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27 pages, 2148 KB  
Review
Wearable Biosensors for Continuous Monitoring of Chronic Kidney Disease: Materials, Biofluids, and Digital Health Integration
by Anupamaa Sivasubramanian, Shankara Narayanan and Gymama Slaughter
Biosensors 2026, 16(5), 287; https://doi.org/10.3390/bios16050287 - 15 May 2026
Viewed by 313
Abstract
Chronic kidney disease (CKD) is a progressive and irreversible disorder affecting over 850 million individuals globally and is associated with significant morbidity, mortality, and healthcare burden. Conventional diagnostic approaches rely on intermittent laboratory measurements, including serum creatinine, estimated glomerular filtration rate (eGFR), and [...] Read more.
Chronic kidney disease (CKD) is a progressive and irreversible disorder affecting over 850 million individuals globally and is associated with significant morbidity, mortality, and healthcare burden. Conventional diagnostic approaches rely on intermittent laboratory measurements, including serum creatinine, estimated glomerular filtration rate (eGFR), and urinary albumin, which provide limited temporal resolution and fail to capture dynamic physiological changes. Recent advances in wearable biosensing technologies offer new opportunities for continuous, non-invasive monitoring of biochemical and physiological markers relevant to renal function. This review provides a comprehensive analysis of wearable biosensors for CKD monitoring, focusing on sensing mechanisms (electrochemical, optical, and field-effect transistor), biofluid interfaces (sweat, interstitial fluid, and saliva), and materials engineering strategies enabling flexible, high-performance devices. Emphasis is placed on biofluid transport dynamics, analytical performance across sampling matrices, and system-level integration with wireless communication and digital health platforms. Key challenges limiting clinical translation, including biofouling, enzymatic instability, and variability in biofluid composition, are examined—alongside emerging solutions such as antifouling interfaces, synthetic recognition elements, and multimodal sensing architectures. Finally, regulatory pathways and the role of artificial intelligence in digital nephrology are discussed. This review highlights the potential of wearable biosensors to transform CKD management through continuous monitoring, early detection, and personalized therapeutic intervention. Full article
(This article belongs to the Special Issue AI/ML-Enabled Biosensing: Shaping the Future of Disease Detection)
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39 pages, 47748 KB  
Article
Lithium Replenishment by Percolative Reactive Fluid Flow During Crystallization of Poorly Zoned Spodumene Pegmatites: An Example from the Leinster Pegmatite Belt, SE Ireland
by Louis R. G. Penfound-Marks, Ben J. Williamson and Julian F. Menuge
Minerals 2026, 16(5), 467; https://doi.org/10.3390/min16050467 - 29 Apr 2026
Viewed by 494
Abstract
The critical metal lithium (Li) is increasingly sourced from spodumene and petalite pegmatite deposits due to their relatively high grades, lower mining environmental impacts and widespread global distribution. However, there are numerous gaps in our understanding of their genesis and the formation of [...] Read more.
The critical metal lithium (Li) is increasingly sourced from spodumene and petalite pegmatite deposits due to their relatively high grades, lower mining environmental impacts and widespread global distribution. However, there are numerous gaps in our understanding of their genesis and the formation of unzoned or poorly zoned Li pegmatites is particularly difficult to explain. To investigate this, both spodumene-bearing and non-mineralized pegmatites and aplites are studied in the Moylisha segment of the Leinster pegmatite belt of SE Ireland, which were emplaced within the East Carlow Deformation Zone (ECDZ). Trace element modeling suggests that granite melts can achieve Li concentrations high enough (~5000 ppm) to crystallize spodumene. However, once crystallization begins, Li levels will drop rapidly below this threshold. While Li could be replenished by incoming melts, there is no supporting textural evidence for this, such as internal magmatic contacts, crosscutting relationships, or mingling. We test the hypothesis that low viscosity, Li-rich fluids from underlying reservoirs, most likely almost fully crystallized granite magmas or mush, continuously migrate through the heterogeneously crystallizing pegmatite-forming melts by percolative reactive flow, refertilizing interstitial melt by diffusion under favorable geochemical gradients. The flow of fluids is likely maintained due to their low relative density and periodic shearing within the ECDZ. Fluids with >10,000 ppm Li, derived by >95% crystallization (Rayleigh fractionation) of a granite magma, are shown to be capable of refertilizing a pegmatitic crystal mush after its emplacement. Supporting evidence includes macro- and micro-textures indicative of paragenetically late spodumene crystallization along apparent fluid flow pathways in mineralized pegmatites and aplites. Similar features are common in spodumene pegmatites worldwide and suggest that Li upgrading by fluid flow through crystallizing spodumene pegmatites may be a key process in enhancing Li grades and in some cases in producing economically favored low-Fe spodumene. Full article
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18 pages, 9791 KB  
Article
The Influence of Zn on the Surface Tension and Wettability of the Al-10Si Alloy on IF Steel at 1023 K
by Xinyan Chen, Ya Liu, Changjun Wu and Xuping Su
Coatings 2026, 16(4), 434; https://doi.org/10.3390/coatings16040434 - 3 Apr 2026
Viewed by 382
Abstract
Objective: This work aims to reduce the surface tension of an aluminum–silicon alloy melt by adding different amounts of the Zn element, thus improving the coatability and coating quality of hot-dip aluminum plating on steel plates. Method: Wetting experiments were conducted at 1023 [...] Read more.
