High prevalence of vertebral deformity in tumor-induced osteomalacia associated with impaired bone microstructure

PURPOSE

Patients with tumor-induced osteomalacia (TIO) often suffer from irreversible height loss due to vertebral deformity. However, the prevalence of vertebral deformity in TIO patients varies among limited studies. In addition, the distribution and type of vertebral deformity, as well as its risk factors, remain unknown. This study aimed to identify the prevalence, distribution, type and risk factors for vertebral deformity in a large cohort of TIO patients.

METHODS

A total of 164 TIO patients were enrolled in this retrospective study. Deformity in vertebrae T4-L4 by lateral thoracolumbar spine radiographs was evaluated according to the semiquantitative method of Genant. Bone microstructure was evaluated by trabecular bone score (TBS) and high-resolution peripheral QCT (HR-pQCT).

RESULTS

Ninety-nine (99/164, 60.4%) patients had 517 deformed vertebrae with a bimodal pattern of distribution (T7-9 and T11-L1), and biconcave deformity was the most common type (267/517, 51.6%). Compared with patients without vertebral deformity, those with vertebral deformity had a higher male/female ratio, longer disease duration, more height loss, lower serum phosphate, higher bone turnover markers, lower TBS, lower areal bone mineral density (aBMD), lower peripheral volumetric BMD (vBMD) and worse microstructure. Lower trabecular vBMD and worse trabecular microstructure in the peripheral bone and lower spine TBS were associated with an increased risk of vertebral deformity independently of aBMD. After adjusting for the number of deformed vertebrae, we found little difference in clinical indexes among the patients with different types of vertebral deformity. However, we found significant correlations of clinical indexes with the number of deformed vertebrae and the spinal deformity index.

CONCLUSION

We reported a high prevalence of vertebral deformity in the largest cohort of TIO patients and described the vertebral deformity in detail for the first time. Risk factors for vertebral deformity included male sex, long disease duration, height loss, abnormal biochemical indexes and bone impairment. Clinical manifestation, biochemical indexes and bone impairment were correlated with the number of deformed vertebrae and degree of deformity, but not the type of deformity.

Emergence of high piezoelectricity from competing local polar order-disorder in relaxor ferroelectrics

Relaxor ferroelectrics are known for outstanding piezoelectric properties, finding a broad range of applications in advanced electromechanical devices. Decoding the origins of the enhanced properties, however, have long been complicated by the heterogeneous local structures. Here, we employ the advanced big-box refinement method by fitting neutron-, X-ray-based total scattering, and X-ray absorption spectrum simultaneously, to extract local atomic polar displacements and construct 3D polar configurations in the classical relaxor ferroelectric Pb(Mg_1/3Nb_2/3)O₃-PbTiO₃. Our results demonstrate that prevailing order-disorder character accompanied by the continuous rotation of local polar displacements commands the composition-driven global structure evolution. The omnidirectional local polar disordering appears as an indication of macroscopic relaxor characteristics. Combined with phase-field simulations, it demonstrates that the competing local polar order-disorder between different states with balanced local polar length and direction randomness leads to a flattening free-energy profile over a wide polar length, thus giving rise to high piezoelectricity. Our work clarifies that the critical structural feature required for high piezoelectricity is the competition states of local polar rather than relaxor.

Significantly Enhanced Room-Temperature Ferromagnetism in Multiferroic EuFeO3-δ Thin Films

Regulating the magnetic properties of multiferroics lays the foundation for their prospective application in spintronic devices. Single-phase multiferroics, such as rare-earth ferrites, are promising candidates; however, they typically exhibit weak magnetism at room temperature (RT). Here, we significantly boosted the RT ferromagnetism of a representative ferrite, EuFeO₃, by oxygen defect engineering. Polarized neutron reflectometry and magnetometry measurements reveal that saturation magnetization reaches 0.04 μ_B/Fe, which is approximately 5 times higher than its bulk phase. Combining the annular bright-field images with theoretical assessment, we unravel the underlying mechanism for magnetic enhancement, in which the decrease in Fe-O-Fe bond angles caused by oxygen vacancies (V_O) strengthens magnetic interactions and tilts Fe spins. Furthermore, the internal relationship between magnetism and V_O was established by illustrating how the magnetic structure and magnitude change with V_O configuration and concentration. Our strategy for regulating magnetic properties can be applied to numerous functional oxide materials.

