Separate Mechanisms Research Articles

2D Membranes Interlayered with Bimetallic Metal-Organic Frameworks for Lithium Separation from Brines.

Efficient lithium extraction from salt lakes is essential for a sustainable resource supply. This study tackles the challenge of separating Li+ from Mg2+ in complex brines by innovatively integrating two-dimensional (2D) graphene oxide (GO) with bimetallic metal-organic frameworks (MOFs). Zn2+ and Co2+ ions are confined within GO interlayers through an in situ synthesis, forming a 2D Zn-Co MOFs/GO membrane (Zn-Co-GOM). This design exploits the unique advantages of bimetallic MOFs, including enhanced structural stability and superior ion separation capabilities due to the synergistic effects of Zn and Co. The Zn-Co-GOM demonstrates an impressive separation factor of 191 for Li+ over Mg2+, significantly surpassing traditional membranes. This exceptional selectivity is achieved through a combination of size exclusion effects and ion transport energy barriers. Our approach not only enhances the practical application of membrane technology for lithium extraction from salt lakes but also provides valuable insights into the underlying separation mechanisms.

Z-Scheme BiVO4/g-C3N4 Photocatalyst—With or Without an Electron Mediator?

The hybrid system BiVO4/g-C3N4 is a prospective photocatalyst because of the favorable mutual alignment of the energy bands of both semiconductors. However, the path of the photocatalytic process is still unclear because of contradictory information in the literature on whether the mechanism of charge carrier separation at the BiVO4/g-C3N4 interface is band-to-band or Z-scheme. In this work, we clarified this issue by comparative photocatalytic studies with the use of systems without a mediator and with different kinds of mediators including Au nanoparticles, fullerene derivatives, and the Fe3+/Fe2+ redox couple. Additionally, the charge transfer dynamics at the BiVO4/g-C3N4 and BiVO4/mediator/g-C3N4 interfaces were investigated by time-resolved photoluminescence (TRPL) measurements, while the influence of the mediator on the surface recombination of the charge carriers was verified by intensity-modulated photocurrent spectroscopy (IMPS). We proved that the charge carrier separation at the BiVO4/g-C3N4 interface occurs according to the mechanism typical for a heterojunction of type II, while the incorporation of the mediator between BiVO4 and g-C3N4 leads to the Z-scheme mechanism. Moreover, a very strong synergetic effect on caffeine (CAF) degradation rate was found for the system BiVO4/Au/g-C3N4 in the presence of Fe3+ ions in the CAF solution.

The Role of Thermally Activated Charge Separation in Organic Solar Cells

AbstractIn recent years, organic solar cells (OSCs) have shown high power efficiencies approaching 20%. However, the fundamental mechanisms of charge separation in these highly efficient devices have been a subject of intensive debates. Here, the charge separation efficiency (CSE) is extensively investigated across a wide range of blend systems with different energetic offsets. The findings unveil the temperature‐dependent nature of charge separation in low‐offset systems, emphasizing its significant contribution to the overall CSE. An intriguing inverse correlation between CSE and charge separation activation energy in relation to the offset is also observed. These results shed new light on the factors underlying the high CSE observed in the state‐of‐the‐art devices.

Advancements in Mixed-Matrix Membranes for Various Separation Applications: State of the Art and Future Prospects

Integrating nanomaterials into membranes has revolutionized selective transport processes, offering enhanced properties and functionalities. Mixed-matrix membranes (MMMs) are nanocomposite membranes (NCMs) that incorporate inorganic nanoparticles (NPs) into organic polymeric matrices, augmenting mechanical strength, thermal stability, separation performance, and antifouling characteristics. Various synthesis methods, like phase inversion, layer-by-layer assembly, electrospinning, and surface modification, enable the production of tailored MMMs. A trade-off exists between selectivity and flux in pristine polymer membranes or plain inorganic ceramic/zeolite membranes. In contrast, in MMMs, NPs exert a profound influence on membrane performance, enhancing both permeability and selectivity simultaneously, besides exhibiting profound antibacterial efficacy. Membranes reported in this work find application in diverse separation processes, notably in niche membrane-based applications, by addressing challenges such as membrane fouling and degradation, low flux, and selectivity, besides poor rejection properties. This review comprehensively surveys recent advances in nanoparticle-integrated polymeric membranes across various fields of water purification, heavy metal removal, dye degradation, gaseous separation, pervaporation (PV), fuel cells (FC), and desalination. Efforts have been made to underscore the role of nanomaterials in advancing environmental remediation efforts and addressing drinking water quality concerns through interesting case studies reported in the literature.

