Search Results (17,705)

Tailings are solid waste generated during mining and mineral processing. Their tremendous accumulation not only encroaches on arable land but also pollutes the environment. Currently, tailings are considered a viable alternative to natural fine aggregates in concrete because of their suitable physicochemical properties. However, existing studies remain highly fragmented and often report inconsistent conclusions owing to the considerable variability in tailings mineralogy, particle morphology, and physicochemical characteristics. To date, a comprehensive synthesis linking these intrinsic properties to the fresh, mechanical, durable, microstructural, environmental, and economic performance of tailings concrete remains lacking. Therefore, this review provides a systematic and critical assessment of tailings as aggregate in concrete and proposes an integrated framework connecting tailings characteristics, microstructural evolution, engineering performance, and sustainability outcomes. It systematically examines the physico-mechanical properties, durability, microstructure, hydration characteristics, environmental impact, and economic benefits of the resulting tailings concrete. The results showed that although tailings varied considerably in particle size, chemical composition, and mineralogy, they typically exhibited a rough surface texture and high water absorption. Furthermore, partial substitution of fine aggregates with tailings was found to improve the physical–mechanical properties and durability. However, to prevent performance decline, the substitution ratio should not exceed 50%. These benefits originated primarily from the filling effect and optimized particle packing, which increased matrix density. Microstructural analyses indicated that moderate tailings contents refined the pore structure, strengthened the interfacial transition zone (ITZ), and promoted hydration. In contrast, excessive substitution ratios weakened bonding and increased porosity. From an environmental perspective, the use of tailings generally reduced carbon emissions (by up to ~28%) and production costs (by up to ~50%) by lowering natural resource consumption and enabling large-scale waste valorization. Overall, tailings represent a sustainable aggregate alternative, provided that substitution levels are carefully controlled to balance workability, performance, and durability. Full article

Background/Objectives: Corneal epithelial defects and ulcers remain a significant clinical challenge, often leading to vision impairment and requiring prolonged treatment. In this context, topical insulin has recently gained attention in ophthalmic research. However, conventional eye drops suffer from short residence time and poor bioavailability. To overcome these limitations, the present study evaluates, for the first time in vitro, multiple commercially available soft contact lenses as sustained insulin delivery platforms, analyzing how protein loading influences the essential physicochemical and optical properties of these materials. Methods: The physicochemical properties of eight different commercially available soft contact lens materials, including light transmittance, wettability, and central thickness, were examined before and after insulin loading via a soaking method. Loading efficiency and in vitro release profiles were assessed over time. Corneal cytotoxicity and permeability were evaluated using a human epithelial cell-based model (HCE-2). Results: Among the eight commercial materials screened, Nesofilcon A, Stenfilcon A, and Delefilcon A were selected due to their superior physicochemical performance after insulin loading. At initial concentrations of 1750 and 875 μg/mL, drug loading efficiency reached maximum values of up to 69.3% and 63.1%, with cumulative release values reaching up to 32.4% and 55.1% after 24 h, respectively. Permeability studies confirmed effective insulin diffusion across the HCE-2 cell layer, while cell viability assays indicated no significant cytotoxicity at the lower loading concentration. Conclusions: Insulin-loaded commercial soft contact lenses represent a promising drug–device combination product for the management of persistent epithelial defects and refractory corneal ulcers. These in vitro findings suggest that this approach may enhance drug performance by prolonging residence time and improving corneal bioavailability, while maintaining essential lens properties. However, further in vivo and clinical studies are required to confirm these potential benefits and establish therapeutic efficacy for the management of persistent epithelial defects. Full article

