The treatment of arterial hypertension (AH) contributes to the reduction of morbidity and mortality. Gender differences are likely to play a role, as non-treatment is associated with clinical and sociodemographic aspects. The aim of this study was to investigate the factors associated with non-treatment of AH and gender differences in hypertensive individuals from the ELSA-Brasil cohort. The study was conducted with 5,743 baseline hypertensive cohort participants. AH was considered if there was a previous diagnosis or if systolic blood pressure (SBP) was ≥140 and/or diastolic BP (DBP) was ≥90 mmHg. Sociodemographic and anthropometric data, lifestyle, comorbidities, and use of antihypertensive medications were evaluated through interviews and in-person measurements. Treatment with renin-angiotensin-aldosterone system inhibitors (RAASi) or other antihypertensive medications and non-treatment were evaluated with multivariate logistic regression. Non-treatment was observed in 32.8% of hypertensive individuals. Of the 67.7% treated individuals, 41.1% received RAASi. Non-treatment was associated with alcohol consumption in women (OR=1.41; 95%CI: 1.15-1.73; P=0.001), lowest schooling level in men (OR=1.70; 95%CI: 1.32-2.19; P<0.001), and younger age groups in men and women (strongest association in males aged 35-44 years: OR=4.58, 95%CI: 3.17-6.6, P<0.001). Among those using RAASi, a higher proportion of white, older individuals, and with more comorbidities was observed. The high percentage of non-treatment, even in this civil servant population, indicated the need to improve the treatment cascade for AH. Public health policies should consider giving special attention to gender roles in groups at higher risk of non-treatment to reduce inequities related to AH in Brazil. (AH mortality role nontreatment non aspects ELSABrasil ELSA Brasil 5743 5 743 5,74 participants SBP (SBP 140 ≥14 andor DBP (DBP 90 ≥9 mmHg data lifestyle inperson person measurements reninangiotensinaldosterone renin angiotensin aldosterone RAASi (RAASi regression Nontreatment Non 328 32 8 32.8 677 67 7 67.7 411 41 1 41.1 OR=1.41 OR141 OR (OR=1.41 95%CI 95CI CI 95 1.151.73 115173 1.15 1.73 15 73 1.15-1.73 P=0.001, P0001 P P=0.001 , 0 001 P=0.001) OR=1.70 OR170 70 (OR=1.70 1.322.19 132219 1.32 2.19 2 19 1.32-2.19 P<0.001, P<0.001 P<0.001) strongest 3544 35 44 35-4 years OR458 4 58 OR=4.58 3.176.6, 31766 3.17 6.6, 3 17 6 3.17-6.6 P<0.001. . white nontreatment, treatment, population Brazil 574 74 5,7 14 ≥1 9 ≥ 32. 67. 41. OR=1.4 OR14 (OR=1.4 151 1.151.7 11517 115 1.1 173 1.7 1.15-1.7 P000 P=0.00 00 OR=1.7 OR17 (OR=1.7 322 1.322.1 13221 132 1.3 219 2.1 1.32-2.1 P<0.00 354 35- OR45 OR=4.5 176 3.176.6 3176 317 3.1 66 6.6 3.17-6. 57 5, OR=1. OR1 (OR=1. 1.151. 1151 11 1. 1.15-1. P00 P=0.0 1.322. 1322 13 21 2. 1.32-2. P<0.0 OR4 OR=4. 3.176. 31 3. 6. 3.17-6 OR=1 (OR=1 1.151 1.15-1 P0 P=0. 1.322 1.32-2 P<0. OR=4 3.176 3.17- OR= (OR= 1.15- P=0 1.32- P<0 (OR P= P<

“Penumbra sign” is a characteristic finding in magnetic resonance imaging (MRI) of Brodie's abscess, a rare variant of subacute osteomyelitis. We aimed to discuss the imaging finding penumbra sign that will help in the diagnosis of osteomyelitis and may be useful to clinicians in differential diagnosis. A 26-year-old male patient presented to the emergency department with complaints of pain and limping in the right knee that did not go away. He had a history of arthroscopic debridement and percutaneous fixation surgery due to osteochondral fragment 3 years ago. There were no additional findings in the patient's vital parameters, physical examination, and medical history. X-ray imaging revealed two screws in the distal femur and a well-defined sclerotic rim surrounding a radiolucent lesion anterior to the screws. MRI revealed a lesion in the distal femoral metaphysis with low-density fluid and hyperintense granulation tissue surrounding it. After surgical abscess drainage and local debridement, bone