Investigating structural and hydroxyl group effects in electrooxidation of alcohols to value-added products by solid-acid electrocatalysts is essential for upgrading biomass alcohols.Herein,we report efficient electro...Investigating structural and hydroxyl group effects in electrooxidation of alcohols to value-added products by solid-acid electrocatalysts is essential for upgrading biomass alcohols.Herein,we report efficient electrocatalytic oxidations of saturated alcohols(C_(1)-C_(6))to selectively form formate using Ni Co hydroxide(Ni Co-OH)derived Ni Co_(2)O_(4)solid-acid electrocatalysts with balanced Lewis acid(LASs)and Brønsted acid sites(BASs).Thermal treatment transforms BASs-rich(89.6%)Ni Co-OH into Ni Co_(2)O_(4)with nearly equal distribution of LASs(53.1%)and BASs(46.9%)which synergistically promote adsorption and activation of OH-and alcohol molecules for enhanced oxidation activity.In contrast,BASs-enriched Ni Co-OH facilitates formation of higher valence metal sites,beneficial for water oxidation.The combined experimental studies and theoretical calculation imply the oxidation ability of C1-C6alcohols increases as increased number of hydroxyl groups and decreased HOMO-LUMO gaps:methanol(C_(1))<ethylene glycol(C_(2))<glycerol(C3)<meso-erythritol(C4)<xylitol(C5)<sorbitol(C6),while the formate selectivity shows the opposite trend from 100 to 80%.This study unveils synergistic roles of LASs and BASs,as well as hydroxyl group effect in electro-upgrading of alcohols using solid-acid electrocatalysts.展开更多
Gas wells often encounter blockages in gas recovery channels owing to fluid accumulation during the later stages of extraction,which adversely affects subsequent recovery efforts.These undesirable conditions(e.g.,high...Gas wells often encounter blockages in gas recovery channels owing to fluid accumulation during the later stages of extraction,which adversely affects subsequent recovery efforts.These undesirable conditions(e.g.,high condensate content,high temperature,and high salinity)often affect foaming agent performance.In this study,surfactants were screened using an airflow method that closely resembles field treatment method.Notably,alcohol ether sulfates(AE_(n)S)with various polyoxyethylene(EO)units demonstrated exceptional performance in terms of liquid unloading efficiency and foam stability.At 80℃,the unloading efficiency of AE_(n)S with two EO units(AE_(2)S)in a high NaCl mass concentration(up to 200 g/L)and high condensate volume fraction(up to 20%)reached 84%.The dynamic surface tension and interfacial tension measured at the same temperature were used to analyze the influence of the diffusion rate and interfacial characteristics on the AE_(n)S foam,while the viscosity and liquid film thickness measurements reflected the mechanical strength and liquid-carrying capacity.In addition,transmission electron microscopy(TEM)revealed that AE_(2)S formed“dendritic”micellar aggregates at a high NaCl mass concentration,which significantly enhanced the viscosity and stability of the foam.The interactions among AE_(n)S,NaCl,and H2O were analyzed using molecular dynamics,and it was confirmed from a molecular mechanics perspective that a stable structure can form among the three,contributing to the foam stability.These findings demonstrate the significant potential of the AE_(2)S foam for gas well deliquification.展开更多
The development of catalytic multicomponent reactions for constructing complex organic scaffolds from readily accessible commodity chemicals is a key pursuit in contemporary synthetic chemistry.Current methods for syn...The development of catalytic multicomponent reactions for constructing complex organic scaffolds from readily accessible commodity chemicals is a key pursuit in contemporary synthetic chemistry.Current methods for synthesizing thioesters primarily rely on the acylation of thiols,which produces substantial waste and requires malodorous,unstable sulfur sources.In this work,we introduce a photocatalyzed hydrogen transfer strategy that enables a three-component synthesis of thioesters using abundant primary alcohols,easily available alkenes and elemental sulfur under mild conditions.This protocol demonstrates broad applicability and high chemo-and regioselectivity for both primary alcohols and alkenes,highlighting the advantage and potential of photo-mediated hydrogen transfer in facilitating multicomponent reactions using primary alcohol and elemental sulfur feedstocks.展开更多
Mesenchymal stem cell-derived extracellular vesicles have emerged as a promising form of regenerative and immunomodulatory therapy;indeed,micro(mi)RNAs contained within mesenchymal stem cell-derived extracellular vesi...Mesenchymal stem cell-derived extracellular vesicles have emerged as a promising form of regenerative and immunomodulatory therapy;indeed,micro(mi)RNAs contained within mesenchymal stem cell-derived extracellular vesicles modulate target gene expression and impact disease-associated pathways.Chronic alcohol consumption leads to neuroinflammation,brain damage,and impaired cognition.Evidence indicates that females are more vulnerable to alcohol-induced damage than males.While mesenchymal stem cell-derived extracellular vesicles have been studied in various neuroinflammatory conditions,their potential to counteract alcohol-induced brain damage remains unclear.In this study,we investigated whether repeated intravenous administration of mesenchymal stem cell-derived extracellular vesicles could ameliorate neuroinflammation and behavioral impairment induced by chronic alcohol consumption in female mice.Mesenchymal stem cell-derived extracellular vesicles diminished the increased binding of a micro-positron emission tomography tracer(^(18)F-FDG)when analyzing whole-brain 3D images and brain coronal sections of ethanol-treated mice.Mesenchymal stem cell-derived extracellular vesicle administration protected against ethanol-induced proinflammatory gene upregulation,cognitive dysfunction,and the conditioned rewarding effects of cocaine.MiRNA sequencing data from mesenchymal stem cell-derived extracellular vesicles revealed the elevated expression of extracellular vesicle-derived miR-483-5p and miR-140-3p in the brains of ethanol-treated female mice following mesenchymal stem cell-derived extracellular vesicle administration.In addition,mesenchymal stem cell-derived extracellular vesicles modulated the expression of pro-inflammatory-related miRNA target genes(e.g.,Socs3,Tnf,Mtor,and Atf6)in the brains of ethanol-treated female mice.These results suggest that mesenchymal stem cell-derived extracellular vesicles could function as a neuroprotective therapy to ameliorate the neuroinflammation,cognitive dysfunction,and conditioned rewarding effects of cocaine associated with chronic alcohol consumption.展开更多
The insufficient performance of Pt and Pd benchmark catalysts remains a significant obstacle to the practical application of direct liquid fuel cells.In this study,we report a synthesis of amorphous PdSe/crystalline P...The insufficient performance of Pt and Pd benchmark catalysts remains a significant obstacle to the practical application of direct liquid fuel cells.In this study,we report a synthesis of amorphous PdSe/crystalline Pt nanoparticles(AC-PdPtSe NPs)by chemical leaching of PdPtSe NPs.AC-PdPtSe NPs display significantly enhanced activity and stability for the electrooxidation of ethylene glycol and glycerol,far surpassing that of amorphous-dominant PdPtSe NPs,commercial Pd/C,and Pt/C catalysts.Notably,the integration of crystalline and amorphous domains leverages the advantages of high electrical conductivity and a wealth of active sites,which can substantially accelerate reaction kinetics.Furthermore,detailed investigations reveal that the boundary between the Pt crystalline and PdSe amorphous phases induces a 3%surface tensile strain.The formation of amorphous-crystalline heterointerfaces optimizes the d-band states,thereby strengthening the adsorption and activation of ethylene glycol and glycerol.This study highlights the advance in phase engineering toward the development of highly active noble-metal nanostructures.展开更多
AIM:To investigate the effects of chronic alcohol consumption on retinal microcirculation by comparing different alcohol-consuming groups using optical coherence tomography(OCT)and OCT angiography(OCTA).METHODS:This o...AIM:To investigate the effects of chronic alcohol consumption on retinal microcirculation by comparing different alcohol-consuming groups using optical coherence tomography(OCT)and OCT angiography(OCTA).METHODS:This observational clinical study utilized a cross-sectional and prospective design,focusing on chronic alcohol consumers alongside a non-consuming control group.OCT/OCTA imaging parameters including central retinal subfield thickness(CST),subfoveal choroidal thickness(SCT),foveal avascular zone(FAZ)and vessel density(VD)in the superficial and deep capillary plexuses in both the macular and optic disc(OD)regions were recorded.Data were analyzed using SPSS 15.0;descriptive statistics were reported,group comparisons were performed with Chisquare,Kruskal–Wallis,and Bonferroni-corrected Mann–Whitney U tests,and relationships were assessed using Spearman correlation,with statistical significance set at P<0.05.RESULTS:A total of 160 eyes of 160 participants(110 females and 50 males with mean age 38.7±9.9y)who don’t smoke were divided into five groups:never,occasional,monthly,weekly and daily drinkers.The mean CST was 216.6±14.2μm and the mean SCT was 358.9±84.5μm.There was no statistically significantly difference in CST and SCT among the groups(P=0.890,0.799).Foveal superficial capillary plexuses(SCPs)VD was higher in monthly drinkers compared to occasional drinkers(P=0.015).Foveal VD in deep capillary plexus was also higher in monthly drinkers than in never and occasional drinkers(P=0.004,0.006).Nasal SCPs VD at the OD was higher in monthly drinkers compared to never drinkers(P=0.005).There was no significant difference FAZ area among the groups(P=0.071).CONCLUSION:Both superficial and deep microvascular structures in the inferior quadrants of macula are positively correlated with frequency of alcohol use.Also in our study results is that the monthly drinker group has uniquely higher VDs in both macula and OD.This leads us to consider moderate alcohol consumption may also have protective effects on retinal microcirculation.展开更多