Background/Objectives: Work-related musculoskeletal disorders (WMSDs) and occupational stress substantially affect workforce health and productivity. This systematic review aimed to synthesize evidence regarding the effectiveness of the Pilates method as a biopsychosocial intervention for employees, examining its impact on physical, psychological, and occupational outcomes. Methods: A systematic search was conducted across major electronic databases and search engines (PubMed, Scopus, Web of Science, PEDro, and Google Scholar) following PRISMA 2020 guidelines. The review protocol was prospectively registered in PROSPERO (CRD420261390771). Eligible studies included randomized controlled trials, quasi-experimental, and observational designs involving employees participating in Pilates programs. Outcomes were categorized into three domains: physical health, mental well-being, and occupational performance. Results: Twenty-three studies (n = 1179 participants) met the inclusion criteria. The evidence indicates that Pilates may reduce pain intensity and disability in workers with chronic low back or neck pain, with moderate certainty based on randomized controlled trials. Improvements in psychological outcomes, including anxiety and job-related stress, were also reported, although the certainty of evidence was lower. Occupational benefits included enhanced job satisfaction and, in limited cases, favorable cost-utility findings. Conclusions: Pilates appears to be a feasible multidimensional intervention for workplace health, with potential benefits across physical and psychosocial domains. Further high-quality trials are needed to clarify long-term effects, economic impact, and optimal implementation strategies within occupational settings. Full article

Neonatal defense against pathogens relies on maternal antibodies transferred both through the placenta (IgG) and through breast milk (primarily secretory IgA). Maternal IgG antibodies are transferred across the placenta to the fetus mainly via the neonatal Fc receptor (FcRn), which is expressed at high levels in placental syncytiotrophoblasts, and results in the acquisition of maternal-fetal IgG. Transplacental transfer via the FcRn pathway can provide therapeutic proteins and protective antibodies following maternal vaccination. However, maternal IgG antibodies can bind to vaccine antigens such as measles, tetanus, and poliovirus, resulting in rapid clearance through FcgRIIB-mediated inhibition and inadequate B cell activation. In this way, they can inhibit de novo immune responses and significantly reduce vaccine response. On the other hand, the interference that breast milk-derived antibodies may have on vaccine-induced immunity is still largely unknown. Vaccination against influenza, pertussis, and COVID-19 during pregnancy or lactation has been shown to induce the production of protective, pathogen-specific, secretory IgA and IgG antibodies in breast milk. Conversely, studies found that breast milk-derived antibodies of vaccinated mothers reduced vaccine-induced immunity in breastfed infants by accelerating the clearance of vaccine antigen, resulting in reduced antigen availability and reduced plasma cell formation after vaccination. Additional factors in middle- and low-income countries, including environmental (increased microbiome diversity, environmental intestinal dysfunction, malnutrition, co-infections) and breastfeeding practices, may exacerbate the interference effect of maternal antibodies. Current evidence supports that breastfeeding is associated with a reduced immunological response exclusively to the rotavirus vaccine. However, the limited evidence base to date precludes definitive conclusions regarding the role of breast milk-derived antibodies in modulating vaccine-induced immunity. Nevertheless, the evidence suggests that although maternal antibodies may theoretically reduce vaccine immunogenicity, the overall protective benefits of breastfeeding outweigh any potential interference with vaccine responses. Full article

