Search Results (8,514)

Background and Objectives: Pro-inflammatory diet and high-fat diet (HFD) often coexist in real-world, but their combined impact on the gut–liver axis and potential nutritional countermeasures remain insufficiently studied. This study aimed to evaluate a pro-inflammatory–high-fat composite dietary pattern on the intestine and liver in the population, and to further evaluate the protective potential of astaxanthin (ATX) in complementary experimental systems. Methods: Data from the NHANES 2005–2010 were used to construct four composite exposure groups based on the dietary inflammation index (DII) and energy from fat. Survey-weighted regression analyses were performed to examine associations with systemic inflammation and liver injury. Interaction and C-reactive protein (CRP)-mediated effect analyses were conducted. Fifty SD rats were randomly divided into control group, model group induced by HFD combined with inflammatory factors, and low-, medium-, and high-dose Haematococcus pluvialis (HP) intervention groups. Serum lipids, liver enzymes, liver and colon pathology, and inflammatory and oxidative markers were measured in rats. In an in vitro organ-on-chip barrier model, the effect of ATX was observed when colonic barrier damage was induced using palmitic acid and lipopolysaccharides. Results: The high DII combined with HFD showed the largest increases in CRP, liver enzymes, and fatty liver index. A synergistic interaction was observed between DII and HFD, with CRP mediating approximately 20% of the effect. In rat model, HP-derived ATX improved the lipid profile, attenuated hepatic steatosis and oxidative damage, and reduced colonic pro-inflammatory cytokines, while restoration of tight junction proteins was limited. In colon organoid model, ATX showed limited efficacy in improving inflammation and barrier function. Conclusions: The pro-inflammatory–high-fat dietary pattern synergistically exacerbates gut–liver dysfunction. HP-derived ATX alleviates metabolic and inflammation-induced enterohepatic comorbidity, but its effect on repairing barrier structure is limited. Full article

This cross-sectional study included 112 community-dwelling older adults aged ≥ 60 years residing in Tha Sala District, Nakhon Si Thammarat Province, Thailand, recruited using a community-based quota sampling approach. Locomotive syndrome (LS) was assessed using the two-step test and classified according to the Japanese Orthopaedic Association criteria. Physical activity was evaluated using the Thai version of the Global Physical Activity Questionnaire across work-related, transportation-related, and recreational domains. Frailty and cognitive status were assessed using the Thai version of the FRAIL questionnaire and the Montreal Cognitive Assessment, respectively. Binary logistic regression analysis was used to examine associations. The prevalence of LS was 74.1%, with 37.5%, 33.0%, and 3.6% in participants classified as having LS stages 1, 2, and 3, respectively. Transportation-related physical activity was significantly associated with lower odds of LS. Frailty and mild cognitive impairment frequently coexisted with LS but were not independently associated with LS after adjustment for age and sex. Transportation-related physical activity emerged as a key protective factor, highlighting the importance of habitual mobility in daily life. Our findings suggest that LS overlaps with, but is not identical to, frailty and cognitive decline in relatively robust community settings. Early screening and mobility-related physical activity may be crucial in preventing functional decline in rapidly aging societies. Full article

Background/Objectives: Cardiac and renal dysfunction frequently coexist and interact bidirectionally, constituting cardiorenal syndrome (CRS). In aging societies, this overlap is increasingly conceptualized within cardiovascular–kidney–metabolic (CKM) syndrome, in which metabolic risk factors, chronic kidney disease (CKD), and cardiovascular disease cluster and worsen prognosis. Patients with cardiorenal multimorbidity exhibit reduced exercise tolerance, physical activity, and skeletal muscle function, leading to frailty, disability, recurrent hospitalization, and reduced tolerance of disease-modifying therapies. Although exercise-based rehabilitation is central to cardiovascular care and increasingly recognized in nephrology, its role in combined cardiac and renal dysfunction remains insufficiently integrated. Methods: This narrative review synthesizes cardiology and nephrology evidence using a functional framework. We address (i) the epidemiology and clinical significance of cardiorenal overlap across CRS/CKM, (ii) functional phenotypes defined by inactivity, low exercise capacity, sarcopenia/frailty, and disability, (iii) rehabilitation effects on physical function and renal trajectories, including renal endpoint validity (creatinine vs. cystatin C), and (iv) prognostic implications and evidence gaps. Results: Evidence from heart failure trials demonstrates that exercise-based cardiac rehabilitation improves health-related quality of life and reduces hospital admissions. In CKD, systematic reviews support exercise benefits for physical function and cardiometabolic risk. Conclusions: Although evidence remains limited, data support rehabilitation as a biologically plausible, function-centered therapeutic strategy. Full article