Objective: This work aims to reduce the surface tension of an aluminum–silicon alloy melt by adding different amounts of the Zn element, thus improving the coatability and coating quality of hot-dip aluminum plating on steel plates. Method: Wetting experiments were conducted at 1023 K using a modified sessile drop method. Conclusions: The addition of the Zn element can reduce the surface tension of the Al-Si alloy, thus decreasing the wettability of the Al-Si alloy. Zn vapor can break down the surface oxide film to expose the fresh melt. The wettability of the Al-10Si alloy on interstitial-free (IF) steel and surface tension were investigated using the modified sessile drop method at 1023 K. Axisymmetric Drop Shape Analysis software was utilized to calculate the contact angles of the Al-10Si-xZn/Al2O3 and Al-10Si-xZn/IF steel systems (x ranges from 0 wt.% to 5 wt.%). Moreover, the microtopography and microstructure of surfaces and cross-sections were analyzed by means of an energy-dispersive spectrometer and scanning electron microscope. The results indicated that the surface tension of the alloy melt gradually decreases with an increase in Zn content, ranging from 874 to 760 mN/m. The contact angle of the Al-10Si-xZn alloy melt on IF steel also progressively decreases with increasing Zn content, which is attributed to the lower surface tension of Zn. This study also discovered that the Zn element can disrupt the oxide film of the Al-10Si alloy, exposing the fresh melt and thereby reducing the surface tension of the alloy liquid, thus enhancing wettability. The addition of Zn might be capable of improving the hot-dip aluminizing coatability of steel plates and the quality of the coating. Full article
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19 pages, 8252 KB  
Review
Research Progress on Hot Deformation Behavior of High Nitrogen Austenitic Stainless Steels: Influence Factors and Microstructure Control of Hot Deformation at High Temperature
by Yinghu Wang, Limei Cheng, Zhendong Sheng, Enuo Wang, Jianqiang Wang and Jianyan Xu
Metals 2026, 16(4), 361; https://doi.org/10.3390/met16040361 - 25 Mar 2026
Cited by 1 | Viewed by 673
Abstract
High nitrogen austenitic stainless steels are an important engineering structural material. Under annealing conditions, the addition of interstitial solid solution element nitrogen can improve the yield strength and tensile strength of the alloy without reducing its plasticity. In addition, nitrogen can partly or [...] Read more.
