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CAR-T and nanotechnology: A comparative Perspective on autoimmune disease and cancer CAR-T和纳米技术:自身免疫性疾病和癌症的比较研究
Pub Date : 2025-01-01 DOI: 10.1016/j.abst.2025.03.002
A. Pavithra , C. Ragavendran
Nanotechnology has emerged as a key transformative force in upgrading Chimeric Antigen Receptor T-cell (CAR-T) from generation to generation in cancer and autoimmune treatment. Nanotechnology-aided CAR-T therapy has shown its ability to overcome various challenges in contemporary CAR-T therapy. The comparative analysis of CAR-T and its applications in cancer and autoimmune diseases focuses on target specificity, with immune cells being used as “chaperones” for nanoparticles, Immunosuppressibility by modifying microarchitecture, prolonged cell viability, and other nanotechnological modifications has been briefly discussed. The latest and smartest innovations, such as nano-enzymes linked CAR, stimuli-responsive nanoparticles, nano-based dual-targeting CAR structures, and nano-cargos, have upgraded CAR-T therapy to its latest advancements. Despite regulatory compliance, and cost of production and utility of Nano-CAR-T can be overcome by the use of green nanotechnology. The aid of advancements in AIs, software, MLs etc offers promising solutions to hurdles in scalability. A number of clinical and preclinical trials in the last few years have been explained to highlight the current status of Nano-CAR-T in present-day treatment and for a promising future. This review emphasizes the novel role of nanotechnology in shaping the future of advanced CAR-T therapy, paving the way for milestones in medical research.
纳米技术已经成为在癌症和自身免疫治疗中一代又一代升级嵌合抗原受体t细胞(CAR-T)的关键变革力量。纳米技术辅助CAR-T疗法已经显示出克服当代CAR-T疗法中各种挑战的能力。CAR-T及其在癌症和自身免疫性疾病中的应用的比较分析侧重于靶特异性,免疫细胞被用作纳米颗粒的“伴侣”,通过修饰微结构的免疫抑制性,延长细胞活力和其他纳米技术修饰已被简要讨论。最新和最聪明的创新,如纳米酶连接CAR,刺激反应纳米颗粒,纳米双靶向CAR结构和纳米货物,使CAR- t疗法升级到最新的进展。尽管遵守法规,纳米car - t的生产成本和实用性可以通过使用绿色纳米技术来克服。人工智能、软件、机器学习等方面的进步为可扩展性障碍提供了有希望的解决方案。在过去的几年里,一些临床和临床前试验已经被解释为强调纳米car - t在当今治疗中的现状和一个充满希望的未来。这篇综述强调了纳米技术在塑造未来先进CAR-T疗法中的新作用,为医学研究的里程碑铺平了道路。
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引用次数: 0
Evaluation of toxicity and antioxidant activities of various crude extracts of leaves and stems of Zygophyllum simplex 小檗叶、茎不同粗提物的毒性及抗氧化活性评价
Pub Date : 2025-01-01 DOI: 10.1016/j.abst.2024.11.003
Noha Maher Galal , Salem Said Al Touby , Yahya Bin Abdullah Alrashdi , Mohammad Amzad Hossain
Zygophyllum simplex (Z. simplex) is a plant that has been used for a long time for the treatment of human diseases. Therefore, this present research study aims to prepare various plant extracts and screen their antioxidant and cytotoxic activities. To attain the present objectives, different crude extracts were prepared from the leaves and stems of Z. simplex by using a maceration method. The activities of antioxidant and cytotoxic were prepared from aerial crude extracts of Z. simplex which were determined by 2,2-diphenyl-1-1-picrylhydrazyl (DPPH) and brine shrimp lethality (BSL) methods, respectively. All the prepared leaves and stems extracts of the selected plant at six different concentrations showed significant antioxidant activity against the DPPH method. The ethyl acetate crude extract showed the highest antioxidant activity and the lowest activity was in butanol extract. However, all the leaves and stems crude extracts of Z. simplex were prepared at different concentrations also showed promising cytotoxic activity against the BSL method. However, based on the antioxidant activity results, the ethyl acetate extract was selected for the isolation of bioactive compounds by using the column chromatographic method. The ethyl acetate was purified by using column chromatography in which different ratios of mobile phase (dichlorometane: methanol) were used. A series of test tubes were collected with a volume of 3 mL and depending on the similar retention mobility (Rf) behavior a total of twelve fractions were prepared. Similarly, the antioxidant activity of the obtained twelve fractions from column chromatography was determined by the same DPPH method. All the fractions showed significant antioxidant activity. Among the fractions from the column, fraction 6 give the highest antioxidant activity and the lowest was fraction 1. In conclusion, all the leaves and stems showed encouraging activities against DPPH and the fraction with the highest antioxidant activity could be used as a natural antioxidant to prevent cell damage.
