Search Results (606)

Neuromyelitis optica spectrum disorder (NMOSD) is an autoimmune astrocytopathy in which antibodies against the aquaporin-4 (AQP4) water channel produce a stereotyped group of syndromes determined by the anatomical distribution of AQP4 expression. Six core clinical presentations are recognized: optic neuritis, longitudinally extensive transverse myelitis, area postrema syndrome, acute brainstem syndrome, diencephalic syndrome, and cerebral syndrome. Because disability in NMOSD almost always accrues at discrete, treatable relapses rather than through insidious progression, early recognition, supported by prompt AQP4-IgG testing and pattern recognition on MRI, is essential to preserving vision, mobility, and independence. This review summarizes the pathophysiology, clinical and radiologic features, diagnostic evaluation, and differential diagnosis of each core syndrome and synthesizes contemporary evidence for relapse prevention. Over the past decade, the therapeutic landscape has been transformed: agents targeting complement (eculizumab, ravulizumab), the interleukin-6 receptor (satralizumab, tocilizumab), and B cells (rituximab, inebilizumab) now have randomized evidence of efficacy in seropositive disease, with complement inhibitors ranking highest across indirect treatment comparisons. Evidence in seronegative disease remains limited, no approved agents have been compared head-to-head, and the optimal role of early plasma exchange is unsettled. Emerging neuroprotective strategies and chimeric antigen receptor T-cell therapy, both of which remain experimental, may further expand options for refractory disease. Once uniformly disabling, AQP4-IgG NMOSD is now a highly treatable condition in which timely diagnosis and sustained immunotherapy can meaningfully alter long-term outcomes. Full article

Chronic constipation is a prevalent functional gastrointestinal disorder with limited long-term treatment options. This study examined whether a fucoidan preparation derived from Sargassum fusiforme (SF) ameliorates loperamide (LOP)-induced constipation in male ICR mice. SF was administered by oral gavage at 50, 100 or 200 mg/kg/day for 35 days, and constipation was induced with LOP (5 mg/kg) during the final 7 days; the design is therefore preventive rather than therapeutic. Defecation endpoints were recorded at the cage level (n = 3 cages per group) and fecal moisture in individual mice (n = 7 per group), whereas colonic cytokine and myeloperoxidase (MPO) measurements (n = 3–4 per group) and Western blot analyses (n = 3 per group) were performed in a small subset of animals, and histological analyses in n = 6–8 per group. SF increased fecal output and fecal moisture content with increasing dose; at 200 mg/kg the relative fecal number returned to the level of the Vehicle control group, although the absolute daily pellet count remained lower than that of the Vehicle control and of the Positive control group. SF administration was associated with lower colonic TNF-α, IL-6, IL-1β and MPO concentrations, with reduced phosphorylation of p38, JNK and ERK, with higher C-kit and stem cell factor (SCF) levels, with normalization of the LOP-induced increase in aquaporin-3 (AQP3), and with recovery of colonic mucosal thickness and mucin content. 16S rRNA gene sequencing showed a shift in fecal microbiota community structure (PERMANOVA p = 0.0002) and a dose-related increase in the combined relative abundance of Lactobacillus and Bifidobacterium, without a reduction in alpha diversity. These findings indicate that SF ameliorates LOP-induced constipation in male mice and that this effect is accompanied by changes in colonic inflammatory signaling, motility-related protein expression, mucosal architecture and gut microbiota composition. Full article

As a natural purine metabolite, inosine’s impact on kidney-related diarrhea through its influence on gut microbiota and associated metabolic functions remains unclear. Kidney-related diarrhea was induced in male KM mice. Histopathological alterations and inflammatory infiltration were assessed using hematoxylin and eosin (HE) staining. ELISA was used to measure corticosterone (CORT), antidiuretic hormone (ADH), and adenosine triphosphate (ATP) to assess metabolic status and fluid homeostasis. Immunohistochemistry (IHC) staining techniques, Real-Time Quantitative Polymerase Chain Reaction (RT-qPCR), and Western blot (WB) were used to analyze the expression of aquaporin-4 (AQP4), AMP-activated protein kinase (AMPK), nuclear factor kappa-B (NF-κB), and adenosine A2A Receptor (A2AR). Gut microbiota composition and predicted functional pathways were analyzed using 16S rRNA sequencing and KEGG-based functional prediction, followed by correlation analyses between the microbiota and factors. Inosine improved renal function, alleviated renal and colonic histopathological damage, and reduced inflammatory infiltration. It also increased ATP, ADH, and CORT levels, indicating improvements in metabolic and fluid-balance-related factors. Inosine also increased A2AR, AMPK, and AQP4 expression while decreasing NF-κB expression. Moreover, inosine altered gut microbial composition and was associated with differences in predicted microbial functional pathways. Significant correlations were observed between specific bacterial taxa and host indicators. Inosine alleviated kidney-related diarrhea in mice, accompanied by improvements in metabolic status and fluid homeostasis, reduced inflammation, modulation of A2AR/AMPK/NF-κB-related signaling pathway, and alterations in gut microbial composition. Further studies are required to clarify the causal contributions of gut microbial composition and functional activity to the beneficial effects of inosine. Full article

