Recycling Fe and improving organic pollutant removal via in situ forming magnetic core-shell Fe3O4@CaFe-LDH in Fe(II)-catalyzed oxidative wastewater treatment.

Due to its high efficiency, Fe(II)-based catalytic oxidation has been one of the most popular types of technology for treating growing organic pollutants. A lot of chemical Fe sludge along with various refractory pollutants was concomitantly produced, which may cause secondary environmental problems without proper disposal. We here innovatively proposed an effective method of achieving zero Fe sludge, reusing Fe resources (Fe recovery = 100%) and advancing organics removal (final TOC removal > 70%) simultaneously, based on the in situ formation of magnetic Ca-Fe layered double hydroxide (Fe3O4@CaFe-LDH) nano-material. Cations (Ca2+ and Fe3+) concentration (≥ 30 mmol/L) and their molar ratio (Ca:Fe ≥ 1.75) were crucial to the success of the method. Extrinsic nano Fe3O4 was designed to be involved in the Fe(II)-catalytic wastewater treatment process, and was modified by oxidation intermediates/products (especially those with COO- structure), which promoted the co-precipitation of Ca2+ (originated from Ca(OH)2 added after oxidation process) and by-produced Fe3+ cations on its surface to in situ generate core-shell Fe3O4@CaFe-LDH. The oxidation products were further removed during Fe3O4@CaFe-LDH material formation via intercalation and adsorption. This method was applicable to many kinds of organic wastewater, such as bisphenol A, methyl orange, humics, and biogas slurry. The prepared magnetic and hierarchical CaFe-LDH nanocomposite material showed comparable application performance to the recently reported CaFe-LDHs. This work provides a new strategy for efficiently enhancing the efficiency and economy of Fe(II)-catalyzed oxidative wastewater treatment by producing high value-added LDHs materials.

Efficient magnetic capture of PE microplastic from water by PEG modified Fe3O4 nanoparticles: Performance, kinetics, isotherms and influence factors.

Due to their resistance to degradation, wide distribution, easy diffusion and potential uptake by organisms, microplastics (MPs) pollution has become a major environmental concern. In this study, PEG-modified Fe3O4 magnetic nanoparticles demonstrated superior adsorption efficiency against polyethylene (PE) microspheres compared to other adsorbents (bare Fe3O4, PEI/Fe3O4 and CA/Fe3O4). The maximum adsorption capacity of PE was found to be 2203 mg/g by adsorption isotherm analysis. PEG/Fe3O4 maintained a high adsorption capacity even at low temperature (5°C, 2163 mg/g), while neutral pH was favorable for MP adsorption. The presence of anions (Cl-, SO42-, HCO3-, NO3-) and of humic acids inhibited the adsorption of MPs. It is proposed that the adsorption process was mainly driven by intermolecular hydrogen bonding. Overall, the study demonstrated that PEG/Fe3O4 can potentially be used as an efficient control against MPs, thus improving the quality of the aquatic environment and of our water resources.

Predicting and refining acid modifications of biochar based on machine learning and bibliometric analysis: Specific surface area, average pore size, and total pore volume.

Acid-modified biochar is a modified biochar material with convenient preparation, high specific surface area, and rich pore structure. It has great potential for application in the heavy metal remediation, soil amendments, and carrying catalysts. Specific surface area (SSA), average pore size (APS), and total pore volume (TPV) are the key properties that determine its adsorption capacity, reactivity, and water holding capacity, and an intensive study of these properties is essential to optimize the performance of biochar. But the complex interactions among the preparation conditions obstruct finding the optimal modification strategy. This study collected dataset through bibliometric analysis and used four typical machine learning models to predict the SSA, APS, and TPV of acid-modified biochar. The results showed that the extreme gradient boosting (XGB) was optimal for the test results (SSA R2 = 0.92, APS R2 = 0.87, TPV R2 = 0.96). The model interpretation revealed that the modification conditions were the major factors affecting SSA and TPV, and the pyrolysis conditions were the major factors affecting APS. Based on the XGB model, the modification conditions of biochar were optimized, which revealed the ideal preparation conditions for producing the optimal biochar (SSA = 727.02 m2/g, APS = 5.34 nm, TPV = 0.68 cm3/g). Moreover, the biochar produced under specific conditions verified the generalization ability of the XGB model (R2 = 0.99, RMSE = 12.355). This study provides guidance for optimizing the preparation strategy of acid-modified biochar and promotes its potentiality for industrial application.

