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19 pages, 4896 KiB  
Article
A Novel Trustworthy Video Summarization Algorithm Through a Mixture of LoRA Experts
by Wenzhuo Du, Gerun Wang, Xin Li, Guancheng Chen, Jian Gao and Hang Zhao
Electronics 2025, 14(11), 2269; https://doi.org/10.3390/electronics14112269 (registering DOI) - 31 May 2025
Abstract
With the exponential growth of user-generated content on video-sharing platforms, the challenge of facilitating efficient searching and browsing of videos has garnered significant attention. To enhance users’ ability to swiftly locate and review pertinent videos, the creation of concise and informative video summaries [...] Read more.
With the exponential growth of user-generated content on video-sharing platforms, the challenge of facilitating efficient searching and browsing of videos has garnered significant attention. To enhance users’ ability to swiftly locate and review pertinent videos, the creation of concise and informative video summaries has become increasingly important. Video-llama is an effective tool for generating video summarization, but it cannot effectively unify and optimize the modeling of temporal and spatial features and requires a lot of computational resources and time. Therefore, we propose MiLoRA-ViSum to more efficiently capture complex temporal dynamics and spatial relationships inherent in video data and to control the number of parameters for training. By extending traditional Low-Rank Adaptation (LoRA) into a sophisticated mixture-of-experts paradigm, MiLoRA-ViSum incorporates a dual temporal–spatial adaptation mechanism tailored specifically for video summarization tasks. This approach dynamically integrates specialized LoRA experts, each fine-tuned to address distinct temporal or spatial dimensions. Extensive evaluations of the VideoXum and ActivityNet datasets demonstrate that MiLoRA-ViSum achieves the best summarization performance compared to state-of-the-art models, while maintaining significantly lower computational costs. The proposed mixture-of-experts strategy, combined with the dual adaptation mechanism, highlights the model’s potential to enhance video summarization capabilities, particularly in large-scale applications requiring both efficiency and precision. Full article
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21 pages, 1393 KiB  
Review
Role of Extracellular Vesicles in Severe Dengue: Virus–Host Interactions and Biomarker Potential
by Juan Sebastian Henao Agudelo, Gabriel Pereira and Célio Junior da Costa Fernandes
Viruses 2025, 17(6), 807; https://doi.org/10.3390/v17060807 (registering DOI) - 31 May 2025
Abstract
Severe dengue is a global health threat, affecting 4 billion people, with nearly 1 million hospitalizations during epidemics and around 25,000 annual deaths. Severe dengue presentations are characterized by vascular leakage, hemorrhagic manifestations, and shock, which can lead to multiorgan failure. Recent studies [...] Read more.
Severe dengue is a global health threat, affecting 4 billion people, with nearly 1 million hospitalizations during epidemics and around 25,000 annual deaths. Severe dengue presentations are characterized by vascular leakage, hemorrhagic manifestations, and shock, which can lead to multiorgan failure. Recent studies highlight the crucial role of extracellular vesicles (EVs) in the pathogenesis of dengue, influencing immune response and disease progression. EVs, nanometric structures secreted by cells, mediate viral dissemination, immune modulation, and endothelial dysfunction by transporting biomolecules such as microRNAs (miRNAs) and viral proteins. Infected cell-derived EVs carry viral components, including NS protein and miRNAs like miR-21 and miR-126-5p, which compromise endothelial integrity and activate immune pathways such as Toll-like receptor, NF-κB, and JAK-STAT signaling. This, together with the immune response, leads to the release of pro-inflammatory cytokines, including TNF-α, IL-1β, IL-6, and IFN-γ. EVs also facilitate viral immune evasion by suppressing antiviral responses. Recent analyses of miRNAs within EVs suggest their potential as biomarkers for disease progression. Differentially expressed miRNAs in circulating EVs correlate with severe outcomes, providing tools for risk stratification and therapeutic monitoring. Advanced techniques, such as nanoparticle tracking analysis and flow cytometry, allow precise EV characterization, supporting their integration into clinical applications. Full article
(This article belongs to the Special Issue Zoonotic and Vector-Borne Viral Diseases)
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13 pages, 1545 KiB  
Article
Water Quality Assessment: Endotoxin Brings Real-Time Measurements and Non-Faecally Transmitted Bacteria to the Table
by Christian Good, Alistair White, João Brandão, Christopher Seymour and Simon K. Jackson
Water 2025, 17(11), 1674; https://doi.org/10.3390/w17111674 (registering DOI) - 31 May 2025
Abstract
We have used a rapid, portable assay (Bacterisk) to determine the bacterial water quality along several inland waters in SW England. Water samples were compared by a conventional membrane filter and culture methods for faecal indicator bacteria (FIB; E. coli and enterococci) and [...] Read more.
