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Search Results (258)

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Keywords = ionized calcium

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16 pages, 954 KB  
Article
Animal Trauma Triage (ATT) Score and Clinical Determinants of Survival in Dogs and Cats with Traumatic Injuries in Thailand
by Kritjit Phannithi, Suwicha Kasemsuwan, Narudee Kashemsant and Monchanok Vijarnsorn
Vet. Sci. 2026, 13(5), 474; https://doi.org/10.3390/vetsci13050474 - 14 May 2026
Abstract
Trauma is a major cause of emergency presentation in small animal practice, and accurate early assessment is essential for prognosis. The Animal Trauma Triage (ATT) score is widely applied in Western veterinary settings but has been less frequently evaluated in Asian veterinary institutions. [...] Read more.
Trauma is a major cause of emergency presentation in small animal practice, and accurate early assessment is essential for prognosis. The Animal Trauma Triage (ATT) score is widely applied in Western veterinary settings but has been less frequently evaluated in Asian veterinary institutions. This prospective observational study assessed the prognostic value of the ATT score and of relevant clinical variables in 184 dogs and cats presenting with traumatic injuries to a university veterinary teaching hospital in Thailand. ATT scores, clinicopathological parameters, and management variables were analyzed in relation to survival outcome. The overall mortality rate was 35.3%. Higher ATT scores, lower blood pH, lower ionized calcium concentrations, and increasing age were independently associated with non-survival (p < 0.05). An ATT score ≥ 5 was associated with increased odds of non-survival (OR = 4.207, 95% CI: 1.903–9.301), yielding a sensitivity of 86.2% and specificity of 40.3% for identifying high-risk patients. Among animals with documented surgical indications, those that did not undergo surgery demonstrated higher mortality than those receiving surgical intervention; however, this finding should be interpreted cautiously because treatment allocation was influenced by clinical stability and owner-related factors. These results demonstrate the clinical usefulness of the ATT score as a triage instrument when interpreted in context with clinical laboratory parameters, age, and treatment responses. Full article
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15 pages, 3040 KB  
Article
Impact of Clinoptilolite and Anionic Salts on Calcium Homeostasis, Parathyroid Hormone, and Related Metabolic Parameters in Periparturient Dairy Cows
by Pengyu Huang, Xiu Su, Yuanyin Guo, Chong Ma and Jie Cao
Vet. Sci. 2026, 13(5), 408; https://doi.org/10.3390/vetsci13050408 - 22 Apr 2026
Viewed by 321
Abstract
This study compared the regulatory effects of dietary supplementation with natural clinoptilolite (CLN) versus a dietary cation-anion difference (DCAD) regimen on calcium homeostasis in dairy cows during the last 21 days prepartum. Results showed that cows in the DCAD group exhibited significantly higher [...] Read more.
This study compared the regulatory effects of dietary supplementation with natural clinoptilolite (CLN) versus a dietary cation-anion difference (DCAD) regimen on calcium homeostasis in dairy cows during the last 21 days prepartum. Results showed that cows in the DCAD group exhibited significantly higher blood ionized calcium (iCa) and parathyroid hormone (PTH) concentrations than those in the CLN group (p < 0.05). Serum PTH concentrations displayed a declining trend in both groups prepartum, which deviates from the classical theory of compensatory PTH secretion, suggesting that alternative compensatory pathways may be involved in the regulation of calcium homeostasis during the periparturient period in dairy cows. Monitoring of calcium homeostasis and related metabolic parameters following postpartum oral calcium bolus administration revealed that the incidence of subclinical hypocalcemia in the DCAD group was 26%, lower than the 62% observed in the CLN group. However, blood iCa concentrations returned to normal levels more rapidly in the CLN group. Additionally, CLN supplementation was associated with more stable blood pH and lower prepartum serum potassium concentrations (p < 0.05) that remained within the physiological range, which may contribute to improved tissue sensitivity to PTH. Full article
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14 pages, 3512 KB  
Article
Differences in Histopathology and Local Immune Response in Steady and Progressive Natural Transmissible Venereal Tumors in Mexican Dogs
by Ileana Zorhaya Martínez-Ramos, Diego Pérez-Maroto, Natalia García-Álvarez, Patricia Barroso, Adan García Balbuena, Guadalupe Núñez-Martínez, María Benedicta Bottini Luzardo, Juan Francisco García Marín and Ana Balseiro
Animals 2026, 16(8), 1262; https://doi.org/10.3390/ani16081262 - 20 Apr 2026
Viewed by 600
Abstract
The canine transmissible venereal tumor (TVT) is a neoplasm of the external genitalia of dogs, considered one of four reported contagious tumors in animals. These tumors have different presentations, with steady, progressive, or regressive stages. In some areas of Mexico, where the prevalence [...] Read more.