单纯合子(zz . simplex)是一种长期用于治疗人类疾病的植物。因此,本研究旨在制备各种植物提取物,并对其抗氧化和细胞毒活性进行筛选。为达到本研究目的,采用浸渍法制备了不同粗提物。采用2,2-二苯基-1-1-苦味酰肼(DPPH)法和卤虾致死性(BSL)法分别测定了其抗氧化活性和细胞毒活性。6种不同浓度的叶提取物和茎提取物对DPPH法均表现出显著的抗氧化活性。乙酸乙酯粗提物抗氧化活性最高,丁醇粗提物抗氧化活性最低。然而,不同浓度的单根叶和茎粗提物均表现出良好的细胞毒活性。然而,根据抗氧化活性结果,选择乙酸乙酯提取物,采用柱层析法分离生物活性化合物。采用不同比例的流动相(二氯甲烷:甲醇)柱层析法纯化乙酸乙酯。收集一系列体积为3ml的试管,根据相似的保留迁移率(Rf)行为,共制备了12个馏分。同样,用相同的DPPH法测定柱层析得到的12个组分的抗氧化活性。各组分均表现出显著的抗氧化活性。各馏分中抗氧化活性最高的是6,最低的是1。综上所述,所有叶和茎均表现出较强的抗DPPH活性,抗氧化活性最高的部位可作为天然抗氧化剂保护细胞免受损伤。
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引用次数: 0
Unraveling ankylosing spondylitis: Exploring the genetic and immunological factors and latest treatment innovations 揭示强直性脊柱炎:探索遗传和免疫因素和最新的治疗创新
Pub Date : 2025-01-01 DOI: 10.1016/j.abst.2024.12.002
Nilasree Hazra , Sudeshna Sengupta , Dipannita Burman , Jyoti Sekhar Banerjee , Malavika Bhattacharya
Ankylosing spondylitis (AS) is a chronic inflammatory arthritis primarily affecting the spine and sacroiliac joints. Gut microbiota significantly affects ankylosing spondylitis (AS) pathophysiology. Environmental factors, like smoking, and genetic predispositions can worsen AS. Patients often have altered fecal microbiota, decreased Bacteroides and Lachnospiraceae, and increased Proteobacteria and Enterobacteriaceae. Bacteroides coprophilus and Prevotella copri are particularly enriched in AS. This condition is associated with the HLA-B27 genetic marker and involves various immunological cells and inflammatory cytokines. To develop more effective treatments, research is ongoing to identify specific signaling pathways and genetic markers associated with AS.Gender prevalence of AS is now more evenly distributed, with women experiencing longer diagnostic delays and increased disease activity. Treatment regimens and responses to medication may vary between genders. Some case studies suggest that an Ayurvedic approach, including Panchakarma treatments and specific Ayurvedic medications, may be beneficial in managing AS. HLA-B27 and non-HLA genes such as IL23R, ERAP1, and RUNX3 are linked to AS susceptibility. The Th17 lymphocyte system, associated with IL23R, plays a role in AS pathogenesis, highlighting potential treatment targets. Over 100 genes related to AS were identified in genome-wide association studies, many connected to IL-23-driven inflammation and antigen processing. AS is regulated by various immunological cells, and changes in bone structure are caused by the interaction of immune cells with bone cells. Ankylosing spondylitis (AS) involves inflammatory cytokines like IL-1β IL-17 and IL-23. The immune system plays a crucial role in the disease, with certain proteins linked to AS risk. However, further research is needed to determine the effectiveness of this approach.
强直性脊柱炎(AS)是一种慢性炎症性关节炎,主要影响脊柱和骶髂关节。肠道菌群显著影响强直性脊柱炎(AS)的病理生理。环境因素,如吸烟和遗传倾向会使AS恶化。患者粪便微生物群常发生改变,拟杆菌科和毛螺杆菌科减少,变形杆菌科和肠杆菌科增加。铜proproophilus和copri Prevotella尤其富含AS。这种情况与HLA-B27遗传标记有关,涉及多种免疫细胞和炎症细胞因子。为了开发更有效的治疗方法,正在进行研究以确定与AS相关的特定信号通路和遗传标记。AS的性别患病率现在分布更加均匀,女性经历更长的诊断延迟和疾病活动性增加。治疗方案和对药物的反应可能因性别而异。一些案例研究表明,阿育吠陀的方法,包括Panchakarma治疗和特定的阿育吠陀药物,可能对治疗AS有益。HLA-B27和非hla基因如IL23R、ERAP1和RUNX3与as易感性有关。与IL23R相关的Th17淋巴细胞系统在AS发病机制中发挥作用,突出了潜在的治疗靶点。在全基因组关联研究中发现了100多个与AS相关的基因,其中许多与il -23驱动的炎症和抗原加工有关。AS受多种免疫细胞调节,骨结构的改变是免疫细胞与骨细胞相互作用引起的。强直性脊柱炎(AS)涉及炎性细胞因子如IL-1β IL-17和IL-23。免疫系统在这种疾病中起着至关重要的作用,某些蛋白质与AS风险有关。然而,需要进一步的研究来确定这种方法的有效性。
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引用次数: 0
Clinical features and predictive model for invasive pulmonary fungal infections in hematologic disorders 血液病患者侵袭性肺真菌感染的临床特征和预测模型
Pub Date : 2025-01-01 DOI: 10.1016/j.abst.2025.02.001
Jun Wang , Xuefeng He , Feng Chen , Xiao Ma , Daxiong Zeng , Junhong Jiang