This review highlights the performance enhancement of polyvinyl alcohol(PVA)composites through the incorporation of nanofillers,focusing on mechanical,thermal,electrical and piezoelectric improvements.It examines bio-...This review highlights the performance enhancement of polyvinyl alcohol(PVA)composites through the incorporation of nanofillers,focusing on mechanical,thermal,electrical and piezoelectric improvements.It examines bio-based fillers such as nanocellulose cellulose nanofibrils(CNF)and cellulose nanocrystals(CNC),and carbon-based fillers like graphene nanoplatelets(GNP)and carbon nanotubes(CNT).CNF and CNC increase tensile strength by up to 40%and 17.9%,respectively,due to their ability to reinforce polymer networks.CNC also improves thermal stability,raising degradation temperatures to approximately 327℃through enhanced hydrogen bonding.Electrical and piezoelectric properties are significantly improved,with dielectric behaviour enhanced by up to 107%and open-circuit voltage reaching 25.6 V,suitable for energy harvesting.GNP and CNT contribute by forming conductive networks within the PVA matrix,enabling superior electrical conductivity and consistent piezoresistive responses under strain.These characteristics make such composites ideal for applications in flexible electronics,sensors,structural health monitoring and other advanced fields.This synthesis of experimental results and critical insights underscores the broad utility and future potential of nanofillerenhanced PVA composites across aerospace,automotive,healthcare,and defence sectors.展开更多
Alcohol intake is associated with increased mortality worldwide,particularly liver diseases,making it imperative to explore innovative strategies for managing alcohol-related liver disease.In this study,t he efficacy ...Alcohol intake is associated with increased mortality worldwide,particularly liver diseases,making it imperative to explore innovative strategies for managing alcohol-related liver disease.In this study,t he efficacy of Scytosiphon lomentaria fucoidan(SLF)in alleviating alcohol-induced liver injury was evaluated in a mouse model.It showed that SLF increased body weight and colon length,while reducing liver index,serum lipid,alanine aminotransferase,and aspartate aminotransferase in alcohol-treated mice.SLF inhibited inflammatory response in the liver by reducing inflammatory infiltration and the levels of pro-inflammatory cytokines.It can be associated with the alleviation of oxidative stress and the inhibition of the nuclear factor-κB pathway.SLF modulated alcohol-induced dysbiosis of gut microbiota,including a reduction in Bacteroidetes and Proteobacteria,and improved metabolites profile,primarily affecting short chain fatty acids and amino acids metabolism.In addition,SLF reduced the level of total bile acids,regulated the profile of bile acids,and increased the levels of farnesoid X receptor(FXR)and AMP-activated protein kinase(AMPK),suggesting that SLF can alleviate alcohol-induced liver injury by regulating bile acid-FXR/AMPK pathway.This study suggests that SLF holds the potential to alleviate the adverse effect of alcohol on the liver via the gut-liver axis.展开更多
The effective separation and utilization of photo-generated carriers are of great significance for promoting the development of photocatalysis,especially in the coupled process of photocatalytic H_(2)production and va...The effective separation and utilization of photo-generated carriers are of great significance for promoting the development of photocatalysis,especially in the coupled process of photocatalytic H_(2)production and valueadded chemicals synthesis.To realize this goal,a sandwichstructured MnO_(2)@ZnIn_(2)S_(4)@Ti_(3)C_(2)hollow sphere was designed and synthesized,in which MnO_(2)and Ti_(3)C_(2)were loaded on the inner and outer surfaces of ZnIn_(2)S_(4),respectively.In the photocatalytic system,MnO_(2)as oxidation cocatalyst and Ti_(3)C_(2)as reduction cocatalyst can serve as photo-generated holes and electrons collectors,respectively,which boost the photo-generated carrier separation and create a spatially separated redox reaction.Furthermore,the unique hollow structure integrated into the photocatalytic system further endows a significant enhancement in light-harvesting ability.Remarkably,the optimal MnO_(2)@ZnIn_(2)S_(4)@Ti_(3)C_(2)hollow sphere exhibits an outstanding the photocatalytic activity for coupled H_(2)production(6.29 mmol g^(-1)h^(-1))and selective benzyl alcohol oxidation to benzaldehyde(5.26 mmol g^(-1)h^(-1)),which is significantly superior to that of ZnIn_(2)S_(4),MnO_(2)@ZnIn_(2)S_(4),and ZnIn_(2)S_(4)@Ti_(3)C_(2).By the in situ irradiated X-ray photoelectron spectroscopy,the result reveals that the spatially separated redox dual-cocatalysts can effectively impel the photo-generated carrier separation.Simultaneously,the intermediates during the benzyl alcohol oxidation process have also been confirmed through in situ electron paramagnetic resonance spectroscopy and diffuse reflectance infrared Fourier transform spectroscopy.This work provides a reference and inspiration for constructing efficient photocatalysts that achieve an efficient coupling of photocatalytic H_(2)production and value-added chemicals synthesis.展开更多
Alcohol use disorder(AUD)is a medical condition that impairs a person's ability to stop or manage their drinking in the face of negative social,occupational,or health consequences.AUD is defined by the National In...Alcohol use disorder(AUD)is a medical condition that impairs a person's ability to stop or manage their drinking in the face of negative social,occupational,or health consequences.AUD is defined by the National Institute on Alcohol Abuse and Alcoholism as a"severe problem".The central nervous system is the primary target of alcohol's adverse effects.It is crucial to identify various neurological disorders associated with AUD,including alcohol withdrawal syndrome,Wernicke-Korsakoff syndrome,Marchiafava-Bignami disease,dementia,and neuropathy.To gain a better understanding of the neurological environment of alcoholism and to shed light on the role of various neurotransmitters in the phenomenon of alcoholism.A comprehensive search of online databases,including PubMed,EMBASE,Web of Science,and Google Scholar,was conducted to identify relevant articles.Several neurotransmitters(dopamine,gammaaminobutyric acid,serotonin,and glutamate)have been linked to alcoholism due to a brain imbalance.Alcoholism appears to be a complex genetic disorder,with variations in many genes influencing risk.Some of these genes have been identified,including two alcohol metabolism genes,alcohol dehydrogenase 1B gene and aldehyde dehydrogenase 2 gene,which have the most potent known effects on the risk of alcoholism.Neuronal degeneration and demyelination in people with AUD may be caused by neuronal damage,nutrient deficiencies,and blood brain barrier dysfunction;however,the underlying mechanism is unknown.This review will provide a detailed overview of the neurobiology of alcohol addiction,followed by recent studies published in the genetics of alcohol addiction,molecular mechanism and detailed information on the various acute and chronic neurological manifestations of alcoholism for the Future research.展开更多
Alcohol-associated liver disease(ALD)is a rapidly increasing indication for liver transplantation(LT)globally with a significant rise in transplants for ALD with limited sobriety including patients with alcohol-associ...Alcohol-associated liver disease(ALD)is a rapidly increasing indication for liver transplantation(LT)globally with a significant rise in transplants for ALD with limited sobriety including patients with alcohol-associated hepatitis(AH).This evolution challenges the older paradigm that mandates prolonged periods of alcohol abstinence prior to LT.Due to the limited armamentarium of effective pharmacotherapy to treat severe AH,the mortality rates are significantly higher when LT is not available.In the patients who are transplanted for ALD with limited sobriety including AH,patient and graft survival are equivalent,if not better,compared to patients transplanted for other etiologies.However,due to the risk of alcohol relapse and other psychosocial factors,public opinion regarding early LT may continue to impact how the field moves forward particularly regarding organ stewardship and the need for equitable allocation of organs.Numerous tools for psychosocial evaluations have been developed to assist liver transplant teams to identify appropriate patients in a more uniform manner.In this review,we aim to assess the available evidence to support early LT for alcohol AH and propose directions for the future as the field continues to evolve.展开更多
