Objective
Electroconvulsive therapy (ECT) is commonly used to treat patients with treatment‐resistant depression. We aimed to investigate whether combining an antidepressant agent with ECT might ...enhance therapeutic efficacy and prevent early relapse.
Method
During the acute ECT phase, patients (N = 97) with treatment‐resistant depression were randomized to receive ECT plus agomelatine 50 mg/day (n = 48) or ECT plus placebo (n = 49). Symptom severity measures, including the 17‐item Hamilton Depression Rating Scale (HAMD‐17) and other scales, functional impairment, quality of life, neuropsychological tests, adverse events and attitudes toward ECT, were assessed regularly. Remission was defined as a HAMD‐17 score ≤7. If patients achieved post‐ECT remission, they were prescribed agomelatine 50 mg/day and participated in a 12‐week follow‐up trial. HAMD‐17 was rated at 4‐week intervals. Relapse was defined as a HAMD‐17 score ≥14, or rehospitalization for a psychiatric reason.
Results
The two treatment groups were comparable at (i) baseline variables; (ii) score changes in all symptom measures, functional impairment, quality of life, and neuropsychological tests; (iii) frequency of adverse events and attitudes toward ECT; and (iv) post‐ECT response/remission rates. There were no statistically significant differences following ECT in relapse rates and time to relapse between these two groups.
Conclusion
Adding agomelatine to ECT yielded comparable response/remission rates to ECT without agomelatine in the acute ECT phase. Starting agomelatine in combination with ECT did not seem to be more efficacious in preventing relapse than starting agomelatine after the acute ECT course. More research is needed to guide clinical recommendations.
Summary
Background
Drug reaction with eosinophilia and systemic symptoms (DRESS) is a condition caused by a drug‐induced immune response. Previous reports have found that CXCL10, also known as ...interferon‐γ‐induced protein (IP)‐10, may participate in the pathogenesis of cutaneous adverse drug reactions. However, the exact role of IP‐10 in DRESS and Stevens–Johnson syndrome (SJS)/toxic epidermal necrolysis (TEN) has remained unknown.
Objectives
This comparative prospective cohort study aimed to ascertain the roles of the IP‐10/CXCR3 axis in DRESS and SJS/TEN.
Methods
Plasma IP‐10 levels were analysed, and univariate analyses were conducted to assess the relationship between IP‐10, human herpesvirus (HHV)‐6 reactivation and the development of long‐term sequelae. We also performed immunohistochemical staining using skin specimens and flow cytometry to determine the expression of CXCR3 in peripheral blood mononuclear cells (PBMCs).
Results
Significantly higher plasma IP‐10 levels were observed in patients with DRESS with long‐term sequelae (effect size 0·81) and also in those with HHV‐6 reactivation (effect size 0·83). By immunohistochemistry, more abundant IP‐10+ and CXCR3+ cells were demonstrated in the skin lesions of patients with DRESS with HHV‐6 reactivation. The percentages of CLA+ CXCR3+ CD4+ cells and CLA+ CXCR3+ CD8+ cells were also higher in the PBMCs of HHV‐6‐reactivated patients with DRESS than in those of patients with SJS/TEN.
Conclusions
Higher plasma IP‐10 levels are associated with the development of long‐term sequelae in DRESS. Higher IP‐10/CXCR3 expression in skin and more abundant CLA+ CXCR3+ CD4+ cells and CLA+ CXCR3+ CD8+ cells were observed in patients with DRESS with HHV‐6 reactivation. The IP‐10/CXCR3 axis is associated with HHV‐6 reactivation and development of long‐term sequelae in DRESS.
What is already known about this topic?
Elevated levels of interferon‐γ‐induced protein‐10 (IP‐10) have been observed in patients with drug reaction with eosinophilia and systemic symptoms (DRESS) and Stevens–Johnson syndrome (SJS)/toxic epidermal necrolysis (TEN).
Patients with DRESS tend to develop long‐term autoimmune sequelae, including type 1 diabetes and autoimmune thyroiditis. IP‐10 has been associated with these autoimmune diseases in previous studies.
What does this study add?
The patients with DRESS with HHV‐6 reactivation exhibited higher levels of IP‐10 in the plasma and skin than the patients with DRESS without HHV‐6 reactivation and the patients with SJS/TEN.
Patients with DRESS with higher plasma IP‐10 levels tended to develop sequelae during long‐term follow‐up.
What is the translational message?
IP‐10 is a useful biomarker to predict the development of long‐term sequelae in patients with DRESS.
Linked Comment: Belloón and Kardaun. Br J Dermatol 2020; 183:804–805.
What is already known about this topic?
Elevated levels of interferon‐γ‐induced protein‐10 (IP‐10) have been observed in patients with drug reaction with eosinophilia and systemic symptoms (DRESS) and Stevens–Johnson syndrome (SJS)/toxic epidermal necrolysis (TEN).
Patients with DRESS tend to develop long‐term autoimmune sequelae, including type 1 diabetes and autoimmune thyroiditis. IP‐10 has been associated with these autoimmune diseases in previous studies.
What does this study add?
The patients with DRESS with HHV‐6 reactivation exhibited higher levels of IP‐10 in the plasma and skin than the patients with DRESS without HHV‐6 reactivation and the patients with SJS/TEN.
Patients with DRESS with higher plasma IP‐10 levels tended to develop sequelae during long‐term follow‐up.
What is the translational message?
IP‐10 is a useful biomarker to predict the development of long‐term sequelae in patients with DRESS.
Linked Comment: Belloón and Kardaun. Br J Dermatol 2020; 183:804–805.
