Search Results (3,423)

Background and Objectives: Toxic hepatitis may result from drugs, herbal products, mushroom exposure, or other suspected toxic agents. This study aimed to compare the clinical, laboratory, severity-related, and outcome characteristics of toxic hepatitis according to suspected etiology. Materials and Methods: This retrospective observational study included 175 patients diagnosed with toxic hepatitis between January 2012 and March 2026 at a tertiary referral center with an active liver transplantation program. Patients were categorized into five groups: drug-induced liver injury (DILI) (n = 97), herb-induced liver injury (HILI) (n = 17), mushroom poisoning (n = 24), suspected causative agent exposure (n = 15), and unavailable etiological data (n = 22). Clinical outcomes, laboratory parameters, injury patterns, severity grades, and MELD-Na scores were analyzed. Results: Etiological groups differed significantly in demographic, hematological, biochemical, coagulation, bilirubin, ammonia, MELD-Na, and R-ratio parameters. Mushroom poisoning showed the most pronounced hepatocellular injury profile, with higher median values for AST, ALT, INR, ammonia, MELD-Na, and R ratio: 4856 U/L, 4996 U/L, 5.0, 585 µg/dL, 30, and 78.3, respectively. Recovery was most frequent in the HILI group (94.1%). In multivariable logistic regression analysis, older age (OR = 1.066, 95% CI: 1.03–1.11), lower INR (OR = 0.205, 95% CI: 0.08–0.51), and higher albumin level (OR = 4.255, 95% CI: 1.55–11.63) were independently associated with recovery. Conclusions: Toxic hepatitis showed distinct clinical and biochemical patterns according to etiology. In this selected tertiary referral-center cohort, mushroom poisoning was associated with pronounced hepatocellular injury and frequent liver transplantation, whereas HILI showed a more favorable short-term course. These findings should be interpreted in light of referral bias and the overrepresentation of severe cases. Full article

Background: Despite the therapeutic advances made in castration-sensitive prostate cancer, progression to castration-resistant disease is inevitable. Lutetium-177 vipivotide tetraxetan (¹⁷⁷Lu-PSMA-617) is a novel radioligand approved for use in metastatic castration-resistant prostate cancer (mCRPC). With promising efficacy, it is not without numerous potential side effects, namely cytopenias, which are often a reason for early discontinuation of ¹⁷⁷Lu-PSMA-617. We sought to describe the incidence of cytopenias associated with permanent discontinuation of ¹⁷⁷Lu-PSMA-617 at our institution. Methods: We conducted a retrospective review of patients who received ¹⁷⁷Lu-PSMA-617at the University of Virginia Comprehensive Cancer Center from 2018 to 2025. From this we assessed for the incidence of toxicities resulting in permanent discontinuation of ¹⁷⁷Lu-PSMA-617, which we refer to as dose-limiting toxicities. Descriptive statistics were used to summarize characteristics of the study population. Median overall survival from time of initiation of ¹⁷⁷Lu-PSMA-617 was estimated using a Kaplan–Meier curve. Results: Of the patients who received ¹⁷⁷Lu-PSMA-617 (n = 64), grade 3 or greater anemia occurred in 36% (n = 23), thrombocytopenia in 3% (n = 2), leukopenia in 3% (n = 2), neutropenia in 0% (n = 0), and lymphopenia in 33% (n = 21). In our cohort, 10.9% (n = 7) developed toxicities necessitating permanent discontinuation. Of these, 9.3% (n = 6) were attributable to cytopenias. Those cytopenias consisted of anemias in 100% (n = 6) of cases, leukopenia in 83% (n = 5), thrombocytopenia in 67% (n = 4), lymphopenia in 100% (n = 6), and neutropenia in 33% (n = 2). Aside from cytopenias, the remaining 1.6% (n = 1) of dose-limiting toxicities were attributable to renal injury. In the VISION trial, the ¹⁷⁷Lu-PSMA-617 treatment arm reported dose-limiting toxicities necessitating permanent discontinuation in 11.9% of participants, but did not report if these were attributable to cytopenia or other toxicities. Notably, 2 patients developed grade 5 pancytopenia and 1 patient developed grade 5 bone marrow failure in the VISION ¹⁷⁷Lu-PSMA-617 treatment arm. Compared to the VISION ¹⁷⁷Lu-PSMA-617 treatment arm, our cohort differed in the distribution of organ metastases, younger median age of patients, and a higher portion of those with ECOG 2 functional status. From the time of ¹⁷⁷Lu-PSMA-617 initiation, median overall survival was estimated to be 18.5 months, compared to 15.3 months in the VISION ¹⁷⁷Lu-PSMA-617 treatment arm. Conclusions: In our real-world analysis, 85% of dose-limiting toxicities necessitating ¹⁷⁷Lu-PSMA-617 discontinuation were attributed to cytopenias. Though a direct comparison cannot be made with the VISION ¹⁷⁷Lu-PSMA-617 treatment arm in terms of dose-limiting toxicity attributable specifically to cytopenias, they reported total dose-limiting toxicity to a similar degree, and cytopenias were the most common causes of grade 3 or greater toxicities. Therefore, it is important to recognize the ubiquity of these adverse events as well as the role that they play in therapy-limiting toxicity. Full article

