Life-Basel最新文献

Background: The implantable miniature telescope is used to provide functional vision for patients with advanced AMD. However, despite the considerable cost of the device, there are strict criteria to be met for this procedure, since the patients require challenging neuroadaptation afterward, which sometimes fails and leads to the necessity of device explantation. Visual outcomes also depend on the stability of the microtelescope; tilts cause unwanted optical aberrations and can lead to device luxation, with sight-threatening complications.

Case report: This case presents a novel technique for fixing the ophthalmic telescope device SING-IMT™. A 76-year-old female with pre-operative visual acuity of 15 letters on the ETDRS scale underwent surgery on her left eye. The superior haptic was fixed at the 12 o'clock position with a Prolene 5-0 suture, achieving good postoperative stability. The implant was stable throughout the entire observation period.

Conclusions: Implant stability is crucial for maximizing visual potential in patients with advanced AMD selected for the procedure, since visual acuity in the peripheral retina, where the perceived image eventually lands, is much lower than the macula. Therefore, there is a need to standardize surgical approaches and use objective follow-up measures to assess long-term patient satisfaction.

As human space exploration advances towards establishing sustainable Martian habitats, achieving autonomous food production is a critical requirement. The potato (Solanum tuberosum L.), with its notable environmental resilience and nutritional efficiency, is a prime candidate crop. This study develops a conceptual framework for Martian potato cultivation by systematically analyzing the profound disparities between Martian conditions and plant physiology. We identify and evaluate seven fundamental challenges: atmospheric composition, extreme temperatures, water scarcity, soil properties, nutrient deficiencies, absent microbiota, and radiation/gravity effects. To address these challenges, we propose a phased, testable roadmap comprising four stages: (I) screening and bio-engineering of multi-stress-tolerant potato genotypes; (II) phased domestication via Earth-based analog experiments to define adaptability thresholds; (III) deployment of a controlled cultivation module within a Martian habitat, integrating targeted technological interventions; and (IV) conceptual exploration of extra-habitat agricultural potential. The primary contribution of this work is a structured set of hypotheses and key performance indicators for each stage, translating visionary goals into a defined research agenda to guide future empirical work in extraterrestrial agronomy.

Objective: To synthesize current evidence on the relationships between adolescent idiopathic scoliosis (AIS), stress-related mechanisms, neuroanatomical asymmetry, and mental disorders, and to propose an integrative conceptual framework describing their interaction. Materials and Methods: A comprehensive literature review was conducted using the PubMed, Web of Science, and Scopus databases. Search terms targeted the etiology and pathogenesis of adolescent idiopathic scoliosis, hemispheric lateralization, stress responses, body schema disturbances, and associated mental disorders. The review was reported in accordance with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) recommendations. A structured qualitative synthesis of 225 relevant publications was performed. Results: The analyzed studies revealed several complementary conceptual approaches to AIS pathogenesis. Emerging evidence suggests that atypical hemispheric lateralization, potentially associated with right-hemisphere (RH) dysfunction, may contribute to susceptibility to AIS. Such patterns of lateralization have been linked to specific stress-related coping strategies, including harm avoidance, as well as to disturbances of body schema and an increased prevalence of certain mental disorders. Gender-related differences in stress responses and in the development and progression of AIS were consistently reported across studies. Collectively, these findings support the hypothesis that neuropsychological and stress-related mechanisms, including phenomena described as the "distorting mirror effect", may contribute to the persistence and progression of spinal deformity in vulnerable individuals. Conclusions: AIS appears to be a multifactorial condition in which atypical neuroanatomical asymmetry, stress-related processes, and altered body representation interact. This integrative perspective generates hypotheses suggesting that prevention and treatment strategies for AIS could benefit from incorporating approaches aimed at modulating stress responses and enhancing brain neuroplasticity. Further interdisciplinary studies integrating clinical, neuroimaging, and neurobiological methods are warranted to clarify underlying mechanisms.

