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12 pages, 2779 KiB  
Article
Enhancing Tissue Integration and Reducing Inflammation in Silicone and Human Acellular Dermal Matrix Implants via Vacuum Plasma Treatment
by Kyung Bae Chung, Young In Lee, Jihee Kim, Ngoc Ha Nguyen, Yoo Jin Kim, Inhee Jung, Jeonghoon Lee, Hyun-Jeong Jeon, Youbong Lim, Sung Jun Lee and Ju Hee Lee
Int. J. Mol. Sci. 2025, 26(12), 5854; https://doi.org/10.3390/ijms26125854 - 18 Jun 2025
Viewed by 475
Abstract
Plasma, an ionized gas composed of charged particles, has shown therapeutic potential in enhancing biological processes such as wound healing and tissue integration. Implants, such as silicone and human acellular dermal matrix (hADM), are commonly used in reconstructive surgery, but improving their biocompatibility [...] Read more.
Plasma, an ionized gas composed of charged particles, has shown therapeutic potential in enhancing biological processes such as wound healing and tissue integration. Implants, such as silicone and human acellular dermal matrix (hADM), are commonly used in reconstructive surgery, but improving their biocompatibility and integration remains a challenge. This study investigated the effects of vacuum plasma treatment on silicone and hADM implants using an in vivo rat model. Plasma-treated and untreated implants were inserted subcutaneously, and tissue samples were collected at 1, 4, and 8 weeks post-implantation. Histological and immunohistochemical analyses were performed to assess inflammation, cellular infiltration, collagen formation (neocollagenesis), and angiogenesis. Results showed that plasma-treated silicone and hADM implants had significantly reduced capsule thickness at weeks 4 and 8 compared to untreated controls, indicating a lower chronic inflammatory response. Plasma treatment also promoted greater fibroblast infiltration and enhanced neocollagenesis within the hADM implants. Furthermore, immunohistochemical staining revealed a notable increase in blood vessel formation around and within the plasma-treated hADM implants, suggesting improved vascularization. In conclusion, vacuum plasma treatment enhances the biocompatibility and tissue integration of implants by reducing inflammation and promoting cellular and vascular responses, offering promising potential for improving outcomes in reconstructive surgery. Full article
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14 pages, 1533 KiB  
Article
Identifying Key Predictors of Sarcopenic Obesity in Italian Severely Obese Older Adults: Deep Learning Approach
by Leticia Martins Cândido, Jun-Hyun Bae, Dae Young Kim, Munkh-Erdene Bayartai, Laura Abbruzzese, Paolo Fanari, Roberta De Micheli, Gabriella Tringali, Ana Lúcia Danielewicz and Alessandro Sartorio
J. Clin. Med. 2025, 14(9), 3069; https://doi.org/10.3390/jcm14093069 - 29 Apr 2025
Viewed by 597
Abstract
Background/Objectives: Sarcopenic obesity (SO), the coexistence of sarcopenia and obesity, poses serious health risks, such as increased mortality. Despite its clinical significance, key predictors of SO remain unclear, especially in severe obesity. This study aimed to identify independent predictors of SO in [...] Read more.
