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52 pages, 1456 KB  
Review
The Gut Microbiome in Enteric Viral Infections: Underlying Mechanisms and Therapeutic Approaches
by Alejandro Borrego-Ruiz and Juan J. Borrego
Microorganisms 2025, 13(10), 2247; https://doi.org/10.3390/microorganisms13102247 - 25 Sep 2025
Viewed by 577
Abstract
Despite growing recognition of the role of the gut microbiome in host health and in modulating pathogen activity, the dynamic and reciprocal relationship between enteric viruses and the gut microbial ecosystem remains insufficiently defined and requires further exploration. This comprehensive review examines the [...] Read more.
Despite growing recognition of the role of the gut microbiome in host health and in modulating pathogen activity, the dynamic and reciprocal relationship between enteric viruses and the gut microbial ecosystem remains insufficiently defined and requires further exploration. This comprehensive review examines the bidirectional interplay between the gut microbiome and enteric viral infections by addressing (i) viruses associated with gastrointestinal alterations, (ii) how enteric viral infections alter the composition and function of the gut microbiome, (iii) how the gut microbiome modulates viral infectivity and host susceptibility, and (iv) current microbial-based approaches for preventing or treating enteric viral infections. Gastrointestinal viral infections induce gut microbiome dysbiosis, marked by reductions in beneficial bacteria and increases in potentially pathogenic populations. Specific gut microorganisms can modulate host susceptibility, with certain bacterial genera increasing or decreasing infection risk and disease severity. Pattern recognition receptors in the intestinal epithelium detect microbial signals and trigger antimicrobial peptides, mucus, and interferon responses to control viral replication while maintaining tolerance to commensal bacteria. The gut microbiome can indirectly facilitate viral infections by creating a tolerogenic environment, suppressing antiviral antibody responses, and modulating interferon signaling, or directly enhance viral replication by stabilizing virions, promoting host cell attachment, and facilitating coinfection and viral recombination. In turn, commensal gut bacteria can inhibit viral entry, enhance host antiviral responses, and strengthen mucosal barrier function, contributing to protection against gastrointestinal viral infections. Probiotics and fecal microbiota transplantation constitute potential microbial-based therapeutics that support antiviral defenses, preserve epithelial integrity, and restore microbial balance. In conclusion, the role of the gut microbiome in modulating enteric viral infections represents a promising area of future investigation. Therefore, integrating microbiome insights with virology and immunology could enable predictive and personalized strategies for prevention and treatment. Full article
(This article belongs to the Special Issue Microbiota and Gastrointestinal Diseases)
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19 pages, 1180 KB  
Review
Microbial Contamination in Cosmetic Products
by Jéssica Duarte da Silva, Francisco A. M. Silva and Célia Fortuna Rodrigues
Cosmetics 2025, 12(5), 198; https://doi.org/10.3390/cosmetics12050198 - 10 Sep 2025
Viewed by 2854
Abstract
European legislation defines cosmetics as substances or mixtures designed to contact external body parts for cleaning, protection, fragrance, maintenance, or appearance modification. Cosmetic regulation has become increasingly important in recent years, as the number of consumers continues to grow. One of the major [...] Read more.
European legislation defines cosmetics as substances or mixtures designed to contact external body parts for cleaning, protection, fragrance, maintenance, or appearance modification. Cosmetic regulation has become increasingly important in recent years, as the number of consumers continues to grow. One of the major challenges of the cosmetic industry is effectively communicating to consumers the critical need to avoid using expired products for several safety reasons, with microbial contamination being among the most significant concerns. A key research priority involves understanding how bacterial and fungal populations commonly proliferate within cosmetic formulations. Regulatory standards strictly prohibit specific microorganisms in finished cosmetic products, as specified in EMA guidelines, making microbiological assessment an essential component of product evaluation. This review examines the prevalence, risks, and control measures associated with microbial contamination in cosmetic products. Special attention is given to the most isolated microorganisms, factors contributing to contamination, and current preservation strategies in the cosmetic industry. Full article
(This article belongs to the Special Issue Feature Papers in Cosmetics in 2025)
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18 pages, 1593 KB  
Article
Determinants of Severe Oral Mucositis Development Despite Photobiomodulation Therapy in Stem Cell Transplant Patients
by Sandra Bastos Rezende, Luana Campos, Maria Clara de Souza, Marcos Schoenmann, Maria Cristina Martins de Almeida Macedo, Roberto Luiz da Silva and Alyne Simões
Dent. J. 2025, 13(9), 411; https://doi.org/10.3390/dj13090411 - 8 Sep 2025
Viewed by 571
Abstract
Background/Objectives: Oral mucositis (OM) is an extremely common and debilitating side effect in patients undergoing Hematopoietic Stem Cell Transplantation (HSCT). As such, managing this condition is an obligatory component for their supportive care. Among the available treatment options, photobiomodulation therapy has long [...] Read more.