Epichloë endophytes can confer diverse benefits to host grasses, but the differences in effects between strains from different populations are poorly understood. In this study, we compared the impacts of two Epichloë bromicola strains isolated from distinct geographic populations of Hordeum bogdanii: GS1 (from Linze County, Gansu Province) and WS1 (from Wensu County, Xinjiang Province). Through controlled inoculation experiments, we established two new symbionts—HE2 (WS1 transferred to endophyte-free GF plants) and HE3 (GS1 transferred to endophyte-free WF plants)—alongside the natural symbionts GI (GS1-harboring) and WI (WS1-harboring) and corresponding endophyte-free controls (GF and WF). Symbiosis was confirmed by microscopic observation of blue-stained hyphae, re-isolation of fungi, and molecular identification using tef and tub gene sequences. Strikingly, the two strains exerted opposite effects on host photosynthesis. GS1-colonized plants (GI and HE3) maintained normal chloroplast ultrastructure, showed increased chlorophyll a, chlorophyll b, and carotenoid contents, and exhibited enhanced net photosynthetic rate, transpiration rate, and stomatal conductance, comparable to or exceeding those of control WF. In contrast, WS1-colonized plants (WI and HE2) had deformed chloroplasts, reduced pigment contents, and depressed gas exchange parameters, similar to control GF. Both newly generated symbionts accumulated more starch grains than their natural counterparts, indicating altered carbon partitioning. Phenotypic patterns were consistent across natural and novel associations, suggesting that fungal genotype drives outcomes. Differing physiological effects caused by strains from the same species and the same host but different populations indicate the importance of strain-level selection in agricultural applications. GS1 shows promise as a growth-promoting bioinoculant to enhance photosynthesis and productivity in forage grasses, particularly under marginal conditions. This study highlights how intraspecific variation and local adaptation shape grass–endophyte interactions and informs targeted use of symbionts in sustainable agriculture. Full article

Bioenergy crops are widely regarded as a promising approach to support renewable energy production, diversify farm income, and enhance land-use efficiency. Despite these potential benefits, adoption rates remain low, and empirical understanding of landowners’ decision-making processes is still emerging. This study examines landowners’ interest in and likelihood of adopting bioenergy crops, explicitly differentiating between early-stage interest and near-term adoption intentions. Survey data from 207 landowners are analyzed using a bivariate probit model to identify key factors influencing both outcomes. The results reveal a marked disparity between expressed interest and adoption likelihood, with a significantly greater proportion of landowners indicating interest than those willing to adopt in the near term. Economic orientation increases adoption interest by 9.5 percentage points, while identity orientation increases adoption likelihood by 6.6 percentage points. Determinants such as increased awareness, land size, experience, and participation in conservation programs exert varying influences across different decision stages. These findings suggest that stated interest and stated near-term adoption likelihood represent related but distinct dimensions of adoption readiness, shaped by different economic, identity-based, and institutional factors. Effective promotion of bioenergy crops requires more than general awareness campaigns. Policies should combine financial incentives, technical assistance, market development support, and outreach strategies that present bioenergy crops as compatible with landowners’ economic goals, stewardship values, recreational uses, and long-term attachment to their land. Full article

The proposition that expanding education uniformly advances the 2030 Agenda is widely held in policy discourse—embedded in SDG 4, amplified by UNESCO, and routinely invoked in national development strategies. This paper shows that this proposition holds only partially. Using a balanced panel of 193 countries observed over 2000–2023, we estimate 96 two-way fixed-effects regressions connecting eight measures of education—spanning expenditure, enrolment, completion, attainment, and accumulated stock—to twelve Sustainable Development Goal outcomes. The estimates reveal a pronounced block asymmetry. On the social side, educational expansion is a robust correlate of progress against poverty: a one-standard-deviation increase in secondary enrolment is associated with a 0.16-log-point lower $2.15/day extreme-poverty headcount and a 4.35-point lower value on the 0–100 SDG-1 composite, both significant at p < 0.001. On the environmental side, the same education measure is associated with a coefficient of β = +0.048 (p = 0.014) on production-based CO₂ per capita and β = −0.260 (p = 0.031) on forest area—associations that are statistically significant but directionally perverse, though small in magnitude (approximately 0.05–0.26 SD on the standardised outcome). Higher schooling is also associated with higher within-country inequality (β = +0.71 on the Gini, p = 0.006). The asymmetry survives Driscoll–Kraay standard errors, Oster sensitivity bounds, and two-year lagged specifications. The findings qualify the optimistic narrative that frames education as a uniform instrument for sustainable development: schooling is a robust predictor of social-block progress, but appears insufficient on its own for environmental progress and is best understood as a complement to, rather than a substitute for, dedicated environmental policy. The 2030 architecture may benefit from differentiated instrument–goal pairs rather than reliance on any single instrument across all goals. Full article

