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Aims/Introduction The aim of the present study was to evaluate the status of glycemic control, and assess the effects of the disease course and comprehensive management measures on the blood glucose level in children and adolescents with type 2 diabetes mellitus. Materials and Methods The study collected the clinical data of type 2 diabetes patients in Beijing Children's Hospital from January 2015 to September 2020. Patients were grouped based on the disease course to compare their glycated hemoglobin (HbA1c) level, islet β‐cell function, insulin resistance and comprehensive management measures. Results Of the 170 participants, the median disease course was 2.0 years (interquartile range [IQR] 1.0–4.0 years). The baseline HbA1c was 11.2% (IQR 9.2–12.4%). According to the grouping by the disease course, the median HbA1c was the lowest (5.7% [IQR 5.3–6.1%]) in the half‐year course group and the highest in the 4‐year course group (9.0 [IQR 6.8%–11.3%]). Compared with the group with a disease duration <2 years, patients in the >4 years group had a lower proportion of patients with HbA1c <7% (29.2% vs 66.2%), a lower homeostasis model assessment of β‐cell function, and a lower proportion with a controlled diet, moderate‐intensity exercise, regular follow up and no drug treatment. We deemed HbA1c as the dependent variable, and found that disease duration, homeostasis model assessment of β‐cell function at follow up, continuous moderate‐intensity exercise, regular review and treatment regimen were significant influencing factors for glycemic control. Conclusions Children and adolescents with type 2 diabetes and a prolonged disease course showed poor glycemic control and decreased islet β‐cell function. A good lifestyle, especially moderate‐intensity exercise, can help such cases better control their blood glucose level. So far, few studies on comprehensive type 2 diabetes management in children and adolescents in China have been analyzed, so we recruited 170 children with type 2 diabetes from Beijing Children's Hospital. The results of this study showed that with the prolongation of type 2 diabetes in children and adolescents, blood glucose control was poor and the function of islet β‐cells decreased. A good lifestyle, especially moderate exercise, can help children and adolescents better manage type 2 diabetes. Therefore, for children and adolescents with type 2 diabetes with long disease course should have strengthened diabetes education, increased compliance, and be encouraged and helped to follow a good lifestyle. In particular, these patients should be encouraged to exercise actively. Through integrated management, the quality of life of children and adolescents with diabetes can be improved.

Genomic analysis of 5,303 Chinese women with recurrent major depressive disorder (MDD) enables the identification and replication of two genome-wide significant loci contributing to risk of MDD on chromosome 10: one near the SIRT1 gene; the other in an intron of the LHPP gene. Genetic risk factors for depression This genomic analysis of more than 5,000 Chinese women with recurrent major depressive disorder (MDD) has identified and replicated two genome-wide significant loci contributing to risk of MDD on chromosome 10. One is near the sirtuin1 ( SIRT1 ) gene, and the other is in an intron of the phospholysine phosphohistidine inorganic pyrophosphate phosphatase ( LHPP ) gene. The authors suggest that the association close to SIRT1 may implicate abnormalities in mitochondria as risk factors for the disease. Major depressive disorder (MDD), one of the most frequently encountered forms of mental illness and a leading cause of disability worldwide 1 , poses a major challenge to genetic analysis. To date, no robustly replicated genetic loci have been identified 2 , despite analysis of more than 9,000 cases 3 . Here, using low-coverage whole-genome sequencing of 5,303 Chinese women with recurrent MDD selected to reduce phenotypic heterogeneity, and 5,337 controls screened to exclude MDD, we identified, and subsequently replicated in an independent sample, two loci contributing to risk of MDD on chromosome 10: one near the SIRT1 gene ( P  = 2.53 × 10 −10 ), the other in an intron of the LHPP gene ( P = 6.45 × 10 −12 ). Analysis of 4,509 cases with a severe subtype of MDD, melancholia, yielded an increased genetic signal at the SIRT1 locus. We attribute our success to the recruitment of relatively homogeneous cases with severe illness.

