Search Results (75)

Multiple sclerosis (MS) is a chronic immune-mediated disease of the central nervous system characterized by demyelination, neuroinflammation, and progressive neurodegeneration. While there is a small component of genetic susceptibility to MS risk, environmental factors, including infectious exposures, are gaining increased recognition as playing a critical role in MS initiation and progression. Viral infections, especially by Epstein–Barr virus (EBV), have emerged as strong candidates and triggers of MS symptoms, through antibody-mediated molecular mimicry and B-cell dysregulation. In contrast, parasitic infections, including helminths and select protozoa, appear to exert neuroprotective effects by skewing immune responses toward regulation and tolerance. In this review, we examine antibody-driven mechanisms by which viral pathogens promote autoimmunity in MS and contrast these with parasite-induced immunoregulatory pathways that suppress pathogenic inflammation. We further discuss diagnostic and therapeutic implications, highlighting how insights from infectious immunology may inform novel strategies for MS treatment. Full article

Strongyloides stercoralis (S. stercoralis) is an important soil-transmitted helminth that infests over 600 million people worldwide. However, data on its seroprevalence in remote regions, such as Thailand’s island areas, remain limited. This study examined the seroprevalence and associated risk factors of anti-Strongyloides spp. IgG seropositivity among primary school children in Koh Yao, an island in southern Thailand. A total of 351 primary school children (156 males and 195 females) were included. The seroprevalence of anti-Strongyloides spp. IgG was determined using the Strongyloides-specific IgG antibodies ELISA, and risk factor data were collected through a questionnaire. Hematological parameters were also analyzed. Univariate and multivariate logistic regression analyses were used to assess associations between risk factors and anti-Strongyloides spp. IgG seropositivity. The seroprevalence of anti-Strongyloides spp. IgG was 3.7% (13/351 participants). Analysis of the risk factors revealed that participants who drank filtered water exhibited lower odds of anti-Strongyloides spp. IgG seropositivity compared to those who drank tap or rainwater (AOR = 0.21, 95% CI 0.05–0.95, p = 0.043). However, due to the small number of seropositive cases, this association is hypothesis-generating and likely serves as a proxy for better household hygiene rather than a direct protective factor. This study is the first report on anti-Strongyloides spp. IgG seropositivity among primary school children in Koh Yao, southern Thailand, demonstrating a low seropositivity rate in this population. These findings provide location-specific information on modifiable risk behaviors, aiding in developing more effective control and prevention strategies for anti-Strongyloides spp. IgG seropositivity in Thailand’s island area. Full article

Background/Objectives: Fibrodysplasia ossificans progressiva (FOP) is an ultra-rare genetic disorder causing progressive heterotopic ossification. The dental phenotype has never been systematically characterised. We quantified dental pathologies and oral health-related quality of life across three age groups of genetically confirmed FOP patients and compared them with 156 matched healthy controls (2022–2025). Methods: A total of 52 FOP patients (Group I: 1–5 y, n = 14; Group II: 6–17 y, n = 21; Group III: 18–35 y, n = 17) underwent standardised dental examination (Decayed, Missing, and Filled Teeth index (DMFT), Oral Hygiene Index Simplified (OHI-S), Angle classification, temporomandibular joint (TMJ) assessment), computed tomography (CT) densitometry, sialometry, salivary crystal analysis, and Oral Health Impact Profile-14 (OHIP-14). Statistical analysis used Kruskal–Wallis, Mann–Whitney U, Benjamini–Hochberg false discovery rate (FDR) correction, and effect sizes. Results: Caries (DMFT ≥ 4) was highly prevalent across all FOP groups (82–86%) and significantly higher than in controls (84.6% vs. 38.5%, p < 0.001). Chronic stomatitis showed large age-group differences: 7.1% in Group I vs. 100% in Group III (p < 0.001); it was universal in FOP adults vs. 6.4% in controls. Enamel hypoplasia (21.4% → 58.8%) and Angle class II malocclusion (0% → 47.1%) also showed large age-group differences. Total TMJ disorders were observed in 7.1% of Group I and 100% of Group III (p < 0.001); maximal mouth opening was lower by 17.4 mm in Group III (Cohen’s d = 2.1). Salivary flow rate was 20% lower in adults (0.35 → 0.28 mL/min, p = 0.01). Calcium phosphate crystals were detected in 3/17 adults (17.6%) and showed a preliminary correlation with CT calcification grade (ρ = 0.67, p = 0.003); given the small number of crystal-positive patients, this finding should be considered hypothesis-generating. OHIP-14 total score was higher (worse) in Group III (48.9 vs. 12.4 in Group I, Cohen’s d = 1.95). Conclusions: This cross-sectional study provides a systematic characterisation of the dental phenotype in FOP across three age groups. It shows that chronic stomatitis and TMJ dysfunction become nearly universal by early adulthood, severely impairing quality of life. The correlation between salivary calcium phosphate crystals and CT calcification generates the hypothesis of a non-invasive biomarker, requiring prospective validation. The proposed clinical phenotype and minimally invasive recommendations provide a framework for safer dental management of FOP patients. Full article

