Search Results (1,163)

Transmission of malaria by blood transfusion is rare in non-endemic countries but can lead to serious complications in blood recipients. Increasing travel to and immigration from regions at risk for tropical diseases poses a challenge to blood donation services, which are striving to reduce the number of blood donor deferrals while ensuring a high level of blood safety. National guidelines of the Blood Transfusion Service of the Swiss Red Cross demand that donors at risk are serologically tested for malaria antibodies. Here, we summarize the numbers of malaria tests performed and the results obtained since the introduction of mandatory testing in Switzerland in 2007. From malaria-positive donors, information on travels to endemic areas and place of origin, or if malaria symptoms were experienced and if prophylaxis was taken, was requested in a post-donation questionnaire. Full article

Background: The evolution of digital dentistry has enabled the development of more predictable and less invasive protocols for bone augmentation and prosthetic rehabilitation. This case report introduces an integrated digital workflow combining the Digital CarroTrack technique with the “One-Step Crown” concept to optimize clinical outcomes and efficiency. Case Description: A patient requiring alveolar ridge reconstruction and implant therapy was treated using the Digital CarroTrack technique. This approach utilized precise digital planning to simultaneously harvest an autogenous bone cylinder from the surgical site and reposition it for augmentation, eliminating the need for a secondary donor site. Following implant placement, a “one-step crown” protocol was implemented. A provisional restoration served as a template for soft tissue contouring, and its emergence profile was directly replicated in a pre-designed definitive crown. The bone cylinder fixation screw was retrieved during the final prosthetic delivery, ensuring a streamlined workflow. Results: In this case, the integrated digital approach facilitated accurate bone cylinder placement and implant positioning. At the 2-year follow-up, clinical and radiographic examinations confirmed excellent stability of both hard and soft tissues, with no marginal bone loss or soft tissue recession. The procedure reduced the number of clinical stages, treatment time, and patient morbidity compared to traditional methods. Conclusions: This case report suggests that the combination of the Digital CarroTrack Technique and the One-Step Crown concept may represent a promising, minimally invasive, and time-efficient approach for complex implant-prosthetic cases. Digital planning appeared to support procedural accuracy while reducing surgical invasiveness and the number of clinical stages. Further prospective studies with larger patient groups, objective volumetric measurements, longer follow-up, and dedicated cost-effectiveness analyses are needed to confirm the predictability, clinical effectiveness, and potential economic benefits of this approach. Full article

Background/Objectives: Adoptive transfer of allogeneic natural killer (NK) cells represents a promising off-the-shelf immunotherapy for cancer, offering advantages in safety and availability over autologous T cell therapies. However, generating therapeutically sufficient NK cell numbers remains challenging due to their low frequency in blood sources. Engineered feeder cell co-cultures have enabled substantial expansions of NK cells to clinically relevant doses. Methods: We evaluated the plasma cell leukemia-derived ARH-77 cell line as a feeder for ex vivo NK cell expansion from healthy donor peripheral blood mononuclear cells (PBMCs). Unmodified ARH-77 was compared to K562, followed by engineering both lines to co-express B7-H6 (NKp30 ligand), CD137L (4-1BBL), IL-15, and IL-15Rα via sequential lentiviral transduction. PBMCs were co-cultured with irradiated feeders in cytokine-supplemented (IL-2, IL-21, and later IL-15) RPMI-1640 or DMEM/F-12 medium for up to 28 days. Expansion (fold change in CD3⁻CD56⁺ cells), purity, surface receptor expression, and cytotoxicity (against K562 targets) were quantified. Results: Unmodified ARH-77 supported significantly greater NK cell expansion than K562 (model-estimated 681-fold vs. 155-fold at week 4 in RPMI; p = 0.0018), with higher purity but comparable cytotoxicity and receptor profiles. Engineered ARH-77 cells achieved robust expansion in RPMI, comparable to that of engineered K562 cells. In optimized DMEM/F-12 medium, engineered ARH-77 drove superior expansion (up to model-estimated 101,241-fold; 95% CI 46,771–219,146 at week 4), significantly outperforming engineered K562 (4.4-fold greater; 95% CI 1.01 to 18.54; p = 0.0479) while maintaining high purity and equivalent cytotoxicity. Substantial inter-donor variability influenced expansion magnitude, though relative feeder performance remained consistent across donors. Conclusions: Genetically modified ARH-77 feeder cells provide a potent platform for large-scale ex vivo expansion of functional NK cells. Full article

