bluuebunny/crossref_metadata_2025 huggingface dataset:
The mediation role of physical fitness in association between muscle-strengthening physical activities and its component with blood pressure among young adults: considering gender and abnormal blood pressure as moderators, moderate-vigorous physical activity, sleep behavior, sedentary behavior, mental wellbeing and BMI as covariates
Authors: Hidayat Mumtaz Maulana , Agustiningsih Denny , Sabirin Rahmaningsih Mara , Wibowo Rakhmat Ari
Published: September 2023

Background

Global burden of hypertension among young people continues to increase. There have been many studies examining the effect of aerobic and muscle-strengthening physical activity on blood pressure, many of them didn't consider interdependence between them. Conflicting results of health-related fitness, particularly handgrip strength, as intermediate outcomes of muscle-strengthening physical activity on blood pressure also emerged. This research will carry out a mediation-moderation analysis to find out the relationship between muscle strengthening physical activity and blood pressure among young adults by considering health-related fitness and 24-hour movement behavior.

Methods

A cross-sectional study among 221 Indonesian young adults attending a physical activity intervention collected participant's muscle-strengthening physical activity, and 24 h movement behavior, including aerobic physical activity, sedentary and sleep behavior, and mental well-being using validated questionnaires. Mediation and moderation analyses were conducted using Process Macro model 10 on SPSS 25 to investigate the association of muscle-strengthening physical activity on blood pressure, with gender and blood pressure as moderator, mediators consist of handgrip strength, muscle mass percentage and cardiorespiratory fitness. A subgroup analysis was conducted based on participant's cardiorespiratory fitness level.

Results

Volume of muscle-strengthening physical activities in a week have a direct association with systolic blood pressure among prehypertensive male with an effect of 0,00989359 (95% CI 0,0046488 to 0,00336478). Considering its volume as mediator, the frequency of muscle-strengthening physical activity contributed to a significant direct effect on diastolic blood pressure in both genders, but the duration of MSPA has a significant direct effect on systolic blood pressure in male subjects. There is no component of physical fitness that provides a significant mediating effect. After a subgroup analysis, the relationship between MSPA Volume and blood pressure is not significant for individuals with a high level of cardiorespiratory fitness.

Conclusions

This study shows that increased participation in muscle strengthening physical activity, especially in subject with low cardiorespiratory fitness, could increase blood pressure in prehypertensive young adult male population without mediation by physical fitness. Further research is needed to investigate other mechanisms that influence this relationship.
Digital hypertension management: clinical and cost outcomes of a pilot implementation of the OMRON hypertension management platform
Authors: Holmstrand Ericka C. , Sato Hironori , Li Jim , Mukherjee Abhishek , Fitzpatrick Nicole E. , Rayl Kenneth R. , Colangelo Francis R.
Published: September 2023

Importance

Home monitoring of blood pressure (BP) in hypertensive patients can improve outcomes, but challenges to both patient compliance and the effective transmission of home BP readings to physicians can limit the extent to which physicians can use this information to improve care. The OMRON Hypertension Management Platform (OMRON HMP) pairs a home BP cuff with a digital product that tracks data, provides reminders to improve patient compliance, and provides a streamlined source of information to physicians.

Objective

The primary objective of the quality improvement (QI) project was to test the hypothesis that use of the OMRON HMP could reduce the number and cost of hypertension related claims, relative to a retrospectively matched cohort of insured members. A secondary objective was to demonstrate improvement in control of BP among patients.

Design

Eligible members were recruited to the QI project between December 1, 2018 and December 30, 2020 and data collected for six months following recruitment. All members received the OMRON HMP intervention.

Setting

Enrollment and data collection were coordinated on-site at selected PCP partner providers in Western Pennsylvania. Eligible members were identified from insurance claims data as those receiving care for primary hypertension from participating primary care physicians and/or cardiologists.

Participants

Eligible members were between the ages of 35 and 85, with a diagnosis of primary hypertension. The retrospective cohort was selected from electronic medical records of Highmark-insured patients with hypertension who received care at Allegheny Health Network (AHN), a subsidiary of Highmark Health. Members were matched on baseline BP and lipid measures, age, smoking status, diabetes status, race and sex.

Intervention

Daily home BP readings were recorded by the OMRON HMP app. Patient data was reviewed by clinical staff on a weekly basis and treatment plans could be adjusted in response to this data.

Results

OMRON HMP users showed a significant increase in the number and cost of hypertension-related claims, contrary to the hypothesis, but did display improvements in control of BP.