With the worldwide prevalence of diabetes and considering the complicated microenvironment of diabetic wounds, the design and development of innovative multifunctional wound dressing materials are much wanted for the treatment of hard-to-heal wounds in diabetic patients. In the present study, anti-inflammatory ingredients loaded with nanofibrous wound dressing materials were manufactured by a promising blend-electrospinning strategy, and their capability for treating the diabetic wound was also systematically explored. A polymer blend consisting of Chitosan (CS) and polyvinyl alcohol (PVA) was electrospun into CS-PVA nanofibrous mats as control groups. In the meanwhile, a bioactive ingredient of Chinese medicine Pulsatilla, anemoside B4(ANE), with different contents were loaded into the electrospinning solution to construct CS-PVA-ANE nanofibrous mats. The developed CS-PVA-ANE wound dressing materials exhibited multifunctional properties including prominent water absorption, biomimetic elastic mechanical properties, and sustained ANE releasing behavior, as well as outstanding hemostatic properties. The in vitro studies showed that the CS-PVA-ANE nanofiber mats could significantly suppress lipopolysaccharide (LPS)-stimulated differentiation of pro-inflammatory (M1) macrophage subsets, and notably reduce the reactive oxygen species (ROS) generation, as well as obviously decrease inflammatory cytokine release. The in vivo animal studies showed that the CS-PVA-ANE nanofiber mats promoted the healing of diabetic wounds by significantly enhancing wound closure rates, accelerating excellent angiogenesis, promoting re-epithelization and collagen matrix deposition throughout all stages of wound healing. The present study demonstrated that CS-PVA-ANE nanofiber mats could effectively shorten the wound-healing time by inhibiting inflammatory activity, which makes them promising candidates for the treatment of hard-to-heal wounds caused by diabetes.

Background Rhubarb ( Da Huang ) is an important traditional Chinese herbal medicine. The content of medicinal constituents is a key determinant of its quality. Enhancing levels of these medicinal ingredients through genetic improvement is a powerful approach to bridge the gap between surging market demand and dwindling resources, yet this strategy is currently impeded by an incomplete comprehension of the mechanism of metabolite differences in rhubarb, especially at a post-transcriptional level. Results In this study, we investigated the alternative splicing (AS) landscapes of two Rheum materials ─ QHZK and SNPL ─ which exhibit contrasting levels of anthraquinones. Different types of AS events were detected in the roots, stems, leaves, and flowers of these two Rheum materials, with alternative 3’ splice sites (A3SS) and intron retention (IR) being the most predominant AS types. A total of 2,070 genes were identified as undergoing differential alternative splicing (DAS) in different tissues between the two Rheum materials. Weighted isoform-based co-expression network analysis pinpointed multiple hub DAS candidate genes with potential roles in mRNA processing, transcription regulation, splicing, and metabolite synthesis. Conclusion This study unveils novel perspectives on the potential impact of post-transcriptional regulation on the difference of medicinal constituents in rhubarb. The newly identified isoforms of candidate genes not only enriches our understanding of the complex regulatory landscape in rhubarb, but also could be a valuable resource for the genetic improvement of the R. palmatum complex in the future.

