Search Results (2,623)

Background/Objectives: It is well established in the modern literature that newborns delivered from multiple gestations are more predisposed to low birthweight in comparison to their singleton equivalents. In this study, we sought to explore the potential of first-trimester biochemical (PAPP-A and free β-hCG) and biophysical indices (uterine artery Doppler) to predict low birthweight in one or both twins. Methods: This is a retrospective cohort analysis of 400 twin viable pregnancies presenting for routine first-trimester assessment in four fetal medicine centers between 2014 and 2025. The examination included the recording of maternal demographic characteristics and medical history, the assessment of markers of aneuploidy and the fetal anatomy, the measurement of mean arterial pressure, the assessment of uterine arteries and the measurement of serum concentration of PAPP-A and free β-hCG. The evaluated outcomes included BW ≤ 3rd centile and BW ≤ 10th centile in one or both twins based on local population birthweight reference charts. Results: The study cohort consisted of 400 twin pregnancies. BW ≤ 3rd centile in one or both twins was reported in 1.5 and 3.8% of cases, respectively, and there was no association of BW ≤ 3rd centile with any of the studied parameters. BW ≤ 10th centile in one or both twins was reported in 14.8 and 9.8% of the cases, respectively. PAPP-A MoM values were significantly lower in cases complicated by BW ≤ 10th centile in one and in both twins, remaining statistically significant even after the appropriate multiple logistic regression. PAPP-A MoM demonstrated statistically significant but low prognostic value for BW ≤ 10th centile in either one or both twins. Conclusions: Low PAPP-A levels were associated with BW ≤ 10th centile in one and both twins and its significant value as a risk marker was demonstrated. Higher PAPP-A MoM halves the risk of having at least one twin with low BW. Other maternal biophysical and biochemical indices did not seem to be predictive of low birthweight. Full article

Background/Objectives: Advances in the genetic understanding of pheochromocytoma–paraganglioma (PPGL) have considerably refined personalized approaches to diagnosis and management. This study aims to present our institutional experience on the diagnostic characteristics, clinical course, and genetic background of patients with PPGL, in the context of the current literature. Methods: This retrospective analysis included 35 patients diagnosed with PPGL between years 2020 and 2024, all of whom underwent surgical resection and next-generation sequencing for germline mutations in major PPGL susceptibility genes. Clinical presentation, biochemical profile, pathological findings, and follow-up outcomes were compared between mutation-positive and mutation-negative cases. Results: Of the 35 patients with PPGL, germline mutations were identified in 6 patients (17%): 2 in Cluster 1A genes (SDHA, SDHB), 2 in Cluster 1B (VHL), and 2 in Cluster 2 (NF1). Consistent with existing literature, pathogenic germline variants—particularly SDHB and VHL—were identified in our cohort exclusively in patients younger than 30 years (ages 17, 20, and 25). Mutation-positive patients more frequently exhibited noradrenergic or non-secretory profiles (p = 0.01). Among the three non-secretory tumors in the cohort, two harbored genetic mutations (SDHA, NF1). Interestingly, both NF1-positive patients were normotensive—one (c.3496G > A) with a non-secretory tumor and the other (c.2329T > A) presenting at an unusually late age (63 years)—a strikingly atypical spectrum that underscores the phenotypic variability of NF1-associated PPGL. Bilateral disease was observed exclusively in VHL carriers (p = 0.03). Importantly, we identified a rare VHL c.369delG frameshift variant, not previously reported in association with PPGLs, in a patient with PPGL. No significant difference was observed between SDHB loss (p = 0.1) and proliferative indices (mitotic count, Ki-67) (p = 0.07, p = 0.6) between the two groups. During a median follow-up of 24 months (IQR: 18–36), one SDHB-positive patient had a recurrence, while no distant metastases were detected in the remaining mutation carriers. Conclusions: These findings support characteristic clinical patterns among mutation-positive PPGL and underscore the importance of systematic germline testing in all cases—irrespective of age, family history, or biochemical profile—to guide individualized management and enable cascade screening. The identification of a rare VHL c.369delG variant, previously unreported in association with PPGL, within a characteristic VHL-related clinical phenotype highlights the importance of this association. Similarly, atypical NF1 cases emphasize phenotypic variability and reinforce the importance of germline testing even in clinically silent presentations. Full article

