Search Results (323)

Acute respiratory distress syndrome (ARDS) is a fatal inflammatory lung disorder with few effective treatments. Hyaluronan (HA), a major extracellular matrix component, exhibits diverse biological activities depending on its molecular weight. This study aimed to evaluate the therapeutic potential of HA of various molecular weights in a rat model of ARDS. ARDS was induced in rats via the intratracheal instillation of 5 mg of bleomycin. Seven days later, when ARDS symptoms developed, low (LHA), medium (MHA), high (HHA), and mixed (MIX HA) hyaluronan were intratracheally administered seven times from Days 7 to 28. On Day 7, arterial oxygen saturation (SpO₂) and the partial pressure of oxygen (PaO₂) decreased, carbon dioxide levels increased, the respiratory rate increased, and extensive lung cell infiltration was observed, confirming successful ARDS induction. LHA and MIX HA improved the SpO₂ and PaO₂, and the latter increased lung and alveolar volume, reduced infiltration, and normalized breathing. All HA types attenuated collagen deposition and M1 macrophage activity, while MIX HA enhanced M2 polarization and upregulated MMP-2, MMP-9, and TLR-4. LHA increased VEGF and EGF expression. These findings demonstrate that different-weight HAs provide partial ARDS protection via distinct mechanisms. MIX HA shows synergistic effects, restoring and improving lung structure and function, respectively, representing a promising ARDS therapy. Full article

Reliable models of the lung environment are important for research on inhalation products, drug delivery, and how aerosols interact with tissue. pH fluctuations frequently accompany real physiological processes in pulmonary environments, so monitoring pH changes in lung-on-a-chip devices is of considerable relevance. Presented here are flexible, miniaturized, inkjet-printed pH sensors that have been developed with the aim of integration into lung-on-a-chip systems. Different types of functional pH-sensitive materials were tested: hydrogen-selective plasticized PVC membranes and polyaniline (both electrodeposited and dropcast). Their deposition and performance were evaluated on different flexible conducting substrates, including screen-printed carbon electrodes (SPE) and inkjet-printed graphene electrodes (IJP-Gr). Finally, a biocompatible dropcast polyaniline-modified IJP was selected and paired with an inkjet-printed Ag/AgCl quasireference electrode. The printed potentiometric device showed Nernstian sensitivity (58.8 mV/pH) with good reproducibility, reversibility, and potential stability. The optimized system was integrated with a developed lung-on-a-chip model with an electrospun polycaprolactone membrane and alginate, simulating the alveolar barrier and the natural mucosal environment, respectively. The permeability of the system was studied by monitoring the pH changes upon the introduction of a 10 wt.% acetic acid aerosol. Overall, the presented approach shows that electrospun-hydrogel materials together with integrated microsensors can help create improved models for studying aerosol transport, diffusion, and chemically changing environments that are relevant for inhalation therapy and respiratory research. These results show that our system can combine mechanical behavior with chemical sensing in one platform, which may be useful for future development of lung-on-a-chip technologies. Full article

A novel two-in-one sensor for both carbon dioxide and hydrogen detection has been obtained based on a hybrid heterostructure. It consists of a 30 nm thick TiO₂ nanocrystalline film grown by atomic layer deposition (ALD), thermally annealed at 610 °C, and subsequently coated with bimetallic AgAu nanoparticles and covered with a PV4D4 nanolayer, which was thermally treated at 430 °C. Two types of gas response behaviors have been registered, as n-type for hydrogen gas and p-type semiconductor behavior for carbon dioxide gas detection. The highest response for carbon dioxide has been registered at an operating temperature of 150 °C with a value of 130%, while the highest response for hydrogen gas was registered at 350 °C with a value of 230%, although it also attained a relatively good gas selectivity at 150 °C. It is considered that a thermal annealing temperature of 610 °C is better for the properties of TiO₂ nanofilms, since it enhances gas sensor sensitivity too. Polymer coating on top is also believed to contribute to a higher influence on selectivity of the sensor structure. Accordingly, to our previous research where PV4D4 has been annealed at 450 °C, in this research paper, a lower temperature of 430 °C for annealing has been used, and thus another ratio of cyclocages and cyclorings has been obtained. Knowing that the polymer acts like a sieve atop the sensor structure, in this study it offers increased selectivity and sensitivity towards carbon dioxide gas detection, as well as maintaining a relatively increased selectivity for hydrogen gas detection, which works as expected with Ag and Au bimetallic nanoparticles on the surface of the sensing structure. The results obtained are highly important for biomedical and environmental applications, as well as for further development of the sensor industry, considering the high potential of two-in-one sensors. A carbon dioxide detector could be used for assessing respiratory markers in patients and monitoring the quality of the environment, while hydrogen could be used for both monitoring lactose intolerance and concentrations in cases of therapeutic gas, as well as monitoring the safe handling of various concentrations. Full article

