Search Results (22,281)

Fusarium oxysporum f. sp. lycopersici (FOL) is one of the most destructive soil-borne pathogens affecting tomato production worldwide, causing substantial yield losses and persisting in soil for extended periods. The increasing regulatory restrictions on chemical fungicides and the emergence of resistant pathogen strains have intensified the search for sustainable and environmentally friendly alternatives. This systematic review synthesizes studies published between 2000 and 2025 that evaluated the antifungal efficacy of essential oils (EOs), their bioactive constituents, and EO-based nanoformulations against FOL in tomato. A total of 40 studies were included, following the PRISMA 2020 guidelines, encompassing in vitro, greenhouse, and limited field evaluations. Many EOs rich in phenolic compounds and oxygenated monoterpenes, such as thymol, carvacrol, eugenol, citral, and menthol, consistently inhibited FOL growth and spore germination, with reported mycelial growth inhibition ranging from 60 to 100% and minimum inhibitory concentrations (MICs) between 0.05 and 1.5 µL ml⁻¹. However, the use of EOs is often limited because they evaporate quickly, do not mix well with water, can harm plants, and do not persist under field conditions. Nano-delivery systems, including nanoemulsions, polymeric nanoparticles, chitosan-based carriers, and lipid-based nanostructures, have been shown to enhance the stability, bioavailability, and antifungal efficacy of EOs. This has led to improved disease management and reduced pesticide application rates. In addition, several EO-based treatments have been reported to activate plant defense responses, including the induction of defense-related genes, antioxidant enzymes, and epigenetic modifications. Overall, EO-based nanoformulations show promise as next-generation biopesticides for the sustainable management of tomato Fusarium wilt. Nevertheless, large-scale field validation, standardized formulation protocols, and regulatory assessments are required before these technologies can be widely implemented in agriculture. Full article

Background/Objectives: Hypertensive disorders of pregnancy (HDPs) affect approximately one in seven hospital deliveries in the United States and increase the risk of pregnancy-associated mortality. Home blood pressure monitoring (HBPM) for patients with HDPs has emerged as a model of care poised to improve ascertainment of blood pressure and triage of care during pregnancy and postpartum periods. However, the strength of evidence supporting HBPM approaches has been variable. This rapid review aimed to understand how HBPM approaches for pregnant and postpartum populations with HDPs have been evaluated in order to strengthen future research. Methods: Search criteria included peer-reviewed literature in English and French published during 2018–2024 that assessed HBPM approaches for pregnant and postpartum populations in high-income countries. A total of 370 records were screened and reviewed to identify 52 eligible articles. Key study characteristics, methodologies, and outcome measures were extracted. Identified outcome measures were mapped by outcome type (implementation, health service, and client) to assess gaps in evaluation of HBPM approaches. Results: A range of study designs were employed to evaluate HBPM approaches: experimental (17%), observational (52%), qualitative (10%), mixed method (10%), and economic (11%) designs. Over a third employed a comparison group, most of which compared HBPM approaches to usual antepartum or postpartum care. Only 11 studies reported on impact outcomes (long-term blood pressure control, adverse maternal and perinatal outcomes). Significant gaps were identified among the implementation outcomes examined. While patient engagement measures were common, assessment of provider adherence and engagement was limited. Hospital admissions and emergency department visits were often employed as proxies to measure HBPM effectiveness, efficiency, and safety. However, no studies adequately reported effectiveness measures for remote patient triage. Conclusions: Our results call for improved HBPM metrics to ensure patients are receiving high-quality care responsive to their clinical condition. Future studies on HBPM approaches should prioritize more transparent reporting on health actor engagement. A composite measure including both patient and provider adherence to monitoring and triage processes will provide stronger evidence on the effectiveness of HBPM for pregnant and postpartum patients and share impactful learning for health systems interested in adopting HBPM approaches. Full article

