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28 pages, 5373 KiB  
Article
Transfer Learning Based on Multi-Branch Architecture Feature Extractor for Airborne LiDAR Point Cloud Semantic Segmentation with Few Samples
by Jialin Yuan, Hongchao Ma, Liang Zhang, Jiwei Deng, Wenjun Luo, Ke Liu and Zhan Cai
Remote Sens. 2025, 17(15), 2618; https://doi.org/10.3390/rs17152618 - 28 Jul 2025
Viewed by 281
Abstract
The existing deep learning-based Airborne Laser Scanning (ALS) point cloud semantic segmentation methods require a large amount of labeled data for training, which is not always feasible in practice. Insufficient training data may lead to over-fitting. To address this issue, we propose a [...] Read more.
The existing deep learning-based Airborne Laser Scanning (ALS) point cloud semantic segmentation methods require a large amount of labeled data for training, which is not always feasible in practice. Insufficient training data may lead to over-fitting. To address this issue, we propose a novel Multi-branch Feature Extractor (MFE) and a three-stage transfer learning strategy that conducts pre-training on multi-source ALS data and transfers the model to another dataset with few samples, thereby improving the model’s generalization ability and reducing the need for manual annotation. The proposed MFE is based on a novel multi-branch architecture integrating Neighborhood Embedding Block (NEB) and Point Transformer Block (PTB); it aims to extract heterogeneous features (e.g., geometric features, reflectance features, and internal structural features) by leveraging the parameters contained in ALS point clouds. To address model transfer, a three-stage strategy was developed: (1) A pre-training subtask was employed to pre-train the proposed MFE if the source domain consisted of multi-source ALS data, overcoming parameter differences. (2) A domain adaptation subtask was employed to align cross-domain feature distributions between source and target domains. (3) An incremental learning subtask was proposed for continuous learning of novel categories in the target domain, avoiding catastrophic forgetting. Experiments conducted on the source domain consisted of DALES and Dublin datasets and the target domain consists of ISPRS benchmark dataset. The experimental results show that the proposed method achieved the highest OA of 85.5% and an average F1 score of 74.0% using only 10% training samples, which means the proposed framework can reduce manual annotation by 90% while keeping competitive classification accuracy. Full article
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21 pages, 2139 KiB  
Review
Orchestrating Nutrient Homeostasis: RNA-Binding Proteins as Molecular Conductors in Metabolic Disease Pathogenesis
by Siyuan Sun, Xinchun Li, Jianan Zhai, Chenxu Lu, Weiru Yu, Wenhao Wu and Juan Chen
Nutrients 2025, 17(14), 2367; https://doi.org/10.3390/nu17142367 - 19 Jul 2025
Viewed by 445
Abstract
RNA-binding proteins (RBPs) are critical regulators of post-transcriptional processes, playing essential roles in nutrient metabolism and metabolic homeostasis. This literature review explores how RBPs influence the metabolism of glucose, lipid, and amino acid metabolism by controlling processes like mRNA stability and translation regulation. [...] Read more.
RNA-binding proteins (RBPs) are critical regulators of post-transcriptional processes, playing essential roles in nutrient metabolism and metabolic homeostasis. This literature review explores how RBPs influence the metabolism of glucose, lipid, and amino acid metabolism by controlling processes like mRNA stability and translation regulation. The dysregulation of RBPs, including HuR, PTB, and YTHDF1, is linked to metabolic diseases such as obesity, diabetes, and non-alcoholic fatty liver disease. Advances in techniques like TREX technology and transcriptome analysis have deepened our understanding of RBP functions. Additionally, RBPs show promise as potential biomarkers and targets for new therapies. Future research directions in RBPs could focus on tissue-specific regulation and nutrient–RBP interactions. This could pave the way for more personalized treatments and improved metabolic health. Full article
(This article belongs to the Special Issue Diet and Nutrition: Metabolic Diseases---2nd Edition)
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21 pages, 1473 KiB  
Review
The Sex Difference in the Pathophysiology of Preterm Birth
by Gain Lee, Gisela Martinez Andrade, Young Ju Kim and Dilly O. C. Anumba
Cells 2025, 14(14), 1084; https://doi.org/10.3390/cells14141084 - 16 Jul 2025
Viewed by 651
Abstract
Preterm birth (PTB) refers to a labor before 37 gestational weeks. This is a major global contributor to neonatal morbidity and mortality. Although fetal sex is frequently treated as a confounding variable in PTB research, relatively few studies have conducted sex-stratified analyses to [...] Read more.
