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15 pages, 1392 KiB  
Article
Evaluation of Antibiotic Resistance in Escherichia coli Isolated from a Watershed Section of Ameca River in Mexico
by Mariana Díaz-Zaragoza, Sergio Yair Rodriguez-Preciado, Lizeth Hernández-Ventura, Alejandro Ortiz-Covarrubias, Gustavo Castellanos-García, Sonia Sifuentes-Franco, Ana Laura Pereira-Suárez, José Francisco Muñoz-Valle, Margarita Montoya-Buelna and Jose Macias-Barragan
Microbiol. Res. 2025, 16(8), 186; https://doi.org/10.3390/microbiolres16080186 - 12 Aug 2025
Abstract
Antibiotic resistance (AR) in environmental Escherichia coli represents a growing public health challenge. This study evaluated the prevalence of AR among E. coli isolates recovered from surface water bodies within the Ameca River basin in Jalisco, Mexico, and examined associations with anthropogenic influence [...] Read more.
Antibiotic resistance (AR) in environmental Escherichia coli represents a growing public health challenge. This study evaluated the prevalence of AR among E. coli isolates recovered from surface water bodies within the Ameca River basin in Jalisco, Mexico, and examined associations with anthropogenic influence and seasonal variation. Over a 1-year period, water samples were collected monthly from 16 sites, including tributaries, wetlands, and main river channels with differing degrees of urban impact. E. coli isolates were confirmed by malB gene PCR and tested for susceptibility to six antibiotics using the Kirby–Bauer disk diffusion method. High resistance frequencies were observed for ampicillin (93.9%), tetracycline (92.4%), and streptomycin (89.6%), while gentamicin exhibited the lowest resistance rate (48.1%). Resistance prevalence was significantly higher at sites adjacent to urban settlements and during the rainy season (p < 0.05). These findings underscore the influence of land use and seasonal dynamics on AR dissemination in aquatic environments and highlight the need for improved wastewater management strategies to mitigate the spread of resistant bacteria. Full article
15 pages, 1282 KiB  
Article
Biosolutions from Native Trichoderma Strains Against Grapevine Trunk Diseases
by Laura Zanfaño, Guzmán Carro-Huerga, Álvaro Rodríguez-González, Daniela Ramírez-Lozano, Sara Mayo-Prieto, Santiago Gutiérrez and Pedro A. Casquero
Agronomy 2025, 15(8), 1901; https://doi.org/10.3390/agronomy15081901 - 7 Aug 2025
Viewed by 115
Abstract
Fungi of the genus Trichoderma show strong potential as biological control agents (BCAs) against grapevine trunk diseases (GTDs) through mechanisms like antibiotic metabolite production and lytic enzymes. This study evaluated the biocontrol activity of four native Trichoderma strains—T. gamsii T065 and T071, [...] Read more.
Fungi of the genus Trichoderma show strong potential as biological control agents (BCAs) against grapevine trunk diseases (GTDs) through mechanisms like antibiotic metabolite production and lytic enzymes. This study evaluated the biocontrol activity of four native Trichoderma strains—T. gamsii T065 and T071, T. carraovejensis T154, and T. harzianum T214—against Phaeoacremonium minimum, Phaeomoniella chlamydospora, and Diplodia seriata. Culture filtrates obtained at 8, 16, and 24 days post-incubation were tested using antibiogram and mycelial inhibition assays. Strains T071, T154, and T214 effectively inhibited D. seriata, while T154 and T214 also suppressed P. chlamydospora. Nevertheless, the limited effectiveness of all filtrates against P. minimum suggests that antibiosis is not the predominant mechanism involved in its control. These findings highlight the potential of specific Trichoderma strains and incubation times to directly control GTD pathogens and support the development of scalable biocontrol solutions. Full article
(This article belongs to the Special Issue Molecular Advances in Crop Protection and Agrobiotechnology)
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18 pages, 1256 KiB  
Article
Longitudinal Assessment of Body Composition and Inflammatory Status in Rheumatoid Arthritis During TNF Inhibitor Treatment: A Pilot Study
by Natalia Mena-Vázquez, Aimara García-Studer, Fernando Ortiz-Márquez, Sara Manrique-Arija, Arkaitz Mucientes, Jose Manuel Lisbona-Montañez, Paula Borregón-Garrido, Patricia Ruiz-Limón, Rocío Redondo-Rodriguez, Laura Cano-García and Antonio Fernández-Nebro
Int. J. Mol. Sci. 2025, 26(15), 7635; https://doi.org/10.3390/ijms26157635 - 7 Aug 2025
Viewed by 226
Abstract
Rheumatoid arthritis (RA) is a chronic inflammatory disease frequently associated with alterations in body composition, including reduced lean mass and increased fat mass. These alterations are thought to be driven by persistent systemic inflammation, which may be influenced by inflammatory activity and by [...] Read more.