As a core resource of traditional Chinese medicine (TCM), medicinal plants are conventionally monitored and assessed using high-cost, low-efficiency methods. Remote sensing offers an efficient technical alternative for large-scale and dynamic evaluation. This study systematically reviewed the literature from 2005 to 2025, summarized remote sensing platforms, sensors, and data analytical methods, and specifically analyzed their applications in medicinal plant resource investigation, planting monitoring, stress monitoring, and TCM quality assessment. These studies mainly focus on resource surveys and quality analysis, targeting root and rhizome herbs. Integrated satellite-, UAV-, and ground-based remote sensing enables distribution mapping, growth retrieval, stress monitoring, and non-destructive quality evaluation in medicinal plants, achieving overall accuracies ranging from 80% to 100%. Currently, remote sensing applications in medicinal plants are evolving toward space–air–ground integration, multi-source data fusion, artificial intelligence empowerment, and multi-omics integration. However, they are constrained by complex wild habitats, difficulties in monitoring root herbs, spectral confusion, and limited model generalization. Future efforts should focus on establishing an integrated monitoring network, developing full-chain quality inversion models for geo-authentic herbs, building climate-adaptive cultivation systems, creating early pest–disease warning technologies, and deepening the integration of remote sensing and multi-omics to support the sustainable utilization and high-quality development of medicinal plant resources.

Background Rhubarb is one of common traditional Chinese medicine with a diverse array of therapeutic efficacies. Despite its widespread use, molecular research into rhubarb remains limited, constraining our comprehension of the geoherbalism. Results We assembled the genome of Rheum palmatum L., one of the source plants of rhubarb, to elucidate its genome evolution and unpack the biosynthetic pathways of its bioactive compounds using a combination of PacBio HiFi, Oxford Nanopore, Illumina, and Hi-C scaffolding approaches. Around 2.8 Gb genome was obtained after assembly with more than 99.9% sequences anchored to 11 pseudochromosomes (scaffold N50 = 259.19 Mb). Transposable elements (TE) with a continuous expansion of long terminal repeat retrotransposons (LTRs) is predominant in genome size, contributing to the genome expansion of R. palmatum . Totally 30,480 genes were predicted to be protein-coding genes with 473 significantly expanded gene families enriched in diverse pathways associated with high-altitude adaptation for this species. Two successive rounds of whole genome duplication event (WGD) shared by Fagopyrum tataricum and R. palmatum were confirmed. We also identified 54 genes involved in anthraquinone biosynthesis and other 97 genes entangled in flavonoid biosynthesis. Notably, RpALS emerged as a compelling candidate gene for the octaketide biosynthesis after the key residual screening. Conclusion Overall, our findings offer not only an enhanced understanding of this remarkable medicinal plant but also pave the way for future innovations in its genetic breeding, molecular design, and functional genomic studies.

Geoherb usually represents high-quality medicinal herbs with better clinical therapeutic effects, and elucidating the geoherbalism is essential for the quality improvement of traditional Chinese Medicine. However, few researches were conducted to clarify the geoherbalism based on a large scale of transcriptomics. In the present study, we compared the transcriptomes of Rheum palmatum complex derived from top-geoherb and non-geoherb areas to show the geoherbalism properties of rhubarb. A total of 412.32 Gb clean reads were obtained with unigene numbers of 100,615 after assembly. Based on the obtained transcriptome datasets, key enzyme-encoding genes involved in the anthraquinones biosynthesis were also obtained. We also found that 21 anthraquinone-related unigenes were differentially expressed between two different groups, and some of these DEGs were correlated to the content accumulation of five free anthraquinones, indicating that the gene expression profiles may promote the geoherbalism formation of rhubarb. In addition, the selective pressure analyses indicated that most paired orthologous genes between these two groups were subject to negative selection, and only a low proportion of orthologs under positive selection were detected. Functional annotation analyses indicated that these positive-selected genes related to the functions such as gene expression, substance transport, stress response and metabolism, indicating that discrepant environment also enhanced the formation of geoherbalism. Our study not only provided insights for the genetic mechanism of geoherbalism of rhubarb, but also laid more genetic cues for the future rhubarb germplasms improvement and utilization.

