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21 pages, 6595 KB  
Article
Elucidating the Urothelial-Dependent and -Independent Mechanisms Involved in the Mouse Bladder Contractility Alterations by Acute Methylglyoxal Exposure
by Akila Lara Oliveira, Matheus Leite Medeiros, Vivian Fuguhara, Idam Hermawan, Hiroaki Shimokawa, Masato Tsutsui, Gilberto De Nucci and Edson Antunes
Biomedicines 2026, 14(5), 1017; https://doi.org/10.3390/biomedicines14051017 - 30 Apr 2026
Abstract
Background/Objectives: Methylglyoxal (MGO) and subsequent activation of advanced glycation end products (AGEs)–RAGE receptor signaling has been implicated in the complications of diabetes mellitus (DM), such as bladder dysfunction. Chronic treatment with MGO leads to bladder overactivity, but the effects of acute MGO [...] Read more.
Background/Objectives: Methylglyoxal (MGO) and subsequent activation of advanced glycation end products (AGEs)–RAGE receptor signaling has been implicated in the complications of diabetes mellitus (DM), such as bladder dysfunction. Chronic treatment with MGO leads to bladder overactivity, but the effects of acute MGO exposure have not yet been evaluated. Methods: In this study, we used female wild-type, endothelial nitric oxide (eNOS) knockout (eNOS−/−), and triple (neuronal/endothelial/inducible) NOS−/− mice to investigate the effects of incubation of MGO (10 to 300 µM) on bladder contractions induced by carbachol and electrical field stimulation (EFS). We also analyzed the activity of the MGO detoxification enzyme glyoxalase 1 (Glo1). Results: Incubation with MGO at 10 and 30 µM in urothelium-intact preparations produced marked detrusor hypercontractility to both carbachol and EFS that was abolished by urothelium removal. Detrusor hypercontractility was associated with the generation of reactive oxygen species (ROS), RAGE activation, Rho kinase sensitization, and activation of TRPA1 and TRPV4 channels. At higher concentrations (100 and 300 µM), MGO did not significantly affect the detrusor contractility to carbachol and EFS, but L-NAME pretreatment restored the hypercontractile state by MGO. Likewise, in bladder strips obtained from eNOS−/− or triple NOS−/− mice, MGO exposure (300 µM) significantly enhanced carbachol and EFS-induced contractions, indicating a major role for nitric oxide (NO) counteracting the hypercontractility. No concentration of MGO altered Glo1 activity in bladder tissues. Conclusions: In conclusion, progressive MGO accumulation may account for the transition from the initial hyperactive phase to the subsequent hypoactive decompensated phase of diabetic bladder dysfunction. Full article
(This article belongs to the Section Molecular and Translational Medicine)
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32 pages, 1658 KB  
Review
The Influence of Basic Therapy and New Drugs on NO-Dependent Mechanisms of Cardiac Destruction in Chronic Heart Failure
by Igor Belenichev, Olena Popazova, Olexiy Goncharov, Nina Bukhtiyarova, Victor Ryzhenko, Denys Semenov, Sergiy Oliynyk, Pavlo Petakh and Oleksandr Kamyshnyi
Biomedicines 2026, 14(5), 1018; https://doi.org/10.3390/biomedicines14051018 - 30 Apr 2026
Abstract
Chronic heart failure (CHF) remains a leading cause of global mortality, characterized by profound molecular and biochemical disturbances, including nitric oxide (NO) system dysfunction, mitochondrial impairment, and oxidative stress. While standard therapies such as ACE inhibitors, SGLT2 inhibitors, and beta-blockers address clinical symptoms, [...] Read more.
Chronic heart failure (CHF) remains a leading cause of global mortality, characterized by profound molecular and biochemical disturbances, including nitric oxide (NO) system dysfunction, mitochondrial impairment, and oxidative stress. While standard therapies such as ACE inhibitors, SGLT2 inhibitors, and beta-blockers address clinical symptoms, their capacity to interrupt the underlying biochemical mechanisms of cardiomyopathy is often limited. This review examines the pathophysiological role of impaired NO production and reactive oxygen species (ROS) accumulation in exacerbating myocardial contractile dysfunction and disease progression. Special focus is directed toward the development of next-generation β1-blockers with multifunctional properties, including antioxidant, NO-mimetic, and antiapoptotic effects. Evidence suggests that the novel compound Hypertril (1-(β-phenylethyl)-4-amino-1,2,4-triazolium bromide) exhibits significant cardioprotective potential. Experimental data indicate that Hypertril improves eNOS/iNOS expression and enhances NO bioavailability more effectively than conventional β-blockers, leading to stabilized ECG parameters and restored energy metabolism. These findings underscore the clinical relevance of developing NO-mimetic agents to optimize the pharmacological management of CHF. Full article
21 pages, 4499 KB  
Article
3D Bioprinting of Blood Vessel Model for Improving Wound Healing
by Florin Iordache, Madalina Dulceanu, Alina Maria Holban, Alexandra Valentina Badaluta, Aurelia Magdalena Pisoschi, Bogdan Stefan Vasile, Bogdan Amuzescu and Carmen Curutiu
Int. J. Mol. Sci. 2026, 27(9), 4019; https://doi.org/10.3390/ijms27094019 - 30 Apr 2026
Abstract
Hydrogel-based stem cell therapy uses different stem cells and bioactive molecules for wound healing in the treatment of diabetes and chronic burn wounds by accelerating angiogenesis, collagen deposition, and inhibition of inflammatory responses. Artificial vessels have already been used for patients with cardiovascular [...] Read more.
