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  1. Article: Metabolic regulatory properties of S-adenosylmethionine and S-adenosylhomocysteine.

    Finkelstein, James D

    Clinical chemistry and laboratory medicine

    2007  Volume 45, Issue 12, Page(s) 1694–1699

    Abstract: In mammalian liver, two intersecting pathways, remethylation and transsulfuration, compete for homocysteine that has been formed from methionine. Remethylation of homocysteine, employing either methyltetrahydrofolate or betaine as the methyl donor, forms ...

    Abstract In mammalian liver, two intersecting pathways, remethylation and transsulfuration, compete for homocysteine that has been formed from methionine. Remethylation of homocysteine, employing either methyltetrahydrofolate or betaine as the methyl donor, forms a methionine cycle that functions to conserve methionine. In contrast, the transsulfuration sequence -- cystathionine synthase and cystathionase -- serves to irreversibly catabolize the homocysteine while synthesizing cysteine. The rate of homocysteine formation and its distribution between these two pathways are the sites for metabolic regulation and coordination. The mechanisms for regulation include both the tissue content and the kinetic properties of the component enzymes as well as the concentrations of their substrates and other metabolic effectors. Adenosylmethionine and adenosylhomocysteine are important regulatory metabolites and may use one or more mechanisms to affect the enzymes. Adenosylmethionine is a positive effector of its own synthesis, cystathionine synthase and glycine methyltransferase but impairs both homocysteine methylases. Thus, the concentration of adenosylmethionine may be self-regulatory in mammalian liver. By means of other enzymatic mechanisms, the hepatic concentration of adenosylhomocysteine, an index of homocysteine accumulation, is also self-regulated. These considerations pertain primarily to liver, which has the unique capacity to synthesize more adenosylmethionine in the presence of excess methionine. However, there are organ-specific patterns of methionine metabolism and its regulation. All tissues possess the methionine cycle with methyltetrahydrofolate as the methyl donor but only liver, kidney, pancreas, intestine and brain also contain the transsulfuration pathway. The limitation of adenosylmethionine concentrations may make adenosylhomocysteine a more significant metabolic regulator in extrahepatic tissues. However, estimates of regulatory changes based on determinations of the plasma concentrations of the two metabolites are of limited value and must be used with caution. In addition, the recent description of "cystathionine (CBS) domains" in proteins not involved with methionine metabolism raises the possibility that abnormal concentrations of the adenosyl metabolites may impact on other metabolic pathways.
    MeSH term(s) Animals ; Betaine-Homocysteine S-Methyltransferase/metabolism ; Methylation ; S-Adenosylhomocysteine/metabolism ; S-Adenosylmethionine/metabolism ; Sulfur/metabolism
    Chemical Substances Sulfur (70FD1KFU70) ; S-Adenosylmethionine (7LP2MPO46S) ; S-Adenosylhomocysteine (979-92-0) ; Betaine-Homocysteine S-Methyltransferase (EC 2.1.1.5)
    Language English
    Publishing date 2007
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 1418007-8
    ISSN 1437-4331 ; 1434-6621 ; 1437-8523
    ISSN (online) 1437-4331
    ISSN 1434-6621 ; 1437-8523
    DOI 10.1515/CCLM.2007.341
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Inborn errors of sulfur-containing amino acid metabolism.

    Finkelstein, James D

    The Journal of nutrition

    2006  Volume 136, Issue 6 Suppl, Page(s) 1750S–1754S

    Abstract: Two superimposed metabolic sequences, transsulfuration and the methionine/homocysteine cycle, form the pathway for methionine metabolism in mammalian liver. This combined pathway was formulated first to explain observations in subjects with ... ...

