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23 pages, 8724 KB  
Article
Comparative Analysis of Emulsion, Cutting Oil, and Synthetic Oil-Free Fluids on Machining Temperatures and Performance in Side Milling of Ti-6Al-4V
by Hui Liu, Markus Meurer and Thomas Bergs
Lubricants 2025, 13(9), 396; https://doi.org/10.3390/lubricants13090396 (registering DOI) - 6 Sep 2025
Abstract
During machining, most of the mechanical energy is converted into heat. A substantial part of this heat is transferred to the cutting tool, causing a rapid rise in tool temperature. Excessive thermal loads accelerate tool wear and lead to displacement of the tool [...] Read more.
During machining, most of the mechanical energy is converted into heat. A substantial part of this heat is transferred to the cutting tool, causing a rapid rise in tool temperature. Excessive thermal loads accelerate tool wear and lead to displacement of the tool center point, reducing machining accuracy and workpiece quality. This challenge is particularly pronounced when machining titanium alloys. Due to their low thermal conductivity, titanium alloys impose significantly higher thermal loads on the cutting tool compared to conventional carbon steels, making the process more difficult. To reduce temperatures in the cutting zone, cutting fluids are widely employed in titanium machining. They have been shown to significantly extend tool life. Cutting fluids are broadly categorized into cutting oils and water-based cutting fluids. Owing to their distinct thermophysical properties, these fluids exhibit notably different cooling and lubrication performance. However, current research lacks comprehensive cross-comparative studies of different cutting fluid types, which hinders the selection of optimal cutting fluids for process optimization. This study examines the influence of three cutting fluids—emulsion, cutting oil, and synthetic oil-free fluid—on tool wear, temperature, surface quality, and energy consumption during flood-cooled end milling of Ti-6Al-4V. A novel experimental setup incorporating embedded thermocouples enabled real-time temperature measurement near the cutting edge. Tool wear, torque, and surface roughness were recorded over defined feed lengths. Among the tested fluids, emulsion achieved the best balance of cooling and lubrication, resulting in the longest tool life with a feed travel path of 12.21 m. This corresponds to an increase of approximately 200 % compared to cutting oil and oil-free fluid. Cutting oil offered superior lubrication but limited cooling capacity, resulting in localized thermal damage and edge chipping. Water-based cutting fluids reduced tool temperatures by over 300 C compared to dry cutting but, in some cases, increased notch wear due to higher mechanical stress at the entry point. Power consumption analysis revealed that the cutting fluid supply system accounted for 60–70 % of total energy use, particularly with high-viscosity fluids like cutting oil. Complementary thermal and CFD simulations were used to quantify heat partitioning and convective cooling efficiency. The results showed that water-based fluids achieved heat transfer coefficients up to 175 kW/m2· K, more than ten times higher than those of cutting oil. These findings emphasize the importance of selecting suitable cutting fluids and optimizing their supply to enhance tool performance and energy efficiency in Ti-6Al-4V machining. Full article
(This article belongs to the Special Issue Friction and Wear Mechanism Under Extreme Environments)
11 pages, 588 KB  
Article
Adherence to Non-Invasive Ventilation in Steinert Disease: Clinical and Psychological Insights
by Anna Annunziata, Francesca Simioli, Giorgio Emanuele Polistina, Anna Michela Gaeta, Maria Cardone, Camilla Di Somma, Raffaella Manzo, Antonella Marotta, Cecilia Calabrese and Giuseppe Fiorentino
Brain Sci. 2025, 15(9), 968; https://doi.org/10.3390/brainsci15090968 (registering DOI) - 6 Sep 2025
Abstract
Introduction: Myotonic dystrophies (DM) are progressive genetic disorders with multisystemic involvement, particularly affecting the muscular, respiratory, and neuropsychological systems. Myotonic dystrophy type 1 (DM1), or Steinert’s disease, may lead to severe respiratory complications, including sleep-disordered breathing and hypercapnia, often requiring noninvasive ventilation to [...] Read more.
