Search Results (929)

Raman spectroscopy (RS) provides detailed information on molecular structure but remains challenging for low-scattering proteins in complex media. Myelin basic protein (MBP) is a key structural component of central nervous system myelin and a clinically relevant molecule in demyelinating disorders; however, to the best of our knowledge, its Raman signature in solution has not been reported. In this work, Raman and surface-enhanced Raman spectroscopy (SERS) were employed to characterize purified human myelin basic protein (MBP) in aqueous solution and cerebrospinal fluid (CSF). Quasi-spherical silver nanoparticles were used as SERS elements, yielding enhancement factors of 10⁵ and increasing sensitivity to MBP-associated spectral changes at low concentrations. The MBP spectrum exhibited vibrational modes primarily associated with amide II and amide III bands, as well as aromatic side-chain contributions. Comparative analysis of MBP, CSF, and MBP-spiked CSF samples revealed significant spectral overlap, limiting discrimination based solely on peak positions. To overcome this limitation, spectral correlation and band-intensity-ratio analyses were applied, revealing reproducible trends associated with increasing MBP content. While individual MBP bands are not exclusive, the observed spectral patterns demonstrate the sensitivity of RS and SERS to MBP-induced spectral changes in CSF. These findings should be interpreted as a proof-of-concept in a single-donor CSF matrix. Full article

To elucidate the mechanisms of nutrient cycling in rhizosphere soil and microbial metabolism during the prolonged continuous cropping of lavender, this study examined the rhizosphere soil of lavender with different continuous cropping years (1, 4, 7, 10, 15, and 20 years) in the Ili River Valley of Xinjiang, China, measuring physicochemical properties, microbial biomass C/N/P, and eight extracellular enzyme activities. Microbial carbon use efficiency (CUE) and nutrient limitation were quantified using vector analysis, threshold elemental ratios (TERs), and two derived indices (TER_EEA and TER_L). Soil properties exhibited distinct nonlinear patterns: SOC peaked at 4 years (p < 0.05), TN was highest at 20 years, and TP was lowest at 4–7 years. MBC and MBN peaked at 20 years, whereas MBP was significantly lower than in 1-, 4-, and 10-year fields (p < 0.05). EEC and EEN were highest at 20 years, while EEP was lowest at 4 years (p < 0.05). The activity of carbon-related acquisition enzymes increases from 134.81 μmol/g·h in the first year to 393.86 μmol/g·h in the 20th year, an increase of 192%; the activity of nitrogen acquisition enzymes increases from 686.11 μmol/g·h in the first year to 1430.58 μmol/g·h in the 20th year, an increase of 108%. This indicates that the decomposition of organic matter and the nutrient cycling capacity continue to enhance. Vector analysis showed a mean VA of 46° and VL of 0.25, with VA > 45° (P limitation) at 1–4 years shifting to VA < 45° (N limitation) at 20 years. Critically, TEREEA and TERL produced opposite dominant limitations due to differing normalization frameworks—TEREEA scales by microbial biomass stoichiometry—while TERL normalizes against enzyme-derived thresholds. CUET and CUEE ranged from 0.42 to 0.56, with the minimum at 10 years and relatively high values at 15–20 years (p < 0.05). RDA identified CBH (26.2%) and NO₃⁻–N (19.8%) as primary drivers, with extractable phosphorus exhibiting the strongest regulatory effect (pseudo-F = 26.0). These results demonstrate that multi-model stoichiometric assessment is essential, as single indices may yield contradictory diagnoses. These results demonstrate that multi-model stoichiometric assessment is essential, as single indices may yield contradictory diagnoses, and the observed nonlinear shifts in dominant limitation type provide a mechanistic basis for targeted nutrient management in sustainable lavender cultivation. Full article