Background/Objectives: Sarcopenic obesity (SO), the coexistence of sarcopenia and obesity, poses serious health risks, such as increased mortality. Despite its clinical significance, key predictors of SO remain unclear, especially in severe obesity. This study aimed to identify independent predictors of SO in Italian older adults with obesity using a deep learning neural network. Methods: A cross-sectional study was conducted with hospitalized older adults diagnosed with severe obesity. SO was defined according to the 2022 ESPEN/EASO Statement Criteria, based on skeletal muscle function assessed by the five-repetition sit-to-stand test (5-SST) and body composition parameters evaluated using Dual X-ray Absorptiometry. A total of 42 independent variables were analyzed. Data normalization was performed using MinMaxScaler, and an optimal neural network architecture was selected via grid search with stratified 5-fold cross-validation. Model performance was assessed using accuracy, precision, recall, F1-score, AUC-ROC, and AUPRC metrics. Results: The correlation analysis revealed strong negative associations between SO and handgrip strength (HGS) (r = −0.785) and appendicular lean mass (ALM) (r = −0.745), as well as moderate correlations with 5-SST (r = 0.603), 30-second chair stand test (r = −0.474), 6-minute walking test (6m-WT) (r = 0.289), and waist circumference (WC) (r = 0.127). The deep learning model achieved an average classification accuracy of 72%, with a precision of 83% and an AUC of 0.9333. Conclusions: The main key predictors of SO were HGS, ALM, 5-SST, 30s-SST, 6m-WT, and WC in the early detection of this condition. The findings highlight deep learning’s potential to improve SO diagnosis, risk assessment, clinical decision-making, and prevention in severely obese older adults. Full article
(This article belongs to the Section Endocrinology & Metabolism)
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23 pages, 5106 KiB  
Article
Simulation of Molten Carbonate Fuel Cell with Dry Reforming of Methane (DR-MCFC)
by Kyu-Seok Jung, Young-Bae Jun, Jung-Sik Yoon, Sung-Pil Yoon and Chang-Whan Lee
Energies 2025, 18(7), 1863; https://doi.org/10.3390/en18071863 - 7 Apr 2025
Cited by 1 | Viewed by 479
Abstract
This study proposes a novel system integrating a molten carbonate fuel cell (MCFC) with a dry reforming process (DR-MCFC) and develops a corresponding simulation model. In a DR-MCFC, the reacting gases from the dry reforming of methane (DRM) process are fed into a [...] Read more.
This study proposes a novel system integrating a molten carbonate fuel cell (MCFC) with a dry reforming process (DR-MCFC) and develops a corresponding simulation model. In a DR-MCFC, the reacting gases from the dry reforming of methane (DRM) process are fed into a molten carbonate fuel cell. CH4 and CO2 were used as the reaction gases, while N2 was employed as the carrier gas and introduced into the DRM. Following the DRM, the reformed gases were humidified and injected into the anode of the MCFC. A simulation model combining the dry reforming process and the MCFC was developed using COMSOL Multiphysics to evaluate the system’s performance and feasibility. The mole fraction of H2 after the DRM ranged from 0.181 to 0.214 under five different gas conditions. The average current density of the fuel cell varied between 1321.5 and 1444.9 A·m−2 at a cell voltage of 0.8 V, which was up to 27.07% lower than that of a conventional MCFC operating at 923 K due to the lower hydrogen concentration in the anode. Based on these results, the integration of dry reforming with the MCFC’s operation did not cause any operational issues, demonstrating the feasibility of the proposed DR-MCFC system. Full article
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15 pages, 2790 KiB  
Article
Optimizing 3D Food Printing of Surimi via Regression Analysis: Physical Properties and Additive Formulations
by Jong Bong Lee, Na Young Yoon, Yeon Joo Bae, Ga Yeon Kwon, Suk Kyung Sohn, Hyo Rim Lee, Hyeong Jun Kim, Min Jae Kim, Ha Eun Park and Kil Bo Shim
Foods 2025, 14(5), 889; https://doi.org/10.3390/foods14050889 - 5 Mar 2025
Cited by 1 | Viewed by 1380
Abstract
This study aimed to optimize the three-dimensional (3D) printing parameters for surimi-based inks and investigate the effects of additives (starch, salt, and water) on the rheological and textural properties of surimi paste, aiming to develop a universal formulation applicable across three fish species: [...] Read more.
