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14 pages, 2258 KiB  
Article
Impact of Panax notoginseng Residue on Rumen Microbial Community, Blood Biochemical Parameters and Growth Performance in Cattle: A Preliminary Study on Its Potential as a Feed Resource
by Dongwang Wu, Kai Wang, Ying Lu, Zhendong Gao, Yuqing Chong, Jieyun Hong, Jiao Wu, Weidong Deng, Xiaoming He and Dongmei Xi
Animals 2025, 15(6), 788; https://doi.org/10.3390/ani15060788 (registering DOI) - 11 Mar 2025
Abstract
This study aimed to investigate the effects of adding different proportions of Panax notoginseng residue (PNR) to the diet on the rumen microbial community structure, blood biochemical indices, and growth performance of Wenshan cattle. Fifteen Wenshan cattle with an average weight of 392.30 [...] Read more.
This study aimed to investigate the effects of adding different proportions of Panax notoginseng residue (PNR) to the diet on the rumen microbial community structure, blood biochemical indices, and growth performance of Wenshan cattle. Fifteen Wenshan cattle with an average weight of 392.30 ± 22.57 kg were randomly divided into three groups, a control group, a 3% PNR group, and a 6% PNR group, with five cattle in each group, for a 100-day feeding trial. The results show that adding PNR to the diet modulates the abundance and diversity of rumen microorganisms in Wenshan cattle, primarily affecting the relative abundances of key bacterial phyla such as Firmicutes, Proteobacteria, and Bacteroidetes. At the genus level, the relative abundances of Fibrobacter and Butyrivibrio exhibited trends of either decreasing and then increasing or increasing then decreasing with the amount of PNR added, indicating a complex regulatory effect of PNR on the rumen microbial community. The addition of PNR decreased blood glucose and blood lipid levels in Wenshan cattle. Moreover, PNR addition also increased the average daily weight gain of Wenshan cattle, demonstrating its positive effect on enhancing growth performance. In summary, PNR, as a feed resource, has potential application value in the feeding of Wenshan cattle. It not only regulates the rumen microbial community structure and improves metabolic health but also effectively enhances animal growth performance. Full article
(This article belongs to the Section Animal Nutrition)
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18 pages, 4555 KiB  
Article
Structural Characterization of Dendrobium officinale Polysaccharides and Their Regulation Effect on Intestinal Microbiota During In Vitro Fermentation
by Yanlei Yu, Honggang Wang, Xiaoshu Jin, Wenjing Huang, Yunjie Zhao, Ningning Wang, Dongze Lu, Bin Wei and Hong Wang
Polymers 2025, 17(6), 727; https://doi.org/10.3390/polym17060727 - 10 Mar 2025
Abstract
Polysaccharides derived from Dendrobium officinale have been demonstrated to exhibit metabolic regulatory properties. However, the correlation between their structure and function, particularly their mechanism of action through gut microbiota, remains underexplored. This study systematically elucidates the structural characteristics of Dendrobium officinale polysaccharide (DOP) [...] Read more.
Polysaccharides derived from Dendrobium officinale have been demonstrated to exhibit metabolic regulatory properties. However, the correlation between their structure and function, particularly their mechanism of action through gut microbiota, remains underexplored. This study systematically elucidates the structural characteristics of Dendrobium officinale polysaccharide (DOP) from the Guizhou (GZ) and Zhejiang (ZJ) provinces of China using nuclear magnetic resonance (NMR) and a series of chromatographic analyses, revealing their unique molecular features. Additionally, the metabolic regulatory activities were assessed through α-glucosidase inhibitory assay and in vitro intestinal flora activity assay. The findings include the following: (1) both DOP-GZ and DOP-ZJ predominantly consist of glycosidic linkages of β-1,4-Manp and β-1,4-Glcp; (2) zhe monosaccharide composition ratios of mannose to glucose are 2.51:1 for DOP-GZ and 2.66:1 for DOP-ZJ, with molecular weights of 356 kDa and 544 kDa, respectively, indicating significant structural differences between DOPs from different sources; (3) treatment with DOP-GZ and DOP-ZJ led to alterations in the α-diversity indices and Firmicutes-to-Bacteroidota ratios; (4) more importantly, DOP-GZ and DOP-ZJ significantly increase the abundance of beneficial bacteria (e.g., g_Proteobacteria_unclassified) while suppressing the growth of pathogenic bacteria (e.g., f_Enterobacteriaceae_unclassified), with statistically significant results. These findings not only uncover a novel mechanism by which DOPs regulate metabolism through gut microbiota but also provide a crucial theoretical basis for the application of DOPs in functional foods and pharmaceutical development. Full article
(This article belongs to the Section Biobased and Biodegradable Polymers)
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15 pages, 1118 KiB  
Article
Lifestyle and Biochemical Parameters That May Hamper Immune Responses in Pediatric Patients After Immunization with the BNT162b2 mRNA COVID-19 Vaccine
by Anthie Damianaki, Antonios Marmarinos, Margaritis Avgeris, Dimitrios Gourgiotis, Elpis-Athina Vlachopapadopoulou, Marietta Charakida, Maria Tsolia and Lydia Kossiva
Diseases 2025, 13(3), 78; https://doi.org/10.3390/diseases13030078 - 10 Mar 2025
Viewed by 125
Abstract
Background: The aim of this study was to evaluate whether increased body mass index (BMI) and biochemical and lifestyle parameters linked to obesity and smoke exposure disrupt immune responses of children and adolescents following vaccination with the mRNA BNT162b2 vaccine. Methods: A prospective, [...] Read more.
