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Shaoji Li,1,* Hongjian Li,2,* Baofang Wu,1,* Rujun Pan,3 Yuqi Liu,4 Jiayin Wang,1 De Wei,3 Hongzhi Gao1 1Department of Neurosurgery, the Second Affiliated Hospital of Fujian Medical University, Quanzhou, 362000, People’s Republic of China; 2School of Medical Imaging, North Sichuan Medical College, Nanchong, 634700, People’s Republic of China; 3Department of Neurosurgery, Fuzhou University Affiliated Provincial Hospital, Fuzhou, 350001, People’s Republic of China; 4Department of Intensive Care Unit, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, 362000, People’s Republic of China*These authors contributed equally to this workCorrespondence: De Wei; Hongzhi Gao, Email weidele@fjmu.edu.cn; gaohongzhi@fjmu.edu.cnBackground: Post-traumatic cerebral infarction (PTCI) is a severe complication resulting from traumatic brain injury (TBI), which can lead to permanent neurological damage or death. The investigation of the factors associated with PTCI and the establishment of predictive models are crucial for clinical practice.Methods: We made a retrospective analysis of clinical data from 1484 TBI patients admitted to the Neurosurgery Department of a provincial hospital from January 2018 to December 2023. Predictive factors were identified using the Least Absolute Shrinkage and Selection Operator (LASSO) and multivariable logistic regression analysis. Several machine learning (ML) classification models were developed and compared. The interpretations of the ML models’ predictions were provided by SHAP values.Results: Key predictors included age, bilateral brain contusions, platelet count, uric acid, glucose, traumatic subarachnoid hemorrhage, and surgical treatment. The logistic regression (LR) model outperformed other ML algorithms, demonstrating superior performance in the test set with an AUC of 0.821, accuracy of 0.845, Matthews correlation coefficient (MCC) of 0.264, area under the receiver operating characteristic curve (AUROC) of 0.711, precision of 0.56, and specificity of 0.971. It had stable performance in the ten-fold cross-validation.Conclusion: ML algorithms, integrating demographic and clinical factors, accurately predicted the risk of PTCI occurrence. Interpretations using the SHAP method offer guidance for personalized treatment of different patients, filling gaps between complex clinical data and actionable insights.Keywords: traumatic brain injury, post-traumatic cerebral infarction, retrospective study, machine learning, prediction model

This retrospective study aimed to stress the advantages of autologous hematopoietic stem cell transplantation (auto-HSCT) in treating primary MM. Ninety-four MM patients who underwent initial parallel sequential auto-HSCT were selected. Data on efficacy (efficacy evaluation, renal function and hemoglobin recovery), immune reconstitution (B-cell subsets, immunoglobulin levels, T-cell subsets, NK cells, neutrophil-to-lymphocyte ratio (NLR), lymphocyte-to-monocyte ratio (LMR)) and hematopoietic reconstitution times were collected and analyzed. Whether in all selected patients or in groups R-ISS II-III, there was a notable increase in the proportion of patients achieving in a very good partial response (VGPR) or better (P < 0.001, P = 0.02) and a complete response (CR) or better (P = 0.007, P = 0.014) after transplantation compared to the pre-transplant status. Post-Transplant Immune Reconstitution Analysis (Baseline vs. Pre-Transplant and Pre-Transplant vs. Post-Transplant): The level of CD19 + B cells, CD20 + B cells, CD22 + B cells, CD3 + T cells, IgG and LMR showed the same change trend, that is, it decreased before transplantation (P < 0.001, P < 0.001, P < 0.001, P < 0.001, P<0.007, P < 0.001) and then increased significantly after transplantation(P < 0.001, P < 0.001, P < 0.001, P < 0.001, P < 0.001, P < 0.001). CD3 + CD4 + T cells from 545.97 (342.11,708.60)/µL to 342.93 (168.38, 475.52)/µL (P < 0.001) and then to 251.48 (188.52, 406.98)/µL (P = 0.348); CD3 + CD8 + T cells from 391.36 (242.19, 563.37)/µL to 337.23 (192.54, 505.96)/µL (P = 0.065) and then to 797.96 (514.49, 1198.03)/µL (P < 0.001), so the CD3 + CD4+/CD3 + CD8 + T cell ratio still remained inverted post-transplant. NK cells changed from 309.86 (206.33, 460.96)/µL to 258.31 (160.75, 436.68)/ µL (P = 0.229) and then to 151.08 (108.17, 240.84)/µL (P = 0.007). Auto-HSCT can promote prolonged remission in patients with MM and also overcome some high-risk factors to achieve superior efficacy in group R-ISS II-III. Patients were immunodeficient before transplantation and auto-HSCT facilitated immune reconstitution., Competing Interests: Declarations. Competing interests: The authors declare no competing interests. Ethics approval and consent to participate: This study was approved by Ethical Committee of Fujian Medical University Union Hospital and informed consent was obtained from each participant., (© 2025. The Author(s).)

