Introduction: Quercetin (Que), a physiologically versatile flavonoid, faces application limitations in food and pharmaceuticals due to poor aqueous solubility and stability.
Method: To address this, we developed quercetin-loaded zein-sodium caseinate-fucoidan (Que-ZE-SC-FD) ternary nanoparticles using a green, pH-driven approach.
Results and discussion: The Que-ZE-SC-FD nanoparticle exhibited a spherical morphology stabilized by hydrogen bonding, electrostatic, and hydrophobic interactions, with a mean diameter of 137.8 ± 11.6 nm, PDI of 0.38 ± 0.04, z-potential of 34.9 ± 0.6mV, and high quercetin loading efficiency (92.8% ± 1.1%). Crucially, SC and FD demonstrated synergistic stabilization effects. The Que-ZE-SC-FD nanoparticle exhibited a mean particle size of 150.8 ± 0.6 nm at a pH of 8.0, and solution remained clear and transparent with no observable sediment. Under a NaCl concentration of 3.0 mol/L, the particle size decreased to 127.8 ± 4.5 nm. Upon heating at 80°C for 2 h, the particle size further reduced to 121.3 ± 1.2 nm, with a PDI of 0.34 ± 0.02. After 28 days of storage, the particle size decreased to 125.1 ± 1.9 nm, while the PDI decreased slightly to 0.32 ± 0.01 and the zeta potential increased to 31.6 ± 1.5mV, collectively indicating excellent stability. Under simulated gastrointestinal conditions, the Que release from ZE-SC-FD nanoparticles was only 22.2 ± 0.5% in gastric fluid; however, a significantly higher release rate of 75.0 ± 0.5% was achieved in intestinal fluid. These results demonstrate that ZE-SC-FD nanoparticles serve as a robust nanocarrier system for encapsulating, protecting, and delivering quercetin.
{"title":"pH-responsive self-assembly of quercetin-loaded zein-sodium caseinate-fucoidan hybrid nanoparticles: nanostructure, stability and <i>in vitro</i> digestive behavior.","authors":"Fan-Xing Yong, Jia-Xin Deng, Zhuo Wang, Qiao-Li Zhao, Xiao-Fei Liu, Sai-Yi Zhong, Rui Li","doi":"10.3389/fnut.2026.1727771","DOIUrl":"10.3389/fnut.2026.1727771","url":null,"abstract":"<p><strong>Introduction: </strong>Quercetin (Que), a physiologically versatile flavonoid, faces application limitations in food and pharmaceuticals due to poor aqueous solubility and stability.</p><p><strong>Method: </strong>To address this, we developed quercetin-loaded zein-sodium caseinate-fucoidan (Que-ZE-SC-FD) ternary nanoparticles using a green, pH-driven approach.</p><p><strong>Results and discussion: </strong>The Que-ZE-SC-FD nanoparticle exhibited a spherical morphology stabilized by hydrogen bonding, electrostatic, and hydrophobic interactions, with a mean diameter of 137.8 ± 11.6 nm, PDI of 0.38 ± 0.04, z-potential of 34.9 ± 0.6mV, and high quercetin loading efficiency (92.8% ± 1.1%). Crucially, SC and FD demonstrated synergistic stabilization effects. The Que-ZE-SC-FD nanoparticle exhibited a mean particle size of 150.8 ± 0.6 nm at a pH of 8.0, and solution remained clear and transparent with no observable sediment. Under a NaCl concentration of 3.0 mol/L, the particle size decreased to 127.8 ± 4.5 nm. Upon heating at 80°C for 2 h, the particle size further reduced to 121.3 ± 1.2 nm, with a PDI of 0.34 ± 0.02. After 28 days of storage, the particle size decreased to 125.1 ± 1.9 nm, while the PDI decreased slightly to 0.32 ± 0.01 and the zeta potential increased to 31.6 ± 1.5mV, collectively indicating excellent stability. Under simulated gastrointestinal conditions, the Que release from ZE-SC-FD nanoparticles was only 22.2 ± 0.5% in gastric fluid; however, a significantly higher release rate of 75.0 ± 0.5% was achieved in intestinal fluid. These results demonstrate that ZE-SC-FD nanoparticles serve as a robust nanocarrier system for encapsulating, protecting, and delivering quercetin.</p>","PeriodicalId":12473,"journal":{"name":"Frontiers in Nutrition","volume":"13 ","pages":"1727771"},"PeriodicalIF":4.0,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12893725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146178850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-28eCollection Date: 2026-01-01DOI: 10.3389/fnut.2026.1726847
