Explore the vast range of titles available.

The root of Polygonum multiflorum Thunb （PM） has been used in China to treat a variety of diseases, such as constipation, early graying of the hair and hyperlipemia. Recent evidence shows that PM causes idiosyncratic drug-induced liver injury （IDILI） in humans. In this study, we investigated the molecular basis of PM-induced liver injury in a rat model of IDILI based on a non-hepatotoxic dose of LPS. SD rats were orally administered 3 potentially hepatotoxic compounds of PM： cis-stilbene glucoside （cis-SG, 50 mg/kg）, trans-SG （50 mg/kg） or emodin （5 mg/kg）, followed by injection of LPS （2.8 mg/kg, iv）. Serum and liver histology were evaluated 7 h after LPS injection. Among the 3 compounds tested, cis-SG, but not emodin or trans-SG, induced severe liver injury in rats when combined with LPS. The levels of AST and ALT in plasma and inflammatory cytokines in both plasma and liver tissues were markedly elevated. The liver tissues showed increased injury, hepatocyte apoptosis, and macrophage infiltration, and decreased cell proliferation. Microarray analysis revealed a negative correlation between peroxisome proliferator-activated receptor-y （PPAR-y） and LPS/cis-SG-induced liver injury. Immunohistochemical staining and RT-PCR results further confirmed that cis-SG significantly inhibited activation of the PPAR-~ pathway in the liver tissues of LPS/cis-SG-treated rats. Pre-treatment with a PPAR-y agonist pioglitazone （500 g/kg, ig） reversed LPS/ cis-SG-induced liver injury, which was associated with inhibiting the nuclear factor kappa B （NF-KB） pathway. These data demonstrate that c/s-stilbene glucoside induces immunological idiosyncratic hepatotoxicity through suppressing PPAR-γ in a rat model of IDILl.

Background Diagnostic checklists have been demonstrated to reduce errors in clinical reasoning. Building on previous validation studies, this research presents the development and clinical application of an etiology-based diagnostic framework for evaluating acute abdominal pain. The framework integrates a structured checklist of abdominal pain etiologies with a process-oriented diagnostic strategy, aiming to enhance diagnostic accuracy and clinical outcomes. This approach also serves as a potential model for the creation of diagnostic tools applicable to other symptom complexes encountered in emergency medicine. Methods A cognitive task analysis (CTA) was conducted with participation from five emergency medicine experts employing a think-aloud methodology. The experts described their diagnostic reasoning processes and queried relevant clinical data to extract foundational diagnostic principles. Based on these findings, a checklist categorizing etiologies of abdominal pain was constructed, drawing from anatomical and diagnostic considerations. The clinical utility of the checklist was evaluated through its application to a representative complex case. Results The diagnostic checklist was organized into five principal etiological categories: local organ disorders, diseases of adjacent organs, systemic diseases, psychogenic disorders, and gynecological conditions. Its implementation facilitated the accurate identification of atypical acute renal infarction in a diagnostically challenging case, enabling prompt clinical intervention. Conclusions CTA provides a robust method for modeling expert diagnostic reasoning and supports the development of structured, etiology-based diagnostic tools. This framework enhances diagnostic precision for individuals presenting with acute abdominal pain in emergency settings and may inform the development of similar tools for other clinical presentations.

