bluuebunny/crossref_metadata_2025_split huggingface dataset:
Altitudinal variation in thermal vulnerability of Qinghai-Tibetan Plateau lizards under climate warming
Authors: Zhu Zeyu , Du Weiguo , Zhang Cong , Yu Wei , Zhao Xiaolong , Liu Zhensheng , Zeng Zhigao 
Published: June 2024

Abstract
The survival of ectotherms worldwide is threatened by climate change. Whether increasing temperatures increase the vulnerability of ectotherms inhabiting temperate plateau areas remains unclear. To understand altitudinal variation in the vulnerability of plateau ectotherms to climate warming, Qinghai toad-headed lizards (Phrynocephalus vlangalii) were subjected to semi-natural enclosure experiments with simulated warming at high (2,600 m) and superhigh (3,600 m) elevations of the Dangjin Mountain, China. Our results revealed that the thermoregulatory effectiveness and warming tolerance (WT) of the toad-headed lizards were significantly affected by climate warming at both elevations, but their thermal sensitivity remained unchanged. After warming, the thermoregulatory effectiveness of lizards at superhigh elevations decreased because of the improved environmental thermal quality, whereas that of lizards at high-elevation conditions increased. Although the body temperature selected by high-elevation lizards was also significantly increased, the proportion of their active body temperature falling within the set-point temperature range decreased. This indicates that it is difficult for high-elevation lizards to adjust their body temperatures within a comfortable range under climate warming. Variations in the WT and thermal safety margin (TSM) under climate warming revealed that lizards at the superhigh elevation benefited from improved environmental thermal quality, whereas those at the high elevation originally on the edge of the TSM faced more severe threats and became more vulnerable. Our study highlights the importance of thermal biological traits in evaluating the vulnerability of ectotherms in temperate plateau regions.
Angina pectoris? Fake news: a case report of infective endocarditis with giant aortic root abscess detected by cardiac magnetic resonance imaging
Authors: Wissel Stephanie , Drayß Maria , Christa Martin , Leyh Rainer G , Frantz Stefan 
Published: June 2024

Abstract

Background
Infective endocarditis (IE) is a rare disease associated with high mortality rates. Clinical presentation is highly variable with a time interval between first onset of symptoms and diagnosis &gt; 1 month in 25% of patients. We present a case of aortic valve endocarditis with aortic root abscess (ARA) with chest pain and ischaemic changes on the electrocardiogram (ECG).

Case summary
A 59-year-old Caucasian male with a known bicuspid aortic valve presented at our emergency department with a 2-week history of malaise, subfebrile temperatures, and chest pain episodes. The ECG exhibited ischaemic changes, and laboratory workup showed elevated inflammatory markers and troponin levels. Coronary angiography revealed a one-vessel coronary artery disease with a borderline significant stenosis of the left circumflex artery. Cardiac magnetic resonance imaging showed a large aortic valve vegetation with an ARA expanding intramyocardially, which was not seen on bedside echocardiography. The patient was set on intravenous (i.v.) antibiotics and urgently referred for surgery. The patient received surgical aortic root and valve replacements, reconstruction of the anterior mitral leaflet, and a venous bypass. After successful surgical management followed by 6 weeks of i.v. antibiotics, the patient completely recovered.

Discussion
Diagnosing IE in atypical cases, such as those with ischaemic ECG changes, remains challenging. Infective endocarditis should be considered as an early differential diagnosis in individuals with prosthetic or native valve disease. Infective endocarditis poses a significant risk for perivalvular and ARA formation with high mortality. Aortic root abscess may present with unspecific symptoms or unusual ECG changes and might be missed in standard transthoracic echocardiography in up to 30% of cases. Multimodal imaging can help in establishing a prompt and accurate diagnosis, aid in timely treatment and mitigating the risk of complications of IE.
Regulation of thiamine and pyruvate decarboxylase genes by Pdc2 in Nakaseomyces glabratus (Candida glabrata) is complex
Authors: Dottor Cory A , Iosue Christine L , Loshnowsky Anita M , Hopkins Rachael A , Stauffer Peyton L , Ugras Julia M , Spagnuola Jack C , Kraut Daniel A , Wykoff Dennis D 
Published: June 2024