Microscopic Particulate Matter (PM) below 10 µm can enter the respiratory system and affect human health in the short and long term. Railway enclosures are sites with high concentrations of fine PM and technical solutions like mechanical filtration exist to increase the air quality. However, several crucial factors must be evaluated and optimized like energy consumption, maintenance cost/interval, design and control. A fast and adaptable evaluation of decontamination solutions is required to find the optimal solution. To answer this, a 1D multizone model based on station discretization aligned with the track direction is proposed to precisely place decontamination systems along the station. In each zone, a set of ordinary differential equations is used to forecast the daily progression of PM concentrations, based on physical parameters (air and train velocities, and train traffic) used to describe the different physical phenomena (resuspension, deposition, ventilation and generation). Three-dimensional CFD (Computational Fluid Dynamics) simulations are used to characterize the efficiency and range of decontamination products and reproduce their effect in the 1D model. This approach allows for flexible optimization of local and global decontamination efficiencies with multiple parameter changes. PM₁₀ and PM_2.5 (below 10 and 2.5 µm) are studied here as they are often monitored. Full article

Microplastics (MPs), defined as plastic particles < 5 mm diameter, have become a growing public health concern. First identified in the aquatic environment in 2004 and later in air samples in 2015, airborne MPs display wide variations in shape and size, with fibres being the most common. These physical characteristics, together with others such as median aerodynamic diameter, influence how deeply they penetrate and where they deposit within the respiratory tract. Recent studies have confirmed the presence of MPs in nasal lavage fluid, bronchoalveolar lavage fluid, sputum, pleural fluid and lung tissue samples, with higher concentrations observed in older individuals, smokers and those with occupational exposure. Multiple polymer types have been identified, most frequently polypropylene, polyethylene and polyester. Experimental models demonstrate that MPs can induce inflammation, oxidative stress, mitochondrial dysfunction, microbiota alterations, fibrosis and carcinogenic changes, with toxicity generally increasing as particle size decreases. Despite the growing evidence of plastic toxicity, only a limited number of studies have examined MPs’ influence on the respiratory system, focusing mostly on polyester spheres, rather than fibres, which dominate real-world exposure. Current findings suggest MPs contribute to several pathophysiological processes and may play a role in respiratory disease. However, further research is needed to clarify the underlying mechanisms, long-term consequences and clinical relevance of these emerging pollutants. Full article

Indoor exposure to polybrominated diphenyl ethers (PBDEs), particularly those bound to fine particulate matter (PM₁, particles < 1 µm), may pose a health concern, especially in light of prolonged indoor occupancy and the capacity of ultrafine particles to reach the lower respiratory tract. This study investigates indoor exposure to PBDEs associated with PM₁ in residential homes in Zagreb, Croatia, across warm and cold seasons. BDE-47 was consistently detected in all samples, while BDE-183 was consistently absent. Elevated concentrations and increased detection frequencies of BDE-99 and BDE-100 were observed during the colder season. Consequently, total PBDE (ΣPBDE) levels in the cold season were approximately 2.5 times higher than in the warm season. Although estimated daily inhalation intakes were below established oral reference doses, the potential for deep pulmonary deposition and systemic distribution underscores the need for further investigation. These findings represent the first reported data on indoor PM₁-associated PBDEs in Europe, emphasizing the impact of seasonal dynamics on inhalation exposure due to variation on indoor contaminant levels. Full article

