exceptional low-temperature performance. CO oxidation reactivity on the Pt1 /CeO2 _TS catalyst was retained under oxidizing conditions.

Salinity is one of the major abiotic stresses that limits agricultural productivity worldwide. Many proteins with defined functions in salt stress adaptation are controlled through interactions with members of the 14-3-3 family. In the present study, we generated three 14-3-3 quadruple knockout mutants (qKOs: klpc, klun, and unpc) to study the role of six non-epsilon group 14-3-3 proteins for salt stress adaptation. The relative growth inhibition under 100 mM of NaCl stress was the same for wild-type (Wt) and qKOs, but the accumulation of Na+ in the shoots of klpc was significantly lower than that in Wt. This difference correlated with the higher expression of the HKT1 gene in klpc. Considering the regulatory role of 14-3-3 proteins in metabolism and the effect of salt stress on metabolite accumulation, we analyzed the effect of a 24-h salt treatment on the root metabolome of nutrient solution-grown genotypes. The results indicated that the klpc mutant had metabolome responses that were different from those of Wt. Notably, the reducing sugars, glucose and fructose, were lower in klpc under control and salt stress. On the other hand, their phosphorylated forms, glucose-6P and fructose-6P, were lower under salt stress as compared to Wt. This study provided insight into the functions of the 14-3-3 proteins from non-epsilon group members. In summary, it was found that these proteins control ion homeostasis and metabolite composition under salt stress conditions and non-stressed conditions. The analyses of single, double, and triple mutants that modify subsets from the most effective qKO mutant (klpc) may also reveal the potential redundancy for the observed phenotypes.

Sedimentary rocks can release carbon dioxide (CO2) during the weathering of rock organic carbon and sulfide minerals. This sedimentary carbon could act as a feedback on Earth’s climate over millennial to geological timescales, yet the environmental controls on the CO2 release from rocks are poorly constrained. Here, we directly measure CO2 flux from weathering of sedimentary rocks over 2.5 years at the Draix-Bleone Critical Zone Observatory, France. Total CO2 fluxes approached values reported for soil respiration, with radiocarbon analysis confirming the CO2 source from rock organic carbon and carbonate. The measured CO2 fluxes varied seasonally, with summer fluxes five times larger than winter fluxes, and were positively correlated with temperature. The CO2 release from rock organic carbon oxidation increased by a factor of 2.2 when temperature increased by 10 °C. This temperature sensitivity is similar to that of degradation of recent-plant-derived organic matter in soils. Our flux measurements identify sedimentary-rock weathering as a positive feedback to warming, which may have operated throughout Earth’s history to force the surface carbon cycle. The release of carbon dioxide during oxidative weathering of sedimentary rocks acts as a positive feedback to warming, according to 2.5 years of CO2 flux measurements from the Draix-Bleone Critical Zone Observatory, France.

PURPOSE Olaparib, a poly (ADP-ribose) polymerase (PARP) inhibitor (PARPi), is approved as maintenance therapy for patients with advanced pancreatic cancer (PC) and a germline BRCA1 or BRCA2 pathogenic variant (PV). This investigator-initiated, single-arm phase II study assessed the role of the PARPi rucaparib as maintenance therapy in advanced PC with germline or somatic PV in BRCA1, BRCA2, or PALB2. PATIENTS AND METHODS Eligible patients had advanced PC; germline (g) or somatic (s) PVs in BRCA1, BRCA2, or PALB2, and received at least 16 weeks of platinum-based chemotherapy without evidence of platinum resistance. Chemotherapy was discontinued and patients received rucaparib 600 mg orally twice a day until progression. The primary end point was the progression-free survival (PFS) rate at 6 months (PFS6). Secondary end points included safety, ORR, disease control rate, duration of response, and overall survival. RESULTS Of 46 enrolled patients, 42 were evaluable (27 g BRCA2, seven g BRCA1, six g PALB2, and two s BRCA2). PFS6 was 59.5% (95% CI, 44.6 to 74.4), median PFS was 13.1 months (95% CI, 4.4 to 21.8), and median overall survival was 23.5 months (95% CI, 20 to 27). The PFS at 12 months was 54.8%. ORR of the 36 patients with measurable disease was 41.7% (3 complete responses; 12 partial responses; 95% CI, 25.5 to 59.2), and disease control rate was 66.7% (95% CI, 49.0 to 81.4). Median duration of response was 17.3 months (95% CI, 8.8 to 25.8). Responses occurred in patients with gBRCA2 (41%, 11 out of 27), gPALB2 (50%, 3 out of 6), and sBRCA2 (50%, 1 out of 2). No new safety signals were noted. CONCLUSION Maintenance rucaparib is a safe and effective therapy for platinum-sensitive, advanced PC with a PV in BRCA1, BRCA2, or PALB2. The finding of efficacy in patients with g PALB2 and s BRCA2 PVs expands the population likely to benefit from PARPi beyond g BRCA1/ 2 PV carriers.