The canine transmissible venereal tumor (TVT) is a neoplasm of the external genitalia of dogs, considered one of four reported contagious tumors in animals. These tumors have different presentations, with steady, progressive, or regressive stages. In some areas of Mexico, where the prevalence of TVT is high (5.15%), two morphological types are usually observed: one steady, pedunculated, strawberry-like (Type A) and one progressive, multilobulated, cauliflower-like (Type B). This study aimed to characterize the histopathological and inflammatory infiltrate patterns in eight stray dogs showing both morphological types of natural TVT (n = 4 each), to identify potential differences between tumor morphologies. Histopathological and immunohistochemical techniques were applied to tumor samples to evaluate the interaction between pathological morphology and the following cell markers: ionized calcium-binding adaptor molecule 1 (IBA1) for activated macrophages (including resident macrophages), inducible nitric oxide synthase (iNOS) for M1 macrophages, CD163 for M2 macrophages, CD3 for T lymphocytes, CD20 for B lymphocytes, and lambda light chain for plasma cells. The results showed a greater inflammatory infiltrate in Type A tumors than in Type B ones, with a parallel increase in activated macrophages and B lymphocytes. The presence of M1 and M2 macrophages was scarce in both types of tumors, and T lymphocytes were almost absent. This study reveals a stronger and more balanced local immune response in dogs with Type A TVTs compared with Type B tumors, which may underlie differences in tumor characteristics, although individual tumor heterogeneity should be considered. Full article
(This article belongs to the Section Companion Animals)
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18 pages, 2521 KB  
Article
Critical Decision Thresholds for Urgent Physician Notification of Point-of-Care Testing Results
by Kami Osher and Gerald J. Kost
Diagnostics 2026, 16(8), 1139; https://doi.org/10.3390/diagnostics16081139 - 10 Apr 2026
Viewed by 631
Abstract
Background/Objectives: Critical limits define quantitative thresholds for life-threatening diagnostic test results that require immediate clinician notification and may prompt urgent intervention to prevent adverse outcomes. This study aims to (1) characterize point-of-care (POC) critical limits for adults and newborns using a comprehensive [...] Read more.
Background/Objectives: Critical limits define quantitative thresholds for life-threatening diagnostic test results that require immediate clinician notification and may prompt urgent intervention to prevent adverse outcomes. This study aims to (1) characterize point-of-care (POC) critical limits for adults and newborns using a comprehensive U.S. national database, (2) identify POC instruments associated with these limits, and (3) support harmonization of point-of-care testing (POCT) practices. Methods: We gathered critical limit notification lists from 417 hospitals across all 50 states and Washington D.C., comprising university hospitals, trauma and heart centers, centers of excellence, community hospitals, and network hospitals. We extracted POC and central laboratory critical limits (at hospitals with POC), adult international normalized ratio (INR) data, and instrument usage. Results: Low and high glucose critical limits were the most frequently listed POC thresholds, with median values of 50 and 450 mg/dL, respectively, reported by 73 hospitals (17.5%). Troponin was listed by ten hospitals, specified as troponin (n = 4), troponin I (n = 5), or “troponin TnI” (n = 1). A few hospitals assigned instrument-specific critical limits for the same analyte, and 55 hospitals did not specify instrument usage for any measurand. Median differences in matched pairs of laboratory versus POC critical limits differed significantly (Wilcoxon signed-rank, p < 0.05) for low and high ionized calcium (n = 21), low hemoglobin (n = 23) and high INR critical limits for adults (n = 27) and newborns (n = 10). In some cases, matched pair analytes demonstrated identical critical limits. Conclusions: Harmonizing critical limit notification thresholds across point-of-care testing and different devices may improve consistency in clinical decision-making and patient outcomes. Despite the potential of POCT to shorten time to urgent intervention, relatively few hospitals currently include POCT critical limits on notification lists. Establishing standards, annual updating, and enforcing risk mitigation could enhance adoption and reliability. Broader inclusion and transparent sharing of POCT critical values could harmonize practices across institutions, facilitate inter-institutional collaboration, and promote more timely and reliable responses to life-threatening diagnostic results. Full article
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15 pages, 1405 KB  
Article
Atmosphere-Dependent Radiation Stabilization of Stearic Acid on Vaterite CaCO3: A Comparison of Gamma and Electron-Beam Irradiation
by Helena Biljanić, Urszula Gryczka, Marta Walo, Damir Kralj and Katarina Marušić
Polymers 2026, 18(7), 831; https://doi.org/10.3390/polym18070831 - 28 Mar 2026
Viewed by 447
Abstract
Calcium carbonate is a widely used filler in polymer composites due to its low cost and ability to improve stiffness, dimensional stability, and impact resistance. However, its hydrophilic surface limits compatibility with nonpolar polymer matrices, making surface modification essential to improve filler dispersion [...] Read more.
