Current Medicinal Chemistry - Online First
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Immobilized Lipases for S-Naproxen Synthesis: Techniques, Materials, and Pharmaceutical Applications - A Review
Authors: Mukaddes Saklan, Serkan Sayın, Elif Ozyilmaz and Mustafa YilmazAvailable online: 10 February 2026More LessNaproxen is a widely used Non-Steroidal Anti-Inflammatory Drug (NSAID) and is notable for its analgesic, antipyretic and anti-inflammatory properties. It shows its pharmacological effect by inhibiting Cyclooxygenase (COX) enzymes and suppressing prostaglandin synthesis. This mechanism plays an important role in reducing inflammation and controlling pain. The pharmacokinetic properties, bioavailability and side effect profile of naproxen are the determining factors in the selection of synthesis methods. In recent years, factors such as environmental sustainability and stereoselectivity have become increasingly important in the synthesis of S-naproxen, and enzymatic synthesis methods have gained prominence. Enzymatic processes offer high stereoselectivity, providing the advantage of producing S-naproxen in the preferred enantiomer form. Moreover, the use of biocatalysts reduces energy consumption by making the reaction conditions milder and avoiding the use of toxic reagents for an environmentally friendly production process. The review focuses on the chemical structure, pharmacological effects, biotransformation mechanisms, and enantiomeric properties of naproxen. The review also includes current formulation approaches to address solubility and bioavailability issues of naproxen. This review contributes to the understanding of current strategies to enhance the therapeutic efficacy of naproxen and highlights potential areas for future research.
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Discovery of Novel SARS-CoV-2 3CLpro Inhibitors from Natural Products using FRET-based Assay
Authors: Tianyu Zhang, Hongming Tang, Xianlong Ye, Jixia Wang, Han Zhou, Longying Liu, Liangliang Zhou, Fangfang Xu, Pan Wang, Tao Hou, Yanfang Liu, Xinmiao Liang and Liangji LiuAvailable online: 09 February 2026More LessIntroductionThe coronavirus 3C-like protease (3CLpro) is essential for SARS-CoV-2 replication, making it a key target for antiviral drug development. Natural products represent a valuable source of bioactive compounds. This study aimed to identify novel 3CLpro inhibitors from natural compounds through a combination of virtual screening and experimental validation.
MethodsRecombinant 3CLpro was expressed, purified, and evaluated for enzymatic activity using Fluorescence Resonance Energy Transfer (FRET) assays under optimized conditions. Out of 583 virtually screened compounds, 30 were selected for experimental validation. Epitheaflagallin 3-O-gallate (ETFGg) was further analyzed for binding interactions using Molecular Dynamics (MD) simulations.
ResultsETFGg exhibited strong binding affinity (−66.90 kcal/mol) and inhibitory activity (IC50 = 8.73 ± 2.30 μM) against 3CLpro. MD simulations revealed stable interactions with key residues (HIE163, THR190, GLN192) in the 3CLpro active site.
DiscussionOur findings demonstrate that ETFGg is a potent and stable inhibitor of SARS-CoV-2 3CLpro, with a binding profile distinct from known inhibitors such as ebselen. The substrate inhibition kinetics observed suggest a novel allosteric mechanism, which may provide a new strategy for targeting 3CLpro. This study supports the value of natural product libraries combined with computational and FRET-based screening for discovering antiviral leads.
ConclusionETFGg was identified as a promising 3CLpro inhibitor with high binding stability, highlighting its potential as a lead compound for the development of anti-COVID-19 drugs.
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Inhibition of Circular RNA 006029 Alleviates Pancreatic β-Cell Injury Through the AKT/mTOR Signaling Pathway
Authors: Zhen Wang, Zheli Luo, Li Wang, Jiaxing Feng, Kunlin Huang, Ying Zheng and Zhiguang ZhouAvailable online: 04 February 2026More LessIntroductionType 1 Diabetes Mellitus (T1DM) is characterized by the damage of pancreatic β-cells induced by autoimmune responses. Circular RNAs (circRNAs) play important regulatory roles in the pathogenesis of T1DM, but the underlying mechanisms require further substantiation.
MethodsThis study focused on a novel circRNA, circ006029, to investigate its regulation on β-cell damage. The potential involvement of circ006029 in β-cell proliferation, apoptosis, autophagy, and inflammatory responses was investigated using CCK-8, qRT-PCR, and immunoblot assays. The utilization of a cytokine mixture, and specific molecular blockers Rapamycin and Capivasertib, was applied to investigate the pathway by which circ006029 regulates β-cell damage. Transcriptome sequencing and bioinformatics analysis were conducted to explore differentially expressed mRNAs related to circ006029 regulation.
ResultsThe expression of circ006029 was observed to increase in damaged MIN6 cells. The inhibition of circ006029 serves a protective role in MIN6 β-cells by promoting β- cell proliferation and attenuating apoptosis. circ006029-knockdown could augment β- cell autophagy and attenuate apoptosis through the AKT/mTOR signaling pathway. Moreover, circ006029 might be involved in the inflammatory response of MIN6 cells.
DiscussionThe knockdown of circ006029 was demonstrated to alleviate β-cell inflammation and reduce cell apoptosis. The promotion of β-cell proliferation and heightened autophagy also substantiated the protective effects of circ006029 silence. Furthermore, we also proved that circ006029 might contribute to autophagy via the AKT/mTOR signaling pathway. All the results implied that the presence of circ006029 may drive a detrimental regulatory role in pancreatic β-cells. This may provide valuable evidence that circ006029 might be a potential target for alleviating β-cell damage in T1DM and rebuilding β-cell function.
ConclusionThese findings suggest that circ006029 may serve a detrimental role in β- cell damage, which provides new ideas for exploring the mechanism of β-cell damage in early insulitis in T1DM.
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The Effect of Everolimus Conjugated Albumin Nanocarrier on the Viability of Lung Cancer A549 Cell Line
Authors: Ameneh Baghbani Rizi, Aroona Chabra, Fereshteh Chekin and Bahman Rahimi EsboeiAvailable online: 28 January 2026More LessIntroductionLung cancer is a leading cause of cancer-related morbidity and mortality. The development and evaluation of effective treatment strategies for lung cancer are of high clinical importance. Everolimus (Eve) has been shown to upregulate the expression of phosphatases and inhibit the migration and proliferation of A549 cancer cells. The present study focuses on the synthesis of biodegradable bovine serum albumin (BSA) nanoparticles for the loading and delivery of Eve.
MethodsIn the desolvation process, Eve molecules were kept in the BSA system. The physicochemical properties of the Eve drug containing BSA nanoparticles (Eve@BSA) have been exactly characterized. The loading and release assays of Eve were also studied at different glutaraldehyde percentages, times, and solvents.
ResultsField emission scanning electron microscopy (FE-SEM) analysis of BSA nanoparticles revealed a spherical morphology with an average size of 93.7 ± 3.7 nm. The results demonstrated that BSA nanoparticles are highly efficient carriers, achieving an Eve loading efficiency of approximately 54% at 4% glutaraldehyde. The release of Eve from the BSA nanoparticles was dependent on the solvent and duration of incubation. According to the MTT assay, Eve@BSA exhibited low cytotoxicity and high biocompatibility against L929 fibroblast cells. In contrast, the cytotoxicity of Eve@BSA against A549 cells (IC50 ≈ 47 μg/mL) was significantly higher than that of free Eve (IC50 ≈ 283 μg/mL) after 48 hours.
DiscussionThe synergistic effects of Eva@BSA nanoformulation due to functional groups-rich BSA seemed to improve in vitro antiproliferation efficacies compared with the single treatment of Eve.
ConclusionThe findings confirm the synergistic anticancer effect of Eve@BSA, indicating that this nanosystem may serve as a promising candidate for the treatment of lung cancer.
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An Overview of Biosensors and Human Respiratory Syncytial Virus (hRSV): A Systematic Review
Available online: 26 January 2026More LessBackgroundRespiratory syncytial virus (RSV) causes more than 30 million cases of lower respiratory tract infections (LRTIs) and approximately 3 million hospitalizations globally each year. Although RSV is particularly dangerous for young children, older adults and individuals with underlying health conditions or weakened immune systems are also at risk. Rapid diagnosis of RSV infection is crucial to ensure timely treatment and prevent disease spread. While conventional diagnostic techniques exist, many are time-consuming, expensive, or labor-intensive. Biosensors have recently emerged as a promising alternative.
MethodsThis review involved gathering original articles published in English from various databases, including PubMed, Scopus, Web of Science, and Embase, between August and October, 2024. Additionally, reference lists from these articles were examined in Google Scholar for further relevant sources. Out of 147 electronically searched citations, 15 articles met the inclusion criteria.
ResultsGenosensors, particularly those employing Surface-Enhanced Raman Scattering (SERS) and electrochemical detection, demonstrated the most significant potential for RSV diagnosis. Biosensors are increasingly being applied for RSV detection due to their high sensitivity, accuracy, and rapid results. The most prevalent conventional techniques for RSV detection include immunofluorescence (IF), ELISA, cell culture, and RT-PCR (Real-time PCR). While molecular methods are fast and sensitive, they require advanced laboratory equipment and trained personnel. In contrast, biosensors offer a rapid, reliable, and cost-effective diagnostic approach.
DiscussionBiosensors have emerged as a powerful diagnostic platform for RSV, providing faster, more sensitive, and cost-effective detection compared to conventional methods. Continued development and clinical validation of biosensor technologies could transform RSV surveillance and management, especially in low-resource or point-of-care settings.
ConclusionBiosensors represent a significant advancement in RSV diagnostics, particularly in resource-limited settings. Enhancing biosensor technology could improve accessibility, speed, and accuracy in RSV detection, ultimately leading to better patient outcomes and reduced disease transmission.
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An Immune Cell Activation Signature for Non - Small Cell Lung Cancer Revealed Tumor Microenvironment Heterogeneity and the Role of RORA in Regulating ZNF490/NDUFA12 Axis
Authors: Yiyi Song, Zhen Zhu, Hong Li, Shuang Song and Xin LinAvailable online: 23 January 2026More LessIntroductionThe development and progression of non-small cell lung cancer (NSCLC) are intricately linked to immune cell activation, but its related signature has not been reported.
MethodsThis study combines in silico and in vitro approaches. TCGA-NSCLC and Gene Expression Omnibus (GEO) datasets were utilized to develop and validate a prognostic signature based on cell activation genes. The signature’s validity was assessed through the identification of genomic, transcriptomic, tumor microenvironment (TME), and single-cell infiltration characteristics. The function of the candidate gene RORA was verified using CCK8, apoptosis, colony formation, wound healing, and transwell assays. The detailed mechanism of RORA was investigated through ChIP-PCR, luciferase assays, Western blot, and ROS detection.
ResultsThe prognostic signature was constructed from TCGA-NSCLC datasets and validated in six independent datasets (GSE30219, GSE33072, GSE37745, GSE41271, GSE42127, GSE50081). The signature was associated with LRP1B and RYR2 mutations, NSCLC-related pathways, drug response, and immune cell infiltration. The candidate gene RORA significantly inhibits the proliferation and migration abilities of NSCLC cell lines (A549 and NCI-H1299). Furthermore, the transcription factor RORA promotes ZNF490 expression, which subsequently inhibits NUDFs expression and oxidative phosphorylation (oxphos).
DiscussionThe signature highlighted its significance with genomic features that were frequently reported as prognostic indicators (LRP1B and RYR2 mutations, cancer-related infiltration and pathway infiltration), and putative treatment response (IC50 in the TCGA dataset). Its detailed mechanism of candidate gene RORA revealed its role in oxphos, highlighting the crosstalk between metabolism and immune activation.