Background: Dental caries remains one of the most prevalent childhood diseases worldwide, with Streptococcus mutans playing a major etiological role. Coffee contains bioactive compounds, including chlorogenic acid and trigonelline, which have demonstrated antimicrobial and anticariogenic properties. Limited evidence exists on the preventive potential of coffee in Saudi adolescents. This study was designed to assess the benefits of coffee consumption in reducing dental caries among adolescents aged 12 to 16 years. Methods: A retrospective cohort study was conducted among 375 participants aged 12–16 years in Saudi Arabia. Participants were recruited from dental records and allocated into two cohorts: (1) consuming coffee at least twice weekly, subcategorized as sweetened versus unsweetened coffee consumers, and (2) non-coffee consumers. Clinical assessment included the Decayed, Missing, and Filled Teeth (DMFT) index, which was assessed at variable follow-up times up to 5 years. Caries increment (ΔDMFT) was compared using independent samples t-tests and one-way ANOVA with Tukey’s post hoc tests. Multivariable linear regression adjusted for tooth brushing frequency, dietary habits, and oral hygiene status was performed. Results: Coffee consumers had significantly lower caries increment than non-consumers (0.78 ± 0.65 vs. 1.34 ± 0.88; mean difference −0.56; 95% CI −0.71 to −0.41; p < 0.001; Hedges’ g = −0.71). Among coffee consumers, unsweetened coffee was associated with a lower increment than sweetened coffee (0.52 ± 0.48 vs. 1.09 ± 0.71; mean difference −0.57; 95% CI −0.76 to −0.38; p < 0.001) and non-consumers (mean difference −0.82; 95% CI −0.98 to −0.66; p < 0.001). After adjusting for oral hygiene and dietary factors, the protective associations remained significant for both unsweetened (adjusted mean difference −0.51; 95% CI −0.70 to −0.33; p < 0.001) and sweetened coffee (adjusted mean difference −0.22; 95% CI −0.41 to −0.04; p = 0.019). Conclusions: Within the limitations of this retrospective exploratory design, habitual coffee consumption, particularly that of unsweetened coffee, was associated with lower caries increment. These findings are hypothesis-generating and require confirmation in prospective studies with standardized exposure assessment and biological outcome measures. Full article

Background/Objectives: Infection prevention and control (IPC) programs combine pathogen-targeted measures (e.g., admission screening) with hospital-wide standard precautions (e.g., hand hygiene, HH). We assessed temporal associations between screening, HH, antimicrobial stewardship (AMS), and hospital-level outcomes in a tertiary paediatric hospital. Methods: This study was a retrospective hospital-wide ecological time-series at the Children’s Memorial Health Institute. Annual aggregate data: 2011–2024 for screening, colonisation, and healthcare-associated infections (HAIs) with alert pathogens; 2016–2024 for antibiotic consumption (ATC J01, systemic antibacterials). Process indicators: number of screening tests and alcohol-based hand rub (ABHR) consumption per 1000 patient-days (PD). Outcomes: colonisations/HAIs per 1000 PD and defined daily doses (DDD) per 1000 PD overall and by class. Trends used linear regression and Spearman’s rank correlation. Results: Screening intensity increased from 39 to 150/1000 PD (slope +8.3/year; R² = 0.90; p < 0.001). Detected colonisation rose (2.5 → peak 8.05/1000 PD in 2023; slope +0.39; R² = 0.81; p < 0.001), while multidrug-resistant-organism (MDRO)-attributable HAIs remained low/stable (0.27–0.62/1000 PD; slope −0.014; p = 0.023). ABHR consumption increased from 26.1 to 78.0 L/1000 PD in 2020 (p < 0.001) and partially normalised to 60.0 in 2024 (>2 × baseline). Overall ATC J01 showed no long-term linear trend (~278–356 DDD/1000 PD; +2.57/year; p = 0.46), but class mix shifted: carbapenems, fluoroquinolones, and amoxicillin–clavulanate decreased; third/fourth-generation cephalosporins, piperacillin/tazobactam, and glycopeptides increased. Conclusions: In this tertiary paediatric setting, expansion of risk-based admission screening and sustained implementation of horizontal IPC measures were accompanied by increased detection of colonisation with alert pathogens, while MDRO-attributable HAIs remained low and stable at the hospital level. Over the same period, AMS activity coincided with a redistribution in antibiotic class use without a clear long-term reduction in total antibiotic consumption. These hospital-level findings are descriptive and hypothesis-generating; causal inference is limited by the ecological study design, and the heterogeneous, multispecialty structure of a tertiary paediatric centre. Full article

