Effects of thrombopoietin pre-treatment on peri-liver transplantation thrombocytopenia in a mouse model of cirrhosis with hypersplenism

BACKGROUND During cirrhosis,the liver is impaired and unable to synthesize and clear thrombopoietin properly.At the same time,the spleen assumes the function of hemofiltration and storage due to liver dysfunction,resulting in hypersplenism and excessive removal of platelets in the spleen,further reducing platelet count.When liver function is decompensated in cirrhotic patients,the decrease of thrombopoietin(TPO)synthesis is the main reason for the decrease of new platelet production.This change of TPO leads to thrombocytopenia and bleeding tendency in cirrhotic patients with hypersplenism.AIM To investigate the clinical efficacy of recombinant human TPO(rhTPO)in the treatment of perioperative thrombocytopenia during liver transplantation in cirrhotic mice with hypersplenism.METHODS C57BL/6J mice and TPO receptor-deficient mice were used to establish models of cirrhosis with hypersplenism.Subsequently,these mice underwent orthotopic liver transplantation(OLT).The mice in the experimental group were given rhTPO treatment for 3 consecutive days before surgery and 5 consecutive days after surgery,while the mice in the control group received the same dose of saline at the same frequency.Differences in liver function and platelet counts were determined between the experimental and control groups.Enzyme-linked immunosorbent assay was used to assess the expression of TPO and TPO receptor(c-Mpl)in the blood.RESULTS Preoperative administration of rhTPO significantly improved peri-OLT thrombocytopenia in mice with cirrhosis and hypersplenism.Blocking the expression of TPO receptors exacerbated peri-OLT thrombocytopenia.The concentration of TPO decreased while the concentration of c-Mpl increased in compensation in the mouse model of cirrhosis with hypersplenism.TPO pre-treatment significantly increased the postoperative TPO concentration in mice,which in turn led to a decrease in the c-Mpl concentration.TPO pre-treatment also significantly enhanced the Janus kinase(Jak)/signal transducers and activators of transcription pathway protein expressions in bone marrow stem cells of the C57BL/6J mice.Moreover,the administration of TPO,both before and after surgery,regulated the levels of biochemical indicators,such as alanine aminotransferase,alkaline phosphatase,and aspartate aminotransferase in the C57BL/6J mice.CONCLUSION Pre-treatment with TPO not only exhibited therapeutic effects on perioperative thrombocytopenia in the mice with cirrhosis and hypersplenism,who underwent liver transplantation but also significantly enhanced the perioperative liver function.

High corrosion resistance of electroless Ni-P with chromium-free conversion pre-treatments on AZ91D magnesium alloy

Phosphate-manganese, tannic acid and vanadium conversion coatings were proposed as an effective pre-treatment layer between electroless Ni-P coating and AZ91D magnesium alloy substrate to replace the traditional chromate plus HF pre-treatment. The electrochemical results show that the chrome-free coatings plus electroless Ni-P coating on the magnesium alloy has the lowest corrosion current density and most positive corrosion potential compared with chromate plus electroless Ni-P coating on the magnesium alloy. These proposed pre-treatment layers on the substrate reduce the corrosion of magnesium during plating process, and reduce the potential difference between the matrix and the second phase. Thus, an electroless Ni-P coating with fine crystalline and dense structure was obtained, with preferential phosphorus content, low porosity, good corrosion-resistance and strengthened adhesion than the chromate plus electroless Ni-P.

Comparison of pre-treatment and post-treatment use of selenium in retinal ischemia reperfusion injury

AIM: To investigate the effects of selenium in rat retinal ischemia reperfusion(IR) model and compare pretreatment and post-treatment use.METHODS: Selenium pre-treatment group(n =8) was treated with intraperitoneal(i.p.) selenium 0.5 mg/kg for7 d and terminated 24 h after the IR injury. Selenium posttreatment group( n = 8) was treated with i. p. selenium0.5 mg/kg for 7d after the IR injury with termination at the end of the 7d period. Sham group(n =8) received i.p.saline injections identical to the selenium volume for 7d with termination 24 h after the IR injury. Control group(n =8) received no intervention. Main outcome measures were retina superoxide dismutase(SOD), glutathione(GSH),total antioxidant status(TAS), malondialdehyde(MDA),DNA fragmentation levels, and immunohistological apoptosis evaluation.RESULTS: Compared to the Sham group, selenium pre-treatment had a statistical difference in all parameters except SOD. Post-treatment selenium also resulted in statistical differences in all parameters except the MDA levels. When comparing selenium groups, the pre-treatment selenium group had a statistically higher success in reduction of markers of cell damage such as MDA and DNA fragmentation. In contrast, the post-selenium treatment group had resulted in statisticallyhigher levels of GSH. Histologically both selenium groups succeeded to limit retinal thickening and apoptosis. Pre-treatment use was statistically more successful in decreasing apoptosis in ganglion cell layer compared to post-treatment use.CONCLUSION: Selenium was successful in retinal protection in IR injuries. Pre-treatment efficacy was superior in terms of prevention of tissue damage and apoptosis.