This study aimed to optimize the three-dimensional (3D) printing parameters for surimi-based inks and investigate the effects of additives (starch, salt, and water) on the rheological and textural properties of surimi paste, aiming to develop a universal formulation applicable across three fish species: Alaska pollock, golden threadfin bream, and hairtail. By analyzing the hardness, adhesiveness, storage modulus (G′), and complex viscosity of the surimi inks, a formula was developed to identify the range of physical properties required for stable and precise 3D printing. The parameter windows to build a 3D structure with a 45° slope were as follows: hardness, 150–415 g/cm2, and adhesion, −300 to −115 g. Mixing surimi with additives such as water, salt, and starch to obtain the desired physical properties facilitated the printing of 3D surimi samples using a 3D food printer. Full article
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20 pages, 340 KiB  
Article
Ordered Kernels of OBCI-Algebras in the Homomorphism Environment
by Eunsuk Yang, Eun-Hwan Roh and Young-Bae Jun
Mathematics 2025, 13(3), 519; https://doi.org/10.3390/math13030519 - 4 Feb 2025
Viewed by 626
Abstract
Yang, Roh and Jun recently introduced kernels of homomorphisms in OBCI-algebras and left an ordered generalization of those kernels as a future work. As its answer, we introduce the concept of ordered kernels of OBCI-algebras in the homomorphism environment. To be more concrete, [...] Read more.
Yang, Roh and Jun recently introduced kernels of homomorphisms in OBCI-algebras and left an ordered generalization of those kernels as a future work. As its answer, we introduce the concept of ordered kernels of OBCI-algebras in the homomorphism environment. To be more concrete, first of all, the notion of ordered kernels of OBCI-algebras is intruduced. Next, properties of those ordered kernels related to (ordered) subalgebras, (ordered) filters and functional compositions are discussed in homomorphisms of OBCI-algebras. Full article
21 pages, 2476 KiB  
Article
Enhancing Human–Agent Interaction via Artificial Agents That Speculate About the Future
by Casey C. Bennett, Young-Ho Bae, Jun-Hyung Yoon, Say Young Kim and Benjamin Weiss
Future Internet 2025, 17(2), 52; https://doi.org/10.3390/fi17020052 - 21 Jan 2025
Viewed by 1277
Abstract
Human communication in daily life entails not only talking about what we are currently doing or will do, but also speculating about future possibilities that may (or may not) occur, i.e., “anticipatory speech”. Such conversations are central to social cooperation and social cohesion [...] Read more.
Human communication in daily life entails not only talking about what we are currently doing or will do, but also speculating about future possibilities that may (or may not) occur, i.e., “anticipatory speech”. Such conversations are central to social cooperation and social cohesion in humans. This suggests that such capabilities may also be critical for developing improved speech systems for artificial agents, e.g., human–agent interaction (HAI) and human–robot interaction (HRI). However, to do so successfully, it is imperative that we understand how anticipatory speech may affect the behavior of human users and, subsequently, the behavior of the agent/robot. Moreover, it is possible that such effects may vary across cultures and languages. To that end, we conducted an experiment where a human and autonomous 3D virtual avatar interacted in a cooperative gameplay environment. The experiment included 40 participants, comparing different languages (20 English, 20 Korean), where the artificial agent had anticipatory speech either enabled or disabled. The results showed that anticipatory speech significantly altered the speech patterns and turn-taking behavior of both the human and the agent, but those effects varied depending on the language spoken. We discuss how the use of such novel communication forms holds potential for enhancing HAI/HRI, as well as the development of mixed reality and virtual reality interactive systems for human users. Full article
(This article belongs to the Special Issue Human-Centered Artificial Intelligence)
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14 pages, 1307 KiB  
Article
Effects of Marigold Extract and Carophyll Red on Growth, Body Color Development, Antioxidant Properties, and Innate Immunity in the Ornamental Fish Golden Severum (Heros efasciatus)
by Jung-Jin Park, Jun-Sung Bae, Chae-Won Lee, Chan-Young Yang, Eun-Ha Jeong, Kwan-Ha Park, Jung-Soo Seo, Mun-Gyeong Kwon and Ji-Hoon Lee
Life 2024, 14(12), 1660; https://doi.org/10.3390/life14121660 - 13 Dec 2024
Viewed by 1184
Abstract
The body color state is an important determinant of the value of golden severum (Heros efasciatus)—a popular ornamental fish. The use of dietary supplements to improve the color development and health of this species is unexplored. Herein, the effects of marigold [...] Read more.