Calcium carbonate is a widely used filler in polymer composites due to its low cost and ability to improve stiffness, dimensional stability, and impact resistance. However, its hydrophilic surface limits compatibility with nonpolar polymer matrices, making surface modification essential to improve filler dispersion and interfacial adhesion. Stearic acid is commonly applied as a surface modifier for calcium carbonate because it readily chemisorbs onto the mineral surface and forms densely packed self-assembled monolayers that improve hydrophobic character. Despite its widespread use, stearic acid exhibits limited thermal and interfacial stability under polymer processing conditions, motivating the development of stabilization strategies. In this work, gamma and electron-beam irradiation were applied to stearic-acid-modified calcium carbonate to modify the surface-bound stearic acid layer with the aim of enhancing its interfacial stability, surface resistance, and hydrophobic performance, and to evaluate the influence of irradiation atmosphere on these effects. The modified materials were characterized in terms of structural integrity, surface wettability, surface free energy, thermal stability, and optical properties. The results demonstrate that ionizing radiation enhances surface hydrophobicity and coating durability while preserving the crystal structure of the CaCO3 substrate. Gamma irradiation of stearic-acid-modified vaterite exhibited strong atmosphere dependence, with improved hydrophobicity under oxygen-free conditions, whereas electron-beam irradiation showed more robust and oxygen-insensitive behavior. Based on the observed improvements in hydrophobicity, surface free energy, and thermal stability, electron-beam irradiation emerges as a promising and less atmosphere-sensitive approach for producing durable stearic-acid-modified CaCO3 fillers suitable for polymer composite applications. Full article
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15 pages, 1999 KB  
Article
Potential Protective Effects of Naloxone in Traumatic Brain Injury Through JAK2/STAT3 Signaling Modulation
by Dong Hyuk Youn, Harry Jung, Ji Hyeon Lee, Seongwon Pak, Sung Woo Han, Jong-Tae Kim, Kang Song, Hae Ryong Choi, Gui Seung Han, Young-Suk Kwon, Jeong Jin Park, Jin Pyeong Jeon, Jae Jun Lee and Jong-Kook Rhim
Life 2026, 16(3), 480; https://doi.org/10.3390/life16030480 - 16 Mar 2026
Viewed by 660
Abstract
Background: We evaluated the potential neuroprotective effects of naloxone in moderate traumatic brain injury (TBI), focusing on its ability to alleviate neuroinflammation, reduce cognitive impairment, and to influence Janus tyrosine kinase 2 (JAK2)/signal transducer and activator of transcription 3 (STAT3) signaling markers. [...] Read more.
Background: We evaluated the potential neuroprotective effects of naloxone in moderate traumatic brain injury (TBI), focusing on its ability to alleviate neuroinflammation, reduce cognitive impairment, and to influence Janus tyrosine kinase 2 (JAK2)/signal transducer and activator of transcription 3 (STAT3) signaling markers. Methods: Male C57BL/6J mice were used to establish an in vivo model of moderate TBI using a stereotaxic impactor. Immediately post-injury, naloxone was administered intraperitoneally (1 mg/kg/day) for 7 days. A total of 72 mice were divided into four groups: Normal, normal with naloxone, TBI, and TBI with naloxone (18 mice in each group). Immunohistochemical analyses and cognitive functions were evaluated across the groups. Results: TBI mice treated with naloxone exhibited significantly reduced brain swelling and cortical tissue loss compared to untreated mice. Naloxone reduced Transforming growth factor beta 2 (TGF-β2) and increased interleukin 11 (IL-11) expression in the brain. Additionally, levels of JAK2, STAT3, and B-cell lymphoma 2 (Bcl-2) were significantly elevated following treatment, while expressions of Tumor protein p53 (p53), Caspase 3, Microtubule-associated proteins 1A/1B light chain 3B (LC3B), and Sequestosome 1 (p62) were reduced. Fluorescence intensities of ionized calcium binding adaptor molecule (Iba-1) and dichloro-dihydro-fluorescein diacetate (DCFH-DA) were enhanced, indicating decreased microglial activation and reactive oxygen species (ROS) production due to naloxone treatment. Cognitive function tests revealed improved performance in TBI mice treated with naloxone, demonstrated by decreased alteration rates in the Y-maze test and improved preference index scores in the novel object recognition (NOR) test. Conclusions: Naloxone shows potential for neuroprotection and enhanced cognitive performances, which may be associated with modulation of JAK2/STAT3 signaling in a mouse model of moderate TBI. Full article
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14 pages, 415 KB  
Case Report
Expanded Hemodialysis Using a Medium Cut-Off Dialyzer for Severe Valproic Acid Poisoning: A Case Report with Real-Time Therapeutic Drug Monitoring
by Celia Rodríguez Tudero, Avinash Chandu Nanwani, Elena Jiménez Mayor, Esperanza Moral Berrio, Marco Vaca Gallardo, Juan Daniel Díaz García and José C. De La Flor
J. Clin. Med. 2026, 15(6), 2220; https://doi.org/10.3390/jcm15062220 - 14 Mar 2026
Cited by 1 | Viewed by 698
Abstract
Background: Valproic acid (VPA) poisoning has a dynamic clinical course and may require extracorporeal toxin removal (ECTR) in severe cases. Intermittent hemodialysis is the preferred ECTR technique; however, clinical experience with expanded hemodialysis (HDx) using medium cut-off (MCO) membranes in acute VPA intoxication [...] Read more.
