Search Results (957)

Background and Clinical Significance: Carbimazole is a widely used medication to treat Graves’ disease, although it can rarely cause acquired aplastic anemia, a complication that happens in less than 0.01% of people. Case Presentation: We report a 36-year-old woman treated with supratherapeutic dose carbimazole who, after approximately six months of treatment, developed high grade fever, severe menorrhagia, spontaneous epistaxis, and pancytopenia. Her bone marrow biopsy showed severe bone marrow failure with only 5% cellularity and trilineage hypoplasia. Other potential causes were ruled out. Immediate discontinuation of carbimazole was done, and supportive care, including blood transfusions, broad-spectrum antibiotics, G-CSF, and eltrombopag, was started. The patient deteriorated during her hospital stay, developed neutropenic sepsis and acute respiratory failure from diffuse alveolar hemorrhage, which required intubation and pulse steroid therapy. She was stabilized and discharged, with a referral to a tertiary medical center for starting antithymocyte globulin (ATG) immunosuppressive therapy, which she subsequently completed; two months after discharge she was transfusion independent with near-normalization of her blood counts. Conclusions: This case serves as a stark reminder of how lethal thionamide-induced bone marrow failure can be, highlighting the vital need for immediate drug cessation, swift intensive care, and thorough patient education on early warning signs. Full article

To address the limitations of conventional polymer hydrogels in terms of sustainability and functionality, green soy protein (SP)-based hydrogels (SPHs) demonstrate significant potential. As an abundant, renewable plant protein, SP provides an ideal molecular platform for constructing high-performance, multifunctional hydrogels. This review systematically consolidates recent progress in SPHs. Firstly, the molecular fundamentals and gelation mechanisms of soy protein are analyzed in depth. Subsequently, key construction strategies, including physical, chemical, and enzymatic crosslinking, as well as composite/hybrid approaches, are comprehensively reviewed with respect to their mechanisms, advantages, and limitations. Following this, innovative applications of SPHs in biomedical, food and nutrition, environmental/agricultural, and smart material fields are highlighted. Finally, the current challenges facing research in mechanical properties, structure–property relationships, and scalable production are identified. Future directions include developing novel green crosslinking systems, deepening multi-scale structural control, and advancing smart integrated design. This review aims to provide researchers with a systematic knowledge framework spanning from “molecular understanding” to “functional customization,” thereby propelling soy protein hydrogels toward higher toughness, intelligence, and sustainability. Full article

This study evaluated graded dietary doses of Saccharomyces cerevisiae postbiotic (0, 1.25, 2.5 and 5 g kg⁻¹) on growth, feed utilization, serum biochemistry, expression of IGF-1, SOD2, IL-1β, IL-10 and IgM, and resistance to Fusarium oxysporum in Nile tilapia (Oreochromis niloticus; 35.1 ± 0.9 g) after 30 and 60 days of feeding. Although the 5 g Kg⁻¹ inclusion significantly increased WG (59.4 ± 0.9) and SGR (1.5 ± 0.0) and decreased FCR (0.8 ± 0.0), significant positive effects on multiple endpoints were also recorded at 1.25 and 2.5 g/kg. Serum total protein and globulin rose with increasing dose and feeding duration, while albumin showed limited change, lowering the A/G ratio. AST remained unchanged. Creatinine and glucose declined with postbiotic supplementation; the glucose reduction effect was dose-dependent, whereas creatinine was unaffected by feeding duration. The highest gene expression of hepatic IGF-1, SOD2, IL-1β, and IL-10 and splenic IL-1β, IL-10, and IgM was in T3 at both checkpoints; however, the highest gene expression of intestinal IL-1β, IL-10, and IgM expression was in T1 at both time points. The pathogenicity experiment showed a significant survival against F. oxysporum (p < 0.0001) compared to controls. The results suggested that dietary S. cerevisiae postbiotic improved growth, biochemical and molecular responses, and survival of Nile tilapia against F. oxysporum. Full article

