Inherited retinal diseases (IRDs) are a clinically and genetically heterogeneous group of diseases which cause visual loss due to Mendelian mutations in over 250 genes, making genetic diagnosis challenging and time-consuming. Here, we developed a new tool, CDIP (Cost-effective Deep-sequencing IRD Panel) in which a simultaneous sequencing of common mutations is performed. CDIP is based on simultaneous amplification of 47 amplicons harboring common mutations followed by next-generation sequencing (NGS). Following five rounds of calibration of NGS-based steps, CDIP was used in 740 IRD samples. The analysis revealed 151 mutations in 131 index cases. In 54 (7%) of these cases, CDIP identified the genetic cause of disease (the remaining were single-heterozygous recessive mutations). These include a patient that was clinically diagnosed with retinoschisis and found to be homozygous for NR2E3-c.932G>A (p.R311Q), and a patient with RP who is hemizygous for an RPGR variant, c.292C>A (p.H98N), which was not included in the analysis but is located in proximity to one of these mutations. CDIP is a cost-effective deep sequencing panel for simultaneous detection of common founder mutations. This protocol can be implemented for additional populations as well as additional inherited diseases, and mainly in populations with strong founder effects. Full article

Improvements in medical technology have significantly changed the management of congenital heart disease (CHD), offering novel tools to predict outcomes and personalize follow-up care. By using sophisticated imaging modalities, computational models and machine learning algorithms, clinicians can experiment with unprecedented insights into the complex anatomy and physiology of CHD. These tools enable early identification of high-risk patients, thus allowing timely, tailored interventions and improved outcomes. Additionally, the integration of genetic testing offers valuable prognostic information, helping in risk stratification and treatment optimisation. The birth of telemedicine platforms and remote monitoring devices facilitates customised follow-up care, enhancing patient engagement and reducing healthcare disparities. Taking into consideration challenges and ethical issues, clinicians can make the most of the full potential of artificial intelligence (AI) to further refine prognostic models, personalize care and improve long-term outcomes for patients with CHD. This narrative review aims to provide a comprehensive illustration of how AI has been implemented as a new technological method for enhancing the management of CHD. Full article

It is the contention of this paper that ethics of work ought to be anthropological, and artificial intelligence (AI) research and development, which is the focus of work today, should be anthropological, that is, human-centered. This paper discusses the philosophical and theological implications of the development of AI research on the intrinsic nature of work and the nature of the human person. AI research and the implications of its development and advancement, being a relatively new phenomenon, have not been comprehensively interrogated in the social and ethical teachings of the Catholic Church. This paper, therefore, proposes a path for this interrogation by expounding a discourse which is believed to be epistemically helpful in the developing discourse of AI in the ethical and social teachings of the Church. The advancement in the research on AI is not only redefining the meaning of work, but, even more so, it is questioning the metaphysical notion of the human person and the theological notion of work as an intrinsic part in the selfhood and dignity of the human person. Full article

The transportation landscape is witnessing profound changes due to technological advancements, necessitating proactive policy responses to harness innovation and avert urban mobility disruption. The sharing economy has already transformed ridesharing, bicycle-sharing, and electric scooters, with shared autonomous vehicles (SAVs) poised to reshape car ownership. This study pursues two objectives: firstly, to establish a market segmentation for shared ride services and secondly, to evaluate the environmental impact of ridesharing in different contexts. To mitigate potential biases linked to stated preference data, we analysed the navette service, utilized by a research institute in Europe, closely resembling future SAVs. The market segmentation relied on hierarchical cluster analysis using employee survey responses, while the environmental analysis was grounded in the 2019 navette service data. Our analysis revealed four unique employee clusters: Cluster 1, emphasizing active transportation and environmental awareness; Cluster 2, showing openness towards SAVs given reliable alternatives are available; Cluster 3, the largest segment, highlighting a demand for policy support and superior service quality; and Cluster 4, which places a premium on time, suggesting a potential need for strategies to make the service more efficient and, consequently, discourage private car use. These findings highlight a general willingness to adopt shared transport modes, signalling a promising transition to shared vehicle ownership with significant environmental benefits achievable through service design and policy measures. Full article

