bluuebunny/crossref_metadata_2025 huggingface dataset:
Advancing bee conservation in the US: gaps and opportunities in data collection and reporting
Authors: Rousseau Josée S. , Woodard S. Hollis , Jepsen Sarina , Du Clos Brianne , Johnston Alison , Danforth Bryan N. , Rodewald Amanda D.
Published: March 2024

Introduction

Bee conservation in the US is currently hindered by challenges associated with assessing the status and trends of a diverse group of >3000 species, many of which are rare, endemic to small areas, and/or exhibit high inter-annual variationin population size. Fundamental information about the distribution of most species across space and time, thus, is lacking yet urgently needed to assess population status, guide conservation plans, and prioritize actions among species and geographies.

Methods

Using wild bee data from two public data repositories representing the contiguous US, we evaluated the availability and sufficiency of data for use in species assessments of wild bees. We also examined the number of bee species recorded in each US state and the proportion of species with recent records (2012–2021).

Results

Although efforts to monitor bees continue to grow, there remains a massive paucity of data. Exceedingly few records (0.04%)reported both sampling protocol and effort, greatly limiting the usefulness of the data. Few species or locations have adequate publicly available data to support analyses of population status or trends, and fewer than half of species have sufficient data to delineate geographic range. Despite an exponential increase in data submissions since the 2000s, only 47% of species were reported within the last decade, which may be driven by how data are collected, reported, and shared, or may reflect troubling patterns of local or large-scale declines and extirpations.

Discussion

Based on our analysis, we provide recommendations to improve the quality and quantity of data that can be used to detect, understand, and respond to changes in wild bee populations.
Disruption of IL-17-mediated immunosurveillance in the respiratory mucosa results in invasive Streptococcus pyogenes infection
Authors: Mills Jamie-Lee , Lepletier Ailin , Ozberk Victoria , Dooley Jessica , Kaden Jacqualine , Calcutt Ainslie , Huo Yongbao , Hicks Allan , Zaid Ali , Good Michael F. , Pandey Manisha
Published: March 2024

Introduction

Streptococcus pyogenes is a Gram-positive pathogen that causes a significant global burden of skin pyoderma and pharyngitis. In some cases, infection can lead to severe invasive streptococcal diseases. Previous studies have shown that IL-17 deficiency in mice (IL-17−/−) can reduce S. pyogenes clearance from the mucosal surfaces. However, the effect of IL-17 on the development of severe invasive streptococcal disease has not yet been assessed.

Methods

Here, we modeled single or repeated non-lethal intranasal (IN) S. pyogenes M1 strain infections in immunocompetent and IL-17−/− mice to assess bacterial colonization following a final IN or skin challenge.

Results

Immunocompetent mice that received a single S. pyogenes infection showed long-lasting immunity to subsequent IN infection, and no bacteria were detected in the lymph nodes or spleens. However, in the absence of IL-17, a single IN infection resulted in dissemination of S. pyogenes to the lymphoid organs, which was accentuated by repeated IN infections. In contrast to what was observed in the respiratory mucosa, skin immunity did not correlate with the systemic levels of IL-17. Instead, it was found to be associated with the activation of germinal center responses and accumulation of neutrophils in the spleen.

Discussion

Our results demonstrated that IL-17 plays a critical role in preventing invasive disease following S. pyogenes infection of the respiratory tract.
Marine lebensspuren: improving the classification of seafloor traces from underwater imagery and observations
Authors: Miguez-Salas Olmo , Przeslawski Rachel , Rodríguez-Tovar Francisco J. , Uchman Alfred , Bett Brian J. , Durden Jennifer M. , Riehl Torben
Published: March 2024

Taxonomy is a dynamic and evolving scientific field in biological and paleontological research, which describes and systematises species and other taxa and thus lays the foundation to solve and structure biological questions. The study of past (fossil) and modern (present) seafloor traces holds huge potential for understanding the composition, behavioural ecology, and ecosystem impact of benthic communities, e.g., in terms of bioturbation and carbon cycling. In trace fossil research (paleoichnology), ichnotaxonomical analysis is based on the application of ichnotaxobases, morphology being the most important and useful criterion. However, marine neoichnological analyses (modern traces; lebensspuren) have no standardised ichnotaxobases. In the literature, classification based on morphological descriptions or behavioural assignations can be found, but without consensus. This lack of standardised terminology hinders comparisons among studies and regions. Through this manuscript, we discuss the limitations of marine lebensspuren characterisation through underwater observations and how further classification could be done (i.e., possible ichnotaxobases). Considering that most of the classifications will be based on marine still images, we propose a classification for marine lebensspuren based on a combination of three labels: 1) morphology (e.g., M-ridged trail), 2) behaviour determination (e.g., locomotion and feeding), and 3) tracemaker taxonomy (e.g., Echinocrepis rostrata). Accordingly, the classification will be 1) M-ridged trail 2) Locomotion and feeding 3) Echinocrepsis rostrata. A set of recommendations is given to address all three labels. Also, we describe some of the contrasting positions of paleo- and neoichnology, particularly where a solution presently seems difficult to find, and argue that open nomenclature could be useful as still images contain large amounts of information. Finally, we provide examples of the usage of this classification for input to a marine lebensspuren online repository and how this nomenclature can help to compare worldwide lebensspuren in a consistent way.
Hindcasting estuary ecological states using sediment cores, modelled historic nutrient loads, and a Bayesian network
Authors: Hale Rachel , Zeldis John , Dudley Bruce D. , Haddadchi Arman , Plew David , Shankar Ude , Swales Andrew , Roberts Keryn , O’Connell-Milne Sorrel , Verburg Piet
Published: March 2024