Objective

This study was to investigate the clinical features of hematological disorders complicated by invasive pulmonary fungal infections and identify factors affecting treatment outcomes, with the aim of developing a predictive model.

Methods

Clinical data were collected from patients with hematological disorders and invasive pulmonary fungal infections between January 2020 and June 2023. Based on metagenomics next generation sequencing (mNGS) of bronchoalveolar lavage fluid (BALF), patients were categorized into three groups: Candida, Mucor, and Aspergillus. General conditions, clinical features, treatments, and outcomes were compared. Treatment outcomes were assessed two months after therapy and classified as either improved or not improved. Factors influencing outcomes were analyzed, and a risk prediction model for treatment failure was developed.

Results

A total of 89 patients with hematological diseases and invasive pulmonary fungal infections were included: 26 with Candida, 25 with Mucor, and 38 with Aspergillus. Significant differences were observed between groups in long-term corticosteroid use, hematological disease outcomes, neutropenia duration, treatment duration, central venous catheter placement, galactomannan (GM) test results, CD4+ T-cell count, and clinical manifestations. After two months of antifungal therapy, improvement rates were 96.15 % for Candida, 76.00 % for Mucor, and 63.16 % for Aspergillus. Logistic regression analysis identified elevated platelet count (OR = 0.9823, 95%CI: 0.9663–0.9945), D-dimer (OR = 1.2130, 95%CI: 1.0544–1.4934), C-reactive protein (OR = 1.0066, 95%CI: 1.0026–1.0111) and medication adjustments based on mNGS results (OR = 0.0495, 95%CI: 0.0108–0.1624) as significant prognostic factors. A nomogram prediction model based on these factors demonstrated good discrimination with a C-index of 0.86.

Conclusion

The clinical features and treatment outcomes differ among fungal types in patients with hematological disorders and invasive pulmonary fungal infections. The nomogram prediction model, incorporating platelet count, D-dimer, C-reactive protein and mNGS-guided therapy adjustments, offers robust predictive performance for two-month treatment outcomes.
目的探讨血液学疾病合并侵袭性肺部真菌感染的临床特点及影响治疗效果的因素,建立预测模型。方法收集2020年1月至2023年6月血液病和侵袭性肺部真菌感染患者的临床资料。基于支气管肺泡灌洗液(BALF)的宏基因组学下一代测序(mNGS),将患者分为三组:念珠菌、毛霉菌和曲霉。比较一般情况、临床特征、治疗和结果。治疗后两个月评估治疗结果,并将其分为改善或未改善。分析影响疗效的因素,建立治疗失败的风险预测模型。结果共纳入血液病合并肺部侵袭性真菌感染患者89例,其中念珠菌26例,毛霉25例,曲霉38例。两组间在长期使用皮质类固醇、血液学疾病结局、中性粒细胞减少持续时间、治疗持续时间、中心静脉置管、半乳甘露聚糖(GM)检测结果、CD4+ t细胞计数和临床表现方面均存在显著差异。抗真菌治疗2个月后,念珠菌、毛霉和曲霉菌的治愈率分别为96.15%、76.00%和63.16%。Logistic回归分析发现血小板计数升高(OR = 0.9823, 95%CI: 0.9663-0.9945)、d -二聚体(OR = 1.2130, 95%CI: 1.0544-1.4934)、c -反应蛋白(OR = 1.0066, 95%CI: 1.0026-1.0111)和基于mNGS结果的药物调整(OR = 0.0495, 95%CI: 0.0108-0.1624)是重要的预后因素。基于这些因素的nomogram预测模型具有良好的判别能力,C-index为0.86。结论血液病合并肺部侵袭性真菌感染患者不同类型真菌的临床特点及治疗效果不同。nomogram预测模型,结合血小板计数、d -二聚体、c -反应蛋白和mngs引导的治疗调整,对两个月的治疗结果提供了可靠的预测性能。
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引用次数: 0
Decoding inflammatory signaling networks: From molecular mechanisms to therapeutic targets 解码炎症信号网络:从分子机制到治疗靶点
Pub Date : 2025-01-01 DOI: 10.1016/j.abst.2025.07.002
Trilochan Satapathy , Nikita Patel , Poonam Sahu , Abhisek Satapathy
This review aims to provide a comprehensive overview of inflammatory signalling pathways and their pharmacological significance in human health and disease. Inflammation signifies a basic biological reaction to harmful triggers like pathogens, injured cells, or irritants. This review examines the molecular and cellular mechanisms that govern inflammation, focusing on the signaling pathways related to both acute and chronic inflammatory responses. The research highlights the essential functions of immune cells including neutrophils, macrophages, lymphocytes, and natural killer cells, in addition to important inflammatory mediators like cytokines, chemokines, prostaglandins, leukotrienes, and acute-phase proteins. Particular focus is placed on key signaling cascades, such as the NF-κB, MAPK, JAK-STAT, and inflammasome pathways, alongside the Toll-like receptor, arachidonic acid, complement system, and hypoxia-inducible factor (HIF) pathways. The role of each pathway in inflammation, immunity, and disease pathology is thoroughly assessed. This thorough pharmacological viewpoint offers insights into possible therapeutic targets for autoimmune and inflammatory diseases, highlighting the significance of these signaling networks in both health and illness.
本综述旨在提供炎症信号通路及其在人类健康和疾病中的药理意义的全面概述。炎症是对病原体、受伤细胞或刺激物等有害刺激物的基本生物反应。本文综述了控制炎症的分子和细胞机制,重点关注与急性和慢性炎症反应相关的信号通路。该研究强调了免疫细胞的基本功能,包括中性粒细胞、巨噬细胞、淋巴细胞和自然杀伤细胞,以及重要的炎症介质,如细胞因子、趋化因子、前列腺素、白三烯和急性期蛋白。重点是关键的信号级联,如NF-κB、MAPK、JAK-STAT和炎性体途径,以及toll样受体、花生四烯酸、补体系统和缺氧诱导因子(HIF)途径。每个通路在炎症、免疫和疾病病理中的作用被彻底评估。这种彻底的药理学观点为自身免疫和炎症性疾病的可能治疗靶点提供了见解,突出了这些信号网络在健康和疾病中的重要性。
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引用次数: 0
“MiRNA based target identification of TNFα gene in nephrotic syndrome” 《基于MiRNA的肾病综合征TNFα基因靶标鉴定》
Pub Date : 2025-01-01 DOI: 10.1016/j.abst.2025.01.003
Praveenkumar Kochuthakidiyel Suresh , Yogalakshmi Venkatachalapathy , Sarenya Anandaraj , Nandita Ganesh , Dharshini Sanker , Mohana Priya C.D.

