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56 pages, 1035 KiB  
Review
Trace Elements—Role in Joint Function and Impact on Joint Diseases
by Łukasz Bryliński, Katarzyna Brylińska, Filip Woliński, Jolanta Sado, Miłosz Smyk, Olga Komar, Robert Karpiński, Marcin Prządka and Jacek Baj
Int. J. Mol. Sci. 2025, 26(15), 7493; https://doi.org/10.3390/ijms26157493 (registering DOI) - 2 Aug 2025
Abstract
Proper joint function has a significant impact on people’s quality of life. Joints are the point of connection between two or more bones and consist of at least three elements: joint surfaces, the joint capsule, and the joint cavity. Joint diseases are a [...] Read more.
Proper joint function has a significant impact on people’s quality of life. Joints are the point of connection between two or more bones and consist of at least three elements: joint surfaces, the joint capsule, and the joint cavity. Joint diseases are a serious social problem. Risk factors for the development of these diseases include overweight and obesity, gender, and intestinal microbiome disorders. Another factor that is considered to influence joint diseases is trace elements. Under normal conditions, elements such as iron (Fe), copper (Cu), cobalt (Co), iodine (I), manganese (Mn), zinc (Zn), silver (Ag), cadmium (Cd), mercury (Hg), lead (Pb), nickel (Ni) selenium (Se), boron (B), and silicon (Si) are part of enzymes involved in reactions that determine the proper functioning of cells, regulate redox metabolism, and determine the maturation of cells that build joint components. However, when the normal concentration of the above-mentioned elements is disturbed and toxic elements are present, dangerous joint diseases can develop. In this article, we focus on the role of trace elements in joint function. We describe the molecular mechanisms that explain their interaction with chondrocytes, osteocytes, osteoblasts, osteoclasts, and synoviocytes, as well as their proliferation, apoptosis, and extracellular matrix synthesis. We also focus on the role of these trace elements in the pathogenesis of joint diseases: rheumatoid arthritis (RA), osteoarthritis (OA), psoriatic arthritis (PsA), ankylosing spondylitis (AS), and systemic lupus erythematosus (SLE). We describe the roles of increased or decreased concentrations of individual elements in the pathogenesis and development of joint diseases and their impact on inflammation and disease progression, referring to molecular mechanisms. We also discuss their potential application in the treatment of joint diseases. Full article
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16 pages, 1526 KiB  
Article
Effects of Different Phosphorus Addition Levels on Physiological and Growth Traits of Pinus massoniana (Masson Pine) Seedlings
by Zhenya Yang and Hui Wang
Forests 2025, 16(8), 1265; https://doi.org/10.3390/f16081265 (registering DOI) - 2 Aug 2025
Abstract
Soil phosphorus (P) availability is an important determinant of productivity in Pinus massoniana (Masson pine) forests. The mechanistic bases governing the physiological and growth responses of Masson pine to varying soil P conditions remain insufficiently characterized. This study aims to decipher the adaptive [...] Read more.
Soil phosphorus (P) availability is an important determinant of productivity in Pinus massoniana (Masson pine) forests. The mechanistic bases governing the physiological and growth responses of Masson pine to varying soil P conditions remain insufficiently characterized. This study aims to decipher the adaptive strategies of Masson pine to different soil P levels, focusing on root morphological–architectural plasticity and the allocation dynamics of nutrient elements and photosynthetic assimilates. One-year-old potted Masson pine seedlings were exposed to four P addition treatments for one year: P0 (0 mg kg−1), P1 (25 mg kg−1), P2 (50 mg·kg−1), and P3 (100 mg kg−1). In July and December, measurements were conducted on seedling organ biomass, root morphological indices [root length (RL), root surface area (RSA), root diameter (RD), specific root length (SRL), and root length ratio (RLR) for each diameter grade], root architectural indices [number of root tips (RTs), fractal dimension (FD), root branching angle (RBA), and root topological index (TI)], as well as the content of nitrogen (N), phosphorus (P), carbon (C), and non-structural carbohydrates (NSCs) in roots, stems, and leaves. Compared with the P0 treatment, P2 and P3 significantly increased root biomass, root–shoot ratio, RL, RSA, RTs, RLR of finer roots (diameter ≤ 0.4 mm), nutrient accumulation ratio in roots, and starch (ST) content in