Hg Reduction Research Articles

Mercury Reduction by Agricultural Organic Waste-Derived Dissolved Organic Matter: Kinetic Analysis and the Role of Light-Induced Free Radicals.

Agricultural organic wastes can leach dissolved organic matter (DOM) into surrounding water bodies, establishing them as significant sources of aquatic DOM. Given the importance of DOM in the biogeochemical cycling of mercury (Hg), this DOM may further mediate divalent Hg (Hg(II)) reduction, a process that remains poorly understood. This study investigated the Hg(II) reduction using DOM derived from six representative agricultural wastes, categorized into livestock manure (chicken, pig, cow) and crop straw (rice, corn, rapeseed), with systematic considerations of the kinetics of reduction processes and the involvement of key free radicals. Results revealed that photoreduction was the primary pathway for Hg(II) reduction, with pig manure DOM exhibiting the highest efficiency at 36%. Key DOM quality parameters, such as protein-like components, have been identified as critical determinants of Hg(II) photoreduction capacity. Furthermore, free radicals induced by DOM could either enhance or inhibit Hg(II) reduction capacities. Specifically, in livestock manure, the superoxide anion (O2•-)·was identified as the primary radical promoting Hg(II) photoreduction of pig manure DOM. In crop straw, hydroxyl radicals (·OH) were found to inhibit Hg(II) photoreduction, whereas O2•- promoted the Hg(II) photoreduction of rice straw DOM. These findings provide valuable insights into the role of agricultural organic wastes in the biogeochemical cycling of Hg within aquatic ecosystems.

Simultaneous Reduction and Methylation of Nanoparticulate Mercury: The Critical Role of Extracellular Electron Transfer.

Mercury nanoparticles are abundant in natural environments. Yet, understanding their contribution to global biogeochemical cycling of mercury remains elusive. Here, we show that microbial transformation of nanoparticulate divalent mercury can be an important source of elemental and methylmercury.Geobacter sulfurreducensPCA, a model bacterium predominant in anoxic environments (e.g., paddy soils), simultaneously reduces and methylates nanoparticulate Hg(II). Moreover, the relative prevalence of these two competing processes and the dominant transformation pathways differ markedly between nanoparticulate Hg(II) and its dissolved and bulk-sized counterparts. Notably, even when intracellular reduction of Hg(II) nanoparticles is constrained by cross-membrane transport (a rate-limiting step that also regulates methylation), the overall Hg(0) formation remains substantial due to extracellular electron transfer. With multiple lines of evidence based on microscopic and electrochemical analyses, gene knockout experiments, and theoretical calculations, we show that nanoparticulate Hg(II) is preferentially associated with c-type cytochromes on cell membranes and has a higher propensity for accepting electrons from the heme groups than adsorbed ionic Hg(II), which explains the surprisingly larger extent of reduction of nanoparticles than dissolved Hg(II) at relatively high mercury loadings. These findings have important implications for the assessment of global mercury budgets as well as the bioavailability of nanominerals and mineral nanoparticles.

Synergetic effect of pyrrhotite and zero-valent iron on Hg(Ⅱ) removal in constructed wetland: Mechanisms of electron transfer and microbial reaction

Effective removal of mercury (Hg) from wastewater is significant due to its high toxicity, especially methylmercury (MeHg). Reducing of Hg(II) to Hg(0) in constructed wetlands (CWs) using iron-based materials is an effective strategy for preventing the formation of MeHg. However, the surface passivation of zero-valent iron (ZVI) limits its application. Herein, synergetic ZVI and pyrrhotite were utilized to enhance Hg removal in CWs. Results indicated that the removal of total Hg, dissolved Hg, and particulate Hg in CWs with ZVI and pyrrhotite were improved by 21.68 ± 0.76 %, 13.02 ± 0.88 %, and 22.27 ± 0.76 % compared to that with single ZVI or pyrrhotite. Pyrrhotite increased the surface corrosion of ZVI, thereby facilitating the process of iron reduction. The redox of iron promoted the generation of EPS, which could provide electrons for Hg(II) reduction. The sulfur also participates in electron transfer by driving the methylation of Hg and provides sulfides to form FeS-Hg complexes and HgS precipitation. The abundance of key enzymes that involved in iron reduction and Hg transformation was enhanced with the addition of ZVI and pyrrhotite. The synergetic of pyrrhotite and ZVI enhances the removal of Hg in CW, offering a promising technology for high-efficiency treatment of Hg.

