Search Results (291)

Infectious complications remain a principal determinant of late morbidity and mortality following major thermal injury, reflecting a convergence of barrier disruption, microbial adaptation, and host immune dysfunction. The post-burn environment creates a uniquely permissive niche for pathogen persistence, characterized by altered tissue perfusion, biofilm formation, and dynamic shifts in microbial ecology toward multidrug-resistant organisms. Concurrently, profound and evolving changes in host immunity and metabolism reshape both susceptibility to infection and response to therapy. This review integrates current evidence across pathophysiology, microbiology, diagnostics, and treatment, with a focus on challenges that limit effective infection control in burn patients. Particular attention is given to diagnostic uncertainty arising from overlap between sterile inflammation and true infection, the clinical implications of biofilm-associated tolerance, and the impact of burn-specific pharmacokinetic variability on antimicrobial efficacy. We further examine emerging diagnostic and therapeutic innovations, including host-response profiling, rapid molecular detection platforms, and next-generation anti-infective strategies targeting microbial virulence, biofilm structure, and host immune pathways. Despite substantial scientific advances, translation into clinical practice remains constrained by limited burn-specific trials, heterogeneous definitions, and systemic barriers to antimicrobial development. Collectively, these challenges underscore the need for integrated, precision-based approaches that combine early source control, individualized antimicrobial optimization, and advanced diagnostic frameworks. Future progress will depend on coordinated efforts to standardize definitions, generate high-quality multicenter data, and align innovation with clinical applicability across diverse healthcare settings. Full article

Despite effective antiretroviral therapy, HIV persists in diverse tissue reservoirs that pose major barriers to a cure. This review examines the heterogeneous maintenance mechanisms of HIV reservoirs in lymph nodes, intestinal mucosa, and the central nervous system (CNS). It analyzes how distinct tissue microenvironments—including immune-privileged niches, specialized cellular subsets, and local signaling networks—govern viral persistence and latency. Lymph nodes function as a dynamic hub interconnected with systemic reservoirs; the intestinal mucosa represents a site shaped by barrier integrity, microbial translocation, and mucosal immunity; the CNS constitutes a compartmentalized sanctuary protected by the blood–brain barrier. The review further discusses tissue-specific antiretroviral drug penetration and targeted clearance strategies, providing a foundation for developing multi-site intervention approaches toward HIV cure. Full article

Narrow-range endemic plant species are highly sensitive to environmental variability due to their restricted distributions and narrow ecological niches, yet quantitative assessments of such species in Central Asian mountain ecosystem remain limited. This study applied an ensemble species distribution modeling (SDM) approach to assess the ecological constraints and conservation efforts of Lepidium olgae, a strict endemic species of the Nuratau Mountains in Uzbekistan. Species occurrence records from field surveys and herbarium data were integrated with remotely sensed climatic, vegetation, topographic, soil, and atmospheric variables. Parsimonious models (Generalized Linear Model (GLM), Maximum Entropy (MaxEnt), Multiple Adaptive Regression Splines (MARS), Surface Range Envelope (SRE)) were implemented in BIOMOD2 4.3.4, and ensemble predictions were used to reduce algorithmic uncertainty and identify core habitat patterns. Results showed that wet-season precipitation was the dominant driver of species distribution, followed by vegetation productivity (NDVI) and thermal stability, indicating a strong dependence on moisture availability and stable microhabitats. Ensemble projections revealed a highly fragmented potential distribution, with suitable habitats covering only 8% of the reserve area, closely matching the observed distribution of 6.5%. This strong spatial overlap confirms a narrowly constrained realized ecological niche. These findings highlight the critical role of microhabitat stability for the persistence of Lepidium olgae and provide a spatially explicit basis for prioritizing in situ conservation and guiding model informed translocation efforts. Full article