Effect of Cross-flow Velocity on the Critical Flux of Ceramic Membrane Filtration as a Pre-treatment for Seawater Desalination

Pre-treatment, which supplies a stable, high-quality feed for reverse osmosis （RO） membranes, is a criti- cal step for successful operation in a seawater reverse osmosis plant. In this study, ceramic membrane systems were employed as pre-treatment for seawater desalination. A laboratory experiment was performed to investigate the effect of the cross-flow velocity on the critical flux and consequently to optimize the permeate flux. Then a pilot test was performed to investigate the long-term performance. The result shows that there is no significant effect of the cross-flow velocity on the critical flux when the cross-flow velocity varies in laminar flow region only or in turbulent flow region only, but the effect is distinct when the cross-flow velocity varies in the transition region. The membrane fouling is slight at the permeate flux of 150 L·m^-2·h^-1 and the system is stable, producing a high-quality feed （the turbidity and silt density index are less than 0.1 NTU and 3.0, respectively） for RO to run for 2922.4 h without chemical cleaning. Thus the ceramic membranes are suitable to filtrate seawater as the pre-treatment for RO.

Effect of microwave pre-treatment on physical quality,bioactive compounds,safety risk factor,and storage stability of peanut butter

Microwave,as a new heat treatment technology,has the characteristics of uniform and fast heating speed.It is an energy-saving technology known for improving oilseed product quality.Its efficiency mainly depends on the roasting power and time.However,the production of high-quality peanut butter using short-time roasting con-ditions are limited.Herein,we determined an appropriate microwave roasting power and time for peanuts and evaluated its impacts on the quality of peanut butter.Different roasting powers(400 W,800 W and 1200 W)and times(4,4.5,5,and 5.5 min)were preliminarily tested.Among them,800 W at 5 min was the most suitable.The roasting efficiency was further evaluated using color,sensory,bioactive compounds,storage stability,and safety risk factors of peanut butter produced from four peanut cultivars(Silihong,Baisha-1016,Yuanza-9102,and Yuhua-9414).The pre-treated butter obtained from three cultivars(Silihong,Yuanza-9102,and Yuhua-9414)with moisture content between 5%and 7.2%had a similar sensory score(6-7)as the commercial on a 9-point hedonic scale compare to the other.The color of the pre-treated peanut butter varies statistically with the commercial but remained in the recommended range of Hunter L*values of 51-52,respectively,for high initial moisture peanut cultivars.The total polyphenol(35.20-31.59±0.59μmol GAE/g)and tocopherol(19.05±0.35 mg/100 g)content in the butter obtained from three cultivars(Yuahua-9102,Yuhua,and Baisha-1016)and Silihong respectively,were significantly(P<0.05)higher than those in the commercial butter.The induction times of all pre-treated butter(19.80±0.99-7.84±0.07 h)were significantly(P<0.05)longer during storage at accelerated temperature than commercial samples.In addition,no benzo[a]pyrene was found in the pre-treated samples.Collectively,the microwave pretreated peanut butter was superior to the commercial one.These findings provided data support and a reference basis to promote microwave use for peanut butter production.

Tree-ring δ^(15)N of Qinghai spruce in the central Qilian Mountains of China:Is pre-treatment of wood samples necessary?

