Search Results (404)

Surgical resection combined with chemotherapy offers the best chance of survival in pancreatic ductal adenocarcinoma (PDAC), but many will experience recurrence and early mortality. We examined soluble AXL (sAXL), a blood protein, for its ability to predict 6-month mortality after resection and compared it to CA19-9. Fifty-four patients with PDAC who underwent tumour resection were analyzed to assess biomarker performance and identify optimal cut-off levels. The cut-off for sAXL was 40.26 ng/mL (sensitivity 0.729; specificity 0.643), while it 253.3 U/mL for CA19-9 (sensitivity 0.591; specificity 0.621). Patients with sAXL > 40.26 ng/mL had a non-significant trend toward worse survival (log-rank p = 0.088). Univariate Cox regression revealed that high tumour grade (3 + 4) and positive resection margin significantly predicted early mortality. Multivariate Cox regression showed that sAXL > 40.26 ng/mL remained associated with 6-month mortality (hazard ratio 2.42, bootstrap 95% CI 1.15–5.65, p = 0.020), independent of high tumour grade (hazard ratio 4.02, bootstrap 95% CI 1.68–13.2, p = 0.002). These findings suggest that a preoperative blood test (sAXL) has utility for predicting futile surgery beyond the current standard, CA19-9, and can be incorporated into larger models to assist in risk stratification and follow-up planning. Full article

A total of 168 fecal samples were obtained from both diarrheic dogs exhibiting clinical symptoms and clinically healthy individuals across four provinces/cities in Northern Vietnam. Based on a polymerase chain reaction method, the Gyrovirus gala 1 (GyVg1) genome was found in 18 (10.71%) of 168 samples. Six representative GyVg1 genomes identified in Vietnam were each 2375 nucleotides long. They shared nucleotide identities of 94.98–98.62%. Whole genome phylogenetic analysis showed that the six obtained GyVg1 strains were grouped into two distinct lineages: GyVg1 I (2/6 strains) and GyVg1 II (4/6 strains). Vietnamese GyVg1 strains were genetically related to Chinese strains. Multiple residue replacements were identified in VP (VP1–VP3) proteins of the Vietnamese GyVg1 strains. A recombination event led to the emergence of the GyVg1/Dog/VNUA-06 recombinant strain. Overall, these observations indicate the presence of GyVg1 viruses in domestic dogs in the North of Vietnam. Full article

In this study, a pectin polysaccharide named DESP was extracted using a deep eutectic solvent (DES) from sweet potato residue (SPR) and the extract was optimized through response surface methodology (RSM). The DESP, based on choline chloride–urea (ChCl-Ur), was characterized for yield, molecular weight (Mw), and monosaccharide composition. Fourier-transform infrared spectroscopy (FT-IR), X-ray diffraction (XRD), ¹H-nuclearmagnetic resonance (¹H-NMR), and scanning electron microscopy (SEM) were used to analyze the structure. Optimal extraction conditions for DESP were ChCl-Ur in a molar ratio of 1:2, water content of 75 wt.%, extraction time of 125.7 min, extraction temperature of 83.2 °C, and a liquid-to-solid ratio of 37.0 mL·g⁻¹. The optimized extraction yield was 5.6% ± 0.09%, which was 2.4 times higher than that of hot-water-extracted sweet potato pectin (HWSP, 2.32%). The monosaccharide analysis revealed that galacturonic acid (GalA) was the most abundant saccharide, followed by glucose (Glc), galactose (Gal), arabinose (Ara), and rhamnose (Rha). The Mw of DESP was 20.90 kDa, which was lower than that of HWSP and HASP. In addition, DESP exhibited certain anti-inflammatory activity. Full article

This study is Part II of a five-year (2018–2022) field trial in western Portugal evaluating the effects of three microbial biofertilizers—Mycoshell^® (Glomus spp. + humic/fulvic acids), Kiplant iNmass^® (Azospirillum brasilense, Bacillus megaterium, Saccharomyces cerevisiae), and Kiplant All-Grip^® (Bacillus megaterium, Pseudomonas spp.)—applied at different dosages alongside two mineral fertilizer regimes, T100 (full dose) and T70 (70% of T100, alone or combined with biofertilizers), on the physiological performance of ‘Gala Redlum’ apple trees. Part I had shown that Myc4 (Mycoshell^®, 4 tablets/tree), iNM6, and iNM12 (Kiplant iNmass^®, 6 and L ha⁻¹, respectively) consistently enhanced fruit growth, yield, and selected quality traits. While Part I showed clear agronomic gains, Part II demonstrates that these improvements occurred without significant alterations in seasonal photosynthetic performance, canopy reflectance, or chlorophyll fluorescence parameters over five years, highlighting the contrast between observed yield improvements and physiological stability. Seasonal monitoring of physiological traits—including specific leaf area (SLA), chlorophyll content index (CCI), gas exchange (A_n, g_s, E, C_i), spectral indices (NDVI, OSAVI, SIPI, GM2), and chlorophyll fluorescence (OJIP). It is clear that physiological values remained largely stable across biofertilizer treatments and years. Importantly, this stability was maintained even under a 30% reduction in mineral fertilizer (T70), indicating that specific microbial biofertilizers can sustain physiological resilience under reduced nutrient inputs, thereby providing a physiological basis for the yield-enhancing effects observed and supporting their integration into fertilizer reduction strategies in Mediterranean orchards. Full article

