Internal biliary diversion using appendix during liver transplantation for progressive familial intrahepatic cholestasis type 1:A case report

BACKGROUND Progressive familial intrahepatic cholestasis type 1(PFIC-1)is a genetic cholestatic disease causing end-stage liver disease,which needs liver transplantation(LT).Simultaneous biliary diversion(BD)was recommended to prevent allograft steatosis after transplantation,while increasing the risk of infection.Here,an attempt was made to perform BD using appendix to prevent bacterial translocation after LT.CASE SUMMARY An 11-month-old boy diagnosed with PFIC-1 received ABO compatible living donor LT due to refractory jaundice and pruritus.His mother donated her left lateral segment with a graft-to-recipient weight ratio of 2.9%.Internal BD was constructed during LT using the appendix by connecting its proximal end with the intrahepatic biliary duct and the distal end with colon.Biliary leakage was suspected on the 5th day after transplantation and exploratory laparotomy indicated biliary leakage at the cutting surface of liver.The liver function returned to normal on the 9th day post-operation and maintained normal during the 15-month follow-up.Cholangiography at 10 months after transplantation confirmed the direct secretion of bile into colon.Computerized tomography scan(4 months and 10 months)and liver biopsy(10 months)indicated no steatosis in the allograft.No complaint of recurrent diarrhea,infection or growth retardation was reported during follow-up.CONCLUSION Internal BD using appendix during LT is effective in preventing allograft steatosis and post-transplant infection in PFIC-1 recipients.

Quality Standard for Euonymi Grandiflorus Caulis and Folium

[Objectives]To establish the quality standard for Euonymi Grandiflorus Caulis and Folium.[Methods]Qualitative identification was performed by methods of origin identification,microscopic identification and thin layer chromatography(TLC);the moisture,total ash,acid-insoluble ash,and extract were detected using the method in the Chinese Pharmacopoeia(2020 Edition),and the contents of quercetin and kaempferol were determined by High Performance Liquid Chromatography(HPLC).[Results]The leaves of Euonymi Grandiflorus were subleathery,narrow and long elliptic or narrow obovate with cyme,and capsules were often with narrow wing ridge.Characteristics of microscopic identification were significant.Calcium oxalate cluster crystals,cubic crystals,inlaid parenchyma cells,starch granules,stomata,and fiber bundles could be observed.A TLC method for identification of Euonymi Grandiflorus Caulis and Folium was established.The contents of water,total ash,acid-insoluble ash were not higher than 13%,9%,12%,respectively;the extract were no less were not higher than 13%,9%,12%and 17%in ten batches of samples,respectively;the sum of quercetin and kaempferol were no less than 0.20%.[Conclusions]The quality standard of Euonymi Grandiflorus Caulis and Folium were established through the research.This method is accurate,specific,and reproducible and can be used for the quality control of Euonymi Grandiflorus Caulis and Folium.

孕早期增塑剂DEHP亚急性暴露影响蜕膜反应并增加流产风险

目的:探究邻苯二甲酸酯类增塑剂邻苯二甲酸二(2-乙基)己酯(DEHP)亚急性暴露对小鼠子宫内膜蜕膜反应和流产风险的影响。方法:分别选取300、1000、3000 mg·kg^(-1)·d^(-1)三个浓度梯度的DEHP对CD1小鼠进行经口亚急性暴露28 d。建立DEHP亚急性暴露小鼠早期自然妊娠模型和人工诱导假孕小鼠蜕膜反应模型,分别取自然妊娠第7天子宫组织和人工诱导蜕膜反应小鼠妊娠第8天诱导侧子宫组织,通过苏木精-伊红染色(HE染色)、Masson染色、TUNEL检测、蛋白质印迹法检测DEHP亚急性暴露对小鼠蜕膜反应的影响。构建300 mg·kg^(-1)·d^(-1) DEHP亚急性暴露小鼠自然流产模型,观察妊娠第10天的妊娠结局,探究蜕膜反应受损对小鼠妊娠的影响。结果:与空白对照组比较,DEHP大剂量组受孕率显著性降低(P<0.05);HE染色显示DEHP小剂量组和中剂量组蜕膜基质细胞排列杂乱、细胞核形态不规则、胞浆染色不均、多核细胞数显著降低;Masson染色显示DEHP小剂量组和中剂量组蜕膜组织的胶原纤维分布更多、数量增多、排列杂乱;TUNEL检测显示暴露组蜕膜组织细胞凋亡增加;蛋白质印迹法检测显示暴露组子宫内膜蜕膜反应标志分子BMP2蛋白表达水平显著降低(P<0.05或P<0.01);在米非司酮流产刺激下DEHP小剂量组小鼠流产率、胚胎吸收率显著升高,胚胎数、子宫湿重、子宫面积、胎盘湿重显著减少(P<0.05或P<0.01)。结论:DEHP亚急性暴露导致小鼠子宫内膜蜕膜反应受损加重小鼠妊娠流产风险。

