bluuebunny/crossref_metadata_2025 huggingface dataset:
Effects of Once-Weekly Semaglutide on Cardiovascular Risk Factors and Metabolic Dysfunction-Associated Steatotic Liver Disease in Japanese Patients with Type 2 Diabetes: A Retrospective Longitudinal Study Based on Real-World Data
Authors: Katsuyama Hisayuki , Hakoshima Mariko , Kaji Emika , Mino Masaaki , Kakazu Eiji , Iida Sakura , Adachi Hiroki , Kanto Tatsuya , Yanai Hidekatsu
Published: May 2024

Once-weekly semaglutide is a widely used glucagon-like peptide-1 receptor agonist (GLP-1RA) used for the treatment of type 2 diabetes (T2D). In clinical trials, semaglutide improved glycemic control and obesity, and reduced major cardiovascular events. However, the reports are limited on its real-world efficacy relating to various metabolic factors such as dyslipidemia or metabolic dysfunction-associated steatotic liver disease (MASLD) in Asian patients with T2D. In our retrospective longitudinal study, we selected patients with T2D who were given once-weekly semaglutide and compared metabolic parameters before and after the start of semaglutide. Seventy-five patients were eligible. HbA1c decreased significantly, by 0.7–0.9%, and body weight by 1.4–1.7 kg during the semaglutide treatment. Non-HDL cholesterol decreased significantly at 3, 6 and 12 months after the initiation of semaglutide; LDL cholesterol decreased at 3 and 6 months; and HDL cholesterol increased at 12 months. The effects on body weight, HbA1c and lipid profile were pronounced in patients who were given semaglutide as a first GLP-1RA (GLP-1R naïve), whereas improvements in HbA1c were also observed in patients who were given semaglutide after being switched from other GLP-1RAs. During a 12-month semaglutide treatment, the hepatic steatosis index (HSI) tended to decrease. Moreover, a significant decrease in the AST-to-platelet ratio index (APRI) was observed in GLP-1RA naïve patients. Our real-world study confirmed the beneficial effects of once-weekly semaglutide, namely, improved body weight, glycemic control and atherogenic lipid profile. The beneficial effects on MASLD were also suggested.
Single Sequential Trajectory Optimization with Centroidal Dynamics and Whole-Body Kinematics for Vertical Jump of Humanoid Robot
Authors: Liu Yaliang , Chen Xuechao , Yu Zhangguo , Qi Haoxiang , Yi Chuanku
Published: May 2024

High vertical jumping motion, which enables a humanoid robot to leap over obstacles, is a direct reflection of its extreme motion capabilities. This article proposes a single sequential kino-dynamic trajectory optimization method to solve the whole-body motion trajectory for high vertical jumping motion. The trajectory optimization process is decomposed into two sequential optimization parts: optimization computation of centroidal dynamics and coherent whole-body kinematics. Both optimization problems converge on the common variables (the center of mass, momentum, and foot position) using cost functions while allowing for some tolerance in the consistency of the foot position. Additionally, complementarity conditions and a pre-defined contact sequence are implemented to constrain the contact force and foot position during the launching and flight phases. The whole-body trajectory, including the launching and flight phases, can be efficiently solved by a single sequential optimization, which is an efficient solution for the vertical jumping motion. Finally, the whole-body trajectory generated by the proposed optimized method is demonstrated on a real humanoid robot platform, and a vertical jumping motion of 0.5 m in height (foot lifting distance) is achieved.
Refuting Six Misconceptions about Romantic Love
Authors: Langeslag Sandra J. E.
Published: May 2024

Scientific research on romantic love has been relatively sparse but is becoming more prevalent, as it should. Unfortunately, several misconceptions about romantic love are becoming entrenched in the popular media and/or the scientific community, which hampers progress. Therefore, I refute six misconceptions about romantic love in this article. I explain why (1) romantic love is not necessarily dyadic, social, or interpersonal, (2) love is not an emotion, (3) romantic love does not just have positive effects, (4) romantic love is not uncontrollable, (5) there is no dedicated love brain region, neurotransmitter, or hormone, and (6) pharmacological manipulation of romantic love is not near. To increase progress in our scientific understanding of romantic love, I recommend that we study the intrapersonal aspects of romantic love including the intensity of love, that we focus our research questions and designs using a component process model of romantic love, and that we distinguish hypotheses and suggestions from empirical findings when citing previous work.
Electrochemical Properties of NiCo2O4/WO3/Activated Carbon Wheat Husk Nano-Electrocatalyst for Methanol and Ethanol Oxidation
Authors: Askari Mohammad Bagher , Salarizadeh Parisa , Samareh Hashemi Seyed Rouhollah , Shojaeifar Mohsen , Azizi Sadegh
Published: May 2024