roots, stems and leaves. Meanwhile, they decreased soluble sugar (SS) content, SS/ST ratio, C and N content, and N/P and C/P ratios in stems and leaves, as well as nutrient accumulation ratio in leaves. The P3 treatment significantly reduced RBA and increased FD and SRL. Our results indicated that Masson pine adapts to low P by developing shallower roots with a reduced branching intensity and promoting the conversion of ST to SS. P’s addition effectively alleviates growth limitations imposed by low P, stimulating root growth, branching, and gravitropism. Although a sole P addition promotes short-term growth and P uptake, it triggers a substantial consumption of N, C, and SS, leading to significant decreases in N/P and C/P ratios and exacerbating N’s limitation, which is detrimental to long-term growth. Under high-P conditions, Masson pine strategically prioritizes allocating limited N and SS to roots, facilitating the formation of thinner roots with low C costs. Full article
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14 pages, 898 KiB  
Article
Cardiovascular Risk in Rheumatic Patients Treated with JAK Inhibitors: The Role of Traditional and Emerging Biomarkers in a Pilot Study
by Diana Popescu, Minerva Codruta Badescu, Elena Rezus, Daniela Maria Tanase, Anca Ouatu, Nicoleta Dima, Oana-Nicoleta Buliga-Finis, Evelina Maria Gosav, Damiana Costin and Ciprian Rezus
J. Clin. Med. 2025, 14(15), 5433; https://doi.org/10.3390/jcm14155433 (registering DOI) - 1 Aug 2025
Abstract
Background: Despite therapeutic advances, morbidity and mortality remain high in patients with rheumatoid arthritis (RA) and psoriatic arthritis (PsA), primarily due to increased cardiovascular risk. Objectives: Our study aimed to evaluate the cardiovascular risk profile and biomarker dynamics in patients with RA and [...] Read more.
Background: Despite therapeutic advances, morbidity and mortality remain high in patients with rheumatoid arthritis (RA) and psoriatic arthritis (PsA), primarily due to increased cardiovascular risk. Objectives: Our study aimed to evaluate the cardiovascular risk profile and biomarker dynamics in patients with RA and PsA treated with Janus kinase inhibitors (JAKis). To our knowledge, this is the first study assessing Lp(a) levels in this context. Methods: This prospective, observational study assessed 48 adult patients. The follow-up period was 12 months. Traditional cardiovascular risk factors and biological markers, including lipid profile, lipoprotein(a) [Lp(a)], and uric acid (UA), were assessed at baseline and follow-up. Correlations between JAKi therapy, lipid profile changes, and cardiovascular risk factors were investigated. Cox regression analysis was used to identify predictors of non-major cardiovascular events. Results: A strong positive correlation was observed between baseline and 12-month Lp(a) levels (r = 0.926), despite minor statistical shifts. No major cardiovascular events occurred during follow-up; however, 47.9% of patients experienced non-major cardiovascular events (e.g., uncontrolled arterial hypertension, exertional angina, and new-onset arrhythmias). Active smoking [hazard ratio (HR) 9.853, p = 0.005], obesity (HR 3.7460, p = 0.050), and arterial hypertension (HR 1.219, p = 0.021) were independent predictors of these events. UA (HR 1.515, p = 0.040) and total cholesterol (TC) (HR 1.019, p = 0.034) were significant biochemical predictors as well. Elevated baseline Lp(a) combined with these factors was associated with an increased event rate, particularly after age 60. Conclusions: Traditional cardiovascular risk factors remain highly prevalent and predictive, underscoring the need for comprehensive cardiovascular risk management. Lp(a) remained stable and may serve as a complementary biomarker for risk stratification in JAKi-treated patients. Full article
(This article belongs to the Section Immunology)
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19 pages, 5340 KiB  
Article
Potential of Multi-Source Multispectral vs. Hyperspectral Remote Sensing for Winter Wheat Nitrogen Monitoring
by Xiaokai Chen, Yuxin Miao, Krzysztof Kusnierek, Fenling Li, Chao Wang, Botai Shi, Fei Wu, Qingrui Chang and Kang Yu
Remote Sens. 2025, 17(15), 2666; https://doi.org/10.3390/rs17152666 (registering DOI) - 1 Aug 2025
Abstract
Timely and accurate monitoring of crop nitrogen (N) status is essential for precision agriculture. UAV-based hyperspectral remote sensing offers high-resolution data for estimating plant nitrogen concentration (PNC), but its cost and complexity limit large-scale application. This study compares the performance of UAV hyperspectral [...] Read more.
