Search Results (8,520)

Background/Objectives: Like many other countries, the management of pancreatic cancer in Spain has developed in a fragmented manner. This study analyzes clinical outcomes related to patient volume at different centers after left pancreatectomy (LP). Our goal is to determine whether our practices align with the standards established in the literature and assess whether centralization’s advantages significantly outweigh its disadvantages. Methods: The SPANDISPAN Project (SPANish DIStal PANcreatectomy) is an observational, prospective, multicenter study focused on LP conducted in Spanish Hepato-Pancreato-Biliary (HPB) Surgery Units from 1 February 2022 to 31 January 2023. HPB units were defined as high volume if they performed more than 10 LPs annually. Results: This study included 313 patients who underwent LP at 42 centers across Spain over the course of a year. A total of 40.3% of the procedures were performed in high-volume centers. Significant differences in preoperative variables were only observed in ASA scores, which were higher in the high-volume group. Intraoperatively, minimally invasive surgical techniques were performed more frequently in high-volume centers. Postoperatively, the administration of somatostatin, major complications, and B and C postoperative pancreatic fistula (POPF) were more frequent in low-volume hospitals. Conclusions: The findings revealed that high-volume centers had a higher rate of minimally invasive surgery, lower intraoperative bleeding, fewer complications, and reduced POPFs compared to low-volume centers. However, it is important to note that low-volume centers still demonstrated acceptable outcomes. Thus, the selective referral of more complex laparoscopic procedures could initiate a gradual centralization of surgical practices. Full article

Background and purpose: Vulvovaginal candidiasis (VVC), caused by Candida albicans (C. albicans), is exacerbated by oxidative stress and uncontrolled inflammation. Pathogens like C. albicans generate reactive oxygen species (ROS) to enhance virulence, while host immune responses further amplify oxidative damage. This study investigates the antioxidant and antifungal properties of Hyssopus cuspidatus Boriss volatile extract (SXC), a traditional Uyghur medicinal herb, against fluconazole-resistant VVC. We hypothesize that SXC’s bioactive volatiles counteract pathogen-induced oxidative stress while inhibiting fungal growth and inflammation. Methods: GC-MS identified SXC’s major bioactive components, while broth microdilution assays determined minimum inhibitory concentrations (MICs) against bacterial/fungal pathogens, and synergistic interactions with amphotericin B (AmB) or fluconazole (FLC) were assessed via time–kill kinetics. Anti-biofilm activity was quantified using crystal violet/XTT assays, and in vitro studies evaluated SXC’s effects on C. albicans-induced cytotoxicity (LDH release in A431 cells) and inflammatory responses (cytokine production in LPS-stimulated RAW264.7 macrophages). A murine VVC model, employing estrogen-mediated pathogenesis and intravaginal C. albicans challenge, confirmed SXC’s in vivo effects. Immune modulation was assessed using ELISA and RT-qPCR targeting inflammatory and antioxidative stress mediators, while UPLC-MS was employed to profile metabolic perturbations in C. albicans. Results: Gas chromatography-mass spectrometry identified 10 key volatile components contributing to SXC’s activity. SXC exhibited broad-spectrum antimicrobial activity with MIC values ranging from 0.125–16 μL/mL against bacterial and fungal pathogens, including fluconazole-resistant Candida strains. Time–kill assays revealed that combinations of AmB-SXC and FLC-SXC achieved sustained synergistic bactericidal activity across all tested strains. Mechanistic studies revealed SXC’s dual antifungal actions: inhibition of C. albicans hyphal development and biofilm formation through downregulation of the Ras1-cAMP-Efg1 signaling pathway, and attenuation of riboflavin-mediated energy metabolism crucial for fungal proliferation. In the VVC model, SXC reduced vaginal fungal burden, alleviated clinical symptoms, and preserved vaginal epithelial integrity. Mechanistically, SXC modulated host immune responses by suppressing oxidative stress and pyroptosis through TLR4/NF-κB/NLRP3 pathway inhibition, evidenced by reduced caspase-1 activation and decreased pro-inflammatory cytokines (IL-1β, IL-6, TNF-α). Conclusions: SXC shows promise as a broad-spectrum natural antimicrobial against fungal pathogens. It inhibited C. albicans hyphal growth, adhesion, biofilm formation, and invasion in vitro, while reducing oxidative and preserving vaginal mucosal integrity in vivo. By disrupting fungal metabolic pathways and modulating host immune responses, SXC offers a novel approach to treating recurrent, drug-resistant VVC. Full article

