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Mesenchymal stem cells are being considered as potential therapy for the regeneration of damaged tissues. Shi and colleagues review how these cells are influenced by inflammation and their interactions with cells of the immune system. Mesenchymal stem cells (MSCs) are multipotent stromal cells that exist in many tissues and are capable of differentiating into several different cell types. Exogenously administered MSCs migrate to damaged tissue sites, where they participate in tissue repair. Their communication with the inflammatory microenvironment is an essential part of this process. In recent years, much has been learned about the cellular and molecular mechanisms of the interaction between MSCs and various participants in inflammation. Depending on their type and intensity, inflammatory stimuli confer on MSCs the ability to suppress the immune response in some cases or to enhance it in others. Here we review the current findings on the immunoregulatory plasticity of MSCs in disease pathogenesis and therapy.

Multicomponent deoxyribozymes (MNAzymes) have great potential in gene therapy, but their ability to recognize disease tissue and further achieve synergistic gene regulation has rarely been studied. Herein, Arginylglycylaspartic acid (RGD)-modified Distearyl acylphosphatidyl ethanolamine (DSPE)-polyethylene glycol (PEG) (DSPE-PEG-RGD) micelle is prepared with a DSPE hydrophobic core to load the photothermal therapy (PTT) dye IR780 and the calcium efflux pump inhibitor curcumin. Then, the MNAzyme is distributed into the hydrophilic PEG layer and sealed with calcium phosphate through biomineralization. Moreover, RGD is attached to the outer tail of PEG for tumor targeting. The constructed nanomachine can release MNAzyme and the cofactor Ca 2+ under acidic conditions and self-assemble into an active mode to cleave heat shock protein (HSP) mRNA by consuming the oncogene miRNA-21. Silencing miRNA-21 enhances the expression of the tumor suppressor gene PTEN, leading to PTT sensitization. Meanwhile, curcumin maintains high intracellular Ca 2+ to further suppress HSP-chaperone ATP by disrupting mitochondrial Ca 2+ homeostasis. Therefore, pancreatic cancer is triple-sensitized to IR780-mediated PTT. The in vitro and in vivo results show that the MNAzyme-based nanomachine can strongly regulate HSP and PTEN expression and lead to significant pancreatic tumor inhibition under laser irradiation. Despite delivering gene-specific silencing, the use of deoxyribozymes (DNAzymes) for cancer therapy is limited by toxicity due to off-target effects. Here, the authors develop a multi-component DNAzyme, targeting both miRNA21 and HSP70, to induce tumour-specific sensitisation to photothermal therapy in preclinical models of pancreatic cancer.

The diffusion limitations on gas storage and catalytic reaction of microporous materials can often be overcome if they are incorporated into a mesoporous structure with much larger pores. Shen et al. grew ordered arrays of microcrystals of the ZIF-8 metal-organic framework, in which zinc ions are bridged by 2-methylimidazole linkers, inside a porous polystyrene template. These materials showed higher reaction rates for the Knoevenagel reaction between benzaldehydes and malononitriles and better catalyst recyclability. Science , this issue p. 206 A double-solvent method and templating are used to grow ordered arrays of metal-organic framework microcrystals. We constructed highly oriented and ordered macropores within metal-organic framework (MOF) single crystals, opening up the area of three-dimensional–ordered macro-microporous materials (that is, materials containing both macro- and micropores) in single-crystalline form. Our methodology relies on the strong shaping effects of a polystyrene nanosphere monolith template and a double-solvent–induced heterogeneous nucleation approach. This process synergistically enabled the in situ growth of MOFs within ordered voids, rendering a single crystal with oriented and ordered macro-microporous structure. The improved mass diffusion properties of such hierarchical frameworks, together with their robust single-crystalline nature, endow them with superior catalytic activity and recyclability for bulky-molecule reactions, as compared with conventional, polycrystalline hollow, and disordered macroporous ZIF-8.