Timely and accurate monitoring of crop nitrogen (N) status is essential for precision agriculture. UAV-based hyperspectral remote sensing offers high-resolution data for estimating plant nitrogen concentration (PNC), but its cost and complexity limit large-scale application. This study compares the performance of UAV hyperspectral data (S185 sensor) with simulated multispectral data from DJI Phantom 4 Multispectral (P4M), PlanetScope (PS), and Sentinel-2A (S2) in estimating winter wheat PNC. Spectral data were collected across six growth stages over two seasons and resampled to match the spectral characteristics of the three multispectral sensors. Three variable selection strategies (one-dimensional (1D) spectral reflectance, optimized two-dimensional (2D), and three-dimensional (3D) spectral indices) were combined with Random Forest Regression (RFR), Support Vector Machine Regression (SVMR), and Partial Least Squares Regression (PLSR) to build PNC prediction models. Results showed that, while hyperspectral data yielded slightly higher accuracy, optimized multispectral indices, particularly from PS and S2, achieved comparable performance. Among models, SVM and RFR showed consistent effectiveness across strategies. These findings highlight the potential of low-cost multispectral platforms for practical crop N monitoring. Future work should validate these models using real satellite imagery and explore multi-source data fusion with advanced learning algorithms. Full article
(This article belongs to the Special Issue Perspectives of Remote Sensing for Precision Agriculture)
18 pages, 1404 KiB  
Article
Comparative Analysis of the Long-Term Real-World Efficacy of Interleukin-17 Inhibitors in a Cohort of Patients with Moderate-to-Severe Psoriasis Treated in Poland
by Wiktor Kruczek, Aleksandra Frątczak, Iga Litwińska-Inglot, Karina Polak, Zuzanna Pawlus, Paulina Rutecka, Beata Bergler-Czop and Bartosz Miziołek
J. Clin. Med. 2025, 14(15), 5421; https://doi.org/10.3390/jcm14155421 (registering DOI) - 1 Aug 2025
Abstract
Background: Bimekizumab, secukinumab, and ixekizumab are IL-17-targeting biologics approved for the treatment of moderate-to-severe plaque psoriasis. While secukinumab and ixekizumab selectively inhibit IL-17A, bimekizumab targets both IL-17A and IL-17F, potentially providing greater anti-inflammatory efficacy. This study aimed to compare the real-world effectiveness, [...] Read more.
Background: Bimekizumab, secukinumab, and ixekizumab are IL-17-targeting biologics approved for the treatment of moderate-to-severe plaque psoriasis. While secukinumab and ixekizumab selectively inhibit IL-17A, bimekizumab targets both IL-17A and IL-17F, potentially providing greater anti-inflammatory efficacy. This study aimed to compare the real-world effectiveness, safety, and tolerability of these agents in a Polish dermatology center between 2019 and 2024. Methods: We conducted a retrospective analysis of 98 patients meeting at least one of the following criteria: PASI ≥ 10, BSA ≥ 10, DLQI ≥ 10, or involvement of special areas with inadequate response or contraindications to ≥2 systemic therapies. Patients with prior exposure only to IL-17 inhibitors were excluded. PASI, BSA, and DLQI scores were recorded at baseline, week 4, and week 12. Due to differences in dosing schedules, outcomes were aligned using standardized timepoints and exponential modeling of continuous response trajectories. Mixed-effects ANOVA was used to assess the influence of baseline factors (age, BMI, PsA status) on treatment outcomes. Adverse events were documented at each monthly follow-up visit. Results: Bimekizumab showed the greatest effect size for PASI reduction (Hedges’ g = 3.662), followed by secukinumab (2.813) and ixekizumab (1.986). Exponential modeling revealed a steeper response trajectory with bimekizumab (intercept = 0.289), suggesting a more rapid PASI improvement. The efficacy of bimekizumab was particularly notable in patients who were previously treated with IL-23 inhibitors. All three agents demonstrated favorable safety profiles, with no serious adverse events or discontinuations. The most frequent adverse events were mild and included upper respiratory tract infections and oral candidiasis. Conclusions: This real-world analysis confirmed that IL-17 inhibitors effectively improved PASI, BSA, and DLQI scores in moderate-to-severe psoriasis. Bimekizumab demonstrated the most rapid early improvements and a higher modeled likelihood of complete clearance, without significant differences at week 12. All agents were well tolerated, underscoring the need for further individualized, large-scale studies. Full article
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36 pages, 5053 KiB  
Systematic Review
Prescriptive Maintenance: A Systematic Literature Review and Exploratory Meta-Synthesis
by Marko Orošnjak, Felix Saretzky and Slawomir Kedziora
Appl. Sci. 2025, 15(15), 8507; https://doi.org/10.3390/app15158507 (registering DOI) - 31 Jul 2025
Abstract
Prescriptive Maintenance (PsM) transforms industrial asset management by enabling autonomous decisions through simultaneous failure anticipation and optimal maintenance recommendations. Yet, despite increasing research interest, the conceptual clarity, technological maturity, and practical deployment of PsM remains fragmented. Here, we conduct a comprehensive and application-oriented [...] Read more.