This study aimed to explore the protective mechanism of silybin against heat stress-induced liver injury in Peking ducks as a result of oxidative stress, inflammation, and lipid metabolism. One hundred and ninety-five 1-day-old healthy male Peking ducks with similar body weights were randomly divided into a control group, a heat-stress group, and three intervention groups treated with 400, 800, and 1600 mg/kg silybin under heat-stress from 21 d to 35 d for two weeks. The function indices, oxidative stress, inflammatory factor levels, histopathological changes and non-targeted lipidomic profiling in liver as well as growth performance were evaluated. Results showed that silybin supplementation partially alleviated the heat-stress-induced decreases in average daily feed intake and body weight gain (p > 0.05). Silybin supplementation at 400 and 800 mg/kg significantly reduced the heat-stress-induced increases in alanine aminotransferase (ALT), aspartate aminotransferase (AST), and γ-glutamyl transpeptidase (γ-GGT) (p < 0.05), whereas the effect of 1600 mg/kg silybin was not significant. Albumin (ALB) and globulin (GLB) levels were mainly improved in the 800 mg/kg group, and GLB was also increased in the 400 mg/kg group (p < 0.05). Silybin supplementation significantly improved hepatic antioxidant capacity, especially in the 400 and 800 mg/kg groups, as indicated by increased superoxide dismutase (SOD) activity and total antioxidant capacity (T-AOC), and decreased malondialdehyde (MDA) and reactive oxygen species (ROS) levels (p < 0.05). In addition, the 400 and 800 mg/kg groups showed more significant reductions in the pro-inflammatory factors IL-6 and TNF-α, while IL-10 was increased in silybin-supplemented groups (p < 0.05). Lipid metabolism disorders were improved through regulation of the sphingolipid and glycerophospholipid metabolism pathways, while it alleviated heat stress damage by reducing the expression of heat shock proteins. In conclusion, silybin holds promise as an effective feed additive to alleviate heat stress in poultry. This study provides a theoretical basis and practical approach for improving the health and productive performance of Peking ducks under heat-stress conditions. Full article

Andean crops, including quinoa (Chenopodium quinoa), amaranth species including kiwicha (Amaranthus caudatus), chocho (Lupinus mutabilis), and cañihua (Chenopodium pallidicaule), constitute promising protein matrices for bioactive peptide generation by microbial fermentation and enzymatic proteolysis. These pseudocereals and legumes contain storage proteins, mainly 11S globulins and 2S albumins, enriched in lysine and sulfur-containing amino acids, and therefore provide suitable precursors for multifunctional peptides. In addition, secondary metabolites, such as quinoa saponins and chocho alkaloids, may influence proteolysis, peptide release, and peptide stability during fermentation. This review critically examines LAB fermentation as a food-grade strategy for bioactive peptide production from Andean crops. Evidence from enzymatic hydrolysis and simulated gastrointestinal digestion is included as complementary information and is discussed separately from fermentation-derived evidence. Reported activities include antioxidant, ACE-inhibitory, DPP-IV- and α-glucosidase-inhibitory, antimicrobial and anti-inflammatory activities. Particular attention is given to peptide generation, molecular-weight fractionation, peptidomic characterization, structure–activity relationships, simulated gastrointestinal digestion, and bioaccessibility. Most reported activities were measured in hydrolysates or molecular-weight fractions rather than in defined sequences, and individually validated peptides remain a minority. The strength of evidence differs markedly among crops: fermentation-derived data are more developed for quinoa and amaranth, whereas evidence for chocho and cañihua relies largely on enzymatic hydrolysis. Current limitations, including substrate variability, sensory acceptability, process standardization, peptide identification, bioavailability, and the lack of human validation studies, are also discussed. Andean crop proteins are promising precursors of functional peptide ingredients; however, peptide-specific bioavailability and human efficacy remain largely untested. Full article