In the western world, up to 10% of the general population and more than 15% of hospitalized patients report penicillin allergy. After a comprehensive evaluation, more than 95% of patients who report a penicillin allergy can subsequently tolerate this antibiotic. Traditionally, the most widely accepted protocol to evaluate beta-lactam (BL) allergy consisted of skin testing (ST) followed by a drug provocation test (DPT) in ST-negative patients. DPT is the gold standard for proving or excluding BL allergy and is considered the final and definitive step in the evaluation. Recently, studies have been published that support the use of direct DPTs without preceding ST for both pediatric and adult patients who report a low-risk historical reaction to BLs. However, these studies use various risk-stratification criteria to determine eligibility for a direct DPT. A standardized protocol for DPT is also lacking. In this review, we assess the current literature and evidence for performing direct DPT in the pediatric and adult populations. On the basis of this evidence, we also present risk-based algorithms for the evaluation of BL allergy in pediatric and adult populations based on a description of the historical reaction.

Extrinsic inhibitors at sites of blood–brain barrier disruption and neurovascular damage contribute to remyelination failure in neurological diseases. However, therapies to overcome the extrinsic inhibition of remyelination are not widely available and the dynamics of glial progenitor niche remodelling at sites of neurovascular dysfunction are largely unknown. By integrating in vivo two-photon imaging co-registered with electron microscopy and transcriptomics in chronic neuroinflammatory lesions, we found that oligodendrocyte precursor cells clustered perivascularly at sites of limited remyelination with deposition of fibrinogen, a blood coagulation factor abundantly deposited in multiple sclerosis lesions. By developing a screen (OPC-X-screen) to identify compounds that promote remyelination in the presence of extrinsic inhibitors, we showed that known promyelinating drugs did not rescue the extrinsic inhibition of remyelination by fibrinogen. In contrast, bone morphogenetic protein type I receptor blockade rescued the inhibitory fibrinogen effects and restored a promyelinating progenitor niche by promoting myelinating oligodendrocytes, while suppressing astrocyte cell fate, with potent therapeutic effects in chronic models of multiple sclerosis. Thus, abortive oligodendrocyte precursor cell differentiation by fibrinogen is refractory to known promyelinating compounds, suggesting that blockade of the bone morphogenetic protein signalling pathway may enhance remyelinating efficacy by overcoming extrinsic inhibition in neuroinflammatory lesions with vascular damage., The inhibitory lesion environment is a critical barrier to remyelination. Petersen and Tognatta et al. show that known promyelinating drugs do not rescue extrinsic inhibition of remyelination by fibrinogen, and find that BMP type I receptor blockade restores a promyelinating progenitor niche at sites of neurovascular damage.