Estuaries are impacted by catchment land use changes, driving degradation associated with eutrophication and alterations in sediment dynamics. Estuarine ecological monitoring has typically covered only recent periods, so magnitudes and trajectories of degradation are often poorly described. Here, we develop a multi-method approach to hindcast historic estuary condition. We determined geochemical properties in dated sediment cores from two sites in the eutrophic New River Estuary (NRE), Aotearoa New Zealand. Mud, organic matter, carbon, and nitrogen (N) contents increased from ~1847 to 2019 (~20 to 100%, ~1 to ~7%, ~0.2 to ~3%, and ~0.03 to ~0.37% respectively). Historic land use modelling shows increasing catchment loads and water column total N rising from 165 to 663 mg m-3, with more rapid change in the late 20th and early 21st centuries. Strong correlations (R2 = 0.93-0.95) were found between sediment N content and water column N concentrations. Trophic indicators hindcasted by a Bayesian Belief Network worsened from the mid-20th to 21st centuries. This degradation is associated with increased sheep, beef and dairy farming in the catchment. Our approach identifies nutrient and sediment loadings associated with ‘tipping points’ for indicators and can inform policy by identification of hazardous levels of contaminant loading for other estuaries.
Aquaculture of emerging species in North-Eastern Atlantic and Mediterranean Sea: a systematic review on sea cucumber farming and potential development
Authors: Ciriminna Laura , Signa Geraldina , Cilluffo Giovanna , Rakaj Arnold , Vizzini Salvatrice
Published: March 2024

Sea cucumbers are considered a traditional food delicacy in Asian countries. In last decades high market demand, uncontrolled exploitation and inadequate management have led to stock overexploitation, driving commercial interest in new target species and new areas. In recent years, Mediterranean and North-East Atlantic sea cucumbers have become fishing targets, and, due to overfishing, a significant decline of wild populations have been observed, with detrimental effects on benthic communities and ecosystems. Indeed, in addition to being an important economic resource, sea cucumbers play a key ecological role in benthic dynamics where they are involved as ecosystem engineers in the processing of organic matter in the detrital food web pathway. In this context, aquaculture can play a crucial role in supporting the conservation of natural stocks by reducing harvesting pressure on wild populations and enabling restoration programmes for depleted stocks. Commercial sea cucumber farming is already an established reality in the Indo-Pacific region, where it has become one of the most profitable sectors of aquaculture production. In Europe, on the other hand, sea cucumber aquaculture is still an emerging sector, whose development is hampered by poor and fragmented information on the farming requirements of native species. In this context, this systematic review was carried out with the aim of providing a comprehensive summary of the state of the art of farming practices of the European sea cucumbers considered as a target of commercial fisheries. A total of 34 original articles were included in this review, after title, abstract and full-text screening. The results highlighted a sharp increase in the number of studies over the last six years. Portugal, Turkey and Italy are the countries where most research has been carried out. Among the selected species, Holothuria tubulosa was the most studied, while only one article was found on Parastichopus regalis. The main aims of this review were i) to gather all available literature on the farming practices of North-East Atlantic and Mediterranean sea cucumber species, ii) to outline the most common farming practices, iii) to identify gaps and future directions in this emerging aquaculture sector.
High-intensity focused ultrasound for endometrial ablation in adenomyosis: a clinical study
Authors: Wu Siyun , Liu Jun , Liu Xiaoshan , Han Yanhua
Published: March 2024

Objective

The present study aimed to investigate the clinical efficacy of endometrial ablation with high-intensity focused ultrasound (HIFU) for symptom relief in women with adenomyosis.

Methods

Between July 2014 and July 2020, 167 patients with adenomyosis treated at the Zhongshan City People’s Hospital were enrolled in this study. Patients were divided into two groups according to patient aspirations: the control group, including patients who only underwent ablation of adenomyosis lesions (group A) and the treatment group, including patients who underwent removal of adenomyosis lesions and endometrial ablation (group B).

Results

The reduced dysmenorrhea scores (visual analog scale) and menstrual volume scores (pictorial blood assessment chart) were measured before and after treatment. The scores were obtained by subtracting the postoperative scores from the preoperative scores and were compared to determine whether the symptoms had alleviated. Compared with the menstrual volume of group A, that in group B showed significant improvements. The average relief rates of dysmenorrhea in the two groups also showed significant improvement. However, the scores in group B showed a more significant improvement than those in group A.

Conclusion

Therefore, our findings suggest that endometrial ablation using HIFU may be superior to conventional therapy with regard to alleviating the symptoms of increased menstruation in women with adenomyosis.
Methodological biases in observational hospital studies of COVID-19 treatment effectiveness: pitfalls and potential
Authors: Martinuka Oksana , Hazard Derek , Marateb Hamid Reza , Mansourian Marjan , Mañanas Miguel Ángel , Romero Sergio , Rubio-Rivas Manuel , Wolkewitz Martin
Published: March 2024

Introduction

This study aims to discuss and assess the impact of three prevalent methodological biases: competing risks, immortal-time bias, and confounding bias in real-world observational studies evaluating treatment effectiveness. We use a demonstrative observational data example of COVID-19 patients to assess the impact of these biases and propose potential solutions.

