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Natural silk fiber derived from the Bombyx mori (B. mori) silkworm has long been used as a luxury raw material in textile industry because of its shimmering appearance and durability, and as surgical suture for its high strength and flexibility. Regenerated silk fibroin, as the main protein extracted from the cocoons of the B. mori silkworm, recently has gained considerable attention due to its outstanding properties, including facile processability, superior biocompatibility, controllable biodegradation, and versatile functionalization. Tremendous effort has been made to fabricate silk fibroin into various promising materials with controlled structural and functional characteristics for advanced utilities in a multitude of biomedical applications, flexible optics, electronics devices, and filtration systems. Herein, reverse engineered silk fibroin extraction methods are reviewed, recent advances in extraction techniques are discussed. Fabrication methods of silk fibroin materials in various formats are also addressed in detail; in particular, progress in new fabrication technologies is presented. Attractive applications of silk fibroin-based materials are then summarized and highlighted. The challenges faced by current approaches in production of silk fibroin-based materials and future directions acquired for pushing these favorable materials further toward above mentioned applications are further elaborated.

Among the different nanostructures that have been demonstrated as promising materials for various applications, three–dimensional (3D) nanostructures have attracted significant attention as building blocks for constructing high-performance nanodevices because of their unusual mechanical, electrical, thermal, optical, and magnetic properties arising from their novel size effects and abundant active catalytic/reactive sites due to the high specific surface area. Considerable research efforts have been devoted to designing, fabricating, and evaluating 3D nanostructures for applications, including structural composites, electronics, photonics, biomedical engineering, and energy. This review provides an overview of the nanofabrication strategies that have been developed to fabricate 3D functional architectures with exquisite control over their morphology at the nanoscale. The pros and cons of the typical synthetic methods and experimental protocols are reviewed and outlined. Future challenges of fabrication of 3D nanostructured materials are also discussed to further advance current nanoscience and nanotechnology.

Bidirectional controllable propagation of waterborne sound holds significant importance in developing multifunctional underwater acoustic and mechanical devices. However, the existing waterborne acoustic metasurfaces have rarely explored the bidirectional sound modulations. Here, a class of Janus waterborne acoustic metasurface, enabling two‐faced arbitrarily asymmetric wavefront manipulations is reported. A three‐degree‐of‐freedom mechanical system facilitated by acoustic‐structure interaction underwater is proposed to introduce bianisotropic responses of unit cells. Monolayer ultrathin Janus metasurface is inversely designed by utilizing a function‐structure integrated topology optimization framework. Distinct underwater acoustic functionalities, including axial and oblique focusing, beam splitting, and sound diffusion, are successfully demonstrated. Underwater experiments are further conducted to validate the concept of Janus metasurface. The good consistency between experimental and simulated results confirms the excellent two‐faced asymmetric acoustic focusing performance. The proposed Janus metasurface opens up a new dimension for designing advanced waterborne acoustic devices with two‐faced multifunctional wavefront manipulations. [ABSTRACT FROM AUTHOR]

Exceptional point (EP), a special degeneracy in non‐Hermitian systems, has exhibited various distinctive wave characteristics. However, the conventional synthesis of scattering EPs in acoustics is confined to rather limited methods for breaking Hermiticity, typically requiring intrinsic losses or open interfaces. Here, the concept of synthesizing scattering EPs is theoretically and experimentally demonstrated by leveraging a metasurface with fluid‐solid interaction (FSI) in water. The incorporation of FSI offers a novel mechanism to customize natural radiation losses. Simulations and experiments consistently confirm that synthesized EPs result in extremely asymmetric scattering patterns, even in the case of spatially impenetrable metasurfaces. This enhanced spatial symmetry breaking benefits from the FSI on the interface and the nonlocal interaction between unit cells. The proposed non‐Hermitian framework, involving the interplay of sound in fluids and solids, is expected to open up new possibilities for exploring unique non‐Hermitian physics and underwater acoustic applications. [ABSTRACT FROM AUTHOR]

The acoustic impedance mismatch between water and air limits the acoustic communication through the water–air interface. Here, based on the resonances of bubbles, we propose a metasurface consisting of bubbles sealed with membranes for perfect sound transmission at the water–air interface. We have experimentally achieved sound transmission enhancement of over 20 dB at 380–510 Hz, with the thickness of the metasurface about 1/180 times air wavelength. By flexibly adjusting the immersion depth, the metasurface is able to operate at multiple frequencies. The effects of viscosity and geometry of bubbles are discussed simulatively. The present work is relevant to the practical design of advanced acoustic devices for transmedia communication. [ABSTRACT FROM AUTHOR]