Teneligliptin mitigates diabetic cardiomyopathy by inhibiting activation of the NLRP3 inflammasome

BACKGROUND Diabetic cardiomyopathy(DCM),which is a complication of diabetes,poses a great threat to public health.Recent studies have confirmed the role of NLRP3(NOD-like receptor protein 3)activation in DCM development through the inflammatory response.Teneligliptin is an oral hypoglycemic dipeptidyl peptidase-IV inhibitor used to treat diabetes.Teneligliptin has recently been reported to have anti-inflammatory and protective effects on myocardial cells.AIM To examine the therapeutic effects of teneligliptin on DCM in diabetic mice.METHODS Streptozotocin was administered to induce diabetes in mice,followed by treatment with 30 mg/kg teneligliptin.RESULTS Marked increases in cardiomyocyte area and cardiac hypertrophy indicator heart weight/tibia length reductions in fractional shortening,ejection fraction,and heart rate;increases in creatine kinase-MB(CK-MB),aspartate transaminase(AST),and lactate dehydrogenase(LDH)levels;and upregulated NADPH oxidase 4 were observed in diabetic mice,all of which were significantly reversed by teneligliptin.Moreover,NLRP3 inflammasome activation and increased release of interleukin-1βin diabetic mice were inhibited by teneligliptin.Primary mouse cardiomyocytes were treated with high glucose(30 mmol/L)with or without teneligliptin(2.5 or 5μM)for 24 h.NLRP3 inflammasome activation.Increases in CKMB,AST,and LDH levels in glucose-stimulated cardiomyocytes were markedly inhibited by teneligliptin,and AMP(p-adenosine 5‘-monophosphate)-p-AMPK(activated protein kinase)levels were increased.Furthermore,the beneficial effects of teneligliptin on hyperglycaemia-induced cardiomyocytes were abolished by the AMPK signaling inhibitor compound C.CONCLUSION Overall,teneligliptin mitigated DCM by mitigating activation of the NLRP3 inflammasome.

Enabling an Inorganic-Rich Interface via Cationic Surfactant for High-Performance Lithium Metal Batteries

An anion-rich electric double layer(EDL)region is favorable for fabricating an inorganic-rich solid-electrolyte interphase(SEI)towards stable lithium metal anode in ester electrolyte.Herein,cetyltrimethylammonium bromide(CTAB),a cationic surfactant,is adopted to draw more anions into EDL by ionic interactions that shield the repelling force on anions during lithium plating.In situ electrochemical surface-enhanced Raman spectroscopy results combined with molecular dynamics simulations validate the enrichment of NO_(3)^(−)/FSI−anions in the EDL region due to the positively charged CTA^(+).In-depth analysis of SEI structure by X-ray photoelectron spectroscopy and time-of-flight secondary ion mass spectrometry results confirmed the formation of the inorganic-rich SEI,which helps improve the kinetics of Li^(+)transfer,lower the charge transfer activation energy,and homogenize Li deposition.As a result,the Li||Li symmetric cell in the designed electrolyte displays a prolongated cycling time from 500 to 1300 h compared to that in the blank electrolyte at 0.5 mA cm^(-2) with a capacity of 1 mAh cm^(-2).Moreover,Li||LiFePO_(4) and Li||LiCoO_(2) with a high cathode mass loading of>10 mg cm^(-2) can be stably cycled over 180 cycles.