Background: Hyperuricemia frequently coexists with type 2 diabetes mellitus (T2DM), contributing to a heterogeneous patient population. While previous analyses compared the overall longitudinal effects of allopurinol and SGLT2 inhibitors in this cohort, it remains unclear whether baseline metabolic heterogeneity modifies treatment response. This study aimed to determine whether data-driven metabolic clustering identifies phenotypic subgroups with prognostic or predictive relevance in hyperuricemic T2DM. Methods: In a retrospective cohort of 224 patients with T2DM and hyperuricemia, model-based clustering was applied to age, diabetes duration, body mass index (BMI), serum uric acid (sUA), HbA1c, eGFR, and sex. A sensitivity analysis excluded outliers, yielding 207 patients. Longitudinal trajectories of eGFR and sUA were assessed using linear mixed-effects models and individual slopes. Effect modification by cluster was tested via three-way interactions and analysis of covariance. Results: Clustering identified two groups with weak separation: an adipose–metabolic cluster (n = 116; exclusively male, BMI 33.1 ± 5.7 kg/m², sUA 478 ± 62 µmol/L) and a lean–metabolic cluster (n = 91; exclusively female, BMI 31.3 ± 6.0 kg/m², sUA 426 ± 67 µmol/L). Treatment-agnostic analyses showed no differences in eGFR and sUA slopes or in all-cause mortality across clusters. In both clusters, SGLT2 inhibitors yielded significantly more favourable eGFR slopes than allopurinol, while sUA reductions were comparable across treatments. No significant three-way interactions were detected. Conclusions: In this cohort, although baseline metabolic characteristics differ among patients, using the selected baseline variables, no clinically actionable treatment-relevant phenotypes were identified. Full article

Atrial fibrillation (AF) frequently coexists with chronic coronary syndrome (CCS), reflecting shared cardiovascular risk factors and structural remodeling pathways. Identifying CCS patients at increased likelihood of AF remains clinically relevant, particularly when arrhythmia is silent or paroxysmal. Background: We hypothesized that established clinical and angiographic risk scores used in CCS may capture cumulative cardiovascular burden and could therefore assist in AF risk stratification. The biomarker-based ABC-stroke score was incorporated as a biological reference framework reflecting myocardial stress and injury. Methods: This prospective, single-center proof-of-concept study included 131 consecutive patients undergoing invasive coronary angiography for suspected myocardial ischemia. Patients were classified according to rhythm status, irrespective of AF subtype. Coronary artery disease severity was quantified using the Gensini and SYNTAX (PCI and CABG) scores. Global cardiovascular risk was assessed using Framingham, ASCVD, SCORE2, and SCORE2-OP. Correlation analyses, ROC curves, and multivariable logistic regression were performed to evaluate associations between risk scores, coronary complexity, and AF. Results: Clinical and angiographic risk scores differed significantly according to rhythm status and AF phenotype. Patients with AF exhibited higher global cardiovascular risk and greater coronary anatomical complexity compared with those in sinus rhythm. SYNTAX PCI and SYNTAX CABG demonstrated moderate discriminative performance for AF detection (AUC 0.745 and 0.760, respectively), with SYNTAX CABG remaining independently associated with AF in multivariable analysis. Significant correlations were observed between traditional cardiovascular risk scores and SYNTAX-derived measures of coronary complexity, whereas correlations with the Gensini score were weaker. The ABC-stroke reference model showed a strong discriminative signal, consistent with its biological proximity to AF-related myocardial stress. Conclusions: Established clinical and angiographic risk scores used in CCS are associated with the presence and phenotype of AF. These findings suggest that routinely available coronary risk assessment tools may serve as practical instruments for identifying CCS patients at increased likelihood of AF, potentially facilitating targeted rhythm screening and earlier risk stratification. Full article