Background/Objectives: The clinical challenges of PARP inhibitors in ovarian cancer include the lack of effective maintenance regimens for homologous recombination proficiency (HRP) patients and the emergence of acquired resistance in initially responsive homologous recombination deficiency (HRD) patients. This study aims to explore the synergistic effect and molecular mechanism of the bispecific tyrosine phosphorylation-regulated kinase 1B (DYRK1B) inhibitor AZ191 combined with the PARP inhibitor Niraparib on high-grade serous ovarian cancer (HGSOC). Methods: This study first explored the expression and prognostic significance of DYRK1B in ovarian cancer through bioinformatics analysis. Subsequently, the therapeutic effect of the DYRK1B inhibitor AZ191 combined with Niraparib on HGSOC cells and organoids was evaluated by MTT examination. Flow cytometry and Western blot were used to investigate the synergistic mechanism between the two agents. Results: Bioinformatics analysis shows that the high expression of DYRK1B in serous ovarian cancer is associated with poor prognosis of the patients. The experiments in vitro have shown that the DYRK1B inhibitor AZ191 can enhance the therapeutic effect of Niraparib on HGSOC cells and organoids, whether HRD-positive or not. Mechanistic studies have shown that the combination of AZ191 and Niraparib can synergistically increase the accumulation of DNA damage, thereby intensifying the apoptosis of HGSOC cells. In addition, the combination therapy induces ferroptosis by inhibiting the Nrf2/SLC7A11/GPX4 axis, thereby exerting cytotoxic effects. Conclusions: Our results uncover a novel mechanism by which inhibiting DYRK1B enhances the anti-HGSOC efficacy of Niraparib and may offer a promising treatment strategy to improve the maintenance therapy in both HRD and HRP ovarian cancer patients. Full article

Glial cells, particularly astrocytes and microglia, are central to maintaining CNS homeostasis and coordinating responses to injury through tightly regulated metabolic, inflammatory, and mechanosensitive processes. Emerging evidence identifies the Hippo signaling pathway and its downstream effectors YAP/TAZ as key regulators of glial functions, influencing proliferation, polarization, intercellular communication, and the balance between neuroprotection and neurotoxicity. This review discusses the Hippo signaling pathway and its transcriptional co-activators YAP/TAZ as context-dependent hubs integrating mechanical, metabolic, and immune cues in astrocytes and microglia. Particular attention is given to MST1/2- and YAP/TAZ-dependent signaling in microglia, which governs inflammatory states, redox balance, mitophagy, and mechanosensing. In astrocytes, Hippo–YAP signaling emerges as a bidirectional regulator of reactive gliosis and neuroprotection, capable of constraining excessive scar formation. However, when chronically suppressed, it impairs glutamate clearance, metabolic support, and resistance to neurodegeneration. Disruption of Hippo signaling in glial tumors is also considered, with YAP/TAZ–TEAD complexes driving glioblastoma stemness, infiltrative growth, immune evasion, and therapy resistance. Finally, therapeutic perspectives are outlined that emphasize context-selective modulation of Hippo signaling in the CNS. Overall, Hippo–YAP/TAZ signaling is presented as a highly context-dependent regulator at the interface of glial inflammation, neurodegeneration, and glioma biology and as a promising but demanding target for future CNS therapies. Full article

Antibiotic-associated diarrhea (AAD) is primarily driven by disruption of the gut microbiota accompanied by intestinal mucosal injury. Although multiherb formulations are widely used in East Asian medicine, their collective ecological effects and integrated microbiome–host mechanisms have not been systematically synthesized. This systematic review included 17 preclinical studies that investigated multiherbal formulations in AAD models. Given the substantial heterogeneity in the formulation composition, experimental design, and analytical platforms, a descriptive synthesis was performed. The included formulations were categorized into four clusters based on their shared herbal composition: Qiwei Baizhu San (QWBZP), Lizhong Tang (LZT), Gegen Qinlian Tang (GQT), and other supportive multiherbal formulations. The cluster-based synthesis revealed distinct convergent therapeutic strategies. The QWBZP and LZT clusters primarily supported the restoration of host metabolic and digestive functions, whereas the GQT cluster exhibited potent pathogen control effects with the suppression of opportunistic taxa. Across all clusters, a convergent microbiome–host response emerged, characterized by enrichment of commensal bacteria (e.g., Lactobacillus), upregulation of tight junction proteins (e.g., ZO-1, occludin), and attenuation of pro-inflammatory mediators (e.g., TNF-α, myeloperoxidase). Multiherb formulations in AAD models not only act as microbial modulators but also function as host-directed modulators that stabilize the intestinal homeostatic niche. Botanical interventions may facilitate endogenous microbiome recovery by reinforcing mucosal integrity and reducing environmental resistance. This ecological framework provides a rationale for future translational studies evaluating integrated herbal–probiotic strategies and precise microbiome management for patients with AAD, while further clinical validation is warranted. Full article

