ANXA1sp modulates the protective effect of Sirt3-induced mitophagy against sepsis-induced myocardial injury in mice.

AIM: Sepsis-induced myocardial injury (SIMI) may be associated with insufficient mitophagy in cardiomyocytes, but the exact mechanism involved remains unknown. Sirtuin 3 (Sirt3) is mainly found in the mitochondrial matrix and is involved in repairing mitochondrial function through means such as the activation of autophagy. Previously, we demonstrated that the annexin-A1 small peptide (ANXA1sp) can promote Sirt3 expression in mitochondria. In this study, we hypothesized that the activation of Sirt3 by ANXA1sp induces mitophagy, thereby providing a protective effect against SIMI in mice. METHODS: A mouse model of SIMI was established via cecal ligation and puncture. Intraperitoneal injections of ANXA1sp, 3TYP, and 3MA were administered prior to modeling. After successful modeling, IL-6, TNF-α, CK-MB, and CTn-I levels were measured; cardiac function was assessed using echocardiography; myocardial mitochondrial membrane potential, ROS, and ATP production were determined; myocardial mitochondrial ultrastructure was observed using transmission electron microscopy; and the expression levels of Sirt3 and autophagy-related proteins were detected using western blotting. RESULTS: ANXA1sp significantly reduced serum IL-6, TNF-α, CK-MB, and CTn-I levels; decreased myocardial ROS production; increased mitochondrial membrane potential and ATP synthesis; and improved myocardial mitochondrial ultrastructure in septic mice. Furthermore, ANXA1sp promoted Sirt3 expression and activated the AMPK-mTOR pathway to induce myocardial mitophagy. These protective effects of ANXA1sp were reversed upon treatment with the Sirt3 blocker, 3-TYP. CONCLUSION: ANXA1sp can reverse SIMI, and the underlying mechanism may be related to the activation of the AMPK-mTOR pathway following upregulation of Sirt3 by ANXA1sp, which, in turn, induces autophagy.

A Permselective Coating Protects Lithium Anode toward a Practical Lithium-Sulfur Battery.

Lithium metal is a desirable anode for high-energy density lithium-sulfur (Li-S) batteries. However, its reliability is severely limited by dendrite growth and side reactions with polysulfides, which are yet challenging to solve simultaneously. Herein, we report a protective layer that works the same way as the ion-permselective cell membrane, yielding a corrosion-resistant and dendrite-free Li metal anode specially for Li-S batteries. A self-limited assembly of octadecylamine together with Al3+ ions on a Li metal anode surface produces a dense, stable yet thin layer with ionic conductive Al-Li alloy uniformly embedded in it, which prevents the passage of polysulfides but regulates the penetrated Li ion flux for uniform Li deposition. As a result, the assembled batteries show excellent cycling stability even with a high sulfur-loaded cathode, suggesting a straightforward but promising strategy to stabilize highly active anodes for practical applications.

Bidirectional Lithiophilic Gradients Modification of Ultralight 3D Carbon Nanofiber Host for Stable Lithium Metal Anode.

Using 3D host is an effective way to solve the dendrite growth problem and accommodate volume changes of lithium (Li) metal anode. However, the preferred Li deposition on the top surface leads to the Li metal agglomeration at the surface. In addition, the large weight of the 3D host also greatly decreases the capacity based on the whole anode. Herein, a bidirectional lithiophilic gradient modification, including a top-down ZnO gradient and a bottom-up Sn gradient, is applied to an ultralight 3D carbon nanofiber host (density: 0.1 g cm-3 ) and ensures the evenly filling lithium deposition in the 3D host. ZnO transforms into highly ionic conductive Li-Zn alloy and Li2 O during cycling, enhancing the Li-ion transportation from top to bottom. The metallic Sn also lowers the Li nucleation potential, guiding the preferential Li deposition from the bottom. With such a host, a stable CE of 97.5% over 100 cycles at 1 mA cm-2 and 3 mAh cm-2 is achieved, and the full battery also delivers good cycling stability over 300 cycles with a high CE of 99.8% coupled with high loading LiFePO4 cathode (10 mg cm-2 ) and low N/P ratio (≈3).

