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17 pages, 973 KiB  
Article
Meta-Analysis of Dietary Supplementation with Seaweed in Dairy Cows: Milk Yield and Composition, Nutrient Digestibility, Rumen Fermentation, and Enteric Methane Emissions
by José Felipe Orzuna-Orzuna, Alejandro Lara-Bueno, Germán David Mendoza-Martínez, Luis Alberto Miranda-Romero, Gabriela Vázquez Silva, María Eugenia de la Torre-Hernández, Nallely Sánchez-López and Pedro Abel Hernández-García
Dairy 2024, 5(3), 464-480; https://doi.org/10.3390/dairy5030036 (registering DOI) - 3 Aug 2024
Abstract
This study used a meta-analytic approach to evaluate the effects of dietary supplementation with seaweed on milk yield, milk composition, nutrient digestibility, ruminal fermentation, and enteric methane (CH4) emissions of dairy cows. Data used in statistical analyses were obtained from 23 [...] Read more.
This study used a meta-analytic approach to evaluate the effects of dietary supplementation with seaweed on milk yield, milk composition, nutrient digestibility, ruminal fermentation, and enteric methane (CH4) emissions of dairy cows. Data used in statistical analyses were obtained from 23 peer-reviewed scientific articles. Effect size was assessed using weighted mean differences (WMD) between seaweed-supplemented and control treatments. Dietary supplementation with seaweed decreased (p < 0.05) dry matter intake, milk protein content, milk urea nitrogen, and somatic cell count. In contrast, milk fat content, milk lactose content, and milk iodine increased (p < 0.05) in response to dietary supplementation with seaweed. Dietary supplementation with seaweed did not affect (p > 0.05) nutrient digestibility, total volatile fatty acids, acetate, and propionate. Dietary supplementation with seaweeds increased (p < 0.05) ruminal pH and ruminal concentration of butyrate and valerate. In contrast, lower (p < 0.05) ruminal ammonia nitrogen concentration, acetate/propionate ratio, daily CH4 emission, CH4 yield, and CH4 intensity were observed in response to dietary supplementation with seaweeds. In conclusion, dietary supplementation with seaweed modifies milk composition, improves ruminal fermentation, and decreases enteric methane emissions without negatively affecting milk yield or feed efficiency. Full article
(This article belongs to the Section Dairy Animal Nutrition and Welfare)
14 pages, 660 KiB  
Communication
Patients with Thyroid Dyshormonogenesis and DUOX2 Variants: Molecular and Clinical Description and Genotype–Phenotype Correlation
by Noelia Baz-Redón, María Antolín, María Clemente, Ariadna Campos, Eduard Mogas, Mónica Fernández-Cancio, Elisenda Zafon, Elena García-Arumí, Laura Soler, Núria González-Llorens, Cristina Aguilar-Riera, Núria Camats-Tarruella and Diego Yeste
Int. J. Mol. Sci. 2024, 25(15), 8473; https://doi.org/10.3390/ijms25158473 (registering DOI) - 3 Aug 2024
Viewed by 146
Abstract
Thyroid dyshormonogenesis (THD) is a heterogeneous group of genetic diseases caused by the total or partial defect in the synthesis or secretion of thyroid hormones. Genetic variants in DUOX2 can cause partial to total iodination organification defects and clinical heterogeneity, from transient to [...] Read more.
