The 2023 MDPI Annual Report has
been released!
 
16 pages, 8394 KiB  
Article
Design of a Low-Cost Open-Top Chamber Facility for the Investigation of the Effects of Elevated Carbon Dioxide Levels on Plant Growth
by Nicola Novello, Mani Naiker, Haydee Laza, Kerry B. Walsh and Sabine Tausz-Posch
Hardware 2024, 2(2), 138-153; https://doi.org/10.3390/hardware2020007 (registering DOI) - 15 May 2024
Abstract
Open-top chambers (OTCs) consist of semi-open enclosures used to investigate the impact of elevated carbon dioxide [CO2] on crops and larger plant communities. OTCs have lower operational costs than alternatives such as controlled environment cabinets and Free Air Carbon Dioxide Enrichment [...] Read more.
Open-top chambers (OTCs) consist of semi-open enclosures used to investigate the impact of elevated carbon dioxide [CO2] on crops and larger plant communities. OTCs have lower operational costs than alternatives such as controlled environment cabinets and Free Air Carbon Dioxide Enrichment (FACE). A low-cost design is presented for an OTC with a surface area of 1.2 m2 and a target elevated CO2 concentration [CO2] of 650 µmol mol−1 adequate for trials involving cereals or grain legumes. The elevated CO2 chambers maintained an average concentration ± standard deviation of 652 ± 37 µmol mol−1 despite wind and air turbulences, in comparison to 407 ± 10 µmol mol−1 for non-enriched chambers. Relative to ambient (non-chamber) conditions, plants in the chambers were exposed to slightly warmer conditions (2.3 °C in daylight hours; 0.6 °C during night environment). The materials’ cost for constructing the chambers was USD 560 per chamber, while the CO2 control system for four chambers dedicated to CO2-enriched conditions cost USD 5388. To maintain the concentration of 650 µmol mol−1 during daylight hours, each chamber consumed 1.38 L min−1 of CO2. This means that a size G CO2 cylinder was consumed in 8–9 days in the operation of two chambers (at USD 40). Full article
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30 pages, 8533 KiB  
Article
Evaluating the Role of Neddylation Modifications in Kidney Renal Clear Cell Carcinoma: An Integrated Approach Using Bioinformatics, MLN4924 Dosing Experiments, and RNA Sequencing
by Dequan Liu, Guangzhen Wu, Shijin Wang, Xu Zheng and Xiangyu Che
Pharmaceuticals 2024, 17(5), 635; https://doi.org/10.3390/ph17050635 (registering DOI) - 15 May 2024
Abstract
Background: Neddylation, a post-translational modification process, plays a crucial role in various human neoplasms. However, its connection with kidney renal clear cell carcinoma (KIRC) remains under-researched. Methods: We validated the Gene Set Cancer Analysis Lite (GSCALite) platform against The Cancer Genome Atlas (TCGA) [...] Read more.
Background: Neddylation, a post-translational modification process, plays a crucial role in various human neoplasms. However, its connection with kidney renal clear cell carcinoma (KIRC) remains under-researched. Methods: We validated the Gene Set Cancer Analysis Lite (GSCALite) platform against The Cancer Genome Atlas (TCGA) database, analyzing 33 cancer types and their link with 17 neddylation-related genes. This included examining copy number variations (CNVs), single nucleotide variations (SNVs), mRNA expression, cellular pathway involvement, and methylation. Using Gene Set Variation Analysis (GSVA), we categorized these genes into three clusters and examined their impact on KIRC patient prognosis, drug responses, immune infiltration, and oncogenic pathways. Afterward, our objective is to identify genes that exhibit overexpression in KIRC and are associated with an adverse prognosis. After pinpointing the specific target gene, we used the specific inhibitor MLN4924 to inhibit the neddylation pathway to conduct RNA sequencing and related in vitro experiments to verify and study the specificity and potential mechanisms related to the target. This approach is geared towards enhancing our understanding of the prognostic importance of neddylation modification in KIRC. Results: We identified significant CNV, SNV, and methylation events in neddylation-related genes across various cancers, with notably higher expression levels observed in KIRC. Cluster analysis revealed a potential trade-off in the interactions among neddylation-related genes, where both high and low levels of gene expression are linked to adverse prognoses. This association is particularly pronounced concerning lymph node involvement, T stage classification, and Fustat score. Simultaneously, our research discovered that PSMB10 exhibits overexpression in KIRC when compared to normal tissues, negatively impacting patient prognosis. Through RNA sequencing and in vitro assays, we confirmed that the inhibition of neddylation modification could play a role in the regulation of various signaling pathways, thereby influencing the prognosis of KIRC. Moreover, our results underscore PSMB10 as a viable target for therapeutic intervention in KIRC, opening up novel pathways for the development of targeted treatment strategies. Conclusion: This study underscores the regulatory function and potential mechanism of neddylation modification on the phenotype of KIRC, identifying PSMB10 as a key regulatory target with a significant role in influencing the prognosis of KIRC. Full article
(This article belongs to the Special Issue Adjuvant Therapies for Cancer Treatment)
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24 pages, 981 KiB  
Review
Gut–Brain Axis: Focus on Sex Differences in Neuroinflammation
by Mario Caldarelli, Pierluigi Rio, Andrea Marrone, Francesca Ocarino, Monica Chiantore, Marcello Candelli, Antonio Gasbarrini, Giovanni Gambassi and Rossella Cianci
Int. J. Mol. Sci. 2024, 25(10), 5377; https://doi.org/10.3390/ijms25105377 (registering DOI) - 15 May 2024
Abstract
In recent years, there has been a growing interest in the concept of the “gut–brain axis”. In addition to well-studied diseases associated with an imbalance in gut microbiota, such as cancer, chronic inflammation, and cardiovascular diseases, research is now exploring the potential role [...] Read more.
