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Embracing or relinquishing sources of power in interprofessional communication: implications for patient-centered speaking up. 在跨专业交流中拥抱或放弃权力来源:以患者为中心大声说话的意义。
IF 18 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2026-09-01 Epub Date: 2021-11-07 DOI: 10.1080/13561820.2021.1975665
Susan E Farrell, Naike Bochatay, Sara Kim

Health professionals working in an interprofessional work environment are entrusted to speak up on behalf of patients. However, that environment is comprised of dynamic intra- and interprofessional hierarchies, characterized by power differentials that affect speaking up behaviors. Drawing on the social bases of power and on power/interaction theory, we analyzed focus group and interview transcripts of 62 health professionals' accounts of speaking up. We focused on their primary sources of power, and described factors associated with health professionals' embracing power to speak up for patient safety, as well as those associated with relinquishing power and remaining silent. Nurses primarily employed direct patient information as a source of power to advocate for patients. Senior nurses and attending physicians exercised their legitimate power through titles or expertise, and when embracing that power, often influenced the healthcare team's speaking up behaviors and the team environment. Physician trainees perceived to have limited sources of power. Participants reported using hospital policies, relationships, and humor for engaging in speaking up behavior. Relinquishing power and remaining silent were associated with fear, anxiety, and lack of confidence. Given the complex, hierarchical environment in healthcare, leaders' inclusive behaviors for setting a culture for speaking up, including modeling speaking up, are critical.

在跨专业工作环境中工作的医疗专业人员受托代表患者大声疾呼。然而,这种环境是由动态的专业内和专业间等级制度组成的,其特点是权力差异会影响直言不讳的行为。根据权力的社会基础和权力/互动理论,我们分析了 62 名医疗专业人员关于大声疾呼的焦点小组和访谈记录。我们重点研究了他们的主要权力来源,并描述了与医护人员拥护权力、为患者安全大声疾呼相关的因素,以及与放弃权力、保持沉默相关的因素。护士主要将患者的直接信息作为为患者代言的权力来源。资深护士和主治医师通过职称或专业知识行使其合法权力,在行使权力时,往往会影响医护团队的大声疾呼行为和团队环境。实习医生认为他们的权力来源有限。学员们报告说,他们利用医院政策、人际关系和幽默感来参与畅所欲言行为。放弃权力和保持沉默与恐惧、焦虑和缺乏自信有关。鉴于医疗行业复杂的等级环境,领导者在建立畅所欲言文化方面的包容性行为(包括树立畅所欲言的榜样)至关重要。
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引用次数: 0
Stimuli-Responsive Nanocoatings Enable Controlled Oral Delivery of Therapeutic Bacteria 刺激反应纳米涂层可控制治疗细菌的口服递送
IF 18 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2026-09-01 Epub Date: 2026-08-10 DOI: 10.1021/acs.accounts.6c00272
Huan Chen, Xiao Kuang, Jinyao Liu
<p>Oral bacteriotherapy has givenrise to an unprecedented potentialin treating a variety of diseases, especially gastrointestinal tract-associatedimmune and metabolic disorders, through reversing microbial imbalance-inducedphysiological dysfunctions. However, living therapeutic bacteria areoften plagued by unsatisfactory treatment outcomes due to their impairedoral viability, unpredictable intestinal distribution, and undesiredin vivo colonization. Controlled delivery of therapeutic bacteriavia customized vehicles is able to overcome these difficulties byprotecting a bacteria from environmental insults, selectively releasingin the intestine, and/or increasing targeted accumulation at the lesionsite. Recently, remarkable efforts have been made on cell surfacemodification to improve the in vivo delivery of therapeutic bacteriabased on specific physiological environments and/or pathological features.Among these purposive modification strategies, the formation of astimuli-responsive nanocoating represents a versatile platform tointroduce bacteria with extra functions, such as enhanced resistance,site-specific exposure, and physiological signal-triggered in situactivation in the gastrointestinal tract, offering a promising approachfor precisely delivering therapeutic bacteria for advanced oral bacteriotherapy.