Search Results (12,068)

Bile acids, the primary constituents of mammalian bile, are synthesized in the liver from cholesterol and secreted into the intestine to perform essential physiological functions. Primary bile acid synthesis is the principal pathway for cholesterol catabolism and whole-body cholesterol homeostasis, occurring predominantly via the classical and alternative pathways. To elucidate the effects of altitude on serum bile acid profiles and synthesis pathways in SD rats, this study utilized UPLC-MS/MS to analyze serum bile acid composition in animals housed at high and low altitudes. Additionally, qRT-PCR and Western blotting assessed mRNA transcription and protein expression of key genes involved in primary bile acid synthesis in the liver and intestinal tissues (ileum, duodenum, and colon). Results showed that serum levels of total and primary bile acids significantly decreased with increasing altitude. Furthermore, hepatic mRNA and protein expression of Cyp7a1, Cyp8b1, Cyp27a1, and Cyp7b1 were significantly downregulated. Fxr mRNA expression in the liver, ileum, duodenum, and colon was significantly decreased with increasing altitude. Meanwhile, the protein expression of both FGF15 and SHP showed a downward trend, with a significant decrease for FGF15 and a non-significant decrease for SHP. These findings suggest that primary bile acid synthesis in SD rats is dominated by the classical pathway. As altitude increases, bile acid synthesis in SD rats is significantly inhibited, indicating that high-altitude hypobaric hypoxia is the primary inhibitory factor. This study provides critical data for elucidating the adaptive mechanisms of bile acid metabolism in mammals exposed to high-altitude hypoxia, thereby establishing a theoretical foundation for investigating the regulation of host lipid metabolism influenced by such conditions. Full article

(1) Background: Exploring regional foods can help consumers expand their options for consuming diverse food products in various forms. This could enhance human health in local populations. (2) Methods: The present study evaluated the physicochemical composition of quince powder using standard analytical methods. Color parameters were determined using a PCE-CSM colorimeter equipped with a xenon lamp; the antioxidant activity via DPPH, ABTS, FRAP, and CUPRAC methods; the sorption capacity (at 10 °C, 25 °C, 40 °C and a_w from 0.1 to 0.9) through the static gravimetric method; and monolayer moisture content (MMC) with the BET model. The isotherms were fitted via modified Chung–Pfost, Halsey, Henderson and Oswin models. (3) Results: The approximate physico-chemical composition of laboratory-produced quince powder (dried at 45 °C for 10 h) was: proteins—1.27 g, carbohydrates—75.80 g, fats—0.49 g, fibers—21.50 g, ash—2.31 g, and nutritional value—355.65 kcal. The color analysis indicated limited non-enzymatic browning. Antioxidant activity was confirmed by all four methods. The three-parametric Halsey model is recommended to describe the representative S-shaped isotherms from type II. The MMC for the adsorption process ranged from 14.41% d.b. to 7.09% d.b., and for the desorption process, it ranged from 13.11% d.b. to 7.80% d.b.; (4) Conclusions: This study presents a quince powder as a convenient form for both storage and consumption, emphasizing its value as a rich source of bioactive compounds and its suitability for home production and regular inclusion in a healthy daily diet. Full article