Conclusions and Relevance

The use of a digital platform to facilitate at-home BP monitoring appeared to improve BP control but led to increased hypertension-related costs in the short-term.
The seasonal and spatial variability of ammonium uptake in a hilly watershed
Authors: Ye Sheng , Pan Jiajia , Li Jiyu , Yu Tianxue , Ran Qihua
Published: September 2023

Elevated nutrient loading can cause deleterious impacts on aquatic ecosystems such as eutrophication. Seasonal variability and land use change often lead to varied nutrient uptake from streams. However, the impacts of seasonal and spatial variation on stream nutrient transport within the same watershed haven’t been fully understood. Here, we conducted nutrient addition experiments using the Tracer Additions for Spiraling Curve Characterization (TASCC) approach within the Xiaogang Watershed, Zhejiang Province, China. Six of the experiments were conducted in one stream every other month and eight releases in eight different streams to quantify ammonium uptake kinetics across different seasons and land uses. Our findings suggest that the uptake capability increases with both discharge and ambient concentration (C0): seasonal variability of discharge shows small impacts on uptake metrics, except the ambient uptake length (Sw-amb), which increases with discharge; while the change in C0 could have more significant effects on both ambient areal uptake (Uamb) and maximum areal uptake rate parameter (Umax). Downstream the river network, the increase in discharge led to a significant increase in Uamb, ambient uptake velocity (Vf-amb), and Umax. On the other hand, the change in C0 is less influential than discharge along the river network, which may be correlated with the hydraulic geometry. Additionally, there is an optimal temperature (T) for uptake in our study region around 17°C, which may be explained by the growth of chlorophyll a. The positive correlation between Vf-amb and Q at the spatial scale may be attributed to the increase of dissolved organic carbon (DOC) and river chlorophyll a downstream with stream width. In addition, land use had an important effect on ion concentration in streams, and the proportion of agricultural land was positively correlated with nutrient concentration. Our findings could help provide scientific support for land use management and water quality regulation.
Segmentation and lateral growth of intracratonic strike-slip faults in the northern Tarim Basin, NW China: influences on Ordovician fault-controlled carbonate reservoirs
Authors: Deng Xingliang , Chen Jiajun , Cao Peng , Zhang Yintao , Luo Xiao , Chang Shaoying , Shen Jinlong , Du Yifan , Wang Mengxiu
Published: September 2023

Intracratonic strike-slip faults have been recognized as a major factor controlling the formation of fracture-cave carbonate reservoirs in deep buried basins, yet which properties and how the strike-slip faults influence reservoir distribution and their connectivity are still ambiguous. This uncertainty significantly restricts hydrocarbon exploration and development, such as in the Fuman oilfield, northern Tarim Basin, NW China. Using a high-resolution 3D seismic reflection survey and borehole data, we investigated the geometry and kinematic evolution of the FI17 fault zone in the Fuman oilfield. This fault zone is characterized by a single fault zone, pop-up or pull-apart structures, right-stepping en echelon normal faults, and much smaller displacement (<30 m) normal fault arrays from bottom to top. The FI17 fault zone consists of four genetic segments, including the extensional strike-slip duplex, Riedel left-lateral shear, right-stepping horsetail splay, and horizontal slip segments in map view. In particular, the formation of the ∼18 km Riedel shear zone is characterized by the growth and linkage of segmented shear faults (synthetic and secondary synthetic shears). We observed that the large-scale fault-controlled fracture-cave reservoirs are distributed in positions with wider fault zones, which are characterized by overlapping of neighboring secondary shear faults. Furthermore, the reservoir width examined in this study is natural logarithmic correlated (positively) to the fault zone width. The reservoirs linked by the same shear faults show better internal connectivity. The spatial coherence between fault geometry and reservoir features indicates that segmentation and lateral growth of intracratonic strike-slip faults controls the occurrence of fracture-cave reservoirs, which may provide support for reservoir prediction in the Fuman oilfield and other deeply buried fault-controlled carbonate reservoirs in general.
ACCESS model: a step toward an empowerment model in global health education
Authors: Kalyesubula Robert , Sadigh Mitra , Okong Bernard , Munana Richard , Weswa Ivan , Katali Estherloy A. , Sewanyana James , Levine Janice , Sadigh Majid
Published: September 2023

The approaches to global health (GH) partnerships are as varied as the programs available across the globe. Few models have shared their philosophy and structure in sufficient detail to inform a full spectrum of how these collaborations are formed. Although contributions from low- to middle-income countries (LMICs) have markedly grown over the last decade, they are still few in comparison to those from high-income countries (HICs). In this article, we share the African Community Center for Social Sustainability (ACCESS) model of GH education through the lenses of grassroots implementers and their international collaborators. This model involves the identification and prioritization of the needs of the community, including but not limited to healthcare. We invite international partners to align with and participate in learning from and, when appropriate, becoming part of the solution. We share successes, challenges, and takeaways while offering recommendations for consideration when establishing community-driven GH programs.
Electromagnetic response of disordered superconducting cavities
Authors: Zarea Mehdi , Ueki Hikaru , Sauls J. A.
Published: September 2023

We present the results for the resonant frequency shift and quality factor of disordered niobium (Nb) superconducting radio-frequency cavities driven out of equilibrium by the resonant microwave field. The theory is based on the non-equilibrium theory of superconductivity for the current response to the electromagnetic field at the vacuum–metal interface. We are able to accurately predict the observed frequency shifts with a precision of order fractions of kHz over the full temperature range 0 < T ≤ Tc, including the negative frequency shift anomalies that are observed very near Tc. The origin of these anomalies is shown to be the competition between the normal metal skin depth and the London penetration depth, which diverges as T→Tc−. An analytical approximation to the full current response, valid for |T − Tc|≪ Tc, accounts for the negative frequency shift near Tc. The non-monotonic dependence of the quality factor on the quasiparticle scattering rate is related to the pair-breaking effect of disorder on the superfluid fraction and, thus, the London penetration depth.
Higher weight-adjusted waist index is associated with increased likelihood of kidney stones
Authors: Liu Hangyu , Ma Yang , Shi Lungang
Published: September 2023

Objectives

The objective of this study was to evaluate the association between weight-adjusted waist index (WWI) and the prevalence of kidney stones among adults in the United States.