Pectin-derived oligosaccharides (POS) are emerging as promising functional prebiotics with growing industrial interest. This study reports a synergistic fungal pectinolytic biocatalytic system comprising endopolygalacturonase (EndoPG) and pectin methylesterase (PET11) from Aspergillus aculeatinus BCC 17849 for the controlled depolymerization of pomelo (Citrus maxima) albedo pectin. PET11-mediated demethylation increased substrate accessibility, thereby enhancing EndoPG-catalyzed hydrolysis and resulting in higher POS yields than those obtained with single-enzyme systems. The highest production of short-chain POS, comprising GalA, di-GalA, and tri-GalA (681 mg/g substrate), was achieved at an EndoPG:PET11 dosage ratio of 15:5. The resulting POS fraction significantly promoted the growth of five probiotic strains, including Lactobacilli and Bifidobacteria species, and enhanced probiotic adherence to intestinal epithelial cells. In particular, Lactobacillus acidophilus TBRC 5030 exhibited the highest adhesion level (35.24 ± 6.43%) in the presence of 2.0 mg/mL POS. Overall, this work demonstrated that enzyme-assisted demethylation coupled with targeted endo-hydrolysis enables effective tailoring of POS chain length, providing a promising biocatalytic strategy for pectin valorization into prebiotic ingredients. Full article

The aim of this pilot study was to comprehensively evaluate the gut microbiota, mycobiome, and metabolomic profile of six 4-month-old crossbred pigs (A–F) originating from the same litter and from a specific breeding facility intended for preclinical transplantation experiments, in order to assess their physiological uniformity and identify potential health-related risks prior to inclusion in a kidney transplantation study. The results demonstrated an overall high degree of microbial and metabolic uniformity among the animals, confirming the stability and suitability of the selected breeding source for experimental purposes. At the same time, several individual differences of potential clinical relevance were observed. Animals A, E, and F exhibited signs of microbial and metabolic imbalance, including reduced diversity, increased oxidative activity, and the presence of potentially pathogenic taxa (Porphyromonadaceae bacterium DJF B175, Aspergillus). In contrast, animals B, C, and D showed a balanced metabolic and microbial profile without pathological deviations. The obtained results highlight the importance of preoperative assessment of the gut bacteriome, mycobiome, and metabolome when selecting animals for transplantation experiments. Such a selective screening approach may contribute to the early identification of physiological deviations, reduction of interindividual variability, and increased reliability and translational potential of preclinical studies. Full article

Cardiovascular disease is the leading cause of morbidity and mortality worldwide, with ischemic and structural heart diseases being key contributors. While the 12-lead electrocardiogram (ECG) is a common low-cost diagnostic test, its interpretation is limited by human variability. Through machine learning with large diverse ECG data sets and artificial intelligence (AI) algorithms, ECG analysis can be automated for pattern recognition with higher accuracy. AI-augmented ECG algorithms have been demonstrated to be able to detect myocardial infarction with high accuracy and reduce door-to-balloon coronary intervention times. Similar models can be utilized to detect subtle ECG waveforms suggestive of current or future asymptomatic left ventricular dysfunction, aortic stenosis, and hypertrophic cardiomyopathy. Despite these promising results, there is concern for generalizability and bias or errors in training data. As AI systems evolve to multimodal integration, AI-augmented ECG has the potential to redefine cardiovascular diagnostics and enable earlier detection, risk stratification, and precision-guided interventions. Full article