Alcoholism results in about 2.5 million deaths annually worldwide, representing 4% of all mortality. Although alcoholism is associated with more than 60 diseases, most mortality from alcoholism results from alcoholic ...Alcoholism results in about 2.5 million deaths annually worldwide, representing 4% of all mortality. Although alcoholism is associated with more than 60 diseases, most mortality from alcoholism results from alcoholic liver disease (ALD). ALD includes alcoholic steatosis, alcoholic hepatitis, and alcoholic cirrhosis, in order of increasing severity. Important scoring systems of ALD severity include: Child-Pugh, a semi-quantitative scoring system useful to roughly characterize clinical severity; model for end-stage liver disease, a quantitative, objective scoring system used for prognostication and prioritization for liver transplantation; and discriminant function, used to determine whether to administer corticosteroids for alcoholic hepatitis. Abstinence is the cornerstone of ALD therapy. Psychotherapies, including twelve-step facilitation therapy, cognitive-behavioral therapy, and motivational enhancement therapy, help support abstinence. Disulfiram decreases alcohol consumption by causing unpleasant sensations after drinking alcohol from accumulation of acetaldehyde in serum, but disulfiram can be hepatotoxic. Adjunctive pharmacotherapies to reduce alcohol consumption include naltrexone, acamprosate, and baclofen. Nutritional therapy helps reverse muscle wasting, weight loss, vitamin deficiencies, and trace element deficiencies associated with ALD. Although reduced protein intake was previously recommended for advanced ALD to prevent hepatic encephalopathy, a diet containing 1.2-1.5 g of protein/kg per day is currently recommended to prevent muscle wasting. Corticosteroids are first-line therapy for severe alcoholic hepatitis (discriminant function ≥ 32), but proof of their efficacy in decreasing mortality remains elusive. Pentoxifylline is an alternative therapy. Complications of advanced ALD include ascites, spontaneous bacterial peritonitis, esophageal variceal bleeding, hepatic encephalopathy, hepatorenal syndrome, hepatopulmonary syndrome, and portopulmonary hypertension. Alcoholic cirrhotics have increased risk of developing hepatomas. Liver transplantation is the ultimate therapy for severe ALD, but generally requires 6 mo of proven abstinence for eligibility. Alcoholic cirrhotics who maintain abstinence generally have a relatively favorable prognosis after liver transplantation.展开更多
Background: Neurodevelopmental abnormalities in experimental fetal alcohol spectrum disorder (FASD) are associated with impaired signaling through complex pathways that mediate neuronal survival, growth, migration, en...Background: Neurodevelopmental abnormalities in experimental fetal alcohol spectrum disorder (FASD) are associated with impaired signaling through complex pathways that mediate neuronal survival, growth, migration, energy metabolism, and plasticity. Gestational dietary soy prevents alcohol-related impairments in placentation and FASD-associated fetal anomalies. Objective: This study was designed to determine if gestational dietary soy would be sufficient to normalize cognitive function in young adolescent offspring after chronic in utero exposure to alcohol. In addition, efforts were made to characterize the mechanisms of FASD prevention by maternal dietary soy. Methods: Pregnant Long Evans rats were fed isocaloric liquid diets containing 0% or 26% caloric ethanol with casein or soy isolate as the protein source from gestation day 6 through delivery/postnatal day 0 (P0). From P24 - P28, the offspring were subjected to Morris water maze (MWM) testing, and on P35, they were sacrificed to harvest temporal lobes for histopathologic and molecular studies. Results: The in-utero ethanol-exposed offspring exhibited significant performance impairments on the MWM test, and they had a significantly reduced mean brain weight with neuronal loss in the CA1 hippocampal region and evidence of white matter myelin loss. Gestational dietary soy nearly normalized MWM performance and preserved brain weight, hippocampal CA1 architecture, and white matter myelin staining in alcohol-exposed offspring. Mechanistically, the main positive effects of soy included increased temporal lobe expression of HES-1 and HIF-1α, reflecting enhanced Notch signaling, and broadly increased expression of GnRH network molecules, including Erb1, Gper1, GnRH, GnRH-R, KiSS, and KiSS-R, irrespective of gestational ethanol exposure. Conclusions: Dietary soy intervention early in pregnancy may reduce FASD-associated cognitive deficits. The findings suggest that targeting Notch and GnRH-related networks may help reduce long-term disability with FASD. Additional mechanistic and experimental research is needed to determine if longer-duration, postnatal dietary soy could prevent the adverse neurobehavioral effects of FASD.展开更多
BACKGROUND Alcohol can cause alcoholic fatty liver,alcoholic steatohepatitis,alcoholic liver cirrhosis(ALC),and hepatocellular carcinoma.China has become the secondlargest country in the world in terms of alcohol cons...BACKGROUND Alcohol can cause alcoholic fatty liver,alcoholic steatohepatitis,alcoholic liver cirrhosis(ALC),and hepatocellular carcinoma.China has become the secondlargest country in the world in terms of alcohol consumption,lacking national epidemiological data on alcoholic liver disease(ALD).AIM To understand the incidence and characteristics of ALD in Hainan Province of China.METHODS From October 2022 to April 2023,a stratified proportional multi-stage whole population sampling method was adopted to select permanent residents of Haikou,Sanya,Qionghai,Dongfang,and Wuzhishan in Hainan Province to carry out questionnaire surveys,blood tests,and ultrasound examinations of the liver.RESULTS A total of 2704 valid questionnaires were obtained from residents aged 15-93 years old.The rates of drinking,hazardous drinking,and harmful drinking were 31.73%,14.53%,and 5.03%,respectively.The above rates were higher for males than for females,increasing with income,and the rates for ethnic minorities,such as Li,were higher than for Han Chinese(P<0.05).Drinking rates increased with literacy(P<0.05).Drinking rate and hazardous drinking rate decreased with age,were higher for residents of agricultural households than non-agricultural households,and higher for married than unmarried individuals(P<0.05).The total number of patients with ALD was 142,with a detection rate of 5.25%.ALD detection rate was higher for males than females,decreased with age,and higher with income(P<0.05).Patients with ALD included 48(33.8%)cases of mild ALD,64(45.1%)cases of alcoholic fatty liver,18(12.7%)cases of alcoholic steatohepatitis,and 12(8.5%)cases of ALC.The proportion of those who consumed more than 80 g of alcohol per day increased as they progressed from mild ALD to ALC stage.Diabetes mellitus and hyperlipidemia were easily combined in some cases,accounting for 25(17.6%)and 80(56.3%),respectively.The average daily alcohol consumption of ALD patients of Li ethnicity≥80 g was significantly more than that of Han ethnicity(χ2=5.652,P=0.02),and was predominantly among those who drank large amounts of alcohol intermittently(χ2=89.093,P<0.001).CONCLUSION The rates of drinking,hazardous drinking,harmful drinking,and detection of ALD in Hainan Province need to be paid attention to by advocating a healthy lifestyle,such as abstinence and limiting alcohol consumption.展开更多
Rape bee pollen has attracted increasing interests for its excellent protective effect against chemicalinduced liver injury owing to its abundant polyphenols.This study aims to analyze the types and contents of phenol...Rape bee pollen has attracted increasing interests for its excellent protective effect against chemicalinduced liver injury owing to its abundant polyphenols.This study aims to analyze the types and contents of phenolamides(seldom concerned)in rape bee pollen and their protective mechanism on alcoholic liver disease(ALD).Different from the previous finding that flavonoids are dominant polyphenols in bee pollen polyphenolic extract,our results demonstrated that there are only three flavonoids but 24 phenolamides in the as-prepared rape bee pollen phenolic extract(PPE).In addition,PPE was found to significantly improve the viability(from 54.9%to 84.1%,89.2%,and 94.0%)of alcohol-induced AML12 cells and alleviate alcoholinduced cell apoptosis(from 28.5%to 22.89%,22.0%,and 17.4%).To dissect the underlying mechanism for the protective effect of PPE against ALD,the molecular pathway was identified by RNA-Seq analysis.Transcriptome data revealed that PPE may protect against ALD by decreasing inflammation,cholesterol,and fatty acid synthesis(P<0.05).The National Institute on Alcohol Abuse and Alcoholism(NIAAA)model was used to further evaluate the hepatoprotective effect of PPE in vivo,and the results validated that PPE could alleviate liver injury and hepatic steatosis(from 22.7%to 11.5%and 10.9%)induced by alcohol.As the dominant polyphenols in PPE,phenolamides can be a class of valuable polyphenolic compounds in bee pollen with the potential to alleviate ALD.展开更多
BACKGROUND Various prognostic scores have been developed to predict mortality and response to steroids in alcoholic hepatitis(AH).We aimed to further validate and compare these scores,particularly pre-day 7 Lille scor...BACKGROUND Various prognostic scores have been developed to predict mortality and response to steroids in alcoholic hepatitis(AH).We aimed to further validate and compare these scores,particularly pre-day 7 Lille scores,in addition to identifying reliable predictors of complications and mortality such as renal dysfunction and nutritional status.AIM To identify predictors of complications and mortality in AH,particularly focusing on demographics,renal involvement,underlying liver disease,and nutrition.METHODS This is a retrospective analysis of patients admitted to a large urban tertiary care center with AH from 2020 to 2022.Receiver operating characteristics(ROC)curve analysis was conducted to compare established prognostic scores with Lille scores from day 3 to day 7(LM3-7).Logistic regression equations were conducted to identify predictor variables.RESULTS Severe AH(SAH)as defined by Maddrey’s discriminant function≥32 was diagnosed in 150 out of 425 patients with AH.LM3-7 had 28-day mortality rates in the responder group of 7%-11%,while in the non-responder group,mortality rates were approximately 38%-42%.LM3-7 had 90-day mortality rates in the responder group of 12%to 17%,while in the non-responder group,mortality rates were 48%-53%.Furthermore,all LM3-7 scores showed comparable efficacy in predicting mortality using ROC curve analysis;Area under ROC ranged from 0.771 to 0.802 for 28-day mortality and 0.743 to 0.809 for 90-day mortality.Regarding complications and mortality in AH,significant predictors included poor nutritional status,underlying cirrhosis,and acute renal dysfunction.CONCLUSION LM3-6 is as accurate as LM7 in predicting corticosteroid efficacy for 28-day and 90-day mortality in patients with SAH.Holding glucocorticoids early during the disease course can prevent unnecessary complications.展开更多