As a transitional zone where rivers meet the sea, estuaries are influenced by river transport and ocean tides, resulting in complex variations in parameters such as organic matter content, pH, and sediment salinity. This paper primarily explores the vertical migration patterns of polychlorinated biphenyls (PCBs) under complex conditions, focusing on the soil sediments in the Dagu River estuary area. We designed an indoor soil column leaching experiment to investigate how soil organic matter content, pH, and salinity affect the vertical migration of PCBs in soil. The results indicate that PCBs predominantly migrate within the 0-6 cm depth range in the sediment of various organic-rich soils. In soils with low organic matter, there is higher downward migration of PCBs compared to soils with high organic matter content. Variations in organic matter significantly influence the migration behavior of different PCBs congeners, with highly chlorinated congeners showing a greater tendency for downward migration. Furthermore, both pH and salinity levels influence the migration of PCBs. Alkaline conditions enhance PCBs migration in soil, whereas acidic conditions impede it. Additionally, optimal salinity levels increase the migration depth of PCBs., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2025 Elsevier Ltd. All rights reserved.)

The "catalytic triad" present at the active site of ribonuclease A (RNase A) is responsible for the cleavage of the 5'-phosphodiester bond; amino acid residues His12, Lys41 and His119 constituting this triad provide a positively charged environment at the physiological pH. Based on docking studies, 1,4,5-trisubstituted-carboxylated 1,2,3-triazoles (1,4,5-TTs) were identified as a new class of RNase A inhibitors. Therefore, two different groups of 1,4,5-TTs, functionalized with carboxylic acid groups, were synthesized by reacting pre functionalized butyne-1,4-diol derivatives with several aryl/alkyl azides under solvent and catalyst free conditions. Inhibitory properties of the new molecules with heteroatom linked carboxylic acid "CH 2 XCH 2 CO 2 H" (X = S, O) functionalities were investigated by performing qualitative and quantitative biophysical studies. All the "CH 2 S" and "CH 2 O" linked acid derivatives (6a-e, 6f'-g' and 6h, and 8a-e, 8f'-g' and 8h) exhibited significant competitive inhibition with inhibition constant values ( K i ) ranging from 9 to 34 μM determined by steady state enzyme kinetics. Uracil based bisthioglycolic acid (6h) and carboxylic acid based bisoxyacetic acid (8g') derivatives were found to be the most promising inhibitors with K i values of 9.9 ± 0.7 and 15.6 ± 0.6 μM, respectively. Additional molecular docking studies revealed that a sufficient number of hydrogen bonding interactions were generated from various functional groups of inhibitors and the amino acid residues present at important subsites of RNase A. The study also established that the free rotating "CH 2 X" arms of 1,4,5-TTs provided a unique shape to accommodate the molecule within the active site cleft. A fairly good idea about the structure activity relationship (SAR) was obtained by correlating experimentally determined K i values and the corresponding docking poses. This study reports an unconventional class of non-sugar, non-nucleosidic 1,4,5-TT based competitive inhibitors of RNase A.