Thyroid dyshormonogenesis (THD) is a heterogeneous group of genetic diseases caused by the total or partial defect in the synthesis or secretion of thyroid hormones. Genetic variants in DUOX2 can cause partial to total iodination organification defects and clinical heterogeneity, from transient to permanent congenital hypothyroidism. The aim of this study was to undertake a molecular characterization and genotype–phenotype correlation in patients with THD and candidate variants in DUOX2. A total of 31 (19.38%) patients from the Catalan Neonatal Screening Program presented with variants in DUOX2 that could explain their phenotype. Fifteen (48.39%) patients were compound heterozygous, 10 (32.26%) heterozygous, and 4 (12.90%) homozygous. In addition, 8 (26.67%) of these patients presented variants in other genes. A total of 35 variants were described, 10 (28.57%) of these variants have not been previously reported in literature. The most frequent variant in our cohort was c.2895_2898del/p.(Phe966SerfsTer29), classified as pathogenic according to reported functional studies. The final diagnosis of this cohort was permanent THD in 21 patients and transient THD in 10, according to reevaluation and/or need for treatment with levothyroxine. A clear genotype–phenotype correlation could not be identified; therefore, functional studies are necessary to confirm the pathogenicity of the variants. Full article
(This article belongs to the Special Issue Thyroid Hormone and Molecular Endocrinology)
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16 pages, 3050 KiB  
Article
Fabrication of Thermally Evaporated CuIx Thin Films and Their Characteristics for Solar Cell Applications
by Kiseok Jeon, Min-Joon Park, Sung-Min Youn, Sangwoo Lim and Chaehwan Jeong
Coatings 2024, 14(8), 975; https://doi.org/10.3390/coatings14080975 - 2 Aug 2024
Viewed by 148
Abstract
Carrier-selective contacts (CSCs) for high-efficiency heterojunction solar cells have been widely studied due to their advantages of processing at relatively low temperatures and simple fabrication processes. Transition metal oxide (TMO) (e.g., molybdenum oxide, vanadium oxide, and tungsten oxide) thin films are widely used [...] Read more.
Carrier-selective contacts (CSCs) for high-efficiency heterojunction solar cells have been widely studied due to their advantages of processing at relatively low temperatures and simple fabrication processes. Transition metal oxide (TMO) (e.g., molybdenum oxide, vanadium oxide, and tungsten oxide) thin films are widely used as hole-selective contacts (HSCs, required work function for Si solar cells > 5.0 eV). However, when TMO thin films are used, difficulties are faced in uniform deposition. In this study, we fabricated a copper (I) iodide (CuI) thin film (work function > 5.0 eV) that remained relatively stable during atmospheric exposure compared with TMO thin films and employed it as an HSC layer in an n-type Si solar cell. To facilitate efficient hole collection, we conducted iodine annealing at temperatures of 100–180 °C to enhance the film’s electrical characteristics (carrier density and carrier mobility). Subsequently, we fabricated CSC Si solar cells using the annealed CuIx layer, which achieved an efficiency of 6.42%. Full article
(This article belongs to the Special Issue Optical Coatings: From Materials to Applications)
17 pages, 335 KiB  
Review
Salt Reduction and Iodine Fortification Policies Are Compatible: Perspectives for Public Health Advocacy
by Jessica Rigutto-Farebrother and Michael B. Zimmermann
Nutrients 2024, 16(15), 2517; https://doi.org/10.3390/nu16152517 - 1 Aug 2024
Viewed by 293
Abstract
Cardiovascular diseases account for almost 18 million deaths annually, the most of all non-communicable diseases. The reduction of dietary salt consumption is a modifiable risk factor. The WHO recommends a daily sodium intake of <2000 mg but average consumption exceeds this in many [...] Read more.