In recent years, there has been a growing interest in the concept of the “gut–brain axis”. In addition to well-studied diseases associated with an imbalance in gut microbiota, such as cancer, chronic inflammation, and cardiovascular diseases, research is now exploring the potential role of gut microbial dysbiosis in the onset and development of brain-related diseases. When the function of the intestinal barrier is altered by dysbiosis, the aberrant immune system response interacts with the nervous system, leading to a state of “neuroinflammation”. The gut microbiota–brain axis is mediated by inflammatory and immunological mechanisms, neurotransmitters, and neuroendocrine pathways. This narrative review aims to illustrate the molecular basis of neuroinflammation and elaborate on the concept of the gut–brain axis by virtue of analyzing the various metabolites produced by the gut microbiome and how they might impact the nervous system. Additionally, the current review will highlight how sex influences these molecular mechanisms. In fact, sex hormones impact the brain–gut microbiota axis at different levels, such as the central nervous system, the enteric nervous one, and enteroendocrine cells. A deeper understanding of the gut–brain axis in human health and disease is crucial to guide diagnoses, treatments, and preventive interventions. Full article
(This article belongs to the Section Molecular Pathology, Diagnostics, and Therapeutics)
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14 pages, 2651 KiB  
Article
Towards Sustainable Viscose-to-Viscose Production: Strategies for Recycling of Viscose Fibres
by Diana Carolina Reyes Forsberg, Jenny Bengtsson, Nadine Hollinger and Tahani Kaldéus
Sustainability 2024, 16(10), 4127; https://doi.org/10.3390/su16104127 (registering DOI) - 15 May 2024
Abstract
The potential for using discarded viscose textiles to produce high-quality viscose fibres is limited by the low molecular weight of the cellulose and its continued reduction in the recycling process. Herein, we present a straightforward approach of reprocessing discarded viscose textiles while achieving [...] Read more.
The potential for using discarded viscose textiles to produce high-quality viscose fibres is limited by the low molecular weight of the cellulose and its continued reduction in the recycling process. Herein, we present a straightforward approach of reprocessing discarded viscose textiles while achieving high-quality recycled viscose fibres. Discarded viscose textile was defibrated and centrifuged, and the resulting fibres were reprocessed under industrially relevant conditions. The produced viscose dope was fluid and resulted in viscose fibres with properties comparable to fibres made from commercial wood cellulose pulp (titer ~2 dtex; dry elongation ~16%, dry tenacity ~15 cN/tex). To explore the potential for a more environmentally friendly production process, the steeping step was performed twice (double-steeping), thereby producing a more homogeneous viscose dope. Through double-steeping, the consumption of carbon disulfide (CS2) could be reduced by 30.5%. The double-steeping method shows to be a suitable approach to reprocess discarded viscose textiles while reducing the environmental impact of the viscose process associated with the use of CS2. Our work demonstrates that discarded viscose textile has the potential to be part of a circular textile value chain. Full article
(This article belongs to the Topic Advances in Sustainable Materials and Products)
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16 pages, 269 KiB  
Article
Selecting and Tailoring Implementation Strategies to Improve Human Papillomavirus Vaccine Uptake in Zambia: A Nominal Group Technique Approach
by Mwansa Ketty Lubeya, Mulindi Mwanahamuntu, Carla J. Chibwesha, Moses Mukosha and Mary Kawonga
Vaccines 2024, 12(5), 542; https://doi.org/10.3390/vaccines12050542 (registering DOI) - 15 May 2024
Abstract
The human papillomavirus (HPV) vaccine is effective in cervical cancer prevention. However, many barriers to uptake exist and strategies to overcome them are needed. Therefore, this study aimed to select and tailor implementation strategies to barriers identified by multiple stakeholders in Zambia. The [...] Read more.
The human papillomavirus (HPV) vaccine is effective in cervical cancer prevention. However, many barriers to uptake exist and strategies to overcome them are needed. Therefore, this study aimed to select and tailor implementation strategies to barriers identified by multiple stakeholders in Zambia. The study was conducted in Lusaka district between January and February 2023. Participants were purposively sampled from three stakeholder groups namely, adolescent girls, parents, and teachers and healthcare workers. With each of the stakeholders’ groups (10–13 participants per group), we used the nominal group technique to gain consensus to tailor feasible and acceptable implementation strategies for mitigating the identified contextual barriers. The identified barriers included low levels of knowledge and awareness about the HPV vaccine, being out of school, poor community sensitisation, lack of parental consent to vaccinate daughters, and myths and misinformation about the HPV vaccine. The lack of knowledge and awareness of the HPV vaccine was a common barrier across the three groups. Tailored strategies included conducting educational meetings and consensus-building meetings, using mass media, changing service sites, re-examining implementation, and involving patients/consumers and their relatives. Our study contributes to the available evidence on the process of selecting and tailoring implementation strategies to overcome contextual barriers. Policymakers should consider these tailored strategies to mitigate barriers and improve HPV vaccine uptake. Full article
(This article belongs to the Special Issue Vaccine Strategies for HPV-Related Cancers)
26 pages, 3495 KiB  
Review
Critical View on the Qualification of Electronic Tongues Regarding Their Performance in the Development of Peroral Drug Formulations with Bitter Ingredients
by Denise Steiner, Alexander Meyer, Laura Isabell Immohr and Miriam Pein-Hackelbusch
Pharmaceutics 2024, 16(5), 658; https://doi.org/10.3390/pharmaceutics16050658 (registering DOI) - 15 May 2024
Abstract
In this review, we aim to highlight the advantages, challenges, and limitations of electronic tongues (e-tongues) in pharmaceutical drug development. The authors, therefore, critically evaluated the performance of e-tongues regarding their qualification to assess peroral formulations containing bitter active pharmaceutical ingredients. A literature [...] Read more.
In this review, we aim to highlight the advantages, challenges, and limitations of electronic tongues (e-tongues) in pharmaceutical drug development. The authors, therefore, critically evaluated the performance of e-tongues regarding their qualification to assess peroral formulations containing bitter active pharmaceutical ingredients. A literature search using the keywords ‘electronic’, ‘tongue’, ‘bitter’, and ‘drug’ in a Web of Science search was therefore initially conducted. Reviewing the publications of the past decade, and further literature where necessary, allowed the authors to discuss whether and how e-tongues perform as expected and whether they have the potential to become a standard tool in drug development. Specifically highlighted are the expectations an e-tongue should meet. Further, a brief insight into the technologies of the utilized e-tongues is given. Reliable protocols were found that enable (i) the qualified performance of e-tongue instruments from an analytical perspective, (ii) proper taste-masking assessments, and (iii) under certain circumstances, the evaluation of bitterness. Full article
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14 pages, 5847 KiB  
Article
Estetrol Inhibits Endometriosis Development in an In Vivo Murine Model
by Ana Sofia Zabala, Rocío Ayelem Conforti, María Belén Delsouc, Verónica Filippa, Maria Magdalena Montt-Guevara, Andrea Giannini, Tommaso Simoncini, Sandra Silvina Vallcaneras and Marilina Casais
Biomolecules 2024, 14(5), 580; https://doi.org/10.3390/biom14050580 (registering DOI) - 15 May 2024
Abstract
Endometriosis is characterized by the growth of endometrial-like tissue outside the uterus, and it is associated with alterations in the expression of hormone receptors and inflammation. Estetrol (E4) is a weak estrogen that recently has been approved for contraception. We evaluated [...] Read more.