Background/Objectives: Oral mucositis (OM) is an extremely common and debilitating side effect in patients undergoing Hematopoietic Stem Cell Transplantation (HSCT). As such, managing this condition is an obligatory component for their supportive care. Among the available treatment options, photobiomodulation therapy has long since established itself as the most promising approach, with consistent evidence supporting its efficacy. Despite this, the clinical results of this therapy are still influenced by the chosen dosimetry parameters, as well as patient-specific factors. Therefore, this study aimed to assess which factors can continue to influence the severity and onset of OM despite the protective effect provided by the ongoing photobiomodulation therapy. Methods: To achieve this, a retrospective analysis was conducted on the medical records of 171 patients who underwent PBMT during HSCT over a two-year period at the Brazilian Institute of Cancer Control. These files were used to review clinical and laboratorial parameters, such as OM grade, serum CRP, creatinine, urea, OGT, PGT, pain levels, presence of microorganisms in cultures, type of transplant, and conditioning regimens. All of these were evaluated at two different time points: the first day of conditioning and the day of highest OM degree. The statistical analysis was then conducted to evaluate the correlation between the variables and OM grade. Results: Results showed that type of conditioning regimens, use of MTX during conditioning, presence of microorganisms in cultures, and increased serum CRP, PGT, and initial urea levels were associated with severe OM. Conclusions: Among these, the type of conditioning regimens, MTX usage, positive results in cultures, and increased PGT levels on the first day of conditioning could be considered predictive for severe OM and the worst PBMT results. Consequently, in patients exposed to additional risk factors, adjustments in dosimetry paraments of PBMT or employment of adjuvant therapies should be considered to achieve better results. Full article
(This article belongs to the Topic Oral Health Management and Disease Treatment)
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12 pages, 1451 KB  
Article
Machine Learning Models for Predicting Postoperative Complications and Hospitalization After Percutaneous Nephrolithotomy
by Laura Shalabayeva, Pilar Bahílo Mateu, Marc Romeu Ferras, Javier Díaz-Carnicero, Alberto Budía and David Vivas-Consuelo
Algorithms 2025, 18(9), 558; https://doi.org/10.3390/a18090558 - 4 Sep 2025
Viewed by 561
Abstract
PCNL treatment is often associated with complications of hemorrhagic or infectious origin, which can result in prolonged hospitalization. This study aims to develop predictive models using machine learning (ML) techniques to anticipate these outcomes. Multiple ML algorithms—including Logistic Regression, Decision Tree, Random Forest, [...] Read more.
PCNL treatment is often associated with complications of hemorrhagic or infectious origin, which can result in prolonged hospitalization. This study aims to develop predictive models using machine learning (ML) techniques to anticipate these outcomes. Multiple ML algorithms—including Logistic Regression, Decision Tree, Random Forest, and Extreme Gradient Boosting—were evaluated on separate validation and test datasets. The Random Forest model achieved the highest predictive performance for hospitalization need (AUC 0.726/0.736) and infectious complications (AUC 0.799/0.735). Threshold adjustment was applied to increase sensitivity, reducing false negatives. The interpretability of the models was ensured through SHAP analysis, identifying clinically meaningful variables. Risk factors for both hospitalization and infectious complications models included nephrostomy drainage, a neutrophils percentage higher than 80, Guy’s score of grade 4, leukocytes level higher than 15 or lower than 4.5, and balloon dilation, while protective features included tubeless intervention, easy localization of a stone, negative culture, and microorganism results. However, no model achieved acceptable performance for predicting hemorrhagic complications, likely due to limited data. These results suggest that AI-based models can contribute to risk stratification after PCNL. Further experiments with larger, multi-center datasets are needed to confirm these findings and improve the generalizability of the models. Full article
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26 pages, 970 KB  
Review
A Review on the Degradation of Antibiotic Resistance Genes During Composting of Livestock Manure
by Enwang Zhao, Yongchao Li, Jin Zhang and Bing Geng
Toxics 2025, 13(8), 667; https://doi.org/10.3390/toxics13080667 - 8 Aug 2025
Viewed by 1222
Abstract
As emerging pollutants, antibiotic resistance genes (ARGs) have been recognized as originating from diverse sources. Among these, the use of livestock feed and veterinary drugs was identified as the primary source of ARGs in livestock manure. ARGs were found to be widely distributed [...] Read more.