Annealing in Argon Universally Upgrades the Na-Storage Performance of Mn-Based Layered Oxide Cathodes by Creating Bulk Oxygen Vacancies

Manganese-rich layered oxide cathodes of sodium-ion batteries (SIBs) are extremely promising for large-scale energy storage owing to their high capacities and cost effectiveness, while the Jahn-Teller (J-T) distortion and low operating potential of Mn redox largely hinder their practical applications. Herein, we reveal that annealing in argon rather than conventional air is a universal strategy to comprehensively upgrade the Na-storage performance of Mn-based oxide cathodes. Bulk oxygen vacancies are introduced via this method, leading to reduced Mn valence, lowered Mn 3d-orbital energy level, and formation of the new-concept Mn domains. As a result, the energy density of the model P2-Na_0.75 Mg_0.25 Mn_0.75 O₂ cathode increases by ≈50 % benefiting from the improved specific capacity and operating potential of Mn redox. The Mn domains can disrupt the cooperative J-T distortion, greatly promoting the cycling stability. This exciting finding opens a new avenue towards high-performance Mn-based oxide cathodes for SIBs.

Engineering Vacancies at the 2D Nanocrystals for Robust Bifunctional Electrocatalysts

Hydrogen evolution reaction (HER) and oxygen evolution reaction (OER) through water decomposition are feasible methods to produce green and clean energy. Herein, we report a facile two-step strategy for the preparation of non-noble metal defect-rich nanosheets by an electrochemical process at room temperature. First-principle calculations are used to study the bifunctional catalytic reaction mechanism of defect engineering in transition-metal dichalcogenides (TMDs); from the first-principle calculations, we predicted that the rich S vacancies on the nanosheet promoted electron transfer and reduced the energy barrier of electrocatalysis. As a substantiation, we conducted HER/OER electrochemical characterizations and found that the defect-rich atomic-thick tantalum sulfide is a kind of dual-function electrocatalyst with enhanced comprehensive properties of Tafel slope (39 mV/dec for HER, 38 mV/dec for OER) and low overpotential (0.099 V for HER, 0.153 V for OER) in acidic and alkaline environments, respectively. Likewise, the defect-rich catalysts exhibit high stability in acidic and alkaline solutions, which have potential applications as electrocatalysts for the large-scale production of hydrogen and oxygen.

Ferroelectric Ordering in Nanosized PbTiO3

The insight into the three-dimensional configuration of ferroelectric ordering in ferroelectric nanomaterials is motivated by the application of the development of functional nanodevices and the structural designing. However, the atomic deciphering of the spatial distribution of ordered structure remains challenging for the limitation of dimension and probing techniques. In this paper, a neutron pair distribution function (nPDF) was utilized to analyze the spontaneous polarization distribution of zero-dimensional PbTiO₃ nanoparticles in three dimensions, via the application of reverse Monte Carlo (RMC) modeling. The comprehensive identification with transmission electron microscopy verified the linear characteristics of polarization along the c-axis in the main body, while electric polarization distribution on the surface was enhanced abnormally. In addition, the correlation of dipole vectors extending to three unit cells below the surface is retained. This work shows an application of the micro/macroscale information to effectively decode the polarization structure of nanoferroelectrics, providing new views of designing nanoferroelectric devices.

Interface Capture Effect Printing Atomic-Thick 2D Semiconductor Thin Films

2D semiconductor crystals offer the opportunity to further extend Moore's law to the atomic scale. For practical and low-cost electronic applications, directly printing devices on substrates is advantageous compared to conventional microfabrication techniques that utilize expensive photolithography, etching, and vacuum-metallization processes. However, the currently printed 2D transistors are plagued by unsatisfactory electrical performance, thick semiconductor layers, and low device density. Herein, a facile and scalable 2D semiconductor printing strategy is demonstrated utilizing the interface capture effect and hyperdispersed 2D nanosheet ink to fabricate high-quality and atomic-thick semiconductor thin-film arrays without additional surfactants. Printed robust thin-film transistors using 2D semiconductors (e.g., MoS₂ ) and 2D conductive electrodes (e.g., graphene) exhibit high electrical performance, including a carrier mobility of up to 6.7 cm² V^-1 s^-1 and an on/off ratio of 2 × 10⁶ at 25 °C. As a proof of concept, 2D transistors are printed with a density of ≈47 000 devices per square centimeter. In addition, this method can be applied to many other 2D materials, such as NbSe₂ , Bi₂ Se₃ , and black phosphorus, for printing diverse high-quality thin films. Thus, the strategy of printable 2D thin-film transistors provides a scalable pathway for the facile manufacturing of high-performance electronics at an affordable cost.

