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26 pages, 37606 KiB  
Review
Nanomaterials for Modified Asphalt and Their Effects on Viscosity Characteristics: A Comprehensive Review
by Hualong Huang, Yongqiang Wang, Xuan Wu, Jiandong Zhang and Xiaohan Huang
Nanomaterials 2024, 14(18), 1503; https://doi.org/10.3390/nano14181503 - 16 Sep 2024
Abstract
The application of nanomaterials as modifiers in the field of asphalt is increasingly widespread, and this paper aims to systematically review research on the impact of nanomaterials on asphalt viscosity. The results find that nanomaterials tend to increase asphalt’s viscosity, enhancing its resistance [...] Read more.
The application of nanomaterials as modifiers in the field of asphalt is increasingly widespread, and this paper aims to systematically review research on the impact of nanomaterials on asphalt viscosity. The results find that nanomaterials tend to increase asphalt’s viscosity, enhancing its resistance to high-temperature rutting and low-temperature cracking. Zero-dimension nanomaterials firmly adhere to the asphalt surface, augmenting non-bonding interactions through van der Waals forces and engaging in chemical reactions to form a spatial network structure. One-dimensional nanomaterials interact with non-polar asphalt molecules, forming bonds between tube walls, thereby enhancing adhesion, stability, and resistance to cyclic loading. Meanwhile, these bundled materials act as reinforcement to transmit stress, preventing or delaying crack propagation. Two-dimensional nanomaterials, such as graphene and graphene oxide, participate in chemical interactions, forming hydrogen bonds and aromatic deposits with asphalt molecules, affecting asphalt’s surface roughness and aggregate movement, which exhibit strong adsorption capacity and increase the viscosity of asphalt. Polymers reduce thermal movement and compact asphalt structures, absorbing light components and promoting the formation of a cross-linked network, thus enhancing high-temperature deformation resistance. However, challenges such as poor compatibility and dispersion, high production costs, and environmental and health concerns currently hinder the widespread application of nanomaterial-modified asphalt. Consequently, addressing these issues through comprehensive economic and ecological evaluations is crucial before large-scale practical implementation. Full article
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Figure 1

Figure 1
<p>Classification of nano-modified materials.</p>
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<p>Shape and structure of NZ: (<b>a</b>) macroscopic scale; (<b>b</b>) microscale; (<b>c</b>) molecular scale. Adapted with permission from Refs. [<a href="#B6-nanomaterials-14-01503" class="html-bibr">6</a>,<a href="#B36-nanomaterials-14-01503" class="html-bibr">36</a>]. Copyrights 2023 and 2024 MDPI.</p>
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<p>Shape and structure of NS: (<b>a</b>) macroscopic scale; (<b>b</b>) microscale; (<b>c</b>) molecular scale. Adapted with permission from Refs. [<a href="#B41-nanomaterials-14-01503" class="html-bibr">41</a>,<a href="#B42-nanomaterials-14-01503" class="html-bibr">42</a>]. Copyrights 2024 MDPI and 2023 Elsevier.</p>
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<p>Shape and structure of NT: (<b>a</b>) macroscopic scale; (<b>b</b>) microscale; (<b>c</b>) molecular scale. Adapted with permission from Refs. [<a href="#B41-nanomaterials-14-01503" class="html-bibr">41</a>,<a href="#B48-nanomaterials-14-01503" class="html-bibr">48</a>]. Copyrights 2024 and 2023 MDPI.</p>
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<p>Shape and structure of NA: (<b>a</b>) macroscopic scale; (<b>b</b>) microscale; (<b>c</b>) molecular scale. Adapted with permission from Refs. [<a href="#B41-nanomaterials-14-01503" class="html-bibr">41</a>,<a href="#B51-nanomaterials-14-01503" class="html-bibr">51</a>]. Copyrights 2024 Elsevier and MDPI.</p>
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<p>Shape and structure of NCa: (<b>a</b>) macroscopic scale; (<b>b</b>) microscale; (<b>c</b>) molecular scale. Adapted with permission from Ref. [<a href="#B42-nanomaterials-14-01503" class="html-bibr">42</a>]. Copyright 2023 Elsevier.</p>
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<p>Shape and structure of NFe: (<b>a</b>) macroscopic scale; (<b>b</b>) microscale; (<b>c</b>) molecular scale. Adapted with permission from Ref. [<a href="#B57-nanomaterials-14-01503" class="html-bibr">57</a>]. Copyright 2017 Elsevier.</p>
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<p>Shape and structure of CNT: (<b>a</b>) macroscopic scale; (<b>b</b>) microscale; (<b>c</b>) molecular scale. Adapted with permission from Ref. [<a href="#B63-nanomaterials-14-01503" class="html-bibr">63</a>]. Copyright 2021 Elsevier.</p>
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<p>Schematic diagram of CNT distribution in asphalt. Adapted with permission from Ref. [<a href="#B64-nanomaterials-14-01503" class="html-bibr">64</a>]. Copyright 2020 Elsevier.</p>
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<p>Shape and structure of nanofibers: (<b>a</b>) macroscopic scale; (<b>b</b>) microscale; (<b>c</b>) molecular scale. Adapted with permission from Refs. [<a href="#B66-nanomaterials-14-01503" class="html-bibr">66</a>,<a href="#B67-nanomaterials-14-01503" class="html-bibr">67</a>]. Copyrights Springer Nature and 2021 Elsevier.</p>
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<p>Shape and structure of graphene: (<b>a</b>) macroscopic scale; (<b>b</b>) microscale; (<b>c</b>) molecular scale. Adapted with permission from Refs. [<a href="#B71-nanomaterials-14-01503" class="html-bibr">71</a>,<a href="#B72-nanomaterials-14-01503" class="html-bibr">72</a>]. Copyrights 2021 and 2022 Elsevier.</p>
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<p>Mechanism of graphene-modified asphalt: (<b>a</b>) interface π–π interaction; (<b>b</b>) filling and barrier structure. Adapted with permission from Refs. [<a href="#B77-nanomaterials-14-01503" class="html-bibr">77</a>,<a href="#B78-nanomaterials-14-01503" class="html-bibr">78</a>]. Copyrights 2021 and 2018 Elsevier.</p>
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<p>Shape and structure of GO: (<b>a</b>) macroscopic scale; (<b>b</b>) microscale; (<b>c</b>) molecular scale. Adapted with permission from Refs. [<a href="#B9-nanomaterials-14-01503" class="html-bibr">9</a>,<a href="#B83-nanomaterials-14-01503" class="html-bibr">83</a>]. Copyrights 2022 Hindawi and 2017 Springer.</p>
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<p>Mechanism of GO-modified asphalt: (<b>a</b>) adsorption; (<b>b</b>) hydrogen bonding interaction. Adapted with permission from Ref. [<a href="#B82-nanomaterials-14-01503" class="html-bibr">82</a>]. Copyright Elsevier.</p>
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<p>Shape and structure of NC: (<b>a</b>) macroscopic scale; (<b>b</b>) microscale; (<b>c</b>) molecular scale. Adapted with permission from Ref. [<a href="#B90-nanomaterials-14-01503" class="html-bibr">90</a>]. Copyrights 2023 MDPI.</p>
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<p>Shape and structure of SBS: (<b>a</b>) macroscopic scale; (<b>b</b>) microscale; (<b>c</b>) molecular scale. Adapted with permission from Refs. [<a href="#B94-nanomaterials-14-01503" class="html-bibr">94</a>,<a href="#B95-nanomaterials-14-01503" class="html-bibr">95</a>,<a href="#B96-nanomaterials-14-01503" class="html-bibr">96</a>]. Copyrights 2020 Elsevier, 2023 Walter de Gruyter, and 2021 John Wiley and Sons Inc.</p>
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<p>Shape and structure of SBR: (<b>a</b>) macroscopic scale; (<b>b</b>) microscale; (<b>c</b>) molecular scale. Adapted with permission from Refs. [<a href="#B95-nanomaterials-14-01503" class="html-bibr">95</a>,<a href="#B101-nanomaterials-14-01503" class="html-bibr">101</a>,<a href="#B102-nanomaterials-14-01503" class="html-bibr">102</a>]. Copyrights 2023 Walter de Gruyter and 2024 MDPI.</p>
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<p>Cross-linked network between SBR and asphalt molecules. Adapted with permission from Ref. [<a href="#B97-nanomaterials-14-01503" class="html-bibr">97</a>]. Copyrights 2024 Elsevier.</p>
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<p>Viscosity temperature curves of matrix asphalt and NT/NCa-modified asphalt. Adapted with permission from Ref. [<a href="#B103-nanomaterials-14-01503" class="html-bibr">103</a>]. Copyrights 2021 Hindawi.</p>
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<p>Physical moduli of asphalt and NZ/SBS/asphalt. Adapted with permission from Ref. [<a href="#B94-nanomaterials-14-01503" class="html-bibr">94</a>]. Copyrights 2020 Elsevier.</p>
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<p>Viscosity–temperature relationship curves of three types of asphalt. Adapted with permission from Ref. [<a href="#B111-nanomaterials-14-01503" class="html-bibr">111</a>]. Copyrights 2022 MDPI.</p>
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<p>Interface microstructure of GO/SBS-modified asphalt. Adapted with permission from Ref. [<a href="#B114-nanomaterials-14-01503" class="html-bibr">114</a>]. Copyrights 2023 Springer Nature.</p>
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<p>Viscosity of modified asphalt with different modifiers. Adapted with permission from Ref. [<a href="#B119-nanomaterials-14-01503" class="html-bibr">119</a>]. Copyrights 2018 Hindawi.</p>
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19 pages, 9210 KiB  
Article
Influence of Metal Ions on the Structural Complexity of Mixed-Ligand Divalent Coordination Polymers
by Fang-Ju Cheng, Kai-Min Wang, Chia-Yi Lee, Song-Wei Wang, Kedar Bahadur Thapa, Manivannan Govindaraj and Jhy-Der Chen
Chemistry 2024, 6(5), 1020-1038; https://doi.org/10.3390/chemistry6050059 (registering DOI) - 14 Sep 2024
Viewed by 312
Abstract
The reactions of the angular ligand 4,4′-oxybis(N-(pyridin-3-yl)benzamide) (L1) and 1,4-naphthalenedicarboxylic acid (1,4-H2NDC) with divalent metal salts yielded three distinct coordination polymers (CPs): {[Zn2(L1)(1,4-NDC)2]·MeOH}n, 1, {[Cu(L [...] Read more.
