Search Results (515)

Objective: To compare the efficacy and safety of gas-based therapies for chronic wounds using a systematic review and network meta-analysis (NMA). Methods: Following PRISMA 2020, we systematically searched PubMed, Embase, Web of Science, Cochrane CENTRAL, and CBM from inception to 1 October 2025, screened studies in duplicate, and resolved disagreements by arbitration (κ = 0.87). Randomized controlled trials (RCTs) enrolling adults with chronic wounds were eligible; the primary endpoint was complete wound healing. Pairwise meta-analysis used risk ratios (RRs) with 95% CIs; heterogeneity was assessed with Q/I² and random-effects models were applied when appropriate. A frequentist NMA synthesized direct and indirect evidence, and treatments were ranked with SUCRA. Publication bias (Egger/Begg) and evidence certainty (GRADE) were evaluated. Results: Twenty-seven RCTs comprising 1673 participants were included. In pairwise pooling, gas therapies significantly increased complete healing versus standard care (random-effects RR = 2.17, 95% CI 1.61–2.94), with substantial heterogeneity (I² = 75.7%); results were directionally consistent and robust to sensitivity analyses. Prespecified subgroup analyses suggested effect modification by intervention type and wound etiology. In the NMA, most gas modalities showed beneficial trends versus standard care; however, SUCRA ranking placed standard care highest (93.9%), a finding attributed by the authors to network structure and between-study variability. Ozone therapy and topical oxygen ranked next, whereas HBOT and cold atmospheric plasma ranked mid-range; CO₂ therapy ranked lowest due to sparse evidence. Small-study effects were likely (Egger p < 0.001; Begg p = 0.013), and overall certainty was graded as moderate, limited primarily by heterogeneity, imprecision, and potential publication bias. Conclusions: Across RCTs, gas therapies as a class improve the probability of complete healing in chronic wounds relative to standard care, but effect sizes vary by modality and wound type. Given heterogeneity, possible publication bias, and inconsistencies within the evidence network, these findings should be applied with caution. HBOT remains the modality supported by the broadest evidence base, while large, high-quality, multicenter RCTs are needed to refine comparative effectiveness and safety rankings across gas therapies. Full article

Fenvalerate residues on edible mushrooms pose significant risks to food safety and aquatic ecosystems. This study investigated the efficiency, degradation mechanisms, toxicity evolution, and quality effects of atmospheric cold plasma (ACP) for removing fenvalerate from shiitake mushrooms. Fenvalerate degradation increased with ACP treatment voltage and exposure time, reaching a maximum efficiency of 82.5% at 80 kV for 15 min. Quantum chemical calculations based on Fukui functions and frontier molecular orbitals identified phenoxy and chlorophenyl moieties as primary reactive sites. High-performance liquid chromatography–tandem mass spectrometry revealed degradation pathways dominated by hydroxylation, ester bond cleavage, and oxidative transformations. Toxicity assessment using ECOSAR predictions and yeast bioassays demonstrated substantial reductions in acute and chronic toxicity by ACP treatment, although some intermediates retained residual toxicity. In addition, ACP preserved mushroom quality during refrigerated storage. Overall, ACP represents a promising non-thermal strategy for pesticide detoxification while preserving edible mushroom quality. Full article