Berberine has been found to inhibit the progression of depression disorder, but its specific mechanism is still unclear. MicroRNA (miRNA) is considered to play an important role in the progression of depression. However, it is unclear whether Berberine is involved in the regulation of depression progression through miRNA. The chronic unpredictable mild stress (CUMS) mice model was constructed. Mice depression behaviors were evaluated by sucrose preference test (SPT) and forced swim test (FST). Quantitative real-time PCR was employed to assess the expression of miR-34b-5p, miR-470-5p and brain-derived neurotrophic factor (BDNF). The protein expression of BDNF was examined using Western blot analysis. In addition, the viability and apoptosis of hippocampal neurons were determined using cell counting kit 8 assay, flow cytometry and TUNEL assay. The interaction between BDNF and miR-34b-5p or miR-470-5p was verified by dual-luciferase reporter assay and RNA immunoprecipitation assay. Our data indicated that Berberine could inhibit CUMS mice depression behaviors and enhance hippocampal neurons growth by targeting miR-34b-5p and miR-470-5p. In addition, we found that BDNF was a target of miR-34b-5p and miR-470-5p. Overexpressed BDNF could reverse the regulation of miR-34b-5p and miR-470-5p on CUMS mice depression behaviors and hippocampal neurons growth. Furthermore, Berberine could promote BDNF expression to regulate CUMS mice depression behaviors and hippocampal neurons growth. Berberine might inhibit the progression of depression disorder by regulating the miR-34b-5p/miR-470-5p/BDNF axis.

As a traditional Chinese medicine, rhubarb is used to treat several diseases such as severe acute pancreatitis, sepsis and chronic renal failure. However, few studies focused on the authentication of germplasm for the Rheum palmatum complex, and no studies have been conducted to elucidate the evolutionary history of the R. palmatum complex using plastome datasets. Hence, we aim to develop the potential molecular markers to identify the elite germplasms of rhubarb and explore the divergence and biogeographic history of the R. palmatum complex based on the newly sequenced chloroplast genome datasets. Chloroplast genomes of thirty-five the R. palmatum complex germplasms were sequenced, and the length ranged from 160,858 to 161,204 bp. The structure, gene content and gene order were highly conserved across all genomes. Eight InDels and sixty-one SNPs loci could be used to authenticate the high-quality germplasms of rhubarb in specific areas. Phylogenetic analysis revealed that all rhubarb germplasms were clustered in the same clade with high bootstrap support values and Bayesian posterior probabilities. According to the molecular dating result, the intraspecific divergence of the complex occurred in the Quaternary, which might be affected by climatic fluctuation. The biogeography reconstruction indicated that the ancestor of the R. palmatum complex might originate from the Himalaya-Hengduan Mountains or/and Bashan-Qinling Mountains, and then spread to surrounding areas. Several useful molecular markers were developed to identify rhubarb germplasms, and our study will provide further understanding on speciation, divergence and biogeography of the R. palmatum complex.

The role of ecological niches in lineage diversification has been the subject of long-standing interest of ecologists and evolutionary biologists. Specific responses to climate change can arise below the species level, resulting in differentiated adaptation or movement patterns within a given species. Thus, the urgent need to model potential responses to ongoing climate changes among genetically distinct populations within a species is increasingly recognized. In this study, we utilize the information of intraspecific variation within Quercus aquifolioides as a priori, and then focus on the potential distribution ranges and niche dynamics of its three intraspecific lineages (WSP, HDM, and Tibet) under current environmental conditions via ecological niche models (ENMs) and PCA-env ordination method, respectively. Our results indicated that the three lineages have occupied differentiated climatic niches. Although the three lineages have distinctly adaptive strategies for homogeneous environmental conditions, some lineages had sympatric projecting areas. The PCA-env demonstrated that the lineage pair WSP vs. HDM had the largest niche overlap while Tibet vs. HDM showed the smallest one. Moreover, the hypothesis of the niche was indistinguishable within the three lineages rejected, indicating the presence of niche divergence rather than niche conservatism below the species level. Our findings highlight the potential of modeling intraspecific responses to climate change and provide insights into lineage diversification within Q. aquifolioides, permitting the exploration of the information determined by niche evaluations and comparisons to understand plant diversification processes below the species level in biodiversity hotspots.