Background/Objectives: Autoimmune nodopathies are a distinct subgroup of immune-mediated peripheral neuropathies caused by antibodies targeting nodal and paranodal proteins, including contactin-1 (CNTN1). These disorders are frequently misclassified as chronic inflammatory demyelinating polyradiculoneuropathy (CIDP), despite fundamental differences in pathophysiology, clinical course, and treatment response. Growing evidence indicates that systemic manifestations, such as proteinuria, may represent relevant diagnostic red flags. We report a case of anti-CNTN1 autoimmune nodopathy with renal involvement and long-term follow-up after rituximab therapy. Methods: We describe the longitudinal clinical, electrophysiological, laboratory, and therapeutic features of a patient presenting with an acute/subacute sensory ataxic neuropathy evolving into a chronic immune-mediated disorder. Serial nerve conduction studies were performed during multiple hospital admissions and follow-up visits. Autoantibody testing for nodal/paranodal antigens was undertaken, and systemic biomarkers were monitored over time. Results: The patient initially exhibited a robust response to intravenous immunoglobulin (IVIg), consistent with an acute inflammatory neuropathy. Subsequent relapse was characterized by cranial nerve involvement, worsening sensory ataxia, peripheral edema, albuminocytologic dissociation on cerebrospinal fluid analysis, proteinuria, and an inverted albumin/gamma globulin ratio, redirecting the diagnostic hypothesis toward CIDP. The detection of anti-CNTN1 antibodies ultimately established the diagnosis of autoimmune nodopathy. Owing to poor durability of IVIg, rituximab was initiated, resulting in sustained clinical improvement and near-complete recovery of motor and sensory nerve conduction parameters at one-year follow-up (November 2025). Conclusions: This case emphasizes the diagnostic relevance of extraneurological biomarkers, including proteinuria and peripheral edema, in autoimmune nodopathies and supports early nodal/paranodal antibody testing in atypical demyelinating neuropathies. Prompt B-cell-directed therapy may enable functional recovery of nodal integrity and improve long-term outcomes. Further studies are needed to clarify potential immunological triggers, including anti-IL-23 therapies, in the pathogenesis of anti-CNTN1 autoimmune nodopathy. Full article

Background/Objectives: There are well-established sex differences in the epidemiology of stroke, but current data does not provide a clear mechanism to explain this phenomenon. This study asked if relationships between circulating sex hormone levels and stroke incidence could explain the sex differences in stroke rates. Methods: A total of 393,158 participants from the UK Biobank aged 40–69 were followed for a mean duration of 13.2 years. The incidence of ischemic stroke (IS) and intracerebral haemorrhage (ICH) was analysed in relation to baseline and changing levels of testosterone, sex hormone binding globulin (SHBG) and oestradiol. Results: A total of 3844 participants experienced an IS and/or ICH, with incidence higher in men than women in this population. In both sexes, a U-shaped association between total testosterone and ICH was found, independent of common cerebrovascular disease risk factors (p = 0.006). Higher SHBG levels were associated with higher risk of IS (Q4 hazard ratio = 1.18; p < 0.001) in both men and women, independent of common cerebrovascular risk factors. No significant associations were observed between oestradiol levels and stroke events after making demographic adjustments. Conclusions: These data highlight the nuanced roles that sex hormones play in the epidemiology of stroke between sexes. Whilst sex hormones are implicated in modulating stroke risk, this study demonstrated the complexity of this relationship. Full article

Background/Objectives: Maternal vitamin D deficiency has been associated with preeclampsia, but evidence regarding preconception partner-specific vitamin D biomarkers is limited. We evaluated associations between preconception maternal and paternal vitamin D biomarkers and the odds of preeclampsia. Methods: This secondary prospective cohort analysis used data from the Folic Acid and Zinc Supplementation Trial (FAZST), a multicenter study conducted in the United States between 2013 and 2017. Of the 2370 enrolled couples who were seeking infertility treatment, 1054 couples achieved a documented pregnancy. Because preeclampsia can only be ascertained among pregnancies progressing beyond 20 weeks of gestation, the primary analytic population was restricted to 826 pregnancies that reached ≥20 weeks, including 98 with preeclampsia and 728 without preeclampsia. Preconception serum total 25-hydroxyvitamin D (25(OH)D), vitamin D-binding globulin (VDBG), albumin, free 25(OH)D, and bioavailable 25(OH)D were assessed in both partners. Multivariable logistic regression models estimated adjusted odds ratios (aORs) and 95% confidence intervals (CIs). Results: In categorical analyses, maternal total 25(OH)D findings were consistent with a possible U-shaped pattern. Compared with concentrations of 30–< 50 ng/mL, concentrations ≤20 ng/mL were associated with higher odds of preeclampsia (aOR = 2.58, 95% CI: 1.13–5.88), as were concentrations ≥50 ng/mL (aOR = 5.45, 95% CI: 1.71–17.41). Similar categorical patterns were observed for maternal free 25(OH)D, with higher odds at concentrations ≤8.25 pg/mL (aOR = 2.23, 95% CI: 1.13–4.43) and ≥12.5 pg/mL (aOR = 4.71, 95% CI: 1.97–11.29), and for maternal bioavailable 25(OH)D concentrations ≤3.5 ng/mL (aOR = 2.61, 95% CI: 1.19–5.72) and ≥5.0 ng/mL (aOR = 5.38, 95% CI: 2.15–13.46). Lower paternal bioavailable 25(OH)D was associated with lower odds of preeclampsia in the fully adjusted model (aOR = 0.50, 95% CI: 0.28–0.89); however, this finding should be considered exploratory. Conclusions: Among pregnancies progressing to ≥20 weeks, lower and higher categories of maternal total, free, and bioavailable 25(OH)D were associated with the odds of preeclampsia relative to intermediate categories. These categorical findings are consistent with a possible U-shaped pattern but do not establish a nonlinear dose–response relationship. Paternal findings were limited and should be considered exploratory. Full article