High nitrogen austenitic stainless steels are an important engineering structural material. Under annealing conditions, the addition of interstitial solid solution element nitrogen can improve the yield strength and tensile strength of the alloy without reducing its plasticity. In addition, nitrogen can partly or completely replace the more expensive nickel element at a relatively cheap element cost to improve economic benefits, while maintaining or even enhancing the excellent corrosion resistance of stainless steels. However, the cracks and defects caused by high nitrogen austenitic stainless steels during hot working in high temperature ranges have always been the pain points in the engineering field. High nitrogen elements bring high temperature strength, but also narrow the hot working temperature range, the possibility of nitride precipitation and the tendency of heat induced cracking, which limit the further engineering application of high nitrogen austenitic stainless steels. It is urgent to analyze and study the hot deformation law of high nitrogen austenitic stainless steels in engineering. This article commences with an examination of the developmental trajectory of high nitrogen austenitic stainless steel, elucidates the role and strengthening mechanism of nitrogen, and delineates the factors influencing the mechanical behavior of high nitrogen austenitic stainless steel during hot working. These factors include the impact of nitrogen content and manufacturing processes, hot-working parameters, grain size distribution, and the presence of precipitated phases. This article synthesizes various studies, analyzes the causes of thermal cracking, and proposes potential solutions. Ultimately, it summarizes the practical applications and future prospects of high nitrogen austenitic stainless steel, highlighting its substantial potential. Full article
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16 pages, 5253 KB  
Article
Calculation of Austenite Generalized Stacking Fault Energy in M50NiL Steel
by Zifeng Ding, Jiaxu Guo, Lina Zhou, Xinghong Zhang and Xinxin Ma
Materials 2026, 19(6), 1170; https://doi.org/10.3390/ma19061170 - 17 Mar 2026
Viewed by 405
Abstract
By optimizing the carburizing heat treatment process, the grain size of the carburized layer of M50NiL steel was successfully refined to the sub-micron level. The mechanism for the generation of a large number of sub-micron crystal regions (SMCR) is that dislocations are entangled [...] Read more.
By optimizing the carburizing heat treatment process, the grain size of the carburized layer of M50NiL steel was successfully refined to the sub-micron level. The mechanism for the generation of a large number of sub-micron crystal regions (SMCR) is that dislocations are entangled and linked due to the pinning effect of nanometer-sized carbides. In this study, a stacking fault energy (SFE) model for austenite in M50NiL steel was established. First-principles calculations were employed to investigate the effects of alloying elements, as well as the position and quantity of carbon (C) atoms, on the generalized stacking fault energy (GSFE). The variations in SFE were further analyzed in combination with differential charge density calculations. The simulation results revealed that the addition of alloying elements excluding nickel led to a reduction in the unstable stacking fault energy. Differential charge density analysis indicated that this decrease was associated with the weakening of Fe–Fe bonds in the L0 layer, where stacking faults occurred. When C atoms are interstitially dissolved near the L0 layer, the Fe–Fe bonds near the L0 layer are enhanced, and the unstable stacking fault energy is correspondingly increased. Compared with the pure iron system, the combined effect of alloying elements and C atoms in M50NiL steel maintained a relatively low level of both the unstable stacking fault energy and the stacking fault formation barrier, provided that C atoms were not dissolved in the L1 layer. This condition was favorable for dislocation slip. Meanwhile, the stable stacking fault energy significantly increased, enhancing the stability of austenite. Based on these simulation results, the relationship between the GSFE of austenite in M50NiL steel and the formation of subgrains and twins within the submicron crystalline regions of the carburized layer was discussed. Full article
(This article belongs to the Special Issue Multiscale Simulation of Advanced Materials and Structures)
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21 pages, 3077 KB  
Article
Hypertension and Diabetes Cooperatively Drive HSP90 Activation, HSP70 Suppression, and Left Ventricular Interstitial Expansion: Relevance to Maladaptive Myocardial Remodeling
by Anastasia P. Sklifasovskaya, Mikhail L. Blagonravov, Madina M. Azova, Sergey V. Kurevlev, Vyacheslav A. Goryachev, Sergey P. Syatkin, Tatyana Yu. Zotova and Daniil Yu. Prokofiev
Pathophysiology 2026, 33(1), 19; https://doi.org/10.3390/pathophysiology33010019 - 18 Feb 2026
Viewed by 565
Abstract
Background: Arterial hypertension (AH) and insulin-dependent diabetes mellitus (DM) are major comorbid risk factors for accelerated myocardial damage, yet the behavior of key stress-adaptive heat shock proteins HSP70 and HSP90 under combined stress remains unclear. This study aimed to characterize the expression profiles [...] Read more.