Ocimum (basil) is a globally significant medicinal and culinary herb. While its bioactive secondary metabolites are well-studied, the medicinal potential of its abundant primary metabolites (amino acids, vitamins, carbohydrates, steroids) remains largely unexplored. To address this gap, we employed an integrated multi-omics strategy. First, UPLC-MS/MS-based metabolomics quantified primary metabolites across six distinct Ocimum accessions (Ocimum × africanum, Ocimum tenuiflorum, Ocimum gratissimum). Profiling identified 291 primary metabolites, revealing significant interspecific variation, with 273 differential accumulated metabolites (DAMs). Subsequent network pharmacology analysis of 61 high-impact DAMs predicted 516 potential targets. Protein-protein interaction refinement yielded 28 core targets, predominantly integrins (ITGB1, ITGB3, ITGA4, ITGA2B, ITGAV) and kinases (IGF1R, PIK3CA, SRC). Enrichment analysis implicated these targets in focal adhesion, ECM-receptor interaction, and PI3K-Akt signaling pathways. Molecular docking confirmed strong potential binding (binding energy < -7 kcal/mol) between key tripeptides (e.g., Met-Ser-Tyr, Phe-Cys-Gln) and integrin subunits. Antioxidant assays (DPPH, ABTS, FRAP) further showed significant genotypic variation. This study systematically deciphers the primary metabolome of Ocimum and, through a multi-omics approach, reveals novel integrin-mediated mechanisms underpinning its potential therapeutic value, providing a foundation for developing basil-based nutraceuticals and pharmaceuticals.

Myocardial and vascular injury secondary to SARS-CoV-2 infection and vaccination has emerged as a clinically relevant phenomenon, with distinct but overlapping mechanisms. Myocardial injury in COVID-19 results from a complex interplay between direct viral effects and immune-mediated inflammation, supported by histopathological studies revealing macrophage-rich infiltrates, microthrombosis, and supporting fibrosis in isolated areas. In contrast, vaccine-associated myocarditis-reported predominantly following mRNA vaccines-has a self-limiting clinical course, with mechanisms likely involving molecular mimicry, aberrant immune activation, or hypersensitivity reactions, although these pathways require further validation. Although mRNA vaccines have been associated with a small increase in myocarditis, particularly in young men, the risk is significantly lower than that associated with COVID-19 infection, and the cardiovascular benefits of vaccination far outweigh these rare adverse events in most populations. After the end of the pandemic, the number of patients with severe forms of COVID-19 has decreased significantly, but we consider that cardiac involvement remains an important issue for the acute and long-term prognosis of patients with SARS-CoV-2 infection. Our paper synthesizes the latest epidemiological and mechanistic evidence on the link between COVID-19, vaccination, and myocardial and/or vascular injuries, highlighting the clinical implications and providing practical recommendations for management, as well as future perspectives on risk assessment, targeted immunotherapy, advanced diagnostic tools, and long-term monitoring.

In the original publication [...].

Polyhydroxyalkanoates (PHAs) are microbial polyesters that belong to a group of bioplastics with the potential to replace petroleum-derived plastics. Their main drawback is the high production cost, which puts them at a disadvantage compared to conventional plastics. A significant part of these costs arises from the isolation of PHAs from the cellular biomass of producing microorganisms. This review summarizes the main approaches used to recover both scl- and mcl-PHAs from native or dried (lyophilized) biomass, with attention to physical, chemical, and biological methods. Key parameters influencing extraction efficiency, polymer purity, and the final material properties are discussed, including pretreatment steps that often determine the overall outcome. The review also compares traditional halogenated solvent extraction with more environmentally acceptable alternatives and considers how different strategies can be combined to improve recovery. The current literature highlights the need for sustainable and economically acceptable processes that would make large-scale PHA production more feasible.

Environmental exposures are increasingly recognized as important drivers of ocular surface inflammation, yet their combined contribution to the onset, exacerbation, and clinical burden of allergic conjunctivitis (AC) has not been comprehensively synthesized. This systematic review evaluated the evidence linking air pollutants, aeroallergens, and indoor or occupational exposures with allergic conjunctivitis. The review was conducted according to PRISMA 2020 and AMSTAR-2 guidelines and registered in PROSPERO (CRD420251162399). PubMed, Web of Science, and Scopus were searched from inception to 18 September 2025. Two independent reviewers screened studies, extracted data, and assessed methodological quality using the MINORS tool. Owing to substantial heterogeneity, findings were synthesized narratively. Twenty-nine studies were included, encompassing more than three million outpatient visits. Consistent associations were observed between particulate matter, nitrogen oxides, sulfur dioxide, carbon monoxide, and ozone with increased AC incidence and symptom severity, with variations by age, sex, and season. Pollen and air pollutants frequently acted synergistically. Indoor exposures were associated with increased risk in children, while occupational settings demonstrated exposure-response relationships. Experimental studies identified mechanisms involving epithelial barrier disruption, NF-κB activation, and thymic stromal lymphopoietin signaling. Overall, environmental exposures substantially contribute to allergic conjunctivitis and may inform improved prevention and personalized clinical management.