Cardiovascular diseases account for almost 18 million deaths annually, the most of all non-communicable diseases. The reduction of dietary salt consumption is a modifiable risk factor. The WHO recommends a daily sodium intake of <2000 mg but average consumption exceeds this in many countries globally. Strategies proposed to aid effective salt reduction policy include product reformulation, front of pack labelling, behavioural change campaigns and establishing a low-sodium-supportive environment. Yet, salt for household and processed food use is, in countries wholly or partially adopting a universal salt iodisation policy, the principal vehicle for population-wide iodine fortification. With salt reduction policies in place, there is concern that iodine deficiency disorders may re-emerge. Recognising the urgency to tackle the rising prevalence of NCDs yet not risk the re-emergence and detrimental effect of inadequate iodine intakes, this review lays out the feasibility of integrating both salt reduction and salt iodine fortification strategies. Reducing the burden of health risks associated with an excessive sodium intake or inadequate iodine through population-tailored, cost-effective strategies involving salt is both feasible and achievable, and represents an opportunity to improve outcomes in public health. Full article
(This article belongs to the Special Issue Iodine Fortification in Food Production and Human Health)
24 pages, 1684 KiB  
Review
Emerging Head and Neck Tumor Targeting Contrast Agents for the Purpose of CT, MRI, and Multimodal Diagnostic Imaging: A Molecular Review
by Jonathan M. Neilio and Daniel T. Ginat
Diagnostics 2024, 14(15), 1666; https://doi.org/10.3390/diagnostics14151666 - 1 Aug 2024
Viewed by 178
Abstract
Background. The diagnosis and treatment of head and neck tumors present significant challenges due to their infiltrative nature and diagnostic hindrances such as the blood–brain barrier. The intricate anatomy of the head and neck region also complicates the clear identification of tumor boundaries [...] Read more.
Background. The diagnosis and treatment of head and neck tumors present significant challenges due to their infiltrative nature and diagnostic hindrances such as the blood–brain barrier. The intricate anatomy of the head and neck region also complicates the clear identification of tumor boundaries and assessment of tumor characteristics. Aim. This review aims to explore the efficacy of molecular imaging techniques that employ targeted contrast agents in head and neck cancer imaging. Head and neck cancer imaging benefits significantly from the combined advantages of CT and MRI. CT excels in providing swift, high-contrast images, enabling the accurate localization of tumors, while MRI offers superior soft tissue resolution, contributing to the detailed evaluation of tumor morphology in this region of the body. Many of these novel contrast agents have integration of dual-modal, triple-modal, or even dual-tissue targeting imaging, which have expanded the horizons of molecular imaging. Emerging contrast agents for the purpose of MRI and CT also include the widely used standards in imaging such as gadolinium and iodine-based agents, respectively, but with peptide, polypeptide, or polymeric functionalizations. Relevance for patients. For patients, the development and use of these targeted contrast agents have potentially significant implications. They benefit from the enhanced accuracy of tumor detection and characterization, which are critical for effective treatment planning. Additionally, these agents offer improved imaging contrast with the added benefit of reduced toxicity and bioaccumulation. The summarization of preclinical nanoparticle research in this review serves as a valuable resource for scientists and students working towards advancing tumor diagnosis and treatment with targeted contrast agents. Full article
(This article belongs to the Special Issue Advances in Diagnostic Imaging of Head and Neck Tumors: 2nd Edition)
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20 pages, 1167 KiB  
Review
The Role of Nutrition on Thyroid Function
by Anna-Mariia Shulhai, Roberta Rotondo, Maddalena Petraroli, Viviana Patianna, Barbara Predieri, Lorenzo Iughetti, Susanna Esposito and Maria Elisabeth Street
Nutrients 2024, 16(15), 2496; https://doi.org/10.3390/nu16152496 - 31 Jul 2024
Viewed by 614
Abstract
Thyroid function is closely linked to nutrition through the diet–gut–thyroid axis. This narrative review highlights the influence of nutritional components and micronutrients on thyroid development and function, as well as on the gut microbiota. Micronutrients such as iodine, selenium, iron, zinc, copper, magnesium, [...] Read more.
