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HCN4 channels control cardiac pacing. Here, the authors isolated a nanobody (NB5) that binds HCN4 extracellularly in an ortholog- and isoform-specific manner and promotes its activation in sinoatrial node myocytes, leading to an increase in pacemaker rhythm.

The CMS Collaboration reports the measurement of the spin, parity, and charge conjugation properties of all-charm tetraquarks, exotic fleeting particles formed in proton–proton collisions at the Large Hadron Collider.

Antimicrobial resistance genes that have been mobilized between bacterial species represent a subset of the naturally occurring resistome. Here, the authors compare the abundance, diversity and geographical patterns of acquired resistance genes with latent resistance genes in global sewage metagenomes.

Different types of SETBP1 variants cause variable developmental syndromes with only partial clinical and functional overlaps. Here, the authors report that SETBP1 variants outside the degron region impair DNA-binding, transcription, and neuronal differentiation capacity and morphologies.

The quark structure of the f₀(980) hadron is still unknown after 50 years of its discovery. Here, the CMS Collaboration reports a measurement of the elliptic flow of the f₀(980) state in proton-lead collisions at a nucleon-nucleon centre-of-mass energy of 8.16 TeV, providing strong evidence that the state is an ordinary meson.

Correlations in neural activity in association cortex can benefit behavioral performance in perceptual tasks, even when decreasing sensory information, by facilitating the propagation and the readout of information carried by population activity.

BepiColombo mission had already two flybys of Mercury, over the total of six, as planned before entering the planet’s orbit in 2025. Here, the authors show the first ion measurements of Mercury’s inner southern magnetosphere during BepiColombo mission’s first Mercury flyby.

Membranous nephropathy is an uncommon form of lupus nephritis, accounting for only one-fifth of all cases. As a result, few reviews have focused on this condition. Here, Chi Chiu Mok summarizes the histological classification, clinical presentation, outcomes and therapy of membranous lupus nephropathy. As the optimal therapy for this form of lupus nephritis remains unclear, the author provides an algorithm to help guide treatment.

Methicillin-resistant strains of Staphylococcus aureus appeared in European hedgehogs in the pre-antibiotic era as a co-evolutionary adaptation to antibiotic-producing dermatophytes and have spread within the local hedgehog populations and between hedgehogs and secondary hosts.

KRASrepresents the first biomarker to be integrated in clinical practice for the treatment of colorectal cancer. However, clinical study design, reproducibility, interpretation and reporting of the clinical data remain important challenges. This Review highlights the clinical application of published prognostic and predictive protein and genomic markers and the possibilities offered by novel adaptive clinical trial designs.

The most up-to-date combination of results on the properties of the Higgs boson is reported, which indicate that its properties are consistent with the standard model predictions, within the precision achieved to date.

Pandemic cholera was reintroduced to Argentina in 1992, leading to epidemic spread. Here, the authors use whole genome sequencing to show how, over 6 years, epidemic cholera was caused by invariant 7PET lineage Vibrio cholerae, against a background of sporadic disease caused by diverse local strains.

Efforts to repeat the success of pioneering molecularly targeted cancer drugs, such as trastuzumab, for particular patient populations have been hampered by factors such as a lack of correlation between the molecular markers used to select patients for treatment and the drug response. This article highlights lessons learned from the development of drugs targeting members of the epidermal growth factor receptor family, and discusses strategies to decrease the risk of failure in clinical trials by more effectively integrating molecular diagnostics into anticancer drug discovery and development.

A first-in-human, phase 1 dose-escalation trial demonstrates the safety and feasibility of autologous macrophage therapy in adults with liver cirrhosis.

The CMS Collaboration reports evidence for off-shell Higgs boson contributions in the production of Z boson pairs, and measures the width of the Higgs boson, which is inversely related to its lifetime.

The CMS Collaboration reports the study of three simultaneous hard interactions between quarks and gluons in proton–proton collisions. This manifests through the concurrent production of three J/ψ mesons, which consist of a charm-quark–antiquark pair.

Additive Manufacturing has had a large impact on the biomedical field but still lacks tools to generate scaffolds with gradients of physico-chemical properties. Here the authors report on the design of a 3D printer head for continuous gradient printing with an atmospheric pressure plasma jet for simultaneous surface patterning.

Magmatic systems play a crucial role in enriching the crust with volatiles and elements that reside primarily within the Earth’s mantle. Here, the authors show that carbon, as a buoyant supercritical CO₂ fluid, could be a covert agent that may promote the physical transport of sulfides across the mantle-crust transition.

Observations of eight long-period, late-type eclipsing-binary systems composed of cool, giant stars are used to determine a distance to the Large Magellanic Cloud accurate to 2.2 per cent, providing a base for a determination of the Hubble constant to an accuracy of 3 per cent.

Accelerator mass spectrometry radiocarbon dating is used to construct a chronology of Neanderthal disappearance, showing that Neanderthals overlapped with anatomically modern humans for between about 2,000 and 5,000 years.

In this Review, Panzeri, Moroni, Safaai and Harvey explain how the levels and structures of correlations among the activity of neurons in a population shape information encoding, transmission and readout, and describe how future research could determine how the structures of correlations are optimized.

The precise mechanisms that cause human obesity remain unknown. Here the authors illustrate how increased expression of Cadm1, a mediator of synapse assembly, is relevant to weight gain. Reduction of Cadm1 in multiple brain regions promoted weight loss, and these observations provide insight into the neuronal pathways contributing to obesity.

Polarization-entangled photons are generated from light-emitting diodes based on site-controlled pyramidal quantum dots. Selective current injection into the vicinity of a quantum dot becomes possible owing to a self-assembled vertical quantum wire.

Rift Valley fever is a zoonotic haemorrhagic fever with complex transmission dynamics influenced by environmental variables and animal movements. Here, the authors develop a metapopulation model incorporating these factors and use it to identify the main drivers of transmission in the Comoros archipelago.

Whole genome sequencing is emerging as a first-line test for rare genetic diseases. In this study, authors maximise diagnoses by supplementing existing semiautomated analyses with clinically driven reevaluation of genomic data by a specialist multidisciplinary team.

A multi-frequency observing campaign of the γ-ray burst GRB 190114C reveals a broadband double-peaked spectral energy distribution, and the teraelectronvolt emission could be attributed to inverse Compton scattering.

Observations of teraelectronvolt-energy γ-rays starting about one minute after the γ-ray burst GRB 190114C reveal a distinct component of the afterglow emission with power comparable to the synchrotron emission.

The carbon isotopic signature of CO₂ released from marine sediments subducted beneath volcanic arcs does not reflect their organic/inorganic fraction, but instead the fluid-rock ratios and the redox conditions in force at the top of the slab.

EGFR is one of the most studied targets in oncology, and several inhibitors have shown promising results in selected patient populations. However, intrinsic and acquired resistance to these targeted therapies is increasingly recognized. The authors of this Review describe the successful translation of EGFR inhibitors to the clinic, and highlight the mechanisms of resistance to these agents that limit their long-term efficacy. Understanding these processes will allow researchers to develop therapies that overcome resistance and ultimately lead to more successful outcomes.