Twenty Dorper × Katahdin lambs (10 males and 10 females) were distributed in a 2 × 2 factorial arrangement under a randomized complete block design to evaluate the effects of thiamine diphosphate (TD) supplementation (0 vs. 250 mg/kg feed) and gender (males vs. females) on physiological responses, feedlot performance, carcass characteristics, and meat quality in a hot desert environment. The average temperature and temperature–humidity index recorded during the study were 33.60 °C and 35.89 units, respectively, indicating an extremely severe heat stress environment for lambs. Study variables were not affected (p ≥ 0.12) by the TD × gender interaction, except for dry matter intake (DMI; p = 0.02) and some head temperatures (p ≤ 0.05) and carcass zoometric measurements (p ≤ 0.05). In females, but not in males, TD decreased DMI and increased thorax depth, as well as eye, ear, and forehead temperatures. Overall, TD increased (p ≤ 0.05) surface temperatures of neck, shoulder, loin, rump, forelimb, testicles, vulva, anus, and perineum without affecting (p ≥ 0.58) rectal temperature and respiratory rate. Supplemental TD did not affect (p ≥ 0.16) growth rate, feed efficiency, carcass weight and yield, Longissimus thoracic muscle area, backfat thickness, internal fat deposition, wholesale cut yields, and meat quality traits. In conclusion, in hair ewe lambs but not in male lambs, TD supplementation at a dose of 250 mg/kg of feed in the fattening diet is an HS mitigation strategy that improves dietary energy efficiency for growth and carcass mass deposition. Furthermore, thiamine increases heat losses through the body surface, regardless of gender. Full article

Background/Objectives: Henoch–Schönlein purpura (HSP), or IgA vasculitis, is the most common small-vessel vasculitis in children, yet Indian cohort data remain limited. We aimed to describe the clinical profile, renal involvement, treatment patterns, relapse, and outcomes of pediatric HSP at a tertiary centre in South India. Methods: We conducted a retrospective review of children <18 years diagnosed with HSP (January 2013–October 2018) using EULAR/PRINTO/PRES criteria. Demographics, clinical features, laboratory parameters, treatments, and outcomes were abstracted from records and analyzed in SPSS (descriptive statistics; Chi-square/Fisher’s exact and t/non-parametric tests as appropriate). Subgroup comparisons included renal vs. non-renal disease and age <6 vs. ≥6 years. An exploratory analysis examined predictors of nephritis. Results: Of 43 children identified, 2 were excluded (misclassified as systemic lupus erythematosus); 41 were analyzed. Mean age was 8.5 years (range 3–17), male: female 1.4:1. A preceding febrile illness or upper respiratory tract infection was noted in 41.4% and 17%, respectively. Palpable purpura was universal; joint involvement 73.1%, abdominal pain 61.0%, vomiting 41.5%. Renal involvement 17% occurred only in children ≥6 years; exploratory testing supported a strong age-linked signal for nephritis. Laboratory abnormalities included anemia (48.7%), thrombocytosis (19.5%), and elevated ESR (51.2%). Skin biopsy (n = 29) showed IgA and complement deposition; renal biopsy (n = 2) showed ISKDC grades II–III. Treatments included NSAIDs 71.6%, corticosteroids 31.7%, and dapsone 24.4% (used for severe systemic/persistent cutaneous disease). Rash relapse 7.3% clustered with joint plus abdominal symptoms and was not observed among children with nephritis. At a mean 18.9-month follow-up, one child required long-term antihypertensives; no child progressed to end-stage renal disease. Conclusions: Pediatric HSP in this South-Indian cohort followed a largely self-limited course with favourable renal outcomes. Age ≥6 years flagged higher renal risk, supporting age-targeted urine and blood-pressure surveillance, while relapse appeared to follow a non-renal trajectory (joint/abdominal clustering). Steroid and dapsone use reflected clinical severity rather than relapse risk. Findings align with Indian series and suggest lower renal morbidity than some East-Asian reports, adding region-specific evidence to guide monitoring and counselling. Full article