This paper describes the process of producing chemiresistors based on hybrid nanostructures obtained from graphene and conducting polymers. The technology of graphene presumed the following: dispersion and support stabilization based on the chemical vapor deposition technique; transfer of the graphene to the substrate by spin-coating of polymethyl methacrylate; and thermal treatment and electrochemical delamination. For the process at T = 950 °C, a better settlement of the grains was noticed, with the formation of layers predominantly characterized by peaks and not by depressions. The technology for obtaining hybrid nanostructures from graphene and conducting polymers was drop-casting, with solutions of Poly(3-hexylthiophene (P3HT) and Poly[(9,9-dioctylfluorenyl-2,7-diyl)-co-bithiophene] (F8T2). In the case of F8T2, compared to P3HT, a 10 times larger dimension of grain size and about 7 times larger distances between the peak clusters were noticed. To generate chemiresistors from graphene–polymer structures, an ink-jet printer was used, and the metallization was made with commercial copper ink for printed electronics, leading to a structure of a resistor with an active surface of about 1 cm². Experimental calibration curves were plotted for both sensing structures, for a domain of CH₄ of up to 1000 ppm concentration in air. A linearity of the curve for the low concentration of CH₄ was noticed for the graphene structure with F8T2, presenting a sensitivity of about 6 times higher compared with the graphene structure with P3HT, which makes the sensing structure of graphene with F8T2 more feasible and reliable for the medical application of irritable bowel syndrome evaluation. Full article

This paper examines the quantitative relationship between knowledge management and technological innovation and their influence on sustainable development. Organizations have increasingly focused on knowledge management processes, recognizing their importance for maintaining competitiveness and sustainability. The purpose of our study was to shed light on the impact of knowledge management processes on a firm’s sustainability and innovation. Specifically, we investigated the relationship between knowledge acquisition, knowledge storage, knowledge transfer, and knowledge application and their effects on product/service innovation, process innovation, radical innovation, and incremental innovation. Using data from 272 questionnaires completed by top managers from companies operating in Greece, we provide strong evidence of a positive relationship between knowledge acquisition, storage, and application on product innovation whereas knowledge acquisition, storage, and transfer have a statistically significant effect on process innovation. Furthermore, we found a strong positive relationship between knowledge transfer and radical innovation. Finally, all four knowledge management processes have a strong positive impact on incremental innovation. The strength of these statistically significant results is reinforced by the magnitude of the corresponding estimated coefficients. The robustness of our results was further confirmed through the estimation of a Structural Equation Model (SEM) with the application of the Partial Least Squares (PLS) technique. Full article

This study aimed to explore the impact of three corrosive ions—SO₄²⁻, Cl⁻, and Mg²⁺—on the hydration property of calcium sulphoaluminate (CSA) cement. Cement paste was prepared using three types of sea salt ion solutions with varying concentrations as mixing water. The experimental program encompassed assessments of porosity, compressive/flexural strength, heat of hydration, pH of pore solution, XRD, and SEM analysis. To modulate the hydration environment, Ordinary Portland cement (10%) was incorporated to elevate the pH and enhance the stability of ettringite, thereby facilitating the formation of additional C-S-H gel for the observation of M-S-H and other compounds. Findings revealed that the Cl⁻ accelerated the hydration of CSA, resulting in heightened heat release. However, it also decreased the length-to-diameter ratio of ettringite, leading to cracking in CSA test blocks. The addition of SO₄²⁻ resulted in elevated internal alkalinity, prompting alterations in hydration product types and subsequent reduction in CSA strength. Conversely, Mg²⁺ was observed to ameliorate the microstructure of CSA test blocks, diminishing porosity and augmenting strength. Full article

Cotton is an important economic crop; therefore, enhancing cotton yield and cultivating superior varieties are key research priorities. The seedling stage, a critical phase in cotton production, significantly influences the subsequent growth and yield of the crop. Therefore, breeding experts often choose to measure phenotypic parameters during this period to make breeding decisions. Traditional methods of phenotypic parameter measurement require manual processes, which are not only tedious and inefficient but can also damage the plants. To effectively, rapidly, and accurately extract three-dimensional phenotypic parameters of cotton seedlings, precise segmentation of phenotypic organs must first be achieved. This paper proposes a neural network-based segmentation algorithm for cotton seedling organs, which, compared to the average precision of 75.4% in traditional unsupervised learning, achieves an average precision of 96.67%, demonstrating excellent segmentation performance. The segmented leaf and stem point clouds are used for the calculation of phenotypic parameters such as stem length, leaf length, leaf width, and leaf area. Comparisons with actual measurements yield coefficients of determination $R^2$ of 91.97%, 90.97%, 92.72%, and 95.44%, respectively. The results indicate that the algorithm proposed in this paper can achieve precise segmentation of stem and leaf organs, and can efficiently and accurately extract three-dimensional phenotypic structural information of cotton seedlings. In summary, this study not only made significant progress in the precise segmentation of cotton seedling organs and the extraction of three-dimensional phenotypic structural information, but the algorithm also demonstrates strong applicability to different varieties of cotton seedlings. This provides new perspectives and methods for plant researchers and breeding experts, contributing to the advancement of the plant phenotypic computation field and bringing new breakthroughs and opportunities to the field of plant science research. Full article

