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Efficacy of stromal vascular fraction for knee osteoarthritis:A prospective,single-centre,non-randomized study with 2 years follow-up

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World Journal of Orthopedics 2024年第5期15卷 457-468页

作者： Madhan Jeyaraman Naveen Jeyaraman Tarun Jayakuma. Swaminathan Ramasubramanian Rajni Ranjan saurabh kuma. jha Ashim Gupta Department of Orthopaedics ACS Medical College and HospitalDr MGR Educational and Research InstituteChennaiTamil Nadu 600077India Department of Biotechnology School of Engineering and TechnologySharda UniversityGreater NoidaUttar Pradesh 201310India Department of Orthopaedics and Regenerative Medicine South Texas Orthopaedic Research InstituteLaredoTX 78045United States Department of Orthopaedics KIMS-Sunshine HospitalHyderabadTelangana 500032India Department of Orthopaedics Government Medical CollegeOmandurar Government EstateChennaiTamil Nadu 600002India Department of Orthopaedics School of Medical Sciences and ResearchSharda UniversityGreater NoidaUttar Pradesh 201306India Department of Zoology Kalindi CollegeUniversity of DelhiNew Delhi 110008India Department of Orthopaedics and Regenerative Medicine Regenerative OrthopaedicsNoida 201301Uttar PradeshIndia Department of Orthopaedics and Regenerative Medicine Future BiologicsLawrencevilleGA 30043United States Department of Orthopaedics and Regenerative Medicine BioIntegrateLawrencevilleGA 30043United States

BACKGROUND Current osteoarthritis(OA)treatments focus on symptom relief without addressing the underlying disease *** regenerative medicine,current treatments have *** regenerative medicine,more research is needed for intra-articular stromal vascular fraction(SVF)injections in OA,including dosage optimization,long-term efficacy,safety,comparisons with other treatments,and mechanism *** To compare the efficacy of intra-articular SVF with corticosteroid(ICS)injections in patients with primary knee *** The study included 50 patients with Kellgren-Lawrence grades II and III *** were randomly assigned(1:1)to receive either a single intra-articular SVF injection(group A)or a single intra-articular ICS(triamcinolone)(group B)*** were followed up at 1,3,6,12,and 24 *** analog score(VAS)and International Knee Documentation Committee(IKDC)scores were administered before the procedure and at all *** safety of SVF in terms of adverse and severe adverse events was *** analysis was performed with SPSS Version 26.0,IBM Corp,Chicago,IL,United *** Both groups had similar demographics and baseline clinical ***-up showed minor patient loss,resulting in 23 and 24 in groups A and B *** A experienced a notable reduction in pain,with VAS scores decreasing from 7.7 to 2.4 over 24 months,compared to a minor reduction from 7.8 to 6.2 in Group *** difference in pain reduction in group A was statistically significant from the third month ***,Group A showed significant improvements in knee functionality,with IKDC scores rising from 33.4 to 83.10,whereas Group B saw a modest increase from 36.7 to *** improvement in Group A was statistically significant from 6 months and maintained through 24 *** Our study demonstrated that intra-articular administration of SVF can lead to reduced pain and improved knee function in pa

关键词： Knee osteoarthritis Adipose tissue Stromal vascular fraction Regenerative medicine Orthobiologics

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Emergence of taurine as a therapeutic agent for neurological disorders

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Neural Regeneration Research 2024年第1期19卷 62-68页

作者： Ashok Jangra Priyanka Gola Jiten Singh Pooja Gond Swarnabha Ghosh Mahesh Rachamalla Abhijit Dey Danish Iqbal Mehnaz Kamal Punya Sachdeva saurabh kuma. jha Shreesh Ojha Dinesh kuma. Niraj kuma. jha Hitesh Chopra Shing Cheng Tan Department of Pharmaceutical Sciences Central University of HaryanaMahendergarhHaryanaIndia Department of Biology University of SaskatchewanSaskatoonSKCanada Department of Life Sciences Presidency UniversityKolkataWest BengalIndia Department of Health Information Management College of Applied Medical SciencesBuraydah Private CollegesBuraydahSaudi Arabia Department of Pharmaceutical Chemistry College of PharmacyPrince Sattam Bin Abdulaziz UniversityAl-KharjSaudi Arabia GloNeuro Vishwakarma RoadNoidaIndia Department of Biotechnology School of Engineering&Technology(SET)Sharda UniversityGreater NoidaUttar PradeshIndia Department of Pharmacology and Therapeutics College of Medicine and Health SciencesUnited Arab Emirates UniversityAl AinUnited Arab Emirates School of Bioengineering&Biosciences Lovely Professional UniversityPhagwaraIndia Department of Biotechnology School of Applied&Life Sciences(SALS)Uttaranchal UniversityDehradunIndia Chitkara College of Pharmacy Chitkara UniversityPunjabIndia UKM Medical Molecular Biology Institute Universiti Kebangsaan MalaysiaKuala LumpurMalaysia