Objectives: Three stability-indicating analytical methods featuring outstanding sensitivity, selectivity, and precision were set up for the quantification of salicylamide (SAD) and ascorbic acid (ASC) in the presence of salicylic acid (SAL), which represents a possible impurity and degradation product of SAD. The aim was to develop sensitive, selective, precise, and eco-friendly assays appropriate for routine quality control of pharmaceuticals. Methods: Method (A) was a spectrophotometric technique of a successive derivative of ratio spectra built upon a two-step derivatization of ratio spectra utilizing double-distilled water as a solvent. SAD was quantified at 247.2 nm and 257.0 nm, and ASC at 251.8 and 259.8 nm, while SAL was quantified at 305.6 nm. Technique (B) relied on ratio spectra for the mean centering analytical process applied via two sequential stages, where the amplitudes derived after the second ratio spectra of the mean centering have been recorded on 291.0, 266.0, and 241.0 nm for SAD, ASC, and SAL, in that order. Method (C) involved TLC densitometric analysis, in which the separation was carried out upon plates of silica gel with chloroform–hexane–methanol–acetone–formic acid (5:3:2:1:0.2, in volumes) as a mobile phase, monitored by densitometric detection at 240 nm. The linear relationships were observed over concentration ranges of (0.2–2 µg/band) for SAD with ASC and (0.1–1 µg/band) for SAL. Validation of the presented techniques was performed in accordance with ICH strategies. Results: These developed techniques have been effectively analyzed for SAD with ASC in pharmaceutical dosage forms with non-interfering ingredients. A statistical comparison with the previously used HPLC technique revealed no considerable difference in terms of accuracy and precision. Greenness assessment using the AGREE platform produced scores of 0.72 for the spectrophotometric approach (benefiting from aqueous solvent) and 0.62 for HPTLC (limited by chloroform). Practical applicability (BAGI = 80 for both spectrophotometry and HPTLC) and overall quality indices (CACI = 83 for spectrophotometry; 80 for HPTLC) supported routine QC suitability. Conclusions: The three developed stability-indicating methods are accurate, precise, and selective for simultaneous assay of SAD and ASC in the presence of SAL and are suitable for quality control use. The spectrophotometric procedures combine high analytical performance with an improved environmental profile, while HPTLC offers comparable analytical reliability with slightly lower greenness due to organic solvent use. Full article

In online retail, consumers cannot experience product quality before purchase. With the adoption of artificial intelligence (AI), platforms can certify product quality information. However, stronger platform certification may reduce sellers’ incentives to disclose and limit personalized information such as product fit. This study examines the conditions under which a platform should adopt AI-assisted platform certification (AIPC). We develop a game-theoretic model with one platform and two competing sellers. We compare the case of not adopting AIPC with adopting AIPC, and examine how AIPC affects seller disclosure, pricing, and profits. Sellers decide whether to disclose product information and set prices. Consumers update their quality beliefs based on seller disclosure and platform labels. Our results show that AIPC is not always the preferred strategy. When product-fit information spillovers between competing sellers are strong, the platform may be better off not adopting AIPC. When information spillovers are weak, AIPC adoption depends on consumers’ prior belief regarding product quality. Specifically, when consumers have a low prior belief that an uncertified or undisclosed product is of high quality, AIPC benefits the platform and sellers but reduces consumer surplus. When this prior belief is sufficiently high, AIPC creates a win–win–win outcome for the platform, sellers, and consumers. Full article

