It is greatly intriguing yet remains challenging to construct single‐atomic photocatalysts with stable surface free energy, favorable for well‐defined atomic coordination and photocatalytic carrier mobility during the photoredox process. Herein, an unsaturated edge confinement strategy is defined by coordinating single‐atomic‐site Ni on the bottom‐up synthesized porous few‐layer g‐C3N4 (namely, Ni5‐CN) via a self‐limiting method. This Ni5‐CN system with a few isolated Ni clusters distributed on the edge of g‐C3N4 is beneficial to immobilize the nonedged single‐atomic‐site Ni species, thus achieving a high single‐atomic active site density. Remarkably, the Ni5‐CN system exhibits comparably high photocatalytic activity for CO2 reduction, giving the CO generation rate of 8.6 µmol g−1 h−1 under visible‐light illumination, which is 7.8 times that of pure porous few‐layer g‐C3N4 (namely, CN, 1.1 µmol g−1 h−1). X‐ray absorption spectrometric analysis unveils that the cationic coordination environment of single‐atomic‐site Ni center, which is formed by Ni‐N doping‐intercalation the first coordination shell, motivates the superiority in synergistic N–Ni–N connection and interfacial carrier transfer. The photocatalytic mechanistic prediction confirms that the introduced unsaturated Ni‐N coordination favorably binds with CO2, and enhances the rate‐determining step of intermediates for CO generation.

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These results demonstrate that a learning health system can be developed and implemented in a cost-effective manner, and can integrate clinical care and research to systematically drive simultaneous clinical quality improvement and reduced healthcare costs.

Human T-cell leukemia virus type 1 (HTLV-1) infection causes adult T-cell leukemia and is associated with a variety of lymphocyte-mediated disorders. It has been hypothesized that a highly regulated pattern of HTLV-1 gene expression is critical for virus survival and disease pathogenesis. In this study, real-time reverse transcriptase PCR was used to determine the kinetics of viral gene expression in cells transiently transfected with an HTLV-1 proviral plasmid, in newly infected human peripheral blood mononuclear cells (PBMCs), and in PBMCs from newly infected rabbits. The HTLV-1 gene expression profiles in transiently transfected and infected cells were similar; over time, all transcripts increased and then maintained stable levels. gag/pol, tax/rex, and env mRNA were detected first and at the highest levels, whereas the expression levels of the accessory genes, including the antisense Hbz, were significantly lower than the tax/rex levels (ranging from 1 to 4 logs depending on the specific mRNA). In infected rabbits, tax/rex and gag/pol mRNA levels peaked early after inoculation and progressively decreased, which correlated inversely with the proviral load and host antibody response against viral proteins. Interestingly, Hbz mRNA was detectable at 1 week postinfection and increased and stabilized. The expression levels of all other HTLV-1 genes in infected rabbit PBMCs were at or below our limit of detection. This analysis provides insight into viral gene expression under various in vitro and in vivo experimental conditions. Our in vivo data indicate that in infected rabbits, Hbz mRNA expression over time directly correlates with the proviral load, which provides the first evidence linking Hbz expression to proviral load and the survival of the virus-infected cell in the host.

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