Background

Nephrotic syndrome (NS) can be caused by various underlying kidney conditions. In most cases, the exact cause of NS is unknown, although it may be related to the body's immune system malfunctioning. Recent studies suggested that TNFα gene contributes significantly to the progression of nephrotic syndrome patients. This study investigates the role of TNFα gene in nephrotic syndrome by studying gene interactions, co-expressions and network biological approaches to predict the miRNA associated with TNFα gene as a biomarker in nephrotic syndrome patients. We conduct a detailed study and identify the TNFα associated genes involved in nephrotic syndrome using Genecard, NCBI GEO, Enrichr and String database. Based on the co-expression and network-based studies we identified a list of gene along with TNFα gene and predict the miRNA pattern associated with each gene. Hub miRNA is predicted as a biomarker for NS. We predict a panel of Mirna by network-based approach, hsa-miR-130a-3p,hsa-miR-130b-3p,hsa-miR-181a-2-3p,hsa-miR-301a-3p,miR-301b-3p,hsa-miR-3666,hsa-miR-4295,hsa-miR-4310,hsa-miR-6835–5p,hsa-miR-7157–5p.There is a growing body of evidence suggesting the utility of miRNAs as biomarkers for nephrotic syndrome (NS). The enrichment and co expression analysis suggest involved in the progression of various cancers especially BRACA1 AND BRACA2. MiRNA-based target prediction is an emerging tool to forecast progressive markers for identifying steroid-resistant nephrotic syndrome (SRNS) patients and evaluating the efficacy of drugs used in treatment. Based on our analysis, cancer associated genes and miRNAs expressed more. Nevertheless, further analysis is imperative to uncover unknown factors causing NS and its association with cancer progression and development.
背景:肾病综合征(NS)可由多种潜在的肾脏疾病引起。在大多数情况下,NS的确切原因尚不清楚,尽管它可能与人体免疫系统故障有关。最近的研究表明,TNFα基因在肾病综合征患者的进展中起着重要作用。本研究通过研究TNFα基因在肾病综合征中的相互作用、共表达以及网络生物学方法来预测与TNFα基因相关的miRNA作为肾病综合征患者的生物标志物,探讨TNFα基因在肾病综合征中的作用。我们使用Genecard、NCBI GEO、enrichment和String数据库进行了详细的研究,并确定了与肾病综合征相关的TNFα相关基因。基于共表达和基于网络的研究,我们确定了与TNFα基因一起的基因列表,并预测了与每个基因相关的miRNA模式。Hub miRNA被预测为NS的生物标志物。我们通过基于网络的方法预测了一组Mirna, hsa-miR-130a-3p,hsa-miR-130b-3p,hsa-miR-181a-2-3p,hsa-miR-301a-3p,miR-301b-3p,hsa-miR-3666,hsa-miR-4295,hsa-miR-4310, hsa-miR-6835-5p, hsa-miR-7157-5p。越来越多的证据表明mirna可作为肾病综合征(NS)的生物标志物。富集和共表达分析提示其参与多种癌症的进展,尤其是BRACA1和BRACA2。基于mirna的靶标预测是一种新兴的预测进行性标志物的工具,用于识别类固醇耐药肾病综合征(SRNS)患者和评估治疗中使用的药物的疗效。根据我们的分析,癌症相关基因和mirna表达更多。然而,需要进一步的分析来揭示导致NS的未知因素及其与癌症进展和发展的关系。
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引用次数: 0
Investigations of solid waste biosorbents for eliminations of total hardness from water: An experimental study of conversion of waste into valuable products 去除水中总硬度的固体废物生物吸附剂的研究:废物转化为有价值产品的实验研究
Pub Date : 2025-01-01 DOI: 10.1016/j.abst.2025.04.001
Subhashish Dey , G.T.N. Veerendra , A.V. Phani Manoj , Seelam Srikanth , V.V Praveen Kumar
Hard water is a serious problem in the village areas. Alkaline hardness can cause eye pain, respiratory tract collapse, liver difficulties, and skin concerns. Human biological hardness after the extreme exposures depends on their concentration, time, and volume absorbed. Biosorption, which occurs mostly in biomass, inertly adds and binds Ca2+ and Mg2+ ions to its biosorbents cellular structure. The biosorbents' cellular exterior composition and kinetic stability confirm their Ca2+ and Mg2+ removal capacity. The unique biological, physical, and chemical properties of each biosorbents made water hardness removal easier. The project aims to build a perfect technique to remove hardness from waste water using powerful solid waste biosorbents as pomegranate, orange, beetroot, lemon, and banana peels. Beetroot peel bio-adsorbent is one of the best biosorbents for water hardness removals from water as compared to other biosorbents in this study. After the screening processes do the optimization test on the Beetroot peel bio-adsorbent to get the optimum pH is 7.5–8, temperature is 35°C, time is 105 min, rotation speed is 120 rpm and biosorbents dosage concentration is 5.6 gm were studied. In the characterization part observed that the particle size vary from 1.28 to 8.74 μm, crystallite size vary from 2.56nm to 7.34 nm, surface areas and pore volume also vary from 24.14 to 54.68 m2/gm and 0.134–0.427cm3/gm respectively. In the SEM-EDX analysis observed that the presence of C, Si, O, K, Al, Fe and Mg elements in the biosorbents and the FTIR analysis observed that the presence of O-H stretch and H-bonded group, alkanes with C-H extend and alkynes with –C=C- extend. In the kinetics analysis observed that the R2 values of 0.965 of the beetroot peels biosorbents. After the kinetics study we are also collecting the water sample from four different locations i.e. Mallavolu, Gudivada, Gudlavalleru, and Machilipatnam and it is observed that the 70–84.39 % removals of hardness from water by the using of Beetroot peels biosorbents. In the adsorption and desorption cycle observed that the maximum desorption was observed at (94.56 %) could be achieved with the same strength of nitric acid as eluant. The sorption of Ca and Mg ions on regenerated biosorbents remained constant up to three cycles (97.38 %) and then started decreasing (to 82.36 %) in the 4th cycle. After removing the hardness from water, recycling biosorbents makes the biosorption process is cheaper. Biosorption with various bioreactors can remove the hardness from large volumes of water. This trial will lay the groundwork for water hardness eradication. Optimizing settings at various conditions and using contemporary equipment might increase the removal efficacy.
在农村地区,硬水是一个严重的问题。碱性硬度会引起眼睛疼痛、呼吸道衰竭、肝脏问题和皮肤问题。人体在极端暴露后的生物硬度取决于它们的浓度、时间和吸收量。生物吸附主要发生在生物质中,惰性地将Ca2+和Mg2+离子添加并结合到其生物吸附剂的细胞结构中。生物吸附剂的细胞外部组成和动力学稳定性证实了其去除Ca2+和Mg2+的能力。每种生物吸附剂独特的生物、物理和化学性质使去除水的硬度更容易。该项目旨在建立一种完美的技术,利用石榴、橙子、甜菜根、柠檬和香蕉皮等强大的固体废物生物吸附剂,从废水中去除硬度。甜菜根皮生物吸附剂与其他生物吸附剂相比,是去除水中水硬度最好的生物吸附剂之一。筛选后对甜菜根皮生物吸附剂进行优化试验,得到最佳pH为7.5 ~ 8,温度为35℃,时间为105 min,转速为120 rpm,生物吸附剂的添加浓度为5.6 gm。在表征部分观察到,颗粒尺寸在1.28 ~ 8.74 μm之间,晶粒尺寸在2.56 ~ 7.34 nm之间,比表面积在24.14 ~ 54.68 m2/gm之间,孔体积在0.134 ~ 0.427cm3/gm之间。SEM-EDX分析发现生物吸附剂中存在C、Si、O、K、Al、Fe和Mg等元素,FTIR分析发现生物吸附剂中存在O- h拉伸和h键基团、C- h延伸的烷烃和- C=C-延伸的炔烃。在动力学分析中观察到,甜菜根皮生物吸附剂的R2值为0.965。在动力学研究之后,我们还收集了四个不同地点的水样,即Mallavolu, Gudivada, Gudlavalleru和Machilipatnam,观察到使用甜菜根皮生物吸附剂可以去除水中70 - 84.39%的硬度。在观察到的吸附-解吸循环中,在与洗脱液强度相同的硝酸条件下,最大解吸率为94.56%。再生生物吸附剂对Ca和Mg离子的吸附性在3个循环前保持不变(97.38%),在第4个循环时开始下降(82.36%)。在去除水中的硬度后,回收生物吸附剂使生物吸附过程更便宜。各种生物反应器的生物吸附可以去除大量水中的硬度。这次试验将为消除水的硬度打下基础。在各种条件下优化设置并使用现代设备可能会提高去除效果。
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引用次数: 0
Ayurveda constructs as functional biomarkers: A narrative review of translational perspective on Generalized anxiety disorder 阿育吠陀结构作为功能性生物标志物:对广泛性焦虑障碍翻译视角的叙述回顾
Pub Date : 2025-01-01 DOI: 10.1016/j.abst.2025.10.002
Sumedh Joshi , Shivani Ghildiyal , Tanuja Manoj Nesari