Preterm birth (PTB) refers to a labor before 37 gestational weeks. This is a major global contributor to neonatal morbidity and mortality. Although fetal sex is frequently treated as a confounding variable in PTB research, relatively few studies have conducted sex-stratified analyses to investigate how male and female fetuses may respond differently to various intrauterine exposures. This represents an underexplored area with important implications for understanding fetal sexual dimorphism-specific vulnerability to adverse pregnancy outcomes. Understanding the role of fetal sex differences in the pathophysiology of preterm birth (PTB) regarding processes such as inflammation, placental dysfunction, and oxidative stress is crucial. These delicate processes are tightly interrelated, but also independently contribute to pregnancy complications. Recognizing fetal sex as a biological variable for such processes is essential for improving mechanistic insight, providing refined predictive models. Full article
(This article belongs to the Special Issue Molecular Insight into the Pathogenesis of Spontaneous Preterm Birth)
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18 pages, 12019 KiB  
Article
Influence of Temperature on the Optical Properties of Ternary Organic Thin Films for Photovoltaics
by Gabriela Lewinska, Jerzy Sanetra, Konstanty W. Marszalek, Alexander Quandt and Bouchta Sahraoui
Materials 2025, 18(14), 3319; https://doi.org/10.3390/ma18143319 - 15 Jul 2025
Viewed by 306
Abstract
This study investigates the influence of temperature on the linear and nonlinear optical properties of ternary organic thin films for solar cell applications. Three-component organic thin films (poly({4,8-bis[(2-ethylhexyl)oxy]benzo [1,2-b:4,5-b′]dithiophene-2,6-diyl}{3-fluoro-2-[(2-ethylhexyl)carbonyl] thieno[3,4-b]thiophenediyl}) and (poly([2,6′-4,8-di(5-ethylhexylthienyl)benzo[1,2-b;3,3-b]dithiophene]{3-fluoro-2[(2-ethylhexyl)carbonyl]thieno[3,4-b]thiophenediyl}), marked PTB7 and PTB7th- donors, PCBM, phenyl-C61-butyric acid methyl ester acceptor, [...] Read more.
This study investigates the influence of temperature on the linear and nonlinear optical properties of ternary organic thin films for solar cell applications. Three-component organic thin films (poly({4,8-bis[(2-ethylhexyl)oxy]benzo [1,2-b:4,5-b′]dithiophene-2,6-diyl}{3-fluoro-2-[(2-ethylhexyl)carbonyl] thieno[3,4-b]thiophenediyl}) and (poly([2,6′-4,8-di(5-ethylhexylthienyl)benzo[1,2-b;3,3-b]dithiophene]{3-fluoro-2[(2-ethylhexyl)carbonyl]thieno[3,4-b]thiophenediyl}), marked PTB7 and PTB7th- donors, PCBM, phenyl-C61-butyric acid methyl ester acceptor, and Y5: 2,2′-((2Z,2′Z)-((12,13-bis(2-ethylhexyl)-3,9-diundecyl-12,13-dihydro[1,2,5]thiadiazolo[3,4e]thieno[2′,3′:4′,5′] thieno[2′,3′:4,5]pyrrolo[3,2-g] thieno[2′,3′:4,5]thieno[3,2-b]indole-2,10-diyl)bis(methanylylidene))bis(3-oxo-2,3-dihydro1H-indene-2,1-diylidene))dimalononitrile) and Y6 non-fullerene acceptors: (2,2′-((2Z,2′Z)-((12,13-bis(2-ethylhexyl)-3,9-diundecyl-12,13- dihydro-[1,2,5]thiadiazolo[3,4- e] thieno [2,″3″:4′,5′]thieno [2′,3′:4,5]), non-fullerene acceptors, were analyzed using spectroscopic ellipsometry and third-harmonic generation techniques across a temperature range of 30 °C to 120 °C. The absorption spectra of the ternary layers remained largely stable with temperature, but ellipsometry revealed temperature-dependent changes in layer thickness (a few percent increase during heating) and variations in refractive index and extinction coefficients, suggesting modest structural alterations. Analysis using a gradient model indicated that film composition varies with thickness. Third-harmonic generation measurements showed a decrease in χ(3) after annealing, with the most significant change observed in the PTB7th:Y5:PCBM layer. Full article
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21 pages, 796 KiB  
Article
Atrial Fibrillation and Atrial Flutter Detection Using Deep Learning
by Dimitri Kraft and Peter Rumm
Sensors 2025, 25(13), 4109; https://doi.org/10.3390/s25134109 - 1 Jul 2025
Viewed by 625
Abstract
We introduce a lightweight 1D ConvNeXtV2–based neural network for the robust detection of atrial fibrillation (AFib) and atrial flutter (AFL) from single-lead ECG signals. Trained on multiple public datasets (Icentia11k, CPSC-2018/2021, LTAF, PTB-XL, PCC-2017) and evaluated on MIT-AFDB, MIT-ADB, and NST, our model [...] Read more.
