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Keywords = toxicity reduction

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20 pages, 1744 KB  
Article
Development of an Electrochemical System for Cleaning Oil Refinery Waste from Sulfides and Organic Pollutants
by Antonina Andreevna Filimonova, Hristo Ivanov Beloev, Artur Maratovich Khairutdinov, Andrey Alexandrovich Chichirov, Egor Sergeevich Mayorov, Alena Yurevna Vlasova, Ruzina Farsilovna Kamalieva, Andrey Artemovich Filimonov, Iliya Krastev Iliev and Ivan Hristov Beloev
Energies 2026, 19(8), 1904; https://doi.org/10.3390/en19081904 (registering DOI) - 14 Apr 2026
Abstract
Sulfide-alkaline wastewater (SAW) from petrochemical plants, particularly from pyrolysis and hydrotreating units, presents a significant environmental challenge due to its high toxicity, extreme alkalinity (pH > 12), and high concentrations of sulfides and organic pollutants. Traditional treatment methods like acid neutralization or air [...] Read more.
Sulfide-alkaline wastewater (SAW) from petrochemical plants, particularly from pyrolysis and hydrotreating units, presents a significant environmental challenge due to its high toxicity, extreme alkalinity (pH > 12), and high concentrations of sulfides and organic pollutants. Traditional treatment methods like acid neutralization or air oxidation are often inefficient, generate secondary waste, or fail to recover valuable components. This study investigates the effectiveness of a novel electrochemical system for the simultaneous treatment of SAW and recovery of valuable products. A lab-scale four-chamber electrodialyzer, equipped with cation-exchange membranes and nickel bipolar electrodes, was designed and tested using real industrial wastewater. The wastewater was characterized by a pH of 13.06, chemical oxygen demand of 12,600 mg/L, and a sulfide content of approximately 5000 mg/L. The process leverages anodic oxidation to convert sulfide ions into elemental sulfur, while sodium cations migrate through cation-exchange membranes to the cathodic compartments. There, water reduction generates high-purity hydrogen (≥99.9%) and a concentrated, purified sodium hydroxide solution. The results demonstrate the ineffectiveness of electrodialysis with anion-exchange membranes due to rapid membrane degradation. In contrast, the proposed electrodialyzer with bipolar electrodes achieved excellent performance: a caustic soda solution with a concentration of 2.3–2.5% was recovered with a current efficiency of 83–85%, containing only trace amounts of sulfides (0.0052%) and organic impurities (0.053%). The process completely removed the original sulfide alkalinity. The study confirms the chemical and mechanical stability of the cation-exchange membranes under harsh SAW conditions. The proposed technology offers a path towards a closed-loop system in refineries by enabling the reuse of recovered caustic, utilization of hydrogen, and potential recovery of sulfur, aligning with the principles of green chemistry and circular economy. Full article
(This article belongs to the Section B: Energy and Environment)
21 pages, 7433 KB  
Article
Toxicokinetic-Oriented Assessment of Nepetalactone Using In Silico ADMET Modeling, In Vitro Rat and Human Liver Microsomes, and UHPLC–MS/MS Metabolite Characterization
by Nicolae-Bodgan Stoica, Antonio Cascajosa-Lira, Adriana Morea, Giorgiana M. Catunescu, Ruth Hornedo-Ortega and Remedios Guzmán-Guillén
Toxics 2026, 14(4), 319; https://doi.org/10.3390/toxics14040319 - 12 Apr 2026
Viewed by 69
Abstract
Nepetalactone (NL) is a volatile iridoid monoterpene widely used in biopesticidal and repellent applications, yet its toxicokinetic behavior and metabolic fate as a pure compound remain poorly characterized. This study aimed to provide an integrated toxicokinetic evaluation of NL by combining in silico [...] Read more.