The aim of the study was to assess the microbial composition of bronchial secretions in chronic obstructive pulmonary disease (COPD), focusing on the impact of the exacerbation patterns on the common components of the respiratory flora and their relationship with inflammatory proteins. A total of 72 clinically stable COPD patients provided sputum and blood samples for 16S rRNA gene amplification and peripheral biomarkers. Beta-diversity analyses of the bronchial microbiome showed significant differences between infrequent and frequent (≥2) exacerbators (p = 0.001). Haemophilus was underrepresented in frequent exacerbators (relative abundance [RA] 0.07 [0.003–0.31] vs. 0.24 [0.06–2.36], p = 0.02) while the presence of Pseudomonas was increased (7.70 [0.66–11.68] vs. 1.11 [0.37–2.88], p = 0.01). Eight common taxa, Prevotella, Moryella, Atopobium, Megasphaera, Parvimonas, Veillonella, Bulleidia and Selenomonas, showed significant decreases in their RAs when exacerbations required hospitalization. RAs of Haemophilus and eight common taxa were positively correlated (p < 0.01). Among them, Porphyromonas, Leptotrichia and Selenomonas showed a negative correlation with blood interleukin-8 (IL-8) (p < 0.01) and an equivalent correlation was found for Haemophilus parainfluenzae. Frequent exacerbations cause a decrease in the RA of Haemophilus and have a more extensive impact when hospitalization is required. The RAs of common bronchial bacteria were closely related and some of them were inversely associated with blood IL-8 levels. Full article

Viral infections of grapevines reduce plantation productivity and planting material quality, necessitating the development of effective sanitization methods and comprehensive systems for monitoring plant physiological status. This study conducted a comprehensive analysis of the physiological–biochemical status of grapevine microplants (morphometric parameters, activity of key antioxidant enzymes, dehydrogenase activity, pigment composition, and relative copy number of mitochondrial and chloroplast DNA) in microclones of the rootstock Vitis riparia × Vitis berlandieri ‘Kober 5 BB’ in vitro, depending on the presence of viral infection and sanitization using thermo- and cryotherapy. Four plant variants were investigated: healthy (VIRUS FREE), infected (VIRUS), sanitized via thermotherapy (V.F.T.), and cryotherapy (V.F.K.). It was shown that, despite the absence of pronounced suppression of morphometric parameters, viral infection causes a significant increase in total protein content, catalase, polyphenol oxidase, and total dehydrogenase activity in tissues, as well as pigment imbalance (changes in the chlorophyll coefficient) and modulation of the carotenoid profile, along with alterations in the relative copy number of mitochondrial and chloroplast DNA. The relative copy number of mitochondrial and chloroplast DNA decreased in infected plants and was restored to a greater extent after cryotherapy rather than after thermotherapy. The results indicate the formation of stress-related changes (stress imprint) that persist in sanitized microclones and can serve as a multilevel marker system for assessing sanitization efficacy and monitoring the physiological status of grapevine microplants in vitro. Full article

Xynomyzithra Kritis, Pichtogalo Chanion, and Xygalo Siteias are protected designation of origin (PDO) soft cheeses from Crete, widely used in local recipes for appetizers, main courses, and desserts. This study analyzed 71 recipes containing these cheeses to evaluate their nutritional composition and compliance with criteria for balanced meals. Only seven recipes (five appetizers with Xynomyzithra Kritis and two main courses with Xygalo Siteias) met all balanced meal criteria. Most recipes exceeded recommended levels of fat and saturated fat, while carbohydrate and sugar content varied by meal type. Plant-based recipes generally showed better compliance than meat-based ones, with meat-based main courses containing significantly higher protein (12.1 g/100 g) than plant-based equivalents (6.4 g/100 g). The findings indicate that recipes containing PDO soft cheeses—particularly those with Pichtogalo Chanion—require reformulation, to improve adherence to nutritional recommendations. These findings offer practical guidance for chefs, consumers, and policymakers aiming to preserve culinary heritage while promoting healthier dietary patterns. Full article