Introduction: Myotonic dystrophies (DM) are progressive genetic disorders with multisystemic involvement, particularly affecting the muscular, respiratory, and neuropsychological systems. Myotonic dystrophy type 1 (DM1), or Steinert’s disease, may lead to severe respiratory complications, including sleep-disordered breathing and hypercapnia, often requiring noninvasive ventilation to manage respiratory failure. However, adherence to NIV remains a major challenge, often influenced by cognitive and psychological factors such as apathy and depression. This study aims to investigate the presence of depression and SDB in patients with DM1 initiating NIV, and to evaluate factors influencing adherence to ventilatory support. Materials and Methods: We selected 13 adult patients (≥18 years) with diagnosis of Steinert’s disease with respiratory impairment who needed to start respiratory support. Dysphagia was assessed in all patients at baseline by a videofluoroscopic swallow study. Beck’s Depression Inventory II was administered for measuring the severity of depression. The Montreal Cognitive Assessment was used as a screening tool to detect signs of neurocognitive disorders. We evaluated adherence to NIV. Results: The study population presented with sleep-disordered breathing, as indicated by a median apnea–hypopnea index (AHI) of 24 events per hour (IQR: 14.2–34.5) and an oxygen desaturation index (ODI) of 25 events per hour (IQR: 18–33). Adherence to NIV was obtained in seven patients. No difference in baseline lung function was observed. Adherent subjects had moderate hypercapnia at baseline; pCO2 was 52 vs. 49 mmHg. Non-adherent patients showed a higher prevalence of depression with a median BDI-II score of 18 vs. 6 in adherent patients. The findings highlight that psychological factors, especially depression, play a crucial role in adherence to NIV. Interestingly, depression was not linked to initial respiratory measurements but showed a significant association with nocturnal oxygen desaturation. This suggests that relying solely on clinical and respiratory assessments may not be adequate to predict or improve treatment adherence. Conclusions: Incorporating psychological evaluations and addressing mental health issues, such as depression, are essential steps to enhance NIV compliance and overall DM1 patient outcomes. A multidisciplinary approach combining respiratory and psycho-emotional interventions is crucial for effective disease management. Full article
(This article belongs to the Special Issue Diagnosis, Treatment, and Prognosis of Neuromuscular Disorders)
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18 pages, 5384 KB  
Article
Impact of Vegetation Type on Taxonomic and Functional Composition of Soil Microbial Communities in the Northeastern Qinghai–Tibet Plateau
by Xunxun Qiu, Guangchao Cao, Guangzhao Han, Qinglin Zhao, Shengkui Cao and Shuang Ji
Microorganisms 2025, 13(9), 2075; https://doi.org/10.3390/microorganisms13092075 (registering DOI) - 6 Sep 2025
Abstract
Soil microbial communities are pivotal in maintaining ecosystem functions, particularly in alpine regions with highly heterogeneous environmental conditions. However, the influence of vegetation type on soil microbial communities in high-elevation areas remains insufficiently understood. This study investigates the dynamics of soil microbial communities [...] Read more.
Soil microbial communities are pivotal in maintaining ecosystem functions, particularly in alpine regions with highly heterogeneous environmental conditions. However, the influence of vegetation type on soil microbial communities in high-elevation areas remains insufficiently understood. This study investigates the dynamics of soil microbial communities across grassland, shrubland, and forest ecosystems on the southern slope of the Qilian Mountains. Soil bacterial and fungal communities were examined using high-throughput 16S rRNA and ITS gene sequencing, and their potential ecological functions were inferred using the FAPROTAX and FUNGuild databases. Analysis of similarity (ANOSIM) based on Bray–Curtis distances revealed significant differences in bacterial and fungal community structures among vegetation types, with forest soils showing greater intra-group variability and more distinct microbial assemblages. Acidobacteriota and Proteobacteria were the dominant bacterial phyla, while Basidiomycota and Ascomycota predominated among fungi. Fungal communities in forest soils were dominated by ectomycorrhizal taxa, closely linked to coniferous forests dominated by Picea crassifolia. Overall, the structure and functional diversity of soil microbial communities were governed by soil physicochemical properties, particularly soil pH, which emerged as a key influencing factor. These findings deepen our understanding of microbial ecological processes in alpine environments and offer valuable insights for effective vegetation management and ecosystem conservation in mountainous regions. Full article
(This article belongs to the Section Environmental Microbiology)
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30 pages, 6580 KB  
Article
Advanced Nanomaterial-Based Electrochemical Biosensing of Loop-Mediated Isothermal Amplification Products
by Ana Kuprešanin, Marija Pavlović, Ljiljana Šašić Zorić, Milinko Perić, Stefan Jarić, Teodora Knežić, Ljiljana Janjušević, Zorica Novaković, Marko Radović, Mila Djisalov, Nikola Kanas, Jovana Paskaš and Zoran Pavlović
Biosensors 2025, 15(9), 584; https://doi.org/10.3390/bios15090584 (registering DOI) - 5 Sep 2025
Abstract
The rapid and sensitive detection of regulatory elements within transgenic constructs of genetically modified organisms (GMOs) is essential for effective monitoring and control of their distribution. In this study, we present several innovative electrochemical biosensing platforms for the detection of regulatory sequences in [...] Read more.