Nepetalactone (NL) is a volatile iridoid monoterpene widely used in biopesticidal and repellent applications, yet its toxicokinetic behavior and metabolic fate as a pure compound remain poorly characterized. This study aimed to provide an integrated toxicokinetic evaluation of NL by combining in silico absorption, distribution, metabolism, excretion and toxicity (ADMET) modeling with in vitro metabolism assays using rat and human liver microsomes, supported by UHPLC–MS/MS analysis for metabolite identification. The in silico biotransformation predicted extensive phase I oxidation followed by phase II conjugation, while ADMET predictions indicated low systemic persistence and limited toxicological concern for most metabolites. The performed in vitro microsomal assays confirmed the in silico prediction by a rapid and time-dependent NL metabolism via both oxidative (86% reduction in NL concentration after 120 min) and conjugative (89% reduction in NL concentration after 120 min) pathways in rat and human systems, with comparable depletion kinetics between species. UHPLC–MS/MS enabled the identification of multiple phase I and phase II metabolites, pointing to pronounced interspecies differences in conjugative metabolism. In this sense, while oxidoreduction and hydrolysis reactions were consistent with previously reported iridoid metabolism. This study suggests the possible formation of previously unreported amino acid-related derivatives, although these require further confirmation. Overall, these findings advance the understanding of NL biotransformation, propose a new, previously unknown, metabolic pathway for iridoids, and provide relevant data to support human health and environmental risk assessment frameworks. Full article
(This article belongs to the Collection Predictive Toxicology)
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19 pages, 899 KB  
Article
Physicochemical Properties, Colloidal Stability, and Encapsulation Efficiency of Lecithin-Based and Chitosan-Coated Liposomes Loaded with Cinnamomum zeylanicum Bioactives
by Sheba M. Culas, Lovedeep Kaur, David G. Popovich and Ali Rashidinejad
Appl. Sci. 2026, 16(8), 3754; https://doi.org/10.3390/app16083754 - 11 Apr 2026
Viewed by 123
Abstract
Cinnamomum zeylanicum (C. zeylanicum) is rich in bioactives, such as cinnamaldehyde and phenols, which are susceptible to thermal degradation, volatilisation, and oxidative deterioration during processing and storage, thereby reducing chemical stability and limiting bioavailability. Encapsulation using lecithin and chitosan-based systems mitigates [...] Read more.
Cinnamomum zeylanicum (C. zeylanicum) is rich in bioactives, such as cinnamaldehyde and phenols, which are susceptible to thermal degradation, volatilisation, and oxidative deterioration during processing and storage, thereby reducing chemical stability and limiting bioavailability. Encapsulation using lecithin and chitosan-based systems mitigates these instabilities by forming a protective barrier against oxygen, light, and heat while enhancing structural stability. In this study, freeze-dried extracts of C. zeylanicum were encapsulated into lecithin-based primary liposomes (PL) and chitosan-coated secondary liposomes (CH/L). The coating of liposomes with chitosan improves the liposome stability, mucoadhesion, and provides protection in the gastric pH while facilitating electrostatic bonding with the biological membrane. The high compatibility and low toxicity of chitosan also make it a suitable carrier in food and nutraceutical applications. The formed liposomes were characterised for particle size, polydispersity index, zeta potential, encapsulation efficiency (EE), and storage stability over 8 weeks. CH/L showed superior EE (89.027%) compared to the PL (84.154%; p < 0.05). The particle size, polydispersity index, and zeta potential of the cinnamon-loaded lecithin-based primary liposome (CZ-PL) upon formation were 161.93 nm, 0.13, and −37.597 mV. In comparison, those of the cinnamon-loaded chitosan-coated liposomes (CZ-CH/L) were 591.7 nm, 0.27, and +28.17 mV. The particle size of CZ-PL and CZ-CH/L was 175.90 and 588.60 nm after 8 weeks of storage. The TEM confirmed the spherical morphology of the liposomes. The differential scanning calorimetry analysis demonstrated the disappearance of the characteristic cinnamon melting peak and shifts in liposomal transition temperatures, confirming successful encapsulation. FTIR analysis showed reduction or disappearance of characteristic cinnamon fingerprint peaks and slight band shifts, indicating successful encapsulation and non-covalent interactions, including hydrogen bonding and electrostatic effects, within the liposomal systems. These findings imply that lecithin-based and chitosan-coated liposomes could be employed to successfully carry C. zeylanicum bioactives. Full article
(This article belongs to the Special Issue Hydrocolloids: Characteristics and Applications)
16 pages, 2762 KB  
Article
The Co-Administration of Fluoroquinolones Strongly Increases the Anticancer Efficacy of Carboplatin Treatment—Novel Insights for Breast Cancer Chemotherapy from the Canine Mammary Tumor Model
by Michele Tomanelli, Lorella Maniscalco, Katia Varello, Chaimae Sellak, Isabella Martini, Tullio Florio, Paola Modesto and Aldo Pagano
Biology 2026, 15(8), 604; https://doi.org/10.3390/biology15080604 - 11 Apr 2026
Viewed by 171
Abstract
Human breast cancer (HBC) is the most common and often lethal malignancy in women. Canine mammary tumors (CMTs) share significant molecular and clinical characteristics with HBC, which makes dogs a valuable spontaneous model for the study of HBC. HBC chemotherapy treatment relies mainly [...] Read more.