Comprehensive landscape of m6A regulator-related gene patterns and tumor microenvironment infiltration characterization in gastric cancer.

The epigenetic regulation of N6-methyladenosine (m6A) has attracted considerable interest in tumor research, but the potential roles of m6A regulator-related genes, remain largely unknown within the context of gastric cancer (GC) and tumor microenvironment (TME). Here, a comprehensive strategy of data mining and computational biology utilizing multiple datasets based on 28 m6A regulators (including novel anti-readers) was employed to identify m6A regulator-related genes and patterns and elucidate their underlying mechanisms in GC. Subsequently, a scoring system was constructed to evaluate individual prognosis and immunotherapy response. Three distinct m6A regulator-related patterns were identified through the unsupervised clustering of 56 m6A regulator-related genes (all significantly associated with GC prognosis). TME characterization revealed that these patterns highly corresponded to immune-inflamed, immune-excluded, and immune-desert phenotypes, and their TME characteristics were highly consistent with different clinical outcomes and biological processes. Additionally, an m6A-related scoring system was developed to quantify the m6A modification pattern of individual samples. Low scores indicated high survival rates and high levels of immune activation, whereas high scores indicated stromal activation and tumor malignancy. Furthermore, the m6A-related scores were correlated with tumor mutation loads and various clinical traits, including molecular or histological subtypes and clinical stage or grade, and the score had predictive values across all digestive system tumors and even in all tumor types. Notably, a low score was linked to improved responses to anti-PD-1/L1 and anti-CTLA4 immunotherapy in three independent cohorts. This study has expanded the important role of m6A regulator-related genes in shaping TME diversity and clinical/biological traits of GC. The developed scoring system could help develop more effective immunotherapy strategies and personalized treatment guidance.

Magnetic biochar serves as adsorbents and catalyst supports for the removal of antibiotics from wastewater: A review.

Numerous antibiotics are being released into the natural environment through wastewater. As antibiotic usage increases annually, its detrimental impact on the environment is escalating. Addressing environmental sustainability and human health requires significant attention towards antibiotic removal. In recent years, magnetic biochar (MBC) has gained widespread application in water treatment due to its exceptional adsorption and catalytic degradation capabilities. Antibiotics such as sulfamethoxazole (SMX), tetracycline (TC), ciprofloxacin (CIP), and others commonly exhibit an adsorption capacity by MBC ranging from 5 mg/g to 900 mg/g. Moreover, MBC typically removes over 90% of these antibiotics within 60 min. The effectiveness of antibiotic removal is significantly influenced by various preparation and modification methods. Furthermore, the incorporation of magnetism enables the material to be recycled and reused multiple times, thereby reducing consumption costs. This article discusses recent studies on antibiotic removal using MBC. It has been observed that variations in the selection of raw material and preparation procedures significantly affect antibiotic removal, while the mechanisms involved in antibiotic removal remain ambiguous. Additionally, it has been noted that the removal process may lead to secondary pollution and high preparation costs. Therefore, this review comprehensively outlines the utilization of MBC in the removal of antibiotics from wastewater, including aspects such as modification, preparation, removal mechanism, and factors influencing removal, and providing recommendations for antibiotic development. The aim is to offer researchers a clear understanding to advance the field of MBC materials.

Advanced photocatalytic disinfection mechanisms and their challenges.

Currently, microbial contamination issues have globally brought out a huge health threat to human beings and animals. To be specific, microorganisms including bacteria and viruses display durable ecological toxicity and various diseases to aquatic organisms. In the past decade, the photocatalytic microorganism inactivation technique has attracted more and more concern owing to its green, low-cost, and sustainable process. A variety kinds of photocatalysts have been employed for killing microorganisms in the natural environment. However, two predominant shortcomings including low activity of photocatalysts and diverse impacts of water characteristics are still displayed in the current photocatalytic disinfection system. So far, various strategies to improve the inherent activity of photocatalysts. Other than the modification of photocatalysts, the optimization of environments of water bodies has been also conducted to enhance microorganisms inactivation. In this mini-review, we outlined the recent progress in photocatalytic sterilization of microorganisms. Meanwhile, the relevant methods of photocatalyst modification and the influences of water body characteristics on disinfection ability were thoroughly elaborated. More importantly, the relationships between strategies for constructing advanced photocatalytic microorganism inactivation systems and improved performance were correlated. Finally, the perspectives on the prospects and challenges of photocatalytic disinfection were presented. We sincerely hope that this critical mini-review can inspire some new concepts and ideas in designing advanced photocatalytic disinfection systems.