Silver/copper-filament-based resistive switching memory relies on the formation and disruption of a metallic conductive filament (CF) with relatively large surface-to-volume ratio. The nanoscale CF can spontaneously break after formation, with a lifetime ranging from few microseconds to several months, or even years. Controlling and predicting the CF lifetime enables device engineering for a wide range of applications, such as non-volatile memory for data storage, tunable short/long term memory for synaptic neuromorphic computing, and fast selection devices for crosspoint arrays. However, conflictive explanations for the CF retention process are being proposed. Here we show that the CF lifetime can be described by a universal surface-limited self-diffusion mechanism of disruption of the metallic CF. The surface diffusion process provides a new perspective of ion transport mechanism at the nanoscale, explaining the broad range of reported lifetimes, and paving the way for material engineering of resistive switching device for memory and computing applications. Resistive random-access memory is operated based on the formation and disruption of nanoscale conductive filaments, but a mechanistic understanding of this process remains unclear. Here, Wang et al. develop a surface-diffusion model to describe lifetime of filaments ranging from microseconds to years.

The purpose of this study was to examine the reliability and the validity of the new surgical entrustable professional activities (SEPAs) instruments. A prospective evaluation of six procedure-specific SEPAs instruments derived from the validated OPRS evaluation tools was conducted in 2018. Each instrument includes an open-ended feedback item and a series of Likert-Scale rating items. Attending, resident and a constant 3rd surgeon-observer completed the same evaluation for the observed case within 3 days of each evaluated operation. 40 cases performed by 10 residents and 11 attending surgeons were observed and evaluated. The SEPAs instruments were supported by strong validity evidence. Factor analysis revealed three latent variables are consistent with the core construct of SEPAs instrument. Internal reliability was high with Cronbach's α ranging from 0.84 to 0.94 across the six procedures. Test-retest reliability varied from 0.74 to 0.93 in the study sample. The SEPAs instruments are reliable and valid tools for assessment of crucial aspects of resident learning and surgical entrustable professional activities that lead to entrustment and eventually surgical autonomy. •Surgical entrustable professional activities (SEPAs) instruments are valid tools.•SEPAs help to prospectively assess, review and develop resident performance.•SEPAs provide multi-faceted evidence to assess and improve resident entrustment.

Reversed Cherenkov radiation is the exotic electromagnetic radiation that is emitted in the opposite direction of moving charged particles in a left-handed material. Reversed Cherenkov radiation has not previously been observed, mainly due to the absence of both suitable all-metal left-handed materials for beam transport and suitable couplers for extracting the reversed Cherenkov radiation signal. In this paper, we develop an all-metal metamaterial, consisting of a square waveguide loaded with complementary electric split ring resonators. We demonstrate that this metamaterial exhibits a left-handed behaviour, and we directly observe the Cherenkov radiation emitted predominantly near the opposite direction to the movement of a single sheet electron beam bunch in the experiment. These observations confirm the reversed behaviour of Cherenkov radiation. The reversed Cherenkov radiation has many possible applications, such as novel vacuum electronic devices, particle detectors, accelerators and new types of plasmonic couplers. Reversed Cherenkov radiation has not been observed due to the absence of suitable all-metal left-handed materials for beam transport and suitable couplers for extracting the signal. Here, Duan et al . develop a metamaterial to observe reversed Cherenkov radiation using real charged particles.

[...]increasing clinical expectations for faculty have led to less time that can be devoted to their teaching responsibilities. [...]implementation of CBEA models and its effect on resident competency improvement may be undermined. VR training is more expensive than human-based live training exercises, especially in regard to the initial investment to set up the VR system.7 If a residency program intends to establish VR simulation and integrate it into their standard resident training curriculum, the investment may potentially reduce the needed faculty effort freeing them for clinical activity while expediting the learners’ OR training efficacy, competency growth, and ultimately their readiness for independent practice upon graduation. Given that new technology itself represents a significant investment, we encourage the authors and other surgical education investigators to continue study its effects and strategically partner with developers to optimize VR for surgical training.Disclosure information The authors report no external funding source for this commentary.