Enhanced Hg(II) reduction activity over two-dimensional n-n heterojunction MoS2/Bi2WO6 nanocomposites under visible light illumination

The engineering of band structure acts as an effective avenue to promote photocatalytic redox reactions, which can be achieved by fabricating heterojunction photocatalysts. Herein, MoS2 NPs were anchored on the surface of the mesoporous Bi2WO6 network through a facile sol-gel process to form heterostructure MoS2/Bi2WO6 nanocomposites. HR-TEM and XRD results of the obtained MoS2/Bi2WO6 nanocomposite verified the formation of the hexagonal phase of MoS2 and the Bi2WO6 in the orthorhombic phase. The MoS2/Bi2WO6 nanocomposites displayed enhancement harvest in the visible light domain and photocatalytic ability in comparison with the pristine Bi2WO6. The photocatalytic ability of MoS2/Bi2WO6 nanocomposites was assessed by the Hg(II) reduction upon visible light irradiation. The optimal 12% MoS2/Bi2WO6 photocatalyst displayed the superior reduction of Hg(II) about 99% after 50 min, and the rate constant reached 0.1220 min-1 according to pseudo-first-order kinetic, where it was larger three folds than pristine Bi2WO6 (0.0418 min-1). The outstanding photocatalytic ability of n-n heterojunction MoS2/Bi2WO6 photocatalyst was accredited to the huge surface area, wide photoabsorption, and high separation efficiency of photocarriers. The reduction ability of MoS2/Bi2WO6 photocatalyst remained at 94% in the recycle five times, indicating its good reusability and high stability. The obtained heterojunction with the S-scheme mechanism could inhibit the recombination of the photocarriers, thus leading to superb photocatalytic ability. This work emerges an efficient route to design S-scheme heterojunction Bi2WO6-based photocatalytic methods for energy conversion and environmental purification.

Transmission centers of global embodied mercury emissions are moving from developed to developing regions

Mercury (Hg) can accumulate in the food chain, posing significant threats to human health and biodiversity. Existing studies have identified critical primary suppliers, producers, and final consumers driving Hg emissions in global supply chains. However, the hotspots in the intermediate transmission stages of global supply chains remain unknown. This study reveals critical transmission sectors and transactions of global embodied Hg emissions during 1995–2022. Results show that the critical transmission sectors and transactions of global embodied Hg emissions have been moving from developed (e.g., Japan and Russia) to developing (e.g., China and India) economies. Critical transmission sectors were primarily concentrated in the metal products, transportation, machinery and equipment manufacturing, and construction industries. Domestic transactions were the primary transmission pathways for embodied Hg emissions, with nearly half of these being intra-sectoral transactions. These findings can help policymakers develop transmission-bound Hg reduction policies and multi-level cooperation to support joint Hg emission reduction.

Isotope-Based Characterization of Soil Elemental Mercury Emissions from Historical Mercury Mining Areas: Driving Pathways and Relative Contributions.