</p><p>In this Account, we summarize the recent advances from our groupin manipulating bacterial behaviors through the construction of gastrointestinalstimuli-responsive nanocoatings, with the aim to enable controlledoral delivery of living therapeutic bacteria. First, we report theuse of available reactive moieties on the bacterial surface to formdiverse stimuli-responsive nanocoatings without affecting bacterialviability. By virtue of abundant intermolecular interactions, suchas electrostatic attraction, hydrophobic adsorption, π–πstacking, coordination bonding, or heterogeneous nucleation mineralization,nanocoatings consisting of functional small molecules, polymers, and/ornanoparticles can be formed on the bacterial surface. We describehow these nanocoatings can intelligently respond to specific gastrointestinalstimuli, thereby enabling the controlled oral delivery of modifiedbacteria. For instance, the introduction of a gastric acid-responsivenanocoating can neutralize acidic insult to enhance bacterial tolerance,ensuring the passage of intact bacteria through the stomach. Additionally,an enteric nanocoating can be triggered to dissolve in response topH fluctuation, consequently rendering a selective release of therapeuticbacteria in the intestine. Moreover, equipping bacteria with a pathologicalsignal-sensitive nanocoating enables the controllable exposure oftherapeutic bacteria at the lesion site, achieving targeted deliveryto the lesion site. Then, we show the advantages of stimuli-responsivenanocoating-enabled controlled oral delivery of therapeutic bacteriafor disease intervention. Specifically, we highlight the applicationsinvolving th
口服细菌疗法通过逆转微生物失衡引起的生理功能障碍,在治疗多种疾病,特别是胃肠道相关的免疫和代谢紊乱方面具有前所未有的潜力。然而,活的治疗细菌由于其口腔生存能力受损、肠道分布不可预测和不希望的体内定植而经常受到不满意治疗结果的困扰。通过定制载体控制治疗细菌的递送能够克服这些困难,保护细菌免受环境损害,在肠道中选择性释放,和/或增加病变部位的靶向积累。近年来,基于特定的生理环境和/或病理特征,在细胞表面修饰以提高治疗细菌的体内递送方面取得了显著的进展。在这些有目的的修饰策略中,刺激响应纳米涂层的形成代表了一个多功能平台,可以引入具有额外功能的细菌,例如增强耐药性,特定部位暴露和生理信号触发的胃肠道原位激活,为精确递送治疗细菌提供了一种有希望的方法,用于高级口腔细菌治疗。在这篇文章中,我们总结了我们小组在通过构建胃肠道刺激反应纳米涂层来操纵细菌行为方面的最新进展,目的是使活的治疗性细菌能够控制口服递送。首先,我们报道了在不影响细菌生存能力的情况下,利用细菌表面可用的反应性部分形成不同的刺激响应纳米涂层。通过丰富的分子间相互作用,如静电吸引、疏水吸附、π -π堆叠、配位键或非均相成核矿化,可以在细菌表面形成由功能小分子、聚合物和/或纳米颗粒组成的纳米涂层。我们描述了这些纳米涂层如何智能地响应特定的胃肠道刺激,从而使修饰细菌的口服递送得以控制。例如,引入一种胃酸反应纳米涂层可以中和酸性损伤,增强细菌的耐受性,确保完整的细菌通过胃。此外,肠道纳米涂层可以根据pH波动触发溶解,从而导致肠道中治疗性细菌的选择性释放。此外,为细菌配备病理信号敏感的纳米涂层可以使治疗细菌可控地暴露在病变部位,从而实现对病变部位的靶向递送。然后,我们展示了刺激反应纳米涂层控制口服治疗细菌用于疾病干预的优势。具体来说,我们强调的应用涉及治疗肠道感染,减轻化学诱导的溃疡性粘膜炎,病原体诱导的结肠炎的协同治疗,以及预防肠道微生物群紊乱引起的动脉粥样硬化。最后,我们讨论了使用刺激反应纳米涂层来操纵治疗细菌的功能以控制口服给药和相应的疾病管理的前景和挑战,特别是从实验室研究到临床应用的转化潜力。我们预计,本报告中提出的这些刺激反应纳米涂层为基础的口服给药系统,以及它们与胃肠道环境的可调节相互作用,将推动下一代活疗法的发展,并为疾病干预提供创新策略。
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引用次数: 0
Hierarchical Energy-Dissipating Networks: An Interaction-Level Design Principle for Tough, Stable, and Sustainable Elastomers and Ionogels 分层能量耗散网络:坚韧,稳定和可持续的弹性体和离子凝胶的交互级设计原则
IF 18 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2026-09-01 Epub Date: 2026-08-12 DOI: 10.1021/acs.accounts.6c00425
Nan Sun, Kaiqiang Zhang, Xu Wang
<p>Elastomeric materials are used where few otherpolymeric materialscan operate: in components that must deform repeatedly, recover rapidly,and continue to bear load under mechanical or environmental stress.Yet the molecular features that give elastomeric materials high performanceoften work against sustainability. The same interactions that makean elastomeric material reliable in service often make it difficultto heal or recycle. Weakening the network improves mobility but usuallyundermines the mechanical integrity that elastomeric materials areexpected to provide. Early studies on supramolecular elastomers demonstratedthat reversible hydrogen bonding, ionic association, metal–ligandcoordination, and other noncovalent motifs could impart thermoreversibility,self-healing capability, and stress relaxation behavior to materials.Covalent–supramolecular networks combine stable covalent backboneswith reversible physical associations, allowing mechanical integrityand local molecular mobility to be regulated at different structurallevels. Dynamic covalent networks, including vitrimers and other covalentadaptable networks, introduce exchangeable covalent bonds that enabletopology rearrangement, reshaping, repair, and reprocessing whilemaintaining network connectivity. The central design problem is thereforeto make network dynamics conditional: active enough to dissipate energyand enable reconstruction, but restrained enough to preserve integrityduring service. Our recent work addresses this question through hierarchicalenergy-dissipating networks (HEDNs). In HEDNs, supramolecular interactionsand covalent linkages are not simply combined; they are assigned differentmechanical roles and activated at different stages of deformationor processing. Under deformation, weaker interactions dissociate firstto dissipate energy, while stronger interactions and covalent frameworkspreserve network integrity. During healing, reprocessing, or upcycling,reversible interactions provide the mobility and adaptability neededfor network reconstruction and component integration. Thus, hierarchicalenergy dissipation serves not only as a toughening mechanism, butalso as a molecular strategy for coordinating mechanical robustness,structural stability, and sustainable reuse.