Rafael Fernández-Demeneghi, Julieta Sánchez-Bizama, Alma Gabriela Martínez-Moreno, Isidro Vargas-Moreno, Rodrigo Ramirez-Rodriguez, Abraham Puga-Olguín, Erick Yael Fernández-Barradas
{"title":"Mindful eating as the next therapeutic frontier in nutritional psychiatry.","authors":"Rafael Fernández-Demeneghi, Julieta Sánchez-Bizama, Alma Gabriela Martínez-Moreno, Isidro Vargas-Moreno, Rodrigo Ramirez-Rodriguez, Abraham Puga-Olguín, Erick Yael Fernández-Barradas","doi":"10.3389/fnut.2026.1726847","DOIUrl":"10.3389/fnut.2026.1726847","url":null,"abstract":"","PeriodicalId":12473,"journal":{"name":"Frontiers in Nutrition","volume":"13 ","pages":"1726847"},"PeriodicalIF":4.0,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12890638/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146178889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-28eCollection Date: 2026-01-01DOI: 10.3389/fnut.2026.1779910
Jing Gao, Mingjing Zhang, Gaoning Zhang, Dingzheng Zhang, Mo Zhou, Lijing Zhao, Yanwei Du
[This corrects the article DOI: 10.3389/fnut.2025.1676619.].
[这更正了文章DOI: 10.3389/fnut.2025.1676619.]。
{"title":"Correction: Advances in nutritional interventions for coronary heart disease patients from the perspective of the gut-heart axis.","authors":"Jing Gao, Mingjing Zhang, Gaoning Zhang, Dingzheng Zhang, Mo Zhou, Lijing Zhao, Yanwei Du","doi":"10.3389/fnut.2026.1779910","DOIUrl":"https://doi.org/10.3389/fnut.2026.1779910","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.3389/fnut.2025.1676619.].</p>","PeriodicalId":12473,"journal":{"name":"Frontiers in Nutrition","volume":"13 ","pages":"1779910"},"PeriodicalIF":4.0,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12893717/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146178730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: This study employs bibliometric and network pharmacology methods to systematically analyze the development trends, knowledge structure, and potential biological mechanisms of luteolin research from 2000 to 2025, providing insights for its application in nutritional health and disease prevention.
Methods: Based on the Web of Science Core Collection (WoSCC), combined with Bibliometrix, VOSviewer, and citespace, we conducted analyses of publication characteristics, keywords, journals, and co-citation networks. Simultaneously, integrating TM-MC, string, and Cytoscape, we constructed a luteolin target-pathway-disease network and performed core target and KEGG enrichment analyses.
Results: Luteolin research exhibits sustained growth, with a significant increase after 2021. Research focus has expanded from early antioxidant and anti-inflammatory mechanisms to metabolic health, immune regulation, tumor suppression, and multisystem protection. Network pharmacology identified 239 potential targets, with core targets including TP53, TNF, STAT3, and EGFR, significantly enriched in p53, PI3K-Akt, TNF, and IL-17 pathways. Disease association networks indicate luteolin's potential to intervene in neurological, circulatory, metabolic, immune, digestive, respiratory disorders, and multiple tumors, exhibiting typical multi-target comprehensive regulatory characteristics.