    Abstract Two superimposed metabolic sequences, transsulfuration and the methionine/homocysteine cycle, form the pathway for methionine metabolism in mammalian liver. This combined pathway was formulated first to explain observations in subjects with homocystinuria caused by cystathionine synthase deficiency. Since that time additional inborn errors have been discovered, and currently we know of human subjects with isolated defects in all of the reactions of the combined pathway with only one exception: betaine homocysteine methyltransferase. Studies of these inborn errors have contributed significantly to our knowledge of human methionine metabolism and to the clinical consequences of impaired metabolism. Transsulfuration appears to function primarily for the metabolism of excess methionine, and each of the 5 defects in this pathway results in the accumulation of 1 or more of the normal metabolites. Thus, studies of these disorders may provide insight into both the potential pathological sequelae of nutritional methionine excess as well as whether laboratory testing allows the detection of excess.
    MeSH term(s) Adenosylhomocysteinase/deficiency ; Amino Acid Metabolism, Inborn Errors ; Amino Acids, Sulfur/metabolism ; Betaine-Homocysteine S-Methyltransferase/metabolism ; Cystathionine gamma-Lyase/deficiency ; Glycine N-Methyltransferase/deficiency ; Humans ; Kidney/metabolism ; Liver/metabolism ; Methionine/metabolism ; Methionine Adenosyltransferase/deficiency ; Sulfur/metabolism
    Chemical Substances Amino Acids, Sulfur ; Sulfur (70FD1KFU70) ; Methionine (AE28F7PNPL) ; GNMT protein, human (EC 2.1.1.20) ; Glycine N-Methyltransferase (EC 2.1.1.20) ; Betaine-Homocysteine S-Methyltransferase (EC 2.1.1.5) ; Methionine Adenosyltransferase (EC 2.5.1.6) ; Adenosylhomocysteinase (EC 3.3.1.1) ; Cystathionine gamma-Lyase (EC 4.4.1.1)
    Language English
    Publishing date 2006-05-08
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 218373-0
    ISSN 1541-6100 ; 0022-3166
    ISSN (online) 1541-6100
    ISSN 0022-3166
    DOI 10.1093/jn/136.6.1750S
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Antibody escape and cryptic cross-domain stabilization in the SARS-CoV-2 Omicron spike protein.

    Javanmardi, Kamyab / Segall-Shapiro, Thomas H / Chou, Chia-Wei / Boutz, Daniel R / Olsen, Randall J / Xie, Xuping / Xia, Hongjie / Shi, Pei-Yong / Johnson, Charlie D / Annapareddy, Ankur / Weaver, Scott / Musser, James M / Ellington, Andrew D / Finkelstein, Ilya J / Gollihar, Jimmy D

    Cell host & microbe

    2022  Volume 30, Issue 9, Page(s) 1242–1254.e6

    Abstract: The worldwide spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has led to the repeated emergence of variants of concern. For the Omicron variant, sub-lineages BA.1 and BA.2, respectively, contain 33 and 29 nonsynonymous and indel ... ...

    Abstract The worldwide spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has led to the repeated emergence of variants of concern. For the Omicron variant, sub-lineages BA.1 and BA.2, respectively, contain 33 and 29 nonsynonymous and indel spike protein mutations. These amino acid substitutions and indels are implicated in increased transmissibility and enhanced immune evasion. By reverting individual spike mutations of BA.1 or BA.2, we characterize the molecular effects of the Omicron spike mutations on expression, ACE2 receptor affinity, and neutralizing antibody recognition. We identified key mutations enabling escape from neutralizing antibodies at a variety of epitopes. Stabilizing mutations in the N-terminal and S2 domains of the spike protein can compensate for destabilizing mutations in the receptor binding domain, enabling the record number of mutations in Omicron. Our results provide a comprehensive account of the mutational effects in the Omicron spike protein and illustrate previously uncharacterized mechanisms of host evasion.
    MeSH term(s) Angiotensin-Converting Enzyme 2/genetics ; Antibodies, Neutralizing/genetics ; Antibodies, Viral ; COVID-19 ; Epitopes ; Humans ; Membrane Glycoproteins ; Mutation ; SARS-CoV-2/genetics ; Spike Glycoprotein, Coronavirus/genetics ; Viral Envelope Proteins
    Chemical Substances Antibodies, Neutralizing ; Antibodies, Viral ; Epitopes ; Membrane Glycoproteins ; Spike Glycoprotein, Coronavirus ; Viral Envelope Proteins ; spike protein, SARS-CoV-2 ; Angiotensin-Converting Enzyme 2 (EC 3.4.17.23)
    Language English
    Publishing date 2022-08-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2278004-X
    ISSN 1934-6069 ; 1931-3128
    ISSN (online) 1934-6069
    ISSN 1931-3128
    DOI 10.1016/j.chom.2022.07.016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Trends in Outpatient Antibiotic Use in 3 Health Plans.