Cross-kingdom pathogenesis—human and animal pathogens colonizing and persisting in plants—is transforming our understanding of microbial ecology, food safety, and public health. This review translates incoming research that demonstrates plants as more than mute carriers to dynamic ecological interfaces where human and zoonotic pathogens, such as Salmonella enterica, Escherichia coli O157:H7, and Listeria monocytogenes, will adhere, internalize, and, in some cases, potentially evade host defenses. Such pathogens exploit evolutionarily conserved molecular processes like Type III secretion system 1 (TTSS), biofilm formation, quorum sensing, and small RNA-mediated immune sabotage that have allowed them to cross biological kingdom boundaries. To provide an entry point for pathogens, environmental conditions (e.g., contaminated irrigation water, manure application, wildlife access, and mechanical wounding) promote pathogen transfer to and penetration into plant tissues through stomata hydathodes above ground or roots below ground. Once inside, pathogens confront a range of plant immune responses, indigenous microbiota, and abiotic stresses such as UV radiation exposure, nutrient starvation, and osmotic fluctuations. Nonetheless, biofilm production, metabolic versatility, and virulence gene expression contribute to their persistence. Interactions with plant pathogens and microbiomes additionally shape colonization dynamics, for example, through co-survival and niche manipulation. With the acceleration of these processes due to climate change, urbanization, and intensified agriculture, cross-kingdom pathogenesis becomes a rising concern for One Health. Critical knowledge gaps, including seedborne transmission, microbiome engineering, and predictive modeling, are pointed out in the review along with emerging mitigation strategies, including point-of-care diagnostics and microbial biocontrol. In conclusion, this review advocates for interdisciplinary collaboration from microbiology, plant science, and One Health perspectives to predict and mitigate cross-kingdom threats to global food production. Full article

Despite the remarkable success of antiretroviral therapy (ART) in suppressing human immunodeficiency virus type 1 (HIV-1) replication, viral persistence remains a major barrier to cure. This persistence is sustained by heterogeneous cellular reservoirs in which viral expression is tightly regulated by host-dependent molecular mechanisms. Beyond the canonical cluster of differentiation 4 (CD4+) T-cell reservoirs, HIV-1 establishes long-lived infection in myeloid cells, glial populations within the central nervous system (CNS), and additional non-canonical cellular niches, each characterized by distinct transcriptional, epigenetic, and immune environments. In this review, we synthesize recent advances in understanding how HIV-1 expression, latency, and reactivation are shaped across diverse susceptible cell types. We highlight cell-type-specific mechanisms governing viral integration, chromatin organization, transcriptional elongation, innate immune sensing, host restriction factors, and cytoskeletal regulation. Particular emphasis is placed on how host signaling pathways and immune microenvironments contribute to reservoir stability and heterogeneity, complicating eradication strategies. We further discuss immunomodulatory approaches that seek to modulate viral expression without exacerbating immune activation. By integrating molecular, cellular, and immunological perspectives, this review provides a framework for understanding HIV-1 persistence as a context-dependent process and underscores the need for cell-type-tailored strategies in HIV cure research. Full article

Recently, an oral–gut communication axis has been proposed. Herein, we review clinical studies reporting differences in oral microbial communities in inflammatory bowel diseases (IBDs), with a focus on Crohn’s Disease (CD), as well as evidence from experimental models. While available studies support evidence for the direct transmission of oral-derived bacteria to gut, further work is needed to clarify whether such transmission results in stable colonization of intestinal niches and the establishment of a persistent host–microbe state that influences host physiology. To date, evidence from clinical and murine studies suggests three routes of the oral–gut axis, which in turn directly or indirectly exacerbate intestinal inflammation and contribute to IBD pathogenesis: (i) direct invasion of pathobionts through swallowing, (ii) migration of the oral pathogen activated pro-inflammatory immune cells, (iii) systemic inflammation triggered by oral pathogens such as Porphyromonas gingivalis. Although the role of oral microbiome in systemic diseases is becoming more apparent, sophisticated clinical and experimental studies are needed to elucidate the direct and indirect oral–gut communication mechanisms, including the contribution of oral microbial metabolites. Future directions may include evaluating the diagnostic and therapeutic potential of the oral microbiome and metabolome. Full article

Despite near-global legal reforms to tackle voyeurism and upskirting offences (VUs), such behaviours remain prevalent in Singapore—an under-reached population for empirical research in the niche of image-based sexual abuse and one where conservative views and sex-related taboos persist. This study consists of interviews with ten young adult Singaporean nationals about their understanding of VUs, victim-survivors thereof, and how such views interact with Singaporean culture and societal norms. Reflective thematic analysis was used to delineate the two predominant themes of the (1) Unaccountability of Perpetrators, wherein VUs are minimised and excused at both societal (Technological and Institutional Affordances) and individual levels (Sexual Deviancy & Pornography), and (2) Burden of Victimisation, which explored perceptions of victim-survivors as a gendered experience (Gendered Vulnerability), where norms around modesty impacted victim-blaming (Moralised Modesty & Responsibility), resulting in harm minimisation (Harm Awareness & Minimisation). Findings have implications for how legislators, law enforcement, and educational institutions address the minimisation of gender-based violence through shifts in social narratives, awareness, and responses. Full article

