bluuebunny/crossref_metadata_2025_split huggingface dataset:
Induction of CX3CL1 expression by LPS and its impact on invasion and migration in oral squamous cell carcinoma
Authors: He Chanjuan , Wu Yuehan , Nan Xiaoxu , Zhang Weifang , Luo Yu , Wang Honglan , Li Mengqi , Liu Changyue , Liu Jiaming , Mou Xuelin , Liu Ying 
Published: June 2024

Purpose: This study aimed to explore the expression of CX3CL1 induced by lipopolysaccharide (LPS) in oral squamous cell carcinoma (OSCC) and its impact on biological characteristics such as invasion and migration, taking the foundation for new targets for the treatment and prognosis of OSCC. Methods: This study utilized a variety of techniques, including bioinformatics, molecular biology, and cell experiments, to investigate the expression of CX3CL1 and its receptor CX3CR1 in OSCC patients’ cancer tissues or OSCC cell lines. Extracting, organizing, and analyzing the TCGA database on the expression of CX3CL1 and its receptor CX3CR1 in cancer tissues and corresponding paracancerous normal tissues of OSCC patients by bioinformatics methods. The expression of CX3CL1 in cancerous and normal tissues of OSCC patients was verified by IHC, and the changes in mRNA and protein expression of CX3CL1 and its receptor CX3CR1 in OSCC cell lines were detected before and after lipopolysaccharide LPS stimulation by RT-PCR, ELISA, and WB. Changes in cell biological behavior by overexpression of CX3CL1 in OSCC cell lines were detected by CCK-8, Transwell, scratch healing assay, and cloning assay. The effects of overexpressing cell lines on the AKT pathway and Epithelial-mesenchymal Transition (EMT)-related protein expression before and after LPS stimulation were detected by Western Blot.Results: (1) CX3CL1 and its receptor CX3CR1 were found to be downregulated in OSCC tissues of patients or OSCC cell lines. (2) After LPS stimulation, CX3CL1 gene expression increased in both OSCC cell lines, while CX3CR1 expression remained unchanged. (3) OSCC cell lines overexpressing CX3CL1 showed changes in cell biological characteristics, including decreased proliferation, invasion, migration, and stemness, which were more pronounced after LPS stimulation. (4) Overexpression of CX3CL1 in OSCC cell lines decreased EMT-related protein expression and AKT phosphorylation. On the contrary were promoted by LPS stimulation.Conclusion:CX3CL1 and CX3CR1 are downregulated in OSCC cancer tissues and cell lines compared to adjacent normal tissues and cells. LPS stimulation increases CX3CL1 expression in OSCC cell lines, suggesting that inflammation may induce CX3CL1 expression and that the CX3CL1 gene may play an important role in OSCC progression. Overexpression of CX3CL1 inhibits OSCC cell proliferation, migration, invasion, and stemness, suggesting that CX3CL1 plays a critical role in suppressing OSCC development. CX3CL1 suppresses OSCC invasion and migration by affecting EMT progression and AKT phosphorylation, and partially reverse the process that LPS causes and affects the development of OSCC.
Metagenomic next-generation sequencing could play a pivotal role in validating the diagnosis of invasive mold disease of the central nervous system
Authors: Wei Erhu , Niu Jiechao , Zhang Mengjiao , Zhang Yu , Yan Kunli , Fang Xiao , Ma Wei , Xie Lei , Jia Peisheng , Wang Huaili 
Published: June 2024