We introduce a lightweight 1D ConvNeXtV2–based neural network for the robust detection of atrial fibrillation (AFib) and atrial flutter (AFL) from single-lead ECG signals. Trained on multiple public datasets (Icentia11k, CPSC-2018/2021, LTAF, PTB-XL, PCC-2017) and evaluated on MIT-AFDB, MIT-ADB, and NST, our model attained a state-of-the-art F1-score of 0.986 on MIT-AFDB. With only 770 k parameters and 46 MFLOPs per 10 s window, the network remained computationally efficient. Guided Grad-CAM visualizations confirmed attention to clinically relevant P-wave morphology and R–R interval irregularities. This interpretable architecture is, therefore, well-suited for deployment in resource-constrained wearable or bedside monitors. Future work will extend this framework to multi-lead ECGs and a broader spectrum of arrhythmias. Full article
(This article belongs to the Section Biosensors)
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16 pages, 1248 KiB  
Review
Placental Inflammation in Preterm Premature Rupture of Membranes and Risk of Neurodevelopmental Disorders
by Elizabeth Marie Cervantes and Sylvie Girard
Cells 2025, 14(13), 965; https://doi.org/10.3390/cells14130965 - 24 Jun 2025
Viewed by 843
Abstract
Preterm premature rupture of membranes (pPROM) is a leading cause of preterm birth (PTB) and is increasingly recognized for its association with neurodevelopmental disorders (NDDs). The disruption of fetal membrane integrity introduces potential infection and inflammation into the intrauterine environment, triggering immune responses [...] Read more.
Preterm premature rupture of membranes (pPROM) is a leading cause of preterm birth (PTB) and is increasingly recognized for its association with neurodevelopmental disorders (NDDs). The disruption of fetal membrane integrity introduces potential infection and inflammation into the intrauterine environment, triggering immune responses that may affect fetal development. Placental inflammation plays a pivotal role in mediating these effects, exposing the fetus to cytokines, oxidative stress, and potential microbial insults that contribute to adverse neurodevelopmental outcomes. This review examines the current evidence of the mechanistic pathways linking pPROM-induced placental inflammation to NDDs, emphasizing the roles of pathogen-associated molecular patterns (PAMPs) and damage-associated molecular patterns (DAMPs) in the inflammatory responses. We discuss how these immune activations lead to immune cell recruitment and excessive (or uncontrolled) production of inflammatory mediators, leading to an overall inflammatory imbalance that has been linked to disrupted fetal brain development in animal models. Animal models provide critical insights into how both sterile and pathogenic placental inflammation alter fetal neurodevelopment, while human studies, though limited, highlight promising biomarkers and potential therapeutic targets. This review identifies critical knowledge gaps and outlines future directions to mitigate the impact of placental inflammation on long-term infant health. Full article
(This article belongs to the Special Issue Molecular Insight into the Pathogenesis of Spontaneous Preterm Birth)
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19 pages, 690 KiB  
Article
Adenosine Deaminase and Systemic Immune Inflammatory Index—A Biomarker Duet Signature of Pulmonary Tuberculosis Severity
by Ioan Anton Arghir, Oana Cristina Arghir, Marina Ruxandra Otelea, Iulia Tania Andronache and Ileana Ion
Medicina 2025, 61(6), 1096; https://doi.org/10.3390/medicina61061096 - 17 Jun 2025
Viewed by 562
Abstract
Background and Objectives: The role of adenosine deaminase (ADA) in pulmonary tuberculosis (PTB) remains insufficiently defined in advanced forms of disease. Likewise, the systemic immune inflammatory index (SII) has not been validated in severe PTB. This 6-year prospective observational study aims to [...] Read more.