A knowledge of the tree-ring stable nitrogen isotope ratio(δ^(15)N)can deepen our understanding of forest ecosystem dynamics by indicating the long-term availability,cycling and sources of nitrogen(N).However,the radial mobility of N blurs the interannual variations in the long-term N records.Previous studies of the chemical extraction of tree rings before analysis had produced inconsistent results and it is still unclear whether it is necessary to pre-treat wood samples from specific tree species to remove soluble N compounds before determining theδ^(15)N values.We compared the effects of pre-treatment with organic solvents and hot ultrapure water on the N concentration andδ^(15)N of tree rings from endemic Qinghai spruce(Picea crassifolia)growing in the interior of the central Qilian Mountains,China,during the last 60 a.We assessed the effects of different preparation protocols on the removal of the labile N compounds and investigated the need to pre-treat wood samples before determining theδ^(15)N values of tree rings.Increasing trends of the tree-ring N concentration were consistently observed in both the extracted and unextracted wood samples.The total N removed by extraction with organic solvents was about 17.60%,with a significantly higher amount in the sapwood section(P<0.01).Theδ^(15)N values of tree rings decreased consistently from 1960 to 2019 in both the extracted and unextracted wood samples.Extraction with organic solvents increased theδ^(15)N values markedly by about 5.2‰and reduced the variations in theδ^(15)N series.However,extraction with hot ultrapure water had little effect,with only a slight decrease in theδ^(15)N values of about 0.5‰.Our results showed that the radial pattern in the inter-ring movement of N in Qinghai spruce was not minimized by extraction with either organic solvents or hot ultrapure water.It is unnecessary to conduct hot ultrapure water extraction for the wood samples from Qinghai spruce because of its negligible effect on the removal of the labile N.Theδ^(15)N variation trend of tree rings in the unextracted wood samples was not influenced by the heartwood-sapwood transition zone.We suggest that theδ^(15)N values of the unextracted wood samples of the climate-sensitive Qinghai spruce could be used to explore the ecophysiological dynamics while focusing on the long-term variations.

Artificial neural network approach for rheological characteristics of coal-water slurry using microwave pre-treatment

Detailed experimental investigations were carried out for microwave pre-treatment of high ash Indian coal at high power level(900 W) in microwave oven. The microwave exposure times were fixed at60 s and 120 s. A rheology characteristic for microwave pre-treatment of coal-water slurry(CWS) was performed in an online Bohlin viscometer. The non-Newtonian character of the slurry follows the rheological model of Ostwald de Waele. The values of n and k vary from 0.31 to 0.64 and 0.19 to 0.81 Pa·sn,respectively. This paper presents an artificial neural network(ANN) model to predict the effects of operational parameters on apparent viscosity of CWS. A 4-2-1 topology with Levenberg-Marquardt training algorithm(trainlm) was selected as the controlled ANN. Mean squared error(MSE) of 0.002 and coefficient of multiple determinations(R^2) of 0.99 were obtained for the outperforming model. The promising values of correlation coefficient further confirm the robustness and satisfactory performance of the proposed ANN model.

Pre-treatment to Enhance Biogas Yield from Pulp and Paper Mill Sludge

The purpose of this work was to study the potential to enhance biogas production from pulp and paper mill sludge by the use of thermal pre-treatment in combination with chemical pre-treatment. Biogas from waste is a renewable fuel with very low emissions during combustion. To further reduce the use of fossil fuels, more biogas substrates are necessary. Pulp and paper mill sludge is a large untapped reservoir of potential biogas. Pulp and paper mill sludge was collected from a mill that produces both pulp and paper and has a modified waste activated sludge system as part of its wastewater treatment. Pre-treatments were chosen heat （70 ~C or 140℃） combined with either acid （pH 2 or pH 4） or base （pH 9 or pH 11, obtained with Ca（OH）2 or NaOH）. Biogas potential was tested by anaerobic digestion batch assays under mesophilic conditions. All pre-treatments were tested in six replicates. Biogas volume was measured with a gas-tight syringe and methane concentration was measured with a gas chromatograph. The methane yield from sludge subjected to thermal pre-treatment at 70℃ did not differ from the untreated sludge, but thermal pre-treatment at 140℃ had a positive effect. Within the 70℃ thermal pre-treatment group, the pH 2 acid was the most successful chemical pre-treatment, and Ca（OH）2 pH 9 had the least effect with no measurable improvement in methane yield. For the 140 ℃ thermal pre-treatment group, acid and NaOH impacted methane production negatively, while the Ca（OH）2-treated sludge did not differ from sludge with no chemical pre-treatment. In conclusion, thermal pre-treatment at 70℃ showed no effect, whereas, pre-treatment at 140℃ improved methane yield with 170%, and for this sludge additional, chemical pre-treatments are unnecessary.