BackgroundInvasive mold diseases of the central nervous (CNS IMD) system are exceedingly rare disorders, characterized by nonspecific clinical symptoms. This results in significant diagnostic challenges, often leading to delayed diagnosis and the risk of misdiagnosis for patients. Metagenomic Next-Generation Sequencing (mNGS) holds significant importance for the diagnosis of infectious diseases, especially in the rapid and accurate identification of rare and difficult-to-culture pathogens. Therefore, this study aims to explore the clinical characteristics of invasive mold disease of CNS IMD in children and assess the effectiveness of mNGS technology in diagnosing CNS IMD.MethodsThree pediatric patients diagnosed with Invasive mold disease brain abscess and treated in the Pediatric Intensive Care Unit (PICU) of the First Affiliated Hospital of Zhengzhou University from January 2020 to December 2023 were selected for this study.ResultsCase 1, a 6-year-old girl, was admitted to the hospital with “acute liver failure.” During her hospital stay, she developed fever, irritability, and seizures. CSF mNGS testing resulted in a negative outcome. Multiple brain abscesses were drained, and Aspergillus fumigatus was detected in pus culture and mNGS. The condition gradually improved after treatment with voriconazole combined with caspofungin. Case 2, a 3-year-old girl, was admitted with “acute B-lymphoblastic leukemia.” During induction chemotherapy, she developed fever and seizures. Aspergillus fumigatus was detected in the intracranial abscess fluid by mNGS, and the condition gradually improved after treatment with voriconazole combined with caspofungin, followed by “right-sided brain abscess drainage surgery.” Case 3, a 7-year-old girl, showed lethargy, fever, and right-sided limb weakness during the pending chemotherapy period for acute B-lymphoblastic leukemia. Rhizomucor miehei and Rhizomucor pusillus was detected in the cerebrospinal fluid by mNGS. The condition gradually improved after treatment with amphotericin B combined with posaconazole. After a six-month follow-up post-discharge, the three patients improved without residual neurological sequelae, and the primary diseases were in complete remission.ConclusionThe clinical manifestations of CNS IMD lack specificity. Early mNGS can assist in identifying the pathogen, providing a basis for definitive diagnosis. Combined surgical treatment when necessary can help improve prognosis.
Fibrinogen-to-prealbumin and C-reactive protein-to-prealbumin ratios as prognostic indicators in severe fever with thrombocytopenia syndrome
Authors: Zhang Fan , Liu Xiao-Yi , Qiao Jin-Ping , He Wen-Tao 
Published: June 2024

BackgroundThe primary aim of this study is to investigate the correlation between serum levels of fibrinogen-to-prealbumin ratio (FPR) and C-reactive protein-to-prealbumin ratio (CPR) and prognostic outcomes among patients with severe fever with thrombocytopenia syndrome (SFTS). SFTS, characterized by elevated mortality rates, represents a substantial public health challenge as an emerging infectious disease.MethodsThe study included 159 patients with SFTS. Clinical and laboratory data were compared between the survival and death groups. Univariate and multivariate logistic regression analysis were utilized to identify independent risk factors for mortality. The predictive efficacy of FPR and CPR was evaluated using receiver operating characteristic (ROC) curve. Survival analysis was conducted using the Kaplan–Meier curve and the log-rank test was employed for comparison.ResultsThe death group exhibited significantly elevated levels of FPR and CPR compared to the survival group (P &lt; 0.05). Multivariate logistic regression analysis confirmed that both FPR and CPR independently correlated with a poorer prognosis among patients with SFTS. The ROC curve analysis indicated that FPR and CPR had superior predictive capabilities compared to C-reactive protein and fibrinogen. Kaplan–Meier survival analysis demonstrated that patients with SFTS who have FPR &gt; 0.045 (log-rank test; χ2 = 17.370, P &lt; 0.001) or CPR &gt; 0.05 (log-rank test; χ2 = 19.442, P &lt; 0.001) experienced significantly lower survival rates within a 30-day follow-up period.ConclusionElevated levels of FPR and CPR serve as distinct risk factors for mortality among patients with SFTS, indicating their potential to predict an unfavorable prognosis in these patients.
Non-fungible tokens (NFTs) in healthcare: a thematic analysis and research agenda
Authors: Sibanda Khulekani , Ndayizigamiye Patrick , Twinomurinzi Hossana 
Published: June 2024