</p><p>This Account highlightsthree roles of this strategy in our studiesof supramolecular elastomers and ionogels. In thermoplastic elastomers,staged supramolecular dissociation allows stress to be dissipatedwithout destroying the load-bearing framework, leading to exceptionalstrength and toughness. In chemically cross-linked elastomers, covalentframeworks and reversible motifs divide the roles of stability andreconfiguration, enabling thermoset-like robustness together withthermal healing and reprocessing. In postservice materials, preinstalledinteraction sites further allow discarded elastomers or ionogels toaccommodate ionic liquids, carbon nanotubes, and other functionalcomponents, turning recycling into f
弹性体材料用于其他聚合物材料无法使用的地方:必须反复变形、快速恢复并在机械或环境应力下继续承受载荷的部件。然而,赋予弹性材料高性能的分子特性往往不利于可持续性。使弹性体材料在使用中可靠的相互作用往往使其难以修复或回收。削弱网络可以提高流动性,但通常会破坏弹性材料所期望提供的机械完整性。对超分子弹性体的早期研究表明,可逆氢键、离子结合、金属配体配位和其他非共价基序可以赋予材料热可逆性、自愈能力和应力松弛行为。共价-超分子网络结合了稳定的共价骨干和可逆的物理关联,允许在不同的结构水平上调节机械完整性和局部分子迁移率。动态共价网络,包括玻璃体和其他共价自适应网络,引入了可交换的共价键,使拓扑重排、重塑、修复和再处理成为可能,同时保持网络连通性。因此,核心设计问题是使网络动力学有条件:足够活跃以耗散能量并使重建成为可能,但足够克制以在服务期间保持完整性。我们最近的工作通过分层能量耗散网络(hedn)解决了这个问题。在hedn中,超分子相互作用和共价键不是简单地结合在一起的;它们被赋予不同的机械作用,并在变形或加工的不同阶段被激活。在变形作用下,较弱的相互作用首先解离耗散能量,而较强的相互作用和共价框架则保持网络的完整性。在修复、再处理或升级循环过程中,可逆交互提供了网络重构和组件集成所需的移动性和适应性。因此,分层能量耗散不仅是一种增韧机制,也是一种协调机械鲁棒性、结构稳定性和可持续再利用的分子策略。本文强调了这一策略在我们的超分子弹性体和离子凝胶研究中的三个作用。在热塑性弹性体中,分阶段的超分子解离可以在不破坏承重框架的情况下消散应力,从而获得卓越的强度和韧性。在化学交联弹性体中,共价框架和可逆基序区分了稳定性和重构的作用,从而实现了热固性的坚固性以及热愈合和再加工。在服务后材料中,预先安装的相互作用位点进一步允许废弃的弹性体或离子凝胶容纳离子液体、碳纳米管和其他功能组件,将回收转化为功能性升级回收。总之,这些研究确立了hedn作为坚韧、稳定、可再处理和可升级回收的弹性体材料的设计原则。
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引用次数: 0
Synthetic Framework Evolution: A Scaffold-Centric Perspective on Iterative Chemical Space Expansion 合成框架演化:以框架为中心的迭代化学空间展开视角
IF 18 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2026-09-01 Epub Date: 2026-07-23 DOI: 10.1021/acs.accounts.6c00382
Kalliopi Mazaraki, George Karageorgis, Alexandros L. Zografos
<p>The efficient exploration of natural product-likechemical spaceremains a central challenge in synthetic chemistry and chemical biology.Despite major advances, many synthetic strategies remain organizedaround individual targets or predefined compound collections, whichcan limit the continuity and cumulative expansion of chemical spaceexploration across successive synthetic campaigns. Developing approachesthat enable sustained, scalable, and unbiased expansion of biologicallyrelevant molecular diversity is therefore a key objective for modernsynthesis.</p><p>Here, we formalize Synthetic Framework Evolution(SFE) as a scaffold-centricconceptual framework that organizes synthetic planning in terms ofpersistence, connectivity, and growth. Building upon emerging conceptsin bioinspired chemical divergence and scaffold evolution, SFE directsretrosynthetic analysis toward the identification of information-richintermediates that function as reusable nodes within an evolving syntheticnetwork. Rather than converging on isolated end points, synthesisis organized around persistent scaffolds that enable iterative divergenceand cumulative expansion of interconnected molecular architectures.</p><p>We demonstrate the implementation of SFE in sesquiterpenoid synthesis,a natural product family whose biosynthetic diversity provides anideal platform for framework-based design. Central to this approachis the hierarchical organization of conformationally flexible, low-oxidation-statescaffolds that encode latent reactivity and stereochemical information.These intermediates enable access to multiple carbocyclic frameworksthrough controlled rearrangements, cyclizations, and functional groupinterconversions, allowing structurally distinct natural product familiesto emerge from unified and continuously expandable synthetic pathways.