This study aimed to investigate the ameliorative effects of glucuronolactone (GL) as a dietary additive on high-fat diet (HFD)-induced growth suppression and metabolic disorders in turbot. A 10-week feeding trial was conducted using juvenile turbot (16.7 ± 0.03 g). Two diets with different protein (%)/lipid (%) levels were formulated: PC (54/12) and NC (47/17). Based on the NC diet, three experimental diets were prepared by supplementing 200 (G200), 400 (G400), and 600 (G600) mg/kg of GL. The present results show that compared to the PC group, HFDs significantly inhibited the growth performance of turbot and induced severe metabolic disorders, hepatointestinal damage, and gut microbiota dysbiosis. Dietary GL supplementation effectively reversed these adverse effects. Specifically, compared to the NC group, GL supplementation significantly restored growth performance, enhanced non-specific immunity, and systematically improved metabolic health. In the liver, GL notably ameliorated tissue damage and downregulated key lipogenic genes (SREBP1, ACC, FAS, PPARγ), while upregulating genes involved in lipid oxidation and catabolism (PPARα1, CPT1, ACOX1, HSL, LPL) and lipid transport (ApoB100, MTP), thereby alleviating hepatic lipid deposition. Furthermore, GL activated the Nrf2/Keap1 antioxidant pathway, up-regulating the expression of genes such as SOD, CAT, GPX, and HO-1. It also suppressed the NF-κB-mediated inflammatory response (downregulation of IL-1β, IFN-γ and TNF-α2; upregulation of IL-10 and TGF-β2) and the mitochondrial apoptosis pathway (increased Bcl-2/Bax ratio; downregulation of Caspase3/7/9), collectively mitigating oxidative damage and cellular apoptosis. Moreover, GL restored intestinal morphology, enhanced the expression of tight junction proteins (Claudin-3, Claudin-7, ZO-1, Occludin) and MUC2, and inhibited MLCK signaling. These improvements led to a reduction in serum D-LA levels, indicating strengthened intestinal barrier function. Concurrently, GL reshaped the gut microbiota composition by enriching beneficial bacteria such as Akkermansia and suppressing potential pathogens like Listeria. In summary, GL effectively alleviated HFD-induced growth suppression and metabolic damage in turbot by improving lipid metabolism and alleviating hepatic injury, while concurrently restoring intestinal barrier integrity and microbiota homeostasis. Full article

Background: In this study, type B gelatin was extracted from Oreochromis niloticus scales under hydrothermal conditions at 60 °C to evaluate the effect of ultrasound-assisted pretreatment on its structural, physicochemical, thermal, and functional properties. Methods: Gelatin obtained with and without ultrasound pretreatment was systematically characterized through molecular weight analysis, proteomic profiling, size determination, surface morphology, proximate composition, thermal behavior, and gelation-related functional properties in order to assess the influence of the extraction method on gelation performance. Results: Ultrasound pretreatment slightly increased gelatin yield from 1.46 to 1.70%, indicating enhanced collagen solubilization. Proteomic analysis confirmed the predominance of fibrillar collagen proteins in both samples, although differences in protein distribution were observed. Furthermore, weight-average molecular weight analysis revealed a reduction from 212.3 ± 11.8 to 170.9 ± 13.2 kDa in the ultrasound-treated sample, suggesting partial fragmentation of collagen chains induced by cavitation effects. Structural modifications were also reflected in increased porosity and surface changes, contributing to improved colloidal stability. However, these changes significantly affect the functional behavior of the gelatin. Ultrasound-treated sample exhibited limited gel-forming capacity and failed to form stable gels at the evaluated concentration, despite complete dissolution. In contrast, gelatin extracted without ultrasound treatment retained higher-molecular-weight fractions and formed stable gels at both 5 and 10% (w/w). Thermal and spectroscopic analyses suggested that the fundamental collagen structure was preserved in both samples, although differences were observed in thermal degradation behavior. Conclusions: These results highlight the importance of controlling ultrasound-assisted extraction conditions to balance collagen recovery with the preservation of molecular integrity required for gelation, providing insights for the development of sustainable fish-derived biomaterials for pharmaceuticals and biomedical applications. Full article