Chinese Wine Culture influences people’s attitudes toward alcohol.The current study focuses on exploring the main features of a localized digital alcohol consumption intervention mini-program to address the difficult...Chinese Wine Culture influences people’s attitudes toward alcohol.The current study focuses on exploring the main features of a localized digital alcohol consumption intervention mini-program to address the difficulties of abstinence for native drinkers,as a promising way for long-term management of rehabilitation from alcohol use disorder.A mixed-method approach was used in this study.The self-report quantitative questionnaire recruited three groups of participants:89 drinkers,67 drinkers’relatives,and 30 medical staff.The focus group qualitative interview inspected 36 participants’perspectives on the core topics,including 21 drinkers,4 drinkers’relatives,and 11 medical staff.The results of combining the quantitative study and qualitative study indicated that the top difficulties of abstinence for native drinkers are the strong craving from the inside,the environmental influence,and the psychological health status,especially emotional states.Correspondingly,the most desired main features in an alcohol consumption digital intervention tool are the daily track of drinking conditions and craving level,periodic feedback reports that can share with others,and mood improvement training.Moreover,the top factors that influence participants’intention to use/recommend the tool are whether the tool is effective,whether the user experience is good,and whether the tool can replenish the deficiency of the current alcohol treatment.Future work needs to balance what patients want and what others around them expect,so that potential users can benefit best from the digital intervention tool in the context of Chinese culture.展开更多
BACKGROUND Severe alcoholic hepatitis(SAH)carries a 90-day mortality rate approaching 50%.Management includes corticosteroids,nutritional support,and early liver transplantation in selected cases.However,the mid-term ...BACKGROUND Severe alcoholic hepatitis(SAH)carries a 90-day mortality rate approaching 50%.Management includes corticosteroids,nutritional support,and early liver transplantation in selected cases.However,the mid-term impact of available therapies remains unclear.This systematic review provides a critical evaluation of treatments for SAH,specifically focusing on survival or mortality at 90 days as an essential window that captures short-and mid-term outcomes.The 90-day window is clinically significant,as it reflects the remission of systemic inflam-mation,early liver recovery,and minimizes confounding long-term behaviors such as alcohol relapse.AIM To review the effect of different treatments for SAH on survival and mortality at 90 days.METHODS A systematic search of PubMed and EMBASE(last updated March 2025)was performed without language restrictions,focusing on studies published in the last decade.Study selection and data extraction were performed independently by at least two reviewers.Risk of bias was assessed using RoB 2.0 and Risk-of Bias in Non-Randomized Studies of Interventions tools.Due to heterogeneity in study designs and interventions,a meta-analysis was not feasible.A qualitative synthesis was conducted using narrative summaries and evidence tables.RESULTS Searches in the databases yielded 645 citations in PubMed and 1516 in EMBASE.Of these 2161 studies,618 were duplicates and therefore removed.A total of eight studies were included in qualitative synthesis.Among the included publications,six were randomized control trials(RCT)and two were retrospective cohort studies.These studies evaluated 90-day mortality or survival in SAH patients treated with corticosteroids(n=2),pentoxifylline(n=1),anakinra plus zinc(n=2),granulocyte colony-stimulating factor(n=1),amoxicillin-clavulanate(n=1),fecal microbiota transplantation(n=1)or extracorporeal liver assist device(n=1).While most studies were conducted in Western countries,two had a global scope.CONCLUSION Steroids remain the first-line therapy for SAH despite reports of them not having any 90-day survival benefit.These results highlight the need for multicenter,biomarker-guided RCTs evaluating emerging treatments to improve mid-term survival in SAH.展开更多
BACKGROUND Patients and providers are often unaware of available treatment options for alcohol use disorder(AUD)and how to pursue them.AIM To improve AUD treatment rates using an educational video module(EVM).METHODS ...BACKGROUND Patients and providers are often unaware of available treatment options for alcohol use disorder(AUD)and how to pursue them.AIM To improve AUD treatment rates using an educational video module(EVM).METHODS Prospective single-center cohort study evaluating the impact of a novel interactive patient EVM in promoting AUD treatment among hospitalized patients with alcohol-associated liver disease.Treatment was defined as receiving medication or participating in psychosocial treatment within 30 days of discharge.Primary outcome was change in treatment rates after viewing the EVM compared to a retrospective control cohort.Secondary outcomes were predictors of receiving treatment,EVM feedback,30-day hospital readmission,outpatient follow-up,return to alcohol use,and mortality.RESULTS Forty-two patients were included.Mean age was 45 years,50%were female,and mean model for end-stage liver disease score 15.5.After viewing the EVM,treatment rates increased for pharmacologic(50%vs 22%,P=0.0008)and psychosocial treatment(73.8%vs 44%,P=0.01).Return to alcohol use was significantly lower(7.9%vs 35.6%,P=0.003).All 100%of patients would recommend the EVM.CONCLUSION EVM allows hospitalized patients to receive standardized education about AUD treatment.This may address patient and provider knowledge gaps and reduce the growing burden of alcohol-associated liver disease.Future studies should evaluate EVM in larger patient populations using a multi-center study design.展开更多
Severe alcoholic hepatitis remains one of hepatology’s most urgent challenges,with rapid clinical deterioration and high early mortality.This manuscript comments on and contextualizes the recent systematic review by ...Severe alcoholic hepatitis remains one of hepatology’s most urgent challenges,with rapid clinical deterioration and high early mortality.This manuscript comments on and contextualizes the recent systematic review by Quiñones-Calvo et al,which redirects attention from short-term endpoints toward 90-day survival,integrating evidence from associated clinical studies.For decades,corticosteroids have been the mainstay of treatment,reducing 28-day mortality but offering limited benefit for three months.The review emphasizes that the most critical threats to recovery,late infections,renal decline,and relapse,often emerge after the first month.By synthesizing recent studies,it highlights promising interventions such as fecal microbiota transplantation(FMT),which improved 90-day survival in a small randomized trial,and granulocyte colony-stimulating factor(G-CSF),which showed a robust survival benefit in a large retrospective cohort,alongside emerging strategies like plasma exchange and targeted biologics.These findings support a shift toward a two-phase care model:Early stabilization followed by recovery consolidation.For clinicians,such a model may help guide treatment decisions,with therapies like FMT or G-CSF warranting consideration in corticosteroid non-responders,pending further validation in larger randomized controlled trials.Adoption of 90-day survival as a central metric could bridge the gap between initial rescue and sustained remission,providing a more realistic measure of therapeutic success in one of hepatology’s most unforgiving conditions.展开更多
基金the financial support from the National Natural Science Foundation of China(52172110,52472231,52311530113)Shanghai"Science and Technology Innovation Action Plan"intergovernmental international science and technology cooperation project(23520710600)+1 种基金Science and Technology Commission of Shanghai Municipality(22DZ1205600)the Central Guidance on Science and Technology Development Fund of Zhejiang Province(2024ZY01011)。
文摘Investigating structural and hydroxyl group effects in electrooxidation of alcohols to value-added products by solid-acid electrocatalysts is essential for upgrading biomass alcohols.Herein,we report efficient electrocatalytic oxidations of saturated alcohols(C_(1)-C_(6))to selectively form formate using Ni Co hydroxide(Ni Co-OH)derived Ni Co_(2)O_(4)solid-acid electrocatalysts with balanced Lewis acid(LASs)and Brønsted acid sites(BASs).Thermal treatment transforms BASs-rich(89.6%)Ni Co-OH into Ni Co_(2)O_(4)with nearly equal distribution of LASs(53.1%)and BASs(46.9%)which synergistically promote adsorption and activation of OH-and alcohol molecules for enhanced oxidation activity.In contrast,BASs-enriched Ni Co-OH facilitates formation of higher valence metal sites,beneficial for water oxidation.The combined experimental studies and theoretical calculation imply the oxidation ability of C1-C6alcohols increases as increased number of hydroxyl groups and decreased HOMO-LUMO gaps:methanol(C_(1))<ethylene glycol(C_(2))<glycerol(C3)<meso-erythritol(C4)<xylitol(C5)<sorbitol(C6),while the formate selectivity shows the opposite trend from 100 to 80%.This study unveils synergistic roles of LASs and BASs,as well as hydroxyl group effect in electro-upgrading of alcohols using solid-acid electrocatalysts.