Rheumatoid arthritis (RA) is a chronic inflammatory disease frequently associated with alterations in body composition, including reduced lean mass and increased fat mass. These alterations are thought to be driven by persistent systemic inflammation, which may be influenced by inflammatory activity and by therapeutic interventions. Objectives: This pilot study aimed to provide preliminary data on changes in body composition and inflammatory activity in biologic-naive patients with active RA during the initial 6 months of TNF inhibitor treatment, and to compare baseline body composition with healthy controls. We conducted a single-center, observational, 24-week pilot study of 70 biologic-naive RA patients with moderate-to-severe disease activity and 70 matched healthy controls. Lean mass, fat mass, and lean mass index (LMI) were measured using dual-energy X-ray absorptiometry at baseline for both groups, and after 6 months only in the RA group. Clinical, laboratory, adipokines, and cytokine parameters were also recorded. At baseline, RA patients had lower lean mass and LMI than controls. Over 6 months, RA patients showed significant clinical and laboratory improvement, with a corresponding increase in lean mass and LMI. No statistically significant change was observed in fat mass. The increase in lean mass was paralleled by a reduction in inflammatory markers. The LMI was inversely associated with female sex (β = −0.562) and C-reactive protein (β = −0.432) and directly associated with body mass index (β = 0.570). Similar associations were observed for total lean mass and change in lean mass, as well as for DAS28 (β = −0.333). This pilot study provides preliminary evidence that TNF inhibitor therapy may be associated with increased lean mass and decreased inflammation in RA patients. Owing to the absence of a comparator RA group not receiving TNF inhibitors, these findings should be interpreted as hypothesis-generating. Full article
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22 pages, 1419 KiB  
Article
Bioconversion of Olive Pomace: A Solid-State Fermentation Strategy with Aspergillus sp. for Detoxification and Enzyme Production
by Laura A. Rodríguez, María Carla Groff, Sofía Alejandra Garay, María Eugenia Díaz, María Fabiana Sardella and Gustavo Scaglia
Fermentation 2025, 11(8), 456; https://doi.org/10.3390/fermentation11080456 - 6 Aug 2025
Viewed by 247
Abstract
This study aimed to evaluate solid-state fermentation (SSF) as a sustainable approach for the simultaneous detoxification of olive pomace (OP) and the production of industrially relevant enzymes. OP, a semisolid byproduct of olive oil extraction, is rich in lignocellulose and phenolic compounds, which [...] Read more.