The glymphatic system is a recently defined perivascular waste elimination pathway responsible for the efficient clearance of metabolic waste and neurotoxic proteins in the central nervous system. This system facilitates the entry of cerebrospinal fluid (CSF) into the brain parenchyma via arterial perivascular spaces and its interaction with interstitial fluid (ISF) via glial cell-associated aquaporin-4 (AQP4) channels. It functions particularly actively during sleep. Impairment of glymphatic flow contributes to nerve cell damage and neuroinflammation in various pathologies such as Alzheimer’s disease, Parkinson’s disease, traumatic brain injury, subarachnoid hemorrhage, and neurological tumors. In neurosurgical practice, surgical positioning, anesthesia regimen, and intracranial pressure changes play a decisive role in glymphatic function, and perioperative modulation of the system can affect postoperative recovery and cognitive outcomes. Today, non-invasive imaging techniques and molecular biological approaches are deepening our understanding of the functioning of the glymphatic system in humans, and this system is emerging as a potential target in the diagnosis and treatment of neurological diseases. This review comprehensively addresses the basic anatomical and physiological principles of the glymphatic system, its role in pathological processes, and its clinical significance in neurosurgical applications. Full article

Salt stress represents a major constraint on the productivity of lotus (Nelumbo nucifera), an aquatic crop of significant ornamental, nutritional, and medicinal value. Although aquaporins (AQPs) are key regulators of plant water and solute homeostasis, the genomic organization and stress-responsive functions of this gene family in lotus remain largely uncharacterized. In this study, a total of 32 NnAQP genes were identified in the lotus genome and classified into five subfamilies. Segmental duplication was identified as the primary driver of family expansion under strong purifying selection. Expression profiling revealed broad transcriptional activity across various tissues, and qRT-PCR analysis demonstrated that NnPIP2-7 was significantly and sustainedly induced under salt stress. Subcellular localization confirmed that NnPIP2-7 is targeted to the plasma membrane. Heterologous overexpression of NnPIP2-7 in Arabidopsis thaliana significantly improved seed germination and primary root elongation under saline conditions. Crucially, transgenic plants exhibited enhanced osmotic adjustment and elevated antioxidant capacity, resulting in reduced oxidative damage compared to wild-type plants. These findings establish the evolutionary trajectory of the lotus AQP family and demonstrate the core regulatory role of NnPIP2-7 in plant salt stress adaptation. Full article

Dry eye disease (DED) is a multifactorial ocular surface disorder characterized by inflammation, oxidative stress, tear film instability, and secretory dysfunction. This study investigated the protective effects of Lute-gen^®, a lutein and zeaxanthin-based formulation, in both in vitro and in vivo DED models. Human corneal epithelial (HCE-T) cells were stimulated with TNF-α, while dry eye was induced in female Sprague–Dawley rats using subcutaneous scopolamine (SCP) administration. In HCE-T cells, Lute-gen^® showed no cytotoxicity, restored cell viability, reduced intracellular ROS, and was associated with increased expression of antioxidant-related markers (Nrf2, HO-1, SOD, CAT, and GPx), reduced expression of inflammatory mediators (TLR4/MyD88/NF-κB/NLRP3), and increased expression of AQP3 and AQP5. In SCP-induced rats, Lute-gen^® significantly improved tear secretion and reduced corneal fluorescein staining. Histopathological analyses revealed restoration of conjunctival goblet cells, mucin staining, corneal epithelial integrity, acinar area and cell density, and lacrimal gland architecture, with reduced inflammatory infiltration. Immunofluorescence further demonstrated reduced TLR4 and MMP9 immunoreactivity and decreased CD68⁺ inflammatory cell infiltration. Molecular analyses showed reduced expression of inflammatory cytokines and NF-κB/MAPK/MMP signaling-related inflammatory mediators, together with restoration of AQP1, AQP3, and AQP5 expression in corneal tissues. Collectively, these findings suggest that Lute-gen^® treatment was associated with improvements in dry eye-related pathological changes, including restoration of antioxidant-related markers, attenuation of inflammatory responses, restoration of aquaporin expression, and preservation of ocular surface and lacrimal gland integrity. These preclinical findings support further mechanistic investigations and the future clinical evaluation of Lute-gen^® as a potential nutritional intervention for dry eye disease. Full article