Scoping review on the role of social media in oral health promotion

OBJECTIVE

This review was conducted to assess the role of social media in oral health promotion by reviewing the perspectives and evaluation methods of previous related studies.

MATERIALS AND METHODS

The preferred reporting items PRISMA checklist was used to structure this review. Key search terms were identified to examine databases including PubMed, Web of Science and Embase. Manual searches in relevant journals and materials were also conducted in the meantime.

RESULTS

A total of 640 articles were identified after multi-source screening and duplicates removing, and finally 19 original studies published before April 2020 met the inclusion criteria. These studies mainly cover the fields of dentistry education and research, clinical treatment, and preventive dentistry. Both traditional and new-type social media have advantages and focuses, as well as biased information. Detailed assessment methods and indicators are classified into several groups, which could be selected to use in future research.

CONCLUSIONS

The application of social media in oral health promotion is becoming popular with the development of information technology. The broader use in the future, covering dentistry, mass health education, both long-term and short-term treatments of additional clinical content, requires further evaluation and supervision in online information sharing process. The reasonable selection of methods and indicators according to different topics and preference is of great importance.

A Seawater-Corrosion-Resistant and Isotropic Zero Thermal Expansion (Zr,Ta)(Fe,Co)2 Alloy

Zero thermal expansion (ZTE) alloys as dimensionally stable materials are usually challenged by harsh environmental erosion, since ZTE and corrosion resistance are generally mutually exclusive. Here, a high-performance alloy, Zr_0.8 Ta_0.2 Fe_1.7 Co_0.3 , is reported, that shows isotropic ZTE behavior (α_l  = 0.21(2) × 10^-6 K^-1 ) in a wide temperature range of 5-360 K, high corrosion resistance in a seawater-like solution compared with classic Invar and stainless Invar, and excellent cyclic thermal and structural stabilities. Such stabilities are attributed to the cubic symmetry, the controllable magnetic order, and the spontaneously formed passive film with Ta and Zr chemical modifications. The results are evidenced by X-ray/neutron diffraction, microscopy, spectroscopy, and electrochemistry investigations. Such multiple stabilities have the potential to broaden the robust applications of ZTE alloys, especially in marine services.

Thermal Enhancement of Luminescence for Negative Thermal Expansion in Molecular Materials

Overcoming thermal quenching is an essential issue in the practical application of luminescent materials. Herein, we found that negative thermal expansion (NTE) can achieve the thermal enhancement of luminescence in molecular materials based on three metal-organic frameworks CuX-bpy (X = Cl, Br, I; bpy = 4,4'-bipyridine). All complexes exhibit NTE on the c-axis, and the strongest NTE leads to a contraction of the Cu...Cu distance in CuCl-bpy, which further intensifies the luminescence emission. This phenomenon indicates the existence of thermally enhanced charge transfer. Moreover, the origin of the distinction in charge transfer attributed to the different valence states of the copper is investigated through the combined studies of X-ray photoelectron spectroscopy, X-ray absorption near-edge structure, and density functional theory calculations. This research provides a new approach to modulating the luminescence thermal enhancement by NTE.

Chemical pressure in functional materials

Chemical pressure, a strange but familiar concept, is a lattice internal force caused by lattice strain with chemical modifications and arouses great interest due to its diversity and efficiency to synthesize new compounds and tune functional materials. Different from physical pressure loaded by an external force that is positive, chemical pressure can be either positive or negative (contract a lattice or expand it), often through flexible and mild chemical synthesis strategies, which are particularly important as a degree of freedom to manipulate material behaviors. In this tutorial review, we summarize the features of chemical pressure as a methodology and demonstrate its role in synthesizing and discovering some typical magnetically, electrically, and thermally responsive functional materials. The measure of chemical pressure using experimental lattice strain and elastic modulus was proposed, which can be used for quantitative descriptions of the correlation between lattice distortion and properties. From a lattice strain point of view, we classify chemical pressure into different categories: (i) chemical substitution, (ii) chemical intercalation/de-intercalation, (iii) size effect, and (iv) interface constraint, etc. Chemical pressure affects chemical bonding and rationalizes the crystal structure by modifying the electronic structure of solids, regulating the lattice symmetry, local structure, phonon structure effects etc., emerging as a general and effective method for synthesizing new compounds and tuning functional materials.