Application of the FCA-2500 spray-cascade pulp pre-treatment tank in flotation

新型FCA-2500型雾化—跌落式煤浆预处理器采用风动雾化喷射方式,箱体内布置带有坎条的滑板,使煤浆在跌落过程中,粗、细煤粒可获得不同的预处理时间;该处理器在临涣选煤厂的应用效果表明,节省浮选剂用量24.17%,达到了节能降耗的目的。

Impact of ozone assisted ultrasonication pre-treatment on anaerobic digestibility of sewage sludge

Impact of ultrasonication（ULS） and ultrasonication-ozonation（ULS-Ozone） pre-treatment on the anaerobic digestibility of sewage sludge was investigated with semi-continuous anaerobic reactors at solid retention time（SRT） of 10 and 20 days. The control, ULS and ULS-Ozone reactors produced 256, 309 and 348 m L biogas/g CODfedand the volatile solid（VS） removals were 35.6%, 38.3% and 42.1%, respectively at SRT of 10 days. At SRT of20 days, the biogas yields reached 313, 337 and 393 m L biogas/g CODfedand the VS removal rates were 37.3%, 40.9% and 45.3% in the control, ULS and ULS-Ozone reactors, respectively.ULS-Ozone pre-treatment increased the residual organic amount in the digested sludge.These soluble residual organics were found to contain macromolecules with molecular weights（MW） larger than 500 k Da and smaller polymeric products with MW around 19.4and 7.7 k Da. These compounds were further characterized to be humic acid-like substances with fluorescent spectroscopy analysis.

Enhanced removal of organic matter and typical disinfection byproduct precursors in combined iron–carbon micro electrolysis-UBAF process for drinking water pre-treatment

The organic matter and two types of disinfection byproduct(DBP) precursors in micropolluted source water were removed using an iron–carbon micro-electrolysis(ICME)combined with up-flow biological aerated filter(UBAF) process. Two pilot-scale experiments(ICME-UBAF and UBAF alone) were used to investigate the effect of the ICME system on the removal of organic matter and DBP precursors. The results showed that ICME pretreatment removed 15.6% of dissolved organic matter(DOM)and significantly improved the removal rate in the subsequent UBAF process. The ICME system removed 31% of trichloromethane(TCM) precursors and 20% of dichloroacetonitrile(DCAN) precursors. The results of measurements of the molecular weight distribution and hydrophilic fractions of DOM and DBP precursors showed that ICME pretreatment played a key role in breaking large-molecular-weight organic matter into low-molecular-weight components, and the hydrophobic fraction into hydrophilic compounds, which was favorable for subsequent biodegradation by UBAF.Three-dimensional fluorescence spectroscopy(3D-EEM) further indicated that the ICME system improved the removal of TCM and DCAN precursors. The biomass analysis indicated the presence of a larger and more diverse microbial community in the ICME-UBAF system than for the UBAF alone. The high-throughput sequencing results revealed that domination of the genera Sphingomonas, Brevundimonas and Sphingorhabdus contributed to the better removal of organic matter and two types of DBP precursors. Also, Nitrosomonas and Pseudomonas were beneficial for ammonia removal.

Optimized pre-treatment of high strength food waste digestate by high content aluminum-nanocluster based magnetic coagulation

Coagulation-based pre-treatment efficiency of high strength digestate of food waste(HSDFW) anaerobic digestion is negated by organic ligand-catalyzed decomposition of coagulants. In this study, an efficient HSDFW pre-treatment method, magnetic seeds(MS) coagulation, was employed by using highly stable Keggin Al_(30) nanocluster(PAC_(30)), MS and polyacrylamide(PAM), and its operation was optimized by evaluating the performance of removing turbidity, total suspended solids(TSS), chemical oxygen demand(COD), and total phosphorous(TP) phosphate. Results showed that at the optimum dosage of 4.82 g/L, PAC_(30) demonstrated excellent removals as high as 98.93% ± 0.1% of turbidity, 98.04% ± 0.1% of TSS, 58.28% ± 0.3% of total COD, 99.98% ± 0.01% of TP and 99.50% ± 0.01% of dissolved phosphate, respectively. Apparent molecular weight(AMW) and three-dimensional excitation-emission matrix(3 D-EEM) fluorescence spectroscopy analyses demonstrated more efficient removal of dissolved organic matter(DOM), particularly non-biodegradable and hydrophobic components by PAC_(30) than commercial coagulant. The sedimentation was much improved from 40 min by coagulation/flocculation to about 5 min settling by MS coagulation. The PAC_(30) based magnetic coagulation(MC) presents theoretical guidance on a cost-effective and much less footprint pre-treatment alternative for high strength wastewater.