Background: The aim of this study was to evaluate whether increased body mass index (BMI) and biochemical and lifestyle parameters linked to obesity and smoke exposure disrupt immune responses of children and adolescents following vaccination with the mRNA BNT162b2 vaccine. Methods: A prospective, single-center, cohort study was conducted. Participants were assigned to receive two doses of the mRNA vaccine. Anti-SARS-CoV-2 IgG and neutralizing antibodies (AB) were measured before vaccination (T0) and 14 days after the second dose (T1). BMI and biochemical parameters were evaluated at T0. A questionnaire on lifestyle characteristics was filled in. Results: IgG optical density (OD) ratio at T1 was lower in the overweight–obese group regardless of COVID-19 disease positive history [p = 0.028 for the seronegative group, p = 0.032 for the seropositive group]. Neutralizing AB were lower in overweight–obese participants in the seronegative group at T1 [p = 0.008]. HDL, fasting glucose/insulin ratio (FGIR), C-reactive protein (CRP), HBA1c, uric acid, and smoke exposure were significantly correlated with BMI [p = 0.006, p < 0.001, p < 0.001, p = 0.006, p = 0.009, p < 0.001, respectively]. The main biochemical parameters that were inversely correlated with IgG and neutralizing AB titers at T1 were uric acid [p = 0.018, p = 0.002], FGIR [p = 0.001, p = 0.008] and HBA1C [p = 0.027, p = 0.038], while smoke exposure negatively affected the humoral immune responses at T0 in the convalescent group [p = 0.004, p = 0.005]. Conclusions: Current data suggests that uric acid, insulin resistance (IR), and smoke exposure could adversely affect the immune responses in overweight–obese vaccinated children, highlighting the need for actions to enhance the protection of this particular subgroup. Full article
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21 pages, 1582 KiB  
Article
The Effects of a Microbial Enzyme Mixture on Macronutrient Hydrolysis in a Static Simulation of Oro-Gastric Digestion That Models Human Digestive Senescence
by Sean M. Garvey, Erin N. Madden, Yunyao Qu, Caroline H. Best and Kelly M. Tinker
Foods 2025, 14(6), 937; https://doi.org/10.3390/foods14060937 - 10 Mar 2025
Viewed by 38
Abstract
Observational studies have shown that human digestive function declines naturally with age. Oral enzyme supplementation is a candidate strategy to enhance macronutrient digestion in older adults. The objective of this study was to test the effects of a mixture of six microbial enzyme [...] Read more.
