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Decoupled Drivers of Phylogenetic Diversity and Community Assembly Signals Across Forest Types in a Temperate Forest, South Korea. 韩国温带森林类型系统发育多样性和群落组装信号的解耦驱动因素。
IF 3.4 3区 生物学 Q1 BIOLOGY Pub Date : 2026-02-10 DOI: 10.3390/life16020301
Chang-Bae Lee

Phylogenetic metrics can separate two complementary biodiversity dimensions: the amount of evolutionary history retained in a community (Faith's phylogenetic diversity, PD) and community assembly signals expressed as departures from null expectations in phylogenetic relatedness (standardized effect size of mean pairwise phylogenetic distance, SES.MPD). However, at the individual-forest scale-where conservation and management decisions are implemented-the key drivers and linked pathways controlling these two dimensions often remain unclear. Here, PD and SES.MPD were quantified for 96 20 × 20 m forest plots spanning broadleaved, conifer, and subalpine forests on Mt. Gariwang, South Korea. Community phylogenies were generated and related to elevation, stand age class, soil fertility, species richness, and community-weighted mean (CWM) traits (specific leaf area, SLA; wood density, WD) using information-theoretic multimodel inference and piecewise structural equation modeling. PD and SES.MPD differed significantly among forest types, but were governed by distinct controls. PD was most strongly and negatively associated with CWM.WD, indicating that dominance by high-wood-density strategies coincided with reduced retained evolutionary history. In contrast, SES.MPD was primarily negatively associated with CWM.SLA and species richness, with soil fertility influencing SES.MPD indirectly via SLA; stand age class showed limited explanatory power. Overall, these results demonstrate decoupled drivers of evolutionary-history retention versus assembly-related coexistence structure and identify management-relevant levers at the individual-forest scale, highlighting the importance of trait dominance and soil-trait pathways in addition to forest type.

系统发育指标可以区分两个互补的生物多样性维度:群落中保留的进化史数量(Faith’s系统发育多样性,PD)和以偏离系统发育亲缘性零期望值表示的群落组装信号(平均成对系统发育距离的标准化效应大小,SES.MPD)。然而,在实施保护和管理决策的单个森林尺度上,控制这两个维度的关键驱动因素和相关途径往往仍然不清楚。这里是PD和SES。对韩国加里王山阔叶林、针叶林和亚高山林共96个20 × 20 m样地的MPD进行了定量分析。利用信息论多模型推理和分段结构方程模型,生成了与海拔、林龄、土壤肥力、物种丰富度和群落加权平均(CWM)特征(比叶面积、密度、WD)相关的群落系统发育。PD和SES。不同森林类型的MPD差异显著,但受不同的控制。PD与CWM呈显著负相关。WD,表明高木材密度策略的优势与保留的进化历史减少相吻合。相反,SES。MPD主要与CWM呈负相关。生物量与物种丰富度,土壤肥力影响SES。通过SLA间接MPD;林龄分类的解释力有限。总体而言,这些结果证明了进化历史保留与组合相关共存结构的解耦驱动因素,并确定了个体森林尺度上的管理相关杠杆,突出了性状优势和土壤-性状途径除了森林类型之外的重要性。
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引用次数: 0
Owner-Directed Feline Aggression in Thailand: Characteristics, Associated Factors, and a Clinical Comparison of Treatments. 泰国猫主人主导的攻击行为:特征、相关因素和临床治疗比较。
IF 3.4 3区 生物学 Q1 BIOLOGY Pub Date : 2026-02-10 DOI: 10.3390/life16020307
Jarawee Supanta, Worakan Boonhoh, Orachun Hayakijkosol, Tuempong Wongtawan

Despite the global increase in cat ownership, some cats exhibit owner-directed aggression, resulting in caregiver injury, infection, and anxiety. Severe cases are commonly treated with selective serotonin reuptake inhibitors such as fluoxetine; however, adverse effects, particularly transient anorexia, often discourage treatment initiation. Cannabidiol (CBD), a natural compound with reported anxiolytic properties and minimal anorexic effects, may represent an alternative therapy. This study aimed to characterise owner-directed feline aggression in Thailand, identify associated factors, and compare the efficacy of CBD with fluoxetine. Most caregivers were females aged 20-40 years, and most cats were neutered mixed-breeds aged 1-6 years living indoors in multi-human and multi-cat households. For demographic variables, only human-cat interactions (e.g., petting) were significantly associated with aggression. Handling-induced aggression was universal, with grooming as the most common trigger (56%). In a single-blind, 4-8-week trial, 100 cats were randomly assigned to control, CBD 1 mg/kg/day, CBD 2 mg/kg/day, fluoxetine 0.5-1 mg/kg/day, or combined CBD and fluoxetine. Aggression scores decreased significantly in all treatment groups compared with control (p < 0.05), with no differences among active treatments. CBD at 1 mg/kg/day showed efficacy comparable to fluoxetine without anorexic effects.