Enormous genetic diversity exists in rice germplasm, including wild and weedy relatives, though they remain unexplored within in situ or ex situ collections. Characterisation and utilisation of the available biodiversity in plant breeding is essential for the detection of novel traits or genes for climate resilience. In this study, 97 rice genotypes, including 90 rice accessions belonging to various Oryza species and 7 check cultivars with an O. sativa background, were characterised for quantitative morphological characters following the guidelines based on distinctiveness, uniformity and stability (DUS) test by the Protection of Plant Varieties and Farmers’ Rights Authority (PPVFRA), India. Characterisation of the genotypes based on 39 important DUS morphological descriptors revealed polymorphism in 35 traits, confirming high morphological diversity among wild rice accessions and distinguishing and unique traits from other wild accessions for the utilisation in pre-breeding programmes. Genotypes such as WD5_6, WD10_4, and WD3_3 consistently expressed a favourable combination of broad and long leaves, extended panicle length, and well-branched panicles with higher panicle number. In addition, these genotypes showed purple pigmentation across multiple vegetative and reproductive organs, indicating stable and enhanced anthocyanin accumulation. Accessions WD10_4 and WD3_3 also represent valuable donors for panicle architecture and yield component enhancement, while genotypes such as WD17_15 and WD12_8 may serve as specific donors for panicle length and branching traits. Characterisation studies and detection of unique traits provide the empirical foundation for conservation decisions, taxonomic clarity, and pre-breeding applications. Interspecific crosses in the genetic background of elite cultivars with donor species viz., O. barthii, O. glaberrima and O. rufipogon were developed as pre-breeding materials for further crop improvement as well as for the identification of novel genes of agronomic importance. Full article

Biological nitrogen fixation is an important support for sustainable agricultural development. The symbiotic nitrogen fixation system between legumes and rhizobia is the core of biological nitrogen fixation in nature. As a crucial signaling molecule, NO plays a complex regulatory role in concentration and stage dependence in the nodulation and nitrogen fixation of legumes, and its direct and indirect regulatory effects are not yet clear. In this study, a unilateral nodulating dual-root soybean was used as the experimental material. Different concentrations of NO donor sodium nitroprusside (SNP) were supplied to the nodulating side and the non-nodulating side, and measurements were taken of nodule growth, nitrogen-fixation-related indicators, and NO content in various plant organs. The results showed that exogenous NO inhibited the growth of soybean nodules in a contact-, concentration-, and time-dependent manner. The direct supply of NO on the nodulating side showed a more significant inhibitory effect. After 10 days of treatment, the number and dry weight of the nodules in T5 decreased by 53.9% and 33.3%, respectively, compared with the control treatment T1, while the nitrogenase activity (ARA) in the nodules was significantly lower than that in the control treatment T1 by 58.4%. There were concentration differences in how NO regulates nitrogen fixation capacity. A high concentration or long-term supply of NO significantly reduced nitrogen fixation efficiency, which may be due to the excessive accumulation of NO in the nodules. We found that the four SNP application methods significantly increased the NO content in all parts of the plant. The NO content in the plants increased with higher SNP concentrations and longer treatment durations. The effect of direct NO supply on plant NO content was notably stronger than that of indirect NO supply. After 7 days of treatment, the NO content of the T4 and T5 nodules increased by 44.2% and 62.8%, respectively, compared with T1, while T2 and T3 only increased by 23.5% and 45.3%, respectively. After 10 days of treatment, the same significant results were also obtained. This study clarified the role of NO in regulating soybean nodulation and nitrogen fixation. It provided a theoretical basis for improving soybean symbiotic nitrogen fixation efficiency and guiding agricultural fertilizer-saving production. Full article

This single-center, split-mouth, single-blind pilot randomized trial compared patient morbidity, healing and root coverage between the subepithelial connective tissue graft (SCTG) and the de-epithelialized free gingival graft (D-FGG) when combined with the modified coronally advanced tunnel (MCAT) technique in multiple adjacent gingival recessions. Sixteen systemically healthy patients with bilateral Miller Class I/II (Cairo RT1) recessions were enrolled, and contralateral sides were randomly allocated to MCAT + SCTG (control) or MCAT + D-FGG (test) by means of sequentially numbered, opaque, sealed envelopes (SNOSE). Patient-reported outcomes (pain, chewing discomfort, bleeding) and the Landry Healing Index were assessed at 1 and 2 weeks; recession depth, mean root coverage (mRC) and Root Coverage Esthetic Score (RES) were evaluated at 6 months. Both techniques achieved high mRC (test: 94.22% ± 10.28%; control: 94.60% ± 9.99%) and RES (test: 8.02 ± 0.63; control: 8.14 ± 0.77), with no statistically significant intergroup differences. Donor-site pain was significantly lower in the D-FGG group, whereas early chewing discomfort and bleeding were higher. Because the trial was not powered for equivalence or non-inferiority, these preliminary findings are hypothesis-generating and require confirmation in adequately powered trials. Full article

