Life-Basel最新文献

Kirsten Rat Sarcoma viral oncogene homolog (KRAS) is a frequently occurring mutation in non-small-cell lung cancer (NSCLC) and influences cancer treatment and disease progression. In this study, a machine learning (ML) pipeline was applied to radiomic features extracted from public and internal CT images to identify KRAS mutations in NSCLC patients. Both datasets were analyzed using parametric (t test) and non-parametric statistical tests (Mann-Whitney U test) and dimensionality reduction techniques. Afterwards, the proposed ML pipeline was applied to both datasets using a five-fold cross-validation on the training set (70/30 train/test split) before being validated on the other dataset. The results show that the radiomic features are significantly different (Mann-Whitney U test; p < 0.05) between the two datasets, despite the use of identical feature extraction methods. Model transferability is therefore difficult to achieve, which became evident during external testing (F1 score = 0.41). Oversampling, undersampling, clustering and harmonization techniques were applied to balance and harmonize the datasets, but did not improve the classification of KRAS mutation presence. In general, due to only a single moderate result (highest test F1 score = 0.67), the accuracy of KRAS prediction is not sufficient for clinical application. In future work, the complexity of KRAS mutation might be addressed by taking submutations into consideration. Larger multicentric datasets with balanced tumor stages, including multi-scanner datasets, seem to be necessary for building robust predictive models.

Background: Undiagnosed and untreated atherosclerotic renal artery stenosis (ARAS) can result in end-stage kidney disease (ESKD). To obtain an accurate diagnosis, it is crucial to recognize the symptoms and signs suggesting renal artery stenosis (RAS) and perform appropriate diagnostic and treatment procedures afterward.

Case presentation: We present a case of a 60-year-old female patient with hypertensive crisis, acute heart failure (HF), and pulmonary edema as the initial signs of acute kidney injury (AKI) caused by right RAS and left renal artery occlusion in the presence of severe aortic atherosclerosis revealed on computed tomography angiography (CTA) of the abdomen. The patient's renal function recovered completely following percutaneous transluminal angioplasty (PTA) with stent implantation in the right renal artery at the site of subocclusion.

Conclusions: Even in patients with concomitant disorders like type-2 diabetes mellitus (T2DM), hypertension (HTN), or HF, the dilatation of significantly narrowed renal arteries due to severe calcifications can result in complete renal function recovery.

Studying exoplanet atmospheres is essential for assessing their potential to host liquid water and their capacity to support life (their habitability). Each atmosphere uniquely influences the likelihood of surface liquid water, defining the habitable zone (HZ)-the region around a star where liquid water can exist. However, being within the HZ does not guarantee habitability, as life requires more than just liquid water. In this study, we adopted a two-pronged approach. First, we estimated the surface conditions of planets near the HZ's inner edge under various atmospheric compositions. By utilizing a 3D climate model, we refined the inner boundaries of the HZ for planets with atmospheres dominated by H₂ and CO₂ for the first time. Second, we investigated microbial survival in these environments, conducting laboratory experiments on the growth and survival of E. coli K-12, focusing on the impact of different gas compositions. This innovative combination of climate modeling and biological experiments bridges theoretical climate predictions with biological outcomes. Our findings indicate that atmospheric composition significantly affects bacterial growth patterns, highlighting the importance of considering diverse atmospheres in evaluating exoplanet habitability and advancing the search for life beyond Earth.

Sepsis is a clinical condition causing tissue damage as a result of infection and an exaggerated immune response. Sepsis causes 11 million deaths annually, a third of which are associated with acute lung injury (ALI). Rapid and effective treatment is crucial to improve survival rates. Punica granatum (pomegranate) is rich in polyphenols and demonstrates strong antioxidant activity, while amifostine acts as a free radical scavenger. This study aimed to investigate the antioxidant and anti-inflammatory effects of P. granatum peel extract (PGPE) and amifostine in sepsis-related ALI. Experimental groups included Control, CLP (cecal ligation and puncture-induced sepsis), Amf (200 mg/kg amifostine, intraperitoneally), and PGPE250, and PGPE500 (250 and 500 mg/kg PGPE via oral gavage, respectively). Thiobarbituric acid reactive substances (TBARS), total thiol (TT), tumor necrosis factor-alpha (TNF-α) levels, and metalloproteinases 2 and 9 (MMP-2 and MMP-9) were assessed in the lung tissue. Biochemical analysis demonstrated that TBARS and TNF-α levels significantly decreased in both the PGPE and amifostine treatment groups compared to the CLP group, while TT levels showed notable improvement. Histopathological evaluation revealed reduced MMP-2 and MMP-9 immunopositivity in the PGPE250 and PGPE500 groups. These findings highlight the lung-protective properties of PGPE, underscoring its potential as a therapeutic agent for sepsis-induced acute lung injury.