ConclusionThe model is robust and effectively reflects NSCLC heterogeneity while predicting prognosis. RORA promotes the expression of ZNF490 to inhibit NUDFs and oxidative phosphorylation.
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Design, Synthesis and Blood Vessels Sealing Activity of 2- or 4-methyl-9H-xanthen-9-one Derivatives of Aminophenols or Aromatic Chiral or Achiral Aminoalkanols
Available online: 20 January 2026More LessIntroductionThis study explores the evaluation of 2- or 4-methyl-9H-xanthen-9-one derivatives containing aminophenols or aromatic chiral/achiral aminoalkanols as potential blood vessel-sealing agents.
MethodsA series of xanthone derivatives were synthesized and evaluated through multiple bioassays, including hyaluronidase inhibition assays, antiplatelet activity via collagen-induced platelet aggregation, antioxidant potential using DPPH and FRAP assays, and vasodilatory responses in isolated rat aortic rings precontracted with phenylephrine.
ResultsAmong the obtained derivatives, compound 2 (2-hydroxy-N-((9-oxo-9H-xanthen-2-yl)methyl)-2-phenylethan-1-aminium chloride) demonstrated the highest hyaluronidase inhibition (19.09% at 100 µM/L), comparable to the reference compound quercetin (26.17% at 100 µM/L). Furthermore, compound 2 exhibited significant antiplatelet activity, reducing collagen-induced aggregation by 40.42% at 200 µM (p < 0.0001), similar to quercetin (40.38% at 200 µM), though weaker than acetylsalicylic acid (ASA, 71% inhibition at 50 µM). Antioxidant studies using DPPH and FRAP assays indicated that compound 1 (4-hydroxy-N-((9-oxo-9H-xanthen-2-yl)methyl)benzenaminium chloride) surpassed vitamin C’s antioxidant effect by 35%, while showing high ferric-reducing activity (91%). Additionally, compound 2 demonstrated a vasodilatory effect on rat aortic rings precontracted with phenylephrine, in contrast to quercetin, which enhanced vasoconstriction.
DiscussionQuercetin and α-mangostin were selected as reference compounds due to their well-established vasorelaxant mechanisms and structural similarities to the synthesized xanthone derivatives, providing a basis for comparison in evaluating vascular sealing potential and endothelial protective activity.
ConclusionThe study’s findings suggest that 2-methylxanthone derivatives, particularly compound 2, hold potential as vascular sealing agents with additional antiplatelet and vasorelaxant properties. Compound 1, based on the present study, was chosen for further research due to its significant antioxidant properties. These results warrant further pharmacological evaluation for cardiovascular applications.
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Ferroptosis Targeting by β-Sitosterol in Cervical Cancer Radiotherapy
Authors: Yuanyuan Xiao, Yuanqin Zhao, Zhenlei Wang, Changmin Peng, Le li and Shuangyang TangAvailable online: 19 January 2026More LessThis review addresses the challenge of radioresistance in cervical cancer by exploring the role of ferroptosis in enhancing the efficacy of radiotherapy (RT). It emphasizes the radiosensitizing effect of β-sitosterol through modulation of the GPX4/ACSL4 axis. β-Sitosterol targets mitochondrial membranes, inhibits GPX4 activity, and activates ACSL4, promoting polyunsaturated fatty acid synthesis and thereby facilitating ferroptosis. Preclinical models demonstrate that β-sitosterol significantly improves RT sensitivity and increases tumor iron accumulation. The review further proposes a predictive framework based on ox-LDL levels and the ACSL4/GPX4 ratio for potential clinical application, alongside discussions on innovative delivery systems, ferroptosis-apoptosis interactions, microbiota-mediated metabolic effects, and AI-driven optimization of RT-drug combinations. These insights contribute to advancing personalized radiotherapy strategies for cervical cancer.
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An Overview of Novel Compounds from Marine Invertebrates: Sources, Structures, and Bioactivities
Authors: Chengqian Pan, Kuntai Yang, Zongyang Li, Haohang Ni and Syed Shams ul HassanAvailable online: 19 January 2026More LessMarine invertebrates exhibit a vast taxonomic diversity, encompassing multiple phyla ranging from Porifera (sponges) to Echinodermata. These organisms inhabit complex marine environments and have evolved a diverse array of unique bioactive substances with various pharmacological effects, including antibacterial, antiviral, antitumor, and anti-inflammatory properties. As a result, they have long served as a crucial source of active natural products. The application prospects of these natural products are expanding rapidly across various fields, including medicine, cosmetics, and biotechnology, offering new possibilities for human health and sustainable development. This review compiles information on 159 novel natural products derived from marine invertebrates, which were first discovered in 2024. These compounds, originating from a diverse range of marine invertebrates, encompass various chemical classes, including terpenoids, alkaloids, peptides, and other unique categories. This review places a strong emphasis on elucidating their origins, intricate chemical structures, and promising biological activities. By presenting the latest discoveries and advancements in the field, this comprehensive review aims to offer valuable references and novel insights for the research and development of innovative antibacterial, antitumor, and anti-inflammatory drugs.
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CXCL5/CXCR2 Axis Related to Neutrophilic Inflammation in Ulcerative Colitis: A Comprehensive Analysis Integrating eQTL, pQTL, and Transcriptome Data
Authors: Yiyi Feng, Yichuan Xv, Jingyi Shan, Enjia Guo, Jiang Lin, Hong Pan, Miaoxia Dong and Jianling MoAvailable online: 16 January 2026More LessBackgroundAn excessive inflammatory response plays a central role in the pathogenesis of ulcerative colitis (UC), but the specific cytokines involved remain unclear. This study aimed to identify inflammatory factors associated with UC and explore the possible mechanisms of the identified targets.
MethodsProtein quantitative trait loci (pQTLs) and expression quantitative trait loci (eQTLs) for inflammatory cytokines were obtained from a genome-wide pQTL study and the eQTL consortium, respectively. Summary data for UC from the exploration and validation cohorts were derived from a genome-wide association study and the Finngen cohort. MR and colocalization analyses were conducted to identify causal associations between inflammatory cytokines and UC. Bioinformatics analyses were employed to explore the involved biological processes of candidate targets. Immunohistochemistry was used to validate the expression of these candidate targets in colon tissues.
ResultsAmong all inflammatory cytokines, a significant causal association was identified between C-X-C motif chemokine ligand 5 (CXCL5) and UC. Using eQTL data, a significant genetic association was established between the mRNA expression of CXCL5 and its receptor, C-X-C motif chemokine receptor 2 (CXCR2), with UC. Colocalization analysis further supported these identified links. Differential expression analysis confirmed the dysregulation of the CXCL5/CXCR2 axis in UC patients. Enrichment and immune infiltration analysis indicated that the CXCL5/CXCR2 axis was involved in neutrophil chemotaxis and immune activation in UC. Moreover, CXCL5 expression was found to correlate with neutrophil extracellular trap (NET) formation in UC. Immunohistochemistry further confirmed the dysregulation of the CXCL5/CXCR2 axis in colon tissues of UC patients.
DiscussionThe CXCL5/CXCR2 axis has been implicated to play a significant role within a broader inflammatory network that includes Interleukin (IL)-17, NF-κB, and Tumor Necrosis Factor (TNF) signaling pathways. Additionally, this axis interacts with macrophages and T cells, further contributing to the complexity of inflammatory responses in UC.
ConclusionThere is a significant association between CXCL5/CXCR2 and UC under the MR assumption, which is potentially linked with colonic chemotaxis and activation of neutrophils. These findings highlight the potential of CXCL5/CXCR2 as a therapeutic target for UC. However, future functional studies are needed to validate these findings and explore the exact mechanisms by which CXCL5/CXCR2 influences immune cell crosstalk in UC.
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Prognostic and Immune Infiltration Analysis in ESCC Using a Ferroptosis-EMT Biomarker Signature
Authors: Zhidong Wang, Cheng Gong, Ce Chao, Youpu Zhang, Yiongxiang Qian, Min Wang, Bin Wang and Yang LiuAvailable online: 16 January 2026More LessIntroductionLimited studies have explored how ferroptosis and Epithelial-Mesenchymal Transition (EMT) jointly affect the prognosis of Esophageal Squamous Cell Carcinoma (ESCC). This study aimed to develop a clinical prognostic model based on the combined impact of ESCC.
MethodsGene expression levels and clinical data of ESCC patients were obtained from the Gene Expression Omnibus (GEO) and the Cancer Genome Atlas (TCGA) database. Using Cox regression analysis and Least Absolute Shrinkage and Selection Operator (LASSO) regression analysis, we identified nine prognostic genes to build a predictive model. Immune cell infiltration was evaluated using CIBERSORT and single-sample Gene Set Enrichment Analysis methods. Finally, in vitro experiments were conducted to assess the oncogenic effects of ACSL3 and VIM.
ResultsWe developed a Ferroptosis-EMT Integrated Score (FEIS) based on nine key genes. High-FEIS patients had worse survival, increased immune infiltration, and higher expression of immune checkpoints. A nomogram was built for prognosis prediction, and in vitro studies confirmed the tumor-promoting roles of ACSL3 and VIM.
DiscussionThe FEIS model robustly predicts ESCC prognosis by integrating ferroptosis and EMT, offering novel biomarkers for personalized immunotherapy, though further validation is warranted.
ConclusionOur study introduced a novel prognostic tool that integrates ferroptosis and EMT-related biomarkers and offers valuable insights for developing personalized treatment strategies for ESCC patients.
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Stereoselective Synthesis, Anticolon Cancer Activity, Molecular Docking, and Dynamics Simulation Studies of Spirooxindole Derivatives
Authors: Rajat Ghosh, Afzal B. Shaik, Richie R. Bhandare, Bhima Sridevi and Pratap Chandra AcharyaAvailable online: 16 January 2026More LessBackgroundSpirooxindoles have been reported to be effective anticancer drug candidates by displaying promising pre-clinical results. Therefore, to find out a lead spirocyclic oxindole template, a series of spirooxindole derivatives bearing pyrrolizidine (14a-e) and N-methyl pyrrolidine (15a-e) were synthesized using an efficient multicomponent, one-pot, and stereoselective [3+2] cycloaddition reaction and evaluated in vitro against HT29 and HCT116 human colon cancer cell lines.
MethodsThe pyrrolizidine and N-methyl pyrrolidine spirooxindole derivatives were synthesised in excellent regio- and stereoselectivity using previously optimized reaction conditions. They were evaluated in vitro against cell lines HT29 and HCT116. In silico ADME profiling, molecular docking, and dynamics simulation studies were performed to ascertain the probable mode of action of the lead derivative.
Results and DiscussionThe spirooxindoles were characterized using FTIR, ESI-MS, 1H and 13C NMR, purity was determined by RP-HPLC, and stereochemistry was confirmed by X-ray crystallography. Compound 14a produced the best anti-colon cancer activity with IC50 values of 62.66 and 9.55 µM against HT29 and HCT116 human colon cancer cell lines, respectively. The in silico studies revealed that MDM2 protein inhibition is a probable mode of anti-colon cancer activity, supported by the data obtained in the molecular docking and molecular dynamics study.
ConclusionThe described [3+2] cycloaddition reaction proved to be a highly efficient and catalyst-free reaction. The in vitro cell viability assays and in silico studies revealed that more spirooxindoles can be designed with a varied degree of substitution to target colon cancer.