Pancreatic ductal adenocarcinoma (PDAC) remains one of the deadliest malignancies, characterized by early metastasis, dense desmoplastic stroma and a profoundly immunosuppressive, lymphocyte-depleted tumor microenvironment that severely limits the efficacy of current systemic and immunotherapeutic approaches. Oncolytic viruses (OVs), which selectively replicate in and lyse malignant cells while activating antitumor immunity, have emerged as attractive candidates to convert this “cold” tumor into a more inflamed and therapeutically responsive disease. In this review, we summarize clinical evidence on the main OV platforms evaluated in PDAC, including adenovirus, herpes simplex virus, vaccinia virus, parvovirus and reovirus, with a focus on clinical trials. Across these classes of viruses, intratumoral administration has consistently proven feasible and generally well tolerated, with frequent evidence of viral replication, microenvironmental remodeling and immune activation, but only modest and often transient antitumor responses in small, early-phase cohorts. We then discuss key biological and translational challenges that currently limit OV impact in PDAC, such as systemic delivery in the context of pre-existing antiviral immunity and rapid clearance, penetration through the fibrotic stroma, and rational selection of encoded transgenes to reshape myeloid cell-driven, pro-tumoral inflammation and enhance T-cell recruitment. Finally, we outline future directions for the field, including carrier-cell–based systemic delivery, stroma-targeting or cytokine-armed constructs, and combinatorial strategies with chemotherapy and immune checkpoint blockade, arguing that design refinement, innovative combinations and mechanism-driven trial designs will be essential to unlock the full therapeutic potential of oncolytic virotherapy in PDAC. Full article

Deubiquitinases, or DUBs, have emerged as pivotal regulators of cellular homeostasis, coordinating the delicate balance between protein ubiquitination and deubiquitination. Their versatile roles span from controlling protein turnover to modulating signal transduction pathways, thereby influencing diverse cellular processes, including DNA damage repair, apoptosis, and immune responses. This review comprehensively explores the current understanding of DUBs, elucidating their structural diversity, catalytic mechanisms, physiological functions, and implications in human diseases. Moreover, we discuss the therapeutic potential of targeting DUBs in various pathological conditions, highlighting recent advancements and challenges in developing DUB-specific inhibitors. Full article

Background/Objectives: Essential oils (EOs) have multi-target antifungal activity, but their translation is limited by volatility and poor aqueous dispersibility. Randomly methylated β-cyclodextrin (RAMEB) inclusion may enhance effective exposure and thereby alter susceptibility, stress responses, and biofilm outcomes in a species-dependent manner. This study quantified species-specific planktonic and biofilm susceptibility to four EOs and their RAMEB complexes across clinically relevant Candida species. Methods: Lavender (L), lemon balm (B), peppermint (P), and thyme (T) oils and their RAMEB complexes (RL, RB, RP, and RT) were tested against C. albicans and non-albicans Candida. Susceptibility thresholds were used to derive phase plasticity metrics. Functional inhibition was assessed via planktonic metabolism/viability and established biofilm metabolism/viability/biomass. Mechanistic signatures were captured by ROS/RNS measurements and a qPCR analysis of antioxidant genes (CAT1, GPX1, and SOD1) was performed. Mixed-effects models and multivariate/unsupervised and interpretable classification approaches (k-means, PCA, and CRT) were used to integrate endpoints and stratify response phenotypes. Results: Susceptibility thresholds were strongly species-structured (lowest MIC₉₀/EC₁₀ for C. albicans; higher thresholds and broader sublethal windows in non-albicans species). RAMEB complexation produced formulation-dependent shifts in efficacy, with RT emerging as the most consistent broad-spectrum inhibitory condition across compartments. Biofilm biomass was comparatively insensitive even when viability was suppressed, indicating a decoupling of structural biomass from biocidal activity. Mechanistic signatures were broadly conserved across species and linked to antioxidant-program engagement, with CAT1-related rules contributing to responder/tolerant classification. Conclusions: Integrating MIC/EC plasticity with functional and mechanistic markers supports the rational selection of EO formulations; RAMEB complexation, particularly RT, prioritizes candidates for further pharmaceutical optimization while highlighting species-specific vulnerabilities. Full article