Methods

The cross-sectional study utilized data from the National Health and Nutrition Examination Survey (NHANES) spanning the years 2007-2018. A total of 31,344 participants were categorized into two groups: those with kidney stones and those without. WWI was determined by dividing waist circumference (cm) by the square root of body weight (kg). To examine the relationship between kidney stones and WWI, multivariate logistic regression models, smoothed curve fitting, and weighted generalized additive model (GAM) regression were employed. Subgroup analysis and interaction tests were conducted to explore the stability of this association across different groups.

Results

The final analysis comprised a total of 31,344 participants, including 2,928 individuals who had a history of kidney stones. In the fully adjusted model, an increase in WWI exhibited a positive correlation with the prevalence of kidney stones (OR=1.34, 95% CI: 1.18-1.51). When WWI was converted into quartiles (Q1-Q4), participants in the highest quartile (Q4) had a 69% greater risk of developing kidney stones compared to those in the lowest quartile (Q1) (OR=1.69, 95% CI: 1.28-2.25). This positive association was particularly notable among non-diabetic patients.

Conclusion

Our study demonstrates a significant positive association between weight-adjusted waist index levels and an elevated prevalence of kidney stones among US adults. Furthermore, this research highlights the potential utility of weight-adjusted waist index in the prevention of kidney stones in the overall population. This relationship is limited and further research is needed to test this hypothesis.
Genetic testing for familial hyperparathyroidism: clinical-genetic profile in a Mediterranean cohort
Authors: Mazarico-Altisent Isabel , Capel Ismael , Baena Neus , Bella-Cueto Maria Rosa , Barcons Santi , Guirao Xavier , Pareja Rocío , Muntean Andreea , Arsentales Valeria , Caixàs Assumpta , Rigla Mercedes
Published: September 2023

Background

Approximately 10% of primary hyperparathyroidism cases are hereditary, due to germline mutations in certain genes. Although clinically relevant, a systematized genetic diagnosis is missing due to a lack of firm evidence regarding individuals to test and which genes to evaluate.

Methods

A customized gene panel (AIP, AP2S1, CASR, CDC73, CDKN1A, CDKN1B, CDKN2B, CDKN2C, GCM2, GNA11, MEN1, PTH, RET, and TRPV6) was performed in 40 patients from the Mediterranean area with suspected familial hyperparathyroidism (≤45 years of age, family history, high-risk histology, associated tumour, multiglandular disease, or recurrent hyperparathyroidism). We aimed to determine the prevalence of germline variants in these patients, to clinically characterize the probands and their relatives, and to compare disease severity in carriers versus those with a negative genetic test.

Results

Germline variants were observed in 9/40 patients (22.5%): 2 previously unknown pathogenic/likely pathogenic variants of CDKN1B (related to MEN4), 1 novel variant of uncertain significance of CDKN2C, 4 variants of CASR (3 pathogenic/likely pathogenic variants and 1 variant of uncertain significance), and 2 novel variants of uncertain significance of TRPV6. Familial segregation studies allowed diagnosis and early treatment of PHPT in first-degree relatives of probands.

Conclusion

The observed prevalence of germline variants in the Mediterranean cohort under study was remarkable and slightly higher than that seen in other populations. Genetic screening for suspected familial hyperparathyroidism allows the early diagnosis and treatment of PHPT and other related comorbidities. We recommend genetic testing for patients with primary hyperparathyroidism who present with high-risk features.
Omega-3 fatty acid ameliorates bisphenol F-induced testicular toxicity by modulating Nrf2/NFkB pathway and apoptotic signaling
Authors: Odetayo Adeyemi Fatai , Adeyemi Wale Johnson , Olayaki Luqman Aribidesi
Published: September 2023

Introduction

Bisphenol F (BPF) has been shown to disrupt testicular functions via perturbation of testicular redox balance, while omega-3 fatty acid (O3FA) has been established to exert antioxidant and anti-inflammatory activities. Therefore, this study focused on the role and associated molecular mechanism of O3FA in BPF-induced testicular dysfunction in male Wistar rats.

Methods

Twenty-four (24) rats were randomly grouped after two weeks of acclimatization into four (4) groups (n=6/group); the vehicle-treated control group, BPF treated group received 30 mg/kg of BPF, and the intervention groups received 30 mg/kg BPF + 100 mg/kg O3FA (BPF+O3FA-L) and 30 mg/kg BPF + 300 mg/kg of O3FA (BPF+O3FA-H). All treatment lasted for 28 days.