This study aimed to evaluate solid-state fermentation (SSF) as a sustainable approach for the simultaneous detoxification of olive pomace (OP) and the production of industrially relevant enzymes. OP, a semisolid byproduct of olive oil extraction, is rich in lignocellulose and phenolic compounds, which limit its direct reuse due to phytotoxicity. A native strain of Aspergillus sp., isolated from OP, was employed as the biological agent, while grape pomace (GP) was added as a co-substrate to enhance substrate structure. Fermentations were conducted at two scales, Petri dishes (20 g) and a fixed-bed bioreactor (FBR, 2 kg), under controlled conditions (25 °C, 7 days). Key parameters monitored included dry and wet weight loss, pH, color, phenolic content, and enzymatic activity. Significant reductions in color and polyphenol content were achieved, reaching 68% in Petri dishes and 88.1% in the FBR, respectively. In the FBR, simultaneous monitoring of dry and wet weight loss enabled the estimation of fungal biotransformation, revealing a hysteresis phenomenon not previously reported in SSF studies. Enzymes such as xylanase, endopolygalacturonase, cellulase, and tannase exhibited peak activities between 150 and 180 h, with maximum values of 424.6 U·g−1, 153.6 U·g−1, 67.43 U·g−1, and 6.72 U·g−1, respectively. The experimental data for weight loss, enzyme production, and phenolic reduction were accurately described by logistic and first-order models. These findings demonstrate the high metabolic efficiency of the fungal isolate under SSF conditions and support the feasibility of scaling up this process. The proposed strategy offers a low-cost and sustainable solution for OP valorization, aligning with circular economy principles by transforming agro-industrial residues into valuable bioproducts. Full article
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11 pages, 680 KiB  
Article
Comparative Assessment of Protocols for Microplastic Quantification in Wastewater
by Rubén Rodríguez-Alegre, Sergi Durán-Videra, David Carmona-Fernández, Laura Pérez Megías, Carlos Andecochea Saiz and Xialei You
Microplastics 2025, 4(3), 49; https://doi.org/10.3390/microplastics4030049 - 5 Aug 2025
Viewed by 230
Abstract
Microplastics are an increasing concern due to their widespread occurrence in aquatic environments worldwide. The lack of a harmonised protocol for their reliable quantification remains a major challenge in current scientific efforts. This study presents a comparative evaluation of three protocols for the [...] Read more.
Microplastics are an increasing concern due to their widespread occurrence in aquatic environments worldwide. The lack of a harmonised protocol for their reliable quantification remains a major challenge in current scientific efforts. This study presents a comparative evaluation of three protocols for the detection and quantification of microplastics in aqueous samples. The protocols were assessed based on quantification efficiency, risk of particle degradation, staining performance, operational complexity, and cost per sample. Protocol A combined Rhodamine B and ethanol staining with NaCl-based density separation, demonstrating strong isolation performance while maintaining minimal chemical hazards and moderate cost (2.45€ per sample) that could be further reduced to 0.45€ per sample by substituting reagent-grade NaCl with table salt. Protocol B offered moderate isolation capacity and presented the highest risk of particle fragmentation, likely due to the use of acetone and high-temperature digestion. Protocol C, based on the combined use of Nile Red and ZnCl2, also presented a risk of particle fragmentation, resulting in the highest MP count for small and hydrophobic particles. In addition, its high cost (15.23€ per sample) limits its suitability for routine application. Full article
(This article belongs to the Collection Feature Paper in Microplastics)
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23 pages, 2510 KiB  
Article
Variations in Circulating Tumor Microenvironment-Associated Proteins in Non-Muscle Invasive Bladder Cancer Induced by Mitomycin C Treatment
by Benito Blanco Gómez, Francisco Javier Casas-Nebra, Daniel Pérez-Fentes, Susana B. Bravo, Laura Rodríguez-Silva and Cristina Núñez
Int. J. Mol. Sci. 2025, 26(15), 7413; https://doi.org/10.3390/ijms26157413 - 1 Aug 2025
Viewed by 273
Abstract
Mitomycin C (MMC) is a widely employed chemotherapeutic agent, particularly in non-muscle invasive bladder cancer (NMIBC), where it functions by inducing DNA cross-linking and promoting tumor cell apoptosis. However, the tumor microenvironment (TME) significantly influences the therapeutic efficacy of MMC. Among the key [...] Read more.