Background: Allergic rhinitis (AR) is a chronic immunoglobulin E (IgE)-mediated inflammatory disorder triggered by aeroallergens. Oxidative stress (OS) is increasingly recognized as a key factor in AR pathophysiology. This study aimed to investigate dynamic thiol–disulfide homeostasis (TDH) and OS markers in AR patients compared to healthy controls. Methods: Sixty-two participants (31 AR patients, 31 controls) were enrolled. Hematological and biochemical parameters were measured. OS markers including total thiol (TT), native thiol (NT), disulfide, total antioxidant status (TAS), total oxidant status (TOS), and oxidative stress index (OSI) were assessed. Correlations between OS markers and laboratory parameters were analyzed. Receiver operating characteristic (ROC) analysis evaluated the diagnostic performance of OS markers. Results: TT and NT levels were significantly lower in AR patients, whereas disulfide, disulfide/NT and disulfide/TT ratios, TOS and OSI were significantly higher. TAS levels were slightly lower in AR patients. TT and NT correlated positively with eosinophil counts and negatively with monocyte, platelet, AST, and creatinine levels. ROC analysis indicated strong diagnostic potential: TT (AUC = 0.749, cutoff 415 µmol/L, sensitivity 90%, specificity 61%), NT (AUC = 0.786, cutoff 373.2 µmol/L, sensitivity 90%, specificity 71%), and disulfide (AUC = 0.690, cutoff 20 µmol/L, sensitivity 74%, specificity 61%). Conclusions: AR patients exhibit disrupted TDH and elevated OS. These markers may serve as sensitive indicators of oxidative imbalance, offering potential diagnostic and therapeutic insights into AR management. Full article

Dilated cardiomyopathy is characterized by progressive left ventricular dilation and impaired systolic function, with inflammation recognized as a key contributor to disease onset and adverse outcomes. C-reactive protein reflects systemic biochemical inflammation, whereas Delta Neutrophil Index represents the circulating immature neutrophil fraction and provides a cellular dimension of inflammatory burden. The combined diagnostic and prognostic value of these two biomarkers in dilated cardiomyopathy has not been adequately explored. This retrospective study included one hundred and fifty patients with dilated cardiomyopathy and one hundred and fifty age-, diabetes-, and hypertension-matched controls. Demographic, laboratory, and echocardiographic measurements were analyzed. The diagnostic and prognostic performances of C-reactive protein, Delta Neutrophil Index, and their combined model were assessed using logistic regression, receiver operating characteristic curve analysis, reclassification metrics, calibration testing, and decision curve analysis. Additional analyses were performed for patients with left ventricular ejection fraction below twenty percent, and mortality predictors were examined within the dilated cardiomyopathy cohort. Both C-reactive protein and Delta Neutrophil Index levels were significantly higher in patients with dilated cardiomyopathy than in controls and were further elevated in those with severely reduced ejection fraction. Delta Neutrophil Index remained independently associated with severe left ventricular dysfunction (ejection fraction ≤ 20%) in multivariable analysis (odds ratio 2.51). Each biomarker showed an independent association with the presence of dilated cardiomyopathy, and their combined model achieved the highest diagnostic accuracy. In receiver operating characteristic analysis, the area under the curve was 0.895 for Delta Neutrophil Index, 0.691 for C-reactive protein, and increased to 0.920 for the combined model, with a sensitivity of 81.3% and specificity of 92.0%. Delta Neutrophil Index was independently associated with severe left ventricular dysfunction and mortality, while C-reactive protein, age, ejection fraction, urea, and sodium also contributed to mortality risk. Delta Neutrophil Index was independently associated with mortality (odds ratio 2.51), while C-reactive protein, age, ejection fraction, urea, and sodium also contributed to mortality risk. The combined model provided significant improvement in risk reclassification and demonstrated superior calibration and greater net clinical benefit across a wide range of decision thresholds. C-reactive protein and Delta Neutrophil Index offer complementary diagnostic and prognostic information in dilated cardiomyopathy. Their combined use enhances diagnostic discrimination, strengthens risk stratification, and improves identification of patients at high risk for severe ventricular dysfunction and mortality. Incorporation of these accessible biomarkers into clinical evaluation may support earlier recognition and more tailored management of high-risk individuals. Full article