We propose a silicon carbide (3C-SiC) periodic grating structure based on quasi-bound states in the continuum (q-BICs), which is used to significantly enhance the second-order optical nonlinear effect, including second-harmonic generation (SHG) and sum-frequency generation (SFG). By introducing a four-segment sub-wavelength grating on the SiC thin film and tailor the dimension, the structure successfully excites two q-BIC modes with ultra-high Q factor (resonant wavelengths at 1713.2 nm and 1804.6 nm respectively), realizing enhanced localization and nonlinear interaction of the strong light field. The simulation results show that under oblique incidence, the structure significantly enhances SFG efficiency and exhibits strong robustness to variations in key structural parameters. In addition, the study also reveals the coexistence of forward and backward SHG, and resonant wavelength tuning can be achieved by adjusting the structure dimension. This work not only provides a new path to enhance the nonlinear conversion efficiency of SiC thin films and solve the problem of difficult phase matching, but also lays the theoretical and technical foundation for the development of compact, efficient and integrated SiC-based nonlinear photonic devices. Full article

Menopause is a natural biological transition marked by the cessation of regular menstrual cycles and is associated with significant endocrine, hormonal, and metabolic changes. Sleep disturbances are among the most common and distressing symptoms during this period, affecting approximately 40–60% of women in the menopausal transition and postmenopause. Vasomotor symptoms, including hot flushes and night sweats, often occur alongside fatigue, anxiety, and mood disturbances. These symptoms frequently coexist with sleep disorders such as insomnia, early morning awakenings, fragmented sleep, obstructive sleep apnea, restless legs syndrome, and circadian rhythm disruptions. Evidence from animal models, translational research, and clinical studies highlights the complex interaction between hormonal fluctuations, neuroendocrine dysregulation, metabolic changes, and circadian rhythm disruption. These factors contribute to altered sleep regulation, appetite control, and weight gain during the menopausal transition. This review summarizes current evidence on the mechanisms of underlying sleep disturbances in menopause, their clinical manifestations, diagnostic approaches, and available therapeutic strategies. Improving the management of sleep disorders during this stage may substantially enhance overall health and quality of life in menopausal women. We discuss presentation of different sleep disorders in menopause, their current management and future direction of research for development of precision-based algorithm of treatment considering the endocrine and hormonal profile of the women. Full article

Multicentric reticulohistiocytosis (MRH) is a rare systemic histiocytic disorder of uncertain etiology characterized by papulonodular cutaneous lesions and potentially destructive polyarthritis, with variable multisystem involvement. Owing to its low prevalence, evidence for optimal management remains limited, and treatment responses are heterogeneous. Emerging reports suggest that Janus kinase (JAK) inhibition may provide benefit in refractory disease. We report a 60-year-old woman with MRH presenting with papulonodular skin lesions, symmetric polyarthritis, constitutional symptoms, and interstitial lung disease (nonspecific interstitial pneumonia pattern) in the context of co-existing primary biliary cholangitis and no evidence of malignancy. Prior therapies (glucocorticoids, methotrexate, leflunomide) achieved suboptimal control. Upadacitinib, a selective JAK1 inhibitor, induced rapid and complete remission of cutaneous and articular disease with improvement of pulmonary involvement. Secondary weight gain and incident diabetes were managed with tirzepatide. This case adds to the limited literature supporting JAK inhibition as a targeted option for refractory MRH, including multisystem disease with pulmonary involvement. Systematic evaluation of efficacy, durability, and safety is warranted. Full article

Foot-and-mouth disease virus (FMDV) is a highly contagious picornavirus that affects cloven-hoofed animals and carries significant economic implications for the global livestock industry. FMDV features two Leader (L) protein isoforms, Lab and Lb, differing at their amino termini by 28 amino acids (La region). Currently, the activity of La protein sequences has not been investigated. To address this issue, the comparison study of biological and functional roles of Lab and Lb was performed as the La region alone did not independently perform protein function. We found that Lab and Lb significantly regulated FMDV replication and pathogenicity, and their coexistence afforded optimal FMDV properties. Subsequently, we observed that both L isoforms cleaved eukaryotic translation initiation factor 4G (eIF4G) I, suppressed type I and type III interferon (IFN) expression, and exhibited marked cytotoxicity, indicating that they were all key components in FMDV’s antagonism of host antiviral defenses. Finally, the subcellular distribution of Lab and Lb was detected. Despite dual localization in cytoplasmic and nuclear compartments, both isoforms displayed different spatial distribution patterns, and Lb induced more pronounced morphological changes to host cells than Lab. Furthermore, bioinformatics predicted that the La region might contain a non-classical secretory signal peptide, potentially facilitating Lab distribution to the cell membrane or extracellular space. Collectively, the primary encoding role of La region was to control the intracellular distribution of L protein, as opposed to regulating its functional activity. This study may help to deepen our understanding of why FMDV encoded two isoforms of L protein. Full article