Background and Objectives: The role of adenosine deaminase (ADA) in pulmonary tuberculosis (PTB) remains insufficiently defined in advanced forms of disease. Likewise, the systemic immune inflammatory index (SII) has not been validated in severe PTB. This 6-year prospective observational study aims to evaluate biomarker signatures of serum ADA and SII. Materials and Methods: According to the PTB case definition, 232 adult patients were divided into group 1, with a positive bacteriologic exam (n = 168), and group 2, without bacteriological confirmation (n = 64). ADA serum levels were compared by age, gender, nutritional status, morphologic and bacteriological pattern of PTB lesions, survival status, along with serum levels of other inflammatory biomarkers. All patients with comorbidities, interfering with the level of ADA, were excluded to avoid bias. Results: A total cohort of 208 PTB adults, aged 54.37 ± 14.365 years, included 156 males. The overall mortality was 11.53%. Death occurred after a mean interval of 1.63 ± 3.228 months after PTB diagnosis. ADA serum mean levels were 32.94 ± 9.146 IU/L, significantly higher in G1 (p = 0.002), in patients with delayed diagnosis of PTB (p = 0.000), with lung cavitation (p = 0.003), and death as a poor outcome (p ˂ 0.02). SII had a mean value of 1752.226 ± 2704.150, significantly increased in bacteriologically confirmed PTB cases (p = 0.018), delayed diagnosis (p = 0.002), cavitary advanced pulmonary tuberculosis (APT) (p = 0.002), and deceased (p = 0.003). Both an ADA cut-off elevated risk value of over 30 IU/L and SII of over 902 were fulfilled by 73 patients, with 2.10 higher risk of advanced PTB (p = 0.006) and 4.49 higher risk of mortality (p = 0.000). Conclusions: Serum ADA and SII are recommended as predictors of advanced and severe pulmonary TB. These findings indicate that ADA and SII, when elevated together, delineate a high-risk PTB phenotype with greater disease severity and early mortality. The combination offers a pragmatic, biomarker-based approach to risk stratification in PTB. Full article
(This article belongs to the Section Pulmonology)
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14 pages, 370 KiB  
Article
Anxiety, Coping, and Self-Efficacy as a Psychological Adjustment in Mothers Who Have Experienced a Preterm Birth
by Agata Białas, Karolina Kamecka, Paweł Rasmus, Dariusz Timler, Remigiusz Kozłowski and Anna Lipert
J. Clin. Med. 2025, 14(12), 4174; https://doi.org/10.3390/jcm14124174 - 12 Jun 2025
Viewed by 632
Abstract
Background/Objectives: Research shows that mothers of premature infants can experience increased symptoms of anxiety, depression, and even a post-traumatic stress in comparison to mothers of healthy, full-term infants. The aim of this study was to analyze and compare anxiety, coping, and self-efficacy in [...] Read more.