External Corporate Governance and Corporate Misconduct: A Meta‐Analysis

ABSTRACTResearch Question/IssueExternal governance parties deter corporate misconduct through their monitoring. External monitoring increases the probability of corporate misconduct being detected and sanctioned. Current research on the relationship between external governance and corporate misconduct remains fragmented across these detection and sanction mechanisms of deterrence. This separation of mechanisms leaves us with an incomplete concept of external monitoring and obscures our understanding of what facilitates monitoring by investors, auditors, analysts, and the media.Research Findings/InsightsWe integrate the detection and sanction mechanisms of deterrence into a process model of external monitoring. Our meta‐analysis of 188 studies from 14 countries covering the period from 1970 to 2019 identifies proximity, credibility, and attention as common underlying factors that facilitate monitoring by external governance parties. Proximity is of particular relevance in deterring corporate misconduct. Ethical relativism weakens external governance parties' role in deterring corporate misconduct.Theoretical/Academic ImplicationsParties outside firm boundaries affect public perception of firms, thereby possessing a unique influence on corporate governance. We integrate this form of influence into the concept of external monitoring. Our meta‐analytic synthesis suggests a fundamental role for external governance in preventing corporate misconduct and informs on the relevance of societal values for corporate governance and corporate misconduct.

Understanding the Enhanced Separation Mechanism of C2H4/C2H6 at Low Pressure by HKUST−1

The production of ethylene (C2H4) is typically accompanied by the formation of impurities like ethane (C2H6), making the separation of C2H4 and C2H6 crucial in industrial processes. Here, we investigated the S-shaped adsorption phenomenon of C2H6 on the metal–organic framework HKUST−1. The virial equation is used to fit the C2H6 and C2H4 adsorption isotherms under low coverage. The results showed that the repulsion energy between neighboring C2H6 molecules was significantly higher than that between neighboring C2H4 molecules, which was an important reason for the lower adsorption of C2H6 by HKUST−1 at low coverage. As more molecules are adsorbed, gas molecules aggregate within pores, leading to more hydrogen bonds formed between HKUST−1 and larger-sized C2H6 under high coverage conditions. This phenomenon plays a crucial role in the S-shaped adsorption behavior of HKUST−1 on C2H6. Additionally, this unique adsorption behavior allows for the efficient separation of C2H4/C2H6 mixtures at low pressures. The ideal adsorbed solution theory (IAST) selectivity of HKUST−1 for C2H4/C2H6 mixtures was 3.78 at 283 K and 1 bar, but increased significantly to 7.53 under low pressure. This unique mechanism provides a theoretical basis for the low-pressure separation of C2H4/C2H6 by HKUST−1 and establishes a solid foundation for future practical research applications.

Single-Particle Fluorescence Spectroscopy for Elucidating Charge Transfer and Catalytic Mechanisms on Nanophotocatalysts.

Photocatalysis is a cost-effective approach to producing renewable energy. A thorough comprehension of carrier separation at the micronano level is crucial for enhancing the photochemical conversion capabilities of photocatalysts. However, the heterogeneity of photocatalyst nanoparticles and complex charge migration processes limit the profound understanding of photocatalytic reaction mechanisms. By establishing the precise interrelationship between microscopic properties and photophysical behaviors of photocatalysts, single-particle fluorescence spectroscopy can elucidate the carrier separation and catalytic mechanism of the photocatalysts in situ, which provides perspectives for improving the photocatalytic efficiency. This Review primarily focuses on the basic principles and advantages of single-particle fluorescence spectroscopy and its progress in the study of plasmonic and semiconductor photocatalysis, especially emphasizing its importance in understanding the charge separation and photocatalytic reaction mechanism, which offers scientific guidance for designing efficient photocatalytic systems. Finally, we summarize and forecast the future development prospects of single-particle fluorescence spectroscopy technology, especially the insights into its technological upgrading.