Unpolluted water, both freshwater and saltwater, is essential for achieving several United Nations Sustainable Development Goals, particularly SDGs 6, 3, 2, 14, and 15. This study maps emerging water-quality monitoring technologies at intermediate technological readiness levels (TRLs 4–5) and their potential patent markets (TRL 9). A total of 40,469 patent families were retrieved from the Espacenet worldwide database using IPC G01N33/18 and used to analyze sensing parameters. A subset of 2146 water-pollution-related patents was analyzed in detail. The analysis covered sensing parameters, temporal trends, compound annual growth rates (CAGR), legal status, geographic distribution of patent origins and markets, and the technological landscape, including application domains and niche clusters. The results show pronounced exponential growth in patent filings since 2014 and a high share of active documents, indicating sustained global investment. Innovation leadership is concentrated in China, South Korea, India, the United States, and Japan, with export-oriented patents largely held by transnational corporations, while African participation remains limited. Technological trends prioritize multiparameter environmental and biological sensing, addressing pH, temperature, turbidity, dissolved oxygen, nutrients, heavy metals, polycyclic aromatic hydrocarbons (PAHs), and oxidation–reduction potential. Emerging solutions integrate autonomous platforms, remote sensing, Internet-of-Things architectures, and machine-learning-based analytics. Persistent bottlenecks include sensor robustness in harsh aquatic environments and the reliable discrimination between background variability and early pollution signals. Strengthening low-cost and scalable deployment remains essential to ensure water quality, support environmental sustainability, and minimize risks. Full article

Cellular senescence is a stress-induced state characterised by durable proliferative arrest and extensive transcriptional and secretory reprogramming. In cancer, senescence can suppress early tumour outgrowth, yet persistence of senescent cells and their senescence-associated secretory phenotype (SASP) may drive maladaptive inflammation, immune dysfunction, vascular perturbation and extracellular matrix (ECM) remodelling. Head and neck squamous cell carcinoma (HNSCC) provides a clinically informative context because tumours arise in injury-prone mucosa and standard therapies (radiotherapy and platinum-based chemotherapy) can induce long-lived senescent phenotypes across stromal and vascular compartments. Here, we synthesise the evidence through a signal → matrix → function framework, in which the therapy-induced SASP modules reshape collagen density, alignment, confinement and crosslinking, thereby influencing invasion, immune access, perfusion and post-treatment fibrosis. We emphasise that senescence detection in head and neck tissues is highly context-dependent and readily confounded by inflammageing, chronic mucosal injury and HPV-associated biology, necessitating a cell-type-resolved, spatially anchored, multi-axis definition that integrates growth-arrest context, nuclear/DNA damage response hallmarks and functional outputs. We highlight oral submucous fibrosis (OSF) as a matrix-primed precursor state that exemplifies convergence between chronic injury, fibrosis and senescence-adjacent programmes. Finally, we propose an integrated translational roadmap combining multiplex spatial pathology with quantitative collagen imaging to map therapy-induced senescence–ECM niches and support biomarker-guided testing of senomorphic, senolytic and matrix-normalising strategies in HNSCC. Full article

Skin and hair follicles regenerate through coordinated stem cell niches and cyclic signaling associated with transitions among anagen, catagen, and telogen phases. In alopecia and chronic skin diseases, follicular miniaturization, immune dysregulation, persistent inflammation, impaired vascularization, and a compromised stratum corneum barrier limit the effectiveness of conventional topical and systemic therapies. Bio-nanovesicles (BNVs), including natural extracellular vesicles such as exosomes and microvesicles, as well as engineered artificial or hybrid nanovesicles, offer a targeted, cell-free delivery platform for miRNAs, proteins, and growth factors. By modulating key pathways—Wnt/β-catenin, PI3K/AKT, MAPK/ERK, and TGF-β/BMP—BNVs have the potential to restore regenerative crosstalk, enhance angiogenesis, and help initiate hair and skin repair. Full article