The body color state is an important determinant of the value of golden severum (Heros efasciatus)—a popular ornamental fish. The use of dietary supplements to improve the color development and health of this species is unexplored. Herein, the effects of marigold extract (MG) and carophyll red (CR) are examined on the growth, body color development, antioxidant properties, and innate immunity in golden severum. Fish were maintained under controlled water quality conditions (pH, temperature, and dissolved oxygen) and fed six experimental diets containing either 0% MG and CR, 1% MG, 2% MG, 5% MG, 0.5% CR, or 2% CR for five weeks. Both MG and CR significantly decreased lipid peroxide levels in hepatic tissues. In contrast, only MG enhanced the activities of reactive oxygen species (ROS)-scavenging enzymes (superoxide dismutase and catalase). Although MG and CR decreased the respiratory burst activity of splenic leukocytes, other innate immune parameters remained unchanged. Additionally, MG and CR stimulated body color development patterns in golden severum that reflect their unique coloring principles. The ROS-scavenging abilities of MG and CR appear to be related to their antioxidant activity. Hence, MG and CR at the optimal levels of 1.0% and 0.5%, respectively, can improve the body color of golden severum and protect against oxidative stress. Full article
(This article belongs to the Special Issue Feature Papers in Animal Science: 3rd Edition)
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13 pages, 7525 KiB  
Article
Immunostimulatory Effects of Red Beet Ferment Extract on Cyclophosphamide-Induced Immunosuppression in Wistar Rats
by Hai-Min Hwang, Young-Mi Park, Hak-Yong Lee, Dong-Yeop Shin, Jae-Gon Kim, Jun-Sang Bae, Dae-Sik Haam, Hye-Jeong Yang, Min-Jung Kim, Myung-Sunny Kim, Jeong-Jae Lee and In-Ah Lee
Appl. Sci. 2024, 14(23), 11013; https://doi.org/10.3390/app142311013 - 27 Nov 2024
Cited by 1 | Viewed by 1280
Abstract
Red beet extract contains a variety of bioactive compounds, including antioxidant and immune-stimulating properties. Red beets are rich in nutrients and have been reported to help mitigate cardiovascular disease, while also possessing potent antioxidant capacity. In this study, we sought to determine the [...] Read more.
Red beet extract contains a variety of bioactive compounds, including antioxidant and immune-stimulating properties. Red beets are rich in nutrients and have been reported to help mitigate cardiovascular disease, while also possessing potent antioxidant capacity. In this study, we sought to determine the immune-enhancing effects of red beet fermented extract. The immunosuppressive drug cyclophosphamide (Cy) and red beet fermented extract were orally administered to Wistar rats once daily for four weeks. Blood analysis was performed to measure the expression of immune cytokines. We also examined the immunostimulatory effects of red beet fermented extract by measuring the activity and viability of spleen cells and the expression of immune cytokines. The expression of immune cytokines in the blood and spleen cells was increased in the red beet fermented extract treatment group compared to that in the negative control group, which induced immunosuppression of cytokines. It also increased the activity of NK cells and improved the viability of spleen cells. In conclusion, red beet fermented extract increased the expression of immune cytokines and increased the activity of adipocytes and NK cells, confirming its immunostimulatory effect. Therefore, red beet fermented extract has the potential to be utilized as a nutraceutical ingredient to enhance immunity. Full article
(This article belongs to the Section Food Science and Technology)
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21 pages, 7631 KiB  
Article
Pinus densiflora Root Extract Attenuates Osteoarthritis Progression by Inhibiting Inflammation and Cartilage Degradation in Interleukin-1β and Monosodium Iodoacetate-Induced Osteoarthritis Models
by Young Mi Park, Dong Yeop Shin, Hak Yong Lee, Hai Min Hwang, Jae Gon Kim, Byeong Soo Kim, Sang Ho Lee, Sang Choon Lee, Min Jung Kim, Hye Jeong Yang, Myung-Sunny Kim and Jun Sang Bae
Nutrients 2024, 16(22), 3882; https://doi.org/10.3390/nu16223882 - 14 Nov 2024
Viewed by 1737
Abstract
Background: Osteoarthritis (OA) is a common degenerative joint condition caused by an imbalance between cartilage synthesis and degradation, which disrupts joint homeostasis. This study investigated the anti-inflammatory and joint-improving effects of Pinus densiflora root extract powder (PDREP) in both in vitro and in [...] Read more.