Abstract
Thiamine (vitamin B1) is essential for glucose catabolism. In the yeast species, Nakaseomyces glabratus (formerly Candida glabrata) and Saccharomyces cerevisiae, the transcription factor Pdc2 (with Thi3 and Thi2) upregulates pyruvate decarboxylase (PDC) genes and thiamine biosynthetic and acquisition (THI) genes during starvation. There have not been genome-wide analyses of Pdc2 binding. Previously, we identified small regions of Pdc2-regulated genes sufficient to confer thiamine regulation. Here, we performed deletion analyses on these regions. We observed that when the S. cerevisiae PDC5 promoter is introduced into N. glabratus, it is thiamine starvation inducible but does not require the Thi3 coregulator. The ScPDC5 promoter contains a 22-bp duplication with an AT-rich spacer between the 2 repeats, which are important for regulation. Loss of the first 22-bp element does not eliminate regulation, but the promoter becomes Thi3 dependent, suggesting cis architecture can generate a Thi3-independent, thiamine starvation inducible response. Whereas many THI promoters only have 1 copy of this element, addition of the first 22-bp element to a Thi3-dependent promoter confers Thi3 independence. Finally, we performed fluorescence anisotropy and chromatin immunoprecipitation sequencing. Pdc2 and Thi3 bind to regions that share similarity to the 22-bp element in the ScPDC5 promoter and previously identified cis elements in N. glabratus promoters. Also, while Pdc2 binds to THI and PDC promoters, neither Pdc2 nor Thi3 appears to bind the evolutionarily new NgPMU3 promoter that is regulated by Pdc2. Further study is warranted because PMU3 is required for cells to acquire thiamine from environments where thiamine is phosphorylated, such as in the human bloodstream.
Horizontal duodenal papilla is associated with a special spectrum of pancreaticobiliary diseases: a retrospective magnetic resonance cholangiopancreatography-based study
Authors: Zhang Tiantian , Shi Xin , Li Jing , Zhang Jingsong , Li Xixian , Ren Gui , Luo Hui , Kang Xiaoyu , Liang Shuhui , Wang Xiangping , Pan Yanglin 
Published: June 2024

Abstract

Background
Horizontal duodenal papilla (HDP) is not an uncommon ectopic major papilla. The impact of HDP on the occurrence of pancreaticobiliary diseases remains unclear. Here, we explored the associations in patients who underwent magnetic resonance cholangiopancreatography (MRCP).

Methods
Consecutive patients who underwent MRCP at Xijing Hospital (Xi’an, China) between January 2020 and December 2021 were eligible. Patients were divided into HDP and regular papilla (RP) according to the position of the major papilla. The primary outcome was the proportion of congenital pancreaticobiliary diseases.

Results
A total of 2,194 patients were included, of whom 72 (3.3%) had HDP. Compared with the RP group (n = 2,122), the HDP group had a higher proportion of congenital pancreaticobiliary diseases, especially choledochal cyst (CC) or anomalous pancreaticobiliary junction (APBJ) (6.9% vs 1.4%, P = 0.001). More gallbladder cancer (6.9% vs 1.2%, P &lt; 0.001) and pancreatic cysts (27.8% vs 16.3%, P = 0.01) were also identified in the HDP group. Morphologically, the HDP group had a longer extrahepatic bile duct (8.4 [7.6–9.3] cm vs 7.2 [6.5–8.1] cm, P &lt; 0.001), and larger angles between the common bile duct-duodenum and pancreatic duct-duodenum. Multivariate analysis showed that the presence of HDP was an independent risk factor for gallbladder cancer.