Among the different nanostructures that have been demonstrated as promising materials for various applications, three–dimensional (3D) nanostructures have attracted significant attention as building blocks for constructing high-performance nanodevices because of their unusual mechanical, electrical, thermal, optical, and magnetic properties arising from their novel size effects and abundant active catalytic/reactive sites due to the high specific surface area. Considerable research efforts have been devoted to designing, fabricating, and evaluating 3D nanostructures for applications, including structural composites, electronics, photonics, biomedical engineering, and energy. This review provides an overview of the nanofabrication strategies that have been developed to fabricate 3D functional architectures with exquisite control over their morphology at the nanoscale. The pros and cons of the typical synthetic methods and experimental protocols are reviewed and outlined. Future challenges of fabrication of 3D nanostructured materials are also discussed to further advance current nanoscience and nanotechnology. [ABSTRACT FROM AUTHOR]

Extreme impedance mismatch causes sound insulation at water–air interfaces, limiting numerous cross‐media applications such as ocean‐air wireless acoustic communication. Although quarter‐wave impedance transformers can improve transmission, they are not readily available for acoustics and are restricted by the fixed phase shift at full transmission. Here, this limitation is broken through impedance‐matched hybrid metasurfaces assisted by topology optimization. Sound transmission enhancement and phase modulation across the water–air interface are achieved independently. Compared to the bare water–air interface, it is experimentally observed that the average transmitted amplitude through an impedance‐matched metasurface at the peak frequency is enhanced by ≈25.9 dB, close to the limit of the perfect transmission 30 dB. And nearly 42 dB amplitude enhancement is measured by the hybrid metasurfaces with axial focusing function. Various customized vortex beams are experimentally realized to promote applications in ocean‐air communication. The physical mechanisms of sound transmission enhancement for broadband and wide‐angle incidences are revealed. The proposed concept has potential applications in efficient transmission and free communication across dissimilar media. [ABSTRACT FROM AUTHOR]

Self-accelerating beams have applications in optic and acoustic fields due to their peculiar properties. As a promising artificial two-dimensional metamaterial, a metasurface can be used as the generator of self-accelerating beams. However, restricted by the generalized Snell's law, most research hotspots focus on flat metasurfaces. In this Letter, the generalized Snell's law on an arbitrary curved reflective surface is discussed. Then, the phase profile for the self-accelerating beams generated from the curved reflective surface is derived based on the caustic theory. The metasurface consisting of the tunable spiral path units is constructed, and numerical and experimental validations are performed. The methodology developed in the present letter extends the applications of the self-accelerating beams. [ABSTRACT FROM AUTHOR]

In this paper, a tunable arc-shaped acoustic metasurface (AAM) carpet cloak has been proposed and systematically investigated. The AAM carpet cloak consists of covers, rotors, bolts and nuts. The rotors can be rotated continuously within the covers to form a reconfigurable hook channel mechanism. By setting various rotational angles, we construct two-dimensional (2D) tunable AAM carpet cloaks to achieve excellent stealth performances under different operating conditions. Numerical simulations and experimental results for the 2D carpet cloaks show good agreements. Furthermore, simulated results for three-dimensional (3D) carpet cloaks have demonstrated that tapered objects are successfully escaping from being detected. The tunable hook channel mechanism can be flexibly applied to arbitrarily curved metasurface carpet cloaks, making them closer to practical invisibility acoustic devices. [ABSTRACT FROM AUTHOR]