Results

Low and high doses of O3FA ameliorated BPF-impaired sperm quality, and induced hormonal imbalance, accompanied by a distortion in testicular histology and elevated testicular injury markers. Furthermore, co-administration of BPF with both doses of O3FA blunted BPF-induced redox imbalance, inflammatory response, and apoptosis.

Discussions

In conclusion, our present findings show that O3FA improves testicular functions in BPF-treated rats by improving sperm quality and reproductive hormones via the maintenance of testicular redox balance.
Multi-timescale optimal control strategy for energy storage using LSTM prediction–correction in the active distribution network
Authors: Wu Junjian , Chen Yiwei , Zhou Jinhui , Jiang Chengtao , Liu Wei
Published: September 2023

The daily output of wind power is inversely proportional to the load demand in most situations, which will lead to an increase in peak-to-valley difference and fluctuation. To solve this problem, this study proposes a long short-term memory prediction–correction-based multi-timescale optimal control strategy for energy storage. First, the proposed strategy performs a long short-term memory (LSTM) prediction on the power of wind power and load. Then, it establishes a predictive planning model to improve the effect of peak shaving and the operating income of energy storage. Finally, it uses the method of online correction of power lines for peak shaving to further optimize the energy storage power according to the error between the residual energy of energy storage and the planned residual energy in the actual peak shaving process. By comparing with traditional strategies, the proposed strategy is found to be significantly better than the constant power strategy and the power difference strategy in the peak shaving effect and operating income.
Genetic connectivity constrained by natural barriers in a key agricultural pest: insights from mitochondrial DNA analysis
Authors: Li Jinyu , Mao Yi , Li Kai , Chen Wei , Sun Linyang , Zhang Bang
Published: September 2023

In the context of anthropogenic global change, the study of landscape effects on species movement has garnered increasing attention. Landscape genetics offer indirect yet attractive means to capture species dispersal events across generations and their interaction with landscapes. However, landscape genetic patterns tend to exhibit significant variations across taxa and rely on the molecular makers adopted. Here, we investigated how landscapes influence population connectivity of an important tea pest, Empoasca onukii, using mitochondrial DNA sequences of 1,518 individuals from 57 locations in mainland China and offshore islands. We analyzed the inter-population genetic divergence and integrated multiple models to explicitly quantify their association with geographic distance, environmental heterogeneity, and landscape barriers. Analyses revealed a reduction in gene flow on islands, along the Yangtze River, and across mountainous regions of Western China. Models explicitly detected the predominant contributions of topographic complexity to population divergence and evidenced that mountains may serve as effective dispersal barriers for E. onukii. These results suggest that the limited gene exchange resulting from low population connectivity among mountains might generate the observed patterns of mitochondrial genetic variations, which contrasts the climate-related pattern previously observed on microsatellites. The findings enhance our comprehension of the evolutionary and epidemic dynamics of E. onukii, and highlight the demand of considering species-specific traits when studying population landscape genetic patterns. Moreover, the study emphasizes the necessity of employing multiple molecular markers to comprehensively elucidate landscape effects on population connectivity across diverse species for valuable insights into biodiversity conservation, pest control, and other management decisions.
Developing a multimodal maternal infant perinatal outpatient delivery system: the MOMI PODS program
Authors: Bose Brill Seuli , Juckett Lisa A. , D’Amico Gordon Rachel , Thomas Nikki , Bunger Alicia , Fareed Naleef , Voisin Christiane , Flores Paola , Mao Shengyi , Benninger Kristen L. , Grobman William , Panchal Bethany , Gillespie Shannon , Lorenz Allison
Published: September 2023

Progress in maternal child health has been hampered by poor rates of outpatient follow up for postpartum individuals. Primary care after delivery can effectively detect and treat several pregnancy-related complications and comorbidities, but postpartum linkage to primary care remains low. In this manuscript, we share the experience of implementing a novel mother-infant dyad program, the Multimodal Maternal Infant Perinatal Outpatient Delivery System (MOMI PODS), to improve primary care linkage and community resource access postpartum via integration into pediatric care structures. With a focus on providing care for people who are publicly insured, we designed a program to mitigate maternal morbidity risk factors in postpartum individuals with chronic disease or pregnancy complications. We discuss the systematic process of designing, executing, and evaluating a collaborative clinical program with involvement of internal medicine/pediatric, family medicine, and obstetric clinicians via establishing stakeholders, identifying best practices, drawing from the evidence base, designing training and promotional materials, training partners and providers, and evaluating clinic enrollment. We share the challenges encountered such as in achieving sufficient provider capacity, consistent provision of care, scheduling, and data tracking, as well as mitigation strategies to overcome these barriers. Overall, MOMI PODS is an innovative approach that integrates outpatient postpartum care into traditional pediatric structures to increase access, showing significant promise to improve healthcare utilization and promote postpartum health.
T helper cell responses in adult diarrheal patients following natural infection with enterotoxigenic Escherichia coli are primarily of the Th17 type
Authors: Akhtar Marjahan , Basher Salima Raiyan , Nizam Nuder Nower , Hossain Lazina , Bhuiyan Taufiqur Rahman , Qadri Firdausi , Lundgren Anna
Published: September 2023

Background

Infection with enterotoxigenic Escherichia coli (ETEC) gives rise to IgA antibodies against both the heat labile toxin (LT) and colonization factors (CFs), which are considered to synergistically protect against ETEC diarrhea. Since the development of ETEC-specific long lived plasma cells and memory B cells is likely to be dependent on T helper (Th) cells, we investigated if natural ETEC diarrhea elicits ETEC-specific Th cells and their relation to IgA responses.