Background: Valproic acid (VPA) poisoning has a dynamic clinical course and may require extracorporeal toxin removal (ECTR) in severe cases. Intermittent hemodialysis is the preferred ECTR technique; however, clinical experience with expanded hemodialysis (HDx) using medium cut-off (MCO) membranes in acute VPA intoxication is scarce. We describe a case of severe VPA poisoning managed with intermittent HDx and outline the clinical rationale and kinetic response. Case Report: A 54-year-old woman presented to the emergency department after accidental presumably ingesting approximately 4 g of VPA, with depressed consciousness (Glasgow Coma Scale 7) and metabolic acidosis (pH 7.10, HCO3 13 mmol/L, PCO2 50 mmHg, lactate 2.8 mmol/L, ionized calcium 0.8 mmol/L, elevated anion gap). Initial plasma VPA was 262.99 µg/mL, ammonia was 14 µmol/L, and cranial computed tomography showed no acute abnormalities. ECTR was initiated in the intensive care unit as intermittent HDx using an MCO dialyzer for 4 h. Serial VPA concentrations were obtained before treatment, at 2 h, and at the end of the session to guide real-time prescription adjustment, with an increase in blood flow from 200 to 230 mL/min. Results: VPA decreased from 262.99 µg/mL pre-HD to 141.48 µg/mL at 2 h (46.2% reduction) and 97.81 µg/mL at 4 h (62.8% reduction), with clear improvement in the level of consciousness. A mild post-dialysis rebound was observed (100.07 µg/mL at 14 h). The patient recovered without additional ECTR and was discharged with normalized VPA levels on follow-up. Conclusions: In this patient, intermittent HDx with an MCO membrane was feasible, well tolerated, and associated with rapid VPA clearance and neurological recovery. Serial drug monitoring enabled bedside optimization of the dialysis prescription and post-treatment evaluation. A single HDx session was sufficient, and VPA therapy was safely reintroduced under close monitoring. Full article
(This article belongs to the Section Nephrology & Urology)
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17 pages, 1898 KB  
Article
Cefepime Alleviates Comorbid Pain and Depression Induced by Lipopolysaccharide in Female Mice
by Amna Khan, Patrick J. Ronan and Shafiqur Rahman
Brain Sci. 2026, 16(3), 306; https://doi.org/10.3390/brainsci16030306 - 12 Mar 2026
Viewed by 549
Abstract
Background/Objectives: Evidence indicates that aberrant glutamate transporter function and expression are linked to the pathophysiology of comorbid major depressive disorder (MDD) and pain. We have previously reported that cefepime (CFP) attenuates lipopolysaccharide (LPS)-evoked pain and depression by regulating hyperglutamatergic activity in male [...] Read more.
Background/Objectives: Evidence indicates that aberrant glutamate transporter function and expression are linked to the pathophysiology of comorbid major depressive disorder (MDD) and pain. We have previously reported that cefepime (CFP) attenuates lipopolysaccharide (LPS)-evoked pain and depression by regulating hyperglutamatergic activity in male mice. However, the effects of CFP on LPS-evoked pain, depression-related anxiety, and cognitive impairment in female mice regarding sex-specific glial mechanisms remain unknown. Methods: Using behavioral paradigms, we evaluated the therapeutic potential of CFP in mitigating LPS-evoked pain, depression-related anxiety, and cognitive impairment in female mice. Furthermore, we used Western blot analysis to examine the effects of CFP on ionized calcium-binding adaptor molecule 1 (Iba-1) and glutamate transporter 1 (GLT-1) protein levels in the prefrontal cortex (PFC) and hippocampus (HPC). We also measured tumor necrosis factor-α (TNF-α) and interleukin-1β (IL-1β) concentrations in the HPC and PFC after CFP treatment using ELISA. Results: Pretreatment with CFP significantly increased the mechanical threshold and withdrawal latency in female mice. Additionally, systemic treatment with CFP markedly reduced immobility during the forced swim and tail suspension tests. Moreover, pretreatment with CFP remarkably augmented the open arm time during elevated plus maze test and spontaneous alternation between arms during Y-maze test. Western blot analysis indicated that systemic administration of CFP significantly reversed the downregulation of astroglial GLT-1 expression and reduced the microglial Iba-1 protein levels in the HPC and PFC. Furthermore, pretreatment with CFP significantly attenuated the LPS-evoked increase in the production of pro-inflammatory cytokines in the HPC and PFC. Conclusions: These results represent the novel inaugural report of a combined pain-MDD phenotype in female mice. The findings imply that positive glutamate transporter modulator CFP could be a novel treatment for comorbid pain and MDD in female patient population. Full article
(This article belongs to the Section Behavioral Neuroscience)
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27 pages, 3106 KB  
Article
Preparation and Investigation of Artemisia annua L.-Loaded Alginate Hydrogels with Excipients
by Boglárka Papp, Zsolt Szűcs, Sándor Gonda, Zoltán Cziáky, Richárd Kajtár, István Lekli, Ádám Haimhoffer, Ágnes Klusóczki, Liza Józsa, Ágota Pető, Nodirali S. Normakhamatov, Zoltán Ujhelyi, Ildikó Bácskay and Pálma Fehér
Pharmaceuticals 2026, 19(3), 424; https://doi.org/10.3390/ph19030424 - 5 Mar 2026
Viewed by 867
Abstract
Background: Artemisia annua L. is a medicinal plant with documented antimicrobial, antioxidant, and anti-inflammatory properties. Although widely studied for internal therapeutic applications, its topical use—especially in hydrogel-based systems—has not been thoroughly investigated. The aim of this study was to develop sodium alginate [...] Read more.
