Search Results (2)

Acute intermittent porphyria (AIP) is an autosomal dominant inherited disease with low clinical penetrance, caused by mutations in the hydroxymethylbilane synthase (HMBS) gene, which encodes the third enzyme in the haem biosynthesis pathway. In susceptible HMBS mutation carriers, triggering factors such as hormonal changes and commonly used drugs induce an overproduction and accumulation of toxic haem precursors in the liver. Clinically, this presents as acute attacks characterised by severe abdominal pain and a wide array of neurological and psychiatric symptoms, and, in the long-term setting, the development of primary liver cancer, hypertension and kidney failure. Treatment options are few, and therapies preventing the development of symptomatic disease and long-term complications are non-existent. Here, we provide an overview of the disorder and treatments already in use in clinical practice, in addition to other therapies under development or in the pipeline. We also introduce the pathomechanistic effects of HMBS mutations, and present and discuss emerging therapeutic options based on HMBS stabilisation and the regulation of proteostasis. These are novel mechanistic therapeutic approaches with the potential of prophylactic correction of the disease by totally or partially recovering the enzyme functionality. The present scenario appears promising for upcoming patient-tailored interventions in AIP. Full article

Hydrogel-based strain sensors inspired by nature have attracted tremendous attention for their promising applications in advanced wearable electronics. Nevertheless, achieving a skin-like stretchable conductive hydrogel with synergistic characteristics, such as ideal stretchability, excellent sensing performance and high self-healing efficiency, remains challenging. Herein, a highly stretchable, self-healing and electro-conductive hydrogel with a hierarchically triple-network structure was developed through a facile two-step preparation process. Firstly, 2, 2, 6, 6-tetrametylpiperidine-1-oxyl (TEMPO)-oxidized cellulose nanofibrils were homogeneously dispersed into polyacrylic acid hydrogel, with the presence of ferric ions as an ionic crosslinker to synthesize TEMPO-oxidized cellulose nanofibrils/polyacrylic acid hydrogel via a one-pot free radical polymerization. A polypyrrole conductive network was then incorporated into the synthetic hydrogel matrix as the third-level gel network by polymerizing pyrrole monomers. The hierarchical 3D network was mutually interlocked through hydrogen bonds, ionic coordination interactions and physical entanglements of polymer chains to achieve the target composite hydrogels with a homogeneous texture, enhanced mechanical stretchability (elongation at break of ~890%), high viscoelasticity (maximum storage modulus of ~27.1 kPa), intrinsic self-healing ability (electrical and mechanical healing efficiencies of ~99.4% and 98.3%) and ideal electro-conductibility (~3.9 S m⁻¹). The strain sensor assembled by the hybrid hydrogel, with a desired gauge factor of ~7.3, exhibits a sensitive, fast and stable current response for monitoring small/large-scale human movements in real-time, demonstrating promising applications in damage-free wearable electronics. Full article