Taurine is a sulfur-containing,semi-essential amino acid that occurs naturally in the *** alternates between inflammation and oxidative stress-mediated injury in various disease *** part of its limiting functions,taurine also modulates endoplasmic reticulum stress,Ca^(2+)homeostasis,and neuronal activity at the molecular *** effectively protects against a number of neurological disorders,including stro ke,epilepsy,cerebral ischemia,memory dysfunction,and spinal cord *** various therapies are available,effective management of these disorders remains a global *** 30 million people are affected *** design of taurine fo rmation co uld lead to potential drugs/supplements for the health maintenance and treatment of central nervous system *** general neuroprotective effects of taurine and the various possible underlying mechanisms are discussed in this *** article is a good resource for understanding the general effects of taurine on various *** the strong evidence for the neuropharmacological efficacy of taurine in various experimental paradigms,it is concluded that this molecule should be considered and further investigated as a potential candidate for neurotherapeutics,with emphasis on mechanism and clinical studies to determine efficacy.

关键词： antioxidant epilepsy γ-amino butyric acid neurodegenerative disorders neuroprotection oxidative stress spinal cord injury taurine

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Translational products of adipose tissue-derived mesenchymal stem cells:Bench to bedside applications

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World Journal of Stem Cells 2021年第10期13卷 1360-1381页

作者： Shilpa Sharma Sathish Muthu Madhan Jeyaraman Rajni Ranjan saurabh kuma. jha Department of Pediatric Surgery All India Institute of Medical SciencesNew Delhi 110029India Indian Stem Cell Study Group LucknowUttar Pradesh 226010India Department of Orthopaedics Government Medical College and HospitalDindigulTamil Nadu 624304India Research Scholar Department of BiotechnologySchool of Engineering and TechnologyGreater NoidaSharda UniversityUttar Pradesh 201306India Department of Orthopaedics School of Medical Sciences and ResearchSharda UniversityGreater NoidaUttar Pradesh 201306India Department of Biotechnology School of Engineering and TechnologySharda UniversityGreater NoidaUttar Pradesh 201306India

With developments in the field of tissue engineering and regenerative medicine,the use of biological products for the treatment of various disorders has come into the limelight among researchers and *** all the available biological tissues,research and exploration of adipose tissue have become more *** tissue engineering aims to develop by-products and their substitutes for their regenerative and immunomodulatory *** use of biodegradable scaffolds along with adipose tissue products has a major role in cellular growth,proliferation,and *** tissue,apart from being the powerhouse of energy storage,also functions as the largest endocrine organ,with the release of various *** progenitor cells among the heterogeneous population in the adipose tissue are of paramount importance as they determine the capacity of regeneration of these *** results of adipose-derived stemcell assisted fat grafting to provide numerous growth factors and adipokines that improve vasculogenesis,fat graft integration,and survival within the recipient tissue and promote the regeneration of tissue are *** tissue gives rise to various by-products upon *** article highlights the significance and the usage of various adipose tissue by-products,their individual characteristics,and their clinical applications.

关键词： Adipose tissue Stem cells Fat graft Clinical applications Mesenchymal stem cells

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Molecular basis of fluoride toxicities:Beyond benefits and implications in human disorders

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Genes & Diseases 2023年第4期10卷 1470-1493页

作者： Priyankar Pal Niraj kuma. jha Debankur Pal saurabh kuma. jha Uttpal Anand Abilash Valsala Gopalakrishnan Abhijit Dey Prabir kuma. Mukhopadhyay Department of Life Sciences Presidency UniversityKolkataWest Bengal 700073India Department of Biotechnology School of Engineering and Technology(SET)Sharda UniversityGreater NoidaUttar Pradesh 201310India Department of Biotechnology School of Applied&Life Sciences(SALS)Uttaranchal UniversityDehradun 248007India Department of Biotechnology Engineering and Food Technology Chandigarh UniversityMohali 140413India Department of Life Sciences Ben-Gurion University of the NegevBeer-Sheva 84105Israel Department of Biomedical Sciences School of Bio Sciences and TechnologyVellore Institute of Technology(VIT)VelloreTamil Nadu 632014India

