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19 pages, 1684 KB  
Article
Effect of Platinum Content on Properties of CNT-Supported Pt–Mo Catalyst for Ethanol Electrooxidation Reaction
by Oleg Korchagin, Marina Radina, Alexey Kuzov, Vladimir Andreev and Andzhela Bulanova
Nanomaterials 2026, 16(9), 552; https://doi.org/10.3390/nano16090552 (registering DOI) - 30 Apr 2026
Abstract
The CNT-supported nanodispersed Pt–Mo catalysts for the ethanol electrooxidation reaction in the alkaline solution are synthesized and their characteristics are studied. Based on the XPS studies in a wide range of platinum content (10–40 wt %), it is found that in the composition [...] Read more.
The CNT-supported nanodispersed Pt–Mo catalysts for the ethanol electrooxidation reaction in the alkaline solution are synthesized and their characteristics are studied. Based on the XPS studies in a wide range of platinum content (10–40 wt %), it is found that in the composition of the catalysts, platinum is predominantly in the metallic state, and molybdenum is in the hexavalent form, probably in the form of MoO3 oxide. According to the XRD and electrochemical studies, the Pt/CNT and PtMo/CNT catalysts with equal platinum contents (~20 wt %) are characterized by similar platinum crystallite sizes (5–10 nm) and electrochemically accessible surface areas (23–26 m2/gPt). This indicates that platinum is not shielded by the molybdenum compounds. When the platinum content increases above 20 wt %, the Pt:Mo atomic ratio increases (the nominal ratio is 1:1), which may be due to the decoration of molybdenum oxide with platinum nanoparticles. A study of the kinetics of the ethanol electrooxidation reaction showed that the activity of the PtMo/CNT system is higher than that of the Pt/CNT catalyst. However, the efficiency of platinum use decreases as its content in the PtMo/CNT system increases from 10 to 40 wt %. On the other hand, the systems containing 20–40 wt % Pt exhibit the highest activity per unit catalyst weight, making them very promising for use as a component of the anode active layer of a fuel cell. The tests of the alkaline ethanol fuel cell based on the synthesized catalysts show the maximum power density of 29 mW/cm2, which corresponds to the level of the best literature parameters under similar experimental conditions. Full article
20 pages, 3394 KB  
Article
Multi-Axis Reprogramming of Muscle–Metabolic Crosstalk by HiLo Platinum™ Restores Strength in Prediabetes via Mitochondrial Activation and Gut Microbiome Remodeling
by Jeremy Nicolas Sibarani, Muhammad Iqhrammullah, Amal Arifi Hidayat, Ricky Indra Alfaray, Fahrul Nurkolis and Antonello Santini
Int. J. Mol. Sci. 2026, 27(9), 4014; https://doi.org/10.3390/ijms27094014 - 30 Apr 2026
Abstract
Prediabetes is increasingly recognized as a risk factor for sarcopenia, driven by chronic low-grade inflammation, insulin resistance, and impaired anabolic signaling. Nutritional interventions containing whey protein, hydroxymethylbutyrate (HMB), glucosamine, and micronutrients may offer a multi-target strategy to counteract muscle deterioration. This study aimed [...] Read more.
Prediabetes is increasingly recognized as a risk factor for sarcopenia, driven by chronic low-grade inflammation, insulin resistance, and impaired anabolic signaling. Nutritional interventions containing whey protein, hydroxymethylbutyrate (HMB), glucosamine, and micronutrients may offer a multi-target strategy to counteract muscle deterioration. This study aimed to evaluate the efficacy of HiLo Platinum™ supplementation in attenuating muscle strength decline in a prediabetic rat model, with integrated analysis of metabolic biomarkers and gut microbiome profiles. A randomized preclinical trial was conducted using male Sprague Dawley rats assigned to four groups: normal diet (ND), prediabetic control induced by cholesterol- and fat-enriched diet with fructose (CFEDF), and two treatment groups receiving low-dose (0.63 g/kg BW) or high-dose (1.26 g/kg BW) HiLo Platinum™. The intervention lasted six weeks. Muscle strength was assessed via a four-limb grip strength test (reverse hang time and holding impulse). Biomarkers related to inflammation, mitochondrial function, and anabolic signaling (TNF-α, IL-10, PGC-1α, IGF-1, SIRT-1, AMPK, mTOR, and myostatin), lipid profile, and blood glucose were analyzed. Gut microbiome composition and diversity were evaluated using taxonomic profiling and multivariate analyses. HiLo Platinum™ supplementation significantly improved muscle strength, evidenced by increased reverse hang time and holding impulse (p < 0.001). Both doses reduced blood glucose and improved lipid profiles, including increased HDL and decreased LDL, triglycerides, and total cholesterol. Anti-inflammatory effects were observed with reduced TNF-α and elevated IL-10 levels. Mitochondrial and metabolic regulators (PGC-1α, SIRT-1, AMPK) and anabolic mediators (IGF-1) were significantly upregulated, while mTOR levels decreased. Gut microbiome analysis revealed increased genus richness (Chao1 index) and distinct microbial shifts associated with improved metabolic and inflammatory markers. HiLo Platinum™ effectively mitigates prediabetes-induced muscle strength decline through integrated modulation of inflammatory pathways, mitochondrial function, metabolic homeostasis, and gut microbiome composition. These findings support its potential as a nutritional therapeutic strategy for preventing sarcopenia in prediabetic conditions, although further studies are needed to evaluate long-term effects and implications on muscle hypertrophy. Full article
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13 pages, 668 KB  
Article
Is Genetic Testing of HER2-Negative Metastatic Breast Cancer Patients Implemented into Clinical Practice? A Retrospective Analysis
by Christine Deutschmann, Florian Heinzl, Carmen Leser, Daphne Gschwantler-Kaulich, Christian F. Singer, Suncica Kostic, Adelheid Golescu and Georg Pfeiler
J. Clin. Med. 2026, 15(9), 3433; https://doi.org/10.3390/jcm15093433 - 30 Apr 2026
Abstract
Background/Objectives: Genetic testing in Human Epidermal Growth Factor Receptor 2-negative (HER2−) metastatic breast cancer (mBC) is necessary to enable optimal treatment choices including poly(ADP-ribose)polymerase inhibitors (PARPis). The present study evaluated the implementation of genetic testing in a real-world setting to reveal and [...] Read more.