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A Comprehensive Review on Extracellular Vesicles, Liposomes, and Biohybrid Nanocarriers for Enhanced Wound Healing and Precision Drug Delivery
Authors: Jzit Weii Chen, Fong Fong Liew, Hsiao Wei Tan and Ivy ChungAvailable online: 16 January 2026More LessNanomedicine has advanced drug delivery by addressing key challenges such as poor solubility, instability, and off-target effects. Yet, despite its promise, clinical translation remains limited, with few FDA-approved formulations and ongoing biocompatibility concerns. Extracellular vesicles (EVs), particularly those derived from mesenchymal stem cells, offer natural advantages as nanocarriers, including biocompatibility, immunomodulatory effects, and regenerative properties. However, their therapeutic application is constrained by low drug-loading capacity, rapid clearance, and batch-to-batch variability. To overcome these limitations, biohybrid vesicles—fusions of natural EVs and synthetic liposomes—have emerged as an innovative platform. These hybrids combine the biological targeting and immune-evasive features of EVs with the scalability, structural stability, and tunable drug-release capabilities of liposomes. Advanced fabrication methods, including freeze-thaw cycling, co-extrusion, and pH-mediated fusion, enhance biohybrid vesicle integrity and production. Surface modifications such as PEGylation and ligand attachment further improve biodistribution and cell-specific uptake. This review focuses on extracellular vesicles (EVs), liposomes, and biohybrid vesicles, examining their cellular interactions, design strategies, and therapeutic potential. It also explores the biological pathways involved in tissue repair and regeneration, while addressing key translational challenges such as standardisation and large-scale manufacturing. By leveraging the complementary advantages of natural and synthetic systems, biohybrid EVs represent a promising next-generation platform for precision nanomedicine. The review summarises current progress and proposes a roadmap for advancing these technologies toward clinical application, with a specific focus on wound management.
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Ubiquitination-based Classification and a Prognostic Signature Identify the Role of TRIM21 in Sarcoma Progression
Authors: Lin Zhang, Weihao Lin, Jinhui Liu, Yuheng Hong, Zheng Cao, Zhentao Yu, Xiaoli Feng and Yibo GaoAvailable online: 15 January 2026More LessIntroductionSarcomas are heterogeneous mesenchymal tumors with poor responses to systemic therapies. Ubiquitination is a post-translational modification that regulates various physiological processes and cancer growth.
MethodsWe analyzed the transcriptomic data of 256 sarcoma patients from The Cancer Genome Atlas (TCGA) to define the network and prognostic value of predefined ubiquitination-related genes and performed subgroup analyses. Additionally, the role of TRIM21 in sarcoma progression was explored using cellular experiments.
ResultsWe identified two ubiquitination-related clusters, and patients in the two clusters were characterized by different survival outcomes, enriched pathways, and characteristics of the tumor microenvironment. A ubiquitination-related signature involving LRRC41, RNF125, TRIM21, and UBE3D was identified to predict prognoses. The signature was associated with patient prognoses in the public sarcoma cohorts and our independent cohort. Immunohistochemistry analyses revealed that the risk score and CD8 could distinguish patients with different survival outcomes in our cohort. Mechanistically, different risk groups were also characterized by distinct enriched pathways and characteristics of the tumor microenvironment. Cellular experiments revealed that TRIM21 overexpression could suppress tumor progression in sarcomas.
DiscussionThis study provided a novel classification for sarcoma patients based on expressions of ubiquitination-related genes. The classification and the prognostic model may facilitate the understanding of sarcoma pathogenesis, the prediction of prognosis and immunotherapy response for sarcoma patients. Meanwhile, it was confirmed that TRIM21 suppressed sarcoma progression and identified it as a potential target for therapeutic interventions.
ConclusionThe classification and signature stratify sarcoma patients for prognosis and immunotherapy response, with TRIM21 representing a promising therapeutic target.
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Clinical Features of Hypo- and Hypervitaminosis of Fat-Soluble Vitamins in Pediatric Patients
Available online: 15 January 2026More LessFat-soluble vitamins (A, D, E, and K) are crucial for pediatric health, contributing to normal cellular function, growth, immune defense, and development. Unlike water-soluble vitamins, they are absorbed with dietary fats and stored in the liver and adipose tissue, leading to risks of deficiency (hypovitaminosis) and toxicity (hypervitaminosis) in certain physiological and pathological conditions. This narrative review aimed to summarize the clinical manifestations, diagnostic considerations, and management of hypo- and hypervitaminosis of fat-soluble vitamins in pediatric populations. A comprehensive literature review was conducted, highlighting the physiological roles, symptoms of deficiency and toxicity, diagnostic strategies, and treatment options, with particular focus on high-risk groups, including neonates and children with malabsorption or dietary restrictions. Pediatric patients are especially vulnerable to vitamin imbalances due to rapid growth and specific developmental needs. Deficiencies can result in vision problems, bone disorders, immune dysfunction, and coagulation issues, while excess intake can lead to toxicity. Management strategies include clinical assessment, biochemical testing, supplementation, dietary counseling, and public health interventions. Early detection and preventive measures are essential. Future research is needed to explore non-classical roles of these vitamins and optimize supplementation guidelines.
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Novel Metabolic Reprogramming and Circadian Rhythm Related Molecular Subtyping and Prognostic Signature for Ovarian Cancer
Authors: Qingyuan Zeng, Yan Wang, Yanzi Wang, Yang Yu, Yumei Lv, Mingyi Wang and Zhu HuangAvailable online: 15 January 2026More LessIntroductionOvarian cancer (OC), characterized by high mortality and lacking early diagnostic markers, poses a significant health threat. This study investigated the expression of metabolic reprogramming and circadian rhythm-related genes (MRCRRGs) in OC and their association with clinical features.
MethodsOC datasets and MRCRRG lists were sourced from TCGA, GEO, and GeneCards. Comprehensive bioinformatics analyses included calculating Metabolic Reprogramming and Circadian Rhythm Scores (MRCR.Score), identifying MRCR score-related genes (MRCRSRGs), building a Cox regression model, performing clustering for subtype identification, analyzing immune cell infiltration and immune checkpoint gene expression, conducting differential expression analysis, and performing Gene Set Enrichment Analysis (GSEA).
ResultsWe identified 138 MRCRRGs. MRCR. Score differed significantly between OC and controls. Thirty-four MRCRSRGs were identified, and a Cox model based on four genes was developed. Clustering revealed two distinct OC subtypes with significant overall survival differences. Immune infiltration analysis showed significant expression differences in 26 immune cell types, and immune checkpoint genes differed between subtypes. Differential expression identified 89 genes (88 upregulated, 1 downregulated). A six-gene predictive model demonstrated moderate accuracy. GSEA revealed significant enrichment of key pathways, notably Fcgr3a-mediated IL-10 synthesis.
DiscussionFindings demonstrate strong links between MRCRRGs, OC subtypes, patient survival, and the tumor immune microenvironment. Enrichment of pathways like Fcgr3a-mediated IL10 synthesis suggests novel OC mechanisms. Reliant on bioinformatics, the study provides insights into OC heterogeneity.
ConclusionThis study establishes a foundation for understanding MRCRRG molecular mechanisms in OC. The identified subtypes, prognostic model, immune landscape alterations, and enriched pathways offer valuable insights for future experimental validation and potential diagnostic/therapeutic strategies.
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Development of New Drugs from the Iminosugar Class
Authors: Bo Luo, Li Shen and Yongmin ZhangAvailable online: 15 January 2026More Less
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Atranorin Triggers Intrinsic and Extrinsic Apoptosis and Suppresses Migration in Human Melanoma Cells
Authors: Mine Ensoy and Demet Cansaran-DumanAvailable online: 15 January 2026More LessIntroductionMalignant melanoma is a highly aggressive skin malignancy characterised by metastatic properties and resistance to conventional therapies. This indicates a necessity to explore novel, efficacious treatment modalities. Atranorin, a secondary metabolite derived from lichen, has demonstrated a diverse range of bioactivities. However, the antineoplastic mechanisms of atranorin in melanoma remain underexplored.
MethodsHuman melanoma cancer cell lines (A-375, G-361, and MDA-MB-435) and normal human melanocytes were treated with various concentrations of atranorin. Cell viability and proliferation were evaluated by MTT assay, apoptosis was assessed using Annexin V-FITC/PI flow cytometry, and cell cycle distribution was determined by PI staining and flow cytometry. Gene expression of apoptosis-related markers was quantified by qRT-PCR, and protein levels were analyzed by Western blot. Cell migration was evaluated by the wound healing assay.
ResultsAtranorin demonstrated selective toxicity in human melanoma cancer cells, exhibiting minimal effect on normal human melanocytes. In a study on human malignant melanoma A-375 cells, it was found that atranorin, at an IC50 concentration of 12 μM, significantly increased the number of apoptotic cells by approximately 11-fold. Furthermore, the results of the study indicated that atranorin induced G1 phase arrest and inhibited migratory capacity by around 60%. Molecular profiling revealed the upregulation of the intrinsic (APAF1, BAX, and CASP9) and extrinsic (FAS, FADD and CASP10) apoptotic pathways, and the downregulation of the anti-apoptotic genes BCL2, MCL1, and BIRC5. In line with these observations, protein analyses revealed increased levels of cleaved caspase-3, caspase-9, and PARP, thereby providing evidence for the activation of apoptotic cascades.
DiscussionIn this study, the therapeutic effect of atranorin was comprehensively evaluated for the first time on A-375 melanoma cells, and it was highlighted as a natural compound with strong anti-cancer potential.
ConclusionThis study is the first to demonstrate the potent anti-melanoma effect of atranorin. This demonstrates the natural compounds' effects on cell proliferation, cell cycle progression, and the suppression of metastasis. These findings emphasize the potential of atranorin as a novel natural compound for use in adjunctive or targeted melanoma therapy, and highlight the need for further preclinical and clinical evaluation.
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Investigating the Mechanism of NAD+ Metabolism in Atrial Fibrillation: A Risk Gene Analysis
Authors: Fei Guo, Guanghui Zhu, Wanyue Sang, Jianfeng Luo, Yaodong Li and Jian XuAvailable online: 13 January 2026More LessIntroductionThis study explored potential atrial fibrillation (AF) risk genes via nicotinamide adenine dinucleotide (NAD+) metabolism using tissue samples and the Gene Expression Omnibus (GEO) database.
MethodsA cross-sectional study was conducted on atrial tissues from patients undergoing left atrial appendage resection. Whole transcriptome sequencing was performed on 3 AF and 3 control samples. The GSE115574 and GSE79768 datasets were analyzed, yielding 51 NMRGs. DE-mRNAs were screened and overlapped to obtain DE-NMRGs. LASSO and RFE algorithms identified critical genes, and enrichment and drug-prediction analyses were conducted. Gene expressions were validated in 5 additional patients using qRT-PCR.
ResultsThree key genes (SLC6A6, ATP1B4, and BEX2) were identified, associated with energy metabolism pathways and potentially influencing AF progression through immune response modulation.
DiscussionPrevious studies reported the role of NAD+ metabolism in AF, but its mechanism is unclear. This study identified SLC6A6, ATP1B4, and BEX2 as gene signatures linking NAD+ metabolism to AF. These genes are involved in metabolic or electrophysiological processes that can predispose to arrhythmogenesis. However, their specific mechanisms of action remain unclear, and further research is needed.
ConclusionThe study identified three key genes (SLC6A6, ATP1B4, and BEX2) involved in NAD+ metabolism, with diagnostic potential for AF patients and associations with energy metabolism and immune infiltration.