Detrimental impacts of fluoride have become a global concern for several *** its beneficial role which is restricted only in skeletal tissues,deleterious effects are also observed in soft tissues and *** generation of enhanced oxidative stress is the commencement of excess fluoride exposure which may lead to cell *** causes cell death through autophagy via Beclin 1 and mTOR signaling *** these,several or-gan specific anomalies through different signaling pathways have been ***-drial dysfunction,DNA damage,autophagy and apoptosis are the damaging outcomes in case of hepatic *** concentration defects and cell cycle arrest have been reported in renal *** immune response has been characterized in the cardiac ***-tive dysfunction,neurodegenerative condition and learning impairment have also been *** steroidogenesis,gametogenic abnormalities,epigenetic alterations and birth defect are the major reprotoxic *** immune responses,altered immu-nogenic proliferation,differentiation as well as altered ratio of immune cells are well-defined anomalies in the immune *** the mechanistic approach of fluoride toxicity in phys-iological systems is common,it follows different signaling *** review emphasizes diverse signaling pathways which are the targets of overexposed fluoride.

关键词： Fluoride Autophagy Mitochondrial dysfunction Signaling cascades System disorders

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Nanofat: A therapeutic paradigm in regenerative medicine

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World Journal of Stem Cells 2021年第11期13卷 1733-1746页

作者： Madhan Jeyaraman Sathish Muthu Shilpa Sharma Charan Ganta Rajni Ranjan saurabh kuma. jha Department of Biotechnology School of Engineering and TechnologySharda UniversityGreater Noida 201306Uttar PradeshIndia Department of Orthopaedics School of Medical Sciences and ResearchSharda UniversityGreater Noida 201306Uttar PradeshIndia Indian Stem Cell Study Group Lucknow 226010Uttar PradeshIndia Department of Orthopaedics Government Medical College and HospitalDindigul 624001Tamil NaduIndia Department of Pediatric Surgery All India Institute of Medical SciencesNew Delhi 110029New DelhiIndia Department of Stem Cells and Regenerative Medicine Kansas State UniversityManhattanUnited States 10002United States

Adipose tissue is a compact and well-organized tissue containing a heterogeneous cellular population of progenitor cells,including mesenchymal stromal *** to its availability and accessibility,adipose tissue is considered a“stem cell depot.”Adipose tissue products possess anti-inflammatory,anti-fibrotic,antiapoptotic,and immunomodulatory ***,being a compact bundle of stem cells with regenerative and tissue remodeling potential,has potential in translational and regenerative *** the wide range of applicability of its reconstructive and regenerative potential,the applications of nanofat can be used in various *** behaves on the line of adipose tissuederived mesenchymal stromal *** the site of injury,these stromal cells initiate a site-specific reparative response comprised of remodeling of the extracellular matrix,enhanced and sustained angiogenesis,and immune system *** properties of stromal cells provide a platform for the usage of regenerative medicine principles in curbing various *** about nanofat,including various preparation methods,characterization,delivery methods,evidence on practical applications,and ethical concerns are included in this ***,appropriate guidelines and preparation protocols for its optimal use in a wide range of clinical applications have yet to be standardized.

关键词： Adipose tissue Nanofat Stem cells Regenerative medicine Adipose stem cells

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Controversies in the management of acute pancreatitis:An update

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World Journal of Clinical Cases 2023年第12期11卷 2582-2603页

作者： Manish Manrai saurabh Dawra Anupam K Singh Daya Krishna jha Rakesh Kochhar Department of Internal Medicine Armed Forces Medical CollegePune 411040India Department of Medicine and Gastroenterology Command HospitalPune 411040India Department of Gastroenterology Post Graduate Institute of Medical Education and ResearchChandigarh 160012India Department of Gastroenterology Army Hospital(Research and Referral)New Delhi 11010India

This review summarized the current controversies in the management of acute pancreatitis(AP).The controversies in management range from issues involving fluid resuscitation,nutrition,the role of antibiotics and antifungals,which analgesic to use,role of anticoagulation and intervention for complications in *** interventions vary from percutaneous drainage,endoscopy or *** research and emerging data are helping to formulate better *** available evidence favors crystalloids,although the choice and type of fluid resuscitation is an area of dynamic *** nutrition aspect does not have controversy as of now as early enteral feeding is preferred most often than *** empirical use of antibiotics and antifungals are gray zones,and more data is needed for conclusive *** choice of analgesic is being studied,and the recommendations are still *** position of using anticoagulation is still awaiting *** role of intervention is well established,although the modality is constantly changing and favoring endoscopy or percutaneous drainage rather than *** is evident that more multicenter randomized controlled trials are required for establishing the standard of care in these crucial management issues of AP to improve the morbidity and mortality worldwide.