Among patients that receive Remicade® therapy, more than 20% have adverse infusion related reactions and approximately 50% have immunogenic responses. 1 , 2 , 3 Upon characterization of initial Remicade®-IV solution we observed a high concentration of subvisible particles that could inadvertently be delivered to patients. This solution was processed through the IV infusion system, mimicking the typical clinical administration setup - either with or without an in-line filter connected to the IV line. The samples generated thereafter were tested using various in vitro assays for activation of the innate immune system via cytokine release in whole blood and in peripheral blood mononuclear cell (PBMC) cultures, and activation of the Toll like receptors (TLRs). Activation of the adaptive immune system was evaluated by monitoring upregulation of surface receptors on dendritic cells (DCs) and CD4+ T cell proliferation in response to IV solution of Remicade®. Our results indicate that subvisible particles in Remicade®-saline solution have a significant role in activation of the immune system but there are extrinsic factors potentially contributed by the in-line filters or other process parameters that also contribute to immune system activation.

Radiocarbon (14C) analysis of carbon dioxide (CO2) can be extremely useful in carbon cycle studies because it provides unique information that can infer the age and source of this greenhouse gas. Cartridges containing the CO2-adsorbing zeolite molecular sieve are small and highly portable, which makes them more suitable for field campaigns in remote locations compared to some other CO2 collection methods. However, sampling with molecular sieve cartridges usually requires additional equipment, such as an infrared gas analyser, which can reduce portability and pose limitations due to power demands. In addition, 14C analysis of CO2 is increasingly being used in field experiments which require high numbers of replicate CO2 collections, placing extra pressure on an expensive and cumbersome collection apparatus. We therefore designed and built a molecular sieve CO2 sampling kit that utilizes a small, low power CO2 sensor. We demonstrate the reliability of the new kit for the collection of CO2 samples for 14C analysis in a series of laboratory and field tests. This inexpensive sampling kit is small, light-weight, highly portable, and has low power demands, making it particularly useful for field campaigns in remote and inaccessible locations.

The lithium (Li) metal polymer battery (LMPB) is a promising candidate for solid-state batteries with high safety. However, high voltage stability of such a battery has been hindered by the use of polyethylene oxide (PEO), which oxidizes at a potential lower than 4 V versus Li. Herein, we adopt the polymer-in-salt electrolyte (PISE) strategy to circumvent the disadvantage of the PEO-lithium bis(fluorosulfonyl)imide (LiFSI) system with EO/Li ≤ 8 through a dry ball-milling process to avoid the contamination of the residual solvent. The obtained solid-state PISEs exhibit distinctly different morphologies and coordination structures which lead to significant improvement in oxidative stability. P(EO)1LiFSI has a low melting temperature, a high ionic conductivity at 60 °C, and an oxidative stability of ∼4.5 V versus Li/Li+. With an effective interphase rich in inorganic species and a good stability of the hybrid polymer electrolyte toward Li metal, the LMPB constructed with Li||LiNi1/3Co1/3Mn1/3O2 can retain 74.4% of capacity after 186 cycles at 60 °C under the cutoff charge voltage of 4.3 V. The findings offer a promising pathway toward high-voltage stable polymer electrolytes for high-energy-density and safe LMPBs.

Despite being an effective flame retardant, trimethyl phosphate (TMPa ) is generally considered as an unqualified solvent for fabricating electrolytes used in graphite (Gr)-based lithium-ion batteries as it readily leads to Gr exfoliation and cell failure. In this work, by adopting the unique solvation structure of localized high-concentration electrolyte (LHCE) to TMPa and tuning the composition of the solvation sheaths via electrolyte additives, excellent electrochemical performance can be achieved with TMPa -based electrolytes in Gr∥LiNi0.8 Mn0.1 Co0.1 O2 cells. After 500 charge/discharge cycles within the voltage range of 2.5-4.4 V, the batteries containing the TMPa -based LHCE with a proper additive can achieve a capacity retention of 85.4 %, being significantly higher than cells using a LiPF6 -organocarbonates baseline electrolyte (75.2 %). Meanwhile, due to the flame retarding effect of TMPa , TMPa -based LHCEs exhibit significantly reduced flammability compared with the conventional LiPF6 -organocarbonates electrolyte.