RNA 5-methylcytosine marks mitochondrial double-stranded RNAs for degradation and cytosolic release.

Mitochondria are essential regulators of innate immunity. They generate long mitochondrial double-stranded RNAs (mt-dsRNAs) and release them into the cytosol to trigger an immune response under pathological stress conditions. Yet the regulation of these self-immunogenic RNAs remains largely unknown. Here, we employ CRISPR screening on mitochondrial RNA (mtRNA)-binding proteins and identify NOP2/Sun RNA methyltransferase 4 (NSUN4) as a key regulator of mt-dsRNA expression in human cells. We find that NSUN4 induces 5-methylcytosine (m5C) modification on mtRNAs, especially on the termini of light-strand long noncoding RNAs. These m5C-modified RNAs are recognized by complement C1q-binding protein (C1QBP), which recruits polyribonucleotide nucleotidyltransferase to facilitate RNA turnover. Suppression of NSUN4 or C1QBP results in increased mt-dsRNA expression, while C1QBP deficiency also leads to increased cytosolic mt-dsRNAs and subsequent immune activation. Collectively, our study unveils the mechanism underlying the selective degradation of light-strand mtRNAs and establishes a molecular mark for mtRNA decay and cytosolic release.

Integrated tea polyphenols and polydopamine functionalized graphene anode for improved bioelectricity generation and Cr(VI) reduction in microbial fuel cells.

Microbial fuel cells (MFCs) have the dual advantage of mitigating Cr(Ⅵ) wastewater ecological threats while generating electricity. However, the low electron transfer efficiency and the limited enrichment of active electrogens are barriers to MFCs advancement. This study describes the synthesis of the TP-PDA-RGO@CC negative electrode using tea polyphenol as a reducing agent and polydopamine-doped graphene, significantly enhances the roughness and hydrophilicity of the anode. The charge transfer resistance was reduced by 94%, and the peak MFC power was 1375.80 mW·m-2. Under acidic conditions, the Cr(Ⅵ) reduction rate reached 92% within 24 h, with a 52% increase in coulombic efficiency. Biodiversity analysis shows that the TP-PDA-RGO@CC anode could enrich electrogens, thereby boosting the electron generation mechanism at the anode and enhancing the reduction efficiency of Cr(Ⅵ) in the cathode chamber. This work emphasizes high-performance anode materials for efficient pollutant removal, energy conversion, and biomass reuse.

Hydrothermal N-doping, magnetization and ball milling co-functionalized sludge biochar design and its selective adsorption of trace concentration sulfamethoxazole from waters.

This study aimed to design an efficient and easily collected/regenerated adsorbent for trace concentration sulfamethoxazole (SMX) removal to eliminate its negative impacts on human health, reduce the risk of adsorbed SMX release and boost the reusability of adsorbent. Various multiple modified sludge-derived biochars (SBC) were synthesized in this work and applied to adsorb trace level SMX. The results demonstrated that hydrothermal N-doping, magnetization coupled with ball milling co-functionalized SBC (BMNSBC) displayed the greater adsorption ability for SMX. The maximum adsorption capacity of BMNSBC for SMX calculated by Langmuir model was 1.02×105 µg/g, which was 12.9 times of SBC. Characterization combined with adsorption experiments (e.g., models fitting) and DFT calculation confirmed that π-π conjugation, Lewis acid-base, pore filling and Fe3O4 complexation were the primary forces driving SMX binding to BMNSBC. These diversified physicochemical forces contributed to the fine anti-interference of BMNSBC to background substances (e.g., inorganic compounds and organic matter) and its remarkable adsorption ability for SMX in diverse real waters. The great magnetization strength of BMNSBC was advantage for its collection and efficient regeneration by NaOH desorption. Additionally, BMNSBC exhibited a outstanding security in view of its low leaching levels of iron (Fe) and total nitrogen (TN). The multiple superiority of BMNSBC enable it to be a prospective material for emerging contaminants (e.g., SMX) purification, also offering a feasible disposal approach for municipal waste (e.g., sludge).