Background

Anxiety disorders are among the most prevalent psychiatric conditions worldwide, yet the search for reliable biomarkers remains inconclusive. While modern biomedicine emphasizes measurable parameters such as cortisol, inflammatory cytokines, neurotransmitters, and neuroimaging indices, Ayurveda employs functional diagnostic constructs including dosha imbalance and manovaha srotas (∼Psychochannels) dysfunction. Though differing in language, both systems aim to identify markers that reflect underlying systemic dysregulation.

Methods

This review adopted a comparative framework. Classical Ayurvedic texts (Charaka Samhita, Sushruta Samhita, Ashtanga Hridaya) and modern indexed literature on biomarkers of anxiety were systematically analysed. Ayurvedic qualitative markers were mapped to modern physiological and biochemical indicators. Observational parallels and therapeutic implications were evaluated, with emphasis on translational integration.

Results

Ayurvedic constructs correlated significantly with modern biomarkers. Vata aggravation paralleled autonomic dysregulation and reduced heart rate variability. Rajas and tamas predominance aligned with catecholaminergic hyperactivity and prefrontal cortical hypoactivity. Ojas depletion reflected reduced brain-derived neurotrophic factor and altered cortisol rhythms, while ama accumulation resonated with elevated inflammatory cytokines (IL-6, TNF-α, CRP). Dysfunction of manovaha srotas corresponded to amygdala hyperactivity and impaired prefrontal–amygdala connectivity. Therapeutic interventions including Withania somnifera, Bacopa monnieri, yoga, and meditation demonstrated measurable effects on cortisol, HRV, GABA, and inflammatory markers, complementing conventional therapies.