Fixed-bed adsorption is widely employed in the scaling-up of liquid-phase adsorption processes because it offers significant operational advantages over batch systems. However, conventional approaches for scaling up adsorption columns are subject to important limitations. In this regard, the Axial Dispersion Model (ADM) coupled with the Pore Volume and Surface Diffusion Model (PVSDM) provides a framework capable of overcoming these constraints. In this study, ADM–PVSDM was applied predictively using equilibrium relationships and diffusion coefficients obtained from batch experiments. Model validity was assessed against nine experimental breakthrough curves, yielding an average deviation of 7.6% in breakthrough time. Furthermore, the model successfully predicted system behavior across a feed-flux range of 18–174 g h⁻¹m⁻². The integration of ADM–PVSDM was supported by the characterization of the Mass Transfer Zone (MTZ), which underpins the scaling approach proposed herein. The predicted breakthrough curves were also used to estimate MTZ length and velocity, which ranged from 0.97 to 8.7 cm and from 0.56 × 10⁻³ to 20 × 10⁻³ cm min⁻¹, respectively, with mean percentage deviations of 6.4% and 7.3%. These predictions enabled the development of a methodology which is capable of scaling adsorption columns over a wide operational range while requiring substantially fewer experiments compared to conventional scaling methods. Finally, it was demonstrated that commonly used empirical models, such as the Bohart–Adams model, failed to predict breakthrough curves with sufficient accuracy, thus rendering them unsuitable for developing this scaling methodology. Full article

Background: The emergence of therapy-related myelodysplastic syndrome (t-MN) after autologous stem cell transplantation (ASCT) is well documented. However, with the growing use of chimeric antigen receptor (CAR) T-cell therapy for relapsed/refractory B-cell malignancies, concerns about secondary myeloid neoplasms, particularly MN, have arisen. The mechanisms and cytogenetic features associated with post-CAR-T MN, especially chromosome 7 abnormalities, remain underexplored. Objectives: To compare the incidence, timing, and cytogenetic characteristics of MN developing after CAR-T-cell therapy versus ASCT, and to evaluate the potential association between CAR-T therapy, persistent cytopenias, and these specific alterations. Study Design: This was a retrospective, single-center study of 275 patients with B-cell malignancies treated between 2015 and 2024 at Hospital Universitario Central de Asturias (Spain). Of these, 259 patients underwent ASCT and 16 received CAR-T-cell therapy (axicabtageneciloleucel n = 13, tisagenlecleucel n = 2, brexucabtageneautoleucel n = 1). Clinical, cytogenetic, and laboratory data were collected and analyzed. Incidence rates were compared using Fisher’s exact test, and time-to-event outcomes was evaluated using the Mann–Whitney U test (given the small number of events). Statistical significance was set at p < 0.05. Results: Myeloid neoplasms were diagnosed in 3 of 259 ASCT patients (1.15%) and in 2 of 16 CAR-T-cell patients (12.5%) (p = 0.03). The median time to myeloid neoplasm diagnosis was numerically shorter in the CAR-T group (15.5 vs. 69 months, p = 0.096). All post-CAR-T cases presented persistent cytopenias and cytokine release syndrome (CRS). Cytogenetic analyses revealed de novo monosomy 7 and 7q deletion in both CAR-T-related cases, whereas no chromosome 7 abnormalities were detected in ASCT-related cases. Pre-treatment samples did not show these abnormalities, although limitations in the sensitivity of the assays preclude the definitive exclusion of minor pre-existing clones. Both affected CAR-T patients had prolonged CAR-T cell persistence and required transfusional support due to hematologic toxicity. One patient was diagnosed with high-risk MN with 5q and 7q deletion and the other with Clonal Cytopenia of Uncertain Significance (CCUS) with monosomy 7. Conclusions: CAR-T-cell therapy was associated with a significantly higher and earlier incidence of myeloid neoplasms compared to ASCT in this cohort. The development of post-CAR-T myeloid neoplasm was characterized by persistent cytopenias, prolonged CAR-T cell persistence, and de novo chromosome 7 alterations. While the small sample size necessitates cautious interpretation, these findings may suggest a distinct pathogenesis potentially linked to inflammation, immune toxicity, or the expansion of pre-existing clones. This highlights the need for long-term hematologic monitoring and evaluation for clonal hematopoiesis prior to CAR-T-cell therapy, especially in heavily pretreated patients. Full article