Tretinoin (all-trans-retinoic acid, ATRA) is an established therapy for acute promyelocytic leukemia (APL) and neuroblastoma (NB); however, its broader oncological application is limited by poor bioavailability and rapid resistance development. In this study, we developed lipidic ester derivatives of ATRA as a potential prodrug approach aimed at modulating its physicochemical and biological properties. Three ATRA derivatives were evaluated in vitro in six human cancer cell lines: leukemia (MV4-11), gastric (AGS), colon (HT-29), lung (A549), and breast cancer cells (MCF-7, MDA-MB-468). Cytotoxicity toward normal human breast epithelial cells (MCF-10A) was also assessed. Among the synthesized derivatives, cetyl all-trans-retinoate (ATRA-CA) exhibited the strongest anticancer activity, showing up to threefold greater potency than ATRA, with inhibitory concentrations ranging from 1.34 to 23.1 µM and minimal toxicity toward normal cells. Moreover, ATRA-CA enhanced the efficacy of conventional chemotherapeutics. In A549 cells, treatment with 5 and 10 µM ATRA-CA reduced the cisplatin IC₅₀ from 25.7 ± 3.2 µM to 9.1 ± 3.0 and 5.9 ± 1.5 µM, corresponding to synergistic (CI = 0.63) and additive (CI = 0.88) effects, respectively. Similar effects were observed in MCF-7 cells and in combination with doxorubicin and paclitaxel. Full article

Thermal runaway (TR) in batteries remains a key safety challenge, yet its prediction is hindered by strongly coupled physics and many interdependent influencing factors. This review bridges the gap between mechanistic TR overviews and narrowly scoped experimental studies by conducting a broad database-driven review of published TR experiments. Therefore, the largest publicly available TR database to date is curated. It comprises 1703 tests from 257 papers and 203 variables describing cell properties, test conditions, and TR outcomes. Descriptive and pairwise inferential methods are applied to identify recurring patterns reported across the literature and to enable structured description of observed trends. Cathode chemistry, specific energy, and state of charge (SOC) emerge as the key associates of characteristic TR temperatures, with oxygen release from nickel-rich cathodes significantly amplifying TR severity. Aging-related effects strongly depend on the specific aging history and remain insufficiently characterized. Relative mass loss can reach 90% and is linked to the severity of TR reactions and the associated gas generation. On average, vent gas volume scales at 1.7 L/Ah, but capacity-normalized volume varies significantly with cell chemistry and SOC. H₂, CO, and CO₂ dominate vent gas compositions, with dependence on chemistry, SOC, and overall explosivity, while toxic and condensable species are clearly under-reported. The influence of abuse type and test setup on measured TR characteristics is highlighted, and emerging battery technologies are discussed. The database and derived trends provide a basis for benchmarking cell safety, informing pack-level design and modeling, suggesting future research directions, and supporting the development of standardized TR test protocols. Full article