To advance the industrialization of flexible strain sensors, an innovative flexible sensing fiber was developed through a sophisticated wet spinning process. Silver trifluoroacetate and graphene oxide (GO) were combined with thermoplastic polyurethane (TPU) to prepare the fibers via wet spinning. Ascorbic acid was used to in situ reduce the silver trifluoroacetate and graphene oxide within the polyurethane, causing the growth of silver nanoparticles to bond with reduced graphene oxide, forming a dual conductive pathway. This resulted in the creation of silver nanoparticles/reduced graphene oxide/polyurethane fibers (AgNPs-rGO-TPU sensing fibers). The tensile and sensing properties of AgNPs-rGO-TPU sensing fibers under different parameters were investigated. The results showed that with 25 wt% TPU as the matrix, 30 wt% silver trifluoroacetate, and 1 wt% graphene oxide, the fibers achieved an optimal balance of mechanical and sensing properties. The tensile strength was 7.69 MPa, the elongation at break was 370.75%, and the toughness modulus was 18.45 MJ m -3 . The AgNPs-rGO-TPU sensing fibers effectively detect external stimuli, exhibiting high sensitivity over a wide strain range (gauge factor is 4.25 below 5% strain, 24.79 in the 5%-25% strain range, 23.06 in the 25%-80% strain range, and 21.32 in the 80%-110% strain range), with a conductivity of 163.17 ms·cm -1 . They can stably recognize movements and physiological signals from various parts of the human body, showing good application prospects., (© 2025 IOP Publishing Ltd. All rights, including for text and data mining, AI training, and similar technologies, are reserved.)

Understanding the interactions between small molecules and calf thymus deoxyribonucleic acid (ctDNA) is critical for certain aspects of drug discovery. In this study, three 11H-indeno[1,2-b]quinoxalin-11-one thiosemicarbazones were synthesized and their interaction with ctDNA was examined through various spectroscopic techniques, including ultraviolet (UV) spectroscopy, fluorescence spectroscopy, and circular dichroism (CD) spectrum, and through physicochemical methods, including viscosity measurements. In addition, the effects of these thiosemicarbazone compounds 4a, 4b and 4c on several cancer cell lines were explored. The results of UV absorption, fluorescence quenching and CD experiments indicated that compounds 4a, 4b and 4c primarily bound to ctDNA by an intercalation. This mode of interaction was further corroborated by viscosity measurements. Docked poses of compound 4a revealed that it formed a crucial N position hydrogen bond with the DNA receptor. The chemical structure of compound 4a was further confirmed by X-ray crystallographic analysis. Through biological evaluation, it was found that the in vitro cytotoxicity of three compounds agreed with the order of their binding strength to ctDNA, indicating that the antitumor activity of these compounds correlated with their binding affinity to ctDNA., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2025. Published by Elsevier B.V.)

Thioredoxin-interacting protein (TXNIP), as a pivotal protein in the cellular stress response, plays a significant role in the progression of diabetic nephropathy (DN). Consequently, therapeutic strategies aimed at targeting TXNIP may offer novel interventions for patients with DN. Our study is to explore the therapeutic potential of targeting TXNIP in mitigating renal tubular injury induced by hyperglycemia. Cell viability and apoptosis of renal tubular epithelial cells (RTECs) were evaluated using CCK-8, Annexin V/7-AAD, and TUNEL staining after exposure to normal glucose (NG; 5 mM), high glucose (HG; 30 mM), or treatment with TXNIP inhibitors (Xanthohumol, Xan). Furthermore, histochemical staining was utilized to assess the morphological changes in the kidney. Xan was determined to be a potential inhibitor of TXNIP due to its low binding energy value of - 7.433 kcal/mol. Both genetic inhibition of TXNIP using sh-RNA and pharmacological inhibition with Xan were found to reverse HG-induced RTEC apoptosis and inflammatory response. In diabetic mice, administration of Xan resulted in significant improvements in pathological features such as tubular atrophy, tubular injury score, and collagen deposition in the tubulointerstitium. Additionally, treatment with Xan effectively reduced the up-regulation of TXNIP protein expression caused by hyperglycemia. In conclusion, Xan, as a bioactive natural product, has been shown to attenuate hyperglycemia-induced renal tubular injury in both in vitro and in vivo models, potentially through the inhibition of TXNIP expression. Xan has the potential to serve as a therapeutic compound for the treatment of DN., Competing Interests: Declarations. Conflict of interest: The authors declare that they have no competing interests. Ethics approval: This research was approved by the Ethics Committee of the Cangzhou Central Hospital (Cangzhou, China). Consent for publication: Not applicable., (© 2025. The Author(s) under exclusive licence to The Japanese Society of Pharmacognosy.)