尽管全球养猫人数增加,但一些猫表现出主人主导的攻击行为,导致照顾者受伤、感染和焦虑。严重的病例通常用选择性血清素再摄取抑制剂如氟西汀治疗;然而,不良反应,特别是短暂性厌食症,往往阻碍治疗的开始。大麻二酚(CBD)是一种天然化合物,据报道具有抗焦虑特性和最小的厌食作用,可能是一种替代疗法。本研究旨在描述泰国由主人指导的猫攻击行为的特征,确定相关因素,并比较CBD与氟西汀的功效。大多数照顾者是20-40岁的女性,大多数猫是1-6岁的绝育杂交品种,生活在多人多猫的室内家庭中。对于人口统计变量,只有人猫互动(如抚摸)与攻击显著相关。处理引起的攻击是普遍的,梳理是最常见的触发因素(56%)。在一项为期4-8周的单盲试验中,100只猫被随机分配到对照组、CBD 1 mg/kg/天、CBD 2 mg/kg/天、氟西汀0.5-1 mg/kg/天或CBD和氟西汀的组合。与对照组相比,各治疗组的攻击得分均显著降低(p < 0.05),积极治疗组间差异无统计学意义。1 mg/kg/天的CBD疗效与氟西汀相当,但没有厌食效应。
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引用次数: 0
SWAU-Net: Longitudinal Prediction of Geographic Atrophy via Sliding-Window Attention. SWAU-Net:基于滑动窗口注意力的地理萎缩纵向预测。
IF 3.4 3区 生物学 Q1 BIOLOGY Pub Date : 2026-02-10 DOI: 10.3390/life16020303
Peter Racioppo, Ziyuan Chris Wang, SriniVas R Sadda, Zhihong Jewel Hu

Age-related macular degeneration (AMD) is the leading cause of central vision loss in aging populations. Geographic atrophy (GA) is the advanced, non-neovascular form of AMD. Predicting the longitudinal progression of GA remains a critical challenge in ophthalmic clinical practice and clinical trial design. Forecasting the trajectory of GA is complicated by highly variable growth rates and the inherent scarcity of long-term, high-quality imaging data. To address these challenges, we introduce the Sliding Window Attention U-Net (SWAU-Net), a hybrid architecture that integrates Transformer-based temporal modeling of GA growth with precise spatial modeling of GA location with a U-Net convolutional neural network (CNN). To ensure generalization in the low-data regime, SWAU-Net embeds explicit temporal and geometric consistency priors via a weight-shared Sliding Window Attention core and feature-level regularization that preserves sparse, high-frequency lesion boundaries across frames. Experimental results demonstrate that these structural constraints prevent the model from overfitting to imaging noise, achieving a Growth Mask Dice Similarity Coefficient (DSC) of 0.66 (representing the spatial overlap between the predicted and ground truth lesion expansion regions), a significant improvement over unregularized Transformer and standard recurrent baseline models. Our framework provides a robust tool for predicting GA lesion trajectories, potentially supporting more efficient clinical trial designs and personalized patient monitoring.

老年性黄斑变性(AMD)是老年人群中央性视力丧失的主要原因。地理萎缩(GA)是AMD的晚期、非新生血管性形式。预测GA的纵向进展仍然是眼科临床实践和临床试验设计的关键挑战。由于高度可变的增长率和长期高质量成像数据的固有稀缺性,预测GA的发展轨迹变得复杂。为了解决这些挑战,我们引入了滑动窗口注意力U-Net (SWAU-Net),这是一种混合架构,它将基于transformer的遗传算法生长时间建模与基于U-Net卷积神经网络(CNN)的遗传算法位置精确空间建模集成在一起。为了确保在低数据条件下的泛化,SWAU-Net通过权重共享滑动窗口注意核心和特征级正则化嵌入明确的时间和几何一致性先验,该正则化保留了帧间稀疏的高频损伤边界。实验结果表明,这些结构约束防止了模型对成像噪声的过拟合,实现了0.66的生长掩膜骰子相似系数(DSC)(代表预测和真实病变扩展区域之间的空间重叠),比非正则化Transformer和标准循环基线模型有了显着改进。我们的框架为预测GA病变轨迹提供了一个强大的工具,可能支持更有效的临床试验设计和个性化的患者监测。
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引用次数: 0
Applications of Nanobiotechnology in Medicine. 纳米生物技术在医学中的应用。
IF 3.4 3区 生物学 Q1 BIOLOGY Pub Date : 2026-02-10 DOI: 10.3390/life16020302
David Aebisher, Klaudia Dynarowicz, Izabela Rudy, Kacper Rogóż, Dorota Bartusik-Aebisher, Aleksandra Kawczyk-Krupka

