First-in-class MKK4 inhibitors enhance liver regeneration and prevent liver failure

Diminished hepatocyte regeneration is a key feature of acute and chronic liver diseases and after extended liver resections, resulting in the inability to maintain or restore a sufficient functional liver mass. Therapies to restore hepatocyte regeneration are lacking, making liver transplantation the only curative option for end-stage liver disease. Here, we report on the structure-based development and characterization (nuclear magnetic resonance [NMR] spectroscopy) of first-in-class small molecule inhibitors of the dual-specificity kinase MKK4 (MKK4i). MKK4i increased liver regeneration upon hepatectomy in murine and porcine models, allowed for survival of pigs in a lethal 85% hepatectomy model, and showed antisteatotic and antifibrotic effects in liver disease mouse models. A first-in-human phase I trial (European Union Drug Regulating Authorities Clinical Trials [EudraCT] 2021-000193-28) with the clinical candidate HRX215 was conducted and revealed excellent safety and pharmacokinetics. Clinical trials to probe HRX215 for prevention/treatment of liver failure after extensive oncological liver resections or after transplantation of small grafts are warranted.

Formation and Structural Diversity of Organo-Functionalized Tin-Silver Selenide Clusters

When reacting the organic functionalized tin selenide clusters [(SnR¹ )₃ Se₄ Cl] (A, R¹ =CMe₂ CH₂ C(O)Me) or [(SnR¹ )₄ Se₆ ] (B) with (SiMe₃ )₂ Se and [Ag(PPh₃ )₃ Cl] at -78 °C in CH₂ Cl₂ , a microcrystalline intermediate (compound 1) precipitates, which was investigated by magic angle spinning (MAS) NMR spectroscopy, powder X-ray diffraction (PXRD), energy dispersive X-ray (EDX) spectroscopy, and quantum chemistry calculations, to derive information about its composition and structure. Compound 1 re-dissolves under reorganization into the organo-functionalized Ag/Sn/Se cluster compound [Ag₆ (μ₆ -Se)(Ag₈ Se₁₂ ){(R¹ Sn)₂ Se₂ }₆ ] (2), or the mixed-valence cluster [(AgPPh₃ )₂ (Sn^II Cl)₂ Se₂ {(R¹ Sn^IV )₂ Se₂ }₂ ] (3), depending on the presence or the exclusion of daylight, respectively. The addition of N₂ H₄ ⋅H₂ O to a solution of 1 yields selectively [Ag₇ (μ₇ -Se)(Ag₇ Se₁₂ ){(R² Sn)₂ Se₂ }₆ ] (4, R² =CMe₂ CH₂ C(N₂ H₂ )Me), the Ag/Sn/Se core of which is isomeric to that of 2. 2-4 were characterized by X-ray diffraction. NMR spectroscopic studies on solutions of 1 indicate the co-existence of different species.

Preparation of continuous gold nanowires by electrospinning of high-concentration aqueous dispersions of gold nanoparticles

Gold nanowires are prepared by the electrospinning of highly concentrated aqueous dispersions of gold nanoparticles (AuNPs) in the presence of poly(vinyl alcohol) and subsequent annealing at higher temperatures. Continuous wires of sintered AuNPs are obtained as a result of this process. The Au wires are characterized by transmission electron microscopy, helium ion microscopy, optical microscopy, and X-ray diffractometry.

Mechanism of action and limited cross-resistance of new lipopeptide MX-2401

MX-2401 is a semisynthetic calcium-dependent lipopeptide antibiotic (analogue of amphomycin) in preclinical development for the treatment of serious Gram-positive infections. In vitro and in vivo, MX-2401 demonstrates broad-spectrum bactericidal activity against Gram-positive organisms, including antibiotic-resistant strains. The objective of this study was to investigate the mechanism of action of MX-2401 and compare it with that of the lipopeptide daptomycin. The results indicated that although both daptomycin and MX-2401 are in the structural class of Ca²⁺-dependent lipopeptide antibiotics, the latter has a different mechanism of action. Specifically, MX-2401 inhibits peptidoglycan synthesis by binding to the substrate undecaprenylphosphate (C₅₅-P), the universal carbohydrate carrier involved in several biosynthetic pathways. This interaction resulted in inhibition, in a dose-dependent manner, of the biosynthesis of the cell wall precursors lipids I and II and the wall teichoic acid precursor lipid III, while daptomycin had no significant effect on these processes. MX-2401 induced very slow membrane depolarization that was observed only at high concentrations. Unlike daptomycin, membrane depolarization by MX-2401 did not correlate with its bactericidal activity and did not affect general membrane permeability. In contrast to daptomycin, MX-2401 had no effect on lipid flip-flop, calcein release, or membrane fusion with 1-palmitoyl-2-oleoyl-sn-glycero-3-phosphocholine (POPC)/1-palmitoyl-2-oleoyl-sn-glycero-3-phospho-(1'-rac-glycerol) (sodium salt) (POPG) liposomes. MX-2401 adopts a more defined structure than daptomycin, presumably to facilitate interaction with C₅₅-P. Mutants resistant to MX-2401 demonstrated low cross-resistance to other antibiotics. Overall, these results provided strong evidence that the mode of action of MX-2401 is unique and different from that of any of the approved antibiotics, including daptomycin.

Impact of labor on outcomes in transient tachypnea of the newborn: population-based study

OBJECTIVE

Our aim was to assess the effect of labor on the risk and course of transient tachypnea of the newborn (TTN) in term neonates from a contemporary, population-based cohort.

METHODS

We analyzed perinatal characteristics of term singleton newborns (gestational age [GA] of > or =37 completed weeks) who were born between January 2001 and December 2005 in the federal states of Hesse and Saarland (Germany). TTN was diagnosed on the basis of International Classification of Diseases, 10th Revision codes.

RESULTS

Of a total of 275 459 births, 239 971 fulfilled the inclusion criteria of GA of > or =37 completed weeks and singleton live birth. Among those, 13 346 term infants were admitted for neonatal care and 1423 were diagnosed as having TTN. The overall incidence of TTN was 5.9 cases per 1000 singleton live births in our study cohort. Elective cesarean section, low GA, male gender, and low birth weight were associated with TTN. The duration of oxygen supplementation for newborns with TTN was associated inversely with the duration of labor (r = -0.151; P = .028).

CONCLUSIONS

Our study indicates that TTN is strongly related to elective cesarean section and low GA. Furthermore, the absence of exposure to labor contractions is associated with increased risk and severe course of TTN at term, with longer duration of oxygen supplementation.

Investigations of voids in the aragonite platelets of nacre

We studied the structure of the aragonite platelets of Haliotis laevigata nacre, using conventional transmission electron microscopy, Z-contrast, electron tomography, energy-dispersive X-ray analysis and electron energy-loss spectroscopy. We observed faceted voids several nanometers wide within the aragonite platelets. The electron tomography investigations showed that the voids are distributed more or less randomly in the studied specimen and allowed an estimation of the order of magnitude of the width and the volumetric content of the voids. Further investigations of these voids revealed that they contain an increased amount of carbon, which suggests the existence of organic material within the voids.