The reactions of the angular ligand 4,4′-oxybis(N-(pyridin-3-yl)benzamide) (L1) and 1,4-naphthalenedicarboxylic acid (1,4-H2NDC) with divalent metal salts yielded three distinct coordination polymers (CPs): {[Zn2(L1)(1,4-NDC)2]·MeOH}n, 1, {[Cu(L1)(1,4-NDC)(H2O)]·3H2O}n, 2, and {[Cd(L1)(1,4-NDC)]·2H2O}n, 3. Complex 1 features a 2-fold interpenetrated 3D framework with the (412·63)-pcu topology, while complex 2 reveals a 1D triple-strained helical chain and complex 3 displays a 3-fold interpenetrated 3D framework with (66)-dia topology. Additionally, the reactions of the flexible ligand N,N′-bis(3-methylpyridyl) adipoamide (L2) afforded {[Co4(L2)0.5(1,4-NDC)3(H2O)33-OH)2]·EtOH·2H2O}n, 4, {[Zn2(L2)(1,4-NDC)2]·2CH3OH}n, 5, and [Cd(L2)(adipic)(H2O)]n (H2adipic = adipic acid), 6, exhibiting a self-catenated 3D framework with the (420·68)-8T32 topology, a 2D layer with the (413·62) − (4,4)IIb topology, and a 2D layer with the (44·62)-sql topology, respectively. The structural diversity observed in complexes 16 highlights the pivotal influence of the metal center on the degree of entanglement in CPs within mixed-ligand systems. The thermal stability and luminescent properties of complexes 13, 4, and 6 are also discussed. Full article
(This article belongs to the Section Inorganic and Solid State Chemistry)
Show Figures

Figure 1

Figure 1
<p>Structures of (<b>a</b>) <b>L<sup>1</sup></b> and (<b>b</b>) <b>L<sup>2</sup></b>.</p>
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<p>(<b>a</b>) Coordination environments about the Zn(II) ions. Hydrogen atoms are omitted for clarity. Symmetry transformations used to generate equivalent atoms: (A) x + 1/2, y + 1/2, z; (B) −x + 1, y, −z + 3/2; (C) −x + 1/2, y + 1/2, −z + 3/2. (<b>b</b>) A drawing showing the 3D framework with the sqc493 topology. (<b>c</b>) A drawing showing the 2-fold interpenetrated 3D framework with the sqc493 topology. (<b>d</b>) A drawing showing the 3D framework with the <b>pcu</b> topology. (<b>e</b>) A drawing showing the 2-fold interpenetrated 3D framework with the <b>pcu</b> topology.</p>
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<p>(<b>a</b>) Coordination environments about the Cu(II) ion. Hydrogen atoms are omitted for clarity. Symmetry transformations used to generate equivalent atoms: (A) x − 1, y, z; (B) x − 3/2, −y + 3/2, −z + 2. (<b>b</b>) A drawing showing the triple-strained helix. (<b>c</b>) Another view looking down the <span class="html-italic">a</span>-axis.</p>
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<p>(<b>a</b>) Coordination environments about the Cd(II) ions. Hydrogen atoms are omitted for clarity. Symmetry transformations used to generate equivalent atoms: (A) x, −y + 2, z − 1/2; (B) −x + 1/2, −y + 1/2, −z; (C) −x, −y + 2, −z + 1; (D) x, −y + 2, z + 1/2. (<b>b</b>) A drawing showing the 3D framework with the <b>coe</b> topology. (<b>c</b>) A drawing showing the 3-fold interpenetrated 3D framework with the <b>coe</b> topology. (<b>d</b>) A drawing showing the 3D framework with the <b>dia</b> topology. (<b>e</b>) A drawing showing the 3-fold interpenetrated 3D framework with the <b>dia</b> topology.</p>
Full article ">Figure 4 Cont.
<p>(<b>a</b>) Coordination environments about the Cd(II) ions. Hydrogen atoms are omitted for clarity. Symmetry transformations used to generate equivalent atoms: (A) x, −y + 2, z − 1/2; (B) −x + 1/2, −y + 1/2, −z; (C) −x, −y + 2, −z + 1; (D) x, −y + 2, z + 1/2. (<b>b</b>) A drawing showing the 3D framework with the <b>coe</b> topology. (<b>c</b>) A drawing showing the 3-fold interpenetrated 3D framework with the <b>coe</b> topology. (<b>d</b>) A drawing showing the 3D framework with the <b>dia</b> topology. (<b>e</b>) A drawing showing the 3-fold interpenetrated 3D framework with the <b>dia</b> topology.</p>
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<p>(<b>a</b>) A drawing showing the asymmetric unit of <b>4</b>, except the cocrystallized water molecules, with full <b>L<sup>2</sup></b> ligand that occupies an inversion center. The <b>L<sup>2</sup></b> and 1,4-NDC<sup>2−</sup> ligands are not labeled for clarity. Hydrogen atoms are omitted for clarity. (<b>b</b>) Coordination environments about the Co(II) ions of the octanuclear cluster of <b>4</b>. The <b>L<sup>2</sup></b> ligands and the 1,4-NDC<sup>2−</sup> ligands are represented by the are represented by the N atoms and the OCO groups, respectively. Symmetry transformations used to generate equivalent atoms: (A) −x + 2, y − 1/2, −z + 1/2; (B) x − 1, y, z; (C) −x + 2, −y + 2, −z + 1; (D) x + 1, y, z; (E) –x + 1, −y + 2, −z + 1. (<b>c</b>) A drawing showing the 3D framework with the 3,3,4,4,5,5,5,5,5T1 topology. (<b>d</b>) A drawing showing the self-catenated 3D framework with the (4<sup>20</sup>·6<sup>8</sup>)-8T32 topology.</p>
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<p>(<b>a</b>) Coordination environments about the Zn(II) ions of the octanuclear cluster of <b>5</b>. Hydrogen atoms are omitted for clarity. Symmetry transformations used to generate equivalent atoms: (A) x, −y + 1/2, z + 1/2; (B) x, −y + 3/2, z − 1/2; (C) −x + 1, y + 1/2, −z + 1/2. (<b>b</b>) A drawing showing the 2D net with the (4<sup>2</sup>·6<sup>3</sup>·8)(4<sup>6</sup>·6<sup>4</sup>) topology. (<b>c</b>) A drawing showing the 2D net with the (4<sup>13</sup>·6<sup>2</sup>) − (4,4)IIb topology.</p>
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<p>(<b>a</b>) Coordination environments around the Cd(II) ion of <b>6</b>. Hydrogen atoms are not shown for clarity. Symmetry transformations used to generate equivalent atoms: (A) −x + 1, y, −z + 3/2; (B) −x + 2, y, −z + 3/2. (<b>b</b>) A simplified drawing showing that the Cd(II) ions, which are coordinated by the water molecules, are bridged by the <b>L<sup>2</sup></b> and adipic<sup>2−</sup> ligands to form a 2D layer. (<b>c</b>,<b>d</b>) Two different views showing the arrangement of a pair of the 2D layers. (<b>e</b>) A drawing showing the simplified 2D net with the (4<sup>4</sup>·6<sup>2</sup>)–<b>sql</b> topology.</p>
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<p>A schematic diagram defining the distances and the dihedral angle.</p>
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21 pages, 4955 KiB  
Article
Efficient Phase Segmentation of Light-Optical Microscopy Images of Highly Complex Microstructures Using a Correlative Approach in Combination with Deep Learning Techniques
by Björn-Ivo Bachmann, Martin Müller, Marie Stiefel, Dominik Britz, Thorsten Staudt and Frank Mücklich
Metals 2024, 14(9), 1051; https://doi.org/10.3390/met14091051 - 14 Sep 2024
Viewed by 210
Abstract
Reliable microstructure characterization is essential for establishing process–microstructure–property links and effective quality control. Traditional manual microstructure analysis often struggles with objectivity, reproducibility, and scalability, particularly in complex materials. Machine learning methods offer a promising alternative but are hindered by the challenge of assigning [...] Read more.