Hydrogel-based stem cell therapy uses different stem cells and bioactive molecules for wound healing in the treatment of diabetes and chronic burn wounds by accelerating angiogenesis, collagen deposition, and inhibition of inflammatory responses. Artificial vessels have already been used for patients with cardiovascular diseases, but most of them are polymeric, which can cause thrombosis and restenosis. 3D bioprinting combines cells, growth factors, and biomaterials to create a setting in which cells grow and differentiate into native tissue-like structures. The current study aimed to create a model of blood vessels using collagen and hyaluronic acid hydrogel combined with endothelial and muscle progenitor cells derived from amniotic mesenchymal stem cells using 3D bioprinting. A computer-aided design (CAD) software was employed to create the 3D models of a blood vessel model and printed using a 3D bioprinter with two printheads: one with bioink encapsulating endothelial progenitor cells and the second with bioink encapsulating smooth muscle progenitor cells. The blood vessel constructs were characterized morphologically and structurally by Fourier Transform Infrared (FTIR) Spectroscopy, thermogravimetric analysis (TGA), Scanning Electron Microscopy (SEM), immunohistochemistry, water uptake, and enzymatic degradation. Viability, proliferation, oxidative stress, vascular endothelial growth factor (VEGF) and nitric oxide (NO) production were assessed to demonstrate the cytocompatibility of the blood vessel constructs. Our results showed that collagen–hyaluronic acid hydrogels embedded with stem cells can be used for vascular constructs, meeting the desired requirements of biocompatibility and accuracy in reproducing the model created in the CAD software v1.0. Full article
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34 pages, 3324 KB  
Article
The Ca2+–NO–ROS Crosstalk Induced by Arachidonic Acid in Human Lung Fibroblasts: Implications for Pulmonary Fibrosis
by Karen Sánchez-Pluma, Edgar Martínez-Romero, José Everardo Avelino-Cruz, Giorgia Scarpellino, Valentina Brunetti, Monica Savio, Luis G. Vázquez-de-Lara Cisneros, Francesco Moccia and Roberto Berra-Romani
Int. J. Mol. Sci. 2026, 27(9), 4016; https://doi.org/10.3390/ijms27094016 - 30 Apr 2026
Abstract
Arachidonic acid (AA) is an emerging regulator of fibroblast activity in pulmonary fibrosis; however, the underlying intracellular mechanisms remain unclear. This study investigated the effects of AA on the free intracellular calcium concentration ([Ca2+]i), nitric oxide (NO), and reactive [...] Read more.
Arachidonic acid (AA) is an emerging regulator of fibroblast activity in pulmonary fibrosis; however, the underlying intracellular mechanisms remain unclear. This study investigated the effects of AA on the free intracellular calcium concentration ([Ca2+]i), nitric oxide (NO), and reactive oxygen species (ROS) in human WI-38 lung fibroblasts. Using fluorescent imaging and pharmacological tools, we demonstrate that AA evokes a robust, concentration-dependent increase in [Ca2+]i. This response is initiated by G protein-coupled receptor 40 (GPR40), which leads to endoplasmic reticulum Ca2+ release through inositol 1,4,5-trisphosphate receptors (IP3Rs) and lysosomal Ca2+ mobilisation through two-pore channels (TPCs). Sustained Ca2+ elevation is primarily mediated by influx through transient receptor potential vanilloid 4 (TRPV4) channels, with a minor contribution from store-operated Ca2+ entry. The AA-induced Ca2+ signal stimulates endothelial NO synthase-dependent NO production, which in turn triggers ROS generation, revealing a tightly coupled Ca2+–NO–ROS signalling network. Our findings identify AA as a potent modulator of Ca2+ and redox signalling in lung fibroblasts, and highlight GPR40, TRPV4, IP3Rs and lysosomal TPCs as potential therapeutic targets for intervening in pulmonary fibrosis. Full article
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18 pages, 1528 KB  
Review
Polyphenols and Cardiovascular Diseases: Molecular Insights and Nutraceutical Advances
by Ana Cecilia Cepeda-Nieto, Ileana Vera-Reyes, Gilberto Esquivel-Muñoz, Carlos Barrera-Ramírez, Raúl Rodríguez-Herrera, Jesús A. Padilla-Gámez, Eduardo Meneses-Sierra, Sunday Sedodo Nupo and Jesús Antonio Morlett-Chávez
Nutraceuticals 2026, 6(2), 29; https://doi.org/10.3390/nutraceuticals6020029 - 30 Apr 2026
Abstract
Cardiovascular diseases (CVDs) remain the leading cause of morbidity and mortality worldwide. Despite their often-asymptomatic progression and complex therapeutic management, a substantial proportion of CVDs is preventable through early intervention and lifestyle modification. However, effective pharmacological strategies to fully reduce disease burden and [...] Read more.
