Search Results (1,529)

The amniotic membrane is widely recognized in regenerative medicine due to its rich content of extracellular matrix proteins and growth factors that confer anti-inflammatory and pro-regenerative properties. However, its rapid degradation restricts its standalone clinical use. To overcome these limitations, we developed biofilms by incorporating decellularized human amniotic membrane matrix (dHAM) into polycaprolactone (PCL) and polyvinylpyrrolidone (PVP) matrices using spin-coating. Bone marrow-derived mesenchymal stem cells (BM-MSCs) were used to evaluate film biocompatibility through cell viability, proliferation, and wound healing migration assays. Surface characterization was performed using contact angle measurements, Attenuated Total Reflectance-Fourier Transform Infrared (ATR-FTIR) spectroscopy, and scanning electron microscopy. Soluble dHAM extracts (4–6 mg/mL) significantly enhanced BM-MSC proliferation at 48 h compared to controls (p ≤ 0.01 and p ≤ 0.0001). Both PCL-dHAM and PVP-dHAM biofilms exhibited high cell viability (>90%) and improved initial adhesion. Notably, dHAM incorporation significantly increased wound closure rates at 24 h, reaching 98.47% for PCL-dHAM and 93.13% for PVP-dHAM, compared to 76.56% and 64.20% for pure polymers (p = 0.0001). All scaffolds maintained hydrophilic surfaces (<90°), favorable for cell interaction. The integration of dHAM into PCL and PVP by spin-coating produces biofilms biocompatible with enhanced regenerative potential, representing promising candidates for wound healing applications. In conclusion, these coatings support BM-MSC adhesion, proliferation, and migration, while significantly accelerating wound closure, underscoring their value as advanced bioactive coatings for regenerative medicine. Full article

The valorization of lignocellulosic residues into bioactive and biodegradable materials offers a sustainable route for functional food packaging. In this study, hazelnut shells were exploited through an integrated process enabling the integrated recovery of polyphenols and cellulose. Polyphenols were extracted via hot water, liquid–liquid partitioning, and column chromatography, yielding a purified bioactive fraction. The residual biomass after polyphenol recovery was used for cellulose extraction (approximately 23% w/w) and converted into carboxymethyl cellulose (CMC) with a degree of substitution (DS) of 0.77. Active CMC films incorporating polyphenolic extracts exhibited improved mechanical performance, reaching tensile strengths of about 78 MPa and elongation at break values above 20%, while reducing water solubility to approximately 31%. The addition of carnauba wax further enhanced water resistance while modulating flexibility and stiffness. Attenuated Total Reflectance-Fourier Transform Infrared spectroscopy (ATR-FTIR) and scanning electron microscopy (SEM) analyses confirmed the conversion of crystalline cellulose into amorphous CMC and the successful incorporation of additives within the polymer matrix. The resulting films showed tunable mechanical, optical, and barrier properties, along with UV-blocking and antioxidant activity. These findings demonstrate that hazelnut shell-derived CMC films enriched with polyphenols and carnauba wax represent promising candidates for a sustainable platform for active food packaging applications, supporting a circular waste-to-value approach. Full article

This study investigated porous materials based on cellulose acetate (CA), poly(lactic acid) (PLA), and their multilayer combinations fabricated by solution blow spinning (SBS) for potential food packaging applications. Single-layer neat polymers and multilayer structures (CA/PLA, CA/PLA/CA, and PLA/CA/PLA) were produced through sequential deposition, enabling control of layer arrangement while preserving high porosity. Attenuated total reflectance Fourier-transformed infrared spectroscopy, differential scanning calorimetry, and thermogravimetric analysis showed negligible polymer interdiffusion or specific intermolecular interactions, indicating that layer integration occurs mainly through physical contact and void filling rather than molecular mixing. Scanning electron microscopy analysis revealed that cellulose acetate possesses a highly porous, interconnected structure, whereas poly(lactic acid) exhibits a predominantly fibrous morphology with clearly distinguishable layers in multilayer systems. Mechanical testing demonstrated that poly(lactic acid) mats had higher stiffness and tensile strength, while cellulose acetate films were more flexible and compliant. Multilayer systems showed complex tensile behavior characterized by interfacial failure and limited load transfer, indicating no synergistic mechanical reinforcement between layers. Water vapor permeability remained high and narrowly distributed for all configurations (890–920 g·m⁻²·day⁻¹), independent of layer sequence, reflecting the porous morphology. These values exceed those of conventional polymer packaging films, highlighting the suitability of the materials for breathable packaging. Overall, solution blow spinning enables scalable fabrication of biodegradable multilayer materials with tunable mechanical performance for sustainable food packaging applications requiring controlled moisture exchange. Full article