It is common to use efficient catalysts in the anodes and cathodes of methanol and ethanol fuel cells, such as platinum and ruthenium. However, due to their expansivity and rarity, finding a suitable alternative is important. In this work, multi-component catalysts consisting of tungsten oxide, nickel cobaltite, and activated carbon were synthesized through the hydrothermal method. The performance of catalysts in the processes of methanol and ethanol oxidation reactions (MOR and EOR) were investigated. The addition of activated carbon obtained from wheat husk, with an excellent active surface and acceptable electrical conductivity, to the matrix of the catalyst significantly facilitated the oxidation process of alcohols and enhanced the efficiency of the catalyst. The physical and electrochemical characterization of the NiCo2O4/WO3 hybridized with the wheat husk-derived activated carbon (ACWH) catalyst indicated its successful synthesis and good performance in the alcohol oxidation process. NiCo2O4/WO3/ACWH with an oxidation current density of 63.39 mA/cm2 at the peak potential of 0.58 V (1.59 vs. RHE), a cyclic stability of 98.6% in the methanol oxidation reaction (MOR) and 27.98 mA/cm2 at the peak potential of 0.67 V (1.68 vs. RHE), and a cyclic stability of 95.7% in the ethanol oxidation reaction (EOR) process can be an interesting option for application in the anodes of alcohol fuel cells.
Selective Targeting of α4β7/MAdCAM-1 Axis Suppresses Fibrosis Progression by Reducing Proinflammatory T Cell Recruitment to the Liver
Authors: Gupta Biki , Rai Ravi Prakash , Pal Pabitra B. , Rossmiller Daniel , Chaudhary Sudrishti , Chiaro Anna , Seaman Shannon , Singhi Aatur D. , Liu Silvia , Monga Satdarshan P. , Iyer Smita S. , Raeman Reben
Published: May 2024

Integrin α4β7+ T cells perpetuate tissue injury in chronic inflammatory diseases, yet their role in hepatic fibrosis progression remains poorly understood. Here, we report increased accumulation of α4β7+ T cells in the liver of people with cirrhosis relative to disease controls. Similarly, hepatic fibrosis in the established mouse model of CCl4-induced liver fibrosis was associated with enrichment of intrahepatic α4β7+ CD4 and CD8 T cells. Monoclonal antibody (mAb)-mediated blockade of α4β7 or its ligand mucosal addressin cell adhesion molecule (MAdCAM)-1 attenuated hepatic inflammation and prevented fibrosis progression in CCl4-treated mice. Improvement in liver fibrosis was associated with a significant decrease in the infiltration of α4β7+ CD4 and CD8 T cells, suggesting that α4β7/MAdCAM-1 axis regulates both CD4 and CD8 T cell recruitment to the fibrotic liver, and α4β7+ T cells promote hepatic fibrosis progression. Analysis of hepatic α4β7+ and α4β7- CD4 T cells revealed that α4β7+ CD4 T cells were enriched for markers of activation and proliferation, demonstrating an effector phenotype. The findings suggest that α4β7+ T cells play a critical role in promoting hepatic fibrosis progression, and mAb-mediated blockade of α4β7 or MAdCAM-1 represents a promising therapeutic strategy for slowing hepatic fibrosis progression in chronic liver diseases.
Neuroreceptor Inhibition by Clozapine Triggers Mitohormesis and Metabolic Reprogramming in Human Blood Cells
Authors: Fehsel Karin , Bouvier Marie-Luise , Capobianco Loredana , Lunetti Paola , Klein Bianca , Oldiges Marko , Majora Marc , Löffler Stefan
Published: May 2024

The antipsychotic drug clozapine demonstrates superior efficacy in treatment-resistant schizophrenia, but its intracellular mode of action is not completely understood. Here, we analysed the effects of clozapine (2.5–20 µM) on metabolic fluxes, cell respiration, and intracellular ATP in human HL60 cells. Some results were confirmed in leukocytes of clozapine-treated patients. Neuroreceptor inhibition under clozapine reduced Akt activation with decreased glucose uptake, thereby inducing ER stress and the unfolded protein response (UPR). Metabolic profiling by liquid-chromatography/mass-spectrometry revealed downregulation of glycolysis and the pentose phosphate pathway, thereby saving glucose to keep the electron transport chain working. Mitochondrial respiration was dampened by upregulation of the F0F1-ATPase inhibitory factor 1 (IF1) leading to 30–40% lower oxygen consumption in HL60 cells. Blocking IF1 expression by cotreatment with epigallocatechin-3-gallate (EGCG) increased apoptosis of HL60 cells. Upregulation of the mitochondrial citrate carrier shifted excess citrate to the cytosol for use in lipogenesis and for storage as triacylglycerol in lipid droplets (LDs). Accordingly, clozapine-treated HL60 cells and leukocytes from clozapine-treated patients contain more LDs than untreated cells. Since mitochondrial disturbances are described in the pathophysiology of schizophrenia, clozapine-induced mitohormesis is an excellent way to escape energy deficits and improve cell survival.
Globospiramine from Voacanga globosa Exerts Robust Cytotoxic and Antiproliferative Activities on Cancer Cells by Inducing Caspase-Dependent Apoptosis in A549 Cells and Inhibiting MAPK14 (p38α): In Vitro and Computational Investigations
Authors: Manzano Joe Anthony H. , Abellanosa Elian Angelo , Aguilar Jose Paolo , Brogi Simone , Yen Chia-Hung , Macabeo Allan Patrick G. , Austriaco Nicanor
Published: May 2024

Bisindole alkaloids are a source of inspiration for the design and discovery of new-generation anticancer agents. In this study, we investigated the cytotoxic and antiproliferative activities of three spirobisindole alkaloids from the traditional anticancer Philippine medicinal plant Voacanga globosa, along with their mechanisms of action. Thus, the alkaloids globospiramine (1), deoxyvobtusine (2), and vobtusine lactone (3) showed in vitro cytotoxicity and antiproliferative activities against the tested cell lines (L929, KB3.1, A431, MCF-7, A549, PC-3, and SKOV-3) using MTT and CellTiter-Blue assays. Globospiramine (1) was also screened against a panel of breast cancer cell lines using the sulforhodamine B (SRB) assay and showed moderate cytotoxicity. It also promoted the activation of apoptotic effector caspases 3 and 7 using Caspase–Glo 3/7 and CellEvent-3/7 apoptosis assays. Increased expressions of cleaved caspase 3 and PARP in A549 cells treated with 1 were also observed. Apoptotic activity was also confirmed when globospiramine (1) failed to promote the rapid loss of membrane integrity according to the HeLa cell membrane permeability assay. Network pharmacology analysis, molecular docking, and molecular dynamics simulations identified MAPK14 (p38α), a pharmacological target leading to cancer cell apoptosis, as a putative target. Low toxicity risks and favorable drug-likeness were also predicted for 1. Overall, our study demonstrated the anticancer potentials and apoptotic mechanisms of globospiramine (1), validating the traditional medicinal use of Voacanga globosa.
CD133 Stimulates Cell Proliferation via the Upregulation of Amphiregulin in Melanoma
Authors: Simbulan-Rosenthal Cynthia M , Islam Nusrat , Haribabu Yogameenakshi , Alobaidi Ryyan , Shalamzari Azadeh , Graham Garrett , Kuo Li-Wei , Sykora Peter , Rosenthal Dean S
Published: May 2024