Nanobiotechnology, defined as the application of nanotechnology in biology and medicine, refers to the use of nanometric structures to solve complex clinical problems through precise interaction at the molecular level. Nanostructures such as lipid, polymer, and metallic nanoparticles offer unique properties that enable improved therapeutic and diagnostic efficacy and the integration of diagnostic and therapeutic functions within the concept of theranostics. Major applications of nanobiotechnology include targeted drug delivery in cancer, infection, and gene therapy; advanced molecular diagnostics and biosensors; tissue engineering and regeneration; and immune system modulation through modern nanotechnology-based vaccines and immunotherapies. The clinical significance of these technologies lies in their ability to improve drug bioavailability, minimize adverse effects, increase sensitivity in early disease detection, and support personalized treatment strategies. Nanobiotechnology also contributes to the development of precision medicine by combining diagnostics and therapy within a single nanosystem. Despite promising results, significant challenges remain related to safety, biocompatibility, toxicity, and translation from laboratory studies to clinical applications. Further research is needed to standardize methods, assess the long-term health impact of nanomaterials, and develop regulatory frameworks to fully realize the potential of nanobiotechnology in medicine.

纳米生物技术的定义是纳米技术在生物学和医学中的应用,是指利用纳米结构通过分子水平上的精确相互作用来解决复杂的临床问题。纳米结构,如脂质、聚合物和金属纳米颗粒提供了独特的特性,可以提高治疗和诊断效果,并在治疗学的概念中整合诊断和治疗功能。纳米生物技术的主要应用包括在癌症、感染和基因治疗中的靶向药物输送;先进分子诊断和生物传感器;组织工程与再生;以及通过基于现代纳米技术的疫苗和免疫疗法来调节免疫系统。这些技术的临床意义在于它们能够提高药物的生物利用度,最大限度地减少不良反应,增加早期疾病检测的敏感性,并支持个性化治疗策略。纳米生物技术还通过在单个纳米系统内结合诊断和治疗,促进了精准医学的发展。尽管取得了令人鼓舞的结果,但与安全性、生物相容性、毒性以及从实验室研究到临床应用的转化有关的重大挑战仍然存在。需要进一步的研究来标准化方法,评估纳米材料对健康的长期影响,并制定监管框架,以充分实现纳米生物技术在医学中的潜力。
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引用次数: 0
Foodomics of Rice Grains in Astrobiology: Spaceflight-Induced Modulation of Aroma, Texture, and Protein Digestibility in Thai Landrace Rice (466HM) Aboard the Shijian-19 (SJ-19) Low Earth Orbit Mission. 在近地轨道飞行中,实践19号(SJ-19)对泰国长白米(466HM)香气、质地和蛋白质消化率的空间诱导调节。
IF 3.4 3区 生物学 Q1 BIOLOGY Pub Date : 2026-02-10 DOI: 10.3390/life16020299
Tatpong Tulyananda, Yodying Yingchutrakul, Kakanang Tantraphongsathon, Atiggamas Khamsuwan, Peerapon Moung-Ngam, Phanchita Vejchasarn, Phakorn Papan, Jakkaphan Kumsab, Chutikarn Butkinaree, Sithichoke Tangphatsornruang, Meng Chieh Yang, Arnatchai Maiuthed, Sittiporn Channumsin, Sucheewin Krobthong

Ensuring a sustainable source of nutritious food is critical for long-duration space missions. Thai landrace rice 466HM exhibits high nutritional value and stress resilience, making it a promising candidate for space cultivation, yet its response to low Earth orbit (LEO) conditions remains poorly understood. This study compared rice grains maintained under terrestrial conditions with grains stored aboard the Shijian-19 (SJ-19) reusable satellite, orbiting at ~336 km for 13.5 days under microgravity (2-7 × 10-7g) and an absorbed radiation dose of ~0.153 rad (Si). Volatile compound profiling, texture analysis of cooked grains, and simulated gastrointestinal digestion followed by peptide mass fingerprinting were performed. LEO-exposed rice grains exhibited a 1.67-fold increase in adhesiveness compared to Earth-based rice (p < 0.01), while hardness remained unchanged between the two groups (p > 0.05), alongside distinct alterations in flavor-related volatile compounds and peptide profiles. Principal component analysis revealed clear separation between Earth and LEO-exposed samples, indicating microgravity-associated shifts in digestible peptide composition. Cytotoxicity assessment using MTT assays in HT-29 and HepG2 cells confirmed the safety of both rice types. These findings demonstrate that orbital conditions influence the compositional, functional, and sensory attributes of rice, providing insights relevant to space agriculture and astronaut nutrition.

