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This study consists of a retrospective cohort study, a systematic review, and a meta-analysis which were separately conducted. This study aimed to investigate the prevalence of atlas arch defects, generate an evidence-based synthesis, and propose a common classi- fication system for the anterior and combined atlas arch defects. Atlas arch defects are well-corticated gaps in the anterior or posterior arch of the atlas. When both arches are involved, it is known as a combined arch defect. Awareness of these defects is essential for avoiding complications during surgical procedures on the upper spine. The prevalence of arch defects was investigated in an open-access OPC-Radiomics (Radiomic Biomarkers in Oropharyngeal Carcinoma) dataset comprising 606 head and neck computed tomography scans from oropharyngeal cancer patients. A systematic review and meta-analysis were performed to generate prevalence estimates of atlas arch defects and propose a classification system for the anterior and combined atlas arch defects. The posterior arch defect was found in 20 patients (3.3%) out of the 606 patients investigated. The anterior arch defect was not observed in any patient, while a combined arch defect was observed in one patient (0.2%). A meta-analysis of 13,539 participants from 14 studies, including the present study, yielded a pooled-posterior arch defect prevalence of 2.07% (95% confidence interval [CI], 1.22%-2.92%). The prevalences of anterior and combined arch defects were 0.00% (95% CI, 0.00%-0.10%) and 0.14% (95% CI, 0.04%-0.25%), respectively. The anterior and combined arch defects were classified into five subtypes based on their morphology and frequency. The present study showed that atlas arch defects were present in approximately 2% of the general population. For future studies, larger sample sizes should be used for studying arch defects to avoid the small-study effect and to predict the prevalence accurately. [ABSTRACT FROM AUTHOR]

Duchene's muscular dystrophy (DMD) is an inherited disorder in an X-linked recessive manner. Lack of dystrophin causes progressive muscle degeneration. Dystrophin structurally connects to actin filaments at the N-terminus while the C-terminus interacts with an integral domain of the dystroglycan complex. Among the associated molecules, dystrobrevin acts as a modulator protein exerting dystrophin's function for strengthening the cell stability. Previous data has reported the delayed muscle degeneration following an overexpression of the dystrobrevin (dyb) gene in the DMD-phenotype C. elegans, whose dystrophin (dys) gene was missing. This finding indicates the role of a modulator protein, rather than dystrophin, to maintain the cell integrity. The present study aims to investigate the phenotypes of C. elegans, due to dyb- or dys-deficiency. When compared with the wild-type, the dyb-deficient worms exhibited uncoordinated locomotion and lysis of the muscular layer in the body wall and internal organs as well as those observed in the dys-deficient worms. The ultrastructure of both mutant worms appeared severe muscle degeneration, decrease of the mitochondria, and replacement of fibrotic tissue, particularly the dys-mutant which was even more severe. Additionally, a shorter lifespan was observed with a 17 % reduction (p < 0.05) in dyb-deficient worms and 27 % reduction (p < 0.05) in dys-deficient worms when compared to wild-type. It is speculated that dystrobrevin may stabilize the cell through interaction with other protein complexes at the plasma membrane while it also binds to dystrophin. Therefore, the loss of dystrobrevin is also sufficient to disrupt the signaling pathway and causes muscle degeneration. [ABSTRACT FROM AUTHOR]

Saponins are secondary metabolite compounds that can be found in sea cucumbers (Holothuroidea spp.). However, little is known about how saponin‐rich extracts from Holothuria leucospilota can delay and prolong the lifespan of the whole organism. In this study, anti‐aging effects of H. leucospilota extracts were studied on Caenorhabditis elegans. NMR analysis revealed that body wall n‐butanol‐extract of H. leucospilota (BW‐BU) is saponin‐rich. BW‐BU extracts exhibited antioxidant activities by 2,2ʹ‐diphenyl‐2‐picrylhydrazyl assay (EC50 = 10.23 ± 0.12 mg/ml) and 2,2ʹ‐azino‐bis‐3‐ethylbenzthiazoline‐6‐sulphonic acid assay (EC50 = 3.91 ± 0.04 mg/ml). BW‐BU extracts increased lifespan of L4 and L1 C. elegans (5.92% and 15.76%, respectively), which also increased worm growth, stress resistance, and reduced biomarkers for aging. BW‐BU extracts activated DAF‐16 nuclear localization and upregulated daf‐16 and DAF‐16 target genes expression. Taken together, this study revealed the evidences on anti‐aging activities of saponin‐rich extracts from H. leucospilota, which can extend lifespan of C. elegans via daf‐16. Practical applications: In recent years, age‐associated chronic diseases have had a significant impact on quality of life. Many natural compounds exhibit anti‐aging activities, especially in sea cucumber, H. leucospilota. Our results indicated that H. leucospilota is good for health. Extracts from H. leucospilota contain a bioactive compound that can be potentially used to promote longevity and disease prevention in aging. [ABSTRACT FROM AUTHOR]