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Exploring the efficiency of Deep Eutectic Solvents (DESs) as Sustainable Systems for Recent Advances in Drug Discovery and Synthesis: A Comprehensive Review
Available online: 13 January 2026More LessTraditional organic solvents often pose environmental and toxicity concerns in the synthesis of active pharmaceutical ingredients (APIs), the cornerstone of pharmaceutical drugs. Deep eutectic solvents (DESs), characterized by their versatility and efficiency as both solvents and catalysts, offer a promising alternative for sustainable drug synthesis. The dual capacity of DESs as green solvents and catalysts holds significant potential for enhancing the sustainability and efficiency of drug-synthesis processes. This study comprehensively explores the synthesis of various drug scaffolds, including those relevant to central nervous system (CNS) disorders, inflammation, cancer, and other therapeutic areas. By examining reaction mechanisms and parameters, the research provides valuable insights into the high yields achievable using DESs. The review also highlights the effectiveness of different types of DESs in drug synthesis, including natural DESs (NADESs), reactive DESs (RDESs), water-based DESs (WDESs), and ionic liquid-based DESs (IL-DESs). Among these, NADESs are the most commonly used, with choline chloride (ChCl)–based DESs standing out as the most popular, utilized in over (30) different combinations mentioned in the review. The most frequently used ChCl-based DES was ChCl/urea, followed by ChCl/taurine. The collected data provide important information, including optimal DES combinations, ratios, concentrations, and reaction conditions for producing drug scaffolds with the highest yields. The numerous synthetic results presented in this article demonstrate that widespread adoption of DESs in both research and industrial settings could have a significant positive environmental impact, owing to their low toxicity, renewability, affordability, and energy-efficient catalytic properties. This review offers a thorough exploration of the use of DESs in drug synthesis. By analyzing key chemical equations, reaction procedures, reaction mechanisms, yields, and critical parameters from reported studies, this report aims to present a valuable resource to guide researchers in optimizing synthetic strategies and advancing the application of DESs in pharmaceutical chemistry.
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Cancer-Associated Fibroblast-Derived Gene Signature Predicts Prognosis and Exhibits Correlations with Aggressive Tumor Features in Hepatocellular Carcinoma
Available online: 13 January 2026More LessIntroductionCancer-associated fibroblasts (CAFs) play vital roles in HCC initiation and progression via multicellular, stromal-dependent processes. Despite their acknowledged significance, the comprehensive role of CAF-related gene signatures in HCC remains underexplored. Given the established role of CAFs in HCC progression and therapy resistance, we aimed to develop a CAF-derived gene signature for prognosis prediction.
MethodsThis comprehensive analysis used RNA sequencing data from The Cancer Genome Atlas database and a validation cohort from the International Cancer Genome Consortium database. Differential gene expression analysis identified CAF-related genes associated with HCC prognosis. A gene signature was developed using the least absolute shrinkage and selection operator algorithm and Cox regression analysis, and its prognostic value was evaluated through Kaplan-Meier survival analysis and receiver operating characteristic curve (ROC) analysis. The signature’s associations with immune cell infiltration, chemotherapeutic response, and functional enrichment were investigated to further evaluate the prognostic value of CAF-related genes.
ResultsIn total, 256 differentially expressed CAF-related genes were identified between samples with high and low CAF infiltration. After systematic analysis, a prognostic signature, including 23 genes, was constructed. Kaplan-Meier and ROC analyses demonstrated the robust predictive potential of our risk model for patients with HCC. Univariate/multivariate Cox regression analyses further confirmed that the risk model was an independent prognostic factor for HCC in both the testing and validation cohorts. The signature stratified patients into high- and low-risk groups with distinct survival (log-rank p < 0.001), achieving areas under the curve of 0.848 (1 year), 0.795 (3 years), and 0.781 (5 years). Patients in the high-risk group were more responsive to vinblastine, docetaxel, and navitoclax. Patients in the low-risk group had greater chemosensitivity to olaparib. Moreover, the stromal score was significantly higher in the high-risk group. Finally, the signaling pathways enriched in the high-risk group were mainly associated with HCC progression.
DiscussionWe established a CAF-related gene signature model as an independent prognostic predictor for HCC. This model may also guide adjuvant chemotherapy and targeted therapy, though further validation across diverse cohorts is needed to confirm its clinical utility.
ConclusionThe CAF-related gene signature exhibited good predictive potential concerning the prognosis of patients with HCC.
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Enhanced Antioxidant and Anti-bacterial Potential of Brugmansia suaveolens Conjugated Chitosan Nanoparticles
Available online: 13 January 2026More LessIntroductionChitosan nanoparticles (CNPs) are broadly explored for drug delivery due to their biocompatibility, biodegradability, and non-toxicity. This study encapsulated Brugmansia suaveolens leaf ethanol extract (BSLEE) into CNPs to enhance antioxidant and antibacterial activity.
Materials and MethodsThe optimization of synthesis, such as chitosan concentration of (1:1) to cross-link BSLEE, maintaining an optimal acidic pH (~4.5-5.5), and applying mild stirring at 50 rpm resulted in an encapsulation efficiency ranging from 26.33 to 48.58%, indicating the successful encapsulation of BSLEE within the CNPs. Characterization by UV-Vis, FTIR, SEM, XRD, EDX, and zeta potential confirmed successful formulation, with semi-crystalline, porous nanoparticles.
ResultsDPPH, FRAP, and total phenolics assay indicate BSLEE CNPs exhibited stronger antioxidant activity in the range of 30.42 ±0.77% to 55.85± 0.69% of DPPH inhibition, 34.73±2.71 to 121.44±1.83 µg/ml FSE, and 58±2.27 to 149.5±2.48 µg GAE/ml, respectively, when compared to crude BSLEE. The antibacterial effectiveness of BSLEE CNPs against S. aureus and E. coli was more significant when compared to the BSLEE and chitosan alone, attributed to enhanced membrane permeability and disruption of the bacterial cell membrane.
DiscussionAntibacterial studies showed significant inhibition against S. aureus and E. coli, linked to improved membrane disruption. The BSLEE CNPs demonstrated promising biocompatibility and potential for application in antimicrobial and antioxidant therapies, warranting further clinical validation and in vitro findings of BSLEE-conjugated chitosan nanoparticles.
ConclusionThe BSLEE CNPs showed promising pharmacological properties like antibacterial efficacy against E. coli and S. aureus, indicating their potential as an alternative approach to combat bacterial infections.
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Exploring the Regulatory Effects of Curcumin on CD47-Over Expressing Esophageal Cancer Cells via Network Pharmacology with Preclinical Validation
Authors: Yan Kang, Xiao Li, Hongchao Zhen, Jing Wang, Haishan Lin and Bangwei CaoAvailable online: 13 January 2026More LessIntroductionEsophageal cancer (EC) is a significant clinical challenge due to its aggressiveness and poor prognosis. CD47, a transmembrane protein, inhibits macrophage phagocytosis and is linked to tumor advancement and poor outcomes. The interaction between curcumin (CUR) and CD47 and its effects on EC needs further studies.
MethodsThis study identified common target genes of CUR and EC through network pharmacology, and then found core genes via protein-protein interaction (PPI) analysis. In vitro experiments were conducted to investigate the effects of CUR on cell proliferation, apoptosis, and migration, and to explore the underlying mechanisms. in vivo xenograft experiments were also carried out to evaluate the effects and mechanisms of CUR on tumor growth.
ResultsCD47 was highly expressed in EC, and CUR shared ten common target genes with EC. Enrichment analysis and PPI network supported PTGS2 and BAX as core genes. in vitro, CUR could inhibit the proliferation and migration of CD47-overexpressing EC cells and induce apoptosis. In the xenograft model, CUR could inhibit tumor growth (p = 0.0144). The mechanism of CUR may be related to multiple components of the MAPK signaling pathway, especially ERK1/2 and its phosphorylation. Additionally, CUR treatment reduced the COX-2 expression level. Immunohistochemistry showed that both BAX and Bcl-2 proteins were upregulated, but the upregulation of BAX protein was significantly more pronounced than that of Bcl-2.
DiscussionOur study has confirmed that CUR inhibits CD47-overexpressing esophageal cancer cells. This mechanism may be achieved by blocking ERK1/2 and its phosphorylation, reducing COX2 levels, and enhancing BAX protein expression.
ConclusionThis study highlights CUR's potential in treating EC, particularly in CD47 overexpression cases. These results clarify the molecular interactions and provide a basis for future research on CUR-based therapies targeting EC progression pathways.
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EGF Family-Based Prognostic Model Reveals AREG as a Key Regulator in Cervical Cancer Progression
Authors: Ruina Jiang, Jianfeng Zheng, Xuefen Lin, Siping Wang, Xintong Cai, Li Liu and Yang SunAvailable online: 09 January 2026More LessIntroductionThis study investigates the prognostic value of Epidermal Growth Factor (EGF) family genes in Cervical Cancer (CC) and experimentally validates the role of AREG in the progression of CC.
MethodsTranscriptome and clinical data of CC were obtained from the TCGA database. We constructed a prognostic model using LASSO Cox regression analysis based on candidate EGF family genes. Multiple bioinformatics approaches were employed to analyze functional pathways and immune characteristics. The biological function of Amphiregulin (AREG) was validated through in vitro experiments, including colony formation, CCK8 proliferation assay, wound healing assay, transwell assay, macrophage polarization analysis using the co-culture system, and in vivo subcutaneous tumor formation in nude mice. Combination therapy with anti-AREG and anti-PD-L1 antibodies was evaluated in a murine C57BL/6 model.
ResultsWe identified 116 EGF family-related genes associated with CC progression and established a prognostic model. High-risk and low-risk groups showed distinct functional enrichment patterns and immune characteristics. AREG emerged as a key prognostic factor, with significantly elevated expression in CC cells. Knockdown of AREG suppressed CC cell proliferation, migration, and invasion, potentially through modulating Epithelial-Mesenchymal Transition (EMT). AREG promoted M2 macrophage polarization, fostering an immunosuppressive tumor microenvironment. Anti-AREG antibody treatment demonstrated antitumor effects in vitro and in vivo, synergizing with anti-PD-L1 therapy to significantly inhibit tumor growth and reverse EMT.
DiscussionOur findings establish the first EGF family-based prognostic model for CC and reveal AREG's dual role in promoting EMT and reshaping the immune microenvironment. The observed synergy between AREG inhibition and PD-L1 blockade provides mechanistic insights for overcoming immunotherapy resistance. Limitations include retrospective data analysis and a lack of multi-omics validation.
ConclusionOur study establishes a robust EGF family gene-based prognostic model for CC patients and identifies AREG as a promising therapeutic target. These findings provide new insights for CC prognosis assessment and treatment strategies.
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Computational Analysis and in vitro Validation of the Anti-Prostate Cancer Activity of Sesamin from Sesamum indicum
Available online: 09 January 2026More LessIntroductionProstate cancer is the fourth most commonly diagnosed cancer worldwide and the eighth leading cause of cancer-related mortality, primarily affecting elderly males. Conventional therapeutic approaches, while effective in some cases, often come with substantial side effects, posing particular challenges for older patients. As a result, the exploration of natural compounds from traditional Chinese medicine (TCM) as potential anticancer agents has gained increasing attention. Sesamin, a dietary lignan found in sesame seeds and frequently used in TCM, has shown promise in preliminary studies for its antioxidant, anti-inflammatory, and potential anticancer properties. However, its specific effects and underlying mechanisms against prostate cancer cells remain inadequately characterized.