Ports are increasingly recognized as actors that influence the sustainability of urban environments due to their spatial footprint, operational intensity, and close interaction with surrounding cities. As digital technologies become more embedded in infrastructure management, Digital Twins (DTs) are emerging in port systems as tools that can support more integrated and sustainable port–city development. This paper investigates how DT technologies applied in ports can contribute to broader urban sustainability objectives within port–city systems. The analysis is based on a synthesis of documented DT practices from selected European ports. Geographic Information System (GIS) visualization is used to illustrate the spatial relationship between port infrastructure and the surrounding urban environment, as well as to map the connections between DT application fields and relevant Sustainable Development Goals (SDGs). A comparative interpretation of the extent to which DT applications align with urban sustainability goals across the examined ports is achieved through the development of an SDG contribution scale. Insights derived from the European cases are subsequently contextualized for the Port of Piraeus, exploring how similar DT approaches could support both operational efficiency and the long-term climate resilience of the port–city environment. Overall, the findings provide practical insights for port authorities, urban planners, and policymakers seeking to align digital transformation strategies with sustainable and climate-responsive infrastructure development in port–city systems. Full article

Colorectal cancer (CRC) is the third most commonly diagnosed malignancy worldwide, with molecular heterogeneity complicating early detection and treatment stratification. The insulin-like growth factor (IGF) axis interacts bidirectionally with immune regulatory mechanisms in ways that shape tumor phenotype and therapeutic vulnerability. This review synthesizes evidence on how IGF signaling orchestrates immunosuppression through effects on tumor-associated macrophages, regulatory T cells, and myeloid-derived suppressor cells, while inflammatory cytokines reciprocally modulate IGF bioavailability. Three mechanistic principles emerge: IGF binding protein 2 (IGFBP-2) functions as a central coordinator linking growth factor signaling to immune evasion through STAT3-dependent pathways driving M2 macrophage polarization and regulatory T cell differentiation; IGF–immune crosstalk varies considerably across molecular subtypes, with microsatellite-stable tumors exhibiting high reliance on IGF-I receptor-mediated immune silencing; and local paracrine IGF production increasingly dominates over systemic regulation as disease progresses. These bidirectional connections establish self-reinforcing circuits that determine whether tumors remain immunologically responsive or develop immune exclusion. Multi-marker panels incorporating IGFBP-2 alongside complementary biomarkers have shown improved diagnostic performances for early CRC detection, underscoring the need for the large-scale prospective clinical evaluation of IGF network components as biomarkers for CRC in diverse populations. The convergence of IGF signaling with checkpoint regulation suggests that combined targeting warrants investigation for resistance in tumors lacking effective immunotherapy options. Full article

As schools take on more responsibility for promoting student mental health, there is an increasing focus on how educational policies and practices enhance psychological well-being. However, research has yet to fully examine how alternative school environments support student mental health, especially for those facing structural inequities related to exclusionary discipline and system involvement. This exploratory qualitative case study examined how an urban intensive, asset-based alternative high school supports the mental health of formerly incarcerated transition-age (18–25) Black male students during reentry. Drawing on interviews (n = 12), observations (n = 33), a focus group (n = 4), and document review, analyzed using thematic analysis with the Radical Healing Framework as an interpretive lens, four interconnected themes emerged: academic engagement and high school completion as sources of future orientation; employment preparation as a pathway to economic stability and purpose; social-emotional stability fostered through relational support and collective care; and liberation from system involvement as relief from racialized surveillance. These mechanisms were perceived as reducing psychological distress, supporting emotional regulation, and promoting a sense of belonging and agency within and outside the alternative school context. Implications for healing-centered, culturally responsive educational policy, practice, and future research are discussed. Full article