Objectives: This study aimed to evaluate the radiographic characteristics of medication-related osteonecrosis of the jaw (MRONJ) by digital panoramic radiographs and to investigate the associations between radiographic findings and clinical, demographic, and treatment-related variables in patients receiving antiresorptive therapy. Methods: A retrospective analysis was performed on 55 patients receiving antiresorptive therapy, categorized into a tooth-extraction group (n = 20) and an MRONJ group (n = 35). Standardized panoramic radiographs obtained at baseline (T0) and during the 6-month follow-up (T1) were evaluated for lamina dura thickness, trabecular bone alteration, osteosclerosis, cancellous bone loss, sequestration, and periosteal response. Statistical analyses were conducted on associations involving drug type, administration route, therapy duration, smoking, diabetes, hypertension, gender, and serum C-terminal telopeptide (CTX) levels. Results: The incidence of sequestrum development and cancellous bone loss was considerably higher in the MRONJ group. Sequestration demonstrated significant associations with both the duration of antiresorptive therapy (>3 years) and intermediate-risk CTX levels. No significant correlations were found between CTX and other radiographic parameters. Lamina dura thickening, trabecular alterations, osteosclerosis, and periosteal reaction exhibited no differences across groups or in relation to smoking, diabetes, age, or gender; periosteal reaction was an uncommon and variable finding. Conclusions: Panoramic radiography provides clinically useful information in the evaluation of MRONJ, particularly for identifying sequestration and cancellous bone degradation. The formation of sequestrum appears to be the most indicative radiographic indicator, representing both the duration of treatment and biochemical risk. Full article

Background and Objectives: Metabolic syndrome (MetS) is a complex condition marked by insulin resistance, central obesity, dyslipidemia, and chronic inflammation. Emerging evidence highlights the roles of hypoxia and mitochondrial stress in its pathophysiology. Hypoxia-inducible factor-1 alpha (HIF1α) and the mitophagy-associated proteins BNIP3 and BNIP3L are key components of hypoxia-responsive mitochondrial stress signaling. This study aimed to evaluate the circulating levels of HIF1α, BNIP3, and BNIP3L in MetS and to explore their associations with metabolic and inflammatory parameters. Materials and Methods: Serum concentrations of HIF1α, BNIP3, and BNIP3L were measured by ELISA in 40 patients with MetS and 40 age and sex-matched controls. Biochemical, hematological, and anthropometric parameters were assessed, and receiver operating characteristic (ROC) analyses were performed to evaluate diagnostic performance. Results: Serum levels of HIF1α, BNIP3, and BNIP3L levels were significantly higher in MetS patients compared with controls (p = 0.001). ROC analysis demonstrated strong diagnostic potential, particularly for BNIP3 (AUC = 0.928), followed by HIF1α (AUC = 0.885) and BNIP3L (AUC = 0.770). These markers showed significant associations with metabolic indicators such as BMI, fasting glucose, triglycerides, and inflammatory markers. Conclusions: The coordinated upregulation of circulating HIF1α, BNIP3, and BNIP3L in MetS is associated with metabolic dysregulation and systemic inflammation, reflecting alterations in hypoxia-responsive mitophagy-associated signaling rather than direct functional impairment of mitophagy. These findings support the potential relevance of these markers as indicators of metabolic stress in MetS. Further tissue-based and mechanistic studies are warranted to clarify their role in disease pathophysiology. Full article

In the context of climate change, alterations to the physico-chemical properties of soils, particularly in Mediterranean regions, are a growing source of preoccupation. This study analyzes the ecological plasticity and biochemical adaptability of Thymus saturejoides to changes in soil physico-chemical properties in four contrasting environments in Morocco’s western High Atlas (TM: Tidili msfioua, SF: Sti fadma, TA: Taouss, TN: Tisi ntast). It highlights the influence of edaphic characteristics on the physiology and metabolic composition of the species, revealing marked soil heterogeneity between sites. The results for the physico-chemical characteristics of the soil revealed marked heterogeneity between sites. Tisi ntast and Taouss soils had the highest values in terms of electrical conductivity (TN: 0.25 dS/m, TA: 0.18 dS/m), available phosphorus (TN: 18.58 ppm and TA: 26.06 ppm) and total nitrogen (TN: 0.27% and TA: 0.14%), associated with a silty texture, suggesting higher fertility. Conversely, the soil at the TM site was characterized by low total nitrogen content (0.09%), a high C/N ratio (24.4) and a sandy-silty texture, indicating more constraining conditions for plant growth. From a physiological standpoint, plants from the TA site had the lowest chlorophyll levels (17.10 mg g⁻¹FW), while those from the TN site showed the highest levels (31.08 mg g⁻¹FW), accompanied by increased protein content and reduced polyphenol oxidase and peroxidase. In contrast, TM plants showed significant accumulation of total soluble sugars (30 mg g⁻¹FW), proline (22.53 µmol g⁻¹FW), hydrogen peroxide (1.33 nmol g⁻¹FW) and malondialdehyde (62.97 nmol g⁻¹FW), reflecting strong activation of oxidative stress responses. On the other hand, plants from the TA site displayed significantly lower levels of these stress markers compared to other sites, suggesting greater physiological resilience. These results highlight the pivotal role of interactions between edaphic and environmental conditions in modulating plant physiological and biochemical responses, shedding light on the ecological adaptation mechanisms of plant species to the contrasting ecosystems of the Western High Atlas. Full article