Background: The axillary microbiome is a major contributor to body malodor generation through bacterial metabolism of apocrine and eccrine secretions. Dysbiosis of this microbial community, particularly through overgrowth of odorigenic species such as Staphylococcus aureus, is associated with increased volatile compound production and local skin inflammation. Heat-treated postbiotics represent a promising class of cosmetic ingredients combining microbiological safety with retained bioactive properties. Objective: We aimed to evaluate the in vitro safety, molecular mechanisms, antipathogen and anti-inflammatory properties of heat-treated Lacticaseibacillus rhamnosus Skinbac™ SB06, and to assess the antiperspirant and deodorant efficacy of a deodorant spray formulation containing 1% SB06 in a controlled clinical study. Methods: In vitro studies assessed cytotoxicity (MTT/LDH assays), Aquaporin-3 (AQP3) expression, reactive oxygen species (ROS) production, antipathogen activity against Staphylococcus aureus (AlamarBlue assay), cytokine modulation (TNF-α, IL-6, IL-8, IL-23) in Normal Human Epidermal Keratinocytes (NHEK) and Peripheral Blood Mononuclear Cells (PBMCs), and axillary microbiome compatibility against Corynebacterium striatum, Staphylococcus epidermidis, and Staphylococcus hominis by viable plate count (CFU/mL). Clinically, a randomized split-body study (n = 20) evaluated antiperspirant effectiveness by gravimetric sweat collection and deodorant efficacy by expert olfactory panel (Likert 1–5) at 24 and 48 h. Results: In vitro testing confirmed the safety of SB06 (MTT and LDH, both non-significant vs. control). SB06 significantly increased AQP3 expression (+20%, p < 0.001) and significantly reduced ROS production (−48%, p < 0.05). Antipathogen testing showed significant reduction in S. aureus planktonic viability (−7%, p < 0.05). Microbiome compatibility testing on selected axillary-associated strains showed a differential compatibility profile, with the strongest inhibitory effect observed for C. striatum (13% residual viability at T24h, corresponding to 87% inhibition), near-complete preservation of S. epidermidis (92% residual viability at T48h), and a mild reduction in S. hominis (−15% at T48h). Cytokine modulation showed significant IL-8 and IL-23 reduction in NHEK (both p ≤ 0.05) and immunostimulatory activity in PBMCs. Clinically, SB06 reduced sweat production vs. placebo by −21.8% at T24 (p = 0.0009) and −10.0% at T48 (p = 0.0495), with significantly lower odor intensity at both timepoints (median score 3 vs. 4, p < 0.0001). Conclusions: Heat-treated L. rhamnosus SB06 showed a multimodal in vitro profile including antipathogen, anti-inflammatory, antioxidant, and AQP3-upregulating activities, and was associated with statistically significant antiperspirant and deodorant effects in a randomized controlled split-body study. These findings are consistent with SB06 being a functional postbiotic ingredient with potential for deodorant and antiperspirant applications, pending confirmation in larger controlled studies. Full article

Introduction: Biallelic pathogenic variants in DNAJC30 cause an autosomal recessive form of Leber hereditary optic neuropathy (LHONAR1), traditionally considered a mitochondrially transmitted disorder. The phenotypic spectrum of diseases linked to DNAJC30 includes isolated optic neuropathy, Leigh syndrome spectrum (LSS), and atypical LHON-plus. Case description: Here, we report a 13-year-old boy presenting symptoms of area postrema syndrome (APS), with recurrent vomiting, vertigo, nystagmus, and subacute visual deterioration with central scotoma. Ophthalmological examination revealed bilateral papilledema with telangiectatic vessels, while visual evoked potentials demonstrated severe bilateral optic pathway dysfunction. Brain magnetic resonance imaging (MRI) showed T2/FLAIR hyperintense lesions involving the area postrema and enhancement of the optic nerves, strongly suggesting seronegative neuromyelitis optica spectrum disorder (NMOSD). Extensive immunological and cerebrospinal fluid studies, including anti-aquaporin-4 (AQP4) and anti-MOG antibodies, were negative. High-dose corticosteroids and intravenous immunoglobulins resulted in only transient and incomplete improvement, followed by further visual decline. Additionally, laboratory tests detected elevated lactate plasma levels. Hence, whole-exome sequencing was performed, which identified a homozygous pathogenic DNAJC30 c.152A>G, p.(Tyr51Cys) variant, associated with LHONAR1. After initiation of idebenone therapy, the patient showed significant improvement in visual function, normalization of lactate levels, and complete resolution of the brainstem lesions on follow-up MRI. Conclusions: This case further expands the neuro-ophthalmic spectrum associated with DNAJC30 variants and suggests that DNAJC30-related disease may closely mimic seronegative NMOSD. We highlight that early genetic diagnosis is essential, as recognition of this mitochondrial etiology enables targeted therapy and may substantially improve clinical outcomes. Full article