The rapid and sensitive detection of regulatory elements within transgenic constructs of genetically modified organisms (GMOs) is essential for effective monitoring and control of their distribution. In this study, we present several innovative electrochemical biosensing platforms for the detection of regulatory sequences in genetically modified (GM) plants, combining the loop-mediated isothermal amplification (LAMP) method with electrodes functionalized by two-dimensional (2D) nanomaterials. The sensor design exploits the high surface area and excellent conductivity of reduced graphene oxide, Ti3C2Tx, and molybdenum disulfide (MoS2) to enhance signal transduction. Furthermore, we used a “green synthesis” method for Ti3C2Tx preparation that eliminates the use of hazardous hydrofluoric acid (HF) and hydrochloric acid (HCl), providing a safer and more sustainable approach for nanomaterial production. Within this framework, the performance of various custom-fabricated electrodes, including laser-patterned gold leaf films, physical vapor deposition (PVD)-deposited gold electrodes, and screen-printed gold electrodes, is evaluated and compared with commercial screen-printed gold electrodes. Additionally, gold and carbon electrodes were electrochemically covered by gold nanoparticles (AuNPs), and their properties were compared. Several electrochemical methods were used during the DNA detection, and their importance and differences in excitation signal were highlighted. Electrochemical properties, sensitivity, selectivity, and reproducibility are characterized for each electrode type to assess the influence of fabrication methods and material composition on sensor performance. The developed biosensing systems exhibit high sensitivity, specificity, and rapid response, highlighting their potential as practical tools for on-site GMO screening and regulatory compliance monitoring. This work advances electrochemical nucleic acid detection by integrating environmentally-friendly nanomaterial synthesis with robust biosensing technology. Full article
(This article belongs to the Section Biosensor Materials)
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20 pages, 9438 KB  
Article
Influence of Laser Shock Forming Parameters on Deformation Behavior and Dimensional Precision of Q355ME Carbon Steel Skin Components
by Mingming Ma, Xianrong Cao, Jun Chen, Weimin Huang, Ran Zhu and Boyu Sun
Coatings 2025, 15(9), 1044; https://doi.org/10.3390/coatings15091044 (registering DOI) - 5 Sep 2025
Abstract
A systematic investigation was conducted on the laser shock forming (LSF) process of carbon steel Q355ME sheets and practical skin components, focusing on the influence of absorption layer types, laser energy, and impact cycles on forming capacity and surface properties. Three kinds of [...] Read more.
A systematic investigation was conducted on the laser shock forming (LSF) process of carbon steel Q355ME sheets and practical skin components, focusing on the influence of absorption layer types, laser energy, and impact cycles on forming capacity and surface properties. Three kinds of absorbing layers were compared in the experiment: no absorbing layer, 0.1 mm aluminum foil and 0.12 mm black tape. The results show that when the black tape is used as the absorbing layer, the forming effect is the best, the arc height value reaches 2.63 mm, and the radius of curvature is 1066 mm. Using 0.1 mm thick black tape as the absorption layer and laser parameters of 10% overlap rate, 15 ns pulse width, 4 mm spot, and 1064 nm wavelength, the single impact of 13 J, 15 J, and 17 J, and one, two, and three impacts of 15 J energy were carried out on the plate. It was found that the increase in laser energy and impact times resulted in increases in deformation, surface roughness, microhardness, and residual stress of the plate. The surface work hardening phenomenon of Q355ME plate after laser shock slowed down the increase in these performance parameters. The experimental results show that the laser energy is linearly positively correlated with the residual stress in a certain energy range. Under the optimized laser process parameters, the forming error of the actual skin parts is controlled within ± 0.4 mm, the surface residual stress increases by 368.9%, and the surface microhardness increases by 10.4%. The ultra-high strain plastic deformation and grain refinement on the surface of the sheet were caused by multiple laser shock peenings, which confirmed that LSF technology can improve the formability of carbon steel skin parts and improve its surface properties. Full article
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26 pages, 2190 KB  
Article
Pharmacogenetics and Molecular Ancestry of SLC22A1, SLC22A2, SLC22A3, ABCB1, CYP2C8, CYP2C9, and CYP2C19 in Ecuadorian Subjects with Type 2 Diabetes Mellitus
by Adiel Ortega-Ayala, Carla González de la Cruz, Lorena Mora, Mauro Bonilla, Leandro Tana, Fernanda Rodrigues-Soares, Pedro Dorado, Adrián LLerena and Enrique Terán
Pharmaceuticals 2025, 18(9), 1335; https://doi.org/10.3390/ph18091335 - 5 Sep 2025
Abstract
Background/Objectives: In Ecuador, the prevalence of type 2 diabetes mellitus (T2DM) is the second leading cause of death after ischemic heart disease. Genetic variability in protein-coding genes, single nucleotide variants (SNVs), influences the response to antidiabetic drugs. The frequency of SNVs varies among [...] Read more.