Substantial tracts of fallow farmland remain unutilized across southwestern China throughout winter and spring. To explore a high-yield planting pattern for utilizing such fallow land, a cereal–legume intercropping experiment was conducted in Chengdu in 2021–2022 and in 2022–2023. This involved five different intercropping ratios of oat (Avena sativa) and common vetch (Vicia sativa) including 100:0, 75:25, 50:50, 25:75, and 0:100 based on seed number per unit area. The relative density, LER (land equivalent ratio), hay yield, nutritional composition and in vitro fermentation characteristics were assessed. The study revealed that the combination of oat and common vetch led to a significant enhancement in the production performance over the monocultures. At the flowering stage, the most balanced interspecific competition was observed at a ratio of 50:50. The ratio of 50:50 had the higher LER in the mixture—from 1.018 to 1.873—, which was significantly higher than the other two intercropping ratios in 2021–2022. At the flowing development stage in 2021–2022, the harvesting of mixed crops at the 50:50 ratio resulted in a significant higher crude protein yield, 1454.7 kg/hm², than the other intercropping ratios. As the growth stage continued, the mixture hay neutral detergent fiber and acid detergent fiber contents increased, while the relative feed value and crude fat content decreased. The soluble sugar content increased with the prolongation of the growth stage and peaked at the jointing stage, and decreased with the decrease in the proportion of oat in the mixture. Additionally, the gas production showed an overall decreasing trend with the increase in the proportion of common vetch. The dry matter degradation rate in the mixture hay was overall higher than that of the monocultures, and the NH₃-N content showed an overall trend of increasing with the decrease with the intercropping ratio of oat. Consequently, the 50:50 ratio may be recommended as an oat-common vetch intercropping ratio suitable for utilizing fallow fields in southwestern China from October to April to produce high-quality forage. Full article

Previous studies on velvet antler processing have mainly evaluated single techniques, and systematic comparisons of processing combinations are limited. This study investigated the effects of different processing combinations on the nutritional composition and physicochemical properties of velvet antler from red deer and sika deer. A 2 × 2 factorial design was applied: Blood-Retained vs. Blood-Removed and Boiled/Fried (zhuzha; no deep-frying) vs. Vacuum Freeze-Dried. In this study, Boiled/Fried was treated as a single processing method. The four processing combinations were analyzed as independent groups using one-way ANOVA. Additionally, two-way ANOVA was conducted to evaluate the main effects of pretreatment, dehydration method, and their interaction on the measured indices. To account for species background, a three-way ANOVA (species × pretreatment × dehydration) was further conducted for key indices. Moisture, crude protein, ash, and crude fat contents were determined. All composition-related indices were evaluated on both wet-weight and dry-weight bases to distinguish moisture-driven concentration or dilution effects from processing-related retention changes. Principal component analysis (PCA) and orthogonal partial least squares discriminant analysis (OPLS-DA) were conducted for multivariate evaluation. Spearman’s rank correlation was used for association analysis, and Pearson’s correlation with linear regression was applied to quantify linear relationships (reported as r). Freeze-drying significantly reduced moisture content (p < 0.01) and increased crude protein content (p < 0.05). PCA and OPLS-DA demonstrated clear compositional separation among the four processing combinations, with moisture and crude protein as the main contributors (cumulative explained variance > 83%). The effects of Blood-Retained and Blood-Removed treatments differed between species. Three-way ANOVA indicated significant species-dependent effects (e.g., species × pretreatment and or species × dehydration interactions), while the pretreatment × dehydration interaction was significant for TAAs. In the Boiled/Fried groups, total amino acid content (TAA) decreased with increasing moisture. In the Freeze-Dried groups, moisture was significantly negatively correlated with TAAs in the Blood-Retained treatment (Pearson r = −0.886, p < 0.05), whereas no significant correlation was observed in the Blood-Removed treatment (r = 0.429, p > 0.05). Wet- versus dry-basis comparisons indicated that some between-treatment differences were attributable to moisture-related concentration or dilution effects, whereas differences persisting on a dry basis more directly reflected processing-related nutrient retention. Processing combinations produced species-dependent effects in velvet antler. The three-way ANOVA supported species-dependent pretreatment effects and confirmed that the influence of blood retention or removal on amino acid outcomes was contingent on the dehydration regime (pretreatment × dehydration for TAAs). From an application standpoint, no single processing route is universally optimal across all quality attributes; freeze-drying provides a robust baseline, whereas the choice of blood retention or removal should be made in a target-oriented manner (e.g., physicochemical stability versus protein and amino acid retention) while accounting for species background and interaction effects. Therefore, these findings provide a scientific basis for improving product quality, processing efficiency, and standardization in China’s velvet antler industry. Full article