We have used a rapid, portable assay (Bacterisk) to determine the bacterial water quality along several inland waters in SW England. Water samples were compared by a conventional membrane filter and culture methods for faecal indicator bacteria (FIB; E. coli and enterococci) and endotoxin measurement by Bacterisk. The Bacterisk data, measured in near-real-time, correlate well with both E. coli and enterococci, but also allow the presence of potential pathogens of a non-faecal origin to be detected. The sensitivity was calculated to be 92.96% with a specificity of 46.3% for E. coli with an expanded uncertainty of 22.07% and an Endotoxin Risk detection limit of 25 units. The presence of Bacterisk detectable non-faecal pathogenic bacteria in the water samples was successfully confirmed by Illumina MiSeq sequencing followed by target species-specific qPCR. Sequencing showed the presence of pathogens including Pseudomonas aeruginosa, Salmonella typhi, Acinetobacter baumannii, Shigella spp., and Legionella spp. as well as antimicrobial resistance genes. Furthermore, the portable Bacterisk assay was able to acquire data on the water quality from different locations and at different time points, providing a comprehensive surveillance tool that challenges the time to results by conventional methods (minutes instead of days), yielding compatible results. Full article
(This article belongs to the Special Issue Water Pollutants and Human Health: Challenges and Perspectives)
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18 pages, 2493 KiB  
Article
Altitudinal Variation in Soil Fungal Community Associated with Alpine Potentilla fruticosa Shrublands in the Eastern Qinghai–Tibet Plateau
by Lele Xie, Yushou Ma, Yanlong Wang, Yuan Ma and Yu Liu
Agronomy 2025, 15(6), 1345; https://doi.org/10.3390/agronomy15061345 (registering DOI) - 30 May 2025
Abstract
Soil fungi serve as key mediators of belowground ecological processes; however, the altitudinal distribution patterns and their driving mechanisms of soil fungal communities in alpine shrubland ecosystems remain poorly understood. In this study, soil samples were collected from Potentilla fruticosa shrubs at different [...] Read more.
Soil fungi serve as key mediators of belowground ecological processes; however, the altitudinal distribution patterns and their driving mechanisms of soil fungal communities in alpine shrubland ecosystems remain poorly understood. In this study, soil samples were collected from Potentilla fruticosa shrubs at different altitudes, and their physical and chemical properties were determined. Illumina MiSeq sequencing technology was used to study the characteristics of soil fungal communities at different altitudes (3400, 3700, 4000, and 4300 m), and the driving factors affecting the composition of soil fungal communities were found through variance analysis and redundancy analysis. With the increase in altitude, species diversity decreased while total phosphorus and available phosphorus increased. Compared with 3400 m, the diversity index (Sobs, Chao1, and ACE index) of the soil fungal community at 4000 m is the highest, and that at 4300 m is the lowest. NMDS analysis showed that there were significant differences among soil fungal community structures at different altitudes. Redundancy analysis (RDA) indicated that available potassium, available phosphorus, and the Shannon–Wiener diversity index were the primary factors influencing the variation in soil fungal communities along the elevation gradient. Furthermore, the impact of soil physical and chemical properties on soil fungal communities was found to be more pronounced than that of plant characteristics. Network analysis shows that the network complexity is the highest at 4300 m above sea level. These studies provide a new perspective and basis for understanding the distribution pattern of soil fungi in the rhizosphere Potentilla fruticosa in the eastern Qinghai–Tibet Plateau. Full article
(This article belongs to the Section Grassland and Pasture Science)
24 pages, 12092 KiB  
Article
Time and Frequency Domain Blind Deconvolution Based on Generalized Lp/Lq Norm for Rolling Bearing Fault Diagnosis
by Baohua Wang, Zhaoliang Li, Jiacheng Zhang and Weilong Wang
Electronics 2025, 14(11), 2243; https://doi.org/10.3390/electronics14112243 (registering DOI) - 30 May 2025
Abstract
In rolling bearing fault diagnosis, faint fault features are often obscured by ambient noise, limiting the feature extraction capabilities of traditional methods. To address this problem, a time and frequency domain blind deconvolution method based on the generalized Lp/Lq [...] Read more.