Cardiovascular diseases (CVDs) remain the leading cause of morbidity and mortality worldwide. Despite their often-asymptomatic progression and complex therapeutic management, a substantial proportion of CVDs is preventable through early intervention and lifestyle modification. However, effective pharmacological strategies to fully reduce disease burden and associated risk factors remain limited. Polyphenols are a structurally diverse class of bioactive compounds widely distributed in plant-based foods, characterized by multiple phenolic and hydroxyl groups that confer potent redox-modulating properties. Increasing evidence indicates that dietary polyphenols exert cardioprotective effects through antioxidant, anti-inflammatory, and endothelial-modulating mechanisms. Experimental studies (in vitro and in vivo) have demonstrated that polyphenols regulate key molecular pathways involved in oxidative stress, inflammation, and vascular function, including PI3K/Akt/eNOS, AMPK/SIRT1, and Nrf2 signaling. In parallel, epidemiological and clinical evidence support their association with improvements in blood pressure, glycemic control, lipid profiles, and body weight, critical determinants of cardiovascular risk. Importantly, the biological response to polyphenol intake is highly variable and influenced by genetic background, metabolism, gut microbiota composition, and bioavailability constraints. This review provides an updated and integrative analysis of the molecular mechanisms underlying the cardioprotective effects of polyphenols, emphasizing their role in endothelial function and nitric oxide bioavailability. Additionally, it highlights recent advances in polyphenol-based nutraceuticals, discusses translational limitations, and outlines future perspectives for their application in cardiovascular disease prevention and management. Full article
(This article belongs to the Topic Functional Foods and Nutraceuticals in Health and Disease)
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20 pages, 2929 KB  
Article
Size-Dependent Immunomodulatory Effects of Fe3O4 Nanoparticles by Inducing Pro-Inflammatory Polarization of Macrophages to M1 Type
by Yan Yang, Haoyu Yu, Mengying Fu, Hui Wang, Yang Yue, Lihua Geng, Quanbin Zhang, Jing Wang, Jiaqi Wan and Ning Wu
Molecules 2026, 31(9), 1492; https://doi.org/10.3390/molecules31091492 - 30 Apr 2026
Abstract
Tumor-associated macrophages (TAMs) are pivotal in shaping the immunosuppressive tumor microenvironment (TME). Reprogramming TAMs towards an anti-tumor M1 phenotype represents a promising strategy to enhance anti-tumor immunity. While Fe3O4 nanoparticles (NPs) possess immunomodulatory potential, the influence of NP size on [...] Read more.
Tumor-associated macrophages (TAMs) are pivotal in shaping the immunosuppressive tumor microenvironment (TME). Reprogramming TAMs towards an anti-tumor M1 phenotype represents a promising strategy to enhance anti-tumor immunity. While Fe3O4 nanoparticles (NPs) possess immunomodulatory potential, the influence of NP size on macrophage polarization and the underlying mechanisms remain unclear. This study aims to systematically investigate the size-dependent immunomodulatory effects of Fe3O4 NPs and elucidate their mechanisms. We synthesized a series of Fe3O4 NPs of controlled sizes (5 nm, 10 nm, 30 nm, and 100 nm) via the polyol method. Among these, the 10 nm NPs demonstrated superior cellular uptake efficiency in macrophages. This enhanced uptake induced a significant increase in intracellular reactive oxygen species (ROS) levels. Subsequently, the elevated ROS activated the NF-κB signaling pathway, promoting M1 macrophage polarization. This polarization was evidenced by enhanced CD86 expression, increased nitric oxide (NO) release, and elevated secretion of pro-inflammatory cytokines. This study identifies 10 nm as the optimal size for Fe3O4 NPs to elicit their maximal immunomodulatory effects. Our findings establish a crucial size-design principle for the rational development of nano-immunotherapeutic agents and identify 10 nm Fe3O4 NPs as a promising candidate for TAM-targeted cancer therapy. Full article
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20 pages, 650 KB  
Review
Venlafaxine as Monotherapy and in Combination Regimens in Acute Rodent Nociception Experimental Models: A Review
by Cristina Lungu, Ruxandra-Cristina Marin, Mihnea Costescu, Aurelian Zugravu, Horia Paunescu, Cristina Isabel Ghita and Oana Andreia Coman
Int. J. Mol. Sci. 2026, 27(9), 3944; https://doi.org/10.3390/ijms27093944 - 28 Apr 2026
Abstract
Venlafaxine, a serotonin–norepinephrine reuptake inhibitor, shows analgesic effects in rodents, but its efficacy and pharmacological profile in acute stimulus-evoked nociception may depend on the nociceptive test used and the pharmacological context. The aim of this review was to identify the receptors implicated in [...] Read more.