Background: Arterial hypertension (AH) and insulin-dependent diabetes mellitus (DM) are major comorbid risk factors for accelerated myocardial damage, yet the behavior of key stress-adaptive heat shock proteins HSP70 and HSP90 under combined stress remains unclear. This study aimed to characterize the expression profiles of HSP70 and HSP90 in left ventricular cardiomyocytes during isolated and comorbid AH and DM, and to evaluate their association with structural remodeling and expansion of interstitial elements. Methods: The study was conducted in accordance with the European Convention for the Protection of Vertebrate Animals (ethical approval No. 26, RUDN Institute of Medicine, 18 February 2021) on 25 male rats divided into five groups (n = 5 each): control—38-week-old Wistar–Kyoto (WKY) rats; AH—38-week-old spontaneously hypertensive rats (SHR); long-term AH—57-week-old SHR; DM—38-week-old WKY rats with streptozotocin-induced insulin-dependent DM (65 mg/kg, i.p.); AH+DM—38-week-old SHR with STZ-induced DM. After 30 days of DM, left ventricular (LV) tissue was analyzed by immunohistochemistry (IHC) for HSP70/HSP90 protein expression and by RT-qPCR for mRNA levels. Increased stromal elements in myocardium were quantified morphometrically as interstitial stromal volume fraction (%) on hematoxylin and eosin-stained sections. Results: HSP90 was significantly upregulated in all pathological groups. The most pronounced increase occurred in isolated DM, with a 4.0-fold rise in HSP90-positive area (21.80% vs. 5.45% in control) and a 1.82-fold increase in mRNA. In the AH+DM group, HSP90 mRNA expression was extremely elevated (25.93-fold), accompanied by a 3.7-fold increase in protein. In contrast, HSP70 protein was elevated only in the 38-week AH group (27.68% vs. 19.70% control, p ≤ 0.05), remained unchanged in isolated DM (19.50%), and was significantly reduced in AH+DM (14.71%, p ≤ 0.05), despite a modest 1.64-fold mRNA upregulation in DM. Morphometric analysis revealed progressive expansion of interstitial elements, most severe in AH+DM (9.43% stromal volume vs. 4.81% in control, p ≤ 0.05). Conclusions: Comorbid AH and DM provoke synergistic HSP90 upregulation, while HSP70 expression is markedly suppressed, indicating a shift from an adaptive to a maladaptive cellular-stress response. The imbalance between HSP90 and HSP70 may represent a key molecular mechanism underlying accelerated structural and functional deterioration of the myocardium in cardiometabolic comorbidity. Full article
(This article belongs to the Section Cardiovascular Pathophysiology)
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22 pages, 3279 KB  
Article
Zinc Coordination by Thymosin β4: Structural Determinants and Functional Implications
by Joanna Izabela Lachowicz, Terenzio Congiu, Andrea Salis and Flaminia Cesare Marincola
Int. J. Mol. Sci. 2026, 27(4), 1740; https://doi.org/10.3390/ijms27041740 - 11 Feb 2026
Viewed by 612
Abstract
Thymosin β4 (Tβ4) is a highly acidic, intrinsically disordered 43-amino-acid peptide with diverse biological functions, yet its interactions with metal ions remain poorly understood. In this study, we provide the first experimental demonstration that Tβ4 forms discrete Zn2+-bound adducts and undergoes [...] Read more.
Thymosin β4 (Tβ4) is a highly acidic, intrinsically disordered 43-amino-acid peptide with diverse biological functions, yet its interactions with metal ions remain poorly understood. In this study, we provide the first experimental demonstration that Tβ4 forms discrete Zn2+-bound adducts and undergoes Zn2+-induced aggregation under physiological pH conditions. Combining zeta potential analysis, dynamic light scattering (DLS), electrospray ionization mass spectrometry (ESI-MS), nuclear magnetic resonance (NMR) spectroscopy, and scanning electron microscopy with elemental mapping (SEM/EDS), we show that Zn(II) binding progressively neutralizes Tβ4’s negative surface charge and triggers a sharp aggregation transition. ESI-MS unambiguously identifies Tβ4/Zn(II) complexes of peptide-to-zinc molar ratio 1:3, while DLS and SEM reveal the formation of compact, low-solubility supramolecular assemblies. NMR measurements support a metal-induced aggregation, confirming the absence of folding upon Zn(II) binding. By quantitatively comparing the experimentally determined critical aggregation concentration with physiologically observed extracellular Zn(II) ranges, we demonstrate that aggregation is unlikely in plasma or basal interstitial environments but may become feasible in Zn-rich microdomains, such as the synaptic cleft, where transient Zn(II) levels can exceed 1 μM. These findings introduce a previously unrecognized dimension of Tβ4 chemistry and suggest that a Zn(II)-mediated supramolecular assembly of Tβ4 could influence peptide behavior in neurological or inflammatory conditions characterized by elevated extracellular Zn(II). This work establishes a foundational biochemical framework for future studies aimed at elucidating the biological implications of Tβ4/Zn(II) complexation and aggregation in vivo. Full article
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24 pages, 1319 KB  
Review
Reexamining the Role of Amyloid β Clearance from the Brain: Exporting Labile Iron from the Interstitial Fluid Performs a Protective Function
by Steven M. LeVine
Int. J. Mol. Sci. 2026, 27(3), 1485; https://doi.org/10.3390/ijms27031485 - 2 Feb 2026
Viewed by 1063
Abstract
Advantageous functions have been attributed to amyloid β, which helps explain its expression despite a propensity to aggregate. Besides supporting cognitive processes, it has antimicrobial activity, e.g., amyloid β can entrap pathogens or disrupt their membranes. Since iron is an essential element for [...] Read more.