CD133, a cancer stem cell (CSC) marker in tumors, including melanoma, is associated with tumor recurrence, chemoresistance, and metastasis. Patient-derived melanoma cell lines were transduced with a Tet-on vector expressing CD133, generating doxycycline (Dox)-inducible cell lines. Cells were exposed to Dox for 24 h to induce CD133 expression, followed by RNA-seq and bioinformatic analyses, revealing genes and pathways that are significantly up- or downregulated by CD133. The most significantly upregulated gene after CD133 was amphiregulin (AREG), validated by qRT-PCR and immunoblot analyses. Induced CD133 expression significantly increased cell growth, percentage of cells in S-phase, BrdU incorporation into nascent DNA, and PCNA levels, indicating that CD133 stimulates cell proliferation. CD133 induction also activated EGFR and the MAPK pathway. Potential mechanisms highlighting the role(s) of CD133 and AREG in melanoma CSC were further delineated using AREG/EGFR inhibitors or siRNA knockdown of AREG mRNA. Treatment with the EGFR inhibitor gefitinib blocked CD133-induced cell growth increase and MAPK pathway activation. Importantly, siRNA knockdown of AREG reversed the stimulatory effects of CD133 on cell growth, indicating that AREG mediates the effects of CD133 on cell proliferation, thus serving as an attractive target for novel combinatorial therapeutics in melanoma and cancers with overexpression of both CD133 and AREG.
Biosensor-Based Assessment of Pesticides and Mineral Fertilizers’ Influence on Ecotoxicological Parameters of Soils under Soya, Sunflower and Wheat
Authors: Khmelevtsova Ludmila , Klimova Maria , Karchava Shorena , Azhogina Tatiana , Polienko Elena , Litsevich Alla , Chernyshenko Elena , Khammami Margarita , Sazykin Ivan , Sazykina Marina
Published: May 2024

Pesticides and fertilizers used in agriculture can negatively affect the soil, increasing its toxicity. In this work, a battery of whole-cell bacterial lux-biosensors based on the E. coli MG1655 strain with various inducible promoters, as well as the natural luminous Vibrio aquamarinus VKPM B-11245 strain, were used to assess the effects of agrochemical soil treatments. The advantages of using biosensors are sensitivity, specificity, low cost of analysis, and the ability to assess the total effect of toxicants on a living cell and the type of their toxic effect. Using the V. aquamarinus VKPM B-11245 strain, the synergistic effect of combined soil treatment with pesticides and mineral fertilizers was shown, which led to an increase in the overall (integral) toxicity of soils higher than that of the individual application of substances. Several probable implementation mechanisms of agrochemical toxic effects have been discovered. DNA damage caused by both SOS response induction and alkylation, oxidative stress due to increased superoxide levels, and damage to cellular proteins and membranes are among them. Thus, the usage of biosensors makes it possible to assess the cumulative effect of various toxicants on living organisms without using expensive chemical analyses.
Intelligent Control Based on Usage Habits in a Domestic Refrigerator with Variable Speed Compressor for Energy-Saving
Authors: Belman-Flores Juan M. , Hernández-Fusilier Donato , García-Pabón Juan J. , Rodríguez-Valderrama David A.
Published: May 2024

Maintaining adequate temperatures for preserving food in a domestic refrigerator is a task that is affected by several factors, including the daily use of the appliance. In this sense, this work presents the development of a novel control system based on fuzzy logic that considers usage habits such as the amount of food entering the refrigerator and the frequency of opening doors. Thus, the control comprises input variables corresponding to the internal temperatures of both compartments, the thermal load entered, and the refrigerator door-opening signal. By simulating the usage habits of a refrigerator with a variable-speed compressor, the control performance was evaluated. The results showed that implementing fuzzy control using usage habits was robust enough to maintain adequate thermal conditions within the compartments and a lower thermal fluctuation concerning the reference control of the refrigerator (factory control). In terms of energy, the fuzzy control resulted in an energy saving of 3.20% with the refrigerator empty (without thermal load) compared to the reference control. On the other hand, the individual integration of the thermal load in the fuzzy control resulted in 2.08% energy savings and 5.45% for the integration of the thermal load compared to the reference control. Finally, considering the combination of usage habits, the fuzzy control presented a higher energy consumption than the reference control, around 9.7%. In this case, the fuzzy control maintained more favorable thermal conditions in both compartments, whereas the reference control presented a warmer thermal condition in the freezer.
Giant Intraabdominal Lymphangioma in a Pediatric Patient—A Challenging Diagnosis
Authors: Candussi Iuliana-Laura , Petecariu Alexandru , Lungu Mirela , Busila Camelia , Mihailov Raul , Neagu Anca , Lungu Claudiu N. , Sarbu Ioan , Ciongradi Carmen I.
Published: May 2024