Acute kidney injury (AKI) is associated with adverse hospitalization. Previous studies have reported that an elevated triglyceride glucose (TyG) index is significantly associated with the development of AKI in patients with cardiovascular disease, as well as in those undergoing surgery; however, the potential of the TyG index to predict AKI following neurotrauma remains unclear. Patients diagnosed with traumatic brain injury (TBI) in Chinese tertiary hospitals between January 2014 and December 2023 were included in this retrospective study. The outcome was the incidence of AKI. TyG was identified as an independent risk factor for AKI using logistic regression and propensity score matching (PSM). Finally, the association between TyG index and AKI was further assessed using multivariate logistic regression, restricted cubic spline (RCS) regression, and subgroup analysis. The present study enrolled 1,505 patients with TBI, of whom 66.45% were male, with an average age of 55.47 ± 17.32 years. The incidence of AKI was 9.4%. Multiple logistic regression analyses identified a relationship between the TyG levels and AKI risk. This relationship was retained after PSM. A significant positive correlation between TyG level and AKI was observed in all three models constructed using multivariate logistic regression. RCS regression analyses further indicated a linear increase in AKI risk with an increasing TyG index. In subgroup analyses, this correlation remained stable for the majority of the population but could be influenced by sex. TyG levels were positively correlated with the risk of AKI development in patients following TBI. As a predictive biomarker, the TyG index enables effective risk stratification and customization of management protocols to mitigate AKI in these patients, thus enhancing clinical outcomes., Competing Interests: Declarations. Competing interests: The authors declare no competing interests. Ethical approval and consent to participate: The study protocol was approved by the Ethics Committee of Fujian Provincial Hospital(K2024-06-057). The study was conducted in accordance with the Declaration of Helsinki. The Ethics Committee of Fujian Provincial Hospital waived the requirement of written informed consent because of the non-interventional design of this study., (© 2025. The Author(s).)

Indole-fused pyridines are an important motif in pharmaceuticals and functional molecules. A visible-light induced Ru(bpy) 3 Cl 2 ·6H 2 O catalyzed radical cascade sulfonylation/cyclization strategy for the synthesis of indole-fused pyridine derivatives was developed. Diverse indole-fused pyridines bearing different functional groups were obtained in moderate to good yields. Compared with previous work, the easily accessible starting materials, molecular nitrogen as byproduct, and eco-friendly visible light as an energy source all make this transformation more sustainable and practical., Competing Interests: The authors declare no competing financial interest., (This journal is © The Royal Society of Chemistry.)

The presence of supramolecular interactions plays a crucial role in the formation of resilient multifunctional elastomers. Nevertheless, achieving elastomers with fabulous mechanical properties remains a significant challenge due to the incomplete understanding of the underlying principles. In this study, we have presented a simple yet efficient approach for manipulating the microstructure, resulting in a significant enhancement of the mechanical properties of the elastomers. By utilizing hydrophobic and hydrophilic extended chain segments to elongate a hydrophilic oligomer, we successfully created elastomers with improved toughness and stiffness through supramolecular interactions. The elastomer with hydrophobic extended chain segments demonstrates a fracture energy (94 842 J m -2 ) and high tensile stress (16 MPa). In contrast, the elastomer with hydrophilic extended segments showed significantly lower tensile stress (0.18 MPa), even though their molecular chain structures are nearly identical. We conducted a systematic demonstration and investigation of the significant difference mentioned above and ultimately found that due to the hydrophobic-hydrophilic difference between the oligomer and extended chain segments, the hydrophobic chain segments are able to create hydrophobic association and the association can further facilitate the development of stronger and more abundant supramolecular interactions (hydrogen bonds). The resulting hydrogen bonds, combined with the hydrophobic association, effectively disperse energy and consequently improve the elastomer's capacity to withstand external forces. The hydrophilic-hydrophobic mechanism showcases the potential for creating durable supramolecular materials with promising applications in biology and electronics.