As emerging pollutants, antibiotic resistance genes (ARGs) have been recognized as originating from diverse sources. Among these, the use of livestock feed and veterinary drugs was identified as the primary source of ARGs in livestock manure. ARGs were found to be widely distributed in global environments, particularly in agriculture-related soils, water bodies, and the atmosphere, posing potential threats to ecological environments and human health. This paper reviewed the degradation mechanisms of ARGs during aerobic composting of livestock manure and the safety evaluation of compost products. Aerobic composting was demonstrated to be an effective method for degrading ARGs, primarily through mechanisms such as high-temperature elimination of ARG-carrying microorganisms, reduction in host bacterial abundance, and inhibition of horizontal gene transfer. Factors including the physicochemical properties of the composting substrate, the use of additives, and the presence of antibiotic and heavy metal residues were shown to influence the degradation efficiency of ARGs, with compost temperature being the core factor. The safety of organic fertilizers encompassed multiple aspects, including heavy metal content, seed germination index, and risk assessments based on ARG residues. The analysis indicated that deficiencies existed in areas such as the persistence of thermotolerant bacteria carrying ARGs, the dissemination of extracellular antibiotic resistance genes (eARGs), and virus-mediated gene transfer. Future research should focus on (1) the removal of thermotolerant bacteria harboring ARGs; (2) the decomposition of eARGs or the blocking of their transmission pathways; (3) the optimization of ultra-high temperature composting parameters; and (4) the analysis of interactions between viruses and resistant hosts. This study reviews the mechanisms, influencing factors, and safety assessment of aerobic composting for degrading ARGs in livestock manure. It not only deepens the understanding of this important environmental biotechnology process but also provides a crucial knowledge base and practical guidance for effectively controlling ARG pollution, ensuring agricultural environmental safety, and protecting public health. Additionally, it clearly outlines the key paths for future technological optimization, thus holding significant implications for the environment, agriculture, and public health. Full article
(This article belongs to the Special Issue Antibiotics and Resistance Genes in Environment)
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18 pages, 3140 KB  
Article
Spatial and Temporal Distribution of Conversational and Emerging Pollutants in Fecal Sludge from Rural Toilets, China
by Lin Lin, Yilin Shen, Guoji Ding, Shakib Alghashm, Seinn Lei Aye and Xiaowei Li
Sustainability 2025, 17(15), 7088; https://doi.org/10.3390/su17157088 - 5 Aug 2025
Viewed by 488
Abstract
Effective management of fecal pollutants in rural sanitation is crucial for environmental health and public safety, especially in developing regions. In this study, temporal and regional variations in nutrient elements, heavy metals, pathogenic microorganisms (PMs), and antibiotic resistance genes (ARGs) of fecal samples [...] Read more.