Reliable microstructure characterization is essential for establishing process–microstructure–property links and effective quality control. Traditional manual microstructure analysis often struggles with objectivity, reproducibility, and scalability, particularly in complex materials. Machine learning methods offer a promising alternative but are hindered by the challenge of assigning an accurate and consistent ground truth, especially for complex microstructures. This paper introduces a methodology that uses correlative microscopy—combining light optical microscopy, scanning electron microscopy, and electron backscatter diffraction (EBSD)—to create objective, reproducible pixel-by-pixel annotations for ML training. In a semi-automated manner, EBSD-based annotations are employed to generate an objective ground truth mask for training a semantic segmentation model for quantifying simple light optical micrographs. The training masks are directly derived from raw EBSD data using modern deep learning methods. By using EBSD-based annotations, which incorporate crystallographic and misorientation data, the correctness and objectivity of the training mask creation can be assured. The final approach is capable of reproducibly and objectively differentiating bainite and martensite in optical micrographs of complex quenched steels. Through the reduction in the microstructural evaluation to light optical micrographs as the simplest and most widely used method, this way of quantifying microstructures is characterized by high efficiency as well as good scalability. Full article
(This article belongs to the Special Issue Machine Learning Models in Metals)
Show Figures

Figure 1

Figure 1
<p>Representation of the same section of a bainitic–martensitic microstructure using correlative microscopy. Shown are the EBSD IQ (<b>a</b>), the corresponding SEM (<b>b</b>), as well as LOM (<b>c</b>) image and misorientation information (<b>d</b>) using characteristic boundaries (&gt;2°—red, &gt;5°—green, &gt;15°—blue). Bainitic areas can be better distinguished from their martensitic counterparts, particularly due to the complementary EBSD information. Bainitic domains tendentially have a higher IQ (=brighter) and lower misorientation densities (red arrows).</p>
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<p>Correlative recordings of a highly complex quenched steel with bainitic (blue) and martensitic (yellow) regions (in (<b>d</b>,<b>e</b>)). Correspondingly isolated EBSD measured variables IQ (<b>a</b>), CI (<b>b</b>), and KAM first order (<b>c</b>), as well as the corresponding superposition of these three (<b>d</b>) in addition to the corresponding LOM (<b>e</b>), as well as the SEM (<b>f</b>) image after corresponding contrasting of the microstructures with Nital.</p>
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<p>The partial annotation (martensite—yellow, bainite—blue, unlabeled—white) (<b>d</b>) as overlays with respective EBSD mapping ((<b>a</b>) IQ, (<b>b</b>) CI, (<b>c</b>) KAM (colors of the mask adjusted for clarity—red tone as result of the overlay of the yellow mask with the KAM colorcode)), as well as with micrographs (SEM (<b>e</b>) and LOM (<b>f</b>)). Shown is the same sample section as in <a href="#metals-14-01051-f002" class="html-fig">Figure 2</a>.</p>
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<p>Schematic illustration of the used U-Net architecture [modified [<a href="#B58-metals-14-01051" class="html-bibr">58</a>]] with ImageNet pre-trained InceptionV3 encoder. Each individual EBSD channel (IQ, CI, and KAM) is concatenated to an RGB-like image after normalization to feed into U-Net. During the training process, the model learns the characteristic features of each individual class (martensite—yellow and bainite—blue). The white, unlabeled regions from the ground truth masks do not influence the learning process. For inference, the segmentation results are filtered by a confidence threshold of 70% (red) in order to create more meaningful results. As visible, the model is able to predict unlabeled regions. However, the loss function “L” only considers the labeled pixels during calculation by comparing the unfiltered prediction and ground truth mask during training.</p>
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<p>Segmentation result based on EBSD data after applying the 70% confidence threshold (<b>a</b>), with respective smoothing using the median filter (<b>b</b>). This image is subsequently used to train the segmentation model based on LOM images as an input, with blue representing bainite, yellow martensite, and red the unlabeled pixel, respectively. LOM is overlayed with an automatically generated training mask (<b>c</b>). No wrong labels could be identified using the correlative information. However, the confidence threshold of 75% is intentionally set conservatively in order to maintain a high level of objectivity and assurance in the labels. Red pixels correspond to confidence filtered regions.</p>
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<p>Segmentation results of the presented model using the EBSD data include a 0.5 confidence threshold (<b>a</b>) and 0.7 (<b>d</b>) after applying the median filter (bainite—blue, martensite—yellow, filtered—red). (<b>b</b>) shows the validation mask, which was partially annotated, and (<b>e</b>) as an overlay between the 0.7 threshold result and the EBSD input array consisting of IQ, CI, and KAM. (<b>c</b>) and (<b>f</b>) also show the post-processed segmentation result as an overlay with LOM and SEM, respectively.</p>
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<p>Magnification of an unclear area (red ellipsis) from <a href="#metals-14-01051-f006" class="html-fig">Figure 6</a>. Input array consisting of IQ, CI, and KAM (<b>a</b>), as well as overlay with post-processed prediction (<b>b</b>) (blue—bainite, yellow—martensite, filtered—red) and correlative high-resolution SEM image with corresponding overlaid prediction for clarification (<b>c</b>).</p>
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<p>Correlative EBSD input array overlaid with the corresponding post-processed prediction of the EBSD UNet model (blue—bainite, yellow—martensite, filtered—red) (<b>a</b>). The corresponding mask (<b>d</b>) served as the ground truth for training the LOM images (<b>b</b>). (<b>e</b>) shows the post-processed (analogous to EBSD post-processing) prediction of the trained LOM UNet. (<b>c</b>) displays the overlaid representation of this mask with correlating LOM input for clarification. A better assessment of the LOM-based result can be made using the high-resolution SEM image (<b>f</b>).</p>
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<p>Shown are the segmentation of the LOM-based model (<b>a</b>) and the EBSD-based model (<b>b</b>) for the identical ROI of the withheld sample. (<b>c</b>) shows the oppositely classified pixels between (<b>a</b>) and (<b>b</b>) (orange). A closer look at the underlying correlative data (left EBSD, middle SEM, right LOM) of these misclassified areas (colored squares) provides information about possible reasons for the misclassifications. The discrepancy areas are marked in orange in the respective LOM.</p>
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16 pages, 289 KiB  
Article
Nutrition and Periodontitis: A Cross-Sectional Study from a Practice-Based Research Network
by Stefanie Anna Peikert, Nils Benedikt Liedtke, Kirstin Vach, Eva Streletz, Steffen Rieger, Julia Palm, Felix Mittelhamm, Sebastian Kirchner, Peter Hakes, Laurence Gantert, Carmen Cansado De Noriega, Anne Brigitte Kruse, Petra Ratka-Krüger and Johan Peter Woelber
Nutrients 2024, 16(18), 3102; https://doi.org/10.3390/nu16183102 - 14 Sep 2024
Viewed by 317
Abstract
Background: Despite clinical interventional studies on the influence of diet on periodontal inflammatory parameters, there has been no practice-based cross-sectional study from a German population to date that has conducted both a comprehensive dental and periodontal examination and a thorough validated assessment of [...] Read more.
Background: Despite clinical interventional studies on the influence of diet on periodontal inflammatory parameters, there has been no practice-based cross-sectional study from a German population to date that has conducted both a comprehensive dental and periodontal examination and a thorough validated assessment of dietary behavior. Therefore, the aim of this pilot study was to evaluate, in a proof of concept, whether there is a correlation between the overall periodontal inflammatory surface area (PISA), periodontal clinical parameters (pocket probing depths (PPD), clinical attachment loss (CAL), bleeding on probing (BOP), furcation involvement (FI), tooth mobility (TM)), and the dietary behavior of patients with periodontal disease when utilizing a practice-based research network. The primary outcome was the correlation between the periodontal inflammatory surface (PISA) and the dietary assessment data. Materials and Methods: The practice-based research network, consisting of eight Master’s graduates, recruited patients who met the inclusion and exclusion criteria and performed a periodontal examination together with the assessment of dietary behavior using a digital version of the validated retrospective dietary recall (DEGS/RKI). Statistical analyses included linear regression models adjusted for age and smoking and unpaired t-tests, conducted using STATA 17.0 with a significance level of 5%. In addition, the data obtained were classified according to the currently recommended amounts of daily intake. Results: A total of 1283 teeth were analyzed, with 60.25% (773 teeth) requiring treatment. The average PISA was 753.16 mm2 (SD ± 535.75 mm). Based on dietary guidelines, the studied population consumed excessive amounts of extrinsic sugars and fats, while their fiber and legume intake was insufficient. The intake of certain nutrients, including water-soluble fibers, specific fatty acids, vitamins (D, B1, B2, B6, and B12), iron, and zinc, was associated with reduced PISA, PPD, CAL, and BOP. Conclusion: Within the limits of the current study, including its cross-sectional design and cohort size, the outcomes demonstrated the influence of nutrition on periodontal health. Full article
(This article belongs to the Section Nutrition Methodology & Assessment)
26 pages, 3492 KiB  
Article
Image Processing for Smart Agriculture Applications Using Cloud-Fog Computing
by Dušan Marković, Zoran Stamenković, Borislav Đorđević and Siniša Ranđić
Sensors 2024, 24(18), 5965; https://doi.org/10.3390/s24185965 - 14 Sep 2024
Viewed by 296
Abstract
The widespread use of IoT devices has led to the generation of a huge amount of data and driven the need for analytical solutions in many areas of human activities, such as the field of smart agriculture. Continuous monitoring of crop growth stages [...] Read more.
The widespread use of IoT devices has led to the generation of a huge amount of data and driven the need for analytical solutions in many areas of human activities, such as the field of smart agriculture. Continuous monitoring of crop growth stages enables timely interventions, such as control of weeds and plant diseases, as well as pest control, ensuring optimal development. Decision-making systems in smart agriculture involve image analysis with the potential to increase productivity, efficiency and sustainability. By applying Convolutional Neural Networks (CNNs), state recognition and classification can be performed based on images from specific locations. Thus, we have developed a solution for early problem detection and resource management optimization. The main concept of the proposed solution relies on a direct connection between Cloud and Edge devices, which is achieved through Fog computing. The goal of our work is creation of a deep learning model for image classification that can be optimized and adapted for implementation on devices with limited hardware resources at the level of Fog computing. This could increase the importance of image processing in the reduction of agricultural operating costs and manual labor. As a result of the off-load data processing at Edge and Fog devices, the system responsiveness can be improved, the costs associated with data transmission and storage can be reduced, and the overall system reliability and security can be increased. The proposed solution can choose classification algorithms to find a trade-off between size and accuracy of the model optimized for devices with limited hardware resources. After testing our model for tomato disease classification compiled for execution on FPGA, it was found that the decrease in test accuracy is as small as 0.83% (from 96.29% to 95.46%). Full article
(This article belongs to the Special Issue Smart Decision Systems for Digital Farming: 2nd Edition)
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<p>Cloud-Fog computing structure.</p>
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<p>PYNQ Z2 board.</p>
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<p>Training CNN models and preparing for image classification on the server and PYNQ Z2.</p>
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<p>Preparation of CNN models to run on PYNQ Z2.</p>
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<p>Preparing an acceleration model for image classification on FPGA.</p>
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<p>Test accuracy for CNN models run on server and PYNQ Z2.</p>
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<p>Latency in image classification on the server for different application settings.</p>
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<p>Latency in image classification on the server running all three applications.</p>
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<p>Time elapsed in receiving result of image classification.</p>
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<p>Network data transfer to the server.</p>
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<p>Energy consumption on the server during application testing.</p>
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20 pages, 4932 KiB  
Article
Parvovirus B19 Infection Is Associated with the Formation of Neutrophil Extracellular Traps and Thrombosis: A Possible Linkage of the VP1 Unique Region
by Bor-Show Tzang, Hao-Yang Chin, Chih-Chen Tzang, Pei-Hua Chuang, Der-Yuan Chen and Tsai-Ching Hsu
Int. J. Mol. Sci. 2024, 25(18), 9917; https://doi.org/10.3390/ijms25189917 (registering DOI) - 13 Sep 2024
Viewed by 309
Abstract
Neutrophil extracellular traps (NETs) formation, namely NETosis, is implicated in antiphospholipid syndrome (APS)-related thrombosis in various autoimmune disorders such as systemic lupus erythematosus (SLE) and APS. Human parvovirus B19 (B19V) infection is closely associated with SLE and APS and causes various clinical manifestations [...] Read more.