Prescriptive Maintenance (PsM) transforms industrial asset management by enabling autonomous decisions through simultaneous failure anticipation and optimal maintenance recommendations. Yet, despite increasing research interest, the conceptual clarity, technological maturity, and practical deployment of PsM remains fragmented. Here, we conduct a comprehensive and application-oriented Systematic Literature Review of studies published between 2013–2024. We identify key enablers—artificial intelligence and machine learning, horizontal and vertical integration, and deep reinforcement learning—that map the functional space of PsM across industrial sectors. The results from our multivariate meta-synthesis uncover three main thematic research clusters, ranging from decision-automation of technical (multi)component-level systems to strategic and organisational-support strategies. Notably, while predictive models are widely adopted, the translation of these capabilities to PsM remains limited. Primary reasons include semantic interoperability, real-time optimisation, and deployment scalability. As a response, a structured research agenda is proposed to emphasise hybrid architectures, context-aware prescription mechanisms, and alignment with Industry 5.0 principles of human-centricity, resilience, and sustainability. The review establishes a critical foundation for future advances in intelligent, explainable, and action-oriented maintenance systems. Full article
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19 pages, 2104 KiB  
Article
Presence of Micro- and Nanoplastics Affects Degradation of Chlorinated Solvents
by Fadime Kara Murdoch, Yanchen Sun, Mark E. Fuller, Larry Mullins, Amy Hill, Jacob Lilly, John Wilson, Frank E. Löffler and Katarzyna H. Kucharzyk
Toxics 2025, 13(8), 656; https://doi.org/10.3390/toxics13080656 (registering DOI) - 31 Jul 2025
Abstract
Microplastics (MPs) and nanoplastics (NPs) can affect microbial abundance and activity, likely by damaging cell membrane components. While their effects on anaerobic digestion are known, less is understood about their impact on microbes involved in contaminant bioremediation. Chlorinated volatile organic contaminants (CVOCs) such [...] Read more.
Microplastics (MPs) and nanoplastics (NPs) can affect microbial abundance and activity, likely by damaging cell membrane components. While their effects on anaerobic digestion are known, less is understood about their impact on microbes involved in contaminant bioremediation. Chlorinated volatile organic contaminants (CVOCs) such as tetrachloroethene (PCE) and explosives like hexahydro-1,3,5-trinitro-1,3,5-triazine (RDX) are common in the environment, and their bioremediation is a promising cleanup strategy. This study examined how polystyrene (PS) and polyamide 6 (PA6) MPs and NPs influence CVOC and RDX biodegradation. PS particles did not inhibit the CVOC-degrading community SDC-9, but PA6 MPs impaired the reductive dechlorination of trichloroethene (TCE) to cis-1,2-dichloroethene (cis-DCE), causing a “cis-DCE stall” with no further conversion to vinyl chloride (VC) or ethene. Only 45% of TCE was dechlorinated to cis-DCE, and Dehalococcoides mccartyi abundance dropped 1000-fold in 35 days with PA6 MPs. In contrast, neither PA6 nor PS MPs and NPs affected RDX biotransformation. These results highlight the significant impact of PA6 MPs on CVOC biodegradation and the need to consider plastic pollution in environmental management. Full article
(This article belongs to the Special Issue Novel Technologies for Degradation of Organic Pollutants)
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17 pages, 2389 KiB  
Article
Designing an SOI Interleaver Using Genetic Algorithm
by Michael Gad, Mostafa Fedawy, Mira Abboud, Hany Mahrous, Gamal A. Ebrahim, Mostafa M. Salah, Ahmed Shaker, W. Fikry and Michael Ibrahim
Photonics 2025, 12(8), 775; https://doi.org/10.3390/photonics12080775 (registering DOI) - 31 Jul 2025
Abstract
A multi-objective genetic algorithm is tailored to optimize the design of a wavelength interleaver/deinterleaver device. An interleaver combines data streams from two physical channels into one. The deinterleaver does the opposite job. The WDM requirements for this device include channel spacing of 50 [...] Read more.
