Associations between circulating proteins and cardiometabolic diseases: a systematic review and meta-analysis of observational and Mendelian randomisation studies

Background: Integration of large proteomics and genetic data in population-based studies can provide insights into discovery of novel biomarkers and potential therapeutic targets for cardiometabolic diseases (CMD). We aimed to synthesise existing evidence on the observational and genetic associations between circulating proteins and CMD. Methods: PubMed, Embase and Web of Science were searched until July 2023 for potentially relevant prospective observational and Mendelian randomisation (MR) studies investigating associations between circulating proteins and CMD, including coronary heart disease, stroke, type 2 diabetes, heart failure, atrial fibrillation and atherosclerosis. Two investigators independently extracted study characteristics using a standard form and pooled data using random effects models. Results: 50 observational, 25 MR and 10 studies performing both analyses were included, involving 26 414 160 non-overlapping participants. Meta-analysis of observational studies revealed 560 proteins associated with CMD, of which 133 proteins were associated with ≥2 CMDs (ie, pleiotropic). There were 245 potentially causal protein biomarkers identified in MR pooled results, involving 23 pleiotropic proteins. IL6RA and MMP12 were each causally associated with seven diseases. 22 protein-disease pairs showed directionally concordant associations in observational and MR pooled estimates. Addition of protein biomarkers to traditional clinical models modestly improved the accuracy of predicting incident CMD, with the highest improvement for heart failure (ΔC-index ~0.2). Of the 245 potentially causal proteins (291 protein-disease pairs), 3 pairs were validated by evidence of drug development from existing drug databases, 288 pairs lacked evidence of drug development and 66 proteins were drug targets approved for other indications. Conclusions: Combined analyses of observational and genetic studies revealed the potential causal role of several proteins in the aetiology of CMD. Novel protein biomarkers are promising targets for drug development and risk stratification. PROSPERO registration number: CRD42022350327

Observation of Rydberg moir\'e excitons

Rydberg excitons, the solid-state counterparts of Rydberg atoms, have sparked considerable interest in harnessing their quantum application potentials, whereas a major challenge is realizing their spatial confinement and manipulation. Lately, the rise of two-dimensional moir\'e superlattices with highly tunable periodic potentials provides a possible pathway. Here, we experimentally demonstrate this capability through the observation of Rydberg moir\'e excitons (XRM), which are moir\'e trapped Rydberg excitons in monolayer semiconductor WSe2 adjacent to twisted bilayer graphene. In the strong coupling regime, the XRM manifest as multiple energy splittings, pronounced redshift, and narrowed linewidth in the reflectance spectra, highlighting their charge-transfer character where electron-hole separation is enforced by the strongly asymmetric interlayer Coulomb interactions. Our findings pave the way for pursuing novel physics and quantum technology exploitation based on the excitonic Rydberg states.Comment: 24 pages, including 4 figures and 6 supplementary figure

Device-measured movement behaviours in over 20,000 China Kadoorie Biobank participants

Background: Movement behaviours, including physical activity, sedentary behaviour, and sleep have been shown to be associated with several chronic diseases. However, they have not been objectively measured in large-scale prospective cohort studies in low-and middle-income countries. We aim to describe the patterns of device-measured movement behaviours collected in the China Kadoorie Biobank (CKB) study. Methods: During 2020 and 2021, a random subset of 25,087 surviving CKB individuals participated in the 3rd resurvey of the CKB. Among them, 22,511 (89.7%) agreed to wear an Axivity AX3 wrist-worn triaxial accelerometer for seven consecutive days to assess their habitual movement behaviours. We developed a machine-learning model to infer time spent in four movement behaviours [i.e. sleep, sedentary behaviour, light intensity physical activity (LIPA), and moderate-to-vigorous physical activity (MVPA)]. Descriptive analyses were performed for wear-time compliance and patterns of movement behaviours by different participant characteristics. Results: Data from 21,897 participants (aged 65.4 ± 9.1 years; 35.4% men) were received for demographic and wear-time analysis, with a median wear-time of 6.9 days (IQR: 6.1–7.0). Among them, 20,370 eligible participants were included in movement behavior analyses. On average, they had 31.1 mg/day (total acceleration) overall activity level, accumulated 7.7 h/day (32.3%) of sleep time, 8.8 h/day (36.6%) sedentary, 5.7 h/day (23.9%) in light physical activity, and 104.4 min/day (7.2%) in moderate-to-vigorous physical activity. There was an inverse relationship between age and overall acceleration with an observed decline of 5.4 mg/day (17.4%) per additional decade. Women showed a higher activity level than men (32.3 vs 28.8 mg/day) and there was a marked geographical disparity in the overall activity level and time allocation. Conclusions: This is the first large-scale accelerometer data collected among Chinese adults, which provides rich and comprehensive information about device-measured movement behaviour patterns. This resource will enhance our knowledge about the potential relevance of different movement behaviours for chronic disease in Chinese adults