Integrating Metabolic Oligosaccharide Engineering and SPAAC Click Chemistry for Constructing Fibrinolytic Cell Surfaces.

To effectively solve the problem of significant loss of transplanted cells caused by thrombosis during cell transplantation, this study simulates the human fibrinolytic system and combines metabolic oligosaccharide engineering with strain-promoted azide-alkyne cycloaddition (SPAAC) click chemistry to construct a cell surface with fibrinolytic activity. First, a copolymer (POL) of oligoethylene glycol methacrylate (OEGMA) and 6-amino-2-(2-methylamido)hexanoic acid (Lys) was synthesized by reversible addition-fragmentation chain transfer (RAFT) copolymerization, and the dibenzocyclooctyne (DBCO) functional group was introduced into the side chain of the copolymer through an active ester reaction, resulting in a functionalized copolymer DBCO-PEG4-POL with ε-lysine ligands. Then, azide functional groups were introduced onto the surface of HeLa model cells through metabolic oligosaccharide engineering, and DBCO-PEG4-POL was further specifically modified onto the surface of HeLa cells via the SPAAC "click" reaction. In vitro investigations revealed that compared with unmodified HeLa cells, modified cells not only resist the adsorption of nonspecific proteins such as fibrinogen and human serum albumin but also selectively bind to plasminogen in plasma while maintaining good cell viability and proliferative activity. More importantly, upon the activation of adsorbed plasminogen into plasmin, the modified cells exhibited remarkable fibrinolytic activity and were capable of promptly dissolving the primary thrombus formed on their surfaces. This research not only provides a novel approach for constructing transplantable cells with fibrinolytic activity but also offers a new perspective for effectively addressing the significant loss of transplanted cells caused by thrombosis.

An Innovative Surface Modification Technique for Antifouling Polyamide Nanofiltration Membranes.

In this study, we developed a novel surface coating technique to modify the surface chemistry of thin film composite (TFC) nanofiltration (NF) membranes, aiming to mitigate organic fouling while maintaining the membrane's permselectivity. We formed a spot-like polyester (PE) coating on top of a polyamide (PA) TFC membrane using mist-based interfacial polymerization. This process involved exposing the membrane surface to tiny droplets carrying different concentrations of sulfonated kraft lignin (SKL, 3, 5, and 7 wt %) and trimesoyl chloride (TMC, 0.2 wt %). The main advantages of this surface coating technique are minimal solvent consumption (less than 0.05 mL/cm2) and precise control over interfacial polymerization. Zeta potential measurements of the coated membranes exhibited enhancements in negative charge compared to the control membrane. This enhancement is attributed to the unreacted carboxyl functional groups of the SKL and TMC monomers, as well as the presence of sulfonate groups (SO3) in the structure of SKL. AFM results showed a notable decrease in membrane surface roughness after polyester coating due to the slower diffusion of SKL to the interface and a milder reaction with TMC. In terms of fouling resistance, the membrane coated with a polyester composed of 7 wt % SKL showed a 90% flux recovery ratio (FRR) during Bovine Serum Albumin (BSA) filtration, showing a 15% improvement compared to the control membrane (PA). PE-coated membranes provided stable separation performance over 40 h of filtration. The sodium chloride rejection and water flux displayed minimal variations, indicating the robustness of the coating layer. The final section of the presented study focuses on assessing the feasibility of scaling up and the cost-effectiveness of the proposed technique. The demonstrated ease of scalability and a notable reduction in chemical consumption establish this method as a viable, environmentally friendly, and sustainable solution for surface modification.

Electronic Structure Modification of MnO2 Nanosheet Arrays with Enhanced Water Oxidation Activity and Stability by Nitrogen Plasma.