cement was placed in the resulting cavity. Teicoplanin treatment was started. The patient was discharged and complete recovery was achieved in the second month. The diagnosis of osteomyelitis is often missed or confused with bone tumors in non-traumatic cases presenting with persistent bone pain. MRI imaging is frequently used in differential diagnosis, and detection of characteristic imaging signs such as the penumbra sign accelerates the diagnosis. In this context, emergency department clinicians, in particular, should be cautious and not forget that early treatment can be started by recognizing these signs. Penumbra (MRI Brodies Brodie s 26yearold yearold 26 year old away ago patients parameters examination Xray X ray welldefined well defined lowdensity low density it cavity month nontraumatic non traumatic context particular 2

This study aimed to analyze the safety and applicability of a 90-min duration of infusion (SDI) of obinutuzumab in patients with B-cell non-Hodgkin's lymphoma (NHL) in a tertiary hospital in China. This exploratory clinical trial was performed at Jiangsu Province Hospital. All patients were treated with the standard infusion regimen for the first infusion. If no grade ≥3 infusion-related reactions (IRRs) occurred, the subsequent infusions were given as SDI. The primary endpoint was the incidence of IRR during the standard infusion (3-4 h) and 90-min SDI regimens. This study enrolled 208 patients and all completed cycle 1. Forty-one patients (19.71%) had IRRs: five (2.40%) with grade 1, twenty-eight (13.46%) with grade 2, and eight (3.85%) with grade 3. The 41 patients had 71 IRRs, mainly fever (40.85%), chest pain/tightness (12.68%), and dyspnea (9.86%). The occurrence of IRRs in the first infusion was significantly lower in patients who received oral acetaminophen prophylaxis than those who did not (10.72% vs 30.21%, P<0.001). For the subsequent cycles with 90-min SDI, only two (0.25%) IRRs occurred among 814 infusions (one grade 1 hand numbness and one grade 2 chill/fever). The 90-min obinutuzumab SDI might be safe and feasible in patients with B-cell NHL in China. 90min min 90 (SDI Bcell B cell nonHodgkins non Hodgkin s (NHL China Hospital 3 ≥ infusionrelated related (IRRs 34 4 (3- h regimens 20 Fortyone Forty 19.71% 1971 19 (19.71% 2.40% 240 40 (2.40% twentyeight twenty 13.46% 1346 13 46 (13.46% 3.85% 385 85 (3.85% 7 40.85%, 4085 40.85% , (40.85%) paintightness pain tightness 12.68%, 1268 12.68% 12 68 (12.68%) 9.86%. 986 9.86% . 9 86 (9.86%) 10.72% 1072 10 72 (10.72 3021 30 21 30.21% P<0.001. P0001 P P<0.001 0 001 P<0.001) 0.25% 025 25 (0.25% 81 chill/fever. chillfever chill/fever chill chill/fever) (3 19.71 197 (19.71 2.40 24 (2.40 13.46 134 (13.46 3.85 38 8 (3.85 408 40.85 (40.85% 126 12.68 6 (12.68% 98 9.86 (9.86% 10.72 107 (10.7 302 30.21 P000 P<0.00 00 0.25 02 (0.25 ( 19.7 (19.7 2.4 (2.4 13.4 (13.4 3.8 (3.8 40.8 (40.85 12.6 (12.68 9.8 (9.86 10.7 (10. 30.2 P00 P<0.0 0.2 (0.2 19. (19. 2. (2. 13. (13. (3. 40. (40.8 12. (12.6 9. (9.8 10. (10 30. P0 P<0. 0. (0. (19 (2 (13 (40. (12. (9. (1 P<0 (0 (40 (12 (9 P< (4

Abstract The aim of this study was to evaluate the association between diabetes and cognitive performance in a nationally representative study in Brazil. We also aimed to investigate the interaction between frailty and diabetes on cognitive performance. A cross-sectional analysis of the Brazilian Longitudinal Study of Aging (ELSI-Brazil) baseline data that included adults aged 50 years and older was conducted. Linear regression models were used to study the association between diabetes and cognitive performance. A total of 8,149 participants were included, and a subgroup analysis was performed in 1,768 with hemoglobin A1c data. Diabetes and hemoglobin A1c levels were not associated with cognitive performance. Interaction of hemoglobin A1c levels with frailty status was found on global cognitive z-score (P-value for interaction=0.038). These results suggested an