Listeria monocytogenes, a pathogenic bacterium causing zoonotic diseases, necessitates the urgent search for novel anti-Listeria monocytogenes drugs due to the continuous emergence of drug-resistant bacteria. In this study, we isolated and identified a bacteriocin-producing strain CM7-4 from seawater as Bacillus velezensis through 16S rRNA sequence analysis. Moreover, we successfully purified a novel bacteriocin named PCM7-4 from Bacillus velezensis CM7-4. The molecular weight of PCM7-4 was determined to be 40,228.99 Da. Notably, PCM7-4 exhibited broad-spectrum antibacterial activity against both Gram-positive and Gram-negative bacteria with a minimum inhibitory concentration (MIC) of 5.625 μg/mL against Listeria monocytogenes specifically. It demonstrated heat resistance and high stability within the pH range of 2-12 while being sensitive to proteinase K degradation without any observed hemolytic activity. Furthermore, SEM analysis revealed that PCM7-4 effectively inhibited biofilm formation and disrupted cell membranes in Listeria monocytogenes cells. Transcriptome analysis revealed that PCM7-4 exerts an impact on genes associated with crucial metabolic pathways, encompassing the biosynthesis of secondary metabolites, phosphotransferase systems (PTS), and starch/sucrose metabolism. These findings highlight the significant potential of bacteriocin PCM7-4 for the development of effective antimicrobial interventions targeting food-borne pathogenic bacteria., Competing Interests: Declaration of Competing Interest The authors declare that they have no conflict of interest., (Copyright © 2024 Elsevier GmbH. All rights reserved.)

Cellulose paper is a flammable and hygroscopic material, which limits its application. In this paper, melamine-formaldehyde resin (MF) and silane coupling agents were used to microencapsulate ammonium polyphosphate (Si@MFAPP) in turn and added to the fibers suspension to prepare hydrophobic and flame-retardant cellulose paper. It was found that the surface of the ammonium polyphosphate (APP) was smooth with the water solubility of 0.24 g/100 mL. After microencapsulation with MF, the surface of MFAPP became rough, and the solubility was reduced to 0.1 g/100 mL. When further encapsulation with polysiloxanes, the surface showed significantly higher roughness, and a lotus leaf-like microspherical structure was formed. Specifically, its solubility decreased to 0.04 g/100 mL. In addition, the residual char weight of Si@MFAPP at 800 °C was increased from 25.27 % to 38.56 %. The water contact angle (WCA) of MFAPP/Pulp increased from 84.23° to 90.78°, and the limiting oxygen index (LOI) increased from 31.8 % to 34.1 %, meaning that the flame retardancy was obviously raised. The WCA of Si@MFAPP/Pulp enhanced to 96.45°, and the LOI was 34.5 %, meaning that the hydrophobicity was further raised. Therefore, Si@MFAPP significantly improved the flame-retardancy and hydrophobicity of the cellulose paper., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier B.V. All rights reserved.)