</p><p>Beyond scaffold-level divergence, SFE incorporates oxidative transformationsas a second, amplifying dimension of chemical space generation. Inthis context, oxidation is not treated as a terminal functionalizationstep, but as a generative process that unlocks new topologies throughrearrangements, cascade reactions, and bond reorganization, closelyreflecting biosynthetic oxidative phases. In this sense, SFE placesoxidative diversification alongside scaffold rearrangement as a complementaryand generative driver of chemical space expansion. The integrationof these two layers, scaffold persistence and oxidative amplification,enables the efficient construction of structurally complex and denselyconnected regions of chemical space from a limited set of intermediates.</p><p>Cheminformatic analysis reveals that SFE-derived compounds occupybroad and biologically relevant regions of chemical space, exhibitinghigh natural product-likeness, shape diversity, and molecular complexityrelative to their size. In contrast to established paradigms suchas BIOS, DOS, and CtD, which often focus on the generation of discretecollections or predefined diversificat
对天然产物类化学空间的有效探索仍然是合成化学和化学生物学的核心挑战。尽管取得了重大进展,但许多合成策略仍然围绕单个目标或预定义的化合物集合进行组织,这可能会限制连续合成活动中化学空间探索的连续性和累积扩展。因此,开发能够持续、可扩展和公正地扩展生物相关分子多样性的方法是现代合成的关键目标。在这里,我们将综合框架演化(SFE)形式化为一个以脚手架为中心的概念框架,该框架根据持久性、连接性和增长性组织综合规划。SFE以生物启发化学分化和支架进化的新兴概念为基础,指导逆向合成分析,以识别信息丰富的中间体,这些中间体在不断发展的合成网络中充当可重复使用的节点。合成不是集中在孤立的端点上,而是围绕持久的支架进行组织,从而实现相互连接的分子结构的迭代发散和累积扩展。我们展示了SFE在倍半萜类化合物合成中的实现,倍半萜类化合物是一种天然产物族,其生物合成多样性为基于框架的设计提供了理想的平台。这种方法的核心是构象灵活、低氧化状态的支架的分层组织,这些支架编码潜在的反应性和立体化学信息。这些中间体可以通过可控的重排、环化和官能团相互转换获得多个碳环框架,从而使结构不同的天然产物族从统一的、可持续扩展的合成途径中产生。除了支架水平的分化,SFE还将氧化转化作为化学空间生成的第二个放大维度。在这种情况下,氧化不被视为一个终端功能化步骤,而是作为一个生成过程,通过重排、级联反应和键重组来解锁新的拓扑结构,密切反映生物合成氧化相。从这个意义上说,SFE将氧化多样化与支架重排一起作为化学空间扩张的互补和生成驱动因素。支架持久性和氧化扩增这两层的结合,使得从有限的中间体中高效地构建结构复杂且紧密连接的化学空间区域成为可能。化学信息学分析表明,sfe衍生化合物占据了广泛的生物相关化学空间区域,具有较高的天然产物相似性、形状多样性和相对于其大小的分子复杂性。与诸如BIOS、DOS和CtD等已建立的范例相反,这些范例通常侧重于离散集合的生成或预定义的多样化活动,SFE强调统一合成框架的累积扩展,使多样性作为系统进化的功能而不是目标枚举而出现。通过将合成的重点从分子生产转移到框架进化,SFE在合成化学和生物合成组织之间建立了一座概念桥梁。这一观点为化学空间探索提供了一种更加动态和可扩展的方法,并为发现新的分子结构和功能提供了一个总体框架。
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引用次数: 0
Continuous-Flow Electrosynthesis beyond Scaleup 超过放大的连续流电合成
IF 18 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2026-09-01 Epub Date: 2026-08-14 DOI: 10.1021/acs.accounts.6c00485
Tian-Sheng Chen, Hao Long, Hai-Chao Xu

Organic electrosynthesis hasemerged as a powerfulplatform forsustainable molecular synthesis, while continuous-flow electrochemistryis often viewed primarily as a technology for process intensificationand scaleup. In our studies, however, we have found that the significanceof continuous-flow electrochemistry extends far beyond improved productivity.The unique reaction environments created by single-pass flow electrolysis─includingshort residence times, spatially evolving electrochemical conditions,efficient mass transfer, and distinctive electrode interfacial microenvironments─canfundamentally alter reaction outcomes and facilitate transformationsthat are difficult to achieve in conventional batch reactors.

In this Account, we summarize our efforts in developing continuous-flowelectrosynthesis as a synthetic platform for challenging oxidativemolecular transformations. We first show how single-pass flow electrolysissuppresses undesired secondary electrode reactions, enabling selectiveoxidative cyclizations, C–H oxygenation, and C–H aminationreactions. We then discuss how continuous-flow electrolysis expandsthe accessible reactivity space of electro-oxidation by promotingproductive utilization of highly reactive intermediates, exemplifiedby sulfur-centered radical chemistry and phosphorus radical cationchemistry. Particular emphasis is placed on electrochemical microenvironmentengineering, where local ion distributions and acid–base propertieswithin the electric double layer can be exploited to control reactivity.We further demonstrate how these concepts culminate in electro-oxidativeasymmetric catalysis, where continuous-flow electrolysis providesan expanded operational window for simultaneously optimizing electrochemicaland stereochemical parameters.

Finally, we describe the translationof these transformations fromlaboratory-scale reactions to continuous production through reactornumber-up and process integration. We anticipate that the next phaseof development in flow electrosynthesis will be driven as much byadvances in reactor engineering as by advances in synthetic methodology,ultimately enabling increasingly sophisticated continuous and electrifiedmanufacturing platforms.