Background: Osteoarthritis (OA) is a common degenerative joint condition caused by an imbalance between cartilage synthesis and degradation, which disrupts joint homeostasis. This study investigated the anti-inflammatory and joint-improving effects of Pinus densiflora root extract powder (PDREP) in both in vitro and in vivo OA models. Methods/Results: In an in vitro OA model, in which SW1353 human chondrosarcoma cells were treated with interleukin (IL)-1β, PDREP treatment significantly reduced the mRNA levels of matrix metalloproteinase (MMP)-1, MMP-3, and MMP-13 while enhancing collagen type II alpha 1 (Col2a1) mRNA level, and decreased IL-6 and prostaglandin E2 (PGE2) levels. In addition, PDREP inhibited the phosphorylation of extracellular signal-regulated kinases (ERK), c-Jun N-terminal kinase (JNK), p38, nuclear factor-kappa B (NF-κB), and the expression of inducible nitric oxide synthase (iNOS). In a monosodium iodoacetate (MIA)-induced OA rat model, the administration of PDREP resulted in decreased OA clinical indices, improved weight-bearing indices and gait patterns, reduced histological damage, and lowered serum inflammatory cytokine and MMPs expression. Furthermore, PDREP downregulated the phosphorylation of ERK, JNK, p38, and NF-κB, as well as the expression of iNOS, consistent with the in vitro findings. Conclusions: These results suggest that PDREP exhibits anti-inflammatory and joint-improving effects and has potential as a therapeutic strategy or functional food for the treatment of OA. Full article
(This article belongs to the Section Phytochemicals and Human Health)
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20 pages, 6390 KiB  
Article
IL-32γ Induced Autophagy Through Suppression of MET and mTOR Pathways in Liver Tumor Growth Inhibition
by Ji-Won Seo, Yong-Sun Lee, In-Sook Jeon, Ji-Eun Yu, Jun-Sang Yoo, Ja-Keun Koo, Dong-Ju Son, Jae-Suk Yoon, Sang-Bae Han, Do-Young Yoon, Yoon-Seok Roh, Jin-Tae Hong and Jung-Hyun Shim
Int. J. Mol. Sci. 2024, 25(21), 11678; https://doi.org/10.3390/ijms252111678 - 30 Oct 2024
Viewed by 1308
Abstract
Interleukin-32γ (IL-32γ) has diverse functions in various malignancies. In this study, we investigated the role of IL-32γ in autophagy induction in liver cancer cells and delineated the underlying mechanisms. We found that the increased IL-32γ expression inhibited the growth, cell cycle progression, and [...] Read more.