The development of bio-based active packaging materials has gained increasing attention as a sustainable alternative to synthetic plastics. In this study, chitosan-based films incorporating yerba mate kombucha infusion (YMK-I) were developed and fully characterized. Films were prepared using different YMK-I concentrations (25–100% v/v) as solvent, with acetic acid-based chitosan films as controls. The infusion showed pH 2.5, titratable acidity of 3.5%, total solids of 6%, high phenolic content (1085 mg GAE/L), and reducing sugars (18.3 g/L). Acetic and lactic acids were identified by high-performance liquid chromatography (HPLC). Minimum Inhibitory Concentration (MIC) values ranged from 0.03 µg/mL for Staphylococcus aureus to 0.3 µg/mL for Escherichia coli and Pseudomonas aeruginosa. Rheological results indicated that YMK-I performed similarly to acetic acid as a solvent. Fourier Transformed Infrared with Attenuated Total Reflectance (FTIR-ATR) suggested interactions between chitosan and bioactive compounds. Thermal analyses showed that YMK-I acted as a plasticizer and introduced thermolabile components, altering glass transition and degradation behavior. Increasing YMK-I content reduced tensile strength and increased elongation, indicating greater flexibility, while water vapor permeability increased due to hydrophilic compounds. Films enriched with YMK-I exhibited high antioxidant activity (Radical Scavenging Activity > 85%) and strong antimicrobial effects (>98% inhibition) against E. coli and S. aureus. These results highlight the potential of chitosan–kombucha films as multifunctional materials for specialized applications. Full article

Background: Treatment monitoring in pulmonary tuberculosis increasingly requires assessment of residual inflammatory burden and structural lung damage beyond microbiologic response alone. High-resolution computed tomography (HRCT) can provide this information, but interpretation of serial examinations is time-consuming and partly subjective. This study did not aim to evaluate AI for the diagnosis of pulmonary tuberculosis. Instead, it explored whether artificial intelligence (AI)-assisted quantitative HRCT analysis could support longitudinal assessment of treatment-related imaging changes in patients with microbiologically confirmed pulmonary tuberculosis. Methods: We conducted a retrospective, single-center, exploratory longitudinal study of patients receiving treatment for pulmonary tuberculosis. HRCT examinations acquired at diagnosis and during follow-up were anonymized, reviewed by an expert thoracic radiologist, and processed using AVIEW Lung Texture (Coreline Soft v2.0). The software quantified total lung volume and six predefined parenchymal categories: normal lung, ground-glass opacity, consolidation, reticulation, honeycombing, and emphysema. Results: Ninety-six patients contributed 256 HRCT examinations. The most frequent software-detected abnormalities were ground-glass opacity, consolidation, and emphysema-labeled low-attenuation areas. Ground-glass opacity and consolidation showed the clearest decline across serial examinations, consistent with regression of active inflammatory disease during treatment. Reticulation showed a heterogeneous course, likely reflecting both inflammatory resolution and residual structural remodeling. Honeycombing was infrequent and quantitatively limited. Lung volume changed variably and did not consistently parallel visual improvement. A key methodological limitation was the absence of a dedicated cavity class. As a result, emphysema-labeled low-attenuation areas should not be interpreted as conventional emphysema alone, because tuberculous cavities and post-destructive abnormalities were frequently included in this category. Conclusions: AI-assisted HRCT quantification may support longitudinal assessment of pulmonary tuberculosis by providing structured and reproducible measures of interval change. However, tuberculosis-specific interpretation remains dependent on expert radiologic oversight, particularly in cavitary disease. Full article