In rolling bearing fault diagnosis, faint fault features are often obscured by ambient noise, limiting the feature extraction capabilities of traditional methods. To address this problem, a time and frequency domain blind deconvolution method based on the generalized Lp/Lq norm (G-Lp/Lq-TF) is proposed. Through an analysis of the generalized Lp/Lq norm’s properties, two monotonic yet opposing sparsity-related value intervals are identified and applied separately in the time and frequency domains. The optimal selection range for p and q values is then determined. A hybrid optimization criterion is designed to enforce mutual constraints between the two intervals, ensuring an optimal solution. A convolutional neural network is utilized to serve as the blind deconvolution filter, with backpropagation-based automatic differentiation used for gradient-based optimization of filter coefficients. This approach provides adequate decision-making guidance for selecting p and q values, which was lacking in previous studies on the sparsity of the generalized Lp/Lq norm. It also mitigates noise-spike sensitivity and frequency component loss when applied independently in either domain. Validation using simulated signals and three real-world bearing fault datasets confirms that the proposed method outperforms existing methods in both fault feature extraction and stability. Full article
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12 pages, 269 KiB  
Review
Sex-Based Differences in Asthma: Pathophysiology, Hormonal Influence, and Genetic Mechanisms
by Richard Borrelli, Luisa Brussino, Luca Lo Sardo, Anna Quinternetto, Ilaria Vitali, Diego Bagnasco, Marzia Boem, Federica Corradi, Iuliana Badiu, Simone Negrini and Stefania Nicola
Int. J. Mol. Sci. 2025, 26(11), 5288; https://doi.org/10.3390/ijms26115288 (registering DOI) - 30 May 2025
Abstract
Asthma is a chronic inflammatory disease characterized by airway hyperresponsiveness, variable airflow obstruction, and persistent inflammation. While its pathophysiology is well established, growing evidence highlights significant sex-based differences in its prevalence, severity, and treatment response. Epidemiological studies indicate that asthma is more common [...] Read more.
Asthma is a chronic inflammatory disease characterized by airway hyperresponsiveness, variable airflow obstruction, and persistent inflammation. While its pathophysiology is well established, growing evidence highlights significant sex-based differences in its prevalence, severity, and treatment response. Epidemiological studies indicate that asthma is more common in prepubertal boys but shifts toward a female predominance after puberty, with adult women experiencing higher morbidity and greater healthcare utilization. These disparities suggest a crucial role for sex hormones, genetic predisposition, and epigenetic regulation in asthma pathogenesis. Sex hormones modulate immune responses, contributing to disease progression. Estrogen enhances type 2 inflammation, increases eosinophilic infiltration, and upregulates IL-4 and IL-13 expression, leading to greater airway hyperreactivity in women. Additionally, progesterone fluctuations correlate with perimenstrual asthma exacerbations, while testosterone appears to exert a protective effect by dampening Th2-driven inflammation and airway remodeling. These hormonal influences contribute to sex-specific asthma phenotypes and treatment responses. Genetic and epigenetic factors further shape sex-related differences in asthma. The X chromosome harbors immune-regulatory genes, including TLR7 and TLR8, which amplify inflammatory responses in females. The sex-dependent expression of IL13 and ORMDL3 influences eosinophilic inflammation and airway remodeling. Epigenetic modifications, such as DNA methylation and microRNA regulation, further impact immune activation and corticosteroid responsiveness. For instance, Let-7 miRNAs modulate IL-13 expression, contributing to sex-specific inflammatory profiles. Environmental factors, including air pollution, obesity, and diet, interact with hormonal and genetic influences, exacerbating sex disparities in asthma severity. Obesity-related metabolic dysfunction promotes systemic inflammation, airway remodeling, and steroid resistance, disproportionately affecting women. Given these complex interactions, sex-specific approaches to asthma management are essential. Personalized treatment strategies targeting hormonal pathways, immune regulation, and metabolic health may improve outcomes for both men and women with asthma. Future research should focus on sex-based therapeutic interventions to optimize disease control and mitigate healthcare disparities. Full article
18 pages, 564 KiB  
Review
Genetics and Epigenetics of Chemoinduced Oral Mucositis in Paediatric Patients with Haematological Malignancies—A Review
by Juliana Ramalho Guimarães, José Maria Chagas Viana Filho and Naila Francis Paulo de Oliveira
Epigenomes 2025, 9(2), 16; https://doi.org/10.3390/epigenomes9020016 (registering DOI) - 30 May 2025
Abstract
Background: Oral mucositis (OM) is a painful inflammation resulting from chemotherapy. It is dependent on factors such as age, gender, chemotherapy regimen, oral health, immunological and nutritional status, and genetics. Objectives: The aim of the study was to conduct a narrative review to [...] Read more.