Lake Balkhash is a large endorheic lake experiencing ongoing hydrological and climatic variability. This study aimed to evaluate the species composition and structure of the forage base across three trophic levels—phytoplankton, zooplankton, and zoobenthos—and to analyze trophic interactions of fish communities, including non-native species, in order to assess the functioning of the food web in the western and eastern basins of the lake. A 2025 assessment revealed a structurally reorganized yet relatively stable ecosystem. Phytoplankton showed an increase in taxonomic richness, while zooplankton and zoobenthos demonstrated compositional restructuring with a greater representation of ecologically tolerant taxa. The presence of certain invertebrate taxa in both Lake Balkhash basins indicates persistent spatial heterogeneity of the ecosystem. Despite moderate ecological resilience, biodiversity has not yet returned to historically recorded peak levels. Trophic analysis of fish communities showed generally moderate niche overlap among benthivorous species with localized differentiation of resource use. Predatory fishes also exhibited moderate overlap: pikeperch (Sander lucioperca) maintained stable dietary patterns with partial overlap with Volga pikeperch (Sander volgensis), whereas snakehead (Channa argus) and asp (Aspius aspius) demonstrated clearer trophic segregation. Non-native species displayed relatively narrow trophic niches (Bi < 0.30), indicating summer feeding specialization. Full article

Respiratory syncytial virus (RSV), a member of the genus Orthopneumovirus, is an etiological agent in infant lower respiratory tract infections (LRTIs) producing substantial global morbidity. Here, secretoglobin (Scgb1a1)-derived progenitors play a primary role in triggering innate, inflammatory, and cell state transitions in response to RSV LRTIs. Whether RSV activation of innate signaling in this epithelial sentinel population leads to chronic airway disease is unknown. To understand the role of innate signaling in Scgb1a1-derived progenitors, a model of RSV post-viral disease (PVLD) was developed and studied in the presence or absence of RelA conditional knockout (CKO). Single-cell RNA sequencing (scRNA-seq) studies showed that RSV-PVLD induced a transition of atypical, differentiation-intermediate, alveolar type 2 (aAT2) cells characterized by tumor protein 63 (TRP63), aquaporin 3 (AQP3), and Itgβ4 expression, as well as changes in PDGFRβ mesenchyme. A single-cell trajectory analysis and lineage-tracing experiments using Scgb1a1 CreER^TM X mTmG mice demonstrated that the Scgb1a1+ populations were precursors to the aAT2 population. Mechanistically, we found that the formation of the aAT2 population was prevented by RelA CKO. A differential gene expression analysis revealed that RSV-PVLD coordinately upregulates nuclear receptor subfamily 1 group D (Nr1d1/2), clock and basic helix-loop-helix ARNT-like 1 (Bmal) genes both in the aAT2 cell and in its Pdgfrα+ mesenchymal niche in a RelA-dependent manner. A systematic analysis of intercellular epithelial–mesenchymal communication in the scRNA-seq data showed that the clock-dysregulated epithelial–mesenchymal niche produces aberrant ANGPTL4 expression. ANGPTL4 upregulation was confirmed by the measurement of both its mRNA and protein. Moreover, ANGPTL4 is biologically active in the BALF of RSV-PVLD mice, inhibiting lipoprotein lipase activity. We conclude that RSV-PVLD is mediated, at least in part, by RelA signaling in Scgb1a1-derived epithelial progenitors, dysregulating ANGPTL4 signaling in an epithelial–mesenchymal niche, resulting in persistence of atypical alveolar epithelial cells with dysregulated of clock gene expression. Full article

Psoriasis is classically defined as an immune-mediated disease. However, many patients do not achieve durable remission after immune-targeted therapies, suggesting that further pathogenic mechanisms may contribute to the persistence of psoriasis. Here, we propose ferroptosis, an iron-dependent regulated cell death driven by lipid peroxidation and failure of lipid repair, as a potential link between metabolic stress and immune-mediated inflammation in psoriasis. We summarize experimental evidence showing that membrane lipids remodeling, antioxidant suppression, lipid peroxidation, and dysregulated iron handling together define ferroptosis-permissive niches within psoriatic lesions. We also discuss functional studies demonstrating that ferroptosis modulation can reshape psoriasiform inflammation and explore how ferroptotic stress may amplify inflammatory signaling at the immune-epidermal interface, reinforcing IL-17/TNF/IFN-γ pathways. Finally, we discuss ferroptosis-related transcriptomic signatures as a potential approach to stratify psoriasis, capturing metabolic features that are not reflected by cytokine profiling. The translational opportunities and constraints for ferroptosis-targeted interventions are outlined, highlighting epidermal redox homeostasis as a new therapeutic frontier in psoriasis. Full article