Advantageous functions have been attributed to amyloid β, which helps explain its expression despite a propensity to aggregate. Besides supporting cognitive processes, it has antimicrobial activity, e.g., amyloid β can entrap pathogens or disrupt their membranes. Since iron is an essential element for invading organisms, limiting its availability is an antimicrobial strategy. This can be achieved by various means, such as reducing circulating iron, as is the case for anemia of inflammation or anemia of chronic disease, which may occur in Alzheimer’s disease. The protein lactoferrin both sequesters iron and generates proteolytic fragments with antimicrobial properties, and amyloid β may have similar traits. Amyloid β, which is derived from proteolytic cleavage of amyloid precursor protein, directly inhibits microorganisms. In addition, it binds redox-active metals, such as iron and copper. After being generated, amyloid β can enter the interstitial fluid and undergo clearance by a variety of mechanisms (e.g., glymphatic system, transport across the blood–brain barrier, and uptake by microglia or astrocytes). This clearance, together with its small size and iron-binding properties, positions amyloid β to perform a surveillance function to access, capture, and export labile iron. By removing extraneous iron, amyloid β also helps to limit metal-catalyzed reactions that cause tissue damage. In summary, besides preventing the aggregation and neurotoxicity of amyloid β, the clearance of amyloid β from the CNS may serve a surveillance function to remove loosely bound iron to avert injury by redox reactions and enable amyloid β to function as a mammalian siderophore making iron unavailable to invading microorganisms. Full article
(This article belongs to the Collection 30th Anniversary of IJMS: Updates and Advances in Biochemistry)
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9 pages, 1849 KB  
Article
Chemical Load-Induced Surface Nanocrystallization in Nitrided Martensitic Stainless Steel
by Xu Yang, Honglong Che and Mingkai Lei
Nanomaterials 2026, 16(3), 151; https://doi.org/10.3390/nano16030151 - 23 Jan 2026
Cited by 2 | Viewed by 408
Abstract
Surface nanocrystallization is a critical approach for improving mechanical and functional properties of materials. Beyond conventional mechanical routes, chemical loading presents a promising pathway for nanocrystallization via interstitial-driven phase transformation. However, the characteristics and mechanisms underlying chemical load-induced nanostructuring remain insufficiently elucidated. This [...] Read more.
Surface nanocrystallization is a critical approach for improving mechanical and functional properties of materials. Beyond conventional mechanical routes, chemical loading presents a promising pathway for nanocrystallization via interstitial-driven phase transformation. However, the characteristics and mechanisms underlying chemical load-induced nanostructuring remain insufficiently elucidated. This work investigates the surface nanocrystallization of 17-4 PH martensitic stainless steel during low-temperature plasma nitriding at 350 °C. Microstructural characterization combining XRD, EPMA, and TEM revealed a nitrogen-saturated layer with a maximum hardness of 13.5 GPa. The modified layer consists of nanoscale domains formed via a diffusionless martensite-to-austenite transformation, as evidenced by broadened FCC peaks, dark-field images, and the absence of elemental partitioning in EDX maps. This process is driven by the cyclic accumulation of chemical and elastic-strain energy at the advancing nitrogen diffusion front, triggering a self-sustaining, periodic transformation. This study introduces a chemical-driven nanocrystallization mechanism for novel design of surface-nanostructured steels via controlled thermochemical processing. Full article
(This article belongs to the Section Synthesis, Interfaces and Nanostructures)
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23 pages, 34248 KB  
Article
Fluorite Composition Constraints on the Genesis of the Weishan REE Deposit, Luxi Terrane
by Yi-Xue Gao, Shan-Shan Li, Chuan-Peng Liu, Ming-Qian Wu, Zhen Shang, Ze-Yu Yang, Xin-Yi Wang and Kun-Feng Qiu
Minerals 2026, 16(1), 69; https://doi.org/10.3390/min16010069 - 11 Jan 2026
Viewed by 776
Abstract
Fluorite, a key accessory mineral associated with rare earth element (REE) deposits, exerts a significant influence on REE migration and precipitation through complexation, adsorption, and lattice substitution within fluorine-bearing fluid systems. It therefore provides a valuable archive for constraining REE enrichment processes. The [...] Read more.