The strategic design of catalysts for the oxygen evolution reaction (OER) is crucial in tackling the substantial energy demands associated with hydrogen production in electrolytic water splitting. Despite extensive research on birnessite (δ-MnO2) manganese oxides to enhance catalytic activity by modulating Mn3+ species, the ongoing challenge is to simultaneously stabilize Mn3+ while improving overall activity. Herein, oxygen (O) vacancies and nitrogen (N) doping have been simultaneously introduced into the MnO2 through a simple nitrogen plasma approach, resulting in efficient OER performance. The optimized N-MnO2v electrocatalyst exhibits outstanding OER activity in alkaline electrolyte, reducing the overpotential by nearly 160 mV compared to pure pristine MnO2 (from 476 to 312 mV) at 10 mA cm-2, and a small Tafel slope of 89 mV dec-1. Moreover, it demonstrates excellent durability over a 122 h stability test. The introduction of O vacancies and incorporation of N not only fine-tune the electronic structure of MnO2, increasing the Mn3+ content to enhance overall activity, but also play a crucial role in stabilizing Mn3+, thereby leading to exceptional stability over time. Subsequently, density functional theory calculations validate the optimized electronic structure of MnO2 achieved through the two engineering methods, effectively lowering the intermediate adsorption free energy barrier. Our synergistic approach, utilizing nitrogen plasma treatment, opens a pathway to concurrently enhance the activity and stability of OER electrocatalysts, applicable not only to Mn-based but also to other transition metal oxides.

METTL3 regulates thyroid cancer differentiation and chemosensitivity by modulating PAX8.

Background: Thyroid cancer (TC) is a common endocrine cancer with a favourable prognosis. However, poor patient prognosis due to TC dedifferentiation is becoming an urgent challenge. Recently, methyltransferase-like 3 (METTL3)-mediated N6 -methyladenosine (m6A) modification has been demonstrated to play an important role in the occurrence and progression of various cancers and a tumour suppressor role in TC. However, the mechanism of METTL3 in TC remains unclear. Methods: The correlation between METTL3 and prognosis in TC patients was evaluated by immunohistochemistry. Mettl3fl/flBrafV600ETPO-cre TC mouse models and RNA-seq were used to investigate the underlying molecular mechanism, which was further validated by in vitro experiments. The target gene of METTL3 was identified, and the complete m6A modification process was described. The phenomenon of low expression of METTL3 in TC was explained by identifying miRNAs that regulate METTL3. Results: We observed that METTL3 expression was negatively associated with tumour progression and poor prognosis in TC. Mechanistically, silencing METTL3 promoted the progression and dedifferentiation of papillary thyroid carcinoma (PTC) both in vivo and in vitro. Moreover, overexpressing METTL3 promoted the sensitivity of PTC and anaplastic thyroid cancer (ATC) cells to chemotherapeutic drugs and iodine-131 (131I) administration. Overall, the METTL3/PAX8/YTHDC1 axis has been revealed to play a pivotal role in repressing tumour occurrence, and is antagonized by miR-493-5p.

Sex differences in the association between plasma branched-chain amino acids and risk of ischemic stroke: A nested case-control study from China.

OBJECTIVES: The aim of this study was to investigate the prospective associations between plasma branched-chain amino acids (BCAAs) and the risk of ischemic stroke in men and women. METHODS: We conducted a nested case-control study within a community-based cohort in China. The cohort consisted of 15,926 participants in 2013-2018. A total of 321 ischemic stroke cases were identified during the follow up and individually matched with 321 controls by date of birth (±1 year) and sex. Females accounted for 55.8% (n = 358, 179 cases vs 179 controls) of the study population. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated to assess the association between plasma BCAAs and ischemic stroke risk by conditional logistic regression. RESULTS: Elevated plasma isoleucine was associated with a higher risk of ischemic stroke in women. The OR for the highest compared to the lowest quartile was 2.22 (95% CI: 1.11-4.44, P trend = 0.005) after adjustment for body mass index, education attainment, smoking, hypertension, renal function, menopause and physical activity. A similar association was found for total BCAAs (adjusted OR = 2.03, 95% CI: 1.05-3.95, P trend = 0.04). In contrast, no significant association of plasma BCAAs with ischemic stroke risk was observed in men. CONCLUSIONS: Plasma isoleucine and total BCAAs were significantly associated with ischemic stroke risk in women, but not in men, highlighting sex differences in BCAAs metabolism and stroke pathogenesis.