We present an optimized method for producing semiconducting polymer dots using a water–ethanol mixed antisolvent during nanoprecipitation. Compared to conventional Pdots made with pure water as the antisolvent, these newly produced Pdots exhibit simultaneously enhanced fluorescence efficiency and stability of particle size and emission spectra. These findings should be mainly attributed to an improved core–shell Pdots nanostructure formed by a sequential nanoprecipitation process. It offers Pdots a purer, more compact, and hydrophobic inner core, coated with a greater number of hydrophilic polyethylene glycol shells. This viewpoint is further reinforced by Förster energy-transfer efficiency in a fluorescence donor-acceptor Pdots system. The novelly prepared Pdots can better encapsulate small-molecular cargoes and more efficiently bioconjugate to targets. Consequently, it demonstrates improved specific immunofluorescence staining of microtubule structures in living cells. Full article

Background: The glenohumeral ligaments are key stabilizers of the glenohumeral joint. Three distinct fascicles are usually described from the anterior surface of the shoulder joint: a superior glenohumeral ligament (SGHL); a middle glenohumeral ligament (MGHL); and an anteroinferior glenohumeral ligament (AIGHL). A remarkable interindividual variation has been reported, and there are few data about the patterns of insertion of these ligaments. A recent study provided a much-needed insight into the quantitative details of the glenohumeral ligament insertions. However, there is a lack of studies describing linear measurements (closer to real-life surgical anatomy) of glenohumeral ligamentous insertions according to their pattern. Methods: Hereby, we present a Thiel-based anatomical study describing proximal (glenoid) insertions of glenohumeral ligaments in 39 specimens from volunteer body donors to the Applied Anatomy Laboratory at the Autonomous University of Madrid. Results: Only 30.8% of cases showed a canonical pattern of SGHL, MGHL, and AIGHL, with scapular insertions ranging from 0.28 to 1.58 cm for SGHL, 0.1–3.6 cm for MGHL, and 0.45–2.05 cm for AIGHL, frequently mixed between the labrum and the osseous edge of the glenoid surface. Most cases show a single glenohumeral ligament inserted, usually in the labrum. A wide range of patterns regarding the number of insertions and their labral or osseous nature is present in our sample. Conclusions: Overall, there are three different patterns of glenohumeral ligaments in the anterior aspect of the shoulder joint, with the canonical pattern (three ligaments) represented in less than half of the cases. The morphometric study of the glenohumeral ligaments should consider their pattern of distribution. Also, insertions vary between the labrum and the scapular osseous articular surface. Full article

Brachial plexus injuries are challenging conditions. Over the past decades, nerve transfer surgery has progressively evolved from proximal nerve reconstruction toward selective distal neurotization strategies, considerably expanding the possibilities for functional restoration. As the number of described donor–recipient combinations has increased, the literature has become increasingly fragmented, often focusing on isolated techniques or specific functional targets. The aim of the present study was to provide a comprehensive state-of-the-art overview of currently available motor nerve transfer strategies for upper-limb reinnervation in BPI. A literature review was conducted according to PRISMA guidelines using PubMed/MEDLINE, Embase, Cochrane Library, Scopus, and Web of Science databases. Studies concerning motor nerve transfers for upper-limb reconstruction were systematically reviewed and categorized according to recipient nerve and functional target, including shoulder function, scapular stabilization, elbow flexion and extension, wrist and finger extension, wrist and finger flexion, intrinsic hand function, and extraplexal donor nerve reconstruction. A total of 250 studies met the inclusion criteria. Both intraplexal and extraplexal donor strategies were identified for most reconstructive targets. Intraplexal distal nerve transfers currently represent the preferred approach whenever feasible because of shorter reinnervation distances and more predictable outcomes. Extraplexal donors, including the spinal accessory, intercostal, contralateral C7, and phrenic nerves, remain essential in complete BPIs and root avulsion injuries. Despite substantial advances, restoration of intrinsic hand function and reliable distal reinnervation remain major reconstructive challenges. Motor nerve transfers represent an increasingly versatile and function-oriented reconstructive strategy that should be tailored to the individual injury pattern, available donor nerves, and functional priorities. Full article