Neutrophil extracellular traps (NETs) formation, namely NETosis, is implicated in antiphospholipid syndrome (APS)-related thrombosis in various autoimmune disorders such as systemic lupus erythematosus (SLE) and APS. Human parvovirus B19 (B19V) infection is closely associated with SLE and APS and causes various clinical manifestations such as blood disorders, joint pain, fever, pregnancy complications, and thrombosis. Additionally, B19V may trigger the production of autoantibodies, including those against nuclear and phospholipid components. Thus, exploring the connection between B19V, NETosis, and thrombosis is highly relevant. An in vitro NETosis model using differentiated HL-60 neutrophil-like cells (dHL-60) was employed to investigate the effect of B19V-VP1u IgG on NETs formation. A venous stenosis mouse model was used to test how B19V-VP1u IgG-mediated NETs affect thrombosis in vivo. The NETosis was observed in the dHL-60 cells treated with rabbit anti-B19V-VP1u IgG and was inhibited in the presence of either 8-Br-cAMP or CGS216800 but not GSK484. Significantly elevated reactive oxygen species (ROS), myeloperoxidase (MPO), and citrullinated histone (Cit-H3) levels were detected in the dHL60 treated with phorbol myristate acetate (PMA), human aPLs IgG and rabbit anti-B19V-VP1u IgG, respectively. Accordingly, a significantly larger thrombus was observed in a venous stenosis-induced thrombosis mouse model treated with PMA, human aPLs IgG, rabbit anti-B19V-VP1u IgG, and human anti-B19V-VP1u IgG, respectively, along with significantly increased amounts of Cit-H3-, MPO- and CRAMP-positive infiltrated neutrophils in the thrombin sections. This research highlights that anti-B19V-VP1u antibodies may enhance the formation of NETosis and thrombosis and implies that managing and treating B19V infection could lower the risk of thrombosis. Full article
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<p>Rabbit anti-B19 VP1u IgG induces NETs release. The dHL-60 cells treated with PMA, rabbit IgG, and rabbit anti-B19V-VP1u IgG (rabbit VP1u IgG), respectively, were stained with (<b>A</b>) SYTOX Green (left panel) and Hoechst 33342 (middle panel). The merged images were shown in the right panel, and arrows indicated the NETs. (<b>B</b>) The quantified results of SYTOX Green-positive signal. Three independent experiments were performed. The symbols * and # indicate significance (<span class="html-italic">p</span> &lt; 0.05) as compared to the control and rabbit IgG, respectively. <span class="html-italic">p</span>-value is calculated by one-way ANOVA followed by Tukey’s multiple comparison test.</p>
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<p>Inhibitory effect of NETs inhibitors (8-Br-cAMP, CGS21680, GSK484) on PMA and rabbit anti-B19V-VP1u IgG induced NETs. (<b>A</b>) The PMA and (<b>B</b>) rabbit anti-B19V-VP1u IgG (rabbit VP1u IgG) treated-dHL-60 cells in the presence of 8-Br-cAMP, CGS21680 or GSK484 were stained with SYTOX Green (left panel) and Hoechst 33342 (middle panel). The merged images were shown in the right panel, and arrows indicated the NETs. The quantified results of SYTOX Green-positive signals were shown in the lower panel. Three independent experiments were performed. The symbols *, #, and <span>$</span> indicate significance (<span class="html-italic">p</span> &lt; 0.05) as compared to the control, PMA, and rabbit anti-B19V-VP1u IgG, respectively. <span class="html-italic">p</span>-value is calculated by one-way ANOVA followed by Tukey’s multiple comparison test.</p>
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<p>Inhibitory effect of NETs inhibitors (8-Br-cAMP, CGS21680, GSK484) on PMA and rabbit anti-B19V-VP1u IgG induced NETs. (<b>A</b>) The PMA and (<b>B</b>) rabbit anti-B19V-VP1u IgG (rabbit VP1u IgG) treated-dHL-60 cells in the presence of 8-Br-cAMP, CGS21680 or GSK484 were stained with SYTOX Green (left panel) and Hoechst 33342 (middle panel). The merged images were shown in the right panel, and arrows indicated the NETs. The quantified results of SYTOX Green-positive signals were shown in the lower panel. Three independent experiments were performed. The symbols *, #, and <span>$</span> indicate significance (<span class="html-italic">p</span> &lt; 0.05) as compared to the control, PMA, and rabbit anti-B19V-VP1u IgG, respectively. <span class="html-italic">p</span>-value is calculated by one-way ANOVA followed by Tukey’s multiple comparison test.</p>
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<p>Rabbit B19V-VP1u IgG increases citH3 and MPO expressions. (<b>A</b>) The representative results of the dHL-60 cells were treated with PMA, normal human IgG (NH IgG), human aPLs IgG, rabbit IgG, and rabbit anti-B19V-VP1u IgG (rabbit VP1u IgG), and the presence of NETs was measured by detecting the expressions of citH3 and MPO with flow cytometry (<b>B</b>) The quantified results of NETs. Three independent experiments were performed. The symbols *, <span>$</span>, and # indicate significance (<span class="html-italic">p</span> &lt; 0.05) as compared to the control, human IgG, and rabbit anti-B19V-VP1u IgG, respectively. <span class="html-italic">p</span>-value is calculated by one-way ANOVA followed by Tukey’s multiple comparison test.</p>
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<p>Rabbit anti-B19V-VP1u IgG increases citrullinated histone H3 (Cit-H3) expression. (<b>A</b>) Western blot analysis was used to detect the presence of Cit-H3 in dHL-60 cells treated with PMA, normal human IgG (NH IgG), human aPLs IgG, rabbit IgG, and rabbit anti-B19V-VP1u IgG (rabbit VP1u IgG). (<b>B</b>) The ratio of Cit-H3 amount relative to total H3. (<b>C</b>) The ratio of Cit-H3 amount relative to β-actin. Three independent experiments were performed. The symbols *, <span>$</span>, and # indicate significance (<span class="html-italic">p</span> &lt; 0.05) compared to the Control, NH IgG, and rabbit VP1u IgG, respectively. <span class="html-italic">p</span>-value is calculated by one-way ANOVA followed by Tukey’s multiple comparison test.</p>
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<p>Human aPLs IgG and rabbit anti-B19V-VP1u IgG increase ROS production. (<b>A</b>) The dHL-60 cells were treated with PMA, normal human IgG (NH IgG), human aPLs IgG, rabbit IgG, and rabbit anti-B19V-VP1u IgG (rabbit VP1u IgG), and the ROS level was measured in the presence of Dichloro-dihydro-fluorescein diacetate (DCFH-DA) with flow cytometry. The arrow indicates the proportion of DCF-positive cells, defined as cells exhibiting fluorescence intensity greater than the established threshold value. (<b>B</b>) The quantified results of mean DCF. Three independent experiments were performed. The symbols *, <span>$</span>, and # indicate significance (<span class="html-italic">p</span> &lt; 0.05) compared to the control, NH IgG, and rabbit VP1u IgG, respectively. <span class="html-italic">p</span>-value is calculated by one-way ANOVA followed by Tukey’s multiple comparison test.</p>
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<p>Rabbit anti-B19V-VP1u IgG promotes venous thrombosis in C57BL/6 mice with inferior vena cava ligation. (<b>A</b>) The representative images of thrombus from the mice treated with PBS, rabbit IgG, and rabbit anti-B19V-VP1u IgG (rabbit VP1u IgG). Sections of the thrombus stained with (<b>B</b>) H&amp;E, (<b>C</b>) anti-citrullinated histone H3 (Cit-H3), (<b>D</b>) MPO, and (<b>E</b>) CRAMP. Scale bar = 1 mm. The right panel showed the quantified results of thrombus weight, thrombus length, and positive cells of Cit-H3, MPO, and CRAMP signal. The symbol * and # indicate significance (<span class="html-italic">p</span> &lt; 0.05) as compared to the control and rabbit IgG, respectively. <span class="html-italic">p</span>-value is calculated by one-way ANOVA followed by Tukey’s multiple comparison test.</p>
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<p>Human aPLs and anti-B19V-VP1u IgG promote venous thrombosis in C57BL/6 mice with inferior vena cava ligation. (<b>A</b>) The representative images of thrombus from the mice treated with normal human IgG (NH IgG), human aPLs IgG, and human anti-B19V-VP1u IgG. Sections of the thrombus stained with (<b>B</b>) H&amp;E, (<b>C</b>) anti-citrullinated histone H3 (Cit-H3), (<b>D</b>) MPO, and (<b>E</b>) CRAMP. Scale bar = 1 mm. The right panel showed the quantified results of thrombus weight, length, and positive cells of Cit-H3, MPO, and CRAMP signal. The symbol * indicate a significance (<span class="html-italic">p</span> &lt; 0.05) as compared to the NH IgG. <span class="html-italic">p</span>-value is calculated by one-way ANOVA followed by Tukey’s multiple comparison test.</p>
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13 pages, 2546 KiB  
Article
Two-Dimensional Polarized Blue P/SiS Heterostructures as Promising Photocatalysts for Water Splitting
by Yin Liu, Di Gu, Xiaoma Tao, Yifang Ouyang, Chunyan Duan and Guangxing Liang
Molecules 2024, 29(18), 4355; https://doi.org/10.3390/molecules29184355 - 13 Sep 2024
Viewed by 177
Abstract
Two-dimensional (2D) polarized heterostructures with internal electric fields are potential photocatalysts for high catalytic performance. The Blue P/SiS van der Waals heterostructures were formed from monolayer Blue P and polar monolayer SiS with different stacking interfaces, including Si-P and P-S interfaces. The structural, [...] Read more.