Observational studies have shown that human digestive function declines naturally with age. Oral enzyme supplementation is a candidate strategy to enhance macronutrient digestion in older adults. The objective of this study was to test the effects of a mixture of six microbial enzyme preparations (ENZ) on nutrient bioaccessibility from a mixed meal in an in vitro model of digestive senescence. The mixed meal included chicken meat, peas, and potatoes. The INFOGEST 2.0 static simulation of oro-gastric digestion was used to model human digestive physiology along with a consensus protocol to model aging. Analytical testing of gastric digesta included measurements of free amino nitrogen (FAN), amino acid (AA), fatty acid (FA), glycerol, maltose, and glucose concentrations. Peptide distribution profiles were evaluated by size exclusion chromatography (SEC) and gel electrophoresis. After simulating digestion of the mixed meal, all nutrient bioaccessibility outcomes compared to pepsin-only controls, except glycerol, were further enhanced by ENZ in the aging condition compared to the standard condition (FAN: 77.1 vs. 39.3%; essential AA: 100.4 vs. 57.6%; total FA: 12.8- vs. 8.0-fold; maltose: 142.1 vs. 0.7%). SEC confirmed ENZ’s proteolytic capacity to generate more lower molecular weight peptides and free AAs in standard and aging conditions compared to pepsin alone. Gel electrophoresis confirmed proteolytic enhancement with ENZ. These data showcase ENZ’s hydrolytic activity toward macronutrients and suggest ENZ’s capacity to compensate for reduced pepsin activity in an aging-adapted oro-gastric digestion simulation. Full article
(This article belongs to the Section Food Nutrition)
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14 pages, 3028 KiB  
Article
The Efficacy of Soleus Push-Up in Individuals with Prediabetes: A Pilot Study
by Dávid Elek, Miklós Tóth, Balázs Sonkodi, Pongrác Ács, Gábor L. Kovács, Péter Tardi and Csaba Melczer
Sports 2025, 13(3), 81; https://doi.org/10.3390/sports13030081 - 10 Mar 2025
Viewed by 171
Abstract
Background/Objectives: Hamilton and colleagues invented the soleus push-up exercise and showed that this exercise method was successful in reducing postprandial blood glucose levels in sedentary individuals. The objective of the current pilot study was to assess the efficacy of the soleus push-up in [...] Read more.
Background/Objectives: Hamilton and colleagues invented the soleus push-up exercise and showed that this exercise method was successful in reducing postprandial blood glucose levels in sedentary individuals. The objective of the current pilot study was to assess the efficacy of the soleus push-up in individuals with prediabetes and to evaluate the feasibility of incorporating this exercise method into their daily routine. Methods: Ten participants (mean age: 53.3 ± 2.7 years; four females, six males) with prediabetes were included in the study. Initially, participants underwent an oral glucose tolerance test (OGTT) while being sedentary to establish baseline postprandial blood glucose measurements. During a subsequent OGTT, participants concurrently performed the soleus push-up (SPU) exercise either with or without electromyographic (EMG) feedback. Blood glucose levels were measured at 15 min intervals over the two-hour duration of both OGTTs. Results: We observed that performing the SPU in a sitting position during the oral glucose tolerance test resulted in approximately a 32% reduction in postprandial glucose excursion compared to the sedentary baseline results. This effect was also present in the absence of EMG feedback. Conclusions: Our findings suggest that this repetitive, prolonged contractile muscle activity can improve metabolic regulation in prediabetic individuals without the need for a laboratory setting. SPU may be a viable and effective exercise to support metabolic health in home or work environments. However, further validation is needed with a larger sample size. Full article
(This article belongs to the Special Issue Muscle Metabolism, Fatigue and Recovery During Exercise Training)
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18 pages, 703 KiB  
Article
Hematological Correlations as Predictors of Disease Manifestations in Psychiatric Inpatients
by Maciej Domański, Anna Domańska, Sabina Lachowicz-Wiśniewska and Wioletta Żukiewicz-Sobczak
Nutrients 2025, 17(6), 959; https://doi.org/10.3390/nu17060959 - 10 Mar 2025
Viewed by 145
Abstract
Background/Objective. Psychiatric disorders exhibit significant symptomatic and etiopathological heterogeneity, complicating diagnosis and treatment. Hematological parameters may serve as indicators of overall health and predictors of psychiatric symptom manifestation and remission, particularly in long-term hospitalized patients. This study evaluated hematological and biochemical markers, including [...] Read more.