The prolonged low temperature in cold regions significantly inhibits the initiation of straw composting and lignocellulose degradation, thereby restricting straw resource utilization. In this study, 24 cellulose-degrading strains capable of stable growth under low-temperature conditions were screened. Based on multiple indicators, including carboxymethyl cellulase (CMCase) activity, strain LDT1 was identified as the best-performing isolate under low-temperature conditions and as Paenarthrobacter nitroguajacolicus. Subsequently, an efficient mutant strain, LDT1-8, was obtained through atmospheric and room-temperature plasma mutagenesis. The CMCase activity of LDT1-8 at 10 °C increased to 74.25 U/mL, representing a 21.72% increase compared to the wild-type strain. In a straw degradation system at 10 °C, LDT1-8 significantly accelerated early-stage degradation kinetics, with straw degradation rates at 3 and 6 d being 72.72% and 38.15% higher than those of the wild-type strain, respectively. Multi-enzyme profiling further indicated enhanced activities of multiple lignocellulose-degrading enzymes at low temperatures, accompanied by a partial shift in the optimal temperature of some enzymes (e.g., laccase) toward lower temperatures. Whole-genome sequencing revealed increased gene numbers related to energy, amino acid, and lipid metabolism in LDT1-8. Comparative genomic analysis suggested that mutations were mainly enriched in regulatory regions, accompanied by local structural variations. Transcriptional analyses further verified the coordinated upregulation of genes involved in cellulose and hemicellulose degradation, cold adaptation, and transcriptional and protein homeostasis processes in LDT1-8. Overall, this study provides an efficient microbial resource and a mechanistic basis for straw bioconversion in cold regions. Full article

Cold atmospheric plasma (CAP) combined with pulsed electric fields (PEF) demonstrates synergistic cytotoxicity against HeLa cells; however, the differential contributions of short-lived versus long-lived reactive oxygen and nitrogen species (RONS) remain unclear. This study compared direct CAP treatment with indirect CAP-treated liquid treatment, both followed by PEF, to elucidate underlying mechanisms. Direct CAP + PEF treatment resulted in significantly greater cell death than indirect CAP + PEF, with both showing synergistic effects relative to single treatments. Analysis of intracellular RONS and membrane integrity revealed that direct CAP treatment enhanced intracellular RONS levels and PEF-induced membrane permeabilization immediately after treatment. Time-course analysis demonstrated that hydrogen peroxide specifically inhibits membrane resealing following PEF-induced electroporation, as evidenced by progressive calcein leakage over 20 min, while immediate pore formation remained unaffected. Catalase rescue experiments confirmed that hydrogen peroxide removal prevented progressive membrane damage without affecting immediate pore formation, thereby restoring cell viability. These findings identify hydrogen peroxide-mediated inhibition of membrane resealing as a novel mechanism underlying synergistic cytotoxicity, distinct from immediate membrane damage. This two-phase mechanism provides new insights for optimizing plasma-based cancer therapies. Full article

The sustainable processing of coffee requires not only improving the efficiency of conventional operations but also advancing the recovery and valorization of bioactive compounds across the coffee value chain. In this context, emerging technologies offer eco-efficient alternatives to conventional extraction methods. This review summarizes recent advances in ultrasound-assisted extraction (UAE), high-pressure extraction (HPE), cold atmospheric plasma (CAP), and microwave-assisted extraction (MAE) applied to coffee beans and major coffee side streams, including pulp, husk, parchment, silverskin, and spent coffee grounds. The physicochemical principles of each technology, the main operating parameters, and their influence on extraction yield, phenolic composition, antioxidant capacity, and heat-sensitive compound preservation are discussed. Furthermore, potential synergies between combined techniques (UAE-MAE or HPE-UAE) and trends toward industrial scaling and integral valorization within a circular economy framework are highlighted. Overall, the evidence indicates that emerging technologies can intensify coffee extraction processes, increase phenolic recovery (often achieving up to two-fold improvements in total phenolic content compared to conventional techniques), and significantly reduce processing times (commonly reaching 2.5–15 min), supporting more sustainable and industrially relevant value chains. Full article