Tupistra chinensis Baker, traditionally used in southern China as a folk remedy for sore throat and pharyngitis, has long been consumed as a medicinal tea. Steroidal saponins are considered the major bioactive constituents of its rhizome, yet systematic studies on their extraction and biological effects remain scarce. In this study, total steroidal saponins from T. chinensis (TCS) were prepared through optimized extraction and enrichment processes. Response surface methodology identified optimal conditions, and subsequent purification with D-101 resin increased the saponin content to 67.3%. The anti-inflammatory activity of TCS was evaluated in vitro and in vivo. In LPS-stimulated RAW264.7 macrophages, TCS significantly inhibited nitric oxide production and downregulated the expression of iNOS, COX-2, and pro-inflammatory cytokines, partly through suppression of NF-κB activation. In a rat model of acute pharyngitis, TCS alleviated pathological symptoms, preserved mucosal integrity, and reduced NF-κB expression. These findings demonstrate that TCS possesses strong anti-inflammatory activity and may serve as a promising candidate for the development of functional foods or natural therapeutics aimed at pharyngitis management. Full article

Poultry production exposes birds to diverse environmental and physiological stressors that disrupt redox balance, impair gut–liver axis function, and undermine health and productivity. This study investigated the hepatoprotective and antioxidative effects of mangosteen pericarp extract (MPE) in an experimental model of diquat-induced oxidative stress in laying hens. A total of 270 Hy-Line White laying hens were randomly assigned to three groups: control group (CON), diquat-challenged group (DQ), and MEP intervention with diquat-challenged group (MQ), with six replicates of 15 birds each. The results showed that MPE supplementation effectively mitigated the hepatic oxidative damage caused by diquat, as evidenced by the increased ALT and AST activity, improved lipid metabolism, and reduced hepatic fibrosis. Mechanistically, MPE activated the NRF2/HO-1 antioxidant pathway, thus enhancing the liver’s ability to counteract ROS-induced damage and reducing lipid droplet accumulation in liver tissue. MPE supplementation restored intestinal barrier integrity by upregulating tight junction protein expression (Occludin-1 and ZO-1), enhancing MUC-2 expression, and thereby decreasing gut microbiota-derived LPS transferring from the intestine. Additionally, MPE also modulated gut microbiota composition by enriching beneficial bacterial genera such as Lactobacillus and Ruminococcus while suppressing the growth of potentially harmful taxa (e.g., Bacteroidales and UCG-010). Fecal microbiota transplantation (FMT) from MPE-treated donors into diquat-exposed recipients reproduced these beneficial effects, further highlighting the role of gut microbiota modulation in mediating MPE’s systemic protective actions. Together, these findings demonstrated that MPE alleviated DQ-induced liver injury and oxidative stress through a combination of antioxidant activity, protection of intestinal barrier function, and modulation of gut microbiota, positioning MPE as a promising natural strategy for mitigating oxidative stress-related liver damage by regulating the gut microbiota and gut–liver axis in poultry. Full article

The development of controlled-release fertilizers (CRFs) has faced significant challenges due to high hydrophilicity and short release lifespan of bio-based materials, as well as non-renewable and high cost of polyester polyols (PPs). In this study, lignin-based polyols (LPs) and PPs were modified to form a cross-linked polymer film on the surface of urea through an in situ reaction. This approach effectively balanced the slow-release ability and environmental protection of controlled-release fertilizer films. A two-factor, five-level orthogonal test was designed for the mass ratio of lignin/polyester polyol and polyol/polyaryl polymethylene isocyanate (PAPI), comprising a total of 25 treatments. The results indicated that the appropriateness of lignin polyols increased the hydrogen bond content of polyurethane membrane, improved the mechanical strength of the fertilizer membrane shell, and effectively reduced friction losses during storage and transportation. Moreover, optimizing the polyol-to-PAPI ratio minimized coating porosity, produced a smoother and denser surface, and prolonged the nitrogen release period. When the lignin polyol dosage was 25% and the polyol to PAPI ratio was 1:2, the nitrogen release time of the prepared coated urea extended to 32 days, which was 3.5 times longer than that of lignin polyurethane coated urea (7 days). The incorporation of lignin and the optimal ratio of coating materials significantly improved the controlled-release efficiency of coated fertilizer, providing theoretical support for the sustainable agricultural application of biomass. Full article