Background/Objective. Psychiatric disorders exhibit significant symptomatic and etiopathological heterogeneity, complicating diagnosis and treatment. Hematological parameters may serve as indicators of overall health and predictors of psychiatric symptom manifestation and remission, particularly in long-term hospitalized patients. This study evaluated hematological and biochemical markers, including vitamin B12, vitamin D, and glucose levels, to explore their potential role in psychiatric disorders and disease progression. Methods. This prospective observational study was conducted from 1 January to 31 December 2022, at the M. Kaczyński Neuropsychiatric Hospital in Lublin, following ethical guidelines. The study included 28 psychiatric inpatients (18 women, 10 men) diagnosed with mental and behavioral disorders (ICD-10: F03, unspecified dementia, and F06.2, organic delusional disorder) and 10 controls without psychiatric diagnoses. Blood samples from both groups underwent hematological and biochemical analyses. Statistical tests included the Shapiro–Wilk test, Kruskal–Wallis test, and Tukey’s multiple range test. Results. Psychiatric patients had significantly lower vitamin B12 (278.00 pg/mL vs. 418.50 pg/mL, p = 0.026) and severe vitamin D deficiency (3.00 ng/mL vs. 26.00 ng/mL, p < 0.001). Hematocrit levels were also lower (38.00% vs. 41.30%, p = 0.033), suggesting anemia risk. No significant differences in glucose levels were found. Reduced mean platelet volume and altered leukocyte subtypes suggested immune dysregulation. Conclusions. Nutritional deficiencies, particularly in vitamin B12 and D, play a critical role in psychiatric disorders. Routine screening and targeted supplementation should be integral to psychiatric care. Addressing these deficiencies may improve treatment outcomes, reduce symptom severity, and enhance patient well-being. Integrating metabolic and nutritional assessments into psychiatric practice is essential for advancing research and clinical management. Full article
(This article belongs to the Section Nutrition and Public Health)
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14 pages, 985 KiB  
Article
Transcriptional Expression of SLC2A3 and SDHA Predicts the Risk of Local Tumor Recurrence in Patients with Head and Neck Squamous Cell Carcinomas Treated Primarily with Radiotherapy or Chemoradiotherapy
by Mercedes Camacho, Silvia Bagué, Cristina Valero, Anna Holgado, Laura López-Vilaró, Ximena Terra, Francesc-Xavier Avilés-Jurado and Xavier León
Int. J. Mol. Sci. 2025, 26(6), 2451; https://doi.org/10.3390/ijms26062451 - 9 Mar 2025
Viewed by 239
Abstract
Reprogramming of metabolic pathways is crucial to guarantee the bioenergetic and biosynthetic demands of rapidly proliferating cancer cells and might be related to treatment resistance. We have previously demonstrated the deregulation of the succinate pathway in head and neck squamous cell carcinoma (HNSCC) [...] Read more.
Reprogramming of metabolic pathways is crucial to guarantee the bioenergetic and biosynthetic demands of rapidly proliferating cancer cells and might be related to treatment resistance. We have previously demonstrated the deregulation of the succinate pathway in head and neck squamous cell carcinoma (HNSCC) and its potential as a diagnostic and prognostic marker. Now we aim to identify biomarkers of resistance to radiotherapy (RT) by analyzing the expression of genes related to the succinate pathway and nutrient flux across the cell membrane. We determined the transcriptional expression of succinate receptor 1 (SUCNR1), succinate dehydrogenase A (SDHA), and the solute carrier (SLC) superfamily transporters responsible for the influx or efflux of a wide variety of nutrients (SLC2A3 and SLC16A3) in tumoral tissue from 120 HNSCC patients treated with RT or chemoradiotherapy (CRT). Our results indicated that the transcriptional expression of the glucose transporter SLC2A3 together with SDHA had the best predictive capacity for local response after treatment with RT or CRT. High SLC2A3 and SDHA expression predicted poor outcomes after RT or CRT, with these patients having a 4.2 times higher risk of local recurrence compared to the rest of the patients. These results might indicate that tumors that shifted toward a higher glucose influx and a higher oxidation of succinate via mitochondrial complex II present an ideal environment for radioresistance development. Patients with a high transcriptional expression of both SLC2A3 and SDHA had a significantly higher risk of local recurrence after treatment with RT or CRT. Full article
(This article belongs to the Special Issue Pathogenesis and Treatments of Head and Neck Cancer)
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18 pages, 1801 KiB  
Article
A Comprehensive Methodology for Identifying Pseudomonas aeruginosa Strains Exhibiting Biofilm and Virulence Factor Traits and Assessment of Biofilm Resistance Against Commercial Disinfectant
by Maha Guesmi, Mohamed Ben Hmida, Salma Smaoui, Mariem Ayadi, Salma Maalej, Salma Toumi, Sami Aifa, Khawla Kammoun, Férièle Messadi-Akrout and Sami Mnif
Microbiol. Res. 2025, 16(3), 62; https://doi.org/10.3390/microbiolres16030062 - 9 Mar 2025
Viewed by 181
Abstract
In this study, biofilm formation and the production of key virulence factors were systematically evaluated across 33 strains of Pseudomonas aeruginosa isolated from diverse hospital environments in Tunisia. Among these, 13 strains demonstrated strong biofilm-forming capacities. Adding glucose (9%, w/v) [...] Read more.