    Finkelstein, Jonathan A / Raebel, Marsha A / Nordin, James D / Lakoma, Matthew / Young, Jessica G

    Pediatrics

    2018  Volume 143, Issue 1

    Abstract: Objectives: Previous analyses of data from 3 large health plans suggested that the substantial downward trend in antibiotic use among children appeared to have attenuated by 2010. Now, data through 2014 from these same plans allow us to assess whether ... ...

    Abstract Objectives: Previous analyses of data from 3 large health plans suggested that the substantial downward trend in antibiotic use among children appeared to have attenuated by 2010. Now, data through 2014 from these same plans allow us to assess whether antibiotic use has declined further or remained stable.
    Methods: Population-based antibiotic-dispensing rates were calculated from the same health plans for each study year between 2000 and 2014. For each health plan and age group, we fit Poisson regression models allowing 2 inflection points. We calculated the change in dispensing rates (and 95% confidence intervals) in the periods before the first inflection point, between the first and second inflection points, and after the second inflection point. We also examined whether the relative contribution to overall dispensing rates of common diagnoses for which antibiotics were prescribed changed over the study period.
    Results: We observed dramatic decreases in antibiotic dispensing over the 14 study years. Despite previous evidence of a plateau in rates, there were substantial additional decreases between 2010 and 2014. Whereas antibiotic use rates decreased overall, the fraction of prescribing associated with individual diagnoses was relatively stable. Prescribing for diagnoses for which antibiotics are clearly not indicated appears to have decreased.
    Conclusions: These data revealed another period of marked decline from 2010 to 2014 after a relative plateau for several years for most age groups. Efforts to decrease unnecessary prescribing continue to have an impact on antibiotic use in ambulatory practice.
    MeSH term(s) Adolescent ; Ambulatory Care/methods ; Ambulatory Care/trends ; Anti-Bacterial Agents/therapeutic use ; Child ; Child, Preschool ; Delivery of Health Care, Integrated/methods ; Delivery of Health Care, Integrated/trends ; Drug Utilization/trends ; Female ; Health Systems Plans/trends ; Humans ; Infant ; Insurance, Health, Reimbursement/trends ; Male ; Organizational Affiliation/trends
    Chemical Substances Anti-Bacterial Agents
    Language English
    Publishing date 2018-12-12
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 207677-9
    ISSN 1098-4275 ; 0031-4005
    ISSN (online) 1098-4275
    ISSN 0031-4005
    DOI 10.1542/peds.2018-1259
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Methionine metabolism in liver diseases.

    Finkelstein, James D

    The American journal of clinical nutrition

    2003  Volume 77, Issue 5, Page(s) 1094–1095

    MeSH term(s) Humans ; Hyperhomocysteinemia/epidemiology ; Hyperhomocysteinemia/etiology ; Liver/enzymology ; Liver/metabolism ; Liver Diseases/metabolism ; Methionine/metabolism ; S-Adenosylmethionine/biosynthesis
    Chemical Substances S-Adenosylmethionine (7LP2MPO46S) ; Methionine (AE28F7PNPL)
    Language English
    Publishing date 2003-05
    Publishing country United States
    Document type Comment ; Editorial
    ZDB-ID 280048-2
    ISSN 1938-3207 ; 0002-9165
    ISSN (online) 1938-3207
    ISSN 0002-9165
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Lipid emulsion therapy during management of the critically-ill poisoned patient: a prospective cohort study.