association between higher hemoglobin A1c levels and lower cognitive performance only in non-frail participants. Additionally, undiagnosed diabetes with higher hemoglobin A1c levels was associated with both poor global cognitive (β=-0.36; 95%CI: -0.62; -0.10, P=0.008) and semantic verbal fluency performance (β=-0.47; 95%CI: -0.73; -0.21, P=0.001). In conclusion, higher hemoglobin A1c levels were associated with lower cognitive performance among non-frail participants. Higher hemoglobin A1c levels without a previous diagnosis of diabetes were also related to poor cognitive performance. Future longitudinal analyses of the ELSI-Brazil study will provide further information on the role of frailty in the association of diabetes and glycemic control with cognitive decline. Brazil crosssectional cross sectional ELSIBrazil ELSI (ELSI-Brazil 5 conducted 8149 8 149 8,14 1768 1 768 1,76 Ac c zscore z score Pvalue P value interaction=0.038. interaction0038 interaction=0.038 . 0 038 interaction=0.038) nonfrail non frail Additionally β=0.36 β036 β β= 0.36 36 (β=-0.36 95%CI 95CI CI 95 0.62 062 62 -0.62 0.10, 010 10 -0.10 P=0.008 P0008 008 β=0.47 β047 0.47 47 (β=-0.47 0.73 073 73 -0.73 0.21, 021 21 -0.21 P=0.001. P0001 P=0.001 001 P=0.001) conclusion decline 814 14 8,1 176 76 1,7 interaction003 interaction=0.03 03 β=0.3 β03 036 0.3 3 (β=-0.3 9 0.6 06 6 -0.6 0.10 01 -0.1 P=0.00 P000 00 β=0.4 β04 047 0.4 4 (β=-0.4 0.7 07 7 -0.7 0.21 02 2 -0.2 81 8, 17 1, interaction00 interaction=0.0 β=0. β0 0. (β=-0. -0. 0.1 P=0.0 P00 04 0.2 interaction0 interaction=0. β=0 (β=-0 -0 P=0. P0 interaction=0 (β=- - P=0 interaction= (β= P= (β

Abstract The incidence of non-alcoholic fatty liver (NAFLD) remains high, and many NAFLD patients suffer from severe ischemia-reperfusion injury (IRI). Currently, no practical approach can be used to treat IRI. Puerarin plays a vital role in treating multiple diseases, such as NAFLD, stroke, diabetes, and high blood pressure. However, its role in the IRI of the fatty liver is still unclear. We aimed to explore whether puerarin could protect the fatty liver from IRI. C57BL/6J mice were fed with a high‐fat diet (HFD) followed by ischemia reperfusion injury. We showed that hepatic IRI was more severe in the fatty liver compared with the normal liver, and puerarin could significantly protect the fatty liver against IRI and alleviate oxidative stress. The PI3K-AKT signaling pathway was activated during IRI, while liver steatosis decreased the level of activation. Puerarin significantly protected the fatty liver from IRI by reactivating the PI3K-AKT signaling pathway. However, LY294002, a PI3K-AKT inhibitor, attenuated the protective effect of puerarin. In conclusion, puerarin could significantly protect the fatty liver against IRI by activating the PI3K-AKT signaling pathway. nonalcoholic non alcoholic (NAFLD ischemiareperfusion . (IRI) Currently diseases stroke diabetes pressure However unclear C57BL6J CBLJ C57BL 6J C BL J highfat fat HFD (HFD stress PI3KAKT PIKAKT PI3K AKT PI K activation LY294002 LY inhibitor conclusion (IRI CBL KAKT PIK LY29400 LY2940 LY294 LY29 LY2

Abstract MCH1 is a synthetic macamide that has shown in vitro inhibitory activity on fatty acid amide hydrolase (FAAH), an enzyme responsible for endocannabinoid metabolism. This inhibition can modulate endocannabinoid and dopamine signaling in the nucleus accumbens (NAc), potentially having an antidepressant-like effect. The present study aimed to evaluate the effect of the in vivo administration of MCH1 (3, 10, and 30 mg/kg, ip) in 2-month-old BALB/c male mice (n=97) on forced swimming test (FST), light-dark box (LDB), and open field test (OFT) and on early gene expression changes 2 h after drug injection related to the endocannabinoid system (Cnr1 and Faah) and dopaminergic signaling (Drd1 and Drd2) in the NAc core. We found that the 10 mg/kg MCH1 dose reduced the immobility time compared to the vehicle group in the FST with no effect on