Venlafaxine, a serotonin–norepinephrine reuptake inhibitor, shows analgesic effects in rodents, but its efficacy and pharmacological profile in acute stimulus-evoked nociception may depend on the nociceptive test used and the pharmacological context. The aim of this review was to identify the receptors implicated in venlafaxine antinociceptive effects and to examine which molecular processes most consistently explain its acute antinociceptive profile. We reviewed in vivo rodent studies testing venlafaxine in acute nociceptive assays (writhing, tail-flick, hot-plate, and other eligible acute tests) as monotherapy or associated with other pharmacologically active substances. PubMed/MEDLINE and Web of Science were searched from 1993 to 5 January 2026, and reference lists were also screened. Outcomes were synthesized and stratified by type of nociceptive test and interaction class. Fourteen studies were identified as relevant to the scope of this review. Venlafaxine produced dose-dependent antinociception across tests, reducing writhing and increasing thermal withdrawal latency. Central administration generally yielded effects at lower absolute doses than systemic routes. Interaction studies most consistently supported modulation of opioid receptors (e.g., leftward opioid dose–response shifts and attenuation of morphine tolerance in repeated-exposure designs), with convergent evidence implicating opioid and α2-adrenergic mechanisms and context-dependent serotonergic contributions. Additional pathways were variably implicated, including nitric oxide – cyclic guanosine monophosphate (NO–cGMP) signaling and oxidative/mitochondrial processes in opioid tolerance paradigms. Preclinical evidence supports venlafaxine as a modulator of acute nociceptive control with notable opioid-interaction potential. Standardized pharmacodynamic reporting and translationally oriented studies are needed. Full article
19 pages, 2151 KB  
Article
Plasma Fibrinogen-to-Fractional Exhaled Nitric Oxide Ratio (FFR) as an Emerging Biomarker in Bronchiectasis
by Andreas M. Matthaiou, Nikoleta Bizymi, Ioannis Tomos, Konstantina Symvoulaki, Christos Skiadas, Georgios Pitsidianakis, Adamantia Liapikou, Nikolaos Tzanakis and Katerina M. Antoniou
J. Clin. Med. 2026, 15(9), 3383; https://doi.org/10.3390/jcm15093383 - 28 Apr 2026
Abstract
Background and Aims: Plasma fibrinogen and fractional exhaled nitric oxide (FeNO) reflect neutrophilic and eosinophilic airway inflammation, respectively, and are associated with disease activity and severity in different directions in bronchiectasis. This study aimed to concurrently investigate fibrinogen and FeNO and further [...] Read more.