Thallium enrichment mechanism and geological significance of the Xiangquan thallium deposit in Anhui Province, China

The discovery of the independent thallium (Tl) deposit in Xiangquan, Anhui Province, provides an example for the study of the enrichment and mineralization of the highly dispersed rare metal element Tl. In this paper, a range of methods are used to characterize the enrichment, depletion, migration and occurrence state of Tl in different types of rocks and ores: lithogeochemistry; electron microprobe and principal component analysis; and exploring the significance of geochemical anomalies on the geological indication of Tl deposit formation. The results show that Tl is mainly distributed in silicified rocks of the Ordovician Lunshan Formation, and its average content is 307.08 μ g g –1 . The contents of As, Sb, S, Fe 2 O 3 and Tl in wall rocks, altered rocks and ores are significantly correlated, indicating a close relationship with Tl accumulation. The geochemical characteristics confirm that pyrite in the study area originates from submarine hot-water deposition. The main carrier of Tl is pyrite of hydrothermal sedimentary origin, in which Tl occurs as isomorphs in fine grains of pyrite. Tl mineralization may be accompanied by silicification, and the metallogenic environment is in a relative oxidation state. The mineralization process results in the geochemical differentiation of elements. Under the influence of tectonic and low-temperature hydrothermal activities, ore-forming elements migrate to structurally favourable conditions for mineralization to occur. This study provides a basis for further understanding the mechanisms of co-enrichment and separation of Tl and guidance for Tl mineral exploration.

Synergistic enantioseparation system based on anovel nanomaterial synthesized by chiral metal-organic framework and chiral molecularly imprinted polymer in capillary electrochromatography.

Acapillary electrochromatography (CEC) synergistic enantioseparation system based on a novel nanomaterial synthesized by chiral molecularly imprinted polymers (CMIPs) and chiral metal organic frameworks (CMOFs) was developed. Compared with CMIPs and CMOFs alone, the enantioseparation performance of ofloxacin (OFL)of the CEC with the novel nanomaterial as stationary phases was greatly improved. CMOFs with chiral recognition ability have synergize with CMIPs to greatly improve the chiral selectivity of the novel stationary phases in CEC.As a proof-of-concept demonstration, a coated capillary column was prepared by a sol-gel method using S-OFL (template), iron-based cyclodextrin MOF (Fe-CD-MOF, a CMOF), 3-aminopropyltriethoxysilane (functional monomer), and tetraethyl orthosilicate (cross-linking agent). Then, the newly constructed CEC system has excellent enantioseparation performance of OFL with a resolution of 3.92. Finally, computerized molecular docking revealed that the difference in the binding ability of Fe-CD-MOF to ofloxacin enantiomers was an important mechanism for CEC chiral separation. This innovative development of synergistic chiral stationary phases based on CMOFs and CMIPs creates a highly efficient potential direction for enantiomer separation.

Impact of Asymmetric Microstructure on Ion Transport in Ti3C2Tx Membranes.

Consolidation or densification of low-dimensional MXene materials into membranes can result in the formation of asymmetric membrane structures. Nanostructural (short-range) and microstructural (long-range) heterogeneity can influence mass transport and separation mechanisms. Short-range structural dynamics include the presence of water confined between the 2D layers, while long-range structural properties include the formation of defects, micropores, and mesopores. Herein, it is demonstrated that structural heterogeneity in Ti3C2Tx membranes fabricated via vacuum-assisted filtration significantly affects ion transport. Higher ion permeabilities are achieved when the dense "bottom" side of the membrane, rather than the porous "top" side, faces the feed solution. Characterization of the membrane reveals distinct differences in flake alignment, surface roughness, and porosity across the membrane. The directional dependence on permeability suggests that one region of the membrane experiences stronger internal concentration polarization, potentially suppressing permeability through the porous side of the membrane.

Six-Membered Ring Directed Assembly of a Zirconium Zeolitic Metal-Organic Framework for Efficient Separation of Hexane Isomers.

The synthesis of zirconium MOFs with zeolite net is quite challenging due to the high connectivity of Zr6 clusters, which is far from tetrahedral connection, a requisite for zeolite net. In this work, we demonstrate a six-membered ring (6MR) strategy through mimicking of mineral zeolites with mixed ditopic and tritopic carboxylate linkers. With this strategy, the ditopic linker cross-links Zr6 clusters to form 4-connected zeolite-like nets, while the tritopic one is used to direct the formation of 6MR and simultaneously consumes extra coordination sites on the cluster. The feasibility of this strategy is shown by one zeolitic metal-organic framework (NNM-5) and this strategy has also led to the synthesis of the other dia-type zirconium MOF (NNM-6). Interestingly, as the tritopic linker not only directs the formation of 6MR but also partitions 6MR into small segments, NNM-5 with SOD topology shows a structural feature of small aperture and big cage, which has led to efficient separation of hexane isomers. With both exceptionally high n-hexane uptake (65.9 cm3 g-1) and size-exclusion selectivity, an exceptional separation capability is verified by breakthrough experiments. Calculation results demonstrate that the large difference of diffusion energy barrier due to the small aperture accounts for the underlying separation mechanism.