Background/Objectives: Genetic testing in Human Epidermal Growth Factor Receptor 2-negative (HER2−) metastatic breast cancer (mBC) is necessary to enable optimal treatment choices including poly(ADP-ribose)polymerase inhibitors (PARPis). The present study evaluated the implementation of genetic testing in a real-world setting to reveal and subsequently allow targeting of potential inadequacies and risk factors for low testing frequency. Methods: We performed a retrospective analysis including HER2− mBC patients treated at a single academic center starting from 10 April 2019 (date of European Medicines Agency (EMA) approval of Olaparib for germline breast cancer gene mutant (gBRCAm) HER2− mBC) to 7 September 2021. The primary objective of the study was to evaluate the rate of HER2− mBC patients that were recommended to undergo genetic testing by the multidisciplinary tumor board (MTB). The secondary objective was to identify factors that were associated with a higher likelihood of having undergone genetic testing. Results: In total, 47.6% (109 of 229) of HER2− mBC patients had been recommended to undergo genetic testing by the MTB. Of these informed patients, 89.0% (97 of 109) underwent genetic testing, of which 11.6% (11 of 95) had a germline BRCA mutation (gBRCAmut) and were eligible for PARPi treatment. In multivariate analysis, younger age (p-value: 0.0007), hormone receptor positive (HR+)/HER2− subtype (p-value < 0.0001) and positive family history for breast and ovarian cancer (p-value: 0.0001) were significantly associated with the performance of genetic counseling. Conclusions: The present study demonstrated low genetic counseling rates of HER2− mBC patients, especially in individuals without specific risk factors for hereditary breast cancer. Informed patients showed a high willingness to undergo genetic testing. Genetic testing revealed targetable mutations in over 10% of tested patients. Full article
(This article belongs to the Section Oncology)
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18 pages, 2949 KB  
Article
Conceptual Development of a Process to Recover Platinum Group Metals from Base Metal Leach Tailings Using Alkaline Glycine-Based Lixiviants
by Carlos Guillermo Perea Solano, Tony Tang, Chaoran He, Aissa Polenio and Jacques Eksteen
Minerals 2026, 16(5), 464; https://doi.org/10.3390/min16050464 - 29 Apr 2026
Abstract
The increasing demand for platinum group metals (PGMs) and critical base metals (BMs) underscores the critical roles these metals play in renewable energy and advanced technologies, enabling more efficient, environmentally sustainable operations. A hydrometallurgical approach to Au, Pd, and Pt tailings, derived from [...] Read more.