Thyroid function is closely linked to nutrition through the diet–gut–thyroid axis. This narrative review highlights the influence of nutritional components and micronutrients on thyroid development and function, as well as on the gut microbiota. Micronutrients such as iodine, selenium, iron, zinc, copper, magnesium, vitamin A, and vitamin B12 influence thyroid hormone synthesis and regulation throughout life. Dietary changes can alter the gut microbiota, leading not just to dysbiosis and micronutrient deficiency but also to changes in thyroid function through immunological regulation, nutrient absorption, and epigenetic changes. Nutritional imbalance can lead to thyroid dysfunction and/or disorders, such as hypothyroidism and hyperthyroidism, and possibly contribute to autoimmune thyroid diseases and thyroid cancer, yet controversial issues. Understanding these relationships is important to rationalize a balanced diet rich in essential micronutrients for maintaining thyroid health and preventing thyroid-related diseases. The synthetic comprehensive overview of current knowledge shows the importance of micronutrients and gut microbiota for thyroid function and uncovers potential gaps that require further investigation. Full article
(This article belongs to the Special Issue Mineral Nutrition on Human Health and Disease)
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22 pages, 2350 KiB  
Review
Brachytherapy in Brain Metastasis Treatment: A Scoping Review of Advances in Techniques and Clinical Outcomes
by Sandra Leskinen, Netanel Ben-Shalom, Jason Ellis, David Langer, John A. Boockvar, Randy S. D’Amico and A. Gabriella Wernicke
Cancers 2024, 16(15), 2723; https://doi.org/10.3390/cancers16152723 - 31 Jul 2024
Viewed by 225
Abstract
Brain metastases pose a significant therapeutic challenge in the field of oncology, necessitating treatments that effectively control disease progression while preserving neurological and cognitive functions. Among various interventions, brachytherapy, which involves the direct placement of radioactive sources into or near tumors or into [...] Read more.
Brain metastases pose a significant therapeutic challenge in the field of oncology, necessitating treatments that effectively control disease progression while preserving neurological and cognitive functions. Among various interventions, brachytherapy, which involves the direct placement of radioactive sources into or near tumors or into the resected cavity, can play an important role in treatment. Current literature describes brachytherapy’s capacity to deliver targeted, high-dose radiation while minimizing damage to adjacent healthy tissues—a crucial consideration in the choice of treatment modality. Furthermore, advancements in implantation techniques as well as in the development of different isotopes have expanded its efficacy and safety profile. This review delineates the contemporary applications of brachytherapy in managing brain metastases, examining its advantages, constraints, and associated clinical outcomes, and provides a comprehensive understanding of advances in the use of brachytherapy for brain metastasis treatment, with implications for improved patient outcomes and enhanced quality of life. Full article
(This article belongs to the Special Issue Advances in Brachytherapy in the Treatment of Tumors)
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21 pages, 7688 KiB  
Article
System Design of Ocean Temperature Measurement System Using Brillouin Lidar Based on Dual Iodine Cells
by Fu Yang, Wenhao Chen, Luqiang Liang, Chunqi Fang and Yan He
Remote Sens. 2024, 16(15), 2748; https://doi.org/10.3390/rs16152748 - 27 Jul 2024
Viewed by 208
Abstract
Ocean temperature profile information plays a key role in understanding the marine environment. The passive remote-sensing technique can provide sea surface temperature measurements over large areas. However, it is sensitive to the atmospheric environment and cannot provide seawater temperature profile information. The lidar [...] Read more.