[Chaihu Guizhi Decoction plus or minus formula combined with capecitabine inhibits IL-6/STAT3 signaling to suppress triple-negative breast cancer xenografts in nude mice]

OBJECTIVE

To investigate the effect of Chaihu Guizhi Decoction (CHGZD) combined with capecitabine on growth and apoptosis of subcutaneous triple-negative breast cancer xenografts in nude mice and explore the possible mechanism.

METHODS

Nude mouse models bearing subcutaneous triple-negative breast cancer xenografts were randomized into 6 groups (n=10) for treatment with distilled water (model group), low (10.62 g/kg), medium (21.23 g/kg) and high (42.46 g/kg) doses of CHGZD, capecitabine (0.2 mg/kg), or the combination of CHGZD (42.46 g/kg) and capecitabine (0.2 mg/k) once daily for 21 consecutive days. The general condition of mice was observed, and after 21-day treatments, the tumors were dissected for measurement of tumor volume and weight and histopathological examination with HE staining. Serum IL-6 levels of the mice were determined with enzyme-linked immunosorbent assay (ELISA), and the expression levels of IL-6, STAT3, p-STAT3, Bax, Bcl-2 and cyclin D1 in the tumor tissues were detected using real-time PCR and Western blotting.

RESULTS

Compared with those in the model group, the tumor-bearing mice receiving treatments with CHGZD showed significantly increased food intake with good general condition, sensitive responses, increased body weight, and lower tumor mass (P < 0.01). Compared with capecitabine treatment alone, treatment with CHGZD alone at the medium and high doses and the combined treatment all resulted in significantly higher tumor inhibition rates (P < 0.01), induced obvious tumor tissue degeneration and reduced the tumor cell density. Treatments with CHGZD, both alone and in combination with capecitabine, significantly decreased serum IL-6 level, lowered the mRNA expression levels of IL-6 and STAT3, the protein expressions of IL-6, STAT3 and P-STAT3 (P < 0.05), and the mRNA and protein expressions of Bcl-2 and cyclin D1 (P < 0.05), and increased the mRNA and protein expressions of Bax in the tumor tissues (P < 0.05).

CONCLUSION

CHGZD combined with capecitabine can significantly inhibit tumor growth in nude mice bearing triple-negative breast cancer xenografts, the mechanism of which may involve the inhibition of IL-6/STAT3 signaling pathway and regulation of Bax, Bcl-2 and cyclin D1 expressions to suppress tumor cell proliferation and differentiation and induce cell apoptosis.

Effects of Subsurface Oxide on Cu1/CeO2 Single-Atom Catalysts for CO Oxidation: A Theoretical Investigation

Supported atomic dispersion metals are of great interest, and the interfacial effect between isolated metal atoms and supports is crucial in heterogeneous catalysis. Herein, the behavior of single-atom Cu catalysts dispersed on CeO₂ (100), (110), and (111) surfaces has been studied by DFT + U calculations. The interactions between ceria crystal planes and isolated Cu atoms together with their corresponding catalytic activities for CO oxidation are investigated. The CeO₂ (100) and (111) surfaces can stabilize active Cu⁺ species, while Cu exists as Cu²⁺ on the (110) surface. Cu⁺ is certified as the most active site for CO adsorption, which can promote the formation of the reaction intermediates and reduce reaction energy barriers. For the CeO₂ (100) surface, the interaction between CO and Cu is weak and the CO adsorbate is more likely to activate the subsurface oxygen. The catalytic performance is closely related to the binding strength of CO to the active Cu single atoms on the different subsurfaces. These results bring a significant insight into the rational design of single metal atoms on ceria and other reducible oxides.

Two-Dimensional Negative Thermal Expansion in a Facile and Low-Cost Oxalate-Based Metal-Organic Framework

Two-dimensional negative thermal expansion (NTE) is achieved in a tetragonal oxalate-based metal-organic framework (MOF), CdZrSr(C₂O₄)₄, within a temperature range from 123 to 398 K [space group I4̅m2, α_a = -2.4(7) M K^-1, α_c = 11.3(3) M K^-1, and α_V = 6.4(1) M K^-1]. By combining variable-temperature X-ray diffraction, a high-resolution synchrotron X-ray pair distribution function, and thermogravimetry-differential scanning calorimetry, we shows that NTE within the ab plane derives from the oriented rotation of an oxalate ligand in zigzag chains (-CdO₈-ox-ZrO₈-ox-)_∞. That is simplified to the Zr atom rotating with an unchanged Zr···Cd distance as the radius, which also gives rise to the deformation of a hingelike connection along the c axis and results in its positive thermal expansion. By virtue of the facile and low-cost oxalate ligand, the present NTE MOF may show application prospects in the future.