Effect of pre-treatments on drying characteristics of Chinese jujube (Zizyphus jujuba Miller)

Chinese jujube is delicious and nourishing fruit.However,fresh Chinese jujube is liable to rot and drying is a necessary process.Traditional drying is a time-consuming task due to the thick cuticle of Chinese jujube.To improve its drying efficiency,fresh Chinese jujube was pretreated with nine different methods prior to hot-air drying.Among these methods,dipping in 2%ethyl oleate plus 5%K_(2)CO_(3) for 10 min(alkaline emulsion of ethyl oleate,AEEO)was recommended for its time-saving effect,which was found more significant at lower drying temperatures.The beneficial effect was considered based on its cuticle destruction by AEEO pre-treatment.In the meantime,the drying process was divided into three stages;each of them obeyed the first order reaction kinetics.Activation energies for the first,second and third stages of control over jujube drying were 41.45 kJ/mol,35.24 kJ/mol and 49.52 kJ/mol,and reduced by 20.9%,22.1%and 29.0%,respectively,after AEEO pre-treatment,and the drying process was well predicted by Midilli et al.model.In view of browning during drying at higher temperatures,AEEO pretreated jujube was suggested to be dried at 60°C.This finding was considered to be helpful to the industrial drying of Chinese jujube.

Influence of the initial transient state of plasma and hydrogen pre-treatment on the interface properties of a silicon heterojunction fabricated by PECVD

Amorphous/crystalline silicon heterojunctions（a-Si：H/c-Si SHJ） were prepared by plasma-enhanced chemical vapor deposition（PECVD）.The influence of the initial transient state of the plasma and the hydrogen pre-treatment on the interfacial properties of the heteroj unctions was studied.Experimental results indicate that： （1） The instability of plasma in the initial stage will damage the surface of c-Si.Using a shutter to shield the substrate for 100 s from the starting discharge can prevent the influence of the instable plasma process on the Si surface and also the interface between a-Si and c-Si.（2） The effect of hydrogen pre-treatment on interfacial passivation is constrained by the extent of hydrogen plasma bombardment and the optimal time for hydrogen pre-treatment is about 60 s.

Nitrite pre-treatment of dewatered sludge for microbial fuel cell application

The effect of pre-treatment of dewatered sludge using different nitrite concentrations and p H for microbial fuel cell(MFC) application was investigated. The results show that the addition of nitrite was feasible to increase the solubilization rate of the sludge and may reduce mass transfer limitation at the anode. This helped the MFC to reach higher voltage and to generate more power. The higher free nitrous acid(FNA) concentration under the acidic condition helped to increase sludge solubilization. However, under an alkaline condition, during which the FNA concentration was relatively low, the solubilization of the sludge was higher. The highest voltage and power density produced was 390 mV and 153 mW/m^2, respectively, with the addition of nitrite at 100 mg-N/L and pH 9. Furthermore,it was found that elevated levels of FNA could inhibit electrogenic bacteria thus reducing power generation.

Effect of Pre-treatment on the Bi-2223/Ag Tapes Fabricated with Different Powders

Samples of Bi-2223/Ag tapes fabricated with powders contained different lead oxide compounds were annealed at a temperature lower than the formation temperature of Bi-2223 phase before traditional heat treatment, which was called pretreatment. In pre-treatment stage, samples were heat treated at 780 ℃ in 8.5% O2, and the dwelling time is different. Experimental results show that pre-treatment had different influence on the formation and size of the Bi-2223 grains for tapes fabricated with powders contained different lead oxide compounds. For tapes contained both Ca2PbO4 and the 3321 phase, the decomposition of the 3321 phase enhanced the growth of Bi-2212 grains during pre-treatment process, which promoted the formation of Bi-2223 phase and enhanced the superconducting properties of Bi-2223/Ag tapes.