ObjectivesPremature acute coronary syndrome (PACS) presents with a poor prognosis and significant risks. This study aimed to investigate the association between small-dense low-density lipoprotein cholesterol (sdLDL-C) levels and the severity of coronary lesions, as well as its potential role in risk stratification for PACS patients with multivessel disease (MVD).DesignRetrospective cross-sectional study.SettingFirst Affiliated Hospital of Xinjiang Medical University in China, between May 2022 and November 2023.Participants900 PACS patients with MVD confirmed by coronary angiography (CAG) and 600 age-matched and sex-matched controls with normal CAG results.MethodsPatients with PACS and MVD were stratified by the Global Registry of Acute Coronary Events (GRACE) score, and sdLDL-C levels were compared among the different GRACE score groups. The association between sdLDL-C and the GRACE score was evaluated using Pearson’s correlation analysis. Multivariate logistic regression analysis was employed to identify factors associated with PACS and MVD. The discriminatory ability of sdLDL-C for PACS with MVD was assessed using receiver operating characteristic (ROC) curve analysis. Restriction cubic spline (RCS) analysis was used to examine the potential nonlinear association between sdLDL-C levels and the high-risk groups of PACS with MVD.ResultsPatients with PACS and MVD exhibited significantly higher sdLDL-C levels compared with control group (p<0.0001). Multivariate logistic regression analysis identified elevated sdLDL-C as an independent factor associated with PACS and MVD (OR =1.327; 95% CI =1.258 to 1.400; p<0.0001). The area under the curve (AUC) for sdLDL-C in discriminating PACS with MVD was 0.846 (95% CI=0.826 to 0.866, with a sensitivity of 94.7% and specificity of 58.0%). Furthermore, sdLDL-C levels were significantly higher in the high-risk group than in the low-moderate risk groups (p<0.0001). A strong positive association was observed between sdLDL-C levels and the GRACE score (r=0.644; p<0.0001). The AUC of sdLDL-C for discriminating high-risk cases of PACS with MVD was 0.841 (95% CI=0.815 to 0.867, with sensitivity of 94.3% and specificity of 62.3%). The RCS curve revealed a significant nonlinear association between increasing sdLDL-C levels and the high-risk groups of PACS with MVD (p value for nonlinearity=0.006).ConclusionsElevated sdLDL-C levels demonstrated a significant association with the risk of PACS and MVD. These findings indicate sdLDL-C may serve as a potential biomarker for risk stratification in this high-risk population. However, causal inferences require validation in prospective studies.Trial registration numberChiCTR2300074166

A study on the long‐term ecological impacts of specialized behavior can provide valuable insights for biodiversity conservation and ecosystem management, particularly in the context of climate change. The endangered primate Rhinopithecus bieti in temperate forest ecosystems relies primarily on the lichen Usnea longissima as its fallback food source. To investigate whether this specialized diet sustains forest health through trophic interactions, our study employed a three‐tiered approach: (1) We first examined the impact of U. longissima on trees by comparing the health of branches covered with and without lichen. Findings reveal U. longissima exhibits harm to host trees, as lichen‐covered branches displayed significantly higher rates of dieback. (2) Using habitats with varying extinction timelines of R. bieti, we quantified how the presence of R. bieti contributes to reducing U. longissima biomass. Results showed lichen biomass tripled in habitats where the species vanished 40 years ago compared to occupied habitats. (3) We finally used controlled artificial experiments that demonstrated that R. bieti's feeding activities may enhance U. longissima dispersal and growth. Our findings suggest that R. bieti may function as a natural regulator of lichen biomass, potentially helping to prevent overgrowth that could destabilize forest health. Notably, the monkeys' foraging behavior may not only control lichen proliferation but also help to promote its regeneration. This study underscores that restoring R. bieti populations would synergistically benefit both U. longissima viability and forest resilience, advocating for integrated conservation strategies that preserve specialized ecological interactions. Due to the fact that specialized diet species face severe survival challenges in the context of climate and environmental changes, future efforts should be focused on their ecological adaptation mechanisms and improving sustainable management strategies. The endangered black‐and‐white snub‐nosed monkey (Rhinopithecus bieti) exhibits a specialized diet on the lichen Usnea longissima. We proved that the U. longissima is harmful to trees and the monkey mitigates overgrowth of the lichen, as well as promotes its regeneration to maintain population, thereby promoting ecosystem health and resilience. This finding underscores that specialized behaviors may fulfill critical ecological roles, and should be incorporated in ecosystem‐based conservation strategy.