Endometriosis is characterized by the growth of endometrial-like tissue outside the uterus, and it is associated with alterations in the expression of hormone receptors and inflammation. Estetrol (E4) is a weak estrogen that recently has been approved for contraception. We evaluated the effect of E4 on the growth of endometriotic-like lesions and the expression of TNF-α, estrogen receptors (ERs), and progesterone receptors (PRs) in an in vivo murine model. Endometriosis was induced surgically in female C57BL/6 mice. E4 was delivered via Alzet pump (3 mg/kg/day) from the 15th postoperative day for 4 weeks. E4 significantly reduced the volume (p < 0.001) and weight (p < 0.05) of ectopic lesions. Histologically, E4 did not affect cell proliferation (PCNA immunohistochemistry) but it did increase cell apoptosis (TUNEL assay) (p < 0.05). Furthermore, it modulated oxidative stress (SOD, CAT, and GPX activity, p < 0.05) and increased lipid peroxidation (TBARS/MDA, p < 0.01). Molecular analysis showed mRNA (RT-qPCR) and protein (ELISA) expression of TNF-α decreased (p < 0.05) and mRNA expression of Esr2 reduced (p < 0.05), in contrast with the increased expression of Esr1 (p < 0.01) and Pgr (p < 0.05). The present study demonstrates for the first time that E4 limited the development and progression of endometriosis in vivo. Full article
(This article belongs to the Special Issue Cellular and Molecular Mechanisms of Endometriosis)
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29 pages, 1051 KiB  
Review
Navigating the Cyber Threat Landscape: An In-Depth Analysis of Attack Detection within IoT Ecosystems
by Samar AboulEla, Nourhan Ibrahim, Sarama Shehmir, Aman Yadav and Rasha Kashef
AI 2024, 5(2), 704-732; https://doi.org/10.3390/ai5020037 (registering DOI) - 15 May 2024
Abstract
The Internet of Things (IoT) is seeing significant growth, as the quantity of interconnected devices in communication networks is on the rise. The increased connectivity of devices has heightened their susceptibility to hackers, underscoring the need to safeguard IoT devices. This research investigates [...] Read more.
The Internet of Things (IoT) is seeing significant growth, as the quantity of interconnected devices in communication networks is on the rise. The increased connectivity of devices has heightened their susceptibility to hackers, underscoring the need to safeguard IoT devices. This research investigates cybersecurity in the context of the Internet of Medical Things (IoMT), which encompasses the cybersecurity mechanisms used for various healthcare devices connected to the system. This study seeks to provide a concise overview of several artificial intelligence (AI)-based methodologies and techniques, as well as examining the associated solution approaches used in cybersecurity for healthcare systems. The analyzed methodologies are further categorized into four groups: machine learning (ML) techniques, deep learning (DL) techniques, a combination of ML and DL techniques, Transformer-based techniques, and other state-of-the-art techniques, including graph-based methods and blockchain methods. In addition, this article presents a detailed description of the benchmark datasets that are recommended for use in intrusion detection systems (IDS) for both IoT and IoMT networks. Moreover, a detailed description of the primary evaluation metrics used in the analysis of the discussed models is provided. Ultimately, this study thoroughly examines and analyzes the features and practicality of several cybersecurity models, while also emphasizing recent research directions. Full article
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15 pages, 7284 KiB  
Article
The [18F]F-FDG PET/CT Radiomics Classifier of Histologic Subtypes and Anatomical Disease Origins across Various Malignancies: A Proof-of-Principle Study
by Ricarda Hinzpeter, Seyed Ali Mirshahvalad, Vanessa Murad, Lisa Avery, Roshini Kulanthaivelu, Andres Kohan, Claudia Ortega, Elena Elimova, Jonathan Yeung, Andrew Hope, Ur Metser and Patrick Veit-Haibach
Cancers 2024, 16(10), 1873; https://doi.org/10.3390/cancers16101873 (registering DOI) - 15 May 2024
Abstract
We aimed to investigate whether [18F]F-FDG-PET/CT-derived radiomics can classify histologic subtypes and determine the anatomical origin of various malignancies. In this IRB-approved retrospective study, 391 patients (age = 66.7 ± 11.2) with pulmonary (n = 142), gastroesophageal (n = 128) and [...] Read more.
We aimed to investigate whether [18F]F-FDG-PET/CT-derived radiomics can classify histologic subtypes and determine the anatomical origin of various malignancies. In this IRB-approved retrospective study, 391 patients (age = 66.7 ± 11.2) with pulmonary (n = 142), gastroesophageal (n = 128) and head and neck (n = 121) malignancies were included. Image segmentation and feature extraction were performed semi-automatically. Two models (all possible subset regression [APS] and recursive partitioning) were employed to predict histology (squamous cell carcinoma [SCC; n = 219] vs. adenocarcinoma [AC; n = 172]), the anatomical origin, and histology plus anatomical origin. The recursive partitioning algorithm outperformed APS to determine histology (sensitivity 0.90 vs. 0.73; specificity 0.77 vs. 0.65). The recursive partitioning algorithm also revealed good predictive ability regarding anatomical origin. Particularly, pulmonary malignancies were identified with high accuracy (sensitivity 0.93; specificity 0.98). Finally, a model for the synchronous prediction of histology and anatomical disease origin resulted in high accuracy in determining gastroesophageal AC (sensitivity 0.88; specificity 0.92), pulmonary AC (sensitivity 0.89; specificity 0.88) and head and neck SCC (sensitivity 0.91; specificity 0.92). Adding PET-features was associated with marginal incremental value for both the prediction of histology and origin in the APS model. Overall, our study demonstrated a good predictive ability to determine patients’ histology and anatomical origin using [18F]F-FDG-PET/CT-derived radiomics features, mainly from CT. Full article
(This article belongs to the Section Cancer Pathophysiology)
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20 pages, 2795 KiB  
Review
Transforming the Management of Articular Fractures in the Foot: A Critical Examination of Current Methods and Future Directions: A Review
by Robert Daniel Dobrotă, Adrian Gheorghe Barbilian, Corina Sporea and Dumitru Ferechide
J. Pers. Med. 2024, 14(5), 525; https://doi.org/10.3390/jpm14050525 (registering DOI) - 15 May 2024
Abstract
This study provides a comprehensive examination of the current methodologies and potential strategies for the treatment of articular fractures of the foot. In the field of orthopedic healthcare, these fractures present a significant challenge due to their complex nature and the fact that [...] Read more.