A multi-objective genetic algorithm is tailored to optimize the design of a wavelength interleaver/deinterleaver device. An interleaver combines data streams from two physical channels into one. The deinterleaver does the opposite job. The WDM requirements for this device include channel spacing of 50 GHz, channel bandwidth of 20 GHz, free spectral range of 100 GHz, maximum channel dispersion of 30 ps/nm, and maximum crosstalk of −23 dB. The challenges for the optimization process include the lack of a closed-form expression for the device performance and the trade-off between the conflicting performance parameters. So, for this multi-objective problem, the proposed approach maneuvers to find a compromise between the performance parameters within a few minutes, saving the designer the laborious design process previously proposed in the literature, which relies on visually inspecting the Z-plane for the dynamics of the transmission poles and zeros. Designs of better performance are achieved, with fewer ring resonators, a channel dispersion as low as 1.6 ps/nm, and crosstalk as low as −30 dB. Full article
(This article belongs to the Special Issue Advanced Materials and Devices for Silicon Photonics)
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42 pages, 3564 KiB  
Review
A Review on Sustainable Upcycling of Plastic Waste Through Depolymerization into High-Value Monomer
by Ramkumar Vanaraj, Subburayan Manickavasagam Suresh Kumar, Seong Cheol Kim and Madhappan Santhamoorthy
Processes 2025, 13(8), 2431; https://doi.org/10.3390/pr13082431 - 31 Jul 2025
Viewed by 3
Abstract
Plastic waste accumulation is one of the most pressing environmental challenges of the 21st century, owing to the widespread use of synthetic polymers and the limitations of conventional recycling methods. Among available strategies, chemical upcycling via depolymerization has emerged as a promising circular [...] Read more.
Plastic waste accumulation is one of the most pressing environmental challenges of the 21st century, owing to the widespread use of synthetic polymers and the limitations of conventional recycling methods. Among available strategies, chemical upcycling via depolymerization has emerged as a promising circular approach that converts plastic waste back into valuable monomers and chemical feedstocks. This article provides an in-depth narrative review of recent progress in the upcycling of major plastic types such as PET, PU, PS, and engineering plastics through thermal, chemical, catalytic, biological, and mechanochemical depolymerization methods. Each method is critically assessed in terms of efficiency, scalability, energy input, and environmental impact. Special attention is given to innovative catalyst systems, such as microsized MgO/SiO2 and Co/CaO composites, and emerging enzymatic systems like engineered PETases and whole-cell biocatalysts that enable low-temperature, selective depolymerization. Furthermore, the conversion pathways of depolymerized products into high-purity monomers such as BHET, TPA, vanillin, and bisphenols are discussed with supporting case studies. The review also examines life cycle assessment (LCA) data, techno-economic analyses, and policy frameworks supporting the adoption of depolymerization-based recycling systems. Collectively, this work outlines the technical viability and sustainability benefits of depolymerization as a core pillar of plastic circularity and monomer recovery, offering a path forward for high-value material recirculation and waste minimization. Full article
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20 pages, 3024 KiB  
Article
The Toxin Gene tdh2 Protects Vibrio parahaemolyticus from Gastrointestinal Stress
by Qin Guo, Jia-Er Liu, Lin-Xue Liu, Jian Gao and Bin Xu
Microorganisms 2025, 13(8), 1788; https://doi.org/10.3390/microorganisms13081788 - 31 Jul 2025
Viewed by 30
Abstract
Vibrio parahaemolyticus is a major foodborne pathogen worldwide, responsible for seafood-associated poisoning. Among its toxin genes, tdh2 is the most critical. To investigate the role of tdh2 in V. parahaemolyticus under gastrointestinal conditions, we constructed tdh2 deletion and complementation strains and compared their [...] Read more.