Materials and MethodsThis study investigated the anticancer effects of sesamin on human prostate cancer DU145 cells. Cell viability was evaluated using MTT assays. Apoptosis induction and cell cycle distribution were assessed by flow cytometry. Protein expression levels of PPAR-γ, p21, and p53 were measured using Western blotting. Additionally, in silico molecular docking was performed using the LibDock algorithm to evaluate sesamin’s binding affinity with the target proteins PPAR-γ and p21.
ResultsSesamin treatment significantly reduced the viability of DU145 cells in a dose-dependent manner. Flow cytometry revealed increased apoptosis and cell cycle arrest at the G1 phase. Western blot analysis showed upregulated expression of PPAR-γ and p21, while p53 expression remained largely unchanged. Molecular docking analysis demonstrated strong binding affinity of sesamin to PPAR-γ (LibDock score: 125.03) and p21 (LibDock score: 105.45), supporting its involvement in a p53-independent apoptotic mechanism.
DiscussionThe study demonstrates that sesamin exerts significant anticancer effects on prostate cancer DU145 cells by inhibiting cell viability, inducing apoptosis, and causing G1 phase cell cycle arrest. The upregulation of PPAR-γ and p21, coupled with unchanged p53 expression, suggests that sesamin may activate a p53-independent pathway, a valuable feature in treating prostate cancers with defective p53 signaling. Molecular docking results corroborate these findings, indicating direct interactions between sesamin and its molecular targets.
ConclusionSesamin exhibits promising antiproliferative and pro-apoptotic activities against DU145 prostate cancer cells. Its potential to act as a G1-phase-specific chemotherapeutic agent via a p53-independent mechanism warrants further investigation and development as a natural candidate for prostate cancer therapy.
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Citral-Loaded Self Nano-Emulsifying Drug Delivery System Suppresses Metastasis and Enhances Apoptosis in SW620 Colon Cancer Cells
Available online: 09 January 2026More LessIntroductionThe global incidence of colon cancer is rising, highlighting the need for complementary therapeutic approaches using natural products such as citral. A self-nano-emulsifying drug delivery system incorporated with citral (CIT-SNEDDS) was formulated, and prior studies have demonstrated its potent antiproliferative effects on colon cancer cell lines.
Materials and MethodsThe apoptosis-inducing ability of CIT-SNEDDS treatment on SW620 cells was evaluated using Acridine Orange/Propidium Iodide (AO/PI) assay, Annexin V-FITC assay, and cell cycle analysis by flow cytometry. Scratch assay and migration, and invasion assays were performed to assess its anti-metastatic effects.
ResultsThe cytotoxicity assay results showed that SNEDDS with citral (CIT-SNEDDS) significantly reduced cell viability in a dose-dependent manner compared to free citral and SNEDDS without citral. Acridine orange/propidium iodide staining and Annexin V assay results confirmed apoptosis in CIT-SNEDDS-treated cells. Cell cycle analysis indicated that CIT-SNEDDS induced arrest at the S and G2/M phases, which may contribute to apoptosis initiation. The scratch and trans-well assays demonstrated a reduction in SW620 cell migration and invasion capabilities following CIT-SNEDDS treatment, suggesting a potent anti-metastatic effect.
DiscussionThe ability of CIT-SNEDDS to induce apoptosis, disrupt the cell cycle, and inhibit cellular migration in cancer cells aligns with the goals of targeted cancer therapies, which aim to selectively eradicate cancer cells while minimizing effects on healthy tissue.
ConclusionThese findings highlight the therapeutic potential of CIT-SNEDDS for enhancing the efficacy of citral as an anti-tumor and antimetastatic agent for colorectal cancer, warranting further in vivo and preclinical studies to optimize its application.
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Exploring the Causal Relationship of Metabolites in Breast Cancer
Authors: Xin Wang, Zihan Xu, Yiyao Zeng and Jie ChenAvailable online: 09 January 2026More LessBackgroundObservational studies have suggested associations between circulating metabolites and breast cancer (BC) risk, but the direction and causality of these relationships remain unclear due to confounding and reverse causation. Therefore, we aimed to evaluate the potential causal effects of 1,400 circulating metabolites on BC subtypes using Mendelian randomization (MR) based on GWAS data from European-ancestry populations.
MethodsTwo-sample and reverse MR analyses were performed to explore potential causal links between metabolites and BC from the FinnGen and Breast Cancer Association Consortium (BCAC) cohorts. The inverse-variance weighted (IVW) approach served as the main analytical method to evaluate these associations. To further ensure the robustness and credibility of the MR findings, sensitivity analyses were conducted, incorporating leave-one-out procedures, the Cochran's Q test, and the MR-Egger intercept test.
ResultsFollowing correction using the False Discovery Rate (FDR) method at a significance level of 0.10, we identified 5alpha-pregnan-3beta,20alpha-diol monosulfate levels (p = 6.7714*10-5, PFDR = 0.0798) and Myristoleate (14:1n5) levels (p =0.0002, PFDR = 0.0798) were associated with an increased risk of ER+ BC. Conversely, the Caffeine to paraxanthine ratio (p =0.0001, PFDR = 0.0798) was associated with a reduced risk. In the reverse MR analysis, interactions were observed between Eicosanedioate (C20-DC) levels, Piperine levels, Caffeine to theobromine ratio, Indolepropionate levels, 1-oleoyl-GPC (18:1) levels, and Oleoylcarnitine levels with BC. Notably, the p-values of intercept terms in MR-Egger regression all exceeded 0.05, suggesting an absence of potential horizontal pleiotropy.
DiscussionThese findings suggested that hormone-related, lipid-related, and diet-derived metabolites might play subtype-specific roles in breast cancer development. The identified metabolites provided mechanistic insights and highlighted potential biological pathways that warrant further functional validation. They may also serve as preliminary biomarkers for future metabolomic and translational research.
ConclusionOur MR study identified several metabolites that may be causally associated with BC risk. These findings offer potential candidates for further mechanistic investigation and highlight the importance of subtype-specific approaches in metabolomics research.
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Tigecycline in the Era of Antibiotic Resistance: A Current Review
Available online: 09 January 2026More LessTigecycline (TIG) is a broad-spectrum antibiotic of the tetracycline class that evades the resistance mechanisms common to first- and second-generation tetracyclines and is effective against Gram-negative and Gram-positive bacteria, as well as intracellular bacteria. TIG is indicated for the treatment of intra-abdominal, skin, and soft tissue infections in adults, as well as community-acquired bacterial pneumonia. The clinical performance of the TIG has been the subject of discussion since its introduction due to variable safety and efficacy outcomes. Concerns have arisen regarding its association with increased mortality when used in ventilator-associated pneumonia. In addition, resistance to TIG has been reported, driven by various mechanisms such as expulsion by efflux via chromosomal pumps, target site modifications, mutations in tet genes, and enzymatic inactivation. The latter, particularly due to the emergence of multiple TetX monooxygenase variants, is of growing concern. The rise of resistance to last-line antibiotics like TIG presents a significant public health challenge, given the limited therapeutic alternatives available. Therefore, this review analyzes the safety and efficacy reports of TIG, third-generation tetracyclines, documented clinical cases of resistance, and the underlying mechanisms contributing to resistance.
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Comprehensive Analysis to Reveal Nitrogen Metabolism-Associated Genes as a Prognostic Index in Head and Neck Squamous Cell Cancer
Authors: Yiming Shen, Wenfang Sun and Chunfu DaiAvailable online: 09 January 2026More LessBackgroundHead and neck squamous cell carcinoma (HNSCC) has a poor prognosis and a high fatality rate. To predict the prognosis of HNSCC, this study developed a prognostic model based on nitrogen metabolism (NM)-related genes.
MethodsThis study utilized transcriptomic data and clinical information from HNSCC obtained from the Cancer Genome Atlas (TCGA) and Gene Expression Omnibus (GEO) databases to identify differentially expressed NM-related genes. Subsequently, an NM-related prognostic risk model was established by integrating univariate Cox regression, LASSO regression, and multivariate Cox regression. Its predictive value was validated using Kaplan-Meier and ROC curves. Further analysis using GSVA and CIBERSORT examined the relationship between the risk model and the tumor microenvironment immune status, while also evaluating chemotherapy drug sensitivity across different risk groups. Finally, protein-protein interaction (PPI) networks and key gene screening were employed, and the functional validation of the core genes was conducted through in vitro experiments.
ResultsWe identified 10 key NM-related genes (GLS, ASNS, EXT2, HPRT1, SLC7A5, SMS, B3GNT8, GATM, NAGK, and SULT1B1) to construct a prognostic risk model. The GSVA analysis revealed that the low-risk group was enriched in immune-related pathways, while the high-risk group favored metabolic pathways. Additionally, the low-risk group exhibited higher levels of immune cell infiltration. We discovered that gefitinib, belinostat, erlotinib, and phenformin were more effective against cancer cells with lower risk scores. The PPI network screening identified key hub genes, including LORICRIN. Experimental validation demonstrated that LORICRIN overexpression significantly suppressed migration and invasion in HNSCC cells, suggesting its potential tumor-suppressive role in carcinogenesis and progression.
DiscussionThis study emphasizes the links between NM signatures, immune regulation, and signaling pathways, underscoring their potential in the HNSCC mechanism research.
ConclusionOur study established a NM-related gene signature closely linked to immune microenvironment and drug sensitivity, highlighting potential biomarkers and therapeutic targets for prognosis and personalized therapy in HNSCC.
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Synthesis of Enduracididine Free Linear Teixobactin Analogs: Molecular Docking, DFT Calculations, and Their Antimicrobial Activities, Bacterial Cell Wall Lysis and Glucose Assay
Available online: 08 January 2026More LessIntroductionTeixobactin (TX) is a new class of antibiotics with a unique structure and strong efficacy against gram-positive bacteria. It is a “head-to-side-chain” cyclodepsipeptide with considerable potential as a lead molecule for creating novel antibiotics to combat multidrug-resistant pathogens.
MethodsIn this study, we systematically design, synthesize, and evaluate modified Teixobactin analogs (TX1-TX5) for antimicrobial activity. This study presents a novel peptide derived from linearized Teixobactin, with amino acid substitutions at aa1 (N-Me-D-Phe-OH), aa5 (H-L-allo-Ile-OH), and the exclusion of L-allo-Enduracididine at aa10, synthesized using solid-phase peptide synthesis. We employed various software tools, including Molinspiration and SwissADME, to estimate the pharmacokinetic features of the synthesized TX analogs. Molecular docking studies were performed using AutoDock Vina, and PyMOL and Biovia Discovery Studio visualizer were utilized to visualize the protein-ligand interactions. The molecular structures of TX and TX analogs were modeled using the Sinapsis software.
ResultsAntimicrobial susceptibility tests against Staphylococcus aureus, Bacillus subtilis, E. coli, Pseudomonas sp., Aspergillus niger, and Fusarium sp. identified novel TX analogs exhibiting strong bactericidal and fungicidal activity at 80 μg/mL. Bacterial cell wall lysis assays confirmed significant cell wall breakdown upon TX analog treatment. Glucose assay results indicate reduced glucose uptake in bacterial cells treated with TX analogs. Docking studies revealed that the synthesized TX analogs exhibited good binding affinity, ranging from -5.0 to -12.5 kcal/mol, compared with bacterial and fungal proteins, as well as the Delafloxacin and Ketoconazole standards. Density Functional Theory (DFT) computations were employed to investigate chemical reactivity descriptors.