Immunotherapy is regarded as a potent cancer treatment, with DC vaccines playing a crucial role. Although clinical trials have demonstrated the safety and efficacy of DC vaccines, loading antigens in vitro is challenging, and their therapeutic effects remain unpredictable. Moreover, the diverse subtypes and maturity states of DCs in the body could induce both immune responses and immune tolerance, potentially affecting the vaccine's efficacy. Hence, the optimization of DC vaccines remains imperative. Our study discovered a new therapeutic strategy by using CT26 and MC38 mouse colon cancer models, as well as LLC mouse lung cancer models. The strategy involved the synergistic activation of DCs through intertumoral administration of TLR4 agonist high-mobility group nucleosome binding protein 1 (HMGN1) and TLR7/8 agonist (R848/resiquimod), combined with intraperitoneal administration of TNFR2 immunosuppressant antibody. The experimental results indicated that the combined use of HMGN1, R848, and α-TNFR2 had no effect on LLC cold tumors. However, it was effective in eradicating CT26 and MC38 colon cancer and inducing long-term immune memory. The combination of these three drugs altered the TME and promoted an increase in anti-tumor immune components. This may provide a promising new treatment strategy for colon cancer., Competing Interests: Declarations. Conflict of interest: No potential conflict of interest was reported by the authors. Ethical approval: All animal experiments have been approved by the Animal Protection and Use Committee of Guizhou Provincial People's Hospital (AIIimaD2020-005)., (© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)

Diffuse uterine leiomyomatosis (DUL) is a prevalent leiomyoma variant in women of childbearing age, characterized by a uniformly enlarged uterus with numerous interconnected small myomas. Given that most DUL patients are in their reproductive years, treatments that preserve fertility are increasingly vital. This case report introduces an innovative hysteroscopic technique that forgoes uterine distension to remove multiple submucosal fibroids in a single procedure, maintaining endometrial integrity and fertility. A 27-year-old single woman experienced prolonged and heavier menstruation. Magnetic resonance imaging (MRI) scans showed an enlarged uterus with several round-like masses in the uterine wall/submucosa. Addressing the patient's financial limitations and treatment preferences, a groundbreaking hysteroscopic surgery was performed using thoracic tissue forceps, alongside bedside ultrasonography, enabling fibroid excision without uterine distension. In total, 38 uterine fibroids were successfully excised without complications such as uterine perforation or hyponatremia. According to the FIGO classification system: three were type III, nine were type II, 15 were type I, and 11 were type 0. Postoperative follow-up indicated normalized menstrual cycles, improved hemoglobin levels, and no recurrence of fibroids. A hysteroscopic examination 1 month after surgery revealed no significant fibroids or endometrial thickening. This case report underscores the effectiveness of a novel hysteroscopic surgical approach in treating DUL. This method eliminates the need for multiple staged surgeries and the risks of endometrial damage inherent in traditional techniques. It offers a minimally invasive, fertility-preserving alternative for young DUL patients, marking a significant advancement in gynecologic surgery., (© 2024 The Author(s). International Journal of Gynecology & Obstetrics published by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics.)

A tooth-bearing mandible fossil of a colobine monkey discovered at Shuitangba, Zhaotong, Yunnan, China, was morphometrically analyzed and compared with extant Asian colobines. Our previous qualitative and quantitative descriptions indicate that it can be safely attributed to Mesopithecus pentelicus, a Miocene fossil colobine widely found in Europe and South Asia. The present research aims to explore fossil association with extant colobines and functionally propose its dietary preferences based on multivariate morphometric analyses of mandibular morphology. The results indicate that this fossil species presents a mosaic association with extant langurs (Presbytis, Trachypithecus, and Semnopithecus) and odd-nosed monkeys (Pygathrix, Nasalis, and Rhinopithecus), with most similarities of size-related traits and size-adjusted shapes, and a notable difference from extant Rhinopithecus, due to the increased body size of the latter since the Pliocene. The allometric analysis showed that, like the fossils of the same species in other sites, its mandibular structure appears more adapted to crushing hard seed shells than chewing leaves. Moreover, our findings also imply that the Asian colobines significantly modified their dietary preferences over the last 6 million years following the ecological and environmental changes triggered by the accelerated uplift of the Qinghai-Tibet Plateaus and severe monsoons. Morphologically, the more developed condyle length and moment arms of the temporomandibular joint and medial pterygoid muscles appear to accommodate a more folivorous dietary selection, functionally related to the intake of rigid fibers in leaves that require frequent one or two-side mandibular chewing and grinding., (© 2024 Wiley Periodicals LLC.)