关键词： Acute pancreatitis Fluid resuscitation Antibiotics Analgesia Anti coagulation Intervention

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A simplified model for understanding the performance of two-pot enclosed mud cookstoves

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Clean Energy 2019年第4期3卷 288-306页

作者： Ayush Parajuli saurabh Agrawal Janak kuma. Tharu Anil kuma. Kamat Ajay kuma. jha Hari Bahadur Darlami Department of Mechanical Engineering Pulchowk CampusTribhuvan UniversityLalitpurNepal

The objective of this study is to develop a mathematical model for a two-pot enclosed mud cookstove.A new model has been developed combining transient heat transfer,combustion chemistry and fluid *** model can be used for variation of the operation and design *** model predicts performance parameters such as efficiency,boiling time,excess air ratio(EAR),transient wall,flame and char *** an input power of 5.1 kW,the estimated overall efficiency,EAR and boiling time were 17.1%,1.97 and 43 minutes,*** model outcome is compared with experimental ***,10 parameters are varied and their impact on cookstove performance is *** optimum dimension for the door opening,combustion-chamber height and wall thickness are ***,this study can serve as an effective tool for cookstove design.

关键词： improved cookstove modelling MATLAB transient heat transfer wood

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Remission is not maintained over 2 years with hematopoietic stem cell transplantation for rheumatoid arthritis:A systematic review with meta-analysis

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World Journal of Biological Chemistry 2021年第6期12卷 114-130页

作者： Sathish Muthu Madhan Jeyaraman Rajni Ranjan saurabh kuma. jha Department of Biotechnology School of Engineering and TechnologySharda UniversityDelhi 201306Uttar PradeshIndia Department of Orthopaedics Government Medical College and HospitalDindigul 624001Tamil NaduIndia Department of Orthopaedics Faculty of MedicineSri Lalithambigai Medical College and HospitalChennai 600095Tamil NaduIndia Department of Orthopaedics School of Medical Sciences and ResearchGreater Noida 201306Uttar PradeshIndia

BACKGROUND Hematopoietic stem cell(HSC)transplantation(HSCT)is being accepted as a standard of care in various inflammatory *** treatment of rheumatoid arthritis(RA)has been closely evolving with the understanding of disease *** the rising resistance to the traditional disease-modifying antirheumatic drugs and targeted biological therapy,researchers are in pursuit of other methods for disease *** the ultimate goal of the ideal treatment of RA is to restore immune tolerance,HSCT attracts much attention considering its reparative,paracrine,and anti-inflammatory ***,a systematic review of studies on HSCT in RA is *** To investigate the role of HSCT in the management of *** A detailed search of PubMed,Scopus,EMBASE,Cochrane,and the Web of Science databases was made to identify the relevant articles till September 2020 following Cochrane and PRISMA *** extracted data including the number of patients,source of hematopoietic stem cells,their mobilization and conditioning regimens,results,and complications from the eligible *** were dichotomized into success(ACR 50/70)and failure(ACR 20)based on the improvement from baseline *** methodological quality of the included studies was also *** was performed using OpenMeta[Analysis]*** We included 17 studies(1 randomized controlled trial,11 prospective,and 5 retrospective studies)with 233 patients for *** provided a significantly beneficial overall improvement in the clinical grades of ACR criteria(Z=11.309,P<0.001).However,the remission was noted only till 24 mo and later on the significance of the result was lost(Z=1.737,P=0.082).A less than 1%treatmentrelated mortality was noted from the included *** major drug-related toxicities were noted in any of the included *** patients who underwent allogeneic HSCT received immunosuppression in the conditioning regimen to counteract the

关键词： Hematopoietic stem cell Rheumatoid arthritis Disease-modifying antirheumatic drug Biological therapy Systematic review Meta-analysis