Interleukin-32γ (IL-32γ) has diverse functions in various malignancies. In this study, we investigated the role of IL-32γ in autophagy induction in liver cancer cells and delineated the underlying mechanisms. We found that the increased IL-32γ expression inhibited the growth, cell cycle progression, and migration of HepG2 and Hep3B cell lines; it also decreased the expression of related proteins. Furthermore, the IL-32γ overexpression induced autophagy, as indicated by the number of puncta, the expression of LC3, and the expression of autophagy-related markers. The expression levels of LAMP1, a protein essential for autophagosome formation, and colocalization with LC3 also increased. Big data analysis revealed that the expression of MET, a well-known target of autophagy, and the expression of mTOR and mTOR-related proteins were decreased by the IL-32γ overexpression. The combination treatment of MET inhibitor, cabozantinib (2 µM), and IL-32γ overexpression further increased the number of puncta, the colocalization of LC3 and LAMP1, and the expression of autophagy-related proteins. In vivo, liver tumor growth was suppressed in the IL-32γ-overexpressing mouse model, and autophagy induction was confirmed by the increased expression of LC3 and LAMP1 and the decreased expression of autophagy pathway markers (MET and mTOR). Autophagy was also decreased in the liver tumor sample of human patients. ROC curve and spearman analysis revealed that the expression levels of LC3 and IL-32γ were significantly correlated in human tumor serum and tissues. Therefore, IL-32γ overexpression induced autophagy in liver tumors through the suppression of MET and mTOR pathways critical for tumor growth inhibition. Full article
(This article belongs to the Section Molecular Biology)
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16 pages, 3063 KiB  
Article
Aging-Induced Changes in Cutibacterium acnes and Their Effects on Skin Elasticity and Wrinkle Formation
by YeonGyun Jung, Ikwhan Kim, Da-Ryung Jung, Ji Hoon Ha, Eun Kyung Lee, Jin Mo Kim, Jin Young Kim, Jun-Hwan Jang, Jun-Tae Bae, Jae-Ho Shin and Yoon Soo Cho
Microorganisms 2024, 12(11), 2179; https://doi.org/10.3390/microorganisms12112179 - 29 Oct 2024
Cited by 1 | Viewed by 2612
Abstract
Skin aging involves biomechanical changes like decreased elasticity, increased wrinkle formation, and altered barrier function. The skin microbiome significantly impacts this process. Here, we investigated the effects of decreased Cutibacterium acnes abundance and increase in other skin microorganisms on skin biomechanical properties in [...] Read more.
Skin aging involves biomechanical changes like decreased elasticity, increased wrinkle formation, and altered barrier function. The skin microbiome significantly impacts this process. Here, we investigated the effects of decreased Cutibacterium acnes abundance and increase in other skin microorganisms on skin biomechanical properties in 60 healthy Koreans from Seoul, divided into younger (20–29 years) and older (60–75 years) groups. Metagenomic sequencing and skin assessments showed that the older group exhibited decreased C. acnes dominance and increased microbial diversity, correlating with reduced skin elasticity and increased wrinkles. In the younger age group, the enriched pathways included zeatin biosynthesis, distinct biotin metabolism pathways, and cofactor and vitamin metabolism in the younger age group, whereas pathways related to lipid metabolism, energy metabolism, and responses to environmental stressors, including UV damage and pollution, were enriched in the older group, according to functional analysis results. Network analysis indicated higher microbial connectivity in the younger group, suggesting a more stable community, whereas the older group’s community displayed higher modularity, indicating more independent and specialized clusters. This study enhances our understanding of the impact of skin microbiome changes on skin aging, particularly the anti-aging effects of C. acnes. Future research should focus on the physiological mechanisms of skin microbiota on skin aging and explore therapeutic potentials to enhance skin health. Full article
(This article belongs to the Special Issue Advances in Human Microbiomes)
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15 pages, 6006 KiB  
Article
NRXN1 as a Prognostic Biomarker: Linking Copy Number Variation to EMT and Survival in Colon Cancer
by Hyun Jin Bang, Hyun-Jeong Shim, Mi-Ra Park, Sumin Yoon, Kyung Hyun Yoo, Young-Kook Kim, Hyunju Lee, Jeong-Seok Nam, Jun-Eul Hwang, Woo-Kyun Bae, Ik-Joo Chung, Eun-Gene Sun and Sang-Hee Cho
Int. J. Mol. Sci. 2024, 25(21), 11423; https://doi.org/10.3390/ijms252111423 - 24 Oct 2024
Viewed by 1766
Abstract
The role of biomarkers in cancer treatment varies significantly depending on the cancer stage. Thus, in clinical practice, tailoring biomarkers to meet the specific needs and challenges of each cancer stage can increase the precision of treatment. Because they reflect underlying genetic alterations [...] Read more.