Fluorite, a key accessory mineral associated with rare earth element (REE) deposits, exerts a significant influence on REE migration and precipitation through complexation, adsorption, and lattice substitution within fluorine-bearing fluid systems. It therefore provides a valuable archive for constraining REE enrichment processes. The Weishan alkaline–carbonatite-related REE deposit, the third-largest LREE deposit in China, is formed through a multistage magmatic–hydrothermal evolution of the carbonatite system. However, limited mineralogical constraints on REE enrichment and precipitation have hindered a comprehensive understanding of its metallogenic processes and exploration potential. Here, cathodoluminescence imaging and LA-ICP-MS trace element analyses were conducted on fluorite of multiple generations from the Weishan deposit to constrain the physicochemical conditions of mobility and precipitation mechanisms of this REE deposit. Four generations of fluorite are recognized, recording progressive evolution of the ore-forming fluids. Type I fluorite, which coexists with bastnäsite and calcite, is LREE-enriched and exhibits negative Eu anomalies, indicating precipitation from high-temperature, weakly acidic, and reducing fluids. Type II fluorite occurs as overgrowths on Type I, while Type III fluorite replaces Type II fluorite, with both displaying LREE depletion and MREE-Y enrichment, consistent with cooling during continued hydrothermal evolution. Type IV fluorite, which is interstitial between calcite grains and associated with mica, is formed under low-temperature, oxidizing conditions, reflecting REE exhaustion and the terminal stage of fluorite precipitation. Systematic shifts in REE patterns among the four generations track progressive cooling of the system. The decreasing trend in La/Ho and Tb/La further suggests that these fluorites record dissolution–reprecipitation events and associated element remobilization during fluid evolution. Full article
(This article belongs to the Special Issue Gold–Polymetallic Deposits in Convergent Margins)
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27 pages, 955 KB  
Review
The Cerebral Clearance Cascade as a Driver of Alzheimer’s Disease Progression
by Michal Izrael and Orli Miriam Frenkel
J. Dement. Alzheimer's Dis. 2026, 3(1), 1; https://doi.org/10.3390/jdad3010001 - 24 Dec 2025
Cited by 1 | Viewed by 1565
Abstract
Alzheimer’s disease (AD) has long been viewed primarily as a disorder of abnormal protein accumulation, yet mounting evidence suggests that impaired clearance mechanisms may be critical in driving disease progression. In this review, we propose the concept of the “cerebral clearance cascade” as [...] Read more.
Alzheimer’s disease (AD) has long been viewed primarily as a disorder of abnormal protein accumulation, yet mounting evidence suggests that impaired clearance mechanisms may be critical in driving disease progression. In this review, we propose the concept of the “cerebral clearance cascade” as an integrative framework, describing a dynamic and interconnected system comprising the choroid plexus (CP), cerebrospinal fluid (CSF), interstitial fluid (ISF) dynamics, the glymphatic network, and the blood–brain barrier (BBB). These elements maintain brain proteostasis by regulating the removal of metabolites, neurotoxic proteins, and inflammatory signals and secreting neuroprotective factors. We describe how dysfunction at each node of the cascade contributes to amyloid and tau accumulation, neuroinflammation, vascular pathology, and cognitive decline. While clearance failure has been implicated across several neurodegenerative disorders, here we specifically synthesize evidence in the context of AD and emphasize how disruption of interlinked clearance systems may underlie both the anatomical spread of pathology and clinical heterogeneity. Finally, we outline emerging therapeutic strategies aimed at restoring or enhancing clearance pathways, including plasma and CSF-based interventions, CP-targeted approaches, glymphatic modulation, and BBB-protective strategies. Positioning AD within this broader yet specific “cerebral clearance cascade” perspective deepens our mechanistic understanding and highlights new translational opportunities for disease-modifying therapies. Full article
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12 pages, 1200 KB  
Review
Acute Exacerbation of Interstitial Lung Disease: Early Diagnosis and Treatment
by Francisco León-Román, Elisa Martínez-Besteiro, David Iturbe, Teresa Peña-Miguel, Marco López-Zubizarreta, Sofía Yerovi-Onofre, Ana María Andrés-Porras, David Jerves-Donoso, Cristina Martín-Carbajo, Carmen López-Represa, Ana Jiménez-Romero and Claudia Valenzuela
Medicina 2025, 61(12), 2097; https://doi.org/10.3390/medicina61122097 - 25 Nov 2025
Cited by 1 | Viewed by 5578
Abstract
Diagnosis and treatment of acute exacerbation of interstitial lung disease (AE-ILD) continue to be challenging. The annual incidence of AE in idiopathic pulmonary fibrosis (IPF) is 5% to 15%, with an in-hospital mortality exceeding 50%. Similar annual incidence and mortality rates have been [...] Read more.