The flower color of Rhododendron is primarily determined by anthocyanin biosynthesis, with cytochrome P450 CYP75 family members, particularly flavonoid 3′,5′-hydroxylase (F3′5′H), playing a central role. However, the composition and functional characterization of CYP75 genes in Rhododendron remain insufficiently explored. This study performed genome-wide identification of the CYP75 gene family using the Rhododendron simsii reference genome and functionally characterized the corresponding F3′5′H homolog cloned from Rhododendron × hybridum petals (red cultivar and pink cultivar). Seven RsCYP75 genes were identified, categorized into two subfamilies: RsCYP75A (A1–A5) and RsCYP75B (B1–B2), with a prominent cluster on chromosome 13. All encoded proteins contained a conserved cytochrome P450 domain and typical heme-binding motifs. Among these, RhCYP75A2 showed the highest expression level in red petals at full blooming period and was designated as RhF3′5′H. RhF3′5′H encodes a basic membrane protein with the characteristic F3′5′H motif, with its transcript most abundant in flowers. Transient overexpression of RhF3′5′H in red R. × hybridum petals resulted in a 9.74-fold increase in its transcript levels and a 1.25-fold increase in anthocyanin content compared to that in the control accompanied by the up-regulation of CHS, F3H, DFR and ANS. Conversely, RhF3′5′H silencing reduced anthocyanin accumulation but increased CHS and F3H transcript levels, suggesting a compensatory transcriptional response in the upstream anthocyanin pathway. Moreover, RhF3′5′H was heterologously expressed in E. coli Rosetta as an MBP fusion protein, purified, and identified by LC-MS/MS and ELISA. The protein showed the ability to promote anthocyanin accumulation. Molecular docking analysis demonstrated that RhF3′5′H can bind to naringenin and dihydrokaempferol. These results confirm that RhF3′5′H is a functional F3′5′H-type CYP75A enzyme and a positive regulator of anthocyanin accumulation in Rhododendron petals. This work enriches the CYP75 gene catalog in Rhododendron and provides candidate genes for future studies on flower color regulation and molecular breeding. Full article

A microbial community study using a culture-dependent method was conducted on dehydrated sludge collected from a steel factory’s wastewater treatment plant. One isolate, designated QWL-01^T, was a strictly anaerobic, Gram-stain-negative, non-motile, non-spore-forming bacterium with coccoid cells measuring 0.6–0.9 μm in diameter. The growth of strain QWL-01^T was observed at 4–40 °C (optimum at 28–35 °C), pH 5.5–8.0 (optimum at pH 7.1), and a range of 0–3% NaCl (optimum at 0.5%). An analysis of the Biolog AN plate revealed positive carbon source utilization only for palatinose, α-ketovaleric acid, and pyruvic acid. The predominant fatty acids were iso-C_13:0 (17.0%), C_16:0 dimethyl acetal (12.0%), and anteiso-C_13:0 (9.2%). A 16S rRNA gene sequence analysis through BLASTN demonstrated that the nearest phylogenetic neighbors of the novel strain were Youngiibacter multivorans DSM 6139^T (93.82%) and Proteiniclasticum ruminis JCM 14817^T (93.75%). The genome size of strain QWL-01^T was 3.69 Mbp, with a G+C content of 50.8 mol%. Comparing strain QWL-01^T with closely related species of genera Proteiniclasticum and Youngiibacter, the digital DNA-DNA hybridization (dDDH), average nucleotide identity (ANI), and average amino acid identity (AAI) values ranged from 26.60% to 36.80%, 65.89% to 68.30%, and 49.27% to 51.58%, respectively. Based on phenotypic, physiological, phylogenetic, and genomic relatedness evidence, strain QWL-01^T represents a novel genus in the family Clostridiaceae, for which the name Anaerococcoides asporogena gen. nov. sp. nov. is proposed. Strain QWL-01^T (=BCRC 81396^T = CICC 25258^T = NBRC 117088^T) is the type strain of the proposed novel species. Full article