The protective effect of Compound terminalia chebula extract (HL) against colonic injury induced by Porcine epidemic diarrhea virus (PEDV) infection in neonatal piglets remains unclear. This study aimed to evaluate the mitigating effects of HL on PEDV-induced colonic injury and elucidate the underlying mechanisms. Eighteen 7-day-old Duroc × Landrace × Large White piglets (2.58 ± 0.05 kg) were randomly assigned to three groups (n = 6/group): CON (blank control), PEDV (infected), and HL + PEDV (HL-supplemented + infected). The 11-day trial included 3 days of acclimatization (days 0–3) and an 8-day experimental period (days 4–11). HL (10 mg/kg BW) was orally administered daily to the HL + PEDV group. On day 8, PEDV and HL + PEDV groups were challenged with 3 mL PEDV (3 × 10⁶ TCID₅₀/mL), while CON received Dulbecco’s Modified Eagle Medium (DMEM). All piglets were euthanized on day 11 for colonic tissue collection. Results indicated that PEDV infection induced colonic injury, manifested by a significant increase in crypt depth and disruption of intestinal homeostasis. This was evidenced by impaired barrier integrity (upregulation of matrix metalloproteinase-7 gene [MMP7] and matrix metalloproteinase 13 gene [MMP13], mucus disorganization (elevation of mucin 5AC gene [MUC5AC]), oxidative stress (reduced catalase [CAT] activity and increased malondialdehyde [MDA] levels in serum and colon), and inflammation (upregulation of regenerative islet-derived protein 3γ gene [REG3G], S100 calcium-binding protein A8/A9 gene [S100A8/A9], and interleukin-1β gene [IL-1β]). Additionally, PEDV impaired colonic ion transport by downregulating calcium channel genes (Transient Receptor Potential Cation Channel Subfamily V Member 6 gene [TRPV6], Transient Receptor Potential Cation Channel Subfamily M Member 6 gene [TRPM6]). Notably, HL supplementation effectively reversed these adverse effects. HL restored colonic morphology, increased CAT activity, reduced MDA accumulation, and suppressed inflammatory gene expression. Furthermore, HL modulated the expression of genes involved in water and ion transport upregulating Aquaporin 7 gene (AQP7), Chloride Channel Accessory 4 gene (CLCA4), Sodium-Hydrogen Exchanger 3 gene (NHE3), Transient Receptor Potential Vanilloid 6 (TRPV6), and Transient Receptor Potential Melastatin 6 gene (TRPM6) and significantly inhibited PEDV replication, as indicated by the downregulation of the transcription levels of PEDV membranegene (M), nucleocapsid gene (N), and spike gene (S). Taken together, HL alleviates PEDV-triggered colonic tissue damage in suckling piglets via improving colonic antioxidant capacity, mitigating inflammatory response, partially regulating intestinal barrier and ion/water transport-related genes, and downregulating the transcription of PEDV structural genes at molecular and histological levels. Full article