Mitomycin C (MMC) is a widely employed chemotherapeutic agent, particularly in non-muscle invasive bladder cancer (NMIBC), where it functions by inducing DNA cross-linking and promoting tumor cell apoptosis. However, the tumor microenvironment (TME) significantly influences the therapeutic efficacy of MMC. Among the key regulators within the TME, the complement system and the coagulation pathway play a crucial role in modulating immune responses to cancer therapies, including MMC. This article explores the interaction between platinum nanoparticles (PtNPs) with human serum (HS) of NMIBC patients (T1 and Ta subtypes) at three different points: before the chemotherapy instillation of MMC (t0) and three (t3) and six months (t6) after the treatment with MMC. This novel nanoproteomic strategy allowed the identification of a TME proteomic signature associated with the response to MMC treatment. Importantly, two proteins involved in the immune response were found to be deregulated across all patients (T1 and Ta subtypes) during MMC treatment: prothrombin (F2) downregulated and complement component C7 (C7) upregulated. By understanding how these biomarker proteins interact with MMC treatment, novel therapeutic strategies can be developed to enhance treatment outcomes and overcome resistance in NMIBC. Full article
(This article belongs to the Special Issue Omics-Driven Unveiling of the Structure and Function of Nanoparticles)
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11 pages, 1303 KiB  
Article
Effect of Wavefront Autorefractor Design on Cycloplegic Refraction in Young Hyperopes: Monocular vs. Binocular
by Gonzalo Carracedo, Carlos Carpena-Torres, Cristina Pastrana, Maria Rodríguez-Lafora, Ana Privado-Aroco, María Serramito and Laura Batres
Photonics 2025, 12(8), 765; https://doi.org/10.3390/photonics12080765 - 29 Jul 2025
Viewed by 275
Abstract
Objectives: To compare the objective refraction of young hyperopes obtained by two wavefront autorefractors with identical measurement principles but different optical designs: a monocular closed-field (VX 120) and a binocular open-field (Eye Refract), both developed by the same manufacturer (Visionix; Pont-de-l’Arche, France). Methods: [...] Read more.
Objectives: To compare the objective refraction of young hyperopes obtained by two wavefront autorefractors with identical measurement principles but different optical designs: a monocular closed-field (VX 120) and a binocular open-field (Eye Refract), both developed by the same manufacturer (Visionix; Pont-de-l’Arche, France). Methods: A randomized, cross-sectional study was carried out with 37 hyperopic participants (18.2 ± 7.8 years; range 8 to 31 years). Each participant underwent two measurement sessions (one with and one without cycloplegia), during which three measurements were taken per autorefractor (monocular and binocular). Refractive variables (M, J0, and J45) were analyzed in one randomly selected eye. Results: The spherical equivalent (M) showed significant differences between autorefractors under noncycloplegic and cycloplegic conditions (p < 0.001). Without cycloplegia, the binocular autorefractor measured +0.45 (+1.49, −0.58) D more hyperopia than the monocular device. Under cycloplegia, this difference decreased to +0.26 D (+0.99, −0.48) D. Both autorefractors provided higher hyperopia with cycloplegia, with differences inversely correlated with age (r = −0.4; p < 0.05). Conclusions: Whenever possible, refraction in young hyperopes should be measured under cycloplegic conditions using a binocular open-field autorefractor to promote greater accommodative relaxation and ensure more reliable hyperopia measurements in both clinical practice and research. Full article
(This article belongs to the Special Issue Novel Techniques and Applications of Ophthalmic Optics)
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20 pages, 554 KiB  
Article
The Proximity of Hybrid Universities as a Key Factor for Rural Development
by Jacobo Núñez-Martínez, Laura Rodríguez-Fernández and Luisa Fernanda Rodríguez
Soc. Sci. 2025, 14(8), 467; https://doi.org/10.3390/socsci14080467 - 28 Jul 2025
Viewed by 304
Abstract
Currently, the role of a university in promoting the development of rural areas has been emphasized. However, an increase in academic training can lead to a growth in rural migration due to the lack of job opportunities for university graduates. Given the scarcity [...] Read more.
