Search Results (83)

Background/Objectives: Patients with severe asthma (SA) commonly present with coexisting nasal polyposis (NP), often requiring treatment with intranasal corticosteroids (INC). However, adherence to INC in this population remains inadequately characterized despite its clinical significance. This study aimed to evaluate adherence to INC in patients with SA and NP and to identify clinical and pharmacological factors associated with adherence levels. Methods: We conducted a retrospective observational study including adult patients with SA and NP treated with INC and followed at a tertiary asthma unit in Madrid during 2024. Adherence was assessed via medication possession ratio (MPR) over six months, with poor adherence defined as MPR < 50%. Pharmacological, clinical and demographic variables were analyzed for associations with adherence. Results: Of the 188 patients evaluated, 86 (45.7%) were prescribed INC. Poor adherence was observed in 53.5% of these patients. Women exhibited significantly lower adherence compared to men (p < 0.05). Fluticasone was the most commonly prescribed INC (54.6%), with no significant adherence differences across corticosteroid types. Patients on maintenance systemic corticosteroids had higher adherence (85.7%, p < 0.05), whereas those receiving biologic therapies tended toward lower adherence (51% poor adherence), though this was not statistically significant. Higher adherence was associated with increased disease severity, as indicated by multiple endoscopic sinus surgeries (p < 0.05). No significant differences were observed in spirometry or Asthma Control Test scores. Conclusions: Adherence to INC in patients with SA and NP is suboptimal, particularly among women and patients on biologics. Greater disease severity correlates with improved adherence. Targeted interventions are necessary to enhance adherence and optimize disease management in this population. Full article

Background/Objectives: Evidence of patient experiences with heart failure with preserved ejection fraction (HFpEF) and disease impact on quality of life (QoL) is scarce. This study explored perceived impacts on QoL and healthcare experiences of HFpEF patients and their caregivers. Methods: This was a mixed-methods study with HFpEF patients, ≥40 years, New York Heart Association functional classes I-IV in Spain. Qualitative data were collected through semi-structured interviews with patients (n = 19) and caregivers (n = 17). The EuroQoL 5D-5L, Patient Global Impression of Severity, and Kansas City Cardiomyopathy Questionnaire were used to collect QoL measures. Results: The themes were as follows. (1) Impact of HFpEF on QoL; (2) new roles of informal caregiving; and (3) the increasing value of multidisciplinary care. Qualitative data were supported by a trend of worsening QoL on quantitative measures as HF progressed, despite quantitative measures not fully capturing the burden. Qualitative data further captured discrepancies of QoL perceptions. Conclusions: The impact of HFpEF on patients and their caregivers was similar to the HFrEF population’s. Insights from discrepancies between PROMs data and interviews could help with tailoring QoL questionnaires to capture the broader impact of HFpEF, identify unmet needs, and customize care. Full article

Gynecologic perivascular epithelioid cell tumors (PEComas) are rare mesenchymal neoplasms characterized by the co-expression of melanocytic markers (HMB-45 and Melan-A) and smooth muscle markers (SMA, desmin, and caldesmon). The uterus is the most common organ affected, with approximately 110 cases reported worldwide, while occurrences in the cervix, vagina, ovary, and other gynecologic locations are exceptionally rare. These tumors typically present with nonspecific symptoms such as abnormal uterine bleeding and pelvic pain, often mimicking other uterine neoplasms. Histopathologically, PEComas exhibit epithelioid and spindle cell morphology with variable nuclear atypia, mitotic activity, and characteristic immunohistochemical profiles. Although most PEComas behave benignly, a subset demonstrates malignant potential, associated with larger tumor sizes, an increased mitotic index, necrosis, and vascular invasion; however, standardized diagnostic criteria remain scarce. Molecular alterations frequently involve the mTOR signaling pathway through tuberous sclerosis complex (TSC) 1 and TSC2 gene mutations, offering potential targets for therapy. Surgical resection with clear margins remains the cornerstone of treatment. For advanced or metastatic cases, mTOR inhibitors have shown promising efficacy, whereas the role of radiotherapy remains uncertain. This review aims to synthesize current knowledge regarding the epidemiology, clinical presentation, histologic features, malignant potential, and treatment of uterine PEComas, emphasizing the importance of accurate histopathological classification and molecular profiling to guide individualized therapeutic strategies. Full article