This study provides a comprehensive examination of the current methodologies and potential strategies for the treatment of articular fractures of the foot. In the field of orthopedic healthcare, these fractures present a significant challenge due to their complex nature and the fact that they affect the routines of patients. The motivation behind this study is based on two main concepts. The first one is represented by the use of emerging medical technologies and personalized medicine to bring a significant transformation in the management of foot fractures and give a better quality of treatment that is accepted by the patient. However, because there are inequities in the availability of the necessary medical care and equipment, as well as uneven incorporation in clinical settings, new technologies cannot be used to treat these types of fractures. Regarding the second concept behind this study, it is indicated that although current treatment methods are essential, they have a number of shortcomings when it comes to properly addressing these types of injuries. An approach is needed that takes into account the biomechanical points of view and the particularities of each patient. This approach could be applied in all hospital settings. Through this study, we want to highlight the progress made in recent years in surgical techniques such as 3D printing, minimally invasive surgery (MIS), and biological products. However, in the application of this new discovery, new obstacles have been discovered that prevent the efficient treatment of these types of injuries. This study examines the effectiveness and limitations of current treatments, as well as how differences in healthcare, such as available equipment, training of medical staff, and technological advances, affect patient outcomes in everyday life. This research wishes to emphasize that continuous innovation, interdisciplinary collaboration, and the use of an optimal approach that is appropriate for each patient, are essential. This study aims to provide new insights and useful recommendations for future research and clinical practice. The main role of this research is to improve the quality of life of patients and increase the standards of care in this complex field, which is in permanent evolution. Full article
(This article belongs to the Section Methodology, Drug and Device Discovery)
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17 pages, 2092 KiB  
Review
HPV and RNA Binding Proteins: What We Know and What Remains to Be Discovered
by Sheila V. Graham
Viruses 2024, 16(5), 783; https://doi.org/10.3390/v16050783 (registering DOI) - 15 May 2024
Abstract
Papillomavirus gene regulation is largely post-transcriptional due to overlapping open reading frames and the use of alternative polyadenylation and alternative splicing to produce the full suite of viral mRNAs. These processes are controlled by a wide range of cellular RNA binding proteins (RPBs), [...] Read more.
Papillomavirus gene regulation is largely post-transcriptional due to overlapping open reading frames and the use of alternative polyadenylation and alternative splicing to produce the full suite of viral mRNAs. These processes are controlled by a wide range of cellular RNA binding proteins (RPBs), including constitutive splicing factors and cleavage and polyadenylation machinery, but also factors that regulate these processes, for example, SR and hnRNP proteins. Like cellular RNAs, papillomavirus RNAs have been shown to bind many such proteins. The life cycle of papillomaviruses is intimately linked to differentiation of the epithelial tissues the virus infects. For example, viral late mRNAs and proteins are expressed only in the most differentiated epithelial layers to avoid recognition by the host immune response. Papillomavirus genome replication is linked to the DNA damage response and viral chromatin conformation, processes which also link to RNA processing. Challenges with respect to elucidating how RBPs regulate the viral life cycle include consideration of the orchestrated spatial aspect of viral gene expression in an infected epithelium and the epigenetic nature of the viral episomal genome. This review discusses RBPs that control viral gene expression, and how the connectivity of various nuclear processes might contribute to viral mRNA production. Full article
(This article belongs to the Special Issue Regulation of the Virus Lifecycle by Cellular RNA-Binding Proteins)
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17 pages, 3158 KiB  
Article
Identification and Evaluation of Celery Germplasm Resources for Salt Tolerance
by Limei Wu, Jiageng Du, Yidan Zhang, Yuqin Xue, Chengyao Jiang, Wei Lu, Yangxia Zheng, Chengbo Zhou, Aisheng Xiong and Mengyao Li
Agronomy 2024, 14(5), 1048; https://doi.org/10.3390/agronomy14051048 (registering DOI) - 15 May 2024
Abstract
This study evaluated the salt tolerance in 40 celery germplasm resources to clarify the different salt tolerances of celery germplasm. A gradient treatment with different concentrations of NaCl solutions (100, 200, and 300 mmol·L−1) was used to simulate salt stress. After [...] Read more.
This study evaluated the salt tolerance in 40 celery germplasm resources to clarify the different salt tolerances of celery germplasm. A gradient treatment with different concentrations of NaCl solutions (100, 200, and 300 mmol·L−1) was used to simulate salt stress. After 15 days of salt treatment, 14 indicators related to plant growth, physiology, and biochemistry were determined. The results showed that different celery varieties responded differently to salt stress. Notably, there were significant variations in below-ground dry weight, root–crown ratio, antioxidant enzyme activity, and soluble protein content among the accessions under salt stress. Principal component analysis was used to identify important indices for evaluating salt tolerance, including plant height, spread, content of soluble protein, and so on. A comprehensive evaluation was conducted utilizing the salt damage index, principal component analysis, affiliation function analysis, and cluster analysis. The 40 celery germplasms were classified into five highly salt-tolerant, seven salt-tolerant, fifteen moderately salt-tolerant, nine salt-sensitive, and four highly salt-sensitive germplasms. SHHXQ, MXKQ, XBQC, XQ, and TGCXBQ were highly salt-tolerant germplasms, and BFMSGQ, HNXQ, ZQ, and MGXQW were highly salt-sensitive germplasms. The results of this study provide a reference for the variety of celery cultivation in saline areas and lay a foundation for the selection and breeding of salt-tolerant varieties of celery. Full article
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12 pages, 843 KiB  
Article
Urinary Dickkopf 3 Is Not an Independent Risk Factor in a Cohort of Kidney Transplant Recipients and Living Donors
by Ulrich Jehn, Ugur Altuner, Lino Henkel, Amélie Friederike Menke, Markus Strauss, Hermann Pavenstädt and Stefan Reuter
Int. J. Mol. Sci. 2024, 25(10), 5376; https://doi.org/10.3390/ijms25105376 (registering DOI) - 15 May 2024
Abstract
Urinary dickkopf 3 (uDKK3) is a marker released by kidney tubular epithelial cells that is associated with the progression of chronic kidney disease (CKD) and may cause interstitial fibrosis and tubular atrophy. Recent evidence suggests that uDKK3 can also predict the loss of [...] Read more.