In this study, biofilm formation and the production of key virulence factors were systematically evaluated across 33 strains of Pseudomonas aeruginosa isolated from diverse hospital environments in Tunisia. Among these, 13 strains demonstrated strong biofilm-forming capacities. Adding glucose (9%, w/v) to the culture medium generally enhanced biofilm development, indicating that glucose supplementation may promote biofilm formation in clinical isolates. The 13 selected biofilm-forming strains exhibited a consistent production of critical virulence factors, including pyocyanin, rhamnolipid, and LasA protease, known for its staphylolytic activity. However, profiles of extracellular polysaccharide (EPS) production and motility showed considerable heterogeneity among the strains, suggesting a strain-specific regulation of these traits. Based on a comprehensive analysis of biofilm formation and virulence expression, strain 2629 was chosen as a model organism due to its robust biofilm-producing ability and high virulence factor output. This strain was used in subsequent in vitro assays to evaluate the anti-biofilm potential of a commercial disinfectant containing peracetic acid and other active agents. Results indicated that a 3% (v/v) concentration of the disinfectant, applied for 5 min, was nearly sufficient to eradicate the biofilm formed by the model strain. These findings underscore the importance of selecting a representative biofilm-forming strain for accurate in vitro assessments of disinfectant activity. Full article
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17 pages, 5286 KiB  
Article
Enhancing the Design of Microdevices: The Role of Computational Fluid Dynamics and Experimental Investigation
by Behrouz Pirouz, Hana Javadi Nejad, Anna Selene Chirillo, Seyed Navid Naghib and Patrizia Piro
Micromachines 2025, 16(3), 316; https://doi.org/10.3390/mi16030316 - 9 Mar 2025
Viewed by 300
Abstract
The growing use of microfluidic-based devices necessitates an analysis of flow characteristics through both experimental methods and computational fluid dynamic (CFD) simulations. CFD simulations facilitate the investigation of various devices, including medical sensors, by providing detailed insights into flow behavior. In this study, [...] Read more.
The growing use of microfluidic-based devices necessitates an analysis of flow characteristics through both experimental methods and computational fluid dynamic (CFD) simulations. CFD simulations facilitate the investigation of various devices, including medical sensors, by providing detailed insights into flow behavior. In this study, we conducted experimental and CFD analysis of the microfluidic flow in three devices: a COVID-19 rapid test kit, a blood glucose kit, and a PDMS kit. Our findings revealed that the changes in wall adhesion (contact angles) during the capillary flow could cause significant deviation from theoretical flow speed predictions. A hemodynamic analysis of the blood glucose kit and PDMS kit showed that capillary filling decreased in length, and flow speed could depend on the microchannel diameter. CFD results indicated the prominent role of porosity in the simulation of porous media material such as the COVID-19 test kit, as well as surface tension coefficients and wall adhesion (contact angles) in blood glucose kits and PDMS kits. Therefore, considering adaptive dynamic contact angles in CFD simulation software such as Ansys-Fluent 2024 could result in a more accurate prediction than simplified theoretical techniques, which is useful for sensor optimization and development. Full article
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24 pages, 5371 KiB  
Article
Selenium-Enriched Polysaccharides from Lentinula edodes Mycelium: Biosynthesis, Chemical Characterisation, and Assessment of Antioxidant Properties
by Eliza Malinowska, Grzegorz Łapienis, Agnieszka Szczepańska and Jadwiga Turło
Polymers 2025, 17(6), 719; https://doi.org/10.3390/polym17060719 - 9 Mar 2025
Viewed by 299
Abstract
Selenium–polysaccharides possess antioxidant properties, making them promising materials for functional foods, pharmaceuticals, and clinical applications. This study examines the incorporation of selenium into polysaccharides via mycelial biosynthesis and its effects on structure and antioxidant activity. Polysaccharides obtained from Lentinula edodes-submerged cultures grown [...] Read more.