Aim The Tafamidis in Transthyretin Cardiomyopathy Clinical Trial (ATTR-ACT) showed that tafamidis reduced all-cause mortality and cardiovascular-related hospitalizations in patients with transthyretin amyloid cardiomyopathy (ATTR-CM). This study aimed to estimate the impact of tafamidis on survival and quality-adjusted life-years (QALYs). Methods and results A multi-state, cohort, Markov model was developed to simulate the disease course of ATTR-CM throughout a lifetime. For survival extrapolation, survival curves were fitted by treatment arm and New York Heart Association (NYHA) Class I/II (68% of patients) and NYHA Class III (32% of patients) cohorts using the individual patient-level data from both the ATTR-ACT and the corresponding long-term extension study. Univariate and multivariate sensitivity analyses were conducted. The predicted mean survival for the total population (NYHA Class I/II + III) was 6.73 years for tafamidis and 2.85 years for the standard of care (SoC), resulting in an incremental mean survival of 3.88 years [95% confidence interval (CI) 1.32–5.66]. Of the 6.73 life-years, patients on tafamidis spend, on average, 4.82 years in NYHA Class I/II, while patients on SoC spend an average of 1.60 life-years in these classes. The combination of longer survival in lower NYHA classes produced a QALY gain of 5.39 for tafamidis and 2.11 for SoC, resulting in 3.29 incremental QALYs (95% CI 1.21–4.74) in favour of tafamidis. Conclusion Based on the disease simulation model results, tafamidis is expected to more than double the life expectancy and QALYs of ATTR-CM patients compared to SoC. Longer-term follow-up data from the ATTR-ACT extension study will further inform these findings. Clinical trials.gov identifier NCT01994889 (date of registration: 26 November 2013).

Rechargeable lithium (Li) metal batteries (LMBs) with ultrahigh-nickel (Ni) layered oxide cathodes offer a great opportunity for applications in electrical vehicles. However, increasing Ni content inherently arouses a tradeoff between specific capacity and electrochemical cyclability due to the aggressive side reactions with electrolyte contributed by the highly reactive Ni species. Here, a protective and stable cathode/electrolyte interphase featuring enriched and evenly-distributed LiF is in situ formed on ultrahigh-Ni cathode LiNi0.94Co0.06O2 (NC) with an advanced ether-based localized high-concentration electrolyte (LHCE), which concurrently shows good compatibility with Li metal anode. Subsequently, the NC cathode can deliver high capacity retentions of 81.4% after 500 cycles at 25 °C and 91.6% after 100 cycles at 60 °C in the voltage range of 2.8–4.4 V in Li||NC cells at 1C cycling rate (1.5 mA cm−2). Meanwhile, the conductive electrode/electrolyte interphases formed in LHCE enable a high reversible capacity of about 209 mAh g−1 at 3C charging rate. This work provides an effective approach and important insight from the perspective of in situ ultrahigh-Ni cathode/electrolyte interphase protection for high energy–density, long-lasting LMBs.

The construction of C-C bonds by coupling reactions is an important process in synthetic chemistry though expensive catalysts are required. Heterogeneous photocatalysis offers a platform for C-C coupling of aromatic halides via hydro-dehalogenation by employing alcohols as the hydrogen donor; however, a designed photocatalyst with high activity and selectivity is lacking. Here, we show that Cu is a promising candidate to promote the coupling of aromatic halides due to the optimized adsorption energy of the reaction intermediates (benzyl radical and Br atom) over a series of transition metals. The Cu-modified TiO2 shows a remarkable apparent quantum efficiency (15%) and a great tolerance of harsh reaction conditions for the homocoupling of benzyl bromides into bibenzyl under UV irradiation. The low-cost photocatalyst also shows high performance upon scaling-up and selective coupling of a series of benzyl bromide derivatives, demonstrating the heterogeneous photocatalytic C-C coupling as an attractive process for applications. Additionally, the design strategy can be applied to modify other photocatalysts (i.e., g-C3N4) to realize the C-C coupling of benzyl bromide under visible light.

Cobalt (Co)-free ultrahigh-nickel (Ni) layered oxides exhibit dual competitive advantages in reducing the cathode cost and boosting the energy density, promising the sustainable development of batt...

