Delayed intestinal perforation associated with peritoneal dialysis: A case report of maintaining dialysis after perforation.

Delayed intestinal perforation has various manifestations. For peritonitis with delayed treatment and multi-bacterial peritonitis, we should be alert to the occurrence of this rare complication. Abdominal CT examination and imaging results judgment based on clinical conditions are particularly important for diagnosis.

Integrated proteomic and metabolomic profiling of urine of renal anemia patients uncovers the molecular mechanisms of roxadustat.

Roxadustat (FG-4592) is a hypoxia-inducible factor prolyl hydroxylase inhibitor (HIF-PHI) prescribed to patients with low hemoglobin associated with chronic kidney disease. Due to the various HIF-mediated adaptive responses, FG-4592 has attracted significant interest for therapeutic use against various diseases. However, the clinical application of Roxadustat remains limited due to a lack of understanding of its underlying mechanisms.

Skeletal Network Enabling New-Generation Thermoplastic Vulcanizates.

Upcycling of cross-linked rubbers is pressing. The introduction of dynamic covalent bonds into the networks is a popular tactic for recycling thermosetting polymers, but it is very challenging to integrate engineering performance and continuous yet stable reprocessability. Based on traditional rubber formulations, herein, a straightforward strategy is presented for constructing a skeletal network (SN) through interfacial crosslinking and percolation of rubbery granules in a rubber matrix.

Frontiers in Preparations and Promising Applications of Mesoporous Polydopamine for Cancer Diagnosis and Treatment.

Polydopamine (PDA) is a natural melanin derived from marine mussels that has good biocompatibility, biodegradability, and photothermal conversion ability. As a new coating material, it offers a novel way to modify the surface of various substances. The drug loading capacity and encapsulation efficiency of PDA are greatly improved via the use of mesoporous materials.

Docetaxel suppressed cell proliferation through Smad3/HIF-1α-mediated glycolysis in prostate cancer cells.

Background: Tumor glycolysis is a critical event for tumor progression. Docetaxel is widely used as a first-line drug for chemotherapy and shown to have a survival advantage. However, the role of docetaxel in tumor glycolysis remained poorly understood.

Label-free quantitative proteomic analysis of serum exosomes from patients of renal anemia: The Good and the Bad of Roxadustat.

Background: Roxadustat is a new oral anti-renal anemia medication that works by stabilizing hypoxia-inducible factor (HIF) which can activate the expression of more than 100 genes in addition to genes related to anemia. However, the more potential molecular targets of roxadustat are not completely clear. Therefore, it is essential to further reveal its molecular targets to guide its clinical applications.

Case Report: Roxadustat in Combination With Rituximab Was Used to Treat EPO-Induced Pure Red Cell Aplasia.

Recombinant human erythropoietin (rHuEPO) is a drug given to patients who have low hemoglobin related to chronic kidney disease or other anemia-related diseases. Some patients who receive rHuEPO repeatedly develop anti-rHuEPO-neutralizing antibodies, leading to the occurrence of pure red cell aplasia (PRCA). PRCA associated with rHuEPO includes severe rHuEPO resistance, blood transfusion dependence, high serum ferritin, severe reticulocytopenia, and presence of anti-rHuEPO antibody.

Generic Method to Create Segregated Structures toward Robust, Flexible, Highly Conductive Elastomer Composites.

Electrically and thermally conductive polymer composites are extensively used in our daily life. It is of great significance to fulfill the conductivity requirement while maintaining desirable mechanical performance. An efficient solution to achieve this goal is to construct segregated structures in polymer composites by confining fillers into the interstitial areas among polymer domains.

Engineering Segregated Structures in a Cross-Linked Elastomeric Network Enabled by Dynamic Cross-Link Reshuffling.

Construction of segregated structures in polymer composites is an efficient way to improve the electrical conductivity and reduce the percolation threshold by confining conductive fillers into the interstitial areas between polymer domains. Yet, it remains a great challenge to engineer segregated structures into thermosets as the cross-linked structure prohibits the "sintering" of polymer domains into a coherent material. Thus far, the state of art approaches to create segregated network in cross-linked polymers involve tedious procedures and are limited to latex mixing technology.

Fluorescence Sensor Array for Discrimination of Urine Proteins and Differentiation Diagnosis of Urinary System Diseases.

Successful discrimination of complex biological samples by sensor array remains a challenging problem. Herein, a three-unit fluorescence sensor array was fabricated using fluorescent molecules, which interact with proteins and generate rich response signals, to realize the discrimination of urinary proteins. As a proof of concept, six urinary proteins were selected as analytes.

Catalyst-Free Metathesis of Cyclic Acetals and Spirocyclic Acetal Covalent Adaptable Networks.

Due to the exchangeability of dynamic covalent bonds in the covalent adaptable networks (CANs) at elevated temperature, they possess recyclability while still maintaining many of the superior properties of thermosets. The exploration of dynamic covalent chemistry is of great significance to the expansion of CANs library and hence the sustainable development of thermosets. In this work, we discovered that, in absence of catalyst, the direct metathesis of the cyclic acetals proceeds while the acyclic acetals cannot.

Design of next-generation cross-linking structure for elastomers toward green process and a real recycling loop.

Currently adopted cross-linking methods in rubber industry are suffering from variable persistent issues, including the utilization of toxic curing packages, release of volatile organic compounds (VOCs) and difficulties in the recycling of end-of-life materials. It is of great importance to explore a green cross-linking strategy in the area. Herein, we report a new "green" strategy based on hydrolyzable ester cross-links for cross-linking diene-typed elastomers.

Tissue-engineered parathyroid gland and its regulatory secretion of parathyroid hormone.