Mastitis remains the most economically damaging disease of dairy production, and recent molecular work has converged on the NLRP3 inflammasome as a key integrative node of its pathogenesis. This narrative review integrates evidence published largely between 2015 and 2026 to show how diverse triggers—Staphylococcus aureus and Escherichia coli, lipopolysaccharide (LPS) and lipoteichoic acid (LTA), non-esterified fatty acids (NEFA), heat stress, environmental xenobiotics including nanoplastics, and microbiota-derived signals—may funnel into a common NLRP3–ASC–caspase-1–GSDMD axis that drives pyroptosis, blood–milk barrier disruption, and clinical disease. The review examines the potential obligatory role of reactive oxygen species (ROS), mitochondrial dysfunction, and selenoprotein-mediated redox control in licensing inflammasome assembly. It further evaluates the emerging gut–mammary and rumen–mammary axes that operate upstream of local epithelial activation. We survey a structurally diverse therapeutic landscape encompassing dietary selenium, probiotics, microbial metabolites, plant-derived nanovesicles, polyphenols, ginsenosides, and small-molecule NLRP3 antagonists, identifying recurring mechanistic motifs that suggest combinatorial regimens may yield additive benefit. Importantly, much of the evidence derives from in vitro and murine models, and we highlight the translational gaps that must be bridged before clinical application in dairy cattle. Finally, we map outstanding research gaps and propose priorities for translational work aimed at sustainable, antibiotic-sparing management of bovine mastitis. Full article

Global retail e-commerce sales have surged, yet product fit uncertainty remains a significant challenge, leading to rising product return rates. To address consumer concerns about return shipping costs, major Chinese online retail platforms have introduced return shipping insurance (RSI). Retailers can choose between Retailer-RSI (RRSI), which is provided by the retailer, and Customer-RSI (CRSI), which is purchased by consumers. Despite these options, information asymmetry causes insurers to assess return rates with bias—referred to as managerial confidence bias. Consequently, platforms are increasingly partnering with insurers to enhance their RSI offerings. This study develops a game-theoretical model to examine the dynamics between a platform and an insurer, as well as the impact of managerial confidence bias on RSI strategies. Our analysis reveals that the platform–insurer relationship is crucial in determining the optimal RSI strategy. Under an independent insurer, RSI is viable only if the insurer underestimates product return rates (i.e., exhibits overconfidence bias); RRSI is preferred if the bias is sufficiently strong, whereas CRSI is chosen otherwise. In contrast, under a dependent insurer, CRSI is favored by the retailer only when its return handling costs are substantially high; otherwise, RRSI is preferred. Furthermore, RSI consistently increases consumer surplus by reducing return hassle costs while only mildly raising the product price. However, the independent insurer’s bias leads to its own profit loss, resulting in a “loss–win–win–win” scenario across stakeholders. In contrast, the dependent insurer, supported by platform subsidies, can yield a “win–win–win–win” outcome that aligns stakeholder interests and enhances long-term platform benefits. Full article

Background: Colorectal cancer (CRC) remains a leading cause of cancer-related mortality worldwide, with poor survival rates of late-stage disease. While immune checkpoint blockade (ICB) therapy has transformed treatment for mismatch repair-deficient (MMRd)/microsatellite instability-high (MSI-H) tumors, most CRC cases are mismatch repair-proficient (MMRp)/microsatellite-stable (MSS) and derive little to no benefit from current immunotherapy regimens. Tumor-associated macrophages (TAMs) constitute a significant component of the tumor microenvironment (TME) and exhibit a phenotypic gradient between pro-inflammatory (M1-like) and anti-inflammatory, immunosuppressive (M2-like) states. Although their polarization status is increasingly recognized as a key modulator of immunotherapy efficacy in CRC, a comprehensive synthesis of the literature regarding macrophage polarization and its relevance to improving CRC immunotherapy remains lacking. Methods: A systematic literature search was conducted across PubMed, EMBASE, and ScienceDirect from inception to December 2025 using terms encompassing macrophages, immunotherapy, immune checkpoint expression, colorectal cancer, and microsatellite stability status. Title, abstract, and full-text screening were performed independently by multiple authors. Sixty-five studies were included following PRISMA guidelines. The protocol was prospectively registered on PROSPERO (ID: CRD420251244320). Results: Three key themes were identified: (1) macrophage-mediated mechanisms of resistance to ICB, including M2 polarization driven by the PI3Kγ, STAT3, mTOR, and SIRT-1 axes, immunosuppressive cytokine production (IL-10, TGF-β), and altered immune checkpoint ligand expression; (2) macrophage polarization status and associated biomarkers as prognostic indicators of therapeutic response; (3) emerging macrophage-targeted therapeutic strategies in ongoing clinical trials, including CSF1R inhibitors, CD40 agonists, CD47/SIRPα blockade, and STING agonists. Conclusions: TAM polarization is a critical determinant of immunotherapy resistance and patient prognosis in CRC. Macrophage-targeted strategies, particularly M2-to-M1 repolarization approaches used in combination with existing ICB regimens, represent a promising avenue for expanding immunotherapy efficacy beyond MSI-H disease. Further translational research and randomized controlled trials are needed to validate these targets clinically. Full article