Thai rice varieties, including Hom Pathum (Pathumthani fragrant rice) and Tubtim Chumphae rice, contain bioactive compounds with potential antioxidant properties. In this study, their acute effects on glycemic response, cardiac autonomic function, endurance performance, and oxidative stress were investigated in healthy adults. In a randomized crossover design, two independent cohorts of healthy adults were enrolled. A total of 50 participants completed two separate experiments (n = 25 per experiment), in which they consumed 140 g of control jelly, Hom Pathum rice jelly, and Tubtim Chumphae rice jelly in a randomized order on separate occasions. In Experiment 1, blood glucose (BG) was measured at baseline and every 30 min for 120 min, while insulin concentrations were assessed at baseline and after 120 min. In Experiment 2, participants performed treadmill exercise at 60% VO₂peak to volitional exhaustion, and exercise-induced oxidative stress was evaluated following exercise. Postprandial BG responses differed significantly among interventions. At 30 min, BG concentrations were lower following Hom Pathum and Tubtim Chumphae rice jellies compared with the control jelly (p < 0.001 and p = 0.002, respectively), and these reductions were maintained between 60 and 120 min, with Tubtim Chumphae rice generally demonstrating greater glycemic attenuation (p < 0.05). The BG area under the curve was significantly lower following both rice jellies than following the control jelly (p ≤ 0.005). No significant differences were observed in insulin concentrations, HOMA indices, heart rate variability, or blood pressure among interventions. Both rice jellies improved endurance performance compared with the control condition (p < 0.05), whereas post-exercise malondialdehyde concentrations were significantly reduced only following Tubtim Chumphae rice consumption (p = 0.049). These findings suggest that acute consumption of Thai rice-based jellies, particularly Tubtim Chumphae rice jelly, may attenuate postprandial glycemic responses and enhance endurance performance, with Tubtim Chumphae rice additionally demonstrating potential to reduce exercise-induced oxidative stress. However, these findings reflect short-term physiological responses in healthy adults and should be interpreted cautiously pending further mechanistic and long-term investigations. Full article

Banana (Musa acuminata), the second most cultivated fruit worldwide, generates approximately 220 tons of agricultural waste per hectare annually, with nearly 80% of the plant biomass remaining underutilised after harvest. Banana inflorescence, an underutilised by-product of banana cultivation, is commonly discarded despite its rich nutritional and bioactive composition, contributing to agricultural waste and environmental concerns. This study aimed to develop and evaluate banana inflorescence lozenges as a nutraceutical supplement while promoting sustainable agricultural waste valorisation. Freeze-dried banana inflorescence powder was incorporated into a hard lozenge formulation using the melt-and-mould method, and the formulation was optimised through physical evaluation. The optimised lozenges demonstrated acceptable mechanical properties, including friability of 0.13%, hardness of 55.16 kg/cm², and disintegration time of 35 min. Fourier-transform infrared spectroscopy with attenuated total reflectance (FTIR–ATR) confirmed the compatibility between the active ingredient and excipients. The formulated lozenges exhibited a total phenolic content of 22.74 ± 0.74 mg GAE/g DW and moderate antioxidant activity, with ABTS and DPPH IC₅₀ values of 30.65 mg/mL and 72.53 mg/mL, respectively. In vitro antidiabetic assays demonstrated α-glucosidase inhibition of 45.80% and α-amylase inhibition of 98.11%. Mineral analysis further revealed appreciable levels of potassium, magnesium, calcium, and iron. Although some reduction in bioactivity was observed following processing and formulation, banana inflorescence still demonstrated potential as a sustainable functional ingredient for nutraceutical applications and agricultural waste valorisation. Further studies involving stability assessment and in vivo validation are recommended. Full article

In industrial applications such as in situ leaching and uranium mining, permanent magnet synchronous motors (PMSMs) for submersible pumps are frequently connected to frequency converters via long cables. During this long-distance transmission, traveling wave reflections induced by high-frequency pulse width modulation (PWM) generate severe transient overvoltages that threaten motor insulation. Because installation space at deep-well motor terminals is severely restricted, overvoltage suppression must be implemented at the inverter output. Here, the parameter design and optimization of a passive LC filter specifically developed for 250 Hz high-frequency PMSMs are presented. The optimal inductance and capacitance parameters were determined by balancing multiple operational constraints, including fundamental voltage drop, high-frequency harmonic attenuation, and the avoidance of low-order harmonic resonance. Furthermore, the anti-saturation performance of the magnetic core material, evaluated thermal characteristics through electromagnetic-thermal co-simulation, and analyzed the risk of self-excited oscillation between the filter capacitors and the motor was analyzed. Finally, hardware experiments conducted on a 20 m cable test bench validate that the designed LC filter effectively mitigates terminal overvoltage. The peak terminal voltage was reduced from 900 V to 505 V, and total harmonic distortion (THD) was limited to below 5%. This design provides a highly reliable, space-efficient solution for overvoltage suppression in high-speed, long-cable motor drive systems. Full article