Photo-, microbial, and abiotic dark reduction of soil mercury (Hg) may all lead to elemental mercury (Hg(0)) emissions. Utilizing lab incubations, isotope signatures of Hg(0) emitted from mining soils were characterized to quantify the interplay and contributions of various Hg reduction pathways, which have been scarcely studied. At 15 °C, microbial reduced Hg(0) showed a negative mass-dependent fractionation (MDF) (δ202Hg = -0.30 ± 0.08‰, 1SD) and near-zero mass-independent fractionation (MIF) (Δ199Hg = 0.01 ± 0.04‰, 1SD), closely resembling dark reduced Hg(0) (δ202Hg = -0.18 ± 0.05‰, Δ199Hg = -0.01 ± 0.03‰, 1SD). In comparison, photoreduced Hg(0) exhibited significant MDF and MIF (δ202Hg = -0.55 ± 0.05‰, Δ199Hg = -0.20 ± 0.07‰, 1SD). In the dark, Hg isotopic signatures remained constant over the temperature range of 15-35 °C. Nonetheless, light exposure and temperature changes together altered Hg(0) MIF signatures significantly. Isotope mixing models along with Hg(0) emission flux data highlighted photo- and microbial reduction contributing 79-88 and 12-21%, respectively, of the total Hg(0) emissions from mining soils, with negligible abiotic dark reduction. Microorganisms are the key driver of soil Hg(0) emissions by first dissolving HgS and then promoting ionic Hg formation, followed by facilitating the photo- and microbial reduction of organically bound Hg. These insights deepen our understanding of the biogeochemical processes that influence Hg(0) releases from surface soils.

A p-n heterojunction PdO/CeO2 photocatalysts with enhanced photocatalytic ability for reduction of Hg(II) ions from aqueous solution

Heterostructured photocatalysts represent an essential role in the catalytic redox reactions in wastewater during illumination. In this contribution, p-n heterojunction PdO/CeO2 photocatalysts were constructed with enhanced photocatalytic ability for the reduction of Hg(II) utilizing HCOOH as hole scavengers under visible light. PdO NPs were uniformly spread on the mesoporous CeO2 surface, to act as potential separation centers of electrons and holes. The synthesized PdO/CeO2 nanocomposites exhibited an excellent photocatalytic ability, contrasted to the bare CeO2 NPs. The photocatalytic ability of PdO/CeO2 nanocomposites for reduction of Hg(II) has existed in the trends of 2%PdO ≥1.5%PdO >1%PdO >0.5 % PdO/CeO2 nanocomposites > bare CeO2 NPs. A photocatalytic ability of 100 % for Hg(II) reduction was achieved within 40 min utilizing 1.5 % PdO/CeO2 nanocomposites, which was 2.2 folds greater than that of bare CeO2 NPs. The rate constant of 1.5 % PdO/CeO2 nanocomposite (0.106 min−1) is more 9.9 times than that CeO2 NPs (0.0107 min−1). The enhancement photocatalytic ability of PdO/CeO2 can be interpreted to the wide surface area, narrow bandgap, numerous active sites, fast mobility, efficient diffusion of Hg(II), and the high separation rate of photocarriers. Considering the promotion photocatalytic ability of heterojunction PdO/CeO2 nanocomposites, the heterostructure photocatalyst is of magnificent importance to the photocatalytic redox reactions and exhibits a significant effect on our human health and ecological environment.

Bacterial mercury methylation modulated by vitamin B9: An overlooked pathway leads to increased environmental risks

There has been a serious health and environmental concern in conversion of inorganic mercury (Hg) to the neurotoxin, methylmercury (MeHg) by anaerobic microbes, while very little is known about the potential role of vitamin B9 (VB9) regulator in the biochemical generation of MeHg. This study innovatively investigated bacterial Hg methylation by Geobacter sulfurreducens PCA in the presence of VB9 under two existing scenarios. In the low-complexing scenario, the bacterial MeHg yield reached 68 % higher than that without VB9 within 72 h, which was attributed to free VB9-protected PCA cells relieving oxidative stress, as manifested by the increased expression of Hg methylation gene (hgcAB cluster by 19–48 %). The high-complexing scenario emphasized the intracellular Hg accumulation (38–45 %) after 12 h, as indicated by the increased expression of outer membrane protein-related and mercuric reductase-encoding genes, indicating the inefficient bioavailability of Hg due to a gradual shift from Hg reduction toward Hg0 re-oxidation controlled by competitive ligand exchange. These results suggested that VB9 application significantly raised the potential for bacterial Hg methylation and cellular accumulation, thus proposing insights into the biochemical behaviors of hazardous Hg in farming environments where vulnerable organisms are more possibly co-exposed to higher levels of Hg and VB9.