Selenium–polysaccharides possess antioxidant properties, making them promising materials for functional foods, pharmaceuticals, and clinical applications. This study examines the incorporation of selenium into polysaccharides via mycelial biosynthesis and its effects on structure and antioxidant activity. Polysaccharides obtained from Lentinula edodes-submerged cultures grown in Se-supplemented and non-supplemented media were analysed for Se content (RP-HPLC/FLD), structure (FT-IR, HPLC, and HPGPC-ELSD), and antioxidant activity (DPPH scavenging, reducing power, and Fe2+ chelation). Two low-molecular-weight Se–heteropolysaccharides (Se-FE-1.1 and Se-FE-1.2) containing ~80 and 125 µg/g Se were isolated, primarily composed of glucose, mannose, and galactose with β-glycosidic linkages. Se incorporation into polysaccharides selectively enhanced their antioxidant activity in the DPPH radical scavenging assay, with minimal effects observed in iron chelation and reducing power assays. Crude Se–polysaccharides displayed the highest antioxidant activity, suggesting an additional contribution from protein components. Our findings demonstrate that Se is effectively incorporated into polysaccharides, altering monosaccharide composition while preserving glycosidic linkages. The selective enhancement of radical scavenging suggests that selenium plays a specific role in antioxidant activity, primarily influencing radical scavenging mechanisms rather than interactions with metal ions. Further research is needed to clarify the mechanisms of selenium incorporation, the nature of its bonding within the polysaccharide molecule, and its impact on biological activity. Full article
(This article belongs to the Special Issue Optimization, Properties and Application of Polysaccharides)
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18 pages, 2481 KiB  
Article
Physicochemical Characteristics, Antioxidant Properties, and Identification of Bioactive Compounds in Australian Stingless Bee Honey Using High-Performance Thin-Layer Chromatography
by Mariana Mello dos Santos, Tomislav Sostaric, Lee Yong Lim and Cornelia Locher
Molecules 2025, 30(6), 1223; https://doi.org/10.3390/molecules30061223 - 9 Mar 2025
Viewed by 215
Abstract
This study investigates the physiochemical properties, chemical composition, and antioxidant activity of Australian stingless bee honey blends from two bee species, Tetragonula carbonaria and Tetragonula hockingsi, harvested in Burpengary East, Queensland at different times of the year. The moisture content of the [...] Read more.
This study investigates the physiochemical properties, chemical composition, and antioxidant activity of Australian stingless bee honey blends from two bee species, Tetragonula carbonaria and Tetragonula hockingsi, harvested in Burpengary East, Queensland at different times of the year. The moisture content of the honey samples ranged from 26.5% to 30.0%, total soluble solids from 70.0 to 73.5° Brix, and pH from 3.57 to 4.19. The main sugars identified were trehalulose (13.9 to 30.3 g/100 g), fructose (12.9 to 32.3 g/100 g), and glucose (4.80 to 23.7 g/100 g). The total phenolic content (TPC), measured using the Folin–Ciocalteu assay, ranged from 26.1 to 58.6 mg of gallic acid equivalents/100 g. The antioxidant activity was investigated with the 2,2-diphenyl-1-picrylhydrazyl (DPPH) assay, with values ranging from 1.39 to 6.08 mmol of Trolox equivalents/kg. Antioxidant constituents were determined using a High-Performance Thin-Layer Chromatography (HPTLC)-DPPH assay. The HPTLC-DPPH analysis revealed that honey samples collected in May 2022 contained the highest number of antioxidant compounds. Some constituents were identified using an HPTLC-derived database and also quantified utilising HPTLC analysis. Lumichrome was present in all honey samples, while luteolin and kaempferide were detected only in some. Kaempferol or isorhamnetin was also found to be present, although a definitive distinction between these two chemically closely related compounds could not be made by HPTLC analysis. The results showed that honey produced by Tetragonula hockingsi and Tetragonula carbonaria shares similar properties and composition when harvested at the same time, with only minor differences in moisture, fructose, and glucose content. Full article
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27 pages, 3520 KiB  
Study Protocol
Epidural Stimulation and Resistance Training (REST-SCI) for Overground Locomotion After Spinal Cord Injury: Randomized Clinical Trial Protocol
by Ashraf S. Gorgey, Robert Trainer, Refka E. Khalil, Jakob Deitrich, Muhammad Uzair Rehman, Lance L. Goetz, Denise Lester, Adam Klausner, Carrie L. Peterson and Timothy Lavis
J. Clin. Med. 2025, 14(6), 1829; https://doi.org/10.3390/jcm14061829 - 8 Mar 2025
Viewed by 706
Abstract
Introduction: Implanted spinal cord epidural stimulation (SCES) is an emerging neuromodulation approach that increases the excitability of the central pattern generator [CPG] and enhances tonic and rhythmic motor patterns after spinal cord injury (SCI). We determine the effects of exoskeleton-assisted walking [EAW] + [...] Read more.