Hygienization by hydrothermal carbonization (HTC) of chicken manure (CM) at 250 °C allows its valorization as soil amendment or even organic fertilizer. To test if this hypothesis is also valid for feedstocks from free-range breeding, respective material of a small farm in southern Spain was comprehensively chemically characterized. The hydrochar of the manure collected from the ground of the farm was rich in mineral matter. After HTC, 68% of the organic carbon (C) was recovered, whereas 82% of the nitrogen (N) was lost most likely by volatilization and with the discarded process water. Despite this, 2.8% of the total N in the hydrochar was identified as inorganic N (N_i). Solid-state ¹³C and ¹⁵N NMR spectroscopy revealed aromatization of organic C and N, although alkyl C and amide N still contributed with 23% and 35% to the total organic C and N, respectively. The obtained distribution of N-forms indicated that enough N_i is plant-available for early plant growth, while the remaining N occurs in structures that can be slowly mobilized during advanced plant development. Low heavy metal concentrations suggest low phytotoxicity. Pot experiments with lettuce, sunflower, and tomato plants confirmed species- and dosage-dependent effects. A dosage of 3.25 t ha⁻¹ improved lettuce and sunflower yields, whereas a dosage of 6.5 t ha⁻¹ provided no additional growth benefits but caused phytotoxic reactions of the tomato plants. Our results support HTC as a strategy to valorize CM from free-range farms, although, due to the high variability of such materials, we recommend a thorough chemical characterization and phytotoxic tests before its application. Full article

The rising prevalence of neuroimmune disorders such as multiple sclerosis and fibromyalgia has renewed interest in the hygiene hypothesis, which posits that reduced early-life microbial exposure deprives the immune system of formative “noise” that calibrates thresholds of tolerance. We extended this framework by introducing stochastic resonance (SR), a system phenomenon in which optimally tuned noise enhances weak-signal detection in nonlinear networks, as a potential surrogate for missing microbial variability. As electrical noise and subthreshold stimulation have been shown to modulate cortical excitability and enhance perception, microbial noise may be necessary for sustaining immune plasticity. Conversely, a lack of stimulation, whether microbial or electrical, can lead to maladaptive states characterized by dysregulated signaling and heightened vulnerability to chronic inflammation. Evidence from immunology highlights noise-aware processes, such as T-cell receptor proofreading, NF-κB pulsatility, and cytokine quorum sensing, all of which exploit stochastic fluctuations. Computational tumor–immune models similarly suggest that tuned noise can optimize immune surveillance. Clinical data from neuroscience demonstrate that subsensory electrical noise improves motor excitability and sensory perception, whereas vagus nerve stimulation modulates inflammatory pathways, underscoring translational feasibility. We propose that SR reframes noise from a biological error to a therapeutic resource capable of recalibrating dysregulated neuroimmune thresholds. This conceptual synthesis positions microbial and electrical noise as parallel modulators of tolerance and outlines testable predictions with translational potential for neuroimmune disorders. Full article

Worldwide, colorectal cancer (CRC) is the third-most common cancer and the second-leading cause of cancer-related deaths. The inflammatory response initiated by pathogens, environmental and dietary factors, and inflammatory bowel diseases can promote the formation of colorectal tumors. The hygiene hypothesis proposes an inverse link between inflammatory diseases and early childhood exposure to pathogens, with a significant negative correlation between chronic inflammatory diseases and helminth infections. On the other hand, it is also known that several pathogens may influence or even cause the development of cancer, including helminth infections. How do helminth infections influence CRC outcomes? The existing literature presents two different perspectives. Experimental studies in CRC models suggest that helminths may accelerate disease progression and lead to worse outcomes (such as Schistosoma and Trichuris sp.), while others indicate that helminths could help reduce tumor burden (such as Taenia sp.). This review focuses on helminths’ pro- and anti-tumorigenic effects and their derivatives, specifically in CRC. We provide a comprehensive understanding of how helminths impact the macroscopic, histopathological, immunological, and molecular aspects of CRC. Full article