Background: Acute lung injury (ALI) and its severe form, acute respiratory distress syndrome (ARDS), remain major causes of morbidity and mortality, yet no targeted pharmacological therapy is available. Excessive neutrophil and macrophage infiltration drives reactive oxygen species (ROS) production and cytokine release, leading to alveolar–capillary barrier disruption and fatal respiratory failure. Methods: We applied an integrative multi-omics strategy combining single-cell transcriptomics, peripheral blood proteomics, and lung tissue proteomics in a lipopolysaccharide (LPS, 10 mg/kg)-induced mouse ALI model to identify key signaling pathways. Harpagide, an iridoid glycoside identified from our natural compound screen, was evaluated in vivo (40 and 80 mg/kg) and in vitro (0.1–1 mg/mL). Histopathology, oxidative stress markers (SOD, GSH, and MDA), cytokine levels (IL-6 and IL-1β), and signaling proteins (HIF-1α, p-PI3K, p-AKT, Nrf2, and HO-1) were quantitatively assessed. Direct target engagement was probed using surface plasmon resonance (SPR), the cellular thermal shift assay (CETSA), and 100 ns molecular dynamics (MD) simulations. Results: Multi-omics profiling revealed robust activation of HIF-1, PI3K/AKT, and glutathione-metabolism pathways following the LPS challenge, with HIF-1α, VEGFA, and AKT as core regulators. Harpagide treatment significantly reduced lung injury scores by ~45% (p < 0.01), collagen deposition by ~50%, and ROS accumulation by >60% relative to LPS (n = 6). The pro-inflammatory cytokines IL-6 and IL-1β were reduced by 55–70% at the protein level (p < 0.01). Harpagide dose-dependently suppressed HIF-1α and p-AKT expression while enhancing Nrf2 and HO-1 levels (p < 0.05). SPR confirmed direct binding of Harpagide to HIF-1α (KD = 8.73 µM), and the CETSA demonstrated enhanced thermal stability of HIF-1α. MD simulations revealed a stable binding conformation within the inhibitory/C-TAD region after 50 ns. Conclusions: This study reveals convergent immune–microenvironmental regulatory mechanisms across cellular and tissue levels in ALI and demonstrates the protective effects of Harpagide through multi-pathway modulation. These findings offer new insights into the pathogenesis of ALI and support the development of “one-drug, multilayer co-regulation” strategies for systemic inflammatory diseases. Full article

In developing countries, indoor air pollution in rural areas is often attributed to the use of solid biomass fuels for cooking. Such fuels generate particulate matter (PM), carbon monoxide (CO), carbon dioxide (CO₂), polyaromatic hydrocarbons (PAHs), and volatile organic compounds (VOCs). PM created from biomass combustion is a pollutant particularly damaging to health. This rigorous study employed a personal sampling device and multi-stage cascade impactor to collect airborne PM (including PM_2.5) and deposited ash from 20 real-world kitchen microenvironments. A robust analysis of the PM was undertaken using a range of morphological, physical, and chemical techniques, the results of which were then compared to a controlled burn experiment. Results revealed that airborne PM was predominantly carbon (~85%), with the OC/EC ratio varying between 1.17 and 11.5. Particles were primarily spherical nanoparticles (50–100 nm) capable of deep penetration into the human respiratory tract (HRT). This is the first systematic characterisation of biomass cooking emissions in authentic rural kitchen settings, linking particle morphology, chemistry and toxicology at health-relevant scales. Toxic heavy metals like Cr, Pb, Cd, Zn, and Hg were detected in PM, while ash was dominated by crustal elements such as Ca, Mg and P. VOCs comprised benzene derivatives, esters, ethers, ketones, tetramethysilanes (TMS), and nitrogen-, phosphorus- and sulphur-containing compounds. This research showcases a unique collection technique that gathered particles indicative of their potential for penetration and deposition in the HRT. Impact stems from the close link between the physico-chemical properties of particle emissions and their environmental and epidemiological effects. By providing a critical evidence base for exposure modelling, risk assessment and clean cooking interventions, this study delivers internationally significant insights. Our methodological innovation, capturing respirable nanoparticles under real-world conditions, offers a transferable framework for indoor air quality research across low- and middle-income countries. The findings therefore advance both fundamental understanding of combustion-derived nanoparticle behaviour and practical knowledge to inform public health, environmental policy, and the UN Sustainable Development Goals. Full article