Conclusions
This study confirmed that HDP was not rare in patients underwent MRCP. A higher prevalence of congenital pancreaticobiliary malformations (especially CC or APBJ), gallbladder cancer and pancreatic cysts was observed in patients with HDP, as well as distinctive morphologic features.
Access to care for patients with chronic pain receiving prescription opioids, cannabis, or other treatments
Authors: Bicket Mark C , Stone Elizabeth M , Tormohlen Kayla , Pierre Reekarl , McGinty Emma E 
Published: June 2024

Abstract
Changes in chronic noncancer pain treatment have led to decreases in prescribing of opioids and increases in the availability of medical cannabis, despite its federal prohibition. Patients may face barriers to establishing new care with a physician based on use of these treatments. We compared physician willingness to accept patients based on prescription opioid, cannabis, or other pain treatment use. This study of 36 states and Washington, DC, with active medical cannabis programs surveyed physicians who treat patients with chronic noncancer pain between July 13 and August 4, 2023. Of 1000 physician respondents (34.5% female, 63.2% White, 78.1% primary care), 852 reported accepting new patients with chronic pain. Among those accepting new patients with chronic pain, more physicians reported that they would not accept new patients taking prescription opioids (20.0%) or cannabis (12.7%) than those taking nonopioid prescription analgesics (0.1%). In contrast, 68.1% reported willingness to accept new patients using prescribed opioids on a daily basis. For cannabis, physicians were more likely to accept new patients accessing cannabis through medical programs (81.6%) than from other sources (60.2%). Access to care for persons with chronic noncancer pain appears to be the most restricted among those taking prescription opioids, although patients taking cannabis may also encounter reduced access.
Phylosymbiosis shapes skin bacterial communities and pathogen-protective function in Appalachian salamanders
Authors: Osborne Owen G , Jiménez Randall R , Byrne Allison Q , Gratwicke Brian , Ellison Amy , Muletz-Wolz Carly R 
Published: June 2024

Abstract
Phylosymbiosis is an association between host-associated microbiome composition and host phylogeny. This pattern can arise via the evolution of host traits, habitat preferences, diets, and the co-diversification of hosts and microbes. Understanding the drivers of phylosymbiosis is vital for modelling disease-microbiome interactions and manipulating microbiomes in multi-host systems. This study quantifies phylosymbiosis in Appalachian salamander skin in the context of infection by the fungal pathogen Batrachochytrium dendrobatidis (Bd), while accounting for environmental microbiome exposure. We sampled ten salamander species representing &gt;150M years of divergence, assessed their Bd infection status, and analysed their skin and environmental microbiomes. Our results reveal a significant signal of phylosymbiosis, whereas the local environmental pool of microbes, climate, geography, and Bd infection load had a smaller impact. Host-microbe co-speciation was not evident, indicating that the effect stems from the evolution of host traits influencing microbiome assembly. Bd infection is correlated with host phylogeny and the abundance of Bd-inhibitory bacterial strains, suggesting that the long-term evolutionary dynamics between salamander hosts and their skin microbiomes affect the present-day distribution of the pathogen, along with habitat-linked exposure risk. Five Bd-inhibitory bacterial strains showed unusual generalism: occurring in most host species and habitats. These generalist strains may enhance the likelihood of probiotic manipulations colonising and persisting on hosts. Our results underscore the substantial influence of host-microbiome eco-evolutionary dynamics on environmental health and disease outcomes.
Amino acid residues responsible for the different pH dependency of cell-specific ferredoxins in the electron transfer reaction with ferredoxin-NADP+ reductase from maize leaves
Authors: Kimata-Ariga Yoko , Tanaka Hikaru , Kuwano Shunsuke 
Published: June 2024

Abstract
In the chloroplast stroma, dynamic pH changes occur from acidic to alkaline in response to fluctuating light conditions. We investigated the pH dependency of the electron transfer reaction of ferredoxin-NADP+ reductase (FNR) with ferredoxin (Fd) isoproteins, Fd1 and Fd2, which are localized in mesophyll cells and bundle sheath cells, respectively, in the leaves of C4 plant maize. The pH-dependent profile of the electron transfer activity with FNR was quite different between Fd1 and Fd2, which was mainly explained by the opposite pH dependency of the Km value of these Fds for FNR. Replacement of the amino acid residue at position of 65 (D65N) and 78 (H78A) between the two Fds conferred different effect on their pH dependency of the Km value. Double mutations of the two residues between Fd1 and Fd2 (Fd1D65N/H78A and Fd2N65D/A78H) led to the mutual exchange of the pH dependency of the electron transfer activity. This exchange was mainly explained by the changes in the pH-dependent profile of the Km values. Therefore, the differences in Asp/Asn at position 65 and His/Ala at position 78 between Fd1 and Fd2 were shown to be the major determinants for their different pH dependency in the electron transfer reaction with FNR.
Toxic megacolon: a potentially lethal condition. Case report
Authors: Fabián-Méndez José Jesús , Torres-Salazar Quitzia Libertad 
Published: June 2024