Decoupling the influence of NOx in flue gas on the application of nano-amorphous selenium for mercury removal

Nitrogen oxides are inevitable hazardous components in coal-fired flue gas. This study designed a series of experiments and combined theoretical calculations to systematically investigate the effect of NOx on the removal of element mercury (Hg0) by nano-amorphous selenium (nano-a-Se). It was found that the impact of NOx on the removal of Hg0 by nano-a-Se primarily involves two mechanisms: competitive adsorption between NOx and Hg0, and the induced reduction effect of NOx on chemisorbed mercury (HgSe). NO inhibits the removal of Hg0 by nano-a-Se, and competitive adsorption is identified as the main influencing factor. Whereas the inhibitory effect of NO2 on the adsorption of Hg0 by nano a-Se can be counteracted due to its oxidizing effect on Hg0. Therefore, although NO2 presents stronger competitiveness than NO in the competitive adsorption with Hg0, it still shows a promoting effect on Hg0 removal, with 50 ppm NO2 restoring 5.7 % of the Hg0 removal efficiency. Additionally, the mechanism of NOx-induced reduction of HgSe was investigated in detail. NO2 is more capable of inducing the reduction of Hg(II) from HgSe to Hg0. This study presents new insights into the underlying influence mechanism, which could provide valuable references for the application of other selenium-based adsorbents.

Catheter-Based Radiofrequency Renal Denervation in the United States: A Cost-Effectiveness Analysis Based on Contemporary Evidence

BackgroundCatheter-based radiofrequency renal denervation (RF RDN) has recently been approved as an adjunctive treatment for hypertensive patients without adequate blood pressure control. This study assessed the cost-effectiveness of RF RDN in the United States based on contemporary clinical evidence. MethodsA decision-analytic Markov model projected costs, quality-adjusted life years (QALY), and clinical events for an active cohort treated with RF RDN and a control cohort treated with standard-of-care (defined as 1, 2, or 3 antihypertensive medications). Cohort demographics and therapy effect were derived from the SPYRAL HTN-ON MED study demonstrating an absolute 9.9 mm Hg reduction in office systolic blood pressure and 4.9 mm Hg reduction compared with sham control. Clinical event risk reduction from blood pressure lowering was based on a meta-regression of 47 hypertension trials. The incremental cost-effectiveness ratio was evaluated against willingness-to-pay thresholds of $50,000 per QALY (high value) and $150,000 per QALY (intermediate value). Extensive scenario and sensitivity analyses were conducted to assess robustness of the findings. ResultsRF RDN yielded a significant risk reduction in clinical events (0.80 for stroke, 0.88 for myocardial infarction, and 0.85 for cardiovascular death over 10 years). Over lifetime, RF RDN added 0.34 QALY at an additional cost of $11,275, leading to an incremental cost-effectiveness ratio of $32,732 per QALY. The cost-effectiveness of RF RDN was robust across a broad range of scenarios and sensitivity analyses. ConclusionsBased on a lifetime projection, catheter-based RF RDN is a cost-effective, high-value intervention for hypertensive patients with uncontrolled hypertension.