Background: African swine fever (ASF) is a highly contagious and often deadly disease that poses a major threat to swine production worldwide. The lack of a commercially available vaccine underscores the critical need for innovative immunization strategies to combat ASF. Methods: Six ASFV antigenic proteins (K78R, A104R, E120R, E183L, D117L, and H171R) were fused with the Lactiplantibacillus plantarum WCFS1 surface anchor LP3065 (LPxTG motif) to generate recombinant Lactiplantibacillus plantarum NC8 (rNC8) strains. The surface expression was confirmed using immunofluorescence and Western blotting assays. Additionally, the dendritic cell-targeting peptides (DCpep) were co-expressed with each antigen protein. Mice were immunized at a dosage of 10⁹ colony-forming units (CFU) per strain per mouse via intragastric (I.G.), intranasal (I.N.), and intravenous (I.V.) routes. The bacterial mixture was heat-inactivated by boiling for 15 min to destroy viable cells while preserving antigenic structures. I.V. administration caused no hypersensitivity, confirming the method’s safety and effectiveness. Results: Following I.G. administration, rNC8-E120R, rNC8-E183L, rNC8-K78R, and rNC8-A104R induced significant levels of secretory immunoglobulin A (sIgA) in fecal samples, whereas rNC8-H171R and rNC8-D117L failed to induce a comparable response. Meanwhile, rNC8-D117L, rNC8-K78R, and rNC8-A104R also elicited significant levels of sIgA in bronchoalveolar lavage fluid (BALF). Following I.N. immunization, rNC8-E120R, rNC8-K78R, and rNC8-A104R significantly increased sIgA levels in both fecal and BALF immunization. In contrast, I.V. immunization with heat-inactivated rNC8-K78R and rNC8-A104R induced robust serum IgG titers, whereas the remaining antigens elicited minimal or insignificant responses. Flow cytometry analysis revealed expanded CD3⁺CD4⁺ T cells in mice immunized via the I.N. and I.G. and CD3⁺CD4⁺ T cells only in those immunized via the I.N. route. Th1 responses were also significant in the sera of mice immunized via the I.G. and I.N. routes. Conclusions: The rNC8 multiple-antigen cocktail elicited strong systemic and mucosal immune responses, providing a solid foundation for the development of a probiotic-based vaccine against ASF. Full article

This study developed an inertial measurement unit (IMU)-enhanced bidirectional reflectance distribution function (BRDF) imaging system to address angular errors in multi-angle polarimetric measurements. The system integrates IMU-based closed-loop feedback, motorized motion, and image calibration, achieving zenith angle error reduction of up to 1.2° and angular control precision of approximately 0.05°. With a modular and lightweight structure, it supports rapid deployment in field scenarios, while the 2000 mm rail span enables detection of large-scale targets and three-dimensional reconstruction beyond the capability of conventional tabletop devices. Experimental evaluations on six representative materials show that compared with mark-based reference angles, IMU feedback consistently improves polarimetric accuracy. Specifically, the degree of linear polarization (DoLP) mean deviations are reduced by about 5–12%, while standard deviation fluctuations are suppressed by 20–40%, enhancing measurement repeatability. For the angle of polarization (AoP), IMU feedback decreases mean errors by 10–45% and lowers standard deviations by 10–37%, ensuring greater spatial phase continuity even under high-reflection conditions. These results confirm that the proposed system not only eliminates systematic angular errors but also achieves robust stability in global measurements, providing a reliable technical foundation for material characterization, machine vision, and volumetric reconstruction. Full article