Diagnosis and treatment of acute exacerbation of interstitial lung disease (AE-ILD) continue to be challenging. The annual incidence of AE in idiopathic pulmonary fibrosis (IPF) is 5% to 15%, with an in-hospital mortality exceeding 50%. Similar annual incidence and mortality rates have been documented in other ILDs. The pathogenic mechanisms underlying AE are not entirely clear, although they could involve an acute injury or inflammatory process in previously affected lung tissue, with histological features of diffuse alveolar damage, similar to acute respiratory distress syndrome. AE-ILD is defined based on the following criteria: acute respiratory worsening within 30 days in a patient with a previous or concurrent diagnosis of ILD accompanied by new bilateral ground-glass abnormalities and/or consolidation on high-resolution computed tomography after ruling out heart failure or fluid overload. Pharmacologic treatments such as corticosteroids, antibiotics, and immunosuppressants have been and continue to be used despite scarce evidence from randomized placebo-controlled clinical trials. Oxygen therapy and ventilatory support are key elements of treatment of AE-ILD. The aim of our article is to provide an updated review on the diagnosis and treatment of AE-ILD and to propose practical algorithms for management. Full article
(This article belongs to the Special Issue Advances in Interstitial Lung Diseases: From Diagnosis to Treatment)
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34 pages, 99537 KB  
Article
Microchemical Analysis of Rammed Earth Residential Walls Surface in Xiaochikan Village, Guangdong
by Liang Zheng, Qingnian Deng, Jingwei Liang, Zekai Guo, Yufei Zhu, Wei Liu and Yile Chen
Coatings 2025, 15(11), 1351; https://doi.org/10.3390/coatings15111351 - 19 Nov 2025
Cited by 3 | Viewed by 1044
Abstract
Xiaochikan Village, located in Guangdong Province in South China, is one of the few remaining traditional rammed earth dwellings of the Cantonese ethnic group in the Lingnan region. However, the influence of Zhuhai’s subtropical maritime monsoon climate has led to continuous physical and [...] Read more.
Xiaochikan Village, located in Guangdong Province in South China, is one of the few remaining traditional rammed earth dwellings of the Cantonese ethnic group in the Lingnan region. However, the influence of Zhuhai’s subtropical maritime monsoon climate has led to continuous physical and chemical erosion of the rammed earth walls. For example, cracking occurs due to high temperatures and heavy rain, accelerated weathering occurs due to salt spray deposition, and biological erosion occurs due to high humidity and high temperatures. Therefore, two experimental analysis techniques, X-ray diffraction (XRD) and scanning electron microscopy-energy dispersive spectrometer (SEM-EDS), were used to explore the structural anti-erosion mechanism of the ancient, rammed earth buildings in Xiaochikan Village. The results show that (1) the morphological characteristics of the east and west walls of the rammed earth dwellings in Xiaochikan Village are more similar. The particles on the east wall are regular spherical or polygonal, small, and evenly distributed, while the particles on the west wall are mainly spherical and elliptical, with consistent size and less agglomeration. The surfaces of the particles on both walls are relatively smooth and flat. (2) The core element bases of the four wall samples are consistent, with C, Si, Al, Ca, and Fe as the core, accounting for more than 93%, reflecting the base characteristics of the local alluvial soil “silicate skeleton–carbonate cementation–organic matter residue” and reflecting the “local material” attribute of rammed earth. Except for the south wall sample, the Cl content of the remaining samples exceeds 1%. In the thermal map, Cl shows “pore/interstitial enrichment”, which confirms that the salinization process of marine aerosols with rainwater infiltration and evaporation residue is a common influence of marine climate. (3) The rammed earth walls in Xiaochikan Village consist of three main minerals: Quartz (SiO2, including alpha-type SiO2), Calcite (CaCO3, including synthetic calcite), and Gibbsite (Al(OH)3). Full article
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19 pages, 4975 KB  
Article
Low-Cost and High-Strength Titanium–Zirconium–Oxygen Alloy Prepared by Spark Plasma Sintering
by Hongliang Xiang, Qinchang Wu, Weixuan You, Xiaoqiang Cai, Wei Zhao, Ye Huang, Xiangkai Zhang and Chaochao Wu
Materials 2025, 18(22), 5138; https://doi.org/10.3390/ma18225138 - 12 Nov 2025
Cited by 1 | Viewed by 981
Abstract
Ti-Zr alloys are widely used in medical implants owing to their excellent biocompatibility. However, conventional alloying strategies to improve their performance often increase costs or introduce toxic elements. In this study, oxygen (O), a lightweight, cost-effective, and non-toxic element, was employed to strengthen [...] Read more.