As a novel membrane treatment technology, forward osmosis (FO) has become a research hotspot in the field of membrane technology owing to its advantages such as low energy consumption and low pollution. Nevertheless, this technology still faces notable limitations, including lower water flux than reverse osmosis (RO), difficult regeneration of draw solutions, limited commercial membrane types, and unavoidable reverse solute flux, which restrict its large-scale industrial application. This paper reviews the characteristics of forward osmosis membranes, the classification of draw solutions, the characteristics of membrane fouling, as well as the applications and development trends of forward osmosis technology. Common FO membranes include cellulose acetate (CA) membranes, thin-film composite (TFC) membranes fabricated by interfacial polymerization, and aquaporin (AQP)-based biomimetic membranes. According to the types of draw solutes, draw solutions can be classified into gaseous solutions, organic compound solutions, inorganic compound solutions, magnetic nanoparticle-based draw solutions, polymer gel draw solutions, etc. Since FO is operated without external hydraulic pressure, it exhibits lighter membrane fouling compared with pressure-driven membrane separation technologies. FO membrane fouling can be mainly divided into four categories according to fouling types: inorganic fouling, organic fouling, colloidal fouling, and biofouling. FO technology has a wide range of applications and plays an important role in seawater desalination, pressure-retarded osmosis (PRO) power generation, wastewater treatment and reuse, and the energy field. Notably, the reconcentration and regeneration of draw solutions remain major energy and economic limitations restricting the large-scale deployment of FO. As a promising treatment technology, with continuous technological advances in membrane materials and draw solutions, FO will play a significant role in the energy field, especially in lithium extraction from geothermal water, promoting the iteration of forward osmosis technology from a “water treatment technology” to a “core technology for energy and resource recovery”. Full article

Plasma membrane intrinsic proteins (PIPs), a subfamily of aquaporins (AQPs), play critical roles in various physiological processes in plants, including the transport of water and CO₂, regulation of stomatal movement, absorption of neutral molecules and nutrients, and H₂O₂ signaling. Nevertheless, the functions of PIP aquaporins in adventitious root formation in trees are still poorly understood. PtrPIP2:4 is specifically expressed in roots, and PtrPIP2:4 fused with GFP localizes to the plasma membrane. Overexpression of PtrPIP2:4 significantly accelerated adventitious root induction in poplar. Stem cuttings from overexpression lines exhibited more rapid rooting compared to wild-type (WT) plants, although the total number of adventitious roots did not differ significantly. Additionally, the number of lateral roots was markedly increased in PtrPIP2:4 overexpression lines. Comparative transcriptome analysis identified 4204 differentially expressed genes (DEGs) between WT and PtrPIP2:4 overexpression plants. Transcriptomic analysis revealed that genes associated with auxin-related and flavonoid biosynthesis were significantly enriched. RT-qPCR results showed that the transcription levels of nine auxin-related genes (i.e., PtrARF, PtrIAA, PtrGH3 and PtrPIN) were significantly upregulated, while the transcription levels of five flavonoid synthesis genes (i.e., PtrDFR, PtrANS, PtrANR and PtrLAR) were also significantly upregulated. Previous studies have implicated these genes in adventitious root formation. Collectively, these findings reveal that PtrPIP2:4 accelerates adventitious root emergence, promotes adventitious root elongation, and increases lateral root number while the total number of adventitious roots exhibited no significant difference in poplar, suggesting its potential utility in improving tree propagation and breeding strategies. Full article

The molecular coordination between the central nervous system and peripheral organs is fundamental to euryhalinity. This study elucidates the distinct adaptive strategies of the brain and gills in the four-finger threadfin (Eleutheronema tetradactylum), an aquaculture species of growing importance, during long-term (30-day) acclimation to low salinity (5 versus 25 control). A profound dichotomy in tissue-specific plasticity was uncovered: while the brain maintained remarkable transcriptional stability with only 10 differentially expressed genes (DEGs), the gills underwent extensive remodeling with 702 DEGs. Gill DEGs were functionally enriched in ion transport and metabolic remodeling, highlighted by the significant upregulation of the Na⁺-Cl⁻ cotransporter (slc12a10) and the prolactin receptor (prlr), coupled with a profound downregulation (log₂FC = −5.97) of aquaporin-1 (aqp1). This indicates a concerted strategy to enhance ion uptake while minimizing water permeability. In contrast, the brain’s subtle response was dominated by the upregulation of key neuroendocrine hormones, including growth hormone (gh), prolactin (prl), and pro-opiomelanocortin (pomc). This suggests a top-down regulatory cascade. Integrative pathway analysis identified the PI3K-Akt and JAK-STAT signaling pathways as the primary conduits linking central hormonal signals to peripheral physiological adjustments. These results demonstrate that the euryhalinity of E. tetradactylum is achieved through a highly efficient strategy: a transcriptionally stable brain provides precise endocrine commands that orchestrate robust peripheral remodeling in the gills. This study deciphers the molecular basis of the brain–gill axis in osmoregulation and provides a rich repository of candidate genes for the genetic improvement of low salinity tolerance in aquaculture. Full article

