Mast cell-derived exosomes at the stimulated acupoints activating the neuro-immune regulation.

Exosomes are cell-derived vesicles that take part in intercellular signaling. Research has shown that acupuncture is closely related to affecting the functions of the mast cells in the local region of the acupoint, and stimulating the afferent nerve. Mast cells have a connection with the conduction within the meridians, and play an important role in immuno-regulation. The 'synapse-like' connection between the mast cells and nerve endings is the basis for the exchange of information between these two tissues. Exosome mediates mast exchange of information between mast cells and the nerves, starting the process of neuro-immuno regulation. Therefore, we propose that mast cell-derived exosomes mediate the neuro-immuno regulation at the local site of acupuncture, and this is one of the key factors resulting in the effectiveness of acupuncture.

Legal medicine: assessing mental capacity and writing medical reports for deputy applications.

Medical reports are required to support court applications to appoint a deputy to make decisions on behalf of a person who has lost mental capacity. The doctor writing such a medical report needs to be able to systematically assess the mental capacity of the person in question, in order to gather the necessary evidence for the court to make a decision. If the medical report is not adequate, the application will be rejected and the appointment of the deputy delayed. This article sets out best practices for performing the assessment and writing the medical report, common errors, and issues of concern.

Photoactive nanocrystals by low-temperature welding of copper sulfide nanoparticles and indium sulfide nanosheets.

We successfully utilize the concept of coalescence and room-temperature sintering to prepare morphologically different nanoparticles. n-Type chalcogenide (CuIn5 S8 ) nanocrystals are synthesized at room temperature by simple mixing of oppositely charged precursor nanoparticles. The coalescence of polycation-coated CuS nanoparticles and negatively charged In2 S3 nanoplates is driven by close contact of the particles due to electrostatic interactions. Analysis by X-ray diffraction, transmission electron microscopy (TEM) imaging, and Raman spectroscopy confirms the formation of single-phase CuIn5 S8 without traceable secondary phase. In a photovoltaic device, the use of the coalesced particles yields a power conversion efficiency of 1.8%.

An electrical biosensor for the detection of circulating tumor cells.

In this report, we demonstrate a semi-integrated electrical biosensor for the detection of rare circulating tumor cells (CTCs) in blood. The sample was first enriched through a combination of immunomagnetic isolation and size filtration. The integration of both methods provided a high enrichment performance with a recovery rate above 70%, even for very low numbers of cancer cells present in the original sample (10 spiked MCF7 cells in 0.5 mL of blood). In the same system, the sample was then transferred to a microchip for further magnetic concentration, followed by immunochemical trapping and electronic detection by impedance spectroscopy. Three levels of spiked CTC number (30±2, 124±29, 273±23) in 10 µL of filtered blood sample were distinguished by monitoring the impedance change of the microelectrode array (MEA). The integration of different functions in a single system provided a methodology to process milliliter-sized blood samples at the macroscale and interface with the microdimensions of a highly sensitive electronic detector. The results showed that the whole system was able to detect different levels of spiked cancer cells without the use of time- and cost-intensive fluorescence labeling and image analysis. This has the potential to provide clinicians with a standalone system to monitor changes in CTC numbers throughout therapy conveniently and frequently for efficient cancer treatments.