Arctium lappa L., commonly known as burdock, is a biennial plant whose roots are a valuable source of bioactive phenolic compounds with notable health-promoting properties. However, the bioactivity of these compounds is influenced by both extraction parameters and plant growth conditions. This study investigated the combined effect of extraction temperature, land management, and cultivation altitude on the antioxidant and anticholinergic potential of burdock root extracts obtained through pressurized liquid extraction (PLE). Extractions were performed at 50 °C, 100 °C, and 150 °C, with 50 °C being the temperature that best preserved phenolic content and bioactivity. Remarkably, root extracts obtained at 50 °C and collected from an untreated organic field at 150 m altitude yielded higher phenolic levels (42 mg gallic acid/g extract) than conventional solid–liquid extraction (38 mg gallic acid/g extract). A comparative analysis of three ecotypes, including Organic Land Ecotype (OLE) and Spontaneous Land Ecotype (SPLE), both collected at 150 m altitude, and Spontaneous Mountain Ecotype (SPME), collected at 800 m (over sea level), revealed that a higher altitude significantly increased phenolic content and anticholinergic potential. Furthermore, roots from non-weeded soils exhibited superior bioactivity compared to those from weeded areas. These findings underline that the successful obtention of highly bioactive burdock root extracts depends not only on extraction conditions, but also critically on cultivation altitude and land management strategies. Full article

Nowadays, there is a great concern about the prevalence of multidrug-resistant bacteria in meat, especially Staphylococcus aureus resistant to methicillin (MRSA). The aim of this work was to evaluate the microbiological quality of fresh pork meat and the presence and resistance of S. aureus and other Staphylococcus spp., Mammaliicoccus spp., and Macrococcus spp. to methicillin and other antibiotics. A total of 39 fresh pork meat samples were analyzed. MRSA was isolated from one sample, being resistant to eight antimicrobial families, including aminoglycosides, β-lactams, lincosamides, macrolides, sulfonamides, tetracycline, and others such as fusidic acid, and mupirocin. Also, other multidrug-resistant strains with resistance to 5 or 6 antimicrobial families were isolated including Staphylococcus succinus, Mammaliicoccus sciuri, and Macrococcus caseolyticus. Additional measures should be taken to control MRSA in pork meat. Full article

Ruta graveolens L. has been described as possessing antifungal and nematicidal activity. Among the bioactive compounds present in this plant, alkaloids and furanocoumarins have attracted considerable attention. The aim of this study was to evaluate the in vitro biological activity of extracts from rue enriched in bioactive compounds against Fusarium oxysporum, F. circinatum, and Meloidogyne incognita, and to correlate the chemical profile of the extracts with their biological activities. Six extracts with contrasting chemical profiles, obtained by pressurized liquid extraction and supercritical fluid extraction using green solvents, were selected for biological evaluation. The highest F. oxysporum growth inhibition was achieved with the extracts enriched in fatty acids and furanocoumarins at concentrations of 4, 8, and 16 mg/mL, while for F. circinatum, the highest growth inhibition was obtained using the extract enriched in terpenes at 16 mg/mL; moreover, the six extracts evaluated caused mortality in M. incognita. Therefore, enriched extracts of R. graveolens might be considered as an alternative for pathogen control on economically important crops such as potatoes, tomatoes, and onions, among others. Correlations between biological activities and chemical compositions suggest the importance of fatty acids against F. oxysporum, fatty acids and terpenes against F. circinatum, and alkaloids, coumarins, and furanocoumarins for M. incognita. Full article

