Four glucagon-like peptide-1 receptor agonists (GLP-1 RAs) have been used in children and adolescents with obesity or overweight. This network meta-analysis was conducted to compare the efficacy and safety of these regimens. Embase, PubMed, and Scopus were searched on March 2023 and updated in June 2024 for eligible randomized controlled trials (RCTs). The primary efficacy outcomes were mean difference in actual body weight, BMI (body mass index), BMI z score, and waist circumference. Safety outcomes included nausea, vomiting, diarrhea, abdominal pain, injection-site reaction, and hypoglycemia. Eleven RCTs with 953 participants were eligible. Semaglutide exhibited greater effects in reducing weight, BMI, and BMI z score versus the placebo. Semaglutide was associated with greater weight loss and BMI z score reduction in comparison with exenatide, liraglutide, and dulaglutide. Semaglutide also significantly decreased BMI than exenatide. None of the four GLP-1 RAs were associated with higher risks of diarrhea, headache, and abdominal pain versus the placebo. Liraglutide was more likely to cause nausea, vomiting, hypoglycemia, and injection-site reactions than the placebo. Liraglutide also had higher odds of causing injection-site reactions than other GLP-1 RAs. Semaglutide appeared to be the most effective and safe option among four GLP-1 RAs in children and adolescents with obesity or overweight.

Based on the cyanine dye scaffold, two photosensitizers (PSs) (C1 and C2) were successfully synthesized. These PSs exhibited a maximum absorption wavelength of 660 nm, falling within the near-infrared window. Compared to the commercially available photosensitizer ICG, the newly developed PSs demonstrated enhanced reactive oxygen species (ROS) generation under lower light doses. Notably, these PSs can simultaneously produce both singlet oxygen (¹O₂) and superoxide anion radicals (O₂˙⁻), classifying them as dual type I/II PSs. Compared with C1, the ¹O₂ quantum yield of C2 was higher, as high as 10.6 times that of ICG. Theoretical calculations revealed that the molecules of C2 possessed a small singlet–triplet energy gap (ΔE_S–T), which facilitated more efficient intersystem crossing (ISC) from the singlet to triplet state, thereby promoting greater ROS generation. Experiments showed that C1 and C2 were located in mitochondria and could cause a decrease in mitochondrial membrane potential, leading to cell death. Animal experiments have shown that C2 effectively suppressed tumor growth without side effects.

In this work, a new Co(II) complex, abbreviated as [Co(L)(bipy)(H2O)2]n (1) was prepared using cobalt(II) acetate tetrahydrate, 2-((2’-carboxybenzyl)