Improving the thermal utilisation of organic production waste to generate energy is integral to solving one of the most pressing issues of our time: transitioning away from fossil fuels. In this context, the thermal utilisation of organic waste, particularly sewage sludge (SS) and lignin-containing by-products from the biochemical industry, is of considerable scientific and practical interest. This study provides a thorough analysis of the co-combustion processes involving SS, lignin-based pellets and briquettes, and their mixtures with various component ratios. The aim of the work is to evaluate the fuel properties, thermokinetic characteristics, and potential for synergistic interactions during joint fuel combustion, considering the mechanical impact on lignin during granulation. The aim is to optimise conditions for the thermal utilisation of industrial waste. The study employed standard analytical methods: the thermophysical properties of the fuels were determined; morphological analysis of the particle surface was conducted using scanning electron microscopy; and X-ray fluorescence analysis was performed to identify the inorganic oxide phase. It has been established that lignin briquettes have the highest lower heating value, exceeding that of lignin pellets and sewage sludge by 7% and 27%, respectively. Thermogravimetric analysis (TGA) in an oxidising atmosphere (air, heating rate of 10 °C/min) made it possible to determine the following key combustion parameters: the ignition temperature of the coke residue (T_i); the temperature at which oxidation is complete (T_b); the maximum combustion rate (R_max); and the combustion efficiency index (Q). The ignition temperature of the coke residue was 262.1 °C for SS, 291.8 °C for lignin pellets, and 290.0 °C for lignin briquettes. Analysis of co-combustion revealed non-linear behaviour in the thermograms, indicating synergistic effects, which are manifested by a decrease in the maximum combustion rate compared to the additive prediction, particularly in mixtures with a moderate lignin content (25–50%). It was established that the main synergistic interactions between the mixture components occurred during moisture evaporation and the combustion of coke residue. These results are valuable for designing and operating power plants that focus on co-combusting industrial organic waste, and they contribute to the development of thermal utilisation technologies within closed production cycles. Full article

Preeclampsia is a serious pregnancy disorder of unknown etiology. One of its cellular hallmarks is increased mitochondrial dysfunction in placental tissue. Further investigation into this aspect may help elucidate the molecular basis of preeclampsia. A total of 24 pregnant women who delivered by cesarean section participated in the study: n = 13 controls and n = 11 diagnosed with preeclampsia. Maternal blood samples were collected to assess the biochemical profile, and demographic and clinical data were recorded. Placental trophoblast samples were processed to isolate mitochondria and perform molecular biology assays. Women with preeclampsia exhibited the characteristic clinical features of the disease, along with biochemical alterations consistent with an inflammatory process. A significant decrease (73%) in mitochondrial DNA (mtDNA) copy number in trophoblastic tissue and a reduction in citrate synthase (CS) activity (−51%) in cytotrophoblast mitochondria-enriched fractions were observed in preeclampsia, indicating mitochondrial dysfunction accompanied by a loss of functional mitochondrial mass. In addition, we detected a marked decrease in MnSOD levels (−32%), together with an increase in the LC3II/LC3I ratio (47%) in cytotrophoblast mitochondria-enriched fractions, supporting the presence of mitochondrial alterations and suggesting the possible activation of mitophagy specifically in this cell type. Moreover, coenzyme Q₁₀ (CoQ₁₀) levels were elevated by 31% in trophoblastic villi. A pronounced 2.5-fold increase in CoQ₁₀ normalized to CS activity (CoQ₁₀/CS) was detected specifically in cytotrophoblasts from preeclamptic placentas. Importantly, we did not observe these alterations in the syncytiotrophoblast. In conclusion, preeclampsia is associated with mitochondrial dysfunction and increased CoQ₁₀ levels normalized to CS activity, specifically in cytotrophoblast mitochondria, with findings being consistent with a possible involvement of mitophagy in this cell type. These findings suggest that cytotrophoblast mitochondrial metabolism may be more affected in preeclampsia compared with syncytiotrophoblasts, and that CoQ₁₀ accumulation together with the possible activation of mitophagy may represent cellular defense mechanisms. Due to the limitations of the study, it should be considered exploratory and hypothesis-generating, and its results should be regarded as preliminary. Full article