有机电合成已经成为可持续分子合成的一个强大平台,而连续流电化学通常主要被视为一种工艺强化和规模化的技术。然而,在我们的研究中,我们发现连续流电化学的意义远远超出了提高生产率。单道流电解创造的独特反应环境──包括短暂的停留时间、空间变化的电化学条件、高效的传质和独特的电极界面微环境──可以从根本上改变反应结果,促进传统间歇式反应器难以实现的转化。在这篇文章中,我们总结了我们在开发连续流电合成作为挑战氧化分子转化的合成平台方面所做的努力。我们首先展示了单道流电解如何抑制不需要的二次电极反应,从而实现选择性氧化环化,C-H氧化和C-H胺化反应。然后,我们讨论了连续流电解如何通过促进高活性中间体的生产利用来扩大电氧化的可达反应性空间,例如硫中心自由基化学和磷自由基阳离子化学。特别强调的是电化学微环境工程,其中局部离子分布和酸碱性质的电双层可以利用来控制反应性。我们进一步展示了这些概念如何在电氧化不对称催化中达到高潮,其中连续流电解为同时优化电化学和立体化学参数提供了扩展的操作窗口。最后,我们描述了通过反应器编号和工艺集成将这些从实验室规模反应转化为连续生产的过程。我们预计流动电合成的下一阶段发展将受到反应器工程进步和合成方法进步的推动,最终实现越来越复杂的连续和电气化制造平台。
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引用次数: 0
Detectability of feeding arteries using automated feeding artery detection software based on computed tomography arteriography in transarterial embolisation. 基于CT动脉造影的自动供血动脉检测软件在经动脉栓塞中的可检出性。
IF 18 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2026-09-01 Epub Date: 2022-05-25 DOI: 10.11622/smedj.2022060
Takatoshi Kubo, Yasuaki Arai, Miyuki Sone, Takatsugu Magara, Shunsuke Sugawara, Masahiko Kusumoto, Osamu Abe
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引用次数: 0
Oxidative Flow Electrochemistry: A Platform for Generating Reactive Intermediates and Reaction Control 氧化流电化学:生成反应中间体和反应控制的平台
IF 18 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2026-09-01 Epub Date: 2026-08-18 DOI: 10.1021/acs.accounts.6c00413
Sagar Arepally, Tribani Boruah, Rebecca L. Melen, Thomas Wirth

Oxidative electrochemistry providesdirect access to highly reactiveintermediates under mild and sustainable conditions, yet controllingreactivity remains a central challenge in synthesis. In batch electrochemicalsystems, short-lived radicals, electrophilic oxidants, and cationicintermediates often undergo overoxidation, decomposition, or competingside reactions because of inefficient mass transfer and poor thermalcontrol. Continuous-flow electrochemistry addresses many of theselimitations by enabling rapid intermediate generation, efficient masstransport, precise residence-time control, and intensified reactionenvironments. In this Account, we describe how oxidative flow electrochemistrycan serve as a platform for controlling reactive intermediates throughselective generation and interception under continuous-flow conditions.Emphasis is placed on oxygen-centered radicals and reactive oxygenspecies, selenium electrophiles and radicals, electrophilic halogenand hypervalent iodine intermediates, heteroatom-centered oxidativecoupling processes, and stereoselective electrochemical transformationsthrough memory of chirality. Across these studies, a common principleemerges in which reaction selectivity is governed not only by thenature of the intermediate itself, but also by how fast and preciselyit is generated, transported, and trapped within the flow reactor.Mechanistic investigations, automation strategies, online analysis,and scalable electrochemical platforms further demonstrate how flowelectrochemistry enables a transition from empirical oxidative synthesistoward controllable and predictable reactive intermediate chemistry.Collectively, these studies establish oxidative flow electrochemistryas a versatile platform for reaction control and highlight its futurepotential in sustainable synthesis, asymmetric electrosynthesis, andautomated reaction development.

氧化电化学可以在温和和可持续的条件下直接获得高活性中间体,但控制反应性仍然是合成的核心挑战。在间歇电化学系统中,由于传质效率低和热控制差,短寿命自由基、亲电氧化剂和阳离子中间体经常发生过氧化、分解或竞争性副反应。连续流电化学通过实现快速中间体生成、高效的质量传输、精确的停留时间控制和强化的反应环境,解决了许多这些限制。在这篇文章中,我们描述了氧化流动电化学如何作为一个平台,通过在连续流动条件下选择性生成和拦截来控制反应性中间体。重点是氧中心自由基和活性氧,硒亲电试剂和自由基,亲电卤素和高价碘中间体,杂原子中心氧化偶联过程,以及通过手性记忆的立体选择性电化学转化。在这些研究中,出现了一个共同的原则,即反应选择性不仅取决于中间体本身的性质,还取决于它在流动反应器中产生、输送和捕获的速度和精确程度。机械研究、自动化策略、在线分析和可扩展的电化学平台进一步证明了流动电化学如何使从经验氧化合成向可控和可预测的反应性中间化学过渡。总的来说,这些研究建立了氧化流电化学作为反应控制的通用平台,并突出了其在可持续合成,不对称电合成和自动化反应发展方面的未来潜力。
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引用次数: 0
SARS-CoV-2 Papain-Like Protease: Drug Design, Assay Development, and Drug Resistance SARS-CoV-2木瓜蛋白酶:药物设计、检测开发和耐药性
IF 18 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2026-09-01 Epub Date: 2026-08-18 DOI: 10.1021/acs.accounts.6c00361
Jun Wang, Kan Li, Bin Tan
