Inflammatory bowel disease (IBD) is a group of chronic disorders characterized by pain, ulceration, and the inflammation of the gastrointestinal tract (GIT) and categorized into two major subtypes: ulcerative colitis (UC) and Crohn’s disease. The inflammation in UC is typically restricted to the mucosal surface, beginning in the rectum and extending through the entire colon. UC patients typically show increased levels of pro-inflammatory cytokines, leading to intestinal epithelial apoptosis and mucosal inflammation, which impair barrier integrity. Chronic inflammation is associated with the rapid recruitment and inappropriate retention of leukocytes at the site of inflammation, further amplifying the inflammation. While UC can be managed using a number of treatments, these drugs are expensive and cause unwanted side effects. Therefore, a safe and effective treatment for UC patients is needed. Palmitoylethanolamide (PEA) is an endogenous fatty acid amide and an analog of the endocannabinoid anandamine. PEA administration has been found to normalize intestinal GIT motility and reduce injury in rodents and humans. In the current study, we examined the efficacy of PEA encapsulated in phytosomes following oral administration in experimental ulcerative colitis. Here, we showed that PEA at a human-equivalent dose of 123 mg/kg (OD or BID) attenuated DSS-induced experimental colitis as represented by the reduction in clinical signs of colitis, reduction in gross mucosal injury, and suppression of leukocyte recruitment at inflamed venules. These findings add to the growing body of data demonstrating the beneficial effects of PEA to control the acute phase of intestinal inflammation occurring during UC. Full article

In this work, we derived a new type model for spatial Hill’s system considering the created perturbation by the parameter effect of the continuation fractional potential. The new model is considered a reduced system from the restricted three-body problem under the same effect for describing Hill’s problem. We identified the associated Lagrangian and Hamiltonian functions of the new system, and used them to verify the existence of the new equations of motion. We also proved that the new model has different six valid solutions under different six symmetries transformations as well as the original solution, where the new model is an invariant under these transformations. The several symmetries of Hill’s model can extremely simplify the calculation and analysis of preparatory studies for the dynamical behavior of the system. Finally, we confirm that these symmetries also authorize us to explore the similarities and differences among many classes of paths that otherwise differ from the obtained trajectories by restricted three-body problem. Full article

The use of instrumental methods of analysis in the assessment of indices that record changes in symmetry in the structure of grains to evaluate the quality of durum and soft wheat grain is currently considered a search tool that will allow us to obtain previously unavailable data by finding correlations associated with differences in the shape and ratio of starch granules in conditionally symmetrical and asymmetrical wheat fruits (kernels) formed in different field conditions and with different genotypes. Indicators that had previously shown their effectiveness were used to analyze the obviously complex unique material obtained as a result of growing under critically unique sowing conditions in 2022, which affected the stability of grain development and filling. For the evaluation, a typical agronomic comparative experiment was chosen, which was used to evaluate the soil tillage practices (fallow, non-moldboard loosening, and plowing) and sowing dates (early and after excessive rainfalls), which made it possible to analyze a wider range of factors influencing the studied indices. The soil tillage methods were found to affect the uniformity of kernel fullness and their symmetry, and the sowing dates did not lead to significant differences. This study presents detailed changes in the shape of the middle cut of a wheat kernel, associated with assessing the efficiency of kernel filling and the symmetrical distribution of storage substances under the influence of external and internal physical factors that affect the formation of the wheat kernel. The data obtained may be of interest to breeders and developers of predictive phenotyping programs for cereal grain and seeds of other crops, as well as plant physiologists. Full article

Polyetheretherketone (PEEK), an organic thermoplastic polymer, has gained interest in dentistry due to its excellent mechanical strength, flexibility, and biocompatibility. Furthermore, the ability to utilize CAD/CAM in the fabrication of PEEK enhances accuracy, reliability, and efficiency while also saving time. Hence, several orthodontic studies have explored the utilization of PEEK in various applications, such as archwires, brackets, fixed lingual retainers, palatal expansion devices, transpalatal arches, Tübingen palatal plates, different types of space maintainers, mini-implant insertion guides, and more. However, a complete systematic review of the available data comparing the performance of PEEK with traditional orthodontic materials has not yet been conducted. Therefore, this systematic review seeks to assess if PEEK material meets the required mechanical criteria to serve as an alternative to conventional orthodontic appliances. To ensure clarity and precision, this review will specifically concentrate on fixed appliances. This systemic review followed the PRISMA guidelines and utilized databases including PubMed/MEDLINE, Embase, Springer, Web of Science, and Wiley. Searches were restricted to English language articles from January 2013 to February 2024. Keywords such as “Polyetheretherketone” or “PEEK” and “Orthodontic” or “Orthodontic device” or “Orthodontic materials” were employed across all databases. Nine studies were incorporated, covering orthodontic archwires, brackets, and fixed lingual retainers. Based on the reviewed literature, PEEK demonstrates promising potential in orthodontic fixed appliances, offering advantages in force delivery, friction reduction, and aesthetic appeal. Further research is needed to fully explore its capabilities and optimize its application in clinical practice. Full article