Methods

Th cell subsets were analyzed in adult Bangladeshi patients hospitalized due to ETEC diarrhea by flow cytometric analysis of peripheral blood mononuclear cells (PBMCs) isolated from blood collected day 2, 7, 30 and 90 after hospitalization as well as in healthy controls. The LT- and CF-specific Th responses were determined by analysis of IL-17A and IFN-γ in antigen stimulated PBMC cultures using ELISA. ETEC-specific IgA secreted by circulating antibody secreting cells (plasmablasts) were analyzed by using the antibodies in lymphocyte supernatants (ALS) ELISA-based method and plasma IgA was also measured by ELISA.

Results

ETEC patients mounted significant ALS and plasma IgA responses against LTB and CFs on day 7 after hospitalization. ETEC patients had significantly elevated proportions of memory Th cells with a Th17 phenotype (CCR6+CXCR3-) in blood compared to controls, while frequencies of Th1 (CCR6-CXCR3+) or Th2 (CCR6-CXCR3-) cells were not increased. Antigen stimulation of PBMCs revealed IL-17A responses to LT, most clearly observed after stimulation with double mutant heat labile toxin (dmLT), but also with LT B subunit (LTB), and to CS6 in samples from patients with LT+ or CS6+ ETEC bacteria. Some individuals also mounted IFN-γ responses to dmLT and LTB. Levels of LTB specific IgA antibodies in ALS, but not plasma samples correlated with both IL-17A (r=0.5, p=0.02) and IFN-γ (r=0.6, p=0.01) responses to dmLT.

Conclusions

Our results show that ETEC diarrhea induces T cell responses, which are predominantly of the Th17 type. The correlations between IL-17A and IFN-g and intestine-derived plasmablast responses support that Th responses may contribute to the development of protective IgA responses against ETEC infection. These observations provide important insights into T cell responses that need to be considered in the evaluation of advanced ETEC vaccine candidates.
Immunophenotyping characteristics and outcome of COVID‐19 patients: peripheral blood CD8+T cell as a prognostic biomarker for patients with Nirmatrelvir
Authors: Sun Yuming , Dian Yating , Gao Qian , Deng Guangtong
Published: September 2023

Background

Nirmatrelvir has been authorized for the treatment of both hospitalized and non-hospitalized COVID-19 patients. However, the association between T lymphocyte subsets and the outcome of hospitalized COVID-19 patients treated with oral Nirmatrelvir has not been investigated. The objective of this study was to examine whether lymphocyte subsets could serve as biomarkers to assess the risk of mortality in COVID-19 patients undergoing Nirmatrelvir treatment, with the aim of enhancing medication management for COVID-19 patients.

Methods

We conducted a retrospective cohort study at the Xiangya Hospital of Central South University in China between December 5, 2022 and January 31, 2023. The study reported demographic, clinical, T lymphocyte subsets, and inflammatory cytokine data of COVID-19 patients. We evaluated the associations of T lymphocyte subsets on admission with the composite outcome or death of patients using univariate and multivariable Cox regression analyses with hazards ratios (HRs) and 95% confidence intervals (CIs).

Results

We identified 2118 hospitalized COVID-19 patients during the study period, and conducted a follow-up of up to 38 days. Of these, 131 patients received Nirmatrelvir, with 56 (42.7%) in the composite outcome group, and 75 (57.3%) in the non-composite outcome group. Additionally, 101 (77.1%) patients were discharged, while 30 (22.9%) died. Our results showed a significant decrease in the CD3+, CD4+, and CD8+ T cell counts of patients in the composite outcome group and mortality group compared to the non-composite outcome group and discharged group, respectively. Multivariate Cox regression analysis showed that the significant decrease in CD8+ T cell count in peripheral blood was independently associated with the composite outcome in COVID-19 patients treated with Nirmatrelvir, with an HR of 1.96 (95%CI: 1.01-3.80). The significant decrease in CD4+ and CD8+ T cell counts in peripheral blood increased the hazard of developing mortality, with HRs of 6.48 (95%CI: 1.47-28.63) and 3.75 (95%CI: 1.27-11.11), respectively.