<p>SARS-CoV-2 papain-like protease(PL<sup>pro</sup>) is a compellingbut historically underdeveloped antiviral target. Unlike the viralmain protease (M<sup>pro</sup>), which rapidly became the focus ofintensive drug-discovery efforts and yielded clinical candidates andapproved drugs, PL<sup>pro</sup> posed a more challenging medicinalchemistry problem: a shallow, flexible substrate-recognition surfaceand a mobile BL2 loop. Nevertheless, PL<sup>pro</sup> is a high-profiledrug target because it is vital for viral replication by processingviral polyproteins and suppresses host innate immunity through deubiquitinatingand deISGylating activities. These dual functions make PL<sup>pro</sup> more than a viral protease; it is a multifunctional immune-evasionenzyme whose inhibition could both block virus replication and restoreantiviral host responses.</p><p>This Account summarizes our group’seffort to convert PL<sup>pro</sup> from a challenging target intoa tractable antiviral drug-discoveryplatform. We began by developing and applying orthogonal assays toidentify specific PL<sup>pro</sup> inhibitors and triage false positives.High-throughput screening and drug-repurposing campaigns yielded earlyhits, including <strong>Jun9722</strong>, <strong>Jun9754</strong>, and tropifexor,but also revealed that biochemical inhibition alone was insufficientto predict cellular antiviral activity. This motivated us to developa FlipGFP cell-based reporter assay as a BSL-2-compatible bridge betweenenzymology and live-virus studies. In addition, we later developeda fluorescence polarization assay using a fluorescein-labeled PL<sup>pro</sup> ligand to enable direct, high-throughput quantificationof inhibitor binding. Together with FRET enzymatic assays, thermalshift experiments, cellular FlipGFP assays, and antiviral assays,these tools established a rigorous validation framework for PL<sup>pro</sup> medicinal chemistry.</p><p>With this platform in place,we pursued structure-based PL<sup>pro</sup> inhibitor design. Earlycocrystal structures showed thatpotent noncovalent inhibitors engage the BL2 groove and stabilizeinhibitor-bound PL<sup>pro</sup> conformations. A major conceptualadvance came from structural analysis of the <strong>Jun11313</strong>-bound PL<sup>pro</sup> complex, which revealed that an inhibitorsubstituent occupied a hydrophobic surface pocket corresponding tothe Val70 position of ubiquitin. We designated this newly recognizedregion the Val70<sup>Ub</sup> pocket. Exploiting this pocket transformedPL<sup>pro</sup> inhibitor design by expanding ligand engagement beyondthe canonical BL2 groove and enabling substantial gains in enzymaticinhibition and antiviral activity.</p><p>This design principle ledto orally active noncovalent inhibitors,including <strong>Jun12682</strong> and the quinoline lead <strong>Jun13296</strong>, both of which showed potent enzymatic inhibition, cellular antiviralactivity, favorable mouse pharmacokinetics, and protection in SARS-CoV-
SARS-CoV-2木瓜蛋白酶(PLpro)是一个引人注目但历史上不发达的抗病毒靶点。与病毒主蛋白酶(Mpro)不同,病毒主蛋白酶(Mpro)迅速成为密集药物发现工作的焦点,并产生了临床候选药物和批准的药物,PLpro提出了一个更具挑战性的药物化学问题:一个浅的、灵活的底物识别表面和一个移动的BL2环。然而,PLpro是一个备受瞩目的药物靶点,因为它通过加工病毒多蛋白对病毒复制至关重要,并通过去泛素化和去isgylation活性抑制宿主先天免疫。这些双重功能使PLpro不仅仅是一种病毒蛋白酶;它是一种多功能的免疫逃避酶,抑制它既可以阻断病毒复制,又可以恢复宿主的抗病毒反应。本账户总结了我们团队将PLpro从一个具有挑战性的目标转变为一个易于处理的抗病毒药物发现平台的努力。我们开始开发和应用正交试验来识别特定的PLpro抑制剂和分类假阳性。高通量筛选和药物重新利用运动获得了早期成功,包括Jun9722、Jun9754和tropifexor,但也表明仅靠生化抑制不足以预测细胞抗病毒活性。这促使我们开发一种基于FlipGFP细胞的报告细胞试验,作为酶学和活病毒研究之间的bsl -2兼容的桥梁。此外,我们后来开发了一种使用荧光素标记的PLpro配体的荧光偏振分析,以实现抑制剂结合的直接、高通量定量。与FRET酶分析、热移实验、细胞FlipGFP分析和抗病毒分析一起,这些工具为PLpro药物化学建立了严格的验证框架。有了这个平台,我们开始进行基于结构的PLpro抑制剂设计。早期共晶结构表明,有效的非共价抑制剂参与BL2凹槽并稳定抑制剂结合的PLpro构象。一个主要的概念进展来自于jun11313结合的PLpro复合物的结构分析,揭示了一个抑制剂取代基占据了一个疏水表面口袋,对应于泛素的Val70位置。我们将这个新发现的区域命名为Val70Ub口袋。利用这种口袋改造了PLpro抑制剂的设计,将配体的结合范围扩大到典型的BL2凹槽之外,并在酶抑制和抗病毒活性方面取得了实质性的进展。这一设计原则导致了口服活性非共价抑制剂,包括Jun12682和喹啉先导Jun13296,这两种抑制剂都显示出有效的酶促抑制、细胞抗病毒活性、良好的小鼠药代动力学和在SARS-CoV-2小鼠感染模型中的保护作用。我们进一步将以Val70Ub为中心的识别策略扩展到共价抑制剂设计中,通过将半胱氨酸反应性弹头(共价亲电试剂)附加到优化的非共价支架上,从而生成在与催化Cys111结合的同时保留BL2凹槽和Val70Ub结合的化合物。最后,耐药研究确定E167、Y268和Q269为耐药热点,强调需要设计涉及较少突变敏感结合位点的抑制剂。总体而言,本报告说明了综合分析发展、结构生物学、药物化学、药理学、病毒学和耐药性分析如何将具有挑战性的病毒去泛素酶转化为可信的抗病毒靶标。PLpro的经验教训应该为未来设计广谱冠状病毒PLpro抑制剂以及针对其他具有浅柔性结合表面的病毒蛋白酶-去泛素酶的努力提供信息。