Background/Objectives: Research shows that mothers of premature infants can experience increased symptoms of anxiety, depression, and even a post-traumatic stress in comparison to mothers of healthy, full-term infants. The aim of this study was to analyze and compare anxiety, coping, and self-efficacy in mothers who have and have not experienced a preterm birth, providing a basis for developing a targeted, mother-oriented support program that supports their adjustment to difficult situations. Methods: The study included 251 women, 112 of whom delivered infants prematurely (PTB group) and 139 who delivered infants at term (T-B group). Data were collected by using (1) The State-Trait Anxiety Inventory (STAI) Questionnaire, (2) the Generalized Self-Efficacy Scale (GSES), and (3) the Coping Inventory for Stressful Situations Questionnaire (CISS). Results: PTB women had higher results in anxiety in comparison to T-B women. Also, they were characterized by statistically significantly lower generalized self-efficacy and ability to cope with stress. PTB women more often presented the emotion-oriented coping style. Conclusions: A mother-oriented support program based on personal resources is a solution which could help mothers better adjust to difficult situations related to preterm birth child treatment and care. Full article
(This article belongs to the Special Issue Progress in Patient Safety and Quality in Maternal–Fetal Medicine)
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27 pages, 520 KiB  
Systematic Review
The Role of Placental Mitochondrial Dysfunction in Adverse Perinatal Outcomes: A Systematic Review
by Charalampos Voros, Sofoklis Stavros, Ioakeim Sapantzoglou, Despoina Mavrogianni, Maria Anastasia Daskalaki, Marianna Theodora, Panagiotis Antsaklis, Peter Drakakis, Dimitrios Loutradis and Georgios Daskalakis
J. Clin. Med. 2025, 14(11), 3838; https://doi.org/10.3390/jcm14113838 - 29 May 2025
Viewed by 779
Abstract
Background: Mitochondria are essential for placental function as they regulate energy metabolism, oxidative balance, and apoptotic signaling. Increasing evidence suggests that placental mitochondrial dysfunction may play a role in the development of many poor perinatal outcomes, including preeclampsia, intrauterine growth restriction (IUGR), premature [...] Read more.
Background: Mitochondria are essential for placental function as they regulate energy metabolism, oxidative balance, and apoptotic signaling. Increasing evidence suggests that placental mitochondrial dysfunction may play a role in the development of many poor perinatal outcomes, including preeclampsia, intrauterine growth restriction (IUGR), premature birth, and stillbirth. Nonetheless, no systematic review has thoroughly investigated this connection across human research. This study aims to consolidate evidence from human research concerning the link between placental mitochondrial dysfunction and negative birth outcomes. Methods: A systematic search of PubMed, Scopus, and Web of Science identified human research examining placental mitochondrial features (e.g., mtDNA copy number, ATP production, oxidative stress indicators) in connection with adverse pregnancy outcomes. Methodological variety resulted in narrative data extraction and synthesis. Results: Twenty-nine studies met the inclusion criteria. Mitochondrial dysfunction was consistently associated with PE, IUGR, FGR, and PTB. The most often observed outcomes included diminished mtDNA copy number, decreased ATP production, elevated reactive oxygen species (ROS), and disrupted mitochondrial dynamics, characterized by increased DRP1 and decreased MFN2. Early-onset preeclampsia and symmetric fetal growth restriction exhibited particularly severe mitochondrial abnormalities, indicating a primary placental origin of the condition. Conclusions: A significant factor contributing to adverse pregnancy outcomes is the dysfunction of placental mitochondria. The analogous molecular signatures across many disorders suggest promising avenues for developing targeted therapies aimed at improving maternal–fetal health and predictive biomarkers. Full article
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20 pages, 4632 KiB  
Article
Endosomal H2O2 Molecules Act as Signaling Mediators in Akt/PKB Activation
by Sujin Park, Chaewon Kim, Sukyeong Heo and Dongmin Kang
Antioxidants 2025, 14(5), 594; https://doi.org/10.3390/antiox14050594 - 16 May 2025
Viewed by 577
Abstract
Receptor-mediated endocytosis (RME) is a commonly recognized receptor internalization process of receptor degradation or recycling. However, recent studies have supported that RME is closely related to signal propagation and amplification from the plasma membrane to the cytosol. Few studies have elucidated the role [...] Read more.