确保可持续的营养食物来源对长期太空任务至关重要。泰国地方稻466HM具有很高的营养价值和抗逆性,是空间栽培的有希望的候选者,但其对低地球轨道(LEO)条件的响应尚不清楚。本研究比较了在陆地条件下保存的稻谷与在实践19号(SJ-19)可重复使用卫星上储存的稻谷,实践19号在微重力(2-7 × 10-7g)下在336公里轨道运行13.5天,吸收辐射剂量为~0.153 rad (Si)。进行了挥发性化合物分析、煮熟谷物的质地分析、模拟胃肠道消化以及肽质量指纹图谱分析。与地球大米相比,暴露于低氧环境下的大米的黏附性增加了1.67倍(p < 0.01),而硬度在两组之间保持不变(p < 0.05),同时与风味相关的挥发性化合物和肽谱也发生了明显的变化。主成分分析显示,暴露在地球和低氧环境下的样品之间存在明显的差异,表明微重力相关的可消化肽组成发生了变化。用MTT法对HT-29和HepG2细胞进行细胞毒性评估,证实了这两种水稻类型的安全性。这些发现表明,轨道条件影响水稻的成分、功能和感官属性,为太空农业和宇航员营养提供了相关见解。
{"title":"Foodomics of Rice Grains in Astrobiology: Spaceflight-Induced Modulation of Aroma, Texture, and Protein Digestibility in Thai Landrace Rice (466HM) Aboard the Shijian-19 (SJ-19) Low Earth Orbit Mission.","authors":"Tatpong Tulyananda, Yodying Yingchutrakul, Kakanang Tantraphongsathon, Atiggamas Khamsuwan, Peerapon Moung-Ngam, Phanchita Vejchasarn, Phakorn Papan, Jakkaphan Kumsab, Chutikarn Butkinaree, Sithichoke Tangphatsornruang, Meng Chieh Yang, Arnatchai Maiuthed, Sittiporn Channumsin, Sucheewin Krobthong","doi":"10.3390/life16020299","DOIUrl":"10.3390/life16020299","url":null,"abstract":"<p><p>Ensuring a sustainable source of nutritious food is critical for long-duration space missions. Thai landrace rice 466HM exhibits high nutritional value and stress resilience, making it a promising candidate for space cultivation, yet its response to low Earth orbit (LEO) conditions remains poorly understood. This study compared rice grains maintained under terrestrial conditions with grains stored aboard the Shijian-19 (SJ-19) reusable satellite, orbiting at ~336 km for 13.5 days under microgravity (2<sup>-7</sup> × 10<sup>-7</sup><i>g</i>) and an absorbed radiation dose of ~0.153 rad (Si). Volatile compound profiling, texture analysis of cooked grains, and simulated gastrointestinal digestion followed by peptide mass fingerprinting were performed. LEO-exposed rice grains exhibited a 1.67-fold increase in adhesiveness compared to Earth-based rice (<i>p</i> < 0.01), while hardness remained unchanged between the two groups (<i>p</i> > 0.05), alongside distinct alterations in flavor-related volatile compounds and peptide profiles. Principal component analysis revealed clear separation between Earth and LEO-exposed samples, indicating microgravity-associated shifts in digestible peptide composition. Cytotoxicity assessment using MTT assays in HT-29 and HepG2 cells confirmed the safety of both rice types. These findings demonstrate that orbital conditions influence the compositional, functional, and sensory attributes of rice, providing insights relevant to space agriculture and astronaut nutrition.</p>","PeriodicalId":56144,"journal":{"name":"Life-Basel","volume":"16 2","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12941713/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147312786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
New Updates in Adipocytes and Adipose Tissue. 脂肪细胞和脂肪组织的最新进展。
IF 3.4 3区 生物学 Q1 BIOLOGY Pub Date : 2026-02-10 DOI: 10.3390/life16020300
Endre Kristóf, Éva Csősz

Obesity is a major health problem in developed countries and a growing one in the developing world [...].