Background: Oral mucositis (OM) is a painful inflammation resulting from chemotherapy. It is dependent on factors such as age, gender, chemotherapy regimen, oral health, immunological and nutritional status, and genetics. Objectives: The aim of the study was to conduct a narrative review to compile studies on the contribution of genetic and epigenetic aspects to the pathogenesis of OM in children with haematological malignancies undergoing chemotherapy treatment. Methods: The literature search was performed in Pubmed, Scopus, Web of Science, Cochrane, Lilacs, and grey literature databases covering articles published since 2010. Results: Twenty-two studies investigating polymorphisms and four studies investigating DNA methylation were included. Polymorphisms in the MTHFR, ABCB1, ABCC2, ABCG2, SLCO1B, miR-1206, miR-3683, CAT, and VDR genes were associated as risk factors for OM and polymorphisms in the TYMS and miR-4268 genes were associated as protective factors. With regard to DNA methylation, associations such as protection or susceptibility to OM have not yet been proven. However, studies have shown that DNMT1 methylation and hypomethylation in total DNA and in the TNF-α gene are associated with recovery of the oral mucosa. Conclusions: Genetic variants are associated with OM in various biological pathways, such as folate metabolism, transport proteins, epigenetic machinery, oxidative stress, and vitamin D metabolism. The DNA methylation profile, which is still poorly understood in the pathogenesis of OM, is associated with mucosal recovery (inflammation and epigenetic machinery). Genetic and epigenetic markers may be tools to indicate a patient’s susceptibility to developing OM, and epigenetic markers may be a target for therapies. Full article
(This article belongs to the Special Issue Epigenetic Mechanisms of Hematologic Malignancies)
22 pages, 1612 KiB  
Review
MAPK Signaling in the Interplay Between Oxidative Stress and Autophagy
by Enrico Desideri, Serena Castelli and Maria Rosa Ciriolo
Antioxidants 2025, 14(6), 662; https://doi.org/10.3390/antiox14060662 - 30 May 2025
Abstract
The term autophagy identifies several mechanisms that mediate the degradation of intracellular and extracellular components via the lysosomal pathway. Three main forms of autophagy exist, namely macroautophagy, chaperone-mediated autophagy, and endosomal microautophagy, which have distinct mechanisms but share lysosomes as the final destination [...] Read more.
The term autophagy identifies several mechanisms that mediate the degradation of intracellular and extracellular components via the lysosomal pathway. Three main forms of autophagy exist, namely macroautophagy, chaperone-mediated autophagy, and endosomal microautophagy, which have distinct mechanisms but share lysosomes as the final destination of their cargo. A basal autophagic flux is crucial for the maintenance of cellular homeostasis, being involved in the physiological turnover of proteins and organelles. Several stressors, including nutrient shortage and genotoxic and oxidative stress, increase the autophagic rate, which prevents the accumulation of damaged and potentially harmful cell components, thus preserving cell viability. In this context, several studies have highlighted the role of MAPKs, serine–threonine kinases activated by several stimuli, in linking oxidative stress and autophagy. Indeed, several oxidative stressors activate autophagy by converging on MAPKs, directly or indirectly. In this regard, the different transcription factors that bridge MAPKs and autophagic activation are here described. In this review, we summarize the current knowledge regarding the regulation of autophagy by MAPK, including the atypical ones, with a particular focus on the regulation of autophagy by oxidative stress. Full article
(This article belongs to the Special Issue Crosstalk between Autophagy and Oxidative Stress)
20 pages, 5175 KiB  
Article
Rejuvenation of Mature Ilex paraguariensis Plants Through Serial Rooted Cuttings: Exploring the Roles of miRNAs in Reversing Adult Phase, Promoting Root Formation, and Determining Root Structure
by María J. Duarte, Raúl M. Acevedo, Nicolás L. Ortiz, Mayra Y. Álvarez and Pedro A. Sansberro
Plants 2025, 14(11), 1668; https://doi.org/10.3390/plants14111668 - 30 May 2025
Abstract
In plants, the transition from the juvenile to adult stage involves physiological and anatomical changes initiated and partially controlled by evolutionarily conserved microRNAs. This process is of particular significance for the successful propagation of woody plant species that have transitioned to vegetative maturity [...] Read more.