Human breast cancer (HBC) is the most common and often lethal malignancy in women. Canine mammary tumors (CMTs) share significant molecular and clinical characteristics with HBC, which makes dogs a valuable spontaneous model for the study of HBC. HBC chemotherapy treatment relies mainly on carboplatin, which is effective but, in turn, highly toxic. Here we tested enrofloxacin, a Minichromosomal Maintenance Complex Component (MCM2) inhibitor, for its ability to increase tumor cell sensitivity to platinum-based drugs, thus suggesting a potential synergistic therapeutic strategy. CMT samples were used to establish primary cell cultures. Cells were treated with carboplatin, enrofloxacin, and their combination at different concentrations. Cytotoxic and antiproliferative effects were assessed using xCELLigence and MTT assays. Single-drug treatments exert limited effects on cell proliferation, while enrofloxacin significantly enhances carboplatin efficacy, leading to a complete growth arrest within 48 h. The MTT assay confirms a strong synergistic effect of the two drugs, whereas the Dose Reduction Index analysis indicates that carboplatin could be decreased without losing effectiveness. These findings suggest that combined therapy could represent a more effective and less toxic option for HBC and CMTs. This work also strengthens the possible use of the canine model for cancer studies within a One Health framework. Full article
(This article belongs to the Section Cancer Biology)
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17 pages, 702 KB  
Article
Surface Carrier Testing of Hospital Antiseptics Against Candida parapsilosis from Healthcare Workers’ Hands
by Jenyffie Araújo Belizário, Maria Eduarda Brites Jardine, Gabrielle Lameado Pereira, Murilo Molina Stefani, Ralciane de Paula Menezes, Denise von Dolinger de Brito Röder, Reginaldo dos Santos Pedroso, Sérgio Ricardo Ambrósio, Gil Benard and Regina Helena Pires
Pathogens 2026, 15(4), 410; https://doi.org/10.3390/pathogens15040410 - 10 Apr 2026
Viewed by 204
Abstract
Candida parapsilosis is a major cause of healthcare-associated infections due to its persistence on abiotic surfaces and efficient transmission via healthcare workers’ hands. This study evaluated the antifungal efficacy and safety of clinically relevant antiseptics against 60 C. parapsilosis clinical isolates using a [...] Read more.
Candida parapsilosis is a major cause of healthcare-associated infections due to its persistence on abiotic surfaces and efficient transmission via healthcare workers’ hands. This study evaluated the antifungal efficacy and safety of clinically relevant antiseptics against 60 C. parapsilosis clinical isolates using a surface carrier test designed to simulate contamination and disinfection events on hospital surfaces. Antifungal activity was assessed by logarithmic reduction (log10) assays on surface carriers and by minimum inhibitory concentration (MIC) testing. Potential synergistic interactions between antiseptics and selected phytochemicals were investigated using checkerboard assays, and toxicity was evaluated in vivo using Caenorhabditis elegans. Surface carrier assays showed that 70% ethanol and 0.5% alcoholic chlorhexidine (CHG) achieved the highest fungicidal activity, with reductions of up to 5 log10 after 1 min exposure at 25 °C. Polyhexamethylene guanidine hydrochloride (PHMGH) displayed consistently low MIC values (0.4–0.9 ppm) and intermediate surface activity. CHG combined with eugenol or menthol produced strong synergistic interactions, reducing CHG MICs from up to 6250 ppm to as low as 20 ppm (>300-fold). Toxicity assays revealed a narrow safety margin for CHG, whereas PHMGH showed a more gradual concentration-dependent toxicity profile. These findings highlight clinically relevant differences in antiseptic performance and identify combination strategies that may reduce CHG exposure while maintaining antifungal efficacy. Full article
(This article belongs to the Special Issue Insights into Fungal Infections)
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27 pages, 3973 KB  
Article
A Process Systems Engineering Approach to Model and Optimize Cr6+-Free and Pd-Free Plating on Plastics Technologies
by Konstantinos A. Pyrgakis, Eleni Poupaki, Michalis Kartsinis, Melina Psycha, Alexios Grigoropoulos, Dimitrios Zoikis-Karathanasis and Alexandros Zoikis-Karathanasis
Polymers 2026, 18(8), 919; https://doi.org/10.3390/polym18080919 - 9 Apr 2026
Viewed by 113
Abstract
Plating on Plastics (PoP) requires specific surface pre-treatment steps to enable metallization. The conventional PoP industry utilizes hexavalent chromium (toxic, carcinogenic) and palladium (critical raw material) for surface etching and activation, respectively, raising significant health, environmental, and economic concerns. This work is based [...] Read more.