IntroductionIn the big data era, where corporations commodify health data, non-fungible tokens (NFTs) present a transformative avenue for patient empowerment and control. NFTs are unique digital assets on the blockchain, representing ownership of digital objects, including health data. By minting their data as NFTs, patients can track access, monetize its use, and build secure, private health information systems. However, research on NFTs in healthcare is in its infancy, warranting a comprehensive review.MethodsThis study conducted a systematic literature review and thematic analysis of NFTs in healthcare to identify use cases, design models, and key challenges. Five multidisciplinary research databases (Scopus, Web of Science, Google Scholar, IEEE Explore, Elsevier Science Direct) were searched. The approach involved four stages: paper collection, inclusion/exclusion criteria application, screening, full-text reading, and quality assessment. A classification and coding framework was employed. Thematic analysis followed six steps: data familiarization, initial code generation, theme searching, theme review, theme definition/naming, and report production.ResultsAnalysis of 19 selected papers revealed three primary use cases: patient-centric data management, supply chain management for data provenance, and digital twin development. Notably, most solutions were prototypes or frameworks without real-world implementations. Four overarching themes emerged: data governance (ownership, tracking, privacy), data monetization (commercialization, incentivization, sharing), data protection, and data storage. The focus lies on user-controlled, private, and secure health data solutions. Additionally, data commodification is explored, with mechanisms proposed to incentivize data maintenance and sharing. NFTs are also suggested for tracking medical products in supply chains, ensuring data integrity and provenance. Ethereum and similar platforms dominate NFT minting, while compact NFT storage options are being explored for faster data access.ConclusionNFTs offer significant potential for secure, traceable, decentralized healthcare data exchange systems. However, challenges exist, including dependence on blockchain, interoperability issues, and associated costs. The review identified research gaps, such as developing dual ownership models and data pricing strategies. Building an open standard for interoperability and adoption is crucial. The scalability, security, and privacy of NFT-backed healthcare applications require further investigation. Thus, this study proposes a research agenda for adopting NFTs in healthcare, focusing on governance, storage models, and perceptions.
Satisfaction of Saudi board internal medicine residents with the training program in central Saudi Arabia: a cross-sectional study
Authors: Alsheikh Nejood , Alenezi Shahad , Alshehri Rana , Alshughaithry Fahad , Alamri Orjowan , Khair Haneen , Masud Nazish , Alonazi Jamila 
Published: June 2024

BackgroundThe Saudi Internal Medicine (IM) residency program is a 4-year training program that qualifies competent physicians to provide optimal healthcare services. Residents’ satisfaction is a key indicator for a program effectiveness in preparing well-trained physicians. However, no national studies have investigated the perspective of IM residents. This study assessed IM resident’s satisfaction regarding the residency program in several training centers.MethodsA cross-sectional study with 194 enrolled IM residents was conducted between November 2022 and June 2023 at multiple governmental hospitals in the central region of Saudi Arabia. Data collection was done via an electronic questionnaire. The satisfaction rate was interpreted by a five-point Likert scale (1 “completely unsatisfied” to 5 “extremely satisfied”).ResultsOut of the 184 responses, residents aged 25–27 years comprised 122 (66%) of the sample with male participants being the highest in number at 109 (59%) which was highly significant in accordance to the level of satisfaction (χ2 = 10.07, p = 0.006). Additionally, 89 (54%) junior residents was found to have a significant satisfaction compared to senior residents. In total, 112 (61%) of residents would choose the same IM residency program again if they had the chance and expressed a better level of satisfaction (χ2 = 101, 28, p &lt; 0.001). Overall, the percentage of satisfied residents was around half of the sample 100 (54%). However, workload, quality of life, and teaching opportunities were among the most frequently chosen areas for improvement.ConclusionThe study concluded that 54% of IM residents were highly satisfied with the program in their respective training center. However, residents have excessive workload, reduced quality of life, and differing unmet learning needs.
Association between weight-adjusted waist index and kidney stones: a propensity score matching study
Authors: Chen Di , Xie Yurun , Luo Quanhai , Fan Wenji , Liu Gang 
Published: June 2024