文摘Gas wells often encounter blockages in gas recovery channels owing to fluid accumulation during the later stages of extraction,which adversely affects subsequent recovery efforts.These undesirable conditions(e.g.,high condensate content,high temperature,and high salinity)often affect foaming agent performance.In this study,surfactants were screened using an airflow method that closely resembles field treatment method.Notably,alcohol ether sulfates(AE_(n)S)with various polyoxyethylene(EO)units demonstrated exceptional performance in terms of liquid unloading efficiency and foam stability.At 80℃,the unloading efficiency of AE_(n)S with two EO units(AE_(2)S)in a high NaCl mass concentration(up to 200 g/L)and high condensate volume fraction(up to 20%)reached 84%.The dynamic surface tension and interfacial tension measured at the same temperature were used to analyze the influence of the diffusion rate and interfacial characteristics on the AE_(n)S foam,while the viscosity and liquid film thickness measurements reflected the mechanical strength and liquid-carrying capacity.In addition,transmission electron microscopy(TEM)revealed that AE_(2)S formed“dendritic”micellar aggregates at a high NaCl mass concentration,which significantly enhanced the viscosity and stability of the foam.The interactions among AE_(n)S,NaCl,and H2O were analyzed using molecular dynamics,and it was confirmed from a molecular mechanics perspective that a stable structure can form among the three,contributing to the foam stability.These findings demonstrate the significant potential of the AE_(2)S foam for gas well deliquification.
基金National Natural Science Foundation of China (Nos.22071185 and 22271224)the Fundamental Research Funds for the Central Universities (No.2042019kf0008)Wuhan University startup funding for financial support。
文摘The development of catalytic multicomponent reactions for constructing complex organic scaffolds from readily accessible commodity chemicals is a key pursuit in contemporary synthetic chemistry.Current methods for synthesizing thioesters primarily rely on the acylation of thiols,which produces substantial waste and requires malodorous,unstable sulfur sources.In this work,we introduce a photocatalyzed hydrogen transfer strategy that enables a three-component synthesis of thioesters using abundant primary alcohols,easily available alkenes and elemental sulfur under mild conditions.This protocol demonstrates broad applicability and high chemo-and regioselectivity for both primary alcohols and alkenes,highlighting the advantage and potential of photo-mediated hydrogen transfer in facilitating multicomponent reactions using primary alcohol and elemental sulfur feedstocks.
基金supported by the Spanish Ministry of Health‐Plan Nacional sobre Drogas(2023‐I024)the the Ministry of Science,Innovation and Universities/State ResearchAgency/10.13039/501100011033(PID2023-146865OB-I00)+2 种基金Generalitat Valenciana(CIAICO/2021/203)the Primary Addiction Care Research Network(RD21/0009/0005)FEDER Funds,GVA.
文摘Mesenchymal stem cell-derived extracellular vesicles have emerged as a promising form of regenerative and immunomodulatory therapy;indeed,micro(mi)RNAs contained within mesenchymal stem cell-derived extracellular vesicles modulate target gene expression and impact disease-associated pathways.Chronic alcohol consumption leads to neuroinflammation,brain damage,and impaired cognition.Evidence indicates that females are more vulnerable to alcohol-induced damage than males.While mesenchymal stem cell-derived extracellular vesicles have been studied in various neuroinflammatory conditions,their potential to counteract alcohol-induced brain damage remains unclear.In this study,we investigated whether repeated intravenous administration of mesenchymal stem cell-derived extracellular vesicles could ameliorate neuroinflammation and behavioral impairment induced by chronic alcohol consumption in female mice.Mesenchymal stem cell-derived extracellular vesicles diminished the increased binding of a micro-positron emission tomography tracer(^(18)F-FDG)when analyzing whole-brain 3D images and brain coronal sections of ethanol-treated mice.Mesenchymal stem cell-derived extracellular vesicle administration protected against ethanol-induced proinflammatory gene upregulation,cognitive dysfunction,and the conditioned rewarding effects of cocaine.MiRNA sequencing data from mesenchymal stem cell-derived extracellular vesicles revealed the elevated expression of extracellular vesicle-derived miR-483-5p and miR-140-3p in the brains of ethanol-treated female mice following mesenchymal stem cell-derived extracellular vesicle administration.In addition,mesenchymal stem cell-derived extracellular vesicles modulated the expression of pro-inflammatory-related miRNA target genes(e.g.,Socs3,Tnf,Mtor,and Atf6)in the brains of ethanol-treated female mice.These results suggest that mesenchymal stem cell-derived extracellular vesicles could function as a neuroprotective therapy to ameliorate the neuroinflammation,cognitive dysfunction,and conditioned rewarding effects of cocaine associated with chronic alcohol consumption.
基金supported by the National Natural Science Foundation of China(Nos.52274304,52073199).
文摘The insufficient performance of Pt and Pd benchmark catalysts remains a significant obstacle to the practical application of direct liquid fuel cells.In this study,we report a synthesis of amorphous PdSe/crystalline Pt nanoparticles(AC-PdPtSe NPs)by chemical leaching of PdPtSe NPs.AC-PdPtSe NPs display significantly enhanced activity and stability for the electrooxidation of ethylene glycol and glycerol,far surpassing that of amorphous-dominant PdPtSe NPs,commercial Pd/C,and Pt/C catalysts.Notably,the integration of crystalline and amorphous domains leverages the advantages of high electrical conductivity and a wealth of active sites,which can substantially accelerate reaction kinetics.Furthermore,detailed investigations reveal that the boundary between the Pt crystalline and PdSe amorphous phases induces a 3%surface tensile strain.The formation of amorphous-crystalline heterointerfaces optimizes the d-band states,thereby strengthening the adsorption and activation of ethylene glycol and glycerol.This study highlights the advance in phase engineering toward the development of highly active noble-metal nanostructures.