The increasing demand for platinum group metals (PGMs) and critical base metals (BMs) underscores the critical roles these metals play in renewable energy and advanced technologies, enabling more efficient, environmentally sustainable operations. A hydrometallurgical approach to Au, Pd, and Pt tailings, derived from the glycine leaching of low-grade nickel and iron sulfide flotation concentrates, is investigated. The proposed process evaluates two glycine-based systems: glycine combined with KMnO4 and catalyzed by cyanide under starvation conditions. Leaching with glycine in the presence of KMnO4 (72 h, 25% solids, 60 °C, pH 11, dissolved oxygen 10 ppm, 126.7 kg/t glycine, and 7 kg/t KMnO4) achieved extraction efficiencies of up to 66.7% Au, 89.1% Pd, and 95.8% Pt. In comparison, the cyanide-starved glycine system (72 h, 30% solids, 60 °C, pH 11, dissolved oxygen 20 ppm, 98.5 kg/t glycine, and 3.3 kg/t cyanide) resulted in up to 80.8% Au, 78.3% Pd, and 14.3% Pt. Activated carbon and Amberlite resin demonstrated selective adsorption of Au and PGMs. For activated carbon, Au adsorption exhibited a non-linear dependence on carbon dosage, reaching a maximum of 77.61% at 20 g/L, then decreasing to 50.85% at 25 g/L, and finally increasing to 65.04% at 30 g/L, indicating variable adsorption behavior. In contrast, Amberlite resin exhibited more consistent, progressive adsorption with increasing dosage. Au adsorption remained high across all conditions, increasing from 88.06% at 10 g/L to 99.67% at 30 g/L. Similarly, Pd and Pt adsorption improved significantly with resin dosage, reaching maximum values of 81.32% and 83.36% at 25 g/L, respectively, followed by a slight decline at 30 g/L. Implementing a two-stage process using carbon + resin (30 g/L) increased PGM recovery, achieving 99.89% Au, 81.8% Pd, and 92.4% Pt. Elution tests showed that Au (61.97%) and Pd (60.55%) were desorbed efficiently using thiourea (2% w/v) and HCl (0.5 M), whereas Pt elution proved difficult and required alternative strategies. The findings confirm glycine-based technologies as a promising, environmentally friendly alternative to conventional methods and provide a basis for further process development and optimization. Full article
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16 pages, 401 KB  
Article
Association of BRCA Mutation Status with Clinical Outcomes in High-Grade Serous Ovarian Cancer
by Alexandru Marius Petrusan, Catalin Vladut Ionut Feier, Calin Muntean, Vasile Gaborean, Andrei Stefan Petrusan, Delia Nicoara, Emil Marius Puscas, Ioan Paul Tiberiu Puia, Andrei Pasca and Patriciu Achimaș-Cadariu
Healthcare 2026, 14(9), 1193; https://doi.org/10.3390/healthcare14091193 - 29 Apr 2026
Abstract
Background/Objectives: High-grade serous ovarian carcinoma (HGSOC) is associated with high relapse rates despite aggressive multimodal treatment. BRCA mutations, present in a substantial subset of patients, confer homologous recombination deficiency and increased sensitivity to platinum-based chemotherapy. This study evaluated the association between BRCA mutation [...] Read more.
Background/Objectives: High-grade serous ovarian carcinoma (HGSOC) is associated with high relapse rates despite aggressive multimodal treatment. BRCA mutations, present in a substantial subset of patients, confer homologous recombination deficiency and increased sensitivity to platinum-based chemotherapy. This study evaluated the association between BRCA mutation status and clinical outcomes, focusing on dissemination patterns, treatment allocation, perioperative parameters, and progression-free survival (PFS). Methods: This prospective single-center cohort included 133 consecutive patients with newly diagnosed HGSOC treated between January 2020 and December 2025. Primary treatment strategy (primary debulking surgery [PDS] or neoadjuvant chemotherapy [NACT]) was determined by multidisciplinary assessment. BRCA testing was performed using tumor tissue or germline analysis. Patients were followed for 24 months. PFS was analyzed using Kaplan–Meier estimates and Cox regression models. Results: Pathogenic BRCA mutations were identified in 39.1% of patients. BRCA-mutated tumors demonstrated significantly lower rates of peritoneal carcinomatosis (50% vs. 77.77%, p = 0.001) and were more frequently managed with PDS (59.6% vs. 41.8%, p = 0.048). Perioperative outcomes were comparable between groups. Disease progression occurred less frequently in BRCA-mutated patients (32.69% vs. 51.85%, p = 0.017). In univariate analysis, BRCA mutation was associated with a 48% reduction in progression risk (HR 0.52, 95% CI 0.27–0.99, p = 0.048). After adjustment for age, FIGO stage, and residual disease, BRCA mutation was not independently associated with progression (HR 0.57, p = 0.124), although a protective trend was observed, while residual disease remained a significant predictor. Conclusions: In this prospective cohort, BRCA mutation status was associated with distinct dissemination patterns and a significant reduction in progression risk in HGSOC. Although residual disease remained the strongest independent prognostic factor after multivariable adjustment, a trend toward improved PFS observed among BRCA-mutated patients supports the role of homologous recombination deficiency as a meaningful modifier of disease trajectory. These findings reinforce the clinical relevance of molecular stratification in the contemporary management of HGSOC. Full article
(This article belongs to the Special Issue Gynecological Cancer: Screening, Prevention and Treatment)
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17 pages, 813 KB  
Article
Pretreatment Lactate Dehydrogenase-to-Albumin Ratio and Clinical Outcomes in Extensive-Stage Small Cell Lung Cancer: A Multicenter Real-World Study
by Ahmet Unlu, Asim Armagan Aydin, Esra Sazimet Kars, Ozden Ozturk, Mehmet Acun, Mehmet Nuri Baser, Mahmut Kara, Sati Sena Coraoglu, Nurbanu Inci, Muhammet Ali Kaplan, Bilgin Demir, Senar Ebinc, Okan Avci, Hacer Boztepe Yesilcay, Banu Ozturk and Mustafa Yildiz
J. Clin. Med. 2026, 15(9), 3353; https://doi.org/10.3390/jcm15093353 - 28 Apr 2026
Abstract
Background: Reliable biomarkers that capture tumor–host interactions and predict treatment resistance in extensive-stage small cell lung cancer (SCLC) remain limited. We evaluated the prognostic and predictive value of the pretreatment lactate dehydrogenase-to-albumin ratio (LAR), an integrative biomarker reflecting metabolic activity, systemic inflammation, and [...] Read more.