Methods

We describe competing risks, immortal-time bias, and time-fixed confounding bias by evaluating treatment effectiveness in hospitalized patients with COVID-19. For our demonstrative analysis, we use observational data from the registry of patients with COVID-19 who were admitted to the Bellvitge University Hospital in Spain from March 2020 to February 2021 and met our predefined inclusion criteria. We compare estimates of a single-dose, time-dependent treatment with the standard of care. We analyze the treatment effectiveness using common statistical approaches, either by ignoring or only partially accounting for the methodological biases. To address these challenges, we emulate a target trial through the clone-censor-weight approach.

Results

Overlooking competing risk bias and employing the naïve Kaplan-Meier estimator led to increased in-hospital death probabilities in patients with COVID-19. Specifically, in the treatment effectiveness analysis, the Kaplan-Meier estimator resulted in an in-hospital mortality of 45.6% for treated patients and 59.0% for untreated patients. In contrast, employing an emulated trial framework with the weighted Aalen-Johansen estimator, we observed that in-hospital death probabilities were reduced to 27.9% in the “X”-treated arm and 40.1% in the non-“X”-treated arm. Immortal-time bias led to an underestimated hazard ratio of treatment.

Conclusion

Overlooking competing risks, immortal-time bias, and confounding bias leads to shifted estimates of treatment effects. Applying the naïve Kaplan-Meier method resulted in the most biased results and overestimated probabilities for the primary outcome in analyses of hospital data from COVID-19 patients. This overestimation could mislead clinical decision-making. Both immortal-time bias and confounding bias must be addressed in assessments of treatment effectiveness. The trial emulation framework offers a potential solution to address all three methodological biases.
Targeting KRAS mutations in pancreatic cancer: opportunities for future strategies
Authors: Linehan Anna , O’Reilly Mary , McDermott Ray , O’Kane Grainne M.
Published: March 2024

Targeting the RAS pathway remains the holy grail of precision oncology. In the case of pancreatic ductal adenocarcinomas (PDAC), 90–92% harbor mutations in the oncogene KRAS, triggering canonical MAPK signaling. The smooth structure of the altered KRAS protein without a binding pocket and its affinity for GTP have, in the past, hampered drug development. The emergence of KRASG12C covalent inhibitors has provided renewed enthusiasm for targeting KRAS. The numerous pathways implicated in RAS activation do, however, lead to the development of early resistance. In addition, the dense stromal niche and immunosuppressive microenvironment dictated by oncogenic KRAS can influence treatment responses, highlighting the need for a combination-based approach. Given that mutations in KRAS occur early in PDAC tumorigenesis, an understanding of its pleiotropic effects is key to progress in this disease. Herein, we review current perspectives on targeting KRAS with a focus on PDAC.
Multi-epitope vaccine design for hepatitis E virus based on protein ORF2 and ORF3
Authors: Lu Qiong , Wu Hao , Meng Jing , Wang Jiangyuan , Wu Jiajing , Liu Shuo , Tong Jincheng , Nie Jianhui , Huang Weijin
Published: March 2024

Introduction

Hepatitis E virus (HEV), with heightened virulence in immunocompromised individuals and pregnant women, is a pervasive threat in developing countries. A globaly available vaccine against HEV is currently lacking.

Methods

We designed a multi-epitope vaccine based on protein ORF2 and ORF3 of HEV using immunoinformatics.

Results

The vaccine comprised 23 nontoxic, nonallergenic, soluble peptides. The stability of the docked peptide vaccine-TLR3 complex was validated by molecular dynamic simulations. The induction of effective cellular and humoral immune responses by the multi-peptide vaccine was verified by simulated immunization.

Discussion

These findings provide a foundation for future HEV vaccine studies.
Novel insights into phage biology of the pathogen Clostridioides difficile based on the active virome
Authors: Schüler Miriam A. , Daniel Rolf , Poehlein Anja
Published: March 2024

The global pathogen Clostridioides difficile is a well-studied organism, and researchers work on unraveling its fundamental virulence mechanisms and biology. Prophages have been demonstrated to influence C. difficile toxin expression and contribute to the distribution of advantageous genes. All these underline the importance of prophages in C. difficile virulence. Although several C. difficile prophages were sequenced and characterized, investigations on the entire active virome of a strain are still missing. Phages were mainly isolated after mitomycin C-induction, which does not resemble a natural stressor for C. difficile. We examined active prophages from different C. difficile strains after cultivation in the absence of mitomycin C by sequencing and characterization of particle-protected DNA. Phage particles were collected after standard cultivation, or after cultivation in the presence of the secondary bile salt deoxycholate (DCA). DCA is a natural stressor for C. difficile and a potential prophage-inducing agent. We also investigated differences in prophage activity between clinical and non-clinical C. difficile strains. Our experiments demonstrated that spontaneous prophage release is common in C. difficile and that DCA presence induces prophages. Fourteen different, active phages were identified by this experimental procedure. We could not identify a definitive connection between clinical background and phage activity. However, one phage exhibited distinctively higher activity upon DCA induction in the clinical strain than in the corresponding non-clinical strain, although the phage is identical in both strains. We recorded that enveloped DNA mapped to genome regions with characteristics of mobile genetic elements other than prophages. This pointed to mechanisms of DNA mobility that are not well-studied in C. difficile so far. We also detected phage-mediated lateral transduction of bacterial DNA, which is the first described case in C. difficile. This study significantly contributes to our knowledge of prophage activity in C. difficile and reveals novel aspects of C. difficile (phage) biology.
Identification of host proteins interacting with the E protein of porcine epidemic diarrhea virus
Authors: Qiu Yingwu , Sun Yingshuo , Zheng Xiaoyu , Gong Lang , Yang Liangyu , Xiang Bin
Published: March 2024

Introduction

Porcine epidemic diarrhea (PED) is an acute, highly contagious, and high-mortality enterophilic infectious disease caused by the porcine epidemic diarrhea virus (PEDV). PEDV is globally endemic and causes substantial economic losses in the swine industry. The PEDV E protein is the smallest structural protein with high expression levels that interacts with the M protein and participates in virus assembly. However, how the host proteins interact with E proteins in PEDV replication remains unknown.