目的:采用文献计量学和网络药理学方法,系统分析2000 - 2025年木犀草素研究的发展趋势、知识结构和潜在的生物学机制,为木犀草素在营养健康和疾病预防方面的应用提供参考。方法:基于Web of Science Core Collection (WoSCC),结合Bibliometrix、VOSviewer、citespace等软件,对论文发表特征、关键词、期刊、共被引网络等进行分析。同时,通过整合TM-MC、string和Cytoscape,我们构建了木草素靶点通路疾病网络,并进行了核心靶点和KEGG富集分析。结果:木犀草素研究呈持续增长趋势,2021年后有显著增长。研究重点已从早期抗氧化和抗炎机制扩展到代谢健康、免疫调节、肿瘤抑制和多系统保护。网络药理学鉴定出239个潜在靶点,核心靶点包括TP53、TNF、STAT3和EGFR,在p53、PI3K-Akt、TNF和IL-17通路中显著富集。疾病关联网络表明木犀草素可能干预神经、循环、代谢、免疫、消化、呼吸系统疾病和多发性肿瘤,表现出典型的多靶点综合调控特征。
{"title":"Global research landscape and multisystem health mechanisms of luteolin: a comprehensive bibliometric and network pharmacology study.","authors":"Huina Guo, Xiyan Tian, Haiyan Wang, Kexin Wang, Qi Han, Yujia Guo, Xiaoya Guan, Zhongxun Li, Xin Wen, Bohui Wu, Liting Zhao, Ying Wang, Hongliang Liu, Chunming Zhang","doi":"10.3389/fnut.2026.1758832","DOIUrl":"10.3389/fnut.2026.1758832","url":null,"abstract":"<p><strong>Objective: </strong>This study employs bibliometric and network pharmacology methods to systematically analyze the development trends, knowledge structure, and potential biological mechanisms of luteolin research from 2000 to 2025, providing insights for its application in nutritional health and disease prevention.</p><p><strong>Methods: </strong>Based on the Web of Science Core Collection (WoSCC), combined with Bibliometrix, VOSviewer, and citespace, we conducted analyses of publication characteristics, keywords, journals, and co-citation networks. Simultaneously, integrating TM-MC, string, and Cytoscape, we constructed a luteolin target-pathway-disease network and performed core target and KEGG enrichment analyses.</p><p><strong>Results: </strong>Luteolin research exhibits sustained growth, with a significant increase after 2021. Research focus has expanded from early antioxidant and anti-inflammatory mechanisms to metabolic health, immune regulation, tumor suppression, and multisystem protection. Network pharmacology identified 239 potential targets, with core targets including TP53, TNF, STAT3, and EGFR, significantly enriched in p53, PI3K-Akt, TNF, and IL-17 pathways. Disease association networks indicate luteolin's potential to intervene in neurological, circulatory, metabolic, immune, digestive, respiratory disorders, and multiple tumors, exhibiting typical multi-target comprehensive regulatory characteristics.</p>","PeriodicalId":12473,"journal":{"name":"Frontiers in Nutrition","volume":"13 ","pages":"1758832"},"PeriodicalIF":4.0,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12890652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146178813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-28eCollection Date: 2026-01-01DOI: 10.3389/fnut.2026.1747767
Yuchi He, Lu Liu, Yifan Liu, Jialong Jia, Yuqing Chen, Xiyu Zhang, Ya Liu
Introduction: Insulin resistance (IR) is central to type 2 diabetes mellitus (T2DM). Composite indices including the atherogenic index of plasma (AIP), metabolic score for insulin resistance (METS-IR), triglyceride-glucose index (TyG), and TyG-BMI, are widely used to quantify IR severity. The gut microbiome (GM) has been implicated in metabolic dysregulation, but its associations with IR remain incompletely defined.
Methods: We collected blood test results and stool samples from participants with T2DM and healthy controls. Stool samples underwent 16S rRNA gene sequencing. We trained XGBoost models to distinguish individuals with higher IR from healthy controls based on GM profiles and performed correlation analyses between GM features, clinical measures, and IR indices.
Results: Triglycerides (TG), fasting blood glucose (FBG), and high-density lipoprotein cholesterol (HDL-C) differed significantly between the T2DM and control groups. IR indices (AIP, METS-IR, TyG, and TyG-BMI) were markedly higher in the T2DM group. XGBoost models based on GM profiles showed high discriminatory performance for identifying T2DM individuals with higher IR, with Bacteroides and Faecalibacterium contributing most to model performance. Correlation analyses further indicated that Lachnospiraceae_UCG-010, Bacteroides, Faecalibacterium, Lachnospira, Parasutterella, and Escherichia-Shigella were associated with clinical measures and IR indices.