Background/Objectives: In Ecuador, the prevalence of type 2 diabetes mellitus (T2DM) is the second leading cause of death after ischemic heart disease. Genetic variability in protein-coding genes, single nucleotide variants (SNVs), influences the response to antidiabetic drugs. The frequency of SNVs varies among different populations, so studying the ancestral proportions among SNVs is important for personalized medicine in the treatment of T2DM. This study aimed to evaluate the distribution of Native American, European, and African (NATAM, EUR, and AFR) ancestry in 23 allelic variants of the seven genes that encode the relevant enzymes that metabolize antidiabetic drugs in an Ecuadorian population. Methods: Twenty-three allelic variants of seven genes were analyzed in 297 patients with T2DM from Ecuador, and the molecular ancestry of the samples was analyzed considering three ancestral groups, NATAM, EUR, and AFR using 90 ancestry informative markers (AIMs). Allele and ancestry distributions were analyzed using Spearman’s correlation. Results: The Ecuadorian population presents NATAM (61.33%), EUR (34.48%), and AFR (2.60%) ancestry components. CYP2C8*1 and CYP2C9*1 were positively related to NATAM ancestry, while CYP2C8*4 and CYP2C9*2 were positively related to EUR ancestry. CYP2C19*17 was positively correlated to AFR ancestry. The correlation of SLC22A1 variants such as A in rs594709 was positively correlated with NATAM, while GAT in rs72552763 was positive for EUR. The G variant of rs628031 of the SLC22A1 gene was positively correlated with NATAM and negatively correlated with EUR. The C variant of rs2076828 of the SLC22A3 gene was positively correlated with NATAM ancestry. Conclusions: In the Ecuadorian population, a predominance of Native American ancestry has been observed. Among the allelic variants related to enzymes that metabolize antidiabetic drugs, a relationship has been observed between this ancestral component and variants of the CYP2C8*1, CYP2C9*1, SLC22A1 (rs594709 and rs628031), and SLC22A3 (rs2076828) genes. This information is fundamental for the development of strategies for the implementation of personalized medicine programs for Latin American patients. Full article
15 pages, 1070 KB  
Article
Influence of Location Type on the Regeneration and Growth of Pedunculate Oak (Quercus robur L.) in Central Europe: Implications for Sustainable Forest Land Use
by Katarzyna Masternak, Michał Łukasik, Piotr Czyżowski, Joanna Gmitrowicz-Iwan and Krzysztof Kowalczyk
Sustainability 2025, 17(17), 8011; https://doi.org/10.3390/su17178011 - 5 Sep 2025
Abstract
In the context of climate change and the increasing ecological importance of pedunculate oak (Quercus robur L.) in European forests, sustainable regeneration strategies are essential for ensuring long-term forest resilience. This study investigates how different conditions of regeneration sites, namely areas under [...] Read more.
In the context of climate change and the increasing ecological importance of pedunculate oak (Quercus robur L.) in European forests, sustainable regeneration strategies are essential for ensuring long-term forest resilience. This study investigates how different conditions of regeneration sites, namely areas under pine canopies, gaps (openings within the pine stand), inter-gap area (open zone surrounding the pine gaps), and clear-cut area (zone where trees were completely removed), affect the early growth performance of artificially regenerated oak stands in Central Europe. Seedling height, root collar diameter, sturdiness quotient (SQ), and light availability (via hemispherical photography) were assessed. The most favorable growth occurred in gaps and under-canopy sites, where light intensity ranged from 44% to 57%, and seedlings reached mean heights of 148.7 cm and 143.4 cm, respectively. In contrast, seedlings in clear-cut and inter-gap areas exhibited lower growth and higher SQ values, suggesting lower seedling stability. In these areas, the average seedling height was 127.2 cm in clear-cut opening and 137.9 cm in inter-gap area. These sites also had the highest light intensity, amounting to 100% and 89.85% of total incident radiation, respectively. Growth performance was also affected by cardinal direction, except within gaps. This study highlights the importance of microsite selection in oak regeneration and demonstrates how optimizing light conditions can enhance reforestation success and climate resilience. These findings contribute to sustainable forest management practices aimed at supporting adaptive strategies in temperate ecosystems facing climate change. Full article
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25 pages, 2044 KB  
Article
Decoding Fear: Analysis and Prognosis of Preoperatory Stress Level Through Advanced Statistical Modelling—A Prospective Study Across Multiple Surgical Specialties
by Cristina Gena Dascălu, Andrei Ionut Cucu, Andreea Vovciuc, Sorin Axinte, Serban Turliuc, Amelian Madalin Bobu, Camelia Tamas, Vlad Porumb, Emilia Patrascanu, Catalin Mihai Buzduga, Paula Alexandra Blanaru, Anca Petruta Morosan, Iulian Prutianu, Roxana Covali, Andreea Ioana Pruteanu, Claudia Florida Costea and Alexandru Carauleanu
Med. Sci. 2025, 13(3), 181; https://doi.org/10.3390/medsci13030181 - 5 Sep 2025
Abstract
Background: Preoperative stress is a multifactorial phenomenon shaped by physiological, psychological, and social influences, with a substantial impact on postoperative recovery. This study aimed to quantify preoperative stress levels, identify associated factors, and rank their predictive importance. Methods: A prospective study was conducted [...] Read more.