The pH of fruit and vegetable juices is usually around 4.0. To adapt to the pH of fruit and vegetable juices, we developed a highly branched pectin as a natural stabiliser, whose polarity is well suited to conditions under weakly acidic conditions. The pectin content of jujube is high (about 2.0%), in which the polysaccharide content of Muzao (2.0–4.8%) is generally higher than the average value of the jujube. To separate the weak polar pectin in jujube, we extracted the crude polysaccharide (ZMP) with 4 times the volume of alcohol. Then we used Diethylaminoethyl (DEAE) cellulose (DEAE-52) ion-exchange chromatography to separate ZMP, and selected the fraction eluted with 0.2 M NaCl for gel purification to obtain ZMP2. After the hydrolysis of ZMP2 with TFA, four fractions, namely ZMP2n5, ZMP2y5, ZMP2n1, and ZMP2y1, were obtained. The purity, molecular weight, and monosaccharide composition of the above four fractions were determined. It was found that each fraction of ZMP2 contained large amounts of galacturonic acid (GalA) and glucuronic acid (GlcA), indicating that ZMP2 was most likely pectin, making it the natural, polar stabiliser we sought. To further determine the primary structure of ZMP2, we also performed FT-IR spectroscopy; methylation; one-dimensional mapping, including Proton Nuclear Magnetic Resonance (¹H NMR), Carbon-13 Nuclear Magnetic Resonance (¹³C NMR) and Distortionless Enhancement by Polarization Transfer 135 (DEPT 135); and two-dimensional mapping, including Correlation Spectroscopy (1H-1H COSY), Heteronuclear Single Quantum Coherence (HSQC), Heteronuclear Multiple-Bond Correlation (HMBC), and Nuclear Overhauser Effect Spectroscopy (NOESY). In summary, the primary structure of ZMP2 should be as follows: the main chain is connected as →4)-α-D-GalAp-(1→3)-β-D-Galp-(1→, while the end glycosidic bonds of α-D-Galp-(1→ and α-L-Araf-(1→5)-α-L-Araf-(1→ are attached to the main chain by O-3 and O-6 bonds from →3,4)-α-D-GalAp-(1→ and →3,6)-β-D-GalAp-(1→, respectively. Full article

The widespread presence of nanoplastics (NPs) in the environment creates a significant and growing concern for global health, with ingestion, inhalation, and dermal contact identified as primary exposure pathways. Despite their documented presence in various environmental matrices and human tissues, robust quantitative data on NP levels remains scarce. This study addresses this critical gap by employing a novel and rapid flow cytometry technique to quantify nanoplastic concentrations in commercial waters, common beverages and infant food, with special focus in packaging influence. Pyrogen-free water was analyzed to establish the negative control for NP concentration, yielding 5.24 ± 2.02 events/µL. Ten commercial waters from natural springs in Spain and France showed NP levels ranging from 1.75 NP/µL to 67.94 NP/µL (mean: 19.90 ± 14.53 NP/µL), where three of those brands showed significantly higher NP numbers than the pyrogen-free water control. Compared to pyrogen-free water, infant formula and cereal porridge showed very low NP concentrations, with values of 10.27 ± 6.85 and 6.78 ± 2.27 events/µL, respectively, following triplicate analyses of six samples. Additional analyses comparing three similar soft drinks across different packaging (can, plastic bottle, or glass bottle) found no significant differences in NP concentration attributable to the container type. NPs, as ubiquitous contaminants, can be ingested by organisms through food and drink. Potential NP contamination in commercial water may be due to factors such as source water contamination, filtration and packaging. The presence of very low concentrations of NPs in infant foods suggests rigorous and effective quality control. Finally, the presence of NP in soft drinks was not affected by the type of packaging. Although soft drinks have higher NP levels than water, the type of packaging had no effect on the presence of NP in these soft drinks. Despite all plastic bottles being made of polyethylene terephthalate, variation in NP accumulation implies that material quality, storage condition, and substantially, water treatment and filtering processes contribute to NP contamination. This research gives evidence for widespread nanoplastic accumulation in bottled water, common beverages and infant formula and sets the stage for demanding research to further investigate sources, health effects, and development into effective quality control and preventive measures for public health. Full article

Plant peptides represent a novel molecular tool in crop science due to their essential regulatory roles in plant growth, development, and responses to biotic and abiotic stresses. Although numerous bioactive plant peptides have been identified, a major gap remains in translating these discoveries into practical strategies for crop protection. Synthetic peptides are increasingly recognized as promising biological agents for enhancing crop productivity and protection in an environmentally sustainable manner. In this study, we demonstrate that the potato elicitor peptide StPep1, applied as a foliar spray at nanomolar concentrations (10–100 nM), strongly enhances resistance to the oomycete pathogen Phytophthora infestans in Solanum tuberosum cv. Gala under controlled climate chamber conditions. Preventive treatment 24 h prior to inoculation markedly reduced disease symptoms, with treated plants exhibiting a phenotype comparable to uninoculated controls. These findings highlight the potential of low-dose StPep1 as an environmentally friendly and cost-effective bioprotective agent, providing a foundation for future translational research and small-scale agricultural applications. Full article