Background: Acute kidney injury (AKI) is one of the more serious complications following cardiac surgery, consistently linked to prolonged mechanical ventilation and higher in-hospital mortality. This study examined whether preoperative anaemia and impaired renal function are associated with AKI and death in a high-risk cardiac-surgery cohort requiring extended postoperative ICU monitoring and how these associations behave after adjustment for procedure type and intraoperative variables. Methods: In this single-centre retrospective cohort study, we screened 950 patients admitted to a cardiothoracic ICU between January 2018 and January 2024. After standard exclusion criteria and an audit of operative records, 553 cardiac-surgery patients formed the principal analysis cohort. AKI was defined by KDIGO criteria using serial postoperative serum-creatinine measurements during the first 7 days. Multivariable logistic regression for AKI and in-hospital mortality was built sequentially: Model A (baseline only); Model B (+procedure type); and Model C (+intraoperative variables: aortic cross-clamp time, intraoperative RBC units, and intraoperative inotrope use). Calibration was assessed by the Hosmer–Lemeshow test. Total cardiopulmonary bypass duration was not separately captured in the institutional database and is disclosed as a limitation. Results: AKI occurred in 174 of 553 patients (31.5%), and in-hospital mortality was 16.6% (92/553). Patients with AKI were older (median 77 vs. 68 years, p < 0.001), with lower preoperative haemoglobin (11.4 vs. 12.3 g/dL, p < 0.001) and lower eGFR (38.1 vs. 63.7 mL/min/1.73 m², p < 0.001). The aortic cross-clamp time was shorter in AKI patients (56 vs. 70 min, p = 0.043), a counterintuitive finding likely reflecting residual confounding by case-mix and procedure selection rather than a protective operative effect. In the fully adjusted multivariable model, the haemoglobin–AKI association attenuated and was no longer independently significant (OR 0.89 per 1 g/dL, 95% CI 0.73–1.08, p = 0.24), while intraoperative RBC transfusion emerged as an independent predictor (OR 1.12 per unit, p = 0.046). For mortality, AKI remained an independent predictor after full adjustment for procedure type and intraoperative variables (OR 7.14, 95% CI 1.45–35.13, p = 0.016), with cross-clamp time (OR 1.30 per 10 min, p = 0.010) and intraoperative RBC units (OR 1.48 per unit, p < 0.001) also independently associated. Both fully adjusted models showed acceptable calibration (Hosmer–Lemeshow p = 0.48 for AKI, p = 0.56 for mortality). Conclusions: In cardiac-surgery patients with a prolonged ICU stay, AKI is independently associated with in-hospital mortality even after adjustment for operative variables. The univariable association between preoperative haemoglobin and AKI is attenuated after adjustment for procedure type and intraoperative transfusion exposure, suggesting confounding or mediation by operative and case-mix factors rather than an independent direct association. The contribution of this analysis is aetiological/analytical rather than predictive (modest discrimination, AUROC 0.67 for AKI), and findings should be interpreted within the selected high-risk ICU ≥ 72 h population. Full article

Attenuated total reflection time-domain spectroscopy (ATR-TDS) in the terahertz regime was employed to investigate the dielectric response of water–acetone mixtures over the full molar concentration range. The ATR configuration enabled stable measurements in a controlled and nearly closed environment, minimizing acetone evaporation and allowing reliable characterization of this highly volatile binary system. The complex dielectric function, retrieved in the 0.4–1.6 THz range, was analyzed by means of a double Cole–Cole model, which provided a more consistent description of the mixtures than a simple Debye-based approach. A strongly nonlinear dependence on composition was observed, with the highest sensitivity in the water-rich region, where even small amounts of acetone produced a marked change in both the real and imaginary parts of the dielectric function. The extracted parameters indicate that acetone primarily suppresses the slow, cooperative relaxation channel associated with the hydrogen-bond network of water, whereas the faster channel remains comparatively less affected, consistent with its more local intermolecular origin. The evolution of the Kirkwood–Fröhlich correlation factors and of the broadening parameters further supports a progressive transition from a highly correlated hydrogen-bonded liquid to a structurally heterogeneous and weakly cooperative dipolar environment. These results demonstrate that THz ATR-TDS is a sensitive tool for probing intermolecular reorganization in aqueous binary mixtures, providing a physically grounded framework for the detection of acetone and other volatile hydrogen-bond-active species in water-based systems. Full article

