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Trained and validated on multimodal data from 14.5 million images from multicountry datasets, a foundation model is shown to increase diagnostic and referral accuracy of clinicians when used as an assistant in a trial involving 16 ophthalmologists and 668 patients.

The electrosynthesis of amino acids is hindered by inefficient oxime intermediate conversion. Here, a relayed electron transfer mechanism is proposed using an ionic-liquid@Bi catalyst. Electrons are accepted by the ionic liquid to generate related radicals, which then transfer electrons to oxime, enabling efficient amino acid production.

Spin-orbit torques are a well-established method for the control of magnetization, the key ingredients for conventional spin-orbit torques being a conductive material with a strong spin-orbit interaction. Here, Tang, Zhang and Cheng show that in antiferromagnetic insulators, the topological phase can support a unique form of Neel spin-orbit torque driven by adiabatic currents, which suppresses joule heating.

A consensus cell type atlas for the fly brain provides both an intellectual framework and open-source toolchains for brain-scale comparative connectomics.

Diffusion models have shown promise in content generation, however, like many forms of generative AI, this comes with high computation cost, exacerbated by standard von Neuman computing architectures. Here, Cheng et al present a magnetoelectric memory for in-memory computing and demonstrate diffusion-based image generation on an 80×80 array.

This study provides evidence on how carbon metabolism regulates cell division among cyanobacteria. Manipulation of the TCA pathway directly impacts the FtsZ-dependent cell division by regulating its expression via the transcriptional factor NtcA.

2D materials have attracted significant attention for memristor applications, but a complete understanding of the switching mechanisms is still lacking. Here, the authors report an operando electron microscopy study of lateral MoS₂ memristors, showing real-time imaging of the dynamics of Ag conductive filaments during bias voltage cycles.

Lung and thymoma cancer patients often suffer from autoimmunity and related painful neuropathies. Here the authors show that patient-derived anti-CRMP5 autoantibody binds to rat dorsal root ganglia to cause pain, that immunizing rats with CRMP5 recapitulates these phenotypes, and that depleting rat B cells with anti-CD20 ameliorates related symptoms.

Fatigue-resistant functional bioadhesion is desired in diverse applications ranging from wound management to wearable devices but remains elusive. Here, the authors report the design, deployment, and mechanism of nanowhisker glues for fatigue-resistant functional bioadhesion.

DeepRETStroke is a deep learning system using retinal photographs to detect silent brain infarction and predict future stroke events.

A study introduces AI²BMD, an artificial intelligence-based dynamics simulation program that uses protein fragmentation with a machine learning force field to accurately and efficiently model the folding and unfolding of large proteins.

The authors present a simplified-architecture radar that uses information metasurfaces for direct generation and dechirp compression of radar signals in the RF domain, enabling full-chain reconfigurability without using extensive RF hardware and high-speed digitization.

The Ganoderma meroterpenoids are a growing class of natural products with a wide range of biological activities. Here, the authors report the enantioselective total synthesis of the Ganoderma meroterpenoid (‒)-lucidumone, featuring a copper-catalyzed enantioselective silicon-tethered intramolecular Diels-Alder cycloaddition to assemble the bicyclo[2.2.2]octane framework and a domino deprotection/Prins reaction/cycloetherification/oxidation sequence to generate concurrenly the tetrahydrofuran and the fused indanone skeleton.

The authors propose a design that equips a programmable metasurface with integrated capability for sensing and manipulating electromagnetic waves, allowing it to leverage the environmental information to enhance wireless system performance in complex environments.

Sepsis-associated acute kidney injury (SA-AKI) leads to significant morbidity and mortality, but early diagnosis remains challenging. Here the authors use single urinary extracellular vesicle proteomics to identify complement receptor CD35 as a biomarker for sepsis-associated acute kidney injury.

In contrast to the classical streaming potential relying on downstream ionic diffusion, an upstream proton diffusion within two-dimensional nanochannels is found to continuously generate electricity, advancing hydrovoltaic technology.

Lan et al. demonstrate the high performance of plasma p-tau217 in detecting and tracking multiple aspects of Alzheimer’s disease pathology, outperforming other plasma tau biomarkers across two Chinese cohorts (GHABS and Huashan) and the North American ADNI cohort.

Analysis of ancient DNA, stable isotope data and archaeological evidence from the Fujia archaeological site in eastern China suggests it was populated by a matrilineal Neolithic community between 2750 and 2500 bc.

Glioma stem-like cells (GSCs) contribute to therapeutic resistance via enhanced capability of DNA damage repair. Here the authors identify that the upregulated transcription factor AATF in GSCs modulates the stability and release of XRCC4 protein to promote DNA repair and resistance to radiotherapy.

Here the authors uncover an epigenetic mechanism regulating pancreatic β-cell adaptation during pregnancy in mice involving ACSS2 and STAT3 coordinated histone acetylation. These findings provide clues into gestational diabetes mechanisms and potential therapeutic targets.

Rising global military spending significantly increases CO₂ emission intensity, potentially jeopardizing the 1.5 °C and 2 °C climate targets if military expenditure ratio exceeds critical thresholds.