Conclusion

Our study revealed a significant positive correlation between a decrease in CD8+ T cell counts and progression and mortality of hospitalized COVID-19 patients treated with Nirmatrelvir. Lower counts (/μL) of CD8+ T cell (<201) were associated with a higher risk of in-hospital severity and death. Our findings may provide valuable references for physicians in optimizing the use of Nirmatrelvir.
cGAS–STING pathway in ischemia-reperfusion injury: a potential target to improve transplantation outcomes
Authors: Chen Zijian , Liu Yangqi , Lin Zeying , Huang Weizhe
Published: September 2023

Transplantation is an important life-saving therapeutic choice for patients with organ or tissue failure once all other treatment options are exhausted. However, most allografts become damaged over an extended period, and post-transplantation survival is limited. Ischemia reperfusion injury (IRI) tends to be associated with a poor prognosis; resultant severe primary graft dysfunction is the main cause of transplant failure. Targeting the cGAS–STING pathway has recently been shown to be an effective approach for improving transplantation outcomes, when activated or inhibited cGAS–STING pathway, IRI can be alleviated by regulating inflammatory response and programmed cell death. Thus, continuing efforts to develop selective agonists and antagonists may bring great hopes to post-transplant patient. In this mini-review, we reviewed the role of the cGAS–STING pathway in transplantation, and summarized the crosstalk between this pathway and inflammatory response and programmed cell death during IRI, aiming to provide novel insights into the development of therapies to improve patient outcome after transplantation.
Identification of disulfidptosis-related subgroups and prognostic signatures in lung adenocarcinoma using machine learning and experimental validation
Authors: Wang Yuzhi , Xu Yunfei , Liu Chunyang , Yuan Chengliang , Zhang Yi
Published: September 2023

Background

Disulfidptosis is a newly identified variant of cell death characterized by disulfide accumulation, which is independent of ATP depletion. Accordingly, the latent influence of disulfidptosis on the prognosis of lung adenocarcinoma (LUAD) patients and the progression of tumors remains poorly understood.

Methods

We conducted a multifaceted analysis of the transcriptional and genetic modifications in disulfidptosis regulators (DRs) specific to LUAD, followed by an evaluation of their expression configurations to define DR clusters. Harnessing the differentially expressed genes (DEGs) identified from these clusters, we formulated an optimal predictive model by amalgamating 10 distinct machine learning algorithms across 101 unique combinations to compute the disulfidptosis score (DS). Patients were subsequently stratified into high and low DS cohorts based on median DS values. We then performed an exhaustive comparison between these cohorts, focusing on somatic mutations, clinical attributes, tumor microenvironment, and treatment responsiveness. Finally, we empirically validated the biological implications of a critical gene, KYNU, through assays in LUAD cell lines.

Results

We identified two DR clusters and there were great differences in overall survival (OS) and tumor microenvironment. We selected the "Least Absolute Shrinkage and Selection Operator (LASSO) + Random Survival Forest (RFS)" algorithm to develop a DS based on the average C-index across different cohorts. Our model effectively stratified LUAD patients into high- and low-DS subgroups, with this latter demonstrating superior OS, a reduced mutational landscape, enhanced immune status, and increased sensitivity to immunotherapy. Notably, the predictive accuracy of DS outperformed the published LUAD signature and clinical features. Finally, we validated the DS expression using clinical samples and found that inhibiting KYNU suppressed LUAD cells proliferation, invasiveness, and migration in vitro.

Conclusions

The DR-based scoring system that we developed enabled accurate prognostic stratification of LUAD patients and provides important insights into the molecular mechanisms and treatment strategies for LUAD.
Case Report: Response of cutaneous lupus lesions in SLE to interferon receptor blockade parallels reduction of interferon score in blood
Authors: Günther Claudia , Wolf Christine , Fennen Louisa , Rösing Sarah , Beissert Stefan , Aringer Martin , Lee-Kirsch Min Ae
Published: September 2023

Cutaneous lupus erythematosus (CLE), the main manifestation of systemic lupus erythematosus (SLE), is driven by type I interferons (IFNs) and often only partially responds to conventional therapies. Treatment of seven SLE patients with the monoclonal antibody anifrolumab induced fast and sustained remission of previously refractory CLE lesions, beginning within the first weeks of treatment. Decline in CLASI-A score was paralleled by a reduction in IFN score determined by mRNA expression of seven IFN-stimulated genes (ISGs) in blood. These data suggest that a subset of ISGs could be a valuable biomarker in CLE.
The genetic and clinical characteristics and effects of Canakinumab on cryopyrin-associated periodic syndrome: a large pediatric cohort study from China
Authors: Shu Zhou , Zhang Yue , Han Tongxin , Li Yan , Piao Yurong , Sun Fei , Ma Jin , Mo Wenxiu , Sun Jiapeng , Chan Koon-Wing , Yang Wanling , Lau Yu-Lung , Mao Huawei
Published: September 2023