DiscussionIn-vitro studies indicated that TX1 and TX3 showed excellent bactericidal activity by forming inhibition zone diameters (mm) from 6.49 ±0.31 to 11.50 ±0.59 at 70 and 80 μg/mL concentrations against Staphylococcus aureus, Bacillus subtilis, E. coli, and Pseudomonas sp., compared to the standards Streptomycin (+ve) and DMSO (-ve). The TX2, TX3, and TX5 exhibit excellent fungicidal activity with inhibition zone diameters (mm) from 7.23 ±0.25 to 10.23 ±0.30 at 70 and 80 μg/mL concentrations against Aspergillus niger and Fusarium sp., compared to the standards ketoconazole (+ve) and DMSO (-ve). The bacterial cells treated with TX1 displayed more dead cells than the control in all bacterial strains, indicating excellent cell lysis.
ConclusionMass, 1H NMR, and HPLC analysis characterized the synthesized fine TX analogs (TX1-TX5). The DFT and docking studies' electronic characteristic calculations predicted that halogenated (TX1, TX2, and TX4) and methoxy (TX3) substituted analogs have higher stability and electrophilicity, making them suitable agents for antimicrobial activity.
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Aspirin Downregulates PDE4D to Inhibit Malignant Progression of Osteosarcoma through the NF-κB/p65 Pathway
Authors: Jinwu Wang, Yan Zhang, Zhuolun Li, Yiqin Li, Peng Zhou, Yao Xu, Long Chen, Houzhi Yang, Chao Zhang, Jinyan Feng and Guowen WangAvailable online: 08 January 2026More LessIntroductionOsteosarcoma is a highly aggressive cancer with a notably low five-year survival rate. Although aspirin has demonstrated potential in inhibiting the malignant progression of osteosarcoma, the underlying mechanisms remain unclear.
MethodsIn this study, RNA sequencing (RNA-seq) was employed to identify the downstream targets of aspirin in osteosarcoma cells. Then, we examined the expression and clinical significance of PDE4D using osteosarcoma patient samples, tissue microarrays, and data from the TARGET and GTEx databases. The effects of PDE4D on cell growth and mobility were assessed by CCK-8, colony formation, transwell, and wound-healing assays. To explore how aspirin influenced the NF-κB/p65/PDE4D axis, we performed qRT-PCR, Western blotting, luciferase reporter assays, etc. Additionally, mouse models with subcutaneous tumors were used to confirm the roles of aspirin and PDE4D.
ResultsOur results showed that aspirin significantly impeded the proliferation, migration, and invasion of osteosarcoma cells by various functional assays. RNA-seq identified PDE4D as a key target modulated by aspirin treatment in osteosarcoma. Clinically, PDE4D was highly expressed in osteosarcoma cells and tissues, and higher levels of PDE4D were linked to poorer patient outcomes. Functionally, PDE4D served as an oncogene that promoted the malignant traits of osteosarcoma both in vitro and in vivo. Mechanistically, our findings revealed that NF-κB/p65 directly interacted with the core region of the PDE4D promoter, increasing its expression.
DiscussionThe findings of this study reveal a novel mechanism whereby aspirin exerts its anti-tumor effects by inhibiting the NF-κB/p65/PDE4D axis, providing a mechanistic basis for its therapeutic potential. Further validation in different animal models of osteosarcoma is warranted.
ConclusionAspirin suppressed the malignant progression of osteosarcoma by targeting the NF-κB/p65/PDE4D axis, positioning PDE4D as a potential therapeutic target for aspirin-based treatment strategies.
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Identification and Immune Cell Profiling of Exosome-related Genes in Acute Respiratory Distress Syndrome: An Integrated Bioinformatics Analysis
Authors: Xiaoli Tu, Yu-an Qiu, Yubo Duan and Qian OuyangAvailable online: 08 January 2026More LessBackgroundAcute respiratory distress syndrome (ARDS) is a life-threatening condition associated with high mortality and morbidity. However, targeted therapies that effectively improve patient outcomes remain limited. Exosomes play pivotal roles in intercellular communication and epigenetic regulation.
ObjectiveThis study aimed to identify exosome-related differentially expressed genes (EXORDEGs) in whole blood associated with ARDS and to explore their potential mechanistic roles in the disease.
MethodsTwo gene expression datasets (GSE32707 and GSE66890) were retrieved from the Gene Expression Omnibus for comprehensive bioinformatics analysis. Analytical approaches included Gene Ontology and Kyoto Encyclopedia of Genes and Genomes pathway enrichment analyses, protein-protein interaction network construction using the STRING database, and immune infiltration profiling via single-sample gene set enrichment analysis in relation to hub genes.
ResultsWe identified 21 EXORDEGs, primarily enriched in biological processes such as endothelial cell development and apoptosis. Four hub genes—PI3, EEF1A1, ANAPC1, and PSMD2—were robustly associated with ARDS, with PSMD2 showing the most pronounced differential expression. Immune infiltration analysis revealed significant disparities in nine immune cell populations between ARDS and control samples.
DiscussionThe results of this comprehensive bioinformatics analysis identified four EXORDEGs—PI3, EEF1A1, ANAPC1, and PSMD2—with important roles in acute respiratory distress syndrome.
ConclusionThis study first systematically identified EXORDEGs in ARDS, discovering four hub genes and their associations with immune cells. The hub genes may be implicated in endothelial injury, inflammation, and immune dysregulation. These findings provide novel insights into ARDS pathogenesis and highlight potential therapeutic targets for further investigation. Given the disease heterogeneity, our findings primarily reflect common molecular characteristics, while the specific features of different etiological subtypes require further investigation.
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PELI3-Mediating Epithelial-Mesenchymal Transition Correlates with Radiation Sensitivity in Non-Small Cell Lung Cancer
Authors: Fannian Li, Xiaoning Li, Haitao Li, Shuai Li, Yanchao Liu, Xianhua Bai, Tianjie Qi, Xiumin Zhao and Yuzheng HeAvailable online: 08 January 2026More LessIntroductionRadiotherapy remains a cornerstone of treatment for non-small cell lung cancer (NSCLC). Despite its critical role, the emergence of radiation resistance remains a significant hurdle, often leading to therapeutic failure and disease progression. This research aimed to investigate the expression of Pellino E3 ubiquitin protein ligase family member 3 (PELI3) in NSCLC and examine its involvement in modulating the tumor's response to radiation.
Materials and MethodsTo quantify PELI3 levels in NSCLC tissues, real-time PCR and Western blotting techniques were employed. The effects of silencing PELI3 on cancer cell proliferation were evaluated using CCK-8 and colony formation assays. Furthermore, an in vivo mouse xenograft model was used to corroborate the in vitro results.
ResultsPELI3 expression was markedly elevated in NSCLC tumor samples relative to normal tissues and showed a strong association with clinical features, such as tumor volume, lymph node involvement, and radiotherapy responsiveness. Further analysis revealed that PELI3 promoted epithelial-to-mesenchymal transition (EMT) following radiation exposure. Suppressing PELI3 expression mitigated radiation-induced EMT in both cellular and animal models.
DiscussionElevated PELI3 promotes radiation-induced EMT and radioresistance in NSCLC. Suppressing PELI3 reverses EMT features and enhances radiosensitivity in vitro and in vivo, highlighting PELI3 as a potential biomarker and therapeutic target to improve radiotherapy outcomes.
ConclusionThese findings suggest that PELI3 could serve as a valuable prognostic marker in NSCLC and may represent a promising target to improve tumor sensitivity to radiotherapy.
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Cassia-Derived Natural Flavonoids as Multi-Target Candidates for Lung Cancer Therapy: A Network Pharmacology and Molecular Modeling Study
Authors: Zafer Saad Al Shehri and Abdur RehmanAvailable online: 08 January 2026More LessIntroductionLung cancer remains a major global health burden with high mortality rates and limited therapeutic options. Natural flavonoids, particularly those derived from Cassia species, have shown immunomodulatory and anticancer potential. This study investigates the therapeutic promise of selected Cassia-derived flavonoids targeting key lung cancer-associated proteins: Prostaglandin-endoperoxide synthase 2 (PTGS2), Mast/stem cell growth factor receptor (KIT), and Xanthine dehydrogenase (XDH).
MethodologyEight flavonoids were selected based on literature and database-reported bioactivity. Target prediction was performed using SwissTargetPrediction and STITCH, followed by pathway enrichment via STRING and KEGG databases. Molecular docking was conducted using AutoDock Vina against PTGS2 (PDB: 5IKQ), KIT (1N5X), and XDH (4U0I). Top-ranked complexes underwent 100 ns molecular dynamics (MD) simulations with GROMACS to assess binding stability, RMSD, and conformational behavior. Drug-likeness, ADME, and toxicity profiles were evaluated using SwissADME and ProTox-II. Standard drugs (Trametinib, Nivolumab, Erlotinib) were used for comparison.
ResultsEpicatechin and Hispidulin showed the strongest binding affinities with PTGS2 (−9.04 kcal/mol) and XDH (−8.22 kcal/mol), respectively, with stable RMSD profiles. Chrysoeriol demonstrated the highest binding to KIT (−8.68 kcal/mol), outperforming Nivolumab (−6.03 kcal/mol). All selected flavonoids displayed acceptable pharmacokinetic profiles and low predicted toxicity. MD simulations confirmed the dynamic stability of key complexes.
ConclusionCassia-derived flavonoids represent promising multi-target candidates for lung cancer therapy, particularly through modulation of PTGS2, KIT, and XDH. Their favorable interaction profiles and safety predictions warrant further experimental and in vivo validation.
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Molecular Docking and Single-Cell RNA-Seq Analysis Identify PTGS2 as a Key Target of Osthole in the Oral Squamous Cell Carcinoma Microenvironment
Authors: Junyan Jing, Yichen Xu, Zhongyi Hu, Weilong Liu, Ziqian Zhou, Yuejiao Zhong and Yong LuAvailable online: 08 January 2026More LessIntroductionThis study investigates the therapeutic effects of Osthole and elucidates its mechanisms in oral squamous cell carcinoma (OSCC).
Materials and MethodsDifferential expression analysis was performed, followed by nomogram construction, gene set enrichment analysis, and immune infiltration analysis. Molecular docking was conducted to evaluate binding interactions, and single-cell analysis was performed.
ResultsPTGS2 was identified as a key candidate capable of binding with Osthole. Immune infiltration analysis revealed elevated levels of activated inflammatory cells in OSCC. Single-cell analysis further showed high PTGS2 expression in macrophages and mast cells.
DiscussionThis study demonstrates PTGS2’s involvement in OSCC, highlighting its potential as both a biomarker and a therapeutic target.
ConclusionOsthole can modulate OSCC by targeting PTGS2, providing a theoretical basis for OSCC management.
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Telmisartan Inhibits Non-Small Cell Lung Cancer by Inducing Ferroptosis through the NRF2/GPX4 Signaling Axis
Authors: Ling-Jie Wang, Peng-Fei Guo, Sai Wang, Yi-Zhao Chen, Hong-Wang Yan and Xue-Lin ZhangAvailable online: 08 January 2026More LessIntroductionNon-Small Cell Lung Cancer (NSCLC) treatment is often challenged by drug resistance. The antihypertensive drug telmisartan has shown anti-tumor potential, but its underlying mechanism remains unclear. Ferroptosis, a newly identified form of cell death, may serve as a promising therapeutic target. The objective is to investigate whether telmisartan inhibits NSCLC by inducing ferroptosis and to elucidate its underlying mechanism.
Methodsin vitro cell assays and in vivo mouse models were used, along with molecular biology techniques, to evaluate the effects of telmisartan on NSCLC and its mechanism of action.