Exfoliation of layered materials into mono- or few-layers is desirable for both fundamental studies and practical applications. Here, the authors show that Young's equation can be used to predict the optimal cosolvent concentration for the effective exfoliation of graphite and molybdenum disulphide.

Here, Ying Li et al. present the results of a randomized controlled feeding trial in prediabetes participants, finding that advancing timing of unsaturated fat (USFA) intake improves insulin sensitivity through the gut microbiome and bile acid metabolism, regardless of USFA type.

A filtering reconfigurable intelligent surface is presented with sharp frequency-selecting and 2-bit phase-shifting properties, offering to advance the development of wireless communications with anti-interference and signal-manipulation abilities.

This study highlights the role Polar regions as a limiting factor in global sustainability due to teleconnection effects, and then propose a SDG target, key indicators, and emphasize Indigenous inclusion and global action.

IgA nephropathy is a major cause of end-stage renal disease in China, occurring at a high frequency in Asian populations. Here Li and colleagues conduct a four-stage genome-wide association study in a Chinese population, identifying novel loci and variants associated with disease risk.

ARF4 GTPase activity is needed for vesicular trafficking for multiple RNA viruses. Blocking ARF4 using specific peptides redirects viral progeny to lysosomal degradation and decreases influenza and Zika virus infection in mice.

Renal cell carcinoma consists of several subtypes, and recurrence is highly dependent on subtype. Here, the authors develop a multi-classifier using imaging, lncRNA and clinical data to predict recurrence in papillary renal cell carcinoma.

The direct electro-reduction of diluted CO₂ in acidic media can circumvent CO₂ purification and reduce carbon loss. Here, the authors use an ionomer coating layer to enrich the diluted CO₂ and block proton transport, thereby achieving high carbon utilization in diluted CO₂ in an acidic electrolyte.

Psoriasis is a skin disease associated with neurogenic inflammation. Here, the authors activation of ASIC3 on sensory neurons that leads to the release of CGRP, which triggers inflammation through dendritic cells and drives psoriatic inflammation.

A 35.7-kb inversion in the DG1 promoter increased DG1 expression in sorghum, inducing double-grain spikelets by restoring fertility to the lower floret. The superior DG1 allele boosted grain number and yield, providing insights for high-yield breeding.

Glioma is a complex disease, and prognosis can depend on clinical, genomic and radiological information. Here, the authors develop a multimodal fusion subtyping model to integrate data modalities for predicting glioma subtypes.

Efficient and durable photoelectrodes are essential for photoelectrochemical water splitting. Here, the authors report a gallium nitride nanowire-on-silicon wafer photoelectrode with gold nanoparticles as a cocatalyst, achieving a 10% photon-to-current efficiency and stability over 800 h.

Quantum simulations of topological matter with superconducting qubits have been attracting attention recently. Xiang et al. realize 2D and bilayer Chern insulators with synthetic dimensions on a programmable 30-qubit-ladder superconducting processor, showing bulk-boundary correspondence.

Here the authors show that PIAS3/SENP1-mediated poly-SUMOylation of MAVS regulates its interaction with IRF3, whose SUMO-interacting motif (SIM) guides binding to SUMOylated MAVS. IRF3 phosphorylation, close to its SIM, dismantles SUMO-dependent aggregates and releases activated IRF3.

The majority of enterovirus proteins are encoded as polyprotein in one open reading frame. Here, Guo et al. characterize a second open reading frame in human enteroviruses and show that it is important for viral particle release, particularly in epithelial cells, and that it affects mortality in a mouse model.

Unconventional unidirectional magnetoresistance observed in the heterostructures of a topological semimetal (WTe₂) and a magnetic insulator (Cr₂Ge₂Te₆) enables the electrical read-out of the magnetic states of a perpendicularly polarized magnet through longitudinal resistance measurements.

Ruthenium dioxide exhibits good activity for the oxygen evolution reaction in acidic conditions but fails to maintain stable performance over long periods. Here, the authors report a confinement strategy that suppresses ruthenium dioxide degradation, enhancing its long-term durability.

Moderate disorder can induce topologically nontrivial phases. Liu et al. report the experimental observations of the competition and interplay between Thouless pumping and disorder on a 41-qubit superconducting quantum processor.

Multiple synchronous lung cancers (MSLCs) are a subtype of lung cancer. Here the authors characterise MSLCs using single cell RNA sequencing, single cell TCR sequencing and bulk whole-exome sequencing to investigate the mutations that arise in and are associated with invasive adenocarcinoma development, and immune microenvironment changes in this process.

To be useful in human life, robots need to learn the social rules of human society. Zhou et al. investigate the social rules that apply in spaces mutually occupied by humans and robots. The authors develop a social locomotion model for a mobile robot and implement it for socially aware navigation.

Evidence for the treatment of patients with mild-to-moderate COPD is limited. Here, the authors show that long-term treatment with high-dose N-acetylcysteine neither significantly reduced the annual rate of total exacerbations nor improve lung function in patients with mild-tomoderate COPD.