Methods

We identified host proteins that interact with the PEDV E protein using a combination of PEDV E protein-labeled antibody co-immunoprecipitation and tandem liquid-chromatography mass-spectroscopy (LC-MS/MS).

Results

Bioinformatical analysis showed that in eukaryotes, ribosome biogenesis, RNA transport, and amino acid biosynthesis represent the three main pathways that are associated with the E protein. The interaction between the E protein and isocitrate dehydrogenase [NAD] β-subunit (NAD-IDH-β), DNA-directed RNA polymerase II subunit RPB9, and mRNA-associated protein MRNP 41 was validated using co-immunoprecipitation and confocal assays. NAD-IDH-β overexpression significantly inhibited viral replication.

Discussion

The antiviral effect of NAD-IDH-β suggesting that the E protein may regulate host metabolism by interacting with NAD-IDH-β, thereby reducing the available energy for viral replication. Elucidating the interaction between the PEDV E protein and host proteins may clarify its role in viral replication. These results provide a theoretical basis for the study of PEDV infection mechanism and antiviral targets.
Mulberry leaf polysaccharide improves cyclophosphamide-induced growth inhibition and intestinal damage in chicks by modulating intestinal flora, enhancing immune regulation and antioxidant capacity
Authors: Cheng Ming , Shi Yongbin , Cheng Yumeng , Hu Hongjie , Liu Song , Xu Yanping , He Lingzhi , Hu Shanshan , Lu Yujie , Chen Fengmin , Li Jiang , Si Hongbin
Published: March 2024

Polysaccharides are generally considered to have immune enhancing functions, and mulberry leaf polysaccharide is the main active substance in mulberry leaves, while there are few studies on whether mulberry leaf polysaccharide (MLP) has an effect on immunosuppression and intestinal damage caused by cyclophosphamide (CTX), we investigated whether MLP has an ameliorative effect on intestinal damage caused by CTX. A total of 210 1-day-old Mahuang cocks were selected for this experiment. Were equally divided into six groups and used to evaluate the immune effect of MLP. Our results showed that MLP significantly enhanced the growth performance of chicks and significantly elevated the secretion of cytokines (IL-1β, IL-10, IL-6, TNF-α, and IFN-γ), immunoglobulins and antioxidant enzymes in the serum of immunosuppressed chicks. It attenuated jejunal damage and elevated the expression of jejunal tight junction proteins Claudin1, Zo-1 and MUC2, which protected intestinal health. MLP activated TLR4-MyD88-NF-κB pathway and enhanced the expression of TLR4, MyD88 and NF-κB, which served to protect the intestine. 16S rDNA gene high-throughput sequencing showed that MLP increased species richness, restored CTX-induced gut microbiome imbalance, and enhanced the abundance of probiotic bacteria in the gut. MLP improves cyclophosphamide-induced growth inhibition and intestinal damage in chicks by modulating intestinal flora and enhancing immune regulation and antioxidant capacity. In conclusion, this study provides a scientific basis for MLP as an immune enhancer to regulate chick intestinal flora and protect chick intestinal mucosal damage.
An automatic diagnosis model of otitis media with high accuracy rate using transfer learning
Authors: Qi Fangyu , You Zhiyu , Guo Jiayang , Hong Yongjun , Wu Xiaolong , Zhang Dongdong , Li Qiyuan , Cai Chengfu
Published: March 2024

Introduction: Chronic Suppurative Otitis Media (CSOM) and Middle Ear Cholesteatoma are two common chronic otitis media diseases that often cause confusion among physicians due to their similar location and shape in clinical CT images of the internal auditory canal. In this study, we utilized the transfer learning method combined with CT scans of the internal auditory canal to achieve accurate lesion segmentation and automatic diagnosis for patients with CSOM and middle ear cholesteatoma.

Methods: We collected 1019 CT scan images and utilized the nnUnet skeleton model along with coarse grained focal segmentation labeling to pre-train on the above CT images for focal segmentation. We then fine-tuned the pre-training model for the downstream three-classification diagnosis task.

Results: Our proposed algorithm model achieved a classification accuracy of 92.33% for CSOM and middle ear cholesteatoma, which is approximately 5% higher than the benchmark model. Moreover, our upstream segmentation task training resulted in a mean Intersection of Union (mIoU) of 0.569.