ObjectiveThis study aimed to investigate the association between weight-adjusted waist index (WWI), a novel adiposity index, and kidney stone (KS).MethodsData were obtained from the National Health and Nutrition Examination Survey 2007–2018. According to the history of KS, participants were divided into the non-stone group and the stone group. Weighted multivariable logistic regression analyses were used to evaluate the correlation between WWI and KS in unadjusted, partially adjusted, and all-adjusted models. A restricted cubic spline (RCS) analysis assessed the association between continuous WWI and KS risk and obtained the risk function inflection point. Then, subgroup analysis based on the risk function inflection point was conducted to dissect the association in specific subgroups. In addition, the above analyst methods were repeatedly performed in populations after propensity score matching (PSM). The receiver operating characteristic (ROC) curve was applied to compare the ability to predict KS occurrence among WWI, visceral adiposity index (VAI), and body mass index (BMI).ResultsWeighted multivariable logistic regression analyses found a positive association between continuous WWI and KS risk in the all-adjusted model [odds ratio (OR) = 1.03; 95% confidence interval (CI), 1.02–1.04; P &lt; 0.001]. In further analysis, the Q4 WWI group was linked to the highest KS risk when compared to the Q1–Q3 group (OR = 1.06; 95% CI, 1.05–1.08, P &lt; 0.001). RCS analysis found a linear significant correlation between continuous WWI and KS risk, and the risk function inflection point is 11.08 cm/√kg. Subgroup analysis confirmed that WWI was associated with KS risk in different groups. After PSM, increased WWI was still related to a high risk of KS. Moreover, the ROC curve demonstrated that WWI has a higher predictive ability of KS occurrence than VAI and BMI (area under curve, 0.612 vs. 0.581 vs. 0.569).ConclusionIn the US adult population, elevated WWI value was associated with an increased risk of KS. Furthermore, WWI was a better predictor of KS occurrence than VAI and BMI.
Techno-economic analysis of AMP/PZ solvent for CO2 capture in a biomass CHP plant: towards net negative emissions
Authors: Salman Muhammad , Beguin Brieuc , Nyssen Thomas , Léonard Grégoire 
Published: June 2024

Compared to conventional monoethanolamine (MEA), alternative solvents are expected to substantially contribute to reduce the energy demand of post-combustion CO2 capture from flue gases. This study presents a comprehensive techno-economic analysis of a 27 wt% 2-amino-2-methyl-1-propanol (AMP) + 13 wt% piperazine (PZ) aqueous solution for CO2 capture, compared to a 30 wt% MEA solution. The study addresses the retrofit of a carbon capture unit to a biomass-fired combined heat and power (CHP) plant, effectively making it a bioenergy with a carbon capture and storage (BECCS) system. The treated flue gas has a flow rate of 23 tons/hour (t/h) with 11.54 vol% CO2 and a 90% capture rate is aimed for. Aspen Plus V14 was employed for process simulations. Initially, binary interaction parameters for AMP/PZ, AMP/H2O, and PZ/H2O are regressed using vapor-liquid equilibrium (VLE) data, which were retrieved from literature along with reaction kinetics. Validation of parameters from available experimental literature yields an average absolute relative deviation (AARD) of only 5.9%. Afterwards, a process simulation model is developed and validated against experimental data from a reference pilot plant, using a similar AMP/PZ blend, resulting in 5% AARD. Next, a sensitivity analysis optimizes operating conditions, including solvent rate, absorber/stripper packing heights, and stripper pressure, based on regeneration energy impact. Optimized results, compared to MEA, reveal that AMP/PZ reduces the energy consumption from 3.61 to 2.86 GJ/tCO2. The retrofitting of the capture unit onto the selected CHP plant is examined through the development of a dedicated model. Two control strategies are compared to address energy unavailability for supplying the capture unit. The analysis spans 4 months, selected to account for seasonal variations. At nominal capacity, CO2 emissions, rendered negative by biomass combustion and CO2 capture, reach a maximum of −3.4 tCO2/h compared to 0.36 tCO2/h before retrofitting. Depending on the control strategy and CHP plant operating point, the Specific Primary Energy Consumption for CO2 Avoided (SPECCA) ranges from 4.91 MJ/kgCO2 to 1.76 MJ/kgCO2. Finally, an economic comparison based on systematic methodology reveals a 7.87% reduction in capture cost favoring the AMP/PZ blend. Together, these findings highlight AMP/PZ as a highly favorable alternative solvent.
Elucidating causal relationships of diet-derived circulating antioxidants and the risk of osteoporosis: A Mendelian randomization study
Authors: Yuan Kexin , Xie Xingwen , Huang Weiwei , Li Dingpeng , Zhao Yongli , Yang Haodong , Wang Xuetao 
Published: June 2024