Effective management of fecal pollutants in rural sanitation is crucial for environmental health and public safety, especially in developing regions. In this study, temporal and regional variations in nutrient elements, heavy metals, pathogenic microorganisms (PMs), and antibiotic resistance genes (ARGs) of fecal samples from rural toilets in China were investigated. The moisture contents of the fecal samples average 92.7%, decreasing seasonally from 97.4% in summer to 90.6% in winter. The samples’ pH values range from 6.5 to 7.5, with a slight decrease in winter (6.8), while their electrical conductivity varies from 128.1 to 2150 μs/cm, influenced by regional diets. Chromium (9.0–49.7 mg/kg) and copper (31.9–784.4 mg/kg) levels vary regionally, with higher concentrations in Anhui and Guangxi Provinces due to dietary and industrial factors. Zinc contents range from 108.5 to 1648.9 mg/kg, with higher levels in autumn and winter, resulting from agricultural practices and Zn-containing fungicides, posing potential health and phytotoxicity risks. Seasonal and regional variations in PMs and ARGs were observed. Guangxi Province shows the high PM diversity in summer samples, while Jiangsu Province exhibits the high ARGs types in autumn samples. These findings highlight the need for improved waste management and sanitation solutions in rural areas to mitigate environmental risks and protect public health. Continued research in these regions is essential to inform effective sanitation strategies. Full article
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21 pages, 1390 KB  
Review
Singlet Oxygen in Food: A Review on Its Formation, Oxidative Damages, Quenchers, and Applications in Preservation
by Limei Xiao, Shoujing Zheng, Zhengrong Lin, Chunyan Zhang, Hua Zhang, Jiebo Chen and Lu Wang
Antioxidants 2025, 14(7), 865; https://doi.org/10.3390/antiox14070865 - 15 Jul 2025
Cited by 1 | Viewed by 1315
Abstract
Singlet oxygen (1O2) has been proven to simultaneously cause oxidative damage to food and the death of microorganisms. In order to enhance the utilization of 1O2 in food systems, this review presents an overview of recent studies [...] Read more.
Singlet oxygen (1O2) has been proven to simultaneously cause oxidative damage to food and the death of microorganisms. In order to enhance the utilization of 1O2 in food systems, this review presents an overview of recent studies on the formation mechanisms of 1O2, the damage mechanisms of 1O2 on food, the self-protective mechanisms in food against 1O2, and the applications of 1O2 in food preservation based on the narrative review guidelines. Studies have shown that in vegetable and meat systems, 1O2 is mainly produced through photochemical reactions. It has been suggested that proteins and lipids are the main target compounds for oxygen in food. Natural antioxidants in food (such as vitamin E and carotenoids) can remove 1O2 through physical or chemical quenching mechanisms. Novel preservation techniques featuring a thin film technology coupled with photosensitizers have been employed on the surface of food to prolong the shelf life. However, how to balance the bactericidal effect of 1O2 and its oxidative effects on food still requires further research. It could be feasible that 1O2 will play an increasingly important role in the future food industry on the premise of strengthening supervision over food safety risks induced by 1O2. Full article
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24 pages, 792 KB  
Review
Microplastics-Assisted Campylobacter Persistence, Virulence, and Antimicrobial Resistance in the Food Chain: An Overview
by Irene Ortega-Sanz and Andreja Rajkovic
Foods 2025, 14(14), 2432; https://doi.org/10.3390/foods14142432 - 10 Jul 2025
Cited by 1 | Viewed by 953
Abstract
Recent studies have detected microplastics (MPs) in seafood and various food products worldwide, including poultry, fish, salt, beverages, fruits, and vegetables. This widespread contamination makes human exposure through consumption unavoidable and raises concerns for food safety and human health. MPs provide physical support [...] Read more.
Recent studies have detected microplastics (MPs) in seafood and various food products worldwide, including poultry, fish, salt, beverages, fruits, and vegetables. This widespread contamination makes human exposure through consumption unavoidable and raises concerns for food safety and human health. MPs provide physical support to microorganisms for biofilm formation, protecting them from extreme conditions and facilitating their persistence in the environment. However, little is known about the impact of MPs in the transmission of foodborne pathogens and subsequent spread of infectious diseases like campylobacteriosis, the most common foodborne illness caused by a bacterium, Campylobacter. This review explores the sources of MP contamination in the food chain and offers a comprehensive overview of MP presence in animals, food products, and beverages. Moreover, we compile the available studies linking MPs and Campylobacter and examine the potential impact of these particles on the transmission of Campylobacter along the food chain with a particular focus on poultry, the main source and reservoir for the pathogen. While the environmental and toxicological effects of MPs are increasingly understood, their influence on the virulence of Campylobacter and the spread of antimicrobial resistance remains underexplored. Further studies are needed to develop standardized methods for isolating and identifying MPs, enabling comprehensive investigations and more effective monitoring and risk mitigation strategies. Full article
(This article belongs to the Section Food Toxicology)
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10 pages, 429 KB  
Article
Clinical Outcomes of Escherichia coli Acute Bacterial Prostatitis: A Comparative Study of Oral Sequential Therapy with β-Lactam Versus Quinolone Antibiotics
by Laura Gisbert, Beatriz Dietl, Mariona Xercavins, Aina Mateu, María López, Ana Martínez-Urrea, Lucía Boix-Palop and Esther Calbo
Antibiotics 2025, 14(7), 681; https://doi.org/10.3390/antibiotics14070681 - 5 Jul 2025
Viewed by 1925
Abstract
Background/Objectives: Optimal management of acute bacterial prostatitis (ABP) remains uncertain, but the use of antibiotics with good prostatic tissue penetration is critical to prevent recurrence and chronic progression. This study aimed to describe clinical characteristics and outcomes of ABP due to Escherichia coli [...] Read more.