Feed is an important source of antibiotic resistance genes (ARGs) in animals and products, posing significant potential risks to human health and the environment. Ensiling may present a feasible method for reducing ARGs in animal feed. This study involved the addition of four types of lactic acid bacteria (LAB) inoculants, Lactiplantibacillus plantarum (LP), Pediococcus acidilactici (P), Enterococcus faecium (E), and Ligilactobacillus salivarius (LS), to whole-crop corn silage to investigate changes in ARGs, mobile genetic elements (MGEs), and their transmission risks during ensiling. The results indicated that the addition of LAB significantly reduced the ammonia nitrogen content and pH value of whole-crop corn silage, inhibited the growth of harmful microorganisms, and increased the lactic acid content (p < 0.05). The improvement effect was particularly pronounced in the P treatment group. Natural fermentation plays a significant role in reducing ARG abundance, and the addition of different types of lactic acid bacteria helps reduce the abundance of both ARGs and MGEs. Specifically, the LS treatment group exhibited a significant decrease in MGE abundance, potentially reducing the horizontal transmission risk of ARGs. Furthermore, variations in ARG abundance within different LAB strains were detected, showing a consistent trend with that in silage. ARGs and MGEs were correlated with the fermentation parameters and microbial communities (p < 0.05). This suggests that adding LAB with low levels of ARGs to silage can effectively reduce ARG contamination. Bacterial community structure, MGEs, and fermentation quality may act as driving forces for the transfer and dissemination of ARGs in the silage ecosystem. Full article

Parkinson’s disease (PD) is characterized by the progressive loss of dopaminergic neurons in the substantia nigra, and key pathways such as neuroinflammation, oxidative stress, and autophagy are believed to significantly contribute to the mechanisms of neurodegeneration. Calpain activation plays a critical role in neuroinflammation and neurodegeneration, as demonstrated by its impact on microglial activation, reactive oxygen species (ROS) production, and neuronal survival. In this study, we investigated the effects of calpain inhibition using calpeptin (CP) and calpain-2-specific inhibitors in cellular and murine models of neuroinflammation and PD. In BV2 microglial cells, LPS-induced production of pro-inflammatory cytokines (TNF-α, IL-6) and chemokines (MCP-1, IP-10) were significantly reduced by CP treatment with a concomitant decrease in ROS generation. Similarly, in VSC-4.1 motoneuron cells, calpain inhibition attenuated IFN-γ-induced ROS production and improved cell viability, demonstrating its neuroprotective effects. Moreover, in a murine MPTP model of PD, calpain inhibition reduced astrogliosis, ROCK2 expression, and levels of inflammatory cytokines (TNF-α, IL-1β, IL-6, IL-7, and IL12p70) and chemokines (MCP-1 and IP-10) in the dorsal striatum and plasma. The specific role of calpain-2 in immune modulation was further highlighted in human microglia, SV-40 cells. With respect to immune modulation in these cells, siRNA-mediated knockdown of calpain-2, but not calpain-1, significantly reduced antigen presentation to CD4+ T cells. Thus, calpain-2 is likely involved in regulating antigen presentation and activation of inflammatory CD4+ T cells. These findings underscore the therapeutic potential of calpain-2 inhibition in mitigating neuroinflammation and neurodegeneration, particularly in PD, by targeting microglial activation, ROS production, and neuronal survival pathways. Full article

The use of solid products deriving from the pyrolysis of wastes as potential substitute of traditional binders in asphalt preparation is investigated with the final goal of reducing production costs, preserving non-renewable resources, and promoting an effective resource use as well as recovery and recycling procedures, thus implementing a regenerative circular economy approach. Char derived from the pyrolysis of agricultural and aquaculture wastes has been explored as a novel alternative additive for asphalt production. Different feedstocks were used for the preparation of biochar by pyrolysis. The produced char samples, after an in-depth chemical and structural characterization, have been implemented in the preparation of asphalt mixtures, with their potential use as a binder evaluated by performing conventional rheological tests. To evaluate the potential anti-aging effect of char as an additive, bituminous formulations containing 3 to 6 wt.% char were subjected to short-term simulated aging using the Rolling Thin-Film Oven Test (RTFOT) method. The resulting mechanical properties were then assessed. The results indicate that the all the tested char samples have limited modifying properties towards the gel-to-sol transition temperature. Among the samples, lemon peel-derived char (LP-char) showed superior antioxidant properties against bitumen oxidative aging. This study suggests that certain chemical characteristics can serve as predictive indicators of antioxidant activity in biochars produced from biomass pyrolysis. Full article