文摘AIM:To investigate the effects of chronic alcohol consumption on retinal microcirculation by comparing different alcohol-consuming groups using optical coherence tomography(OCT)and OCT angiography(OCTA).METHODS:This observational clinical study utilized a cross-sectional and prospective design,focusing on chronic alcohol consumers alongside a non-consuming control group.OCT/OCTA imaging parameters including central retinal subfield thickness(CST),subfoveal choroidal thickness(SCT),foveal avascular zone(FAZ)and vessel density(VD)in the superficial and deep capillary plexuses in both the macular and optic disc(OD)regions were recorded.Data were analyzed using SPSS 15.0;descriptive statistics were reported,group comparisons were performed with Chisquare,Kruskal–Wallis,and Bonferroni-corrected Mann–Whitney U tests,and relationships were assessed using Spearman correlation,with statistical significance set at P<0.05.RESULTS:A total of 160 eyes of 160 participants(110 females and 50 males with mean age 38.7±9.9y)who don’t smoke were divided into five groups:never,occasional,monthly,weekly and daily drinkers.The mean CST was 216.6±14.2μm and the mean SCT was 358.9±84.5μm.There was no statistically significantly difference in CST and SCT among the groups(P=0.890,0.799).Foveal superficial capillary plexuses(SCPs)VD was higher in monthly drinkers compared to occasional drinkers(P=0.015).Foveal VD in deep capillary plexus was also higher in monthly drinkers than in never and occasional drinkers(P=0.004,0.006).Nasal SCPs VD at the OD was higher in monthly drinkers compared to never drinkers(P=0.005).There was no significant difference FAZ area among the groups(P=0.071).CONCLUSION:Both superficial and deep microvascular structures in the inferior quadrants of macula are positively correlated with frequency of alcohol use.Also in our study results is that the monthly drinker group has uniquely higher VDs in both macula and OD.This leads us to consider moderate alcohol consumption may also have protective effects on retinal microcirculation.
基金Ministry of Higher Education Malaysia(MoHE)and Universiti Putra Malaysia under the Fundamental Research Grant Scheme(FRGS)(Grant Nos.FRGS/1/2023/TK09/UPM/01/3 and 5540599。
文摘This review highlights the performance enhancement of polyvinyl alcohol(PVA)composites through the incorporation of nanofillers,focusing on mechanical,thermal,electrical and piezoelectric improvements.It examines bio-based fillers such as nanocellulose cellulose nanofibrils(CNF)and cellulose nanocrystals(CNC),and carbon-based fillers like graphene nanoplatelets(GNP)and carbon nanotubes(CNT).CNF and CNC increase tensile strength by up to 40%and 17.9%,respectively,due to their ability to reinforce polymer networks.CNC also improves thermal stability,raising degradation temperatures to approximately 327℃through enhanced hydrogen bonding.Electrical and piezoelectric properties are significantly improved,with dielectric behaviour enhanced by up to 107%and open-circuit voltage reaching 25.6 V,suitable for energy harvesting.GNP and CNT contribute by forming conductive networks within the PVA matrix,enabling superior electrical conductivity and consistent piezoresistive responses under strain.These characteristics make such composites ideal for applications in flexible electronics,sensors,structural health monitoring and other advanced fields.This synthesis of experimental results and critical insights underscores the broad utility and future potential of nanofillerenhanced PVA composites across aerospace,automotive,healthcare,and defence sectors.
文摘Alcohol intake is associated with increased mortality worldwide,particularly liver diseases,making it imperative to explore innovative strategies for managing alcohol-related liver disease.In this study,t he efficacy of Scytosiphon lomentaria fucoidan(SLF)in alleviating alcohol-induced liver injury was evaluated in a mouse model.It showed that SLF increased body weight and colon length,while reducing liver index,serum lipid,alanine aminotransferase,and aspartate aminotransferase in alcohol-treated mice.SLF inhibited inflammatory response in the liver by reducing inflammatory infiltration and the levels of pro-inflammatory cytokines.It can be associated with the alleviation of oxidative stress and the inhibition of the nuclear factor-κB pathway.SLF modulated alcohol-induced dysbiosis of gut microbiota,including a reduction in Bacteroidetes and Proteobacteria,and improved metabolites profile,primarily affecting short chain fatty acids and amino acids metabolism.In addition,SLF reduced the level of total bile acids,regulated the profile of bile acids,and increased the levels of farnesoid X receptor(FXR)and AMP-activated protein kinase(AMPK),suggesting that SLF can alleviate alcohol-induced liver injury by regulating bile acid-FXR/AMPK pathway.This study suggests that SLF holds the potential to alleviate the adverse effect of alcohol on the liver via the gut-liver axis.
基金supported by the National Natural Science Foundation of China(52202102,52472215)Key Innovation Project of the Science-Education-Industry Integration Pilot Engineering of Qilu University of Technology(Shandong Academy of Sciences)(2025ZDZX08)+1 种基金Key Research&Development Project of Shandong Province(2024TSGC0222)Interdisciplinary Innovation Guidance Program from Qilu University of Technology(Shandong Academy of Sciences)(2025XKJC0103)。
文摘The effective separation and utilization of photo-generated carriers are of great significance for promoting the development of photocatalysis,especially in the coupled process of photocatalytic H_(2)production and valueadded chemicals synthesis.To realize this goal,a sandwichstructured MnO_(2)@ZnIn_(2)S_(4)@Ti_(3)C_(2)hollow sphere was designed and synthesized,in which MnO_(2)and Ti_(3)C_(2)were loaded on the inner and outer surfaces of ZnIn_(2)S_(4),respectively.In the photocatalytic system,MnO_(2)as oxidation cocatalyst and Ti_(3)C_(2)as reduction cocatalyst can serve as photo-generated holes and electrons collectors,respectively,which boost the photo-generated carrier separation and create a spatially separated redox reaction.Furthermore,the unique hollow structure integrated into the photocatalytic system further endows a significant enhancement in light-harvesting ability.Remarkably,the optimal MnO_(2)@ZnIn_(2)S_(4)@Ti_(3)C_(2)hollow sphere exhibits an outstanding the photocatalytic activity for coupled H_(2)production(6.29 mmol g^(-1)h^(-1))and selective benzyl alcohol oxidation to benzaldehyde(5.26 mmol g^(-1)h^(-1)),which is significantly superior to that of ZnIn_(2)S_(4),MnO_(2)@ZnIn_(2)S_(4),and ZnIn_(2)S_(4)@Ti_(3)C_(2).By the in situ irradiated X-ray photoelectron spectroscopy,the result reveals that the spatially separated redox dual-cocatalysts can effectively impel the photo-generated carrier separation.Simultaneously,the intermediates during the benzyl alcohol oxidation process have also been confirmed through in situ electron paramagnetic resonance spectroscopy and diffuse reflectance infrared Fourier transform spectroscopy.This work provides a reference and inspiration for constructing efficient photocatalysts that achieve an efficient coupling of photocatalytic H_(2)production and value-added chemicals synthesis.
文摘Alcohol use disorder(AUD)is a medical condition that impairs a person's ability to stop or manage their drinking in the face of negative social,occupational,or health consequences.AUD is defined by the National Institute on Alcohol Abuse and Alcoholism as a"severe problem".The central nervous system is the primary target of alcohol's adverse effects.It is crucial to identify various neurological disorders associated with AUD,including alcohol withdrawal syndrome,Wernicke-Korsakoff syndrome,Marchiafava-Bignami disease,dementia,and neuropathy.To gain a better understanding of the neurological environment of alcoholism and to shed light on the role of various neurotransmitters in the phenomenon of alcoholism.A comprehensive search of online databases,including PubMed,EMBASE,Web of Science,and Google Scholar,was conducted to identify relevant articles.Several neurotransmitters(dopamine,gammaaminobutyric acid,serotonin,and glutamate)have been linked to alcoholism due to a brain imbalance.Alcoholism appears to be a complex genetic disorder,with variations in many genes influencing risk.Some of these genes have been identified,including two alcohol metabolism genes,alcohol dehydrogenase 1B gene and aldehyde dehydrogenase 2 gene,which have the most potent known effects on the risk of alcoholism.Neuronal degeneration and demyelination in people with AUD may be caused by neuronal damage,nutrient deficiencies,and blood brain barrier dysfunction;however,the underlying mechanism is unknown.This review will provide a detailed overview of the neurobiology of alcohol addiction,followed by recent studies published in the genetics of alcohol addiction,molecular mechanism and detailed information on the various acute and chronic neurological manifestations of alcoholism for the Future research.