    Levine, Michael / Brent, Jeffrey / Wiegand, Timothy / Maguire, Bryan / Cohen, Neta / Vaerrier, David / Beuhler, Michael / Leikin, Jerrold B / Ganetsky, Michael / Stellpflug, Samuel / Ruha, Anne-Michelle / Carey, Jennifer / Geib, Ann-Jeannette / Cao, Dazhe James / Kleinschmidt, Kurt / Vohra, Rais / Riley, Brad D / Moore, Phillip / Schwarz, Evan /
    Neavyn, Mark / Rusyniak, Daniel E / Greene, Spencer / Nogar, Joshua / Manini, Alex / Wermuth, Mary / Pizon, Anthony / Hendrickson, Robert G / Griswold, Matthew / Aldy, Kim / Wax, Paul / Spyres, Meghan Beth / Campleman, Sharan / Macdonald, Erin / Finkelstein, Yaron

    Clinical toxicology (Philadelphia, Pa.)

    2023  Volume 61, Issue 8, Page(s) 584–590

    Abstract: Background: Despite conflicting data, intravenous lipid emulsion has emerged as a potential antidote. The "lipid sink" theory suggests that following intravenous administration of lipid, lipophilic drugs are sequestered in the vascular compartment, ... ...

    Abstract Background: Despite conflicting data, intravenous lipid emulsion has emerged as a potential antidote. The "lipid sink" theory suggests that following intravenous administration of lipid, lipophilic drugs are sequestered in the vascular compartment, thereby reducing their tissue concentrations. This study sought to determine if survival is associated with the intoxicant's degree of lipophilicity.
    Methods: We reviewed all cases in the Toxicology Investigators Consortium's lipid sub-registry between May 2012 through December 2018. Information collected included demographics, exposure circumstances, clinical course, management, disposition, and outcome. The primary outcome was survival after lipid emulsion therapy. Survival was stratified by the log of the intoxicant's octanol-water partition coefficient. We also assessed the association between intoxicant lipophilicity and an increase in systolic blood pressure after lipid emulsion administration.
    Results: We identified 134 patients, including 81 (60.4%) females. The median age was 40 years (interquartile range 21-75). One hundred and eight (80.6%) patients survived, including 45 (33.6%) with cardiac arrest during their intoxication. Eighty-two (61.2%) were hypotensive, and 98 (73.1%) received mechanical ventilation. There was no relationship between survival and the log of the partition coefficient of the intoxicant on linear analysis (
    Conclusion: Most patients in this cohort survived. Lipophilicity was not correlated with survival or the observed changes in blood pressure. The study did not address the efficacy of lipid emulsion.
    MeSH term(s) Adult ; Female ; Humans ; Male ; Critical Illness ; Fat Emulsions, Intravenous/therapeutic use ; Prospective Studies ; Young Adult ; Middle Aged ; Aged ; Poisoning/therapy
    Chemical Substances Fat Emulsions, Intravenous
    Language English
    Publishing date 2023-09-01
    Publishing country England
    Document type Review ; Journal Article
    ZDB-ID 204476-6
    ISSN 1556-9519 ; 0009-9309 ; 0731-3810 ; 1556-3650
    ISSN (online) 1556-9519
    ISSN 0009-9309 ; 0731-3810 ; 1556-3650
    DOI 10.1080/15563650.2023.2248372
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Spectroscopic Evidence for a 3d(10) Ground State Electronic Configuration and Ligand Field Inversion in [Cu(CF3)4](1-).

    Walroth, Richard C / Lukens, James T / MacMillan, Samantha N / Finkelstein, Kenneth D / Lancaster, Kyle M

    Journal of the American Chemical Society

    2016  Volume 138, Issue 6, Page(s) 1922–1931

    Abstract: The contested electronic structure of [Cu(CF3)4](1-) is investigated with UV/visible/near IR spectroscopy, Cu K-edge X-ray absorption spectroscopy, and 1s2p resonant inelastic X-ray scattering. These data, supported by density functional theory, ... ...