Polystyrene (PS), particularly expanded polystyrene (EPS), is an environmentally significant commodity polymer that contributes substantially to secondary microplastic and nanoplastic pollution through environmental weathering and fragmentation. During aging, PS undergoes nano-scale physicochemical transformations, including chain scission, surface oxidation, and the formation of oxygen-containing functional groups, which profoundly influence its environmental fate, microbial colonization, and biodegradation behavior. Conventional remediation technologies remain energy-intensive and often fail to achieve complete mineralization, highlighting the need for sustainable and integrated remediation strategies. Recent studies have demonstrated that diverse microorganisms, including Pseudomonas, Rhodococcus, Bacillus, and Exiguobacterium, can colonize PS surfaces and initiate oxidative depolymerization through extracellular biofilm formation and oxidative enzymes such as styrene monooxygenase, laccases, and peroxidases. In parallel, insect-based systems, particularly Tenebrio molitor and Zophobas morio, provide unique biological platforms in which gut microbiota facilitate partial PS degradation and mineralization through synergistic host–microbe interactions. This review critically integrates recent advances in nano-scale PS transformation, microbial colonization, oxidative enzymatic pathways, insect gut-mediated biodegradation, and advanced analytical techniques used to characterize degradation processes. Emphasis is placed on nano–bio interactions and emerging nanotechnology-enabled remediation strategies, including engineered microbial consortia, biofilm-based bioreactors, and nanomaterial-assisted treatment systems. Finally, current limitations and future research priorities are discussed, including degradation kinetics, byproduct toxicity, standardized evaluation methods, and the integration of biological and nanomaterial-based approaches for scalable PS microplastic remediation. Full article

Freshwater ecosystems are increasingly exposed to metal contamination arising from natural and anthropogenic activities, potentially affecting fish physiology and ecosystem health. However, limited information is available regarding metal accumulation and associated biological responses in fish populations from Dukan Lake, northern Iraq. Therefore, this study investigated metal concentrations in water and tissues of common carp (Cyprinus carpio) and evaluated their relationships with selected fish health indicators. Water and fish samples were collected monthly from Dukan Lake, and a total of 60 fish were classified into three length groups (20–29 cm, 30–39 cm, and 40–49 cm). Metal concentrations in water, liver, and gonad tissues were analyzed using ICP-OES, while condition factor (CF), gonadosomatic index (GSI), and hepatosomatic index (HSI) were used to assess fish physiological condition. Sodium (Na), magnesium (Mg), potassium (K), iron (Fe), zinc (Zn), and barium (Ba) were detected in both water and fish tissues, with concentrations in water ranging from 50 to 7069 μg/L. In contrast, chromium (Cr), manganese (Mn), nickel (Ni), selenium (Se), silver (Ag), cadmium (Cd), antimony (Sb), lead (Pb), copper (Cu), and arsenic (As) were below detection limits. Biometric analysis revealed significant differences (p < 0.05) in the gonadosomatic index (GSI) among fish length groups, indicating size-dependent reproductive development. However, no significant relationship was observed between fish length and either the CF or HSI, suggesting relatively stable somatic condition or liver status across size classes. Correlation analysis showed no significant associations between water metal concentrations and CF or GSI. A significant positive correlation was identified between Zn concentration and HSI in the 30–39 cm length group, indicating a possible link between Zn exposure and hepatic physiological response. The findings indicate that essential elements dominate the metal profile in Dukan Lake, with limited evidence of toxic metal contamination. No major adverse effects on the general condition of the fish were observed. These results contribute to understanding metal bioaccumulation patterns and their implications for fish health in freshwater ecosystems. Full article