anxiety-like behaviors measured in the LDB or OFT. However, a 10 mg/kg MCH1 dose increased locomotor activity in the OFT compared to the vehicle. Moreover, RT-qPCR results showed that the 30 mg/kg MCH1 dose increased Faah gene expression by 2.8-fold, and 10 mg/kg MCH1 increased the Cnr1 gene expression by 4.3-fold compared to the vehicle. No changes were observed in the expression of the Drd1 and Drd2 genes in the NAc at either MCH1 dose. These results indicated that MCH1 might have an antidepressant-like effect without an anxiogenic effect and induces significant changes in endocannabinoid-related genes but not in genes of the dopaminergic signaling system in the NAc of mice. MCH FAAH, FAAH , (FAAH) metabolism NAc, (NAc) antidepressantlike antidepressant like 3, 3 (3 mgkg mg kg ip 2monthold monthold month old BALBc BALB c n=97 n97 n 97 (n=97 FST, (FST) lightdark light dark LDB, (LDB) (OFT Cnr (Cnr Drd (Drd core 1 anxietylike anxiety However Moreover RTqPCR RT qPCR 2.8fold, 28fold fold 2.8 fold, 8 2.8-fold 4.3fold 43fold 4.3 4 endocannabinoidrelated (FAAH (NAc ( n=9 n9 9 (n=9 (FST (LDB 8fold 2.8fold 28 2. 3fold 43 4. n= (n= (n

Abstract The aim of this study was to explore the association between differential percentages of dendritic cell (DC) subsets in peripheral blood and malignancy (grade and lymph node metastasis) of peritoneal adenocarcinoma patients and the frequencies of dendritic cell subsets in the normal controls. The peripheral blood of 30 patients with peritoneal adenocarcinoma and 12 healthy controls were collected for multicolor flow cytometry analysis. Peritoneal adenocarcinoma patients were grouped according to the malignant degree (grade and lymph node metastasis). Percentages of myeloid DCs (mDCs) and its subsets MDC1 and MDC2 in DCs were lower in peripheral blood of patients with peritoneal adenocarcinoma than in normal controls. The percentages of plasmacytoid dendritic cells (pDCs) and CD16+mDCs in DCs were higher than in normal controls. Compared with poor differentiation grade, patients with well/moderate differentiation grade had an increased percentage of CD16+mDCs. Contrary to CD16+mDCs, the percentage of MDC1 was lower in the well/moderate differentiation grade group. In patients with no lymph node metastasis, pDCs and CD16+mDCs levels were higher compared with patients with lymph node metastasis. mDCs and MDC1 levels had opposite results. pDCs were positively correlated with CD16+mDCs in peripheral blood of peritoneal patients, as was mDCs and MDC1. CD16+mDCs were negatively correlated with MDC1. The percentages of pDCs and CD16+mDCs in DCs were positively correlated with CD3+CD8+T cells, and pDCs also positively correlated with CD8+PD-1+T cells. Our results revealed that DCs subsets correlated with peritoneal adenocarcinoma malignancy. Dendritic cells play an independent role in the immune function of peritoneal adenocarcinoma. DC (DC metastasis 3 1 analysis . (mDCs MDC (pDCs CD16mDCs CDmDCs CD16 CD wellmoderate well moderate group CD3CD8T CDCDT CD3 CD8 T CD8+PD1+T CD8PD1T CDPDT CD8+PD 1+T PD CD1 PD1 CD8PD CDPD 1T

Abstract The cure rates for osteosarcoma have remained unchanged in the past three decades, especially for patients with pulmonary metastasis. Thus, a new and effective treatment for metastatic osteosarcoma is urgently needed. Anlotinib has been reported to have antitumor effects on advanced osteosarcoma. However, both the effect of anlotinib on autophagy in osteosarcoma and the mechanism of anlotinib-mediated autophagy in pulmonary metastasis are unclear. The effect of anlotinib treatment on the metastasis of osteosarcoma was investigated by transwell assays, wound healing assays, and animal experiments. Related proteins were detected by western blotting after anlotinib treatment, ATG5 silencing, or ATG5 overexpression. Immunofluorescence staining and transmission electron microscopy were used to detect alterations in autophagy and the cytoskeleton. Anlotinib