TSAE-UNet: A Novel Network for Multi-Scene and Multi-Temporal Water Body Detection Based on Spatiotemporal Feature Extraction

The application of remote sensing technology in water body detection has become increasingly widespread, offering significant value for environmental monitoring, hydrological research, and disaster early warning. However, the existing methods face challenges in multi-scene and multi-temporal water body detection, including the diverse variations in water body shapes and sizes that complicate detection; the complexity of land cover types, which easily leads to false positives and missed detections; the high cost of acquiring high-resolution images, limiting long-term applications; and the lack of effective handling of multi-temporal data, making it difficult to capture the dynamic changes in water bodies. To address these challenges, this study proposes a novel network for multi-scene and multi-temporal water body detection based on spatiotemporal feature extraction, named TSAE-UNet. TSAE-UNet integrates convolutional neural networks (CNN), depthwise separable convolutions, ConvLSTM, and attention mechanisms, significantly improving the accuracy and robustness of water body detection by capturing multi-scale features and establishing long-term dependencies. The Otsu method was employed to quickly process Sentinel-1A and Sentinel-2 images, generating a high-quality training dataset. In the first experiment, five rectangular areas of approximately 37.5 km2 each were selected to validate the water body detection performance of the TSAE-UNet model across different scenes. The second experiment focused on Jining City, Shandong Province, China, analyzing the monthly water body changes from 2020 to 2022 and the quarterly changes in 2022. The experimental results demonstrate that TSAE-UNet excels in multi-scene and long-term water body detection, achieving a precision of 0.989, a recall of 0.983, an F1 score of 0.986, and an IoU of 0.974, significantly outperforming FCN, PSPNet, DeepLabV3+, ADCNN, and MECNet.

Biomolecular Condensates Based on Amino Acid for Enhancing Oral Bioavailability and Therapeutic Efficacy of Hydrophobic Drugs.

The oral administration of chemo- or immunotherapeutic drugs presents a compelling alternative for patients with malignant colorectal cancer, offering a convenient and patient-compliant "hospital-free" strategy. Unfortunately, the hydrophobic nature of many drug candidates, alongside the harsh conditions of the gastrointestinal tract, frequently results in suboptimal bioavailability and heightened systemic toxicity. To address these challenges, we harnessed the unique properties of biomolecular condensates, which form through a liquid-liquid phase separation mechanism, to develop a versatile platform for drug encapsulation and delivery. In this study, we introduce a reliable and effective amorphous oral drug delivery system based on biomolecular condensates derived from the amino acid derivative N-(benzyloxycarbonyl)-l-proline (ZP). These ZP condensates exhibit dynamic intermolecular interactions and possess unique physicochemical attributes such as fluidity and viscoelasticity. They significantly improve the solubility of hydrophobic drugs, ensuring enhanced stability and optimized pharmacokinetics under physiological and gastrointestinal conditions. By maintaining drugs in an amorphous state, we substantially increased drug bioavailability and markedly improved pharmacokinetics. Furthermore, the ZP condensates demonstrate potential as an integrated therapeutic platform capable of potentiating the synergies between chemotherapy and immunotherapy while concurrently reducing systemic toxicity. This has resulted in a significant enhancement of chemo-immunotherapy efficacy in the treatment of colorectal cancer, representing a notable advancement in drug delivery and oncology.