Accurate short-horizon downlink throughput prediction is essential for automation in high-density 5G deployments (e.g., stadiums and events), where user load, scheduling decisions, and interference conditions change rapidly and produce highly variable user-perceived rates. This paper benchmarks lightweight regression models for per-user throughput prediction from readily available radio access network (RAN) key performance indicators (KPIs) and studies a risk-aware extension that augments point forecasts with calibrated uncertainty and an abstention (deferral) rule. Experiments use a strictly time-ordered train/calibration/test protocol on the Liverpool 5G High-Density Demand (L5GHDD) dataset. The target is strongly zero-inflated (about 62% of samples at 0 Mbps) and heavy-tailed, creating regimes where average-error optimization can mask rare but operationally important bursts. In the point-prediction benchmark, the best model is a tuned two-stage support vector regressor with a mean absolute error (MAE) of $0.452$ Mbps, while the strongest single-stage model attains a weighted mean absolute percentage error (WMAPE) of $56.200\%$. For uncertainty quantification, we compare standard split conformal prediction against two input-adaptive alternatives. Constant-width split conformal attains $88.900\%$ marginal coverage for a nominal 90% target with an average interval width of $2.288$ Mbps, but width-based deferral is degenerate because all intervals have the same size. Variable-length conformal intervals preserve near-nominal coverage ($91.100\%$) while producing informative width variation: normalized conformal reduces the average width to $1.344$ Mbps, and conformalized quantile regression reduces it to $0.641$ Mbps. At a deferral threshold of $1.500$ Mbps, constant-width conformal defers all samples, whereas normalized conformal still acts on $61.200\%$ of samples with selective MAE $0.219$ Mbps. These results show that input-adaptive uncertainty is necessary for meaningful selective prediction in heteroscedastic 5G throughput dynamics. Full article

Thymol has been granted “Generally Recognized as Safe” status by the US Food and Drug Administration. However, its application as a natural preservative is constrained by limitations such as poor water solubility and high volatility. In this study, a dual-protein complex was prepared using mung bean protein and whey protein isolate to stabilize thymol-loaded oil-in-water (O/W) Pickering emulsions. The results demonstrated that the dual-protein system was driven by hydrogen bonding, electrostatic attraction, and hydrophobic interactions. Compared to single-protein systems, the dual-protein Pickering emulsions possessed smaller droplet sizes, lower polydispersity indices, and higher surface charges and surface hydrophobicity. Additionally, the dual protein enhanced emulsifying activity, thermal stability, and 30-day storage stability. Notably, the complex formed a continuous three-dimensional porous network structure at the mung bean protein (MBP) to whey protein isolate (WPI) ratio of 50%:50%. Benefiting from this structure and high surface hydrophobicity, the 50%:50% formulation achieved the highest thymol encapsulation efficiency. In terms of functional properties, this optimized emulsion demonstrated notable antibacterial activity and antioxidant activity; it demonstrated antibacterial activity against Shewanella putrefaciens and Staphylococcus aureus. Furthermore, the IC₅₀ value for the 50%:50% formulation was 192.25 ± 1.93 μg/mL (DPPH) and 161.74 ± 0.71 μg/mL (ABTS). In summary, the 50%:50% formulation enhanced the emulsifying activity, encapsulation efficiency, and bioactivity of the emulsion. This system provides an effective strategy for the stabilization and encapsulation of hydrophobic active compounds in emulsions. Full article