Introduction: Implanted spinal cord epidural stimulation (SCES) is an emerging neuromodulation approach that increases the excitability of the central pattern generator [CPG] and enhances tonic and rhythmic motor patterns after spinal cord injury (SCI). We determine the effects of exoskeleton-assisted walking [EAW] + epidural stimulation [ES] + resistance training [RT] on volitional motor control as a primary outcome, as well as autonomic cardiovascular profile, body composition, and bladder function compared to EAW + delayed ES + noRT in persons with motor-complete SCI AIS A and B. Methods and Analysis: Twenty male and female participants [age 18–60 years] with traumatic motor-complete SCI [2 years or more post injury], and level of injury below C5 were randomized into either EAW + ES + RT or EAW + delayed-ES + no-RT groups for more than 12 months. Baseline, post-interventions 1 and 2 were conducted six months apart. Measurements included body composition assessment using anthropometry, dual x-ray absorptiometry, and magnetic resonance imaging prior to implantation to evaluate the extent of spinal cord damage, neurophysiologic assessments to record H-reflexes, overground ambulation and peak torque for both groups, and the Walking Index for Spinal Cord Injury Scale [WISCI 2]. Metabolic profile measurements included the resting metabolic rate, fasting biomarkers of HbA1c, lipid panels, total testosterone CRP, IL-6, TNF-α, plasma IGF-I, IGFBP-3, and then a glucose tolerance test. Finally, urodynamic testing was conducted to assess functional bladder improvement due to ES. Results: The restoration of locomotion with ES and EAW may result in a reduction in psychosocial, cardiovascular, and metabolic bladder parameters and socioeconomic burden. The addition of the resistance training paradigm may further augment the outcomes of ES on motor function in persons with SCI. Conclusions: Percutaneous SCES appears to be a feasible and safe rehabilitation approach for the restoration of motor function in persons with SCI. The procedure may be successfully implemented with other task-specific training similar to EAW and resistance training. Full article
(This article belongs to the Section Orthopedics)
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16 pages, 1519 KiB  
Review
Breaking the Feedback Loop of β-Cell Failure: Insight into the Pancreatic β-Cell’s ER-Mitochondria Redox Balance
by Amira Zaher and Samuel B. Stephens
Cells 2025, 14(6), 399; https://doi.org/10.3390/cells14060399 - 8 Mar 2025
Viewed by 320
Abstract
Pancreatic β-cells rely on a delicate balance between the endoplasmic reticulum (ER) and mitochondria to maintain sufficient insulin stores for the regulation of whole animal glucose homeostasis. The ER supports proinsulin maturation through oxidative protein folding, while mitochondria supply the energy and redox [...] Read more.
Pancreatic β-cells rely on a delicate balance between the endoplasmic reticulum (ER) and mitochondria to maintain sufficient insulin stores for the regulation of whole animal glucose homeostasis. The ER supports proinsulin maturation through oxidative protein folding, while mitochondria supply the energy and redox buffering that maintain ER proteostasis. In the development of Type 2 diabetes (T2D), the progressive decline of β-cell function is closely linked to disruptions in ER-mitochondrial communication. Mitochondrial dysfunction is a well-established driver of β-cell failure, whereas the downstream consequences for ER redox homeostasis have only recently emerged. This interdependence of ER-mitochondrial functions suggests that an imbalance is both a cause and consequence of metabolic dysfunction. In this review, we discuss the regulatory mechanisms of ER redox control and requirements for mitochondrial function. In addition, we describe how ER redox imbalances may trigger mitochondrial dysfunction in a vicious feed forward cycle that accelerates β-cell dysfunction and T2D onset. Full article
(This article belongs to the Special Issue Endoplasmic Reticulum Stress Signaling Pathway: From Bench to Bedside)
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26 pages, 4962 KiB  
Article
Integration of Gill and Intestinal Osmoregulatory Functions to Assess the Smoltification Window in Atlantic Salmon
by Jonás I. Silva-Marrero, Floriana Lai, Sigurd O. Handeland, Cindy Pedrosa, Virginie Gelebart, Pablo Balseiro, Juan Fuentes, Ivar Rønnestad and Ana S. Gomes
Fishes 2025, 10(3), 119; https://doi.org/10.3390/fishes10030119 - 8 Mar 2025
Viewed by 180
Abstract
The transfer time of Atlantic salmon smolts from freshwater to seawater remains a challenge in aquaculture, with the “smolt window” referring to the optimal timeframe for seawater readiness. Our study monitored Atlantic salmon osmoregulatory adaptations during smoltification under continuous light (LL) and winter [...] Read more.