Background/Objectives: Exercise-induced fatigue is a fundamental component of running performance and training, yet it is also implicated in altered movement mechanics and increased injury risk. While numerous studies have examined fatigue-related biomechanical changes during running, findings remain fragmented across biomechanical domains and fatigue modalities. The purpose of this systematic review was to synthesize contemporary evidence on the effects of fatigue on lower-limb biomechanics during running and to interpret the potential injury relevance of these adaptations. Methods: A systematic literature search was conducted in PubMed, Scopus, and Web of Science for original empirical studies published between January 2010 and December 2025. Eligible studies involved human participants performing running or running-related tasks, applied an explicit fatigue protocol, and reported quantitative lower-limb biomechanical outcomes. Study selection followed PRISMA 2020 guidelines. Data extraction included participant characteristics, fatigue protocols, biomechanical measures, instrumentation, and key findings. Methodological quality was assessed using the Cochrane Risk of Bias 2 (RoB-2) tool. Due to substantial methodological heterogeneity, findings were synthesized narratively. Results: Twenty-four studies met the inclusion criteria. Across studies, fatigue consistently altered spatiotemporal parameters, joint kinematic and kinetic variables, spring-mass behavior, impact loading, coordination variability, neuromuscular output, and inter-limb symmetry. Common adaptations included increased ground contact time, reduced ankle joint power and stiffness, increased joint range of motion, elevated impact loading, and greater movement variability. These changes reflected reduced mechanical efficiency and a redistribution of mechanical load from distal to proximal joints, particularly toward the knee and hip. Similar fatigue-related biomechanical patterns were observed in both laboratory-based and real-world endurance running conditions. Conclusions: Exercise-induced fatigue produces systematic and injury-relevant alterations in lower-limb biomechanics during running. These adaptations may preserve short-term performance but create mechanical conditions associated with increased susceptibility to overuse and non-contact injuries. Integrating fatigue-aware biomechanical assessment, neuromuscular conditioning, and individualized load management strategies may help mitigate adverse fatigue-related adaptations.

Lower-extremity peripherally inserted central catheters (PICCs) are used in critically ill adults when upper-extremity access is limited, yet real-world data on indications, dwell time, and device-related outcomes remain scarce. We retrospectively reviewed consecutive ultrasound-guided mid-thigh lower-extremity PICC placements performed under a standardized protocol (15 cm below the inguinal ligament; fixed 55-cm insertion depth) in an adult ICU and extracted indication patterns, catheter dwell time, removal reasons, and microbiological findings. Among 38 placements in 37 patients, difficult peripheral access was present in all cases; prolonged intravenous antibiotics were the predominant indication (34/38, 89.5%), followed by total parenteral nutrition (13/38, 34.2%) and vasopressor therapy (2/38, 5.3%). Median dwell time was 19.5 days (IQR 12-25; range 3-48). Catheters were most commonly removed due to death (15/38, 39.5%), discharge (13/38, 34.2%), or no longer being clinically indicated (8/38, 21.1%), while removal for suspected catheter infection/fever occurred in 2/38 (5.3%). A catheter-drawn culture was positive in 1/38 (2.6%; Candida albicans), whereas peripheral blood cultures were positive in 4/38 (10.5%). In this single-center retrospective descriptive cohort, standardized mid-thigh lower-extremity PICCs were used for prolonged venous access. Removals for suspected infection/fever evaluation were uncommon; however, CRBSI was not adjudicated and thrombosis surveillance was not performed. These findings describe local utilization patterns and support future comparative studies and stewardship-focused quality improvement.