Background: Artemisia annua L. is a medicinal plant with documented antimicrobial, antioxidant, and anti-inflammatory properties. Although widely studied for internal therapeutic applications, its topical use—especially in hydrogel-based systems—has not been thoroughly investigated. The aim of this study was to develop sodium alginate hydrogels containing Artemisia annua extract, supplemented with hyaluronic acid and dexpanthenol, and to evaluate their physicochemical characteristics as well as their biological activities in vitro and in vivo. Methods: Select bioactive constituents of the Artemisia annua extract were quantified using liquid chromatography coupled with electrospray ionization mass spectrometry (LC-ESI-MS). Hydrogels were prepared by cross-linking sodium alginate with a calcium carbonate–glucono-delta-lactone system and were formulated with or without hyaluronic acid and dexpanthenol. Physicochemical evaluations included measurements of moisture content, water-retention capacity, gelation time, and pH. The hydrogel microstructure was examined by scanning electron microscopy (SEM). Antioxidant activity was assessed using three methods: the 2,2-diphenyl-1-picrylhydrazyl (DPPH) assay, the ferric reducing antioxidant power (FRAP) assay, and the cupric reducing antioxidant capacity (CUPRAC) assay. Biocompatibility and regenerative effects were analyzed using cell viability assays and an in vitro scratch wound model on human keratinocyte cells. In vivo wound-healing efficacy was examined in rats with full-thickness skin excisions. Results: The extract contained high levels of methylated flavonoids and sesquiterpenes characteristic of Artemisia annua. Hydrogels supplemented with hyaluronic acid and dexpanthenol exhibited improved hydration stability and higher porosity. All formulations demonstrated measurable antioxidant activity, and those containing hyaluronic acid showed the strongest effects. The preparations were biocompatible and enhanced keratinocyte migration in vitro, with the combined hyaluronic acid–dexpanthenol formulation promoting the fastest wound closure. In vivo, Artemisia annua hydrogels accelerated wound healing by two to three days compared with untreated wounds. Conclusions: These results confirm the promise of Artemisia annua hydrogels for topical wound care and highlight the beneficial contributions of hyaluronic acid and dexpanthenol to their structural and therapeutic performance. Full article
(This article belongs to the Special Issue Natural Products for Skin Applications)
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19 pages, 3420 KB  
Article
Calcium Phosphate–Poly(methyl methacrylate) Composite Layers Synthetized in Radio-Frequency Magnetron Sputtering Discharge
by Andreea Groza, Maria E. Hurjui, Sasa A. Yehia-Alexe, Bogdan Butoi and Silviu D. Stoica
Polymers 2026, 18(5), 547; https://doi.org/10.3390/polym18050547 - 24 Feb 2026
Viewed by 542
Abstract
Calcium phosphate–poly(methyl-methacrylate) composite layers have been synthetized on silicon substrates in magnetron sputtering discharge by adjusting the radio-frequency power. The electron energy distribution function measured at holder substrate position shifts to lower energies when the radio-frequency power applied to the magnetron source increases [...] Read more.