Background/Objectives: Optimal management of acute bacterial prostatitis (ABP) remains uncertain, but the use of antibiotics with good prostatic tissue penetration is critical to prevent recurrence and chronic progression. This study aimed to describe clinical characteristics and outcomes of ABP due to Escherichia coli (ABP-E.coli), compare effectiveness of sequential high-dose cefuroxime (ABP-CXM) versus ciprofloxacin (ABP-CIP), and identify risk factors for clinical failure. Methods: We conducted a retrospective study including men >18 years diagnosed with ABP-E. coli between January 2010 and November 2023 at a 400-bed hospital. Patients received oral cefuroxime (500 mg/8 h) or oral ciprofloxacin (500 mg/12 h). Outcomes over 90 days included clinical cure, recurrence and reinfection. Definitions: Clinical cure—resolution of symptoms without recurrences; recurrence—new ABP episode with the same E. coli strain; reinfection—ABP involving different microorganism or E. coli strain; clinical failure—lack of cure, recurrence, or reinfection. Results: Among 326 episodes (158 ABP-CXM, 168 ABP-CIP), ABP-CXM patients were younger (median 63.5 vs. 67.5 years, p = 0.005) and had fewer comorbidities. Clinical cure was higher in ABP-CIP (96.9% vs. 85.7%, p < 0.001). Recurrence occurred only in ABP-CXM (6.96% vs. 0%, p < 0.001), while reinfection and mortality were similar. Multivariable analysis showed ciprofloxacin was protective against clinical failure (OR: 0.16, 95% CI: 0.06–0.42, p < 0.001), while prior urinary tract infection (UTI) increased failure risk (OR: 2.87, 95% CI: 1.3–6.3). Conclusions: Ciprofloxacin was more effective than cefuroxime in treating ABP-E. coli. Patients with recent UTIs may need closer monitoring or alternative therapies. Full article
(This article belongs to the Section Antibiotic Therapy in Infectious Diseases)
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17 pages, 17488 KB  
Article
Effect of Diamond-like Carbon Thin-Film Deposition on the Hardness of Pure Titanium Surfaces
by Hideaki Sato, Yutaka Kameyama, Ryota Yoshikawa, Kaito Tabuchi, Chizuko Ogata and Satoshi Komasa
Materials 2025, 18(13), 2992; https://doi.org/10.3390/ma18132992 - 24 Jun 2025
Viewed by 469
Abstract
The purpose of this study was to clarify the physical durability of a diamond-like carbon (DLC) thin film coated on pure titanium. The titanium surface of the abutment does not have sufficient toughness to prevent an increase in surface roughness or damage when [...] Read more.