Grape pomace (GP), a polyphenol-rich byproduct of winemaking, holds considerable health benefits and potential as an antibiotic alternative for livestock animals. However, its utilization is compromised by the contamination of mycotoxins produced by pathogenic molds (with ochratoxin A (OTA) being the most frequently detected), which pose hidden health risks to both livestock animals and human beings. This study evaluated the efficacy of thermal–pressure treatment (pressure cooking) with and without the addition of acidic and alkaline agents, and the combined thermal-pressure and fermentation with four lactic acid bacteria (LAB) strains, including Lactobacillus bulgaricus (LB6), Lacticaseibacillus paracasei (previously Lactobacillus paracasei) (BAA-52), Lactobacillus acidophilus, and Lactiplantibacillus plantarum (previously Lactobacillus plantarum), on reducing OTA and preserving polyphenols in GP. The study found that pressure cooking alone reduced OTA by approximately 33–35% in 30–45 min. The addition of citric acid (CA) or acetic acid (AA) enhanced OTA reduction to 46.9–55.2% and 51.7–54%, respectively, while preserving more polyphenols, notably anthocyanins. Conversely, pressure cooking with the addition of NaHCO₃ facilitated greater OTA reductions (40.4–63%), but concomitantly resulted in substantial polyphenol loss, especially anthocyanins. Fermentation for 24 h with LAB following thermal–pressure treatment resulted in up to 97% OTA reduction for Lc. paracasei, L. acidophilus, and Lp. plantarum strains, which displayed similar high effectiveness in OTA reduction in GP. L. bulgaricus (LB6) was least effective (45%), even after 72 h of fermentation. These findings indicate that home-scale pressure cooking combined with lactic acid fermentation effectively detoxifies OTA-contaminated GP, thus enhancing its safety profile for consumption by livestock animals and humans, despite partial polyphenolic losses. Full article

The aim of this study was to refine the lipopolysaccharide (LPS)-induced synovitis model in normal carpal joints of Thoroughbred horses by comparing two low LPS doses. A further aim was to investigate the relationship between the induced synovitis and lameness. The study design consisted of two phases using nine horses with a unilateral crossover design and a within-animal saline control. Synoviocentesis was performed at post-injection hour (PIH) 0, 8, 24, 72 and 168, allowing for synovial fluid cytology and biomarker analysis. Objective gait and thermographic analysis were used to objectively measure clinical effects. The results demonstrate that injection of either a 0.125 ng or 0.25 ng dose of LPS induces a comparable degree of synovitis in terms of TP, WBC, PGE₂ and MMP activity at peak values. Statistically significant changes in baseline lameness values were not detected with the 0.125 ng dose, a novel and valuable finding suggesting a comparable degree of synovitis is achieved without significant lameness. All measured parameters had returned to baseline by PIH 168. In conclusion, the findings of this study confirm that this LPS model produces a consistent and reliable synovitis at 0.25 ng and 0.125 ng doses. The reduction in lameness evident at the 0.125 ng dose offers enhanced animal welfare while delivering measurable synovitis. The authors believe that a further reduction in the LPS dose is possible with continued development of a repeated low-dose/slow-release model to better mimic clinical disease. Full article

The purpose of this study was to investigate the effects of duck-derived probiotics added to drinking water on the production and immune performance of Pekin ducks. Two strains with good biological characteristics were isolated from the cecum of Pekin duck and identified as Lactiplantibacillus plantarum (L. plantarum) and Enterococcus faecalis (E. faecalis) by species identification. Then, a total of 90 uniformly sized and healthy 7-day-old Pekin ducks were randomly divided into three groups (six replicates per group, five ducks per replicate). Ducks in the control group were fed the basal diet (control group), and those in the experimental groups were fed the basal diet and supplemented with 1 × 10⁷ CFU/mL L. plantarum (LP group) and E. faecalis (EF group) in drinking water, respectively. The supplementation of L. plantarum and E. faecalis in drinking water could significantly improve the average daily feed intake (ADFI) and average daily gain (ADG) of Pekin ducks, as well as the live weight, eviscerated weight, half-eviscerated weight, breast muscle weight, and leg muscle weight (p < 0.05). Compared with the control group, the duodenal villus height, duodenal V/C (villus height and crypt depth ratio), and ileal villus height were significantly increased in LP and EF groups (p < 0.05). Moreover, supplementing the L. plantarum and E. faecalis significantly improved the immune organ index and serum immunoglobulin A (IgA) content, and reduced the serum immunoglobulin G (IgG) content (p < 0.05). They also significantly decreased the number of pathogenic bacteria in the cecum of Pekin ducks and increased the number of Lactobacillus sp. (p < 0.05). This study indicated that adding duck-derived L. plantarum and E. faecalis can improve the production and immune performance of Pekin ducks, as well as enhance the structure of their gut microbiota and protect intestinal health. These findings deepen our understanding of the functions of duck-derived probiotics and provide a foundation for their use as feed additives. Full article