In this study, the impact of leonardite as a feed additive in goldfish diets was examined, focusing on its potential to positively influence feed and water parameters, which are critical for achieving sustainable ornamental fish farming. In this study, goldfish were fed diets containing four different levels of leonardite (0%, 2%, 6%, 10%). The experiment was conducted in 12 tanks with 3 replicates per treatment and lasted for 3 months. The fish, which were provided from the Research, Production and Training Institute, with an average live weight of 0.947 ± 0.03 g and an average length of 1.12 ± 0.02 cm, were used. After 90 days, it was observed that the specific growth rates increased in correlation with the amount of leonardite in the diet, with a statistically significant difference identified (p < 0.05). In this study, which investigated the coloration of fish with leonardite added to the feed for the first time, it was determined that the color of the fish approached from yellow to orange as the amount of leonardite added to the feed increased (p < 0.05). Given the positive effects observed on pigmentation and growth in this study, it is recommended that further detailed investigations be conducted on leonardite, a natural, harmless, and cost-effective additive, using different fish species.

Introduction: Metabolic syndrome (MetS) and hypertriglyceridemic waist (HTW) are two multifactorial pathological conditions that have been increasing in prevalence worldwide. The objective of this study was to evaluate how various sociodemographic variables and healthy habits are associated with the presence or absence of MetS and HTW. Methodology: This study employed a mixed-methods approach, consisting of a retrospective longitudinal study and a cross-sectional descriptive study, analyzing 44,939 healthcare workers with MS and HTW across four professional categories to evaluate the relationship between age, sex, smoking, physical activity, and adherence to the Mediterranean diet using three diagnostic criteria. Descriptive analysis included categorical and quantitative variables, which were assessed through frequencies, Student's t-test, chi-square, and binary logistic regression models. Logistic regression and Cohen's kappa were used to evaluate associations and concordances. Age, sex, and lack of physical activity showed the strongest associations with MetS (OR: 2.65-2.84). The results highlight the importance of physical activity and other factors in metabolic prevention. Results: Age, sex, and physical activity were the variables most strongly associated with MetS and HTW across the three evaluated diagnostic criteria. The odds ratios revealed significant values: age (9.07-13.71 for MetS and 13.42 for HTW), sex (2.82-3.31 for MetS and 3.72 for HTW), and physical activity (2.65-2.84 for MetS and 2.40 for HTW). Conclusions: The risk of developing MetS and HTW among healthcare personnel is influenced by lifestyle habits, sex, and age, with the highest ORs observed in nursing assistants and orderlies. Future research that delves deeper into the causal relationship between lifestyle factors and the severity of MetS and HTW in healthcare personnel will improve understanding and facilitate the development of preventive activities to reduce their incidence.

Aortic arch anomalies represent a range of congenital vascular malformations resulting from disruptions in the typical embryological development of the aortic arch and its branches. These anomalies, which vary widely in their presentation, can lead to significant clinical symptoms depending on their structure and position. We report the case of a 75-year-old male with intermittent hypertension, palpitations, and episodic warmth in the upper body. Computed tomography (CT) angiography revealed an atypical aortic arch anatomy with a unique right subclavian artery anomaly. The aortic arch displayed a typical orientation but included an additional arterial branch arising from the medial wall of the descending aorta. This aberrant branch with a tortuous aspect coursed posteriorly around the esophagus and merged with the subclavian branch of the brachiocephalic trunk, forming a vascular ring. A possible embryological hypothesis requires the persistence of both the distal segment of the right dorsal aorta and the right seventh intersegmental artery, as well as the right fourth aortic arch; however, the imaging aspect of our patient is not that of a classic double aortic arch. This case emphasizes the importance of advanced imaging techniques, such as CT angiography, in identifying and managing rare vascular anomalies that may influence patient care and clinical outcomes.