Two-dimensional (2D) polarized heterostructures with internal electric fields are potential photocatalysts for high catalytic performance. The Blue P/SiS van der Waals heterostructures were formed from monolayer Blue P and polar monolayer SiS with different stacking interfaces, including Si-P and P-S interfaces. The structural, electronic, optical and photocatalytic properties of the Blue P/SiS heterostructures were studied via first-principle calculations. The results showed that the Si-P-2 or P-S-4 stacking order contributes to the most stable heterostructure with the Si-P or P-S interface. The direction of the internal electric field is from the 001 surface toward the 001¯ surface, which is helpful for separating photo-generated electron–hole pairs. The bandgap and electrostatic potential differences in the Si-P-2(P-S-4) heterostructures are 1.74 eV (2.30 eV) and 0.287 eV (0.181 eV), respectively. Moreover, the Si-P-2(P-S-4) heterostructures possess suitable band alignment and wide ultraviolet and visible light spectrum regions. All results suggest that 2D polarized Blue P/SiS heterostructures are potential novel photocatalysts for water splitting under a wide ultraviolet and visible light spectrum region. Full article
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<p>Top and side view of a crystal structure. (<b>a</b>) Monolayer Blue P; (<b>b</b>) Monolayer SiS; (<b>c</b>) Blue P/SiS van der Waals heterostructures with a P-S interface stacking order; (<b>d</b>) Blue P/SiS van der Waals heterostructures with a Si-P interface stacking order.</p>
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<p>Time-dependent evolution of the total energy in AIMD simulations at 300 K for Blue P/SiS van der Waals heterostructures. (<b>a</b>) Si-P-2 and (<b>b</b>) P-S-4 stacking orders.</p>
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<p>The electronic band structure of (<b>a</b>) monolayer Blue P; (<b>b</b>) monolayer SiS; (<b>c</b>) Blue P/SiS van der Waals heterostructures with the Si-P-2 stacking order; and (<b>d</b>) Blue P/SiS van der Waals heterostructures with the P-S-4 stacking order.</p>
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<p>The planar average potential of the Blue P/SiS van der Waals heterostructures. (<b>a</b>,<b>b</b>) are the Si-P-2 stacking order. (<b>c</b>,<b>d</b>) are the P-S-4 stacking order. (<b>b</b>,<b>d</b>) are enlarged sections of (<b>a</b>,<b>c</b>).</p>
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<p>The band alignment of the Blue P/SiS van der Waals heterostructures. The (<b>a</b>) Si-P-2 stacking order. The (<b>b</b>) P-S-4 stacking order.</p>
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<p>The absorbance of monolayer Blue P, monolayer SiS, and the Blue P/SiS van der Waals heterostructures with Si-P-2 and P-S-4 stacking orders.</p>
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20 pages, 6964 KiB  
Article
Adding Rare Earth Oxide Markers to Polyoxymethylene to Improve Plastic Recycling through Tracer-Based Sorting
by Aleksander Jandric, Christoph Olscher, Christian Zafiu, Robert Lielacher, Christoph Lechner, Andrea Lassenberger and Florian Part
Polymers 2024, 16(18), 2591; https://doi.org/10.3390/polym16182591 - 13 Sep 2024
Viewed by 274
Abstract
Engineering plastics, such as polyoxymethylene (POM), are high-performance thermoplastics designed to withstand high temperature or mechanical stress and are used in electronic equipment, the automotive industry, construction, or specific household utensils. POM is immiscible with other plastics but due to a low volume [...] Read more.
Engineering plastics, such as polyoxymethylene (POM), are high-performance thermoplastics designed to withstand high temperature or mechanical stress and are used in electronic equipment, the automotive industry, construction, or specific household utensils. POM is immiscible with other plastics but due to a low volume of production, no methods were developed to separate it from the residual plastic waste stream. Therefore, POM recycling is minimal despite its high market value. This paper provides a proof of concept for tracer-based sorting (TBS) as a potential solution for increasing the separation efficiency of low-volume, high-quality polymers. For this purpose, yttrium oxide (Y2O3) and cerium (IV) oxide (CeO2) have been embedded into the POM matrix. Mechanical tests of samples at varying concentrations (0.1 to 1000 ppm) of both tracers were conducted, followed by an analysis of detectability and dispersibility using a portable X-ray fluorescence spectrometer (p-XRF), subsequently optimizing detection time and tracer concentration. Finally, an experimental scenario was developed to test the fate and potential recovery of the tracer material after the thermal treatment of plastics. A low detectable concentration, short measurement time, low influence on mechanical parameters of the compound, and low loss ratio after simulated recycling prove Y2O3 to be a suitable tracer for the industrial implementation of TBS. Full article
(This article belongs to the Special Issue Recycling of Plastic and Rubber Wastes, 2nd Edition)
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<p>Experimental design and workflow to produce and detect ytterbium oxide (Y<sub>2</sub>O<sub>3</sub>) and cerium oxide CeO<sub>2</sub> markers in polyoxymethylene (POM). “Closed-loop recycling” was assessed by re-melting the POM pellets with the marker materials, while “thermal treatment” was simulated using thermogravimetric analysis (TGA).</p>
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<p>(<b>A</b>) The XRF spectrum section with yttrium Kα (highlighted area at 14.958 kEV) and Kβ (highlighted area at 16.738 kEV) peaks at 100 ppm concentration (green line) in the POM plastics compared to the control sample without marker substance (black line). (<b>B</b>) The XRF spectrum section with cerium Lα (highlighted area at 4.4840 keV) and Lβ (highlighted area at 5.262 keV) peaks at 1000 ppm concentration (red line) in the POM plastics compared to the control sample (black line).</p>
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<p>Calibration linear regression models for both marker substances in POM homo- and co-polymers at 0, 0.1, 1, 10, 100, and 1000 ppm concentrations. Graph (<b>A</b>) depicts the calibration line for the Y<sub>2</sub>O<sub>3</sub> marker in the POM homo-polymer; graph (<b>B</b>) depicts the Y<sub>2</sub>O<sub>3</sub> marker in the POM co-polymer, graph (<b>C</b>) depicts the CeO<sub>2</sub> marker in the POM homo-polymer, and graph (<b>D</b>) depicts the CeO<sub>2</sub> marker in the POM co-polymer.</p>
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<p>SAXS patterns of the POM homo-polymer (H500) with (<b>A</b>) CeO<sub>2</sub> and (<b>B</b>) Y<sub>2</sub>O<sub>3</sub> markers at different concentrations. The curves show a typical pattern of the lamellar structure of a semicrystalline polymer. Adding CeO<sub>2</sub> does not influence the long period of the polymer structure. Y<sub>2</sub>O<sub>3</sub> alters the lamellar structure.</p>
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<p>WAXS patterns of the POM homo-polymer (H500) with CeO<sub>2</sub> and Y<sub>2</sub>O<sub>3</sub> markers at different concentrations. Data show that the addition of the markers does not alter the position of the polymer peaks. (<b>A</b>) CeO<sub>2</sub> can be detected at a concentration of 1000 ppm, visible in the 111 and 311 reflections of CeO<sub>2</sub> at 28.6° and 56.6° 2θ, respectively. (<b>B</b>) Y<sub>2</sub>O<sub>3</sub> does not show any additional peak.</p>
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<p>Calculated limit of detection (LOD) from calibration curves depending on the measurement time ranging between 1 and 50 s for the (<b>A</b>) Y<sub>2</sub>O<sub>3</sub> and the (<b>B</b>) CeO<sub>2</sub> markers.</p>
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<p>Average Kα peak height at 100 ppm Y<sub>2</sub>O<sub>3</sub> for the homo-polymer (<b>A</b>) and co-polymer (<b>B</b>) with standard deviations of 10 test specimens. A single ANOVA test showed no significant differences in the dispersibility of marker material within the same polymer type.</p>
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<p>Average Lα peak height at 1000 ppm CeO<sub>2</sub> for the homo-polymer (<b>A</b>) and co-polymer (<b>B</b>) with standard deviations of 10 test specimens. A single ANOVA test showed no significant differences in the dispersibility of marker material within the same polymer type.</p>
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<p>Comparison of Y<sub>2</sub>O<sub>3</sub> content in the homo- and co-polymer samples after production of the first batch of POM plastics with marker substance (control sample) and after simulated recycling process consisting of re-melting and re-extruding three times (3× recycled samples).</p>
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<p>SEM/EDX measurements of the Y<sub>2</sub>O<sub>3</sub>-marked POM co-polymer ash sample at 10,000×magnification, 20 keV, and a 22 min measurement time. (<b>A</b>) SEM image, (<b>B</b>) elemental mapping, (<b>C</b>) corresponding EDX spectrum, including a pie chart depicting the atom percentages.</p>
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<p>Extrapolated Y<sub>2</sub>O<sub>3</sub> marker material loss based on the simulated recycling process in the homo- and co-polymer until the limit of detection using X-ray fluorescence was reached.</p>
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16 pages, 2451 KiB  
Article
Diagnostic Benefit of Molecular Imaging in Patients Undergoing Heart Valve Surgery for Infective Endocarditis
by Dustin Greve, Emma Sartori, Hector Rodriguez Cetina Biefer, Stefania-Teodora Sima, Dinah Von Schöning, Frieder Pfäfflin, Miriam Songa Stegemann, Volkmar Falk, Annette Moter, Judith Kikhney and Herko Grubitzsch
Microorganisms 2024, 12(9), 1889; https://doi.org/10.3390/microorganisms12091889 - 13 Sep 2024
Viewed by 244
Abstract
(1) Background: The successful treatment of infective endocarditis (IE) relies on detecting causative pathogens to administer targeted antibiotic therapy. In addition to standard microbiological cultivation of pathogens from tissue obtained during heart valve surgery, the potential of molecular biological methods was evaluated. (2) [...] Read more.