Conclusion

Ayurveda provides systemic, functional biomarkers, while modern biomedicine contributes quantifiable indices. Their integration offers a multidimensional framework for understanding and managing anxiety disorders. This conceptual bridge highlights the potential for developing hybrid biomarker models that enhance diagnosis, monitoring, and personalized treatment.
背景:焦虑症是世界上最普遍的精神疾病之一,但对可靠的生物标志物的研究仍然没有定论。现代生物医学强调可测量的参数,如皮质醇、炎症细胞因子、神经递质和神经成像指数,而阿育吠陀采用功能诊断结构,包括dosha失衡和manovaha srotas(心理通道)功能障碍。虽然语言不同,但这两个系统都旨在识别反映潜在系统性失调的标记。方法采用比较研究框架。系统分析了经典阿育吠陀文本(《查罗卡·萨姆希塔》、《苏什鲁塔·萨姆希塔》、《阿斯汤伽·赫里达亚》)和现代关于焦虑生物标志物的索引文献。阿育吠陀定性标记与现代生理生化指标相对应。我们评估了观察对比和治疗意义,重点是翻译整合。结果阿育吠陀构造与现代生物标志物显著相关。Vata加重与自主神经失调和心率变异性降低平行。Rajas和tamas的优势与儿茶酚胺能亢进和前额皮质亢进一致。Ojas耗竭反映脑源性神经营养因子减少和皮质醇节律改变,而ama积累与炎症细胞因子(IL-6、TNF-α、CRP)升高有关。杏仁核过度活跃和前额叶-杏仁核连通性受损是脑核核功能障碍的表现。治疗干预措施包括Withania somnifera, Bacopa monnieri,瑜伽和冥想,对皮质醇,HRV, GABA和炎症标志物有可测量的影响,补充了传统疗法。结论阿育吠陀医学提供了系统性、功能性的生物标志物,现代生物医学提供了可量化的指标。它们的整合为理解和管理焦虑症提供了一个多维框架。这一概念桥梁突出了开发混合生物标志物模型的潜力,可以增强诊断、监测和个性化治疗。
{"title":"Ayurveda constructs as functional biomarkers: A narrative review of translational perspective on Generalized anxiety disorder","authors":"Sumedh Joshi ,&nbsp;Shivani Ghildiyal ,&nbsp;Tanuja Manoj Nesari","doi":"10.1016/j.abst.2025.10.002","DOIUrl":"10.1016/j.abst.2025.10.002","url":null,"abstract":"<div><h3>Background</h3><div>Anxiety disorders are among the most prevalent psychiatric conditions worldwide, yet the search for reliable biomarkers remains inconclusive. While modern biomedicine emphasizes measurable parameters such as cortisol, inflammatory cytokines, neurotransmitters, and neuroimaging indices, Ayurveda employs functional diagnostic constructs including <em>dosha</em> imbalance and <em>manovaha srotas</em> (∼Psychochannels) dysfunction. Though differing in language, both systems aim to identify markers that reflect underlying systemic dysregulation.</div></div><div><h3>Methods</h3><div>This review adopted a comparative framework. Classical Ayurvedic texts (Charaka Samhita, Sushruta Samhita, Ashtanga Hridaya) and modern indexed literature on biomarkers of anxiety were systematically analysed. Ayurvedic qualitative markers were mapped to modern physiological and biochemical indicators. Observational parallels and therapeutic implications were evaluated, with emphasis on translational integration.</div></div><div><h3>Results</h3><div>Ayurvedic constructs correlated significantly with modern biomarkers. <em>Vata</em> aggravation paralleled autonomic dysregulation and reduced heart rate variability. <em>Rajas</em> and <em>tamas</em> predominance aligned with catecholaminergic hyperactivity and prefrontal cortical hypoactivity. <em>Ojas</em> depletion reflected reduced brain-derived neurotrophic factor and altered cortisol rhythms, while <em>ama</em> accumulation resonated with elevated inflammatory cytokines (IL-6, TNF-α, CRP). Dysfunction of <em>manovaha srotas</em> corresponded to amygdala hyperactivity and impaired prefrontal–amygdala connectivity. Therapeutic interventions including <em>Withania somnifera</em>, <em>Bacopa monnieri</em>, yoga, and meditation demonstrated measurable effects on cortisol, HRV, GABA, and inflammatory markers, complementing conventional therapies.</div></div><div><h3>Conclusion</h3><div>Ayurveda provides systemic, functional biomarkers, while modern biomedicine contributes quantifiable indices. Their integration offers a multidimensional framework for understanding and managing anxiety disorders. This conceptual bridge highlights the potential for developing hybrid biomarker models that enhance diagnosis, monitoring, and personalized treatment.</div></div>","PeriodicalId":72080,"journal":{"name":"Advances in biomarker sciences and technology","volume":"7 ","pages":"Pages 396-404"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145571218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Procalcitonin and C-reactive protein as alternative salivary biomarkers in infection and inflammatory diseases detection and patient care: A scoping review 降钙素原和c反应蛋白在感染和炎症疾病检测和患者护理中的替代唾液生物标志物:范围综述
Pub Date : 2025-01-01 DOI: 10.1016/j.abst.2025.02.003
Francesco Carlo Tartaglia , Shahnawaz Khijmatgar , Massimo Del Fabbro , Cinzia Maspero , Alberto Caprioglio , Francesco Amati , Davide Sozzi