This research focuses on the key aspects of the basis of women’s entrepreneurship in the particular case of the Ukrainian ecosystem of entrepreneurship. Even in wartime, entrepreneurship is a chance to overcome circumstances, and it should be developed for women and men. A correlation regression analysis and simulation modeling were carried out in order to rank the priorities for the development of types of economic activity of small business entities managed by women, making it possible to substantiate the forecast of the development of women’s entrepreneurship in Ukraine for 2024–2026. The findings show the positive impact of the entrepreneurial ecosystem and the need to continue to strengthen policies that encourage and facilitate female entrepreneurship. This analysis provides three types of development scenarios for women’s entrepreneurship in Ukraine. Full article

In digital product and ion scheduling centers, order–factory allocation, factory–mold allocation, and mold routing can be performed centrally and efficiently to maximize the utilization of manufacturing resources (molds). Therefore, in this paper, a manufacturing resource (molds)-sharing mechanism based on the Internet of Things (IoT) and a cyber-physical production system (CPPS) is designed to realize the coordinated allocation of molds and production scheduling. A mixed-integer mathematical model is developed to optimize the cost structure and obtain a reasonable profit solution. A heuristic algorithm based on evolutionary reversal is used to solve the problem. The numerical results show that based on the digital coordinated production scheduling method, distributed two-stage assembly manufacturing with shared molds can effectively reduce the order delay time and increase potential benefits for distributed production enterprises. Full article

Previous investigations have found a correlation between abnormal curvatures and a variety of patient complaints such as cervical pain and disability. However, no study has shown that loss of the cervical curve is a direct result of exposure to a motor vehicle collision (MVC). This investigation presents a retrospective consecutive case series of patients with both a pre-injury cervical lateral radiograph (CLR) and a post-injury CLR after exposure to an MVC. Computer analysis of digitized vertebral body corners on CLRs was performed to investigate the possible alterations in the geometric alignment of the sagittal cervical curve. Methods: Three spine clinic records were reviewed over a 2-year period, looking for patients where both an initial lateral cervical X-ray and an examination were performed prior to the patient being exposed to a MVC; afterwards, an additional exam and radiographic analysis were obtained. A total of 41 patients met the inclusion criteria. Examination records of pain intensity on numerical pain rating scores (NPRS) and neck disability index (NDI), if available, were analyzed. The CLRs were digitized and modeled in the sagittal plane using curve fitting and the least squares error approach. Radiographic variables included total cervical curve (ARA C2–C7), Chamberlain’s line to horizontal (skull flexion), horizontal translation of C2 relative to C7, segmental translations (retrolisthesis and anterolisthesis), and circular modelling radii. Results: There were 15 males and 26 females with an age range of 8–65 years. Most participants were drivers (28) involved in rear-end impacts (30). The pre-injury NPRS was 2.7 while the post injury was 5.0; p < 0.001. The NDI was available on 24/41 (58.5%) patients and increased after the MVC from 15.7% to 32.8%, p < 0.001. An altered cervical curvature was identified following exposure to MVC, characterized by an increase in the mean radius of curvature (265.5 vs. 555.5, p < 0.001) and an approximate 8° reduction of lordosis from C2–C7; p < 0.001. The mid-cervical spine (C3–C5) showed the greatest curve reduction with an averaged localized mild kyphosis at these levels. Four participants (10%) developed segmental translations that were just below the threshold of instability, segmental translations < 3.5 mm. Conclusions: The post-exposure MVC cervical curvature was characterized by an increase in radius of curvature, an approximate 8° reduction in C2–C7 lordosis, a mild kyphosis of the mid-cervical spine, and a slight increase in anterior translation of C2–C7 sagittal balance. The modelling result indicates that the post-MVC cervical sagittal alignment approximates a second-order buckling alignment, indicating a significant alteration in curve geometry. Future biomechanics experiments and clinical investigations are needed to confirm these findings. Full article