Plating on Plastics (PoP) requires specific surface pre-treatment steps to enable metallization. The conventional PoP industry utilizes hexavalent chromium (toxic, carcinogenic) and palladium (critical raw material) for surface etching and activation, respectively, raising significant health, environmental, and economic concerns. This work is based on a new Cr6+-free and Pd-free PoP technology that uses piranha (H2O2-H2SO4) solutions for surface etching, nickel salts for activation, and NaBH4 for reduction, ultimately forming metallic nucleation sites for downstream electroless plating and electroplating. A comprehensive modeling approach was developed to simulate and predict unit operation performance (reaction kinetics and yields) and material properties (contact angle and adhesion) across processing stages of the new technology. State-of-the-art and data-driven modeling revealed the combinatorial relationships among process performance, the achieved properties and the different settings of process operating conditions. The results also highlighted capabilities for tuning all processes over a range of conditions, reaching desired product specifications (adhesion and thickness). The models were constructed as a Decision Support Tool (DST) serving economic, environmental, safety and Safe and Sustainable by Design (SSbD) objectives. The DST can be used through a user-friendly interface that enables the insertion of user-defined inputs and monitoring of optimization results. Full article
(This article belongs to the Section Polymer Processing and Engineering)
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14 pages, 2174 KB  
Article
PFAS Compounds Display Distinct Toxicological Effects in Drosophila melanogaster, Reflected by Reduced Viability and Impaired Neuronal Function
by Klara Luedtke, Cristian Blanco Rocha, Magdalena Svensson and Ann-Christin Brorsson
Biomolecules 2026, 16(4), 557; https://doi.org/10.3390/biom16040557 - 9 Apr 2026
Viewed by 173
Abstract
Per- and polyfluoroalkyl substances (PFAS) are environmentally persistent chemicals associated with a wide range of adverse health effects, yet individual PFAS compounds may exert distinct toxicological mechanisms. In this study, we investigate the toxic effects of perfluorooctanoic acid (PFOA) and perfluorononanoic acid (PFNA) [...] Read more.
Per- and polyfluoroalkyl substances (PFAS) are environmentally persistent chemicals associated with a wide range of adverse health effects, yet individual PFAS compounds may exert distinct toxicological mechanisms. In this study, we investigate the toxic effects of perfluorooctanoic acid (PFOA) and perfluorononanoic acid (PFNA) in Drosophila melanogaster using survival assays and measurements of acetylcholinesterase (AChE) activity as indicators of systematic toxicity and neurotoxicity, respectively. Male flies were exposed to PFOA and PFNA under different feeding conditions, concentrations, and temperatures. Both compounds reduced fly viability and impaired neuronal function, but with markedly different toxicological profiles. PFNA caused a pronounced, concentration-dependent reduction in lifespan under all tested conditions, indicating a strong systemic toxicity. In contrast, PFOA exerted a comparatively weaker effect on survival but induced a more pronounced reduction in AChE activity, consistent with enhanced neurotoxicity. PFOA-induced neurotoxicity in Drosophila may represent early molecular events that predispose neurons to degeneration, contributing to conditions such as dementia. Together, these findings demonstrate that structurally similar PFAS compounds can induce distinct toxicological outcomes and highlight the importance of evaluating individual PFAS using complementary assays. Moreover, this study underscores the utility of Drosophila melanogaster as a sensitive and mechanistically informative model for dissecting compound-specific PFAS toxicity. Full article
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15 pages, 1368 KB  
Article
Optimized Decolorization of Methylene Blue by Bacillus cereus: A Genomic and Analytical Approach
by Fatima Hamadeh, Thibaut Armel Chérif Gnimadi, Mano Joseph Mathew, Charbel Al-Bayssari, Mounir Kassir, Rana El Hajj and Dalia El Badan
Appl. Microbiol. 2026, 6(4), 52; https://doi.org/10.3390/applmicrobiol6040052 - 8 Apr 2026
Viewed by 228
Abstract
Synthetic dyes, such as methylene blue (MB), constitute a major category of environmental pollutants due to their toxicity, persistence, and resistance to standard treatment methods. In this study, Bacillus cereus BC WW Saida was isolated from the heavily polluted Saida dumpsite in Lebanon [...] Read more.