(1) Background: The successful treatment of infective endocarditis (IE) relies on detecting causative pathogens to administer targeted antibiotic therapy. In addition to standard microbiological cultivation of pathogens from tissue obtained during heart valve surgery, the potential of molecular biological methods was evaluated. (2) Methods: A retrospective study was performed on heart valve tissue from 207 patients who underwent heart valve surgery for IE. FISHseq (fluorescence in situ hybridization combined with 16S rRNA gene PCR and sequencing) was performed in addition to conventional culture-based microbiological diagnostics. The diagnostic performance of FISHseq was compared with the conventional methods and evaluated in the clinical context. (3) Results: Overall, FISHseq provided a significantly higher rate of specific pathogen detection than conventional valve culture (68.1% vs. 33.3%, p < 0.001). By complementing the findings from blood culture and valve culture, FISHseq was able to provide a new microbiological diagnosis in 10% of cases, confirm the cultural findings in 24.2% of cases and provide greater diagnostic accuracy in 27.5% of cases. FISHseq could identify a pathogen in blood-culture-negative IE in 46.2% of cases, while valve culture provided only 13.5% positive results (p < 0.001). (4) Conclusions: This study demonstrates that using FISHseq as an additional molecular biological technique for diagnostics in IE adds substantial diagnostic value, with potential implications for the treatment of IE. It provides pathogen detection, especially in cases where conventional microbiological cultivation is negative or inconclusive. Full article
(This article belongs to the Special Issue The Infective Endocarditis)
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<p>FISHseq shows active FISH-positive bacteria in blood-culture-negative endocarditis (BCNIE). Note: FISHseq analysis of a BCNIE case caused by a <span class="html-italic">Streptococcus mitis</span> group in an aortic valve. (<b>A</b>) Overview of the heart valve tissue (green) with host cell nuclei (nucleic acid stain DAPI in blue). (<b>B</b>) Magnification of the inset in (<b>A</b>). The autofluorescent tissue background is shown in green and the nucleic acid stain DAPI in blue. Single bacteria are positive with the streptococci-specific FISH probes STREP1/2 in orange. (<b>C1</b>–<b>C4</b>) Magnification of the inset in (<b>B</b>). The same microscopic field of view is shown as single channels. (<b>C1</b>) The nucleic acid stain DAPI in black and white shows single cocci. (<b>C2</b>) The streptococci-specific FISH probes STREP1/2 in orange show two FISH-positive active streptococci. (<b>C3</b>) The tissue background in green shows no autofluorescent structures. (<b>C4</b>) The nonsense control FISH probe NON338 shows no unspecific probe binding; 16S rRNA gene PCR and sequencing resulted in a clear sequence of <span class="html-italic">S. mitis</span>/<span class="html-italic">oralis</span> 100% over 499 base pairs.</p>
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<p>FISHseq shows bacterial biofilms in culture-negative endocarditis. Note: FISHseq revealed <span class="html-italic">Staphylococcus aureus</span> biofilms in a native aortic heart valve endocarditis case where both the blood and valve cultures remained negative. The labeled insets (<b>B</b>–<b>D</b>) indicate regions selected for increased magnification corresponding to respective panels. (<b>A</b>,<b>B</b>) Overview of the heart valve tissue (green) with bacterial biofilms (nucleic acid stain DAPI in blue). (<b>C</b>) The nucleic acid stain DAPI in black and white shows cocci. No FISH signal was detectable. The slightly degraded morphology of the bacteria together with the absence of a FISH signal point to antibiotic treatment of the patient before surgery. This also explains the absence of growth of the normally well-cultivable bacteria in culture. (<b>D</b>) The FITC channel shows an autofluorescent tissue background in black and white with a long exposure time to visualize the biofilm background; 16S rRNA gene PCR and sequencing resulted in a clear sequence of <span class="html-italic">S. aureus</span>.</p>
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<p>Pathogen distribution by conventional valve culture versus FISHseq. Abbreviations: CNS: coagulase-negative staphylococci; FISHseq: fluorescence in situ hybridization combined with 16S rRNA gene polymerase chain reaction and sequencing.</p>
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<p>FISHseq shows Corynebacterium diphtheriae endocarditis. Note: FISHseq revealed massive biofilms of the rare endocarditis pathogen Corynebacterium diphtheriae in a case of aortic heart valve endocarditis. (<b>A</b>) Overview of the heart valve tissue with widespread bacterial biofilms (nucleic acid stain DAPI in blue). (<b>B</b>) Magnification of the inset in (<b>A</b>). The autofluorescent tissue background in green and the acid stain DAPI in blue. No FISH signal was detectable. (<b>C</b>) Magnification of the inset in B. The nucleic acid stain DAPI in black and white shows rod-shaped and pleomorphic bacteria. (<b>D</b>) Magnification of the inset in (<b>C</b>) showing single bacteria in black and white partly featuring the typical granules in the polar regions of rods (arrow); 16S rRNA gene PCR and sequencing resulted in <span class="html-italic">C. diphtheriae</span> (100% 459 base pairs).</p>
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<p>Constellations of findings from valve culture compared to FISHseq. Note: Different subspecies of streptococci and coagulase-negative staphylococci (CNS) are grouped together. Factors show how often an exact constellation occurred.</p>
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<p>Diagnostic impact of FISHseq complementing findings from blood culture and valve culture. Abbreviations: BC: blood culture; VC: valve culture. Note: For this analysis, the results of FISHseq were related to those of both valve culture and preoperative blood culture. In the case that (for example, after successful antibiotic pretreatment) VC was negative and FISH showed DAPI-positive but inactive endocarditis, this constellation was considered “effective treatment”.</p>
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17 pages, 3809 KiB  
Article
The Effect of Blood Flow Restriction during Low-Load Resistance Training Unit on Knee Flexor Muscle Fatigue in Recreational Athletes: A Randomized Double-Blinded Placebo-Controlled Pilot Study
by Aleksandra Królikowska, Maciej Daszkiewicz, Julia Kocel, George Mihai Avram, Łukasz Oleksy, Robert Prill, Jarosław Witkowski, Krzysztof Korolczuk, Anna Kołcz and Paweł Reichert
J. Clin. Med. 2024, 13(18), 5444; https://doi.org/10.3390/jcm13185444 - 13 Sep 2024
Viewed by 461
Abstract
Background/Objectives: Despite the growing popularity of training with a controlled form of vascular occlusion, known as blood flow restriction (BFR) training, in the rehabilitation of orthopedic patients and sports medicine, there remains ample space for understanding the basis of its mechanism. The pilot [...] Read more.
Background/Objectives: Despite the growing popularity of training with a controlled form of vascular occlusion, known as blood flow restriction (BFR) training, in the rehabilitation of orthopedic patients and sports medicine, there remains ample space for understanding the basis of its mechanism. The pilot study assessed the effect of BFR during a low-load resistance training unit on knee flexor muscle fatigue, intending to decide whether a larger trial is needed and feasible. Methods: The study used a prospective, randomized, parallel, double-blind, placebo-controlled design. Fifteen male healthy recreational athletes were randomly assigned to three equal groups: BFR Group, Placebo Group, and Control Group. The primary outcome was the change in the surface electromyography-based (sEMG-based) muscle fatigue index, which was determined by comparing the results obtained before and after the intervention. The intervention was the application of BFR during low-load resistance training for knee flexors. The occurrence of any adverse events was documented. Results: In all groups, the sEMG-based fatigue index for semitendinosus and biceps femoris muscles decreased after low-load resistance training, with the largest decrease in the BFR group. Although not statistically significant, BFR showed moderate and large effect sizes for the fatigue index of semitendinosus and biceps femoris, respectively. No adverse events were noted. Conclusions: The pilot study suggested that BFR during a low-load resistance training unit might affect knee flexor muscle fatigue, supporting the development of a larger randomized clinical trial. Full article
(This article belongs to the Section Orthopedics)
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<p>The starting position of the local knee flexors muscles fatigue assessment in the dominant lower limb using surface electromyography, performed during an isometric contraction against a hand-held dynamometer.</p>
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<p>The placement of the surface electromyography dual-electrode for recording the activity of the semitendinosus muscle in the examined dominant lower limb.</p>
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<p>The placement of the surface electromyography dual-electrode for recording the biceps femoris muscle activity in the examined dominant lower limb.</p>
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<p>The front view (<b>a</b>) and the side view from above (<b>b</b>) of the lower limb blood flow restriction cuff that was used for the present study purposes.</p>
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<p>Placement of the blood flow restriction cuff on the thigh of the dominant lower limb at the level of the largest circumference, directly under the inguinal fold.</p>
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<p>The starting position for the dominant limb low-load resistance training with blood flow restriction for knee flexors using an isokinetic dynamometer.</p>
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18 pages, 558 KiB  
Review
Protein-Based Predictive Biomarkers to Personalize Neoadjuvant Therapy for Bladder Cancer—A Systematic Review of the Current Status
by Stacy Bedore, Joshua van der Eerden, Faizan Boghani, Saloni J. Patel, Samer Yassin, Karina Aguilar and Vinata B. Lokeshwar
Int. J. Mol. Sci. 2024, 25(18), 9899; https://doi.org/10.3390/ijms25189899 - 13 Sep 2024
Viewed by 237
Abstract
The clinical outcome of patients with muscle-invasive bladder cancer (MIBC) is poor despite the approval of neoadjuvant chemotherapy or immunotherapy to improve overall survival after cystectomy. MIBC subtypes, immune, transcriptome, metabolomic signatures, and mutation burden have the potential to predict treatment response but [...] Read more.