This study investigated the interactions between phenolic compounds from Israeli and Chilean white wines and human serum carrier proteins, including human serum albumin (HALB), gamma-globulin (HGLO), and fibrinogen (HFB), to characterize their antioxidant capacity and serum protein-binding behavior under controlled experimental conditions. The analyzed wines included Israeli Chardonnay (ICR), Chilean Chardonnay (CCR), Israeli Sauvignon Blanc (ISB), and Chilean Sauvignon Blanc (CSB). HPLC and FTIR fingerprinting revealed cultivar- and region-dependent differences in phenolic composition, with Chardonnay wines showing stronger protein-binding behavior and Sauvignon Blanc samples displaying high antioxidant efficiency relative to their phenolic content. ICR exhibited the highest total binding capacity, 46.44%, and the strongest albumin interaction, with a binding constant (Kb) of 8.44 × 10⁴ M⁻¹ and a Gibbs free energy (ΔG) value of −35.03 kJ/mol. Empirical fluorescence quenching kinetics demonstrated that white wine phenolics establish stable physical complexes with human serum proteins, displaying a distinct preferential affinity for HALB as the protein showing the strongest apparent interaction among the proteins tested. Two- and three-dimensional fluorescence spectroscopy confirmed substantial quenching of the intrinsic tryptophan and tyrosine residues, indicating meaningful microenvironmental alterations within the protein’s active transport sites. These empirical interactions were closely mirrored by complementary molecular docking simulations, which provided a structural visualization of the physical binding interactions. ICR also showed the highest antioxidant capacity, with DPPH and CUPRAC values of 1.66 and 2.91 mmol TE/L, respectively. Ethanol control showed negligible effects, indicating that the observed bioactivity was mainly associated with the polyphenolic matrix. Among the investigated samples, Chardonnay showed higher apparent protein-binding capacity, whereas Sauvignon Blanc showed relatively high antioxidant efficiency in relation to its phenolic content. Full article

Water scarcity is a major constraint to livestock production in tropical and semi-arid environments, necessitating the identification of breeds with superior adaptive capacity. This study evaluated the effects of graded water restriction (WR) on growth performance, morphometric traits, and serum biochemical responses of indigenous South African goat breeds. Thirty-six female Nguni and Xhosa goats were assigned to three water intake levels: ad libitum (W0; control), 70% (W70), and 50% (W50) of ad libitum intake in a 2 × 3 factorial arrangement. Growth performance, body measurements, and serum biochemical parameters were assessed over 75 days. Water restriction significantly reduced growth performance in both breeds (p < 0.05), with more pronounced effects under severe restriction (W50). However, Nguni goats maintained higher final body weight and experienced smaller reductions in average daily gain than Xhosa goats. Morphometric traits were generally less affected by WR, although Nguni goats consistently exhibited greater rump width. Biochemical responses revealed higher concentrations of sodium, chloride, alkaline phosphatase, and creatinine (p < 0.05) in Nguni goats, whereas Xhosa goats showed higher concentrations of urea and globulin. The findings demonstrate distinct breed-specific adaptive mechanisms to water stress, with Nguni goats exhibiting greater physiological resilience. Full article

