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BioMed

BioMed is an international, peer-reviewed, open access journal on the broad field of subjects in human life science and medicine published quarterly online by MDPI.
  • Open Access— free for readers, with article processing charges (APC) paid by authors or their institutions.
  • Rapid Publication: manuscripts are peer-reviewed and a first decision is provided to authors approximately 27.3 days after submission; acceptance to publication is undertaken in 4.5 days (median values for papers published in this journal in the first half of 2026).
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  • BioMed is a companion journal of Biomedicines.

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All Articles (180)

  • Review
  • Open Access

Cervical Cancer Burden in Africa: An Integrative Review of Epidemiology, Plant Medicine, and AI-Driven Innovation

  • Susanna Awinsongya Anovunga,
  • Aboagye Kwarteng Dofuor and
  • Angelina Akomea
  • + 7 authors

Cervical cancer imposes a heavy burden in low- and middle-income countries and persistently high incidence and mortality in Sub-Saharan Africa due to unequal access to prevention and care. Although human papillomavirus (HPV) is a major driving factor, the risk is amplified by HIV co-infection, socioeconomic barriers, limited infrastructure, low health literacy, and behavioral factors, leading to frequent late-stage diagnosis, low screening coverage, and poor survival. Recent expansion of HPV vaccination programs since 2019 has achieved high coverage in some countries, but continent-wide rates remain below targets amid hesitancy, inequities, and systemic weaknesses. Thus, there is a critical need for an integrated synthesis of multidisciplinary evidence that reflects the peculiarities and diversities of African health systems. Moreover, high mortality rates underscore the need for integrated, context-specific evidence to strengthen vaccination, screening, and management strategies in line with WHO global elimination targets. Plant medicine promises to complement mainstream health delivery in low resource settings. Emerging artificial intelligence (AI) tools show strong potential to improve screening accuracy, reduce subjectivity and resource needs, and enhance early detection in resource-limited settings. This review synthesizes multidisciplinary data on economic impact, epidemiology, risk factors, prevention, diagnostic challenges, plant medicine and AI innovations to guide equitable progress in diverse African contexts.

BioMed

12 October 2026

Simplified mechanistic model of HPV-driven cervical carcinogenesis. Persistent infection with high-risk HPV, particularly HPV16 and HPV18, facilitates viral genome integration into the host genome and sustained expression of the viral oncogenes E6 and E7. E6 recruits E6-associated protein (E6-AP), promoting ubiquitination and proteasomal degradation of the tumour suppressor p53, thereby impairing DNA-damage-induced cell-cycle arrest and apoptosis. E7 binds and functionally inactivates retinoblastoma protein (pRb), releasing E2F transcription factors and promoting unscheduled S-phase entry and cellular proliferation. Disruption of these tumour-suppressor pathways is accompanied by p16^INK4a^ accumulation, increased Ki-67 expression, genomic alterations, altered cellular metabolism, and progressive cervical dysplasia, ultimately contributing to invasive cervical cancer. This mechanistic sequence reflects the molecular processes described in the manuscript.
  • Article
  • Open Access

Background: Breast cancer is the most common malignancy and the leading cause of cancer-related death for women globally. There is currently no tumor-specific targeted therapy for TNBC, in contrast to other clinical subtypes of breast cancer. Nervonic acid (NA), a very long-chain omega-9 fatty acid, has been reported to have neuroprotective and anti-inflammatory properties, but the anticancer effect of NA is poorly understood. The aim of this study is to investigate the anticancer potential of NA. Methods: In order to investigate the anticancer effect of nervonic acid on the MDA-MB-231 breast cancer cell line, we performed a cell viability assay, assessed redox balance, performed nuclear morphological staining, evaluated gene expression, and carried out immunoblotting. Results: The results showed that NA treatment markedly decreased cell viability, increased ROS production, and increased protein expression levels of the apoptotic markers Caspase-3, -8, and -9 and p53 compared to untreated cells. Conclusions: From a mechanistic viewpoint, NA treatment altered the redox balance and changed the expression pattern of p53 and Caspase-3, -8, and -9 proteins to initiate apoptosis. This investigation has shown that NA has potential anticancer activity against the MDA-MB-231 breast cancer cell line.

BioMed

9 October 2026

(A) Effect of nervonic acid on the MDA-MB 231 breast cancer cell line (5 × 103 cells/mL). Cell viability was measured by the MTT method at different time intervals. (B) Cell viability was determined by the MTT method after 24 h of treatment. Triplicate values are expressed as mean ± SEM; **** p < 0.0001 indicate significant differences and ns indicate no significant differences from the control group.
  • Article
  • Open Access

SARS-CoV-2 Spike Variants Differentially Rewire Cytoskeletal Architecture in Human Cardiomyocytes

  • Kellyann Román-Cruz,
  • Calina Wu-Mo and
  • Rafael Maldonado-Hernández
  • + 5 authors