The clinical outcome of patients with muscle-invasive bladder cancer (MIBC) is poor despite the approval of neoadjuvant chemotherapy or immunotherapy to improve overall survival after cystectomy. MIBC subtypes, immune, transcriptome, metabolomic signatures, and mutation burden have the potential to predict treatment response but none have been incorporated into clinical practice, as tumor heterogeneity and lineage plasticity influence their efficacy. Using the PRISMA statement, we conducted a systematic review of the literature, involving 135 studies published within the last five years, to identify studies reporting on the prognostic value of protein-based biomarkers for response to neoadjuvant therapy in patients with MIBC. The studies were grouped based on biomarkers related to molecular subtypes, cancer stem cell, actin-cytoskeleton, epithelial–mesenchymal transition, apoptosis, and tumor-infiltrating immune cells. These studies show the potential of protein-based biomarkers, especially in the spatial context, to reduce the influence of tumor heterogeneity on a biomarker’s prognostic capability. Nevertheless, currently, there is little consensus on the methodology, reagents, and the scoring systems to allow reliable assessment of the biomarkers of interest. Furthermore, the small sample size of several studies necessitates the validation of potential prognostic biomarkers in larger multicenter cohorts before their use for individualizing neoadjuvant therapy regimens for patients with MIBC. Full article
(This article belongs to the Special Issue Molecular Diagnostics and Therapeutic Target in Bladder Cancer)
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<p><b>Flow diagram.</b> Results from literature review. With the exclusion criteria of publications from the last 5 years, search strings resulted in 72 and 83 hits, for an initial sample size of 155. After the removal of duplicates, 135 articles were further analyzed, as shown in the flow diagram. Based on the inclusion parameters, and after full-text appraisal, 14 publications were selected for inclusion in this review.</p>
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18 pages, 1981 KiB  
Article
Consensus Statements among European Sleep Surgery Experts on Snoring and Obstructive Sleep Apnea: Part 3 Palatal Surgery, Outcomes and Follow-Up, Complications, and Post-Operative Management
by Ewa Olszewska, Andrea De Vito, Clemens Heiser, Olivier Vanderveken, Carlos O'Connor-Reina, Peter Baptista, Bhik Kotecha and Claudio Vicini
J. Clin. Med. 2024, 13(18), 5438; https://doi.org/10.3390/jcm13185438 - 13 Sep 2024
Viewed by 317
Abstract
Background/Objectives: Exploring and establishing a consensus on palatal surgery, the outcomes and follow-up after the palatal surgery, the complications of palatal surgery, and the post-operative management after palatal surgery for snoring and obstructive sleep apnea (OSA) among sleep surgeons is critical in the [...] Read more.
Background/Objectives: Exploring and establishing a consensus on palatal surgery, the outcomes and follow-up after the palatal surgery, the complications of palatal surgery, and the post-operative management after palatal surgery for snoring and obstructive sleep apnea (OSA) among sleep surgeons is critical in the surgical management of patients with such conditions. Methods: Using the Delphi method, a set of statements was developed based on the literature and circulated among a panel of eight European experts. Responses included agreeing and disagreeing with each statement, and the comments were used to assess the level of consensus and to develop a revised version. The new version with the level of consensus and anonymized comments was sent to each panel member as the second round. This was repeated over a total of five rounds. Results: The final set included a total of 111 statements, 27 of which were stand-alone questions and 21 of which contained 84 sub-statements. Of the 34 statements regarding palatal surgery, consensus was achieved among all eight, seven, and six panelists for 50%, 35.3%, and 5.9% of the questions, respectively. Of the 43 statements regarding the outcomes and follow-up after the palatal surgery, consensus was achieved among all eight, seven, and six panelists for 53.5%, 23.3%, and 4.7% of the questions, respectively. Of the 24 statements regarding complications after the palatal surgery, consensus was achieved among all eight, seven, and six panelists for 91.7%, 0%, and 4.2% of the questions, respectively. Of the 10 statements regarding post-operative management after palatal surgery, consensus was achieved among all eight, seven, and six panelists for 10%, 30%, and 30% of the papers, respectively. Conclusions: This consensus provides an overview of the work of European sleep surgeons to develop a set of statements on palatal surgery for the treatment of snoring and OSA, the outcomes and follow-up, the complications, and the post-operative management of palatal surgery. We believe that this will be helpful in everyday practice. It also indicates key areas for further studies in sleep surgery. Full article
(This article belongs to the Special Issue New Insights into Sleep Medicine)
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<p>Distribution of the degree of consensus among panelists for the statements on palatal surgery for the treatment of snoring and sleep apnea.</p>
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<p>Distribution of the degree of consensus among panelists for the statements on outcomes and follow-up after palatal surgery for the treatment of snoring and sleep apnea.</p>
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<p>Distribution of the degree of consensus among panelists for the statements on complications after palatal surgery for the treatment of snoring and sleep apnea.</p>
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<p>Distribution of the degree of consensus among panelists for the statements on post-operative management after palatal surgery for the treatment of snoring and sleep apnea.</p>
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9 pages, 6587 KiB  
Communication
The Discovery of Substituted 5-(2-Hydroxybenzoyl)-2-Pyridone Analogues as Inhibitors of the Human Caf1/CNOT7 Ribonuclease
by Ishwinder Kaur, Gopal P. Jadhav, Peter M. Fischer and Gerlof Sebastiaan Winkler
Molecules 2024, 29(18), 4351; https://doi.org/10.3390/molecules29184351 - 13 Sep 2024
Viewed by 160
Abstract
The Caf1/CNOT7 nuclease is a catalytic component of the Ccr4-Not deadenylase complex, which is a key regulator of post-transcriptional gene regulation. In addition to providing catalytic activity, Caf1/CNOT7 and its paralogue Caf1/CNOT8 also contribute a structural function by mediating interactions between the large, [...] Read more.
The Caf1/CNOT7 nuclease is a catalytic component of the Ccr4-Not deadenylase complex, which is a key regulator of post-transcriptional gene regulation. In addition to providing catalytic activity, Caf1/CNOT7 and its paralogue Caf1/CNOT8 also contribute a structural function by mediating interactions between the large, non-catalytic subunit CNOT1, which forms the backbone of the Ccr4-Not complex and the second nuclease subunit Ccr4 (CNOT6/CNOT6L). To facilitate investigations into the role of Caf1/CNOT7 in gene regulation, we aimed to discover and develop non-nucleoside inhibitors of the enzyme. Here, we disclose that the tri-substituted 2-pyridone compound 5-(5-bromo-2-hydroxy-benzoyl)-1-(4-chloro-2-methoxy-5-methyl-phenyl)-2-oxo-pyridine-3-carbonitrile is an inhibitor of the Caf1/CNOT7 nuclease. Using a fluorescence-based nuclease assay, the activity of 16 structural analogues was determined, which predominantly explored substituents on the 1-phenyl group. While no compound with higher potency was identified among this set of structural analogues, the lowest potency was observed with the analogue lacking substituents on the 1-phenyl group. This indicates that substituents on the 1-phenyl group contribute significantly to binding. To identify possible binding modes of the inhibitors, molecular docking was carried out. This analysis suggested that the binding modes of the five most potent inhibitors may display similar conformations upon binding active site residues. Possible interactions include π-π interactions with His225, hydrogen bonding with the backbone of Phe43 and Van der Waals interactions with His225, Leu209, Leu112 and Leu115. Full article
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<p>Structure of 5-(5-bromo-2-hydroxybenzoyl)-1-(4-chloro-2-methoxy-5-methylphenyl)-2-oxo-1,2-dihydropyridine-3-carbonitrile, an inhibitor of the human Caf1/CNOT7 nuclease. The reported IC<sub>50</sub> value is 14.6 ± 3.1 μM [<a href="#B37-molecules-29-04351" class="html-bibr">37</a>].</p>
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<p>Molecular docking of inhibitors into the active site of human Caf1/CNOT7. (<b>A</b>) Catalytic site of the Caf1/CNOT7 enzyme. Shown is the position of the residues coordinating two Mg<sup>2+</sup> ions (bright green) in the active site of <span class="html-italic">Schizosaccharomyces pombe</span> Pop2 protein (PDB 2P51, slate blue) [<a href="#B9-molecules-29-04351" class="html-bibr">9</a>] and the corresponding coordinating residues of human Caf1/CNOT7 (PDB 7VOI, salmon red) [<a href="#B12-molecules-29-04351" class="html-bibr">12</a>]. (<b>B</b>) Model of human Caf1/CNOT7 bound to poly(A) RNA. The RNA was obtained by superposition of the structure of human Caf1/CNOT7 (PDB 7VOI) [<a href="#B12-molecules-29-04351" class="html-bibr">12</a>] and <span class="html-italic">Schizosaccharomyces pombe</span> Pan2 in complex with poly(A) RNA (PDB 6R9J) [<a href="#B45-molecules-29-04351" class="html-bibr">45</a>]. Shown are the surface views of the residues developing; polar interactions (red) and nonpolar interactions (white) with the analogues (<b>1</b>, <b>8</b>, <b>9</b>, <b>11</b>, <b>15</b> and <b>17</b>) in the active site. (<b>C</b>) Molecular docking of <b>1</b> (cyan) into the active site of Caf1/CNOT7. (<b>D</b>) Overlay of <b>1</b> (cyan) with the plausible conformation of the five most potent analogues <b>8</b> (light green), <b>9</b> (light yellow), <b>11</b> (slate blue), <b>15</b> (magenta) and <b>17</b> (white). (<b>E</b>) Molecular docking of <b>17</b> (white) into the active site of Caf1/CNOT7 (<b>F</b>) Overlay of <b>1</b> (cyan) with the plausible conformation of the most potent analogue <b>17</b>, into the active site of Caf1/CNOT7.</p>
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17 pages, 2005 KiB  
Review
An Overview of Interactions between Goat Milk Casein and Other Food Components: Polysaccharides, Polyphenols, and Metal Ions
by Bohan Ma, Majida Al-Wraikat, Qin Shu, Xi Yang and Yongfeng Liu
Foods 2024, 13(18), 2903; https://doi.org/10.3390/foods13182903 - 13 Sep 2024
Viewed by 383
Abstract
Casein is among the most abundant proteins in milk and has high nutritional value. Casein’s interactions with polysaccharides, polyphenols, and metal ions are important for regulating the functional properties and textural quality of dairy foods. To improve the functional properties of casein-based foods, [...] Read more.