The purpose of this study was to clarify the physical durability of a diamond-like carbon (DLC) thin film coated on pure titanium. The titanium surface of the abutment does not have sufficient toughness to prevent an increase in surface roughness or damage when the implant is scaled using a professional mechanical implement. The scaling process used for the removal of the dental plaque adhered to the abutment surface could increase the potential for the deposition of oral microorganisms and the accumulation of plaque, which increase the risk of peri-implantitis. A DLC thin film is biocompatible material that is known for its toughness, including extreme hardness, high abrasion resistance, chemical inertness, and high corrosion resistance. Protecting the abutment surface with the application of a DLC might prevent plaque adhesion due to its non-stick property. There was little change in the surface roughness of titanium samples to which DLC surface protection had been applied when the surface of the sample was scratched with a stainless steel scalar more than a thousand times. When cleaning the surface of pure titanium samples, the surface roughness significantly increased. DLC thin films are effective for the prevention the surface roughness of pure titanium implants from being increased when the conventional cleaning of the surface of the implant is performed. Full article
(This article belongs to the Special Issue Materials for Prosthodontics, Implantology, and Digital Dentistry)
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17 pages, 2486 KB  
Article
Antifouling Mussel-Inspired Hydrogel with Furanone-Loaded ZIF-8 for Quorum Sensing-Mediated Marine Antifouling
by Yanbin Xiong, Junnan Cui, Xiaodan Liu, Haobo Shu and Pan Cao
Gels 2025, 11(6), 466; https://doi.org/10.3390/gels11060466 - 18 Jun 2025
Viewed by 785
Abstract
Marine biofouling, the process of marine microorganisms, algae, and invertebrates attaching to and forming biofilms on ship hulls, underwater infrastructure, and marine equipment in ocean environments, severely impacts shipping and underwater operations by increasing fuel consumption, maintenance costs, and corrosion risks, and by [...] Read more.
Marine biofouling, the process of marine microorganisms, algae, and invertebrates attaching to and forming biofilms on ship hulls, underwater infrastructure, and marine equipment in ocean environments, severely impacts shipping and underwater operations by increasing fuel consumption, maintenance costs, and corrosion risks, and by threatening marine ecosystem stability via invasive species transport. This study reports the development of a hydrogel-metal-organic framework (MOF)-quorum sensing inhibitor (QSI) antifouling coating on 304 stainless steel (SS) substrates. Inspired by mussel adhesion, a hydrophilic bionic hydrogel was first constructed via metal ion coordination. The traditional metal ion source was replaced with a zeolitic imidazolate framework-8 (ZIF-8) loaded with 2-(5H)-furanone (HF, a QSI) without altering coating formation. Physicochemical characterization using Fourier transform infrared spectroscopy (FTIR), X-ray photoelectron spectroscopy (XPS), thermogravimetric analysis (TGA), scanning electron microscopy (SEM), high-resolution transmission electron microscopy (HRTEM), the Brunauer–Emmett–Teller (BET) method, and the diffraction of x-rays (XRD) confirmed successful HF loading into ZIF-8 with intact crystal structures. Antifouling tests showed HF@ZIF-8 enhanced antibacterial inhibition against Staphylococcus aureus (97.28%) and Escherichia coli (>97%) and suppressed Chromobacterium violaceum CV026 pigment synthesis at 0.25 mg/mL (sub-growth concentration). The reconstructed PG/PVP/PEI/HF@ZIF-8 coating achieved 72.47% corrosion inhibition via synergistic anodic protection and physical shielding. This work provides a novel green approach for surface antifouling and drag reduction, highlighting MOF-loaded QSIs as promising additives to enhance the antifouling performance of hydrogel coatings, anti-corrosion performance, and QSI performance for sustainable marine engineering applications. Full article
(This article belongs to the Section Gel Applications)
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46 pages, 1675 KB  
Review
Human Papillomavirus and Other Relevant Issues in Cervical Cancer Pathogenesis
by Amitabha Ray
Int. J. Mol. Sci. 2025, 26(12), 5549; https://doi.org/10.3390/ijms26125549 - 10 Jun 2025
Cited by 1 | Viewed by 3049
Abstract
Cancer of the uterine cervix (cervical cancer) is a leading cancer among women worldwide, although its incidence has been reducing in many developing nations. In the majority of cervical cancer cases, the presence of high-risk human papillomavirus (HPV) is usually detected. However, a [...] Read more.