This study aims to explore additional fluids beneficial for coastal thermal energy converter (CTEC) operation. Ammonia’s thermodynamic properties, characterized by higher condensation temperatures and pressures, demand significantly elevated operating pressures, resulting in a substantial energy load for efficient operation. Thus, exploring alternatives such as R134a becomes crucial, particularly considering its potential as a better working fluid for power generation in a Rankine cycle. The research methodology involves employing computational fluid dynamics (CFD) simulations alongside experimental investigations to examine the performance of an axial turbine concept under different working fluids. The results obtained indicate that R134a is the most appropriate working fluid for an axial turbine within a CTEC, outperforming ammonia, thereby implying significantly better operational efficiency. Full article

To verify medication-related osteonecrosis of the jaw (MRONJ) frequency among patients with plasma cell myeloma (PCM) that had been treated with bisphosphonates, to identify predisposing factors that could influence the development of osteonecrosis. Methods: This observational retrospective study was performed at the Department of Hematology of Hospital Center of Porto (CHUP), Portugal. Results: The study population (n = 112) had a 15.2% (n = 17) prevalence of osteonecrosis. Clinically, bone exposure was the most frequently observed sign, present in 100% (n = 17) of the patients, followed by inflammation in 82.4% (n = 14), orofacial pain in 70.6% (n = 12), suppuration in 47.1% (n = 8), and intra or extra-oral fistula in 17.6% (n = 3) of the cases. The most frequent triggering local factor was dental extraction (82.4%). There was a dependence between the presence of extractions and the development of MRONJ (p < 0.001) but not with the time elapsed from the initiation of infusions with BPs and dental extractions (p = 0.499). In the sample of patients with multiple myeloma (MM), 13.8% were found to be more likely to develop MRONJ after an extraction. Conclusions: The most common local predisposing factor was dental extraction. No dependence was observed between the development of osteonecrosis and the time elapsed from the beginning of treatment with bisphosphonates infusions to surgical procedures. Full article

Sustainable energy systems (SESs) occupy a prominent position in the modern global energy landscape. The purpose of this study is to explore the application of fuzzy control and neural network control in photovoltaic systems to improve the power generation efficiency and stability of the system. By establishing the mathematical model of a photovoltaic system, the nonlinear and uncertain characteristics of photovoltaic system are considered. Fuzzy control and neural network control are used to control the system, and their performance is verified by experiments. The experimental results show that under the conditions of low light and moderate temperature, the fuzzy neural network control achieves a 3.33% improvement in power generation efficiency compared with the single control strategy. Meanwhile, the system can still maintain relatively stable operation under different environmental conditions under this comprehensive control. This shows that fuzzy neural network control has significant advantages in improving power generation efficiency and provides beneficial technical support and guidance for the commercial development of SESs. Full article

Thermochemical energy storage (TCES) is one of the key technologies facilitating the integration of renewable energy sources and mitigating the climate crisis. Recently, Li₄SiO₄ has been reported to be a promising heat carrier material for TCES applications, owing to its moderate operation temperature and stability. During the synthetic processes, the properties of the Si source used directly influence the performance of derived Li₄SiO₄ materials; however, the internal relations and effects are not yet clear. Hence, in this work, six kinds of SiO₂ sources with different phases, morphology, particle size, and surface area were selected to synthesize a Li₄SiO₄-based TCES heat carrier. The physicochemical properties of the SiO₂ and the corresponding derived Li₄SiO₄ were characterized, and the comprehensive performance (e.g., heat storage/releasing capacity, rate, and cyclic stability) of the Li₄SiO₄ samples was systematically tested. It was found that the silica microspheres (SPs), which possess an amorphous phase, uniform micro-scale structure, and small particle size, could generate Li₄SiO₄ TCES materials with a highest initial capacity of 777.7 kJ/kg at 720 °C/900 °C under pure CO₂. As a result, the SP-L showed an excellent cumulative heat storage amount of 5.84 MJ/kg within 10 heat-releasing/storage cycles, which was nearly 1.5 times greater than the value of Li₄SiO₄ derived from commonly used silicon dioxide. Furthermore, the effects of the utilized Si source on the performance of as-prepared Li₄SiO₄ and corresponding mechanisms were discussed, which offers guidance for the future selection of Si sources to produce high-performance Li₄SiO₄-based TCES heat carriers. Full article