Introduction: Intra-abdominal cystic formations represent heterogeneous pathologies with varied localization and clinical manifestation. The first challenge of a giant intra-abdominal cystic lesion is identifying the organ of origin. The clinical presentation of intra-abdominal cystic lesions varies from acute manifestations to non-specific symptoms or accidental discovery. Case presentation: A 2-year-old girl presents to the emergency unit with a fever of 38.5 Celsius, loss of appetite, and apathy. The investigations showed a gigantic intra-abdominal mass whose organ belonging could not be specified. Postoperatively, a giant mesenteric lymphangioma was evident, which was completely excised. Discussion: Giant cystic formations modify the anatomical reports and become space-replacing formations, and the starting point is even more challenging to assess preoperatively. Nevertheless, the careful evaluation of the characteristics of the formation, the effect on the adjacent organs, the age of the patient, and the clinical picture can provide elements of differential diagnosis. The stated purpose of this work is to systematize intra-abdominal lesions according to the organ of origin and to make the preoperative diagnosis of an intra-abdominal cystic lesion in the pediatric patient easy to perform starting from the presented case.
Detailed Landslide Traces Database of Hancheng County, China, Based on High-Resolution Satellite Images Available on the Google Earth Platform
Authors: Zhao Junlei , Xu Chong , Huang Xinwu
Published: May 2024

Hancheng is located in the eastern part of China’s Shaanxi Province, near the west bank of the Yellow River. It is located at the junction of the active geological structure area. The rock layer is relatively fragmented, and landslide disasters are frequent. The occurrence of landslide disasters often causes a large number of casualties along with economic losses in the local area, seriously restricting local economic development. Although risk assessment and deformation mechanism analysis for single landslides have been performed for landslide disasters in the Hancheng area, this area lacks a landslide traces database. A complete landslide database comprises the basic data required for the study of landslide disasters and is an important requirement for subsequent landslide-related research. Therefore, this study used multi-temporal high-resolution optical images and human-computer interaction visual interpretation methods of the Google Earth platform to construct a landslide traces database in Hancheng County. The results showed that at least 6785 landslides had occurred in the study area. The total area of the landslides was about 95.38 km2, accounting for 5.88% of the study area. The average landslide area was 1406.04 m2, the largest landslide area was 377,841 m2, and the smallest landslide area was 202.96 m2. The results of this study provides an important basis for understanding the spatial distribution of landslides in Hancheng County, the evaluation of landslide susceptibility, and local disaster prevention and mitigation work.
A Comprehensive Dataset of the Aerodynamic and Geometric Coefficients of Airfoils in the Public Domain
Authors: Agarwal Kanak , Vijaykrishnan Vedant , Mohanty Dyutit , Murugaiah Manikandan
Published: May 2024

This study presents an extensive collection of data on the aerodynamic behavior at a low Reynolds number and geometric coefficients for 2900 airfoils obtained through the class shape transformation (CST) method. By employing a verified OpenFOAM-based CFD simulation framework, lift and drag coefficients were determined at a Reynolds number of 105. Considering the limited availability of data on low Reynolds number airfoils, this dataset is invaluable for a wide range of applications, including unmanned aerial vehicles (UAVs) and wind turbines. Additionally, the study offers a method for automating CFD simulations that could be applied to obtain aerodynamic coefficients at higher Reynolds numbers. The breadth of this dataset also supports the enhancement and creation of machine learning (ML) models, further advancing research into the aerodynamics of airfoils and lifting surfaces.
Spectral Library of Plant Species from Montesinho Natural Park in Portugal
Authors: Pôças Isabel , Almeida Cátia Rodrigues de , Arenas-Castro Salvador , Campos João C. , Garcia Nuno , Alírio João , Sillero Neftalí , Teodoro Ana C.
Published: May 2024

In this work, we present and describe a spectral library (SL) with 15 vascular plant species from Montesinho Natural Park (MNP), a protected area in Northeast Portugal. We selected species from the vascular plants that are characteristic of the habitats in the MNP, based on their prevalence, and also included one invasive species: Alnus glutinosa (L.) Gaertn, Castanea sativa Mill., Cistus ladanifer L., Crataegus monogyna Jacq., Frangula alnus Mill., Fraxinus angustifolia Vahl, Quercus pyrenaica Willd., Quercus rotundifolia Lam., Trifolium repens L., Arbutus unedo L., Dactylis glomerata L., Genista falcata Brot., Cytisus multiflorus (L’Hér.) Sweet, Erica arborea L., and Acacia dealbata Link. We collected spectra (300–2500 nm) from five records per leaf and leaf side, which resulted in 538 spectra compiled in the SL. Additionally, we computed five vegetation indices from spectral data and analysed them to highlight specific characteristics and differences among the sampled species. We detail the data repository information and its organisation for a better understanding of the data and to facilitate its use. The SL structure can add valuable information about the selected plant species in MNP, contributing to conservation purposes. This plant species SL is publicly available in Zenodo platform.
Toxicity and Teratogenic Potential of Piplartine from Piper tuberculatum Jacq. during Embryonic Development in Mice (Mus musculus)
Authors: Silva Giulliano Rezende , Miranda Lívia Thaís Gontijo , da Silva Shirley Aline da Costa Arteaga , Andrade Laise Rodrigues de , Souza Natanael Carvalho de , Sá Bruno Silva , Santana Elivaldo Ribeiro de , Vasconcelos Andreanne Gomes , Moreira Daniel Carneiro , Pic-Taylor Aline , Durazzo Alessandra , Lucarini Massimo , Yamaguchi Lydia Fumiko , Kato Massuo Jorge , Damazo Amilcar Sabino , Arcanjo Daniel Dias Rufino , Leite José Roberto de Souza de Almeida , Baroneza José Eduardo
Published: May 2024