肥胖在发达国家是一个主要的健康问题,在发展中国家也是一个日益严重的问题。
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引用次数: 0
Technical and Clinical Outcomes at a Thrombectomy-Capable Stroke Center in Poland in the Context of the Center's Growing Experience, Expanding Treatment Guidelines and the Rise in Acute Ischemic Stroke Patient Volume: A Comparative Analysis of Initial and Subsequent Endovascular Procedures. 波兰一个具有血栓切除术能力的卒中中心的技术和临床结果:该中心经验不断丰富,治疗指南不断扩大,急性缺血性卒中患者数量增加:初始和后续血管内手术的比较分析。
IF 3.4 3区 生物学 Q1 BIOLOGY Pub Date : 2026-02-10 DOI: 10.3390/life16020304
Artur Dziadkiewicz, Krzysztof Pawłowski, Anna Podlasek, Michał Sulkowski, Krzysztof Gawrych, Marek Szołkiewicz
<p><p>(1) Introduction. To improve access times and provide effective treatment to the growing patient population with acute stroke due to large vessel occlusion (LVO), thrombectomy-capable stroke centers (TCSCs) should be made an integral part of hospital infrastructure in Poland. The geographical proximity of thrombectomy-capable centers and recently extended treatment time windows will considerably increase patient numbers, decrease patient disability, and reduce the costs of long-term care. (2) Aim of the study. This study investigates the clinical outcomes, time metrics, and angiographic data of a cohort containing 250 thrombectomy patients at a single TCSC in Poland. We measured performance against data from the national database during two crucial time intervals: at the very beginning of the center's service and after the involvement of a new operator. This study considers concurrent modifications in qualification guidelines, the TCSC's transition from a 'direct-admission-only' to a 'drip-and-ship' model, and the learning curve of the interventional stroke team. (3) Methods. A retrospective analysis was conducted on 250 patients treated from August 2020 to May 2025 at a newly established TCSC. The cohort was dived into 2 subgroups: an initial group of 100 patients, whose treatment corresponded to the involvement of a new, previously trained on-site operator and the establishment of 24/7 service, and a group of 150 patients who received later treatment. Additional comparisons were made between a cohort of directly admitted patients and those treated under the drip-and-ship model. The results compared between patients treated with early and expanded time windows. (4) Results. Significant differences were observed between the first 100 and subsequent 150 patients in terms of admission scheme (97% vs. 70%, <i>p</i> < 0.0001), extended time window treatment (8% vs. 17.3%, <i>p</i> < 0.05), and intravenous thrombolysis treatment (81% vs. 65.3%, <i>p</i> < 0.01). Improvements in time intervals and procedural factors were noted in the second group, reflecting the operator's increased experience (groin-to-first pass time: 27 vs. 23 min, <i>p</i> < 0.05). A comparative analysis between the direct admission and drip-and-ship models revealed extended time intervals in the latter (door-to-groin: 110 vs. 159 min, <i>p</i> < 0.001; door-to-recanalization: 158 vs. 200 min, <i>p</i> < 0.001; door-to-CT: 9 vs. 16.5 min, <i>p</i> < 0.001; and door-to-IVT: 21 vs. 43 min, <i>p</i> < 0.001). Patients in the extended time window exhibited lower intravenous thrombolysis rates (78.2% vs. 29.4%, <i>p</i> < 0.0001) and prolonged door-to-groin (117.5 vs. 150 min, <i>p</i> < 0.005), door-to-CT (10 vs. 19.5 min, <i>p</i> < 0.01), and door-to-IVT (25 vs. 77.5 min, <i>p</i> < 0.001) times. No significant differences were found in complication rates, clinical outcomes, or mortality between the analyzed subgroups. (5) Conclusions. The present data demonstrate favorable cli
(1)介绍。为了改善就诊时间,并为不断增长的因大血管闭塞(LVO)导致的急性卒中患者提供有效治疗,应将血栓切除术卒中中心(TCSCs)作为波兰医院基础设施的一个组成部分。血栓切除中心的地理位置邻近以及最近延长的治疗时间窗口将大大增加患者数量,减少患者残疾,并降低长期护理的成本。(2)研究目的。本研究调查了波兰一个TCSC的250例取栓患者的临床结果、时间指标和血管造影数据。我们根据国家数据库的数据在两个关键时间间隔内测量了性能:在中心服务开始时和在新操作员参与之后。本研究考虑了资质指南的同步修改,TCSC从“只接收直接”到“输送”模式的转变,以及介入卒中团队的学习曲线。(3)方法。回顾性分析了2020年8月至2025年5月在新成立的TCSC接受治疗的250例患者。该队列被分为两个亚组:第一组有100名患者,他们的治疗对应于一名新的,以前受过培训的现场操作员的参与和24/7服务的建立,另一组有150名患者接受后来的治疗。在一组直接入院的病人和那些在滴船模式下治疗的病人之间进行了额外的比较。结果比较了早期和扩大时间窗治疗的患者。(4)结果。前100例患者与随后的150例患者在入院方案(97%对70%,p < 0.0001)、延长时间窗治疗(8%对17.3%,p < 0.05)和静脉溶栓治疗(81%对65.3%,p < 0.01)方面存在显著差异。第二组的时间间隔和程序因素有所改善,反映了操作员经验的增加(腹股沟到第一次通过时间:27分钟vs. 23分钟,p < 0.05)。直接入路和滴入-船模式的比较分析显示,后者的时间间隔延长(门到腹股沟:110分钟vs. 159分钟,p < 0.001;门到再通:158分钟vs. 200分钟,p < 0.001;门到ct: 9分钟vs. 16.5分钟,p < 0.001;门到ivt: 21分钟vs. 43分钟,p < 0.001)。延长时间窗的患者静脉溶栓率较低(78.2% vs. 29.4%, p < 0.0001),门静脉到腹股沟(117.5 vs. 150 min, p < 0.005)、门静脉到ct (10 vs. 19.5 min, p < 0.01)和门静脉到ivt (25 vs. 77.5 min, p < 0.001)时间延长。在分析的亚组之间,在并发症发生率、临床结果或死亡率方面没有发现显著差异。(5)结论。目前的数据表明,在新成立的TCSC,无论是在机械取栓服务开始时还是在新培训的操作员参与后,急性左心室卒中患者的临床和血管造影结果都很好。即使在治疗由于运输和晚窗资格而延长时间的患者时,我们也观察到良好的临床结果和低并发症发生率。我们在TCSC中获得的结果与国家数据进行了比较,表明TCSC可能在波兰急性缺血性卒中患者的整个血管内治疗系统中发挥重要作用。
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引用次数: 0
The Fibrotic-Cancer Continuum in IPF: Shared Mechanisms, Clinical Implications and Therapeutic Challenges. IPF中的纤维化-癌症连续体:共享机制、临床意义和治疗挑战。
IF 3.4 3区 生物学 Q1 BIOLOGY Pub Date : 2026-02-09 DOI: 10.3390/life16020295
Panagiota Tsiri, Marousa Kouvela, Ourania Papaioannou, Vasilina Sotiropoulou, Matthaios Katsaras, Nikolaos Syrigos, Fotios Sampsonas, Argyrios Tzouvelekis