This study investigates how Saudi SMEs’ awareness and preparation for digital transformation impact their business performance (BP). First and foremost, in this study, we examine the impact of awareness and preparation on business performance using the intention to use (ITU) as an initial mediator. In addition, the researchers also examined the impact of awareness and preparation on business performance through intention to use and Government Support (GS), and later, intention to use and skills as serial mediators. Using a structured questionnaire based on a seven-point Likert scale, data were collected from 68 SMEs in the Ha’il region of Saudi Arabia, one of the Kingdom’s leading economic provinces. The data were analyzed through simple and serial mediation techniques through AMOS-24. The study found that SMEs’ awareness and preparation for digital transformation significantly and positively influenced their intentions to use the technology. The researchers found that intention to use, skills, and government support are significant variables that improve business performance. The research also revealed full-serial mediation between awareness and business performance and preparation and business performance, showing that intention to use and skills and intention to use and government support significantly mediate improving SMEs’ business performance. The study implications provide for SMEs’ successful digital transformation, considering the role of skills and government support, which will help SMEs improve their performance and embrace sustainability in human and economic development in Saudi Arabia. Together with policymakers, SMEs, and researchers, it will also look at the entrepreneurial potential for Saudi nationals in the run-up to Vision 2030. Full article

Chitosan is a deacetylated polymer of chitin that is extracted mainly from the exoskeleton of crustaceans and is the second-most abundant polymer in nature. Chitosan hydrogels are preferred for a variety of applications in bio-related fields due to their functional properties, such as antimicrobial activity and wound healing effects; however, the existing hydrogelation methods require toxic reagents and exhibit slow gelation times, which limit their application in biological fields. Therefore, a mild and rapid gelation method is necessary. We previously demonstrated that the visible light-induced gelation of chitosan obtained through phenol crosslinking (ChPh) is a rapid gelation method. To further advance this method (<10 s), we propose a dual-crosslinked chitosan hydrogel obtained by crosslinking phenol groups and crosslinking sodium tripolyphosphate (TPP) and the amino groups of chitosan. The chitosan hydrogel was prepared by immersing the ChPh hydrogel in a TPP solution after phenol crosslinking via exposure to visible light. The physicochemical properties of the dual-crosslinked hydrogels, including Young’s moduli and water retentions, were subsequently investigated. Young’s moduli of the dual-crosslinked hydrogels were 20 times higher than those of the hydrogels without TPP ion crosslinking. The stiffness could be manipulated by varying the immersion time, and the water retention properties of the ChPh hydrogel were improved by TPP crosslinking. Ion crosslinking could be reversed using an iron chloride solution. This method facilitates chitosan hydrogel use for various applications, particularly tissue engineering and drug delivery. Full article

To address the shortage of wireless spectrum resources caused by the rapid development of the Internet of Vehicles, spectrum sensing technology in cognitive radio is employed to tackle this issue. In pursuit of superior outcomes, a double-threshold cooperative spectrum sensing algorithm is introduced. This algorithm enhances traditional energy detection technology to mitigate the high sensitivity to noise interference in the Internet of Vehicles environment. A double-threshold judgment mechanism can be established based on the uncertainty of noise. Varying fusion rules are implemented in the collaborative spectrum sensing scheme according to the density of vehicles and the spectrum resource demand. Simulation results demonstrate that the performance of the double-threshold cooperative spectrum sensing algorithm surpasses that of the traditional single-threshold energy detection scheme, particularly evident under lower Signal-to-Noise Ratio (SNR) conditions. Moreover, the proposed algorithm exhibits superior sensing performance in environments characterized by higher noise uncertainty. Full article

The accuracy of Seismic Landslide Susceptibility Maps (SLSMs) is imperative for the prevention of seismic landslide disasters. This study enhances the precision of SLSMs by integrating nine distinct machine learning methodologies with the GeoDetector version 0.0.4 tool to filter both numerical and physical factors contributing to landslide susceptibility. The dataset comprises 2317 landslide instances triggered by the 2013 Minxian Ms = 6.6 earthquake, from which redundant factors were pruned using the Recursive Feature Elimination technique. Subsequent evaluations of the optimized factors, both individually and in combination, were conducted through Frequency Ratio analysis and Factor Interaction assessment. The study juxtaposes the Area Under the Receiver Operating Characteristic Curve (AUC) and the accuracy of nine machine learning models before and after factor optimization. The findings indicate an increase in AUC from a maximum of 0.989 to 0.992 in the Random Forest model, and an 8.37% increase in AUC for the SVM model, signifying a notable enhancement in the stability across all models. The establishment of the SLSM notably elevated the frequency ratio in high-risk zones from 50.40 to 85.14, underscoring the efficacy of combining machine learning and detector optimization techniques in sustainable practices. This research proposes a universal framework aimed at eliminating redundancy and noise in SLSMs and hazard risk assessments, thereby facilitating sustainable geological disaster risk management. Full article