Parathyroid glands (PTGs) are important endocrine organs being mainly responsible for the secretion of parathyroid hormone (PTH) to regulate the balance of calcium (Ca) /phosphorus (P) ions in the body. Once PTGs get injured or removed, their resulting defect or loss of PTH secretion should disturb the level of Ca/P in blood, thus damaging other related organs (bone, kidney, etc.) and even causing death.

Facile Strategy for the Biomimetic Heterogeneous Design of Elastomers with Mechanical Robustness, Malleability, and Functionality.

It remains challenging to simultaneously realize mechanical robustness, malleability, and functionality in elastomers via facile yet efficient methods. Herein, a simple strategy for the biomimetic heterogeneous design is proposed to achieve mechanically strong, malleable, and functionalized elastomers. We demonstrate the strategy by straightforward mechanical mixing of a highly cross-linked vitrimeric elastomer with a homogeneous gum and subsequent curing, resulting in heterogeneous vitrimeric elastomers (hetero-VEs).

Uniaxial Stretching-Induced Alignment of Carbon Nanotubes in Cross-Linked Elastomer Enabled by Dynamic Cross-Link Reshuffling.

The fascinating properties of carbon nanotubes (CNTs) make them highly promising in fabricating polymer composites. Yet, the property enhancements of polymer/CNTs composites remain far behind the theoretical predictions. A critical issue to resolve this dilemma is to align CNTs in polymer matrices.

Elastomer Reinforced with Innate Sulfur-Based Cross-Links as Ligands.

Although the incorporation of sacrificial bonds into an elastomer is an effective way to provide a combination of high strength and high fracture toughness, this method normally involves complicated chemical processes. The coordination between metal ions and polysulfides has been documented. However, the potential of polysulfide structures in vulcanizates as ligands has long been neglected.

Differential expression study of circular RNAs in exosomes from serum and urine in patients with idiopathic membranous nephropathy.

Introduction: The aim of the study was to further explore the pathogenesis of idiopathic membranous nephropathy (IMN), gene-sequencing was used to analyze the differentially expressed circRNAs in exosomes of patients with IMN, which may lay the foundation for the research of circRNAs as a new class of exosome-based IMN diagnosis biomarkers.

Material And Methods: Ten patients with IMN and ten normal controls were recruited as experimental subjects in our study. The exosomes were extracted from the collected serum and urine.

Integrating Sacrificial Bonds into Dynamic Covalent Networks toward Mechanically Robust and Malleable Elastomers.

Vitrimers are a class of covalently cross-linked polymers that have drawn great attention due to their fascinating properties such as malleability and reprocessability. The state of art approach to improve their mechanical properties is the addition of fillers, which, however, greatly restricts the chain mobility and impedes network topology rearrangement, thereby deteriorating the dynamic properties of vitrimer composites. Here, we demonstrate that the integration of sacrificial bonds into a vitrimeric network can remarkably enhance the overall mechanical properties while facilitating network rearrangement.

Toughening Elastomers Using a Mussel-Inspired Multiphase Design.

It is a challenge to simultaneously achieve high stretchability, high modulus, and recoverability of polymers. Inspired by the multiphase structure of mussel byssus cuticles, we circumvent this dilemma by introducing a deformable microphase-separated granule with rich coordination into a ductile rubber network. The granule can serve as an additional cross-link to improve the modulus, while the sacrificial, reversible coordination can dissociate and reconstruct continuously during stretching to dissipate energy.

Covalently Cross-Linked Elastomers with Self-Healing and Malleable Abilities Enabled by Boronic Ester Bonds.

Covalently cross-linked rubbers are renowned for their high elasticity that play an indispensable role in various applications including tires, seals, and medical implants. Development of self-healing and malleable rubbers is highly desirable as it allows for damage repair and reprocessability to extend the lifetime and alleviate environmental pollution. Herein, we propose a facile approach to prepare permanently cross-linked yet self-healing and recyclable diene-rubber by programming dynamic boronic ester linkages into the network.

Engineering of β-Hydroxyl Esters into Elastomer-Nanoparticle Interface toward Malleable, Robust, and Reprocessable Vitrimer Composites.

Rubbers are strategically important due to their indispensable applications in the daily life and high-tech fields. For their real-world applications, the covalent cross-linking, reinforcement, and malleability of rubbers are three important issues because they are closely related to the elasticity, mechanical properties, and recycling of the rubber materials. Herein, we demonstrate a simple way to prepare covalently cross-linked yet recyclable and robust elastomeric vitrimer composites by incorporating exchangeable β-hydroxyl ester bonds into the elastomer-nanoparticle interface using epoxy group-functionalized silica (Esilica) as both cross-linker and reinforcement in carboxyl group-grafted styrene-butadiene rubber (CSBR).

Progress in bio-inspired sacrificial bonds in artificial polymeric materials.

Mimicking natural structures has been highly pursued in the fabrication of synthetic polymeric materials due to its potential in breaking the bottlenecks in mechanical properties and extending the applications of polymeric materials. Recently, it has been revealed that the energy dissipating mechanisms via sacrificial bonds are among the important factors which account for strong and tough attributes of natural materials. Great progress in synthesis of polymeric materials consisting of sacrificial bonds has been achieved.

Bioinspired Design of a Robust Elastomer with Adaptive Recovery via Triazolinedione Click Chemistry.

It is a significant but challenging task to simultaneously reinforce and functionalize diene rubbers. Inspired by "sacrificial bonds", the authors engineer sacrificial hydrogen bonds formed by pendent urazole groups in crosslinked solution-polymerized styrene butadiene rubber (SSBR) via triazolinedione click chemistry. This post-crosslinking modification reveals the effects of the sacrificial bonds based on a consistent covalent network.