Largemouth bass (Micropterus salmoides) is a major freshwater farmed species in China, making substantial economic contributions owing to its desirable flesh quality, rapid growth, and strong acceptance of formulated feeds. This study assessed the effects of dietary supplementation (intermittent and continuous feeding group, n = 3) with the probiotic Bacillus velezensis (1.0 × 10⁹ CFU/g) on growth performance, intestinal morphology, digestive enzyme activities, and gut microbial diversity in this fish. The results indicated that continuous B. velezensis administration significantly increased percentage weight gain, specific growth rate, and survival, while concurrently reducing feed conversion ratio relative to the basal diet (p < 0.05). Intermittent feeding also resulted in a markedly higher survival rate and a lower FCR. Histological examination of intestinal sections revealed elevated villus height, villus width, and muscularis thickness in the B. velezensis supplemented groups, with the intermittent regimen producing more pronounced effects. Compared with the control, the intermittent group exhibited substantially decreased the pepsin and lipase activities of the serum. In the continuous group, serum globulin levels rose noticeably, accompanied by significant declines in total complement and superoxide dismutase. Moreover, continuous B. velezensis supplementation markedly upregulated the expression levels of TGFβ, myd88, IL34, IL8, and TNFα in the head-kidney of the largemouth bass, whereas intermittent supplementation significantly increased TGFβ, Gpx, Nrf2, and Acp transcript levels. Dietary inclusion of B. velezensis was also found to enhance intestinal microbial richness and greatly increase the abundance of potentially beneficial bacteria. Collectively, these results indicate that B. velezensis supplementation exerts beneficial effects on intestinal digestive capacity, growth, and innate immunity, thereby lowering disease susceptibility in largemouth bass. Full article

Background/Objectives: Postmenopausal women are at increased risk of metabolic dysfunction-associated steatotic liver disease (MASLD). This study evaluated the associations of anthropometric and hormonal parameters and cardiometabolic risk-factor accumulation with steatosis and MASLD. Methods: In this cross-sectional study, 87 postmenopausal women at a university menopause clinic underwent anthropometric, biochemical, and liver imaging assessment. Hepatic steatosis was defined as CAP ≥ 248 dB/m on transient elastography, and MASLD as steatosis with ≥1 cardiometabolic risk factor (2023 consensus criteria). Anthropometry included body mass index (BMI), waist circumference, mid-upper arm circumference, and triceps skinfold thickness. Results: CAP-defined steatosis (46.0%) closely mirrored MASLD (44.8%; all but one steatotic woman met ≥ 1 criterion). Waist circumference independently correlated with steatosis (OR = 2.77, 95% CI 1.08–7.13, p = 0.035), adding value beyond BMI (Nagelkerke R² 0.202 vs. 0.140). Steatosis burden rose progressively with risk-factor number: each additional factor conferred a 30.59 dB/m CAP increase (95% CI 17.33–43.85, p < 0.001) and 3.38-fold higher odds of steatosis (95% CI 1.59–7.20, p = 0.002; ≥3 vs. 2 factors, Welch’s p = 0.004). Conclusions: MASLD and CAP-defined steatosis were largely coincident. Adiposity correlated with steatosis, but severity was determined chiefly by the accumulation of cardiometabolic risk factors, which is a key determinant of steatotic liver disease severity after menopause. Full article