Urinary dickkopf 3 (uDKK3) is a marker released by kidney tubular epithelial cells that is associated with the progression of chronic kidney disease (CKD) and may cause interstitial fibrosis and tubular atrophy. Recent evidence suggests that uDKK3 can also predict the loss of kidney function in CKD patients and kidney transplant recipients, regardless of their current renal function. We conducted a prospective study on 181 kidney transplant (KTx) recipients who underwent allograft biopsy to determine the cause, analyzing the relationship between uDKK3 levels in urine, histological findings, and future allograft function progression. Additionally, we studied 82 living kidney donors before unilateral nephrectomy (Nx), 1–3 days after surgery, and 1 year post-surgery to observe the effects of rapid kidney function loss. In living donors, the uDKK3/creatinine ratio significantly increased 5.3-fold 1–3 days after Nx. However, it decreased significantly to a median level of 620 pg/mg after one year, despite the absence of underlying primary kidney pathology. The estimated glomerular filtration rate (eGFR) decreased by an average of 29.3% to approximately 66.5 (±13.5) mL/min/1.73 m2 after one year, with no further decline in the subsequent years. uDKK3 levels increased in line with eGFR loss after Nx, followed by a decrease as the eGFR partially recovered within the following year. However, uDKK3 did not correlate with the eGFR at the single time points in living donors. In KTx recipients, the uDKK3/creatinine ratio was significantly elevated with a median of 1550 pg/mg compared to healthy individuals or donors after Nx. The mean eGFR in the recipient group was 35.5 mL/min/1.73 m2. The uDKK3/creatinine ratio was statistically associated with the eGFR at biopsy but was not independently associated with the eGFR one year after biopsy or allograft loss. In conclusion, uDKK3 correlates with recent and future kidney function and kidney allograft survival in the renal transplant cohort. Nevertheless, our findings indicate that the uDKK3/creatinine ratio has no prognostic influence on future renal outcome in living donors and kidney recipients beyond the eGFR, independent of the presence of acute renal graft pathology, as correlations are GFR-dependent. Full article
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13 pages, 866 KiB  
Review
The Crosstalk between Nerves and Cancer—A Poorly Understood Phenomenon and New Possibilities
by David Benzaquen, Yaacov R. Lawrence, Daniel Taussky, Daniel Zwahlen, Christoph Oehler and Ambroise Champion
Cancers 2024, 16(10), 1875; https://doi.org/10.3390/cancers16101875 (registering DOI) - 15 May 2024
Abstract
Introduction: Crosstalk occurs between nerve and cancer cells. These interactions are important for cancer homeostasis and metabolism. Nerve cells influence the tumor microenvironment (TME) and participate in metastasis through neurogenesis, neural extension, and axonogenesis. We summarized the past and current literature on the [...] Read more.
Introduction: Crosstalk occurs between nerve and cancer cells. These interactions are important for cancer homeostasis and metabolism. Nerve cells influence the tumor microenvironment (TME) and participate in metastasis through neurogenesis, neural extension, and axonogenesis. We summarized the past and current literature on the interaction between nerves and cancer, with a special focus on pancreatic ductal adenocarcinoma (PDAC), prostate cancer (PCa), and the role of the nerve growth factor (NGF) in cancer. Materials/Methods: We reviewed PubMed and Google Scholar for the relevant literature on the relationship between nerves, neurotrophins, and cancer in general and specifically for both PCa and PDAC. Results: The NGF helped sustain cancer cell proliferation and evade immune defense. It is a neuropeptide involved in neurogenic inflammation through the activation of several cells of the immune system by several proinflammatory cytokines. Both PCa and PDAC employ different strategies to evade immune defense. The prostate is richly innervated by both the sympathetic and parasympathetic nerves, which helps in both growth control and homeostasis. Newly formed autonomic nerve fibers grow into cancer cells and contribute to cancer initiation and progression through the activation of β-adrenergic and muscarinic cholinergic signaling. Surgical or chemical sympathectomy prevents the development of prostate cancer. Beta-blockers have a high therapeutic potential for cancer, although current clinical data have been contradictory. With a better understanding of the beta-receptors, one could identify specific receptors that could have an effect on prostate cancer development or act as therapeutic agents. Conclusion: The bidirectional crosstalk between the nervous system and cancer cells has emerged as a crucial regulator of cancer and its microenvironment. Denervation has been shown to be promising in vitro and in animal models. Additionally, there is a potential relationship between cancer and psychosocial biology through neurotransmitters and neurotrophins. Full article
(This article belongs to the Special Issue Targeting the Tumor Microenvironment (Volume II))
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12 pages, 2033 KiB  
Article
SARS-CoV-2-Specific Antibodies, B Cell and T Cell Immune Responses after ChAdOx1 nCoV-19 Vaccination in Solid Organ Transplant Recipients
by Pattaraphorn Phornkittikorn, Surasak Kantachuvesiri, Abhasnee Sobhonslidsuk, Teerapat Yingchoncharoen, Sasisopin Kiertiburanakul and Jackrapong Bruminhent
Vaccines 2024, 12(5), 541; https://doi.org/10.3390/vaccines12050541 (registering DOI) - 15 May 2024
Abstract
Background: Immunization against SARS-CoV-2 is essential for vulnerable solid organ transplant (SOT) recipients who are at risk of infection. However, there are concerns about suboptimal immunogenicity, especially in humoral immunity (HMI), and limited exploration of cell-mediated immune (CMI) responses. The primary objective of [...] Read more.