不同预时效挤压态Mg−Gd−Y−Zn−Zr合金的再结晶行为和强化机制

通过控制预时效时间制备3种不同状态的试样,研究不同预时效状态对挤压态Mg−9.5Gd−4Y−2.2Zn−0.5Zr(质量分数,%)合金的动态再结晶行为(DRX)和性能的影响。结果表明,欠时效挤压(UAE)样品的细晶体积分数为17.4%,而峰时效挤压(PAE)和过时效挤压(OAE)样品的细晶体积分数分别达到89.7%和50.4%。在晶粒内部和晶界处分布的致密、细小的β颗粒相通过粒子激发形核机制显著提高了形核位点和位错密度。然而,致密针状γ'相抑制位错滑移,延迟DRX形核。PEA和OAE样品中细小晶粒的差异归因于原始颗粒相的数量和尺寸的不同,而其拉伸性能的差异归因于不同的显微组织。由于晶界强化和析出强化机制的贡献更大,PAE样品具有更优异的拉伸性能。

数智化全自动标本转移系统在手术病理标本前处理流程中的应用

目的:探讨在数智化管理背景下,由手术室护士主导的数智化全自动标本转移系统在手术病理标本前处理流程中的应用效果,为提高手术病理标本质量提供参考。方法:构建数智化全自动标本转移系统,并将其应用于手术病理标本前处理流程中,比较系统应用前(2023年4月—7月)和系统应用后(2023年8月—11月)的病理标本送检效率、送检质量、手术室护士心理压力及医护人员满意度。结果:应用数智化全自动标本转移系统后,病理标本前处理流程时长较应用前平均减少3.66 min,一次性接收合格率由87.07%提高至96.42%,病理送检质量满意率较高,护士工作压力显著缓解,医务人员满意度明显提高,以上差异均具有统计学意义(P<0.05)。结论:数智化全自动标本转移系统应用于手术标本前处理流程中可有效提高手术标本前处理效率并缓解护士工作压力,保障病理标本送检质量,为医疗诊断提供可靠的依据,有效减少医务人员职业暴露,提升医护人员满意度。

真空冷冻预干燥对压差膨化干燥果蔬脆片质地特性的影响

为探索预干燥处理对不同果蔬脆片结构及质地特性的影响,该研究采用真空冷冻干燥作为预干燥,并选取了3个水分转换点(60%、45%、30%),对预干燥过程中6种典型果蔬(苹果,梨,桃,山药,马铃薯,青萝卜)水分状态、细胞结构、收缩率、孔隙度、应力-松弛特性与质地特性进行测定与分析。结果表明,随着预干燥的进行,水分含量逐渐降低,自由水逐渐散失,以不易流动水为主,收缩率逐渐减小,孔隙度逐渐增大,硬度、咀嚼性、弹性模量逐渐增加;水分转换点为60%时不同果蔬脆片具有较高的硬脆度,其中马铃薯与山药脆片硬度较高,桃与梨的脆片脆度较高;水分转换点为30%时,6种果蔬的孔隙度最高,且青萝卜的孔隙度显著高于其他果蔬(P <0.05);在干燥后期,果蔬样品骨架基本形成,且收缩率较低,致使内部孔隙度变大;由相关性分析可知真空冷冻预干燥过程中水分转换点、孔隙度与果蔬脆片质地特性极显著相关(P <0.05),研究结果可为预干燥对果蔬脆片质地影响提供参考。

Priming mesenchymal stem cells to develop “super stem cells”

The stem cell pre-treatment approaches at cellular and sub-cellular levels encompass physical manipulation of stem cells to growth factor treatment,genetic manipulation,and chemical and pharmacological treatment,each strategy having advantages and limitations.Most of these pre-treatment protocols are non-combinative.This editorial is a continuum of Li et al’s published article and Wan et al’s editorial focusing on the significance of pre-treatment strategies to enhance their stemness,immunoregulatory,and immunosuppressive properties.They have elaborated on the intricacies of the combinative pre-treatment protocol using pro-inflammatory cytokines and hypoxia.Applying a well-defined multi-pronged combinatorial strategy of mesenchymal stem cells(MSCs),pre-treatment based on the mechanistic understanding is expected to develop“Super MSCs”,which will create a transformative shift in MSC-based therapies in clinical settings,potentially revolutionizing the field.Once optimized,the standardized protocols may be used with slight modifications to pre-treat different stem cells to develop“super stem cells”with augmented stemness,functionality,and reparability for diverse clinical applications with better outcomes.