Background and Objectives: Kumazasa extract (KZExt) is a food product obtained by steam extraction of Kumazasa (Sasa senanensis and Sasa kurilensis) leaves under high temperature and pressure. It contains abundant polyphenols, including trans-p-coumaric acid and ferulic acid, as well as xylooligosaccharides. In this study, we investigated the antibacterial, anti-viral, and anti-inflammatory effects of KZExt in vitro and in vivo. Materials and Methods: The anti-oxidant, antibacterial, and anti-viral effects of KZExt were assessed in vitro. Anti-oxidant activity was evaluated based on the scavenging of •OH, •O₂⁻ and ¹O₂. Antibacterial effects were assessed by determining the minimum inhibitory concentration (MIC) using a microdilution method. Anti-influenza activity was measured via plaque formation in MDCK cells. Anti-inflammatory effects were assessed by measuring interleukin (IL)-1β inhibition in lipopolysaccharide (LPS)-stimulated RAW264.7 cells. In vivo, KZExt was administered once (30 min before) in a formalin-induced inflammation model to evaluate pain-related behavior. In the LPS-induced inflammation model, KZExt was administered for five days before LPS injection. Behavioral changes and cytokine levels were assessed 24 h later via the open field test and cytokine quantification. Results: In vitro, KZExt showed antibacterial, anti-influenza, and anti-oxidant effects, and suppressed LPS-induced IL-1β production. In vivo, it significantly reduced the second phase of formalin-induced pain behavior. In the LPS model, although behavioral changes were unaffected, KZExt suppressed IL-6 and interferon-γ production. Conclusions: The antibacterial, anti-viral, and anti-inflammatory effects of KZExt were confirmed in vitro and in vivo. Notably, the anti-inflammatory effect suggests potential immunomodulatory activity. These findings indicate that KZExt may help suppress smoldering inflammation and inflammation associated with various diseases through its combined antibacterial, anti-viral, and immunomodulatory actions. Full article

Aortic stenosis (AS) and atherosclerosis are progressive cardiovascular conditions that frequently coexist and share multiple clinical and molecular features. Medical therapies have shown effectiveness in preventing and treating atherosclerosis and its consequences. For AS, effective pharmacological therapies remain limited. Understanding the shared risk factors and mechanisms between the two conditions may provide opportunities for therapeutic repositioning in AS. We performed a narrative review focusing on studies published from 2005 to 2025. Inclusion criteria encompassed clinical trials, experimental models, and molecular studies addressing overlapping risk factors, pathological pathways, and treatment approaches for AS and atherosclerosis. AS and atherosclerosis share key risk factors, including age, hypertension, hyperlipidemia, and diabetes. Molecular mechanisms, such as chronic inflammation, endothelial dysfunction, oxidative stress, lipid accumulation, and calcific remodeling, are common to both. Pathways involving the renin-angiotensin system, Notch signaling, and osteogenic mediators contribute to disease progression. Several drug classes, notably proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors, lipoprotein(a) (Lp(a)) lowering therapies, anti-inflammatory agents, and immunomodulators, show potential for repositioning in AS management. The substantial overlap in risk factors and molecular mechanisms between AS and atherosclerosis supports a rationale for therapeutic repositioning. Targeting shared pathways could lead to innovative strategies for slowing AS progression and improving patient outcomes. Full article