Discussion: Our results demonstrate that using coarse-grained contour boundary labeling can significantly enhance the accuracy of downstream classification tasks. The combination of deep learning and automatic diagnosis of CSOM and internal auditory canal CT images of middle ear cholesteatoma exhibits high sensitivity and specificity.
Marriage and childbearing in patients with epilepsy in Turkey
Authors: Tokuç Firdevs Ezgi Uçan , Genç Fatma , Göksu Eylem Özaydın , Erdal Abidin , Gömceli Yasemin Biçer
Published: March 2024

Introduction

For epilepsy, a common neurological disorder, brings psychosocial challenges like stigma, employment difficulties, and barriers to marriage and childbearing. Stigma often stems from misconceptions and societal beliefs, particularly in less developed regions like Turkey. However, research on the marital and childbearing experiences of epilepsy patients in such settings is limited. We aimed to research the marriage and childbearing behaviors of men and women with epilepsy.

Methods

We conducted a cross-sectional study involving 215 adult epilepsy patients at Antalya Training and Research Hospital between 2019 and 2022. Patients were asked questions about marriage and having children on prepared questionnaires.

Result

The gender distribution of the 215 patients included in the study was revealed to be 62.3% (134) females and 37.7% (81) males. 71.6% of patients were married, and 12.7% had no children. 33.3% of these patients stated that they did not desire children because of the disease. A statistically significant correlation was observed between the duration of the disease and being unmarried. A significant correlation was observed between age at disease onset and number of children.

Conclusion

Our study revealed the effects of individuals with epilepsy on marriage and childbearing, and as we know, it is the first study conducted in Turkey on childbearing attitudes in individuals with epilepsy. Despite medical and social developments, epilepsy is still one of the most stigmatized diseases, and the disease has considerable negative effects on marriage and fertility. Our study supported the findings of a small number of previous similar studies on this subject and additionally showed that the likelihood of having children decreased in patients using multiple ASM, and on the other hand, it showed that marriage positively affected patients in terms of social support.
Association of atopic dermatitis and headache disorder: a systematic review and meta-analyses
Authors: Yang Wei , Dai Hong , Xu Xiao-feng , Jiang Hai-yin , Ding Ji-yuan
Published: March 2024

Background

Growing evidence suggests that headache disorders and atopic dermatitis share similar pathological mechanisms and risk factors. The aim of this study was to assess the risk for headache disorders in patients with atopic dermatitis.

Methods

We systematically searched the PubMed and Embase databases from inception to December 1, 2023, for observational studies that examined risk of migraine in subjects with atopic dermatitis. Risk estimates from individual studies were pooled using random-effects models.

Results

Ten studies with 12,717,747 subjects were included in the meta-analysis. Our results showed that patients with atopic dermatitis were associated with a higher risk of headache disorder (OR, 1.46, 95% CI = 1.36–1.56; P < 0.001; I2 = 98%) or migraine (OR, 1.32, 95% CI = 1.18–1.47; P < 0.001; I2 = 98.9%). Most of the results of the subgroup analyses were consistent with the overall results.

Conclusion

The findings of this meta-analysis suggest that atopic dermatitis is a potential risk indicator for headache disorder or migraine. Further studies are still needed to verify our findings due to the substantial heterogeneity in our analyses.
Bipolar disorder and the gut microbiota: a bibliometric analysis
Authors: Lin Xiaoxiao , Huang Jinyu , Wang Shuai , Zhang Kai
Published: March 2024

Background

Previous studies have explored the relationship between bipolar disorder and gut microbiota. However, there has been no bibliometric analysis to summarize and analyze these publications. Our objective was to perform a bibliometric analysis to investigate the current status and frontiers of the publications in the field of the association between bipolar disorder and the gut microbiota.

Methods

We retrieved publications concerning the interplay between the gut microbiota and bipolar disorder from the Web of Science Core Collection (WoSCC). The analysis was executed using WoSCC’s literature analysis tool and VOSviewer 1.6.16.

Results

In total, we identified 177 publications originating from 362 institutions across 39 countries/regions, and these articles were disseminated in 104 different journals. The most productive institutions, authors, countries/regions, and journals were Zhejiang University contributing 18 publications, Shaohua Hu authoring 12 publications, China with 53 publications, and Frontiers in Psychiatry with 11 publications. The first high-cited document was published in the Journal of Psychiatric Research in 2017, and authored by Evans. In this article, they found gut microbiome composition was associated with BD and its illness severity, and they concluded that targeting the gut microbiota may be helpful to develop the effective treatment for bipolar disorder. The top 5 keywords with the highest frequency except for bipolar disorder and gut microbiota were as follows: depression, inflammation, probiotic, gut-brain axis, and anxiety.

Conclusion

In conclusion, this is the first bibliometric analysis to explore the publications in the field of the association between bipolar disorder and the gut microbiota. The main research hotspots regarding this field were the characteristics, abundance, and diversity of gut microbiome in bipolar disorder, the role of treatment and gut microbiome in bipolar disorder, microbiome-brain connections in bipolar disorder, and interventions for bipolar disorder based on microbiota composition modification. The number of studies about the association between gut microbiota and bipolar disorder is relatively small, and more studies are needed to expand our understanding the association between gut microbiota and bipolar disorder.
Early establishment of chloride homeostasis in CRH neurons is altered by prenatal stress leading to fetal HPA axis dysregulation
Authors: Watanabe Miho , Sinha Adya Saran , Shinmyo Yohei , Fukuda Atsuo
Published: March 2024