Efficient adsorption and desorption of elemental mercury by ordered mesoporous cerium oxide nanoparticles derived from Ce-based metal–organic frameworks

Metal oxide-based adsorbents not only exhibit effective elemental mercury (Hg0) removal capacity but also offer suitability for wet desorption, which is a green treatment method to avoid secondary contamination of deactivated adsorbents. Nevertheless, the limited dispersing capacity of the carrier restricts the loading of active substances, hindering further enhancement of adsorption capacity. The pore structure of adsorbent is also a key factor for wet desorption. In this work, we synthesized a hollow cerium-based metal–organic framework (Ce-mesoMOF) as a sacrificial precursor to obtain ordered mesoporous cerium oxide (OM-CeO₂) via a mesoporous genetic pyrolysis-oxidation mechanism. OM-CeO2 inherits the excellent structural properties of mesoporous MOF with better catalytic activity, exhibiting strong adsorption capacity in various atmospheres (97.6 % in pure N2, 98.8 % in N2 + H2S). Wet desorption of Hg compounds and reduction of the active site can be synergized in Na2S2O3 solution. The octahedral structure with an ordered mesoporous shell greatly facilitates the mass transfer process, as evidenced by the strong adsorption capacity and fast kinetic parameters of OM-CeO2. Density functional theory analysis reveals that the conversion reaction of adsorbed Hg has a low energy barrier on the pyrolytic-oxidized OM-CeO2 and the inhibitory effect of reactive S for Hg0 adsorption transforms into a facilitating effect. This study leverages the structural advantages of ordered mesoporous MOFs in the field of Hg adsorption and imparts reactivity through modification for efficient adsorption–desorption.

The coupling effect promotes superoxide radical production in the microalgal-fungal symbiosis systems: Production, mechanisms and implication for Hg(II) reduction

Redox transformation of mercury (Hg) is critical for Hg exchange at the air-water interface. However, the superoxide radicals (O2•─) contribution of microalgal-fungal symbiotic systems in lake water to Hg(II) reduction is mainly unknown. Here, we studied the enhanced potential for O2•─ production by the coupling effect between microalgae and fungi. The relationships between microenvironment, microorganisms, and O2•─ production were also investigated. Furthermore, the implication of O2•─ for Hg(II) reduction was explored. The results showed that the coupling effect of microalgae and fungi enhanced O2•─ generation in the symbiotic systems, and the O2•─ generation peaked on day 4 in the lake water at 160.51 ± 13.06–173.28 ± 18.21 μmol/kg FW (fresh weight). In addition, O2•− exhibited circadian fluctuations that correlated with changes in dissolved oxygen content and redox potential on the inter-spherical interface of microalgal-fungal consortia. Partial least squares path modeling (PLS-PM) indicates that O2•─ formation was primarily associated with microenvironmental factors and microbial metabolic processes. The experimental results suggest that O2•─ in the microalgal-fungal systems could mediate Hg(II) reduction, promoting Hg conversion and cycling. The findings highlight the importance of microalgae and fungal symbiotic systems in Hg transformation in aquatic environments.

Mercury sources, transport, and transformation in rainfall-runoff processes: Mercury isotope approach

Mercury (Hg) in runoff water poses significant ecological risks to aquatic ecosystems that can affect organisms. However, accurately identifying the sources and transformation processes of Hg in runoff water is challenging due to complex natural conditions. This study provides a comprehensive investigation of Hg dynamics in water from rainfall to runoff. The Hg isotope fractionation in water was characterized, which allows accurate quantification of Hg sources, transport, and transformations in rainfall-runoff processes. Δ200Hg and corrected Δ199Hg values can serve as reliable tracers for identifying Hg sources in the runoff water and the variation of δ202Hg can be explained by Hg transformation processes. During runoff migration processes, Hg from rainfall is rapidly absorbed on the land surface, while terrestrial Hg entering the water by the dissolution process becomes the primary component of dissolved mercury (DHg). Besides the dissolution and adsorption, microbial Hg(II) reduction and demethylation of MeHg were dominant processes for DHg in the runoff water that flows through the rice paddies, while photochemical Hg(II) reduction was the dominant process for DHg in the runoff water with low water exchange rates. Particulate Hg (PHg) in runoff water is dominantly originated by the terrestrial material and derived from the dissolution and adsorption process. Tracking sources and transformations of Hg in runoff water during the rainfall-runoff process provides a basis for studying Hg pollution in larger water bodies under complex environmental factors.