Background: Enterovirus (EV)-related hand, foot, and mouth disease/herpangina (HFMD/HA) has been prevalent in Guangdong Province, China, since 2010.Methods: Clinical data for EV-related HFMD/HA inpatients admitted to the Department of Paediatrics of Zhujiang Hospital from 2010 to 2013 were retrospectively reviewed. The corresponding EV serotypes were also determined by reverse transcription-polymerase chain reaction or BLAST analysis of the sequenced partial lengths of the viral protein1/5'-untranslated region.Results: A total of 867 eligible inpatients admitted during 2010-2013 were included in the study. Of these, the serotype of the responsible EV was successfully identified in 824 cases. The incidence of enterovirus 71 (EV71) infection amongst pediatric HFMD/HA inpatients decreased dramatically from 55.5 % in 2010 to 8.1 % in 2013, with a similar decrease recorded for coxsackievirus A16 (CVA16). However, the incidence of non-EV71/CVA16 infection increased from 30.0 % in 2010 to 83.8 % in 2013. We noted that the types of infection caused by different EV serotypes varied: EV71 was responsible for 100 % of the paralysis cases (26/26), 84.6 % of the deaths (11/13), and 84.1 % of cases with severe central nervous system involvement (SCNSI) (74/88); echovirus contributed to 16.4 % of the deaths (2/13) and 4.4 % of the SCNSI cases; and coxsackievirus accounted for only 2.2 % of the SCNSI cases (2/90). The clinical features of HFMD/HA cases varied greatly during the time period examined, with drastic changes in the hospitalization rates (45.1, 63.7, 36.4, and 19.1 % for 2010, 2011, 2012, and 21013, respectively), mortality rates (2.3, 0.9, 2.5, and 0.0 %, respectively), paralysis (5.1, 1.2, 5.4, and 0.0 %, respectively), SCNSI (16.8, 7.1, 12.7, and 2.2 %, respectively), and acute respiratory infection (21.1, 22.0, 45.9, and 59.0 %, respectively).Conclusions: The incidences of infection caused by different EV serotypes, along with the clinical features of HFMD/HA cases, changed drastically in Guangdong Province, China, from 2010 to 2013, with the biggest changes observed in 2013. The changed constituent ratios of the different EV serotypes might therefore be responsible for the differences in the observed clinical features of HFMD/HA during this period. [ABSTRACT FROM AUTHOR]

Background: A series of complications caused by enteroviruses, including meningitis, encephalitis, acute flaccid paralysis, acute cardiopulmonary failure, respiratory infection, and myocardial injury have been reported in hand, foot and mouth disease/herpangina (HFMD/HA). However, the complication of diarrhoea caused by enteroviruses has been neglected, and a summary of its clinical features and impact on HFMD/HA is unavailable.Methods: We included inpatients with HFMD/HA admitted to the Paediatric Department of Zhujiang Hospital during 2009-2012. We summarised and compared clinical data for cases with and without diarrhoea, and determined enterovirus serotypes by reverse transcriptase polymerase chain reaction and genotyping based on a partial-length fragment of viral protein 1 or the 5'-untranslated region.Results: There were 804 inpatients with HFMD/HA and 28 (3.5%) presented with diarrhoea. Gastrointestinal symptoms were mild in most cases of diarrhoea (82.1%), with high prevalence of no dehydration (82.1%), short duration of diarrhoea (78.6%) and watery stools (75.0%). The prevalence of multi-organ dysfunction syndrome (10.7 vs 0.40%) (p = 0.001), hepatic injury (14.3 vs 3.4%) (p = 0.019), myocardial injury (21.4 vs 6.1%) (p = 0.002) and convulsion (21.4 vs 7.2%) (p = 0.016) was significantly higher in the diarrhoea than no diarrhoea group. There was no significant difference between the two groups regarding prevalence of death, altered consciousness, paralysis, central nervous system involvement, or acute respiratory infection.Conclusions: Most patients with diarrhoea caused by enteroviruses circulating in Guangdong Province in 2009-2012 had mild or moderate gastrointestinal symptoms. Although enterovirus-related diarrhoea caused additional multi-organ dysfunction syndrome, hepatic injury and myocardial injury in children with HFMD/HA, timely intervention efficiently reduced disease severity and improved outcome. [ABSTRACT FROM AUTHOR]

Abstract: The effects of different concentrations of sodium thiocyanate (NaSCN) on the homogeneous solution of equimolarly mixed decyltriethylammonium bromide and sodium decylsulfonate (C10NE–C10SO3) were studied by 1H NMR, surface tension and dynamic light scattering (DLS) measurements. For the system of C10NE–C10SO3, the NMR signals were greatly broadened in the micellar concentration region. However, the shape of the NMR peaks for the micellar solutions of C10NE–C10SO3, especially for those protons adjacent to headgroups, recovered to be fine-resolved with the gradual increase of NaSCN concentration. Therefore, the NMR method directly evidenced that the electrostatic attraction between the oppositely charged headgroups in the micellar solution of C10NE–C10SO3 was significantly reduced by NaSCN. The surface tension results showed that both the surface tension at critical micelle concentration (γ cmc) and the minimum molecular area in the surface adsorbed layer (A min) were remarkably increased when NaSCN was added to C10NE–C10SO3. As shown by DLS, the addition of NaSCN could significantly induce the decrease of the aggregate size of C10NE–C10SO3. Both surface tension and DLS results supported the conclusions made by NMR. [Copyright &y& Elsevier]