Vibrio parahaemolyticus is a major foodborne pathogen worldwide, responsible for seafood-associated poisoning. Among its toxin genes, tdh2 is the most critical. To investigate the role of tdh2 in V. parahaemolyticus under gastrointestinal conditions, we constructed tdh2 deletion and complementation strains and compared their survival under acid (pH 3 and 4) and bile stress (2%). The results showed that tdh2 expression was significantly upregulated under cold (4 °C) and bile stress (0.9%). Survival assays and PI staining revealed that the tdh2 mutant strain (VP: △tdh2) was more sensitive to acid and bile stress than the wild-type (WT), and this sensitivity was rescued by tdh2 complementation. These findings suggest that tdh2 plays a protective role in enhancing V. parahaemolyticus tolerance to acid and bile stress. In the VP: △tdh2 strain, seven genes were significantly upregulated and six were downregulated as a result of tdh2 deletion. These genes included VPA1332 (vtrA), VPA1348 (vtrB), VP2467 (ompU), VP0301 and VP1995 (ABC transporters), VP0527 (nhaR), and VP2553 (rpoS), among others. Additionally, LC-MS/MS analysis identified 12 differential metabolites between the WT and VP: △tdh2 strains, including phosphatidylserine (PS) (17:2 (9Z,12Z) /0:0 and 20:1 (11Z) /0:0), phosphatidylglycerol (PG) (17:0/0:0), flavin mononucleotide (FMN), and various nucleotides. The protective mechanism of tdh2 may involve preserving cell membrane permeability through regulation of ompU and ABC transporters and enhancing electron transfer efficiency via regulation of nhaR. The resulting reduction in ATP, DNA, and RNA synthesis—along with changes in membrane permeability and electron transfer due to decreased FMN—likely contributed to the reduced survival of the VP: △tdh2 strain. Meanwhile, the cells actively synthesized phospholipids to repair membrane damage, leading to increased levels of PS and PG. This study provides important insights into strategies for preventing and controlling food poisoning caused by tdh+ V. parahaemolyticus. Full article
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15 pages, 1506 KiB  
Review
Dilated Cardiomyopathy and Sensorimotor Polyneuropathy Associated with a Homozygous ELAC2 Variant: A Case Report and Literature Review
by Francesco Ravera, Filippo Angelini, Pier Paolo Bocchino, Gianluca Marcelli, Giulia Gobello, Giuseppe Giannino, Guglielmo Merlino, Benedetta De Guidi, Andrea Destefanis, Giulia Margherita Brach Del Prever, Carla Giustetto, Guglielmo Gallone, Stefano Pidello, Antonella Barreca, Silvia Deaglio, Gaetano Maria De Ferrari, Claudia Raineri and Veronica Dusi
Cardiogenetics 2025, 15(3), 20; https://doi.org/10.3390/cardiogenetics15030020 - 31 Jul 2025
Viewed by 37
Abstract
Variants in ELAC2, a gene encoding the mitochondrial RNase Z enzyme essential for mitochondrial tRNA processing, have been associated with severe pediatric-onset mitochondrial dysfunction, primarily presenting with developmental delay, hypertrophic cardiomyopathy (HCM), and lactic-acidosis. We hereby report the case of a 25-year-old [...] Read more.