Stretching of the upper trapezius muscle reduces stiffness and choroidal blood flow velocity, but its effect on skin blood flow remains unclear. We evaluated the changes in upper trapezius skin circulation hemodynamics before/after self-stretching using skin laser speckle flowgraphy (LSFG). Twenty-two healthy young adults (median age [Q1–Q3]: 21.0 [20.0–21.0] years) were enrolled. Trapezius stiffness was assessed using ultrasound strain elastography, and skin and choroidal blood were measured with skin and ocular LSFG, respectively, using mean blur rate (MBR) as an index of blood flow velocity. Intraocular pressure (IOP); systolic (SBP), diastolic (DBP), and mean blood pressure (MBP); heart rate (HR); ocular perfusion pressure (OPP); salivary α-amylase (sAA) activity; and subjective eyestrain/shoulder stiffness symptoms (visual analog scale, VAS) were evaluated at baseline and after stretching. SBP, DBP, MBP, OPP, sAA activity, VAS scores for eyestrain and shoulder stiffness, trapezius stiffness, and skin and choroidal MBR decreased significantly after self-stretching, whereas IOP and HR remained unchanged. Trapezius muscle self-stretching reduces muscle stiffness and induces relaxation in healthy adults, accompanied by reduced sympathetic activity and decreased systemic, choroidal, and local skin circulation. These findings suggest that skin LSFG may serve as a useful, non-invasive tool for evaluating shoulder stiffness. Full article

The UK telecommunications sector’s 5G rollout is projected to consume 2.1% of national electricity by 2030, raising urgent sustainability concerns. This study empirically investigates, under controlled laboratory conditions, the energy performance and cost characteristics of two private 5G architectures—Vodafone’s Mobile Private Network (MPN) and an Open Radio Access Network (O-RAN) via BubbleRAN—and contextualises them against public network references and the United Nations Sustainable Development Goals (SDGs). Two complementary dimensions of energy performance are assessed: absolute power consumption (Watts), reflecting total system draw regardless of throughput; and throughput efficiency (Mbps/W), capturing useful data delivered per unit of energy. In terms of absolute power, O-RAN consumes less (460 W active, 378 W idle) than MPN (645 W active, 620 W idle). In terms of throughput efficiency, MPN delivers 1.45 Mbps/W versus O-RAN’s 0.44 Mbps/W under these specific controlled, single-cell conditions, a difference that reflects the tested hardware configurations (n77 vs. n78 band; 936 Mbps vs. 202 Mbps throughput; 2 × 2 vs. 4 × 4 MIMO) as much as any intrinsic architectural distinction. Both architectures offer substantially lower annual energy costs (£1060–£1486) compared to public micro-cells (£1991–£2666), representing 44–60% savings. Session continuity was 100% across all controlled trials; this reflects short-term laboratory conditions and should not be extrapolated to a long-term network availability guarantee without extended field validation. These results are configuration-specific preliminary indicators; the relative efficiency advantage of each architecture is expected to vary with load, band, and deployment scale. By 2030, UK 5G network operations are projected to generate 795,347–1,260,532 tonnes of CO₂ annually across low-to-high demand scenarios; private deployment, by reducing site proliferation 15–33%, could displace a meaningful share of this footprint. These findings support SDGs 4, 8, 9, 12, and 13. Hybrid O-RAN–MPN pilots are recommended to maximise sustainability gains while advancing social equity and net-zero targets. Full article

Chronic pain, a complex multidimensional disorder, remains a major healthcare issue and a therapeutic challenge. Neuropathic pain is a chronic pain condition that results from damage or dysfunction in the nervous system. While mechanisms of neuropathic pain at the peripheral and spinal cord level have been extensively studied, pain mechanisms in the brain remain underexplored. The amygdala, a limbic brain region, has emerged as a critical brain area for the emotional–affective dimension of pain and pain modulation. Amygdala neuroplasticity has been associated with pain states, but the exact molecular and cellular mechanisms underlying these states and the transition from acute to chronic pain are not well understood. Here, we used the spinal nerve ligation (SNL) model of neuropathic pain in male rats to investigate changes in gene expression in the amygdala at the chronic pain stage using RNA sequencing (RNA-Seq). Two amygdala nuclei, the basolateral (BLA) and central (CeA), were investigated in a hemisphere-dependent manner. We used an integrative approach that focuses on functional significance and cell-type specificity of differentially expressed genes (DEGs) to nominate mechanistic targets for central regulation of chronic pain. Our integrative transcriptomic and bioinformatic analyses identified individual genes (e.g., Cxcl10, Cxcl12, Mbp, Plp1, Mag, Mog, Slc17a6, Gad1, and Sst), molecular pathways (e.g., cytokine-mediated signaling pathway), biological processes (e.g., myelination, synaptic transmission), and specific cell types (e.g., oligodendrocytes, glutamatergic, and GABAergic neurons) affected by chronic pain. Our results also provide some evidence for the emerging concept of hemispheric lateralization of pain processing in the amygdala. Overall, our study proposes oligodendrocyte dysfunction in the amygdala, neuroimmune signaling in the CeA, and glutamatergic neurotransmission in the BLA as key processes and potential therapeutic targets for the management of chronic neuropathic pain. Full article