Background: Preoperative stress is a multifactorial phenomenon shaped by physiological, psychological, and social influences, with a substantial impact on postoperative recovery. This study aimed to quantify preoperative stress levels, identify associated factors, and rank their predictive importance. Methods: A prospective study was conducted on 197 patients scheduled for general surgery, orthopedics, neurosurgery, or otorhinolaryngology procedures between December 2024 and June 2025 at Suceava County Emergency Clinical Hospital. Stress levels were assessed using the Brief Measure of Emotional Preoperative Stress (B-MEPS), translated and culturally adapted into Romanian. Statistical analyses included nonparametric tests, generalized linear modeling, and Random Forest regression. Results: The mean B-MEPS score was 21.42 ± 6.04 (range: 11–34), indicating a moderate level of preoperative stress. Higher stress scores were significantly associated with female sex (p < 0.001), lower educational attainment (p = 0.003), divorced marital status (p = 0.007), a history of cancer (p = 0.002), and the type of surgical intervention (p = 0.003). Random Forest analysis identified the type of surgery, educational level, and sex as the strongest predictors. Conclusions: Preoperative stress is chiefly influenced by the type of surgical procedure, educational level, and sex, with potential synergistic effects among these factors. Early identification of high-risk patients enables targeted, personalized interventions to mitigate anxiety and improve perioperative outcomes. Further research should include formal validation of the Romanian version of B-MEPS and the integration of additional psychosocial variables. Full article
13 pages, 1682 KB  
Article
Eco-Efficient Alkali-Activated Slag–Fly Ash Mixtures for Enhanced Early Strength and Restoration of Degraded Sites
by Mahmoud Abo El-Wafa
Eng 2025, 6(9), 230; https://doi.org/10.3390/eng6090230 - 5 Sep 2025
Abstract
This study explores the early-age performance of eco-efficient alkali-activated slag–fly ash (AASF) mixtures using high-calcium fly ash (HCFA) and low-calcium fly ash (LCFA) at varying alkali activator-to-slag cement (AL/SC) ratios (15%, 20%, and 25%) under steam, water, and ambient curing conditions. Mix designs [...] Read more.
This study explores the early-age performance of eco-efficient alkali-activated slag–fly ash (AASF) mixtures using high-calcium fly ash (HCFA) and low-calcium fly ash (LCFA) at varying alkali activator-to-slag cement (AL/SC) ratios (15%, 20%, and 25%) under steam, water, and ambient curing conditions. Mix designs were developed with a fixed water-to-slag cement ratio of 50%, while fly ash partially replaced fine aggregate at a 20% substitution level. Fresh and hardened properties were investigated. The results revealed that increasing the AL/SC ratio led to reduced workability and increased flow loss, especially in HCFA mixtures, due to their higher calcium content and finer particle size, which promoted early stiffening. In contrast, LCFA mixtures exhibited greater slump flow and better workability retention owing to their slower dissolution rate. Regarding compressive strength, steam curing produced the highest performance. At 25% AL/SC, HCFA mixtures achieved 70 MPa at 28 days, while LCFA mixtures reached 68 MPa. Water curing showed moderate strength development, whereas ambient curing resulted in slower gains. These findings emphasize the influence of fly ash type, AL/SC ratio, and various curing conditions in enhancing the performance of eco-efficient AASF mixtures. Full article
(This article belongs to the Section Chemical, Civil and Environmental Engineering)
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27 pages, 13959 KB  
Article
Petrogenesis of Tholeiitic Basalts from CZK06 Drill Core on the Tianchi Volcano, China–North Korea Border
by Cheng Qian, Jintao Ge, Bo Pan, Zhen Tang, Bin Jiang, Tianri Cui and Lu Lu
Minerals 2025, 15(9), 949; https://doi.org/10.3390/min15090949 - 5 Sep 2025
Abstract
To constrain Tianchi Volcano basalt petrogenesis, this study focuses on tholeiitic basalts from the CZK06 drill core on the northern slope. Using elemental geochemistry and Mg isotope analyses, we investigate magma evolution, petrogenesis, and mantle source properties. The tholeiitic basalts formed during the [...] Read more.