This study investigated the metabolic mechanisms driving physiological functional remodeling in RFM by analyzing plasma biochemical parameters and metabolomic profiles at key peripartum timepoints (21 and 7 d prepartum and 4 h postpartum), integrated with placental and fetal membrane metabolic characteristics. The results revealed that RFM cows exhibited significant negative energy balance (NEB) as early as 21 days before parturition, characterized by elevated plasma levels of non-esterified fatty acids, β-hydroxybutyrate, and malondialdehyde, alongside reduced activity of antioxidant enzymes (GSH-Px, CAT) (p ≤ 0.05). Metabolomic analysis demonstrated persistent lipid metabolism dysregulation, amino acid imbalance, and nucleotide metabolism disturbances in RFM cows from 21 days prepartum to 4 h postpartum, indicating premature mobilization of adipose and muscle tissues. Further metabolomic analyses of the placenta and fetal membranes confirmed that metabolic dysfunction compromises energy supply during parturition, adversely affecting immune homeostasis and extracellular matrix degradation in the placenta and fetal membranes of RFM dairy cows. These physiological dysfunctions have the potential to impede the timely expulsion of fetal membranes after calving. In conclusion, RFM is closely associated with early-onset metabolic dysfunction during the periparturient period, where insufficient energy supply due to NEB, oxidative stress, and immune-endocrine disruptions collectively impair normal fetal membrane detachment. Full article

The massive influx of pelagic Sargassum in the Caribbean poses a serious environmental, social, and economic problem, as the stranded biomass is often treated as waste and deposited in landfills. This literature review synthesizes recent research highlighting its potential for valorization in various industries, turning this challenge into an opportunity. Sargassum has low levels of protein and lipids. Still, it is particularly rich in carbohydrates, such as alginates, fucoidans, mannitol, and cellulose, as well as secondary metabolites, including phenolic compounds, flavonoids, pigments, and phytosterols with antioxidant and bioactive properties. These biochemical characteristics allow for its application in renewable energy (bioethanol, biogas, biodiesel, and combustion), agriculture (fertilizers and biostimulants), construction (composite materials, cement additives, and insulation), bioremediation (adsorption of heavy metals and dyes), and in the health sector (antioxidants, anti-inflammatories, and pharmacological uses). A major limitation is its high bioaccumulation capacity for heavy metals, particularly arsenic, which increases environmental and health risks and limits its direct use in food and feed. Therefore, innovative pretreatment and bioprocessing are essential to mitigate these risks. The most promising approach for its utilization is a biorefinery model, which allows for the sequential extraction of multiple high-value compounds and energy products to maximize benefits, reduce costs, and sustainably transform Sargassum from a coastal pest into a valuable industrial resource. Full article

Background: Methanol poisoning remains a major cause of fatal toxic exposures worldwide, yet the diagnostic value of postmortem methanol and formic acid levels in relation to organ-specific pathology is not fully understood. This study aimed to provide a comprehensive forensic and diagnostic evaluation of fatal methanol intoxications using multiple biochemical and pathological parameters. Methods: A total of 138 autopsy-confirmed methanol poisoning cases were retrospectively analyzed. Quantitative methanol and formic acid levels were measured in blood and vitreous humor. Autopsy reports, demographic characteristics, and histopathological findings in major organs were systematically reviewed. The presence of ethanol and other substances, including stimulants and narcotic drugs, was also recorded. Results: Blood methanol concentrations averaged 142.47 ± 139.20 mg/dL (range: 0–595), and formic acid levels averaged 258.62 ± 197.89 mg/dL (range: 0–618). Vitreous humor concentrations showed comparable distributions. Common pathological findings included cerebral edema, putaminal discoloration or necrosis, myocardial ischemia, hepatic steatosis, pulmonary edema, and acute pancreatitis. Ethanol or other substances were detected in several cases, with stimulants or narcotic drugs present in 10.4% (n = 13). Importantly, the combined interpretation of postmortem biochemical markers and organ pathology allowed clearer differentiation of methanol-related injury patterns compared with prior reports. Conclusions: Methanol intoxication produces variable but characteristic biochemical and pathological profiles. Integrating toxicological markers with organ-specific pathology enhances the diagnostic accuracy of postmortem evaluations and supports more reliable identification of methanol-related deaths. Full article