BackgroundOsteoporosis (OP) is typically diagnosed by evaluating bone mineral density (BMD), and it frequently results in fractures. Here, we investigated the causal relationships between diet-derived circulating antioxidants and the risk of OP using Mendelian randomization (MR).MethodsPublished studies were used to identify instrumental variables related to absolute levels of circulating antioxidants like lycopene, retinol, ascorbate, and β-carotene, as well as antioxidant metabolites such as ascorbate, retinol, α-tocopherol, and γ-tocopherol. Outcome variables included BMD (in femoral neck, lumbar spine, forearm, heel, total body, total body (age over 60), total body (age 45–60), total body (age 30–45), total body (age 15–30), and total body (age 0–15)), fractures (in arm, spine, leg, heel, and osteoporotic fractures), and OP. Inverse variance weighted or Wald ratio was chosen as the main method for MR analysis based on the number of single nucleotide polymorphisms (SNPs). Furthermore, we performed sensitivity analyses to confirm the reliability of the findings.ResultsWe found a causal relationship between absolute retinol levels and heel BMD (p = 7.6E-05). The results of fixed effects IVW showed a protective effect of absolute retinol levels against heel BMD, with per 0.1 ln-transformed retinol being associated with a 28% increase in heel BMD (OR: 1.28, 95% CI: 1.13–1.44). In addition, a sex-specific effect of the absolute circulating retinol levels on the heel BMD has been observed in men. No other significant causal relationship was found.ConclusionThere is a positive causal relationship between absolute retinol levels and heel BMD. The implications of our results should be taken into account in future studies and in the creation of public health policies and OP prevention tactics.
A causal association between lipid-lowering medications and rotator cuff syndrome: a drug-targeted mendelian randomization study
Authors: Liu Meng-meng , Chen Xiang , Yu Chuan-wen , Chen Jin-wei , Zhen Pu-xiang , Liu Zhi-peng 
Published: June 2024

Background: Previous research has suggested that dyslipidemia may be a risk factor for rotator cuff syndrome (RCS), and lipid-lowering drugs may aid in its treatment, though conclusions have not been definitive. Mendelian randomization is a statistical method that explores the causal relationships between exposure factors and diseases. It overcomes the confounding issues inherent in traditional observational studies, thereby providing more reliable causal inferences. We employed this method to investigate whether hyperlipidemia is a risk factor for rotator cuff syndrome and whether lipid-lowering drugs can effectively treat this condition.Methods: Genetic variations linked to lipid traits low-density lipoprotein cholesterol (LDL-C), triglyceride (TG), and total cholesterol (TC) were acquired from the UK Biobank and the Global Lipids Genetics Consortium (GLGC). Data on genetic variation in rotator cuff syndrome were obtained from FinnGen, including 24,061 patients and 275,212 controls. In the next step, we carried out two-sample Mendelian randomization analyses to determine whether lipid traits correlate with rotator cuff syndrome risk. Additionally, we performed drug-target Mendelian randomization (MR) analyses on 10 drug targets related to rotator cuff syndrome. For the drug targets that showed significant results, further analysis was done using Summary-data-based Mendelian Randomization (SMR) and colocalization techniques. We performed a mediation analysis to identify potential mediators between HMG-CoA reductase (HMGCR) and RCS.Results: No causative link was established between these lipid traits and rotator cuff syndrome. However, a significant association has been identified where HMGCR inhibition corresponds to a reduced risk of rotator cuff disease (OR = 0.68, [95% CI, 0.56–0.83], p = 1.510 × 10−4). Additionally, enhanced expression of HMGCR in muscle tissues is also linked to a decreased risk of rotator cuff syndrome (OR = 0.88, [95% CI, 0.76–0.99], p = 0.03). Body mass index (BMI) mediated 22.97% of the total effect of HMGCR on RCS.Conclusion: This study does not support low-density LDL-C, TG, and TC as risk factors for rotator cuff syndrome. HMGCR represents a potential pharmaceutical target for preventing and treating rotator cuff syndrome. The protective action of statins on the rotator cuff syndrome might not be associated with their lipid-lowering properties.