The efficacy and safety of different doses of calcitriol combined with neutral phosphate in X-linked hypophosphatemia: a prospective study

The present study was the first prospective cohort evaluated the efficacy and safety of different doses of calcitriol in XLH children. The results suggested that a dose of 40 ng/kg/day calcitriol, compared with 20 ng/kg/day, was more effective in relieving the rickets, with similar safety outcomes. Further investigations were expected to set more dose groups.

INTRODUCTION

Dose recommended for calcitriol in X-linked hypophosphatemia (XLH) varies in different studies. Therefore, we aimed to compare the efficacy as well as the safety of 20 ng/kg/d and 40 ng/kg/d calcitriol in Chinese XLH pediatrics population.

METHODS

A 2-year, randomized, open-label, prospective study recruited 68 XLH children, which were randomized to receive either 40 ng/kg/day or 20 ng/kg/day calcitriol. Efficacy endpoints were the total Thacher ricket severity score (RSS) change from baseline to month 12 and 24, the difference in serum TALP level, fasting serum phosphate level, body height Z-score, and frequency of dental abscess. Safety assessments were done using renal ultrasound nephrocalcinosis grades (0-4), fasting serum and 24 h urine calcium level, and the occurrence of hyperparathyroidism.

RESULTS

The decrease in the total RSS from baseline was more significant in the high-dose group at 12 (difference 0.87, p = 0.049) and 24 month (difference 1.23, p = 0.011). The serum TALP level was significantly lower in the high-dose group at 6 months. Pi level, height Z-score change, frequency of dental abscess and ratio of de novo nephrocalcinosis were comparable. A lower incidence of secondary hyperparathyroidism was seen in the high-dose group (p < 0.0001).

CONCLUSION

For the first time in this prospective cohort, 40 ng/kg/d calcitriol was shown to be the more effective therapy in XLH children than the 20 ng/kg/d. Moreover, 40 ng/kg/d calcitriol was not associated with increasing adverse events.

TRIAL REGISTRATION

ClinicalTrials.gov Identifier: NCT 03,820,518.

Transformation of Thermal Expansion from Large Volume Contraction to Nonlinear Strong Negative Thermal Expansion in PbTiO3-Bi(Co1-xFex)O3 Perovskites

Controlling negative thermal expansion (NTE) is an important topic in the study of NTE materials. Generally, a large magnitude of NTE with a wide NTE operation temperature window is preferable for applications of NTE materials, as a stronger NTE can be used to tailor the coefficient of thermal expansion (CTE) of materials with positive thermal expansion by forming composites more efficiently. However, controlling the NTE in single-phase materials is still a significant challenge. In present study, we proposed a promising method to control the thermal expansion from large volume contraction in a limited temperature widow (x = 0, ΔV = -4.8%, 675-700 °C) to a nonlinear strong NTE over a wider temperature range (x = 0.8, α̅V = -6.12 × 10-5/°C, RT to 600 °C) by means of adjusting the proportion of cations with different ferroelectric activities in 0.5PbTiO3-0.5Bi(Co1-xFex)O3 ferroelectrics. The obtained NTE was stronger than many of the currently available NTE materials, and the operation window of NTE was also in an extended temperature range. The unusual transformation is well explained by the spontaneous volume ferroelectrostriction effect, which was evidenced by joint experimental and theoretical studies. The present work not only may pave the way for controllable large NTE in PbTiO3-based ferroelectrics but also could be extended to magnetic NTE materials, whose NTE is coupled with magnetism.

Role of oxygen vacancies in colossal polarization in SmFeO3-δ thin films

The orthorhombic rare-earth manganates and ferrites multiferroics are promising candidates for the next generation multistate spintronic devices. However, their ferroelectric polarization is small, and transition temperature is far below room temperature (RT). The improvement of ferroelectricity remains challenging. Here, through the subtle strain and defect engineering, an RT colossal polarization of 4.14 μC/cm2 is achieved in SmFeO3-δ films, which is two orders of magnitude larger than its bulk and is also the largest one among the orthorhombic rare-earth manganite and ferrite family. Meanwhile, its RT magnetism is uniformly distributed in the film. Combining the integrated differential phase-contrast imaging and density functional theory calculations, we reveal the origin of this superior ferroelectricity in which the purposely introduced oxygen vacancies in the Fe-O layer distorts the FeO6 octahedral cage and drives the Fe ion away from its high-symmetry position. The present approach can be applied to improve ferroelectric properties for multiferroics.