Rehabilitation therapists (RTs) have developed substantial mental health problems since the pandemic. Our study aimed to understand the experience of COVID-19 on occupational therapists and physiotherapists practicing in Canada, how the pandemic may have affected care delivery, and to identify new learnings articulated by RTs. A qualitative descriptive study design guided data collection through one-on-one interviews, dyadic interviews, and focus groups. We recruited active RTs across Canada, advertising on professional practice networks and social media platforms and using snowball sampling. Forty-nine RTs representing seven Canadian provinces participated. The four overarching themes developed using thematic analysis were (1) navigating uncertainty along with ever-changing practices, policies, and attitudes, (2) morphing roles within a constrained system, (3) witnessing patients suffering and experiencing moral distress, and (4) recognizing the personal toll of the pandemic on self and others, as well as lessons learned. Our study demonstrated that many RTs suffered moral distress, poor mental health, and some from challenging financial situations, especially those in the private sector. They also expressed a resilient attitude in response to these stressors. Implications in the future include identifying promising communication strategies that could act as protective factors, addressing workforce constraints and diminishing resources through innovative models of care. Full article

Five new sulfated arylpyrrole and arylpyrrolone alkaloids, denigrins H–L (1–5), along with two known compounds, dictyodendrin B and denigrin G, were isolated from an extract of a New Zealand Dictyodendrilla c.f. dendyi marine sponge. Denigrins H–L represent the first examples of sulfated denigrins, with denigrins H and I (1–2), as derivatives of denigrin D, containing a pyrrolone core, and denigrins J–L (3–5), as derivatives of denigrin E (6), containing a pyrrole core. Their structures were elucidated by interpretation of 1D and 2D NMR spectroscopic data, ESI, and HR-ESI-MS spectrometric data, as well as comparison with literature data. Compounds 1–5, along with six known compounds previously isolated from the same extract, showed minimal cytotoxicity against the HeLa cervical cancer cell line. Full article

Objective: To determine the added value of digital breast tomosynthesis (DBT) in the assessment of lesions detected by contrast-enhanced mammography (CEM). Material and methods: A retrospective study was conducted in a tertiary university medical center. All CEM studies including DBT performed between January 2016 and December 2020 were included. Lesions were categorized and scored by four dedicated breast radiologists according to the recent CEM and DBT supplements to the Breast Imaging Reporting and Data System (BIRADS) lexicon. Changes in the BIRADS score of CEM-detected lesions with the addition of DBT were evaluated according to the pathology results and 1-year follow-up imaging study. Results: BIRADS scores of CEM-detected lesions were upgraded toward the lesion’s pathology with the addition of DBT (p > 0.0001), overall and for each reader. The difference in BIRADS scores before and after the addition of DBT was more significant for readers who were less experienced. The reason for changes in the BIRADS score was better lesion margin visibility. The main BIRADS descriptors applied in the malignant lesions were spiculations, calcifications, architectural distortion, and sharp or obscured margins. Conclusions: The addition of DBT to CEM provides valuable information on the enhancing lesion, leading to a more accurate BIRADS score. Full article

The purpose of this study is to determine the material properties of CFRP composites in the form of a fabric for the construction of racing car bodywork. This work focused on the determination of the strength and tribological properties as well as investigating the effects of the operating environment on the developed material. Three material variants, differing in the number of layers used to produce the reinforcement, were used in this study. The tests were carried out on two-/three-/four-layer sheets produced by infusion. Due to the later use of the tested composites for the sheathing of a racing car, the results obtained were analysed in terms of the most favourable strength properties while keeping the weight as low as possible. In this study, the hardness, impact strength, and tensile and bending stresses of the developed composites were examined. In addition to the strength properties, the density, the effects of immersion in water, and the composite’s resistance to staining and friction in the presence of aggressive media were also checked. The structure and the breakthroughs resulting from the strength tests were observed using a stereoscopic microscope. The material’s resistance to sunlight and UVB was also tested. Full article