Mycotoxins are toxic fungal secondary metabolites that can contaminate the feed of dairy animals and can be transferred into milk and dairy products. This study aims to assess the occurrence of major mycotoxins in 190 samples of milk-based infant foods commercially available in São Paulo, Brazil, and characterize the associated risks. Aflatoxins (AFs) M₁ (AFM₁), B₁ (AFB₁), B₂ (AFB₂), G₁ (AFG₁) and G₂ (AFG₂), fumonisins (FBs) B₁ (FB₁) and B₂ (FB₂), ochratoxin A (OTA), zearalenone (ZEN), deoxynivalenol (DON), and T-2 toxin were analyzed using ultra-performance liquid chromatography coupled with tandem mass spectrometry (UPLC–MS/MS). Ninety-eight samples (51.6%) were contaminated with at least one mycotoxin, while the co-occurrence of two to four mycotoxins was observed in 32 samples (16.8%). ZEN was the most prevalent mycotoxin (60 samples; 32%), followed by FBs (FB₁ and FB₂) (42 samples; 22%), OTA (11 samples; 5.8%), DON (8 samples; 4.2%), and T-2 toxin (2 samples; 1.1%). AFs were quantified in only two samples (1.1%), one milk-based product containing 0.630 μg/kg of AFM₁ and one flavored milk powder with AFB₁ at 5.850 μg/kg. The analyzed flavored milk powder samples showed the highest maximum concentrations of DON, FBs, and OTA (165.5, 93.79, and 86.77 μg/kg, respectively), while unflavored milk powder contained the highest concentration of ZEN (17.40 μg/kg). Infant formula provided the highest estimated daily intake (EDI) value of DON (1.226 μg/kg bw/day) for infants aged ≤one year. Hazard quotient (HQ) values > 1 revealed a potential health concern for DON in only one sample of infant formula intended for infants up to six months of age. Margin of exposure (MoE) values for AFs and OTA were <10,000, emphasizing the need for continuous monitoring due to their potential toxic effects. These findings emphasize the need for stringent preventive measures and regulatory compliance to prevent mycotoxin contamination in milk-based infant foods in Brazil. Full article

Prospero autumnale L. is a Mediterranean medicinal plant traditionally employed for inflammatory and neurological disorders. Nonetheless, its safety profile, toxicity, and application for treating inflammation and pain are yet to be comprehensively established. This investigation aimed to assess the bioactivity and toxicity of extracts derived from its aerial (AgP) and underground (UgP) parts. The phytochemical constituents of various P. autumnale extracts were analyzed using LC-MS/MS, and their phenolic content was quantified. The biological activities were evaluated through in vitro assays—including antioxidant, anti-inflammatory, acetylcholinesterase-inhibitory, and photoprotection assessments—and in vivo experiments, including evaluations of acute oral toxicity, anti-inflammatory, and analgesic effects. UgP extracts demonstrated significant antioxidant activity, with the methanolic extract exhibiting the highest reducing and superoxide scavenging capacities. Dichloromethane and ethyl acetate extracts performed exceptionally well in ABTS and DPPH assays. The aqueous extract from AgP exhibited noteworthy anti-inflammatory and analgesic effects, surpassing diclofenac in vitro and demonstrating efficacy in vivo. It also showed considerable acetylcholinesterase inhibition, while the ethyl acetate extract displayed high photoprotective potential. The acute toxicity was moderate (LD₅₀: 300–400 mg/kg), indicating dose-dependent risks. LC-MS/MS analysis revealed diverse phenolics potentially contributing to both therapeutic and adverse effects. This research enhances the medicinal prospects of P. autumnale, provides new perspectives on plant utilization, and suggests its potential as a natural anti-inflammatory agent. However, due to moderate toxicity and dose-dependent effects, cautious application is advised. These findings underscore the importance of toxicological evaluation alongside bioactivity screening in ethnopharmacology to ensure safety. Full article

Advanced oxidation processes (AOPs) are widely applied to degrade recalcitrant organic contaminants in municipal effluents, industrial wastewaters, and water-reuse streams. Their deployment, however, remains constrained by matrix scavenging, high energy or reagent demand, catalyst/electrode ageing, and the possible formation of toxic transformation products. Artificial intelligence and machine learning (AI/ML) have been proposed as tools for prediction, optimization, catalyst discovery, mechanism inference, and process control, but high accuracy on curated laboratory datasets is often confused with actionable knowledge for real treatment systems. This narrative review evaluates AI/ML-enabled AOPs through an evidence-to-deployment framework built on three principles: real wastewater is treated as the primary inference domain; mechanistic claims are graded according to convergent evidence; and AI/ML contributions are linked to explicit decisions rather than to model accuracy alone. We argue that progress depends less on black-box complexity than on standardized reporting, benchmark matrices, curated datasets, uncertainty-aware validation, and pilot-scale demonstrations that satisfy contaminant removal, energy efficiency, byproduct safety, and operational constraints simultaneously. A six-gate decision framework and a targeted research agenda are proposed to guide future studies toward deployment-grade evidence. Full article