Using Mercury Stable Isotopes to Quantify Directional Soil-Atmosphere Hg(0) Exchanges in Rice Paddy Ecosystems: Implications for Hg(0) Emissions to the Atmosphere from Land Surfaces.

Gaseous elemental mercury [Hg(0)] emissions from soils constitute a large fraction of global total Hg(0) emissions. Existing studies do not distinguish biotic- and abiotic-mediated emissions and focus only on photoreduction mediated emissions, resulting in an underestimation of soil Hg(0) emissions into the atmosphere. In this study, directional mercury (Hg) reduction pathways in paddy soils were identified using Hg isotopes. Results showed significantly different isotopic compositions of Hg(0) between those produced from photoreduction (δ202Hg = -0.80 ± 0.67‰, Δ199Hg = -0.38 ± 0.18‰), microbial reduction (δ202Hg = -2.18 ± 0.25‰, Δ199Hg = 0.29 ± 0.38‰), and abiotic dark reduction (δ202Hg = -2.31 ± 0.25‰, Δ199Hg = 0.50 ± 0.22‰). Hg(0) exchange fluxes between the atmosphere and the paddy soils were dominated by emissions, with the average flux ranging from 2.2 ± 5.7 to 16.8 ± 21.7 ng m-2 h-1 during different sampling periods. Using an isotopic signature-based ternary mixing model, we revealed that photoreduction is the most important contributor to Hg(0) emissions from paddy soils. Albeit lower, microbial and abiotic dark reduction contributed up to 36 ± 22 and 25 ± 15%, respectively, to Hg(0) emissions on the 110th day. These novel findings can help improve future estimation of soil Hg(0) emissions from rice paddy ecosystems, which involve complex biotic-, abiotic-, and photoreduction processes.

Key factors influencing Hg levels and trends in unperturbed oligotrophic temperate and boreal lakes

Mercury (Hg) is a toxic metal that presents a major risk to ecosystems, biota, human health, and remains a priority concern. In temperate and boreal lakes Hg and methylmercury (MMHg) are expected to vary as a function of atmospheric Hg deposition, lake water chemistry, catchment characteristics and climate variables. The aim of this study was to quantify Hg and MMHg in unperturbed oligotrophic lakes and to identify the factors controlling their distribution. We first hypothesized that lake Hg (and MMHg to lesser extent) spatial variations are linked to atmospheric deposition, catchment characteristics, and terrestrial exportation of dissolved organic carbon (DOC). We secondly examined if lake Hg concentrations have followed the decrease in atmospheric Hg emission observed between the mid-1990s to the end-2010s. We found that overall, atmospheric Hg has little impact on lake Hg and MMHg concentrations, which are both primarily influenced by DOC input originating from the forest catchment. The relationship between DOC and Hg differed between the spring and the fall, with a Hg-to-DOC ratio twice as high in spring. This seems related to snowmelt input of Hg (with a relatively reduced input of DOC) or the internal lake build-up of Hg during the ice-covered period. Of the 10 lakes intensively visited over a 20-year period, only 3 showed significant lake Hg decreases despite significant negative trends in atmospheric Hg concentrations, suggesting a lag between atmospheric and surface water temporal trends. Overall, terrestrial catchments retain around 80% of atmospheric Hg implying that large Hg pools have been built up in soils in the last decades. As such, the reduction of atmospheric Hg alone will not necessarily result in Hg decreases in lakes, since the Hg concentrations may be modulated by DOC export trends and catchment characteristics. This stresses the need to improve our understanding of the processes governing Hg transfers from catchments into lakes.