Microplastics (MPs) in wastewater treatment plants are exposed to oxidative conditions during disinfection and advanced oxidation processes (AOPs), which can alter morphology and surface chemistry and influence interactions with coexisting contaminants. Here, accelerated chemical oxidation was simulated using heat-activated potassium persulfate (K₂S₂O₈) and sodium hypochlorite (NaOCl) to examine the oxidative aging of MPs made from polyethylene (PE), polyethylene terephthalate (PET), and polypropylene (PP). Changes in particle morphology and surface chemistry before and after oxidant treatment were characterized using scanning electron microscopy (SEM) for morphological analysis and attenuated total reflectance-Fourier transform infrared (ATR-FTIR) spectroscopy for chemical characterization. Carbonyl formation, an indicator of polymer oxidation, was evaluated using the carbonyl index (CI). Both oxidants induced surface morphological defects and carbonyl functional groups in the MPs, with CI increasing with degradation time. The CI trends suggest that MP oxidation varies with polymer type and oxidant. The effect of oxidative aging on MP sorption capacity was also investigated using copper ions as a model inorganic constituent. Although oxidative aging introduced oxygen-containing functional groups, no statistically significant differences in copper sorption were observed between pristine and oxidized MPs, indicating that MPs can act as vectors for copper regardless of their degree of surface oxidation. Full article

Emotional eating under negative affect refers to eating responses that occur in brief unpleasant emotional states and are not explained by hunger alone. This narrative review synthesizes representative evidence from experimental, ecological, and neurocognitive studies on emotional eating under negative affect, with emphasis on two interrelated pathways. (1) Emotion regulation: emotional eating may function as a rapid and accessible regulatory strategy through which food, especially highly palatable food, is used to attenuate negative affect. The immediate soothing effects of eating may reinforce later motivation and habitual responses to regulate emotions through food, whereas more adaptive strategies, such as cognitive reappraisal, may reduce the likelihood and intensity of emotion-related eating. (2) Reward processing and biased decision making: negative affect and affective stress contexts may diminish cognitive control and bias food choice toward immediate rewards. This pathway is reflected in increased attentional bias to food cues, stronger weighting of taste and palatability during value weighing, heightened responsivity to highly rewarding foods, and reduced regulatory influence of health and nutrition attributes. These processes may shift food choice toward energy-dense, nutrient-poor, and ultra-processed foods. The nutritional manifestations of emotional eating are not limited to total intake. Changes in intake quantity are heterogeneous, whereas changes in food choice, diet quality, degree of processing, and eating patterns appear more consistent. Repeated emotional eating may therefore contribute to less stable eating patterns and potential nutritional implications, although links with long-term physiological outcomes remain indirect. Future longitudinal and ecological momentary assessment studies are needed to clarify when emotional eating becomes a stable dietary pattern and which individual or contextual factors increase vulnerability. Full article

This study investigated the use of Attenuated Total Reflectance Fourier Transform Infrared Spectroscopy (ATR-FTIR) as a cost-effective analytical approach for screening the bioactivity of green algal extracts. Samples of five Caulerpa species—C. ashmeadii, C. paspaloides, C. cupressoides, C. verticillata, and C. prolifera—were collected from Dzilam, Yucatán, Mexico, across seven seasonal campaigns. Sequential extraction was performed using solvents of increasing polarity: hexane, dichloromethane, acetone, and methanol. After solvent evaporation, extracts were analyzed via ATR-FTIR, and Total Phenolic Content (TPC) and Trolox Equivalent Antioxidant Capacity (TEAC) were quantified. Statistical analysis (PERMANOVA) revealed that the type of solvent accounted for most of the variance (61.6%), while species and collection date contributed minimally. Infrared (IR) band assignments highlighted functional groups associated with lipids, such as terpenes, and carbohydrates. K-means clustering enabled the subdivision of less polar extracts, notably grouping numerous samples from C. verticillata. Classification models comparing full-spectrum and IR band datasets showed that Partial Least Squares Discriminant Analysis (PLS-DA) with full-spectrum data achieved the best performance. TPC showed a positive correlation with absorption at 1730.8 cm⁻¹, which is associated with ester-containing metabolites. Although ATR-FTIR effectively distinguished extraction solvents, it was less sensitive to subtle biological variation among Caulerpa. However, the method remains a practical tool for rapid screening, with spectral data supporting solvent-based classification. Reduction of salt content prior to extraction may minimize interference in both FTIR measurements and biological assays. Full article