Psychoactive substance use is a frequent cause of Emergency Department (ED) presentations among young adults and often involves polysubstance use. We conducted a retrospective descriptive analysis of 76 presentations involving acute recreational drug toxicity in 2024 at a Greek tertiary hospital participating in the Euro-DEN network. The mean age was 30 years, and 61% were male. Cannabis was the most frequently reported substance, followed by cocaine, benzodiazepines and antidepressants. Common clinical features included anxiety, agitation, psychosis, vomiting and tachycardia. Hospital admission was required in 24% of cases and 4% required ICU care, with no fatalities recorded. Substance identification was based on clinical documentation and patient self-report without toxicological confirmation. Full article

Background/Objectives: Metastatic prostate cancer is increasing in the Gulf Cooperation Council countries. This study presents a multimodal treatment protocol incorporating radiotherapy to primary and metastatic sites, guided by PSMA PET/CT, combined with systemic therapy for non-metastatic pelvic node-positive and de novo low-volume metastatic prostate cancer. Methods: We conducted a retrospective cohort study of patients treated with radical radiotherapy doses (68 Gy/25 Fr or 78 Gy/39 Fr) to the prostate gland and gross pelvic disease, and SBRT (35–40 Gy/5 Fr) to distant bone metastases. All patients received LHRH agonists ± abiraterone/prednisone or enzalutamide. Results: Twenty-four consecutive patients were analyzed. The median age was 70.1 years (IQR, 65.7–77.7), the median baseline PSA was 27.9 ng/mL (IQR = 19.7–53.8), and median follow up was 24 months (IQR = 20.4–31.2). Clinical staging was cT3b in (46%), cT2 in (25%), cT4 in (17%), cT3a in (13%) of patients. Pelvic nodal involvement (cN1) was present in 91.7% of patients, while 54.1% had metastatic disease. Treatment was well tolerated. Acute toxicity was predominantly grade 1 genitourinary (GU) toxicity, occurring in 87.5% of patients, with grade 2 GU toxicity observed in 8.2% and no acute gastrointestinal (GI) toxicity. Late toxicity remained minimal, with grade 1 and grade 2 GU toxicity reported in 45.8% and 4.2% of patients, respectively, and no late GI toxicity. Mild systemic treatment-related toxicities were reported in 25% of patients, including sexual dysfunction, hypokalemia, muscle weakness, osteoporosis and depression/anxiety. At the six-month follow-up PSMA PET/CT assessment, 85.7% achieved a complete metabolic response, and 14.2% achieved a partial response. Biochemically, 75% of patients achieved undetectable PSA levels (<0.01 ng/mL), with all patients achieving a PSA nadir < 0.2 ng/mL. Conclusions: This first, hypothesis-generating real-world experience from the GCC, suggests that an integrated approach combining systemic therapy with metastasis-directed therapy is feasible. Prospective randomized studies are required to validate these results. Full article

The red imported fire ant (Solenopsis invicta Buren) is a destructive invasive pest, and conventional chemical control faces challenges related to environmental contamination and resistance development, highlighting the need for novel control agents and greener management strategies. In this study, pyrethrins-mediated silver nanoparticles (Pyr-AgNPs) were synthesized via a green route, characterized, and evaluated for their insecticidal activity, environmental stability, and metabolic effects on S. invicta workers. Bait bioassays showed that Pyr-AgNPs exhibited high toxicity to S. invicta, causing 100% cumulative corrected mortality at 500 mg·kg⁻¹ after 9 days of feeding, with a 5-d LC₅₀ of 116.83 mg·kg⁻¹. Exposure assays further demonstrated that Pyr-AgNPs had good environmental stability and residual efficacy, as bait containing 1000 mg·kg⁻¹ Pyr-AgNPs still caused 100% cumulative corrected mortality after 9 days following 96 h of outdoor exposure, significantly outperforming the pyrethrins treatment. LC-MS-based untargeted metabolomic analysis revealed that treatment with Pyr-AgNPs markedly altered the metabolic profile of S. invicta workers, with 607 differential metabolites identified, mainly belonging to organic acids and derivatives, lipid and lipid-like molecules, amino acids and peptides, cofactors, and redox-related metabolites. Pathway enrichment analysis indicated that these metabolic disturbances were primarily associated with energy metabolism, redox homeostasis, and membrane lipid metabolism. Overall, these findings provide preliminary mechanistic clues into the toxicity of Pyr-AgNPs and support their potential application in the sustainable management of S. invicta. Full article