Conclusions: Specific GM features are associated with IR-related clinical measures and composite indices in T2DM, supporting their potential as intervention targets to improve insulin resistance and restore carbohydrate and lipid metabolism.
{"title":"Exploring the gut microbiome in type 2 diabetes across different insulin resistance levels: a machine learning approach.","authors":"Yuchi He, Lu Liu, Yifan Liu, Jialong Jia, Yuqing Chen, Xiyu Zhang, Ya Liu","doi":"10.3389/fnut.2026.1747767","DOIUrl":"10.3389/fnut.2026.1747767","url":null,"abstract":"<p><strong>Introduction: </strong>Insulin resistance (IR) is central to type 2 diabetes mellitus (T2DM). Composite indices including the atherogenic index of plasma (AIP), metabolic score for insulin resistance (METS-IR), triglyceride-glucose index (TyG), and TyG-BMI, are widely used to quantify IR severity. The gut microbiome (GM) has been implicated in metabolic dysregulation, but its associations with IR remain incompletely defined.</p><p><strong>Methods: </strong>We collected blood test results and stool samples from participants with T2DM and healthy controls. Stool samples underwent 16S rRNA gene sequencing. We trained XGBoost models to distinguish individuals with higher IR from healthy controls based on GM profiles and performed correlation analyses between GM features, clinical measures, and IR indices.</p><p><strong>Results: </strong>Triglycerides (TG), fasting blood glucose (FBG), and high-density lipoprotein cholesterol (HDL-C) differed significantly between the T2DM and control groups. IR indices (AIP, METS-IR, TyG, and TyG-BMI) were markedly higher in the T2DM group. XGBoost models based on GM profiles showed high discriminatory performance for identifying T2DM individuals with higher IR, with Bacteroides and Faecalibacterium contributing most to model performance. Correlation analyses further indicated that Lachnospiraceae_UCG-010, Bacteroides, Faecalibacterium, Lachnospira, Parasutterella, and Escherichia-Shigella were associated with clinical measures and IR indices.</p><p><strong>Conclusions: </strong>Specific GM features are associated with IR-related clinical measures and composite indices in T2DM, supporting their potential as intervention targets to improve insulin resistance and restore carbohydrate and lipid metabolism.</p>","PeriodicalId":12473,"journal":{"name":"Frontiers in Nutrition","volume":"13 ","pages":"1747767"},"PeriodicalIF":4.0,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12890672/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146178735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Iron (Fe) is an essential micronutrient, yet both its deficiency and overload have been associated with disruptions in lipid metabolism. This study investigated the effects of moderate iron deficiency and high dietary iron on lipid metabolic pathways in mice.
Methods: Five-week male C57BL/6J mice were fed for 16 weeks on one of three diets: a basal iron-deficient diet without iron supplementation (FeD, 19.26 mg/kg Fe), and the same basal diet supplemented with either 200 mg Fe/kg (iron-adequate control, Control) or 1,200 mg Fe/kg (high-iron, FeH). Growth performance, iron status, serum lipids, tissue iron deposition, hepatic fatty acid composition, and expression of key genes and enzymes involved in lipid metabolism were analyzed.
Results: The FeD group exhibited increased body weight and feed intake, and reduced systemic iron parameters. Molecular analysis revealed a distinct pattern of lipid metabolic disruption in FeD, characterized by the upregulation of certain hepatic lipogenic transcripts (ACLY, SREBP1c, PPARγ) but without a concomitant increase in functional lipogenic output or hepatic triglycerides. Notably, the elevation in SCD1 protein occurred alongside a decreased hepatic C18:1 n-9/C18:0 ratio in the FeD group. In adipose tissue, FeD specifically enhanced lipolysis gene expression (ATGL, HSL, FABP4), indicating elevated lipid mobilization. In contrast, FeH mice developed hyperlipidemia and hepatic iron overload, which was driven by direct activation of the hepatic SREBP1c pathway and its lipogenic targets (ACC, FAS, SCD1). Hamp expression was significantly upregulated in the FeH group compared to both the control and FeD groups (p < 0.05). Although both diets altered hepatic fatty acid composition, they operated through fundamentally distinct mechanisms.