Idiopathic pulmonary fibrosis represents a chronic, progressive, lethal lung disease of various etiologies exerting a dramatic impact on patients' survival and quality of life. Its increasing prevalence and high mortality rates indicate the importance of early diagnosis and management involving the assessment of specific comorbidities, such as lung cancer. Emerging evidence suggests that in the context of IPF, lung scarring may be a potential risk factor for lung cancer development. Both disease entities present pathogenic commonalities including genetic and epigenetic markers, signaling pathways and cell transformation obtaining mesenchymal phenotypes. Beyond understanding disease pathogenesis, anti-cancer drugs such as nintedanib have been successfully used to treat patients with IPF. Additionally, a therapeutic approach that includes a mix of various pleiotropic anti-fibrotic agents is currently being developed for IPF treatment. Currently, there is no consensus on the application of therapeutic algorithms in concurrent pulmonary fibrosis and lung tumors. This review summarizes the current state of knowledge on common cellular and molecular pathogenetic mechanisms of IPF and lung cancer and highlights potential therapeutic targets with fruitful results.

特发性肺纤维化是一种慢性、进行性、致死性肺部疾病,各种病因对患者的生存和生活质量产生巨大影响。其日益增加的患病率和高死亡率表明早期诊断和管理的重要性,包括评估具体的合并症,如肺癌。新出现的证据表明,在IPF的背景下,肺瘢痕形成可能是肺癌发展的潜在危险因素。两种疾病实体都具有致病共性,包括遗传和表观遗传标记,信号通路和获得间充质表型的细胞转化。除了了解疾病的发病机制,抗癌药物如尼达尼布已经成功地用于治疗IPF患者。此外,目前正在开发一种治疗方法,其中包括多种多效抗纤维化药物的混合物,用于IPF治疗。目前,对于并发肺纤维化和肺肿瘤的治疗算法应用尚无共识。本文综述了IPF与肺癌共同的细胞和分子发病机制的研究现状,并强调了潜在的治疗靶点,并取得了丰硕的成果。
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引用次数: 0
Brainstem Raphe Echogenicity and Insomnia in Type 2 Diabetes: An Exploratory Cross-Sectional Study. 2型糖尿病患者脑干中缝回声与失眠:一项探索性横断面研究。
IF 3.4 3区 生物学 Q1 BIOLOGY Pub Date : 2026-02-09 DOI: 10.3390/life16020298
Maarja Randväli, Kaja Mädamürk, Jekaterina Šteinmiller, Toomas Toomsoo