Background: Reliable biomarkers that capture tumor–host interactions and predict treatment resistance in extensive-stage small cell lung cancer (SCLC) remain limited. We evaluated the prognostic and predictive value of the pretreatment lactate dehydrogenase-to-albumin ratio (LAR), an integrative biomarker reflecting metabolic activity, systemic inflammation, and host nutritional status. Methods: This multicenter, retrospective cohort study included patients with extensive-stage SCLC treated at five tertiary centers between 2016 and 2024. Pretreatment LAR was calculated using baseline serum lactate dehydrogenase and albumin levels and dichotomized using a Youden index-derived cut-off at the 12-month overall survival (OS) horizon. Time-dependent receiver operating characteristic (ROC) analyses using inverse probability weighting were performed to assess discriminative performance. Survival outcomes were evaluated using Kaplan–Meier estimates and Cox proportional hazards models. Associations with platinum resistance and lack of objective treatment benefit (defined as progressive disease as best response) were examined using logistic regression models. Results: A total of 223 patients were included. Elevated LAR was associated with inferior OS (median, 15.8 vs. 25.2 months; log-rank p < 0.001) and progression-free survival (7.9 vs. 11.5 months; p < 0.001). In multivariable analysis, LAR remained independently associated with OS (HR, 1.43; 95% CI, 1.04–1.95; p = 0.028). LAR demonstrated modest but consistently superior discriminative performance compared with other inflammatory indices for both 12-month OS (area under the curve [AUC], 0.692) and 6-month progression-free survival (PFS) (AUC, 0.646), with statistically significant differences in DeLong comparisons. Higher LAR was independently associated with increased odds of platinum resistance (adjusted odds ratio [aOR], 2.31; 95% CI, 1.41–3.81; p = 0.001) and lack of objective treatment benefit (adjusted OR, 2.04; 95% CI, 1.33–3.14; p = 0.001). Conclusions: Pretreatment LAR is a clinically accessible and biologically integrative biomarker associated with survival and treatment resistance in extensive-stage SCLC. By capturing tumor–host interactions, LAR may support risk stratification and identify patients at increased risk of early treatment failure. Prospective validation is warranted to define its role in biomarker-driven clinical decision-making. Full article
(This article belongs to the Section Oncology)
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24 pages, 1459 KB  
Article
Genomic Predictors of Platinum Resistance and Survival in High-Grade Serous Ovarian Carcinoma: Insights from an Explorative Targeted Next-Generation Sequencing Analysis
by Carmela De Marco, Valentina Rocca, Simona Migliozzi, Claudia Veneziano, Francesca Gualtieri, Annamaria Cerantonio, Tahreem Arshad Butt, Gianluca Santamaria, Maria Teresa De Angelis, Annalisa Di Cello, Roberta Venturella, Fulvio Zullo and Giuseppe Viglietto
Cancers 2026, 18(9), 1390; https://doi.org/10.3390/cancers18091390 - 28 Apr 2026
Abstract
Background: High-grade serous ovarian carcinoma (HG-SOC) remains the most lethal gynecological malignancy, largely due to intrinsic or acquired resistance to platinum-based chemotherapy. Although large-scale sequencing studies have delineated the genomic landscape of HG-SOC, clinically actionable biomarkers predictive of platinum response and outcome are [...] Read more.
Background: High-grade serous ovarian carcinoma (HG-SOC) remains the most lethal gynecological malignancy, largely due to intrinsic or acquired resistance to platinum-based chemotherapy. Although large-scale sequencing studies have delineated the genomic landscape of HG-SOC, clinically actionable biomarkers predictive of platinum response and outcome are still lacking. This study aimed to identify genomic alterations associated with platinum sensitivity, resistance, or refractoriness, and to assess their prognostic relevance. Methods: Tumor DNA from 24 HG-SOC patients with optimal cytoreductive resection, classified as platinum-sensitive (n = 9), platinum-resistant (n = 8), or platinum-refractory (n = 7) underwent targeted next-generation sequencing of 409 cancer-associated genes. Somatic variants were filtered and classified for oncogenicity using established criteria incorporating predicted functional impact, REVEL scores, and population allele frequencies. Associations between mutational profiles, platinum response, and overall survival (OS) were evaluated using Kaplan–Meier and Cox regression analyses. Key findings were validated in the TCGA ovarian serous carcinoma (TCGA-OV) dataset using survival analyses. Results: A total of 1367 protein-altering somatic variants across 301 genes were identified. While TP53 mutations were ubiquitous, platinum-resistant and platinum-refractory tumors showed enrichment of pathogenic alterations affecting DNA repair, transcriptional regulation, epigenetic modification, and oncogenic signaling, including FANCA, ATF1, MAF, NCOA2, PIK3CA, and TET1. Mutations in these genes were associated with reduced overall survival in exploratory analyses (median 2.5–9 months vs. 27.5–45 months). Multivariate analysis identified FANCA and ATF1 as potential independent predictors in exploratory modeling. In the TCGA-OV cohort, patients harboring pathogenic variants in a multi-gene panel derived from this study (excluding BRCA1/2) exhibited significantly worse survival compared with both BRCA1/2-mutated cases and the overall cohort. Conclusions: This exploratory study identifies a set of genomic alterations converging on transcriptional and epigenetic regulation, DNA repair, and oncogenic signaling that are associated with platinum resistance and adverse prognosis in HG-SOC. Independent validation in TCGA supports the potential clinical relevance of this mutational signature. These findings warrant further validation in larger prospective cohorts and functional studies to clarify their role as biomarkers of aggressive disease and therapeutic vulnerability. Full article
(This article belongs to the Special Issue Genetics and Epigenetics of Gynecological Cancer)
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14 pages, 1387 KB  
Article
Survival and Safety Outcomes of Three-Cycle Adjuvant Chemotherapy in Intermediate-Risk Endometrial Cancer
by Shota Higami, Yasuyuki Kinjo, Tomoko Kurita and Kiyoshi Yoshino
Cancers 2026, 18(9), 1380; https://doi.org/10.3390/cancers18091380 - 26 Apr 2026
Viewed by 359
Abstract
Objective: The optimal adjuvant therapy for intermediate-risk endometrial cancer remains controversial. Although radiotherapy is commonly used in Western countries, chemotherapy is preferred in Japan; however, its real-world outcomes remain limited. This study evaluated the survival and safety outcomes of three-cycle adjuvant chemotherapy in [...] Read more.