Conclusions: These findings demonstrate that moderate iron deficiency and high iron intake disrupt hepatic lipid metabolism via different pathways: FeD primarily through systemic adaptations leading to post-translational constraints on iron-dependent enzymes, whereas FeH acts through direct transcriptional activation of hepatic de novo lipogenesis, potentially involving hepcidin-mediated cross-talk. The study underscores the critical importance of iron homeostasis in preventing dyslipidemia and hepatic steatosis and provides mechanistic insights that could inform dietary recommendations for populations at risk of metabolic disorders.
{"title":"Moderate iron deficiency and high dietary iron intake differentially alter hepatic lipid metabolism and adipose tissue lipid handling in mice.","authors":"Shangjie Wu, Pengwei Li, Qian Liu, Keying Zhang, Xuemei Ding, Jianping Wang, Qiufeng Zeng, Yan Liu, Yue Xuan, Shanshan Li, Yadong Mu, Shiping Bai","doi":"10.3389/fnut.2025.1725052","DOIUrl":"10.3389/fnut.2025.1725052","url":null,"abstract":"<p><strong>Background: </strong>Iron (Fe) is an essential micronutrient, yet both its deficiency and overload have been associated with disruptions in lipid metabolism. This study investigated the effects of moderate iron deficiency and high dietary iron on lipid metabolic pathways in mice.</p><p><strong>Methods: </strong>Five-week male C57BL/6J mice were fed for 16 weeks on one of three diets: a basal iron-deficient diet without iron supplementation (FeD, 19.26 mg/kg Fe), and the same basal diet supplemented with either 200 mg Fe/kg (iron-adequate control, Control) or 1,200 mg Fe/kg (high-iron, FeH). Growth performance, iron status, serum lipids, tissue iron deposition, hepatic fatty acid composition, and expression of key genes and enzymes involved in lipid metabolism were analyzed.</p><p><strong>Results: </strong>The FeD group exhibited increased body weight and feed intake, and reduced systemic iron parameters. Molecular analysis revealed a distinct pattern of lipid metabolic disruption in FeD, characterized by the upregulation of certain hepatic lipogenic transcripts (<i>ACLY, SREBP1c, PPAR</i>γ) but without a concomitant increase in functional lipogenic output or hepatic triglycerides. Notably, the elevation in SCD1 protein occurred alongside a decreased hepatic C18:1 n-9/C18:0 ratio in the FeD group. In adipose tissue, FeD specifically enhanced lipolysis gene expression (<i>ATGL, HSL, FABP4</i>), indicating elevated lipid mobilization. In contrast, FeH mice developed hyperlipidemia and hepatic iron overload, which was driven by direct activation of the hepatic <i>SREBP1c</i> pathway and its lipogenic targets (<i>ACC, FAS, SCD1</i>). <i>Hamp</i> expression was significantly upregulated in the FeH group compared to both the control and FeD groups (<i>p</i> < 0.05). Although both diets altered hepatic fatty acid composition, they operated through fundamentally distinct mechanisms.</p><p><strong>Conclusions: </strong>These findings demonstrate that moderate iron deficiency and high iron intake disrupt hepatic lipid metabolism via different pathways: FeD primarily through systemic adaptations leading to post-translational constraints on iron-dependent enzymes, whereas FeH acts through direct transcriptional activation of hepatic <i>de novo</i> lipogenesis, potentially involving hepcidin-mediated cross-talk. The study underscores the critical importance of iron homeostasis in preventing dyslipidemia and hepatic steatosis and provides mechanistic insights that could inform dietary recommendations for populations at risk of metabolic disorders.</p>","PeriodicalId":12473,"journal":{"name":"Frontiers in Nutrition","volume":"12 ","pages":"1725052"},"PeriodicalIF":4.0,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12888867/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146164849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-27eCollection Date: 2026-01-01DOI: 10.3389/fnut.2026.1785548
Roberto Cannataro, Diego A Bonilla, Maria Cristina Caroleo, Giuseppe Cerullo, Richard B Kreider, Erika Cione
{"title":"Editorial: Integrating ketogenic diet with physical exercise: implications for athletes and chronic conditions.","authors":"Roberto Cannataro, Diego A Bonilla, Maria Cristina Caroleo, Giuseppe Cerullo, Richard B Kreider, Erika Cione","doi":"10.3389/fnut.2026.1785548","DOIUrl":"10.3389/fnut.2026.1785548","url":null,"abstract":"","PeriodicalId":12473,"journal":{"name":"Frontiers in Nutrition","volume":"13 ","pages":"1785548"},"PeriodicalIF":4.0,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12888864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146164797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-27eCollection Date: 2025-01-01DOI: 10.3389/fnut.2025.1736450
Gang Wang, Qihang Wu, Telei Chen
Objective: To evaluate the predictive value of the prognostic nutritional index (PNI) in prostate cancer patients. Compared with previous reviews, this study is the first to systematically grade and evaluate the quality of evidence regarding the association between PNI and prostate cancer prognosis using the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) framework, which can provide more reliable and transparent evidence for clinical practice.