To constrain Tianchi Volcano basalt petrogenesis, this study focuses on tholeiitic basalts from the CZK06 drill core on the northern slope. Using elemental geochemistry and Mg isotope analyses, we investigate magma evolution, petrogenesis, and mantle source properties. The tholeiitic basalts formed during the Pliocene-Early Pleistocene shield-forming stage, recording three stages of basaltic volcanism (Phases I to III). Classified as sodium-series basalts, they exhibit geochemical affinities with EM1-type OIB. Their δ26Mg values (−0.420‰ to −0.150‰) show a substantially wider range than N-MORB. Their geochemical compositions are primarily controlled by source region characteristics and partial melting degree, with minor additional influences from fractional crystallization and crustal contamination. Fractional crystallization intensity shows a progressive increase from Phase I to III. Integrated with geochemical tracing studies of Changbaishan basalts, we propose that the tholeiitic basalts are derived predominantly from the partial melting of carbonatized pyroxenite, which originated from subducted ancient clay-rich altered oceanic crust. The carbonate melts driving the carbonatization were generated by low-pressure melting of recent oceanic sediments, transported by the deeply subducted carbonate-rich Pacific Plate within the Mantle Transition Zone. The tholeiitic magma formed in the Low-Velocity Zone at depths of 160–180 km beneath the lithospheric mantle. Full article
(This article belongs to the Special Issue Selected Papers from the 7th National Youth Geological Congress)
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34 pages, 2426 KB  
Review
The Impact of Glucagon-like Peptide-1 Receptor Agonists on Erectile Function: Friend or Foe?
by Dimitris Kounatidis, Natalia G. Vallianou, Eleni Rebelos, Kalliopi Vallianou, Evanthia Diakoumopoulou, Konstantinos Makrilakis and Nikolaos Tentolouris
Biomolecules 2025, 15(9), 1284; https://doi.org/10.3390/biom15091284 - 5 Sep 2025
Abstract
Erectile dysfunction (ED) is a common yet frequently underrecognized microvascular complication of diabetes, affecting up to three out of four individuals. Key contributing factors include advancing age, long-standing disease duration, and suboptimal glycemic control, as well as insulin resistance and androgen deficiency—the latter [...] Read more.
Erectile dysfunction (ED) is a common yet frequently underrecognized microvascular complication of diabetes, affecting up to three out of four individuals. Key contributing factors include advancing age, long-standing disease duration, and suboptimal glycemic control, as well as insulin resistance and androgen deficiency—the latter being particularly common in men with type 2 diabetes (T2D) and obesity. While numerous studies have investigated the effects of various antidiabetic therapies on diabetes-related ED, the results remain inconsistent, limiting definitive conclusions. In recent years, increasing attention has focused on a novel class of antidiabetic medications, namely glucagon-like peptide-1 receptor agonists (GLP-1 RAs). These agents have become central to the treatment of T2D due to their potent glucose-lowering properties and well-documented benefits on cardiovascular outcomes, and weight loss. Given these pleiotropic effects, GLP-1 RAs have been presumed to positively influence erectile function—a hypothesis supported by a growing body of experimental and clinical research. However, preliminary reports have also raised concerns about a possible association between GLP-1 RA use and ED. This narrative review aims to synthesize current evidence regarding the impact of GLP-1 RAs on erectile function, providing a platform for future research in this evolving field. Full article
(This article belongs to the Collection Feature Papers in Biological Factors)
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30 pages, 15053 KB  
Article
Comparative Analysis of Spatial Distribution and Mechanism Differences Between Public Electric Vehicle Charging Stations and Traditional Gas Stations: A Case Study from Wenzhou, China
by Jingmin Pan, Aoyang Li, Bo Tang, Fei Wang, Chao Chen, Wangyu Wu and Bingcai Wei
Sustainability 2025, 17(17), 8009; https://doi.org/10.3390/su17178009 - 5 Sep 2025
Abstract
With the impact of fossil energy on the climate environment and the development of energy technologies, new energy vehicles, represented by electric cars, have begun to receive increasing attention and emphasis. The rapid proliferation of public charging infrastructure for NEVs has concurrently influenced [...] Read more.