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引用次数: 0
Targeting Fibroblast Activation Protein for Precision Medicine 靶向成纤维细胞活化蛋白用于精准医学
IF 18 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2026-08-18 Epub Date: 2026-08-04 DOI: 10.1021/acs.accounts.6c00139
Jie Liu, Xinzhi Zhao, Peifei Liu, Jinming Yu, Xiaoyuan Chen, Jingjing Zhang
<p>The advancement of precisionmedicine dependscritically on well-definedmolecular targets. Pathologically activated fibroblasts drive diseaseprogression in cancer, fibrosis and chronic inflammation through sustainedinflammation, extracellular matrix remodeling and pathological microenvironmentformation. Among available markers, fibroblast activation protein(FAP) stands out due to its selective overexpression in diseased tissuesversus minimal expression in healthy organs. This unique profile makesFAP a promising target for molecular imaging and targeted therapy,enabling precision theranostics across both oncological and nononcologicaldiseases.</p><p>FAP-targeted theranostics originated from the leadcompound PT-100,which established the core pharmacophore. Subsequent key advance wasthe replacement of the boronic acid warhead with a cyano group, alongwith the introduction of fluorine and quinoline moieties, yieldingthe UAMC-1110 scaffold. This scaffold exhibits improved bioactivityand favorable pharmacokinetics. Systematic modification of the quinolineside chain and conjugation with chelators have allowed efficient radiolabeling,positioning radiolabeled FAP inhibitors as promising tools for precisiontheranostics. However, continued optimization of UAMC-1110-derivedprobes to enhance their stability, affinity, tumor retention, andcellular uptake, together with integration into advanced strategiessuch as nanomedicine, remains essential not only for refining FAP-targetedprecision medicine but also for expanding its applications beyondoncology to nononcological diseases.</p><p>Unlike previous reviews,this Account organizes the field arounda unified chemical design language, following a “rational design-pharmacokinetics-translationalvalidation” paradigm. After delineating the core biologicalfunctions of FAP-expressing fibroblasts in disease pathogenesis, wesystematically examine the rapid advancement of radionuclide-labeledFAPIs, including optimization of linkers, chelators, and albumin-bindingmoieties, along with multimerization strategies, which significantlyenhanced the pharmacokinetic profiles. Key innovations in the fieldinclude three strategic approaches. First, the albumin-binding therapeuticagent [<sup>177</sup>Lu]Lu-EB-FAPI achieves prolonged tumor retentionand promising efficacy. Second, multimerization strategies have yieldedbivalent and tetrameric FAPI constructs, which exhibit superior tumoraccumulation. Third, heterodimeric probes such as [<sup>68</sup>Ga]Ga-FAPI-RGDand [<sup>68</sup>Ga]Ga-FAPI-LM3 enable dual targeting of FAP alongwith integrin αvβ3 or somatostatin receptor SSTR2, therebyaddressing tumor heterogeneity and enhancing lesion detectability.Subsequently, the application scope of FAPI-based imaging has beenexpanded from oncology to nononcological diseases. The value of thistechnique in visualizing dynamic remodeling processes across key pathologicconditions has been established, offering quantitative assessmentbeyond the reach o
精准医学的进步主要依赖于明确的分子靶标。病理活化的成纤维细胞通过持续炎症、细胞外基质重塑和病理微环境形成,驱动癌症、纤维化和慢性炎症的疾病进展。在可用的标记物中,成纤维细胞激活蛋白(FAP)因其在病变组织中的选择性过表达而在健康器官中的低表达而脱颖而出。这种独特的特征使FAP成为分子成像和靶向治疗的一个有希望的靶标,使肿瘤和非肿瘤疾病的精确治疗成为可能。fap靶向治疗起源于先导化合物PT-100,它建立了核心药效团。随后的关键进展是用氰基取代硼酸战斗部,同时引入氟和喹啉部分,产生UAMC-1110支架。该支架具有更好的生物活性和良好的药代动力学。喹啉侧链的系统修饰和与螯合剂的结合使得有效的放射性标记成为可能,使放射性标记的FAP抑制剂成为精确治疗的有前途的工具。然而,继续优化uamc -1110衍生探针以增强其稳定性、亲和力、肿瘤保留和细胞摄取,并将其整合到纳米医学等先进策略中,不仅对于完善靶向fap的精准医学,而且对于将其应用范围从肿瘤扩展到非肿瘤疾病仍然至关重要。与以前的评论不同,本报告围绕统一的化学设计语言组织该领域,遵循“合理设计-药代动力学-翻译验证”范式。在描述了表达fap的成纤维细胞在疾病发病机制中的核心生物学功能后,我们系统地研究了放射性核素标记的fapi的快速发展,包括连接物、螯合剂和白蛋白结合部分的优化,以及多聚策略,这些都显著增强了药代动力学特征。该领域的关键创新包括三种战略方法。首先,白蛋白结合治疗剂[177Lu]Lu-EB-FAPI实现了长时间的肿瘤保留和良好的疗效。其次,多聚策略产生了二价和四聚体的FAPI结构,它们具有优越的肿瘤蓄积性。第三,异二聚体探针如[68Ga]Ga-FAPI-RGD和[68Ga]Ga-FAPI-LM3能够与整合素αvβ3或生长抑素受体SSTR2双重靶向FAP,从而解决肿瘤的异质性,提高病变的可检出性。随后,基于fapi的成像应用范围从肿瘤扩展到非肿瘤疾病。这项技术在可视化关键病理条件下的动态重塑过程中的价值已经确立,提供了超出标准模式范围的定量评估。此外,我们回顾了各种FAP靶向治疗策略的最新进展,包括纳米材料、CAR-T细胞和疫苗,并对FAP作为跨疾病精确治疗平台的潜力和当前挑战提供了前瞻性的观点。