In plants, the transition from the juvenile to adult stage involves physiological and anatomical changes initiated and partially controlled by evolutionarily conserved microRNAs. This process is of particular significance for the successful propagation of woody plant species that have transitioned to vegetative maturity and are recalcitrant to propagation. Conserved miRNAs differentially expressed between rejuvenated and mature Ilex paraguariensis plants were identified using high-throughput sequencing of small RNA libraries. The expression of miR156/miR157/miR528 was high in the leaves of juvenile plants and gradually decreased as the plant transitioned from juvenile to adult stages. In contrast, miR172 was predominantly expressed in adult plants. This variation confirmed that adults transitioned back to a juvenile phase after serial-rooted cuttings, allowing the plants to regain juvenile characteristics. Rejuvenation promotes the formation of adventitious roots and improves root structure, which supports the overall growth of the plant and results in greater vigour. The results will offer insights for further investigation into the molecular mechanisms regulating vegetative phase change in I. paraguariensis and other recalcitrant woody plant species. This knowledge could facilitate the earlier identification of rejuvenated material by analysing a wider range of genotypes and maturation stages, enhancing the efficiency of Ilex paraguariensis mass propagation. Full article
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17 pages, 3600 KiB  
Article
Human Cervical Intervertebral Disc Pressure Response During Non-Injurious Quasistatic Motion: A Feasibility Study
by Sara Sochor, Jesús R. Jiménez Octavio, Carlos J. Carpintero Rubio, Mark R. Sochor, Juan M. Asensio-Gil, Carlos Rodríguez-Morcillo García and Francisco J. Lopez-Valdes
Appl. Sci. 2025, 15(11), 6167; https://doi.org/10.3390/app15116167 - 30 May 2025
Abstract
The human neck is highly vulnerable in motor vehicle crashes, and cervical spine response data are essential to improve injury prediction tools (e.g., crash test dummies, human body models). This feasibility study aimed to implement the use of pressure sensors in whole-body post-mortem [...] Read more.
The human neck is highly vulnerable in motor vehicle crashes, and cervical spine response data are essential to improve injury prediction tools (e.g., crash test dummies, human body models). This feasibility study aimed to implement the use of pressure sensors in whole-body post-mortem human subject (PMHS) cervical spine intervertebral discs (IVDs) to confirm the feasibility and repeatability of cervical IVD pressure response to biomechanic research. Two fresh frozen whole-body PMHSs were instrumented with miniature pressure sensors (Model 060S, Precision Measurement Company, Ann Arbor, MI, USA) at three cervical IVD levels (C3/C4, C5/C6, and C7/T1) using minimally invasive surgical insertion techniques. Each PMHS underwent three quasistatic motion test trials, and each trial included multiple head/neck motions (i.e., gentle traction, flexion/extension, lateral bending, axial rotation, and forced tension/compression). Results showed marked pressure differences between both the cervical level assessed and the motion undertaken as well as successful intra-subject repeatability between the three motion trials. This study demonstrates that changes in cervical IVD pressure are associated with motion events of the cervical spine. Cervical IVD response data could be utilized to assess and supplement the characterization of the head/neck complex motion, and data could facilitate the continued improvement of injury prediction tools. Full article
(This article belongs to the Special Issue Biomechanics and Ergonomics in Prevention of Injuries)
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19 pages, 28236 KiB  
Article
Ano5 Deficiency Leads to Abnormal Bone Formation via miR-34c-5p/KLF4/β-Catenin in Gnathodiaphyseal Dysplasia
by Shengnan Wang, Shuai Zhang, Huichong Xu, Mingyue Zhang, Xiu Liu, Sirui Liu, Hongyu Li and Ying Hu
Int. J. Mol. Sci. 2025, 26(11), 5267; https://doi.org/10.3390/ijms26115267 - 30 May 2025
Abstract
Gnathodiaphyseal dysplasia (GDD) is a rare autosomal dominant genetic disease, mainly characterized by enlargement of the mandible, osteosclerosis, and frequent fracture of tubular bone. GDD is caused by heterozygous mutations in Anoctamin 5 (ANO5). We have previously generated an Ano5 knockout [...] Read more.