Currently, the role of a university in promoting the development of rural areas has been emphasized. However, an increase in academic training can lead to a growth in rural migration due to the lack of job opportunities for university graduates. Given the scarcity of studies on the impact of higher education institutions in areas at risk of depopulation, a research study has been conducted with university students residing in Castilla y León (Spain) in order to understand their insights on the benefits that university education can bring to rural areas, as well as to comprehend the reasons that would motivate the migration of university students or even the interest of institutions in addressing the issue of depopulation. The results achieved suggest that an increase in education could help slow down this process, with the proximity of the university being a decisive factor for population settlement. Additionally, while the shortage of job opportunities would be the main cause of migration, there would also be other factors contributing to depopulation, such as lack of leisure or services, despite a will to stay. Finally, the survey respondents expressed skepticism about the institutions’ interest in addressing this problem. Full article
(This article belongs to the Section Community and Urban Sociology)
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12 pages, 978 KiB  
Article
Bioprocess Integration of Candida ethanolica and Chlorella vulgaris for Sustainable Treatment of Organic Effluents in the Honey Industry
by Juan Gabriel Sánchez Novoa, Natalia Rodriguez, Tomás Debandi, Juana María Navarro Llorens, Laura Isabel de Cabo and Patricia Laura Marconi
Sustainability 2025, 17(15), 6809; https://doi.org/10.3390/su17156809 - 27 Jul 2025
Viewed by 358
Abstract
Honey processing is closely linked to water pollution due to the lack of a specific wastewater treatment. This study proposes a sustainable and innovative solution based on two sequential bioprocesses using a real effluent from an Argentine honey-exporting facility. In the initial stage, [...] Read more.
Honey processing is closely linked to water pollution due to the lack of a specific wastewater treatment. This study proposes a sustainable and innovative solution based on two sequential bioprocesses using a real effluent from an Argentine honey-exporting facility. In the initial stage, the honey wastewater was enriched with a non-Saccharomyces yeast (Candida ethanolica), isolated from the same effluent. Treatment with this yeast in a bioreactor nearly doubled the total sugar removal efficiency compared to the control (native flora). Subsequent clarification with diatomaceous earth reduced the optical density (91.6%) and COD (30.9%). In the second stage, secondary sewage effluent was added to the clarified effluent and inoculated with Chlorella vulgaris under different culture conditions. The best microalgae performance was observed under high light intensity and high inoculum concentration, achieving a fivefold increase in cell density, a specific growth rate of 0.752 d−1, and a doubling time of 0.921 d. Although total sugar removal in this stage remained below 28%, cumulative COD removal reached 90% after nine days under both lighting conditions. This study presents the first integrated treatment approach for honey industry effluents using a native yeast–microalgae system, incorporating in situ effluent recycling and the potential for dual waste valorization. Full article
(This article belongs to the Special Issue Research on Sustainable Wastewater Treatment)
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1 pages, 148 KiB  
Correction
Correction: Baradad-Jurjo et al. Measurement of Melanocytic Choroidal Lesions: Ultrasound Versus Ultrawide-Field Fundus Imaging System. Cancers 2025, 17, 642
by Maria C. Baradad-Jurjo, Daniel Lorenzo, Estel·la Rojas-Pineda, Laura Vigués-Jorba, Rahul Morwani, Lluís Arias, Pere Garcia-Bru, Estefania Cobos, Juan Francisco Santamaria, Carmen Antia Rodríguez-Fernández and Josep M. Caminal
Cancers 2025, 17(15), 2463; https://doi.org/10.3390/cancers17152463 - 25 Jul 2025
Viewed by 126
Abstract
In the published publication [...] Full article
(This article belongs to the Section Cancer Causes, Screening and Diagnosis)
14 pages, 355 KiB  
Article
Very Early Transition to Oral Antibiotics in Uncomplicated Enterobacterales Bloodstream Infections: Effectiveness and Impact on Carbon Footprint Saving
by Aina Mateu, Ana Martínez-Urrea, Clara Gallego, Laura Gisbert, Beatriz Dietl, Mariona Xercavins, Maria López-Sánchez, Silvia Álvarez, Sergi García Rodríguez, Toni Roselló, Josefa Pérez, Esther Calbo and Lucía Boix-Palop
Antibiotics 2025, 14(8), 751; https://doi.org/10.3390/antibiotics14080751 - 25 Jul 2025
Viewed by 407
Abstract
Background/Objective: This study aimed to evaluate the effectiveness of very early oral transition in Enterobacterales bloodstream infections (E-BSIs), identify factors associated with it, compare the effectiveness of different oral options, and assess its economic and ecological benefits. Methods: Retrospective, observational cohort [...] Read more.