Objectives: This study aimed to investigated the role of Giardia extracellular vesicles (EVs) in intercellular communication and to evaluated their potential as vaccine candidates. Methods: The immunomodulatory effects of Giardia EVs were assessed in mouse macrophages and human monocyte-derived dendritic cells (Mo-DCs), with a particular focus on key inflammatory signaling pathways. In vivo immunogenicity was evaluated following EV administration, and the antigenic composition of EV cargo was characterized by proteomic analysis. Results: Giardia EVs activated pro-inflammatory signaling pathways in mouse macrphages, including SAPK/JNK, ERK1/2, and NF-κB. This activation was associated with IκB-α degradation and nuclear translocation of p65. Furthermore, EV stimulation significantly upregulated the expression of pro-inflammatory genes, including Il1β, Il6, Il4, Ptgs2, Nos2, and Tnf, with log₂ fold changes ranging from 3.9 to 15.8. Consistently, EVs increased iNOS protein expression (28–45%) and nitrite production (9.6–12.3-fold). In human Mo-DCs, Giardia EVs promoted cellular maturation, as evidenced by increased expression of MHC-II, CD80, and CD86, and enhanced T-cell proliferation with a Th1-skewed profile. In vivo immunization induced antigen-specific antibody responses, with IgG subclass distribution indicative of a balanced Th1/Th2 response. Proteomic analysis identified immunoreactive EV-associated proteins, including elongation factor 1-alpha, α-7.3 giardin, tubulin, and variant surface proteins (VSPs), which are well-established antigens in Giardia infection, with prominent bands observed at approximately 22 kDa and 50 kDa. Conclusions: Collectively, these findings demonstrate that Giardia EVs modulate innate immune responses in vitro, elicit antigen-specific humoral immunity in vivo, and contain conserved immunogenic proteins. These properties support their potential as a promising cell-free vaccine platform against giardiasis. Full article

Picnomon acarna (L.) Cass. is a Mediterranean medicinal plant with limited phytochemical and bioactivity characterisation. In this study, methanolic extracts obtained by maceration (MAC), Soxhlet (SOE), and ultrasound-assisted extraction (UAE) were comparatively investigated to determine their phytochemical composition and biological potential. Liquid chromatography–electrospray ionisation–tandem mass spectrometry (LC–ESI–MS/MS) analysis identified and quantified 24 phenolic compounds, with hesperidin, chlorogenic acid, and hyperoside as the dominant constituents. The maceration extract exhibited the highest total phenolic content (29.06 mg GAE/g extract) and showed superior antioxidant performance across six complementary assays [2,2-diphenyl-1-picrylhydrazyl (DPPH), 2,2′-azinobis-(3-ethylbenzothiazoline-6-sulfonic acid) (ABTS), cupric reducing antioxidant capacity (CUPRAC), ferric reducing antioxidant power (FRAP), phosphomolybdenum, and ferrous-ion chelation), reflected by the highest relative antioxidant capacity index (RACI = 0.93). Enzyme inhibition assays revealed extraction-dependent activity patterns: Soxhlet and ultrasound extracts demonstrated stronger acetylcholinesterase inhibition (IC₅₀ ≈ 1.23 mg/mL), while Soxhlet extract showed the most potent tyrosinase (AChE) inhibition (IC₅₀ = 1.48 mg/mL). α-Amylase inhibition was comparable among extracts (IC₅₀ = 1.90–2.03 mg/mL). Pearson correlation analysis indicated strong relationships between major phenolics and antioxidant activity. Molecular docking further supported these findings, showing favourable binding affinities of hesperidin, hyperoside, and chlorogenic acid toward α-amylase and acetylcholinesterase, while only chlorogenic acid and hyperoside demonstrated favourable interactions with tyrosinase-related protein-1 (TYRP1), whereas hesperidin did not exhibit a meaningful binding affinity. Overall, the results demonstrate that the extraction strategy significantly influences the phenolic composition and multi-target bioactivity of P. acarna, highlighting its potential as a source of natural antioxidant and enzyme-modulating compounds. Full article