Objective: The optimal adjuvant therapy for intermediate-risk endometrial cancer remains controversial. Although radiotherapy is commonly used in Western countries, chemotherapy is preferred in Japan; however, its real-world outcomes remain limited. This study evaluated the survival and safety outcomes of three-cycle adjuvant chemotherapy in patients with intermediate-risk endometrial cancer. Methods: We retrospectively analyzed patients who underwent primary surgery for endometrial cancer at a university hospital between 2008 and 2019. Low- and intermediate-risk patients defined by the 2013 Japan Society of Gynecologic Oncology recurrence risk classification were included. Intermediate-risk patients were classified as receiving chemotherapy (Int-Chemo+) or not (Int-Chemo−). The primary endpoint was disease-free survival (DFS); secondary endpoints included cancer-specific survival (CSS), adverse events, and treatment completion. Results: Among 232 patients, 161 were low-risk and 71 intermediate-risk; 49 intermediate-risk patients received platinum-based combination chemotherapy. The 5-year DFS rates were 92.8% (95% CI, 88.6–96.9) in the low-risk group, 89.4% (95% CI, 80.7–98.2) in the Int-Chemo+ group, and 73.5% (95% CI, 53.5–93.6) in the Int-Chemo− group (log-rank p = 0.005). DFS differed between the Int-Chemo+ and Int-Chemo− groups (HR 0.232, 95% CI 0.062–0.867), whereas the DFS outcomes of the Int-Chemo+ group were numerically similar to those of the low-risk group. CSS did not differ significantly among groups (p = 0.052). Treatment completion was 93.8%, and grade ≥ 3 adverse events were mainly hematologic, without severe late toxicities. Conclusions: Three cycles of adjuvant platinum-based combination chemotherapy for intermediate-risk patients may be associated with improved DFS, while maintaining a high treatment completion rate and manageable toxicity. Full article
(This article belongs to the Special Issue Diagnosis and Treatment of Gynecological Cancers)
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23 pages, 3826 KB  
Article
Pt-Modified 3D NiCu Foam Catalysts for Enhanced Sodium Borohydride Electrooxidation
by Žana Mickevičienė, Aldona Balčiūnaitė, Dijana Šimkūnaitė, Jūratė Vaičiūnienė, Loreta Tamašauskaitė-Tamašiūnaitė and Eugenijus Norkus
Crystals 2026, 16(5), 283; https://doi.org/10.3390/cryst16050283 (registering DOI) - 24 Apr 2026
Viewed by 113
Abstract
We report a straightforward and scalable strategy for the fabrication of three-dimensional Ni-rich bimetallic NiCu foam coatings on Ti substrates ((NiCu)foam/Ti) via dynamic hydrogen bubble templating (DHBT) electrodeposition, followed by modification with an ultralow amount of Pt to construct an efficient [...] Read more.