The role of biomarkers in cancer treatment varies significantly depending on the cancer stage. Thus, in clinical practice, tailoring biomarkers to meet the specific needs and challenges of each cancer stage can increase the precision of treatment. Because they reflect underlying genetic alterations that influence cancer progression, copy number variation (CNV) biomarkers can play crucial prognostic roles. In our previous study, we identified potential survival-related genes for colorectal cancer (CRC) by analyzing CNV and gene expression data using a machine-learning approach. To further investigate the biological function of NRXN1, we assessed the use of RNA sequencing, phosphokinase assays, real-time quantitative PCR, and Western blot analysis. We found that NRXN1 copy number deletion was significantly associated with poor overall survival (OS) and recurrence-free survival (RFS), even in patients who received adjuvant chemotherapy. Compared with its expression in normal tissues, NRXN1 expression was lower in tumors, suggesting its potential role as a tumor suppressor. NRXN1 knockdown enhanced CRC cell viability and invasion, and transcriptome analysis indicated that the increased invasion was caused by GSK3β-mediated epithelial–mesenchymal transition. These findings highlight NRXN1 copy number deletion as a novel biomarker for predicting recurrence and survival in patients with resected colon cancer. Full article
(This article belongs to the Special Issue Molecular Mechanisms of Inhibition of Colorectal Cancer)
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16 pages, 1139 KiB  
Article
Satisfaction with the Exercise Program and Successful Aging Among Older Adults Who Exercise Regularly: The Multiple Mediation of Physical Self-Efficacy and Exercise Adherence
by Hyun-Ryun Kim, Seung-Hwan Woo, Jae-Pil Seo, Wi-Young So and Jun-Su Bae
Healthcare 2024, 12(20), 2054; https://doi.org/10.3390/healthcare12202054 - 16 Oct 2024
Cited by 2 | Viewed by 1911
Abstract
Objectives: As the Republic of Korea transitions towards a super-aged society, the health and mental well-being of older adults are emerging as critical issues. While many researchers are focusing on successful aging among older adults who participate in exercise, there is a research [...] Read more.
Objectives: As the Republic of Korea transitions towards a super-aged society, the health and mental well-being of older adults are emerging as critical issues. While many researchers are focusing on successful aging among older adults who participate in exercise, there is a research gap in the Korean literature regarding the preconditions that foster this outcome. Therefore, this study analyzed the relationship between satisfaction and exercise, physical self-efficacy (PSE), exercise adherence, and successful aging among Korean older adults who exercise regularly. Methods: The participants were 369 (234 male and 135 female) older adults aged 65 or older living in the Republic of Korea, with an average age of 69.91 years. Data were collected from March 2024 to June 2024 and analyzed using descriptive statistics, correlation analysis, and structural equation modeling. Results: There was no problem with the model fit. Satisfaction with exercise positively affected PSE (β = 0.317, p < 0.001), exercise adherence (β = 0.487, p < 0.001), and successful aging (β = 0.669, p < 0.001). PSE positively affected exercise adherence (β = 0.356, p < 0.001), and exercise adherence positively affected successful aging (β = 0.190, p < 0.05). Furthermore, PSE (β = 0.019, p < 0.01) and exercise adherence (β = 0.081, p < 0.05) mediated the relationship between satisfaction with exercise and successful aging. Conclusions: Satisfaction with exercise is important for promoting successful aging among Korean older adults who exercise. Satisfaction with exercise can increase their efficacy for performing physical activities and encourage them to continue exercising. This can ultimately lead to a happy life in old age. Full article
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15 pages, 2756 KiB  
Article
Tumor Immune Microenvironment Biomarkers for Recurrence Prediction in Locally Advanced Rectal Cancer Patients after Neoadjuvant Chemoradiotherapy
by Jun-Eul Hwang, Sung-Sun Kim, Hyun-Jin Bang, Hyeon-Jong Kim, Hyun-Jeong Shim, Woo-Kyun Bae, Ik-Joo Chung, Eun-Gene Sun, Taebum Lee, Chan-Young Ock, Jeong-Seok Nam and Sang-Hee Cho
Cancers 2024, 16(19), 3353; https://doi.org/10.3390/cancers16193353 - 30 Sep 2024
Viewed by 2081
Abstract
Background/Objectives: The tumor microenvironment (TME) has emerged as a significant prognostic factor. This study aimed to identify prognostic factors by combining clinicopathologic parameters and the TME biomarkers in patients who underwent surgery following neoadjuvant chemoradiotherapy (nCRT) for locally advanced rectal cancer (LARC). Methods: [...] Read more.