Background: Immunization against SARS-CoV-2 is essential for vulnerable solid organ transplant (SOT) recipients who are at risk of infection. However, there are concerns about suboptimal immunogenicity, especially in humoral immunity (HMI), and limited exploration of cell-mediated immune (CMI) responses. The primary objective of this study was to assess the immunogenicity of ChAdOx1 nCoV-19 vaccination in SOT recipients. The secondary endpoint was to evaluate factors that affect immunogenicity and adverse events (AEs) following immunization in SOT recipients. Methods: All adult SOT recipients who received the two-dose ChAdOx1 nCoV-19 vaccine at a 12-week interval underwent measurements of HMI by evaluating anti-receptor-binding domain (RBD) IgG levels and CMI by investigating SARS-CoV-2-specific T cell and B cell responses before and after complete vaccination, around 2–4 weeks post-vaccination, and compared to controls. AEs were monitored in all participants. Results: The study included 63 SOT recipients: 44 kidney recipients, 16 liver recipients, and 3 heart transplant recipients, along with 11 immunocompetent controls. Among SOT recipients, 36% were female, and the median (IQR) age was 52 (42–61). The median (IQR) time since transplant was 55 (28–123) months. After the second dose, the median (IQR) anti-RBD antibody levels were significantly lower in SOT recipients compared to those in the control group (8.3 [0.4–46.0] vs. 272.2 [178.1–551.6] BAU/mL, p < 0.01). This resulted in a seroconversion rate (anti-RBD antibody > 7.1 BAU/mL) of 51% among SOT recipients and 100% among controls (p = 0.008). Receiving the vaccine beyond one year post-transplant significantly affected seroconversion (OR 9.04, 95% CI 1.04–78.56, p = 0.046), and low-dose mycophenolic acid marginally affected seroconversion (OR 2.67, 95% CI 0.89–7.96, p = 0.079). RBD-specific B cell responses were also significantly lower compared to those in the control group (0 [0–4] vs. 10 [6–22] SFUs/106 PBMCs, p = 0.001). Similarly, S1- and SNMO-specific T cell responses were significantly lower compared to those in the control group (48 [16–128] vs. 216 [132–356] SFUs/106 PBMCs, p = 0.004 and 20 [4–48] vs. 92 [72–320] SFUs/106 PBMCs, p = 0.004). AEs were generally mild and spontaneously resolved. Conclusions: SOT recipients who received the full two-dose ChAdOx1 nCoV-19 vaccine demonstrated significantly diminished HMI and CMI responses compared to immunocompetent individuals. Consideration should be given to administering additional vaccine doses or optimizing immunosuppressant regimens during vaccination (Thai Clinical Trial Registry: TCTR20210523002). Full article
(This article belongs to the Special Issue RNA-Based Vaccines Development)
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17 pages, 4545 KiB  
Article
Liquid Dynamics in the Upper Respiratory–Digestive System with Contracting Pharynx Motions and Varying Epiglottis Angles
by Amr Seifelnasr, Xiuhua Si, Peng Ding and Jinxiang Xi
Liquids 2024, 4(2), 415-431; https://doi.org/10.3390/liquids4020022 (registering DOI) - 15 May 2024
Abstract
Swallowing disorders, or dysphagia, can lead to bolus aspiration in the airway, causing serious adverse health effects. Current clinical interventions for dysphagia are mainly empirical and often based on symptoms rather than etiology, of which a thorough understanding is still lacking. However, it [...] Read more.
Swallowing disorders, or dysphagia, can lead to bolus aspiration in the airway, causing serious adverse health effects. Current clinical interventions for dysphagia are mainly empirical and often based on symptoms rather than etiology, of which a thorough understanding is still lacking. However, it is challenging to study the swallowing process that involves sequential structural motions and is inaccessible to standard visualization instruments. This study proposed an in vitro method to visualize swallowing hydrodynamics and identify the fundamental mechanisms underlying overflow aspirations. An anatomically accurate pharynx–epiglottis model was developed from patient-specific CT images of 623 µm isotropic resolution. A compliant half-pharynx cast was prepared to incorporate dynamic structures and visualize the flow dynamics in the mid-sagittal plane. Three locations of frequent overflow aspiration were identified: the epiglottis base, cuneiform tubular recesses, and the interarytenoid notch. Water had a consistently higher aspiration risk than a 1% w/v methylcellulose (MC) solution. The contracting–relaxing pharynx and flapping epiglottis spread the liquid film, causing a delayed esophageal entry and increased vallecular residual, which was more pronounced with the MC solution. Dispensing the liquid too slowly resulted in water aspiration, whereas this was not observed with the MC solution. An incomplete epiglottis inversion, such as horizontal or down-tilt 45°, aggravated the aspiration risks of water. This study suggests that it is practical to use anatomically accurate respiratory–digestive models to study the swallowing process by incorporating varying physiological details. Full article
(This article belongs to the Section Physics of Liquids)
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12 pages, 1043 KiB  
Article
Enhancing Cotton Production and Sustainability through Multi-Tier Cropping Systems: Growth, Efficiency, and Profitability Analysis
by Kanthan Thirukumaran, Kadapillai Nagarajan, Natarajan Vadivel, Vaddi Saitheja, Venkatesan Manivannan, Gnanasekaran Prabukumar, Panneerselvam Parasuraman, Muthusami Karuppasami Kalarani, Ramasamy Karthikeyan and Vaithiyanathan Sendhilvel
Agronomy 2024, 14(5), 1049; https://doi.org/10.3390/agronomy14051049 (registering DOI) - 15 May 2024
Abstract
Intercropping presents an opportunity to optimise land use and resource efficiency in cotton cultivation, particularly for small and marginal farmers facing climate-related challenges and rising input costs. This study explores the potential of intercropping short-duration vegetables with cotton to transform this production system [...] Read more.
Intercropping presents an opportunity to optimise land use and resource efficiency in cotton cultivation, particularly for small and marginal farmers facing climate-related challenges and rising input costs. This study explores the potential of intercropping short-duration vegetables with cotton to transform this production system into a more economically viable and sustainable one. The study was conducted in the Cotton Department of Tamil Nadu Agricultural University in Coimbatore during the winter irrigated season, from August to January, in both 2020 and 2021. The growth, yield parameters, equivalent yield (3645 and 4234 kg ha−1), and net return (Rs. 123,434 ha−1 and Rs. 154,034 ha−1) were higher in the intercropping system with the paired row planting of Bt cotton with two rows of cluster bean. Upon comparing sole cropping and the paired row method of planting, it was found that adopting the paired row system of planting Bt cotton with two rows of cluster bean was highly profitable in all aspects of crop production. Therefore, the adoption of paired row cropping systems with compatible intercrops that promote synergistic effects on the main crop should be considered for enhancing overall productivity, as well as sustainability. Full article
(This article belongs to the Section Agroecology Innovation: Achieving System Resilience)
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13 pages, 3257 KiB  
Article
Advancing Exoskeleton Development: Validation of a Robotic Surrogate to Measure Tibial Strain
by Robert L. McGrath, Ciera A. Price, William Brett Johnson and Walter Lee Childers
Bioengineering 2024, 11(5), 490; https://doi.org/10.3390/bioengineering11050490 (registering DOI) - 15 May 2024
Abstract
Bone stress injuries are prevalent among athletes and military recruits and can significantly compromise training schedules. The development of an ankle–foot orthosis to reduce tibial load and enable a faster return to activity will require new device testing methodologies capable of capturing the [...] Read more.