文摘Alcohol-associated liver disease(ALD)is a rapidly increasing indication for liver transplantation(LT)globally with a significant rise in transplants for ALD with limited sobriety including patients with alcohol-associated hepatitis(AH).This evolution challenges the older paradigm that mandates prolonged periods of alcohol abstinence prior to LT.Due to the limited armamentarium of effective pharmacotherapy to treat severe AH,the mortality rates are significantly higher when LT is not available.In the patients who are transplanted for ALD with limited sobriety including AH,patient and graft survival are equivalent,if not better,compared to patients transplanted for other etiologies.However,due to the risk of alcohol relapse and other psychosocial factors,public opinion regarding early LT may continue to impact how the field moves forward particularly regarding organ stewardship and the need for equitable allocation of organs.Numerous tools for psychosocial evaluations have been developed to assist liver transplant teams to identify appropriate patients in a more uniform manner.In this review,we aim to assess the available evidence to support early LT for alcohol AH and propose directions for the future as the field continues to evolve.
文摘Alcoholism results in about 2.5 million deaths annually worldwide, representing 4% of all mortality. Although alcoholism is associated with more than 60 diseases, most mortality from alcoholism results from alcoholic liver disease (ALD). ALD includes alcoholic steatosis, alcoholic hepatitis, and alcoholic cirrhosis, in order of increasing severity. Important scoring systems of ALD severity include: Child-Pugh, a semi-quantitative scoring system useful to roughly characterize clinical severity; model for end-stage liver disease, a quantitative, objective scoring system used for prognostication and prioritization for liver transplantation; and discriminant function, used to determine whether to administer corticosteroids for alcoholic hepatitis. Abstinence is the cornerstone of ALD therapy. Psychotherapies, including twelve-step facilitation therapy, cognitive-behavioral therapy, and motivational enhancement therapy, help support abstinence. Disulfiram decreases alcohol consumption by causing unpleasant sensations after drinking alcohol from accumulation of acetaldehyde in serum, but disulfiram can be hepatotoxic. Adjunctive pharmacotherapies to reduce alcohol consumption include naltrexone, acamprosate, and baclofen. Nutritional therapy helps reverse muscle wasting, weight loss, vitamin deficiencies, and trace element deficiencies associated with ALD. Although reduced protein intake was previously recommended for advanced ALD to prevent hepatic encephalopathy, a diet containing 1.2-1.5 g of protein/kg per day is currently recommended to prevent muscle wasting. Corticosteroids are first-line therapy for severe alcoholic hepatitis (discriminant function ≥ 32), but proof of their efficacy in decreasing mortality remains elusive. Pentoxifylline is an alternative therapy. Complications of advanced ALD include ascites, spontaneous bacterial peritonitis, esophageal variceal bleeding, hepatic encephalopathy, hepatorenal syndrome, hepatopulmonary syndrome, and portopulmonary hypertension. Alcoholic cirrhotics have increased risk of developing hepatomas. Liver transplantation is the ultimate therapy for severe ALD, but generally requires 6 mo of proven abstinence for eligibility. Alcoholic cirrhotics who maintain abstinence generally have a relatively favorable prognosis after liver transplantation.
文摘Background: Neurodevelopmental abnormalities in experimental fetal alcohol spectrum disorder (FASD) are associated with impaired signaling through complex pathways that mediate neuronal survival, growth, migration, energy metabolism, and plasticity. Gestational dietary soy prevents alcohol-related impairments in placentation and FASD-associated fetal anomalies. Objective: This study was designed to determine if gestational dietary soy would be sufficient to normalize cognitive function in young adolescent offspring after chronic in utero exposure to alcohol. In addition, efforts were made to characterize the mechanisms of FASD prevention by maternal dietary soy. Methods: Pregnant Long Evans rats were fed isocaloric liquid diets containing 0% or 26% caloric ethanol with casein or soy isolate as the protein source from gestation day 6 through delivery/postnatal day 0 (P0). From P24 - P28, the offspring were subjected to Morris water maze (MWM) testing, and on P35, they were sacrificed to harvest temporal lobes for histopathologic and molecular studies. Results: The in-utero ethanol-exposed offspring exhibited significant performance impairments on the MWM test, and they had a significantly reduced mean brain weight with neuronal loss in the CA1 hippocampal region and evidence of white matter myelin loss. Gestational dietary soy nearly normalized MWM performance and preserved brain weight, hippocampal CA1 architecture, and white matter myelin staining in alcohol-exposed offspring. Mechanistically, the main positive effects of soy included increased temporal lobe expression of HES-1 and HIF-1α, reflecting enhanced Notch signaling, and broadly increased expression of GnRH network molecules, including Erb1, Gper1, GnRH, GnRH-R, KiSS, and KiSS-R, irrespective of gestational ethanol exposure. Conclusions: Dietary soy intervention early in pregnancy may reduce FASD-associated cognitive deficits. The findings suggest that targeting Notch and GnRH-related networks may help reduce long-term disability with FASD. Additional mechanistic and experimental research is needed to determine if longer-duration, postnatal dietary soy could prevent the adverse neurobehavioral effects of FASD.
基金Supported by the Hainan Medical University Academic Enhancement Support Program,No.XSTS2025001National Clinical Key Speciality Capacity Building Project,No.202330+3 种基金Hainan Province Clinical Medical Center,No.2021818Specific Research Fund of The Innovation Platform for Academicians of Hainan Province,No.YSPTZX202313Joint Project on Health Science and Technology Innovation in Hainan Province,No.SQ2023WSJK0301Hainan Province Education Reform Project,No.hnjg2024-67.
文摘BACKGROUND Alcohol can cause alcoholic fatty liver,alcoholic steatohepatitis,alcoholic liver cirrhosis(ALC),and hepatocellular carcinoma.China has become the secondlargest country in the world in terms of alcohol consumption,lacking national epidemiological data on alcoholic liver disease(ALD).AIM To understand the incidence and characteristics of ALD in Hainan Province of China.METHODS From October 2022 to April 2023,a stratified proportional multi-stage whole population sampling method was adopted to select permanent residents of Haikou,Sanya,Qionghai,Dongfang,and Wuzhishan in Hainan Province to carry out questionnaire surveys,blood tests,and ultrasound examinations of the liver.RESULTS A total of 2704 valid questionnaires were obtained from residents aged 15-93 years old.The rates of drinking,hazardous drinking,and harmful drinking were 31.73%,14.53%,and 5.03%,respectively.The above rates were higher for males than for females,increasing with income,and the rates for ethnic minorities,such as Li,were higher than for Han Chinese(P<0.05).Drinking rates increased with literacy(P<0.05).Drinking rate and hazardous drinking rate decreased with age,were higher for residents of agricultural households than non-agricultural households,and higher for married than unmarried individuals(P<0.05).The total number of patients with ALD was 142,with a detection rate of 5.25%.ALD detection rate was higher for males than females,decreased with age,and higher with income(P<0.05).Patients with ALD included 48(33.8%)cases of mild ALD,64(45.1%)cases of alcoholic fatty liver,18(12.7%)cases of alcoholic steatohepatitis,and 12(8.5%)cases of ALC.The proportion of those who consumed more than 80 g of alcohol per day increased as they progressed from mild ALD to ALC stage.Diabetes mellitus and hyperlipidemia were easily combined in some cases,accounting for 25(17.6%)and 80(56.3%),respectively.The average daily alcohol consumption of ALD patients of Li ethnicity≥80 g was significantly more than that of Han ethnicity(χ2=5.652,P=0.02),and was predominantly among those who drank large amounts of alcohol intermittently(χ2=89.093,P<0.001).CONCLUSION The rates of drinking,hazardous drinking,harmful drinking,and detection of ALD in Hainan Province need to be paid attention to by advocating a healthy lifestyle,such as abstinence and limiting alcohol consumption.
基金supported by Key Research and Development Program of Hubei Province(2022BBA0072)Applied Fundamental Frontier Project of Wuhan Science and Technology Bureau(2020020601012271)。
文摘Rape bee pollen has attracted increasing interests for its excellent protective effect against chemicalinduced liver injury owing to its abundant polyphenols.This study aims to analyze the types and contents of phenolamides(seldom concerned)in rape bee pollen and their protective mechanism on alcoholic liver disease(ALD).Different from the previous finding that flavonoids are dominant polyphenols in bee pollen polyphenolic extract,our results demonstrated that there are only three flavonoids but 24 phenolamides in the as-prepared rape bee pollen phenolic extract(PPE).In addition,PPE was found to significantly improve the viability(from 54.9%to 84.1%,89.2%,and 94.0%)of alcohol-induced AML12 cells and alleviate alcoholinduced cell apoptosis(from 28.5%to 22.89%,22.0%,and 17.4%).To dissect the underlying mechanism for the protective effect of PPE against ALD,the molecular pathway was identified by RNA-Seq analysis.Transcriptome data revealed that PPE may protect against ALD by decreasing inflammation,cholesterol,and fatty acid synthesis(P<0.05).The National Institute on Alcohol Abuse and Alcoholism(NIAAA)model was used to further evaluate the hepatoprotective effect of PPE in vivo,and the results validated that PPE could alleviate liver injury and hepatic steatosis(from 22.7%to 11.5%and 10.9%)induced by alcohol.As the dominant polyphenols in PPE,phenolamides can be a class of valuable polyphenolic compounds in bee pollen with the potential to alleviate ALD.