Gnathodiaphyseal dysplasia (GDD) is a rare autosomal dominant genetic disease, mainly characterized by enlargement of the mandible, osteosclerosis, and frequent fracture of tubular bone. GDD is caused by heterozygous mutations in Anoctamin 5 (ANO5). We have previously generated an Ano5 knockout (KO) mice model and validated the phenotypes consistent with GDD patients, including enhanced bone formation and alkaline phosphatase (ALP) activity. Experiments have identified that Ano5 deficiency elevated the osteogenesis of calvaria-derived osteoblasts (mCOBs). In this study, we found that Ano5 deficiency notably inhibited miR-34c-5p expression. Krüppel-Like Factor 4 (Klf4), a target gene of miR-34c-5p confirmed by dual luciferase reporter assay, was up-regulated in Ano5−/− mCOBs, accompanied by activated downstream canonical Wnt/β-catenin signaling and increased expression of β-catenin. Overexpression of miR-34c-5p in Ano5−/− mCOBs inhibited osteogenic capacity by suppressing proliferative capacity, osteoblast-related factor levels, ALP activity, and matrix calcification through regulating KLF4/β-catenin signaling axis. Furthermore, miR-34c-5p adeno-associated virus (AAV) treatment in vivo rescued the abnormally thickened cortical bone and enhanced biomechanical properties in Ano5−/− mice. Importantly, the serum level of P1NP, a marker of bone formation, was also significantly declined. We conclude that dysregulation of miR-34c-5p contributes to the enhanced osteogenesis in GDD by excessive activation of KLF4/β-catenin signaling axis under Ano5-deficient conditions. This study elucidates the pathogenesis of GDD and provides novel insights into the therapeutic strategies. Full article
(This article belongs to the Special Issue Exploring Rare Diseases: Genetic, Genomic and Metabolomic Advances)
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14 pages, 690 KiB  
Article
Spinal Anesthesia Results in Lower Costs Compared to General Anesthesia for Patients Undergoing Lumbar Fusion—A Matched Cohort Study
by Favour C. Ononogbu-Uche, Abdullah Wael Saleh, Felix Toussaint, Taylor Wallace, Joshua Woo, Matthew T. Morris, Christopher I. Shaffrey, William M. Bullock, Nicole R. Guinn and Muhammad M. Abd-El-Barr
J. Clin. Med. 2025, 14(11), 3851; https://doi.org/10.3390/jcm14113851 - 30 May 2025
Abstract
Background/Objectives: Degenerative lumbar spine disease (DLSD) is increasingly managed with minimally invasive surgery (MIS) and evolving anesthesia methods. While general anesthesia (GA) remains standard, spinal anesthesia (SA) may offer faster recovery and fewer side effects. This study compares the clinical and economic [...] Read more.