inhibited the migration and invasion of osteosarcoma cells but promoted autophagy and increased ATG5 expression. Furthermore, the decreases in invasion and migration induced by anlotinib treatment were enhanced by ATG5 silencing. In addition, Y-27632 inhibited cytoskeletal rearrangement, which was rescued by ATG5 overexpression. ATG5 overexpression enhanced epithelial-mesenchymal transition (EMT). Mechanistically, anlotinib-induced autophagy promoted migration and invasion by activating EMT and cytoskeletal rearrangement through ATG5 both in vitro and in vivo. Our results demonstrated that anlotinib can induce protective autophagy in osteosarcoma cells and that inhibition of anlotinib-induced autophagy enhanced the inhibitory effects of anlotinib on osteosarcoma metastasis. Thus, the therapeutic effect of anlotinib treatment can be improved by combination treatment with autophagy inhibitors, which provides a new direction for the treatment of metastatic osteosarcoma. decades Thus needed However anlotinibmediated mediated unclear assays experiments ATG silencing cytoskeleton expression Furthermore addition Y27632 Y 27632 Y-2763 epithelialmesenchymal epithelial mesenchymal EMT. . (EMT) Mechanistically anlotinibinduced vivo inhibitors Y2763 2763 Y-276 (EMT Y276 276 Y-27 Y27 27 Y-2 Y2 2 Y-

This study was conducted to evaluate how sterubin affects rotenone-induced Parkinson's disease (PD) in rats. A total of 24 rats were distributed into 4 equal groups: normal saline control and rotenone control were administered saline or rotenone (ROT), respectively, orally; sterubin 10 received ROT + sterubin 10 mg/kg po; and sterubin alone was administered to the test group (10 mg/kg). Rats of the normal saline and sterubin alone groups received sunflower oil injection (sc) daily, 1 h after receiving the treatments cited above, while rats of the other groups received rotenone injection (0.5 mg/kg, sc). The treatment was continued over the course of 28 days daily. On the 29th day, catalepsy and akinesia were assessed. The rats were then euthanized, and the brain was extracted for estimation of endogenous antioxidants (MDA: malondialdehyde, GSH: reduced glutathione, CAT: catalase, SOD: superoxide dismutase), nitrative (nitrite) stress markers, neuroinflammatory cytokines, and neurotransmitter levels and their metabolites (3,4-dihydroxyphenylacetic acid (DOPAC), dopamine (DA), norepinephrine (NE), serotonin (5-HT), 5-hydroxyindoleacetic acid (5-HIAA), and homovanillic acid (HVA)). Akinesia and catatonia caused by ROT reduced the levels of endogenous antioxidants (GSH, CAT, and SOD), elevated the MDA level, and altered the levels of nitrites, neurotransmitters, and their metabolites. Sterubin restored the neurobehavioral deficits, oxidative stress, and metabolites of altered neurotransmitters caused by ROT. Results demonstrated the anti-Parkinson's activities of sterubin in ROT-treated rats. rotenoneinduced induced Parkinsons Parkinson s PD (PD 2 ROT, , (ROT) respectively orally mgkg mg kg po (1 mg/kg. . mg/kg) sc (sc daily above 0.5 05 0 5 (0. sc. sc) th day assessed euthanized (MDA malondialdehyde GSH glutathione CAT catalase SOD dismutase, dismutase dismutase) nitrite (nitrite markers cytokines 3,4dihydroxyphenylacetic 34dihydroxyphenylacetic dihydroxyphenylacetic 3,4 3 DOPAC, DOPAC (DOPAC) DA, DA (DA) NE, NE (NE) 5HT, 5HT HT (5-HT) 5hydroxyindoleacetic hydroxyindoleacetic 5HIAA, 5HIAA HIAA (5-HIAA) HVA. HVA (HVA)) GSH, (GSH SOD, SOD) level nitrites deficits antiParkinsons anti ROTtreated treated (ROT ( 0. (0 4dihydroxyphenylacetic 34 3, (DOPAC (DA (NE (5-HT (5-HIAA (HVA) (HVA