Ocean temperature profile information plays a key role in understanding the marine environment. The passive remote-sensing technique can provide sea surface temperature measurements over large areas. However, it is sensitive to the atmospheric environment and cannot provide seawater temperature profile information. The lidar technique is the only way to carry out seawater temperature profile measurements over large areas. However, it is insufficient for measuring speed, the receiving field, stability, spectral integrity, simple system structures, and so on. Therefore, we propose a Brillouin lidar method combining two iodine cells at different temperatures to realize temperature measurements, where one iodine cell is used as a filter to absorb the elastic scattering and the other as an edge detection discriminator to obtain the seawater temperature measurement. The system has a fast measurement speed, a large receiving field, a simple system structure, and high stability. The system feasibility was verified via principle simulation and real iodine absorption curve measurements. For an ocean temperature of [5 °C, 15 °C], a laser wavelength of 532.10495 nm was more appropriate, corresponding to the iodine pool temperature combinations of 50 °C and 78 °C. For an ocean temperature of [15 °C, 32 °C], a laser wavelength of 532.10518 nm was more appropriate, corresponding to the iodine cell temperature combinations of 60 °C and 78 °C. When the laser intensity reached a measurement precision of 1‰, the temperature could be predicted with an accuracy of up to 0.2 K. This work shows promise as a potential solution for seawater temperature profile measurement. Full article
(This article belongs to the Special Issue Advancement in Undersea Remote Sensing II)
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24 pages, 41154 KiB  
Article
A Novel and Reliable Pixel Response Correction Method (DAC-Shifting) for Spectral Photon-Counting CT Imaging
by Navrit Johan Singh Bal, Imaiyan Chitra Ragupathy, Trine Tramm and Jasper Nijkamp
Tomography 2024, 10(7), 1168-1191; https://doi.org/10.3390/tomography10070089 - 22 Jul 2024
Viewed by 276
Abstract
Spectral photon-counting cone-beam computed tomography (CT) imaging is challenged by individual pixel response behaviours, which lead to noisy projection images and subsequent image artefacts like rings. Existing methods to correct for this either use calibration measurements, like signal-to-thickness calibration (STC), or perform a [...] Read more.
Spectral photon-counting cone-beam computed tomography (CT) imaging is challenged by individual pixel response behaviours, which lead to noisy projection images and subsequent image artefacts like rings. Existing methods to correct for this either use calibration measurements, like signal-to-thickness calibration (STC), or perform a post-processing ring artefact correction of sinogram data or scan reconstructions without taking the pixel response explicitly into account. Here, we present a novel post-processing method (digital-to-analogue converter (DAC)-shifting) which explicitly measures the current pixel response using flat-field images and subsequently corrects the projection data. The DAC-shifting method was evaluated using a repeat series of the spectral photon-counting imaging (Medipix3) of a phantom with different density inserts and iodine K-edge imaging. The method was also compared against polymethyl methacrylate (PMMA)-based STC. The DAC-shifting method was shown to be effective in correcting individual pixel responses and was robust against detector instability; it led to a 47.4% average reduction in CT-number variation in homogeneous materials, with a range of 40.7–55.6%. On the contrary, the STC correction showed varying results; a 13.7% average reduction in CT-number variation, ranging from a 43.7% increase to a 45.5% reduction. In K-edge imaging, DAC-shifting provides a sharper attenuation peak and more uniform CT values, which are expected to benefit iodine concentration quantifications. Full article
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22 pages, 971 KiB  
Review
Traditional Chinese Medicine for Hashimoto’s Thyroiditis: Focus on Selenium and Antioxidant Phytochemicals
by Sheng Huang, Panos G. Ziros, Dionysios V. Chartoumpekis, Georgios Psarias, Leonidas Duntas, Xinhe Zuo, Xinyi Li, Zhiguo Ding and Gerasimos P. Sykiotis
Antioxidants 2024, 13(7), 868; https://doi.org/10.3390/antiox13070868 - 19 Jul 2024
Viewed by 516
Abstract
Hashimoto’s thyroiditis (HT) is not only the most frequent autoimmune thyroid disease (AITD), but it also has a significant impact on patients’ health-related quality of life (HRQoL), and it has been variably associated with differentiated thyroid carcinoma. Even though its pathogenesis is still [...] Read more.