CaO/SiC alkaline fillers for High-Temperature reduction of mercury (II)

The reduction of Hg2+ to Hg0 through high temperature is a crucial technique for mercury monitoring. However, this application encounters two challenges: suboptimal thermal conditions in the reaction zone leading to incomplete decomposition of Hg2+ and the susceptibility of the decomposed Hg0 to re-oxidation by Cl species. This work proposes a novel alkaline filler with alkaline earth metal oxides (AEMOs) as the active component, which enhances the thermal conditions of the reaction while effectively removing Cl species. DFT reveals increased adsorption energies of AEMOs for HCl and Cl with the growing atomic period. Further comparison of the electronic structures and adsorption behaviors between AEMOs and Cl species indicates a similar trend in electron transfer and electron density at the bond critical points. The frontier molecular orbital analysis shows a positive correlation between orbital energy level difference and adsorption energy. Experimental validation of the DFT results, combined with a comparison of costs and de-HCl performance, identifies CaO as the optimal active component. Subsequently, the CaO is loaded onto SiC, and the impact of precursor and loading ratio on the composite performance is investigated through experiments and characterization. The optimal preparation method involves using calcium acetate monohydrate as the precursor with a loading rate of 50 %. Finally, the developed alkaline filler is tested in a Hg-CEMS for industrial application, it shows errors of below 7 % compared to the EPA Method 30B results, validating its industrial feasibility. This work offers a practical solution for Hg2+ high-temperature reduction in industrial settings.

Influence of Blood Pressure Reduction on Pulse Wave Velocity in Primary Hypertension: A Meta-Analysis and Comparison With an Acute Modulation of Transmural Pressure.

Increased arterial stiffness and pulse wave velocity (PWV) of the aorta and large arteries impose adverse hemodynamic effects on the heart and other organs. Antihypertensive treatment reduces PWV, but it is unknown whether this results from an unloading of stiffer elements in the arterial wall or is due to an alternate functional or structural change that might differ according to class of antihypertensive drug. We performed a systematic review and meta-analysis of the effects of different antihypertensive drug classes and duration of treatment on PWV with and without adjustment for change in mean arterial blood pressure (BP; study 1) and compared this to the change in PWV after an acute change in transmural pressure, simulating an acute change in BP (study 2). A total of 83 studies involving 6200 subjects were identified. For all drug classes combined, the reduction of PWV was 0.65 (95% CI, 0.46-0.83) m/s per 10 mm Hg reduction in mean arterial BP, a change similar to that induced by an acute change in transmural pressure in a group of hypertensive subjects. When adjusted for change in mean arterial BP, the reduction in PWV after treatment with beta-blockers or diuretics was less than that after treatment with angiotensin-converting enzyme inhibitors/angiotensin receptor antagonists or calcium channel antagonists. Reduction in PWV after antihypertensive treatment is largely explained by the reduction in BP, but there are some BP-independent effects. These might increase over time and contribute to better outcomes over the long term, but this remains to be demonstrated in long-term clinical trials.

Genetically determined blood pressure, antihypertensive drug classes, and frailty: A Mendelian randomization study.

Observational studies have suggested that the use of antihypertensive drugs was associated with the risk of frailty; however, these findings may be biased by confounding and reverse causality. This study aimed to explore the effect of genetically predicted lifelong lowering blood pressure (BP) through different antihypertensive medications on frailty. One-sample Mendelian randomization (MR) and summary data-based MR (SMR) were applied. We utilized two kinds of genetic instruments to proxy the antihypertensive medications, including genetic variants within or nearby drugs target genes associated with systolic/diastolic BP, and expression level of the corresponding gene. Among 298,618 UK Biobank participants, one-sample MR analysis observed that genetically proxied BB use (relative risk ratios, 0.76; 95% CI, 0.65-0.90; p = 0.001) and CCB use (0.83; 0.72-0.95; p = 0.007), equivalent to a 10-mm Hg reduction in systolic BP, was significantly associated with lower risk of pre-frailty. In addition, although not statistically significant, the effect directions of systolic BP through ACEi variants (0.72; 0.39-1.33; p = 0.296) or thiazides variants (0.74; 0.53-1.03; p = 0.072) on pre-frailty were also protective. Similar results were obtained in analyses for diastolic BP. SMR of expression in artery showed that decreased expression level of KCNH2, a target gene of BBs, was associated with lower frailty index (beta -0.02, p = 2.87 × 10-4). This MR analysis found evidence that the use of BBs and CCBs was potentially associated with reduced frailty risk in the general population, and identified KCNH2 as a promising target for further clinical trials to prevent manifestations of frailty.

