Read this Journal Watch article and more clinical summaries on NEJM Clinician.
Get the latest international news and world events from around the world.
Liver Stiffness and All-Cause Mortality in Individuals With Diabetes
Liver stiffness identified by elastography was linked to a greater risk of death among adults with diabetes, suggesting elastography may help identify high-risk individuals.
Question Is a higher liver stiffness measurement (LSM), which indicates liver fibrosis, associated with an increase in all-cause mortality in unselected patients with diabetes?
Findings In this cohort study of 4,102 adults, high LSM was an independent risk factor for all-cause mortality in diabetes, even after a relatively short follow-up. Moreover, the coexistence of liver fibrosis and uncontrolled hemoglobin A1c level was associated with a higher risk of all-cause mortality compared with each condition individually.
Meaning Findings of this study suggest that using LSM to screen for liver fibrosis as part of routine diabetes management could aid in early identification of patients with high mortality risk.
Building a better, more precise droplet
A humble droplet can be an immensely useful tool for a number of fields, from medicine to manufacturing. Controlling the size of the droplet, though, is an important—and very tricky—task. With unprecedented precision, a team of researchers determined how droplets break up into smaller ones, at what size, and under what conditions. The results of this study are published in Soft Matter.
“Droplets can be used as microcontainers that encapsulate small amounts of fluid and other components,” said Prof. Corey O’Hern, who led the study. Because of that, he said, they can be used to deliver drugs to the body, or to find the genomic signatures of a single cell.
“Another cool application involves microreactors. You can put different concentrations of chemical species into the droplet, allow them to mix, and determine how they react.”
The discovery of a buried delta on Mars could boost the search for life
There’s more evidence that water once flowed on Mars with the discovery of an ancient river delta deep below the surface. NASA’s Perseverance rover found it more than 35 meters beneath Jezero Crater using ground-penetrating radar. Perseverance was launched in 2020 to search for signs of ancient life on the red planet. Since landing in February 2021, it has been exploring Jezero Crater and collecting rock samples.
The crater, which is approximately 45 kilometers (28 miles) in diameter, lies north of the Martian equator and was formed by an asteroid impact almost 4 billion years ago. NASA chose this spot to explore because numerous geological features suggest that water once flowed here and may have supported ancient life, specifically, a part of the crater called the Margin Unit. This area is packed with carbonates, which on Earth, usually form in stable aqueous environments, such as shallow seas or lakebeds.
The new research is published in the journal Science Advances and is based on data from 78 traverses of the area from September 2023 to February 2024.
Durum wheat lines combine freezing tolerance with high pasta quality
Researchers from Skoltech, the International Maize and Wheat Improvement Center in Mexico, the Research Center for Cereal and Industrial Crops in Italy, and other international organizations have developed new durum wheat lines capable of surviving freezing temperatures while maintaining the grain quality required for premium pasta production. The study, published in Frontiers in Plant Science, presents a new breeding framework that could help make durum wheat production more resilient to climate variability.
Durum wheat is the primary raw material used to produce pasta worldwide, yet it remains highly vulnerable to sudden freezing events. As climate variability increases, unpredictable cold spells pose a growing risk to wheat production. At the same time, breeders must preserve the high gluten quality that gives pasta its characteristic texture and cooking properties.
DESI maps C-19, an extremely metal-poor Milky Way stellar stream
Using the Mayall 4-meter telescope at Kitt Peak National Observatory, an international team of astronomers has observed C-19—an extremely metal-poor stellar stream in the Milky Way’s halo. Results of the observational campaign, published March 11 on the arXiv pre-print server, provide crucial insights into the properties of this stellar stream.
Stellar streams are remnants of dwarf galaxies or globular clusters (GCs) that once orbited a galaxy but have been disrupted and stretched out along their orbits by tidal forces of their hosts. Observations show that many stellar streams are elongated debris of tidally disrupted globular clusters.
Studies of galactic stellar streams could answer some crucial questions about the Milky Way. For instance, they could help us understand the large-scale mass distribution of the galactic dark matter halo. Moreover, the investigation of stellar streams could confirm whether or not our galaxy contains low-mass dark matter subhalos.
Fluorescent dye that works in superacidic conditions expands possibilities for imaging in extreme environments
Since the 1960s, boron–dipyrromethene dyes, commonly called BODIPY dyes, have been widely used for their strong fluorescence, especially in bioimaging, molecular and ion sensing, and as photosensitizers. Researchers especially like how, with simple modifications to BODIPY molecules, their emission color can be tuned—an indispensable quality for multicolor imaging applications.
However, conventional BODIPY dyes are unstable in acidic environments. Strong acids can disrupt their structure by removing the boron atom and causing the dye to lose its fluorescence. This has limited their use in highly acidic conditions.
In a new breakthrough, researchers from Hokkaido University have developed a superacid-resistant BODIPY dye. The research team, led by Professor Yasuhide Inokuma at the Institute for Chemical Reaction Design and Discovery (WPI-ICReDD), reports the findings in Nature Communications.
Space-grade perovskite solar cells can survive extreme temperature fluctuations
The Aydin Group at LMU Munich has unveiled a novel strategy for making perovskite solar cells more robust against extreme temperature fluctuations. To this end, the researchers led by Dr. Erkan Aydin, group leader at LMU’s Department of Chemistry and Pharmacy, combined two molecular approaches. Their goal was to stabilize both the grain structure within the perovskite material and the interfaces of the solar cells, with a particular focus on enhancing the interaction between the perovskite layer and the underlying substrate. This enables the solar cells to maintain stable performance under the extreme thermal cycling typical of Low Earth orbit (LEO), as well as in other harsh environmental conditions. Their results have been published in the journal Nature Communications.
Regarding the background: Perovskite solar cells are considered one of the most promising next-generation photovoltaic technologies. They are relatively inexpensive to manufacture and achieve high efficiencies.
However, their mechanical stability is an issue. In particular, when confronted with strong temperature fluctuations in LEO—for example, in the range between −80 and +80 degrees Celsius—materials inside the solar cell can expand and contract to varying extents. This creates mechanical stresses, which lead to cracks, delamination, or drops in performance.
No exotic physics needed: A new formation mechanism of skyrmions inside magnets
Skyrmions, in which electron spins inside a magnet are arranged like vortices, are a key structure in next-generation spintronics technology. KAIST researchers have shown that skyrmions can form using only the fundamental physical interactions within magnets, without requiring special physical conditions.
This finding, published in the journal Physical Review Letters, expands the possibility of realizing skyrmions in a wide range of magnetic materials and suggests new potential for developing next-generation ultra-low-power information devices with data storage densities tens to hundreds of times higher than current technologies.
A research team led by Professor Se Kwon Kim from the Department of Physics has proposed a new theoretical framework showing that vortex-like magnetic structures can naturally emerge solely through magnetoelastic coupling —the interaction between magnetism and lattice structure.