We report a straightforward and scalable strategy for the fabrication of three-dimensional Ni-rich bimetallic NiCu foam coatings on Ti substrates ((NiCu)foam/Ti) via dynamic hydrogen bubble templating (DHBT) electrodeposition, followed by modification with an ultralow amount of Pt to construct an efficient ternary Ni–Cu–Pt catalytic system. The resulting foams exhibit highly porous dendritic architectures with interconnected channels, enabling a high density of electrochemically active sites and uniform metal distribution throughout the framework. Structural and compositional analyses (SEM–EDX) reveal a Ni-dominant composition (28.09–34.61 mg cm−2), with significantly lower Cu content (2.47–4.16 mg cm−2) and ultralow Pt loading (9.63–19.04 μg cm−2), maximizing catalytic efficiency while minimizing noble metal usage. Electrochemical studies in alkaline media demonstrate that the NiCu foam possesses intrinsic borohydride electrooxidation activity, which is substantially enhanced upon Pt incorporation, delivering a threefold increase in activity compared to the unmodified foam and outperforming bulk Pt. This improvement is attributed to the synergistic interplay within the Ni-rich ternary system, where trace Pt acts as a highly effective promoter. When implemented as anodes in NaBH4–H2O2 fuel cells, Pt(NiCu)foam/Ti achieves peak power densities of 239 and 301.6 mW cm−2 at 25 °C and 55 °C, respectively. Overall, this study presents a cost-effective and scalable route to high-performance electrocatalysts for alkaline direct borohydride fuel cells, significantly reducing reliance on noble metals while maintaining superior activity. Full article
(This article belongs to the Special Issue Advances and Perspectives in Noble Metal Nanoparticles)
58 pages, 3925 KB  
Review
Targeting Autophagy to Overcome Chemoresistance and Immune Resistance in Triple-Negative Breast Cancer
by Shubham D. Mishra, Patricia Mendonca, Sukhmandeep Kaur and Karam F. A. Soliman
Cancers 2026, 18(9), 1359; https://doi.org/10.3390/cancers18091359 - 24 Apr 2026
Viewed by 253
Abstract
Triple-negative breast cancer (TNBC) remains one of the most challenging subtypes of breast cancer to treat, defined by its molecular heterogeneity, absence of hormone receptors, and poor clinical outcomes. While this difficulty with cancer cells persists even in the presence of chemotherapy and [...] Read more.
Triple-negative breast cancer (TNBC) remains one of the most challenging subtypes of breast cancer to treat, defined by its molecular heterogeneity, absence of hormone receptors, and poor clinical outcomes. While this difficulty with cancer cells persists even in the presence of chemotherapy and immune checkpoint inhibitors (ICIs), one critical factor linked to both chemoresistance and immune escape is autophagy. Autophagy is a cellular process with lysosomal recycling function. In TNBC, autophagy paradoxically shifts from tumor-suppressive to a tumor-promoting role. Autophagy was initially known to maintain genomic stability and alleviate oxidative damage. In TNBC, cancer cells use autophagy to detoxify platinum-induced DNA. damage, clear damaged mitochondria via mitophagy, recycle critical macromolecules, and sustain dormancy in cancer stem-like cells (CSCs). At the same time, the process of autophagic flux facilitates immune evasion, including PD-L1 expression stabilization, MHC-I degradation, and the establishment of an immunosuppressive tumor microenvironment (TME). The review encapsulates the progressive concepts of molecular regulation of autophagy, which involve key factors such as ULK1, VPS34, and non-coding RNAs (ncRNAs). These factors play a significant role in chemoresistance, taxanes, anthracyclines, and platinum compounds. The review also discusses various strategies for translation that aim to circumvent or suppress autophagy-mediated chemoresistance, including autophagy inhibitors, natural compounds, and nanoparticle-based formulations, with a focus on their synergistic potential with ICIs and chemotherapeutic agents. Targeting autophagy has shown considerable potential for effectively addressing chemoresistance in TNBC. Future studies should focus on addressing chemoresistance and immunoresistance through autophagy-based therapies. Full article
(This article belongs to the Section Molecular Cancer Biology)
28 pages, 802 KB  
Review
A Narrative Review of In Vivo Studies on the Role of Reactive Oxygen Species in Ovarian Cancer
by Jeongmin Lee, Seung Geun Yeo, Hye Ok Kim, Jae Min Lee, Manish Kumar Singh, Sung Soo Kim, Tong In Oh and Dong Choon Park
Antioxidants 2026, 15(5), 540; https://doi.org/10.3390/antiox15050540 (registering DOI) - 24 Apr 2026
Viewed by 208
Abstract
In ovarian cancer, reactive oxygen species (ROS) are both toxic byproducts and mediators of signaling and stress adaptation, such that the same “ROS change” can suppress or promote tumors in vivo. Here, we integratively summarize how ROS modulation reshapes tumor growth, metastasis, and [...] Read more.