Methods: A systematic search was conducted across PubMed, Embase, Web of Science, and Cochrane databases up to June 2025. Study quality was assessed using the Newcastle-Ottawa Scale. Outcomes included associations between PNI and overall survival (OS) and progression-free survival (PFS). Meta-analysis, Egger's test, and sensitivity analysis were performed using Review Manager 5.4.1 and Stata 15.1. The certainty of evidence for each outcome was evaluated and graded according to GRADE.
Results: The systematic search identified 857 related studies, with 11 studies included in the meta-analysis. The meta-analysis revealed that a lower PNI was significantly associated with shorter OS (hazard ratio (HR): 2.03; 95% confidence interval (CI): 1.68, 2.46; P < 0.00001) and PFS (HR: 2.03; 95% CI: 1.65, 2.50; P < 0.00001). There was no significant publication bias for OS (P = 0.051), but there was significant publication bias for PFS (P = 0.014). Sensitivity analyses confirmed that the results for OS and PFS were stable and reliable. Regarding the certainty of evidence, OS was rated as moderate quality evidence, while the PFS was rated as low quality.
Conclusions: Low PNI is associated with shorter OS and PFS in prostate cancer patients. Considering the inherent limitations of this study, more prospective studies are needed to confirm the association between PNI and the prognosis of prostate cancer patients.
{"title":"Prognostic nutritional index and survival in prostate cancer: an updated systematic review and meta-analysis.","authors":"Gang Wang, Qihang Wu, Telei Chen","doi":"10.3389/fnut.2025.1736450","DOIUrl":"10.3389/fnut.2025.1736450","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the predictive value of the prognostic nutritional index (PNI) in prostate cancer patients. Compared with previous reviews, this study is the first to systematically grade and evaluate the quality of evidence regarding the association between PNI and prostate cancer prognosis using the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) framework, which can provide more reliable and transparent evidence for clinical practice.</p><p><strong>Methods: </strong>A systematic search was conducted across PubMed, Embase, Web of Science, and Cochrane databases up to June 2025. Study quality was assessed using the Newcastle-Ottawa Scale. Outcomes included associations between PNI and overall survival (OS) and progression-free survival (PFS). Meta-analysis, Egger's test, and sensitivity analysis were performed using Review Manager 5.4.1 and Stata 15.1. The certainty of evidence for each outcome was evaluated and graded according to GRADE.</p><p><strong>Results: </strong>The systematic search identified 857 related studies, with 11 studies included in the meta-analysis. The meta-analysis revealed that a lower PNI was significantly associated with shorter OS (hazard ratio (HR): 2.03; 95% confidence interval (CI): 1.68, 2.46; <i>P</i> < 0.00001) and PFS (HR: 2.03; 95% CI: 1.65, 2.50; <i>P</i> < 0.00001). There was no significant publication bias for OS (<i>P</i> = 0.051), but there was significant publication bias for PFS (<i>P</i> = 0.014). Sensitivity analyses confirmed that the results for OS and PFS were stable and reliable. Regarding the certainty of evidence, OS was rated as moderate quality evidence, while the PFS was rated as low quality.</p><p><strong>Conclusions: </strong>Low PNI is associated with shorter OS and PFS in prostate cancer patients. Considering the inherent limitations of this study, more prospective studies are needed to confirm the association between PNI and the prognosis of prostate cancer patients.</p><p><strong>Systematic review registration: </strong>https://www.crd.york.ac.uk/PROSPERO/view/CRD420251154118, identifier: CRD420251154118.</p>","PeriodicalId":12473,"journal":{"name":"Frontiers in Nutrition","volume":"12 ","pages":"1736450"},"PeriodicalIF":4.0,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12886034/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146164820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-27eCollection Date: 2026-01-01DOI: 10.3389/fnut.2026.1781349