Separate mechanisms regulating accumbal taurine levels during baseline conditions and following ethanol exposure in the rat

Ethanol-induced dopamine release in the nucleus accumbens (nAc) is associated with reward and reinforcement, and for ethanol to elevate nAc dopamine levels, a simultaneous increase in endogenous taurine is required within the same brain region. By employing in vivo microdialysis in male Wistar rats combined with pharmacological, chemogenetic and metabolic approaches, our aim with this study was to identify mechanisms underlying ethanol-induced taurine release. Our results demonstrate that the taurine elevation, elicited by either systemic or local ethanol administration, occurs both in presence and absence of action potential firing or NMDA receptor blockade. Inhibition of volume regulated anion channels did not alter the ethanol-induced taurine levels, while inhibition of the taurine transporter occluded the ethanol-induced taurine increase, putatively due to a ceiling effect. Selective manipulation of nAc astrocytes using Gq-coupled designer receptors exclusively activated by designer drugs (DREADDs) did not affect ethanol-induced taurine release. However, activation of Gi-coupled DREADDs, or metabolic inhibition using fluorocitrate, rather enhanced than depressed taurine elevation. Finally, ethanol-induced taurine increase was fully blocked in rats pre-treated with the L-type Ca2+-channel blocker nicardipine, suggesting that the release is Ca2+ dependent. In conclusion, while astrocytes appear to be important regulators of basal taurine levels in the nAc, they do not appear to be the main cells underlying ethanol-induced taurine release.

Spent lithium-ion battery recycling: Process optimization and carbon footprint analysis based on thermal mechanical force

ABSTRACT With the increasing number of spent lithium-ion batteries, the development of efficient and environmentally friendly recycling technologies has become a key research focus. This study aims to establish a physical recycling method that integrates thermal treatment and mechanical separation to enhance the recovery rate of LiFePO4 materials while minimizing environmental impact. The process combines thermal treatment, mechanical separation, and air separation, with key factors influencing material separation and recovery efficiency analyzed through single-factor and variance analyses. Additionally, the carbon footprint of the recycling process was assessed using SimaPro software. The experimental results indicate that within a temperature range of 270°C–300°C, thermal treatment effectively separates LiFePO4 from aluminum foil, achieving a recovery rate of 96.88%. The air separation experiments further demonstrate that at an airflow speed of 20 m/s, the cathode material and current collector can be efficiently separated. Moreover, the carbon footprint analysis shows that this method significantly reduces carbon emissions.

Recyclability study for the next generation of cobalt-free lithium-ion battery systems with C-LNMO, Si/C- LRLO and TiNbO-LNMO active materials via hydrometallurgical route

The scarcity and uncertain supply of cobalt poses significant challenges for the lithium-ion battery industry. To address this issue, alternative chemistries excluding cobalt have been developed. Despite solving supply issues, these developments raise concerns about recyclability and their impact on current recycling trends.This study presents a recycling strategy and evaluates its performance for next-generation cobalt-free lithium-ion batteries. It focuses on three prototypes that use innovative cathode materials (titanium niobium oxide, carbon, and silicon/carbon) and electrolyte systems (ionic liquid and gelified). The proposed recycling process includes pyrolysis, mechanical separation, neutral and acid leaching, cementation, and neutralisation for selective metal separation.The results indicate that gelified electrolytes exhibit greater thermal stability than their liquid counterparts, indicating an effect on the degradation temperature and gas emissions, which are crucial for metal recovery. This study highlights the reduced toxicity of ionic liquid electrolytes and emphasises the need for strict pyrolysis gas handling due to hazardous emissions. High recovery rates (65–90 %) were achieved for nickel, manganese, lithium, and anode components.With potential for process optimisation to improve the quality of products, this study shows that cobalt-free battery systems can be integrated into existing recycling frameworks with adjustments, supporting progress towards sustainable battery practices.

Non-stationary mechanical sound source separation: An all-neural beamforming network driven by time–frequency convolution and self-attention

To tackle the challenging task of extracting target signal features amidst significant interference from complex, time-varying non-stationary noise in industrial scenarios, we propose a novel time-domain all-neural beamforming network tailored for non-stationary mechanical sound source separation, named TFANBNet. Leveraging time–frequency convolution and self-attention, TFANBNet promised robust performance in challenging acoustic environments. First, the proposed time–frequency convolution module employs parameterized complex-valued convolutional layers to simulate time–frequency transformations, thereby implicitly extracting time–frequency features. Then, the proposed adaptive attention transformer network enhances local attention interaction by integrating intermediate features, effectively enhancing long-range context modeling. Third, the beamforming module utilizes deep neural networks for beamforming weight estimation, replacing conventional noise covariance matrix computations, which have inherent performance limitations. Finally, the experimental results on the multi-channel spatial reverberation dataset synthesized from the MIMII dataset show that the proposed TFANBNet yields superior separation performance and generalization capabilities compared to the considered competitive methods.