Cryopyrin-associated periodic syndrome (CAPS) comprises a group of disorders characterized by recurrent bouts of systemic inflammation related to overactivation of inflammasome. So far, neither large cases of the correlation between genotype and phenotype nor treatment strategies have been clearly stated in China. Here, we studied the clinical and genetic characteristics and their correlation from 30 CAPS patients in China. We identified the pathogenesis for novel mutations by activating NLRP3 inflammasome for peripheral cells with ATP plus LPS, compared characteristics with other case series, and analyzed treatment outcomes of these patients. The patients harbored 19 substitutions in NLRP3, and 8 of them were novel mutations. Among these novel mutations, percentages of severe musculoskeletal, ophthalmologic, and neurological symptoms were higher compared with other case serials. The correlation of phenotypes and their variants seemed different in our cases, such as T350M, S333G/I/R, and F311V (somatic mosaicism). Ten patients received Canakinumab treatment, which proved effective at alleviating musculoskeletal, neurological, auditory, visual manifestations, fever, and rash for 10–20 months follow-up. Patients treated with prednisolone or prednisolone plus thalidomide or methotrexate, tocilizumab, TNF inhibiting agents, and sirolimus achieved only partial remission. Importantly, we firstly identified somatic mosaicism mutation of F311V, which was severe. Our study extended the spectrum of genotype and phenotype and characteristics of their correlations and provided detailed responses to different treatment strategies. These data provide guidance for future diagnosis and management for CAPS.
Perceptions and attitudes of residents toward small-scale longline tuna fishing in the Galapagos Marine Reserve: conservation and management implications
Authors: Castrejón Mauricio , Defeo Omar
Published: September 2023

Longlining represents a cost-effective fishing modality for catching tuna, but its use is contentious due to the unintended catch of endangered, threatened, and protected (ETP) species. In 2000, longlining was banned in the Galapagos Marine Reserve, Ecuador. Since then, local small-scale fishers have contested this decision. In contrast, longlining ban supporters argue that this regulation is fundamental for conserving ETP species, despite scientific and anecdotal evidence indicating that its effective implementation is unfeasible. We conducted an online survey to investigate Galapagos residents’ perceptions concerning longlining, its ecological impact, and diverse potential management strategies. Our findings revealed misconceptions about longline fishing, which highlight the need for improved public awareness and education regarding longline fishing practices, their impact on ETP species, and possible solutions to this complex social-ecological problem. Our study also highlights Galapagos residents’ openness to find a solution that addresses both fishers’ livelihoods and the conservation of ETP species. Galapagos residents are receptive to implementing evidence-based solutions, including testing new bycatch mitigation methods and more selective fishing gears, enhancing monitoring and enforcement, and creating market-based incentives that encourage progressive and adaptive improvements in fishing practices. To solve the Galapagos longline controversy, we recommend a holistic, adaptive, and evidence-based approach that encourages stakeholders to engage in open dialogue, fosters cross-sector collaboration, and promotes research, communication, and educational initiatives. By raising awareness through comprehensive, rigorous, and unbiased scientific information, this ecosystem-based management approach aims to ensure the sustainable development of the small-scale tuna fishery, while conserving the Galapagos’ invaluable and unique marine biodiversity.
MSGNet: multi-source guidance network for fish segmentation in underwater videos
Authors: Zhang Peng , Yu Hong , Li Haiqing , Zhang Xin , Wei Sixue , Tu Wan , Yang Zongyi , Wu Junfeng , Lin Yuanshan
Published: September 2023

Fish segmentation in underwater videos provides basic data for fish measurements, which is vital information that supports fish habitat monitoring and fishery resources survey. However, because of water turbidity and insufficient lighting, fish segmentation in underwater videos has low accuracy and poor robustness. Most previous work has utilized static fish appearance information while ignoring fish motion in underwater videos. Considering that motion contains more detail, this paper proposes a method that simultaneously combines appearance and motion information to guide fish segmentation in underwater videos. First, underwater videos are preprocessed to highlight fish in motion, and obtain high-quality underwater optical flow. Then, a multi-source guidance network (MSGNet) is presented to segment fish in complex underwater videos with degraded visual features. To enhance both fish appearance and motion information, a non-local-based multiple co-attention guidance module (M-CAGM) is applied in the encoder stage, in which the appearance and motion features from the intra-frame salient fish and the moving fish in video sequences are reciprocally enhanced. In addition, a feature adaptive fusion module (FAFM) is introduced in the decoder stage to avoid errors accumulated in the video sequences due to blurred fish or inaccurate optical flow. Experiments based on three publicly available datasets were designed to test the performance of the proposed model. The mean pixel accuracy (mPA) and mean intersection over union (mIoU) of MSGNet were 91.89% and 88.91% respectively with the mixed dataset. Compared with those of the advanced underwater fish segmentation and video object segmentation models, the mPA and mIoU of the proposed model significantly improved. The results showed that MSGNet achieves excellent segmentation performance in complex underwater videos and can provide an effective segmentation solution for fisheries resource assessment and ocean observation. The proposed model and code are exposed via Github1.
Causes and trends of late diagnosis in Korean patients with hydroxychloroquine retinopathy
Authors: Ahn Seong Joon , Kim Ji Hong
Published: September 2023

Introduction

Late diagnosis of hydroxychloroquine retinopathy remains a major concern, with the potential for irreversible visual impairment. This study aimed to investigate the causes of late diagnosis in a hospital-based cohort of Korean patients with hydroxychloroquine retinopathy and assess the trend of late diagnosis from 2015 to 2022.

Methods

Thirty-eight patients with a late diagnosis (severe stage at diagnosis) among 94 patients with hydroxychloroquine retinopathy were included in the analysis. The causes of late diagnosis were categorized as referral-related, patient-related, and screening-related factors.