    Abstract The contested electronic structure of [Cu(CF3)4](1-) is investigated with UV/visible/near IR spectroscopy, Cu K-edge X-ray absorption spectroscopy, and 1s2p resonant inelastic X-ray scattering. These data, supported by density functional theory, multiplet theory, and multireference calculations, support a ground state electronic configuration in which the lowest unoccupied orbital is of predominantly trifluoromethyl character. The consensus 3d(10) configuration features an inverted ligand field in which all five metal-localized molecular orbitals are located at lower energy relative to the trifluoromethyl-centered σ orbitals.
    MeSH term(s) Copper/chemistry ; Ligands ; Spectrum Analysis/methods
    Chemical Substances Ligands ; Copper (789U1901C5)
    Language English
    Publishing date 2016-02-17
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 3155-0
    ISSN 1520-5126 ; 0002-7863
    ISSN (online) 1520-5126
    ISSN 0002-7863
    DOI 10.1021/jacs.5b10819
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Inborn Errors of Sulfur-Containing Amino Acid Metabolism

    Finkelstein, James D

    Journal of nutrition. 2006 June, v. 136, no. 6S

    2006  

    Abstract: Two superimposed metabolic sequences, transsulfuration and the methionine/homocysteine cycle, form the pathway for methionine metabolism in mammalian liver. This combined pathway was formulated first to explain observations in subjects with ... ...

    Abstract Two superimposed metabolic sequences, transsulfuration and the methionine/homocysteine cycle, form the pathway for methionine metabolism in mammalian liver. This combined pathway was formulated first to explain observations in subjects with homocystinuria caused by cystathionine synthase deficiency. Since that time additional inborn errors have been discovered, and currently we know of human subjects with isolated defects in all of the reactions of the combined pathway with only one exception: betaine homocysteine methyltransferase. Studies of these inborn errors have contributed significantly to our knowledge of human methionine metabolism and to the clinical consequences of impaired metabolism. Transsulfuration appears to function primarily for the metabolism of excess methionine, and each of the 5 defects in this pathway results in the accumulation of 1 or more of the normal metabolites. Thus, studies of these disorders may provide insight into both the potential pathological sequelae of nutritional methionine excess as well as whether laboratory testing allows the detection of excess.
    Keywords humans ; sulfur amino acids ; amino acid metabolism ; genetic disorders ; inherited metabolic diseases ; biochemical pathways ; homocystinuria ; homocysteine ; methyltransferases ; nutrient excess ; amino acid requirements
    Language English
    Dates of publication 2006-06
    Size p. 1750S-1754S.
    Publishing place American Society for Nutrition
    Document type Article
    Note Paper presented at the 5th Amino Acid Assessment Workshop held October 24-25, 2005, Los Angeles, California.
    ZDB-ID 218373-0
    ISSN 1541-6100 ; 0022-3166
    ISSN (online) 1541-6100
    ISSN 0022-3166
    Database NAL-Catalogue (AGRICOLA)

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  9. Article ; Online: Critical Care for Coronavirus Disease 2019: Perspectives From the PICU to the Medical ICU.

    Joyce, Christine L / Howell, Joy D / Toal, Megan / Wasserman, Emily / Finkelstein, Robert A / Traube, Chani / Killinger, James S / Joashi, Umesh / Greenwald, Bruce M / Nellis, Marianne E

    Critical care medicine

    2020  Volume 48, Issue 11, Page(s) 1553–1555

    Abstract: Objectives: To describe the unique perspective of pediatric intensivists caring for critically ill adults during the coronavirus disease 2019 pandemic.: Design: Observational study.: Setting: Academic medical center in New York City.: Patients: ...