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Analyzing the Prebiotic Potential of Glucosamine for Targeting the Gut Microbiome Health

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Food and Nutrition Sciences 2023年第2期14卷 119-134页

作者： Pranav Pancham Divya Jindal Archita Gupta Deepshikha Yadav Shriya Agarwal saurabh jha Manisha Singh Department of Biotechnology Jaypee Institute of Information Technology (JIIT) Noida India Neuroimmunology Laboratory School of Medicine Western Sydney University Campbelltown Australia Birla Institute of Technology Mesra India Indian Institute of Technology-Kanpur Kanpur India Bhartiya Nirdeshak Dravya Division CSIR-National Physical Laboratory New Delhi India Physico-Mechanical Metrology Division CSIR-National Physical Laboratory New Delhi India Academy of Scientific and Innovation Research (AcSIR) Ghaziabad India School of Natural Sciences Macquarie University Sydney Australia Department of Biotechnology School of Engineering and Technology Sharda University Greater Noida India

Recognizing the composition and modulation of the microbiome, a viable therapeutic tool for multi-targeted therapy is a new strategy that has recently been explored. Glucosamine (GS) is being studied for its prebiotic potential in addition to being the most abundant and naturally occurring amino monosaccharide. The current study focuses on glucosamine’s prebiotic potential by assessing the stability of various GS concentrations (1% - 5%) in the gastrointestinal tract (GIT) and its ability to be fermented by the gut microbiota. The results showed that GS stimulated the most growth in L. acidophilus even after a longer incubation time than B. bifidum and L. acidophilus growth was concentration-dependent, with maximum growth at 3% with a simultaneous decrease in pH (5.6 - 1.7). The decrease in GS concentration with time also represented the growth of bacterial species, demonstrating the species’ utilization of GS. Furthermore, at 3%, GS also represented the prebiotic index of 1.9. In addition, the concentration of GS in various simulated GIT fluids was estimated in both fast and fed conditions to examine GS stability at various levels in the gut. The results showed that GS remained unaffected and non-digestible in all of the simulated GIT fluids (salivary, gastric, intestinal, and colonic), but there was a slight decrease in GS concentration (2.8%) in the fasted state of gastric fluid due to low pH levels (1.6). As a result, the findings are conclusive and suggest that GS possesses prebiotic properties.

关键词： Microbiome Enteric Nervous System (ENS) Prebiotic Index Hexosamine Biosynthetic Pathway (HBP) Vagal Afferents Phosphotransferase System

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Einstein Probe discovery of EP240408a:A peculiar X-ray transient with an intermediate timescale

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Science China(Physics,Mechanics & Astronomy) 2024年