Piplartine, also known as piperlongumine, is a natural and biologically active amide alkaloid found in various Piper species within the Piperaceae family. It possesses numerous beneficial properties that can be leveraged in the development of nanotechnological and pharmaceutical products. However, information on the effects of piplartine on mammalian embryonic development is scarce. This study aims to assess the general toxicity and teratogenic potential of piplartine during the embryonic development of mice. Pregnant mice received daily treatments of 25, 50, or 100 mg/kg of piplartine via gavage from the sixth day of gestation (implantation) to the eighteenth. On the eighteenth day, the mice were euthanized, and whole organs, blood samples (for hematological and biochemical analyses), and bone marrow cells (for DNA fragmentation and cell cycle assays) were collected. The uterus was examined for implantation sites and embryo resorptions. Additionally, fetuses were collected to assess for fetal anomalies. Piplartine did not result in maternal or embryo-fetal toxicity, induce fetal anomalies, cause hematological and biochemical alterations, or lead to DNA fragmentation. The oral administration of piplartine is safe and does not exhibit toxicity or teratogenic effects in mice. This finding opens avenues for the development of piplartine-based biotechnological products for therapeutic interventions in disease treatment.
Do T2DM and Hyperglycaemia Affect the Expression Levels of the Regulating Enzymes of Cellular O-GlcNAcylation in Human Saphenous Vein Smooth Muscle Cells?
Authors: Bolanle Israel O. , Durham Gillian A. , Hobkirk James P. , Loubani Mahmoud , Sturmey Roger G. , Palmer Timothy M.
Published: May 2024

Protein O-GlcNAcylation, a dynamic and reversible glucose-dependent post-translational modification of serine and threonine residues on target proteins, has been proposed to promote vascular smooth muscle cell proliferation and migration events implicated in vein graft failure (VGF). Therefore, targeting the enzymes (glutamine fructose-6P amidotransferase (GFAT), O-GlcNAc transferase (OGT), and O-GlcNAcase (OGA)) that regulate cellular O-GlcNAcylation could offer therapeutic options to reduce neointimal hyperplasia and venous stenosis responsible for VGF. However, it is unclear how type 2 diabetes mellitus (T2DM) and hyperglycaemia affect the expression of these enzymes in human saphenous vein smooth muscle cells (HSVSMCs), a key cell type involved in the vascular dysfunction responsible for saphenous VGF. Therefore, our aim was to assess whether T2DM and hyperglycaemia affect GFAT, OGT, and OGA expression levels in HSVSMCs in vitro. Expression levels of GFAT, OGT, and OGA were determined in low-passage HSVSMCs from T2DM and non-T2DM patients, and in HSVSMCs treated for 48 h with hyperglycaemic (10 mM and 25 mM) glucose concentrations, by quantitative immunoblotting. Expression levels of OGT, OGA, and GFAT were not significantly different in HSVSMC lysates from T2DM patients versus non-T2DM controls. In addition, treatment with high glucose concentrations (10 mM and 25 mM) had no significant effect on the protein levels of these enzymes in HSVSMC lysates. From our findings, T2DM and hyperglycaemia do not significantly impact the expression levels of the O-GlcNAcylation-regulating enzymes OGT, OGA, and GFAT in HSVSMCs. This study provides a foundation for future studies to assess the role of O-GlcNAcylation on VGF in T2DM.
Frugal and Translatable [15O]O2 Production for Human Inhalation with Direct Delivery from the Cyclotron to a Hybrid PET/MR
Authors: Corsaut Jeffrey , Soto Elmer , Biernaski Heather , Kovacs Michael S. , St. Lawrence Keith , Hicks Justin W.
Published: May 2024

Oxygen-15 (β+, t1/2 = 122 s) radiolabeled diatomic oxygen, in conjunction with positron emission tomography, is the gold standard to quantitatively measure the metabolic rate of oxygen consumption in the living human brain. We present herein a protocol for safe and effective delivery of [15O]O2 over 200 m to a human subject for inhalation. A frugal quality control testing procedure was devised and validated. This protocol can act as a blueprint for other sites seeking to implement similar imaging programs.
Impressive Response to TANDEM Peptide Receptor Radionuclide Therapy with 177Lu/225AcDOTA-LM3 Somatostatin Receptor Antagonist in a Patient with Therapy-Refractory, Rapidly Progressive Neuroendocrine Neoplasm of the Pancreas
Authors: Perrone Elisabetta , Ghai Kriti , Eismant Aleksandr , Andreassen Mikkel , Langer Seppo W. , Knigge Ulrich , Kjaer Andreas , Baum Richard P.
Published: May 2024