Background and Aims: Plasma fibrinogen and fractional exhaled nitric oxide (FeNO) reflect neutrophilic and eosinophilic airway inflammation, respectively, and are associated with disease activity and severity in different directions in bronchiectasis. This study aimed to concurrently investigate fibrinogen and FeNO and further evaluate the clinical importance of fibrinogen-to-FeNO ratio (FFR) as a composite biomarker in bronchiectasis. Methods: This was a two-centre, observational, cross-sectional study involving stable bronchiectasis patients. Fibrinogen, FeNO, and the ratio of their normalised values (FFR) were investigated in relation to clinical indicators of disease activity and severity, including respiratory symptoms, inflammatory markers, pulmonary function, radiological extent, airway infection, severity scores, and patient-reported outcomes. Results: FFR was correlated with both circulating neutrophils (r = 0.36, p = 0.04) and eosinophils (r = −0.39, p = 0.03) and, more strongly compared to fibrinogen and FeNO, with the percentage of predicted forced expiratory volume in the 1st second (r = −0.61, p < 0.001). Interestingly, only FFR was found to be higher in patients with Pseudomonas aeruginosa isolation in respiratory secretions (p < 0.01). In receiver operating characteristic curves, FFR showed good discriminatory ability to differentiate patients with any level (AUC: 0.80, 95% CI: 0.64–0.96) or a severe level (AUC: 0.83, 95% CI: 0.64–1.00) of pulmonary functional impairment and patients with severe disease (AUC: 0.78, 95% CI: 0.62–0.94). Conclusions: FFR emerges as a candidate biomarker capturing the balance between neutrophilic and eosinophilic inflammation and the net disease activity and severity in bronchiectasis. Full article
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22 pages, 1226 KB  
Article
Genotype-Dependent Morphological and Antioxidant Responses of Wild Cherry (Prunus avium L.) to Salinity Stress In Vitro
by Vanja Vuksanović, Lazar Pavlović, Branislav Kovačević, Marko Kebert, Branislav Trudić, Milica Kovač and Saša Orlović
Plants 2026, 15(9), 1351; https://doi.org/10.3390/plants15091351 - 28 Apr 2026
Abstract
Soil salinization is a major abiotic stressor limiting global agricultural and forestry productivity. This study aimed to assess the tolerance of four wild cherry (Prunus avium L.) genotypes (8-A, F-12, F-19, F-15) to salinity stress using the in vitro culture technique. Shoots [...] Read more.
Soil salinization is a major abiotic stressor limiting global agricultural and forestry productivity. This study aimed to assess the tolerance of four wild cherry (Prunus avium L.) genotypes (8-A, F-12, F-19, F-15) to salinity stress using the in vitro culture technique. Shoots were exposed to three NaCl concentrations (0—control treatment, 33, and 100 mM) in micropropagation medium under controlled laboratory conditions for 35 days. Morphological parameters, including shoot length, shoot number, survival and multiplication rate, shoot fresh and dry biomass, and shoot water content, were evaluated alongside biochemical markers such as total phenolic content (TPC), total flavonoid content (TFC), and antioxidant activities assessed through ferric reducing–antioxidant power (FRAP), ABTS radical scavenging, DPPH radical scavenging and nitric oxide (NO•) scavenging. Consistent with the experimental design, exposure to 100 mM NaCl significantly inhibited shoot growth and biomass accumulation, while survival was comparatively less affected. Genotypic variation was evident, with genotypes F-19 and F-12 demonstrating higher tolerance, maintaining greater growth and antioxidant capacity (FRAP and ABTS) under salt stress compared to more sensitive genotypes like 8-A and F-15. Phenolic and flavonoid contents were also reduced at 100 mM NaCl, suggesting that intense salinity stress limited the biosynthesis and accumulation of these antioxidant compounds. Nitric oxide scavenging activity remained largely unaffected by salinity in all genotypes, which may indicate that the applied stress levels were insufficient to markedly alter this component of the antioxidant response. The genotype F-19 emerged as the strongest salinity-tolerant genotype, retaining superior shoot number, multiplication rate, fresh/dry biomass and stable/increased total phenolic content (TPC) under 100 mM NaCl compared to other genotypes. This integrative in vitro approach effectively distinguished salt-tolerant wild cherry genotypes and offers a valuable screening tool for breeding and selection programmes targeting improved resilience to salinity stress. The findings have practical relevance for forestry, horticulture, landscape architecture and the restoration of salt-affected sites, particularly in the context of climate change. They also align with current European and global priorities focused on identifying genetically suitable reproductive material for resilient afforestation and ecosystem restoration under increased environmental stress. Full article
(This article belongs to the Special Issue Sustainable Plants and Practices for Resilient Urban Greening)
45 pages, 2858 KB  
Article
Bridging Traditional Wisdom and Evidence-Based Pharmaceutics: Comprehensive Specification and Biological Activity of the Wannachawee Recipe for Psoriasis
by Supreeya Tantipat, Wannaree Charoensup, Kongkiat Trisuwan, Phraepakaporn Kunnaja, Seewaboon Sireeratawong, Surapol Natakankitkul, Surasak Imiam, Apinya Rachkeeree, Ratchuporn Suksathan and Sunee Chansakaow
Plants 2026, 15(9), 1344; https://doi.org/10.3390/plants15091344 - 28 Apr 2026
Abstract
The Wannachawee Recipe (WCR) is a traditional Thai herbal formulation with a clinical history of use in psoriasis. An observational study conducted at Prapokklao Hospital reported that 93% of psoriasis patients showed good clinical responses. However, the absence of standardized quality control parameters [...] Read more.