开物成务:2024年诺贝尔化学奖“计算蛋白质设计与结构预测”

2024年的诺贝尔化学奖颁发给美国华盛顿大学的科学家David Baker,表彰他在“计算蛋白质设计”领域的杰出贡献;以及英国DeepMind公司的两位科学家Demis Hassabis和John M. Jumper,表彰他们在“蛋白质结构预测”领域的突破性成果。

Analysis of Bright Source Hardness Ratios in the 4 yr Insight-HXMT Galactic Plane Scanning Survey Catalog

We conduct a statistical analysis of the hardness ratio(HR)for bright sources in the 4 yr Galactic Plane Scanning Survey catalog of Insight-HXMT.Depending on the stable(variable)flux F_(s)(F_(v))or spectrum S_(s)(S_(v))of each source,the bright sources are classified into three groups:F_(v)&S_(v),F_(v)&S_(s),and F_(s)&_(s).Our study of the HR characteristics in different types of sources reveals that accretion-powered neutron star(NS)low-mass X-ray binaries(LMXBs)exhibit softer energy spectra than NS high-mass X-ray binaries(HMXBs),but harder energy spectra than black hole binaries in most cases.This difference is probably due to their different magnetic field strengths.Additionally,Fv&Sv LMXBs tend to be harder than Fv&Ss LMXBs below 7 keV,while the opposite is true for HMXBs.Our results suggest that LMXBs may dominate unclassified sources,and NS binaries are likely to be the primary type of X-ray binaries with ambiguous compact stars.By comparing the HR of transient sources in their outburst and low-flux states,it is found that the averaged HR of four sources in the two states are roughly comparable within uncertainties.We also investigate the spatial properties of the three groups and find that Fv&Sv sources are mainly located in the longitude of-20°<l<9°,Fv&Ss sources cross the Galactic Plane,and Fs&Ss sources are predominantly concentrated in 19°<l<42°.In addition,analyzing the HR spatial distributions shows the absorption of soft X-rays(primarily below 2 keV)in the Galactic Plane.

Smart chiral liquid crystal elastomers:Design,properties and application

Smart chiral liquid crystal elastomers are a class of soft photonic crystals with periodic nanostructures.There are two kinds of chiral liquid crystal elastomers with structural colors:cholesteric liquid crystal elastomers with a one-dimensional helical nanostructure and blue-phase liquid crystal elastomers with a three-dimensional photonic crystal nanostructure.The self-assembled nanostructure of chiral liquid crystal elastomers can be dynamically controlled under external stimulation,and the reflected color can be adjusted throughout the visible light range.Along with the development of innovative material systems and cutting-edge manufacturing technologies,researchers have proposed diverse strategies to design and synthesize chiral liquid crystal elastomers and have thoroughly investigated their properties and potential applications.Here,we provide a systematic review of the progress in the design and fabrication of smart chiral liquid crystal elastomers,focusing on the cholesteric liquid crystal elastomers via surface-enforced alignment,bar coating,3D printing,anisotropic deswelling methods as well as the three-dimensional selfassembly of blue-phase liquid crystal elastomers without additional alignment.Smart chiral liquid crystal elastomers are able to respond quickly to external stimuli and have a wide range of applications in areas such as adaptive optics,color-changing camouflage,soft robotics,and information encryption.This review concludes with a perspective on the opportunities and challenges for the future development of smart chiral liquid crystal elastomers.

Repurposing Loperamide as an Anti-Infection Drug for the Treatment of Intracellular Bacterial Pathogens

Infections caused by intracellular bacterial pathogens are difficult to treat since most antibiotics have low cell permeability and undergo rapid degradation within cells.The rapid development and dissemination of antimicrobial–resistant strains have exacerbated this dilemma.With the increasing knowledge of host–pathogen interactions,especially bacterial strategies for survival and proliferation within host cells,host-directed therapy(HDT)has attracted increased interest and has emerged as a promising antiinfection method for treating intracellular infection.Herein,we applied a cell-based screening approach to a US Food and Drug Administration(FDA)-approved drug library to identify compounds that can inhibit the intracellular replication of Salmonella Typhimurium(S.Typhimurium).This screening allowed us to identify the antidiarrheal agent loperamide(LPD)as a potent inhibitor of S.Typhimurium intracellular proliferation.LPD treatment of infected cells markedly promoted the host autophagic response and lysosomal activity.A mechanistic study revealed that the increase in host autophagy and elimination of intracellular bacteria were dependent on the high expression of glycoprotein nonmetastatic melanoma protein B(GPNMB)induced by LPD.In addition,LPD treatment effectively protected against S.Typhimurium infection in Galleria mellonella and mouse models.Thus,our study suggested that LPD may be useful for the treatment of diseases caused by intracellular bacterial pathogens.Moreover,LPD may serve as a promising lead compound for the development of anti-infection drugs based on the HDT strategy.