Fresh fish is a highly nutritious and widely consumed product that remains highly perishable due to its chemical composition. Conventional preservation methods, such as chilling and freezing, are effective at inhibiting microbial growth but often compromise nutritional and organoleptic quality. Advanced thermal techniques, including supercooling and cryogenic storage, can extend shelf life to approximately 180 days but involve high infrastructure costs and potential sensory alterations. In response, non-thermal technologies have emerged as promising alternatives capable of minimizing microbial and enzymatic deterioration while reducing oxidative and sensory damage. These include high-pressure processing, cold plasma, gamma irradiation, advanced packaging systems (e.g., modified atmospheres, edible coatings), and natural antioxidants. However, such methods face limitations such as lipid oxidation, flavor changes, and scalability issues, highlighting the need for integrated preservation strategies. This study addresses a critical gap in the application of synergistic, multi-hurdle approaches that combine non-thermal technologies to enhance shelf life without compromising nutritional or sensory quality. It is essential to propose tailored and scalable solutions specific to fishery products to advance the development of sustainable and effective preservation systems that meet the practical needs of the seafood industry. Full article

The occurrence of contact lens complications caused by inadequate cleaning of the lenses using “All-in-One” contact lens cleaning solutions (CLCSs) represents a medically relevant problem worldwide. This study explores the potential of cold atmospheric plasma (CAP) to enhance the efficacy of CLCSs and address complications from inadequate lens hygiene. It was examined whether exposure to CAP for 1–24 h could boost the antibacterial effects of CLCSs and other solutions, including Milli-Q water (M-QW), physiological saline (NaCl), and Dulbecco’s Phosphate Buffered Saline (DPBS). Additionally, the stability of reactive oxygen and nitrogen species (RONS) and their impact on pH immediately after treatment and over 1–4 weeks was assessed. Furthermore, the cleaning efficacy of plasma-activated solutions (PASs) was tested on lipid-coated silicone hydrogel lenses. Results showed that CAP increased RONS concentrations immediately, with elevated levels persisting over time. While no significant improved antibacterial effect was observed against Escherichia coli in CLCSs, CAP treatment generated disinfectant properties in M-QW and NaCl solutions. Importantly, CAP-treated CLCSs significantly improved the cleaning performance on lipid-coated lenses, though M-QW’s cleaning ability worsened post-treatment. pH measurements indicated notable decreases in M-QW and NaCl after CAP, whereas buffered solutions like CLCSs and DPBS remained stable. Overall, CAP demonstrates promise for contact lens disinfection and surface modification; however, further research and pre-clinical trials are necessary before clinical application in ophthalmology. Full article

A novel system aiming to electrically supply various cold plasma generators is proposed. It operates as a programmable linear current source which is able to maintain a dc constant discharge current at various discharge voltages required to sustain the plasma jet. Its design is based on a specific electronic device called a switchable current regulator, which considerably simplifies the circuit topology. Experimental results carried out in real operating conditions confirm the practical purpose of the proposed solution. Full article

Breast cancer (BC) is the most diagnosed cancer among women and ranks as the fourth leading cause of cancer-related deaths worldwide. Current main treatments have significant issues, including a lack of selectivity for tumor cells. Over the past decade, cold atmospheric plasma (CAP) has been examined as possible therapy for cancer. Therefore, this systematic review aimed to understand if there is selectivity of CAP or plasma-activated solutions (PAS) for BC cell lines in vitro. The research in PubMed, Embase, Web of Science, and Cochrane databases resulted in 243 articles, and of these, 32 in vitro studies were included. MDA-MB-231 and MCF-10A cells were the most used. MTT, MTS, SRB, trypan blue, clonogenic, resazurin, luciferin, annexin-V/propidium iodide, reactive oxygen species (ROS), and scratch assays were carried out. This research showed that CAP and PAS tended to reduce the viability of cancer cells, causing less damage to nonmalignant cells, demonstrating selective or partial selectivity toward cancer cells. One of the mechanisms potentially underlying this selectivity is the elevated ROS basal levels typically found in cancer cells. These high ROS levels may lead to increased expression of membrane aquaporins and a reduced capacity for antioxidant defense, contributing to heightened membrane permeability and vulnerability to oxidative damage. Additionally, the treatments also tended to reduce the migration of BC cells. CAP treatment enhanced several other therapies’ effectiveness. However, the differences in experimental protocols, treatment approaches, equipment features, and exposure times observed across the studies made it impossible to carry out the planned meta-analysis. Existing in vitro evidence indicates that CAP/PAS exhibit partial selectivity for breast cancer cells, but due to the heterogeneity in experimental protocols, the consistency of selectivity remains to be verified. Further research is needed to elucidate their mechanisms of action and to standardize experimental methods. Full article