The present report describes the history of a 58-year-old woman with a rapidly progressing neuroendocrine pancreatic tumor (initially G2) presenting with extensive liver, bone, and lymph node metastases. Previous treatments included chemotherapy, hemithyroidectomy for right lobe metastasis, Peptide Receptor Radionuclide Therapy (PRRT) with [177Lu]Lu-DOTATATE, Lanreotide, Everolimus, and liver embolization. Due to severe disease progression, after a liver biopsy revealing tumor grade G3, PRRT with the somatostatin receptor antagonist LM3 was initiated. [68Ga]GaDOTA-LM3 PET/CT showed intense tracer uptake in the liver, pancreatic tumor, lymph nodes, and bone metastases. Three TANDEM-PRRT cycles using [177Lu]LuDOTA-LM3 and [225Ac]AcDOTA-LM3, administered concurrently, resulted in significant improvement, notably in liver metastases, hepatomegaly reduction, the complete regression of bone and lymph node metastases, and primary tumor improvement. Partial remission was confirmed by positron emission tomography/computed tomography, chest–abdomen–pelvis contrast-enhanced computed tomography, and magnetic resonance of the abdomen, with marked clinical improvement in pain, energy levels, and quality of life, enabling full resumption of physical activity.
The Role of Arthroscopy in Contemporary Glenoid Fossa Fracture Fixation
Authors: Chalidis Byron , Papadopoulos Polychronis P. , Papadopoulos Pericles , Pitsilos Charalampos
Published: May 2024

Glenoid fossa fractures are rare injuries accounting for 10 to 29% of all intra-articular scapula fractures. They are usually the result of high-energy trauma, and concomitant injuries are not uncommon. Patients with glenoid fractures are admitted with shoulder pain and restricted range of motion. Although shoulder plain radiographs could establish the diagnosis, a computed tomography scan is necessary to adequately define the fracture pattern and characteristics. The most commonly used classification system is that of Ideberg (modified by Goss), which includes five glenoid fossa fracture types according to the location, extension, and complexity of the lesion. Articular surface displacement and step-off are the most important factors that should be taken under consideration when deciding for conservative or surgical management. Operative treatment includes open reduction and internal fixation through a posterior or anterior approach depending on fracture morphology and displacement. However, open surgical techniques are related to extensive soft-tissue disruption, risk of neurovascular injury, and inadequate exposure of the entire glenoid cavity. Introduction of arthroscopy could facilitate better visualization of the glenoid articular surface and improved fracture reduction. However, it is a technically demanding procedure with many challenges and pitfalls. The aim of this review is to summarize the current evidence regarding the treatment of glenoid fossa fractures and present the beneficial effect of arthroscopy in improving the quality of fracture fixation and overall functional outcomes.
Frequency and Demographic Analysis of Odontogenic Tumors in Three Tertiary Institutions: An 11-Year Retrospective Study
Authors: Almazyad Asma , Alamro Mohammed , Almadan Nasser , Almutairi Marzouq , AlQuwayz Turki S.
Published: May 2024

Odontogenic tumors (OTs) are distinct conditions that develop in the jawbones, exhibiting diverse histopathological features and variable clinical behaviors. Unfortunately, the literature on this subject in Saudi Arabia remains sparse, indicating a pressing need for more comprehensive data concerning the frequency, demographics, treatment modalities, and outcomes of OTs. Objectives: The study aims to evaluate the frequency, demographic features, treatment, and outcomes of OTs across three tertiary medical centers. Methods and Material: OT cases were identified in King Abdulaziz Medical City (KAMC), King Fahad Medical City (KFMC), and Prince Sultan Military Medical City (PSMMC) from January 2010 to December 2021. Results: Ninety-two OT cases were identified from the anatomical pathology laboratories of three tertiary hospitals. KFMC contributed the highest number of cases (43.5%), followed by KAMC (30.4%) and PSMMC (26.1%). The median age of OT patients was 29 years (range: 5–83), with males representing more than half of the patients (56.5%). The mandible was the most frequent site of OT occurrence (72.5%), with ameloblastoma being the predominant OT (63.0%), followed by odontoma (19.5%). Among the treatment modalities, bone resection was employed the most (51.0%), followed by enucleation (25.6%). Notably, 11.5% of OT cases with available follow-up data exhibited recurrence, with ameloblastoma accounting for eight recurrent cases. Conclusions: Although OTs are relatively common in the jaws, they are rare in anatomical pathology laboratories and the general population. This study contributes valuable insights into the epidemiology characteristics, treatment trends, and recurrence rates of OTs in Saudi Arabia.
Sports-Related Pure Orbital Blowout Fractures in Japan: Differences in Demographic and Clinical Characteristics between Sports
Authors: Ambat Jose Miguel , Someda Steffani Krista , Kakizaki Hirohiko , Takahashi Yasuhiro
Published: May 2024

The aim of this study was to present the demographic and clinical characteristics of sports-related pure (rim-sparing) orbital blowout fractures and to analyze these differences by type of sport. Ten years of sports-related orbital fracture data were accumulated. Patients were classified into similar sports (i.e., soccer and futsal) wherein orbital blowout fractures were obtained, producing 14 groups. This study included 377 sides from 374 patients. The majority of patients were male (83.4%), and the mean population age was 20.9 ± 10.8 years. The most common sports causing injuries were baseball/softball, rugby/football, and martial arts. Single-wall fractures were found in 78.8% of patients, but baseball/softball had a higher frequency of multiple-wall fractures (p = 0.035). Concomitant ocular and periocular injuries occurred in 18.6% of patients, which were frequently caused by baseball/softball (p < 0.001). The field of binocular single vision (BSV) included primary gaze in 84.2% of patients. Surgical management was conducted in 52.1% of patients. This study showed that baseball and softball had the highest rate of multi-wall fractures and concomitant ocular and periocular injuries. The field of BSV measured during the first examination was acceptable in most cases.
Immunohistochemical and Morphometric Analysis of Lung Tissue in Fatal COVID-19
Authors: Gheban-Roșca Ioana-Andreea , Gheban Bogdan-Alexandru , Pop Bogdan , Mironescu Daniela-Cristina , Siserman Vasile Costel , Jianu Elena Mihaela , Drugan Tudor , Bolboacă Sorana D.
Published: May 2024