The Wannachawee Recipe (WCR) is a traditional Thai herbal formulation with a clinical history of use in psoriasis. An observational study conducted at Prapokklao Hospital reported that 93% of psoriasis patients showed good clinical responses. However, the absence of standardized quality control parameters remains a critical barrier to its pharmaceutical reproducibility, safety, and integration into mainstream clinical practice. This study established robust quality specifications and a phytochemical profiling for WCR, in accordance with the Thai Herbal Pharmacopoeia (THP) guidelines, to support its development from traditional use to a standardized therapeutic agent. A multimodal analytical approach was employed, integrating microscopic characterization, physicochemical evaluation, and advanced instrumental techniques. Phytochemical characterization was conducted using High-Performance Liquid Chromatography (HPLC) fingerprinting and Compact Mass Spectrometry (CMS). A validated HPLC method was developed to quantify trans-p-coumaryl alcohol, a key bioactive marker. Anti-inflammatory activity was further assessed by measuring inhibition of nitric oxide production. Physicochemical analysis established rigorous benchmarks, including ethanol-soluble extractive (8.73 ± 0.15% w/w), water-soluble extractive (18.89 ± 0.09% w/w), and loss on drying (<10%), which ensure long-term stability and microbial safety. CMS analysis successfully identified key chemical constituents, including alpha-amyrin, stemone, protocatechuic acid, and trans-p-coumaryl alcohol. HPLC fingerprinting demonstrated high batch-to-batch consistency, while quantitative analysis determined a trans-p-coumaryl alcohol content of 8.77 mg/g extract. Critically, biological evaluation showed that WCR exhibited potent anti-inflammatory activity by inhibiting nitric oxide production, with a superior inhibitory effect compared with the reference drug indomethacin. This study provides a preliminary scientific framework for the standardization of WCR. It defines precise quality specifications and a potential bioactive marker, establishing the rigor needed for regulatory certification and industrial production. This work connects traditional Thai medicine with evidence-based pharmaceutics, positioning WCR as a promising therapy for psoriasis. Full article
26 pages, 4003 KB  
Article
Development and Optimization of an Apremilast-Loaded Nanoemulsion Gel for Topical Psoriasis Treatment with In Vitro Anti-Inflammatory Studies Using RAW 264.7 Cells
by Mustafa Saleem Sawan, Mohammad Shah Faisal, Nagia Ahmed El-Megrab and Hanan Mohammed El-Nahas
Pharmaceuticals 2026, 19(5), 691; https://doi.org/10.3390/ph19050691 - 28 Apr 2026
Abstract
Background: Apremilast (APM) is a selective phosphodiestrase-4 (PDE-4) inhibitor currently administered orally for the treatment of psoriasis. However, gastrointestinal irritation, frequent dosage regimens, and patient noncompliance limit its oral administration. Additionally, the poor permeability and solubility of APM make dermal administration challenging. Objective: [...] Read more.
Background: Apremilast (APM) is a selective phosphodiestrase-4 (PDE-4) inhibitor currently administered orally for the treatment of psoriasis. However, gastrointestinal irritation, frequent dosage regimens, and patient noncompliance limit its oral administration. Additionally, the poor permeability and solubility of APM make dermal administration challenging. Objective: The current study aims to formulate an optimized APM-loaded nanoemulsion formulation (APM-NE) to enhance drug delivery to deep psoriatic skin layers, thereby increasing dermal drug concentration for the effective treatment of psoriasis. Method: Using the phase titration method, the nanoemulsion (NE) was made with Capryol 90, Tween 20, and Labrasol as oil, surfactant, and co-surfactant, respectively. Results: The optimized formulation (F5) exhibited favorable physicochemical properties: mean droplet size of 147.4 ± 2.4 nm, and an entrapment efficiency (EE) reaching 86.30 ± 2.54%. TEM confirmed spherical, uniformly distributed droplets. In vitro release (86.1 ± 0.24%) followed zero-order kinetics. To enhance skin retention, F5 was incorporated into 2% Carbopol 980 gel, yielding F5G with pseudoplastic flow. Ex vivo permeation showed significantly higher drug delivery for F5 (1266.50 ± 5.6 µg/cm2) and F5G (1057.7 ± 6.76 µg/cm2) compared to crude APM gel (CR-APMG). In vivo, the inhibition of edema in rat paws was highest with F5G (66.83 ± 0.23%). RAW 264.7 cell studies showed 92.37% nitric oxide inhibition, and histopathology confirmed reduced inflammation. Conclusions: These results support APM-NE gel as a promising topical strategy for psoriasis therapy. Full article
(This article belongs to the Special Issue Application of Nanotechnology in Drug Delivery)
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26 pages, 2961 KB  
Review
The Muco-Microbiotic Layer in Respiratory Pathophysiology: Integrating Transcriptomics, Inflammation Phenotypes, and Clinical Biomarkers in Precision Pulmonology
by Claudio Candia, Adelaide Carista, Melania Ionelia Gratie, Domiziana Picone, Giuseppa D’Amico, Celeste Caruso Bavisotto, Fabio Bucchieri, Silvestro Ennio D’Anna, Alessandro Pitruzzella, Mauro Maniscalco, Giuseppe Bonaventura, Stefano Burgio and Francesco Cappello
Biology 2026, 15(9), 684; https://doi.org/10.3390/biology15090684 - 27 Apr 2026
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Abstract
The lower airways are a dynamic environment where physical, microbial, and molecular factors intersect to regulate respiratory health and disease. The muco-microbiotic (MuMi) layer, composed of mucus, resident microbes, and extracellular vesicles (EVs), is not just a passive barrier but also an active [...] Read more.