Main-Chain Azobenzene Poly(ether ester) Multiblock Copolymers for Strong and Tough Light-Driven Actuators.

The stimulus-responsive polymeric materials have attracted great research interest, especially those remotely manipulated materials with potential applications in actuators and soft robotics. Here we report a photoresponsive main-chain actuator based on azobenzene poly(ether ester) multiblock copolymer (mBCP) thermoplastic elastomers, (PTAD-b-PTMO-b-PTAD)n, which were synthesized by a cascade polycondensation-coupling ring-opening polymerization method using poly(tetramethylene oxide) (PTMO) and azobenzene-containing cyclic oligoesters (COTADs) as monomers. The thermal, mechanical, and microphase separation behaviors of mBCPs could be flexibly tuned by altering the ratios of soft-to-hard segments and block number (n). The oriented azobenzene mBCP fibers were prepared by melt spinning, showing reversible photoresponsive properties with remarkably high strength (∼1000 MPa) and high elongation at break comparable to spider silks. Fast photoinduced bending and contraction were successfully achieved in these fibers with high work and power densities and energy conversion efficiency, enabling it to lift up about 250 times of its own weight. Moreover, it can take out materials inside the tube by UV-light control. These fibers could be applied in light-driven actuators or telecontrolled robot arms.

Bioinspired interlaced wetting surfaces for continuous on-demand emulsion separation

Maintaining high separation performance during continuous emulsion separation remains a challenge. Herein, based on biomimetic coupling ideas, hole array interlaced wetting surfaces (HAIWSs) and mastoid array interlaced wetting surfaces (MAIWSs) were prepared by laser processing, electroless silver deposition, thiol modification, and spraying for on-demand emulsion separation. When the separation is going on, randomly moving emulsion droplets are prone to being captured by holes or mastoids due to interlaced wettability. Under this unique interface behavior, the occurrence of filter cake and pore clogging is reduced, thus achieving both high efficiency (∼99.5 and ∼99.3 %). Meanwhile, the high flux can also be maintained (∼3212 and ∼3458 L m−2 h−1). Significantly better than surfaces without pores or mastoid structures. Further, the as-prepared surfaces also exhibit excellent recyclability. After 50 separation cycles, optimized HAIWS and MAIWS still maintained high efficiency (∼96.2 and ∼95.8 %) and high flux (∼3042 and ∼3164 L m−2 h−1), exceeding other surfaces without hole or mastoid structure. Notably, complex physical/chemical cleaning processes are avoided. Besides, even in harsh conditions, HAIWS and MAIWS still maintain excellent stability. The above strategy provides a novel mechanism for effective on-demand emulsion separation and is expected to encourage the creation of new-class separation devices for oily wastewater treatment in industry.

Coexistence of Celiac Disease and Allergic Wheat Sensitivity: An Observational Study of Daily Clinical Practice

Introduction: Although separate immunogenic mechanisms are involved, IgE-type sensitization to wheat and celiac disease (CD) may coexist. We observationally assessed the importance of this relationship in daily practice using CD and wheat sensitization screenings. Methods: Celiac antibody (CA) screening and food prick tests (FPTs) were requested simultaneously from patients who presented to the Allergy Clinic between January 2022 and December 2023 and had any complaint accompanied by CD symptoms/findings (non-celiac group). Patients with positive CA (CA+) underwent endoscopy. As another group, FPT results were recorded for patients previously diagnosed with CD following a gluten-free diet (celiac group). Results: In total, 169 patients (124 non-celiac and 45 celiac) were included in the study. Wheat prick positivity (WP+) was observed in 1 patient with CD. Among 65 WP+ patients without a CD diagnosis, 14 (20.3%) tested positive for CA+, and histopathology detected CD in 4 of these cases. Among the 59 WP– patients, 4 (8.8%) had CA+. The CA+ status of those with WP+ was significantly higher than those with WP– (p = 0.023). Conclusion: The 4 patients unaware of their CD exhibited WP+, with a higher rate of CA+ observed in the WP+ group. The association between WP+ and CA+ suggests that an impaired intestinal barrier may lead to simultaneous T helper 1 and 2 type inflammatory responses. Although different types of sensitization to the same food would not typically be expected, growing evidence indicates that this phenomenon does occur. Further studies are necessary to confirm these findings and to explore the underlying causes.