Corticotropin-releasing hormone (CRH) neurons play an important role in the regulation of neuroendocrine responses to stress. The excitability of CRH neurons is regulated by inhibitory GABAergic inputs. However, it is unclear when GABAergic regulation of CRH neurons is established during fetal brain development. Furthermore, the exact progression of the developmental shift of GABA action from depolarization to hyperpolarization remains unelucidated. Considering the importance of CRH neuron function in subsequent hypothalamic-pituitary-adrenal (HPA) axis regulation during this critical phase of development, we investigated the ontogeny of GABAergic inputs to CRH neurons and consequent development of chloride homeostasis. Both CRH neuron soma in the paraventricular nucleus (PVN) and axons projecting to the median eminence could be identified at embryonic day 15 (E15). Using acute slices containing the PVN of CRF-VenusΔNeo mice, gramicidin perforated-patch clamp-recordings of CRH neurons at E15, postnatal day 0 (P0), and P7 were performed to evaluate the developmental shift of GABA action. The equilibrium potential of GABA (EGABA) was similar between E15 and P0 and showed a further hyperpolarizing shift between P0 and P7 that was comparable to EGABA values in adult CRH neurons. GABA primarily acted as an inhibitory signal at E15 and KCC2 expression was detected in CRH neurons at this age. Activation of the HPA axis has been proposed as the primary mechanism through which prenatal maternal stress shapes fetal development and subsequent long-term disease risk. We therefore examined the impact of maternal food restriction stress on the development of chloride homeostasis in CRH neurons. We observed a depolarization shift of EGABA in CRH neurons of pups exposed to maternal food restriction stress. These results suggest that Cl– homeostasis in early developmental CRH neurons attains mature intracellular Cl– levels, GABA acts primarily as inhibitory, and CRH neurons mature and function early compared with neurons in other brain regions, such as the cortex and hippocampus. Maternal food restriction stress alters chloride homeostasis in CRH neurons of pups, reducing their inhibitory control by GABA. This may contribute to increased CRH neuron activity and cause activation of the HPA axis in pups.
Key results from examinations of seven high burnup pressurized water reactor spent nuclear fuel rods
Authors: Montgomery Rose , Bevard Bruce , Cantonwine Paul , Sasikumar Yadukrishnan
Published: March 2024

At present, spent nuclear fuel (SNF) assemblies discharged from US commercial power plants are placed into dry storage following a short cooling time (<10 years) in the plant’s spent fuel pool. The process of packaging the spent fuel into dry-storage canisters includes a drying step to remove residual water from the canister. During the drying process, the fuel rod cladding may reach temperatures as high as 400°C. Oak Ridge National Laboratory (ORNL) is performing destructive examinations of high burnup (HBU) (>45 GWd/MTU) SNF rods to address knowledge and data gaps related to extended interim storage and eventual transportation for disposal. The rods examined include four different kinds of fuel rod cladding: standard Zircaloy-4 (Zirc-4), low-tin (LT) Zirc-4, ZIRLO, and M5. Three rods were subjected to a thermal transient to assess the effects of decay-heat-driven high temperatures expected during vacuum drying of the fuel as it is prepared for interim dry storage. The examinations focus on the composite fuel rod performance, as compared with the performance of defueled rod cladding, and establish the baseline mechanical properties of a fuel rod before interim dry storage. The key results of these examinations are presented, including the measured mechanical and fatigue properties, observations of cladding hydrogen pickup and hydride reorientation effects on rod performance, effects of the simulated drying temperatures on rod performance, and general conclusions of SNF performance in extended interim dry storage and transport. The rods were found to be strong and durable in the expected loading conditions, even considering the formation of radial hydrides associated with vacuum drying. The combined testing provides a broad body of data supporting extended interim storage and transportation performance of HBU spent fuel.
Impact of the geriatric nutritional risk index on long-term outcomes in patients undergoing hemodialysis: a meta-analysis of observational studies
Authors: Hung Kuo-Chuan , Kao Chia-Li , Hsu Chih-Wei , Yu Chia-Hung , Lin Chien-Ming , Chen Hsiao-Tien , Chang Ying-Jen , Liao Shu-Wei , Chen I-Wen
Published: March 2024

Background

This meta-analysis aimed to synthesize current evidence on the association between the Geriatric Nutritional Risk Index (GNRI) and long-term outcomes in patients undergoing hemodialysis.

Methods

Electronic databases were systematically searched for relevant studies that investigated the association between GNRI and long-term outcomes in hemodialysis patients until November 2023. The primary outcome was the association between the GNRI (i.e., low versus high) and overall mortality risk, while the secondary outcome was the relationship between the GNRI and cardiovascular mortality risk.

Results

Thirty cohort studies involving 55,864 patients were included. A low GNRI was found to be significantly associated with increased overall mortality (hazard ratio [HR]: 2.42, 95% confidence interval [CIs]: 2.10–2.79, p < 0.00001, I2 = 65%). Each unit increase in GNRI corresponded to a 5% reduction in mortality risk (HR: 0.95, 95% CI: 0.93–0.96, p < 0.00001, I2 = 79%). The association remained consistent across Asian (HR = 2.45, 95% CI: 2.08–2.88, p < 0.00001, I2 = 70%) and non-Asian subgroups (HR = 2.3, 95% CI: 1.72–3.06, p < 0.00001, I2 = 23%). Meta-regression analysis of patient age (coefficient: −0.002; p = 0.896), male proportion (coefficient: 0.002; p = 0.875), percentage of diabetes mellitus (coefficient: −0.003; p = 0.605), and follow-up duration (coefficient: −0.003; p = 0.431) revealed that these moderator variables did not significantly influence the association between GNRI and overall mortality risk. Cardiovascular mortality risk also increased with low GNRI (HR, 1.93; 95%CI: 1.51–2.45, p < 0.00001; I2 = 2%). Similarly, an inverse association was observed between the GNRI values and cardiovascular mortality risk (HR, 0.94; 95% CI: 0.91–0.97; p < 0.0001; I2 = 65%) (per unit increase).