A series of novel vanillin-derived halolactones bearing a phenolic ring at the β-position were comprehensively evaluated for their antioxidant and anti-inflammatory properties. The most active derivative, trans-4-(4′-hydroxy-3′-methoxyphenyl)-5-(1-iodoethyl)dihydrofuran-2(3H)-one (LV2), exhibited strong antioxidant activity in the ABTS assay (EC₅₀ = 35.65 ± 2.34 μM), comparable with Trolox^® and superior to the reference compound in the UV-C-induced oxidative stress assay (IC₅₀ = 48.67 ± 5.46 μM). Among the tested lactones, LV2 showed moderate anti-inflammatory activity in the COX-1 and COX-2 inhibition assays. Further studies revealed that iodolactone LV2 exhibited high antiproliferative activity in the MTT assay, particularly against the LM-MEL-75 and EPG85-257RDB cell lines (IC₅₀ = 8.67 ± 10.61 μM and 7.37 ± 3.23 μM, respectively), along with high selectivity (selectivity indices > 5). The effects of iodolactone LV2 on various lipid membranes were examined using fluorometric methods, while its impact on human red blood cell morphology was evaluated by analyzing erythrocyte shape changes. The influence of LV2 on model membrane organization was further investigated using attenuated total reflectance-Fourier transform infrared spectroscopy (ATR-FTIR). All spectroscopic studies confirmed the lactone’s interaction with polar regions of model membranes, demonstrating its capacity to modulate membrane-associated functions. This multifunctional bioactivity positions iodolactone LV2 as a promising candidate for further anticancer studies. Full article

Background: Pembrolizumab, a programmed cell death protein 1 (PD-1) inhibitor, is widely employed in oncological practice; however, its propensity to induce nephrotoxicity through immune-mediated oxidative and inflammatory mechanisms remains an insufficiently characterized clinical concern. The present study comparatively investigated the renoprotective effects of flunarizine, a voltage-dependent calcium channel antagonist, and carvacrol, a monoterpene, against pembrolizumab-induced renal injury in rats. Methods: Twenty-four male Wistar albino rats were assigned to four groups (n = 6): healthy control (HG), pembrolizumab alone (PZB), flunarizine+pembrolizumab (FLPZ), and carvacrol+pembrolizumab (CCPZ). Pembrolizumab was administered intraperitoneally at 5 mg/kg; flunarizine orally at 5 mg/kg and carvacrol intraperitoneally at 50 mg/kg, once daily for seven consecutive days. Renal oxidative status was assessed by measuring malondialdehyde (MDA) and total glutathione (tGSH) levels. Histopathological evaluation was performed using hematoxylin and eosin staining. Two double immunofluorescence panels were employed to assess 3,3′-dityrosine/Hepatitis A virus cellular receptor 1 (HAVCR1) and cyclooxygenase-1 (COX-1)/cyclooxygenase-2 (COX-2) expression, respectively. Results: Pembrolizumab caused pronounced oxidative stress and inflammatory responses in renal tissue, leading to a significant increase in renal MDA levels and a marked decrease in tGSH levels. These biochemical alterations were accompanied by severe tubular degeneration and increased expression of 3,3′-dityrosine, which is associated with oxidative damage, as well as HAVCR1, a marker of cellular injury, and COX-1 and COX-2, which reflect inflammatory activity. These findings indicate that pembrolizumab disrupts the renal redox balance and activates both oxidative and inflammatory pathways in kidney tissue. Flunarizine and carvacrol significantly reduced these pathological changes. Both agents attenuated oxidative stress markers and supported antioxidant defenses, thereby alleviating tissue damage. However, flunarizine demonstrated a more pronounced renoprotective effect across all evaluated parameters, restoring MDA and tGSH levels closer to physiological values and reducing tubular injury to a minimal level. Carvacrol showed a more limited but still statistically significant protective effect. Conclusions: Both agents confer significant renoprotection against pembrolizumab-induced oxidative injury; however, flunarizine exhibits a more robust protective profile, likely attributable to its capacity to attenuate calcium-mediated mitochondrial dysfunction and preserve cellular bioenergetic homeostasis. Full article