Abstract
Toxic megacolon denotes an abrupt non-obstructive distension of the colon, accompanied by systemic signs of toxicity. Mortality rates can soar as high as 7.9%. While primarily linked with chronic bowel conditions, the incidence attributed to Clostridioides difficile has surged due to the indiscriminate use of broad-spectrum antibiotics. Surgical intervention becomes necessary in the majority of cases. Herein, we illustrate the case of a 50-year-old female presenting with episodic epigastric pain lasting 9 h, vomiting, and watery bowel movements, devoid of peritoneal irritation findings and lacking a history of chronic intestinal inflammation. Under certain circumstances, toxic megacolon may manifest atypically, underscoring the importance of conducting a comprehensive medical history and clinical assessment. Moreover, it is imperative to solicit pertinent paraclinical investigations to address the patient holistically and foster a favorable clinical outcome.
Primary ocular adnexal mantle cell lymphoma with distant spread and involvement of the contralateral eye one year later; a case report and literature review
Authors: Amir Amaar , Amir Baraa , Sheikh Salwa 
Published: June 2024

Abstract
We herein report a middle-aged gentleman who initially presented with ocular adnexal mantle cell lymphoma (MCL) on the right eyelid. The lesion was excised and the patient was treated with radiation therapy. During the initial presentation, a PET CT was performed and did not reveal disease involvement beyond the eyelid. The patient presented 3 months later with ocular adnexal MCL of the contralateral eye. Re-evaluation using PET CT revealed a slight increase in the uptake in several lymph nodes and the spleen, which, after biopsy, confirmed systemic MCL. The patient was started on six cycles of chemotherapy. The patient also underwent autologous hematopoietic stem cell transplant. Approximately 80% of primary ocular adnexal lymphomas are B-cell in origin, with MCL being the rarest subtype constituting only 5% of B-cell ocular adnexal lymphomas. Despite its rarity, it is crucial for clinicians to detect the entity early and ensure rapid initiation of appropriate therapy.
A simple method to overcome paraproteinemic interferences in chemistry and immunoassays
Authors: Sarkar Rajarshi 
Published: June 2024

Abstract

Background
Interferences on chemistry and immunoassay results due to paraproteinemia may lead to erroneous diagnoses and treatment. Such interferences are difficult to recognize and even more difficult to deal with. This report describes 1 such case where multiple measurands were affected and how the interferant was overcome.

Case Report
Paraproteins present in an immunoglobulin (Ig)G-lambda multiple myeloma specimen interfered with results of total bilirubin, direct bilirubin, inorganic phosphate, iron, ferritin, and total thyroxine measured on 3 platforms: AU5800, Alinity ci, and cobas pure. Repeat testing upon dilution with normal saline or deproteinization by polyethylene glycol precipitation gave unsatisfactory results on some or all the affected measurands. Repeat testing after dilution of the interferant serum with a healthy serum corrected the anomalous results for all the affected measurands.

Conclusion
Dilution of paraproteinemic serum with a healthy serum of known concentrations appears to be the most suitable method to negate the effects of paraproteinemic interferences.
PhyloBench: A Benchmark for Evaluating Phylogenetic Programs
Authors: Spirin Sergey , Sigorskikh Andrey , Efremov Aleksei , Penzar Dmitry , Karyagina Anna 
Published: June 2024