Conclusion

The GNRI is a simple nutritional screening tool that can be used to effectively stratify patients undergoing hemodialysis globally. Further studies are warranted to determine whether nutrition optimization based on the GNRI improves long-term outcomes.

Systematic review registration

https://www.crd.york.ac.uk/prospero/, CRD42023483729.
Diet patterns associated with cognitive decline: methods to harmonize data from European and US cohort studies
Authors: Ayala-Garcia Amaia , Soldevila-Domenech Natalia , Yi So-Yun , de la Torre Rafael , Steffen Lyn M. ,   for the IAFNS Retrospective Harmonization Expert Working Group
Published: March 2024

The impact of dietary intake on cognitive outcomes and dementia prevention is a topic of increasing interest. Meta-analyses of observational studies, mostly conducted within US and European populations, have reported benefits of healthy diet patterns on cognitive performance, but results from individual studies have been inconsistent. These inconsistencies are likely due to the diverse methodology used in studies, including different diet and cognitive function assessment instruments, follow-up periods, and analytical methods, which make drawing conclusions relevant to dietary guidance challenging. The objective of this project is to describe a protocol to conduct a retrospective harmonization study on dietary intake and cognitive health using data from European and US studies. The recommendations resulting from the project can be used to support evidence-based synthesis for future iterations of the Dietary Guidelines for Americans or other population-based dietary guidance. Additionally, this study will serve as a harmonization guide for future research on the relationship between diet patterns and cognition. The approach outlined ultimately aims to optimize resources and expedite research efforts for dementia prevention.
Renal pelvis metastasis following surgery for breast angiosarcoma: a case report and literature review
Authors: Guo Fuyu , Sun Shiwei , Niu Xiangnan , Wang Yue , Yao Wei , Yue Peng , Deng Xiaoqian , Shang Jiwen , Zhang Yangang
Published: March 2024

Renal metastasis of breast angiosarcoma is rare. This article reports the medical records of a patient diagnosed with breast angiosarcoma who underwent radical mastectomy and was found to have multiple lung metastases 3 years after surgery and renal pelvic metastasis 4 years after surgery. The patient underwent robot-assisted laparoscopic radical nephroureterectomy and sleeve resection of the intramural segment of the ureter, and postoperative pathology and immunohistochemical staining confirmed the diagnosis of renal pelvic metastasis of breast angiosarcoma. The patient received anlotinib for lung metastases following surgery and was followed up for 4 months after surgery. Currently, the patient has symptoms of coughing and hemoptysis but no other discomfort. The diagnosis and treatment of this rare malignant tumor remain challenging.
Case Report: Autosomal dominant polycystic kidney disease and Wilms’ tumor in infancy and childhood
Authors: Zina Doviltyte , Rosita Kiudeliene , Kristina Zviniene , Giedre Rutkauskiene , Jurate Masalskiene
Published: March 2024

Background

Autosomal dominant polycystic kidney disease (ADPKD) is rare but one of the most common inherited kidney diseases. Normal kidney function is maintained until adulthood in most patients. About 7 in 10 patients with ADPKD develop kidney failure in the latter half of their fifth decade of life. Wilms' tumor, or nephroblastoma, is the most common malignant tumor stemming from kidney cells in the pediatric age group. This type of tumor is the most frequently occurring kidney malignancy in children between the ages of 0 and 5 years. The exact cause of Wilms' tumor is unknown, though about 10% of cases have a genetic predisposition. Wilms' tumor is one of the most successfully treated childhood oncological diseases. Overall, the 5-year survival rates were approximately 90% in both the National Wilms Tumor Study (NWTS) and Paediatric Oncology SIOP studies, showing similar results.

Case presentation

We report a case of a girl diagnosed with autosomal polycystic kidney disease, who subsequently developed Wilms' tumor and underwent successful treatment with chemotherapy. Polycystic kidney disease was suspected in the fetus during prenatal ultrasound and confirmed after birth with ultrasound and genetic testing. The Wilms tumor was an accidental finding during abdominal MRI at the age of 2 years old to rule out liver pathology.

Conclusion

Reports on whether a diagnosis of ADPKD is a risk factor for malignancy are conflicting. In this particular case, Wilms' tumor is present in the background of polycystic kidney disease and was timely diagnosed by an incidental MRI.
In silico identification of compounds from Piper sarmentosum Roxb leaf fractionated extract inhibit interleukin-6 to prevent rheumatoid arthritis
Authors: Dao Tran Nhat Phong , Onikanni Sunday Amos , Fadaka Adewale Oluwaseun , Klein Ashwil , Tran Van De , Le Minh Hoang , Wang Chih-Hao , Chang Hen-Hong
Published: March 2024

Objective: Medicinal herbs with a phytonutrient background has been applied globally as major alternatives to ameliorate the continuous increase in rheumatoid arthritis cases worldwide. We herein aimed to critically examine the bioactive components of the medicinal herb Piper sarmentosum Roxb leaf fractionated extract for its potential to inhibit the influx of interleukin-6 (IL-6) in rheumatoid arthritis.

Methods: The Schrödinger platform was employed as the main computational acumen for the screening of bioactive compounds identified and reference compounds subjected to molecular simulation (MDS) for analyzing the stability of docked complexes to assess fluctuations and conformational changes during protein–ligand interactions.