Background

In ambulatory and hospital settings, inflammatory diseases stand a significant challenge for both patients and clinicians. These conditions, often serve as precursors to sepsis, necessitate effective differentiation between bacterial and viral respiratory diagnoses. Procalcitonin (PCT) and C-Reactive Protein (CRP) have played crucial roles in this differentiation process, aiding in risk stratification and guiding decisions on antibiotic therapy initiation and duration. While blood has been a conventional medium for detecting these biomarkers, there is a lack of evidence regarding their detection in saliva. Hence, our scoping review was aimed to assess the potential of procalcitonin (PCT) and C-reactive protein (CRP) in saliva as alternative biomarkers for identifying and monitoring infectious and inflammatory diseases.

Materials and methods

PRISMA guidelines for scoping reviews was followed. Elec-tronic databases including PUBMED, Scopus, Web of Science, Cochrane database, and OVID Medline were systematically searched using specific terms combined with boolean operators. Studies evaluating both salivary and blood levels of PCT, CRP, or both and reporting on correlation in biomarkers level between the two body fluids were included. No limitations regarding study design, publication year and language were applied. Data extraction utilized a piloted template, and descriptive statistics was employed.

Results

The studies included in the review involved a range of conditions from respiratory infections and systemic diseases to metabolic and cardiac conditions. Significant correlations between salivary and serum PCT and CRP levels were reported across multiple studies. While most studies reported positive correlations, indicating saliva's potential to reflect systemic inflammatory states, the degree of correlation varied, and a few studies found no significant correlation, highlighting the need for further research.

Conclusion

The review emphasized the promising role of salivary diagnostics to identify systemic inflammatory states, which could prove pivotal in detecting and managing various health conditions. The importance of standardizing saliva collection and biomarker detection methods to enhance non-invasive, patient-centered healthcare approaches is un derscored.
在门诊和医院环境中,炎症性疾病对患者和临床医生都是一个重大挑战。这些情况通常是败血症的前兆,需要有效区分细菌和病毒呼吸道诊断。降钙素原(PCT)和c反应蛋白(CRP)在这一分化过程中起着至关重要的作用,有助于风险分层并指导抗生素治疗开始和持续时间的决定。虽然血液一直是检测这些生物标志物的传统媒介,但缺乏证据表明它们在唾液中检测。因此,我们的范围综述旨在评估唾液中降钙素原(PCT)和c反应蛋白(CRP)作为识别和监测感染性和炎症性疾病的替代生物标志物的潜力。材料和方法遵循sprisma范围审查指南。利用特定的术语结合布尔运算符对PUBMED、Scopus、Web of Science、Cochrane数据库、OVID Medline等电子数据库进行系统检索。研究评估了唾液和血液中PCT、CRP或两者的水平,并报告了两种体液中生物标志物水平的相关性。没有对研究设计、出版年份和语言的限制。数据提取采用试点模板,并采用描述性统计。结果综述中纳入的研究涉及一系列疾病,从呼吸道感染、全身性疾病到代谢和心脏疾病。多项研究报告了唾液和血清PCT和CRP水平之间的显著相关性。虽然大多数研究报告了正相关,表明唾液有可能反映全身性炎症状态,但相关程度各不相同,少数研究发现无显著相关性,需要进一步研究。结论本综述强调了唾液诊断在识别全身炎症状态方面的重要作用,这对于发现和管理各种健康状况至关重要。标准化唾液收集和生物标志物检测方法的重要性,以加强非侵入性,以患者为中心的医疗保健方法被强调。
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引用次数: 0
Lung-brain axis-generated inflammatory biomarkers in traumatic brain injury and acute respiratory distress syndrome: Role of mechanical ventilation/stress 创伤性脑损伤和急性呼吸窘迫综合征中肺-脑轴产生的炎症生物标志物:机械通气/应激的作用
Pub Date : 2025-01-01 DOI: 10.1016/j.abst.2025.08.002
Nathan H. Johnson , Nancy G. Casanova , Susannah Patarroyo-White , Jason Canizales , Sara M. Camp , Jon Perez Barcena , Juan Pablo de Rivero Vaccari , Bellal Joseph , Joe G.N. Garcia

Rationale

The unmet need for effective therapeutic strategies to address the bi-directional perturbation of the lung-brain axis following traumatic brain injury (TBI) or associated with Acute Lung Injury/Acute Respiratory Distress Syndrome (ALI/ARDS) is increasingly recognized. Contributing to this unmet need is the absence of reliable biomarkers that reflect the severity of lung-brain axis disruption. We assessed specific potential lung-brain axis biomarkers in TBI and ALI/ARDS subjects and explored the specific influence of exposure to mechanical ventilation.

Methods

Serum biomarker levels from TBI (n = 97) and ARDS subjects (n = 39) and healthy controls (n = 46) were analyzed (MesoScale Discovery ELISA) utilizing a critical illness lung-brain axis biomarker panel (CILBA) that included DAMPS (eNAMPT, S100A8), inflammatory cytokines (IL-6, IL-1β, IL-1RA, TNF-α), vascular biomarkers (PSGL-1, ANG-2), and neurotrauma biomarkers (GFAP or Glial fibrillary acidic protein, NFL or neurofilament light chain, Tau).