Background: Type 2 diabetes mellitus (T2DM) is associated with increased vulnerability to depression and other affective disturbances, potentially mediated by neurobiological alterations in the serotonergic brainstem raphe nuclei. This study examined whether raphe hypoechogenicity, assessed by transcranial sonography, is associated with depressive, anxiety, and sleep-related symptoms in individuals with T2DM, and whether such alterations are linked to diabetes-related complications.

Methods: This cross-sectional study included 230 participants with T2DM and non-diabetic controls. Raphe echogenicity was assessed using transcranial sonography (TCS), and mental health outcomes were measured with the Patient Health Questionnaire 9 (PHQ-9) and the Emotional Well-Being Questionnaire (EWQ). To address demographic imbalance, analyses were repeated in a propensity score-adjusted subsample (n = 89).

Results: Raphe hypoechogenicity was associated with higher insomnia scores (EWQ6; β = 0.67, p = 0.01); however, this association was attenuated to non-significance after adjustment for sleep medication use and did not survive correction for multiple comparisons, and no associations were observed with PHQ-9 or other EWQ subscales. The participants with hypoechogenic raphe also exhibited a higher prevalence of other diabetes-related complications (32% vs. 7%, p = 0.03).

Conclusions: In this exploratory cross-sectional sample, reduced raphe echogenicity was not associated with overall depressive or anxiety symptom severity, but was associated with higher self-reported sleep-related symptom burden. However, this association was not robust to adjustment for sleep medication use or to correction for multiple comparisons. These findings are hypothesis-generating and require replication in larger, longitudinal and medication-naive cohorts using standardized sleep instruments.

背景:2型糖尿病(T2DM)与抑郁和其他情感障碍的易感性增加有关,可能是由血清素能脑干中叶核的神经生物学改变介导的。本研究探讨了经颅超声评估的中缝低回声是否与T2DM患者的抑郁、焦虑和睡眠相关症状有关,以及这些改变是否与糖尿病相关并发症有关。方法:这项横断面研究包括230名T2DM患者和非糖尿病对照组。采用经颅超声(TCS)评估中缝回声,采用患者健康问卷9 (PHQ-9)和情绪健康问卷(EWQ)测量心理健康状况。为了解决人口失衡问题,在倾向得分调整后的子样本(n = 89)中重复分析。结果:中缝低回声与较高的失眠评分相关(EWQ6; β = 0.67, p = 0.01);然而,在调整睡眠药物使用后,这种关联减弱到不显著,并且在多次比较校正后也没有存在,并且与PHQ-9或其他EWQ分量表没有观察到关联。低回声性糖尿病患者的其他糖尿病相关并发症发生率也较高(32%比7%,p = 0.03)。结论:在这个探索性横断面样本中,中缝回声强度降低与总体抑郁或焦虑症状严重程度无关,但与较高的自我报告睡眠相关症状负担相关。然而,这种关联对于睡眠药物使用的调整或多重比较的校正并不牢固。这些发现是假设产生的,需要使用标准化睡眠仪器在更大的纵向和未用药的队列中进行复制。
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引用次数: 0
Percutaneous Closure of a Large-Bore Carotid Arteriotomy Using a Collagen-Based Vascular Plug. 胶原基血管塞经皮大口径颈动脉切开术的闭合。
IF 3.4 3区 生物学 Q1 BIOLOGY Pub Date : 2026-02-09 DOI: 10.3390/life16020292
Radoslaw Parma, Radoslaw Gocol, Joanna Nawara-Skipirzepa, Ryszard Bachowski, Wojciech Wojakowski, Damian Hudziak