ResultsTelmisartan significantly suppressed NSCLC cell proliferation and tumor growth. Mechanistic studies revealed that telmisartan induced ferroptosis by inhibiting the nuclear translocation of Nuclear Factor Erythroid 2-Related Factor 2 (NRF2) and downregulating Glutathione Peroxidase 4 (GPX4) expression. The anti-tumor effect of telmisartan was reversed by ferroptosis inhibitors.
DiscussionTelmisartan can inhibit the proliferation of NSCLC cells in vitro and in vivo and induce cell ferroptosis. Telmisartan can also inhibit the nuclear translocation of NRF2, thereby affecting the expression of GPX4.
ConclusionTelmisartan inhibited NSCLC by inducing ferroptosis via the NRF2/GPX4 axis, offering a new therapeutic strategy and potential clinical application for NSCLC treatment.
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Establishment of Centrosome Amplification-Correlated Model to Evaluate the Tumor Immune Microenvironment and Prognosis of Patients with Glioblastoma
Authors: Jiale Li, Zigui Chen, Chunyuan Zhang, Qisheng Luo, Jun Peng and Jiachong WangAvailable online: 08 January 2026More LessIntroductionCentrosome Amplification (CA) is a state where malignant cells contain excessive centrosomes due to cell cycle dysregulation. Altered CA has been observed in Glioblastoma (GBM). This study developed a CA-related gene model to assess the Tumor Immune Microenvironment (TIME) and prognostic outcomes for patients with GBM.
MethodsTCGA-GBM and mRNAseq_325 cohorts were obtained from the Chinese Glioma Genome Atlas (CGGA) database. CA-relevant gene modules and feature genes were identified via WGCNA analysis. Key genes were selected to develop a risk model, followed by validation of the model’s performance. We further compared the gene mutation landscape, TIME characteristics, drug sensitivity, and enriched pathways between high- and low-risk patient groups.
ResultsThe brown module, which showed the highest correlation with CA, was selected to identify CA-related key genes to develop a Riskscore model. The model can accurately categorize patients into high- and low-risk groups and predict their clinical outcomes with precision. Notably, high-risk GBM patients exhibited higher StromalScore and dendritic score, and the Riskscore was positively correlated with fibroblast infiltration. Moreover, patients with different risk levels displayed distinct enriched pathways and gene mutation landscapes. Further, the high-risk group showed an evidently higher CAF score, and the differential relation between drug sensitivity and the Riskscore was detected.
DiscussionThough CA was altered in GBM, its prognostic utility remained to be explored. The current study addressed this gap by developing a 6-gene risk model capable of predicting the prognosis and TIME of GBM patients.
ConclusionA CA-related model was constructed to assess the prognosis and TIME of GBM patients, contributing to the management of GBM in clinical practice.
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Single-cell RNA Sequencing Analysis Reveals the Molecular Mechanisms of Neutrophil Dysfunction in Chronic Bone Infection
Authors: Tiejian Li, Shaokui Nan, Hongbin Xie, Yue Song and Wei ChaiAvailable online: 28 November 2025More LessIntroductionNeutrophils play a key role in host immune defense. At present, neutrophils in chronic bone infections exhibit significant heterogeneity but functional alterations that remain poorly understood.
Materials and MethodsA rat model of chronic bone infection induced by Methicillin-Resistant Staphylococcus Aureus (MRSA) was established. Bone marrow cells were analyzed using scRNA-seq with Gene Ontology (GO) and pathway enrichment analysis. Differentially Expressed Genes (DEGs) were identified to assess neutrophil dysfunction, validated by immunofluorescence staining and ROS quantification.
ResultsMRSA-induced chronic bone infection was confirmed by Gram and H&E staining, which showed bacterial colonization and inflammation. Neutrophils from infected rats showed downregulated immune-related genes (e.g., Clec7a, Ccr5) and upregulated immunosuppressive factors (e.g., Nfkbia, IL10ra). Enrichment analysis showed that immune responses and neutrophil functions were inhibited. Immunofluorescence showed neutrophil polarization towards N2 phenotype and reduced Reactive Oxygen Species (ROS) production in the infection group.
DiscussionThis study established a rat model of MRSA-induced chronic bone infection and identified 7 neutrophil subsets via scRNA-seq analysis, with the NeuP2ry10 subset showing the most significant changes. Neutrophils displayed decreased chemotaxis, phagocytosis, and ROS production, along with elevated anti-inflammatory gene expression, suggesting functional suppression and a shift toward an immunosuppressive state.
ConclusionChronic bone infection drives neutrophil polarization toward an N2 anti-inflammatory phenotype, reducing antimicrobial capacity and promoting infection persistence. Targeting neutrophil function may offer new therapeutic strategies for chronic bone infection.
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Potential Targets and Mechanism of Action of Wangwei Powder in Tic Disorder Therapy: Bioinformatics and Network Pharmacology Analyses
Authors: Haijiao Lin, Yiquan Li, Liping Sun, Zhongtian Wang and Fushuang YangAvailable online: 31 October 2025More LessIntroductionTic disorders are neuropsychiatric conditions characterized by involuntary motor or vocal tics; however, the mechanisms underlying these disorders and potential therapeutic targets remain unknown. Therefore, this study investigated the mechanisms underlying tic disorders, particularly focusing on the role of mitochondrial energy metabolism, and identified potential targets of traditional Chinese medicine for these disorders.
MethodsMitochondrial energy metabolism-related genes were retrieved from GeneCards and relevant literature. Additionally, Wangwei powder components and their potential targets were obtained from the TCMSP, HERB, and PubChem databases. Bioinformatic analysis was employed to identify key genes and mechanisms involved in tic disorders.
ResultsNotably, 210 target genes of Wangwei powder, 365 mitochondrial energy metabolism-related genes, and 2020 differentially expressed genes in the tic disorder vs. control groups were identified. Based on the intersections of the differentially expressed genes, mitochondrial energy metabolism-related genes, and target genes, aldehyde dehydrogenase 2 (Aldh2), acetyl-CoA acetyltransferase 1 (Acat1), aldehyde dehydrogenase 1a1 (Aldh1a1), and adenylate kinase 2 (Ak2) were identified as key genes in tic disorder pathophysiology. Gene ontology and Kyoto Encyclopedia of Genes and Genomes analyses showed that the key genes were mainly involved in liver development, cellular detoxification of aldehydes, pyruvate metabolism, and fatty acid degradation pathways. Additionally, immune infiltration analysis highlighted notable discrepancies in immune cell populations between the tic disorder and control groups.
DiscussionAldh2, Acat1, Aldh1a1, and Ak2 demonstrate potential as therapeutic targets for TD in WWS. The role of Acat1 in immune modulation and disease progression highlights its promise for immunotherapy. However, further experimental validation is needed to address study limitations.
ConclusionThe results indicate that the key genes (Aldh2, Acat1, Aldh1a1, and Ak2) play a crucial role in the pathogenesis of tic disorders through metabolic pathways and immune cell regulation.
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A Bi-directional Mendelian Randomization Study of Idiopathic Pulmonary Fibrosis and Six Diabetes-related Traits
Authors: Yi Nie, Hongmei Li and Haibin WangAvailable online: 31 October 2025More LessIntroductionThe objective of the present study was to explore the bi-directional causal relationship between IPF and diabetes (type 1 diabetes and type 2 diabetes)/diabetic nephropathy/glycemic traits [fasting glucose and glycated hemoglobin (HbA1c)]/fasting blood insulin through MR analysis.
MethodsA bi-directional two-sample Mendelian randomization (MR) study design was adopted to evaluate the causal relationship between IPF and diabetes (type 1 diabetes and type 2 diabetes), diabetic complications (diabetic nephropathy) and glycemic traits [fasting blood glucose, glycated hemoglobin (HbA1c), fasting insulin] in a European population. Genome-wide association study summary data was obtained. The inverse variance weighted (IVW) method with a fixed-effects model was used to estimate the primary causal effects. The causal effects are represented by reporting odds ratios (OR) and their corresponding 95% confidence intervals (CI). The robustness of results was assessed using the MR-Egger and Weighted Median methods.
ResultsIn the forward MR analysis, the IVW method revealed a significant causal effect of IPF on type 2 diabetes (OR=1.031, 95% CI: 1.011-1.052). Similar estimates were obtained through the Weighted Median method. However, no significant causal effects were observed on type 1 diabetes, diabetic nephropathy, fasting blood glucose, HbA1c, and fasting insulin, respectively (p>0.05). We performed the reverse MR analysis using similar methods to the forward MR approach. MR analysis only showed a significant causal association of fasting insulin with IPF risk, with an OR of 3.576 (95% CI: 1.958-6.531).
DiscussionGenetically determined IPF was linked to an elevated risk of type 2 diabetes. The inverse MR analysis indicated that there was no causal impact of genetically predicted type 2 diabetes on the IPF risk.
ConclusionGenetically predicted fasting blood insulin was found to be positively associated with IPF risk.
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Identification and Validation of NDRG2 as a Biomarker for Follicular Lymphoma
Authors: Yidong Zhu, Jun He and Rong WeiAvailable online: 29 October 2025More LessIntroductionFollicular lymphoma (FL) is the most prevalent form of indolent lymphoma, characterized by intermittent relapse and remission periods. This study aims to identify potential biomarker genes for FL and elucidate their roles in the disease.
MethodsFL-related microarray datasets were downloaded from the Gene Expression Omnibus database. Differential expression analysis and weighted gene co-expression network analysis (WGCNA) were conducted to identify potential hub genes. Various machine learning algorithms were applied to improve gene selection accuracy and predictive performance. Mendelian randomization (MR) analysis was carried out to identify genes with causal relationships to FL. Functional enrichment analysis was performed to explore the underlying mechanisms. Finally, the identified biomarker gene was validated in clinical samples using quantitative real-time PCR.
ResultsA total of 60 hub genes were identified through differential expression analysis and WGCNA. Subsequently, 11 characteristic genes were identified using machine learning algorithms. MR analysis revealed 173 genes with causal effects on FL, leading to the identification of one key co-expressed gene, N-myc downstream-regulated gene 2 (NDRG2), as a potential biomarker for FL. NDRG2 demonstrated strong predictive performance. Functional enrichment analysis revealed significant associations between NDRG2 and immune-related pathways in FL. Validation in clinical samples confirmed the relevance of NDRG2 as a biomarker.
DiscussionThe integration of machine learning and MR successfully identified NDRG2 as a promising biomarker with a causal relationship to FL. Validation in clinical samples reinforced the reliability of these findings in clinical practice.
ConclusionBy combining machine learning, MR, and experimental validation, NDRG2 was identified and validated as a promising biomarker for FL.
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Integrated Bioinformatic Analysis of the Shared Molecular Mechanisms Between Osteoporosis and Aortic Stenosis
Authors: Yue-jiao Yang, Yang He, Zhao-wei Zhu, Yi-yuan Huang, Liang Tang and Sheng-hua ZhouAvailable online: 29 October 2025More LessIntroductionOsteoporosis (OP) and aortic stenosis (AS) are highly prevalent age-related disorders that frequently coexist. Epidemiological studies suggest a pathological link between OP and AS beyond age, yet the molecular mechanisms underlying this bone-vascular axis remain poorly defined. This study aimed to identify shared genes and pathways contributing to the comorbidity of OP and AS.
MethodsPublicly available AS and OP transcriptomic datasets were retrieved from the GEO database. Weighted gene co-expression network analysis (WGCNA) and differential gene expression (DEG) analysis were conducted to identify disease-associated genes. Candidate hub genes were screened through protein-protein interaction (PPI) network analysis using twelve network topology algorithms. High-confidence genes were obtained by intersecting candidates with AS-related genes from the Comparative Toxicogenomics Database (CTD). Independent cohorts were used to validate candidate genes, and least absolute shrinkage and selection operator (LASSO) regression was performed to assess their diagnostic potential.