Background/Objectives: Post-cesarean section scar niche pregnancy is one of the rarest forms. It is characterized by implantation of the gestation sac within the scar niche and is often associated with chorionic villi adhesion into the thinned cesarean section scar. The increasing incidence of this condition is associated with the increasing frequency of cesarean sections and the widespread use of ultrasound in early pregnancy. The most significant clinical findings are the detection of chorionic villus invasion and uterine wall insufficiency, which may be detected using magnetic resonance imaging, including contrast, and are crucial for determining patient management. This pathology may be considered life-threatening due to complications such as early uterine rupture with bleeding, which, if not diagnosed promptly, can lead to hysterectomy and loss of the woman’s reproductive health. Early diagnosis allows for the use of conservative treatment methods, preserving the uterus. The aim of the study is to clarify the clinical practices to follow in cases where an MRI examination with contrast agent is indicated to be performed on a pregnant patient. Methods: Ultrasound and MRI examination with counter-rotation, as well as histological and immunohistochemical examination of the remnants of the gestational sac were performed. Results: A 36-year-old pregnant woman was hospitalized in her eighth week of pregnancy with complaints of vaginal bleeding and persistent abdominal pain. An ultrasound scan revealed a pregnancy of 8 weeks and 5 days, and a low-lying chorion in the isthmus of the uterus, along with thinning of the cesarean scar and the formation of a scar niche resembling a hernia. Early signs of chorionic invasion were not treated. An MRI revealed signs of superficial chorionic adhesion to the cesarean scar, both to the isthmus and the internal os. Given that the woman did not wish to continue the pregnancy, uterine artery embolization was performed to reduce potential blood loss. Subsequently, laparoscopy, adhesiolysis, vacuum aspiration of the gestational sac, uterine curettage, hysteroresectoscopy, and coagulation of the fetal bed were performed. Histological and immunohistochemical examination revealed signs of inflammation in the area of the suspected lesion. Conclusions: This case report shows the potential value of MRI in complex cases of ultrasound detection of a gestational sac within scar tissue. MRI was used to assess the location of the gestational sac and evaluate the thickness of the cesarean scar to detect its dysfunction. Furthermore, contrast enhancement of the MRI may be useful in the most complex cases but requires an informed consent discussion with the patient. However, the latter issue requires discussion and proof of its safety for the fetus. Full article

The wine ecosystem constitutes a highly selective ecological niche characterized by low pH, high ethanol levels, sulfur dioxide, polyphenols, and nutrient limitation. During malolactic fermentation, this environment becomes dominated by specialized lactic acid bacteria (LAB), particularly Lactiplantibacillus plantarum and Oenococcus oeni, whose persistence under such stressors suggests the presence of adaptive traits relevant to probiotic development. In this study, twenty-three LAB isolates obtained from the spontaneous wine ecosystem were systematically evaluated through a multi-stage screening strategy. Primary single-factor assays revealed pronounced inter- and intraspecies variability in tolerance to acid, lysozyme, and bile salts. As a result, all O. oeni isolates and eight L. plantarum strains were excluded from further consideration. The four selected L. plantarum isolates (M-1, SY-2, XJA2, and XJ14) were subsequently subjected to simulated gastrointestinal challenges. Strains M-1 and XJ14 maintained high viability across both gastric and intestinal phases. In contrast, SY-2 and XJA2 exhibited pronounced gastric sensitivity but demonstrated strong survival in the intestinal phase. Functional characterization further distinguished the isolates: M-1 and XJ14 displayed balanced probiotic profiles, whereas XJA2 exhibited exceptional auto-aggregation and efficient metabolic capacity, suggesting specific colonization potential despite its gastric vulnerability. Comprehensive safety assessments confirmed the absence of hemolytic activity, biogenic amine production, and acquired antibiotic resistance in the tested isolates. Collectively, these findings identify M-1 and XJ14 as promising candidates for direct probiotic application, and XJA2 as a promising functional strain for encapsulation-based delivery. This study highlights the wine ecosystem as a valuable reservoir for novel probiotic development. Full article