Account of Deep Learning-Based Ultrasonic Image Feature in the Diagnosis of Severe Sepsis Complicated with Acute Kidney Injury.

This study was aimed at analyzing the diagnostic value of convolutional neural network models on account of deep learning for severe sepsis complicated with acute kidney injury and providing an effective theoretical reference for the clinical use of ultrasonic image diagnoses. 50 patients with severe sepsis complicated with acute kidney injury and 50 healthy volunteers were selected in this study. They all underwent ultrasound scans. Different deep learning convolutional neural network models dense convolutional network (DenseNet121), Google inception net (GoogLeNet), and Microsoft's residual network (ResNet) were used for training and diagnoses. Then, the diagnostic results were compared with professional image physicians' artificial diagnoses. The results showed that accuracy and sensitivity of the three deep learning algorithms were significantly higher than professional image physicians' artificial diagnoses. Besides, the error rates of the three algorithm models for severe sepsis complicated with acute kidney injury were significantly lower than professional physicians' artificial diagnoses. The areas under curves (AUCs) of the three algorithms were significantly higher than AUCs of doctors' diagnosis results. The loss function parameters of DenseNet121 and GoogLeNet were significantly lower than that of ResNet, with the statistically significant difference (P < 0.05). There was no significant difference in training time of ResNet, GoogLeNet, and DenseNet121 algorithms under deep learning, as the convergence was reached after 700 times, 700 times, and 650 times, respectively (P > 0.05). In conclusion, the value of the three algorithms on account of deep learning in the diagnoses of severe sepsis complicated with acute kidney injury was higher than professional physicians' artificial judgments and had great clinical value for the diagnoses and treatments of the disease.

Vertical Graphenes Grown on a Flexible Graphite Paper as an All-Carbon Current Collector towards Stable Li Deposition.

Lithium (Li) metal has been regarded as one of the most promising anode materials to meet the urgent requirements for the next-generation high-energy density batteries. However, the practical use of lithium metal anode is hindered by the uncontrolled growth of Li dendrites, resulting in poor cycling stability and severe safety issues. Herein, vertical graphene (VG) film grown on graphite paper (GP) as an all-carbon current collector was utilized to regulate the uniform Li nucleation and suppress the growth of dendrites. The high surface area VG grown on GP not only reduces the local current density to the uniform electric field but also allows fast ion transport to homogenize the ion gradients, thus regulating the Li deposition to suppress the dendrite growth. The Li deposition can be further guided with the lithiation reaction between graphite paper and Li metal, which helps to increase lithiophilicity and reduce the Li nucleation barrier as well as the overpotential. As a result, the VG film-based anode demonstrates a stable cycling performance at a current density higher than 5 mA cm-2 in half cells and a small hysteresis of 50 mV at 1 mA cm-2 in symmetric cells. This work provides an efficient strategy for the rational design of highly stable Li metal anodes.

A Lightweight 3D Cu Nanowire Network with Phosphidation Gradient as Current Collector for High-Density Nucleation and Stable Deposition of Lithium.

Lithium metal anodes with high energy density are important for further development of next-generation batteries. However, inhomogeneous Li deposition and dendrite growth hinder their practical utilization. 3D current collectors are widely investigated to suppress dendrite growth, but they usually occupy a large volume and increase the weight of the system, hence decreasing the energy density. Additionally, the nonuniform distribution of Li ions results in low utilization of the porous structure. A lightweight, 3D Cu nanowire current collector with a phosphidation gradient is reported to balance the lithiophilicity with conductivity of the electrode. The phosphide gradient with good lithiophilicity and high ionic conductivity enables dense nucleation of Li and its steady deposition in the porous structure, realizing a high pore utilization. Specifically, the homogenous deposition of Li leads to the formation of an oriented texture on the electrode surface at high capacities. A high mass loading (≈44 wt%) of Li with a capacity of 3 mAh cm-2 and a high average Coulombic efficiency of 97.3% are achieved. A lifespan of 300 h in a symmetrical cell is obtained at 2 mA cm-2 , implying great potential to stabilize lithium metal.