Background/Objective: This study aimed to evaluate the effectiveness of very early oral transition in Enterobacterales bloodstream infections (E-BSIs), identify factors associated with it, compare the effectiveness of different oral options, and assess its economic and ecological benefits. Methods: Retrospective, observational cohort study including monomicrobial E-BSI in clinically stable adult patients by day 3 of bacteremia with oral antibiotic options. Transition to oral antibiotics by day 3 or earlier (early oral (EO) group) was compared to later transition or remaining on intravenous therapy (nEO group). Early oral transition-associated factors were analyzed. Oral high-dose beta-lactams (BLs) were compared to quinolones (QLs) or trimethoprim/sulfamethoxazole (TS). Economic and ecological costs were assessed. Results: Of 345 E-BSI, 163 (47.2%) were in the EO group, characterized by more urinary tract infections (UTIs) and shorter hospital stays. The nEO group had higher Charlson Comorbidity Index (CCI), extended-spectrum beta-lactamase (ESBL) production, greater source control need, and longer time to clinical stability. There were no significant differences in mortality and relapse. UTIs were associated with early oral transition (OR 2.02, IC 95% 1.18–3.48), while higher CCI (0.85, 0.77–0.95), source control need (0.39, 0.19–0.85), longer time to clinical stability (0.51, 0.39–0.66), and ESBL isolates (0.39, 0.19–0.80) hindered this practice. High-dose BLs and QL/TS were equally effective. Early oral transition resulted in 38.794 KgCO2eq reduction and EUR 269,557.99 savings. Conclusions: Very early oral transition at day 3 or before in stable E-BSI patients is effective, eco-sustainable, and cost-effective; UTI is related with the early oral switch, while comorbidities, ESBL production, source control need, or longer time to clinical stability hinder this practice. Full article
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19 pages, 2368 KiB  
Article
Hepatic OLFR734 Deficiency Worsens Hepatic Glucose Metabolism and Induces MASLD in Mice
by Eva Prida, Diego Muñoz-Moreno, Eva Novoa, Tamara Parracho, Laura Diaz-Garzón Dopico, Raquel Perez-Lois, Miguel Bascoy-Otero, Ana Senra, Sergio Romero-Rodriguez, Beatriz Brea-García, Jaime Dobarro, Adrián Fernández Marcos, Javier Baltar, Fernando Santos, Amaia Rodríguez, Gema Frühbeck, Ruben Nogueiras, Luisa María Seoane, Mar Quiñones and Omar Al-Massadi
Nutrients 2025, 17(15), 2426; https://doi.org/10.3390/nu17152426 - 25 Jul 2025
Viewed by 371
Abstract
Background/Objectives: Asprosin is the endogenous ligand of the olfactory Olfr734 receptor linked to MASLD and glucose metabolism. Despite the involvement of asprosin in these processes, little has been published on the specific role of Olfr734 in liver function. The aim of this work [...] Read more.