Background and Objectives: The goal of this study was to introduce a novel device, the iMPACT implant planer, designed to machine (create a complete smooth surface) contaminated implant surfaces intraorally, promoting peri-implant tissue healing and possible re-osseointegration, and the new Quadrant protocol, evaluating them in vitro and clinically. The null hypothesis was that there would be no improvement in the clinical parameters for the implants with peri-implantitis (PI) treated with the new protocol and tool. Materials and Methods: The Quadrant protocol was used in conjunction with the iMPACT tool, which primarily functions to remove biofilm and microbial contaminants from the exposed implant surface, while simultaneously preparing the surface through standardized implantoplasty, thereby enhancing the potential for re-osseointegration. An in vitro analysis was developed, and three medium/long-term cases were presented, detailing the procedures and outcomes. Results: The in vitro assessment showed smooth surfaces after treatment. Different areas presented minimal particles (<1 μm) on the implant surface, with a high content of titanium (Ti) and tungsten (W). In case 1, severe and advanced peri-implantitis around implants #46 and #47 was found. A combination of resective (Quadrant + iMPACT) and regenerative surgery was used for treatment, along with a buccal single flap (BSF). Significant clinical and radiographic improvements were observed at 14 and 43 months postoperatively, including vertical bone gain with re-osseointegration and stable probing depths (PDs). In the second case, a severe PI and prosthesis instability were observed. Resective (Quadrant + iMPACT) and regenerative procedures were applied. At 3 and 12 months postoperatively, clinical and radiographic evaluations demonstrated significant improvements with re-osseointegration, including PDs reduced to 0–1 mm and a vertical bone gain of approximately 6.5 mm. In case 3, mandibular implants from 42 to 47 exhibited inflammation, suppuration, and moderate-to-severe bone loss. Just resective surgery (Quadrant + iMPACT), without grafting, was performed. At 6- and 12-month follow-ups, clinical and radiographic assessments showed the resolution of inflammation, stable bone levels, and healthy peri-implant gingiva. Conclusions: Favorable outcomes were achieved using the iMPACT and Quadrant protocols in the three clinical cases, resulting in re-osseointegration when combined with regenerative procedures. The favorable medium/long-term outcomes achieved, despite the patient’s complex medical history and, at times, inconsistent oral hygiene, underscore the potential efficacy of such interventions. Full article

One of the main icons of the Roman civilisation are thermal baths, built as public places for personal hygiene, body and mind relaxation, recreation, social encounters, and sport. In Sicily, there is evidence of several thermal buildings dating back to the time of the Roman Empire. Notably, the “Terme della Rotonda”, in the city of Catania, have always attracted strong interest due to their intricate and fascinating architecture. However, at present the dating of the building remains within the complex is still uncertain, and diverse assumptions have been advanced on their original use. In this framework, this study presents the findings of a multidisciplinary research initiative aimed at advancing knowledge of this thermal complex. To this end, a 3D integrated survey of the complex was carried out, and architectural, typological, and construction analyses were conducted to examine the primary building elements. These investigations enabled us to provide detailed insights into the materials and construction techniques used, leading to a new hypothesis on the original layout of the thermal rooms. Additionally, a virtual platform of the archaeological site was developed to serve as a spatial information database, facilitating both scientific research and the dissemination of knowledge about the complex. Full article

Many social and environmental variables can affect the interactions among individuals in an insect colony that fundamentally structure its social organization. Along with important attributes such as age and caste, immunity-related factors such as the performance of sanitary tasks or exposure to a pathogen can also influence an individual’s social interactions and their place in the resulting social network. Most work on this subject has supported the hypothesis that health-compromised individuals will exhibit altered social or spatial behavior that presumably limits the spread of infection. Here, we test this hypothesis using honey bee workers recently involved in hygienic behavior, an important set of sanitary tasks in which unhealthy brood are uncapped and then removed from the colony. Using static social networks, we quantify the interaction patterns of workers recently involved in hygienic tasks and compare their network centrality to non-hygienic workers. Using dynamic networks, we analyze the capability of hygienic workers to spread a potential infection throughout the colony. We find no substantial differences in how connected hygienic workers are in the network, and we show that hygienic workers would spread a novel infection throughout the colony to the same extent as non-hygienic workers. Our results suggest that experience with certain sanitary tasks may not necessarily produce rapid changes in social behavior. This work highlights the importance of considering the benefits of remaining socially integrated in important information networks and the temporal limitations for how quickly organized immune responses can occur in response to potential infections. Full article