Vegetated coastal wetlands, especially mangroves, seagrass beds, and salt marshes, are biodiversity-rich ecosystems whose blue carbon outcomes depend on living communities, sediment dynamics, hydrological connectivity, and landscape context. Biodiversity conservation and blue carbon management are often assessed through separate scientific, monitoring, and policy frameworks. This review uses a staged literature search and thematic synthesis to examine biodiversity–blue carbon linkages across the three major vegetated coastal wetland types. It considers how taxonomic, genetic, functional, and habitat diversity influence productivity, sediment stabilization, trophic exchange, carbon stocks, carbon burial, and carbon retention. It also evaluates how climate change, habitat fragmentation, hydrological alteration, pollution, and anthropogenic disturbance weaken these linkages. The synthesis compares representative carbon-stock and burial-rate baselines, examines conservation and restoration synergies and trade-offs, and expands the discussion of seagrass regime shifts. Field surveys, remote sensing, unmanned aerial vehicles, environmental DNA, and AI-enabled data integration are placed within a tiered monitoring framework. The review further develops an operational decision pathway for biodiversity-centered blue carbon management. Persistent blue carbon benefits arise where conservation and restoration maintain native communities, hydrological exchange, sediment stability, habitat complexity, migration space, and long-term stewardship capacity. Full article

This study presents a comparative life cycle assessment (LCA) of a conventional wet flue gas desulfurization (FGD) process and two carbonate-melt-based FGD configurations (CMFGD-H and CMFGD-T), based on a functional unit of 1 kg SO₂ removed. Process-level life cycle inventory (LCI) data were generated using process simulation to ensure consistency and comparability across all systems. The results indicate that both CMFGD configurations significantly reduce environmental impacts in terms of global warming potential (GWP), fine particulate matter formation (PM), and terrestrial acidification (TA) compared to the conventional FGD process. Specifically, GWP decreased from 177.75 kg CO₂ eq to 37.47 and 35.68 kg CO₂ eq for CMFGD-H and CMFGD-T, respectively. Similar reductions were observed for PM and TA, primarily due to the elimination of limestone consumption, the absence of gypsum waste generation, and reduced direct process emissions. Hotspot analysis revealed that direct CO₂ emissions dominate GWP across all configurations, whereas PM and TA are influenced by both direct emissions and upstream energy supply. In the CMFGD systems, environmental burdens shift from direct emissions toward upstream processes, particularly electricity and hydrogen production, highlighting the importance of energy system characteristics. However, a clear trade-off was identified in fossil resource scarcity (FRC), which increased significantly for CMFGD configurations (1.858–1.976 kg oil eq) compared to the conventional process (0.128 kg oil eq). This increase is primarily attributed to greater dependence on upstream energy supply chains, including fossil-based electricity, fuel, and hydrogen production. Sensitivity analysis further indicates that FRC is configuration-dependent, with hydrogen consumption dominating in CMFGD-H and CO utilization playing a more significant role in CMFGD-T. Nevertheless, even with reductions in these key parameters, FRC remains substantially higher than that of the conventional process, indicating that this impact is fundamentally governed by upstream energy dependency rather than individual process variables. The results demonstrate that CMFGD technologies offer substantial environmental benefits in terms of emission-related impacts but may increase resource depletion. These findings highlight that achieving sustainable CMFGD systems requires an integrated approach that combines process optimization with low-carbon and resource-efficient energy supply. Full article