Abstract
Phylogenetic inference based on protein sequence alignment is a widely used procedure. Numerous phylogenetic algorithms have been developed, most of which have many parameters and options. Choosing a program, options, and parameters can be a nontrivial task. No benchmark for comparison of phylogenetic programs on real protein sequences was publicly available. We have developed PhyloBench, a benchmark for evaluating the quality of phylogenetic inference, and used it to test a number of popular phylogenetic programs. PhyloBench is based on natural, not simulated, protein sequences of orthologous evolutionary domains. The measure of accuracy of an inferred tree is its distance to the corresponding species tree. A number of tree-to-tree distance measures were tested. The most reliable results were obtained using the Robinson–Foulds distance. Our results confirmed recent findings that distance methods are more accurate than maximum likelihood (ML) and maximum parsimony. We tested the bayesian program MrBayes on natural protein sequences and found that, on our datasets, it performs better than ML, but worse than distance methods. Of the methods we tested, the Balanced Minimum Evolution method implemented in FastME yielded the best results on our material. Alignments and reference species trees are available at https://mouse.belozersky.msu.ru/tools/phylobench/ together with a web-interface that allows for a semi-automatic comparison of a user’s method with a number of popular programs.
Clinical utility of DNA methylation profiling for choroid plexus tumors
Authors: Yeo Kee Kiat , Macrae Cassie B , Gampel Bradley , Ahrendsen Jared T , Lidov Hart , Wright Karen D , Chi Susan , Fehnel Katie , Baird Lissa , Clymer Jessica , Aldape Kenneth , Alexandrescu Sanda 
Published: June 2024

Abstract

Background
Choroid plexus tumors (CPTs) are rare, potentially aggressive CNS tumors with defined histologic criteria for grading. In recent years, several patients within our practice have demonstrated discordance between the histologic diagnosis and clinical behavior. DNA methylation profiling has emerged as a potential diagnostic adjunct for aiding the clinical approach.

Methods
We reviewed the clinical and pathologic data of all CPTs diagnosed at Boston Children’s Hospital from 1995 to 2023. All cases with available material (38/48) underwent DNA methylation profiling at NIH/NCI, and the classifier results were correlated with the WHO histologic grade and patient outcomes. Survival information was analyzed using Kaplan–Meier curves.

Results
There was good correlation (11/12, 92%) between methylation class and WHO histologic grade for choroid plexus carcinomas (CPC); one histologic CPC grouped with choroid plexus papilloma (CPP) group pediatric (P). Five CPPs grouped with methylation class CPC (5/17, 29%). In the group of atypical CPPs (n = 9), there were two that grouped with methylation class CPC. Survival analysis showed utility of methylation classes in the prediction of biologic behavior.

Conclusions
Results indicated that methylation profiling may serve as a valuable tool in the clinical decision-making process for patients with CPTs, providing additional prognostic information compared to WHO histologic grade alone. The value of methylation array analysis is particularly important given the lack of consensus on treatment regimens for CPTs.
Pb Isotope Signature of a Low-μ (238U/204Pb) Lunar Mantle Component
Authors: Merle Renaud E , Nemchin Alexander A , Whitehouse Martin J , Kenny Gavin G , Snape Joshua F 
Published: June 2024

Abstract
The chemical and isotopic characteristics of terrestrial basalts are constrained within the concept of mantle chemical geodynamics that explains the existing variety of basaltic rocks within a framework of several end-member reservoirs in Earth’s mantle. In contrast, there is no comparable fully developed model explaining the isotopic composition of lunar basaltic rocks, in part owing to the lack of well-constrained age–isotope relationships in different groups of basalts identified on the Moon. Notably, the absence of agreement upon ages includes basalts from a unique group of meteorites collectively known as ‘YAMM’ (basalts Yamato-793169: Y-793169, Asuka-881757: A-881757, Miller Range 05035: MIL 05035 and regolith breccia Meteorite Hill 01210: MET 01210), which appear to show chemical signatures different from all other known lunar basaltic rocks. We present high-precision Pb–Pb ages and initial Pb isotopic ratios for two samples from this group, MIL 05035 and A-881757. These meteorites have Pb isotope ratios different from those of the other lunar basalts, suggesting they are derived from a distinct and depleted mantle source, with a 238U/204Pb ratio (μ value) lower than any other mantle source. Their depletion in rare earth elements, in conjunction with recalculated initial Nd and Sr isotopic ratios from published data and using our new age, appear to support this conclusion. The chemical and Sr-Nd-Pb isotopic characteristics of this low-μ source appear to be the opposite of those of the KREEP reservoir and many, if not all, features described in other lunar basalts (such as low- and high-Ti mare basalts) can be explained by a binary mixing of material derived from low-μ and KREEP-like reservoirs. This mixing might be the result of a slow, convection-like mantle overturn.