Background/Objectives: Alzheimer’s disease (AD) is the most common type of dementia, characterized by complex processes such as neuro-inflammation, oxidative damage, synaptic loss, and neuronal death. Carotenoids are among the potential therapeutic molecules that have attracted attention due to their neuroprotective properties, but their efficacy is limited mainly by their capacity to cross the blood–brain barrier (BBB). Results: The results showed that T. chuii extracts could protect neuronal cells from neurotoxic damage, especially against L-glutamate and H₂O₂. Moreover, the BBB permeability and the intestinal transport analyses revealed that fucoxanthinol, crocoxanthin, diatoxanthin, neoxanthin, violaxanthin, and prasinoxanthin have diverse permeabilities depending on the incubation time and the cell model used. Fucoxanthinol was the carotenoid with the highest and similar permeability in HBMEC cells (4.41%, 5.13%, and 18.94% at 2, 4, and 24 h, respectively) and Caco-2 cells (7.01%, 8.63%, and 18.36% at the same times), while crocoxanthin, diatoxanthin, and neoxanthin showed different kinetics. Methods: The neuroprotective potential of two extracts obtained from Tetraselmis chuii microalga were evaluated against Aβ1-42-, L-glutamate-, and H₂O₂-induced toxicities in SH-SY5Y cells. In addition, the BBB permeability and the intestinal transepithelial transport of the main carotenoids present in the extracts were evaluated and compared using two cell culture models, HBMEC and Caco-2 cells. For that aim, the transport of the bioactive molecules across the barriers was evaluated using UHPLC-q-TOF-MS after 2, 4, and 24 h of incubation. Conclusions: These findings indicate that T. chuii is a promising natural source of bioactive compounds to develop functional foods against neurodegenerative diseases. Full article

The brown seaweed Saccharina latissima is an abundant, although yet underutilized, source of natural bioactive compounds commonly found in western regions. In recent years, brown algae have garnered attention as promising sources of polyphenols, particularly phlorotannins. The recovery of these relevant components by eco-friendly and energy-efficient methods with solvents GRAS (Generally recognized as safe) contributes to minimizing environmental impact, and promotes sustainability. Pressurized liquid extraction (PLE) and microwave-assisted extraction (MAE) optimized by Box–Behnken design (BBD) were explored for this purpose. The methods were evaluated considering the process yield and the quality of the recovered extracts by phenolic and phlorotannin levels, and their antioxidant capacity was assessed by DPPH and ABTS assays. The optimized MAE techniques (80 °C, 2% EtOH/Water at 40 mL g⁻¹) and PLE2 (80 °C with water) showed the highest extract yields, with increases of 65.76% and 37.36%, respectively, compared to CRE. PLE2 also achieved higher TPC and antioxidant capacity (ABTS) values by 61.88% and 80.39%, respectively. MAE (optimized) increased TPC and ABTS by 53.90% and 36.42%, respectively. Regression analysis of MAE confirmed the accuracy of the models in assessing interaction parameters (adjustment p < 0.05 and adequacy R² > 0.86). Therefore, the study presents eco-efficient approaches for recovering phenolic compounds and antioxidants from brown algae, contributing to the valorization of these resources in the industry and enhancing their application. Full article

This study introduces a novel pressurized liquid extraction (PLE) strategy utilizing biobased solvents to simultaneously extract non-polar and polar compounds with antioxidant and anticholinergic properties from burdock roots. The influence of altitude and weeding on the bioactive composition of three burdock root ecotypes was evaluated: two from 150 m (one subjected to weeding during growth and another not subjected to weeding) and one from 800 m without weeding. A simplex-centroid mixture design identified 100% 2-methyltetrahydrofuran as the optimal solvent for PLE, offering superior extraction of bioactive compounds due to its ability to form strong hydrogen bonds with phenolic groups. Extraction at 100 °C was found to be optimal, avoiding the low yields and undesirable reactions observed at 40 °C and 160 °C, respectively. Altitude emerged as the most significant factor influencing bioactivity and composition, with roots from 800 m exhibiting the highest bioactivity. Key bioactive compounds included caffeoylquinic acids, caryophyllene oxide, spathulenol, and bisnorallocholanic acid. At 150 m, weeding reduced anticholinergic capacity but increased antioxidant synthesis, though the levels were lower than those observed at higher altitudes. These findings highlight that burdock roots grown at high altitudes without weeding produce extracts rich in antioxidant and neuroprotective compounds, offering significant potential for functional ingredient development. Full article