Synthetic dyes, such as methylene blue (MB), constitute a major category of environmental pollutants due to their toxicity, persistence, and resistance to standard treatment methods. In this study, Bacillus cereus BC WW Saida was isolated from the heavily polluted Saida dumpsite in Lebanon and evaluated for its MB degradation efficiency. The isolate was identified through whole-genome sequencing, which revealed the presence of key enzymatic systems involved in azo dye degradation. Under optimized conditions, the strain achieved 82% decolorization, as determined by optical density measurements using a microplate reader. The process was further examined using High-Performance Liquid Chromatography (HPLC), which revealed a significant reduction in the original dye peak and the emergence of new intermediate products. These findings suggest the strong biodegradation capability of B. cereus BC WW Saida isolated from contaminated environments and highlight its potential application in the eco-friendly treatment of azo dye-contaminated wastewater. Full article
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16 pages, 3614 KB  
Article
Corneal Toxicity of Mirvetuximab Soravtansine: Multimodal Imaging Features and Implications for Ophthalmologic Management
by Francesco De Dominicis, Andrea Giudiceandrea, Martina Cocuzza, Simone Bruzio, Romina Fasciani, Luigi Mosca, Chiara Giudiceandrea, Matteo Salgarello, Epifanio Giudiceandrea, Filippo Amore, Stanislao Rizzo, Maria Vittoria Carbone, Vanda Salutari, Anna Fagotti and Tommaso Salgarello
Diagnostics 2026, 16(7), 1107; https://doi.org/10.3390/diagnostics16071107 - 7 Apr 2026
Viewed by 205
Abstract
Background: Mirvetuximab soravtansine (MIRV) improves outcomes in FRα-positive, platinum-resistant ovarian cancer; however ocular adverse events (OAEs), particularly corneal epithelial toxicity, are frequent and warrant structured ophthalmologic monitoring. Methods: In this retrospective observational study, 31 consecutive patients receiving MIRV for FRα-positive gynecologic malignancies underwent [...] Read more.
Background: Mirvetuximab soravtansine (MIRV) improves outcomes in FRα-positive, platinum-resistant ovarian cancer; however ocular adverse events (OAEs), particularly corneal epithelial toxicity, are frequent and warrant structured ophthalmologic monitoring. Methods: In this retrospective observational study, 31 consecutive patients receiving MIRV for FRα-positive gynecologic malignancies underwent standardized ophthalmic assessments at baseline and prior to each treatment cycle (every 21 days). The protocol included best corrected visual acuity (BCVA), slit-lamp biomicroscopy, anterior-segment optical coherence tomography (AS-OCT), corneal topography, and tear film analysis. OAEs were graded according to the Common Terminology Criteria for Adverse Events (CTCAE) v5.0, based on symptom severity and functional impairment. Results: OAEs occurred in all patients (31/31, 100%), predominantly grade 1–2. Corneal epithelial toxicity was documented in 28/31 patients (90.3%), while no grade ≥ 3 events were observed. Symptoms typically developed 7–14 days after the second infusion. AS-OCT and corneal topography consistently revealed epithelial microcysts and surface irregularities, which were usually detected during scheduled pre-cycle ophthalmologic evaluations. Tear-film instability (break-up time ≤ 5 s) developed in 19/31 patients (61.3%), generally within 10 days after the second infusion, and improved in all but 2 patients (6.5%) following prophylactic lubrication. Transient refractive changes occurred in 28/31 patients (90.3%) and were associated with a temporary BCVA reduction (mean nadir ~20/32 Snellen), followed by recovery during follow-up. Conclusions: MIRV-related ocular alterations are frequent but reversible and clinically manageable. Multimodal imaging combined with functional and refractive assessment provides sensitive markers of corneal epithelial toxicity and supports integrated ophthalmologic monitoring to preserve visual function and maintain oncologic treatment continuity. Full article
(This article belongs to the Section Medical Imaging and Theranostics)
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22 pages, 6753 KB  
Article
Ginkgolic Acids Degradation by the Ginkgo biloba Endophytic Fungus Fusarium sp. DLT-118
by Lu-Ting Dai, Zhi-Fang Yu, You-Xing Zhao and Yi Zheng
Foods 2026, 15(7), 1247; https://doi.org/10.3390/foods15071247 - 6 Apr 2026
Viewed by 287
Abstract
Ginkgolic acids (GAs), the principal toxic constituents in Ginkgo biloba, pose health risks including cytotoxicity, allergenicity, and pro-inflammatory effects, limiting the application of Ginkgo resources in the food and health product industries. Developing efficient and environmentally friendly removal methods is essential. The [...] Read more.