Results: The values of the simulatory properties and principal component analysis (PCA) revealed the good stability of these phytochemicals in the active pocket of interleukin-6 (IL-6).

Discussion: Our findings reveal new strategies in which these phytochemicals are potential inhibitory agents that can be modified and further evaluated to develop more effective agents for the management of rheumatoid arthritis, thereby providing a better understanding and useful model for the reproduction and/or discovery of new drugs for the management of rheumatoid arthritis and its complications.
Xiasangju alleviate metabolic syndrome by enhancing noradrenaline biosynthesis and activating brown adipose tissue
Authors: He Changhao , An Yongcheng , Shi Lu , Huang Yan , Zhang Huilin , Fu Wanxin , Wang Menglu , Shan Ziyi , Du Yuhang , Xie Jiamei , Huang Zhiyun , Sun Weiguang , Zhao Yonghua , Zhao Baosheng
Published: March 2024

Metabolic syndrome (MetS) is a clinical condition associated with multiple metabolic risk factors leading to type 2 diabetes mellitus and other metabolic diseases. Recent evidence suggests that modulating adipose tissue to adaptive thermogenesis may offer therapeutic potential for MetS. Xiasangju (XSJ) is a marketed drug and dietary supplement used for the treatment of metabolic disease with anti-inflammatory activity. This study investigated the therapeutic effects of XSJ and the underlying mechanisms affecting the activation of brown adipose tissue (BAT) in MetS. The results revealed that XSJ ameliorated MetS by enhancing glucose and lipid metabolism, leading to reduced body weight and abdominal circumference, decreased adipose tissue and liver index, and improved blood glucose tolerance. XSJ administration stimulated catecholamine biosynthesis, increasing noradrenaline (NA) levels and activating NA-mediated proteins in BAT. Thus, BAT enhanced thermogenesis and oxidative phosphorylation (OXPHOS). Moreover, XSJ induced changes in gut microbiota composition, with an increase in Oscillibacter abundance and a decrease in Bilophila, Candidatus Stoquefichus, Holdemania, Parasutterella and Rothia. XSJ upregulated the proteins associated with intestinal tight junctions corresponding with lower serum lipopolysaccharide (LPS), tumor necrosis factor α (TNF-α) monocyte chemoattractant protein-1 (MCP-1) and interleukin-6 (IL-6) levels to maintain NA signaling transport. In summary, XSJ may alleviate MetS by promoting thermogenesis in BAT to ultimately boost energy metabolism through increasing NA biosynthesis, strengthening intestinal barrier integrity and reducing low-grade inflammation. These findings suggest XSJ has potential as a natural therapeutic agent for the treatment of MetS.
Low TGF-β1 plasma levels are associated with cognitive decline in Down syndrome
Authors: Grasso Margherita , Fidilio Annamaria , L’Episcopo Francesca , Recupero Marilena , Barone Concetta , Bacalini Maria Giulia , Benatti Cristina , Giambirtone Maria Concetta , Caruso Giuseppe , Greco Donatella , Di Nuovo Santo , Romano Corrado , Ferri Raffaele , Buono Serafino , Cuello A. Claudio , Blom Johanna M. C. , Tascedda Fabio , Piazza Pier Vincenzo , De La Torre Rafael , Caraci Filippo
Published: March 2024

Almost all individuals with Down’s syndrome (DS) show the characteristic neuropathological features of Alzheimer’s disease (AD) by the age of 40, yet not every individual with DS experiences symptoms of AD later in life. Similar to neurotypical developing subjects, AD in people with DS lasts for a long preclinical phase in which biomarkers follow a predictable order of changes. Hence, a prolonged asymptomatic period precedes the onset of dementia, underscoring the importance of identifying new biomarkers for the early detection and monitoring of cognitive decline in individuals with DS. Blood-based biomarkers may offer an alternative non-invasive strategy for the detection of peripheral biological alterations paralleling nervous system pathology in an early phase of the AD continuum. In the last few years, a strong neurobiological link has been demonstrated between the deficit of transforming growth factor-β1 (TGF-β1) levels, an anti-inflammatory cytokine endowed with neuroprotective activity, and early pro-inflammatory processes in the AD brain. In this clinical prospective observational study, we found significant lower plasma TGF-β1 concentrations at the first neuropsychological evaluation (baseline = T0) both in young adult DS individuals (19–35 years) and older DS subjects without AD (35–60 years) compared to age- and sex-matched healthy controls. Interestingly, we found that the lower TGF-β1 plasma concentrations at T0 were strongly correlated with the following cognitive decline at 12 months. In addition, in young individuals with DS, we found, for the first time, a negative correlation between low TGF-β1 concentrations and high TNF-α plasma concentrations, a pro-inflammatory cytokine that is known to be associated with cognitive impairment in DS individuals with AD. Finally, adopting an ex vivo approach, we found that TGF-β1 concentrations were reduced in parallel both in the plasma and in the peripheral blood mononuclear cells (PBMCs) of DS subjects, and interestingly, therapeutic concentrations of fluoxetine (FLX) applied to cultured PBMCs (1 µM for 24 h) were able to rescue TGF-β1 concentrations in the culture media from DS PBMCs, suggesting that FLX, a selective serotonin reuptake inhibitor (SSRI) endowed with neuroprotective activity, might rescue TGF-β1 concentrations in DS subjects at higher risk to develop cognitive decline.