Results

TBI and ARDS subjects demonstrated significant elevations in each biomarker (compared to controls) with two exceptions: PSGL-1 was exclusively elevated in ARDS and GFAP exclusively elevated in TBI. Mechanically ventilated subjects exposed exhibited significantly DAMP, vascular and neurotrauma biomarker elevations compared to unexposed subjects. With the exception of GFAP, Ang-2, and S100A8, biomarker elevations were linked to ICU days or mortality.

Conclusions

These results highlight overlapping innate immunity dysregulation as a manifestation of lung-brain axis disruption in both TBI- and ARDS-exposed subjects with amplified dysregulation with mechanical ventilation. Additional longitudinal studies of well-phenotyped TBI and ARDS subjects may substantiate the prognostic value of biomarker analyses in assessing the severity of bidirectional lung-brain axis injuries.
理由:对于创伤性脑损伤(TBI)后或与急性肺损伤/急性呼吸窘迫综合征(ALI/ARDS)相关的肺-脑轴双向扰动的有效治疗策略的需求尚未得到满足。造成这种需求未得到满足的原因是缺乏反映肺-脑轴破坏严重程度的可靠生物标志物。我们评估了TBI和ALI/ARDS受试者的特定潜在肺-脑轴生物标志物,并探讨了机械通气暴露的具体影响。方法采用MesoScale Discovery ELISA方法分析TBI (n = 97)、ARDS (n = 39)和健康对照(n = 46)的血清生物标志物水平,采用危重疾病肺-脑轴生物标志物面板(CILBA),包括DAMPS (eNAMPT、S100A8)、炎症因子(IL-6、IL-1β、IL-1RA、TNF-α)、血管生物标志物(PSGL-1、ANG-2)和神经创伤生物标志物(GFAP或胶质纤维酸性蛋白、NFL或神经丝轻链、Tau)。结果与对照组相比,stbi和ARDS受试者的各项生物标志物均显著升高,但有两个例外:PSGL-1仅在ARDS中升高,GFAP仅在TBI中升高。与未暴露的受试者相比,机械通气暴露的受试者表现出显著的DAMP、血管和神经损伤生物标志物升高。除GFAP、Ang-2和S100A8外,生物标志物升高与ICU天数或死亡率相关。结论这些结果表明,在机械通气条件下,TBI和ards暴露者的先天免疫失调加剧,重叠的先天免疫失调是肺-脑轴破坏的表现。对表型良好的TBI和ARDS受试者进行的其他纵向研究可能会证实生物标志物分析在评估双向肺-脑轴损伤严重程度方面的预后价值。
{"title":"Lung-brain axis-generated inflammatory biomarkers in traumatic brain injury and acute respiratory distress syndrome: Role of mechanical ventilation/stress","authors":"Nathan H. Johnson ,&nbsp;Nancy G. Casanova ,&nbsp;Susannah Patarroyo-White ,&nbsp;Jason Canizales ,&nbsp;Sara M. Camp ,&nbsp;Jon Perez Barcena ,&nbsp;Juan Pablo de Rivero Vaccari ,&nbsp;Bellal Joseph ,&nbsp;Joe G.N. Garcia","doi":"10.1016/j.abst.2025.08.002","DOIUrl":"10.1016/j.abst.2025.08.002","url":null,"abstract":"<div><h3>Rationale</h3><div>The unmet need for effective therapeutic strategies to address the bi-directional perturbation of the lung-brain axis following traumatic brain injury (TBI) or associated with Acute Lung Injury/Acute Respiratory Distress Syndrome (ALI/ARDS) is increasingly recognized. Contributing to this unmet need is the absence of reliable biomarkers that reflect the severity of lung-brain axis disruption. We assessed specific potential lung-brain axis biomarkers in TBI and ALI/ARDS subjects and explored the specific influence of exposure to mechanical ventilation.</div></div><div><h3>Methods</h3><div>Serum biomarker levels from TBI (n = 97) and ARDS subjects (n = 39) and healthy controls (n = 46) were analyzed (MesoScale Discovery ELISA) utilizing a critical illness lung-brain axis biomarker panel (CILBA) that included DAMPS (eNAMPT, S100A8), inflammatory cytokines (IL-6, IL-1β, IL-1RA, TNF-α), vascular biomarkers (PSGL-1, ANG-2), and neurotrauma biomarkers (GFAP or Glial fibrillary acidic protein, NFL or neurofilament light chain, Tau).</div></div><div><h3>Results</h3><div>TBI and ARDS subjects demonstrated significant elevations in each biomarker (compared to controls) with two exceptions: PSGL-1 was exclusively elevated in ARDS and GFAP exclusively elevated in TBI. Mechanically ventilated subjects exposed exhibited significantly DAMP, vascular and neurotrauma biomarker elevations compared to unexposed subjects. With the exception of GFAP, Ang-2, and S100A8, biomarker elevations were linked to ICU days or mortality.</div></div><div><h3>Conclusions</h3><div>These results highlight overlapping innate immunity dysregulation as a manifestation of lung-brain axis disruption in both TBI- and ARDS-exposed subjects with amplified dysregulation with mechanical ventilation. Additional longitudinal studies of well-phenotyped TBI and ARDS subjects may substantiate the prognostic value of biomarker analyses in assessing the severity of bidirectional lung-brain axis injuries.</div></div>","PeriodicalId":72080,"journal":{"name":"Advances in biomarker sciences and technology","volume":"7 ","pages":"Pages 238-247"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144841152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Advances in biomarker sciences and technology
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