Biomarkers of brain Aβ amyloid deposition can be measured either by cerebrospinal fluid Aβ42 or Pittsburgh compound B positron emission tomography imaging. Our objective was to evaluate the ability of Aβ load and neurodegenerative atrophy on magnetic resonance imaging to predict shorter time-to-progression from mild cognitive impairment to Alzheimer’s dementia and to characterize the effect of these biomarkers on the risk of progression as they become increasingly abnormal. A total of 218 subjects with mild cognitive impairment were identified from the Alzheimer’s Disease Neuroimaging Initiative. The primary outcome was time-to-progression to Alzheimer’s dementia. Hippocampal volumes were measured and adjusted for intracranial volume. We used a new method of pooling cerebrospinal fluid Aβ42 and Pittsburgh compound B positron emission tomography measures to produce equivalent measures of brain Aβ load from either source and analysed the results using multiple imputation methods. We performed our analyses in two phases. First, we grouped our subjects into those who were ‘amyloid positive’ (n = 165, with the assumption that Alzheimer's pathology is dominant in this group) and those who were ‘amyloid negative’ (n = 53). In the second phase, we included all 218 subjects with mild cognitive impairment to evaluate the biomarkers in a sample that we assumed to contain a full spectrum of expected pathologies. In a Kaplan–Meier analysis, amyloid positive subjects with mild cognitive impairment were much more likely to progress to dementia within 2 years than amyloid negative subjects with mild cognitive impairment (50 versus 19%). Among amyloid positive subjects with mild cognitive impairment only, hippocampal atrophy predicted shorter time-to-progression (P < 0.001) while Aβ load did not (P = 0.44). In contrast, when all 218 subjects with mild cognitive impairment were combined (amyloid positive and negative), hippocampal atrophy and Aβ load predicted shorter time-to-progression with comparable power (hazard ratio for an inter-quartile difference of 2.6 for both); however, the risk profile was linear throughout the range of hippocampal atrophy values but reached a ceiling at higher values of brain Aβ load. Our results are consistent with a model of Alzheimer’s disease in which Aβ deposition initiates the pathological cascade but is not the direct cause of cognitive impairment as evidenced by the fact that Aβ load severity is decoupled from risk of progression at high levels. In contrast, hippocampal atrophy indicates how far along the neurodegenerative path one is, and hence how close to progressing to dementia. Possible explanations for our finding that many subjects with mild cognitive impairment have intermediate levels of Aβ load include: (i) individual subjects may reach an Aβ load plateau at varying absolute levels; (ii) some subjects may be more biologically susceptible to Aβ than others; and (iii) subjects with mild cognitive impairment with intermediate levels of Aβ may represent individuals with Alzheimer’s dise...

The results of this study indicate that the DMN abnormalities observed in patients with AD represent an accelerated aging pattern of connectivity compared with matched controls.

Electrochemical reduction of CO2 to valuable fuels is appealing for CO2 fixation and energy storage. However, the development of electrocatalysts with high activity and selectivity in a wide potential window is challenging. Herein, atomically thin bismuthene (Bi‐ene) is pioneeringly obtained by an in situ electrochemical transformation from ultrathin bismuth‐based metal–organic layers. The few‐layer Bi‐ene, which possesses a great mass of exposed active sites with high intrinsic activity, has a high selectivity (ca. 100 %), large partial current density, and quite good stability in a potential window exceeding 0.35 V toward formate production. It even deliver current densities that exceed 300.0 mA cm−2 without compromising selectivity in a flow‐cell reactor. Using in situ ATR‐IR spectra and DFT analysis, a reaction mechanism involving HCO3− for formate generation was unveiled, which brings new fundamental understanding of CO2 reduction.

The exploration of anode materials for lithium ion batteries (LIBs) or sodium ion batteries (SIBs) represents a grand technological challenge to meet the continuously increased demand for the high-performance energy storage market. Here we report a facile and reliable synthetic strategy for in situ growth of few-layer MoS nanosheets on reduced graphene oxide (rGO) cross-linked hollow carbon spheres (HCS) with formation of three-dimensional (3D) network nanohybrids (MoS-rGO/HCS). Systematic electrochemical studies demonstrate, as an anode of LIBs, the as-developed MoS-rGO/HCS can deliver a reversible capacity of 1145 mAh g after 100 cycles at 0.1 A g and a revisible capacity of 753 mAh g over 1000 cycles at 2 A g. For SIBs, the as-developed MoS-rGO/HCS can also maintain a reversible capacity of 443 mAh g at 1 A g after 500 cycles. The excellent electrochemical performance can be attributed to the 3D porous structures, in which the few-layer MoS nanosheets with expanded interlayers can provide shortened ion diffusion paths and improved Li/Na diffusion mobility, and the hollow porous carbon spheres and the outside graphene network are able to improve the conductivity and maintain the structural integrity.