Light-converting polymer coatings and films are emerging passive photonic materials for spectral engineering in sustainable and protected agriculture. By absorbing ultraviolet or weakly used spectral components and re-emitting in visible bands that overlap with photosynthetic pigments and plant photoreceptor action regions, these materials can modify the radiation environment without additional electrical energy input. This critical narrative review analyses light-converting polymer films and coatings from a materials and coatings perspective, with emphasis on photophysical mechanisms, polymer matrices, luminophore families, coating fabrication routes, optical transparency, photoluminescence, aggregation phenomena, photostability and scalability. The photobiological background is included as a concise framework that justifies the spectral targets of the conversion process. Rare-earth complexes, inorganic phosphors, quantum dots, aggregation-induced-emission systems and organic dyes are compared as candidate luminophores. Particular attention is devoted to the general challenges associated with organic luminescent coatings, including dispersion, aggregation, optical transparency, photostability, and scalability. A PMMA/PDI coating system is discussed only as an illustrative case study demonstrating these broader materials-design considerations. Extrusion, solution casting, spin-coating, dip-coating and sol–gel processing are evaluated as fabrication strategies for laboratory and large-area greenhouse applications. The work concludes by identifying the main gaps that must be addressed before practical deployment: quantitative UV–Vis and photoluminescence characterization, absolute quantum yield, haze and scattering, thickness and morphology mapping, accelerated UV aging, weathering resistance, toxicity assessment and crop-specific validation. Full article