Background: Inadvertent arterial cannulation during central venous catheter placement is a recognized complication with potentially serious consequences, particularly when involving large-caliber catheters. While management strategies have evolved from mandatory surgical repair to various percutaneous approaches, limited data exist regarding collagen-based vascular closure devices for large-bore carotid arteriotomies. Case Presentation: We report the case of a 59-year-old male patient with acute Stanford Type A aortic dissection who underwent emergency surgical repair of the ascending aorta. During central venous cannulation, a five-lumen Certofix Quinto catheter (12-French outer diameter) was inadvertently inserted into the left common carotid artery. Given the complexity of concurrent cardiac surgery and the large-bore nature of the arteriotomy, percutaneous closure with an 18-French MANTA vascular closure device was successfully performed following completion of the aortic repair. The procedure achieved immediate hemostasis without complications. Outcomes: The patient remained neurologically intact throughout a 12-month follow-up period. Serial duplex ultrasonography and computed tomography angiography confirmed carotid artery patency without evidence of stenosis, dissection, pseudoaneurysm formation, or thromboembolic complications. Conclusions: This case demonstrates the technical feasibility of using a collagen-based vascular closure device for percutaneous management of a large-bore carotid arteriotomy in the acute surgical setting. While the outcome was favorable in this patient, this approach represents an off-label application that requires further validation and should be reserved for carefully selected cases in experienced centers where the benefits of percutaneous closure are judged to outweigh the uncertainties of supra-aortic device deployment.

背景:中心静脉置管过程中不慎动脉插管是一种公认的并发症,具有潜在的严重后果,特别是当涉及大口径导管时。虽然管理策略已经从强制性手术修复发展到各种经皮入路,但关于大口径颈动脉切开术中基于胶原蛋白的血管关闭装置的数据有限。病例介绍:我们报告一例59岁男性急性Stanford a型主动脉夹层患者,接受紧急手术修复升主动脉。在中心静脉插管期间,一根五腔Certofix Quinto导管(12-French外径)无意中插入左侧颈总动脉。考虑到并发心脏手术的复杂性和动脉切开术的大口径性质,在主动脉修复完成后,我们成功地使用了18-French MANTA血管关闭装置进行经皮关闭。手术立即止血,无并发症。结果:患者在12个月的随访期间保持神经功能完整。连续超声和计算机断层血管造影证实颈动脉通畅,无狭窄、夹层、假性动脉瘤形成或血栓栓塞并发症的证据。结论:本病例证明了在急性外科环境下使用胶原基血管闭合装置经皮大口径颈动脉切开术的技术可行性。虽然该患者的结果是有利的,但该方法属于标签外应用,需要进一步验证,应保留给经验丰富的中心精心挑选的病例,在这些中心,经皮闭合的益处被判断为大于主动脉上装置部署的不确定性。
{"title":"Percutaneous Closure of a Large-Bore Carotid Arteriotomy Using a Collagen-Based Vascular Plug.","authors":"Radoslaw Parma, Radoslaw Gocol, Joanna Nawara-Skipirzepa, Ryszard Bachowski, Wojciech Wojakowski, Damian Hudziak","doi":"10.3390/life16020292","DOIUrl":"10.3390/life16020292","url":null,"abstract":"<p><p><b>Background</b><b>:</b> Inadvertent arterial cannulation during central venous catheter placement is a recognized complication with potentially serious consequences, particularly when involving large-caliber catheters. While management strategies have evolved from mandatory surgical repair to various percutaneous approaches, limited data exist regarding collagen-based vascular closure devices for large-bore carotid arteriotomies. <b>Case Presentation:</b> We report the case of a 59-year-old male patient with acute Stanford Type A aortic dissection who underwent emergency surgical repair of the ascending aorta. During central venous cannulation, a five-lumen Certofix Quinto catheter (12-French outer diameter) was inadvertently inserted into the left common carotid artery. Given the complexity of concurrent cardiac surgery and the large-bore nature of the arteriotomy, percutaneous closure with an 18-French MANTA vascular closure device was successfully performed following completion of the aortic repair. The procedure achieved immediate hemostasis without complications. <b>Outcomes:</b> The patient remained neurologically intact throughout a 12-month follow-up period. Serial duplex ultrasonography and computed tomography angiography confirmed carotid artery patency without evidence of stenosis, dissection, pseudoaneurysm formation, or thromboembolic complications. <b>Conclusions:</b> This case demonstrates the technical feasibility of using a collagen-based vascular closure device for percutaneous management of a large-bore carotid arteriotomy in the acute surgical setting. While the outcome was favorable in this patient, this approach represents an off-label application that requires further validation and should be reserved for carefully selected cases in experienced centers where the benefits of percutaneous closure are judged to outweigh the uncertainties of supra-aortic device deployment.</p>","PeriodicalId":56144,"journal":{"name":"Life-Basel","volume":"16 2","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12942100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147312956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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