Background: Chronic stress is a major contributing factor to mood disorders, including depression and anxiety; however, the molecular mechanisms underlying individual differences in susceptibility to such disorders remain poorly understood. DNA methyltransferase 3a (Dnmt3a), a key epigenetic regulator, has been increasingly implicated in stress-related neurobiological adaptations. In this study, we employed a well-established mouse model of chronic social defeat stress (CSDS) to investigate the functional role of Dnmt3a in modulating individual susceptibility to social stress. Methods: Male C57BL/6J mice were exposed to chronic/submaximal social defeat stress (CSDS/SSDS). AAV vectors were used to achieve Dnmt3a overexpression or global and oligodendrocyte-specific knockdown in the nucleus accumbens (NAc). Behavioral tests, including social interaction, open field, and elevated zero maze, were conducted alongside Western blotting and immunofluorescence assays. Results: CSDS selectively increased Dnmt3a expression in NAc oligodendrocytes of stress-susceptible mice. Overexpression of Dnmt3a in the NAc enhanced susceptibility to stress, whereas its knockdown conferred resilience, without affecting baseline behaviors. Dnmt3a negatively regulated myelin basic protein (MBP) and dopamine D1 receptor expression. Stress-susceptible mice exhibited shortened myelinated segments and reduced D1 receptor levels, while D2 receptor expression remained unchanged. Conclusions: Dnmt3a in NAc oligodendrocytes modulates susceptibility to social stress through a Dnmt3a-MBP/D1 receptor-NAc pathway, highlighting a critical glia-neuron interaction. This mechanism extends our understanding of the neurobiological basis of stress-related disorders and positions Dnmt3a as a promising therapeutic target for developing precision interventions or biomarkers. Full article

Background/Objective: Apart from the attributes such as cost, yields and consistency that define the feasibility of a manufacturing process, physicochemical and immunological quality traits equally signify the functionality of a biological product. The present study investigates one such promising Meningococcal B vaccine candidate, a chimeric fHbp-PorA protein in Escherichia coli. Methods: The chimeric fHbp–PorA protein, expressed with an N-terminal tag of HIS-MBP-TEV was produced in a 10 L fermenter under two different media and induction strategies: chemically defined (CD) media with lactose induction and complex media (CM) with galactose-mediated autoinduction. Comparative analysis was carried out between the two approaches for cell growth, protein expression, and purification, and the final chimeric proteins were characterized to evaluate for their biochemical, structural, in vitro and in vivo immunochemical properties. Results: Growth in the CD media resulted in several-fold-higher biomass compared to that in CM media in a short cultivation time; however, more than a third of the expressed protein remained in an insoluble state. Meanwhile, almost all of the expressed protein with CM media was recovered in soluble form. Moreover, purification of the unprocessed tagged protein and recovery of chimeric protein (tag removed) resulted in 75% greater yield in CM media when compared to CD media. The final chimeric proteins obtained from each medium varied significantly in their physicochemical characteristics, including their epitope projection and CD spectra. The results of in vivo animal immunogenicity response also showed higher serum bactericidal activity associated with chimeric protein obtained from CM media compared to CD media. Conclusions: The outcomes demonstrate that complex media with galactose-induced expression not only show higher productivity but also exhibit superior quality attributes, qualifying their reliable use in the manufacturing process of this promising vaccine candidate. Full article