In recent decades, climatic pressures have altered the forested landscape of Bavaria. Widespread loss of trees has unevenly impacted the entire state, of which 37% is covered by forests (5% more than the national average). In 2018 and 2019—due in large part to drought and subsequent insect infestations—more tree-covered areas were lost in Bavaria than in any other German state. Moreover, the annual crown condition survey of Bavaria has revealed a decreasing trend in tree vitality since 1998. We conducted a systematic literature review regarding the remote sensing of forests in Bavaria. In total, 146 scientific articles were published between 2008 and 2023. While 88 studies took place in the Bavarian Forest National Park, only five publications covered the whole of Bavaria. Outside of the national park, the remaining 2.5 million hectares of forest in Bavaria are understudied. The most commonly studied topics were related to bark beetle infestations (24 papers); however, few papers focused on the drivers of infestations. The majority of studies utilized airborne data, while publications utilizing spaceborne data focused on multispectral; other data types were under-utilized- particularly thermal, lidar, and hyperspectral. We recommend future studies to both spatially broaden investigations to the state or national scale and to increase temporal data acquisitions together with contemporaneous in situ data. Especially in understudied topics regarding forest response to climate, catastrophic disturbances, regrowth and species composition, phenological timing, and in the sector of forest management. The utilization of remote sensing data in the forestry sector and the uptake of scientific results among stakeholders remains a challenge compared to other heavily forested European countries. An integral part of the Bavarian economy and the tourism sector, forests are also vital for climate regulation via atmospheric carbon reduction and land surface cooling. Therefore, forest monitoring remains centrally important to attaining more resilient and productive forests. Full article

A major challenge in distribution systems is the issue of voltage drop along the distribution line resulting from an increased load capacity connected to the utility. A significant voltage drop can affect the performance of a distribution system and cause quality issues for end users, impacting the system’s long-term sustainability and reliability. Therefore, regulations have been set stating that the voltage level should not be more that 5% higher or lower than the rated voltage. Thus, in this study, we aimed to evaluate the voltage level characteristics of a 22 kV distribution system that replicates the actual distribution system in the Provincial Electricity Authority. A voltage improvement technique based on distributed generation placement was proposed. In addition, the distribution system characteristics with and without distributed generation placement were evaluated under fault conditions. The results indicate that distributed generation placement in the distribution system can improve the voltage level along the distribution line. However, the level of increase in voltage depends on the size of the load, the capacity of the distributed generation, and the location of the distributed generation system on the distribution line. Furthermore, placing a distributed generation system with a minimum capacity at the proposed location can improve the voltage within the utility’s standard level. Thus, the installation of a distributed generation system in the distribution system is beneficial in terms of voltage improvement in the distribution system and provides the power system with a sustainable method to address the issue of voltage drop. Full article

Analytical solutions for turbulent and laminar water flow conditions are developed considering the drainage process of a simple tank reservoir, using the Darcy–Weisbach and the Poiseuille laws, respectively. Near the critical value of the Reynolds number, the Darcy–Weisbach and the Poiseuille laws do not match, and there is a gap regarding the possibility of describing the drainage analytically. This gap corresponds to the critical zone of the Moody diagram, where theoretically a constant discharge occurs under a decreasing hydraulic gradient. In the critical zone, this hydraulic behavior of the flow reflects the different energy losses occurring during the drainage, as the laminar flow is a more efficient flow condition than the turbulent one. In natural systems (e.g., springs and karst aquifers), a smooth transition from the turbulent to the laminar water flow occurs due to the heterogeneity in the medium. Full article

Synucleinopathies, typified by Parkinson’s disease (PD), entail the accumulation of α-synuclein (αSyn) aggregates in nerve cells. Various αSyn mutants, including the αSyn A53T variant linked to early-onset PD, increase the propensity for αSyn aggregate formation. In addition to disrupting protein homeostasis and inducing proteostatic stress, the aggregation of αSyn in PD is associated with an imbalance in iron metabolism, which increases the generation of reactive oxygen species and causes oxidative stress. This study explored the impact of αSyn A53T expression in transgenic hairy roots of four medicinal plants (Lobelia cardinalis, Artemisia annua, Salvia miltiorrhiza, and Polygonum multiflorum). In all tested plants, αSyn A53T expression triggered proteotoxic stress and perturbed iron homeostasis, mirroring the molecular profile observed in human and animal nerve cells. In addition to the common eukaryotic defense mechanisms against proteostatic and oxidative stresses, a plant stress response generally includes the biosynthesis of a diverse set of protective secondary metabolites. Therefore, the hairy root cultures expressing αSyn A53T offer a platform for identifying secondary metabolites that can ameliorate the effects of αSyn, thereby aiding in the development of possible PD treatments and/or treatments of synucleinopathies. Full article