Effect of Therapeutic Drug Monitoring on Adherence and Blood Pressure: A Multicenter Randomized Clinical Trial.

Drug concentration in blood or urine is an acknowledged method to detect nonadherence. Observational studies suggest that informing patients about low or absent serum drug levels improves blood pressure (BP). We performed a multicenter randomized clinical trial to test the hypothesis that therapeutic drug monitoring (TDM) could improve drug adherence and BP in patients with uncontrolled hypertension (HT). Patients were ≥18 years on stable treatment with at least 2 antihypertensive agents. We planned to randomize 80 nonadherent patients with a systolic daytime ambulatory BP ≥135 mm Hg to TDM intervention or not. The control group and the study personnel who measured BP remained uninformed about serum drug measurements throughout. All patients and physicians were blinded for BPs. Lifestyle advice and detailed information on the disease process and the importance of BP treatment were given to both groups. From 2017 to 2022, we randomized 46 diagnosed nonadherent from a total of 606 patients with uncontrolled HT. The TDM group had a 6.7 (±14.5) mm Hg reduction from 147.9 (±10.3) to 141.1 (±14.1) mm Hg, and the control group experienced a 7.3 (±13.2) mm Hg reduction from 147.1 (±9.2) to 139.1 (±17.4) mm Hg, P = 0.9 between groups. Adherence improved in both groups, 73% in the TDM group and 59% in the control group became adherent at 3 months, P = 0.51. In our prospective multicenter clinical trial of uncontrolled and nonadherent hypertensive patients, we found no additional effect of TDM on BP and drug adherence compared with standard care. Trial Number NCT03209154, www.clinicaltrials.gov.

Lithium manganite anchored on mesoporous ceria photocatalyst for removal of Hg(II) ions from aqueous solution under visible illumination

The development of effective photocatalysts is critical for the photo/redox reaction of noxious Hg(II) ions and Hgo in environmental engineering and purification. In this contribution, Li2MnO3 nanoparticles (NPs) were anchored mesoporous CeO2 networks to design photocatalysts with high harvest of visible light, and the obtained Li2MnO3/CeO2 nanocomposites were utilized for photoreduction of Hg(II) ions under visible illumination. The TEM and XRD results showed the formation of Li2MnO3 and CeO2 with the monoclinic and cubic fluorite structures, and the particle size is about 10–20 nm. The enhancement of light absorption of Li2MnO3/CeO2 nanocomposites could create considerable photoinduced carriers during the photocatalytic reactions. The incorporation of Li2MnO3 and CeO2 NPs demonstrated outstanding photocatalytic performance compared with pristine CeO2 NPs, and the optimum 9%Li2MnO3/CeO2 nanocomposite achieved 98 % of the reduction Hg(II) ability within 60 min. The rate constant for 9 % Li2MnO3/CeO2 photocatalyst is ∼ 6.47 and 3.85 times greater than Li2MnO3 and CeO2 NPs. The superior photocatalytic performance of Li2MnO3/CeO2 nanocomposites was ascribed to the efficient separation of photocarriers due to the formation of S-scheme heterojunction, the large surface area, and mesoporous structures. The obtained Li2MnO3/CeO2 nanocomposite was highly stable and efficient for the Hg(II) photoreduction runs up to five successive experiments under similar conditions. Moreover, the possible mechanism over heterojunctions Li2MnO3/CeO2 nanocomposites toward the reduction of Hg(II) ions is examined as well. The formation of S-scheme heterojunction photocatalyst provides better photocatalytic applications in terms of air purification, hydrogen production, and water treatment.