Older adults have a high prevalence of falls due to a decline in physiological functions and various chronic diseases. This study aimed to investigate the prevalence of and risk factors for falls among older individuals in the Chinese Longitudinal Healthy Longevity Survey (CLHLS). We collected information from 9737 older individuals (average age=84.26 years) from the CLHLS and used binary logistic regression analysis to explore the independent risk factors and protective factors for falls. The logistic regression analysis results are reported as adjusted odds ratios (aORs) and 95% confidence intervals (95%CIs). The prevalence of falls among older adults in China was 21.6%, with women (24.6%) having a higher prevalence than men (18.1%). Logistic regression analysis revealed that never (or rarely) eating fresh fruit, difficulty with hearing, cataracts, and arthritis were the common independent risk factors for falls in older Chinese men and women. Among men, age ≥80 years (aOR=1.86), never doing housework (aOR=1.36), and dyslipidemia (aOR=1.47) were risk factors, while eating milk products once a week was a protective factor. Alcohol consumption (aOR=1.40), physical labor (aOR=1.28), and heart disease (aOR=1.21) were risk factors for falls in women, while a daily sleep duration of 6-12 h and garlic consumption once a week were protective factors. The prevalence of falls among older adults in China is 21.6% and is greater in women than in men. These risk and protective factors can be used to formulate reasonable recommendations for living habits, diet, and chronic disease control strategies. diseases CLHLS. . (CLHLS) 973 average age8426 84 26 age=84.2 aORs (aORs 95 95%CIs. 95CIs CIs 95%CIs (95%CIs) 216 21 6 24.6% 246 24 (24.6% 18.1%. 181 18.1% 18 1 (18.1%) or rarely fruit hearing cataracts 80 ≥8 aOR=1.86, aOR186 aOR aOR=1.86 , 86 (aOR=1.86) aOR=1.36, aOR136 aOR=1.36 36 (aOR=1.36) aOR=1.47 aOR147 47 (aOR=1.47 factor aOR=1.40, aOR140 aOR=1.40 40 (aOR=1.40) aOR=1.28, aOR128 aOR=1.28 28 (aOR=1.28) aOR=1.21 aOR121 (aOR=1.21 612 12 6-1 21.6 habits diet strategies (CLHLS 97 age842 8 2 age=84. 9 (95%CIs 24.6 (24.6 18.1 (18.1% ≥ aOR18 aOR=1.8 (aOR=1.86 aOR13 aOR=1.3 3 (aOR=1.36 aOR=1.4 aOR14 4 (aOR=1.4 (aOR=1.40 aOR12 aOR=1.2 (aOR=1.28 (aOR=1.2 61 6- 21. age84 age=84 24. (24. 18. (18.1 aOR1 aOR=1. (aOR=1.8 (aOR=1.3 (aOR=1. age8 age=8 (24 (18. aOR=1 (aOR=1 age= (2 (18 aOR= (aOR= ( (1 (aOR

Head and neck squamous cell carcinoma (HNSCC) is the sixth most common malignancy worldwide, with approximately 600,000 new cases each year. A small number of HNSCCs are caused by human papillomavirus (HPV) infection. Frizzled related protein (FRZB) has been reported in many inflammatory diseases and cancers, but it is yet unclear how FRZB affects HNSCC, as well as its role and underlying mechanism. TIMER2 database was utilized to evaluate FRZB expression in cancer tissues, and FRZB expression in HNSCC tissues was confirmed by samples obtained from Gene Expression Omnibus. To identify whether FRZB could be used as a prognostic predictor, we performed univariate and multivariate Cox regression analyses. FRZB co-expression profile was explored using the LinkedOmics database, then Kyoto Encyclopedia of Genes and Genomes and Gene Ontology enrichment analyses were performed for these FRZB-related genes in HNSCC samples. Lasso regression analysis was subsequently used to screen for prognostic variables, and we determined the infiltration of immune cells in HNSCC patients to clarify the influence of FRZB on tumor immune microenvironment. At last, we assessed the association between FRZB expression and immune checkpoint gene, and compared the sensitivity of common chemotherapeutic agents. In this study, we found that FRZB was dysregulated in HNSCC tumor tissues and had a relationship with clinical parameters. The reliability and independence of FRZB as a factor in determining a patient's prognosis for HNSCC was also established. Additional investigation revealed that FRZB was linked to common immune checkpoint genes and may be implicated in immune infiltration. (HNSCC worldwide 600000 600 000 600,00 year HPV (HPV infection (FRZB cancers mechanism TIMER Omnibus predictor coexpression co FRZBrelated variables microenvironment last gene agents study parameters patient s established 60000 60 00 600,0 6000 6 0 600,