The concerning increase in respiratory infections that are resistant to multiple drugs has led to a growing interest in bacteriophage therapy as a potential alternative to conventional antibiotics. Effective phage delivery to the lungs, however, presents several formulation and stability issues, particularly for inhalation-based methods. This review highlights current developments in the creation of dry powder formulations that can be inhaled for pulmonary phage therapy, with a focus on encapsulation methods based on nanoparticles, such as solid lipid nanoparticles (SLNs) and polymer-based nanoparticles. These carriers enhance the aerodynamic characteristics of phages, making them suitable for deep lung deposition, while also protecting them during processing and storage. Several drying methods have been investigated to create powders with optimal morphologies, porosity, and dispersibility, including spray drying and spray freeze drying. The review also emphasizes how the phage morphotype affects stability, especially when nebulization stress is present. Furthermore, the advantages of nanoparticle matrices are confirmed by the reduced viability loss (usually< 0.5 log PFU) of encapsulated phages. Standardizing production processes, scaling up, and ensuring regulatory compliance remain challenging despite encouraging preclinical results. The combination of phage therapy with nanotechnology creates new avenues for the utilization of inhalable delivery methods to treat multidrug-resistant pulmonary infections. To translate these novel formulations from preclinical development to clinical application, sustained multidisciplinary collaboration across pharmaceutical sciences, microbiology, and clinical pharmacology is essential. Full article

PM_2.5 is an air pollutant that has a direct link to increased cardiovascular and respiratory morbidity and mortality, which has been demonstrated in numerous studies. Existing research highlights species-specific variations in the capacity of trees to capture and retain particulate matter (PM). However, a critical gap remains regarding sensitivity analyses of i-Tree Eco model assumptions. Such analyses are crucial for validating the model’s PM deposition estimates against empirically derived efficiencies, a deficiency that the present study addresses. The study consisted of two steps: a tree inventory was carried out at three selected sites, based on which, an ecosystem service analysis was performed using i-Tree Eco, and samples were taken from the leaves of trees at the analysed sites, which were the basis for comparing the data from the i-Tree Eco method and laboratory methods. The study focused on comparing PM_2.5 and PM₁₀ removal estimates derived from both the model and laboratory measurements. The results revealed significant discrepancies between the modelled and laboratory values. A comparison of the average annual PM₁₀ accumulation measured using laboratory methods for individual tree species showed that Tilia sp. achieved 24%, Fraxinus sp. 47.6%, Aesculus sp. 50.77%, and Quercus robur 23.4% of the PM₁₀ uptake efficiency estimated by the i-Tree Eco model. For PM_2.5 uptake, the values obtained through both methods were more consistent. Furthermore, trees growing under more challenging environmental conditions exhibited smaller diameter at breast height (DBH) and lower PM₁₀ and PM_2.5 removal efficiency according to both methods. While I-Tree Eco incorporates tree biophysical characteristics and health status, its methodology currently lacks the resolution to reflect site-specific environmental conditions and local pollutant concentrations at the individual tree level. Therefore, laboratory methods are indispensable for calibrating, validating, and supplementing i-Tree Eco estimates, especially when applied to diverse urban environments. Only the combined application of empirical and model-based methods provides a comprehensive understanding of the potential of urban greenery to improve air quality. Full article