    Abstract Objectives: To describe the unique perspective of pediatric intensivists caring for critically ill adults during the coronavirus disease 2019 pandemic.
    Design: Observational study.
    Setting: Academic medical center in New York City.
    Patients: Coronavirus disease 2019 positive adults requiring admission to an ICU.
    Interventions: None.
    Measurements and main results: In late March 2020, New York Presbyterian Hospital centralized all of its inpatient pediatric units (n = 4) from across the network to a single center, in order to create space to accommodate the increasing number of critically ill adults with coronavirus disease 2019. Within 1 week, the PICU at New York Presbyterian Hospital-Weill Cornell Medicine transferred or discharged all inpatients, underwent a transformation of the physical space, and began admitting adults of all ages with coronavirus disease 2019 related acute respiratory failure. The New York Presbyterian Hospital-Weill Cornell Medicine PICU physician group continued to lead this unit. PICU nurses, respiratory therapists, social workers, and child life specialists joined their PICU physician colleagues to care for these critically ill adults.
    Conclusions: In the coronavirus disease 2019 pandemic, PICU physicians are well poised to care for adult patients in a surge capacity, and bring a unique perspective to the experience.
    MeSH term(s) Adult ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/therapy ; Critical Care/organization & administration ; Critical Illness/epidemiology ; Critical Illness/therapy ; Female ; Humans ; Intensive Care Units, Pediatric/organization & administration ; Male ; New York City ; Pandemics ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/therapy ; SARS-CoV-2 ; Severity of Illness Index ; Tertiary Care Centers/organization & administration
    Keywords covid19
    Language English
    Publishing date 2020-10-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 197890-1
    ISSN 1530-0293 ; 0090-3493
    ISSN (online) 1530-0293
    ISSN 0090-3493
    DOI 10.1097/CCM.0000000000004543
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Massively Parallel Selection of NanoCluster Beacons.

    Kuo, Yu-An / Jung, Cheulhee / Chen, Yu-An / Kuo, Hung-Che / Zhao, Oliver S / Nguyen, Trung D / Rybarski, James R / Hong, Soonwoo / Chen, Yuan-I / Wylie, Dennis C / Hawkins, John A / Walker, Jada N / Shields, Samuel W J / Brodbelt, Jennifer S / Petty, Jeffrey T / Finkelstein, Ilya J / Yeh, Hsin-Chih

    Advanced materials (Deerfield Beach, Fla.)

    2022  Volume 34, Issue 41, Page(s) e2204957

    Abstract: NanoCluster Beacons (NCBs) are multicolor silver nanocluster probes whose fluorescence can be activated or tuned by a proximal DNA strand called the activator. While a single-nucleotide difference in a pair of activators can lead to drastically different ...

    Abstract NanoCluster Beacons (NCBs) are multicolor silver nanocluster probes whose fluorescence can be activated or tuned by a proximal DNA strand called the activator. While a single-nucleotide difference in a pair of activators can lead to drastically different activation outcomes, termed polar opposite twins (POTs), it is difficult to discover new POT-NCBs using the conventional low-throughput characterization approaches. Here, a high-throughput selection method is reported that takes advantage of repurposed next-generation-sequencing chips to screen the activation fluorescence of ≈40 000 activator sequences. It is found that the nucleobases at positions 7-12 of the 18-nucleotide-long activator are critical to creating bright NCBs and positions 4-6 and 2-4 are hotspots to generate yellow-orange and red POTs, respectively. Based on these findings, a "zipper-bag" model is proposed that can explain how these hotspots facilitate the formation of distinct silver cluster chromophores and alter their chemical yields. Combining high-throughput screening with machine-learning algorithms, a pipeline is established to design bright and multicolor NCBs in silico.
    MeSH term(s) DNA/chemistry ; Metal Nanoparticles/chemistry ; Nucleotides ; Silver/chemistry ; Spectrometry, Fluorescence
    Chemical Substances Nucleotides ; Silver (3M4G523W1G) ; DNA (9007-49-2)
    Language English
    Publishing date 2022-09-09
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1474949-X
    ISSN 1521-4095 ; 0935-9648
    ISSN (online) 1521-4095
    ISSN 0935-9648
    DOI 10.1002/adma.202204957
    Database MEDical Literature Analysis and Retrieval System OnLINE

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