Managing Excess Lead Iodide with Functionalized Oxo‐Graphene Nanosheets for Stable Perovskite Solar Cells

Stability issues could prevent lead halide perovskite solar cells (PSCs) from commercialization despite it having a comparable power conversion efficiency (PCE) to silicon solar cells. Overcoming drawbacks affecting their long-term stability is gaining incremental importance. Excess lead iodide (PbI2) causes perovskite degradation, although it aids in crystal growth and defect passivation. Herein, we synthesized functionalized oxo-graphene nanosheets (Dec-oxoG NSs) to effectively manage the excess PbI2. Dec-oxoG NSs provide anchoring sites to bind the excess PbI2 and passivate perovskite grain boundaries, thereby reducing charge recombination loss and significantly boosting the extraction of free electrons. The inclusion of Dec-oxoG NSs leads to a PCE of 23.7 % in inverted (p-i-n) PSCs. The devices retain 93.8 % of their initial efficiency after 1,000 hours of tracking at maximum power points under continuous one-sun illumination and exhibit high stability under thermal and ambient conditions

Bone Microenvironment Specific Roles of ITAM Adapter Signaling during Bone Remodeling Induced by Acute Estrogen-Deficiency

Immunoreceptor tyrosine-based activation motif (ITAM) signaling mediated by DAP12 or Fcε receptor Iγ chain (FcRγ) have been shown to be critical for osteoclast differentiation and maturation under normal physiological conditions. Their function in pathological conditions is unknown. We studied the role of ITAM signaling during rapid bone remodeling induced by acute estrogen-deficiency in wild-type (WT), DAP12-deficient (DAP12-/-), FcRγ-deficient (FcRγ-/-) and double-deficient (DAP12-/-FcRγ-/-) mice. Six weeks after ovariectomy (OVX), DAP12-/-FcRγ-/- mice showed resistance to lumbar vertebral body (LVB) trabecular bone loss, while WT, DAP12-/- and FcRγ-/- mice had significant LVB bone loss. In contrast, all ITAM adapter-deficient mice responded to OVX with bone loss in both femur and tibia of approximately 40%, relative to basal bone volumes. Only WT mice developed significant cortical bone loss after OVX. In vitro studies showed microenvironmental changes induced by OVX are indispensable for enhanced osteoclast formation and function. Cytokine changes, including TGFβ and TNFα, were able to induce osteoclastogenesis independent of RANKL in BMMs from WT but not DAP12-/- and DAP12-/-FcRγ-/- mice. FSH stimulated RANKL-induced osteoclast differentiation from BMMs in WT, but not DAP12-/- and DAP12-/-FcRγ-/- mice. Our study demonstrates that although ITAM adapter signaling is critical for normal bone remodeling, estrogen-deficiency induces an ITAM adapter-independent bypass mechanism allowing for enhanced osteoclastogenesis and activation in specific bony microenvironments

Macrophage-Stimulated Cardiac Fibroblast Production of IL-6 Is Essential for TGF β/Smad Activation and Cardiac Fibrosis Induced by Angiotensin II