Variants in ELAC2, a gene encoding the mitochondrial RNase Z enzyme essential for mitochondrial tRNA processing, have been associated with severe pediatric-onset mitochondrial dysfunction, primarily presenting with developmental delay, hypertrophic cardiomyopathy (HCM), and lactic-acidosis. We hereby report the case of a 25-year-old young woman presenting with dilated cardiomyopathy (DCM) and peripheral sensorimotor polyneuropathy, harboring a homozygous variant in ELAC2. The same variant has been reported only once so far in a case of severe infantile-onset form of HCM and mitochondrial respiratory chain dysfunction, with in vitro data showing a moderate reduction in the RNase Z activity and supporting the current classification as C4 according to the American College of Medical Genetics (ACMG) criteria (PS3, PM2, PM3, PP4). Our extensive clinical, imaging, histological, and genetic investigations support a causal link between the identified variant and the patient’s phenotype, despite the fact that the latter might be considered atypical according to the current state of knowledge. A detailed review of the existing literature on ELAC2-related disease is also provided, highlighting the molecular mechanisms underlying tRNA maturation, mitochondrial dysfunction, and the variable phenotypic expression. Our case further expands the clinical spectrum of ELAC2-related cardiomyopathies to include a relatively late onset in young adulthood and underscores the importance of comprehensive genetic testing in unexplained cardiomyopathies with multisystem involvement. Full article
(This article belongs to the Section Rare Disease-Genetic Syndromes)
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18 pages, 13869 KiB  
Article
Spatial Omics Profiling of Treatment-Naïve Lung Adenocarcinoma with Brain Metastasis as the Initial Presentation
by Seoyeon Gwon, Inju Cho, Jieun Lee, Seung Yun Lee, Kyue-Hee Choi and Tae-Jung Kim
Cancers 2025, 17(15), 2529; https://doi.org/10.3390/cancers17152529 - 31 Jul 2025
Viewed by 87
Abstract
Background/Objectives: Brain metastasis (BM) is a common and often early manifestation in lung adenocarcinoma (LUAD), yet its tumor microenvironment remains poorly defined at the time of initial diagnosis. This study aims to characterize early immune microenvironmental alterations in synchronous BM using spatial proteomic [...] Read more.
Background/Objectives: Brain metastasis (BM) is a common and often early manifestation in lung adenocarcinoma (LUAD), yet its tumor microenvironment remains poorly defined at the time of initial diagnosis. This study aims to characterize early immune microenvironmental alterations in synchronous BM using spatial proteomic profiling. Methods: We performed digital spatial proteomic profiling using the NanoString GeoMx platform on formalin-fixed paraffin-embedded tissues from five treatment-naïve LUAD patients in whom BM was the initial presenting lesion. Paired primary lung and brain metastatic samples were analyzed across tumor and stromal compartments using 68 immune- and tumor-related protein markers. Results: Spatial profiling revealed distinct expression patterns between primary tumors and brain metastases. Immune regulatory proteins—including IDO-1, PD-1, PD-L1, STAT3, PTEN, and CD44—were significantly reduced in brain metastases (p < 0.01), whereas pS6, a marker of activation-induced T-cell death, was significantly upregulated (p < 0.01). These alterations were observed in both tumor and stromal regions, suggesting a more immunosuppressive and apoptotic microenvironment in brain lesions. Conclusions: This study provides one of the first spatially resolved proteomic characterizations of synchronous BM at initial LUAD diagnosis. Our findings highlight early immune escape mechanisms and suggest the need for site-specific immunotherapeutic strategies in patients with brain metastasis. Full article
(This article belongs to the Special Issue Lung Cancer Proteogenomics: New Era, New Insights)
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14 pages, 783 KiB  
Article
Neurocognitive and Psychosocial Interactions in Atrial Fibrillation: Toward a Holistic Model of Care
by Tunde Pal, Zoltan Preg, Dragos-Florin Baba, Dalma Balint-Szentendrey, Attila Polgar, Csilla-Gerda Pap and Marta German-Sallo
Healthcare 2025, 13(15), 1863; https://doi.org/10.3390/healthcare13151863 - 30 Jul 2025
Viewed by 159
Abstract
Background/Objectives: Psychosocial (PS) factors and cognitive dysfunction (CD) in patients with atrial fibrillation (AF) may negatively impact treatment compliance. The PS profile covers multiple psychological and socio-economic factors, although research is mostly limited to depression, anxiety, and work stress. This study assessed the [...] Read more.