Persistent RNA virus infections (PI) are often characterized by extended viral shedding and maintained cycles of inflammation. The innate immune Complement (C′) pathways can recognize acute infected (AI) cells and result in their lysis, but the relative sensitivity of PI cells to C′-directed killing is incompletely understood. Here, we extended our previous studies on the interactions of C′ with parainfluenza virus AI and PI A549 cells to two additional respiratory tract cell lines. AI Hep2 and H1975 cells infected with Parainfluenza virus 5 (PIV5) were found to be highly sensitive to C′ lysis. By contrast, PIV5 PI cells were highly resistant to killing by C″. Surface deposition of membrane attack complex (MAC) and C3 was also greatly reduced on the surface of PI cells compared to AI cells. PI cells had lower levels of surface viral glycoprotein expression compared to AI cells. Treatment of AI cells with ribavirin (RBV) showed a dose-dependent decrease in both viral glycoprotein expression and sensitivity to C′-mediated lysis. When surface viral glycoprotein levels were reduced in AI cells to those in PI cells, AI cells became similarly resistant to C′. While sialic acid levels on PI cell surfaces matched that of naïve cells, enzymatic removal of this sialic acid did not increase sensitivity to C′-mediated lysis. Despite their varying profiles of C′ activation and deposition, these studies indicate downregulation of viral gene expression as a common mechanism of C′ resistance across various parainfluenza virus PI cell lines. Full article

Spores of filamentous fungi are common biological particles in indoor air that can negatively impact human health, particularly among immunocompromised individuals and patients with chronic respiratory conditions. Airborne viruses represent an equally pervasive threat, with some carrying the potential for pandemic spread, affecting both healthy individuals and the immunosuppressed alike. This study investigated the abundance and diversity of airborne fungal spores in both hospital and residential environments, using custom designed air samplers with or without the presence of negative air ions (NAIs) inside the sampler. The main purpose of investigation was the assessment of biological effects of NAIs on fungal spore viability, deposition, mycelial growth, and sporulation, as well as airborne viral load. The precise assessment of mentioned biological effects is otherwise difficult to carry out due to low concentrations of studied specimens; therefore, specially devised and designed, ion-bioaerosol interaction air samplers were used for prolonged collection of specimens of interest. The total fungal spore concentrations were quantified, and fungal isolates were identified using cultural and microscopic methods, complemented by MALDI-TOF mass spectrometry. Results indicated no significant difference in overall spore concentration between environments or treatments; however, presence of NAIs induced a delay in the sporulation process of Cladosporium herbarum, Aspergillus flavus, and Aspergillus niger within 72 h. These effects of NAIs are for the first time demonstrated in this work; most likely, they are mediated by oxidative stress mechanisms. A parallel experiment demonstrated a substantially reduced concentration of aerosolized equine herpesvirus 1 (EHV-1) DNA within 10–30 min of exposure to NAIs, with more than 98% genomic load reduction beyond natural decay. These new results on the NAIs interaction with a virus, as well as new findings regarding the fungal sporulation, resulted in part from a novel interaction setup designed for experiments with the bioaerosols. Our findings highlight the potential of NAIs as a possible approach for controlling fungal sporulation and reducing airborne viral particle quantities in indoor environments. Full article

Fibrous structure is a promising building block for developing high-performance wearable piezoresistive sensors. However, the inherent non-conductivity of the fibrous polymer remains a bottleneck for highly sensitive and fast-responsive piezoresistive sensors. Herein, we reported a polyaniline/reduced graphene oxide @ polydopamine/poly (vinylidene fluoride) (PANI/rGO@PDA/PVDF) nanofiber piezoresistive sensor (PNPS) capable of versatile wearable biomonitoring. The PNPS was fabricated by integrating rGO sheets and PANI particles into a PDA-modified PVDF nanofiber network, where PDA was implemented to boost the interaction between the nanofiber networks and functional materials, PANI particles were deposited on a nanofiber substrate to construct electroactive nanofibers, and rGO sheets were utilized to interconnect nanofibers to strengthen in-plane charge carrier transport. Benefitting from the synergistic effect of multi-dimensional electroactive materials in piezoresistive membranes, the as-fabricated PNPS exhibits a high sensitivity of 13.43 kPa⁻¹ and a fast response time of 9 ms, which are significantly superior to those without an rGO sheet. Additionally, a wide pressure detection range from 0 to 30 kPa and great mechanical reliability over 12,000 cycles were attained. Furthermore, the as-prepared PNPS demonstrated the capability to detect radial arterial pulses, subtle limb motions, and diverse respiratory patterns, highlighting its potential for wearable biomonitoring and healthcare assessment. Full article