Silvia Amalia Nemes, Laura Mitrea, Lavinia Florina Calinoiu, Bernadette Emoke Teleky, Leontina Lipan, Dan Cristian Vodnar
{"title":"Editorial: Efficacy of probiotic-enriched foods on digestive health and overall well-being.","authors":"Silvia Amalia Nemes, Laura Mitrea, Lavinia Florina Calinoiu, Bernadette Emoke Teleky, Leontina Lipan, Dan Cristian Vodnar","doi":"10.3389/fnut.2026.1781349","DOIUrl":"10.3389/fnut.2026.1781349","url":null,"abstract":"","PeriodicalId":12473,"journal":{"name":"Frontiers in Nutrition","volume":"13 ","pages":"1781349"},"PeriodicalIF":4.0,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12886013/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146164847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: The coexistence of chronic obstructive pulmonary disease (COPD) and atrial fibrillation (AF) is common and portends a poorer prognosis. This study evaluated whether the Advanced Lung Cancer Inflammation Index (ALI) and Controlling Nutritional Status (CONUT) score-composite biomarkers of inflammation and malnutrition-are associated with AF prevalence in COPD patients.
Methods: This multicenter, cross-sectional study included 1,510 hospitalized patients with COPD. AF was diagnosed according to the European Society of Cardiology (ESC) guidelines, encompassing both a documented clinical history and electrocardiographic evidence. The ALI and CONUT scores were calculated from baseline data. Their independent and combined associations with AF were assessed using multivariate logistic regression, restricted cubic splines (RCS), and analyses of joint groups based on optimal cut-off values. Model performance and improvement were evaluated using the area under the receiver operating characteristic curve (AUC), net reclassification improvement (NRI), integrated discrimination improvement (IDI), and decision curve analysis (DCA). The robustness of the findings was further tested through extensive subgroup and sensitivity analyses.
Results: Among 1,510 patients with COPD, 425 (28.15%) had AF. After comprehensive adjustment for confounders, both a lower ALI and a higher CONUT score were independently associated with increased odds of AF. A nonlinear, L-shaped relationship was identified for ALI (inflection point: 16.09), while CONUT exhibited a linear, positive association. Patients in the combined "low ALI and high CONUT" group had the highest odds of AF (OR = 2.420, 95% CI: 1.721-3.403). The integration of both indices into the baseline model yielded a statistically significant improvement in discriminative power (AUC: 0.842 vs. 0.835, p = 0.031), accompanied by substantial reclassification improvement (NRI = 0.273, p < 0.001). The findings remained consistent across extensive sensitivity analyses and most clinical subgroups, with a notable interaction observed specifically in patients with pulmonary hypertension.
Conclusion: Lower ALI and higher CONUT scores were significantly associated with a higher prevalence of AF in COPD patients. These readily available composite indices, particularly when used in combination, may aid in identifying patients at increased odds of AF, who could be prioritized for further evaluation.