Background/Objectives: Psychosocial (PS) factors and cognitive dysfunction (CD) in patients with atrial fibrillation (AF) may negatively impact treatment compliance. The PS profile covers multiple psychological and socio-economic factors, although research is mostly limited to depression, anxiety, and work stress. This study assessed the prevalence of a broad range of PS factors in patients with AF and their relationship with cognitive decline. Methods: We retrospectively analyzed data from patients referred to a cardiovascular rehabilitation clinic between March 2017 and April 2023 who underwent standardized assessments of PS factors, cognition, and quality of life. Results: Of the 798 included patients, 230 (28.8%) had AF, with a mean age of 68.07 years (SD 9.60 years). Six of nine PS factors were present in more than half of the overall sample. Compared to non-AF patients, those with AF showed significantly higher levels of social isolation, depression, and hostility, whereas low socioeconomic status, family and work-related stress, and other mental disorders were more frequent in the non-AF group. CD was present in 67.4% of the total cohort and was more prevalent in AF patients with a higher PS burden. Patients with permanent AF reported the poorest health status. Conclusions: Integrating assessments of PS factors and cognition in cardiac rehabilitation is feasible and supports a more comprehensive, patient-centred model of care in AF. Full article
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17 pages, 1003 KiB  
Article
Gender Moderates the Neural Impact of Problematic Media Use on Working Memory in Preschoolers: An fNIRS Study
by Keya Ding, Xinyi Dong, Yu Xue and Hui Li
Brain Sci. 2025, 15(8), 818; https://doi.org/10.3390/brainsci15080818 - 30 Jul 2025
Viewed by 152
Abstract
Background: This study investigated the relationship between problematic media use (PMU) and working memory in preschoolers. Methods: Parents of children aged 3 to 7 (260 boys, 257 girls; Mage = 5.57, SD = 0.73) in Jinan, China, completed questionnaires assessing children’s PMU [...] Read more.
Background: This study investigated the relationship between problematic media use (PMU) and working memory in preschoolers. Methods: Parents of children aged 3 to 7 (260 boys, 257 girls; Mage = 5.57, SD = 0.73) in Jinan, China, completed questionnaires assessing children’s PMU and working memory. Subsequently, High (nhigh = 32, Mage = 4.53, SD = 0.67) and Low (nlow = 30, Mage = 4.67, SD = 0.66) PMU groups, based on the survey data, complete a dual 1-back task during functional near-infrared spectroscopy (fNIRS) recording. Results: Behavioral accuracy and reaction time showed no significant group differences. However, a significant interaction between the PMU group and gender on prefrontal activation was observed, F(1, 60) = 5.88–7.59, ps < 0.05, ηp2 = 0.09–0.12. High-PMU boys exhibited greater left prefrontal activation than low-PMU boys, while low-PMU girls showed greater activation in these same areas compared to low-PMU boys. A three-way interaction of group, task condition, and gender on prefrontal activation was also found, F(2, 60) = 5.81–6.42, p < 0.01, ηp2 = 0.10–0.19, suggesting that neural responses varied by task and participant characteristics. Conclusions: These findings indicate that PMU may be associated with altered prefrontal activation during working memory tasks in preschoolers, with gender playing a moderating role. Full article
(This article belongs to the Section Developmental Neuroscience)
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27 pages, 2729 KiB  
Review
Degradation of Emerging Plastic Pollutants from Aquatic Environments Using TiO2 and Their Composites in Visible Light Photocatalysis
by Alexandra Gabriela Stancu, Maria Râpă, Cristina Liana Popa, Simona Ionela Donțu, Ecaterina Matei and Cristina Ileana Covaliu-Mirelă
Molecules 2025, 30(15), 3186; https://doi.org/10.3390/molecules30153186 - 30 Jul 2025
Viewed by 110
Abstract
This review synthesized the current knowledge on the effect of TiO2 photocatalysts on the degradation of microplastics (MPs) and nanoplastics (NPs) under visible light, highlighting the state-of-the-art techniques, main challenges, and proposed solutions for enhancing the performance of the photocatalysis technique. The [...] Read more.
This review synthesized the current knowledge on the effect of TiO2 photocatalysts on the degradation of microplastics (MPs) and nanoplastics (NPs) under visible light, highlighting the state-of-the-art techniques, main challenges, and proposed solutions for enhancing the performance of the photocatalysis technique. The synthesis of TiO2-based photocatalysts and hybrid nanostructured TiO2 materials, including those coupled with other semiconductor materials, is explored. Studies on TiO2-based photocatalysts for the degradation of MPs and NPs under visible light remain limited. The degradation behavior is influenced by the composition of the TiO2 composites and the nature of different types of MPs/NPs. Polystyrene (PS) MPs demonstrated complete degradation under visible light photocatalysis in the presence of α-Fe2O3 nanoflowers integrated into a TiO2 film with a hierarchical structure. However, photocatalysis generally fails to achieve the full degradation of small plastic pollutants at the laboratory scale, and its overall effectiveness in breaking down MPs and NPs remains comparatively limited. Full article
(This article belongs to the Special Issue New Research on Novel Photo-/Electrochemical Materials)
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