Casein is among the most abundant proteins in milk and has high nutritional value. Casein’s interactions with polysaccharides, polyphenols, and metal ions are important for regulating the functional properties and textural quality of dairy foods. To improve the functional properties of casein-based foods, a deep understanding of the interaction mechanisms and the influencing factors between casein and other food components is required. This review started by elucidating the interaction mechanism of casein with polysaccharides, polyphenols, and metal ions. Thermodynamic incompatibility and attraction are the fundamental factors in determining the interaction types between casein and polysaccharides, which leads to different phase behaviors and microstructural types in casein-based foods. Additionally, the interaction of casein with polyphenols primarily occurs through non-covalent (hydrogen bonding, hydrophobic interactions, van der Waals forces, and ionic bonding) or covalent interaction (primarily based on the oxidation of proteins or polyphenols by enzymatic or non-enzymatic (alkaline or free radical grafting) approaches). Moreover, the selectivity of casein to specific metal ions is also introduced. Factors affecting the binding of casein to the above three components, such as temperature, pH, the mixing ratio, and the fine structure of these components, are also summarized to provide a good foundation for casein-based food applications. Full article
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<p>Phase behaviors and network structure of mixed milk casein and polysaccharides. (<b>a</b>) The schematic diagram of the phase transition in mixed casein/polysaccharides; (<b>b</b>) “water in water emulsion” structure of mixed casein and methylcellulose (MC) gels (8.0% casein + 0.2% MC), cited from Li et al. [<a href="#B19-foods-13-02903" class="html-bibr">19</a>] with permission from Elsevier.</p>
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<p>Main categories and chemical structures of fruit and vegetable phenolics.</p>
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<p>Non-covalent conjugation of casein and polyphenol and protein cross-linking via (<b>a</b>) hydrogen bonding, (<b>b</b>) hydrophobic-hydrophobic interaction, and (<b>c</b>) ionic interaction adopted from Quan et al. [<a href="#B51-foods-13-02903" class="html-bibr">51</a>].</p>
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<p>Covalent conjugation of casein and polyphenol and protein cross-links via (<b>a</b>) alkaline, (<b>b</b>) enzymatic, and (<b>c</b>) free-radical grafting reactions adopted from Quan et al. [<a href="#B51-foods-13-02903" class="html-bibr">51</a>].</p>
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<p>The (<b>a</b>) multidentate and (<b>b</b>) monodentate mechanism of protein-polyphenol interaction adopted from Günal-Köroğlu et al. [<a href="#B42-foods-13-02903" class="html-bibr">42</a>].</p>
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15 pages, 5976 KiB  
Article
Molecular and Functional Cargo of Plasma-Derived Exosomes in Patients with Hereditary Hemorrhagic Telangiectasia
by Yanru Wang, Linda Hofmann, Diana Huber, Robin Lochbaum, Sonja Ludwig, Cornelia Brunner, Thomas K. Hoffmann, René Lehner and Marie-Nicole Theodoraki
J. Clin. Med. 2024, 13(18), 5430; https://doi.org/10.3390/jcm13185430 - 13 Sep 2024
Viewed by 250
Abstract
Background: Hereditary Hemorrhagic Telangiectasia (HHT) is a genetic disorder leading to frequent bleeding in several organs. As HHT diagnosis is demanding and depends on clinical criteria, liquid biopsy would be beneficial. Exosomes from biofluids are nano-sized vesicles for intercellular communication. Their cargo [...] Read more.
Background: Hereditary Hemorrhagic Telangiectasia (HHT) is a genetic disorder leading to frequent bleeding in several organs. As HHT diagnosis is demanding and depends on clinical criteria, liquid biopsy would be beneficial. Exosomes from biofluids are nano-sized vesicles for intercellular communication. Their cargo and characteristics represent biomarkers for many diseases. Here, exosomes of HHT patients were examined regarding their biosignature. Methods: Exosomes were isolated from the plasma of 20 HHT patients and 17 healthy donors (HDs). The total exosomal protein was quantified, and specific proteins were analyzed using Western blot and antibody arrays. Human umbilical vein endothelial cells (HUVECs) co-incubated with exosomes were functionally examined via immunofluorescence, proliferation, and scratch assay. Results: The levels of the angiogenesis-regulating protein Thrombospondin-1 were significantly higher in HHT compared to HD exosomes. Among HHT, but not HD exosomes, a negative correlation between total exosomal protein and soluble Endoglin (sENG) levels was found. Other exosomal proteins (ALK1, ALK5) and the particle concentration significantly correlated with disease severity parameters (total consultations/interventions, epistaxis severity score) in HHT patients. Functionally, HUVECs were able to internalize both HD and HHT exosomes, inducing a similar change in the F-Actin structure and a reduction in migration and proliferation. Conclusions: This study provided first insights into the protein cargo and function of HHT-derived exosomes. The data indicate changes in sENG secretion via exosomes and reveal exosomal Thrombospondin-1 as a potential biomarker for HHT. Several exosomal characteristics were pointed out as potential liquid biomarkers for disease severity, revealing a possible new way of diagnosis and prognosis of HHT. Full article
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<p>Exosome characterization. (<b>A</b>) Representative transmission electron microscopy images of plasma-derived exosomes from a healthy donor (HD) and a patient with Hereditary Hemorrhagic Telangiectasia (HHT). Scale bar = 200 nm. (<b>B</b>) Western blot analysis of HD and HHT exosomes for exosomal markers (CD63, CD9, TSG101), the cellular marker Grp94, and lipoprotein ApoA1. A cell lysate (C) and unprocessed plasma (P) served as positive controls. (<b>C</b>) Representative size distributions of plasma-derived exosomes from HD and HHT patient determined via nanoparticle tracking analysis. (<b>D</b>) Quantitative characteristics of plasma-derived exosomes from HD (n = 17) and HHT patients (n = 18). Box-and-whisker plots represent the median, the 25th and 75th quartiles, and the range.</p>
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<p>Soluble Endoglin levels in HD and HHT exosomes. (<b>A</b>) Representative Western blot of HD and HHT exosomes for the angiogenesis-related protein sENG and the exosomal marker TSG101. Numbers below lanes indicate band intensities of sENG normalized to TSG101 using lane normalization factors. (<b>B</b>) Normalized sENG values of HD and HHT exosomes (n = 17). Age- and gender-matched pairs of HDs and HHT patients whose plasma was used for exosome isolation are connected by a line. (<b>C</b>) Normalized sENG values of HHT exosomes (n = 17) were correlated to total exosomal protein levels, as determined by Bicinchoninic acid (BCA) assay. Spearman’s rank correlation coefficient (r) and correlation significance (p) were calculated. (<b>D</b>) Normalized sENG values of HD exosomes (n = 17) were correlated to the total exosomal protein levels, as determined by BCA assay. Pearson coefficient of correlation (R2) and correlation significance (p) are shown.</p>
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<p>Angiogenesis-related proteins in HD and HHT exosomes. (<b>A</b>) Representative antibody array analysis of HD and HHT exosomes (n = 2) for angiogenesis-related proteins including Thrombospondin-1 and platelet factor 4 (PF4). The reference spots’ signal density was used for normalization and quantification of protein levels. (<b>B</b>) Normalized pixel density of Thrombospondin-1 and PF4 was compared between HD and HHT exosomes (n = 6). Box-and-whisker plots represent the median, the 25th and 75th quartiles, and the range. Mann–Whitney test was applied for comparison between HD and HHT exosomes with * corresponding to <span class="html-italic">p</span> ≤ 0.05.</p>
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<p>Structural changes in HUVECs after exosome incubation. (<b>A</b>) Fluorescence microscopy images at 400× magnification, scale bar = 50 µm. HUVECs were incubated with PKH26-labeled exosomes (orange) for 1 h, 4 h, or 16 h. F-Actin filaments are shown in green, and nuclei in blue (DAPI). (<b>B</b>) Representative images of F-actin structure in HUVECs after exosome incubation. HUVECs were incubated with PBS as control, HD exosomes, or HHT exosomes for 24 h. F-Actin filaments are shown in green, and nuclei in blue (DAPI). (<b>C</b>) Tube formation assay on HUVECs after exosome incubation. HUVECs grown in an extracellular matrix were incubated with PBS as control (n = 4), HD, or HHT exosomes (n = 3) for 16 h. Representative fluorescence microscopy images (50× magnification, scale bar = 500 µm) show the results of tube formation. Using ImageJ 1.53k, the total length of tubes in the analyzed area was calculated for the three groups of treated HUVECs.</p>
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<p>Proliferation and migration of HUVECs after exosome incubation. (<b>A</b>) Carboxy-fluorescein succinimidyl ester (CFSE) proliferation assay as determined via flow cytometry. CFSE-labeled HUVECs were incubated with PBS as control (n = 4), HD (n = 4) or HHT exosomes (n = 5) for 24 h. Then, these control and exosome-primed HUVECs were analyzed via flow cytometry after 0 h, 24 h, and 48 h. Representative flow cytometry histograms are shown. (<b>B</b>) Box-and-whisker blots show the median, the 25th and 75th quartiles, and the range of the percentage of proliferated HUVECs after 24 h and 48 h. Mann–Whitney test was applied for comparison between groups with * corresponding to <span class="html-italic">p</span> ≤ 0.05. (<b>C</b>) Wound healing assay of HUVECs after exosome incubation. Representative light microscopy images (50× magnification, scale bar = 500 µm) of HUVECs incubated with PBS as control (n = 9), HD (n = 11) or HHT exosomes (n = 13) for 24 h. Then, scratches were induced and documented 0 h, 24 h, and 48 h afterwards. (<b>D</b>) Using ImageJ, the gap width of each scratch was calculated (<a href="#app1-jcm-13-05430" class="html-app">Figure S1</a>). Box-and-whisker blots show the median, the 25th and 75th quartiles, and the range of the gap width reduction 24h and 48h after incubation. Mann–Whitney test was applied for comparison between groups with *** and **** corresponding to <span class="html-italic">p</span> ≤ 0.001 and <span class="html-italic">p</span> ≤ 0.0001.</p>
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<p>Correlations between exosomal and clinical parameters. (<b>A</b>) Normalized ALK1 values of HHT exosomes (n = 17) were correlated to the number of total consultations and total interventions. (<b>B</b>) Normalized ALK5 values of HHT exosomes (n = 16) were correlated to ESSs at the time of inclusion. (<b>C</b>) Particle concentration of HHT exosome samples (n = 17) was correlated to Epistaxis severity scores (ESS) at the time of inclusion. Pearson coefficient of correlation (R2) and correlation significance (p) are shown for all correlations.</p>
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