X-Ray Source Classification Using Machine Learning:A Study with EP-WXT Pathfinder LEIA

X-ray observations play a crucial role in time-domain astronomy.The Einstein Probe(EP),a recently launched X-ray astronomical satellite,emerges as a forefront player in the field of time-domain astronomy and high-energy astrophysics.With a focus on systematic surveys in the soft X-ray band,EP aims to discover high-energy transients and monitor variable sources in the universe.To achieve these objectives,a quick and reliable classification of observed sources is essential.In this study,we developed a machine learning classifier for autonomous source classification using data from the EP-WXT Pathfinder—Lobster Eye Imager for Astronomy(LEIA)and EP-WXT simulations.The proposed Random Forest classifier,built on selected features derived from light curves,energy spectra,and location information,achieves an accuracy of approximately 95%on EP simulation data and 98%on LEIA observational data.The classifier is integrated into the LEIA data processing pipeline,serving as a tool for manual validation and rapid classification during observations.This paper presents an efficient method for the classification of X-ray sources based on single observations,along with implications of most effective features for the task.This work facilitates rapid source classification for the EP mission and also provides valuable insights into feature selection and classification techniques for enhancing the efficiency and accuracy of X-ray source classification that can be adapted to other X-ray telescope data.

Regulating zinc ion transport behavior and solvated structure towards stable aqueous Zn metal batteries

Aqueous Zn metal batteries(AZMBs)with intrinsic safety,high energy density and low cost have been regarded as promising electrochemical energy storage devices.However,the parasitic reaction on metallic Zn anode and the incompatibility between electrode and electrolytes lead to the deterioration of electrochemical performance of AZMBs during the cycling.The critical point to achieve the stable cycling of AZMBs is to properly regulate the zinc ion solvated structure and transfer behavior between metallic Zn anode and electrolyte.In recent years,numerous achievements have been made to resolve the formation of Zn dendrite and interface incompatible issues faced by AZMBs via optimizing the sheath structure and transport capability of zinc ions at electrode-electrolyte interface.In this review,the challenges for metallic Zn anode and electrode-electrolyte interface in AZMBs including dendrite formation and interface characteristics are presented.Following the influences of different strategies involving designing advanced electrode structu re,artificial solid electrolyte interphase(SEI)on Zn anode and electrolyte engineering to regulate zinc ion solvated sheath structure and transport behavior are summarized and discussed.Finally,the perspectives for the future development of design strategies for dendrite-free Zn metal anode and long lifespan AZMBs are also given.

Modulating the zinc ion flux and electric field intensity by multifunctional metal-organic complex interface layer for highly stable Zn anode

The uncontrollable growth of Zn dendrites accompanied by side reactions severely impedes the industrialized process of zinc ion electrochemical energy storage devices.Herein,we propose a practical metalorganic complex interface layer to manipulate the zinc ion flux and electric field intensity,enabling highly homogeneous zinc electrodeposition.The zinc-terephthalic acid complex(ZnPTA)with lower adsorption energy for zinc ion(-1.3 eV)builds a zincophilic interface favoring the ordered nucleation and growth of Zn.Moreover,the ZnPTA layer can serve as physical barrier to protect the newly deposited Zn from corrosion in the aqueous electrolyte.The modified Zn anode with the ZnPTA layer(ZnPTA@Zn)demonstrates excellent cycling stability more than 3000 h at 1 mA/cm^(2).Besides,the zinc-ion battery and zinc-ion hybrid capacitor using the ZnPTA@Zn electrode deliver outstanding cycle performance(up to 5500 cycles with high residual capacity ratio of 77.9%).This work provides a promising metal-organic complex interface design on enhancing the performance of Zn metal anode.

Blockchain-Based MCS Detection Framework of Abnormal Spectrum Usage for Satellite Spectrum Sharing Scenario

In this paper, the problem of abnormal spectrum usage between satellite spectrum sharing systems is investigated to support multi-satellite spectrum coexistence. Given the cost of monitoring, the mobility of low-orbit satellites, and the directional nature of their signals, traditional monitoring methods are no longer suitable, especially in the case of multiple power level. Mobile crowdsensing(MCS), as a new technology, can make full use of idle resources to complete a variety of perceptual tasks. However, traditional MCS heavily relies on a centralized server and is vulnerable to single point of failure attacks. Therefore, we replace the original centralized server with a blockchain-based distributed service provider to enable its security. Therefore, in this work, we propose a blockchain-based MCS framework, in which we explain in detail how this framework can achieve abnormal frequency behavior monitoring in an inter-satellite spectrum sharing system. Then, under certain false alarm probability, we propose an abnormal spectrum detection algorithm based on mixed hypothesis test to maximize detection probability in single power level and multiple power level scenarios, respectively. Finally, a Bad out of Good(BooG) detector is proposed to ease the computational pressure on the blockchain nodes. Simulation results show the effectiveness of the proposed framework.