Ginkgolic acids (GAs), the principal toxic constituents in Ginkgo biloba, pose health risks including cytotoxicity, allergenicity, and pro-inflammatory effects, limiting the application of Ginkgo resources in the food and health product industries. Developing efficient and environmentally friendly removal methods is essential. The endophytic fungus Fusarium sp. DLT-118, isolated from Ginkgo biloba, degraded 96.47% of GAs in Ginkgo biloba leaf extract (GE) at an initial concentration of 1 mg/mL within 7 days at 28 °C, while concurrently enhancing the antioxidant activity of GE, as indicated by a reduction in the 2,2-diphenyl-1-picrylhydrazyl (DPPH) radical scavenging IC50 from 755.7 μg/mL to 544.6 μg/mL. Morphological and oxidative stress analyses showed critical cellular adaptations and stress responses under degradation conditions. Integrated multi-omics analysis indicated that GE stress induced the remodeling of fungal amino acid, lipid, and energy metabolism, as well as the adjustment of membrane and transport functions, to facilitate GAs detoxification. Cytotoxicity assays indicated no significant cytotoxicity of the degradation products towards human normal lung epithelial cells (Beas-2B) and gastric mucosal epithelial cells (GES-1). These findings highlight Fusarium sp. DLT-118 as a promising agent for the efficient removal of GAs, offering a potential strategy for the production of GA-reduced Ginkgo-based food and health products. Full article
(This article belongs to the Section Food Microbiology)
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36 pages, 2940 KB  
Review
Sustainable Management of Medical Waste in Surgical Units: Operational Challenges and Policy Perspectives
by Ilie Cirstea, Ada Radu, Andrei-Flavius Radu, Delia Mirela Tit, Gabriela S. Bungau, Daniela Gitea and Bogdan Uivaraseanu
Healthcare 2026, 14(7), 954; https://doi.org/10.3390/healthcare14070954 - 5 Apr 2026
Viewed by 345
Abstract
Surgical wards constitute a significant contributor to global medical waste (MW), accounting for over one-third of total healthcare sector trash. Medical interventions produce hazardous, infectious, and potentially toxic byproducts, making effective MW management crucial, especially where current mechanisms are insufficient. Substantial disparities persist [...] Read more.
Surgical wards constitute a significant contributor to global medical waste (MW), accounting for over one-third of total healthcare sector trash. Medical interventions produce hazardous, infectious, and potentially toxic byproducts, making effective MW management crucial, especially where current mechanisms are insufficient. Substantial disparities persist between high-income and low- and middle-income countries regarding MW infrastructure, enforcement, and adoption of safe, sustainable treatment technologies. Proper segregation, recycling, treatment, and disposal are key to protecting public health, environmental integrity, and promoting healthcare sustainability. Waste treatment technologies divide into thermal and physico-chemical processes, requiring thorough evaluation of advantages, disadvantages, and suitability for each waste type. This narrative review updates MW knowledge by synthesizing data from scientific literature, institutional documents, and regulatory sources. Key quantitative data indicate operating rooms generate up to 30% of total hospital waste, with recyclable materials representing over 40% of that volume. Improper segregation rates remain high, and incineration remains dominant despite sustainability concerns. The Romanian case study highlights progressive EU alignment, enforcing standardized MW classification, color-coded segregation, and specialized disposal protocols in surgical wards. Despite legal compliance, Romania is advancing incrementally, with systematic audits, digital tracking, and national outcome-based evaluations yet to be fully established. The Plastic Surgery Unit at Oradea County Emergency Clinical Hospital demonstrates good protocol adherence; however, strengthening data feedback mechanisms would enhance hospital-wide performance optimization and strategic waste reduction. Training and monitoring represent important areas for continued development. Coordinated professional engagement, modernized infrastructure, and enforceable audits are identified as critical priorities for improving MW handling in surgical environments. Future research should emphasize management innovation, evidence-based policy formulation, and a systematic strategy to achieve sustainable MW. Full article
(This article belongs to the Section Healthcare and Sustainability)
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15 pages, 5227 KB  
Article
Atmospheric Cold Plasma Degradation of Fenvalerate Residues on Shiitake Mushrooms: Mechanisms, Toxicity Evolution, and Quality Effects
by Hu Shi, Ziwen Cheng, Shiwei Dong, Yang Jiao and Hongru Liu
Foods 2026, 15(7), 1229; https://doi.org/10.3390/foods15071229 - 3 Apr 2026
Viewed by 222
Abstract
Fenvalerate residues on edible mushrooms pose significant risks to food safety and aquatic ecosystems. This study investigated the efficiency, degradation mechanisms, toxicity evolution, and quality effects of atmospheric cold plasma (ACP) for removing fenvalerate from shiitake mushrooms. Fenvalerate degradation increased with ACP treatment [...] Read more.