The transfer time of Atlantic salmon smolts from freshwater to seawater remains a challenge in aquaculture, with the “smolt window” referring to the optimal timeframe for seawater readiness. Our study monitored Atlantic salmon osmoregulatory adaptations during smoltification under continuous light (LL) and winter signal regime (6 weeks LD 12:12) followed by 6 or 8 weeks of constant light. Fish were subsequently reared in seawater for 8 weeks and subjected to a stress event of cyclic hypoxia at the conclusion of the trial. Significant differences in growth trajectories were observed between the LL and LD groups, with fish receiving the winter signal showing compensatory growth after seawater transfer. Gill Na+/K+-ATPase (NKA) activity, plasma ions, glucose, and cortisol levels confirmed the importance of the winter signal for seawater adaptation. Molecular markers, including nka isoforms, Na+-K+-2Cl cotransporter (nkcc), cystic fibrosis transmembrane conductance regulator (cftr), and Na+/HCO3 cotransporter (nbc), showed distinct temporal expression patterns, particularly in gills and midgut. Notably, the LD group with delayed seawater transfer exhibited enhanced growth and improved hypo-osmoregulatory capacity. These findings underscore the advantages of a winter signal in smoltification and suggest that delaying seawater transfer for up to 8 weeks could be beneficial. Full article
(This article belongs to the Special Issue Rhythms in Marine Fish and Invertebrates)
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Article
Machine Learning Models Integrating Dietary Indicators Improve the Prediction of Progression from Prediabetes to Type 2 Diabetes Mellitus
by Zhuoyang Li, Yuqian Li, Zhenxing Mao, Chongjian Wang, Jian Hou, Jiaoyan Zhao, Jianwei Wang, Yuan Tian and Linlin Li
Nutrients 2025, 17(6), 947; https://doi.org/10.3390/nu17060947 - 8 Mar 2025
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Abstract
Background: Diet plays an important role in preventing and managing the progression from prediabetes to type 2 diabetes mellitus (T2DM). This study aims to develop prediction models incorporating specific dietary indicators and explore the performance in T2DM patients and non-T2DM patients. Methods [...] Read more.
Background: Diet plays an important role in preventing and managing the progression from prediabetes to type 2 diabetes mellitus (T2DM). This study aims to develop prediction models incorporating specific dietary indicators and explore the performance in T2DM patients and non-T2DM patients. Methods: This retrospective study was conducted on 2215 patients from the Henan Rural Cohort. The key variables were selected using univariate analysis and the least absolute shrinkage and selection operator (LASSO). Multiple predictive models were constructed separately based on dietary and clinical factors. The performance of different models was compared and the impact of integrating dietary factors on prediction accuracy was evaluated. Receiver operating characteristic (ROC) curve, calibration curve, and decision curve analysis (DCA) were used to evaluate the predictive performance. Meanwhile, group and spatial validation sets were used to further assess the models. SHapley Additive exPlanations (SHAP) analysis was applied to identify key factors influencing the progression of T2DM. Results: Nine dietary indicators were quantitatively collected through standardized questionnaires to construct dietary models. The extreme gradient boosting (XGBoost) model outperformed the other three models in T2DM prediction. The area under the curve (AUC) and F1 score of the dietary model in the validation cohort were 0.929 [95% confidence interval (CI) 0.916–0.942] and 0.865 (95%CI 0.845–0.884), respectively. Both were higher than the traditional model (AUC and F1 score were 0.854 and 0.779, respectively, p < 0.001). SHAP analysis showed that fasting plasma glucose, eggs, whole grains, income level, red meat, nuts, high-density lipoprotein cholesterol, and age were key predictors of the progression. Additionally, the calibration curves displayed a favorable agreement between the dietary model and actual observations. DCA revealed that employing the XGBoost model to predict the risk of T2DM occurrence would be advantageous if the threshold were beyond 9%. Conclusions: The XGBoost model constructed by dietary indicators has shown good performance in predicting T2DM. Emphasizing the role of diet is crucial in personalized patient care and management. Full article
(This article belongs to the Section Nutrition and Diabetes)
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