Receptor-mediated endocytosis (RME) is a commonly recognized receptor internalization process of receptor degradation or recycling. However, recent studies have supported that RME is closely related to signal propagation and amplification from the plasma membrane to the cytosol. Few studies have elucidated the role of H2O2, a mild oxidant among reactive oxygen species (ROS) in RME and second messenger of signal propagation. In the present study, we investigated the regulatory function of H2O2 in early endosomes during signaling throughout receptor-mediated endocytosis. In mammalian cells with a physiological amount of H2O2 generated during epidermal growth factor (EGF) activation, fluorescence imaging showed that the levels of two activating phosphorylations on Ser473 and Thr308 of Akt were transiently increased in the plasma membrane, but the predominant p-Akt on Ser473 appeared in early endosomes. To examine the role of endosomal H2O2 molecules as signaling mediators of Akt activation in endosomes, we modulated endosomal H2O2 through the ectopic expression of an endosomal-targeting catalase (Cat-Endo). The forced removal of endosomal H2O2 inhibited the Akt phosphorylation on Ser473 but not on Thr308. The levels of mSIN and rictor, two components of mTORC2 that work as a kinase in Akt phosphorylation on Ser473, were also selectively diminished in the early endosomes of Cat-Endo-expressing cells. We also observed a decrease in the endosomal level of the adaptor protein containing the PH domain, the PTB domain, and the Leucine zipper motif 1 (APPL1) protein, which is an effector of Rab5 and key player in the assembly of signaling complexes regulating the Akt pathway in Cat-Endo-expressing cells compared with those in normal cells. Therefore, the H2O2-dependent recruitment of the APPL1 adaptor protein into endosomes was required for full Akt activation. We proposed that endosomal H2O2 is a promoter of Akt signaling. Full article
(This article belongs to the Special Issue Metabolic Dysfunction and Oxidative Stress)
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18 pages, 3521 KiB  
Article
Cross-Database Learning Framework for Electrocardiogram Arrhythmia Classification Using Two-Dimensional Beat-Score-Map Representation
by Jaewon Lee and Miyoung Shin
Appl. Sci. 2025, 15(10), 5535; https://doi.org/10.3390/app15105535 - 15 May 2025
Viewed by 531
Abstract
Cross-database electrocardiogram (ECG) classification remains a critical challenge due to variations in patient populations, recording conditions, and annotation granularity. Existing methodologies for ECG arrhythmia classification have primarily utilized datasets with either fine-grained or coarse-grained labels, but seldom both simultaneously. Fine-grained labels provide beat-level [...] Read more.
Cross-database electrocardiogram (ECG) classification remains a critical challenge due to variations in patient populations, recording conditions, and annotation granularity. Existing methodologies for ECG arrhythmia classification have primarily utilized datasets with either fine-grained or coarse-grained labels, but seldom both simultaneously. Fine-grained labels provide beat-level annotations, whereas coarse-grained labels offer only record-level labels. In this study, we propose an innovative cross-database learning framework that utilizes both fine-grained and coarse-grained labels in tandem, thereby enhancing classification performance across heterogeneous datasets. Specifically, our approach begins with the pretraining of a CNN-based beat classifier that takes ECG signals as the input and predicts beat types on a finely labeled dataset, namely the MIT-BIH Arrhythmia Database (MITDB). The pretrained model is then fine-tuned using weakly supervised learning on two coarsely labeled datasets: the SPH one, which contains four rhythm classes, and the PTB-XL one, which involves binary classification between the sinus rhythm (SR) and atrial fibrillation (AFIB). Once the beat classifier is adapted to a new dataset, it generates a two-dimensional beat-score-map (BSM) representation from the input ECG signal. This 2D BSM is subsequently utilized as the input for arrhythmia rhythm classification. The proposed method achieves F1 scores of 0.9301 on the SPH dataset and 0.9267 on the PTB-XL dataset, corresponding to the multi-class and binary rhythm classification tasks described above. These results demonstrate a robust cross-database classification of complex cardiac arrhythmia rhythms. Furthermore, t-SNE visualizations of the 2D BSM representations, after adaptation to the coarsely labeled SPH and PTB-XL datasets, validate how our method significantly enhances the ability to differentiate between various arrhythmia rhythm types, thus highlighting its effectiveness in cross-database ECG analysis. Full article
(This article belongs to the Special Issue Artificial Intelligence in Medicine and Healthcare)
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27 pages, 980 KiB  
Review
The Role of the Gut Microbiota in Female Reproductive and Gynecological Health: Insights into Endometrial Signaling Pathways
by Patricia Escorcia Mora, Diana Valbuena and Antonio Diez-Juan
Life 2025, 15(5), 762; https://doi.org/10.3390/life15050762 - 9 May 2025
Cited by 5 | Viewed by 2577
Abstract
Fertility is a dynamic, multifactorial process governed by hormonal, immune, metabolic, and environmental factors. Recent evidence highlights the gut microbiota as a key systemic regulator of reproductive health, with notable impacts on endometrial function, implantation, pregnancy maintenance, and the timing of birth. This [...] Read more.