Calcium phosphate–poly(methyl-methacrylate) composite layers have been synthetized on silicon substrates in magnetron sputtering discharge by adjusting the radio-frequency power. The electron energy distribution function measured at holder substrate position shifts to lower energies when the radio-frequency power applied to the magnetron source increases from 50 to 150 W and the poly(methyl-methacrylate) molecule dissociation is augmented. The optical emission spectral analysis indicated the dynamics of the excitation and ionization processes in the Ar–calcium phosphate–poly(methyl-methacrylate) plasma mixture, as well as the dissociation patterning of the polymer molecules. The Ca I, P I, and Hα atomic lines and CaO, PO, POH, CO, CH and C2 molecular bands characteristic to the calcium phosphate and poly(methyl-methacrylate) decomposition were evidenced. At 150 W radio-frequency power a reduction in the polymer content in the composite layer volume was observed even if the α-CH3 main chain and the C=O molecular bands are still present. More C-C/C-H, C-OH/C-O-C polymeric bonds were revealed at the layer surface, indicating the formation of plasma polymers. The Ca/P ratio changes from 1.72 to 1.9 at 50 to 150 W, respectively, maintaining the amorphous structure of the layers. In this power range, the transition of layer surface morphologies from grain-like to worm-like plasma polymer characteristics is connected to an increase in plasma ion density and layer thickness. Full article
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12 pages, 342 KB  
Article
Effects of Gender, Menopause, Vitamin D Status, and Tumor Parathyroid Cell Activity on Serum Phosphate Levels in a Large Cohort of Patients with Sporadic Hypercalcemic Primary Hyperparathyroidism
by Matteo Corbetta, Silvia Carrara, Anna Dal Lago, Romina Mirsepanj, Elena Ruotolo, Chiara Sardella, Giacomo De Leo, Filomena Cetani and Sabrina Corbetta
Int. J. Mol. Sci. 2026, 27(4), 2012; https://doi.org/10.3390/ijms27042012 - 20 Feb 2026
Viewed by 642
Abstract
Diagnosis of primary hyperparathyroidism (PHPT) relies on the detection of hypercalcemia and increased circulating parathormone (PTH) levels. However, the disease induces a deep deregulation of phosphate metabolism. A total of 960 PHPT patients (848 females, 112 males) were retrospectively enrolled; biochemical and clinical [...] Read more.
Diagnosis of primary hyperparathyroidism (PHPT) relies on the detection of hypercalcemia and increased circulating parathormone (PTH) levels. However, the disease induces a deep deregulation of phosphate metabolism. A total of 960 PHPT patients (848 females, 112 males) were retrospectively enrolled; biochemical and clinical data were collected at PHPT diagnosis. At variance with previous studies, hypophosphatemia was diagnosed using sex- and age-specific serum phosphate reference range. Reduced serum phosphate levels were detectable in 49% of PHPT males and 55% of PHPT females. Moderate hypophosphatemia (≤2.0 mg/dL) was more frequent in men than in women, and serum phosphate levels were lower in postmenopausal than premenopausal PHPT women. Vitamin D status did not alter the prevalence of hypophosphatemia. Serum phosphate levels negatively correlated with ionized calcium and PTH levels across PHPT premenopausal women, postmenopausal women, and men. Cluster analysis integrating the three interrelated parameters identified three distinct PHPT phenotypes: bone and kidney complications were more frequent in patients with more severe hypercalcemia and hypophosphatemia, though fractures were more abundant in the less severe phenotypes. Finally, considering the whole cohort, ionized calcium and PTH levels displayed a negative non-linear correlation with phosphate levels. In conclusion, hypophosphatemia in PHPT patients is common, and moderate hypophosphatemia is more frequent in males compared to females. Menopausal status is associated with less severe hypophosphatemia and PHPT disease. Hypophosphatemia is mainly determined by parathyroid tumor cells’ dysfunction. The non-linear negative relationships between phosphate, PTH and ionized calcium may suggest heterogeneous insensitivity of tumor parathyroid cells to extracellular phosphate. Full article
(This article belongs to the Special Issue Hormonal and Metabolic Markers in Health and Disease)
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58 pages, 3432 KB  
Review
Receptor–Mitochondria Crosstalk in the Kynurenine Metabolic Pathway: Integrating Metabolomics and Clinical Mass Spectrometry
by László Juhász, Zsolt Galla, Masaru Tanaka and László Vécsei
Antioxidants 2026, 15(2), 261; https://doi.org/10.3390/antiox15020261 - 19 Feb 2026
Cited by 1 | Viewed by 1594
Abstract
Mitochondria govern energy transfer, redox balance, and cell fate. Tryptophan catabolism generates kynurenines (KYNs) that can tune mitochondrial function, with growing evidence that G protein-coupled receptor 35 (GPR35), aryl hydrocarbon receptor (AhR), and N-methyl-D-aspartate receptors (NMDA receptors) link extracellular cues to adenosine 5 [...] Read more.