With the impact of fossil energy on the climate environment and the development of energy technologies, new energy vehicles, represented by electric cars, have begun to receive increasing attention and emphasis. The rapid proliferation of public charging infrastructure for NEVs has concurrently influenced traditional petrol station networks, creating measurable disparities in their spatial distributions that warrant systematic investigation. This research examines Wenzhou City, China, as a representative case area, employing multi-source Point of Interest (POI) data and spatial analysis models to analyse differential characteristics in spatial layout accessibility, service equity, and underlying driving mechanisms between public electric vehicle charging stations (EV) and traditional gas stations (GS). The findings reveal that public electric vehicle charging stations exhibit a pronounced “single-centre concentration with weak multi-centre linkage” spatial configuration, heavily reliant on dual-core drivers of population density and economic activity. This results in marked service accessibility declines in peripheral areas, resembling a cliff-like drop, and a relatively low spatial equity index. In contrast, traditional gas stations demonstrate a “core-axis linkage” diffusion pattern with strong coupling to urban road networks, showing gradient attenuation in service coverage efficiency along transportation arteries, fewer suburban service gaps, and more gradual accessibility reductions. Location entropy analysis further indicates that charging station deployment shows significant capital-oriented tendencies, with certain areas exhibiting paradoxical “excess facilities” phenomena, while gas station distribution aligns more closely with road network topology and transportation demand dynamics. Furthermore, the layout characteristics of public charging stations feature a more complex and diverse range of land use types, while traditional gas stations have a strong dependence on industrial land. This research elucidates the spatial distribution patterns of emerging and legacy energy infrastructure in the survey regions, providing critical empirical evidence for optimising energy infrastructure allocation and facilitating coordinated transportation system transitions. The findings also offer practical insights for the construction of energy supply facilities in urban development frameworks, holding substantial reference value for achieving sustainable urban spatial governance. Full article
(This article belongs to the Special Issue Sustainable and Resilient Regional Development: A Spatial Perspective)
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25 pages, 3945 KB  
Article
Synergistic MDM2-STAT3 Inhibition Demonstrates Strong Anti-Leukemic Efficacy in Acute Lymphoblastic Leukemia
by Erhan Aptullahoglu and Emrah Kaygusuz
Int. J. Mol. Sci. 2025, 26(17), 8648; https://doi.org/10.3390/ijms26178648 - 5 Sep 2025
Abstract
Acute lymphoblastic leukemia (ALL) remains a formidable therapeutic challenge, particularly within high-risk cohorts. Advances in next-generation sequencing have elucidated critical mutations that significantly influence prognosis and therapeutic decision-making. Tyrosine kinase inhibitors (TKIs) have significantly improved treatment outcomes in Philadelphia chromosome-positive (Ph+) ALL. Meanwhile, [...] Read more.
Acute lymphoblastic leukemia (ALL) remains a formidable therapeutic challenge, particularly within high-risk cohorts. Advances in next-generation sequencing have elucidated critical mutations that significantly influence prognosis and therapeutic decision-making. Tyrosine kinase inhibitors (TKIs) have significantly improved treatment outcomes in Philadelphia chromosome-positive (Ph+) ALL. Meanwhile, emerging therapies such as monoclonal antibodies and chimeric antigen receptor (CAR) T-cell therapies show promise for B-cell ALL, although they are associated with considerable toxicities. These developments underscore the persistent need for alternative therapeutic strategies that can benefit a wider range of patients. In this study, human ALL cell lines—characterized by either wild-type or mutant tumor protein p53 (TP53) status—were treated with RG7388 (an MDM2 (mouse double minute 2 homolog) inhibitor) and BBI608 (a STAT3 (signal transducer and activator of transcription 3) inhibitor), both as single agents and in combination. Cell viability was quantified using XTT assays, while apoptosis was assessed via flow cytometry. Additionally, immunoblotting and qRT-PCR were employed to evaluate changes in protein and gene expression, respectively. RG7388 demonstrated potent growth inhibition in the majority of ALL cell lines, with p53-mutant cell lines exhibiting resistance. BBI608 reduced cell viability across all tested cell lines, though with variable sensitivity. Notably, the combination of RG7388 and BBI608 elicited synergistic anti-proliferative effects in p53 wild-type and partially functional p53-mutant cells, enhancing apoptosis and stabilizing p53 protein levels. In contrast, MOLT-4 cells, which harbor concurrent TP53 and STAT3 mutations, did not benefit from the combination treatment, indicating an inherent resistance phenotype within this subset. Collectively, these findings highlight the therapeutic potential of combined MDM2 and STAT3 inhibition in ALL, particularly in p53 wild-type and partially functional p53-mutant contexts. This combinatorial approach augments apoptosis and tumor growth suppression, offering a promising avenue for expanding treatment options for a broader patient population. Further investigation is warranted to validate these preclinical findings and to explore translational implications in genetically diverse ALL subsets. Full article
(This article belongs to the Special Issue Molecular Research in Hematologic Malignancies)
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12 pages, 1113 KB  
Article
BMI as a Mediator in the Relationship Between Dietary Trace Elements and Type 2 Diabetes Mellitus: Findings from a Rural Cohort
by Jianwei Wang, Biwen Shi, Haiyang Li, Yuqian Li, Zhenxing Mao, Chongjian Wang, Jian Hou, Yuan Tian and Linlin Li
Nutrients 2025, 17(17), 2875; https://doi.org/10.3390/nu17172875 - 5 Sep 2025
Abstract
Objectives: This study aims to examine the relationship between dietary trace elements and Type 2 diabetes mellitus (T2DM), as well as to assess the influence of body mass index (BMI) on this relationship. Methods: A total of 38,384 participants participated in [...] Read more.