Background/Objectives: Asprosin is the endogenous ligand of the olfactory Olfr734 receptor linked to MASLD and glucose metabolism. Despite the involvement of asprosin in these processes, little has been published on the specific role of Olfr734 in liver function. The aim of this work is therefore to study the specific role of the olfactory Olfr734 receptor in MASLD and glucose metabolism. Methods: To achieve this objective, we performed a genetic inhibition specifically to inhibit Olfr734 in the livers of male mice. We then studied the progression of MASLD in DIO mice. In addition, we studied the glucose metabolism in hypoglycemia states and postprandial glucose production in standard diet-fed mice. Finally, analyses of liver biopsies from patients with obesity and with or without T2DM were conducted. Results: We found that hepatic Olfr734 levels vary according to changes in nutritional status and its knockdown effect in the liver is to increase the hepatic lipid content in DIO mice. Our results also showed that OLFR734 expression is involved in the adaptive response in terms of glucose production to nutrient availability. Finally, the hepatic human Olfr734 ortholog named OR4M1 has been observed to be at significantly higher levels in male patients with T2DM. Conclusions: This study increases understanding of the mechanisms by which the modulation of Olfr734 expression affects liver function. Full article
(This article belongs to the Special Issue Dietary Patterns, Lipid Metabolism and Fatty Liver Disease)
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12 pages, 950 KiB  
Article
Corticosteroids and Vertebral Trabecular Bone Quality in Women with Rheumatoid Arthritis
by Jose Jorge Gomez-Camarena, Melissa Ramirez-Villafaña, Eli Efrain Gomez-Ramirez, Fabiola Gonzalez-Ponce, Miriam Fabiola Alcaraz-Lopez, Juan Manuel Ponce-Guarneros, Maria Luisa Vazquez-Villegas, Larissa Renne Rodriguez-Santillan, Norma Alejandra Rodriguez-Jimenez, Ana Miriam Saldaña-Cruz, Ernesto German Cardona-Muñoz, Sylvia Elena Totsuka-Sutto, Jorge Ivan Gamez-Nava and Laura Gonzalez-Lopez
J. Clin. Med. 2025, 14(15), 5223; https://doi.org/10.3390/jcm14155223 - 23 Jul 2025
Viewed by 362
Abstract
Background/Objectives: Glucocorticoids (GCs) are frequently prescribed to control disease in Rheumatoid Arthritis (RA). However, long-term GC therapy with high daily doses is associated with bone involvement, which is considered the main extra-articular complication of RA. The trabecular bone score (TBS) has proven useful [...] Read more.
Background/Objectives: Glucocorticoids (GCs) are frequently prescribed to control disease in Rheumatoid Arthritis (RA). However, long-term GC therapy with high daily doses is associated with bone involvement, which is considered the main extra-articular complication of RA. The trabecular bone score (TBS) has proven useful in assessing vertebral trabecular bone quality and fracture risk. To identify whether the long-term treatment of low doses of GCs are associated with low vertebral TBS in RA patients. Methods: A cross-sectional study, including 203 women with RA (ACR, 1987). Clinical, epidemiologic, and therapeutic variables were assessed. We identified the current daily dose, duration, and cumulative dose of GCs. Vertebral bone quality was assessed by TBS. Low vertebral trabecular bone quality was defined as TBS ≤ 1.300. Multivariate logistic regression analyses were used to identify risk factors of low TBS. Results: Prevalence of low TBS in RA women was 52%. RA + low TBS were older (61.9 vs. 55.5, p < 0.001) and had higher prevalence of menopause (90% vs. 75%, p = 0.004), hypertension (50% vs. 34%, p ≤ 0.02), and diabetes mellitus (13% vs. 4%, p = 0.02). There were no associations between GC use, neither doses or cumulative doses, and TBS. Multivariate analyses showed the following: age (OR: 1.05, 95% CI: 1.02–1.08) and the presence of diabetes mellitus (OR: 3.30, 95% CI: 1.03–10.60) were associated with a high risk of low vertebral trabecular bone quality in RA. Conclusions: Half of the RA patients had low trabecular bone quality. Older age and diabetes mellitus are important risk factors for low trabecular bone quality in RA. These findings should give alert to early detection of low TBS, establishing strategies aimed at avoiding the consequences of this complication, including vertebral fractures. Full article
(This article belongs to the Section Immunology)
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18 pages, 982 KiB  
Article
Cardiotoxicity in Adult Patients with Relapsed or Refractory Acute Myeloid Leukemia
by Laura Torres-Miñana, Blanca Boluda, Antonio Solana-Altabella, Rebeca Rodríguez-Veiga, Isabel Cano, Evelyn Acuña-Cruz, Irene Navarro-Vicente, Pilar Lloret-Madrid, Paulina Hillebrand, David Martínez-Campuzano, Ana Osa-Sáez, Jaume Aguero, Yolanda Mendizábal, Beatriz Martín-Herreros, Eva Barragán, Claudia Sargas, Cristina Gil, Carmen Botella, Lorenzo Algarra, José Santiago Bermon, Raimundo García Boyero, María José Sayas, Mar Tormo, Aurelio López, Marta Valero-Nuñez, Marisa Calabuig, Javier De la Rubia, David Martínez-Cuadrón and Pau Montesinosadd Show full author list remove Hide full author list
Cancers 2025, 17(15), 2413; https://doi.org/10.3390/cancers17152413 - 22 Jul 2025
Viewed by 254
Abstract
Background/Objectives: The incidence of cardiac morbimortality in patients with relapsed/refractory (R/R) acute myeloid leukemia (AML) is unknown. Methods: We analyze the characteristics, incidence, risk factors, and outcomes of cardiac events in AML patients treated for second-line (2L) or third-line (3L) episodes. Results: Among [...] Read more.