Summary Objective To clarify whether exanthema is related to illness severity in acute enterovirus infection in children. Methods The data of pediatric inpatients at Zhujiang Hospital during 2009–2012 with an acute enterovirus infection were reviewed retrospectively. Enterovirus infection was determined by real-time reverse transcription PCR. Clinical data were summarized and compared between cases with and without exanthema. Results A total of 780 pediatric inpatients with an acute enterovirus infection were included in this study, of whom 83 (10.6%) presented no exanthema. The percentage of deaths in the group of patients without exanthema was significantly higher than that in the group with exanthema (7.2% vs. 1.1%; p = 0.002). Central nervous system involvement (41.0% vs. 30.0%; p = 0.041), severe central nervous system (CNS) involvement (21.7% vs. 11.0%; p = 0.005), severe CNS involvement with cardiopulmonary failure (9.6% vs. 2.3%; p = 0.002), an altered level of consciousness (15.7% vs. 7.6%; p = 0.013), and convulsions (14.4% vs. 6.3%; p = 0.007) occurred significantly more frequently in the group without exanthema. Conclusions A considerable proportion of children with an acute enterovirus infection in Guangdong Province, China during 2009–2012 presented no exanthema, and the absence of exanthema was found to be related to death and illness severity for these acute enterovirus infections. Clinicians in China should consider enterovirus as the possible pathogen when treating children with an acute pathogen infection without exanthema. [ABSTRACT FROM AUTHOR]

Summary Some viruses, including certain members of the enterovirus genus, have been reported to cause nephrotic syndrome. However, no case of coxsackievirus A16 (CVA16)-related nephrotic syndrome has been reported so far. We describe a case of CVA16-related hand, foot and mouth disease presenting with nephrotic syndrome in a 3-year-old boy. This is the first report of CVA16-related nephrotic syndrome. [ABSTRACT FROM AUTHOR]

The surface tension of dialkylammonium perfluorooctanoate [C 7 F 15 COONH 2 (C n H 2 n +1 ) 2 , n = 1–4], dialkylammonium perfluorooctylsulfonate [C 8 F 17 SO 3 NH 2 (C n H 2 n +1 ) 2 , n = 1–4] and trialkylammonium perfluorooctylsulfonate [C 8 F 17 SO 3 NH(C n H 2 n +1 ) 3 , n = 1–4] in aqueous solution was measured by drop volume method at 25 °C. The critical micelle concentration (cmc), the surface tension at cmc ( γ cmc ), the maximum amount adsorbed ( Γ max ) and the minimum molecular area ( A min ) in the surface adsorption layer were obtained. Because of the limited solubility for C 7 F 15 COONH 2 (C 4 H 9 ) 2 , C 8 F 17 SO 3 NH 2 (C 4 H 9 ) 2 and C 8 F 17 SO 3 NH(C 4 H 9 ) 3 at 25 °C, their cmc and γ cmc values could not be successfully obtained. Combining with other series in previous works, an overview picture for the effects of organic ammonium counterions on anionic fluorinated surfactants could be drawn. The rules for the interactions between organic ammonium ions and surfactive anions were summarized (including headgroup type, the chain length of fluorinated hydrophobic tail, and the substituent number, the alkyl chain length and the presence of hydroxyl groups in counterion structure). The mechanism behind these rules was discussed in detail, relying on the electrostatic, hydrophobic and steric factors. [ABSTRACT FROM AUTHOR]