Building Information Modelling (BIM) has emerged as a transformative approach for improving efficiency, coordination, and sustainability in the construction industry; however, its adoption in developing regions remains limited. In the Kurdistan Region of Iraq (KRG), BIM implementation—particularly within the residential construction sector—remains at an early stage and lacks comprehensive empirical investigation. This study aims to assess stakeholders’ perspectives on current BIM practices, identify key adoption barriers, and develop a context-specific strategic framework to support BIM implementation. A mixed-method research design was employed, incorporating literature review, expert validation through semi-structured interviews, and a structured questionnaire survey. A total of 319 valid responses were analyzed using descriptive statistics, Relative Importance Index (RII), Cronbach’s alpha for reliability, Spearman’s rank correlation, independent samples t-tests, and one-way ANOVA. In addition to ranking barriers, an inter-barrier correlation analysis was conducted to examine the relationships, clustering patterns, and hierarchical structure of BIM adoption challenges. The results indicate that while BIM awareness is moderately established among stakeholders, its practical application remains limited, particularly beyond the design phase. The most critical barriers include lack of training and expertise, absence of regulatory frameworks and standards, insufficient government support, and financial constraints. The correlation analysis reveals that these barriers are interdependent, with policy and institutional deficiencies acting as root drivers influencing technical, financial, and awareness-related challenges. Based on these findings, the study proposes a four pillar conceptual strategic framework encompassing human capital development, regulatory and standardization enablement, awareness and demand generation, and organizational and collaborative enhancement. The framework is explicitly derived from empirical results, linking barrier clusters to prioritized strategies, thereby enhancing its practical applicability. This study contributes to the existing literature by providing one of the first multi-province empirical assessments of BIM adoption in the KRG residential sector, integrating statistical validation with strategic development, and offering transferable insights for other developing regions at a similar stage of BIM adoption. Full article

Low-molecular-weight gelators (LMWGs) have attracted growing attention as versatile alternatives to conventional polymeric thickeners and gelators, owing to their ability to form three-dimensional fibrillar networks through non-covalent self-assembly and to undergo reversible sol–gel transitions in response to external stimuli. Among the various stimuli that can be exploited, pH represents a particularly attractive trigger given its direct relevance to biological and physiological environments. This review focuses on three categories of pH-responsive LMWGs that have shown notable progress over the past decade yet remain relatively underexplored in the literature. First, N-oxide-type hydrogelators are discussed, with emphasis on amide amine oxide-based surfactants and pyridine-N-oxide frameworks. The pH-dependent protonation of the N-oxide moiety modulates intermolecular hydrogen bonding, thereby governing self-assembly and gel formation. The structural versatility of these gelators enables rational tuning of aggregate morphology and confers clear pH and temperature responsiveness. Second, recent advances in phenylboronic acid-based LMWGs are highlighted. Although boronic acid derivatives have long been studied as dynamic crosslinking units in polymeric hydrogels, 3-isobutoxyphenylboronic acid was recently identified as the first example of phenylboronic acid functioning as an LMWG, in which gelation is driven primarily by hydrogen bonding and pH responsiveness is exploited for stimuli-triggered gel disruption rather than gel formation. Third, pH-responsive orthogonal self-assembly systems are reviewed. Representative examples include multicomponent hybrid hydrogels combining pH-activated LMWGs with polymer gelators for controlled drug release, pH-triggered self-sorting of two LMWGs without any polymeric component, and bio-based orthogonal hydrogels composed of a glucolipid LMWG and cellulose nanocrystals. For each system, both advantages and remaining limitations are critically assessed. Collectively, this review aims to provide a timely overview of emerging trends in pH-responsive LMWG research and to offer perspectives on the rational design of next-generation stimuli-responsive soft materials. Full article

Background/Objectives: Sepsis is a leading cause of hospital mortality and represents a time-sensitive medical emergency. Current diagnostic strategies rely on clinical assessment, severity scores, biomarkers, and blood cultures. However, blood cultures require 24–72 h for pathogen identification and demonstrate limited sensitivity, while biomarkers such as procalcitonin and C-reactive protein lack optimal specificity. These limitations support the widespread empirical use of broad-spectrum antibiotics and highlight the need for rapid, sensitive, and culture-independent diagnostic tools. Methods: A narrative literature review was conducted using PubMed and Google Scholar, including 28 studies published over the past 10 years, encompassing observational and preclinical investigations. Current evidence on the application of Raman spectroscopy in sepsis was summarized, with a dual focus on pathogen identification and the assessment of the host response. Results: Raman spectroscopy has demonstrated the ability to detect early molecular alterations in circulating immune cells and mitochondrial redox status, potentially preceding conventional biomarkers. For pathogen identification, Raman techniques have achieved diagnostic accuracies comparable to automated systems, but with significantly shorter turnaround times. Integration with microfluidics, optical tweezers, and deep learning algorithms has further enhanced performance, although these applications remain largely experimental. Conclusions: Despite these promising results, the lack of methodological standardization, spectral overlap among phylogenetically related species, limited large-scale validation, and challenges in interpreting certain spectral signatures remain unresolved. Most available evidence originates from preclinical, single-center, and controlled studies, underscoring the need for prospective multicenter trials and harmonized protocols. Full article