Background/Objectives: The incidence of cardiac morbimortality in patients with relapsed/refractory (R/R) acute myeloid leukemia (AML) is unknown. Methods: We analyze the characteristics, incidence, risk factors, and outcomes of cardiac events in AML patients treated for second-line (2L) or third-line (3L) episodes. Results: Among 327 2L AML patients (median age 62 years old), 135 experienced cardiac events, with an incidence of 38.6% non-fatal and 1.3% fatal events at 6 months. The grade 1–2 incidence was 16.8%, and the grade 3–4 incidence was 23.5% at 6 months. Overall, 207 cardiac events occurred in the 2L cohort, the most frequent being hypertension (n = 45), bradycardia (n = 39), QTc prolongation (n = 35), heart failure (n = 33), syncope/presyncope (n = 22), arrhythmia (n = 18), and myocardial ischemia (n = 8). Median OS in the 2L cohort was 9.4 months, 21.4 months in patients with grade 1–2, 8.8 months in patients without a cardiac event, 7.6 months in grade 3–4 patients, and 2.1 months with in 5 patients (p = 0.0035). The multivariate analysis showed prior cardiologic antecedents (p = 0.013), intensive 2L chemotherapy (p = 0.01), and inclusion in a 2L clinical trial (p < 0.001) as independent risk factors for non-fatal cardiac events. Among 189 patients of the 3L cohort, the incidence of non-fatal and fatal cardiac events was 49.2% and 0% at 6 months, respectively. Non-fatal cardiac events were more frequent in patients with prior cardiac antecedents (p = 0.004). Conclusions: In summary, cardiotoxicity is a frequent and challenging complication in R/R AML patients. We identified the risk factors that could be relevant to implementing risk-adapted management guidelines, aiming to reduce morbi-mortality in this difficult-to-treat setting. Full article
(This article belongs to the Collection Acute Myeloid Leukemia (AML))
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9 pages, 1583 KiB  
Article
Snapshot Quantitative Phase Imaging with Acousto-Optic Chromatic Aberration Control
by Christos Alexandropoulos, Laura Rodríguez-Suñé and Martí Duocastella
Sensors 2025, 25(14), 4503; https://doi.org/10.3390/s25144503 - 20 Jul 2025
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Abstract
The transport of intensity equation enables quantitative phase imaging from only two axially displaced intensity images, facilitating the characterization of low-contrast samples like cells and microorganisms. However, the rapid selection of the correct defocused planes, crucial for real-time phase imaging of dynamic events, [...] Read more.
The transport of intensity equation enables quantitative phase imaging from only two axially displaced intensity images, facilitating the characterization of low-contrast samples like cells and microorganisms. However, the rapid selection of the correct defocused planes, crucial for real-time phase imaging of dynamic events, remains challenging. Additionally, the different images are normally acquired sequentially, further limiting phase-reconstruction speed. Here, we report on a system that addresses these issues and enables user-tuned defocusing with snapshot phase retrieval. Our approach is based on combining multi-color pulsed illumination with acousto-optic defocusing for microsecond-scale chromatic aberration control. By illuminating each plane with a different color and using a color camera, the information to reconstruct a phase map can be gathered in a single acquisition. We detail the fundamentals of our method, characterize its performance, and demonstrate live phase imaging of a freely moving microorganism at speeds of 150 phase reconstructions per second, limited only by the camera’s frame rate. Full article
(This article belongs to the Special Issue Optical Imaging for Medical Applications)
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