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引用次数: 0
Self-Driving Scanning Probe Microscopy: From Acceleration to Discovery and Manipulation 自动驾驶扫描探针显微镜:从加速到发现和操作。
IF 18 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2026-08-18 Epub Date: 2026-07-14 DOI: 10.1021/acs.accounts.6c00273
Ganesh Narasimha, Ralph Bulanadi, Jawad Chowdhury, Rama Vasudevan, Yongtao Liu

Scanning probe microscopy offers a powerful suite of techniquesfor investigating meso-, micro- and nanoscale phenomena ─ enablingthe exploration of advanced materials, heterostructures, quantum materials,as well as providing insight into surface energetics and reactions.Additional spectroscopic capabilities combined with multimodal imagingallow for spatially resolved characterization of functional materialproperties. Despite its central role, microscopy is still predominantlyconducted through a sequential, operator-driven workflow in whichdata acquisition, interpretation, and subsequent experimental decisionsoccur in discrete steps. This approach not only reduces experimentalthroughput but also limits the effective utilization of increasinglycomplex multimodal data sets, where critical information may remainunrecognized across real-time data streams.

Recent advancesin artificial intelligence (AI) and machine learning(ML) have enabled the concept of self-driving laboratories (SDL) whichpromise to accelerate scientific research by closing the loop betweendata acquisition, analysis, and experimental control. Within thisbroader paradigm, self-driving microscopy (SDM) has emerged as a powerfulapproach to overcome the limitations of traditional, operator-drivenmicroscopy workflows. In this Account, we discuss the evolution ofSDM from automated experimental platforms to fully autonomous systemscapable of adaptive, decision-driven operation. We highlight its implementationfor real-time data processing and optimization, feature identification,and strategies to efficiently explore across multidimensional parameterspaces. Advanced optimization strategies, including Bayesian optimizationand reinforcement learning, allow SDM systems to iteratively refineexperimental parameters based on prior observations, prioritizingmeasurements that maximize information gain. This adaptive approachreduces the total number of experiments required while improving theefficiency of exploration.

Collectively, we showcase how SDMaccelerates microscopy throughAI/ML integration, enables real-time analysis from high-dimensionaldata acquisition, while simultaneously guiding the experiments towarddiscovery. In addition to characterization, the autonomous workflowsallow for active material manipulation to create nanoscale artificialstructures on demand. We highlight that formalizing experimental strategiesinto algorithmic workflows enhances integration and scalability acrossinstruments and laboratories. These advances position SDM as a broadlyapplicable paradigm at the forefront of next-generation experimentalscience.

contspectusscanning探针显微镜提供了一套强大的技术,用于研究中、微和纳米级现象──使探索先进材料、异质结构、量子材料,以及提供对表面能量学和反应的洞察。额外的光谱功能与多模态成像相结合,可以对功能材料特性进行空间分辨表征。尽管它的核心作用,显微镜仍然主要是通过一个连续的,操作员驱动的工作流程,其中数据采集,解释,随后的实验决策发生在离散的步骤。这种方法不仅降低了实验吞吐量,而且限制了对日益复杂的多模态数据集的有效利用,其中关键信息可能在实时数据流中仍然无法识别。人工智能(AI)和机器学习(ML)的最新进展使自动驾驶实验室(SDL)的概念成为可能,它有望通过关闭数据采集、分析和实验控制之间的循环来加速科学研究。在这个更广泛的范例中,自动驾驶显微镜(SDM)已经成为克服传统操作员驱动的显微镜工作流程限制的强大方法。在本文中,我们讨论了SDM从自动化实验平台到能够自适应、决策驱动操作的完全自主系统的演变。我们强调了它在实时数据处理和优化、特征识别以及跨多维参数空间有效探索的策略方面的实现。先进的优化策略,包括贝叶斯优化和强化学习,允许SDM系统根据先前的观察迭代地优化实验参数,优先考虑最大化信息增益的测量。这种自适应方法减少了所需实验的总数,同时提高了探索的效率。总的来说,我们展示了SDM如何通过AI/ML集成加速显微镜,实现高维数据采集的实时分析,同时指导实验走向发现。除了表征外,自主工作流程还允许对活性材料进行操作,以按需创建纳米级人工结构。我们强调,将实验策略形式化到算法工作流程中可以增强仪器和实验室之间的集成和可扩展性。这些进展将SDM定位为下一代实验科学前沿的广泛适用范例。
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Accounts of Chemical Research
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