Identifying physiological changes during the transition period is essential for improving the health and productivity of dairy goats. This study evaluated hematological, biochemical, hormonal, oxidative stress, and molecular alterations in Shami goats during the pre-pregnancy, late pregnancy, and early lactation periods. Eighty clinically healthy goats were examined, and blood samples were analyzed for hematological indices, metabolic and hormonal profiles, oxidative stress biomarkers, and relative expression of genes associated with energy metabolism, antioxidant defense, inflammation, and autophagy. Late pregnancy was characterized by significant (p < 0.05) increases in red blood cell count (RBCs), hemoglobin concentration (Hb), neutrophils, albumin, globulin, urea, insulin-like growth factor-1 (IGF-I), and malondialdehyde (MDA), accompanied by decreased glucose, cholesterol, total protein (TP), antioxidant markers, total leukocyte count, packed cell volume, and monocytes. Early lactation was associated with higher non-esterified fatty acid, triiodothyronine (T3), and thyroxine (T4) levels. Genes involved in lipid mobilization and oxidation, ketogenesis, inflammation, cellular stress, and autophagy; sirtuin 1 (SIRT1), peroxisome proliferator-activated receptor alpha (PPARA), carnitine palmitoyltransferase 1a (CPT1A), 3-hydroxy-3-methylglutaryl-coenzyme a synthase 2 (HMGCS2), cluster of differentiation 36 (CD36), lipase E (LIPE), protein kinase amp-activated catalytic subunit alpha 1 (PRKAA1), solute carrier family 2 member 1 (SLC2A1), haptoglobin (HP), interleukin 6 (IL6), heat shock protein 70 (HSP70), heme oxygenase 1 (HMOX1), beclin 1 (BECN1), and autophagy-related protein 5 (ATG5) were significantly upregulated, whereas antioxidant- and glucose transport-related genes nuclear factor erythroid 2-related factor 2 (Nrf2), glutathione peroxidase 1 (GPX1), catalase (CAT), thioredoxin (TXN), and solute carrier family 2 member 4 (SLC2A4) were downregulated during the transition period. The results indicate well-orchestrated metabolic and molecular adaptations that can be employed as biological indicators to track the physiological status of Shami goats. These findings fulfilled the study objective and identified potential biomarkers of the transition period in Shami goats. Full article

MicroRNAs (miRNAs) serve as pivotal post-transcriptional modulators of gene expression that govern animal growth and development processes. The present study aimed to investigate the relationship between a single-nucleotide polymorphism (SNP) located within the pre-miR-1453 precursor and growth traits, carcass traits, body size traits, and serum biochemical parameters in an F₂ chicken resource population derived from Gushi and Anka crosses (n = 860). Genotyping of the rs16159272 polymorphism (+31 bp C > T) was performed using MALDI-TOF mass spectrometry, and population genetic parameters, secondary structure prediction, and association analyses were conducted. The results showed that the SNP was moderately polymorphic (PIC = 0.3174) and significantly associated with hatch weight (p < 0.01; CT > TT > CC), as well as body weight at 2 and 4 weeks of age (p < 0.05; TT > CT > CC), but not with carcass or body size traits (p > 0.05). For serum biochemical parameters, total protein, cholinesterase, and creatine phosphokinase showed extremely significant differences across genotypes (p < 0.01), whereas albumin, globulin, and lactate dehydrogenase showed significant differences (p < 0.05). Structural prediction revealed that the C > T mutation increased the minimum free energy by 3.8 kcal/mol, reducing the stability of the pre-miR-1453 stem-loop. Target gene prediction and enrichment analysis indicated that pre-miR-1453 may participate in the regulation of chicken growth and serum biochemical parameters through pathways related to neuron development, cytoskeletal dynamics, and energy metabolism. These findings suggest that the pre-miR-1453 rs16159272 polymorphism could act as a candidate genetic indicator for marker-aided breeding in poultry. Full article

Oats (Avena sativa L.) are an analytically demanding cereal. They carry a lipid fraction of roughly 5–9% together with high lipase and lipoxygenase activity, a protein fraction dominated by globulins, a high-molecular-weight (1→3), (1→4)-β-D-glucan, and avenanthramides that occur in no other grain. Each of these fractions changes during kilning, milling, storage, and fermentation, and each change affects a quality attribute of commercial consequence. Fourier-transform infrared (FT-IR) spectroscopy, interpreted with chemometric models, offers a rapid and non-destructive route to several of these attributes from a single measurement. This review draws the oat-specific literature together. It covers the identification, classification and authentication of oat material, including: the separation of oats from gluten-containing cereals, the discrimination of cultivars and of commercial milled forms, and the grading of grain; the prediction of quality parameters and the compositional analysis of moisture, β-glucan, protein, starch and lipid; the molecular changes that accompany processing and storage—β-glucan depolymerisation, lipid oxidation and hydrolysis, thermally induced protein aggregation, avenanthramide degradation and starch retrogradation—and the spectral features by which sound and deteriorated oat material can be discriminated; and the portable and handheld instruments now bringing the measurement closer to the production line. Reported calibrations are frequently accurate but rest on limited sample sets, and multi-site validation together with shared reference spectra remains the principal requirement before routine industrial use. Full article