Sustainable agro-waste revaluation is critical to enhance the profitability and environmental footprint of the olive oil industry. Herein, the valorization of olive leaf pruning waste from five cultivars (‘Caiazzana’, ‘Carolea’, ‘Itrana’, ‘Leccino’, and ‘Frantoio’) employed green extraction methods to recover compounds with potential health benefits. Sequential ultrasound-assisted maceration (UAM) in n-hexane and ethanol was compared with a compressed fluid extraction strategy consisting of supercritical fluid extraction (SFE) and pressurized liquid extraction (PLE) for their efficiency in recovering distinct classes of bioactives. Chemical profiling by UHPLC-HR-MS/MS (ultra-high-performance liquid chromatography high-resolution tandem mass spectrometry) and GC-MS (gas chromatography mass spectrometry) showed that UAM-EtOH effectively extracted polyphenols (especially luteolin derivatives) and triterpenes (notably maslinic acid), while PLE yielded the highest amount of secoiridoids (e.g., secologanoside). PLE extracts showed better antiradical activities, putatively due to a higher content of flavonoids, secoiridoids, and HCA derivatives than UAM-EtOH ones, as these latter also contained 20–40% (cultivar-dependent) of triterpenes. SFE extracts with a higher concentration of fatty acids and triterpenes showed moderate antioxidant activities but very high AChE inhibition. This study highlights the importance of selecting appropriate extraction methodologies based on the target bioactive compounds and underscores the potential of olive leaf extracts for sustainable bio-products. Full article

Essential oils (EOs) are highly valued in the cosmetic and food industries for their diverse properties. However, traditional extraction methods often result in low yields, inconsistent compositions, lengthy extraction times, and the use of potentially harmful solvents. Natural deep eutectic solvents (NADES) have emerged as promising alternatives, offering advantages such as higher efficiency, cost-effectiveness, biodegradability, and tunable properties. This review explores the application of NADES in enhancing EO extraction, focusing on current methodologies, key insights, and practical applications. It examines the factors that influence EO extraction with NADES, including the optimization of their physicochemical properties, extraction techniques, operational conditions, and the role of sample pretreatment in improving efficiency. Additionally, this review covers the chemical characterization and biological activities of EOs extracted using NADES. By providing a comprehensive overview, it highlights the potential of NADES to improve EO extraction and suggests directions for future research in this field. Full article

This study investigates the biorefinery approach to extracting blood–brain barrier (BBB)-permeable compounds from Eucalyptus globulus Labill. and Salvia officinalis L. for neuroprotective purposes. A sequential extraction process was applied, starting with supercritical CO₂ extraction (SC-CO₂) to obtain non-polar terpenoids, followed by pressurized natural deep eutectic solvent extraction (PLE-NaDES) to recover phenolic compounds from the SC-CO₂ residue. PLE-NaDES extracts exhibited higher antioxidant and anticholinergic capacities than SC-CO₂ extracts for both plants, with S. officinalis extracts being more bioactive than E. globulus extracts. A total of 21 terpenoids were identified using gas chromatography–mass spectrometry from E. globulus while 24 were detected from S. officinalis SC-CO₂ extracts. In addition, 25 different phenolic compounds were identified in both plants using high-performance liquid chromatography coupled with mass spectrometry from PLE-NaDES extracts. The study of the permeability across the BBB showed limited permeability for non-polar compounds obtained by SC-CO₂ from both plants; however, the more polar compounds obtained by PLE-NaDES showed high permeability, particularly for flavonoids in E. globulus and rosmarinic acid in S. officinalis. This study revealed, for the first time, the antioxidant and neuroprotective potential of S. officinalis and E. globulus extracts obtained using SC-CO₂ followed by PLE-NaDES, as well as the high permeability of PLE-NaDES extracts when crossing the BBB to exert their protective effects. This research opens a new pathway for exploring alternatives to current drugs used in treating neurodegenerative diseases. Full article