Background/Objectives: The “Land of Fires” (LF) in the Campania Region has attracted considerable attention due to massive environmental contamination deriving from decades of illegal disposal, burial, and burning of urban, industrial, and toxic waste. Cadmium (Cd) has been repeatedly proven to affect male reproductive function by a plethora of endocrine and non-endocrine mechanisms. The scientific literature is almost devoid of large studies addressing semen quality in this area, particularly by directly correlating seminal parameters to objectively measured pollutant burden in biological samples. Therefore, the aim of the current study was to comprehensively evaluate semen quality of males of reproductive age living in the LF, by correlating seminal parameters to cumulative local male reproductive tract Cd burden objectively quantified in whole semen samples. Methods: The current single-center, observational, cross-sectional study evaluated semen quality in 493 males aged 14–50 (29.07 ± 7.17) years living in three LF municipalities. Moreover, the association of semen quality with whole semen Cd (sCd) levels measured by inductively coupled plasma mass spectrometry (ICP-MS) was addressed in a subgroup of participants; semen samples suitable for semen Cd measurements were available from 383/493 (77.7%) participants of the total cohort, and all analyses involving semen Cd were performed within the measured subset. Results: In the total cohort, seminal parameters were as follows: semen pH 8.32 ± 0.3, semen volume 3.13 ± 1.67 mL, sperm concentration 37.58 ± 30.18 × 10⁶/mL, total count 111.2 ± 104 × 10⁶/ejaculate, total motility 56.83 ± 16.09%, progressive motility 50.22 ± 16.63%, in situ motility 6.72 ± 3.43%, immotile spermatozoa 43.07 ± 15.88%, normal morphology 7.97 ± 4.02%, and viability 64.75 ± 15.34%. Prevalence of normozoospermia and pathological seminal parameters was as follows: normozoospermia 66.5% (328/493), pathological seminal parameters 33.5% (165/493), specifically, oligozoospermia 14% (69/493), cryptozoospermia 0.8% (4/493), azoospermia 2.2% (11/493), asthenozoospermia 3% (15/493), teratozoospermia 0.6% (3/493), oligo-astheno-teratozoospermia 6.1% (30/493), necrozoospermia 5.7% (28/493), and different combined seminal parameters alterations 7.1% (35/493). Whole semen Cd was below (undetectable) or above (detectable) the limit of detection (LoD) (0.2 μg/L) in 66.6% (255/383) and 33.4% (128/383) whole semen samples, respectively. In samples with detectable sCd, sCd level was below or above the median value (0.76 μg/L; min–max 0.1–5.95 μg/L) in 23.4% (30/128) and 76.6% (98/128) whole semen samples, respectively. Participants with detectable sCd levels had a significantly reduced sperm total count (93.28 ± 84.88 × 10⁶/ejaculate vs. 113.2 ± 101.5 × 10⁶/ejaculate; p = 0.037), and normal morphology (7.29 ± 3.71% vs. 8.23 ± 3.91%; p = 0.034), and a significantly lower prevalence of normozoospermia (60.2% vs. 72.2%; p = 0.02) and significantly higher prevalence of pathological seminal parameters (39.8% vs. 27.8%; p = 0.02), specifically, a significantly higher prevalence of oligozoospermia (21.1% vs. 12.6%; p = 0.036) than those with undetectable sCd levels. Whole semen Cd levels were significantly higher in participants with pathological seminal parameters (1.08 ± 0.84 μg/L vs. 0.93 ± 0.74 μg/L; p = 0.037) than those with normozoospermia. Participants with sCd levels above the median value (N = 98) had a significantly reduced sperm concentration (29.12 ± 24.84 × 10⁶/mL vs. 43.62 ± 29.55 × 10⁶/mL; p = 0.015) and displayed a trend towards reduced sperm normal morphology (6.92 ± 3.38% vs. 8.55 ± 4.49%; p = 0.057) than those with sCd levels below the median value (N = 30). Moreover, participants with sCd levels above the median value (N = 98) had a significantly reduced sperm concentration (29.12 ± 24.84 × 10⁶/mL vs. 35.3 ± 26.29 × 10⁶/mL; p = 0.03), total count (85.77 ± 80.52 × 10⁶/ejaculate vs. 113.2 ± 101.5 × 10⁶/ejaculate; p = 0.008) and normal morphology (6.92 ± 3.38% vs. 8.23 ± 3.91%; p = 0.006), and a significantly lower prevalence of normozoospermia (57.1% vs. 72.2%; p = 0.008) and significantly higher prevalence of pathological seminal (42.9% vs. 27.8%; p = 0.008), specifically, a significantly higher prevalence of oligozoospermia (23.5% vs. 12.6%; p = 0.014) than those with undetectable sCd levels. Conclusions: The results of the current study demonstrate an association between the environmental Cd exposure and the impairment of seminal parameters, with a significantly poorer semen quality in participants with detectable sCd, and, more markedly, in those with sCd level above the median value, compared to participants with undetectable sCd, although subgroups comparisons highlighted a homogeneous profile in major confounders including age, BMI, and smoking habits among subgroups of participants with different sCd burden. Full article

An emerging environmental pollutant, microplastics have garnered global attention due to their widespread presence in soil and aquatic ecosystems. Early research primarily treated microplastics as single pollutants, focusing on their individual toxic effects. However, microplastics in the environment exist as a complex mixture, comprising various polymer types, sizes, shapes, and aging states. This diversity influences how microplastics regulate ecosystem carbon and nitrogen cycles and intervene through pathways such as direct carbon input, physical disturbance, microbial community restructuring, and coupled effects. This paper systematically reviews the characteristics of microplastic diversity and its mechanisms influencing carbon and nitrogen cycles: the chemical structure of polymers determines bioavailability and degradation rate, with biodegradable plastics altering carbon and nitrogen transformations more significantly than conventional plastics; microplastics of different sizes affect nitrogen transformation dynamics by modulating specific surface area and microbial colonization, with small-sized biodegradable microplastics particularly inhibiting plant nitrogen uptake; aging modifies surface properties and dissolved organic carbon release, thereby enhancing their role in promoting greenhouse gas emissions. Existing studies are largely confined to short-term laboratory simulations, leaving a gap in understanding the comprehensive effects of microplastic diversity under long-term, field conditions. Future research should focus on standardized methods and long-term experiments with multi-factor coupling to provide a scientific basis for ecological risk assessment of microplastic pollution. Full article