Background/Objectives: Metabolic diseases are increasingly associated with diets low in bioactive compounds. Native maize varieties possess functional potential; however, they remain underutilized. Moringa oleifera leaf flour (MF), rich in protein and polyphenols, represents a promising functional ingredient. This study evaluated the incorporation of MF into red native corn tortillas and its effects on nutritional composition and antioxidant capacity, as well as assessed its hypoglycemic and hypolipidemic effects in Wistar rats. Methods: Tortillas were formulated with 5% MF. Nutritional composition was determined using standard AOAC methods, while bioactive compounds (total phenolics and flavonoids) and antioxidant activity were evaluated using Folin–Ciocalteu, aluminum chloride (AlCl₃) colorimetric, DPPH^•, and ABTS^•+ assays, respectively. Male Wistar rats (12 weeks old, with an approximate weight ofs 360 g; n = 5/group) were fed the experimental diets for 21 days with either a standard diet, a high-fat diet, or high-fat diets supplemented with MF or MF-enriched tortillas. Serum glucose, triglycerides, total cholesterol, and HDL were measured using enzymatic colorimetric methods. Data were analyzed by ANOVA followed by Tukey’s test (p < 0.05). Results: MF incorporation increased protein (+19.85%), dietary fiber (+18.51%), and mineral content (+41.03%) compared to control tortillas. Total phenolics and flavonoids increased by 114.0% and 184.7%, respectively. Antioxidant activity improved significantly, as evidenced by reductions in IC₅₀ values of 41.1% (DPPH^•) and 43.1% (ABTS^•). In vivo, MF-enriched tortillas reduced triglycerides by 68.4%, total cholesterol by 16.2%, and hepatic lipid accumulation by 31.8% compared to the high-fat diet group. Glucose levels showed a reduction of 8.5%, although not statistically significant (p > 0.05). Conclusions: The incorporation of MF into red corn tortillas significantly enhances their nutritional and functional properties. In vivo results also showed improvements in lipid profile and a non-significant reduction in glucose levels. These findings support the development of functional foods based on traditional staples with potential health benefits. Full article

Brewer’s spent grain (BSG) is one of the major by-products of the brewing industry and an abundant lignocellulosic stream with potential for energy recovery and broader biorefinery use. This review evaluates the main BSG-to-energy pathways, including anaerobic digestion (AD), combustion/co-combustion, pyrolysis, gasification, and hydrothermal processes (HTC/HTL), with emphasis on technical performance, environmental aspects, implementation constraints, and integration into brewery systems. Particular attention is given to the effect of BSG heterogeneity, high moisture content, protein and ash composition, and storage instability on process selection and operability. In addition to summarizing pathway-specific evidence, the manuscript proposes a harmonized comparative framework and an integrated technical–economic–environmental interpretation of BSG valorization options. The analysis shows that wet-feed-compatible pathways, especially AD and hydrothermal processing, are generally better aligned with the intrinsic properties of fresh BSG, whereas thermochemical routes usually require more intensive feedstock conditioning and tighter control of ash-related and gas cleaning risks. The review also highlights that long-term operational reliability, scale-up constraints, and utility integration are as important as nominal conversion efficiency when assessing practical deployment. Current evidence suggests that the most realistic implementation strategies are context-dependent and should be selected according to brewery scale, energy demand profile, available heat integration, and acceptable operational risk. Future research should prioritize harmonized reporting, long-term industrial validation, and the development of robust hybrid systems and brewery-integrated biorefinery configurations. Full article