Background/Objectives: The COVID-19 pandemic has resulted in more than 7.11 million deaths worldwide and has been associated with numerous extrapulmonary complications, including cardiovascular dysfunction. Although severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) primarily targets the respiratory system, increasing evidence suggests that viral components may directly affect cardiac cells and contribute to long-term cardiovascular sequelae. In this study, we investigated the effects of recombinant spike proteins from the Alpha, Delta, and Omicron SARS-CoV-2 variants on the cytoskeletal organization and proteomic landscape of human AC16 cardiomyocytes. Methods: Confocal microscopy and quantitative image analysis were employed to evaluate cytoskeletal organization, including F-actin filament count and length, phalloidin fluorescence intensity, and cell solidity, following spike-protein exposure at 24, 48, and 72 h, while quantitative tandem mass tag (TMT)-based proteomics at the 72 h exposure time point was used to characterize variant-associated changes in host protein abundance. Results: Quantitative analysis revealed time- and variant-dependent F-actin and morphological remodeling. Mean filament length was significantly reduced by all three spike variants at 48 h, whereas significant reductions in filament count emerged at 72 h across all variant-exposed groups. Phalloidin fluorescence intensity and cell solidity further revealed variant-specific responses, particularly at 72 h, with Delta and Omicron exhibiting distinct quantitative remodeling patterns. Morphologically, Delta spike-exposed cells exhibited the most pronounced disruption of overall cellular architecture at 72 h. Proteomic analyses revealed distinct abundance patterns among proteins involved in cytoskeletal regulation, cell adhesion, membrane dynamics, mechanotransduction, and intracellular trafficking. Notably, Omicron was associated with broader changes in protein abundance, whereas Delta exhibited fewer protein-abundance changes despite showing the most pronounced morphological alterations. Collectively, these findings demonstrate time- and variant-dependent patterns of cytoskeletal and morphological remodeling, together with distinct variant-associated proteomic abundance patterns at the 72 h exposure time point. The divergence between the pronounced morphological alterations associated with Delta and the broader proteomic response induced by Omicron suggests that cytoskeletal, morphological, and molecular remodeling represent distinct but interconnected dimensions of the cardiomyocyte response to SARS-CoV-2 spike proteins. Conclusions: These findings identify cytoskeletal regulation and associated signaling pathways as potential contributors to SARS-CoV-2-associated cardiac cellular dysfunction.

BioMed

23 September 2026

Confocal microscopy with quantitative analysis of F-actin organization and cell morphology in AC16 human CMs following exposure to SARS-CoV-2 spike proteins from the Alpha, Delta, and Omicron variants. F-actin filaments were visualized using phalloidin staining (green), and nuclei were counterstained with DAPI (blue). Representative confocal micrographs were acquired after (A) 24 h, (B) 48 h, and (C) 72 h of exposure. Quantitative image analysis was performed to determine (D) F-actin filament count, (E) mean F-actin filament length (µm), (F) mean phalloidin fluorescence intensity, and (G) cell solidity. F-actin filament count and filament length were quantified using NIS-Elements, whereas phalloidin fluorescence intensity and cell solidity were quantified using CellProfiler. For cell solidity, individual segmented cells were analyzed, and values were averaged per image/biological replicate. Data are presented as mean ± SD from three independent biological replicates (n = 3). Statistical significance for filament count and filament length was assessed by two-way ANOVA followed by Dunnett’s multiple-comparisons test comparing each spike-protein condition with the corresponding control at each time point. Phalloidin fluorescence intensity was analyzed using Holm-adjusted Welch t-tests and cell solidity using Holm-adjusted estimated marginal means post hoc comparisons. For panels (F,G), asterisks indicate significant differences relative to the corresponding time-matched control. Adjusted p < 0.05 (*) and adjusted p < 0.001 (***). For panels (D,E), p < 0.05 (*), p < 0.01 (**), and p < 0.0001 (****). Scale bar = 50 µm.
  • Article
  • Open Access

Background: Asthma is a chronic respiratory disease shaped by environmental, meteorological, and behavioral factors. Few approaches combine population-level surveillance with individual-level monitoring within a single analytical framework. Methods: This work developed a dual machine learning framework. Study 1 modeled the daily count of respiratory admissions (chapter X of the ICD-10) in São Paulo, Brazil, from 2017 to 2022 as a nowcasting task, combining ElasticNet, residual CatBoost, direct CatBoost, and adaptive blending, validated by walk-forward over 30 bimonthly windows. Study 2 applied an XGBoost and Random Forest pipeline to 913 diaphragmatic-breathing sessions from 17 patients aged 9 to 16 years in the Respire Bem system, with Asthma Control Test and salivary cortisol represented using evidence-based synthetic simulation. Results: Study 1 achieved a mean MAE of 18.22, RMSE of 23.99, and R2 of 0.675, exceeding the seasonal baseline by 41.5%, with a significant advantage over all three baselines (Wilcoxon and Diebold–Mariano, p ≤ 0.038). Ablation showed each single-component configuration to be significantly worse than the full hybrid, but removing the environmental block cost only 0.27 admissions per day, an effect indistinguishable from zero. SHAP rankings were stable across windows (Kendall W = 0.640), led by NO2, PM2.5, and temperature. In Study 2 the pipeline ran end-to-end on real behavioral data, but because the outcomes were simulated, no predictive-accuracy metric is reported. Conclusions: Study 1 delivers a validated population-level nowcasting model whose accuracy rests mainly on the temporal structure of the series. Study 2 contributes a real behavioral dataset and a reproducible pipeline; the clinical validity of the digital biomarkers remains open and requires prospective work with directly measured outcomes.

BioMed

15 September 2026

Conceptual overview of the proposed dual framework. The population layer (Study 1) links environmental and meteorological exposures to the daily count of respiratory hospitalizations in São Paulo. The individual layer (Study 2) links adherence to diaphragmatic breathing, captured by the Respire Bem system, to simulated clinical outcomes and digital biomarkers. The dashed connector indicates that the two layers are articulated conceptually only, since they were not integrated at the level of data or model in the present work.

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