ResultsWGCNA revealed 665 shared genes enriched in immune and inflammatory processes, cell adhesion, and glycosaminoglycan biosynthesis. PPI network analysis identified 32 candidate hub genes, and integration with CTD yielded 15 high-confidence genes. Validation across independent datasets confirmed dysregulated expression of CD4, GZMB, and SDC1 in both AS and OP samples. ROC analysis demonstrated high diagnostic accuracy of these genes, with a combined AUC of 0.94.
DiscussionThese findings highlight immune and inflammatory pathways as convergent mechanisms driving both AS and OP. The hub genes CD4, GZMB, and SDC1 participate in immune regulation and extracellular matrix remodeling, suggesting their involvement in the shared pathogenesis of skeletal and cardiovascular degeneration.
ConclusionIntegrative bioinformatics identified CD4, GZMB, and SDC1 as key genes linking OP and AS, providing potential biomarkers and therapeutic targets for managing these age-related comorbidities.
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Effects of SGLT2 Inhibitors on Circulating Cyclophilin A Levels in Patients with Type 2 Diabetes
Authors: Furkan Kılıç, Fulya Odabaş, Abdulkadir İltaş, Oguz Akkus, Rabia Akıllı, Gülçin Dağlıoğlu and Gamze AkkuşAvailable online: 29 October 2025More LessObjectiveThis study aimed to evaluate cyclophilin (CypA) levels in patients with diabetes mellitus (DM) before and after treatment. Metabolic variables, such as weight, blood pressure, and plasma glucose, were assessed in these patients.
MethodsThis prospective cross-sectional study was conducted over 24 weeks. We included 38 patients with DM. After confirming the diagnosis of type 2 diabetes, SGLT2i (empagliflozin vs. dapagliflozin) therapy was prescribed to the patients. Weight, body mass index (BMI), waist circumference, body fat ratio, fasting plasma glucose, glycated hemoglobin (HbA1c, %), and CypA levels were measured at 0, 12, and 24 weeks. Patients in the drug subgroup were divided into 2 groups: Empagliflozin (Empa, n=16) and Dapagliflozin (Dapa, n=22).
ResultsWeight (p<0.001), body mass index (p<0.001), percentage of body fat (p<0.001), diastolic blood pressure (p=0.006), fasting plasma glucose (p<0.001), HbA1c (p<0.001), serum creatinine (p<0.001), and CypA (p<0.001) levels after the SGLT2i therapy were statistically decreased compared to pre-treatment values in all patients. When comparing drug subgroups, significant decreases in weight (p=0.013) and percentage body fat (p=0.01) were observed in the Empa group compared with the Dapa group at 24 weeks. Changes in FPG (p=0.399), HbA1c (p=0.102), and CypA (p=0.329) between the two groups seemed to be similar.
DiscussionIn a 24-week study, significant reductions in weight, BMI, body fat percentage, HbA1c, FPG, and diastolic blood pressure with SGLT2i have been reported in those patients. Furthermore, we also observed that cyclophilin A, an oxidative marker of atherosclerosis, plays a destructive role in cardiomyocyte levels, which are decreased during the SGLT2i therapy.
ConclusionBeyond the improvement of metabolic parameters, SGLT2 treatment reduced CypA levels in patients with DM regardless of drug subgroups. These drugs may further prevent the presence of cardiovascular diseases.
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Multi-Omics and Mendelian-Randomization Investigation of Mitochondrial Genes in Irritable Bowel Syndrome
Authors: Beibei Xu, Ji Zhang, Yi Huang, Xiuyan Wang, Miaomiao Teng, Xuejian Weng, Yingcong Yu and Endian ZhengAvailable online: 29 October 2025More LessIntroductionThis study aimed to explore potential causal relationships between mitochondria-related genes and irritable bowel syndrome (IBS) using integrative multi-omics analysis.
MethodsGenome-wide association study data for IBS (1,480 cases and 454,868 controls) were integrated with mitochondrial gene data from DNA methylation quantitative trait loci, blood expression quantitative trait loci, and protein quantitative trait loci. Molecular trait associations with IBS were assessed through summary-based Mendelian randomization and co-localization analyses. Steiger filtering analysis was applied to identify causal directions, and candidate genes were independently replicated by two-sample MR in the FinnGen R11 cohort.
ResultsThree primary genes supported by multi-omics evidence—CASP3, GATM, and PDK1—were identified. Increased CASP3 methylation, expression, and protein were positively associated with IBS risk, indicating pro-apoptotic and pro-inflammatory mechanisms, whereas elevated GATM expression and protein were negatively associated, consistent with a protective role via creatine-mediated energy homeostasis.
DiscussionAdditionally, 19 genes were classified as secondary evidence genes and 5 as tertiary evidence genes. Among these, genes such as ACAD10 and MSRA were validated using FinnGen data.
ConclusionThis study represents the first application of multi-omics techniques to elucidate the relationship between mitochondrial genes and IBS. The findings indicate multiple candidate pathogenic genes and highlight the role of mitochondrial dysfunction in IBS pathogenesis. These findings offer new opportunities for the discovery of IBS biomarkers and the development of therapeutic strategies.
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Identification of Potential Biomarkers and Drugs for Papillary Thyroid Carcinoma Using Computational Analysis and Molecular Docking
Authors: Tiantian Wang, Jiejun Tan, Zheng Bi, Limei Ma, Sihai Wang, Fuli Zhang and Zhaohui FangAvailable online: 28 October 2025More LessBackgroundPapillary thyroid carcinoma (PTC), the most common thyroid malignancy, presents with multiple variants. This study aimed to identify potential biomarkers and therapeutic candidates for PTC through computational analyses and molecular docking.
MethodsGene expression data related to PTC were obtained from the TCGA-THCA and GEO datasets (GSE35570 and GSE33630) to identify differentially expressed genes (DEGs). Functional enrichment analysis was performed on the DEGs, followed by construction of a protein-protein interaction (PPI) network. Hub genes were identified using recursive feature elimination (RFE) and LASSO regression analyses. A nomogram incorporating these hub genes was developed, and its diagnostic performance was evaluated using receiver operating characteristic (ROC) curves. Furthermore, the relationship between hub genes and immune cell infiltration was investigated. Potential drug candidates targeting the hub genes were predicted and validated through molecular docking.
ResultsCommon DEGs across the three datasets were enriched in pathways such as ECM-receptor interaction, proteoglycans in cancer, and cell adhesion molecules. Significantly enriched GO terms included ‘binding,’ ‘receptor activity,’ ‘integral component of membrane,’ ‘cytoplasm,’ ‘cell adhesion,’ and ‘immune response.’ A PPI network was constructed by intersecting the common DEGs with PTC-related targets. Machine learning algorithms identified three hub genes: SRY-box transcription factor 4 (SOX4), cyclin D1 (CCND1), and lymphatic vessel endothelial hyaluronan receptor 1 (LYVE1). These hub genes exhibited differential expression in PTC and were used to construct a reliable diagnostic model. Furthermore, molecular docking revealed stable binding between CCND1 and Tipifarnib, suggesting potential therapeutic relevance.
DiscussionWhile previous studies have applied bioinformatics and molecular docking in PTC research, this study uniquely integrates both approaches to identify the hub gene CCND1 and its potential targeting drug, Tipifarnib, as promising molecular markers and therapeutic candidates for PTC.
ConclusionThe hub gene CCND1 and its targeting drug candidate Tipifarnib may contribute to PTC treatment.
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Antitumor and Immunoregulatory Effects of Curcumin Analog, (Z)-3-Hydroxy-1-(2-hydroxyphenyl)-3-phenyl prop-2-ene-1-one (DK1), on CT26-Tumor-Bearing BALB/c Mice
Available online: 24 October 2025More LessIntroductionCurcuma longa, commonly known as turmeric, contains curcumin, which is its main compound and has been reported to possess a wide variety of pharmacological activities, such as anti-carcinogenic, anti-malarial, antioxidant, antibacterial, anti-mutagenic, anti-inflammatory, and immunomodulatory effects. Even though it has many strong biological properties, curcumin lacks solubility, which affects its clinical efficacy. DK1 is a curcumin analogue that has been found to possess selective cytotoxicity on breast cancer cells compared to normal breast cells; however, its effectiveness in colon cancer has yet to be validated. This study was performed to investigate the effects of DK1 on colon cancer using an in vivo model in terms of its anti-apoptotic, immunoregulatory, and antioxidant potential. The pathways affected by the DK1 treatment were also evaluated.
MethodsIn this study, male BALB/c mice induced with colon cancer were utilized, and the resulting tumours and spleen were subjected to TUNEL, immunophenotyping, and several antioxidant assays, such as nitric oxide, malondialdehyde, and superoxide dismutase, as well as gene and protein expression analyses.
ResultsK1 treatment led to tumor shrinkage, an increase in apoptotic tumor cells, and elevated populations of helper and cytotoxic T cells by 5% and 3%, respectively. Besides that, the NO and MDA levels were also significantly reduced. This study also observed dysregulations in several oncogenes in the VEGF pathway, such as CMYC, iNOS, and IL-1β genes, which are involved in angiogenesis and inflammation.
DiscussionThe effects of DK1 treatment included antitumor and anti-inflammatory properties against the inoculated CT26 tumour. DK1 showed potential in regulating the inflammation via the VEGF pathway by the significant downregulation of TNF-α and IL-1β pro-inflammatory genes, as well as PTX3, OPN, and serpin-E1 pro-angiogenic proteins.
ConclusionThe results suggested that DK1 may potentially function as an immunoregulator and anti-cancer agent for colon cancer therapy.
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Using Disease Models for Mechanistic Studies: Special Focus on Gene Editing
Available online: 24 October 2025More Less
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Neutrophil-Related Gene Signatures for Ischemic Stroke Diagnosis
Authors: Rongxing Qin, Xiaojun Liang, Wei Xu, Qingchun Qin, Xinyu Lai, Minshan Xie and Li ChenAvailable online: 20 October 2025More LessIntroductionIschemic stroke (IS) is a major cause of death and disability worldwide. The transcriptional mechanism of neutrophil extracellular trap-related genes (NRGs) and their diagnostic potential remain unknown. This study aims to explore the mechanism of NRGs in IS through machine learning and single-cell RNA sequencing (scRNA-seq).
MethodsWe conducted differential analysis and functional enrichment analysis on the GEO dataset. Machine learning algorithms were used to identify NRGs related to IS. ScRNA-seq analysis was employed to verify the expression of NRGs in different cell types, and cellchat was used to explore the interactions between cell types in the IS. The expression of Eno1 was also verified in the mouse model of middle cerebral artery occlusion (MCAO).
ResultsWe identified 26 differentially expressed NRGs (DE-NRGs). The diagnostic models constructed from five DE-NRGs (ENO1, HMGB1, ILK, ORAI1, SUCNR1) demonstrated high predictive ability. Single-cell analysis revealed that NRGs were highly expressed in the IS group. The experiment verified the significant upregulation of Eno1.
DiscussionThis study employed machine learning and scRNA-seq to identify the DE-NRGs-related diagnostic model, providing a certain theoretical basis for IS risk stratification. More experiments are needed to verify the role of DE-NRGs in IS in the future.
ConclusionThis study identified DE-NRGs with diagnostic capabilities in IS and verified their high expression through scRNA and experimental methods. DE-NRGs may be potential therapeutic targets for IS.
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