The effect of cold atmospheric plasma (CAP) (a pin-to-liquid DBD) (28–32 kV, 1–10 min) on virgin olive oil (VOO) lipid oxidation was kinetically investigated. Quality assessment was performed (bioactive compound concentrations and fatty acid profiles) while the samples were further characterized by Fourier Transform Infrared (FTIR) spectroscopy and proton Nuclear Magnetic Resonance (¹H NMR). Intense processing (>5 min and voltages > 31 kV) significantly affected the quality of VOO, enhancing the oxidative reactions. CAP treatment led to an eight-fold increase in peroxide values and to a decrease in total antioxidants by up to 80% compared to untreated VOO. Carbonyl compounds (aldehydes, carboxylic acids) and hydroperoxide intermediates were the main oxidation products, while polyunsaturated fatty acids (PUFAs) dropped from 81.17% to 76.51%. The double bonds in the acyl chains were also highly reactive and facilitate the oxidation and subsequent fragmentation of the VOO. Full article

This study evaluated the effects of atmospheric cold plasma (ACP) treatment duration on the physicochemical and functional properties of hazelnut protein. Proteins were extracted from defatted hazelnut flour and subjected to ACP for 0, 2, 4, 6, and 8 min. The results demonstrated that ACP treatment significantly modified protein characteristics: it generally reduced particle size and increased absolute zeta potential, with the smallest particles observed after 4 and 6 min of treatment. Concurrently, a decrease in L, a, and b color values indicated sample darkening with extended processing. Structural analysis revealed that ACP induced changes in protein secondary structure, leading to a significant increase in surface hydrophobicity and a decrease in free sulfhydryl content. These structural and physicochemical modifications, particularly the enhanced surface hydrophobicity and reduced particle size, collectively improved emulsifying activity and stability, as well as foaming capacity and stability. The highest emulsion and foaming stability were observed in samples treated for 6 min. Hazelnut protein gels exhibited pronounced solid-like behavior and ACP treatment enhanced the rheological properties of the gels, with the maximum gel strength observed at a 6 min treatment. Overall, these findings indicate that ACP is an effective non-thermal technology for positively altering the physicochemical and techno-functional properties of hazelnut protein. Full article

The aim of this study was to explore the effectiveness of cold atmospheric plasma (CAP) treatments for reducing the deoxynivalenol (DON) content in spiked white wheat flour samples containing 750 μg kg⁻¹ DON. The flour samples were treated with plasma generated in air for durations of 30 s, 60 s, 90 s, 120 s, 150 s, and 180 s and at four distances from the cold plasma source: 6 mm, 21 mm, 36 mm, and 51 mm. An artificial neural network (ANN) model with three layers utilizing the Broyden–Fletcher–Goldfarb-Shanno (BFGS) iterative algorithm was developed to predict the reduction in deoxynivalenol (DON) content, moisture content, and temperature in wheat flour samples following cold atmospheric plasma (CAP) treatment. The model accounted for two key variables: the distance from the plasma source and the treatment duration. The ANN model exhibited excellent predictive performance, achieving coefficient of determination (r²) values of 0.999, 0.996, and 0.996 for DON reduction, moisture content, and temperature, respectively, during the training phase. The ANN model successfully identified the experimental optimal CAP conditions (51 mm distance and 150 s treatment), resulting in a 71% reduction in DON content. Multi-objective optimization (MOO) using the ANN further predicted the same level of reduction but at 168 s while maintaining acceptable moisture and temperature levels, representing the model-derived optimal treatment within the investigated design space. The study highlights the potential of ANNs to model complex relationships and optimize CAP treatment for efficient mycotoxin reduction in wheat flour. Full article