The primary targets of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in the lungs are type I pneumocytes, macrophages, and endothelial cells. We aimed to identify lung cells targeted by SARS-CoV-2 using viral nucleocapsid protein staining and morphometric features on patients with fatal COVID-19. We conducted a retrospective analysis of fifty-one autopsy cases of individuals who tested positive for SARS-CoV-2. Demographic and clinical information were collected from forensic reports, and lung tissue was examined for microscopic lesions and the presence of specific cell types. Half of the evaluated cohort were older than 71 years, and the majority were male (74.5%). In total, 24 patients presented diffuse alveolar damage (DAD), and 50.9% had comorbidities (56.9% obesity, 33.3% hypertension, 15.7% diabetes mellitus). Immunohistochemical analysis showed a similar pattern of infected macrophages, infected type I pneumocytes, and endothelial cells, regardless of the presence of DAD (p > 0.5). The immunohistochemical reactivity score (IRS) was predominantly moderate but without significant differences between patients with and without DAD (p = 0.633 IRS for type I pneumocytes, p = 0.773 IRS for macrophage, and p = 0.737 for IRS endothelium). The nucleus/cytoplasm ratio shows lower values in patients with DAD (median: 0.29 vs. 0.35), but the difference only reaches a tendency for statistical significance (p = 0.083). Our study confirms the presence of infected macrophages, type I pneumocytes, and endothelial cells with a similar pattern in patients with and without diffuse alveolar damage.
Advanced Computational Methods for Radiation Dose Optimization in CT
Authors: Rao Shreekripa , Sharan Krishna , Chandraguthi Srinidhi Gururajarao , Dsouza Rechal Nisha , David Leena R. , Ravichandran Sneha , Mustapha Mubarak Taiwo , Shettigar Dilip , Uzun Berna , Kadavigere Rajagopal , Sukumar Suresh , Ozsahin Dilber Uzun
Published: May 2024

Background: In planning radiotherapy treatments, computed tomography (CT) has become a crucial tool. CT scans involve exposure to ionizing radiation, which can increase the risk of cancer and other adverse health effects in patients. Ionizing radiation doses for medical exposure must be kept “As Low As Reasonably Achievable”. Very few articles on guidelines for radiotherapy-computed tomography scans are available. This paper reviews the current literature on radiation dose optimization based on the effective dose and diagnostic reference level (DRL) for head, neck, and pelvic CT procedures used in radiation therapy planning. This paper explores the strategies used to optimize radiation doses, and high-quality images for diagnosis and treatment planning. Methods: A cross-sectional study was conducted on 300 patients with head, neck, and pelvic region cancer in our institution. The DRL, effective dose, volumetric CT dose index (CTDIvol), and dose-length product (DLP) for the present and optimized protocol were calculated. DRLs were proposed for the DLP using the 75th percentile of the distribution. The DLP is a measure of the radiation dose received by a patient during a CT scan and is calculated by multiplying the CT dose index (CTDI) by the scan length. To calculate a DRL from a DLP, a large dataset of DLP values obtained from a specific imaging procedure must be collected and can be used to determine the median or 75th-percentile DLP value for each imaging procedure. Results: Significant variations were found in the DLP, CTDIvol, and effective dose when we compared both the standard protocol and the optimized protocol. Also, the optimized protocol was compared with other diagnostic and radiotherapy CT scan studies conducted by other centers. As a result, we found that our institution’s DRL was significantly low. The optimized dose protocol showed a reduction in the CTDIvol (70% and 63%), DLP (60% and 61%), and effective dose (67% and 62%) for both head, neck, and pelvic scans. Conclusions: Optimized protocol DRLs were proposed for comparison purposes.
Saliva as a Biological Fluid in SARS-CoV-2 Detection
Authors: Silva Emily Thalia Teixeira , Furtado Fabiana Barcelos , Silveira Rosana Antunes da , Tasca Karen Ingrid , Silva Cristiane Nonato , Godoy Amanda Thais , Moraes Leonardo Nazario de , Hong Michelle Venancio , Alves Camila Gonçalves , Simões Rafael Plana , Kubo Agatha Mayume Silva , Fortaleza Carlos Magno Castelo Branco , Pereira-Lima Maria Cristina , Valente Guilherme Targino , Grotto Rejane Maria Tommasini
Published: May 2024

Background: The polymerase chain reaction of upper respiratory tract swab samples was established as the gold standard procedure for diagnosing SARS-CoV-2 during the COVID pandemic. However, saliva collection has attracted attention as an alternative diagnostic collection method. The goal of this study was to compare the use of saliva and nasopharyngeal swab (NPS) samples for the detection of SARS-CoV-2. Methods: Ninety-nine paired samples were evaluated for the detection of SARS-CoV-2 by saliva and swab for a qualitative diagnosis and quantitative comparison of viral particles. Furthermore, the detection limits for each sample collection technique were determined. The cycle threshold (CT) values of the saliva samples, the vaccination status, and the financial costs associated with each collection technique were compared. Results: The results showed qualitative equivalence in diagnosis (96.96%) comparing saliva and swab collection, although there was low quantitative agreement. Furthermore, the detection limit test demonstrated equivalence for both collection methods. We did not observe a statistically significant association between CT values and vaccination status, indicating that the vaccine had no influence on viral load at diagnosis. Finally, we observed that the use of saliva incurs lower financial costs and requires less use of plastic materials, making it more sustainable. Conclusions: These findings support the adoption of saliva collection as a feasible and sustainable alternative to the diagnosis of COVID-19.
The Contribution of Vessel Wall Magnetic Resonance Imaging to the Diagnosis of Primary and Secondary Central Nervous System Vasculitis
Authors: D’Aniello Serena , Rustici Arianna , Gramegna Laura Ludovica , Godi Claudia , Piccolo Laura , Gentile Mauro , Zini Andrea , Carrozzi Alessandro , Lodi Raffaele , Tonon Caterina , Dall’Olio Massimo , Simonetti Luigi , Chieffo Raffaella , Anzalone Nicoletta , Cirillo Luigi
Published: May 2024