In ovarian cancer, reactive oxygen species (ROS) are both toxic byproducts and mediators of signaling and stress adaptation, such that the same “ROS change” can suppress or promote tumors in vivo. Here, we integratively summarize how ROS modulation reshapes tumor growth, metastasis, and treatment response in ovarian cancer, based on 22 original in vivo-containing studies that were selected from a five-database search of papers published from January 1990 to December 2025. On the antitumor axis, ROS amplification in xenograft models is accompanied by reduced tumor burden and increased markers of cell death, and can operate through diverse death programs beyond apoptosis, including pyroptosis and ferroptosis. ROS-based anticancer effects may vary depending on whether cytoprotective autophagy is co-induced. For example, in models treated with daphnetin, ROS-dependent cell death occurs together with induction of cytoprotective autophagy and the anticancer effect is strengthened when an autophagy inhibitor is added. In a therapeutic context, autophagy may thus function as an adaptive response in tumor cells to partially buffer ROS-induced stress. Conversely, on the pro-tumor axis, ROS can serve as an upstream signal driving inflammatory and metastatic processes. In a peritoneal metastasis model, GPX1 inhibition-induced ROS elevation was linked to increased metastatic burden. In the context of drug resistance, platinum resistance is proposed to be an adaptive state shaped not by the absolute level of ROS alone, but by integrated ROS-sensing and buffering circuits, the DNA damage response (DDR), and NF-κB networks. In vivo, AMPK–ROS axis activation through ACLY inhibition or resetting of drug responsiveness can be connected to tumor suppression and increased sensitivity. Furthermore, ROS modulation is not limited to tumor cell-intrinsic targets: it can also be linked to therapeutic response reprogramming at the tumor microenvironment (TME) level, such as via regulation of acidity/ROS conditions and coupling to macrophage polarization in immunocompetent syngeneic models. Taken together, these lines of in vivo evidence indicate that, in ovarian cancer, ROS should not be interpreted in a binary “increase/decrease” manner, but rather in terms of redox-buffering capacity, the engaged signaling axes (cell death, DDR, metastasis/inflammation), and interactions with TME factors. Full article
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14 pages, 271 KB  
Review
Ototoxicity Associated with Antineoplastic Agents in the Pediatric Population: An Evidence-Based Review of Auditory Monitoring Strategies and Contemporary Diagnostic Frameworks—Narrative Review
by Aleksandra Wojno, Oliwia Cichy, Agata Wojno, Karolina Dorobisz and Katarzyna Pazdro-Zastawny
Diagnostics 2026, 16(9), 1272; https://doi.org/10.3390/diagnostics16091272 - 23 Apr 2026
Viewed by 132
Abstract
Ototoxicity represents a clinically significant complication of anticancer therapy in pediatric patients. Cytotoxic agents used in oncology, particularly platinum-based chemotherapy, may induce damage to the auditory and vestibular systems, resulting in hearing loss, tinnitus, and balance disturbances. Even mild hearing impairment during childhood [...] Read more.
Ototoxicity represents a clinically significant complication of anticancer therapy in pediatric patients. Cytotoxic agents used in oncology, particularly platinum-based chemotherapy, may induce damage to the auditory and vestibular systems, resulting in hearing loss, tinnitus, and balance disturbances. Even mild hearing impairment during childhood may negatively affect speech perception, language development, communication abilities, and subsequent educational and psychosocial functioning. This narrative review aims to synthesize current evidence on treatment-related ototoxicity in children, with particular focus on commonly implicated therapies, clinical consequences, diagnostic approaches, and potential preventive strategies. A focused literature search was conducted in PubMed for publications from 2019 to 2025 addressing ototoxicity associated with pediatric anticancer treatment and audiological monitoring methods. The analysis indicates that platinum-based compounds, especially cisplatin and carboplatin, remain the primary agents associated with ototoxicity, with reported incidence ranging from approximately 20–70% for cisplatin and 10–30% for carboplatin. Additional risk factors include young age, baseline hearing status, renal function, and exposure to other ototoxic agents such as aminoglycoside antibiotics. Early detection relies on comprehensive audiological monitoring combining behavioral and objective methods, including pure-tone audiometry, extended high-frequency audiometry, otoacoustic emissions, and auditory brainstem response testing. Standardized grading systems such as ASHA, Brock, Chang, and SIOP Boston criteria play a key role in identifying and classifying ototoxic changes. Emerging research focuses on improved monitoring protocols, biomarker identification, and the development of otoprotective strategies, including sodium thiosulfate and experimental molecular therapies. Implementing systematic hearing monitoring and preventive strategies is essential to reduce long-term auditory complications and improve quality of life in pediatric cancer survivors. Full article
(This article belongs to the Section Clinical Diagnosis and Prognosis)
14 pages, 685 KB  
Article
Comparative Effectiveness of Bevacizumab and Olaparib Maintenance Therapy in Platinum-Sensitive Recurrent Ovarian Cancer: A Real-World Study with Exploratory Evaluation of Dose Reduction
by Shunsuke Tatsuki, Tadahiro Shoji, Ami Jo, Nanako Jonai, Yohei Chiba, Sho Sato, Eriko Takatori, Yoshitaka Kaido, Takayuki Nagasawa, Masahiro Kagabu, Takeshi Aida, Fumiharu Miura and Tsukasa Baba
Cancers 2026, 18(9), 1332; https://doi.org/10.3390/cancers18091332 - 22 Apr 2026
Viewed by 194
Abstract
Objective: To compare real-world PFS between BEV and OLA as maintenance therapy for PSROC, with an exploratory evaluation of clinical outcomes after OLA dose reduction. Methods: This retrospective multicenter study included 101 patients with first platinum-sensitive recurrent ovarian, fallopian tube, or [...] Read more.