Ti-Zr alloys are widely used in medical implants owing to their excellent biocompatibility. However, conventional alloying strategies to improve their performance often increase costs or introduce toxic elements. In this study, oxygen (O), a lightweight, cost-effective, and non-toxic element, was employed to strengthen Ti-Zr alloys. A novel Ti-Zr-O alloy was fabricated via spark plasma sintering (SPS), where the oxygen content was precisely controlled by incorporating TiO2 powder into the Ti-15Zr base powder. The sintered samples achieved a relative density above 99%, indicating nearly full densification under the optimized SPS conditions. Oxygen addition significantly refined the grain structure, while all O-containing samples maintained a uniform α-Ti phase with random crystal orientation. With increasing oxygen content, the compressive yield strength of the Ti-15Zr alloy increased from 619.24 MPa to 1634.18 MPa, accompanied by a decrease in compressive strain from 50.03% to 31.10%. These results demonstrate that the designed alloy combines superior yield strength with favorable ductility. Furthermore, quantitative analysis of the strengthening mechanisms revealed that oxygen atoms mainly occupy octahedral interstitial sites within the Ti-15Zr matrix, and solid-solution strengthening contributes more significantly than grain refinement. This work provides a promising route for the development of low-cost, high-performance Ti-Zr alloys for biomedical applications. Full article
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17 pages, 2323 KB  
Article
First-Principles Study of Irradiation Defects in γ′-U2Mo
by Yuxin Wang, Zhixiao Liu, Guangdong Liu, Dan Sun and Wenjie Li
Metals 2025, 15(11), 1239; https://doi.org/10.3390/met15111239 - 12 Nov 2025
Viewed by 742
Abstract
Understanding defect behavior and fission gas transport in uranium-molybdenum (U-Mo) fuels is key to explaining their swelling during reactor operation. In this study, we employed density functional theory (DFT) to systematically investigate the point defect structures and self-diffusion mechanisms in U2Mo, [...] Read more.
Understanding defect behavior and fission gas transport in uranium-molybdenum (U-Mo) fuels is key to explaining their swelling during reactor operation. In this study, we employed density functional theory (DFT) to systematically investigate the point defect structures and self-diffusion mechanisms in U2Mo, with particular emphasis on the diffusion behavior of fission gas atoms Xe. Among intrinsic defects, vacancies and substitutional defects are the most stable, combining low formation energies with relatively small migration barriers; as a result, they largely control defect-mediated processes. Further analysis shows that self-diffusion in U2Mo is strongly element-dependent, as U atoms migrate predominantly through vacancy-mediated mechanisms, while Mo atoms diffuse primarily via substitutional pathways. In addition, Xe atoms migrate through two distinct pathways: by combining with vacancies to form stable complexes and diffusing via vacancy-assisted migration, or by migrating as interstitial species along the Tetrahedral → Octahedral → Tetrahedral path between interstitial sites, eventually moving outward along defect channels and leading to gas release. Self-diffusion and fission gas transport in U-Mo fuels are governed by point defects, linking defect behavior to the swelling resistance of advanced nuclear materials. Full article
(This article belongs to the Section Computation and Simulation on Metals)
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