Depression is increasingly linked to microbiota–gut–brain axis dysfunction, yet current monoaminergic antidepressants show limited efficacy. This study investigated the therapeutic potential and underlying mechanisms of GV-971, a marine-derived oligosaccharide, in a chronic restraint stress (CRS) mouse model. We first established that 8 h of daily restraint for 4–8 weeks induces a stable depression-like phenotype characterized by behavioral despair and significant reduction in peripheral monoamine neurotransmitters (5-HT and norepinephrine). GV-971 treatment robustly attenuated CRS-induced depression- and anxiety-like behaviors, restored hippocampal serotonin levels, reduced elevated plasma corticosterone concentrations, and ameliorated CRS-induced adrenal cortical hyperplasia. Mechanistically, GV-971 significantly suppressed neuroinflammation by inhibiting microglial hyperactivation in the prefrontal cortex and hippocampus. Concurrently, it repaired intestinal barrier dysfunction, evidenced by reduced permeability, restored mucosal integrity, and recovered goblet cell numbers. Crucially, integrated shot-gun metagenomics and plasma metabolomics revealed that GV-971 not only reshaped microbial taxonomy but also functionally recalibrated the gut ecosystem. It enriched beneficial taxa (e.g., Bifidobacterium pseudolongum, Bacteroides uniformis) and specific metabolic pathways, leading to increased short-chain fatty acids (valeric and caproic acids) and a significant reduction in plasma levels of tryptophan–kynurenine pathway metabolites, specifically the neurotoxic compounds kynurenine and quinolinic acid. Fecal microbiota transplantation (FMT) from GV-971-treated donors partially recapitulated the antidepressant and gut-protective effects in CRS recipients, confirming a causal role for the remodeled microbiota. Collectively, GV-971 exerts antidepressant effects by coordinately remodeling the gut microbiota, normalizing tryptophan and SCFA metabolism, restoring gut barrier integrity, and dampening central neuroinflammation, supporting its potential as a novel gut–brain axis-targeted therapy for depression. Full article

Jatropha curcas L. is an important biofuel plant, but its narrow cultivation range and low seed yield limit its large-scale commercialization. Both genetic improvement and the large-scale clonal propagation of elite genotypes require an efficient and reliable regeneration system. In this study, a high-frequency adventitious shoot regeneration protocol was developed using leaf explants from one-year-old greenhouse-grown plants derived from seeds. An L₉(3³) orthogonal design was employed to optimize the concentrations of plant growth regulators (PGRs). The optimal combination for adventitious shoot induction was 1.0 mg·L⁻¹ TDZ, 0.5 mg·L⁻¹ IBA, and 1.5 mg·L⁻¹ BA. Furthermore, the effect of sodium nitroprusside (SNP), a nitric oxide donor, was investigated. Supplementation with 2.0 mg·L⁻¹ SNP significantly increased both the regeneration frequency and the shoot number per explant when compared to the control. Leaf maturity also significantly influenced the regeneration capacity, with the fourth expanded leaf at the light-green stage showing the greatest response. Under optimized conditions, including PGRs, SNP, and appropriate explant maturity, adventitious shoots were observed within 4 weeks, with a regeneration frequency of 88.0% and an average of 18.7 shoots per explant. This system provides a practical basis for the propagation and genetic improvement of J. curcas. Full article

Chlorine dioxide (ClO₂) is a neutral oxidant molecule with a short lifespan once in contact with electron donors (organic matter). ClO₂ solutions have antiviral, antibacterial, antifungal, anti-protozoan, anti-inflammatory, anticancer, and wound-healing activity and it was used at safe concentrations on patients from different countries during the COVID-19 pandemic. In Mexico, 1067 COVID-19 patients received compassionate treatments with ClO₂ during the 2020/2021 pandemic years. We describe the treatments and clinical reports of these patients, as it concerns the oxygen saturation (SpO₂) recovery, and provide a biochemical explanation. The number of healed patients was 1057, >99% of the total and SpO₂ showed a hyperbolic fast increase. This might happen because ClO₂ attracts one electron from the organic matter and produces a chlorite anion (${\mathrm{ClO}}_2^{-}$). This new molecule is known to exhibit metabolic activity in the blood stream. On the one hand, it will perform the aforementioned antibiotic and healing properties. On the other hand, it will also allow the production of oxygen (O₂) to be transported by the Oxyhemoglobin. This reaction is mediated by an intermediate state of a ferryl molecule (Fe=O) in the allosteric heme site of methemoglobin, which behaves as a reductase enzyme. This reaction can explain the rapid and steady increase in O₂ saturation in healed patients. Full article