作者： Wenda Zhang Weimin Yuan Zhixing Ling Yong Chen Nanda Rea Arne Rau Zhiming Cai Huaqing Cheng Francesco Coti Zelati Lixin Dai Jingwei Hu Shumei Jia Chichuan Jin Dongyue Li Paul O’Brien Rongfeng Shen Xinwen Shu Shengli Sun Xiaojin Sun Xiaofeng Wang Lei Yang Bing Zhang Chen Zhang Shuang-Nan Zhang Yonghe Zhang Jie An David Buckley Alexis Coleiro Bertrand Cordier Liming Dou Rob Eyles-Ferris Zhou Fan Hua Feng Shaoyu Fu Johan P. U. Fynbo Lluis Galbany saurabh W. jha Shuaiqing Jiang Albert Kong Erik Kuulkers Weihua Lei Wenxiong Li Bifang Liu Mingjun Liu Xing Liu Yuan Liu Zhu Liu Chandreyee Maitra Alessio Marino Itumeleng Monageng Kirpal Nandra Jeremy Sanders Roberto Soria Lian Tao Junfeng Wang Song Wang Tinggui Wang Zhongxiang Wang Qingwen Wu Xuefeng Wu Dong Xu Yanjun Xu Suijian Xue Yongquan Xue Zijian Zhang Zipei Zhu Hu Zou Congying Bao Fansheng Chen Houlei Chen Tianxiang Chen Wei Chen Yehai Chen Yifan Chen Chenzhou Cui Weiwei Cui Yanfeng Dai Dongwei Fan Ju Guan Dawei Han Dongjie Hou Haibo Hu Maohai Huang Jia Huo Zhenqing Jia Bowen Jiang Ge Jin Chengkui Li Junfei Li Longhui Li Maoshun Li Wei Li Zhengda Li Tianying Lian Congzhan Liu Heyang Liu Huaqiu Liu Fangjun Lu Laidan Luo Jia Ma Xuan Mao Haiwu Pan Xin Pan Liming Song Hui Sun Yunyin Tan Qingjun Tang Yihan Tao Hao Wang Juan Wang Lei Wang Wenxin Wang Yilong Wang Yusa Wang Qinyu Wu Haitao Xu Jingjing Xu Xinpeng Xu Yunfei Xu Zhao Xu Changbin Xue Yulong Xue Ailiang Yan Haonan Yang Xiongtao Yang Yanji Yang Juan Zhang Mo Zhang Wenjie Zhang Zhen Zhang Zhen Zhang Ziliang Zhang Donghua Zhao Haisheng Zhao Xiaofan Zhao Zijian Zhao Hongyan Zhou Yilin Zhou Yuxuan Zhu Zhencai Zhu Institut d’Estudis Espacials de Catalunya (IEEC) Max Planck Institute for Extraterrestrial Physics Innovation Academy for Microsatellites Chinese Academy of Sciences Department of Physics University of Hong Kong School of Physics and Astronomy University of Leicester School of Physics and Astronomy Sun Yat-sen University National Astronomical Observatories Department of Physics Anhui Normal University Shanghai Institute of Technical Physics Chinese Academy of Sciences Physics Department Tsinghua University Nevada Center for Astrophysics University of Nevada Las Vegas Department of Physics and Astronomy University of Nevada Las Vegas Chinese Academy of Sciences South African Astronomical Observatory Department of Astronomy University of Cape Town Department of Physics University of the Free State Universite' Paris Cite' CNRS Astroparticule et Cosmologie Universite' Paris Cite' CEA Paris-Saclay School of Astronomy and Space Sciences IRFU/DAp-AIM Department of Astronomy Guangzhou University Cosmic Dawn Center (DAWN) Niels Bohr Institute University of Copenhagen Department of Physics and Astronomy Rutgers the State University of New Jersey Institute for Cosmic Ray Research University of Chinese Academy of Sciences The University of Tokyo ESA/ESTEC Noordwijk 2201 AZ The Netherlands Department of Astronomy School of Physics Huazhong University of Science and Technology INAF-Osservatorio Astrofisico di Torino Sydney Institute for Astronomy School of Physics Key Laboratory of Particle Astrophysics The University of Sydney Department of Astronomy Xiamen University Institute for Frontiers in Astronomy and Astrophysics Beijing Normal University Department of Astronomy University of Science and Technology Hefei School of Astronomy and Space Sciences University of Science and Technology of China Institute of High Energy Physics Institute of Deep Space Sciences Deep Space Exploration Laboratory Department of Astronomy School of Physics and Astronomy Yunnan University Shanghai Astronomical Observatory Chinese Academy of Science

We report the discovery of a peculiar X-ray transient,EP240408a,by Einstein Probe （EP） and follow-up studies made with EP,Swift,NICER,GROND,ATCA and other ground-based multiwavelength *** new transient was first detected with Wide-field X-ray Telescope （WXT） on board EP on April 8th,2024,manifested in an intense yet brief X-ray flare lasting for *** flare reached a peak flux of 3.9×10-9erg cm-2s-1in 0.5-4 keV,300 times brighter than the underlying X-ray emission detected throughout the *** and more precise follow-up observations by EP/FXT,Swift and NICER confirmed the finding of this new *** X-ray spectrum is non-thermal in 0.5-10 keV,with a power-law photon index varying *** X-ray light curve shows a plateau lasting for4d,followed by a steep decay till becoming undetectable10 d after the initial *** on its temporal property and constraints from previous EP observations,an unusual timescale in the range of 7-23 d is found for EP240408a,which is intermediate between the commonly found fast and long-term *** counterparts have been found in optical and near-infrared,with the earliest observation at 17 h after the initial X-ray detection,suggestive of intrinsically weak emission in these *** demonstrate that the remarkable properties of EP240408a are inconsistent with any of the transient types known so far,by comparison with,in particular,jetted tidal disruption events,gamma-ray bursts,X-ray binaries and fast blue optical *** nature of EP240408a thus remains an *** suggest that EP240408a may represent a new type of transients with intermediate timescales of the order of10 *** detection and follow-ups of more of such objects are essential for revealing their origin.

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