A series of Ag–ZrO2/SiO2 catalysts with different metal–support interfaces were synthesized in an effort to elucidate the roles of specific interfaces in controlling the ethanol to 1,3–butadiene conversion and selectivity. According to the results of detailed characterizations (e.g. CO/pyridine–DRIFTS, XPS, TEM, NH3–TPD, and 1H MAS NMR), it was found that the Ag–O–Si interfaces significantly enhanced the dehydrogenation of ethanol while the presence of ZrO2 improved the interaction between Ag and ZrO2/SiO2, creating more Agδ+ active sites. The high dispersion of ZrO2 on SiO2 generated abundant Zr–O–Si interfaces with medium and weak Lewis acidity, promoting the condensation of acetaldehyde to crotonaldehyde. These Zr–O–Si interfaces in close interaction with Agδ+ species played a critical role in the enhanced H transfer during the MPV reduction of crotonaldehyde to crotyl alcohol. The synergies among the interfaces resulted in retarded ethanol dehydration reactivity, balanced ethanol dehydrogenation and condensation reactions, and a subsequent high 1,3–butadiene yield.

Background: The influence of sex hormone and insulin/insulin-like growth factor (IGF) axis signaling on endometrial cancer recurrence is unknown. We evaluated these pathways in a prospective cohort of Gynecologic Oncology Group (GOG)0210 trial endometrial adenocarcinoma patients. Methods: Stage II–IV patients (N = 816) were included in this study. Pretreatment specimens were tested for tumor mRNA and protein expression of IGF1, IGF2, IGF-binding proteins (IGFBP)-1 and -3, insulin (IR) and IGF-I receptors (IGF1R), phosphorylated IR/IGF1R (pIGF1R/pIR), and estrogen (ER) and progesterone receptors (PR) using qPCR and IHC. Serum concentrations of insulin, IGF-I, IGFBP-3, estradiol, estrone, and sex hormone binding globulin were measured. HRs and 95% confidence intervals (CI) for progression-free survival were calculated from Cox models adjusting for age, stage, and grade. Results: Recurrence occurred in 280 (34%) cases during a median of 4.6 years of follow-up. ER positivity (HR, 0.67; 95% CI, 0.47–0.95), IR positivity (HR, 0.53; 95% CI, 0.29–0.98), and circulating IGF-I (highest vs. lowest quartile: HR, 0.66; 95% CI, 0.47–0.92) were inversely associated with recurrence risk. Circulating estradiol (highest vs. lowest tertile: HR, 1.55; 95% CI, 1.02–2.36) and pIGF1R/pIR positivity (HR, 1.40; 95% CI, 1.02–1.92) were associated with increased recurrence risk. Conclusions: Circulating estradiol and tumor tissue phosphorylated (activated) IGR1R/IR were independently associated with higher risk of recurrence in patients with endometrial cancer. Impact: This study may inform future clinical trials of endocrine-targeted adjuvant therapies in patients with endometrial cancer that could include baseline assessment of serum and tissue biomarkers of estradiol and insulin signaling pathways.

The adsorption behavior of molecular iodine is important for understanding the spread of radioiodine in a nuclear accident. Prior experiments indicate that, in addition to the interaction with Fe, ...

A silicon (Si) anode is a high-capacity alternative for carbonaceous anodes in lithium ion batteries. However, a large volume change during cycling and continuous side reactions with the electrolyt...

