IntroductionThe objective of this study is to stimulate wound healing using bioinspired hydrogels with basic fibroblast growth factor (bFGF).Materials and methodsInspired by the crosslinking mechanism in algae-based adhesives, hydrogels were fabricated with gum arabic, pectin, and Ca2+. The physical properties of the bioinspired hydrogels were characterized, and the in vitro release of bFGF was investigated. Then, the in vitro scratch assay for wound healing and in vivo wound healing experiment in a full-thickness excision wound model were performed for the bioinspired hydrogels with bFGF. Finally, histological examinations and organ toxicity tests were conducted to investigate the wound healing applications of the bioinspired hydrogels with bFGF.ResultsThe in vitro and in vivo results showed that the bioinspired hydrogels with bFGF could significantly enhance cell proliferation, wound re-epithelialization, collagen deposition, and contraction without any noticeable toxicity and inflammation compared with the hydrogels without bFGF and commercial wound healing products.ConclusionThese results suggest the potential application of bioinspired hydrogels with bFGF for wound healing.

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Bai J andWang ZY conceived and designed the study; Bai J, Chen WB, and Zhang XY performed the experiments; Zhang XY and Kang XN acquired the patients' data; Bai J, Kang XN, Jin LJ, and Zhang H analyzed the data and drafted the report; Wang ZY supervised the study; all authors reviewed and revised the manuscript critically and approved the final version to be published. Institutional review board statement:The study was approved by the Ethics Committee of Cangzhou Central Hospital.

Bioadhesives have been used in clinics among the most prospective alternatives to sutures and staples for wound sealing and repairing; however, they generally have inadequate adhesion to wet surfaces, improper mechanical strength, poor hemostasis, and cytotoxicity. To address these challenges, a robust wet tissue adhesive based on collagen and starch materials (CoSt) is designed in this study. CoSt hydrogels integrate the feature of drainage, molecular penetration and strengthen cross-linking similar to mussel, ivy, and oyster glues, which remove interfacial water quickly, reinforce tough dissipation and involve multiple reversible dynamic interactions. Therefore, they form strong adhesion and sutureless sealing of injured tissues, accompanying actuate robust biointerfaces in direct contact with tissue liquids or blood, resolving the crucial impediments with sutures and commercially accessible adhesives. The novel bioadhesive shows repeatable strong wet tissue adhesiveness (62 ± 4.8 KPa), high sealing performance (153.2 ± 35.1 mmHg), fast self-healing ability, excellent injectability, and shape adaptability. For different hemostatic needs in rat models of tail amputation, skin incision, severe liver, abdominal aorta, and transected nerve injuries, the CoSt hydrogel shows better hemostatic efficiency than fibrin glue because of the coordinate efficacy of tough wound sealing property, outstanding red blood cell arresting capability, and the activation of hemostatic barrier membrane. Moreover, in vivo investigation of the skin injury repair of the rat model validate that CoSt hydrogels accelerate wound healing and functional recovery via skin damage/defects. Tough wet adhesion, quick hemostasis, distinguished biocompatibility, suitability to match irregular-shaped target sites, and good wound healing promotion of the CoSt hydrogel makes it a prospective bioadhesive for various biomedical applications.

The exchange processes between the Maryland Coastal Bays system (MCBs) and their adjacent coastal ocean were simulated using a three-dimensional unstructured-grid based hydrodynamic model, which was validated by observed data including water level, current velocity and salinity. Idealized experiments were then carried out to investigate the impact of wind forcing on water exchange and salt flux. Through these experiments, the exchanges between the MCBs and coastal ocean were investigated at two inlets (Ocean City Inlet and Chincoteague Inlet). Given that winds and tides are two key external forces known to impact estuarine dynamics, the effect of each individual force on the exchange processes was studied to evaluate the corresponding influence on the inlet dynamics. It was found that wind forcing significantly impacts the inlet dynamics: the effect of wind directions on exchange processes under strong wind speeds is substantial; for example, northwesterly winds push flux to the southern part of the bays, while southwesterly winds pile up flux towards northern Chincoteague Bay. The effect of wind forcing on the exchange dynamics becomes stronger with the augmentation of its speed. Meanwhile, tidal forcing is the major driver of exchange dynamics at weak wind speeds (e.g., 3 m/s), and its effect on exchange process gradually weakens with stronger wind speeds (e.g., 7 m/s, 15 m/s). In addition, sensitivity tests elucidated that closing either inlet results in a significant impact on the water elevation, current velocity and salinity nearby the relevant cutoff inlet areas.

ObjectiveThe objective of this study was to evaluate the relationship of periodontal disease with depression and anxiety via a systematic review and meta‐analysis.MethodWe systematically searched the EMBASE, PubMed, Web of Science, PsycINFO, and SinoMed databases (until August 4, 2019) with language restricted to English and Chinese. Case–control, cross‐sectional, and cohort studies that calculated the risk ratio (RR), odds ratio (OR)/prevalence OR (POR), and hazard ratio (HR) of depression/anxiety with periodontal disease or the OR/POR/RR/HR of periodontal disease caused by depression/anxiety were included. Observational studies that reported the depression/anxiety scale score of patients with periodontal disease and healthy periodontal subjects aged ≥14 years were also included.We used the standard format to extract the following information from each included study: author/s, survey year, study design, age of participants, periodontal disease definition, depression/anxiety measurement, and summary of results. The Newcastle–Ottawa scale was used to ascertain the quality of the included citations.ResultsAfter screening, 40 studies were included. A meta‐analysis of the case–control studies showed that periodontal disease was positively associated with depression (OR = 1.70, 95% confidence interval [CI]  = 1.01–2.83). A meta‐analysis of 12 studies showed that periodontal disease was significantly correlated with anxiety (OR = 1.36, 95% CI = 1.11–1.66). A meta‐analysis of 18 studies showed that subjects with periodontal disease had higher depression scale score (standardized mean difference [SMD] = 1.05, 95% CI = 0.68–1.41) and anxiety scale score (SMD = 0.70, 95% CI = 0.44–0.96).ConclusionPeriodontal disease is associated with emotional disorders. However, the high degree of heterogeneity among studies should be considered. More high‐quality prospective studies are required to confirm the relationship.

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Triple‐negative breast cancer (TNBC) is a highly heterogeneous disease. The aim of this study is to identify the diagnostic and poor prognostic signatures in TNBC by exploring the aberrant DNA methylation and gene expression. Differential expression and methylation analysis of the TNBC and paracancer samples from The Cancer Genome Atlas were performed. Gene set enrichment and protein–protein interaction (PPI) network analysis was used to explore the mechanisms of TNBC. Methylation‐gene expression correlation analysis was performed, and multivariate Cox analysis and receiver operating characteristics analysis were used to further screen the hub genes for TNBC. We identified 1,525 differentially expressed genes and 150 differentially methylated genes between TNBC and paracancer samples. About 96.64% of the methylation sites were located on the CpG island. A total of 17 Gene Ontology biological process terms and 18 signal pathways were significantly enriched. GNG4, GNG11, PENK, MAOA, and AOX1 were identified as the core genes of the PPI network. Methylation‐expression correlations revealed that ABCC9 (cg06951626), NKAPL (cg18675097, cg01031101, and cg17384889), and TMEM132C (cg03530754) showed promise as diagnostic and prognostic markers in TNBC. ABCC9 (cg06951626), NKAPL (cg18675097, cg01031101, and cg17384889), and TMEM132C (cg03530754) were potential diagnostic and prognostic markers in TNBC.