Background: Stroke is the leading cause of physical disability in adults in Catalonia. Despite this, there is a lack of evidence of physiotherapy interventions on functional capacity during the chronic phase of the pathology. This multicenter clinical trial will be conducted with a sample size of 75 participants. Objectives: The objective of the study is to evaluate the effectiveness of a therapeutic exercise program in physiotherapy using telerehabilitation to optimize functional recovery and quality of life in people with chronic stroke, and to determine its impact on adherence to the exercise program. Methods: This is a multicenter randomized controlled trial. Three parallel groups will be compared, and two will undergo the same type of therapy. A control group (CG) will perform conventional intervention in primary care. There will be two experimental groups; (EG1) will perform document-guided therapeutic exercises at home and (EG2) will perform therapeutic exercises at home guided by a telerehabilitation program. The outcomes to be measured are degree of independence of a person in their activities of daily living, assessed by the Barthel Index, motor function, muscle tone of the affected limbs, muscle strength of the affected limbs, balance, gait efficiency, perception of musculoskeletal pain, perception of fatigue, risk of falls, perception of quality of life, and the perception of perceived subjective change after treatment. These outcomes will be evaluated at baseline (T0), at ten weeks (T1) (end of the intervention), and at 18 weeks (T2). The study duration per patient will be 18 weeks (a ten-week intervention, followed by an eight-week intervention follow-up). The analysis will be performed using a mixed linear model (ANOVA 3X3) and significance level p < 0.05. Full article

Background: Thyroid dysfunction is a prevalent endocrine disorder with significant cardiovascular consequences, particularly through its effects on cardiac electrophysiology. Electrocardiography (ECG), as a widely available and cost-effective diagnostic tool, provides valuable insight into these alterations. This systematic review and meta-analysis aimed to evaluate the relationship between thyroid hormone imbalance and ECG parameters. Methods: A comprehensive search of PubMed, ScienceDirect, and Google Scholar identified 1099 studies, of which 121 underwent full-text analysis. Ultimately, 37 studies with complete datasets were included in the quantitative synthesis, encompassing 167,074 participants across overt hyperthyroidism, subclinical and overt hypothyroidism, and euthyroid control groups. Results: Meta-analysis revealed significant alterations in key electrophysiological markers. Overt hyperthyroidism was associated with QTc and Tp-e prolongation, consistent with increased repolarization heterogeneity and arrhythmic risk. In overt hypothyroidism, QTc and Tp-e intervals were also prolonged, accompanied by reduced heart rate variability, reflecting autonomic imbalance. Subclinical forms demonstrated more variable results, though trends toward conduction and repolarization disturbances were observed. Importantly, several studies indicated that levothyroxine therapy or surgical treatment normalized abnormal ECG findings, underscoring their reversible nature. Conclusions: These results highlight the strong association between thyroid hormone abnormalities and ECG alterations, which may serve as early markers of arrhythmic risk and sudden cardiac death. Incorporating ECG screening into thyroid disease management could improve early detection, risk stratification, and cardiovascular prevention strategies. Full article

Background: Minimally invasive techniques for living donor nephrectomy are crucial for donor safety and promoting organ donation. Hand-Assisted Retroperitoneoscopic Donor Nephrectomy (HARP-DN) combines the benefits of minimally invasive surgery with the tactile feedback of open surgery. This study analyzes a single center’s initial experience with this technique. Methods: A retrospective analysis was conducted on the first 50 consecutive living kidney donors who underwent HARP-DN at our institution. We collected and evaluated preoperative demographics, intraoperative data (operating time, warm ischemia time), and postoperative outcomes, including complication rates, length of hospital stay, and donor renal function at discharge. Results: All 50 HARP-DN procedures were successfully completed with zero conversions to open surgery and no donor mortality. The mean operating time was 192.4 ± 57.7 min, and the median warm ischemia time was a competitive 110 s. The overall perioperative complication rate was low at 4% (2/50 cases), involving manageable bleeding events. Donors experienced a rapid return to oral diet, and all were discharged with excellent renal function as indicated by a mean serum creatinine of 1.09 ± 0.30 mg/dL. Conclusions: Our initial experience demonstrates that Hand-Assisted Retroperitoneoscopic Donor Nephrectomy is a safe, reproducible, and effective procedure. It offers the advantages of a minimally invasive approach, including low morbidity and excellent preservation of donor renal function, while achieving a short warm ischemia time critical for graft quality. These findings support HARP-DN as a safe, reproducible, and effective option for living donor nephrectomy. Full article