Hashimoto’s thyroiditis (HT) is not only the most frequent autoimmune thyroid disease (AITD), but it also has a significant impact on patients’ health-related quality of life (HRQoL), and it has been variably associated with differentiated thyroid carcinoma. Even though its pathogenesis is still incompletely understood, oxidative stress is believed to play an important role. Hypothyroidism related to later stages of HT can be treated with levothyroxine substitution therapy; various approaches such as selenium supplementation and iodine-restricted diets have been proposed as disease-modifying treatments for earlier stages, and even thyroidectomy has been suggested for refractory cases of painful HT. Nevertheless, many patients still report suboptimal HRQoL, highlighting an unmet medical need in this area. The concepts and approaches of traditional Chinese medicine (TCM) in treating HT are not broadly known in the West. Here, we provide an overview of TCM for HT, including combinations of TCM with selenium. We encompass evidence from clinical trials and other studies related to complex TCM prescriptions, single herbs used in TCM, and phytochemicals; wherever possible, we delineate the probable underlying molecular mechanisms. The findings show that the main active components of TCM for HT have commonly known or presumed antioxidant and anti-inflammatory activities, which may account for their potential utility in HT. Further exploring the practices of TCM for HT and combining them with evidence- and mechanism-based approaches according to Western standards may help to identify new strategies to alter the clinical course of the disease and/or to treat patients’ symptoms better and improve their HRQoL. Full article
(This article belongs to the Special Issue Oxidative-Stress in Human Diseases—3rd Edition)
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10 pages, 992 KiB  
Article
Establishing a Foundation for the In Vivo Visualization of Intravascular Blood with Photon-Counting Technology in Spectral Imaging in Cranial CT
by Anna Klempka, Philipp Neumayer, Alexander Schröder, Eduardo Ackermann, Svetlana Hetjens, Sven Clausen and Christoph Groden
Diagnostics 2024, 14(14), 1561; https://doi.org/10.3390/diagnostics14141561 - 19 Jul 2024
Viewed by 340
Abstract
Background: Advances in computed tomography (CT) technology, particularly photon-counting CT (PCCT), are reshaping the possibilities for medical imaging. PCCT in spectral imaging enables the high-resolution visualization of tissues with material-specific accuracy. This study aims to establish a foundational approach for the in vivo [...] Read more.
Background: Advances in computed tomography (CT) technology, particularly photon-counting CT (PCCT), are reshaping the possibilities for medical imaging. PCCT in spectral imaging enables the high-resolution visualization of tissues with material-specific accuracy. This study aims to establish a foundational approach for the in vivo visualization of intracranial blood using PCCT, focusing on non-enhanced imaging techniques and spectral imaging capabilities. Methods: We employed photon-counting detector within a spectral CT framework to differentiate between venous and arterial intracranial blood. Our analysis included not only monoenergetic +67 keV reconstructions, but also images from virtual non-contrast and iodine phases, enabling detailed assessments of blood’s characteristics without the use of contrast agents. Results: Our findings demonstrate the ability of PCCT to provide clear and distinct visualizations of intracranial vascular structures. We quantified the signal-to-noise ratio across different imaging phases and found consistent enhancements in image clarity, particularly in the detection and differentiation of arterial and venous blood. Conclusion: PCCT offers a robust platform for the non-invasive and detailed visualization of intravascular intracranial blood. With its superior resolution and specific imaging capabilities, PCCT lays the groundwork for advancing clinical applications and research, notably in the diagnosis and management of intracranial disorders. This technology promises to improve diagnostic accuracy by enabling more precise imaging assessments. Full article
(This article belongs to the Special Issue Recent Advances in Computed Tomography Imaging for Clinical Diagnosis)
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11 pages, 2471 KiB  
Article
Improvement of Breast Cancer Detection Using Dual-Layer Spectral CT
by Felix Christian Hasse, Athanasios Giannakis, Eckhard Wehrse, Wolfram Stiller, Markus Wallwiener, Hans-Ulrich Kauczor, Tim F. Weber, Jörg Heil and Theresa Mokry
Diagnostics 2024, 14(14), 1560; https://doi.org/10.3390/diagnostics14141560 - 19 Jul 2024
Viewed by 397
Abstract
This study aimed to investigate the diagnostic performance of breast mass detection on monoenergetic image data at 40 keV (MonoE40) and on iodine maps (IM) compared with conventional image data (CI). In this prospective single-center case-control study, 50 breast cancer patients were examined [...] Read more.