Bone stress injuries are prevalent among athletes and military recruits and can significantly compromise training schedules. The development of an ankle–foot orthosis to reduce tibial load and enable a faster return to activity will require new device testing methodologies capable of capturing the contribution of muscular force on tibial strain. Thus, an actuated robotic surrogate leg was developed to explore how tibial strain changes with different ankle–foot orthosis conditions. The purpose of this work was to assess the reliability, scalability, and behavior of the surrogate. A dual actuation system consisting of a Bowden cable and a vertical load applied to the femur via a material testing system, replicated the action-reaction of the Achilles-soleus complex. Maximum and minimum principal strain, maximum shear strain, and axial strain were measured by instrumented strain gauges at five locations on the tibia. Strains were highly repeatable across tests but did not consistently match in vivo data when scaled. However, the stiffness of the ankle–foot orthosis strut did not systematically affect tibial load, which is consistent with in vivo findings. Future work will involve improving the scalability of the results to match in vivo data and using the surrogate to inform exoskeletal designs for bone stress injuries. Full article
(This article belongs to the Special Issue Medical Devices and Implants)
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15 pages, 1006 KiB  
Review
Recent Advances in Phytochemical-Based Topical Applications for the Management of Eczema: A Review
by Janani Radhakrishnan, Barry E. Kennedy, Erin B. Noftall, Carman A. Giacomantonio and H. P. Vasantha Rupasinghe
Int. J. Mol. Sci. 2024, 25(10), 5375; https://doi.org/10.3390/ijms25105375 (registering DOI) - 15 May 2024
Abstract
Eczema (atopic dermatitis, AD) is a skin disease characterized by skin barrier dysfunction due to various factors, including genetics, immune system abnormalities, and environmental triggers. Application of emollients and topical drugs such as corticosteroids and calcineurin inhibitors form the mainstay of treatments for [...] Read more.
Eczema (atopic dermatitis, AD) is a skin disease characterized by skin barrier dysfunction due to various factors, including genetics, immune system abnormalities, and environmental triggers. Application of emollients and topical drugs such as corticosteroids and calcineurin inhibitors form the mainstay of treatments for this challenging condition. This review aims to summarize the recent advances made in phytochemical-based topical applications to treat AD and the different carriers that are being used. In this review, the clinical efficacy of several plant extracts and bioactive phytochemical compounds in treating AD are discussed. The anti-atopic effects of the herbs are evident through improvements in the Scoring Atopic Dermatitis (SCORAD) index, reduced epidermal thickness, decreased transepidermal water loss, and alleviated itching and dryness in individuals affected by AD as well as in AD mouse models. Histopathological studies and serum analyses conducted in AD mouse models demonstrated a reduction in key inflammatory factors, including thymic stromal lymphopoietin (TSLP), serum immunoglobulin E (IgE), and interleukins (IL). Additionally, there was an observed upregulation of the filaggrin (FLG) gene, which regulates the proteins constituting the stratum corneum, the outermost layer of the epidermis. Carriers play a crucial role in topical drug applications, influencing dose delivery, retention, and bioavailability. This discussion delves into the efficacy of various nanocarriers, including liposomes, ethosomes, nanoemulsions, micelles, nanocrystals, solid-lipid nanoparticles, and polymeric nanoparticles. Consequently, the potential long-term side effects such as atrophy, eruptions, lymphoma, pain, and allergic reactions that are associated with current topical treatments, including emollients, topical corticosteroids, topical calcineurin inhibitors, and crisaborole, can potentially be mitigated through the use of phytochemical-based natural topical treatments. Full article
(This article belongs to the Special Issue Molecular Studies of Dermatitis: From Mechanism to Therapy)
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19 pages, 9142 KiB  
Article
A New Machine-Learning-Driven Grade-Point Average Prediction Approach for College Students Incorporating Psychological Evaluations in the Post-COVID-19 Era
by Tiantian Zhang, Zhidan Zhong, Wentao Mao, Zhihui Zhang and Zhe Li
Electronics 2024, 13(10), 1928; https://doi.org/10.3390/electronics13101928 (registering DOI) - 15 May 2024
Abstract
With the rapid development of artificial intelligence in recent years, intelligent evaluation of college students’ growth by means of the monitoring data from training processes is becoming a promising technique in the field intelligent education. Current studies, however, tend to utilize course grades, [...] Read more.
With the rapid development of artificial intelligence in recent years, intelligent evaluation of college students’ growth by means of the monitoring data from training processes is becoming a promising technique in the field intelligent education. Current studies, however, tend to utilize course grades, which are objective, to predict students’ grade-point averages (GPAs), but usually neglect subjective factors like psychological resilience. To solve this problem, this paper takes mechanical engineering as the research object, and proposes a new machine-learning-driven GPA prediction approach to evaluate the academic performance of engineering students by incorporating psychological evaluation data into basic course scores. Specifically, this paper adopts SCL-90 psychological assessment data collected in the freshman year, including key mental health indicators such as somatization, depression, hostility, and interpersonal sensitivity indicators, as well as professional basic course scores, including mechanical principles, mechanical design, advanced mathematics, and engineering drawing. Four representative machine learning algorithms, Support Vector Machine (SVM), CNN-CBAM, Extreme Gradient Boosting (XGBoost) and Classification and Regression Tree (CART) that include deep and shallow models, respectively, are then employed to build a classification model for GPA prediction. This paper designs a validation experiment by tracking 229 students from the 2020 class from the School of Mechanical and Electrical Engineering of Henan University of Science and Technology, China. The students’ academic performance in senior grades is divided into five classes to use as the prediction labels. It is verified that psychological data and course data can be effectively integrated into GPA prediction for college students, with an accuracy rate of 83.64%. Meanwhile, this paper also reveals that anxiety indicators in the psychological assessment data have the greatest impact on college students’ academic performance, followed by interpersonal sensitivity. The experimental results also show that, for predicting junior year GPAs, psychological factors play more important role than they do in predicting sophomore GPAs. Suggestions are therefore given: the current practice in existing undergraduate teaching, i.e., only conducting psychological assessments in the initial freshman year, should be updated by introducing follow-up psychological assessments in each academic year. Full article
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19 pages, 3709 KiB  
Article
Impacts of Wildlife Artificial Water Provisioning in an African Savannah Ecosystem: A Spatiotemporal Analysis
by Morati Mpalo, Lenyeletse Vincent Basupi and Gizaw Mengistu Tsidu
Land 2024, 13(5), 690; https://doi.org/10.3390/land13050690 (registering DOI) - 15 May 2024
Abstract
The use of artificial water points for wildlife in African savannah ecosystems has been widely criticised for affecting the distribution of wildlife and initiating changes in the heterogeneity of natural landscapes. We examined the spatiotemporal variations in the landscape before and after the [...] Read more.