Background/Objectives: Degenerative lumbar spine disease (DLSD) is increasingly managed with minimally invasive surgery (MIS) and evolving anesthesia methods. While general anesthesia (GA) remains standard, spinal anesthesia (SA) may offer faster recovery and fewer side effects. This study compares the clinical and economic outcomes of GA versus SA in transforaminal lumbar interbody fusion (TLIF). Methods: A retrospective review of 18 TLIF patients (2018–2022) was performed, with 9 patients in each cohort. Patients were matched by demographics and procedure type. Data collected included operative time, blood loss, complications, postoperative opioid utilization, and 30-day readmissions. Costs were analyzed in categories: anesthesia, implants, inpatient care, operating room (OR) supplies, OR time, and PACU fees, using Wilcoxon Rank T-tests and Pearson Chi-Squared tests. Results: Clinical outcomes such as blood loss, and operative time were similar between groups. However, SA patients had significantly shorter LOS compared to GA (SA: 12 h vs. GA: 84 h, % difference: −150%, p = 0.04). Additionally, SA patients had lower total direct costs ($27,881.85 vs. $35,669.01; p = 0.027). Significant cost reductions with SA were noted in OR supplies/medications ($7367.93 vs. $10,879.46; p = 0.039) and inpatient costs ($621.65 vs. $3092.66; p = 0.027). Within these categories, reductions were observed for intravenous solutions, sedatives/anesthetics, pressure management, labs, imaging, evaluations, hospital care, and medications. Although costs for implants, anesthesia care, OR time, and PACU fees were lower with SA, these differences did not reach statistical significance. Conclusions: In TLIF for DLSD, SA provides significant economic advantages over GA while yielding comparable clinical outcomes. These results support SA as a cost-effective alternative, warranting further prospective studies to confirm these findings. Full article
(This article belongs to the Special Issue Spine Surgery: Current Practice and Future Directions)
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16 pages, 789 KiB  
Article
Phthalate Metabolites and Their Relationship with Abdominal and General Obesity: Evidence from the Aragon Workers’ Health Study (AWHS)
by Jordan Akritidis, Diana María Mérida, Carolina Torrijo-Belanche, Belén Moreno-Franco, Sofía Gimeno-Ruiz, Jimena Rey-García, María Morales-Suarez-Varela and Pilar Guallar-Castillón
Nutrients 2025, 17(11), 1869; https://doi.org/10.3390/nu17111869 - 30 May 2025
Abstract
Background/Objectives: Phthalates are endocrine-disrupting chemicals that are commonly used in plastic consumer products and food packaging, with growing evidence suggesting that they have a potential role in obesity. This study aimed to investigate the association between urinary concentrations of phthalate metabolites and both [...] Read more.
Background/Objectives: Phthalates are endocrine-disrupting chemicals that are commonly used in plastic consumer products and food packaging, with growing evidence suggesting that they have a potential role in obesity. This study aimed to investigate the association between urinary concentrations of phthalate metabolites and both general and abdominal obesity among adult males in Spain. Methods: We analysed data from 1124 male participants of the Aragon Workers’ Health Study (AWHS) collected between 2011 and 2014 in Zaragoza, Spain. Eleven urinary phthalate metabolites were measured and adjusted for creatinine levels. Multivariate logistic regression models were used to evaluate associations between phthalate exposure and general and abdominal obesity, controlling for dietary and lifestyle factors. Dose–response relationships were explored using restricted cubic spline models. Results: Higher urinary concentrations of di(2-ethylhexyl) phthalate (∑DEHP) and two of its metabolites—mono-(2-ethyl-5-oxohexyl) phthalate (MEOHP) and mono-(2-ethyl-5-hydroxyhexyl) phthalate (MEHHP)—were significantly associated with general obesity. The adjusted odds ratios were: ∑DEHP [OR = 1.26; 95% CI: 1.01, 1.58], MEOHP [OR = 1.24; 95% CI: 1.00, 1.53], and MEHHP [OR = 1.26; 95% CI: 1.03, 1.55]. In contrast, mono-isobutyl phthalate (MiBP) was inversely associated with abdominal obesity [OR = 0.73; 95% CI: 0.57, 0.93]. Conclusions: These findings suggest a positive association between exposure to DEHP and its metabolites and general obesity. This highlights the potential importance of environmental exposures as modifiable factors in obesity prevention and supports the need for further investigation in nutritional and public health contexts. Full article
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12 pages, 8458 KiB  
Case Report
Surgical Management of Intrathoracic Triton Tumors: Insights into Emerging Molecular and Epigenetic Mechanisms with a Case Series of Three Patients
by Alessandro Bonis, Alberto Busetto, Federica Pezzuto, Giulia Pagliarini, Vincenzo Verzeletti, Mario Pezzella, Giorgio Cannone, Eleonora Faccioli, Marco Mammana, Giovanni Maria Comacchio, Alessandro Rebusso, Marco Schiavon, Chiara Giraudo, Fiorella Calabrese, Andrea Dell’Amore, Samuele Nicotra, Angelo Paolo Dei Tos and Federico Rea
J. Mol. Pathol. 2025, 6(2), 10; https://doi.org/10.3390/jmp6020010 - 30 May 2025
Abstract
Malignant Triton Tumors (MTTs) are rare, high-grade malignant peripheral nerve sheath tumors (MPNSTs) frequently associated with Type 1 Neurofibromatosis (NF1). NF1, an autosomal dominant disorder, predisposes approximately 10% of affected individuals to developing MPNSTs, with 50% of these tumors occurring in NF1 patients, [...] Read more.