Photobiomodulation (PBM) is a non-invasive therapeutic strategy that uses red and near-infrared (NIR) light in the 590–950 nm range to modulate the cellular and molecular pathways involved in retinal homeostasis. At the molecular level, PBM acts primarily through photon absorption by cytochrome c oxidase (CcO, complex IV of the mitochondrial electron transport chain), whose four metal centres—two copper (CuA and CuB) and two heme groups (heme a and heme a₃)—absorb light across approximately 600–1000 nm. Photon capture promotes photodissociation of inhibitory nitric oxide (NO) from the binuclear CuB–heme a₃ centre, accelerates electron transfer, restores the proton-motive force and increases ATP synthesis. These primary events trigger a coordinated molecular programme that includes (i) transient mitochondrial reactive oxygen species (ROS) bursts that activate the Nrf2/Keap1/ARE axis and upregulate phase II antioxidant enzymes (HO-1, NQO1, GCLC, SOD2, catalase, GPx); (ii) calcium- and cAMP-dependent secondary signalling that converges on PI3K/Akt, MAPK/ERK, AMPK and mTOR pathways; (iii) suppression of NF-κB-driven cytokine production (TNF-α, IL-1β, IL-6) and of NLRP3 inflammasome activation; (iv) downregulation of the HIF-1α/VEGF axis, particularly at 590 nm; (v) anti-apoptotic remodelling of the Bcl-2/Bax ratio with reduced cytochrome c release and caspase-3/9 activation; and (vi) PGC-1α/TFAM/NRF1-driven mitochondrial biogenesis, alongside restoration of fission/fusion homeostasis (Drp1, Mfn1/2, Opa1) and PINK1/Parkin-mediated mitophagy. Wavelength specificity has a defined molecular basis: 590 nm modulates VEGF signalling and RPE pump activity, 660 nm interacts with the CuB centre and enhances O₂ binding at CcO, and 850 nm is absorbed by CuA and supports electron entry into complex IV. A second molecular axis is the bidirectional crosstalk between PBM and the circadian system: mitochondrial respiration, ATP turnover and CcO activity oscillate over the 24 h cycle under the control of the BMAL1/CLOCK and PER/CRY core machinery, the NAD⁺/SIRT1–SIRT3 axis and REV-ERBα. Preliminary preclinical and human observations suggest that NIR-induced bioenergetic and functional gains may be coupled to this rhythm, with greater benefit reported when light is delivered in the morning window (≈08:00–11:00); this time dependence should be regarded as an emerging hypothesis rather than an established clinical principle. The clinical evidence is unevenly developed across indications. It is most robust for non-exudative age-related macular degeneration, where multiwavelength PBM (590/660/850 nm; Valeda Light Delivery System) has shown disease-modifying potential in randomized controlled trials (LIGHTSITE I–III and the LIGHTSITE IIIB extension), with sustained BCVA gains and reduced incidence of geographic atrophy over 24 months and beyond. Evidence for retinitis pigmentosa, central serous chorioretinopathy and, with red-light monotherapy, childhood myopia is at present limited to small or short-term studies and remains preliminary. This narrative review synthesizes the molecular machinery engaged by PBM, integrates clinical findings across retinal diseases and discusses how chronotherapeutic delivery of light, aligned with the molecular clock, may further optimize therapeutic efficacy. Full article