This paper reports on the design, modeling, and characterization of a multi-resonant, directional, MEMS acoustic sensor. The design builds on previous resonant MEMS sensor designs to broaden the sensor’s usable bandwidth while maintaining a high signal-to-noise ratio (SNR). These improvements make the sensor more attractive for detecting and tracking sound sources with acoustic signatures that are broader than discrete tones. In-air sensor characterization was conducted in an anechoic chamber. The sensor was characterized underwater in a semi-anechoic pool and in a standing wave tube. The sensor demonstrated a cosine-like directionality, a maximum acoustic sensitivity of 47.6 V/Pa, and a maximum SNR of 88.6 dB, for 1 Pa sound pressure, over the bandwidth of the sensor circuitry (100 Hz–3 kHz). The presented design represents a significant improvement in sensor performance compared to similar resonant MEMS sensor designs. Increasing the sensitivity of a single-resonator design is typically associated with a decrease in bandwidth. This multi-resonant design overcomes that limitation. Full article

Glomalin-related soil protein (GRSP), an important arbuscular mycorrhizal (AM) fungal by-product, plays a key role in preserving or sequestrating soil organic carbon (C). Silver nanoparticles (AgNPs) have become an emerging contaminant and their impacts on soil ecosystems attract increasing concerns. The dynamics of AM fungi and GRSP could therefore form the basis for an in-depth exploration of the influences of AgNPs on soil ecosystems. This study investigated the effects of AgNPs on mycorrhizal growth and AM fungal communities, as well as the GRSP contents in maize (Zea mays L.) soils, with a pot experiment. The contributions of GRSP to soil organic C and the correlations of GRSP with soil organic C were also evaluated. The results indicated that AgNPs decreased the mycorrhizal colonization, AM fungal biomass, and diversity indices, and strongly shifted the community composition of AM fungi with a reduction in Acaulosporaceae and an enrichment in Glomeraceae. Additionally, AgNPs also decreased the soil’s easily extractable (EE) GRSP and total (T) GRSP contents, resulting in lower contributions of EE-GRSP-C and T-GRSP-C to the soil organic C. Linkage analyses revealed that AM fungal abundances have positive correlations with EE- and T-GRSP, and EE- and T-GRSP also positively correlated with soil organic C, indicating that the negative effects of AgNPs on AM fungal abundances and communities were extended to AM-fungal-associated C processes. Altogether, our study found that AgNPs decreased the AM fungal abundances shaped AM fungal communities, and reduced the soil GRSP content, which might subsequently be unfavorable for soil C storage. Full article

Shape memory alloys (SMAs) represent an exceptional class of smart materials as they are able to recover their shape after mechanical deformation, making them suitable for use in actuators, sensors and smart devices. These unique properties are due to the thermoelastic martensitic transformation that can occur during both thermal and mechanical deformation. Cu-based SMAs, especially those incorporating Al and Ag, are attracting much attention due to their facile production and cost-effectiveness. Among them, Cu-Al-Ag SMAs stand out due to their notably high temperature range for martensitic transformation. In this study, a Cu-based SMA with a new ternary composition of Cu-10Al-7Ag wt.% was prepared by arc melting and the samples cut from this casting alloy were quenched in water. Subsequently, the phase composition and the development of the microstructure were investigated. In addition, the morphology of the martensite was studied using advanced techniques such as electron backscatter diffraction (EBSD) and transmission electron microscopy (TEM). The analyzes confirmed the presence of martensitic structures in both samples; mainly 18R (b_1′) martensite was present but a small volume fraction of (γ_1′) martensite also was noticed in the as-quenched sample. The observation of fine, twinned martensite plates in the SMA alloy with symmetrically occurring basal plane traces between the twin variants underlines the inherent correlation between microstructural symmetry and the properties of the material and provides valuable insights into its behavior. The hardness of the quenched sample was found to be lower than the as-cast counterpart, which can be linked to the solutioning of Ag particles during the heat treatment. Full article