Background/Objectives: The tumor microenvironment (TME) has emerged as a significant prognostic factor. This study aimed to identify prognostic factors by combining clinicopathologic parameters and the TME biomarkers in patients who underwent surgery following neoadjuvant chemoradiotherapy (nCRT) for locally advanced rectal cancer (LARC). Methods: CD8+ T cells, CXCR3, CXCL10, and α-smooth muscle actin (α-SMA) were analyzed via immunohistochemical staining. We also incorporated AI-powered digital pathology to assess the spatial TME. The associations between these biomarkers, clinicopathologic parameters, and survival outcomes were evaluated. Results: CD8+ T cell expression, CXCR3 expression in tumor-infiltrating lymphocytes (TILs), and immune phenotypes were correlated. LARC patients with a high expression of CD8+ T cells, CXCR3 in TILs, and an inflamed phenotype had a significantly better prognosis than their counterparts did. In the multivariate analysis, the expression of CD8+ T cells and the inflamed/immune-excluded phenotype were significant tumor immune microenvironment (TiME) biomarkers for recurrence-free survival (RFS) but not for overall survival (OS). Notably, patients with the immune-desert phenotype had a poor prognosis regardless of pathologic stage, even if postoperative chemotherapy was administered (p < 0.001). Conclusions: CD8+ T cells and AI-powered immune phenotypes, alongside clinical factors, can guide personalized treatment in LARC patients receiving nCRT. A therapeutic strategy to modify the TiME after nCRT could help reduce recurrence after surgery. Full article
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13 pages, 4845 KiB  
Article
Impact of Atrial Fibrillation with Rapid Ventricular Response on Atrial Fibrillation Recurrence: From the CODE-AF Registry
by Joo Hee Jeong, Yong-Soo Baek, Junbeom Park, Hyung Wook Park, Eue-Keun Choi, Jin-Kyu Park, Ki-Woon Kang, Jun Kim, Young Soo Lee, Jin-Bae Kim, Jong-Il Choi, Boyoung Joung and Jaemin Shim
J. Clin. Med. 2024, 13(18), 5469; https://doi.org/10.3390/jcm13185469 - 14 Sep 2024
Viewed by 3091
Abstract
Background/Objectives: Relatively little has been established about the association of rapid ventricular response (RVR) with further recurrence of atrial fibrillation (AF). This study investigated the impact of RVR on the recurrence of AF. Methods: Data were obtained from a multicenter, prospective [...] Read more.
Background/Objectives: Relatively little has been established about the association of rapid ventricular response (RVR) with further recurrence of atrial fibrillation (AF). This study investigated the impact of RVR on the recurrence of AF. Methods: Data were obtained from a multicenter, prospective registry of non-valvular AF patients. RVR was defined as AF with a ventricular rate > 110 bpm. The primary endpoint was the recurrence of AF, defined as the first AF detected on 12-lead electrocardiography during follow-up. Secondary endpoints included manifestation of AF during follow-up and major adverse cardiovascular events (MACEs), a composite of thromboembolic events, major bleeding, myocardial infarction, and death. Results: Among 5533 patients, 493 (8.9%) presented RVR. Patients with RVR were younger, had smaller left atrial diameters, and more frequently had paroxysmal AF. During the mean follow-up duration of 28.6 months, the RVR group exhibited significantly lower recurrence of AF (hazard ratio: 0.58, 95% confidence interval: 0.53–0.65, p < 0.001). There was no significant difference in the occurrence of MACEs between patients with RVR and those without RVR (0.96, 0.70–1.31, p = 0.800). AF with RVR was identified as an independent negative predictor of AF recurrence (0.61, 0.53–0.71, p < 0.001). Conclusions: In patients with AF, those with RVR had a significantly lower recurrence of AF without an increase in MACEs. RVR is a favorable marker that may benefit from early rhythm control. Full article
(This article belongs to the Special Issue Clinical Updates in Cardiac Electrophysiology)
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