Growth process,defects,and dopants of bulk β-Ga_(2)O_(3) semiconductor single crystals

β-gallium oxide(β-Ga2O3),as the typical representative of the fourth generation of semiconductors,has attracted increasing attention owing to its ultra-wide bandgap,superior optical properties,and excellent tolerance to high temperature and radiation.Compared to the single crystals of other semiconductors,high-quality and large-size β-Ga_(2)O_(3) single crystals can be grown with low-cost melting methods,making them highly competitive.In this review,the growth process,defects,and dopants ofβ-Ga_(2)O_(3) are primarily discussed.Firstly,the growth process(e.g.,decomposition,crucible corrosion,spiral growth,and development)ofβ-Ga_(2)O_(3) single crystals are summarized and compared in detail.Then,the defects of β-Ga_(2)O_(3) single crystals and the influence of defects on Schottky barrier diode(SBD)devices are emphatically discussed.Besides,the influences of impurities and intrinsic defects on the electronic and optical properties ofβ-Ga_(2)O_(3) are also briefly discussed.Concluding this comprehensive analysis,the article offers a concise summary of the current state,challenges and prospects ofβ-Ga_(2)O_(3) single crystals.

The Caching and Pricing Strategy for Information-Centric Networking with Advertisers’Participation

As users’access to the network has evolved into the acquisition of mass contents instead of IP addresses,the IP network architecture based on end-to-end communication cannot meet users’needs.Therefore,the Information-Centric Networking(ICN)came into being.From a technical point of view,ICN is a promising future network architecture.Researching and customizing a reasonable pricing mechanism plays a positive role in promoting the deployment of ICN.The current research on ICN pricing mechanism is focused on paid content.Therefore,we study an ICN pricing model for free content,which uses game theory based on Nash equilibrium to analysis.In this work,advertisers are considered,and an advertiser model is established to describe the economic interaction between advertisers and ICN entities.This solution can formulate the best pricing strategy for all ICN entities and maximize the benefits of each entity.Our extensive analysis and numerical results show that the proposed pricing framework is significantly better than existing solutions when it comes to free content.

Fe_(3)O_(4)/Fe/FeS Tri-Heterojunction Node Spawning N-Carbon Nanotube Scaffold Structure for High-Performance Sodium-Ion Battery

The Fe-based anode of sodium-ion batteries attracts much attention due to the abundant source,low-cost,and high specific capacity.However,the low electron and ion transfer rate,poor structural stability,and shuttle effect of NaS_(2)intermediate restrain its further development.Herein,the Fe_(3)O_(4)/Fe/FeS tri-heterojunction node spawned N-carbon nanotube scaffold structure(FHNCS)was designed using the modified MIL-88B(Fe)as a template followed by catalytic growth and sulfidation process.During catalytic growth process,the reduced Fe monomers catalyze the growth of N-doped carbon nanotubes to connect the Fe_(3)O_(4)/Fe/FeS tri-heterojunction node,forming a 3D scaffold structure.Wherein the N-doped carbon promotes the transfer of electrons between Fe_(3)O_(4)/Fe/FeS particles,and the tri-heterojunction facilitates the diffusion of electrons at the interface,to organize a 3D conductive network.The unique scaffold structure provides more active sites and shortens the Na^(+)diffusion path.Meanwhile,the structure exhibits excellent mechanical stability to alleviate the volume expansion during circulation.Furthermore,the Fe in Fe_(3)O_(4)/Fe heterojunction can adjust the dband center of Fe in Fe_(3)O_(4)to enhance the adsorption between Fe_(3)O_(4)and Na2S intermediate,which restrains the shuttle effect.Therefore,the FHNCS demonstrates a high specific capacity of 436 mAh g^(-1)at 0.5 A g^(-1),84.7%and 73.4%of the initial capacities are maintained after 100 cycles at 0.5 A g^(-1)and 1000 cycles at 1.0 A g^(-1).We believe that this strategy gives an inspiration for constructing Fe-based anode with excellent rate capability and cycling stability.