Aconitine is attracting increasing attention for its unique positive inotropic effect on the cardiovascular system, but underlying molecular mechanisms are still not fully understood. The cardiotonic effect always requires abundant energy supplement, which is mainly related to mitochondrial function. And OPA1 has been documented to play a critical role in mitochondrial morphology and energy metabolism in cardiomyocytes. Hence, this study was designed to investigate the potential role of OPA1-mediated regulation of energy metabolism in the positive inotropic effect caused by repeated aconitine treatment and the possible mechanism involved. Our results showed that repeated treatment with low-doses (0–10 μM) of aconitine for 7 days did not induce detectable cytotoxicity and enhanced myocardial contraction in Neonatal Rat Ventricular Myocytes (NRVMs). Also, we first identified that no more than 5 μM of aconitine triggered an obvious perturbation of mitochondrial homeostasis in cardiomyocytes by accelerating mitochondrial fusion, biogenesis, and Parkin-mediated mitophagy, followed by the increase in mitochondrial function and the cellular ATP content, both of which were identified to be related to the upregulation of ATP synthase α-subunit (ATP5A1). Besides, with compound C (CC), an inhibitor of AMPK, could reverse aconitine-increased the content of phosphor-AMPK, OPA1, and ATP5A1, and the following mitochondrial function. In conclusion, this study first demonstrated that repeated aconitine treatment could cause the remodeling of mitochondrial function via the AMPK–OPA1–ATP5A1 pathway and provide a possible explanation for the energy metabolism associated with cardiotonic effect induced by medicinal plants containing aconitine.

Phytophthora capsici is a soilborne plant pathogen capable of infecting a wide range of plants, including many solanaceous crops. However, genetic resistance and fungicides often fail to manage P. capsici due to limited knowledge on the molecular biology and basis of P. capsici pathogenicity. To begin to rectify this situation, Illumina RNA-Seq was used to perform massively parallel sequencing of three cDNA samples derived from P. capsici mycelia (MY), zoospores (ZO) and germinating cysts with germ tubes (GC). Over 11 million reads were generated for each cDNA library analyzed. After read mapping to the gene models of P. capsici reference genome, 13,901, 14,633 and 14,695 putative genes were identified from the reads of the MY, ZO and GC libraries, respectively. Comparative analysis between two of samples showed major differences between the expressed gene content of MY, ZO and GC stages. A large number of genes associated with specific stages and pathogenicity were identified, including 98 predicted effector genes. The transcriptional levels of 19 effector genes during the developmental and host infection stages of P. capsici were validated by RT-PCR. Ectopic expression in Nicotiana benthamiana showed that P. capsici RXLR and Crinkler effectors can suppress host cell death triggered by diverse elicitors including P. capsici elicitin and NLP effectors. This study provides a first look at the transcriptome and effector arsenal of P. capsici during the important pre-infection stages.

Wildlife camera trap (CT) surveys typically employ two-dimensional equal-area grid sampling, which often neglects the influence of complex mountainous terrain on species distribution, potentially yielding misleading outcomes. A watershed, incorporating diverse habitats from high to low elevations and from rivers to ridges, aligns with complex mountains. Monitoring based on watersheds might address this. In southwest China’s mountain forests, under comparable sampling intensities, we contrasted the capture rate (CR), species richness, and relative abundance index (RAI) of dominant species among watershed, 1 × 1 km² grid, and elevation gradient patterns. Also, habitat factor correlations and heterogeneities were analyzed. Results reveal higher CR, species richness, and habitat heterogeneity in the watershed pattern. The elevation gradient pattern shows more stable species and RAI than the grid pattern. In small-scale mountains, topographic factors indirectly affect CT survey results via vegetation distribution. Analysis of similarities (ANOSIM) indicates significant differences in species and community among watersheds. Using watersheds as sampling units for CTs can match the mountains’ elevation differences and complex topography well, aids in capturing wildlife diversity and understanding mountain species distribution. Therefore, we recommend that the spatial sample design in mountainous areas should be based on watersheds, taking elevation gradients and topography into consideration.