Sesame is an oilseed crop threatened by a phyllody disease associated with the presence of phytoplasmas, which can reduce yields by up to 80%. The molecular identification of these bacteria in crops located in Western Iran was achieved from samples showing symptoms of diverse intensity and types. For biological characterization, the pathogen was also dodder-transmitted to periwinkle plants. After nucleic acid extraction and nested PCR using phytoplasma-specific primer pairs amplifying part of the 16S rRNA gene, it was possible to amplify DNA fragments from both symptomatic sesame samples and dodder-inoculated periwinkle plants. The virtual RFLP pattern from the 16S rRNA gene sequences using iPhyClassifier indicated the presence of phytoplasma strains in 16SrII-D and 16SrIX-C subgroups. The identity percentage values of the obtained amplified sequences corroborated by the phylogenetic analysis identified them as ‘Candidatus Phytoplasma australasiaticum’ and ‘Ca. P. phoenicium’, respectively. The two phytoplasma strains were detected in different sesame samples collected in the same field. The coexistence of two phytoplasmas may influence the observed differences in disease severity and suggests appropriate management strategies, since diverse insect vectors were reported alongside diverse phytoplasmas associated with this disease. Moreover, the widespread disease presence strongly suggests the breeding of resistant varieties. Full article

Background: Main risk factors associated with the development of sarcopenia (coexistence of muscle mass loss and dysfunction) are a sedentary lifestyle coupled with obesity. Associated mitochondrial dysfunction leads to energy deficits and perturbations in the balance between protein synthesis and degradation, thereby triggering muscle dysfunction or atrophy. Aside from exercise, which is challenging to implement and maintain, particularly in women, treatments for diminishing sarcopenia are scarce. The objective of the present study was to evaluate the effect of the flavanol (−)-epicatechin (EC) in a hypercaloric diet-induced obese female rat model. Muscle strength and endurance, as well as relative mitochondrial DNA content in skeletal muscle, were assessed. Methods: Female rats were fed a hypercaloric diet to induce obesity, as evidenced by increases in body weight, Lee index, and lipid profile alterations, and by abdominal fat accumulation, and to promote a sarcopenic phenotype. Functional tests of grip strength and mobility (treadmill) were performed. Mitochondrial relative content was evaluated by measuring the ratio of mtDNA/nuclear DNA, and the expression of genes related to mitochondrial biogenesis (Pgc1-α, Tfam), fusion (Mfn1 and Opa1), fission (Drp1 and Fis1), and mitophagy (Pink1 and Pkn), and function; citrate synthase and Ucp3 were also evaluated. Results: A significant decrease in mobility and strength was observed in obese female rats, accompanied by reduced mitochondrial numbers, activity, and dynamics, but not by changes in muscle size or weight. Treatment with EC induced mitochondrial biogenesis and positive changes in mitochondrial dynamics (fission and fusion) and activity, as measured indirectly by changes in citrate synthase and Ucp3 expression. Discussion: Results reinforce the potential of EC as a modulator of mitochondrial function in dysfunctional conditions associated with obesity, thereby attenuating the mechanisms underlying sarcopenia. Full article

The accumulation of microplastics (MPs) in agricultural soils and atrazine in agricultural soils creates compound pollution that severely threatens soil health. The present study aimed to evaluate the effect of polyethylene (PE), polyvinyl chloride (PVC), and polybutylene succinate (PBS) on the adsorption and degradation of atrazine in yellow-brown and black soil. Batch adsorption kinetic and isotherm experiments were conducted in two distinct soils amended with MPs. A 90-day degradation experiment was performed to monitor atrazine persistence and the activities of key soil enzymes. The adsorption process was best described by the pseudo-second-order model and the Freundlich isotherm model, suggesting dominant chemisorption and multilayer adsorption on heterogeneous surfaces of the soil–MP composites. All MPs significantly enhanced the adsorption capacity for atrazine (6.80–39.93 mg kg⁻¹), with the order PBS > PE > PVC. Furthermore, the degradation of atrazine was impeded by all MPs, with PVC exhibiting the strongest inhibitory effect. The half-life of atrazine ranges from 22.97 to 81.76 days in two soils. The presence of MPs also influenced soil enzyme activities and the effects varied by MP type and soil property. These results demonstrate that MPs can modify the adsorption and persistence of atrazine in soil, thereby increasing its environmental risk. This study provides valuable insights for the long-term ecological risk assessment of co-existing MPs and pesticide pollution in terrestrial environments. Full article