Objectives: This study aims to examine the relationship between dietary trace elements and Type 2 diabetes mellitus (T2DM), as well as to assess the influence of body mass index (BMI) on this relationship. Methods: A total of 38,384 participants participated in this study. Dietary intakes of iron, copper, zinc, heme iron, and non-heme iron were assessed using validated food frequency questionnaires. The odds ratio (OR) and 95% confidence interval (CI) were calculated using the logistic regression model to evaluate the association of dietary intake of iron, copper, zinc, heme iron, and non-heme iron with T2DM. Restrictive cubic splines (RCS) were used to explore the dose–response relationship. In addition, causal mediation analysis was used to explore the role of BMI. Results: After adjusting for the relevant covariates, the highest quartile (Q4) compared with the lowest quartile (Q1) the odds ratios and 95% confidence intervals of iron, heme iron, non-heme iron, copper, and zinc between T2DM were 0.81 (0.70–0.92), 0.81 (0.70–0.92), 0.79 (0.70–0.90), 0.64 (0.77–0.72), and 0.65 (0.55–0.78), respectively. The RCS results showed that the hazards of copper and heme iron in T2DM decreased with the increase in dose (p-non < 0.05). The results of the mediation analysis showed that BMI mediated the association between dietary trace elements and T2DM. Furthermore, subgroup analysis showed the same results. Conclusions: This study indicates that moderate intake of dietary trace elements may help reduce the incidence of T2DM in rural areas. BMI can mediate the association between the two. Full article
(This article belongs to the Section Micronutrients and Human Health)
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29 pages, 1619 KB  
Review
Combined Toxicity of Microplastics and Antimicrobials on Animals: A Review
by Kuok Ho Daniel Tang
Antibiotics 2025, 14(9), 896; https://doi.org/10.3390/antibiotics14090896 - 5 Sep 2025
Abstract
Background/Objectives: Microplastics are ubiquitous pollutants that pose physical toxicity and serve as vectors for antimicrobial agents, altering their bioavailability and toxicity. Unlike previous reviews that focus solely on antibiotics and terrestrial or aquatic ecosystems, this review integrates recent findings on the combined [...] Read more.
Background/Objectives: Microplastics are ubiquitous pollutants that pose physical toxicity and serve as vectors for antimicrobial agents, altering their bioavailability and toxicity. Unlike previous reviews that focus solely on antibiotics and terrestrial or aquatic ecosystems, this review integrates recent findings on the combined impacts of microplastics and antimicrobials on both aquatic and terrestrial animals, highlighting their biological responses. Methods: Recent experimental studies involving aquatic and terrestrial animals published in peer-reviewed journals were reviewed. These studies employed co-exposure designs using microplastics of different sizes, aging conditions, and surface chemistries in combination with antimicrobial compounds. Results: Microplastics combined with antimicrobials cause species-specific and often synergistic toxicity in aquatic organisms, affecting reproduction, immunity, oxidative stress, gene expression, and microbiota, with co-exposure often amplifying adverse physiological and developmental effects. Similarly, co-exposure to microplastics and antimicrobials in rodents, amphibians, birds, and soil invertebrates frequently leads to synergistic toxicity, oxidative stress, disrupted gut microbiota, and enhanced accumulation and bioavailability of pollutants, promoting inflammation, neurotoxicity, metabolic dysfunction, and increased antibiotic resistance gene propagation. Particle size, aging, and antimicrobial type influence toxicity severity. Certain microplastic-antimicrobial combinations can exhibit antagonistic effects, though less frequently reported. Conclusions: The interactions between microplastics and antimicrobials pose heightened risks to the health of organisms and ecological stability. These findings underscore the need to revise current risk assessment protocols to consider pollutant mixtures and microplastics-mediated transport. Future research should focus on environmentally relevant exposures, mechanistic studies using omics tools, and long-term ecological impacts. Integrated regulatory strategies are essential to address the compounded effects of microplastics and chemical contaminants. Full article
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