Fenvalerate residues on edible mushrooms pose significant risks to food safety and aquatic ecosystems. This study investigated the efficiency, degradation mechanisms, toxicity evolution, and quality effects of atmospheric cold plasma (ACP) for removing fenvalerate from shiitake mushrooms. Fenvalerate degradation increased with ACP treatment voltage and exposure time, reaching a maximum efficiency of 82.5% at 80 kV for 15 min. Quantum chemical calculations based on Fukui functions and frontier molecular orbitals identified phenoxy and chlorophenyl moieties as primary reactive sites. High-performance liquid chromatography–tandem mass spectrometry revealed degradation pathways dominated by hydroxylation, ester bond cleavage, and oxidative transformations. Toxicity assessment using ECOSAR predictions and yeast bioassays demonstrated substantial reductions in acute and chronic toxicity by ACP treatment, although some intermediates retained residual toxicity. In addition, ACP preserved mushroom quality during refrigerated storage. Overall, ACP represents a promising non-thermal strategy for pesticide detoxification while preserving edible mushroom quality. Full article
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20 pages, 1782 KB  
Article
N-Acetylcysteine Prevents Arsenic-Induced Apoptosis but Not Supernumerary Motor Neuron Development in Zebrafish Embryos: Assessment of Protein Carbonylation and the p53 Pathway
by Qiang Gu, Camila S. Silva, Nathan C. Twaddle, Frederick A. Beland and Jyotshna Kanungo
Int. J. Mol. Sci. 2026, 27(7), 3263; https://doi.org/10.3390/ijms27073263 - 3 Apr 2026
Viewed by 408
Abstract
Arsenic induces apoptosis in both cancerous and non-cancerous cells. The mechanism of arsenic-induced apoptosis is complex. We previously demonstrated that the antioxidant acetyl L-carnitine prevented sodium arsenite-induced apoptosis in zebrafish embryos. To gain more insight into the mechanism of arsenic-induced apoptosis, we explored [...] Read more.
Arsenic induces apoptosis in both cancerous and non-cancerous cells. The mechanism of arsenic-induced apoptosis is complex. We previously demonstrated that the antioxidant acetyl L-carnitine prevented sodium arsenite-induced apoptosis in zebrafish embryos. To gain more insight into the mechanism of arsenic-induced apoptosis, we explored the effect of another antioxidant, N-acetylcysteine (NAC). Co-treatment of sodium arsenite with 1 or 2 mM NAC had no effect on zebrafish development. There was a significant but partial reduction in apoptosis in the embryos co-treated with sodium arsenite and 1 mM NAC, while embryos treated with 1 mM NAC alone showed the loss of normal apoptosis that was observed in the control embryos. Complete abolition of apoptosis occurred in embryos co-treated with sodium arsenite and 2 mM NAC; however, 2 mM NAC alone resulted in 100% mortality, indicating antioxidant toxicity at high doses. NAC (1 mM) did not prevent sodium arsenite-induced increase in motor neurons, suggesting that arsenic-induced apoptosis and supernumerary motor neuron development are mediated via distinct pathways. To determine whether NAC prevented arsenic-induced apoptosis via reactive oxygen species (ROS) signaling, we assessed ROS levels and oxidative modification of proteins (carbonylation) using an OxyBlot assay. Neither sodium arsenite nor NAC altered protein oxidation, ROS levels, or p53, a pro-apoptotic protein, transcript levels. Additionally, dicoumarol, an inducer of p53 protein degradation, did not inhibit sodium arsenite-induced apoptosis. These results indicate that protein oxidation and p53 signaling are not involved in arsenic-induced apoptosis and that NAC prevents arsenic toxicity in zebrafish embryos through a hitherto unknown mechanism. Full article
(This article belongs to the Special Issue Zebrafish: A Model Organism for Human Health and Disease: 2nd Edition)
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23 pages, 3667 KB  
Article
High-Content Imaging and Machine Learning Classify Phenotypical Change in Coronary Artery Endothelial Cells Caused by BPS
by Lavinia Eugenia Ferariu, Gheorghe Movileanu, Giulia Gaggi, Barbara Ghinassi, Angela di Baldassarre and Andrea Di Credico
Int. J. Mol. Sci. 2026, 27(7), 3259; https://doi.org/10.3390/ijms27073259 - 3 Apr 2026
Viewed by 328
Abstract
Bisphenol S (BPS) is widely used as a replacement for bisphenol A, yet accumulating evidence suggests that it has comparable endocrine and cardiovascular toxicity. Here, we investigated whether prolonged low-dose BPS exposure induces subtle but classifiable phenotypic alterations in human coronary artery endothelial [...] Read more.