Background: Intracerebral hemorrhage (ICH) is a devastating subtype of stroke, in which neuroinflammation and blood–brain barrier (BBB) disruption are secondary pathophysiological events that drive progressive brain injury. Histone lysine demethylase JMJD3 (Jumonji C domain-containing protein 3) is a master epigenetic switch governing inflammatory signaling; however, its participation in ICH-induced vascular disruption and its possible mechanism remain elusive. Objective: To examine the expression patterns of JMJD3 in the context of ICH and to evaluate the therapeutic potential of its specific inhibitor, GSK-J4, in attenuating neuroinflammation and BBB disruption in a murine ICH model. Methods: Hemin treatment of a mouse C8-D1A astrocytic cell line was used to develop an in vitro ICH model. The transcript level of the Jmjd3 gene and its correlation with pro-inflammatory signaling were analyzed with or without GSK-J4 pretreatment. ICH in vivo was created experimentally in adult male C57BL/6 mice through stereotactic striatal injection of collagenase IV, and the mice were randomly assigned to sham, ICH + vehicle, and ICH + GSK-J4 (30 mg/kg intraperitoneally (i.p.), every other day starting three days before ICH) groups. At three days post-ICH, ipsilateral brain tissues were collected to detect JMJD3 cellular localization, pro-inflammatory mediator levels, tight junction protein expression, BBB ultrastructure, and hematoma volume. White matter integrity and neuronal recovery were assessed on day 7, and sensorimotor function was assessed longitudinally on days 1, 3, 5, 7, and 14. Results: Jmjd3 gene transcription was upregulated in hemin-treated astrocytes and correlated positively with IL-6 pro-inflammatory signaling activation. In vivo, the co-localization of JMJD3 with the astrocytic identifier glial fibrillary acidic protein (GFAP) was markedly increased in the area adjacent to the hematoma at three days post-ICH. GSK-J4 administration significantly suppressed the pro-inflammatory signaling cascade by decreasing the levels of inducible nitric oxide synthase (iNOS), tumor necrosis factor-α (TNF-α), and matrix metalloproteinase-9 (MMP-9), enhanced brain vascular structural and functional integrity by upregulating tight junction proteins zonula occludens protein-1 (ZO-1) and claudin-5, improved BBB ultrastructural integrity, and decreased hematoma volume at three days post-ICH. Furthermore, GSK-J4 administration promoted white matter integrity (increased myelin basic protein [MBP] expression) and neuronal recovery (increased neuron-specific nuclear protein [NeuN] expression) at seven days post-ICH and significantly improved the performance of ICH mice in sensorimotor behavioral tests. Conclusions: Astrocytic JMJD3 is upregulated following ICH and promotes neuroinflammation, which in turn mediates BBB disruption. Pharmacological inhibition of JMJD3 by GSK-J4 attenuates neuroinflammation and subsequent BBB damage, accelerates hematoma resolution, and promotes histological and functional recovery after ICH, likely by downregulating MMP-9 expression. These findings identify astrocytic JMJD3 as a novel epigenetic therapeutic target for acute ICH. Full article