Research Background: Chilling injury is a major disorder affecting the quality of tropical and subtropical vegetables during low temperature storage. Snap bean ( Phaseolus vulgaris L.) is sensitive to chilling injury. The main purpose of the present study is to investigate the alleviating effects of 1-methylcyclopropene (1-MCP) on chilling injury of snap bean. In addition, the related mechanisms were also detected from the perspective of the changes of antioxidant defense system., Experimental Approach: Snap beans were exposed to different volume fractions of 1-MCP. After 24 h of treatment, snap beans were stored at 4 °C for up to 14 days. Chilling injury index, electrolyte leakage, titratable acidity and total soluble solids were determined. Contents of chlorophyll, ascorbic acid and malondialdehyde were assessed. The total antioxidant capacity, Fe(II) ion chelating capacity, scavenging capacities on free radicals and activities of antioxidant enzymes were detected. Total phenol content and activities of related metabolic enzymes were also determined., Results and Conclusions: 1-MCP treatment reduced chilling injury index, electrolyte leakage rate and malondialdehyde content of snap beans. The amounts of total soluble solids, titratable acid, ascorbic acid and total chlorophyll in 1-MCP-treated snap beans were significantly higher than those of control. The snap beans treated with 1-MCP showed stronger total antioxidant capacity and metal chelating activity. The 1-MCP treatment enhanced scavenging effects of snap beans on superoxide, hydroxyl and 1,1-diphenyl-2-trinitrophenylhydrazine radicals. The activities of peroxidase, ascorbate peroxidase, superoxide dismutase and catalase in 1-MCP-treated group were higher than of control. The treatment also enhanced the accumulation of phenolic compounds in snap beans by regulating the activities of phenol-metabolizing enzymes such as shikimate dehydrogenase, phenylalanine ammonia lyase enzyme, cinnamic acid 4-hydroxylase and polyphenol oxidase. In conclusion, with the mechanism that involves the activation of enzymatic and non-enzymatic antioxidant systems, 1-MCP has the ability to avoid chilling injury of snap bean., Novelty and Scientific Contribution: This study gives insights into whether 1-MCP can regulate postharvest cold resistance in vegetables by enhancing the enzymatic antioxidant system and inducing the accumulation of non-enzymatic antioxidants. Considering the results, 1-MCP treatment could be an effective method to alleviate postharvest chilling injury of snap beans during low temperature storage., Competing Interests: CONFLICT OF INTEREST The authors declare no conflict of interest., (Authors.)

The proliferation of cardiac fibroblasts (CFs) and deposition of extracellular matrix (ECM) proteins are pivotal in the development of cardiac fibrosis. Recent studies have indicated that diosgenin may inhibit high glucose‑induced renal tubular fibrosis; however, to the best of our knowledge, no studies have focused on the effects of diosgenin on cardiac fibrosis. Therefore, the present study aimed to explore the effects of diosgenin on angiotensin II (Ang II)‑induced ECM remodeling, and its possible mechanism in rat CFs. CFs were pre‑incubated with diosgenin (1, 5 and 10 µM) for 24 h and were then stimulated with Ang II (100 nM) for 24 h. Cell proliferation was estimated using the MTS assay. The expression levels of α‑SMA, fibronectin, collagen I, TGF‑β1, in addition to phosphorylation of Smad3 were detected by western blotting. The results demonstrated that diosgenin inhibited Ang II‑induced CF proliferation and the differentiation of CFs to myofibroblasts. In addition, diosgenin was able to inhibit Ang II‑induced ECM expression in rat CFs. Furthermore, diosgenin inhibited Ang II‑induced expression of transforming growth factor‑β1 (TGF‑β1) and Smad3 phosphorylation in CFs. Taken together, these results suggest that diosgenin may inhibit Ang II‑induced ECM remodeling by suppressing the TGF‑β1/Smad3 signaling pathway in rat CFs. Therefore, diosgenin may possess therapeutic potential for the treatment of cardiac fibrosis.

Background: Enterovirus (EV)-related hand, foot, and mouth disease/herpangina (HFMD/HA) has been prevalent in Guangdong Province, China, since 2010., Methods: Clinical data for EV-related HFMD/HA inpatients admitted to the Department of Paediatrics of Zhujiang Hospital from 2010 to 2013 were retrospectively reviewed. The corresponding EV serotypes were also determined by reverse transcription-polymerase chain reaction or BLAST analysis of the sequenced partial lengths of the viral protein1/5'-untranslated region., Results: A total of 867 eligible inpatients admitted during 2010-2013 were included in the study. Of these, the serotype of the responsible EV was successfully identified in 824 cases. The incidence of enterovirus 71 (EV71) infection amongst pediatric HFMD/HA inpatients decreased dramatically from 55.5 % in 2010 to 8.1 % in 2013, with a similar decrease recorded for coxsackievirus A16 (CVA16). However, the incidence of non-EV71/CVA16 infection increased from 30.0 % in 2010 to 83.8 % in 2013. We noted that the types of infection caused by different EV serotypes varied: EV71 was responsible for 100 % of the paralysis cases (26/26), 84.6 % of the deaths (11/13), and 84.1 % of cases with severe central nervous system involvement (SCNSI) (74/88); echovirus contributed to 16.4 % of the deaths (2/13) and 4.4 % of the SCNSI cases; and coxsackievirus accounted for only 2.2 % of the SCNSI cases (2/90). The clinical features of HFMD/HA cases varied greatly during the time period examined, with drastic changes in the hospitalization rates (45.1, 63.7, 36.4, and 19.1 % for 2010, 2011, 2012, and 21013, respectively), mortality rates (2.3, 0.9, 2.5, and 0.0 %, respectively), paralysis (5.1, 1.2, 5.4, and 0.0 %, respectively), SCNSI (16.8, 7.1, 12.7, and 2.2 %, respectively), and acute respiratory infection (21.1, 22.0, 45.9, and 59.0 %, respectively)., Conclusions: The incidences of infection caused by different EV serotypes, along with the clinical features of HFMD/HA cases, changed drastically in Guangdong Province, China, from 2010 to 2013, with the biggest changes observed in 2013. The changed constituent ratios of the different EV serotypes might therefore be responsible for the differences in the observed clinical features of HFMD/HA during this period.