The aim of this study was to comprehensively characterize lavender pellets produced from post-distillation residues and evaluate their multifunctional valorization potential. Physicochemical properties, including moisture, ash, heating value, organic matter, total and organic carbon, macro- and micronutrients, potentially toxic heavy metals, polyphenols, microbiological safety, and nutritive composition, were assessed. The pellets demonstrated an energy content comparable to other agricultural residues, with a higher heating value of 18,900 kJ/kg and a lower heating value of 16,603 kJ/kg. High organic matter (87%) and a slightly acidic pH support soil moisture retention, while favorable macronutrient levels enhance their suitability as a soil amendment. Water-based extractions (infusion and decoction) achieved higher yields (15.60–21.66%) than ethanol (13.04%) and more effectively recovered bioactive polyphenols, particularly rosmarinic and chlorogenic acids. Low moisture and water activity ensured storage stability and minimal microbial growth, which was confirmed by microbiological safety tests. Nutritionally, pellets contained moderate protein (9.38%), high cellulose (33.38%), and low fat (2.18%), with total amino acids of 8.91 g/100 g and 36.7% essential amino acids, along with a favorable fatty acid profile rich in polyunsaturated fractions. Overall, these findings highlight lavender pellets as a sustainable resource for energy, soil improvement, bioactive compound recovery, and complementary animal feed within circular economy frameworks. However, future research should focus on investigating whether residual compounds remain in lavender residues that could exert antifeedant or phytotoxic effects. Additionally, the potential for the sequential valorization of lavender residues should be explored, initially through the extraction of bioactive phenols, followed by pellet production for use as fuel or soil amendments. This approach would enable multiple cascading uses and maximize their contribution to comprehensive circular economy strategies. Full article

Background and Objectives: Cardiac Syndrome X (CSX), a clinical entity within the Ischaemia with Non-Obstructive Coronary Arteries (INOCA) spectrum, is increasingly recognised as an inflammatory and systemic vascular disorder. Remnant cholesterol (RC) and inflammation are emerging contributors to residual cardiovascular risk; however, their combined role in microvascular angina remains unclear. This study aimed to evaluate the association between the remnant cholesterol inflammation index (RCII), integrating RC and high-sensitivity C-reactive protein (hs-CRP), and the clinical presence of CSX. Methods: This single-centre, retrospective observational study included 392 individuals who underwent coronary angiography between January 2023 and January 2025. The study population comprised 197 patients diagnosed with CSX and 195 control subjects with normal coronary anatomy and no objective evidence of myocardial ischaemia. RC was calculated as total cholesterol minus the sum of LDL-C and HDL-C, and RCII was derived as RC × hs-CRP. Importantly, invasive microvascular testing (e.g., CFR or IMR) was not performed. Logistic regression analyses were performed to identify independent predictors of CSX, and receiver operating characteristic (ROC) curve analysis was used to evaluate diagnostic performance. Results: Patients with CSX exhibited significantly higher levels of hs-CRP, SII, and RCII compared with controls (all p < 0.001). In the multivariable logistic regression analysis, RCII demonstrated an independent association with CSX (odds ratio 1.095, 95% confidence interval 1.060–1.131; p < 0.001). ROC curve analysis showed that RCII provided moderate but significant discrimination for CSX (area under the curve [AUC] 0.765, 95% CI 0.695–0.795). Pairwise comparisons confirmed that RCII had a significantly higher AUC than RC, hs-CRP, or SII individually. Conclusions: Higher RCII levels appear to be significantly associated with the clinical diagnosis of CSX. By integrating atherogenic remnant cholesterol burden and systemic inflammation, RCII may serve as a valuable composite biomarker for identifying residual inflammatory lipid risk. Rather than acting as a definitive diagnostic tool, these findings warrant further validation in large-scale prospective cohort studies. Full article