Clopidogrel (CLO), a pro-drug for preventing thrombotic events, undergoes rapid absorption and extensive metabolism, with approximately 85–90% converted to an inactive carboxylic acid metabolite (CLO-CA) and the remaining to an active thiol (CLO-TH). Few pharmacokinetic models for the drug and its metabolites exist, with most focusing on CLO-TH. Although CLO-CA is inactive, its predominant (compared to its parent drug and metabolites) presence in plasma underscores the importance of characterizing its formation and pharmacokinetic profile. This study aimed to characterize the process of the absorption of CLO and its conversion to CLO-CA via developing a population pharmacokinetic model. Individual participants’ data from two bioequivalence studies were utilized. Extensive blood samples were collected at predetermined intervals, including 841 concentrations of CLO and 1149 of CLO-CA. A nonlinear, mixed-effects modelling approach using NONMEM^® software (v 7.5) was applied. A one-compartment model was chosen for CLO, while a two-compartment proved optimal for CLO-CA. Absorption from the depot compartment was modeled via two transit compartments, incorporating transit rate constants (K_tr). A semi-physiological model explained the first-pass effect of CLO, integrating a liver compartment. The estimated mean transit times (MTTs) for the studies were 0.470 and 0.410 h, respectively. The relative bioavailability for each study’s generic medicine compared to the reference were 1.08 and 0.960, respectively. Based on the estimated parameters, the fractions metabolized to inactive metabolites (F_iaM_st1 and F_iaM_st2) were determined to be 87.27% and 86.87% for the two studies, respectively. The appropriateness of the final model was confirmed. Our model offers a robust framework for elucidating the pharmacokinetic profiles of CLO and CLO-CA. Full article

Proteins can adsorb on the surface of materials, such as soft contact lenses (SCLs), and can affect the hydrophobicity, roughness, and surface properties of the contact lenses (CLs), which, in turn, can influence the friction between the lenses and the ocular surface. Excessive friction between contact lenses and the ocular surface can lead to discomfort for the wearer and may cause irritation or inflammation of the cornea, better known as corneal ulcers (keratitis). Bovine Serum Albumin (BSA) is often used as a standard protein in biocompatibility testing of materials, including contact lenses. One standard commercial contact lens was tested under lubricated conditions to access the coefficient of friction (CoF). The contact was lubricated with a tear-like fluid (TLF) solution containing six different concentrations of BSA. In all cases, good linearity of the results of the friction force was verified, suggesting that the first friction law can be applied to determine the value of the coefficient of friction. It was found that friction increases with the increase in protein concentration. Full article

To effectively suppress the effects of uncertainties including unmodeled dynamics and external disturbances in the vehicle stabilization system, a nonlinear robust control strategy based on a multilayer neural network is proposed in this paper. First, the mechanical and electrical coupling dynamics model of the vehicle stabilization system, considering model uncertainty and actuator dynamics, is refined. Second, the lumped uncertainty of the vehicle stabilization system is estimated by a multi-layer neural network and compensated by feedforward control. The high robustness of the system is ensured by constructing the sliding mode feedback control law. The proposed control method overcomes the limitations of sliding mode technology and the neural network and is naturally applied to the vehicle stabilization system, avoiding the adverse effects of high-gain feedback. Based on Lyapunov theory, it is demonstrated that the proposed controller is able to achieve the desired stability tracking performance. Finally, the effectiveness of the proposed control strategy is verified by co-simulation and comparative experiments. Full article