Molten Salt Derived MXenes: Synthesis and Applications.

About one decade after the first report on MXenes, these 2D early transition metal carbides or nitrides have become among the best-performing materials in electrode applications related to electrical energy storage devices and power-to-fuels conversion. MXenes are obtained by a top-down approach starting from the appropriate 3D MAX phase that undergoes etching of the A-site metal. Initial etching procedures are based on the use of concentrated HF or the in situ generation of this highly corrosive and poisonous reagent. Etching of the MAX phase is one of the major hurdles limiting the progress of the field. The present review summarizes an alternative, universal, and easily scalable etching procedure based on treating the MAX precursor with a Lewis acid molten salt. The review starts with presenting the current state of the art of the molten salt etching procedure to obtain or modify MXene, followed by a summary of the applications of these MXene samples. The aim of the review is to show the versatility and advantages of molten salt etching in terms of general applicability, control of the surface terminal groups, and uniform deposition of metal nanoparticles, among other features of the procedure.

Preconception underweight and the risk of offspring congenital heart diseases in young pregnant women: Evidence from the China Birth Cohort Study.

OBJECTIVE: Maternal obesity is a highly suggestive risk factor of offspring congenital heart diseases (CHD). However, the risk of offspring CHD associated with maternal underweight has rarely been mentioned. Therefore, this study aimed to explore the effect of preconception underweight on offspring CHD. METHODS: From November 2017 to August 2021, 132 386 pregnant women were enrolled in a birth cohort study in China in early pregnancy, and completed follow-up until delivery (or miscarriage/termination). Offspring CHD was diagnosed by prenatal ultrasound examination in both live births and stillbirths. Log-binomial regression and restricted cubic spline were used to estimate the risk of offspring CHD associated with preconception body mass index (BMI). A generalized additive model was used to explore the modification effect of maternal age on the association between preconception BMI and offspring CHD. RESULTS: A total of 129 096 pregnant women were included in the analysis. The incidence of CHD in the underweight, normal weight, overweight, and obesity groups were 117/17 313 (0.68%), 556/85 695 (0.65%), 128/19 936 (0.64%), 47/6152 (0.76%), respectively. Both underweight and obesity before pregnancy marginally increased the risk of offspring CHD. The association between preconception BMI and offspring CHD varied by maternal age, with low preconception BMI associated with a significantly higher risk of offspring CHD in women <24 years (RR 2.32, 95% CI: 1.07-5.01 for 17 vs 21 kg/m2). CONCLUSION: Preconception underweight was associated with an increased risk of offspring CHD in young pregnant women. Therefore, weight gain is important to prevent offspring CHD, especially for young women with low preconception BMI.

Properties and functions of acylated starch with short-chain fatty acids: a comprehensive review.

Short-chain fatty acids (SCFAs) are the primary energy source of colonic epithelial cells, but oral SCFAs are digested, absorbed, or degraded before reaching the colon. The acylated starch with SCFAs can be fermented and release specific SCFAs under the action of colonic intestinal microbiota. This review first introduces the preparation method, reaction mechanism, and substitution factors. Second, the structure, physical and chemical properties, in vitro function, and mechanism of acylated starch were expounded. Finally, the application of acylated starch in foods is introduced, and its safety is evaluated, providing a basis for the further development of acylated starch-based foods. The acylated starch obtained by different acylation types and preparation methods is different in particle, molecular, and crystal structures, leading to changes in the function and physicochemical properties. Meanwhile, acylated starch has the functional potential of targeted delivery of SCFAs to the colon, which can increase SCFAs in feces and intestine, selectively regulate the intestinal microbiota, and produce a prebiotic effect conducive to host health. The safety of acetylated starch has been supported by relevant studies, which have been widely used in various food fields and have great potential in the food industry.

Prenatal affective cognitive training to reduce the risk of postpartum depression (PACT): study protocol for a randomized controlled trial.