This study aimed to investigate the diagnostic performance of breast mass detection on monoenergetic image data at 40 keV (MonoE40) and on iodine maps (IM) compared with conventional image data (CI). In this prospective single-center case-control study, 50 breast cancer patients were examined using contrast-enhanced dual-layer spectral CT. For qualitative and quantitative comparison of MonoE40 and IM with CI image data, four blinded, independent readers assessed 300 randomized single slices (two slices for each imaging type per case) with or without cancerous lesions for the presence of a breast mass. Detection sensitivity and specificity were calculated and readers rated their subjective diagnostic certainty. For statistical analysis of sensitivity and specificity, a paired t-test and ANOVA were used (significance level p = 0.05). A total of 50 female patients (median age 51 years, range 28–83 years) participated. IM had the highest overall scores in sensitivity and specificity for breast cancer detection, with 0.97 ± 0.06 and 0.95 ± 0.07, respectively, compared with 0.90 ± 0.04 and 0.92 ± 0.06 in CI. MonoE40 yielded a sensitivity of 0.96 ± 0.02 and specificity of 0.94 ± 0.08. All differences in sensitivity and specificity between MonoE or IM and CI were statistically significant (p < 0.001). The superiority of IM sensitivity and specificity was most pronounced in patients with dense breasts. Spectral CT improved the detection of breast cancer with higher sensitivity and specificity compared to conventional image data in our study. Full article
(This article belongs to the Special Issue Advances in the Diagnosis of Cancer/Tumors)
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25 pages, 9258 KiB  
Review
Azidoindolines—From Synthesis to Application: A Review
by Takumi Abe
Chemistry 2024, 6(4), 556-580; https://doi.org/10.3390/chemistry6040034 - 18 Jul 2024
Viewed by 423
Abstract
Azide-containing compounds, organic azides, showcases a variety of reactivities, making them highly convenient and chameleonic intermediates. An indoline derivative has been proven to be of great significance in drug discovery due to its sp3-rich property. In this context, it is interesting [...] Read more.
Azide-containing compounds, organic azides, showcases a variety of reactivities, making them highly convenient and chameleonic intermediates. An indoline derivative has been proven to be of great significance in drug discovery due to its sp3-rich property. In this context, it is interesting to perform such vigorous azidation on medicinal-relevant indoles/indolines, resulting in the production of sp3-rich azidoindolines. The potential biological activity, in combination with the sp3-rich indoline bearing the azido moiety, makes azidoindolines an attractive synthetic target for medicinal and synthetic chemists. This review describes recent advances in the synthesis and application of azidoindolines: (1) iodine-mediated azidations, (2) metal-catalyzed azidations, (3) electrochemical azidations, (4) photochemical azidations, (5) azidation using a combination of an oxidant and an azide source, and (6) nucleophilic azidation. Full article
(This article belongs to the Special Issue Future Trends in Catalytic Organic Synthesis)
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10 pages, 4728 KiB  
Communication
High-Resolution Iodine-Enhanced Micro-Computed Tomography of Intact Human Hearts for Detailed Coronary Microvasculature Analyses
by Joerg Reifart and Paul Iaizzo
J. Imaging 2024, 10(7), 173; https://doi.org/10.3390/jimaging10070173 - 18 Jul 2024
Viewed by 431
Abstract
Identifying the detailed anatomies of the coronary microvasculature remains an area of research; one needs to develop methods for non-destructive, high-resolution, three-dimensional imaging of these vessels for computational modeling. Currently employed Micro-Computed Tomography (Micro-CT) protocols for vasa vasorum analyses require organ dissection and, [...] Read more.