Clear cell renal cell carcinoma (ccRCC) is notorious for its clinical unpredictability. While Aquaporin-1 (AQP1) is a major water channel in healthy kidneys, its specific role and regulatory mechanisms in ccRCC remain unclear. Using bioinformatics analysis of 610 TCGA-KIRC patients (RNA sequencing and DNA methylation), single-cell transcriptomics of 27,402 cells, and experimental validation (CCK-8, scratch, Transwell, and xenograft assays, with Western blotting, HE staining, and immunohistochemistry), we systematically characterized AQP1 expression, regulation, and function. AQP1 was significantly downregulated in ccRCC via promoter hypermethylation, with single-cell analysis confirming tumor cell-specific loss. Low AQP1 correlated with worse prognosis; multivariate Cox regression identified AQP1 as an independent protective factor (HR = 0.510, p < 0.001), and a prognostic nomogram showed good predictive accuracy for 1-, 3-, and 5-year survival. AQP1 overexpression suppressed proliferation, migration, invasion, and xenograft growth, accompanied by upregulation of TNF-α, TNFRSF1A, Bax, and Cleaved Caspase-3 and reduced Vimentin, suggesting activation of TNF-related pro-apoptotic signaling. AQP1 is epigenetically silenced in ccRCC and suppresses tumor growth via TNF-mediated apoptosis, establishing it as an independent prognostic biomarker and candidate therapeutic target. Full article

Aims: The effects of two Lactiplantibacillus plantarum strains and their probiotics on loperamide-induced constipation in mice were compared, and the possible mechanisms of the two strains in alleviating constipation were explored. Methods: KM mice were divided into the normal group, model group, positive control group, LTJ53 group, LP11824 group, HK-LTJ53 group and HK-LP11824 group. Loperamide was used to induce constipation in the mice. The study examined changes in defecation time, intestinal propulsion rate, gastric emptying rate, gastrointestinal peptides, colon histology, expression of intestinal barrier function genes, gut microbiota, and short-chain fatty acids (SCFAs). Results: Both live and postbiotic forms of L. plantarum significantly shortened defecation time, improved gastric emptying and intestinal motility, increased the levels of 5-hydroxytryptamine (5-HT), gastrin (GAS) and motilin (MTL), decreased the level of vasoactive intestinal peptide (VIP), restored colon morphology, upregulated the expression of Zonula Occludens-1 (ZO-1), mucin 2 (MUC2) and aryl hydrocarbon receptor (AhR), and downregulated the expression of aquaporin 4 (AQP4). They can also regulate the composition of the gut microbiota and alter the levels of SCFAs. Strain-specific effects were observed: LTJ53 was more effective in improving weight loss and gastric emptying, while LP11824 showed stronger efficacy in promoting small intestinal motility. Conclusions: L. plantarum and its postbiotics can relieve constipation through regulating the intestinal flora, enhancing gastrointestinal motility, adjusting the levels of neurotransmitters, and improving the intestinal barrier function. The specific effects of the two strains can support the selection of function-oriented precise intervention. Full article

Background: Meningiomas exhibit considerable biological heterogeneity that is not fully captured by histopathological grading. Tissue-based molecular markers may provide complementary insight into tumor biology within routine diagnostic settings. Methods: Formalin-fixed paraffin-embedded tissue samples from 65 intracranial meningiomas and 13 non-neoplastic controls were analyzed. Aquaporin-4 (AQP4) expression was assessed using immunohistochemistry, while miR-216a, miR-320a, and LINC00461 levels were quantified by means of RT-qPCR. Expression patterns were compared across groups and evaluated in relation to histological grade. Results: AQP4 expression was significantly reduced in meningiomas compared with controls and showed a further decrease in higher-grade tumors. Although expression of miR-216a and miR-320a was also lower in tumor samples, these differences did not reach statistical significance. Correlation analysis revealed modest but significant associations between AQP4 and miR-216a, as well as between miR-216a and miR-320a. Individual markers demonstrated limited discriminatory performance; however, combined expression patterns suggested underlying molecular variability across tumor grades. Conclusions: Our findings indicate that AQP4 downregulation represents a consistent feature in meningiomas, while associated microRNA alterations may reflect coordinated but context-dependent expression patterns. Although these markers are not sufficient as standalone diagnostic tools, their combined tissue-level assessment may provide complementary information on tumor heterogeneity. These findings should be interpreted as exploratory and highlight the need for further validation in larger and mechanistic studies. Full article