Electrode Design from "Internal" to "External" for High Stability Silicon Anodes in Lithium-Ion Batteries.

Building a stable electrode structure is an effective way to promote the practical applications of Si anode, which has large volume changes during charge/discharge process, in lithium-ion batteries. Herein, we fabricated an integrated electrode structure reinforced from "internal" to "external" to boost the performance of Si nanoparticles (NPs). The electrode contains the conductive polymer of poly(3,4-ethylene dioxythiophene):poly(styrenesulphonic acid) (PEDOT:PSS) as the binder, reduced graphene oxide (rGO), and hydroxylated Si NPs, which help form the "internal" interaction between them through the hydrogen bonding, while the "external" malleable network built by the flexible polymers and two-dimensional rGO sheets as the framework endows the highly flexible network to accommodate the Si expansion and forms long-range conductive network. Thus, the built-integrated electrode by the simple casting method shows high capacity, good rate performance, and long cycling stability. It is noted that such an electrode shows a high areal capacity of 3.29 mA h cm-2 and a high volumetric capacity of 3290 A h cm-3 at 0.09 mA cm-2. The integrated electrode design is promising to promote the practical use of Si anodes and can be extended to other noncarbon anodes with large volume changes.

An air-stable and waterproof lithium metal anode enabled by wax composite packaging.

The reviving use of lithium metal anode (LMA) is one of the most promising ways to upgrade the energy density of lithium ion batteries. In the roadmap towards the real use, besides the formation of the dendrite, various adverse reactions due to the high activity of LMA when exposed to air or the electrolyte limit its practical applications. Learning from the packaging technology in electronic industry, we propose a wax-based coating compositing with the ion conducting poly (ethylene oxide) by a simple dip-coating technology and the prepared LMA is featured with an air-stable and waterproof surface. The LMA thus remains stable for 24 h in ambient air even with the relative humidity of 70% while retaining about 85% its electrochemical capacity. More importantly, the LMA is accessible to water and when dipping in water, no obvious adverse reactions or capacity decay is observed. With the composite coating, a steady cycling performance for 500 h in symmetrical cells and a low capacity decay rate of 0.075% per cycle after 300 cycles in lithium-sulfur batteries assembled with the packaged anode have been achieved. This work demonstrates a very simple and effective LMA package technology which is easily scalable and is very promising for speeding up the industrialization of lithium-sulfur batteries and shows potentials for the large-scale production of air-sensitive electrode materials not limited to LMAs.

The association of duration and severity of disease with executive function: Differences between drug-naïve patients with bipolar and unipolar depression.

BACKGROUND: The aims of this study were to investigate the differences in executive function and the relationship with clinical factors between drug-naïve patients with bipolar depression (BDD) and unipolar depression (UPD). METHODS: Drug-naïve patients with BDD, UPD and healthy controls (HC) were recruited (30 cases in each group). All patients were assessed with Hamilton Rating Scale for Anxiety (HAM-A), Hamilton Rating Scale for Depression-17 (HAM-D), and Young Mania Rating Scale (YMRS). Executive function was evaluated by Stroop color-word test (CWT) and Wisconsin Card Sorting Test (WCST). RESULTS: In the BDD group, only the CWT number of missing was higher than HCs (P = 0.047). In the UDP group, CWT number of correct was lower, CWT number of missing was higher, and the WCST indices were worse than the HC group (P < 0.05). The WCST percentage of errors (PE) and percentage of conceptual level responses (PCLR) in the UPD group were worse than the BDD group (P < 0.05). In the BDD group, no correlations between CWT and WCST indices and clinical features were detected after correcting for multiple comparisons (P > 0.05). In the UDP group, the WCST PE, PCLR, number of categories completed (CC), and the percentage of perseverative responses (PPR) were correlated to the number of mood episodes (P < 0.01). LIMITATION: This was a small-sample cross-sectional study. The possibility of UPD transforming to bipolar disorder (BD) in future could not be ruled out. CONCLUSION: Our results suggested only small differences in executive function between drug-naïve patients with BDD and UPD, but in this sample only the UPD group showed differences with HCs. The executive function of drug-naïve BDD patients may be associated with duration of current depressive episode, while for UDP patients executive function indices were significantly correlated with number of mood episodes.