The emergence of wearable electronics puts batteries closer to the human skin, exacerbating the need for battery materials that are robust, highly ionically conductive, and stretchable. Herein, we introduce a supramolecular design as an effective strategy to overcome the canonical tradeoff between mechanical robustness and ionic conductivity in polymer electrolytes. The supramolecular lithium ion conductor utilizes orthogonally functional H-bonding domains and ion-conducting domains to create a polymer electrolyte with unprecedented toughness (29.3 MJ m −3 ) and high ionic conductivity (1.2 × 10 −4 S cm −1 at 25 °C). Implementation of the supramolecular ion conductor as a binder material allows for the creation of stretchable lithium-ion battery electrodes with strain capability of over 900% via a conventional slurry process. The supramolecular nature of these battery components enables intimate bonding at the electrode-electrolyte interface. Combination of these stretchable components leads to a stretchable battery with a capacity of 1.1 mAh cm −2 that functions even when stretched to 70% strain. The method reported here of decoupling ionic conductivity from mechanical properties opens a promising route to create high-toughness ion transport materials for energy storage applications. Typically, ion conducting polymers exhibit a trade-off between mechanical robustness and ionic conducting performance. Here, the authors utilize supramolecular chemistry obtaining extremely tough electrolytes with high ionic conductivity and enabling stretchable lithium-ion batteries.

Layered double hydroxides are promising candidates for the electrocatalytic oxygen evolution reaction. Unfortunately, their catalytic kinetics and long-term stabilities are far from satisfactory compared to those of rare metals. Here, we investigate the durability of nickel-iron layered double hydroxides and show that ablation of the lamellar structure due to metal dissolution is the cause of the decreased stability. Inspired by the amino acid residues in photosystem II, we report a strategy using trimesic acid anchors to prepare the subsize nickel-iron layered double hydroxides with kinetics, activity and stability superior to those of commercial catalysts. Fundamental investigations through operando spectroscopy and theoretical calculations reveal that the superaerophobic surface facilitates prompt release of the generated O 2 bubbles, and protects the structure of the catalyst. Coupling between the metals and coordinated carboxylates via C‒O‒Fe bonding prevents dissolution of the metal species, which stabilizes the electronic structure by static coordination. In addition, the uncoordinated carboxylates formed by dynamic evolution during oxygen evolution reaction serve as proton ferries to accelerate the oxygen evolution reaction kinetics. This work offers a promising way to achieve breakthroughs in oxygen evolution reaction stability and dynamic performance by introducing functional ligands with static and dynamic compatibilities. Layered double hydroxides are promising candidates for electrocatalytic oxygen evolution reaction yet their catalytic stability needs to be further improved. Here, the authors use trimesic acid anchoring to stabilize nickel-iron layered hydroxides for water oxidation with enhanced stability.

Human behaviors are extremely sophisticated, relying on the adaptive, plastic and event-driven network of sensory neurons. Such neuronal system analyzes multiple sensory cues efficiently to establish accurate depiction of the environment. Here, we develop a bimodal artificial sensory neuron to implement the sensory fusion processes. Such a bimodal artificial sensory neuron collects optic and pressure information from the photodetector and pressure sensors respectively, transmits the bimodal information through an ionic cable, and integrates them into post-synaptic currents by a synaptic transistor. The sensory neuron can be excited in multiple levels by synchronizing the two sensory cues, which enables the manipulating of skeletal myotubes and a robotic hand. Furthermore, enhanced recognition capability achieved on fused visual/haptic cues is confirmed by simulation of a multi-transparency pattern recognition task. Our biomimetic design has the potential to advance technologies in cyborg and neuromorphic systems by endowing them with supramodal perceptual capabilities. Designing bioinspired perceptual system remains a challenge. Here, the authors report a bimodal artificial sensory neuron, integrating a resistive pressure sensor, a perovskite-based photodetector, a hydrogel-based ionic cable, and a synaptic transistor, to implement the visual-haptic fusion for motion control and patterns recognition.