Background/Objectives: Population aging increases the healthcare burden of chronic diseases. We aimed to characterize the sociodemographic and clinical characteristics of Aged Madrid, a cohort comprising 98.6% of the population aged 75 years and older in Madrid, Spain. Methods: Observational study with a five-year retrospective baseline period (2015–2019) to assess baseline vascular and metabolic risk. Data were taken from primary care electronic medical records, hospital discharge summaries, and pharmacy records. Results: 587,603 individuals (mean age: 84 years ± 5.8 years, 61.3% women) were analysed. Obesity affected 31.3% (more frequent in women), while type 2 diabetes occurred in 23.8% (predominantly in men). Hypertension (52.8%), dyslipidaemia (61.6%), and chronic kidney disease (21.7%) were more frequent in women. Atrial fibrillation was the leading cardiovascular condition in women (15.1%), while acute myocardial infarction predominated in men (8.2%). The most prescribed drug classes were antihypertensives (53.8%), statins (44.2%), and oral antidiabetics (26.4%). Among antihypertensives, diuretics (53.9%), ACE inhibitors (27.4%), and ARBs (25.3%) were most used, often in combinations such as diuretics + ACE inhibitors (30.1%). Diabetes treatments favoured metformin and DPP-4 inhibitors; 5.2% received insulin. Conclusions: Sex-based differences emerged in biochemical, anthropometric, and lifestyle variables. Men showed a higher prevalence of cardiovascular diseases and several cardiometabolic risk factors, while women used fewer lipid-lowering and antidiabetic agents. Diuretics were the predominant antihypertensives, and antidiabetic therapy largely followed guideline recommendations. Although 60% of statin users had no prior cardiovascular disease, and their use was concentrated mainly among individuals with major cardiometabolic risk conditions and declined with advancing age, suggesting an age- and risk-sensitive prescribing pattern rather than indiscriminate use. Full article

Tan sheep are a characteristic and economically important local breed in the Ningxia Hui Autonomous Region of China, where respiratory diseases continue to pose challenges to animal health and production. In this study, a Pasteurella multocida strain (P6) was isolated from the lung tissue of a single Tan sheep presenting with severe and fatal respiratory disease, and subjected to case-based genomic and pathogenic characterization. The isolate was identified as capsular serotype A based on biochemical profiling, 16S rRNA gene sequencing, kmt-1 PCR, and capsular typing. To provide supportive evidence of virulence potential, a murine infection model was employed, in which P6 induced acute clinical signs and severe pulmonary lesions, including congestion, edema, hemorrhage, and fibrinous inflammatory exudation. Whole-genome sequencing revealed that strain P6 possesses a 2,289,251 bp genome with a GC content of 40.2%, encoding 2155 predicted genes and multiple mobile genetic elements, including genomic islands, prophages, transposons, and a CRISPR locus. Phylogenetic analysis based on seven housekeeping genes placed P6 in close relationship with strains 166CV and 103220, distinct from several rodent- and avian-derived isolates. Functional genomic analyses identified numerous genes associated with carbohydrate metabolism, secondary metabolite biosynthesis, host–pathogen interaction, virulence-related functions, and antimicrobial resistance. Comparative genomic analysis with the reference strain PM70 indicated a largely conserved functional framework, accompanied by a significant enrichment of mobilome-associated genes, suggesting enhanced genomic plasticity. Overall, this study provides a descriptive genomic overview of a P. multocida isolate associated with respiratory disease in Tan sheep and highlights its genetic features and potential adaptive capacity, while acknowledging the limitations inherent to a single-case investigation. Full article