Mitochondria govern energy transfer, redox balance, and cell fate. Tryptophan catabolism generates kynurenines (KYNs) that can tune mitochondrial function, with growing evidence that G protein-coupled receptor 35 (GPR35), aryl hydrocarbon receptor (AhR), and N-methyl-D-aspartate receptors (NMDA receptors) link extracellular cues to adenosine 5 prime triphosphate (ATP) maintenance, calcium (Ca2+) handling, mitophagy, and inflammasome control. In parallel, quinolinic acid (QA)-driven de novo nicotinamide adenine dinucleotide (NAD+) synthesis connects KYN flux to tricarboxylic acid (TCA) cycle activity and sirtuin programs across tissues. Key gaps remain: receptor pharmacology is rarely integrated with NAD+ economics and respiration, and clinical workflows still lack single-run assays that quantify both kynurenine and TCA nodes. We therefore integrate receptor proximal signaling, QA-driven NAD+ supply, and unified liquid chromatography–mass spectrometry (LC-MS) measurement into one translational framework spanning kynurenic acid (KYNA), KYN, 3-hydroxykynurenine (3-HK), and QA, using mitochondrial endpoints as the common readout. We synthesize evidence for mitochondrial GPR35 signaling that preserves ATP, AhR programs that tune oxidative defenses and mitophagy, and NMDA receptor antagonism that limits excitotoxic stress. These mechanisms are linked to QA-dependent NAD+ biogenesis and alpha ketoglutarate control points, then aligned with chromatography and ionization choices suited to routine LC-MS workflows. This receptor to organelle framework couples KYN flux to respiratory control and provides a practical roadmap for standardized single-run LC-MS panels. It can strengthen target validation in ischemia, neurodegeneration, psychiatry, and oncology while improving biomarker qualification through harmonized analytics and decision-grade readouts. Full article
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15 pages, 669 KB  
Review
Primary Hyperparathyroidism in the Pediatric Population: Surgical Considerations and Outcomes: A Narrative Review
by Matija Buzejic, Milan Jovanovic, Vera Zdravkovic, Nikola Slijepcevic, Katarina Tausanovic, Branislav Rovcanin, Sara Ivanis and Vladan Zivaljevic
Diagnostics 2026, 16(4), 569; https://doi.org/10.3390/diagnostics16040569 - 13 Feb 2026
Viewed by 845
Abstract
Primary hyperparathyroidism (PHPT) in the pediatric population is a rare but clinically important endocrine disorder that poses significant diagnostic and therapeutic challenges. In contrast to adult PHPT, which is often detected incidentally, pediatric patients are frequently symptomatic at diagnosis, with manifestations reflecting prolonged [...] Read more.
Primary hyperparathyroidism (PHPT) in the pediatric population is a rare but clinically important endocrine disorder that poses significant diagnostic and therapeutic challenges. In contrast to adult PHPT, which is often detected incidentally, pediatric patients are frequently symptomatic at diagnosis, with manifestations reflecting prolonged exposure to hypercalcemia and elevated parathyroid hormone levels. Neonatal forms, particularly neonatal severe hyperparathyroidism, represent life-threatening conditions requiring prompt biochemical recognition and urgent intervention. The heterogeneity of clinical presentation and the rarity of the disease contribute to delayed diagnosis and increased risk of end-organ complications. Although hereditary syndromes are proportionally more frequent in children than in adults, sporadic PHPT remains the most common etiology in pediatric patients and is typically caused by a single parathyroid adenoma. Genetically determined forms, including multiple endocrine neoplasia syndromes, hyperparathyroidism–jaw tumor syndrome, and calcium-sensing receptor-related disorders, are often associated with multiglandular disease, earlier onset, and a higher risk of persistence or recurrence. Biochemical confirmation remains the cornerstone of PHPT diagnosis, while diagnostic imaging plays an important role in preoperative localization and surgical planning. High-resolution cervical ultrasound is the preferred first-line imaging modality in pediatric patients due to its excellent diagnostic performance and absence of ionizing radiation. Functional and advanced cross-sectional imaging techniques should be applied in a stepwise manner in selected cases with inconclusive first-line imaging or suspected ectopic disease, balancing diagnostic yield against radiation exposure. Surgical management remains the definitive treatment for pediatric PHPT. The extent of surgery is determined by disease etiology, localization findings, and intraoperative assessment, with focused parathyroidectomy favored in sporadic single-gland disease and more extensive approaches required in genetically determined forms. This review highlights a structured diagnostic and therapeutic pathway for pediatric PHPT, emphasizing the integration of biochemical testing, imaging strategies, genetic evaluation, and individualized surgical management to optimize outcomes and reduce long-term morbidity. Full article
(This article belongs to the Special Issue Clinical Diagnosis and Management in Pediatric Surgery)
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17 pages, 2936 KB  
Article
Bioactive Glasses Based on SiO2-CaO-Na2O-P2O5-ZrO2 System: Effects of ZrO2 on the Glass Structure, Solubility and Mineral Precipitation in Simulated Body Fluid
by Sahar Mokhtari, Cieran A. Rody and Anthony W. Wren
Appl. Sci. 2026, 16(3), 1642; https://doi.org/10.3390/app16031642 - 6 Feb 2026
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Abstract
Zirconia (ZrO2) containing bioactive glasses (BG’s) have been synthesized to determine their influence on the structure of a 0.56SiO2–0.15Na2O-0.25CaO-0.04P2O5 glass and the resulting solubility within a hydrated environment. In this study, the SiO2 [...] Read more.