Background: A series of complications caused by enteroviruses, including meningitis, encephalitis, acute flaccid paralysis, acute cardiopulmonary failure, respiratory infection, and myocardial injury have been reported in hand, foot and mouth disease/herpangina (HFMD/HA). However, the complication of diarrhoea caused by enteroviruses has been neglected, and a summary of its clinical features and impact on HFMD/HA is unavailable., Methods: We included inpatients with HFMD/HA admitted to the Paediatric Department of Zhujiang Hospital during 2009-2012. We summarised and compared clinical data for cases with and without diarrhoea, and determined enterovirus serotypes by reverse transcriptase polymerase chain reaction and genotyping based on a partial-length fragment of viral protein 1 or the 5'-untranslated region., Results: There were 804 inpatients with HFMD/HA and 28 (3.5%) presented with diarrhoea. Gastrointestinal symptoms were mild in most cases of diarrhoea (82.1%), with high prevalence of no dehydration (82.1%), short duration of diarrhoea (78.6%) and watery stools (75.0%). The prevalence of multi-organ dysfunction syndrome (10.7 vs 0.40%) (p = 0.001), hepatic injury (14.3 vs 3.4%) (p = 0.019), myocardial injury (21.4 vs 6.1%) (p = 0.002) and convulsion (21.4 vs 7.2%) (p = 0.016) was significantly higher in the diarrhoea than no diarrhoea group. There was no significant difference between the two groups regarding prevalence of death, altered consciousness, paralysis, central nervous system involvement, or acute respiratory infection., Conclusions: Most patients with diarrhoea caused by enteroviruses circulating in Guangdong Province in 2009-2012 had mild or moderate gastrointestinal symptoms. Although enterovirus-related diarrhoea caused additional multi-organ dysfunction syndrome, hepatic injury and myocardial injury in children with HFMD/HA, timely intervention efficiently reduced disease severity and improved outcome.

Background: Treatment with the alpha-glucosidase inhibitor (AGI) acarbose is associated with a significant reduction the risk of cardiovascular events. However, the underlying mechanisms of this effect are unclear. AGIs were recently suggested to participate in stimulating glucagon-like peptide 1 (GLP-1) secretion. We therefore examined the effects of a 24-week treatment of acarbose on endogenous GLP-1, nitric oxide (NO) levels, nitric oxide synthase (NOS) activity, and carotid intima-media thickness (CIMT) in newly diagnosed patients with type 2 diabetes (T2D)., Methods: Blood was drawn from 24 subjects (14 male, 10 female, age: 50.7 ± 7.36 years, BMI: 26.64 ± 3.38 kg/m2, GHbA1c: 7.00 ± 0.74%) with drug-naïve T2D at 0 and 120 min following a standard mixed meal for the measurements of active GLP-1, NO and NOS. The CIMT was measured prior to and following 24 weeks of acarbose monotherapy (mean dose: 268 mg daily)., Results: Following 24 weeks of acarbose treatment, both fasting and postprandial plasma GLP-1 levels were increased. In patients with increased postprandial GLP-1 levels, serum NO levels and NOS activities were also significantly increased and were positively related to GLP-1 levels. Although the CIMT was not significantly altered following treatment with acarbose, a decreased CIMT was negatively correlated with increased GLP-1 levels., Conclusions: Twenty-four weeks of acarbose monotherapy in newly diagnosed patients with T2D is associated with significantly increased levels of both fasting and postprandial GLP-1 as well as significantly increased NO levels and NOS activity for those patients in whom postprandial GLP-1 levels were increased. Therefore, the benefits of acarbose on cardiovascular risk may be related to its stimulation of GLP-1 secretion.