This paper presents the design, simulation, and experimental evaluation of a low-cost, fixed-step MPPT algorithm based on the incremental conductance technique for operation in a low-power photovoltaic (PV) system with a full-bridge DC-AC converter. The performance of the MPPT algorithm was improved by selecting an appropriate fixed perturbation step size and frequency, ensuring efficient power tracking. The implementation was further optimized by restructuring the conventional algorithm and adapting the DC-AC converter control parameters, which enhanced overall performance and optimized coupling for AC loads. The simulation was performed in Simulink/Matlab with a 560 Wp PV system and a resistive load, under variable irradiation conditions. The perturbation step size was set to 1%, and the perturbation frequency ranged between 2 Hz and 15 Hz, with the converter output at 60 Hz. Experimentally, it was validated at an irradiance of 1000 W/m² and an ambient temperature of 45 °C. The algorithm achieved simulation efficiencies of up to 98.93% and an average experimental efficiency of 96.76%. The response time improved by 86% with a perturbation frequency of 15 Hz. This developed MPPT algorithm demonstrates its reliability, accuracy, and feasibility for implementation. Full article

Green chemistry focuses on reducing the environmental impacts of chemicals through sustainable practices. Traditional methods for extracting bioactive compounds from Eucalyptus marginata leaves, such as hydro-distillation and organic solvent extraction, have limitations, including long extraction times, high energy consumption, and potential toxic solvent residues. This study explored the use of supercritical fluid extraction (SFE), pressurized liquid extraction (PLE), and gas-expanded liquid (GXL) processes to improve efficiency and selectivity. These techniques were combined in a single mixture design, where CO₂ was used in the experiments carried out under SFE, while water and ethanol were used for the PLE and GXL experiments by varying the concentration of the solvents to cover all the extraction possibilities. The neuroprotective activity of the extracts was evaluated by measuring their antioxidant, anti-inflammatory, and acetylcholinesterase inhibition properties. The optimization resulted in a novel GXL extraction with an optimal ternary mixture of 27% CO₂, 55% ethanol, and 18% water, with a high degree of desirability (R² = 88.59%). Chromatographic analysis carried out by GC-MS and HPLC-ESI-MS/MS identified over 49 metabolites. The designed sustainable extraction process offers a promising approach for producing phenolic-rich plant extracts in industrial applications. Full article

Systematic Alzheimer’s disease (AD) is a neurodegenerative disease increasingly prevalent in the aging population. AD is characterized by pathological features such as β-amyloid (Aβ) plaque accumulation, tau neurofibrillary tangles formation, oxidative stress, an impaired cholinergic system, and neuroinflammation. Many therapeutic drugs have been developed to slow the progression of AD by targeting these pathological mechanisms. However, synthetic drugs, such as donepezil and memantine, can often lead to side effects. In this context, seaweeds have been drawing attention as a nutrient source and a potential source of health-improving metabolites. Studies have shown that extracts from brown macroalgae can potentially reduce the inflammation associated with neurodegenerative diseases by inhibiting proinflammatory cytokine expression. Furthermore, their bioactive compounds exhibit antioxidant properties vital in combating oxidative stress. Antioxidants, mainly carotenoids and phenolic compounds, have been linked to improved cognitive function and a reduced risk of neurodegenerative disorders by protecting neuronal cells through their ability to scavenge free radicals. In addition, omega-3 fatty acids found in certain macroalgae have the potential to support brain health and cognitive function, further enhancing their neuroprotective effects. In conclusion, this review has comprehensively evaluated the research conducted on brown macroalgae in the last five years, covering their potential bioactive compounds, methods of obtaining these compounds, and their neuroprotective properties against AD. The limited number of clinical studies in the literature highlights the need for further research. This narrative review provides a basic framework for new approaches to neuroprotective strategies, such as those associated with brown macroalgae natural resources. Furthermore, they may play an increasingly important role in developing functional foods and nutraceuticals that can support human health in preventing and managing neurodegenerative diseases. Full article