BACKGROUND: Postpartum depression (PPD) affects 30-50% of women with a history of previous depression or bipolar disorder and 8% of women with no history of depression. Negative cognitive biases in the perception of infant cues and difficulties with emotion regulation are replicated risk factors. Current interventions focus on detecting and treating rather than preventing PPD. The aim of this randomized controlled intervention trial is therefore to investigate the potential prophylactic effects of prenatal affective cognitive training for pregnant women at heightened risk of PPD. METHODS: The study will enrol a total of 292 pregnant women: 146 at high risk and 146 at low risk of PPD. Participants undergo comprehensive assessments of affective cognitive processing, clinical depressive symptoms, and complete questionnaires at baseline. Based on the responses, pregnant women will be categorized as either at high or low risk of PPD. High-risk participants will be randomized to either prenatal affective cognitive training (PACT) or care as usual (CAU) immediately after the baseline testing. The PACT intervention is based on emerging evidence for efficacy of affective cognitive training approaches in depression, including cognitive bias modification, attention bias modification, mindfulness-inspired emotion regulation exercises, and working memory training. Participants randomised to PACT will complete five individual computerised and virtual reality-based training sessions over 5 weeks. The primary outcome is the difference between intervention arms in the incidence of PPD, assessed with an interview 6 months after birth. We will also assess the severity of depressive symptoms, rated weekly online during the first 6 weeks postpartum. DISCUSSION: The results will have implications for future early prophylactic interventions for pregnant women at heightened risk of PPD. If the PACT intervention reduces the incidence of PPD, it can become a feasible, non-invasive prophylactic strategy during pregnancy, with positive mental health implications for these women and their children. TRIAL REGISTRATION: ClinicalTrials.gov NCT06046456 registered 21-09-2023, updated 08-07-2024.

Development of Locus-Directed Editing of the Epigenome from Basic Mechanistic Engineering to First Clinical Applications.

The introduction of CRISPR/Cas systems has resulted in a strong impulse for the field of gene-targeted epigenome/epigenetic reprogramming (EpiEditing), where EpiEditors consisting of a DNA binding part for targeting and an enzymatic part for rewriting of chromatin modifications are applied in cells to alter chromatin modifications at targeted genome loci in a directed manner. Pioneering studies preceding this era indicated causal relationships of chromatin marks instructing gene expression. The accumulating evidence of chromatin reprogramming of a given genomic locus resulting in gene expression changes opened the field for mainstream applications of this technology in basic and clinical research. The growing knowledge on chromatin biology and application of EpiEditing tools, however, also revealed a lack of predictability of the efficiency of EpiEditing in some cases. In this perspective, the dependence of critical parameters such as specificity, effectivity, and sustainability of EpiEditing on experimental settings and conditions including the expression levels and expression times of the EpiEditors, their chromatin binding affinity and specificity, and the crosstalk between EpiEditors and cellular epigenome modifiers are discussed. These considerations highlight the intimate connection between the outcome of epigenome reprogramming and the details of the technical approaches toward EpiEditing, which are the main topic of this volume of Methods in Molecular Biology. Once established in a fully functional "plug-and-play" mode, EpiEditing will allow to better understand gene expression control and to translate such knowledge into therapeutic tools. These expectations are beginning to be met as shown by various in vivo EpiEditing applications published in recent years, several companies aiming to exploit the therapeutic power of EpiEditing and the first clinical trial initiated.

Reader-Effectors as Actuators of Epigenome Editing.

Epigenome editing applications are gaining broader use for targeted transcriptional control as more enzymes with diverse chromatin-modifying functions are being incorporated into fusion proteins. Development of these fusion proteins, called epigenome editors, has outpaced the study of proteins that interact with edited chromatin. One type of protein that acts downstream of chromatin editing is the reader-effector, which bridges epigenetic marks with biological effects like gene regulation. As the name suggests, a reader-effector protein is generally composed of a reader domain and an effector domain. Reader domains directly bind epigenetic marks, while effector domains often recruit protein complexes that mediate transcription, chromatin remodeling, and DNA repair. In this chapter, we discuss the role of reader-effectors in driving the outputs of epigenome editing and highlight instances where abnormal and context-specific reader-effectors might impair the effects of epigenome editing. Lastly, we discuss how engineered reader-effectors may complement the epigenome editing toolbox to achieve robust and reliable gene regulation.