Malignant Triton Tumors (MTTs) are rare, high-grade malignant peripheral nerve sheath tumors (MPNSTs) frequently associated with Type 1 Neurofibromatosis (NF1). NF1, an autosomal dominant disorder, predisposes approximately 10% of affected individuals to developing MPNSTs, with 50% of these tumors occurring in NF1 patients, while others arise sporadically or in association with radiation exposure. MTTs predominantly affect anatomical regions rich in large nerves, such as the limbs, spinal root, and cranial nerves. Mediastinal presentations are exceedingly rare, posing significant diagnostic and therapeutic challenges. Current treatment strategies include surgical resection, chemotherapy, radiotherapy, and lung-sparing procedures for metastatic disease. Molecular studies of MPNSTs have revealed that NF1 mutations lead to dysregulation of the RAS signalling pathway, while epigenetic alterations (e.g., SUZ12/EED mutations) further contribute to tumor progression. Dysregulated phylogenetically conserved pathways, including Wnt/beta-catenin and non-canonical SHH signalling, play a role in sarcoma progression and Schwann cell transformation. Recent advances in miRNA research highlight their involvement in tumor invasion and progression, with dysregulated miRNA expression and chromatin remodeling contributing to the pathogenesis of these neoplasms. However, the distinct molecular profiles for MTTs remain incompletely understood. Further investigation of the genetic and epigenetic landscape is essential for improving our understanding and identifying potential therapies. Herein, we present a single-center retrospective case series of three patients with an intrathoracic triton tumor treated at our University Hospital between 2000 and 2024, serving as a starting point for future insights into MPNST pathobiology. Full article
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Review
Epigenetic Drivers of Atrial Fibrillation: Mechanisms, Biomarkers, and Therapeutic Targets
by Paschalis Karakasis, Panagiotis Theofilis, Nikias Milaras, Panayotis K. Vlachakis, Dimitrios Patoulias, Theodoros Karamitsos, Antonios P. Antoniadis and Nikolaos Fragakis
Int. J. Mol. Sci. 2025, 26(11), 5253; https://doi.org/10.3390/ijms26115253 - 29 May 2025
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Abstract
Atrial fibrillation (AF) is the most prevalent sustained arrhythmia, associated with significant morbidity, mortality, and healthcare burdens. Despite therapeutic advances, recurrence rates remain high, particularly in persistent AF, underscoring the need for deeper mechanistic insight. Epigenetic regulation—comprising DNA methylation, histone modifications, chromatin remodeling, [...] Read more.
Atrial fibrillation (AF) is the most prevalent sustained arrhythmia, associated with significant morbidity, mortality, and healthcare burdens. Despite therapeutic advances, recurrence rates remain high, particularly in persistent AF, underscoring the need for deeper mechanistic insight. Epigenetic regulation—comprising DNA methylation, histone modifications, chromatin remodeling, RNA methylation, and non-coding RNAs—has emerged as a key contributor to the structural, electrical, and inflammatory remodeling underlying AF. These mechanisms operate at the interface of genetic susceptibility and environmental exposure, offering a dynamic framework for understanding disease progression. Systemic stressors such as aging, obesity, diabetes, hypertension, hypoxia, and alcohol have been shown to induce epigenetic reprogramming in atrial tissue, further promoting atrial cardiomyopathy and arrhythmogenesis. Additionally, circulating epigenetic markers, particularly microRNAs, are being investigated for their potential in AF diagnosis, risk stratification, and therapeutic monitoring. Therapeutic strategies targeting epigenetic pathways—ranging from histone deacetylase inhibitors and miRNA-based therapeutics to CRISPR/dCas9-mediated epigenome editing—are under investigation. Additionally, sodium-glucose cotransporter 2 inhibitors may indirectly influence epigenetic programs and miRNA expression relevant to atrial remodeling. While promising, these approaches require further validation in terms of safety, delivery specificity, and long-term efficacy. High-resolution epigenomic mapping and integrative multi-omic approaches may enhance understanding of AF heterogeneity and enable personalized treatment strategies. This review provides an integrated appraisal of epigenetic mechanisms in AF and outlines their emerging diagnostic and therapeutic relevance. Full article
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