Fertility is a dynamic, multifactorial process governed by hormonal, immune, metabolic, and environmental factors. Recent evidence highlights the gut microbiota as a key systemic regulator of reproductive health, with notable impacts on endometrial function, implantation, pregnancy maintenance, and the timing of birth. This review examines the gut–endometrial axis, focusing on how gut microbial communities influence reproductive biology through molecular signaling pathways. We discuss the modulatory roles of microbial-derived metabolites—including short-chain fatty acids, bile acids, and tryptophan catabolites—in shaping immune tolerance, estrogen metabolism, and epithelial integrity at the uterine interface. Emphasis is placed on shared mechanisms such as β-glucuronidase-mediated estrogen recycling, Toll-like receptor (TLR)-driven inflammation, Th17/Treg cell imbalance, and microbial translocation, which collectively implicate dysbiosis in the etiology of gynecological disorders including endometriosis, polycystic ovary syndrome (PCOS), recurrent implantation failure (RIF), preeclampsia (PE), and preterm birth (PTB). Although most current evidence remains correlational, emerging insights from metagenomic and metabolomic profiling, along with microbiota-depletion models and Mendelian randomization studies, underscore the biological significance of gut-reproductive crosstalk. By integrating concepts from microbiology, immunology, and reproductive molecular biology, this review offers a systems-level perspective on host–microbiota interactions in female fertility. Full article
(This article belongs to the Section Reproductive and Developmental Biology)
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16 pages, 997 KiB  
Article
Gene Expression Differences Based on Low Total 25(OH)D and Low VDBP Status with a Preterm Birth
by Jennifer Woo, Tulip Nandu, Alexandra Nowak, Anna Forsman and Carmen Giurgescu
Int. J. Mol. Sci. 2025, 26(10), 4475; https://doi.org/10.3390/ijms26104475 - 8 May 2025
Viewed by 529
Abstract
Preterm birth (PTB; <37 weeks’ gestation) is a persistent problem in the United States that affects non-Hispanic Black women at much higher rates than White women. Several biomarkers have been associated with PTB, including vitamin D deficiency (VDD) and low levels of vitamin [...] Read more.
Preterm birth (PTB; <37 weeks’ gestation) is a persistent problem in the United States that affects non-Hispanic Black women at much higher rates than White women. Several biomarkers have been associated with PTB, including vitamin D deficiency (VDD) and low levels of vitamin D-binding protein (VDBP). However, no biomarker has been found to predict PTB. To identify a predictive biomarker of PTB, gene expression differences were determined in Black women with PTB and full-term births and between women with high and low levels of plasma vitamin D and high and low VDBP levels. In this pilot study of 19 pregnant women from the Biosocial Impact on Black Births (BIBB) study, we found that 47 genes were upregulated and 16 genes were downregulated in women with PTB as compared with women who had a full-term birth, 361 genes were downregulated and 61 genes were upregulated in women with VDD as compared with those that had vitamin D sufficiency, and 44 genes were upregulated and 295 were downregulated in women with low VDBP. Several genes expressed by neutrophils were downregulated in the PTB, VDD, and low VDBP groups. These findings support the idea that vitamin D and VDBP status may be important clinical markers influencing the gene expression of genes associated with PTB. Full article
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12 pages, 506 KiB  
Article
Differentiating Nontuberculous Mycobacterial Pulmonary Disease from Pulmonary Tuberculosis in Resource-Limited Settings: A Pragmatic Model for Reducing Misguided Antitubercular Treatment
by Wei Zhang, Jun Chen, Zhenhua Chen, Jun Quan and Zebing Huang
Healthcare 2025, 13(9), 1065; https://doi.org/10.3390/healthcare13091065 - 5 May 2025
Viewed by 646
Abstract
Background: Differentiating nontuberculous mycobacterial pulmonary disease (NTM-PD) from pulmonary tuberculosis (PTB) remains challenging due to overlapping clinical features, particularly in resource-limited settings where diagnostic errors are frequent. This retrospective case–control study (January 2023–June 2024) aimed to identify key clinical predictors and develop [...] Read more.