Colorectal cancer is one of the most common malignant cancers. Pseudogenes have been identified as oncogenes or tumor suppressor genes in the development of various cancers. However, the function of pseudogene CSPG4P12 in colorectal cancer remains unclear. Therefore, the aim of this study was to investigate the potential role of CSPG4P12 in colorectal cancer and explore the possible underlying mechanism. The difference of CSPG4P12 expression between colorectal cancer tissues and adjacent normal tissues was analyzed using the online Gene Expression Profiling Interactive Analysis 2 (GEPIA2) database. Cell viability and colony formation assays were conducted to evaluate cell viability. Transwell and wound healing assays were performed to assess cell migration and invasion capacities. Western blot was used to measure the expression levels of epithelial-mesenchymal transition-related proteins. Colorectal cancer tissues had lower CSPG4P12 expression than adjacent normal tissues. The overexpression of CSPG4P12 inhibited cell proliferation, invasion, and migration in colorectal cancer cells. Overexpressed CSPG4P12 promoted the expression of E-cadherin, whereas it inhibited the expression of vimentin, N-cadherin, and MMP9. These findings suggested that CSPG4P12 inhibits colorectal cancer development and may serve as a new potential target for colorectal cancer. cancers However CSPGP CSPG P CSPG4P1 unclear Therefore mechanism GEPIA2 GEPIA (GEPIA2 database capacities epithelialmesenchymal epithelial mesenchymal transitionrelated transition related proteins proliferation cells Ecadherin, Ecadherin E cadherin, cadherin E-cadherin vimentin Ncadherin, Ncadherin N N-cadherin MMP9 MMP CSPG4P (GEPIA

In this double-blind placebo-controlled randomized investigation, we assessed the tolerability of glutamine in older adults recruited from three daycare centers. The relevance of studying glutamine supplementation in elderly patients lies in its potential to provide a well-tolerated intervention. Glutamine, a crucial amino acid, plays a vital role in various physiological processes, including immune function and protein synthesis. Understanding its impact on older adults is essential, given the potential implications for their health and well-being. Participants received a daily dose of 12.4 g of oral effervescent glutamine (EGln group) or maltodextrin (placebo group) for 60 days. Fifteen patients from each group completed the study. The mean ages were 77.0±9.1 and 79.0±6.9 years for the EGln and placebo groups, respectively. We evaluated body mass index, aminogram, hemogram, plasma levels of glucose, prealbumin, albumin, urea, creatinine, uric acid, C-reactive protein, vitamin D, calcium, sodium, potassium, and the plasma activities of aspartate aminotransferase and alanine aminotransferase. Notably, we quantified a broad array of inflammatory markers and growth factors providing a holistic understanding of the potential effects of glutamine supplementation. The results demonstrated that oral glutamine did not induce significant changes in any evaluated parameters, and no adverse effects were reported. This finding suggested that the dosage of glutamine used in this study was well-tolerated and safe. This information contributes to the broader understanding of glutamine supplementation, emphasizing its safety and supporting its potential as a viable intervention for maintaining health in aging individuals. doubleblind double blind placebocontrolled controlled investigation centers welltolerated well tolerated Glutamine acid processes synthesis essential wellbeing. wellbeing being. being well-being 124 12 4 12. 6 days 77091 77 0 9 1 77.0±9. 79069 79 79.0±6. groups respectively index aminogram hemogram glucose prealbumin albumin urea creatinine Creactive C reactive D calcium sodium potassium Notably parameters reported safe individuals 7709 7 77.0±9 7906 79.0±6 770 77.0± 790 79.0± 77.0 79.0 77. 79.