Natural killer T (NKT) cells bridge innate and adaptive immune responses and play a critical role in anti-tumor immunity. The goal of the study was to assess NKT cell and T cell function in lymphoma patients and to investigate whether specific cytokines correlate with outcomes and/or immune cell function. Patient diagnoses were confirmed by histology. NKT and T cell number and function were assessed by flow cytometry and stimulation with artificial antigen-presenting cells (aAPCs) followed by ELISA and quantitative RT-PCR (qPCR). Cytokine expression levels were compared using online databases, and protein levels in the plasma were assessed by ELISA. NKT cell activation, indicated by at least 1.5-fold IFN-γ induction over baseline following stimulation, was detected in 82% of healthy donors, compared to 44% of lymphoma patients. Lymphoma patients have significantly higher levels of circulating pro- and anti-inflammatory cytokines IL-10, IL-6, and Sema4D as compared to healthy donors. In addition, NKT cell function in the blood correlated with NKT cell function in the bone marrow in lymphoma patients. We found that aAPC-qPCR can be used to quickly assess immune cell function in cancer patients. Circulating NKT cell function positively correlated with bone marrow NKT cell function, suggesting that circulating NKT responses reflect systemic immune competence. Outcome-associated transcriptomic analyses showed that lower expression of TGF-β, IL-6, IL-10, and IFN-γ mRNA correlated with poorer clinical outcomes, whereas higher Sema4D expression was associated with worse prognosis, identifying Sema4D as a potential immunologic biomarker linked to disease progression and immune dysfunction in B cell lymphoma. Full article

Background: Reconstruction of maxillary defects in pediatric patients presents unique challenges related to craniofacial growth, functional rehabilitation, and long-term treatment planning. Although microvascular free-flap reconstruction is established in pediatric head and neck surgery, maxilla-specific data remain limited. This study aimed to describe donor-site selection patterns in pediatric maxillary microvascular reconstruction and to explore their relationship with patient age. Methods: This retrospective observational study included pediatric patients (aged 1–18 years) who underwent microvascular free-flap reconstruction of the maxilla between August 2011 and September 2025 at a single tertiary referral center. Clinical variables included age, defect characteristics, reconstruction timing, donor-site, and total flap loss. Donor-site selection patterns were analyzed in relation to patient age using nonparametric statistical methods. Results: Fifty-five patients were included. Overall flap survival was 81.82% (45/55). Donor-site selection demonstrated a significant association with patient age (p < 0.05). Younger children were more frequently reconstructed using soft-tissue flaps, whereas osseous flaps were more commonly used in older children and adolescents. No significant relationship was found between age and defect extent or reconstruction timing. Conclusions: In this single-center experience, pediatric maxillary reconstruction followed an age-adapted pattern, with soft-tissue flaps preferentially used in younger patients and osseous flaps more frequently selected in older children. These findings reflect differences in reconstructive priorities across developmental stages and support individualized planning in pediatric maxillary reconstruction. Age alone was not associated with total flap loss; however, this analysis was limited by the small number of flap loss events. Full article

Annually, there are more than two million deaths from liver disease. This is driven by organ inflammation and scarring, leading to a decline in function and regeneration. Frequently, this can develop into decompensated liver disease, resulting in the loss of physiological balance and toxin build-up within the body, with an increased risk of patient mortality. Currently, there are no approved medicines for the long-term treatment of liver cirrhosis. The only successful treatment option for end-stage liver disease patients is donor organ transplantation. However, patient requirement outstrips the number of donated organs. To address this bottleneck, researchers around the world have developed cell-based prototype systems to restore failing liver function, with some in clinical trials. Although significant progress has been made, no mainstream commercial liver assist products are available for routine clinical use. In this study we developed a stem cell-derived vascularized liver tissue implant prototype from pluripotent cells. The liver tissue was produced from a stem cell line that is banked at clinical grade, and displayed stable and mature liver function over a 6-week period in vitro. This included decreasing levels of the fetal marker, alpha-fetoprotein, when the serum albumin increased. This was further supported by stable alpha-1-antitrypsin secretion and cytochrome P450 function. Following the establishment of stable liver tissue, it was delivered as a cell product or attached to an electrospun polycaprolactone scaffold, to form a tissue implant. Next, cellular material was quality-controlled, and subsequently shipped to a contract research organization for external in vivo validation. The transplanted liver tissue functioned when implanted into the kidney capsule and subcutaneously, remaining functional for up to two weeks in vivo. Full article