Interleukin-6 (IL-6) is an important cytokine participating in multiple biologic activities in immune regulation and inflammation. IL-6 has been associated with cardiovascular remodeling. However, the mechanism of IL-6 in hypertensive cardiac fibrosis is still unclear. Angiotensin II (Ang II) infusion in mice increased IL-6 expression in the heart. IL-6 knockout (IL-6-/-) reduced Ang II-induced cardiac fibrosis: 1) Masson trichrome staining showed that Ang II infusion significantly increased fibrotic areas of the wild-type mouse heart, which was greatly suppressed in IL-6-/- mice and 2) immunohistochemistry staining showed decreased expression of α-smooth muscle actin (α-SMA), transforming growth factor β1 (TGF-β1) and collagen I in IL-6-/- mouse heart. The baseline mRNA expression of IL-6 in cardiac fibroblasts was low and was absent in cardiomyocytes or macrophages; however, co-culture of cardiac fibroblasts with macrophages significantly increased IL-6 production and expression of α-SMA and collagen I in fibroblasts. Moreover, TGF-β1 expression and phosphorylation of TGF-β downstream signal Smad3 was stimulated by co-culture of macrophages with cardiac fibroblasts, while IL-6 neutralizing antibody decreased TGF-β1 expression and Smad3 phosphorylation in co-culture of macrophage and fibroblast. Taken together, our results indicate that macrophages stimulate cardiac fibroblasts to produce IL-6, which leads to TGF-β1 production and Smad3 phosphorylation in cardiac fibroblasts and thus stimulates cardiac fibrosis

Numerical Simulation of Flow-Induced Noise in Horizontal Axial Flow Pumps in Forward and Reverse Conditions

This paper investigates the influence of pressure pulsation and flow-induced noise using a two-way dual-purpose pump. The pressure pulsation signal is obtained from the Detached Eddy Simulation (DES) turbulent model calculation as the fan sound source, and the noise sound field distribution in the impeller is calculated. The numerical results show that the external characteristics and pressure pulsation obtained from the simulation correlate well with the experimental values. Under different working conditions, the pressure pulsation decreases with the increase in the flow rate; no evident dominant frequency occurs in the frequency spectrum at a low flow rate, and many spurious frequencies occur. The primary frequency in the runner chamber is the leaf frequency, and that in the nonblade area is the rotating frequency. The sound field distribution of the flow-induced noise has dipole characteristics, and its directivity distribution and sound pressure radiation level can reflect the pressure pulsation characteristics. It is primarily affected by the blade frequency, and the distribution with the flow rate is consistent with the pressure pulsation. Avoiding a low flow and operating in a reasonable flow area can effectively reduce pressure pulsation and flow-induced noise and ensure the stability of unit operation

Study on Fatigue Characteristics of Axial-Flow Pump Based on Two-Way Fluid–Structure Coupling

When an axial-flow pump is running, there is a very complex flow inside the runner. Based on the two-way fluid–structure coupling method, this paper simulated the forward and reverse operating conditions of an axial-flow pump and calculated the dynamic stress distribution on the blade surface. The stress load spectrum was loaded onto the blade, and fatigue characteristic analysis was carried out to obtain the fatigue life and damage of the blade. This research shows the following: under different working conditions, the dynamic stress is concentrated at the root of the blade, and its amplitude decreases with the increase in the flow rate; at the same time, the change in stress with time shows a periodic change law. Under the working conditions of the turbine, the main frequency is the rotational frequency, and the secondary frequency is composed of multipliers of the rotational frequency, which is obviously affected by the number of blades; the fatigue damage and stress distribution are consistent, and the damage is the most serious at the stress concentration point. The research results of this paper can provide theoretical guidance for the structural design and safe operation of axial-flow pumps

Test and Numerical Simulation of Pressure Pulsation under the Forward and Reverse Working Conditions of a Horizontal Axial Flow Pump

In daily operation, the flow state in the runner chamber of an axial flow pump is extremely complex, and the pressure pulsation caused by the vibration of the unit and the hydraulic excitation is also extremely complex. The pressure pulsation will also greatly damage the flow components of the unit. In this paper, a pressure pulsation test and research on an axial flow pump in a pumping station are conducted. The research results indicate that the pressure pulsation at the inlet of the runner and the inlet of the front guide vane are basically consistent with the numerical simulation results under the rated operating conditions, and the external characteristic curves are basically consistent. When running in the forward direction, the pressure pulsation at the inlet of the runner periodically changes, and the main frequency is the rotational frequency. In the reverse operation, the main frequency of the pressure pulsation at the outlet of the runner is the rotational frequency, and the main frequency of the pressure pulsation at the outlet of the movable guide vane is the pilot frequency; the pressure coefficient changes under different flow conditions. The distribution trends are consistent and decrease with the increase in flow rate; the velocity streamlines are evenly distributed near the design flow rate but are sparse and uneven under low flow conditions. Deviation from the design flow rate should be avoided during normal operation of the unit conditions to ensure safe and stable operation