Results

The most prevalent cause was no or late referral to ophthalmologists, contributing to a significant gap in timely identification. Patient-related causes included delayed monitoring visits despite scheduled appointments and early-onset disease. Screening-related causes encompassed an insufficient number of sensitive tests, leading to inadequate evidence for diagnosis, and missed or wrong diagnoses by screening physicians. The proportion of late diagnoses decreased over time, indicating improvements in overall screening and detection. The decreasing proportions of screening-related causes suggest advancements in screening practices and the use of multiple sensitive tests for screening.

Discussion

Efforts to further reduce late diagnoses and improve screening and diagnostic processes are necessary. Our data emphasize the importance of timely referral to ophthalmologists for early detection and management.
Targeted metabolome and transcriptome analyses reveal changes in gibberellin and related cell wall-acting enzyme-encoding genes during stipe elongation in Flammulina filiformis
Authors: Li Hui , Yao Sen , Xia Weiwei , Ma Xinbin , Shi Lei , Ju Huimin , Li Ziyan , Zhong Yingli , Xie Baogui , Tao Yongxin
Published: September 2023

Flammulina filiformis, a typical agaric fungus, is a widely cultivated and consumed edible mushroom. Elongation of its stipe (as the main edible part) is closely related to its yield and commercial traits; however, the endogenous hormones during stipe elongation and their regulatory mechanisms are not well understood. Gibberellin (GA) plays an important role in the regulation of plant growth, but little has been reported in macro fungi. In this study, we first treated F. filiformis stipes in the young stage with PBZ (an inhibitor of GA) and found that PBZ significantly inhibited elongation of the stipe. Then, we performed GA-targeted metabolome and transcriptome analyses of the stipe at both the young and elongation stages. A total of 13 types of GAs were detected in F. filiformis; the contents of ten of them, namely, GA3, GA4, GA8, GA14, GA19, GA20, GA24, GA34, GA44, and GA53, were significantly decreased, and the contents of three (GA5, GA9, and GA29) were significantly increased during stipe elongation. Transcriptome analysis showed that the genes in the terpenoid backbone biosynthesis pathway showed varying expression patterns: HMGS, HMGR, GPS, and FPPS were significantly upregulated, while CPS/KS had no significant difference in transcript level during stipe elongation. In total, 37 P450 genes were annotated to be involved in GA biosynthesis; eight of them were upregulated, twelve were downregulated, and the rest were not differentially expressed. In addition, four types of differentially expressed genes involved in stipe elongation were identified, including six signal transduction genes, five cell cycle-controlling genes, twelve cell wall-related enzymes and six transcription factors. The results identified the types and content of GAs and the expression patterns of their synthesis pathways during elongation in F. filiformis and revealed the molecular mechanisms by which GAs may affect the synthesis of cell wall components and the cell cycle of the stipe through the downstream action of cell wall-related enzymes, transcription factors, signal transduction and cell cycle control, thus regulating stipe elongation. This study is helpful for understanding the roles of GAs in stipe development in mushrooms and lays the foundation for the rational regulation of stipe length in agaric mushrooms during production.
Difference of gut microbiota between patients with negative and positive HBeAg in chronic hepatitis B and the effect of tenofovir alafenamide on intestinal flora
Authors: Long Jianfei , Gong Jingru , Zhu Han , Liu Xiaolin , Li Ling , Chen Bicui , Ren Hongyan , Liu Chao , Lu Huiping , Zhang Jiming , Wang Bin
Published: September 2023

Background

Severe liver diseases, such as liver fibrosis, cirrhosis, and liver cancer, are mainly caused by hepatitis B virus (HBV). This study investigated the differences between gut microbiota in HBeAg-positive and negative groups of patients with chronic hepatitis B (CHB) and investigated the effect of tenofovir alafenamide (TAF) on gut microbiota.

Methods

This prospective study included patients with CHB not taking nucleoside antivirals (No-NAs group, n = 95) and those taking TAF (TAF group, n = 60). We divided CHB patients into two groups according to the HBeAg status of the subjects on the day of data collection. Phase 1 are HBeAg-negative patients and phase 2 are HBeAg-positive patients. We investigated the improvement of clinical symptoms by TAF, as well as differences in gut microbiota between different groups by 16S rRNA high-throughput sequencing.

Results

Gut microbiota demonstrated significant differences between patients with HBeAg-positive and -negative CHB. Both the No-NAs and TAF Phase 2 subgroups demonstrated significantly increased microbiota richness and diversity, showing greater heterogeneity. Additionally, the Phase 2 subgroup exhibited a low abundance of pathways associated with glucose metabolism and amino acid metabolism. The TAF group demonstrated a significantly decreased HBV load, alanine aminotransferase, and aspartate aminotransferase and a significant increase in prealbumin compared with the No-NAs group. No significant difference was found in uric acid, creatinine, blood calcium, inorganic phosphorus, eGFR, and β2-microglobulin concentrations between the two groups. Additionally, the urea level in the TAF group was significantly lower than that in the No-NAs group, but with no significant effect on other indicators such as eGFR and β2-microglobulin.

Conclusion

This study revealed significant differences in gut microbiota composition and function between patients with HBeAg-positive and -negative CHB.