Plain language summary available online
Phytochemicals have been used as potential chemopreventive or chemotherapeutic agents. However, there are data suggesting a mutagenic effect of some phytochemicals. We hypothesized that safrole would ...have anticancer effects on human oral squamous cell carcinoma HSC-3 cells. Safrole decreased the percentage of viable HSC-3 cells via induction of apoptosis by an increased level of cytosolic Ca2+ and a reduction in the mitochondrial membrane potential (ΔΨ
m
). Changes in the membrane potential were associated with changes in the Bax, release of cytochrome c from mitochondria, and activation of downstream caspases-9 and -3, resulting in apoptotic cell death. In vivo studies also showed that safrole reduced the size and volume of an HSC-3 solid tumor on a xenograft athymic nu/nu mouse model. Western blotting and flow cytometric analysis studies confirmed that safrole-mediated apoptotic cell death of HSC-3 cells is regulated by cytosolic Ca2+ and by mitochondria- and Fas-dependent pathways.
We report a new enantiomeric pair of superatomic silver clusters, R/S-Ag 17 , prepared from chiral alkynyl ligands. R-Ag 17 and S-Ag 17 possess C 3 symmetry and emit near-infrared (NIR) light with a ...quantum yield (QY) of 8.0% under ambient condition as well as NIR circularly polarized luminescence (CPL) as a result of the chirality of the excited states. Both experiments and theoretical calculations indicate for the first time that the CPL originates from transitions between superatomic 1P z (along the C 3 axis) and 1S orbitals. This work opens a new avenue for CPL-active metal nanoclusters by utilizing chiral alkynyl ligands and enlightens the chirality transfer from chiral protecting ligands to superatomic states in metal clusters.
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•Lignin structures vary with different extraction process and affect product yields.•Native lignin enables effective valorization towards chemicals and biofuels.•Valorization ...strategies in relation to initial lignin structures are evaluated.•Advances in analytical technologies hold promise for lignin valorization.
Lignin is one of the most promising renewable sources for aromatic hydrocarbons, while effective depolymerization towards its constituent monomers is a particular challenge because of the structural complexity and stability. Intensive research efforts have been directed towards exploiting effective valorization of lignin for the production of bio-based platform chemicals and fuels. The present contribution aims to provide a critical review of key advances in the identification of exact lignin structure subjected to various fractionation technologies and demonstrate the key roles of lignin structures in depolymerization for unique functionalized products. Various technologies (e.g., thermocatalytic approaches, photocatalytic conversion, and mechanochemical depolymerization) are reviewed and evaluated in terms of feasibility and potential for further upgrading. Overall, advances in pristine lignin structure analysis and conversion technologies can facilitate recovery and subsequent utilization of lignin towards tailored commodity chemicals and fungible fuels.
Abstract
We present a spectral study of the black hole candidate MAXI J1348−630 during its 2019 outburst, based on monitoring observations with Insight-HXMT and Swift. Throughout the outburst, the ...spectra are well fitted with power-law plus disk-blackbody components. In the soft-intermediate and soft states, we observed the canonical relation
L
∝
T
in
4
between disk luminosity
L
and peak color temperature
T
in
, with a constant inner radius
R
in
(traditionally identified with the innermost stable circular orbit). At other stages of the outburst cycle, the behavior is more unusual, inconsistent with the canonical outburst evolution of black hole transients. In particular, during the hard rise, the apparent inner radius is smaller than in the soft state (and increasing), and the peak color temperature is higher (and decreasing). This anomalous behavior is found even when we model the spectra with self-consistent Comptonization models, which take into account the upscattering of photons from the disk component into the power-law component. To explain both anomalous trends at the same time, we suggest that the hardening factor for the inner-disk emission was larger than the canonical value of ≈1.7 at the beginning of the outburst. A more physical trend of radii and temperature evolution requires a hardening factor evolving from ≈3.5 at the beginning of the hard state to ≈1.7 in the hard-intermediate state. This could be evidence that the inner disk was in the process of condensing from the hot, optically thin medium and had not yet reached a sufficiently high optical depth for its emission spectrum to be described by the standard optically thick disk solution.
Silicon has remained the material of choice for both the microelectronic and photovoltaic (PV) industries for a few decades. In addition to its abundance, silicon can be refined to an extremely high ...purity and grown into large dislocation-free single crystals that meet the stringent requirements of modern electronic devices for many applications. On the other hand, customized silicon crystals with lower purity and perfectness, grown
via
high-throughput directional solidification at a low cost, that can meet the high performance needs of solar cells have rapidly driven PV development in the past decade. In this highlight, we review the recent engineering efforts in the state-of-the art industrial production of customized silicon crystals, including quasi-mono and multi-crystalline silicon (mc-Si). Special attention will be focused on the so-called high-performance (HP) mc-Si that has become the mainstream material for solar cells since 2012.
In this highlight, we review the recent engineering efforts in the state-of-the art industrial production of customized silicon crystals, including quasi-mono and multi-crystalline silicon (mc-Si).
The effect of seed arrangements on the ingot quality was studied for the n-type monolike silicon grown by G1-scale directional solidification. It was found that the subgrains and defects were ...generated easily from the 0° tilt angle between seed plates. In constrast, the seed junction with large tilt angles had little effect on the defect generation, and the best tilt angle ranged from 10° to 30°. Except the area near the 0° tilt angle, the best lifetime of the wafer after gettering could be greater than 3 ms. Color mismatch on the appearance of the solar cell made from the wafers due to seed arrangements could be an issue in practice.