Cancer of the uterine cervix (cervical cancer) is a leading cancer among women worldwide, although its incidence has been reducing in many developing nations. In the majority of cervical cancer cases, the presence of high-risk human papillomavirus (HPV) is usually detected. However, a growing body of evidence currently considers that exclusive HPV infection may not be sufficient for cancer development. Apart from certain common risk factors for cervical cancer, like poor nutritional status and smoking, many studies documented an association with other viral infections, such as human immunodeficiency virus (HIV) and herpes simplex virus type 2 (HSV-2). Similarly, vaginal bacterial populations perhaps play a key role in cervical cancer. It may be worth mentioning that different bacterial species can immensely influence (either protecting or adversely) the biochemical characteristics of the cervicovaginal environment—for example, Lactobacillus crispatus, Gardnerella vaginalis, and Chlamydia trachomatis. As a result, chronic infections with unfavorable microorganisms (other than HPV) may affect the pathological processes of malignancy. On the other hand, the cervix is an estrogen-sensitive organ like the corpus uteri (i.e., the body of the uterus). Estrogen and different estrogen receptors are implicated in the development and promotion of various cancers, including endometrial cancer. A number of reports also suggest a close association between estrogen and HPV in the development of cervical cancer. Furthermore, estrogen is linked with the characteristics of the vaginal microenvironment including bacteria. Therefore, several of the abovementioned factors (some are preventable) could play an important role in the progression of cervical neoplastic lesions. Full article
(This article belongs to the Section Molecular Oncology)
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28 pages, 1773 KB  
Review
The Vaginal Microbiota, Human Papillomavirus, and Cervical Dysplasia—A Review
by Justė Kazlauskaitė, Guoda Žukienė, Vilius Rudaitis and Daiva Bartkevičienė
Medicina 2025, 61(5), 847; https://doi.org/10.3390/medicina61050847 - 5 May 2025
Cited by 2 | Viewed by 3907
Abstract
Background and Objectives: The relationship between the vaginal microbiota, human papillomavirus infection (HPV), and cervical precancerous lesions is a critical area of research, as it influences both the progression of HPV-related diseases and potential treatment strategies. New evidence suggests that Lactobacillus crispatus dominance [...] Read more.
Background and Objectives: The relationship between the vaginal microbiota, human papillomavirus infection (HPV), and cervical precancerous lesions is a critical area of research, as it influences both the progression of HPV-related diseases and potential treatment strategies. New evidence suggests that Lactobacillus crispatus dominance in the microbiota may protect against HPV persistence and speed the elimination of HPV. This study aims to explore the relationship between the vaginal microbiota composition and HPV infection, focusing on the impact of these factors on the development of cervical precancerous lesions. Materials and Methods: A comprehensive literature review was conducted using the PubMed database, focusing on studies that analyzed the association between the vaginal microbiota and HPV infection in the context of cervical dysplasia. This study was primarily based on clinical data on HPV integration in women with low-grade squamous intraepithelial lesions (LSILs), high-grade squamous intraepithelial lesions (HSILs), and cervical cancer. Results: Different types of vaginal microbiota communities (CSTs) have different pathogenic or protective potential. Healthy women predominantly exhibited CST I, with Lactobacillus crispatus as the dominant microorganism. CST IV, associated with increased anaerobic bacteria, was most common in HSIL and cervical cancer patients. Statistical analysis revealed that bacterial vaginosis (BV) was significantly associated with HPV persistence, with studies reporting a 1.8–3.4-fold increased risk (p < 0.05) of persistent HR-HPV infection in BV-positive women. Conclusions: Our literature review suggests that the composition of the vaginal microbiota can modulate the local immune response, the expression of viral oncogenes, and the integrity of the epithelial barrier. Furthermore, certain bacterial genes or metabolic pathways can be associated with a favorable or unfavorable outcome of the disease. Analysis of the vaginal microbiota could serve as an additional risk assessment tool, helping to distinguish between regressing and progressive precancerous conditions. Full article
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30 pages, 1100 KB  
Review
Antibiotic Abuse in Ornamental Fish: An Overlooked Reservoir for Antibiotic Resistance
by Chun Au-Yeung, Yat-Lai Tsui, Man-Hay Choi, Ka-Wai Chan, Sze-Nga Wong, Yuk-Ki Ling, Cheuk-Ming Lam, Kit-Ling Lam and Wing-Yin Mo
Microorganisms 2025, 13(4), 937; https://doi.org/10.3390/microorganisms13040937 - 18 Apr 2025
Viewed by 1676
Abstract
Ornamental fish represent a significant aquaculture sector with notable economic value, yet their contribution to antibiotic residues and resistance remains underrecognized. This review synthesizes evidence on widespread and often unregulated antibiotic use—including tetracyclines and fluoroquinolones—in ornamental fish production, transportation, and retail, primarily targeting [...] Read more.