Cold atmospheric plasma (CAP) has emerged as a promising anticancer approach because of its ability to selectively eliminate malignant cells. Among the proposed mechanisms of this selectivity, the Bauer theory emphasizes the synergistic action of plasma-derived hydrogen peroxide (H₂O₂) and nitrite (NO₂⁻), leading to the transient generation of primary singlet oxygen (¹O₂). This early event inactivates membrane-bound catalase, allowing tumor cell-derived H₂O₂ and peroxynitrite to initiate a self-amplifying cycle that produces secondary ¹O₂, as a hallmark of CAP selectivity. To test this hypothesis, in this work, we monitored extracellular dissolved oxygen (DO) dynamics in HT-29 colorectal cancer cells treated with an argon plasma jet using time-resolved phosphorescence lifetime spectroscopy. Temporal variations in DO likely reflect the cumulative effect of rapid ¹O₂ production and its reactions with cells. A delayed surge in extracellular ¹O₂ was observed specifically in dying cancer cells within the 10–20 min window predicted by the model. Intracellular ROS imaging confirmed a strong correlation between intracellular ROS, extracellular ¹O₂ dynamics, and viability loss. Together, these results provide mechanistic validation of Bauer’s redox model and suggest that early oxygen dynamics after CAP exposure can serve as predictive markers for treatment efficacy in plasma or photodynamic therapies. Full article

Brain diseases such as ischaemic stroke, Alzheimer’s disease (AD), and glioma were characterized by high mortality and disability rate, and oxidative stress remains a major obstacle in treatment. Plasma–nanomedicine synergistic treatment technology provides a very attractive treatment strategy based on complementarity. This technology integrates cold atmospheric plasma (CAP) with nanomedicine. CAP produces active substances that regulate oxidative stress, while nanomedicine is specially designed for targeted delivery, controlled release, and microenvironmentally responsive activation of therapeutic agents. This integration generates new therapeutic functions and significantly improves the overall therapeutic effect. Despite the broad prospects of this emerging technology, researchers in the fields of medicine, physics, or pharmacy have not yet paid much attention to it. To fill this research gap, this review describes the physicochemical properties and biological effects of CAP and summarizes the latest advances in plasma nanomedicine strategies in the field of brain disease intervention, and reviews the four major nanomedical categories—metal-based, inorganic non-metallic, polymer-based and hydrogel systems—and their clinical applications in the treatment of brain tumors, strokes and neurodegenerative diseases in conjunction with CAP. Finally, we highlight a number of key challenges—limited resources of special CAP equipment, incomplete understanding of the mechanism, obstacles to transformation application—and put forward the future research direction to promote the development of accurate, safe, and clinical transformation value plasma–nanomedicine therapy for brain diseases. Full article

Liquid digestate, a by-product of excess sludge in wastewater treatment plants (WWTPs), contains high concentrations of organic matter and essential nutrients that could promote plant growth. However, it also contains a significant number of pathogenic and opportunistic pathogenic microorganisms, which present major challenges in terms of its safe application. A sample taken from WWTP “Kubratovo” was treated using plasma devices. The aim was to evaluate the effect of treatment by two types of plasma sources on the content of pathogenic bacteria as well as the chemical composition of the liquid digestate. The Surfaguide plasma source demonstrated a higher disinfection effectiveness (100% for E. coli, Clostridium sp.; over 99% for fecal and total coliforms; 98% for Salmonella sp.). The β-device effectively removed (100%) the following groups: E. coli and Clostridium sp. However, its effectiveness was significantly lower for the other groups. The obtained results show that plasma treatment induces the transformation of nitrogen and phosphorus compounds, resulting in increased nitrite and phosphate concentrations. The application of cold atmospheric plasma disinfection significantly improved the sanitary and compositional characteristics of the liquid digestate. The Surfaguide achieved significantly better results than the β-device, confirming its suitability for sustainable resource recovery and safe agricultural use. Full article