背景:慢性阻塞性肺疾病(COPD)和心房颤动(AF)共存是常见的,预示着较差的预后。本研究评估了晚期肺癌炎症指数(ALI)和控制营养状况(CONUT)评分(炎症和营养不良的复合生物标志物)是否与COPD患者AF患病率相关。方法:这项多中心横断面研究纳入了1510例COPD住院患者。房颤是根据欧洲心脏病学会(ESC)指南诊断的,包括临床病史和心电图证据。ALI和CONUT评分根据基线数据计算。使用多变量逻辑回归、受限三次样条(RCS)和基于最佳截止值的联合组分析来评估它们与房颤的独立和联合关联。采用受试者工作特征曲线下面积(AUC)、净重分类改进(NRI)、综合判别改进(IDI)和决策曲线分析(DCA)来评估模型的性能和改进。通过广泛的亚组分析和敏感性分析进一步检验了研究结果的稳健性。结果:在1510例COPD患者中,425例(28.15%)患有房颤。综合调整混杂因素后,ALI较低和CONUT评分较高均与房颤发生率增加独立相关。ALI呈非线性l型关系(拐点:16.09),而CONUT呈线性正相关。“低ALI +高CONUT”联合组患者发生AF的几率最高(OR = 2.420,95% CI: 1.721-3.403)。将这两个指标整合到基线模型中,在判别能力上有统计学意义的改善(AUC: 0.842 vs. 0.835, p = 0.031),并伴有显著的再分类改善(NRI = 0.273,p )。结论:较低的ALI和较高的CONUT评分与COPD患者较高的AF患病率显著相关。这些容易获得的综合指标,特别是在联合使用时,可能有助于识别房颤发生率增加的患者,这些患者可以优先进行进一步评估。
{"title":"Association of the advanced lung cancer inflammation index and controlling nutritional status score with atrial fibrillation in COPD patients: a multicenter cross-sectional study.","authors":"Hao Xu, Yanhong Zheng, Tianye Li, Yao Mei, Mengya Yang, Chengshui Chen, Zhidan Hua, Hongjun Zhao","doi":"10.3389/fnut.2026.1722288","DOIUrl":"10.3389/fnut.2026.1722288","url":null,"abstract":"<p><strong>Background: </strong>The coexistence of chronic obstructive pulmonary disease (COPD) and atrial fibrillation (AF) is common and portends a poorer prognosis. This study evaluated whether the Advanced Lung Cancer Inflammation Index (ALI) and Controlling Nutritional Status (CONUT) score-composite biomarkers of inflammation and malnutrition-are associated with AF prevalence in COPD patients.</p><p><strong>Methods: </strong>This multicenter, cross-sectional study included 1,510 hospitalized patients with COPD. AF was diagnosed according to the European Society of Cardiology (ESC) guidelines, encompassing both a documented clinical history and electrocardiographic evidence. The ALI and CONUT scores were calculated from baseline data. Their independent and combined associations with AF were assessed using multivariate logistic regression, restricted cubic splines (RCS), and analyses of joint groups based on optimal cut-off values. Model performance and improvement were evaluated using the area under the receiver operating characteristic curve (AUC), net reclassification improvement (NRI), integrated discrimination improvement (IDI), and decision curve analysis (DCA). The robustness of the findings was further tested through extensive subgroup and sensitivity analyses.</p><p><strong>Results: </strong>Among 1,510 patients with COPD, 425 (28.15%) had AF. After comprehensive adjustment for confounders, both a lower ALI and a higher CONUT score were independently associated with increased odds of AF. A nonlinear, L-shaped relationship was identified for ALI (inflection point: 16.09), while CONUT exhibited a linear, positive association. Patients in the combined \"low ALI and high CONUT\" group had the highest odds of AF (OR = 2.420, 95% CI: 1.721-3.403). The integration of both indices into the baseline model yielded a statistically significant improvement in discriminative power (AUC: 0.842 vs. 0.835, <i>p</i> = 0.031), accompanied by substantial reclassification improvement (NRI = 0.273, <i>p</i> < 0.001). The findings remained consistent across extensive sensitivity analyses and most clinical subgroups, with a notable interaction observed specifically in patients with pulmonary hypertension.</p><p><strong>Conclusion: </strong>Lower ALI and higher CONUT scores were significantly associated with a higher prevalence of AF in COPD patients. These readily available composite indices, particularly when used in combination, may aid in identifying patients at increased odds of AF, who could be prioritized for further evaluation.</p>","PeriodicalId":12473,"journal":{"name":"Frontiers in Nutrition","volume":"13 ","pages":"1722288"},"PeriodicalIF":4.0,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12886012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146164768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}