Bisphenol S (BPS) is widely used as a replacement for bisphenol A, yet accumulating evidence suggests that it has comparable endocrine and cardiovascular toxicity. Here, we investigated whether prolonged low-dose BPS exposure induces subtle but classifiable phenotypic alterations in human coronary artery endothelial cells (HCAEC), using an end-to-end experimental and ML pipeline that spans cell culture, high-content imaging, feature extraction, and robust classification. Cells were exposed to 0.1 µM BPS for 96 h and profiled using a cell painting assay and high-content microscopy. Image segmentation yielded ~2500 quantitative features per cell across four compartments—Membrane, Cytoplasm, Ring region (i.e., perinuclear region), and Nucleus—for multiple fluorophores. We systematically compared different classifiers (Random Forest, XGBoost, LASSO logistic regressor) using feature selection (MRMR, ReliefF, LASSO) or transformation-based dimensionality reduction (PCA, autoencoders). Tree-based ensembles robustly handled high-dimensional inputs, with XGBoost combined with ReliefF-selected features achieving the best performance. The most informative descriptors predominantly mapped to mitochondrial and nuclear channels, indicating early alterations in mitochondrial organisation and chromatin-related features. These findings show that chronic low-dose BPS exposure elicits a distinct endothelial phenotype, consistent with early endothelial dysfunction, and demonstrate that integrating high-content imaging with machine learning provides a sensitive, scalable framework for vascular toxicity assessment of environmental contaminants. Full article
(This article belongs to the Section Molecular Toxicology)
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10 pages, 759 KB  
Perspective
Risk-Adapted Selective Elective Nodal Irradiation in the Total Neoadjuvant Therapy Era for Rectal Cancer
by Seung-Gu Yeo, Min-Jeong Kim, Kwang Hwan Cho, Jina Yun, Dae Ro Lim and Jung Cheol Kuk
Medicina 2026, 62(4), 680; https://doi.org/10.3390/medicina62040680 - 2 Apr 2026
Viewed by 259
Abstract
With the introduction of total neoadjuvant therapy (TNT) in locally advanced rectal cancer treatment, multidisciplinary treatment options have become more diverse than before, and many challenges remain unresolved. A randomized clinical study in intermediate-risk locally advanced rectal cancer showed that neoadjuvant full-dose systemic [...] Read more.
With the introduction of total neoadjuvant therapy (TNT) in locally advanced rectal cancer treatment, multidisciplinary treatment options have become more diverse than before, and many challenges remain unresolved. A randomized clinical study in intermediate-risk locally advanced rectal cancer showed that neoadjuvant full-dose systemic chemotherapy with response-adapted omission of radiation therapy is non-inferior to concurrent chemoradiotherapy. Given that preoperative systemic chemotherapy provides an additional layer of local disease control, the traditional role and extent of neoadjuvant radiation therapy could be strategically re-evaluated within the TNT framework. In this context, a risk-adapted approach featuring selective reduction in elective nodal irradiation volume, particularly of the lateral pelvic lymph nodes, may offer a promising middle ground for treatment personalization. Drawing parallels from surgical practice—where total mesorectal excision is standard but lateral pelvic lymph node dissection is reserved for selected cases—this perspective advocates for similar selectivity in radiation therapy targeting, focusing on mesorectal and presacral regions while judiciously omitting lateral nodes in appropriately selected patients. This approach could maintain oncologic safety by focusing radiation therapy on limited but essential volumes. With modern intensity-modulated radiation therapy, reducing the target volume translates directly to enhanced organs-at-risk sparing, thereby mitigating radiation-induced toxicity. When combined with induction chemotherapy response assessment to refine patient selection, this approach can offer a biologically informed, personalized treatment paradigm that balances disease control with quality of life. Full article
(This article belongs to the Section Oncology)
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