To treat cardiovascular diseases (i.e., a major cause of mortality after cancers), endovascular-technique-based guidewire has been employed for intra-arterial navigation. To date, most commercially available guidewires (e.g., Terumo, Abbott, Cordis, etc.) are non-steerable, which is poorly suited to the human arterial system with numerous bifurcations and angulations. To reach a target artery, surgeons frequently opt for several tools (guidewires with different size integrated into angulated catheters) that might provoke arterial complications such as perforation or dissection. Steerable guidewires would, therefore, be of high interest to reduce surgical morbidity and mortality for patients as well as to simplify procedure for surgeons, thereby saving time and health costs. Regarding these reasons, our research involves the development of a smart steerable guidewire using electroactive polymer (EAP) capable of bending when subjected to an input voltage. The actuation performance of the developed device is assessed through the curvature behavior (i.e., the displacement and the angle of the bending) of a cantilever beam structure, consisting of single- or multi-stack EAP printed on a substrate. Compared to the single-stack architecture, the multi-stack gives rise to a significant increase in curvature, even when subjected to a moderate control voltage. As suggested by the design framework, the intrinsic physical properties (dielectric, electrical, and mechanical) of the EAP layer, together with the nature and thickness of all materials (EAP and substrate), do have strong effect on the bending response of the device. The analyses propose a comprehensive guideline to optimize the actuator performance based on an adequate selection of the relevant materials and geometric parameters. An analytical model together with a finite element model (FEM) are investigated to validate the experimental tests. Finally, the design guideline leads to an innovative structure (composed of a 10-stack active layer screen-printed on a thin substrate) capable of generating a large range of bending angle (up to 190°) under an acceptable input level of 550 V, which perfectly matches the standard of medical tools used for cardiovascular surgery. Full article

Elevated levels of peripheral blood and tumor tissue neutrophils are associated with poorer clinical response and therapy resistance in melanoma. The underlying mechanism and the role of neutrophils in targeted therapy is still not fully understood. Serum samples of patients with advanced melanoma were collected and neutrophil-associated serum markers were measured and correlated with response to targeted therapy. Blood neutrophils from healthy donors and patients with advanced melanoma were isolated, and their phenotypes, as well as their in vitro functions, were compared. In vitro functional tests were conducted through nonadherent cocultures with melanoma cells. Protection of melanoma cell lines by neutrophils was assessed under MAPK inhibition. Blood neutrophils from advanced melanoma patients exhibited lower CD16 expression compared to healthy donors. In vitro, both healthy-donor- and patient-derived neutrophils prevented melanoma cell apoptosis upon dual MAPK inhibition. The effect depended on cell–cell contact and melanoma cell susceptibility to treatment. Interference with protease activity of neutrophils prevented melanoma cell protection during treatment in cocultures. The negative correlation between neutrophils and melanoma outcomes seems to be linked to a protumoral function of neutrophils. In vitro, neutrophils exert a direct protective effect on melanoma cells during dual MAPK inhibition. This study further hints at a crucial role of neutrophil-related protease activity in protection. Full article

Ataxia is a common neurological feature of Niemann–Pick disease type C (NPC). In this disease, unesterified cholesterol accumulates in lysosomes of the central nervous system and hepatic cells. Oxidation by reactive oxygen species produces oxysterols that can be metabolised to specific bile acids. These bile acids have been suggested as useful biomarkers to detect NPC. Concentrations of 3β,5α,6β-trihydroxycholanyl glycine (3β,5α,6β-triOH-Gly) and 3β,7β-dihydroxy-5-cholenyl glycine (3β,7β-diOH-Δ5-Gly) were measured in plasma of 184 adults with idiopathic ataxia. All patients were tested with whole genome sequencing containing hereditary ataxia panels, which include NPC1 and NPC2 mutations and other genetic causes of ataxia. Plasma 3β,5α,6β-triOH-Gly above normal (>90 nM) was found in 8 out of 184 patients. One patient was homozygous for the p.(Val1165Met) mutation in the NPC1 gene. The remaining seven included one patient with Friedreich’s ataxia and three patients with autoimmune diseases. Oxidative stress is known to be increased in Friedreich’s ataxia and in autoimmune diseases. Therefore, this subset of patients possibly shares a common mechanism that determines the increase of this bile acid. In a large cohort of adults with ataxia, plasma 3β,5α,6β-triOH-Gly was able to detect the one patient in the cohort with NPC1 disease, but also detected oxidation of cholesterol by ROS in other disorders. Plasma 3β,7β-diOH-Δ5-Gly is not a potential biomarker for NPC1. Full article