Adenine nucleotide translocator 4 (Ant4), an ATP/ADP transporter expressed in the early phases of spermatogenesis, plays a crucial role in male fertility. While Ant4 loss causes early arrest of meiosis and increased apoptosis of spermatogenic cells in male mice, its other potential functions in male fertility remain unexplored. Here, we utilized Ant4 knockout mice to delineate the effects of Ant4-deficiency on male reproduction. Our observations demonstrated that Ant4-deficiency led to infertility and impaired testicular development, which was further investigated by evaluating testicular oxidative stress, autophagy, and inflammation. Specifically, the loss of Ant4 led to an imbalance of oxidation and antioxidants. Significant ultrastructural alterations were identified in the testicular tissues of Ant4-deficient mice, including swelling of mitochondria, loss of cristae, and accumulation of autophagosomes. Our results also showed that autophagic flux and AKT-AMPK-mTOR signaling pathway were affected in Ant4-deficient mice. Moreover, Ant4 loss increased the expression of pro-inflammatory factors. Overall, our findings underscored the importance of Ant4 in regulating oxidative stress, autophagy, and inflammation in testicular tissues. Taken together, these insights provided a nuanced understanding of the significance of Ant4 in testicular development. Ant4, Ant , (Ant4) ATPADP ATP ADP spermatogenesis unexplored Here Ant4deficiency Antdeficiency deficiency reproduction development stress autophagy Specifically antioxidants Ant4deficient Antdeficient deficient mitochondria cristae autophagosomes AKTAMPKmTOR AKT AMPK mTOR Moreover proinflammatory pro inflammatory factors Overall together (Ant4 (Ant

Reminiscence therapy (RT) attenuates psychological disorders in cancer patients. This study aimed to evaluate the effect of RT on anxiety, depression, spiritual well-being, and quality of life in elderly patients with unresectable, metastatic gastrointestinal cancer. A total of 222 elderly patients with unresectable, metastatic gastrointestinal cancer were randomized into RT group (RT plus usual care, n=112) or control group (usual care, n=110) with a 6-month intervention. Hospital Anxiety and Depression Scale for Anxiety (HADS-A) and Depression (HADS-D), Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale (FACIT-Sp), and Quality of Life Questionnaire-Core 30 (QLQ-C30) were evaluated at month (M)0, M1, M3, and M6. Concerning the primary outcome, HADS-A score at M6 decreased in the RT group compared to the control group (P=0.005). As to secondary outcomes, the RT group showed decreased HADS-A scores at M3, anxiety rate at M3, HADS-D scores at M3 and M6, depression rate at M6, as well as greater FACIT-Sp scores at M1, M3, and M6 vs the control group (all P<0.050). Additionally, QLQ-C30 global health score was elevated at M1 (P=0.046) and M6 (P=0.005), functions score was greater at M6 (P=0.038), and symptoms score was lower at M3 (P=0.019) in the RT group than in the control group. Subgroup analysis revealed that the addition of RT was more effective for patients with anxiety or depression at baseline. In summary, RT alleviated anxiety and depression, and improved the spiritual well-being and quality of life within 6 months in elderly patients with unresectable, metastatic gastrointestinal cancer. wellbeing, wellbeing being, being unresectable 22 care n=112 n112 n 112 n=110 n110 110 6month intervention HADSA HADS (HADS-A HADSD, HADSD D , (HADS-D) TherapySpiritual Therapy Spiritual WellBeing Well Being FACITSp, FACITSp FACIT Sp (FACIT-Sp) QuestionnaireCore Questionnaire Core 3 QLQC30 QLQC QLQ C30 C (QLQ-C30 M0, M0 M 0, 0 (M)0 outcome P=0.005. P0005 P P=0.005 . 005 (P=0.005) outcomes all P<0.050. P0050 P<0.050 050 P<0.050) Additionally QLQ-C3 P=0.046 P0046 046 (P=0.046 P=0.005, P=0.038, P0038 P=0.038 038 (P=0.038) P=0.019 P0019 019 (P=0.019 baseline summary 2 n=11 n11 11 (HADS-D (FACIT-Sp QLQC3 C3 (QLQ-C3 (M) P000 P=0.00 00 (P=0.005 P005 P<0.05 05 QLQ-C P=0.04 P004 04 (P=0.04 P003 P=0.03 03 (P=0.038 P=0.01 P001 01 (P=0.01 n=1 n1 1 (QLQ-C (M P00 P=0.0 (P=0.00 P<0.0 (P=0.0 (P=0.03 n= P0 P=0. P<0. (P=0. P=0 P<0 (P=0 P= P< (P= (P