(1) Background: Oral cavity cancer represents the most common site of origin of head and neck mucosal malignancies. A few limited studies have suggested that chronic irritation, particularly in non-healing ulcers, and fibrotic tissue from poor dentition or ill-fitting dentures had a role in developing mouth cancer. This scoping review aims to evaluate the existing evidence concerning Oral Cavicty Cancer (OCC) in non-smokers/non-drinkers and the relationship with dental trauma. (2) Methods: A scoping review of the PubMed, Embase, and Web of Science databases was completed in adherence with the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews checklist. (3) Results: Of the 33 articles that met inclusion, in 6 of them authors discussed the role of topography in dental trauma, in 11 articles authors discussed the carcinogenesis mechanism involved in chronic mucosal trauma, in 17 articles data on ill-fitting dentures was included, 4 studies dealt with the effect of broken/sharp teeth on mucosal damage, and in 7 studies the role of oral hygiene was covered. Less frequently discussed topics included gender, risk of neck nodes, and the role of potentially malignant oral disorders. (4) Conclusions: The available literature suggests a potential connection between chronic dental trauma and the development of OCC. Studies have highlighted factors such as denture use and ill-fitting dental appliances as contributors to an increased risk of oral cancer. Interestingly, we still miss data to support the hypothesis that women, particularly those without toxic habits like smoking or alcohol consumption, appear to be disproportionately affected by oral cancer related to chronic dental trauma. Full article

Research on the therapeutic use of parasites has been ongoing since the development of the “hygiene hypothesis”. Parasites can stimulate the Th2-dependent response and suppress the Th1-dependent response, which is intensified in many diseases, especially allergic and autoinflammatory ones. In this review, we present the types of parasites used in helminth therapy and the range of diseases in which they may be useful. We also present the results of clinical trials conducted so far, which confirm the safety of such therapy and provide promising outcomes. Full article

Updated notions about the so-called hygiene hypothesis consider now that helminths may have influence in the training of the immune system during childhood. Considering the similar type of immune response between helminth infections and allergic illnesses, the objective of this study was to evaluate how structural and functional conservation between house-dust mite allergens and their helminth orthologs might contribute to the cross-induction of IgE responses in allergies and helminthiasis. Amino acid sequences from group-1, -2, -5, -9, -10, -18, -21, and -23 allergens of the house dust mite Dermatophagoides pteronyssinus were retrieved from curated databases, and orthologs were identified in other mite species and different helminth parasites. We also assessed structural, conservational, functional, and immunologic relationships between these major mite allergens and their helminth counterparts. De novo 3D-modelling, B-cell epitopes prediction, structural conservation, and docking analyses were analyzed by Robetta platform, ElliPro and CBTope, RaptorX, and Z-Dock, respectively. Our results extend previous findings on structural conservations between major allergens and parasite proteins and show that these conservations go beyond the well-known conservations and may account for the observed immunological cross-reactions. This understanding can contribute in the near future to the development of more specific serological testing for mite-induced allergies and helminthiasis. Full article

Rheumatoid arthritis (RA) is an autoimmune disease that significantly impacts quality of life by disrupting CD4⁺ T cell immune homeostasis. The identification of a low-side-effect drug for RA treatment is urgently needed. Our previous study suggests that Trichinella spiralis paramyosin (Ts-Pmy) has immunomodulatory effects, but its potential effect on CD4⁺ T cell response in RA remains unclear. In this study, we used a murine model to investigate the role of rTs-Pmy in regulating CD4⁺ T cell differentiation in collagen-induced arthritis (CIA). Additionally, we assessed the impact of rTs-Pmy on CD4⁺ T cell differentiation towards the Th1 and Th17 phenotypes, which are associated with inflammatory responses in arthritis, using in vitro assays. The results demonstrated that rTs-Pmy administration reduced arthritis severity by inhibiting Th1 and Th17 response while enhancing Treg response. Prophylactic administration of Ts-Pmy showed superior efficacy on CIA compared to therapeutic administration. Furthermore, in vitro assays demonstrated that rTs-Pmy could inhibit the differentiation of CD4⁺ T cells into Th1 and Th17 while inducing the production of Tregs, suggesting a potential mechanism underlying its therapeutic effects. This study suggests that Ts-Pmy may ameliorate CIA by restoring the immune balance of CD4⁺ T cells and provides new insights into the mechanism through which helminth-derived proteins exert their effects on autoimmune diseases. Full article