Surface encapsulation of layered oxide cathode material with NiTiO_(3) for enhanced cycling stability of Na-ion batteries

In Na-ion batteries,O3-type layered oxide cathode materials encounter challenges such as particle cracking,oxygen loss,electrolyte side reactions,and multi-phase transitions during the charge/discharge process.This study focuses on surface coating with NiTiO_(3) achieved via secondary heat treatment using a coating precursor and the surface material.Through in-situ x-ray diffraction(XRD)and differential electrochemical mass spectrometry(DEMS),along with crystal structure characterizations of post-cycling materials,it was determined that the NiTiO_(3) coating layer facilitates the formation of a stable lattice structure,effectively inhibiting lattice oxygen loss and reducing side reaction with the electrolyte.This enhancement in cycling stability was evidenced by a capacity retention of approximately 74%over 300 cycles at 1 C,marking a significant 30%improvement over the initial sample.Furthermore,notable advancements in rate performance were observed.Experimental results indicate that a stable and robust surface structure substantially enhances the overall stability of the bulk phase,presenting a novel approach for designing layered oxide cathodes with higher energy density.

Achieving Synergistic Improvement in Dielectric and Energy Storage Properties of All-Organic Poly(Methyl Methacrylate)-Based Copolymers Via Establishing Charge Traps

How to achieve synergistic improvement of permittivity(ε_(r))and breakdown strength(E_(b))is a huge challenge for polymer dielectrics.Here,for the first time,theπ-conjugated comonomer(MHT)can simultaneously promote theε_(r)and E_(b)of linear poly(methyl methacrylate)(PMMA)copolymers.The PMMA-based random copolymer films(P(MMA-co-MHT)),block copolymer films(PMMA-b-PMHT),and PMMA-based blend films were prepared to investigate the effects of sequential structure,phase separation structure,and modification method on dielectric and energy storage properties of PMMA-based dielectric films.As a result,the random copolymer P(MMA-coMHT)can achieve a maximumε_(r)of 5.8 at 1 kHz owing to the enhanced orientation polarization and electron polarization.Because electron injection and charge transfer are limited by the strong electrostatic attraction ofπ-conjugated benzophenanthrene group analyzed by the density functional theory(DFT),the discharge energy density value of P(MMA-co-PMHT)containing 1 mol%MHT units with the efficiency of 80%reaches15.00 J cm^(-3)at 872 MV m^(-1),which is 165%higher than that of pure PMMA.This study provides a simple and effective way to fabricate the high performance of polymer dielectrics via copolymerization with the monomer of P-type semi-conductive polymer.

Umami taste components in chicken-spices blends and potential effect of aroma on umami taste intensity

In this study,umami taste intensity(UTI)and umami taste components in chicken breast(CB)and chickenspices blends were characterized using sensory and instrumental analysis.Our main objective was to assess the aroma-umami taste interactions in different food matrices and reconcile the aroma-taste perception to assist future product development.The impact of key aroma,including vegetable-note"2-pentylfuran",meaty"methional",green"hexanal",and spicy-note-estragole and caryophyllene"on UTI was evaluated in monosodium glutamate and chicken extract.We found that spices significantly decreased UTI and umami taste components in CB.Interestingly,the perceptually similar odorants and tastants exhibited the potential to enhance UTI in food matrices.Methional was able to increase the UTI,whereas spicy and green-note components could reduce the UTI significantly.This information would be valuable to food engineers and formulators in aroma selection to control the UTI perceived by consumers,thus,improving the quality and acceptability of the chicken products.

Spatially engineering tri-layer nanofiber dressings featuring asymmetric wettability for wound healing

Inspired by the skin structure,an asymmetric wettability tri-layer nanofiber membrane(TNM)consisting of hydrophilic inner layer loaded with lidocaine hydrochloride(LID),hydrophobic middle layer with ciprofloxacin(CIP)and hydrophobic outer layer has been created.The hydrophobic outer layer endows the TNM with waterproof function and anti-adhesion from contaminants.The hydrophobic middle layer with CIP preserves long-term inhibition of bacteria growth and the hydrophilic inner layer with LID possesses optimal waterabsorbing capacity and air permeability.The TNM dramatically elevates the water contact angles from 10°(inner layer)to 120(outer layer),indicating an asymmetric wettability,which could directionally transport wound exudate within the materials and meanwhile maintain a comfortable and moist environment to promote wound healing.Furthermore,the sequential release of LID and CIP could relieve pain rapidly and achieve antibacterial effect in the long run,respectively.In addition,the TNM shows superior biocompatibility towards L929 cells.The in vivo results show the TNM could prevent infection,accelerate epithelial regeneration and significantly accelerate wound healing.This study indicates the developed TNM with asymmetrical wettability and synergetic drug release shows great potential as a wound dressing in clinical application.