Fibromyalgia syndrome (FM) is a multifactorial disorder whose pathogenesis and diagnosis are poorly understood. This study investigated differential serum proteome profiles in patients with FM and healthy pain-free controls and explored the association between serum proteome and clinical profiles in patients with FM. Twenty patients with FM (according to the American College of Rheumatology criteria, 2010) and 20 healthy pain-free controls were recruited for optimized quantitative serum proteomics analysis. The levels of pain, pressure pain threshold, sleep, anxiety, depression, and functional status were evaluated for patients with FM. We identified 22 proteins differentially expressed in FM when compared with healthy pain-free controls and propose a panel of methyltransferase-like 18 (METTL18), immunoglobulin lambda variable 3-25 (IGLV3-25), interleukin-1 receptor accessory protein (IL1RAP), and IGHV1OR21-1 for differentiating FM from controls by using a decision tree model (accuracy: 0.97). In addition, we noted several proteins involved in coagulation and inflammation pathways with distinct expression patterns in patients with FM. Novel proteins were also observed to be correlated with the levels of pain, depression, and dysautonomia in patients with FM. We suggest that upregulated inflammation can play a major role in the pathomechanism of FM. The differentially expressed proteins identified may serve as useful biomarkers for diagnosis and evaluation of FM in the future. Fibromyalgia syndrome (FM), manifesting as chronic widespread pain throughout the body, is associated with long-term pain and impaired quality of life, which can result in tremendous medical and socioeconomic burden 1-4. The prevalence of FM was reportedly between 0.2 and 6.6%, predominantly affecting women in the general population 5. The diagnosis of FM continues to be based mainly on clinical history taking and patients' complaints. Currently, no specific laboratory measure or specific biomarkers are available for the diagnosis of FM. FM has been recognized as a multifactorial disorder involving genetic, biological, and environmental factors. Although the pathogenesis of FM is poorly understood, altered central pain processing and pain sensitization are key elements in the pathogenesis of FM 2,6-8. Neuroimaging and neuroendocrine research have revealed that altered central nervous system structure and function occur in patients with FM 9-11. Patients with FM also exhibit a wide spectrum of associated symptoms such as sleep disturbance, depression, anxiety, fatigue, other pain disorders, and cognition problems 12. These symptoms add significant heterogeneity and difficulty in the clinical

The donor (D)-π spacer-acceptor (A) framework with electronic push–pull effects provides suitable molecular architectures for molecular design used as efficient light-harvesting sensitizers in dye-sensitized solar cells (DSSCs). Efficiencies of light harvesting and electron injection to the semiconductor of sensitizers play critical roles in DSSC performance. Here, we employed density functional theory to systematically and comparatively investigate the effects of π-spacers of D-π spacer-A types of dyes in solution and adsorbed on a (TiO2)38 anatase cluster on various photophysical properties. The absorption spectra, electron transfer probability, and related photophysical properties of D-π spacer-A types of dyes were investigated as functions of different types (thiophene (Th)- and phenyl (Ph)-based), lengths, and planarity (bridging two neighboring rings; dithieno-thiophene (DTT) and fluorene (FL)-based) of π-spacers, while the D (diphenylamine) and A (cyano-acrylic acid) moieties remained the same. Spacers could significantly influence the λmax values and electron transfer probability. The spacer length has a red-shifted effect in λmax for the Th-, DTT-, and FL-based sensitizers due to their planar conjugated structures; nevertheless, the λmax values are saturated by ring number three. In contrast, the Ph-based spacers induce a blue-shift in λmax with spacer length due to their nonplanar structures. Interestingly, the Th- and DTT-based spacers with lower LUMO energy levels trap more electron density and thus reduce the probability of electron density transfer to TiO2 φET(λmax, TiO2) upon photoexcitation; moreover, the φET(λmax, TiO2) values decrease significantly with ring number. On the other hand, the φET(λmax, TiO2) values for the Ph- and FL-based sensitizers are less sensitive to the spacer length. Interestingly, the orders of theoretical maximum short-circuit current density of four studied families of molecules are correlated with their λmax values. Our study shows the Th–Th motif used as a π-spacer balances the spectral match with solar radiation and φET(λmax, TiO2) suitable for DSSC applications. Our results based on molecular and electronic structures could be used for rational sensitizer design of organic dyes for DSSC applications.

D–A−π–A dyes differ from the traditional D−π–A framework having several merits in dye-sensitized solar cell (DSSC) applications. With regard to D−π–A dyes, D–A−π–A dyes red-shift absorption spectra and show particular photostability. Nevertheless, the effects of internal acceptor on the charge transfer (CT) probability are unclear. We employed density functional theory (DFT), time-dependent DFT (TD-DFT), and TD-DFT molecular dynamics (MD) simulations to investigate the effects of internal acceptor on the photophysical properties of D–A−π–A dyes on DSSCs. Our calculations show the absorption bands of D–A−π–A dyes with strong electron-withdrawing internal acceptors exhibiting significant characteristics of dual CT; the excited electron density is transferred to the internal and terminal acceptors simultaneously. Particularly, the internal acceptor traps a significant amount of electron density upon photoexcitation. The TD-DFT MD simulations at 300 K show that only a small amount of excited electron density is pushing and pulling between the internal acceptor and terminal acceptor moieties; the thermal energy is not high enough to drive the electron density from the internal acceptor to the terminal acceptor. Our study reveals the nature of CT bands of D–A−π–A dyes providing a theoretical basis for further rational engineering.

The loading of sensitizers on a semiconductor is crucial for determining the light-harvesting efficiency of dye-sensitized solar cells (DSSCs). The interfacial properties of dyes adsorbed on a TiO film, such as adsorption configurations and adsorption energy, can influence the total amount of dye sensitizers that loads and the stability of a DSSC device. Therefore, it is important to characterize the adsorption properties of sensitizers on TiO films atomically and electronically to ensure rational structure-based dye design for high-performance DSSCs. Due to the complex properties of interfacial dyes, previous works on the identification of adsorption configurations of dyes on TiO have sometimes been controversial, in particular, the essential IR band assignments. In this study, we employed density functional theory to investigate the adsorption energies, geometries, and vibrational frequencies of various adsorption configurations of 2-cyano-3-(thiophen-2-yl)acrylic acid adsorbed on TiO. We performed a comparative assignment of the calculated vibrational peaks of tridentate and bidentate configurations to the experimental FT-IR spectra simultaneously. Our work backs up the coexistence of tridentate and bidentate bridging configurations, first proposed by Meng and co-workers. Moreover, our comparative IR mode assignments provide clues for further studies of the interfacial properties of dyes adsorbed on TiO. Study of the transformation mechanisms between tridentate and bidentate modes suggests that the bidentate bridging configuration is a kinetically trapped adsorption mode and the tridentate configuration is thermodynamically the most stable one. Finally, we investigated the photophysical properties of a D-π-A dye in tridentate and bidentate adsorption configurations.

An amendment to this paper has been published and can be accessed via a link at the top of the paper.