The use of artificial water points for wildlife in African savannah ecosystems has been widely criticised for affecting the distribution of wildlife and initiating changes in the heterogeneity of natural landscapes. We examined the spatiotemporal variations in the landscape before and after the installation of an artificial water point by integrating the analysis of vegetation and soil spectral response patterns with a supervised learning random forest model between 2002 and 2022 in Chobe Enclave, Northern Botswana. Our results revealed that the study area is characterised by animal species such as Equus quagga, Aepyceros melampus, and Loxodonta africana. The findings also showed that the main vegetation species in the study area landscape include Combretum elaeagnoides, Vachellia luederitzii, and Combretum hereroense. The artificial water point induced disturbances on a drought-vulnerable landscape which affected vegetation heterogeneity by degrading the historically dominant vegetation cover types such as Colophospermum mopane, Dichrostachys cinerea, and Cynodon dactylon. The immediate years following the artificial water point installation demonstrated the highest spectral response patterns by vegetation and soil features attributed to intense landscape disturbances due to abrupt high-density aggregation of wildlife around the water point. Landscapes were strongly homogenised in later years (2022), as shown by overly overlapping spectral patterns owing to an increase in dead plant-based material and senescent foliage due to vegetation toppling and trampling. The landscape disturbances disproportionately affected mopane-dominated woodlands compared to other vegetation species as indicated by statistically significant land cover change obtained from a random forest classification. The woodlands declined significantly (p < 0.05) within 0–0.5 km, 0.5–1 km, 1–5 km, and 5–10 km distances after the installation of the water point. The results of this study indicate that continuous nonstrategic and uninformed use of artificial water points for wildlife will trigger ecological alterations in savannah ecosystems. Full article
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17 pages, 969 KiB  
Article
KGCFRec: Improving Collaborative Filtering Recommendation with Knowledge Graph
by Jiquan Peng, Jibing Gong, Chao Zhou, Qian Zang, Xiaohan Fang, Kailun Yang and Jing Yu
Electronics 2024, 13(10), 1927; https://doi.org/10.3390/electronics13101927 (registering DOI) - 15 May 2024
Abstract
Traditional collaborative filtering (CF)-based recommendation systems are often challenged by data sparsity. The recent research has recognized the potential of integrating new information sources, such as knowledge graphs, to address this issue. However, a common drawback is the neglect of the interplay between [...] Read more.
Traditional collaborative filtering (CF)-based recommendation systems are often challenged by data sparsity. The recent research has recognized the potential of integrating new information sources, such as knowledge graphs, to address this issue. However, a common drawback is the neglect of the interplay between user–item interaction data and knowledge graph information, resulting in insufficient model performance due to coarse-grained feature fusion. To bridge this gap, in this paper, we propose a novel graph neural network (GNN) model called KGCFRec, which leverages both Knowledge Graph and user–item Collaborative Filtering information for an enhanced Recommender system. KGCFRec employs a dual-channel information propagation and aggregation mechanism to generate distinct representations for the collaborative knowledge graph and the user–item interaction graph. This is followed by an attention mechanism that adaptively fuses the knowledge graph with collaborative information, thereby refining the representations and narrowing the gap between them. The experiments conducted on three real-world datasets demonstrate that KGCFRec outperforms state-of-the-art methods. These promising results underscore the capability of KGCFRec to enhance recommendation accuracy by integrating knowledge graph information. Full article
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14 pages, 2236 KiB  
Article
In Vivo Regulation of Active Matrix Metalloproteinase-8 (aMMP-8) in Periodontitis: From Transcriptomics to Real-Time Online Diagnostics and Treatment Monitoring
by Nur Rahman Ahmad Seno Aji, Tülay Yucel-Lindberg, Ismo T. Räisänen, Heidi Kuula, Mikko T. Nieminen, Maelíosa T. C. Mc Crudden, Dyah Listyarifah, Anna Lundmark, Fionnuala T. Lundy, Shipra Gupta and Timo Sorsa
Diagnostics 2024, 14(10), 1011; https://doi.org/10.3390/diagnostics14101011 (registering DOI) - 15 May 2024
Abstract
Background: This study investigated in vivo regulation and levels of active matrix metalloproteinase-8 (aMMP-8), a major collagenolytic protease, in periodontitis. Methods: Twenty-seven adults with chronic periodontitis (CP) and 30 periodontally healthy controls (HC) were enrolled in immunohistochemistry and transcriptomics analytics in order to [...] Read more.
Background: This study investigated in vivo regulation and levels of active matrix metalloproteinase-8 (aMMP-8), a major collagenolytic protease, in periodontitis. Methods: Twenty-seven adults with chronic periodontitis (CP) and 30 periodontally healthy controls (HC) were enrolled in immunohistochemistry and transcriptomics analytics in order to assess Treponema denticola (Td) dentilisin and MMP-8 immunoexpression, mRNA expression of MMP-8 and its regulators (IL-1β, MMP-2, MMP-7, TIMP-1). Furthermore, the periodontal anti-infective treatment effect was monitored by four different MMP-8 assays (aMMP-8-IFMA, aMMP-8-Oralyzer, MMP-8-activity [RFU/minute], and total MMP-8 by ELISA) among 12 CP (compared to 25 HC). Results: Immunohistochemistry revealed significantly more Td-dentilisin and MMP-8 immunoreactivities in CP vs. HC. Transcriptomics revealed significantly elevated IL-1β and MMP-7 RNA expressions, and MMP-2 RNA was slightly reduced. No significant differences were recorded in the relatively low or barely detectable levels of MMP-8 mRNAs. Periodontal treatment significantly decreased all MMP-8 assay levels accompanied by the assessed clinical indices (periodontal probing depths, bleeding-on-probing, and visual plaque levels). However, active but not total MMP-8 levels persisted higher in CP than in periodontally healthy controls. Conclusion: In periodontal health, there are low aMMP-8 levels. The presence of Td-dentilisin in CP gingivae is associated with elevated aMMP-8 levels, potentially contributing to a higher risk of active periodontal tissue collagenolysis and progression of periodontitis. This can be detected by aMMP-8-specific assays and online/real-time aMMP-8 chair-side testing. Full article
(This article belongs to the Special Issue Advances in the Diagnosis of Oral and Maxillofacial Disease)
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