Objective: To compare real-world PFS between BEV and OLA as maintenance therapy for PSROC, with an exploratory evaluation of clinical outcomes after OLA dose reduction. Methods: This retrospective multicenter study included 101 patients with first platinum-sensitive recurrent ovarian, fallopian tube, or primary peritoneal cancer who achieved a response to platinum-based chemotherapy and then received maintenance therapy. Patients were classified into three groups: BEV (n = 34), standard-dose OLA (n = 31), and dose-reduced OLA (n = 36). The primary endpoint was PFS; secondary endpoints were OS and adverse events. Survival outcomes were evaluated using Kaplan–Meier methods and Cox proportional hazards models. Results: In the primary comparison of all OLA-treated patients versus BEV, OLA was associated with longer PFS (HR 0.48, 95% CI 0.29–0.77), with median PFS of 19 months versus 16 months, respectively. OS did not differ significantly between groups (HR 0.60, 95% CI 0.34–1.05). In exploratory subgroup analyses, patients who underwent OLA dose reduction had numerically longer PFS than those who remained on the full dose; however, this comparison is vulnerable to time-dependent and selection biases and should be interpreted cautiously. Grade ≥ 3 hematologic toxicities were more frequent in the OLA groups but were clinically manageable. Conclusions: In real-world practice, OLA was associated with longer PFS than BEV in PSROC. Clinically necessary dose reduction appeared feasible without an obvious loss of benefit, although this finding requires cautious interpretation. Full article
(This article belongs to the Special Issue Novel Drugs for Treating Gynecologic Cancers: 2nd Edition)
29 pages, 8466 KB  
Article
Numerical Simulation of Flow Characteristics and Structural Optimization of a Chemical Vapor Deposition Furnace for Tantalum on Porous Foam Carbon
by Jiangdi Hu, Shuang Wang, Hongzhong Cai, Fashe Li and Wenchao Wang
Appl. Sci. 2026, 16(9), 4095; https://doi.org/10.3390/app16094095 - 22 Apr 2026
Viewed by 190
Abstract
Pitch-based foam carbon, a novel lightweight material, boasts excellent mechanical and thermoelectric properties, and tantalum film deposition on its surface can further enhance its performance. However, this deposition process often suffers from non-uniform deposition and suboptimal coating quality. To address these issues, this [...] Read more.
Pitch-based foam carbon, a novel lightweight material, boasts excellent mechanical and thermoelectric properties, and tantalum film deposition on its surface can further enhance its performance. However, this deposition process often suffers from non-uniform deposition and suboptimal coating quality. To address these issues, this study systematically optimized the furnace structure by tuning pipe diameter, tilt angle, and porous media height. Numerical simulations of 216 models were conducted to evaluate the effects of these parameters on axial velocity, turbulence intensity (quantified by the vortex criterion Q > 1), and reactant concentration uniformity. The results showed that pipe diameters below 70 mm increased the mean axial velocity by 8-fold compared to larger diameters, whereas tilt angles of 15° and porous media heights of 60–80 mm yielded limited velocity enhancements of only 2%. Pipe diameter was identified as the dominant factor governing flow stability, inducing up to a 300% variation in the volume fraction of Q > 1, with minimal turbulence observed at the maximum diameter. In contrast, adjustments to tilt angle and porous media height had weaker effects, altering the Q > 1 volume fraction by 26% and 5%, respectively. Smaller pipe diameter (70–80 mm) also optimized TaCl5 concentration uniformity; tilt angles between 0° and 30° showed negligible influence, while porous media height exhibited no definitive trend. Guided by the practical priorities of process evaluation, a multi-objective optimization was performed. The globally optimal structural parameters were determined to be a pipe diameter of 70 mm, a tilt angle of 15°, and a porous media height of 60 mm, which comprehensively balance deposition uniformity, process stability, and deposition efficiency. These findings establish pipe diameter as the pivotal factor for deposition homogeneity and provide a reference scheme for the structural design of industrial tantalum deposition furnaces and lay a foundation for subsequent multi-physics coupling studies and experimental validation. Full article
12 pages, 6136 KB  
Article
Microscopic Insights into Impurity-Modulated Capture of Platinum-Group Metals by Bismuth in Copper Anode Slimes
by Dongji Liu, Hong Zeng, Fupeng Liu, Jing Cao, Huihui Xiong, Feixiong Chen, Tao Zhang and Jie Wang
Molecules 2026, 31(9), 1383; https://doi.org/10.3390/molecules31091383 - 22 Apr 2026
Viewed by 129
Abstract
The efficient recovery of platinum group metals (PGMs) from decoppered anode slimes is essential for sustainable resource management, yet the atomic-level mechanisms underlying their capture remain unclear. Herein, first-principles calculations were employed to elucidate the microscopic interactions by which bismuth acts as a [...] Read more.
The efficient recovery of platinum group metals (PGMs) from decoppered anode slimes is essential for sustainable resource management, yet the atomic-level mechanisms underlying their capture remain unclear. Herein, first-principles calculations were employed to elucidate the microscopic interactions by which bismuth acts as a trapping agent for PGMs (Ru, Ir, Pt, Rh, Os, Pd) and to determine the effects of four representative impurities (As, Sb, Pb, Si). The results demonstrate that pristine Bi(001) exhibits strong chemisorption toward all six PGMs, as proved by the large charge transfer, significant electron sharing and pronounced p-d orbital hybridization. Furthermore, these impurities spontaneously incorporate into the Bi(001) surface due to the large binding energy. Crucially, some impurities such as As and Si function as potent surface activators rather than detrimental contaminants. These dopants significantly enhance the PGM binding strength by inducing intense localized charge redistribution and establishing strong orbital hybridizations among the Bi-5d, PGM-d and p orbitals of dopants. Overall, this work provides a theoretical foundation for strategically utilizing the impurities to optimize the recovery of PGMs in complex smelting systems. Full article
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