The lower airways are a dynamic environment where physical, microbial, and molecular factors intersect to regulate respiratory health and disease. The muco-microbiotic (MuMi) layer, composed of mucus, resident microbes, and extracellular vesicles (EVs), is not just a passive barrier but also an active site for host–microbe communication. This layer integrates epithelial cell biology, microbial activity, and immune responses within the bronchial environment. New transcriptomic and metatranscriptomic technologies show that it is not only which microbes are present but also their gene activity that closely links to airway inflammation and disease. EV-associated RNAs from both host and microbial cells act as key messengers, influencing epithelial responses, immune activity, mucus properties, and microbial behaviour. This review highlights evidence that positions the MuMi layer as central to understanding lower airway disease, particularly asthma and chronic obstructive pulmonary disease (COPD). Distinct gene expression programs and biomarker profiles, such as exhaled nitric oxide, may reflect different disease mechanisms even in cases with similar clinical features, such as eosinophilia. Multi-omic approaches focused on the MuMi layer enable better disease classification, biomarker discovery, and therapy selection. By putting the MuMi interface at the core of precision pulmonology, we provide a framework for advancing personalised care in chronic respiratory diseases. Full article
28 pages, 14202 KB  
Article
In Situ Thai Apis mellifera Propolis Film as Potential Protective Phytopharmaceuticals Against UVB-Induced HaCaT Keratinocyte Damage
by Takron Chantadee, Anyamanee Chatsirisupachai, Ampai Phrutivorapongkul, Sunee Chansakaow, Sasithorn Sirilun and Onusa Thamsermsang
Pharmaceuticals 2026, 19(5), 680; https://doi.org/10.3390/ph19050680 - 27 Apr 2026
Viewed by 86
Abstract
Background/Objectives: Propolis is well recognized for its antioxidant, anti-inflammatory, and wound-healing properties, supporting its cutaneous application in phytopharmaceuticals for the management of ultraviolet B (UVB)-induced skin damage. However, the application of propolis is limited by its intense coloration, stickiness, and poor user [...] Read more.
Background/Objectives: Propolis is well recognized for its antioxidant, anti-inflammatory, and wound-healing properties, supporting its cutaneous application in phytopharmaceuticals for the management of ultraviolet B (UVB)-induced skin damage. However, the application of propolis is limited by its intense coloration, stickiness, and poor user convenience. In situ film-forming systems (FFS) represent a novel dosage form designed to overcome these challenges, although efficacy data for using FFS remains limited. Consequently, this study aimed to develop a propolis-based FFS and evaluate its efficacy in mitigating UVB-irradiated HaCaT keratinocytes. Methods: Apis mellifera propolis was macerated and analyzed for total phenolic content (TPC) and total flavonoid content (TFC), radical scavenging activity (DPPH assay), and nitric oxide scavenging capability. Bioactive compounds were identified using high-performance liquid chromatography analysis (HPLC). The propolis extract was formulated into FFS and investigated on UVB-damaged HaCaT keratinocytes. An MTT viability assay, propidium iodide flow cytometry for cell cycle analysis, and a scratch wound healing assay were used to evaluate the therapeutic effects of the FFS. Results: The 72 h macerated propolis extract contained high levels of TPC, TFC, and targeted phytochemicals. The propolis extract exhibited free radical scavenging and nitric oxide inhibitory activities. Seven formulations exhibited suitable performance, with formulation F7 (FFS-F7) demonstrating superior drying time and dose-dependent free radical scavenging. Notably, FFS-F7 (≥12.5 µg/mL) significantly enhanced HaCaT proliferation, mitigated UVB-induced cell cycle arrest, reduced cellular damage, and accelerated wound closure. Conclusions: This study successfully developed an FFS that not only overcomes these physical drawbacks but also preserves the biological activity of the extract. The significant protective and restorative effects against UVB-induced HaCaT damage demonstrate the therapeutic potential of Thai Apis mellifera propolis and establish the FFS as a versatile base with the potential for delivering other bioactive compounds. Full article
(This article belongs to the Special Issue Natural Products for Skin Applications)
30 pages, 1337 KB  
Review
5/6 Nephrectomy as an Experimental Model for Chronic Kidney Disease: New Vasoactive and Antioxidant Therapeutic Targets
by Regina Souza Aires, Maria da Conceição Correia Silva, Filipe de Melo Barbosa, Mirelly Cunha da Silva, Silvia Maria de Luna Alves, Alice Valença Araújo and Thyago Moreira de Queiroz
Pharmaceuticals 2026, 19(5), 676; https://doi.org/10.3390/ph19050676 - 26 Apr 2026
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Abstract
Chronic kidney disease (CKD) is a progressive disorder characterized by declining renal function and increased cardiovascular risk. Experimental models are essential for investigating these mechanisms, and the 5/6 nephrectomy (5/6 Nx) model is widely used to reproduce cardiorenal alterations observed in CKD. This [...] Read more.