Carl Woese's thesis of cellular evolution emphasized that the last universal common/cellular ancestor (LUCA) must have evolved by drawing from "global inventions". Yet, existing theories regarding the origin(s) of LUCA have mostly centered upon scenarios that LUCA had evolved mostly independently. In an earlier paper, we advanced a new theory regarding the origin(s) of LUCA that extends Woese's original insights. Our theory centers upon the possibility that different vesicles and protocells can merge with and acquire each other as a form of variation, selection, and retention, driven by wet-and-dry cycles and other similar cyclical processes. In this paper, we use computer simulation to show that under a variety of simulated conditions, LUCA can indeed be produced by our proposed processes. We hope that our study can stimulate laboratory testing of some key hypotheses that vesicles' absorption, acquisition, and merger has indeed been a central force in driving the evolution of LUCA.

Background: Dupuytren's disease (DD) is a systemic connective tissue disorder of the palm, predominantly affecting men of Northern European or Caucasian origin over 55. In addition to conventional surgery, Dupuytren's contracture can be treated in a minimally invasive way by injecting bacterial collagenase into the cord. However, studies on the long-term success rate when compared to the gold standard, surgical limited fasciectomy, are limited.

Methods: This monocentric retrospective study examined 35 patients who had been treated with bacterial collagenase for Dupuytren's contracture, conducting a long-term follow-up after an average of 5.7 years. The results were compared to a control group of 40 patients treated with surgical limited fasciectomy on average 5.5 years ago. Finger extension (Tubiana stage), strength, sensitivity, the effect of possible risk factors, and patient-reported outcome measures (PROMs) were compared between the two groups.

Results: The long-term results after therapy for DD showed a significant reduction in the Tubiana stage for both groups (p < 0.001). Additionally, we observed a longer mean preintervention Tubiana stage and a better long-term improvement in the Tubiana stage for patients with limited fasciectomy when compared to the collagenase group. (both p < 0.001). Neither grip strength nor the pinch test showed significant differences when compared within each group or when comparing both groups. Both the treated and untreated fingers of patients with limited fasciectomy had a superior two-point discrimination (p < 0.001). For the URAM questionnaire, we observed a significantly better result in the control group (p < 0.01). Retrospectively, significantly more patients in the collagenase group would not choose the same therapy to treat DD (35 vs. 8%; p < 0.05).

Conclusions: The two therapy options should be seen as complementary for the treatment of DD. Collagenase therapy seems a sensible option for DD with an earlier Tubiana stage and contractures that predominantly affect the MCP joint. Contractures with higher Tubiana stages that also affect the PIP joint should predominantly be treated with limited fasciectomy.

This study evaluated the validity and reliability of the TecnoBody D-Wall system in assessing joint range of motion (ROM) during overhead squat movements in healthy individuals, using Kinovea as a reference tool for data comparison. A total of 29 participants (16 males, 13 females) with a mean age of 28.41 ± 6.66 years were included. Measurements were conducted for hip and knee joint angles in the sagittal plane, with three repetitions per participant analyzed using both systems. The D-Wall system employed a 3D Kinect V2 camera and force platform, while Kinovea used 2D video-based motion analysis. The results demonstrated excellent agreement between the two systems, with intra-class correlation coefficients (ICC) ranging from 0.79 to 0.99. For the knee joint, the test-retest ICC values were 0.99 (95% CI: 0.97-0.99) for Kinovea and 0.98 (95% CI: 0.95-0.99) for the D-Wall on the right side, and 0.98 (95% CI: 0.97-0.99) for Kinovea and 0.88 (95% CI: 0.79-0.94) for the D-Wall on the left side. For the hip joint, test-retest ICC values were 0.99 (95% CI: 0.97-0.99) for Kinovea and 0.94 (95% CI: 0.88-0.97) for the D-Wall on the right side, and 0.98 (95% CI: 0.97-0.99) for Kinovea and 0.93 (95% CI: 0.87-0.97) for the D-Wall on the left side. Bland-Altman plots confirmed good agreement, with no significant systematic bias observed. Both systems showed statistically insignificant differences (p > 0.05) between measurements, and correlation values ranged from 0.83 to 0.99, indicating strong associations. These findings highlight the high validity and reliability of both TecnoBody D-Wall and Kinovea systems in measuring joint angles during dynamic movements. The comparable accuracy between systems suggests that either system can be effectively utilized in clinical or research settings, depending on specific needs and resource availability.