This study addresses a critical challenge in global conservation: understanding how rare species contribute to ecosystem structure and resilience. The ecological role of the endangered black-and-white snub-nosed monkey in China’s temperate mountain forests was examined, with the hypothesis that its tree-shaking behavior alters forest structure and microclimates to enhance ecosystem health. To assess long-term impacts, current monkey-inhabited forests were compared with historical sites abandoned over decades, by analyzing tree gaps, forest structure, and environmental conditions. Monkeys’ canopy-disturbing actions were also directly observed. Findings revealed monkey activity created more canopy gaps (38.3% in current habitats vs. 29.9~33.5% in abandoned sites) and altered microclimate conditions, which boosted plant diversity and optimized the community’s vertical and age structures. Current forests supported nearly twice as many tree species, 2.5 times as many shrub species, and threefold more herb species than areas abandoned for 40 years. Even 20 years after monkeys disappeared, abandoned sites retained higher diversity and gaps, showing lasting ecological benefits. These results confirm the monkey’s vital role as a resilience promoter, demonstrating how rare species can shape healthier ecosystems. This highlights the need to prioritize protecting such species, as their survival not only preserves biodiversity but also sustains ecosystem functions crucial for human well-being.

Phytophthora capsici is a hemibiotrophic, phytopathogenic oomycete that infects a wide range of crops, resulting in significant economic losses worldwide. By means of a diverse arsenal of secreted effector proteins, hemibiotrophic pathogens may manipulate plant cell death to establish a successful infection and colonization. In this study, we described the analysis of the gene family encoding necrosis- and ethylene-inducing peptide 1 (Nep1)-like proteins (NLPs) in P. capsici, and identified 39 real NLP genes and 26 NLP pseudogenes. Out of the 65 predicted NLP genes, 48 occur in groups with two or more genes, whereas the remainder appears to be singletons distributed randomly among the genome. Phylogenetic analysis of the 39 real NLPs delineated three groups. Key residues/motif important for the effector activities are degenerated in most NLPs, including the nlp24 peptide consisting of the conserved region I (11-aa immunogenic part) and conserved region II (the heptapeptide GHRHDWE motif) that is important for phytotoxic activity. Transcriptional profiling of eight selected NLP genes indicated that they were differentially expressed during the developmental and plant infection phases of P. capsici. Functional analysis of ten cloned NLPs demonstrated that Pc11951, Pc107869, Pc109174 and Pc118548 were capable of inducing cell death in the Solanaceae, including Nicotiana benthamiana and hot pepper. This study provides an overview of the P. capsici NLP gene family, laying a foundation for further elucidating the pathogenicity mechanism of this devastating pathogen.

The working environment for tubing in oil and gas fields is becoming more and more serious due to the exploration of unconventional oil and gas resources, leading to the increasing need for a protective internal coating to be used in tubing. Therefore, a new mica–graphene/epoxy composite coating with different graphene contents (0.0, 0.2, 0.5, 0.7, and 1.0 wt.%) was prepared to improve the tubing resistance to a corrosive medium, an autoclave was used to simulate the working environment, and an electrochemical workstation assisted by three-electrodes was used to study the electrochemical characteristics of the coating. The results showed that the addition of a certain amount of graphene into the mica/epoxy coating significantly improved the corrosion resistance of the composite coating, and when the graphene content increased, the corrosion resistance of the mica/epoxy coating first increased and then decreased when the corrosion current density of a 35 wt.% 800# mica/epoxy coating with a 0.7 wt.% graphene content was the lowest (7.11 × 10−13 A·cm−2), the corrosion potential was the highest (292 mV), the polarization resistance was the largest (3.463 × 109 Ω·cm2), and the corrosion resistance was improved by 89.3% compared to the coating without graphene. Furthermore, the adhesion of the coating with 0.7 wt.% graphene was also the largest (8.81 MPa, increased by 3.4%) and had the smallest diffusion coefficient (1.566 × 107 cm2·s−1, decreased by 76.1%), and the thermal stability improved by 18.6%. Finally, the corrosion resistance mechanism of the composite coating with different graphene contents at different soaking times was revealed based on the electrochemistry and morphology characteristics other than water absorption and contact angle.