Identifying the detailed anatomies of the coronary microvasculature remains an area of research; one needs to develop methods for non-destructive, high-resolution, three-dimensional imaging of these vessels for computational modeling. Currently employed Micro-Computed Tomography (Micro-CT) protocols for vasa vasorum analyses require organ dissection and, in most cases, non-clearable contrast agents. Here, we describe a method developed for a non-destructive, economical means to achieve high-resolution images of the human coronary microvasculature without organ dissection. Formalin-fixed human hearts were cannulated using venogram balloon catheters, which were then fixed into the specimen’s aortic root. The canulated hearts, protected by a polyethylene bag, were placed in radiolucent containers filled with insulating polyurethane foam to reduce movement. For vasculature staining, iodine potassium iodide (IKI, Lugol’s solution; 6.3% Potassium Iodide, 4.1% Iodide) was injected. Contrast distributions were monitored using a North Star Imaging X3000 micro-CT scanner with low-radiation settings, followed by high-radiation scanning (3600 rad, 60 kV, 900 mA) for the final high-resolution imaging. We successfully imaged four intact human hearts presenting with chronic total coronary occlusions of the right coronary artery. This imaging enabled detailed analyses of the vasa vasorum surrounding stenosed and occluded segments. After imaging, the hearts were cleared of iodine and excess polyurethane foam and returned to their initial formalin-fixed state for indefinite storage. Conclusions: the described methodologies allow for the non-destructive, high-resolution micro-CT imaging of coronary microvasculature in intact human hearts, paving the way for detailed computational 3D microvascular reconstructions with a macrovascular context. Full article
(This article belongs to the Section Medical Imaging)
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18 pages, 627 KiB  
Article
Clinical and Diagnostic Features of Post-Acute COVID-19 Vaccination Syndrome (PACVS)
by Anna Katharina Mundorf, Amelie Semmler, Harald Heidecke, Matthias Schott, Falk Steffen, Stefan Bittner, Karl J. Lackner, Karin Schulze-Bosse, Marc Pawlitzki, Sven Guenther Meuth, Frank Klawonn, Jana Ruhrländer and Fritz Boege
Vaccines 2024, 12(7), 790; https://doi.org/10.3390/vaccines12070790 - 18 Jul 2024
Viewed by 5170
Abstract
Post-acute COVID-19 vaccination syndrome (PACVS) is a chronic disease triggered by SARS-CoV-2 vaccination (estimated prevalence 0.02%). PACVS is discriminated from the normal post-vaccination state by altered receptor antibodies, most notably angiotensin II type 1 and alpha-2B adrenergic receptor antibodies. Here, we investigate the [...] Read more.
Post-acute COVID-19 vaccination syndrome (PACVS) is a chronic disease triggered by SARS-CoV-2 vaccination (estimated prevalence 0.02%). PACVS is discriminated from the normal post-vaccination state by altered receptor antibodies, most notably angiotensin II type 1 and alpha-2B adrenergic receptor antibodies. Here, we investigate the clinical phenotype using a study registry encompassing 191 PACVS-affected persons (159 females/32 males; median ages: 39/42 years). Unbiased clustering (modified Jaccard index) of reported symptoms revealed a prevalent cross-cohort symptomatology of malaise and chronic fatigue (>80% of cases). Overlapping clusters of (i) peripheral nerve dysfunction, dysesthesia, motor weakness, pain, and vasomotor dysfunction; (ii) cardiovascular impairment; and (iii) cognitive impairment, headache, and visual and acoustic dysfunctions were also frequently represented. Notable abnormalities of standard serum markers encompassing increased interleukins 6 and 8 (>80%), low free tri-iodine thyroxine (>80%), IgG subclass imbalances (>50%), impaired iron storage (>50%), and increased soluble neurofilament light chains (>30%) were not associated with specific symptoms. Based on these data, 131/191 participants fit myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) and simultaneously also several other established dysautonomia syndromes. Furthermore, 31/191 participants fit none of these syndromes. In conclusion, PACVS could either be an outlier of ME/CFS or a dysautonomia syndrome sui generis. Full article
(This article belongs to the Special Issue Research on Immune Response and Vaccines: 2nd Edition)
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