Soil health is critical for the sustainability of tropical plantation ecosystems, However, the ecological factors driving productivity gradients remain inadequately understood. This study investigated rubber plantations on Hainan Island with varying yield levels to assess soil health and its underlying ecological mechanisms using a minimum data set (MDS) approach. Twenty-seven soil physical, chemical, and biological indicators were analyzed at two depths (0–20 cm and 20–40 cm). Principal component analysis identified seven key indicators for the MDS: soil organic matter (OM), alkaline-hydrolyzable nitrogen (AN), cation exchange capacity (CEC), dissolved organic carbon (DOC), microbial biomass phosphorus (MBP), acid phosphatase activity (ACP), and microbial diversity (Shannon-Wiener index, SHDI). The soil health indices derived from the MDS showed strong correlations with those generated from the total data set (TDS) (p < 0.001), confirming the reliability of the MDS framework. Overall, soil health levels were rated low to moderate with no significant differences across low-yield plantations (≤900 kg·ha⁻¹), medium-yield plantations (900–1200 kg·ha⁻¹), and high-yield plantations (≥1200 kg·ha⁻¹)., suggesting a decoupling of soil health and rubber productivity under uniform management practices. Random forest analysis identified microbial-driven phosphorus cycling, particularly MBP and ACP, as the primary determinant of soil health across soil layers, with DOC and SHDI also contributing significantly. These findings highlight the critical role of microbial-mediated nutrient cycling in maintaining soil health in rubber plantations and suggest that current management practices prioritize short-term yields over long-term soil ecological stability. Enhancing microbial activity and increasing organic matter inputs may be essential for improving soil health and ensuring the sustainability of rubber production in tropical agroecosystems. Full article

In low-latency edge-intelligence scenarios such as autonomous driving and industrial edge analytics, the processing of large-scale sensor data imposes extremely stringent requirements on communication latency. However, the high overhead of the traditional TCP protocol makes it difficult to satisfy such demands, while the semantic gap between the high-performance RoCE protocol and the standard Socket API prevents existing applications from directly exploiting its advantages. To address this problem, this paper proposes TransBridge, a lightweight user-space communication middleware that transparently bridges TCP and RoCE. Its design is realized through three key innovations: a transparent user-space compatibility architecture that enables unmodified Socket-based applications to benefit from RoCE performance; a microsecond-level low-latency transmission engine that bypasses kernel and protocol stack overhead; and a lightweight lock-free resource management mechanism based on a decentralized peer-to-peer architecture and deferred buffer updates. Experiments on a real RoCE network show that TransBridge significantly outperforms mainstream schemes: it achieves an average round-trip latency of 5.926 $\mathsf{\mu }$s for 16 B messages and a throughput of 20.254 Gbps for 16 KB messages; in the Fast DDS application-level evaluation, it achieves a throughput of 188 Mbps and an average round-trip latency of about 150 $\mathsf{\mu }$s. The results indicate that TransBridge can provide transparent and effective RoCE acceleration for existing Socket-based applications in resource-constrained edge environments. Full article

Background/Objective: Continuous blood pressure (BP) monitoring is essential in clinical settings, where rapid hemodynamic changes influence patient management. While intra-arterial measurement remains the reference standard, non-invasive volume-clamp systems offer a potential alternative. We assessed the accuracy of finger-cuff-based continuous BP monitoring compared to invasive measurement in patients with pulmonary hypertension (PH). Methods: This post hoc analysis from a crossover RCT included PH patients who underwent repetitive hemodynamic assessments at rest and during exercise. The participants had simultaneous invasive BP monitoring via the radial artery and a non-invasive finger-cuff device (Finapres^® NOVA Basic). The mean blood pressure (mBP) was compared at rest, 50% of the maximal workload, and at the end of exercise using Bland–Altman and Taffé analysis. Results: In the study, 24 patients (seven female; 59 ± 14 years) contributed 385 paired mBP measurements. The invasive and non-invasive methods showed similar values at rest (96.1 ± 16.7 vs. 96.4 ± 17.2 mmHg) and during maximal exercise (106.8 ± 18.6 vs. 111.8 ± 21.6 mmHg). The overall Bland–Altman bias was 2.8 mmHg with wide limits of agreement (−39.6 to 45.3 mmHg), which remained broad across all exercise intensities. The Taffé analysis revealed a non-uniform, directionally dependent bias: the non-invasive system overestimated the mBP at low pressures and underestimated it at higher pressures. The measurement variability was substantially greater for the non-invasive method than for the invasive reference. Conclusions: In PH patients, finger-cuff-based continuous BP monitoring demonstrated acceptable group-level agreement but insufficient individual-level accuracy for clinical decision-making. Full article