文摘BACKGROUND Various prognostic scores have been developed to predict mortality and response to steroids in alcoholic hepatitis(AH).We aimed to further validate and compare these scores,particularly pre-day 7 Lille scores,in addition to identifying reliable predictors of complications and mortality such as renal dysfunction and nutritional status.AIM To identify predictors of complications and mortality in AH,particularly focusing on demographics,renal involvement,underlying liver disease,and nutrition.METHODS This is a retrospective analysis of patients admitted to a large urban tertiary care center with AH from 2020 to 2022.Receiver operating characteristics(ROC)curve analysis was conducted to compare established prognostic scores with Lille scores from day 3 to day 7(LM3-7).Logistic regression equations were conducted to identify predictor variables.RESULTS Severe AH(SAH)as defined by Maddrey’s discriminant function≥32 was diagnosed in 150 out of 425 patients with AH.LM3-7 had 28-day mortality rates in the responder group of 7%-11%,while in the non-responder group,mortality rates were approximately 38%-42%.LM3-7 had 90-day mortality rates in the responder group of 12%to 17%,while in the non-responder group,mortality rates were 48%-53%.Furthermore,all LM3-7 scores showed comparable efficacy in predicting mortality using ROC curve analysis;Area under ROC ranged from 0.771 to 0.802 for 28-day mortality and 0.743 to 0.809 for 90-day mortality.Regarding complications and mortality in AH,significant predictors included poor nutritional status,underlying cirrhosis,and acute renal dysfunction.CONCLUSION LM3-6 is as accurate as LM7 in predicting corticosteroid efficacy for 28-day and 90-day mortality in patients with SAH.Holding glucocorticoids early during the disease course can prevent unnecessary complications.
基金the National Natural Science Foundation of China(No.82171484)the Interdisciplinary Program of Shanghai Jiao Tong University(No.YG2023ZD25)。
文摘Chinese Wine Culture influences people’s attitudes toward alcohol.The current study focuses on exploring the main features of a localized digital alcohol consumption intervention mini-program to address the difficulties of abstinence for native drinkers,as a promising way for long-term management of rehabilitation from alcohol use disorder.A mixed-method approach was used in this study.The self-report quantitative questionnaire recruited three groups of participants:89 drinkers,67 drinkers’relatives,and 30 medical staff.The focus group qualitative interview inspected 36 participants’perspectives on the core topics,including 21 drinkers,4 drinkers’relatives,and 11 medical staff.The results of combining the quantitative study and qualitative study indicated that the top difficulties of abstinence for native drinkers are the strong craving from the inside,the environmental influence,and the psychological health status,especially emotional states.Correspondingly,the most desired main features in an alcohol consumption digital intervention tool are the daily track of drinking conditions and craving level,periodic feedback reports that can share with others,and mood improvement training.Moreover,the top factors that influence participants’intention to use/recommend the tool are whether the tool is effective,whether the user experience is good,and whether the tool can replenish the deficiency of the current alcohol treatment.Future work needs to balance what patients want and what others around them expect,so that potential users can benefit best from the digital intervention tool in the context of Chinese culture.
基金Supported by Hepatology Training Grant from the Spanish Association for The Study of Liver(AEEH-Asociación Española para el Estudio del Hígado)in 2023,No.G28551570(to Quiñones-Calvo M).
文摘BACKGROUND Severe alcoholic hepatitis(SAH)carries a 90-day mortality rate approaching 50%.Management includes corticosteroids,nutritional support,and early liver transplantation in selected cases.However,the mid-term impact of available therapies remains unclear.This systematic review provides a critical evaluation of treatments for SAH,specifically focusing on survival or mortality at 90 days as an essential window that captures short-and mid-term outcomes.The 90-day window is clinically significant,as it reflects the remission of systemic inflam-mation,early liver recovery,and minimizes confounding long-term behaviors such as alcohol relapse.AIM To review the effect of different treatments for SAH on survival and mortality at 90 days.METHODS A systematic search of PubMed and EMBASE(last updated March 2025)was performed without language restrictions,focusing on studies published in the last decade.Study selection and data extraction were performed independently by at least two reviewers.Risk of bias was assessed using RoB 2.0 and Risk-of Bias in Non-Randomized Studies of Interventions tools.Due to heterogeneity in study designs and interventions,a meta-analysis was not feasible.A qualitative synthesis was conducted using narrative summaries and evidence tables.RESULTS Searches in the databases yielded 645 citations in PubMed and 1516 in EMBASE.Of these 2161 studies,618 were duplicates and therefore removed.A total of eight studies were included in qualitative synthesis.Among the included publications,six were randomized control trials(RCT)and two were retrospective cohort studies.These studies evaluated 90-day mortality or survival in SAH patients treated with corticosteroids(n=2),pentoxifylline(n=1),anakinra plus zinc(n=2),granulocyte colony-stimulating factor(n=1),amoxicillin-clavulanate(n=1),fecal microbiota transplantation(n=1)or extracorporeal liver assist device(n=1).While most studies were conducted in Western countries,two had a global scope.CONCLUSION Steroids remain the first-line therapy for SAH despite reports of them not having any 90-day survival benefit.These results highlight the need for multicenter,biomarker-guided RCTs evaluating emerging treatments to improve mid-term survival in SAH.
文摘BACKGROUND Patients and providers are often unaware of available treatment options for alcohol use disorder(AUD)and how to pursue them.AIM To improve AUD treatment rates using an educational video module(EVM).METHODS Prospective single-center cohort study evaluating the impact of a novel interactive patient EVM in promoting AUD treatment among hospitalized patients with alcohol-associated liver disease.Treatment was defined as receiving medication or participating in psychosocial treatment within 30 days of discharge.Primary outcome was change in treatment rates after viewing the EVM compared to a retrospective control cohort.Secondary outcomes were predictors of receiving treatment,EVM feedback,30-day hospital readmission,outpatient follow-up,return to alcohol use,and mortality.RESULTS Forty-two patients were included.Mean age was 45 years,50%were female,and mean model for end-stage liver disease score 15.5.After viewing the EVM,treatment rates increased for pharmacologic(50%vs 22%,P=0.0008)and psychosocial treatment(73.8%vs 44%,P=0.01).Return to alcohol use was significantly lower(7.9%vs 35.6%,P=0.003).All 100%of patients would recommend the EVM.CONCLUSION EVM allows hospitalized patients to receive standardized education about AUD treatment.This may address patient and provider knowledge gaps and reduce the growing burden of alcohol-associated liver disease.Future studies should evaluate EVM in larger patient populations using a multi-center study design.
文摘Severe alcoholic hepatitis remains one of hepatology’s most urgent challenges,with rapid clinical deterioration and high early mortality.This manuscript comments on and contextualizes the recent systematic review by Quiñones-Calvo et al,which redirects attention from short-term endpoints toward 90-day survival,integrating evidence from associated clinical studies.For decades,corticosteroids have been the mainstay of treatment,reducing 28-day mortality but offering limited benefit for three months.The review emphasizes that the most critical threats to recovery,late infections,renal decline,and relapse,often emerge after the first month.By synthesizing recent studies,it highlights promising interventions such as fecal microbiota transplantation(FMT),which improved 90-day survival in a small randomized trial,and granulocyte colony-stimulating factor(G-CSF),which showed a robust survival benefit in a large retrospective cohort,alongside emerging strategies like plasma exchange and targeted biologics.These findings support a shift toward a two-phase care model:Early stabilization followed by recovery consolidation.For clinicians,such a model may help guide treatment decisions,with therapies like FMT or G-CSF warranting consideration in corticosteroid non-responders,pending further validation in larger randomized controlled trials.Adoption of 90-day survival as a central metric could bridge the gap between initial rescue and sustained remission,providing a more realistic measure of therapeutic success in one of hepatology’s most unforgiving conditions.