Chronic kidney disease (CKD) is a progressive disorder characterized by declining renal function and increased cardiovascular risk. Experimental models are essential for investigating these mechanisms, and the 5/6 nephrectomy (5/6 Nx) model is widely used to reproduce cardiorenal alterations observed in CKD. This review aims to critically evaluate how effectively the 5/6 Nx model reproduces vasoactive and redox mechanisms relevant for pharmacological testing. A narrative synthesis of experimental studies using the 5/6 Nx model in rodents was performed, focusing on vascular, inflammatory, and oxidative pathways. The 5/6 Nx model reproduces major CKD features, including hypertension, proteinuria, glomerulosclerosis, and cardiovascular remodeling. Early activation of the renin–angiotensin–aldosterone system, endothelin signaling, and sympathetic pathways contributes to vascular dysfunction. Sustained oxidative stress reduces nitric oxide bioavailability and promotes endothelial dysfunction. Dysregulation of natriuretic peptides and increased 20-HETE signaling further contribute to vascular imbalance and remodeling. These alterations occur in a well-defined temporal progression, supporting the use of this model for mechanistic and pharmacological studies. The 5/6 Nx model remains a robust and translationally informative platform for investigating CKD progression, provided that pathway-specific reproducibility and experimental variables are carefully considered. Full article
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28 pages, 6652 KB  
Article
Volatile Natural Deep Eutectic Solvents (VNADESs) for Extraction of Shikonin Derivatives from Echium vulgare Roots and Evaluation of Biological Activity
by Magdalena Kulinowska, Sławomir Dresler, Agnieszka Grzegorczyk, Martyna Zagórska-Dziok, Aleksandra Ziemlewska, Wirginia Kukula-Koch, Katarzyna Sawa-Wejksza and Maciej Strzemski
Molecules 2026, 31(9), 1434; https://doi.org/10.3390/molecules31091434 - 26 Apr 2026
Viewed by 185
Abstract
Background: Shikonins are natural naphthoquinones that exhibit a range of biological activities. They are typically extracted using nonpolar solvents; however, green extraction approaches remain underexplored. Methods: Phytochemical profiling of E. vulgare root extracts was performed using HPLC-ESI-QTOF-MS/MS and quantitative analysis using HPLC-PDA. Shikonin [...] Read more.
Background: Shikonins are natural naphthoquinones that exhibit a range of biological activities. They are typically extracted using nonpolar solvents; however, green extraction approaches remain underexplored. Methods: Phytochemical profiling of E. vulgare root extracts was performed using HPLC-ESI-QTOF-MS/MS and quantitative analysis using HPLC-PDA. Shikonin extraction was performed using VNADESs based on thymol, camphor, menthol and benzyl alcohol. The feasibility of removing the VNADES from the extracts via freeze-drying was assessed. The cytotoxic, antioxidant, anti-inflammatory and antimicrobial activities of the hexane extract and the selected VNADES-based extract (TBa 2:8) were compared. Results: Eight shikonin derivatives were identified in the extracts. VNADES extracts contained comparable amounts of shikonin to hexane extracts; however, freeze-drying resulted in significant shikonin content loss. TBa 2:8 extract exhibited noticeably lower cytotoxicity than the hexane extract while its antioxidant potential depended on the assay applied. In contrast to the hexane extract, TBa 2:8 demonstrated the ability to reduce intracellular ROS and NO levels. However, the hexane extract exhibited stronger antimicrobial activity. Conclusions: VNADES systems enable efficient extraction of shikonin derivatives with performance comparable to hexane. Although the resulting extracts exhibit multidirectional biological activity, it remains challenging to remove the VNADESs effectively without losing the shikonins. Full article
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