Ornamental fish represent a significant aquaculture sector with notable economic value, yet their contribution to antibiotic residues and resistance remains underrecognized. This review synthesizes evidence on widespread and often unregulated antibiotic use—including tetracyclines and fluoroquinolones—in ornamental fish production, transportation, and retail, primarily targeting bacterial diseases such as aeromonosis and vibriosis. Pathogenic microorganisms including Edwardsiella, Flavobacterium, and Shewanella spp. cause diseases like hemorrhagic septicemia, fin rot, skin ulcers, and exophthalmia, impairing fish health and marketability. Prophylactic and therapeutic antibiotic applications elevate antibiotic residues in fish tissues and carriage water, thereby selecting for antibiotic-resistant bacteria (ARB) and antibiotic resistance genes (ARGs). These resistant elements pose significant risks to fish health, human exposure via direct contact and bioaerosols, and environmental health through contamination pathways. We emphasize the urgent need for a holistic One Health approach, involving enhanced surveillance, stringent regulatory oversight, and adoption of alternative antimicrobial strategies, such as probiotics and advanced water treatments. Coordinated global actions are crucial to effectively mitigate antibiotic resistance within the ornamental fish industry, ensuring sustainable production, safeguarding public health, and protecting environmental integrity. Full article
(This article belongs to the Special Issue Emerging Diseases in Aquatic Animals)
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30 pages, 2626 KB  
Review
Gut Microbiota and Colorectal Cancer: A Balance Between Risk and Protection
by Vlad Alexandru Ionescu, Camelia Cristina Diaconu, Gina Gheorghe, Mara-Madalina Mihai, Carmen Cristina Diaconu, Marinela Bostan and Coralia Bleotu
Int. J. Mol. Sci. 2025, 26(8), 3733; https://doi.org/10.3390/ijms26083733 - 15 Apr 2025
Cited by 9 | Viewed by 3314
Abstract
The gut microbiome, a complex community of microorganisms residing in the intestinal tract, plays a dual role in colorectal cancer (CRC) development, acting both as a contributing risk factor and as a protective element. This review explores the mechanisms by which gut microbiota [...] Read more.
The gut microbiome, a complex community of microorganisms residing in the intestinal tract, plays a dual role in colorectal cancer (CRC) development, acting both as a contributing risk factor and as a protective element. This review explores the mechanisms by which gut microbiota contribute to CRC, emphasizing inflammation, oxidative stress, immune evasion, and the production of genotoxins and microbial metabolites. Fusobacterium nucleatum, Escherichia coli (pks+), and Bacteroides fragilis promote tumorigenesis by inducing chronic inflammation, generating reactive oxygen species, and producing virulence factors that damage host DNA. These microorganisms can also evade the antitumor immune response by suppressing cytotoxic T cell activity and increasing regulatory T cell populations. Additionally, microbial-derived metabolites such as secondary bile acids and trimethylamine-N-oxide (TMAO) have been linked to carcinogenic processes. Conversely, protective microbiota, including Lactobacillus, Bifidobacterium, and Faecalibacterium prausnitzii, contribute to intestinal homeostasis by producing short-chain fatty acids (SCFAs) like butyrate, which exhibit anti-inflammatory and anti-carcinogenic properties. These beneficial microbes enhance gut barrier integrity, modulate immune responses, and inhibit tumor cell proliferation. Understanding the dynamic interplay between pathogenic and protective microbiota is essential for developing microbiome-based interventions, such as probiotics, prebiotics, and fecal microbiota transplantation, to prevent or treat CRC. Future research should focus on identifying microbial biomarkers for early CRC detection and exploring personalized microbiome-targeted therapies. A deeper understanding of host–microbiota interactions may lead to innovative strategies for CRC management and improved patient outcomes. Full article
(This article belongs to the Special Issue Gut Microbiota in Human Disease and Health)
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