Zirconia (ZrO2) containing bioactive glasses (BG’s) have been synthesized to determine their influence on the structure of a 0.56SiO2–0.15Na2O-0.25CaO-0.04P2O5 glass and the resulting solubility within a hydrated environment. In this study, the SiO2 content was directly substituted with 0.04 ZrO4 (Mol. Fr.) and structural analysis of the Control and Zr-Glasses was conducted using X-ray Photoelectron Spectroscopy (XPS) and Magic Angle Spinning-Nuclear Magnetic Resonance (MAS-NMR). These techniques indicate that the overall network connectivity (NC) of the glass increases with ZrO2/SiO2 substitution, suggesting that ZrO2 acts predominantly as a network former in the glass structure. The ion release profiles of the glasses incubated in de-ionized water from 1 to 1000 h showed decreased dissolution rates for the Zr-containing glasses. The in vitro bioactivity of glasses tested in Simulated Body Fluid (SBF) showed calcium phosphate (CaP) formation on the surface of all glasses after 100–1000 h incubation; however, the Zr-glass experienced delayed CaP precipitation compared to the Zr-free Control. Full article
(This article belongs to the Special Issue Advancements in Sustainable Silicate Materials and Their Applications)
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19 pages, 2458 KB  
Article
Maresin-1 Ameliorates Chronic Unpredictable Stress-Induced Depressive-like Behaviors Associated with Dynamic Modulation of Hippocampal Microglial Activity and TSPO PET Signals
by Anhai Zheng, Tian Qiu, Lei Shi, Lixia Wang, Zhu Xia, Zhiping Peng, Li Kuang and Jiamei Guo
Biomedicines 2026, 14(2), 335; https://doi.org/10.3390/biomedicines14020335 - 31 Jan 2026
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Abstract
Background/Objectives: Maresin-1 (MaR1), a specialized pro-resolving mediator (SPM) derived from omega-3 fatty acids, has demonstrated potent anti-inflammatory and pro-resolving properties. However, its effects on depression-like behaviors and the associated dynamics of neuroinflammation, particularly in the context of chronic stress, are not yet [...] Read more.
Background/Objectives: Maresin-1 (MaR1), a specialized pro-resolving mediator (SPM) derived from omega-3 fatty acids, has demonstrated potent anti-inflammatory and pro-resolving properties. However, its effects on depression-like behaviors and the associated dynamics of neuroinflammation, particularly in the context of chronic stress, are not yet fully understood. This study aimed to investigate the therapeutic potential of MaR1 in a chronic unpredictable stress (CUS) model and to monitor its dynamic effects on neuroimmune activity using longitudinal in vivo imaging. Methods: Adolescent male C57BL/6J mice were subjected to a 5-week CUS protocol. Mice exhibiting stable anhedonia were randomized to receive intraperitoneal injections of either MaR1 (5 µg/kg) or vehicle every other day for 4 weeks. During this period, CUS procedures were maintained. Depression-like behaviors were assessed using the sucrose preference test (SPT), tail suspension test (TST), and open field test (OFT). Dynamic changes in neuroinflammation were monitored via longitudinal [18F]DPA-714 positron emission tomography (PET) scans at baseline and after 2 and 4 weeks of treatment. Ex vivo analyses included immunofluorescence quantification of hippocampal microglia (ionized calcium-binding adaptor molecule 1, Iba1), astrocytes (glial fibrillary acidic protein, GFAP), and 18 kDa translocator protein (TSPO) co-expression, alongside quantitative polymerase chain reaction (qPCR) and Western blotting for inflammatory markers (IL-1β, IL-4, TSPO). Results: MaR1 treatment selectively alleviated depression-like behaviors, significantly reversing CUS-induced anhedonia in the SPT and improving locomotor activity, while its effect on despair-like behavior (TST) was not statistically significant. Longitudinal PET imaging revealed a biphasic neuroimmune response, characterized by an initial increase in [18F]DPA-714 standardized uptake value (SUV) at 2 weeks, followed by a return toward baseline at 4 weeks. Histologically, MaR1 reversed CUS-induced hippocampal microglial loss, resulting in a rebound of microglial numbers, and normalized astrocytic activation. At the molecular level, MaR1 dynamically modulated cytokine expression, culminating in a significant upregulation of the pro-resolving marker IL-4 and TSPO at 4 weeks. Conclusions: These findings indicate that Maresin-1 treatment is associated with behavioral improvement and dynamic modulation of glial activity and TSPO PET signals in the hippocampus. This study highlights the value of TSPO PET imaging for monitoring dynamic glial changes during therapeutic intervention and provides supportive evidence for targeting neuroimmune pathways in depression. Full article
(This article belongs to the Special Issue Advanced Research on Psychiatric Disorders)
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