In this work, we carry out a comprehensive study of charge carrier dynamics in germanium spanning its ultrafast to quasi-static timescales. The study makes use of a continuous-wave (CW) near-infrared (NIR) pump and terahertz (THz) probe beams to realize a CW NIR pumped THz-time-domain spectroscopy (THz-TDS) system with frequency-selective homodyne detection. This enables characterizations of ultrafast charge carrier scattering, while the detection is locked to the THz probe beam, and quasi-static charge carrier recombination, while the detection is locked to the CW NIR pump beam. The ultrafast THz-TDS characterization reveals scatter times of 239 fs for electrons and 204 fs for holes at low pump intensities, which reduce to scatter times of 186 fs for electrons and 159 fs for holes at higher pump intensities. These scatter times give good agreement to the literature mobility of germanium at low intensities and indicate carrier–carrier scattering at higher intensities. The quasi-static THz-TDS characterization suggests that the charge carrier lifetime is dominated by surface states. The manifestation of surface states is gleaned by characterizing germanium samples with varying forms of microhole arrays. This reveals lifetimes ranging from 1.5 to 8.6 μ s, in good agreement with a linearized model with a surface recombination velocity of 14 200 cm/s. Ultimately, the experimental results from the CW NIR pump THz-TDS system and the applied theoretical models give an accurate depiction of the charge carrier dynamics that evolve in germanium over its ultrafast to quasi-static timescales.

Reducing the operating temperature of conventional molten sodium-sulfur batteries (∼350 °C) is critical to create safe and cost-effective large-scale storage devices. By raising the surface treatment temperature of lead acetate trihydrate, the sodium wettability on β''-Al2O3 improved significantly at 120 °C. The low temperature Na-S cell can reach a capacity as high as 520.2 mA h g-1 and stable cycling over 1000 cycles.

Objectives The objectives of this post-hoc analysis were to examine the safety and efficacy of omadacycline by BMI categories and diabetes history in adults with acute bacterial skin and skin structure infections (ABSSSI) from two pivotal Phase III studies. Patients and methods OASIS-1 (ClinicalTrials.gov identifier NCT02378480): patients were randomized 1:1 to IV omadacycline or linezolid for 7–14 days, with optional transition to oral medication. OASIS-2 (ClinicalTrials.gov identifier NCT02877927): patients received once-daily oral omadacycline or twice-daily oral linezolid for 7–14 days. Early clinical response (ECR) was defined as ≥20% reduction in lesion size 48–72 h after the first dose. Clinical success at post-treatment evaluation (PTE; 7–14 days after the last dose) was defined as symptom resolution such that antibacterial therapy was unnecessary. Safety was assessed by treatment-emergent adverse events and laboratory measures. Between-treatment comparisons were made with regard to WHO BMI categories and diabetes history. Results Patients were evenly distributed among healthy weight, overweight and obese groups. Clinical success for omadacycline-treated patients at ECR and PTE was similar across BMI categories. Outcomes by diabetes status were similar in omadacycline- and linezolid-treated patients: at ECR, clinical success rates were lower for those with diabetes; at PTE, clinical success was similar between treatment groups regardless of diabetes history. The safety of omadacycline and linezolid was largely similar across BMI groups and by diabetes history. Conclusions Omadacycline efficacy in patients with higher BMI and in patients with diabetes was consistent with results from two pivotal Phase III ABSSSI trials. Fixed-dose omadacycline is an appropriate treatment for ABSSSI in adults regardless of BMI.

The sluggish kinetics of oxygen reduction reaction (ORR) seriously restrains the practical implementation of fuel cells and metal-air batteries (MABs). While, Pt-based catalysts are well proven to be effective for the ORR process, they are rather expensive. Therefore, it is critical to developing low-cost and advanced catalysts with a rationally designed structure and abundant reactive sites as alternatives for Pt-based catalysts. Herein, nitrogen-doped hollow carbon polyhedrons (NHCP) have been fabricated by directly pyrolyzing ZIF-8, templated by NaCl. Benefiting from their hollow porous structure, large surface area, high graphitization degree and desired nitrogen bonding type, the as-synthesized NHCP exhibits exceptional ORR electrocatalytic activity with a half-wave potential (E1/2) of 0.86 V, high selectivity and outstanding long-term stability, exceeding most reported nitrogen-doped metal-free carbon electrocatalysts. Furthermore, the assembled Zn-air battery with NHCP cathode delivers a peak power density of 272 mW cm−2, a specific capacity of 740 mAh g−1 and an operation period of 160 h. This contribution provides a new avenue for designing high-performance electrocatalysts for ORR.