The loop electrosurgical excision procedure (LEEP) is a common treatment for cervical intraepithelial neoplasia (CIN). Photodynamic therapy (PDT) mediated by 5-aminolevulinic acid (ALA) is a non-invasive modality that has been used for treating precancerous diseases and HPV infections. This comparative study evaluated the efficacy and safety of ALA PDT and the LEEP in the treatment of cervical high-grade squamous intraepithelial lesions (HSILs). Patient records were reviewed and HSIL patients with HPV infections (24–51 years old) who underwent PDT or LEEP treatment were selected. Efficacy was analyzed blindly based on HPV-DNA, cytology, and colposcopy-directed biopsy obtained at 6 months after treatment. Treatment-related discomfort and side effects were also analyzed. Cure rates of 88.1% and 70.0% were achieved for the PDT group and LEEP group (p < 0.05), respectively. HPV-negative conversion rates of 81.0% and 62.0% were achieved for the PDT group and LEEP group (p < 0.05), respectively. The overall lesion remission rate of the PDT group was 19% higher than that of the LEEP group. The incidence of side effects was much lower in the PDT group. These results show that ALA PDT is a feasible non-invasive treatment for cervical HSIL. Full article

Introduction: The impact of radiation on wound healing after metastatic spine surgery remains an active area of research. In patients undergoing metastatic spine surgery, we sought to (1) assess the relationship between preoperative and/or postoperative radiation on wound complications, and (2) evaluate the relationship between the timing of postoperative radiation and wound complications. Methods: A single-center, retrospective, cohort study of patients undergoing metastatic spine surgery was conducted from 2010 to 2021. The primary exposure variable was the use/timing of radiation. Radiation included both external beam radiotherapy (EBRT) and stereotactic body radiotherapy (SBRT). Patients were trichotomized into the following groups: (1) preoperative radiation only, (2) postoperative radiation only, and (3) no radiation. The primary outcome variable was wound complications, which was defined as dehiscence requiring reoperation, infection requiring antibiotics, or infection requiring surgical debridement. Multivariable logistic/linear regression controlled for age, tumor size, primary organ of origin, and the presence of other organ metastases. Results: A total of 207 patients underwent surgery for extradural spinal metastasis. Participants were divided into three groups: preoperative RT only (N = 29), postoperative RT only (N = 91), and no RT (N = 178). Patients who received postoperative RT only and no RT were significantly older than patients who received preoperative RT only (p = 0.009) and were less likely to be white (p < 0.001). No other significant differences were found in basic demographics, tumor characteristics, or intraoperative variables. Wound-related complications occurred in two (6.9%) patients with preoperative RT only, four patients (4.4%) in postoperative RT only, and 11 (6.2%) patients with no RT, with no significant difference among the three groups (p = 0.802). No significant difference was found in wound-related complications, reoperation, and time to wound complications between patients with preoperative RT only and no RT, and between postoperative RT only and no RT (p > 0.05). Among the postoperative-RT-only group, no difference in wound complications was seen between those receiving SBRT (5.6%) and EBRT (4.1%) (p > 0.999). However, patients who received preoperative RT only had a longer time to wound complications in comparison to those who received postoperative RT only (43.5 ± 6.3 vs. 19.7 ± 3.8, p = 0.004). Regarding timing of postoperative RT, the mean (SD) time to RT was 28.7 ± 10.0 days, with a median of 28.7 (21–38) days. No significant difference was found in time to postoperative RT between patients with and without wound complications (32.9 ± 12.3 vs. 29.0 ± 9.7 days, p = 0.391). Conclusion: In patients undergoing metastatic spine surgery, a history of previous RT or postoperative RT did not significantly affect wound complications. However, those with previous RT prior to surgery had a longer time to wound complications than patients undergoing postoperative RT only. Moreover, timing of RT had no impact on wound complications, indicating that earlier radiation may be safely employed to optimize tumor control without fear of compromising wound healing. Full article

Epidemiological and clinical evidence have extensively documented the role of obesity in the development of endometrial cancer. However, the effect of fatty acids on cell growth in endometrial cancer has not been widely studied. Here, we reported that palmitic acid significantly inhibited cell proliferation of endometrial cancer cells and primary cultures of endometrial cancer and reduced tumor growth in a transgenic mouse model of endometrial cancer, in parallel with increased cellular stress and apoptosis and decreased cellular adhesion and invasion. Inhibition of cellular stress by N-acetyl-L-cysteine effectively reversed the effects of palmitic acid on cell proliferation, apoptosis, and invasive capacity in endometrial cancer cells. Palmitic acid increased the intracellular formation of lipid droplets in a time- and dose-dependent manner. Depletion of lipid droplets by blocking DGAT1 and DGAT2 effectively increased the ability of palmitic acid to inhibit cell proliferation and induce cleaved caspase 3 activity. Collectively, this study provides new insight into the effect of palmitic acid on cell proliferation and invasion and the formation of lipid droplets that may have potential clinical relevance in the treatment of obesity-driven endometrial cancer. Full article