Background: Differentiating nontuberculous mycobacterial pulmonary disease (NTM-PD) from pulmonary tuberculosis (PTB) remains challenging due to overlapping clinical features, particularly in resource-limited settings where diagnostic errors are frequent. This retrospective case–control study (January 2023–June 2024) aimed to identify key clinical predictors and develop a diagnostic model to distinguish NTM-PD from PTB. Methods: Patients initially presumed to have PTB (meeting clinical–radiological criteria but lacking bacteriological confirmation at admission) at a tertiary tuberculosis hospital were enrolled. Final diagnoses of NTM-PD (n = 105) and PTB (n = 105) were confirmed by mycobacterial culture identification. Clinical, laboratory, and radiological data were compared using univariate analysis. Variables showing significant differences (p < 0.05) were entered into multivariable logistic regression. Diagnostic performance was evaluated via receiver operating characteristic (ROC) curve analysis. Results: Female sex (odds ratio [OR] = 2.51, 95% confidence interval [CI] 1.12–5.60), hemoptysis (OR = 2.20, 1.05–4.62), bronchiectasis (OR = 5.92, 2.56–13.71), and emphysema/pulmonary bullae (OR = 2.69, 1.16–6.24) emerged as independent predictors of NTM-PD, while systemic symptoms favored PTB (OR = 0.45, 0.20–0.99). The model demonstrated 91.4% specificity and 68.6% sensitivity with an area under the curve [AUC] of 0.871. Conclusions: This high-specificity model helps prioritize NTM-PD confirmation in females with hemoptysis and structural lung changes (computed tomography evidence of bronchiectasis and/or emphysema) while maintaining PTB suspicion when systemic symptoms (fever, night sweats, weight loss) dominate. The approach may reduce misguided antitubercular therapy in resource-limited settings awaiting culture results. Full article
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11 pages, 3209 KiB  
Article
Induced Effects of Nano-Patterned Substrates on the Electrical and Photo-Electrical Properties of PTB7-Th:ICBA (1:1, wt.%) Bulk-Heterojunction Solar Cells
by Tudor Suteu, Vlad-Andrei Antohe, Stefan Antohe, Ionel Stavarache, Maria Cristina Balasin, Gabriel Socol, Marcela Socol, Oana Rasoga and Sorina Iftimie
Surfaces 2025, 8(2), 30; https://doi.org/10.3390/surfaces8020030 - 1 May 2025
Viewed by 673
Abstract
In this study, we detailed the fabrication and characterization of photovoltaic structures based on PTB7:ICBA (1:1, wt.%) bulk-heterojunction on optical glass substrates by spin-coating. Some samples were deposited on a flat substrate, and others were placed on a patterned substrate obtained by nano-imprinting [...] Read more.
In this study, we detailed the fabrication and characterization of photovoltaic structures based on PTB7:ICBA (1:1, wt.%) bulk-heterojunction on optical glass substrates by spin-coating. Some samples were deposited on a flat substrate, and others were placed on a patterned substrate obtained by nano-imprinting lithography; the induced effects were analyzed. We demonstrated that using a patterned substrate enhanced the maximum output power, primarily because the short-circuit current density increased. This can be considered a direct consequence of reduced optical reflection and improved optical absorption. The topological parameters evaluated by atomic force microscopy, namely, the root mean square, Skewness, and Kurtosis, had small values of around 2 nm and 1 nm, respectively. This proves that the mixture of a conductive polymer and a fullerene derivative creates a thin film network with a high flatness degree. The samples discussed in this paper were fabricated and characterized in air; we can admit that the results are encouraging, but further optimization is needed. Full article
(This article belongs to the Collection Featured Articles for Surfaces)
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