Nutrients removal and bacterial community structure for low C/N municipal wastewater using a modified anaerobic/anoxic/oxic (mA2/O) process in North China.

A modified anaerobic/anoxic/oxic (mA2/O) process based on utilizing the internal carbon source and adding polypropylene carriers was operated for 90d to investigate the nutrients removal performance and bacterial community. This system exhibited a stable and efficient performance, particularly, in removing the NH4+-N and total phosphorus. The results of high-throughput sequencing showed that the 13 dominant genera containing Pseudomonas, Comamonas, Arcobacter, Nitrobacteria, Nitrosospira, Nitrosomonas, Bacteroides, Flavobacterium, Rhizobium, Acinetobacter, Zoogloea, Rhodocyclus and Moraxella were shared by five zones, inferring that they were the essential players in treating low C/N (below 5.0) municipal wastewater around 10°C. The average abundance of Nitrosospira (4.21%) was higher than that of Nitrosomonas (2.93%), suggested that Nitrosospira performed well under low temperature for nitrification. Additionally, both known Rhodocyclus-related PAOs and GAOs Competibacter were not detected possibly due to low temperature. Redundancy analysis (RDA) indicated that DO played more important roles in regulating bacterial community composition than HRT.

Effects of percutaneous endoscopic gastrostomy on survival of patients in a persistent vegetative state after stroke.

AIMS AND OBJECTIVES: To assess the effect of percutaneous endoscopic gastrostomy on short- and long-term survival of patients in a persistent vegetative state after stroke and determine the relevant prognostic factors. BACKGROUND: Stroke may lead to a persistent vegetative state, and the effect of percutaneous endoscopic gastrostomy on survival of stroke patients in a persistent vegetative state remains unclear. DESIGN: Prospective study. METHODS: A total of 97 stroke patients in a persistent vegetative state hospitalised from January 2009 to December 2011 at the Second Hospital, University of South China, were assessed in this study. Percutaneous endoscopic gastrostomy was performed in 55 patients, and mean follow-up time was 18 months. Survival rate and risk factors were analysed. RESULTS: Median survival in the 55 percutaneous endoscopic gastrostomy-treated patients was 17·6 months, higher compared with 8·2 months obtained for the remaining 42 patients without percutaneous endoscopic gastrostomy treatment. Univariate analyses revealed that age, hospitalisation time, percutaneous endoscopic gastrostomy treatment status, family financial situation, family care, pulmonary infection and nutrition were significantly associated with survival. Multivariate analysis indicated that older age, no gastrostomy, poor family care, pulmonary infection and poor nutritional status were independent risk factors affecting survival. Indeed, percutaneous endoscopic gastrostomy significantly improved the nutritional status and decreased pulmonary infection rate in patients with persistent vegetative state after stroke. Interestingly, median survival time was 20·3 months in patients with no or one independent risk factors of poor prognosis (n = 38), longer compared with 8·7 months found for patients with two or more independent risk factors (n = 59). CONCLUSION: Percutaneous endoscopic gastrostomy significantly improves long-term survival of stroke patients in a persistent vegetative state and is associated with improved nutritional status and decreased pulmonary infection. RELEVANCE TO CLINICAL PRACTICE: Percutaneous endoscopic gastrostomy is a promising option for the management of stroke patients in a persistent vegetative state.