Background: To describe high-resolution brain vessel wall MRI (VW-MRI) patterns and morphological brain findings in central nervous system (CNS) vasculitis patients. Methods: Fourteen patients with confirmed CNS Vasculitis from two tertiary centers underwent VW-MRI using a 3T scanner. The images were reviewed by two neuroradiologists to assess vessel wall enhancement characteristics and locations. Results: Fourteen patients were included (six females; average age 48 ± 19 years). Diagnoses included primary CNS vasculitis (PCNSV) in six patients and secondary CNS vasculitis (SCNSV) in eight, half of which were infection-related. Thirteen patients showed vessel wall enhancement, which was intense in eleven patients (84.6%) and concentric in twelve (92.3%), affecting the anterior circulation in nine patients (69.2%), posterior in two patients (15.4%), and both circulations in two patients (15.4%). The enhancement patterns were similar across different CNS vasculitis types. DWI changes corresponded with areas of vessel wall enhancement in 77% of patients. Conclusions: CNS vasculitis is often associated with intense, concentric vessel wall enhancement in VW-MRI, especially in the anterior circulation. The consistent presence of DWI alterations in affected territories suggests a possible link to microembolization or hypoperfusion. These imaging findings complement parenchymal brain MRI and MRA/DSA data, potentially increasing the possibility of a clinical diagnosis of CNS vasculitis.
Present and Future Applications of Digital PCR in Infectious Diseases Diagnosis
Authors: Sancha Dominguez Laura , Cotos Suárez Ana , Sánchez Ledesma María , Muñoz Bellido Juan Luis
Published: May 2024

Infectious diseases account for about 3 million deaths per year. The advent of molecular techniques has led to an enormous improvement in their diagnosis, both in terms of sensitivity and specificity and in terms of the speed with which a clinically useful result can be obtained. Digital PCR, or 3rd generation PCR, is based on a series of technical modifications that result in more sensitive techniques, more resistant to the action of inhibitors and capable of direct quantification without the need for standard curves. This review presents the main applications that have been developed for the diagnosis of viral, bacterial, and parasitic infections and the potential prospects for the clinical use of this technology.
The Riddle of the Double Vision—A Rare Case of Intracranial Tumor: When Imaging Resolves the Mystery
Authors: Kirkova Radina , Dineva Svetla , Stradiotto Elisa , Tanev Ivan , Di Maria Alessandra
Published: May 2024

A 77-year-old-man with arterial hypertension, diabetes mellitus type II presented at our clinic for a routine ophthalmological exam. He complained of intermittent double vision. The ophthalmic examination revealed paralysis of III (n. oculomotorius) and VI (n. abducens) cranial nerves with ptosis, deficit in elevation and abduction of the left eye. The patient underwent urgent MRI imaging of the brain/orbits and paranasal sinuses, and urgent neurological assessment. MRI revealed a volume-occupying process, starting from the posterior wall of the left maxillary sinus with perineural diffusion and involvement of the homolateral trigeminal nerve, intracranial spread in the medial cranial fossa and involvement of the cavernous, sphenoidal sinuses and the orbital apex on the left side. Biopsy was performed, and the histology resulted in sinonasal squamous cell carcinoma with intracranial spread.
Clinical Profile of Patients with Primary Sjögren’s Syndrome with Non-Identified Antinuclear Autoantibodies
Authors: Parisis Dorian , Sarrand Julie , Cabrol Xavier , Delporte Christine , Soyfoo Muhammad S.
Published: May 2024

Objectives—The aim of the present study was to characterize the clinical phenotype of patients with primary Sjögren’s syndrome (pSS) with non-identified antinuclear antibodies (ANA) in comparison with that of patients with pSS with negative ANA, positive typical ANA (anti-Ro/SSA and/or La/SSB) and positive atypical ANA. Methods—We conducted an observational, retrospective monocentric study at the Erasme University Hospital (Brussels, Belgium). Two hundred and thirty-three patients fulfilling the 2002 American–European Consensus Group criteria for pSS were included in this study. The patients were subdivided according to their ANA profile and demographics. The clinical and biological data of each subgroup were compared. Moreover, the relationships between these data and the ANA profiles were determined by multiple correspondence analysis. Results—In our cohort, 42 patients (18%) presented a non-identified ANA-positive profile. No statistically significant difference could be observed between non-identified ANA patients and ANA-negative patients in terms of age and/or ESSDAI score at diagnosis. There were significantly more frequent articular manifestations, positive rheumatoid factor (RF), and the use of corticosteroids in anti-Ro/SSA-positive patients compared to ANA-negative (p ≤ 0.0001) and non-identified ANA-positive patients (p ≤ 0.01). However, a significantly higher proportion of RF positivity and corticosteroid treatment was observed in non-identified ANA-positive patients compared to ANA-negative patients (p < 0.05). Conclusions—For the first time to our knowledge, our study has characterized the clinical phenotype of patients with pSS with non-identified ANA at diagnosis. The non-identified ANA-positive patients featured mostly a clinical phenotype similar to that of the ANA-negative patients. On the other hand, the non-identified ANA-positive patients were mainly distinguished from the ANA-negative patients by a greater proportion of RF positivity and the need for corticosteroid use due to articular involvement.