Background: Acute kidney injury (AKI) is a common and high-risk complication of hospitalization that frequently occurs in patients with chronic cardiometabolic disease. Although heart failure (HF) and diabetes mellitus (DM) are prevalent among hospitalized adults and may differentially modify AKI-associated outcomes, their joint impact on in-hospital risk profiles and cumulative burden remains incompletely characterized. Methods: We conducted a retrospective analysis of adult hospitalizations complicated by AKI using a nationally representative inpatient database. Hospitalizations were classified into four cardiorenal metabolic phenotypes: AKI alone, AKI with HF, AKI with DM, and AKI with both HF and DM. Primary outcomes included in-hospital mortality, dialysis initiation, and mechanical ventilation. Survey-weighted multivariable logistic regression models incorporating HF, DM, and their interaction were used to estimate adjusted associations and model-based predicted probabilities. Adjusted risks were visualized across outcomes, and a composite burden metric was constructed to summarize cumulative in-hospital adverse events. Results: AKI outcomes varied substantially across cardiorenal metabolic phenotypes. HF was consistently associated with higher adjusted mortality and mechanical ventilation risk, whereas DM alone was associated with lower adjusted mortality. A significant interaction between HF and DM was observed regarding dialysis initiation, with a disproportionately higher adjusted risk when both conditions coexisted. Integrated visualization across outcomes demonstrated distinct risk profiles by phenotype, with the combined HF and DM group exhibiting the highest cumulative burden of adverse in-hospital events. Conclusions: Among hospitalizations complicated by AKI, the underlying cardiorenal metabolic status is associated with marked heterogeneity in in-hospital outcomes. HF appears to be a dominant modifier of AKI-associated risk, while DM exerts outcome-specific effects and synergistically increases the risk of dialysis initiation when combined with HF. These findings highlight the importance of incorporating cardiometabolic context into AKI risk stratification approaches and underscore the value of multidimensional in-hospital assessments. Full article

Spring vegetation phenology is highly sensitive to climate change; however, climate drivers and their threshold responses at the urban scale remain insufficiently and systematically quantified. Focusing on 31 provincial capitals and municipalities in mainland China, this study integrated MODIS MCD12Q2-derived start-of-season (SOS) for spring green-up and TerraClimate climate data (2001–2023) at a 500 m grid resolution. SOS trends were characterized using the Mann–Kendall test and the Theil–Sen slope estimator. Building on these trend metrics, we developed an XGBoost–SHAP framework using the interannual rate of temperature change (tem_slope) and the interannual rate of precipitation change (pre_slope) as input features, to quantify the nonlinear contributions of climate-change rates to SOS trends and to identify key thresholds. Results indicate that the multi-year mean SOS across China’s provincial capitals and municipalities is primarily distributed between approximately DOY 74 and 138, exhibiting a clear spatial pattern of earlier green-up in the south, later green-up in the north, and delayed green-up on plateaus, with pronounced shifts in distribution centers and dispersion among climatic zones and cities. At the city level, the mean SOS trend shows an overall advancing rate of 0.81 d·year⁻¹ (i.e., the average of city-mean Sen slopes across the 31 cities). Pixel-level trend analyses show that advancing and delaying trends commonly coexist within most cities; among pixels with significant or marginally significant SOS trends identified by the Mann–Kendall test (MK p < 0.10) across all cities, advancing and delaying SOS pixels account for 75.02% and 24.98%, respectively. At the city scale, the proportions of advancing versus delaying pixels vary markedly among cities, forming directional structures characterized by advance-dominant, delay-dominant, or bidirectional coexistence patterns. SHAP dependence relationships further reveal that the effects of tem_slope and pre_slope on SOS trends are generally nonlinear and piecewise, with substantial heterogeneity across climate zones and cities. The identified tipping points and associated sensitive ranges collectively delineate spatially differentiated climate-sensitive intervals, which define the nonlinear response boundaries of spring SOS to sustained warming and precipitation changes. This study provides quantitative evidence for regional differences in urban spring phenological responses to climate change across major Chinese cities and offers a methodological reference for identifying actionable climate thresholds in urban greening design and climate-adaptive management. Full article