Different Stages Of Maturation Research Articles

The effect of composite edible coatings on the postharvest quality of “Hass” avocado fruit treated at different harvest maturities

Edible coatings play a critical role in reducing postharvest losses during storage and supply chain of horticultural commodities. The present study evaluated the efficacy of different concentrations of moringa leaf extract (MLE) combined with carboxymethyl cellulose (CMC) edible coating in preserving the quality and extending the shelf life of “Hass” avocado. Fruit were harvested at different stages of maturity and evaluated by dry matter content. Different concentrations of moringa (8 and 16%) extracted with chilled ethanol (100%) and functionalized with CMC (5%), were used to treat the fruit. Treated fruit were then stored at 5.5 ± 1°C and 90 ± 5% RH for 28 days plus an additional 7 days at 23°C. The changes in physicochemical and biochemical fruit attributes were evaluated at weekly intervals. The application of moringa and CMC-based edible coatings preserved the phenolics, flavonoids, and antioxidant activity of “Hass” avocado. The treatments significantly (p < 0.05) reduced the loss of weight and firmness. Furthermore, treated fruits were found to have a delayed color change and reduction in sugar concentration, particularly mannoheptulose, compared to the control treatment. Therefore, edible coatings prepared by combining CMC and MLE could be the best alternative for substituting the currently used health-compromising synthetic chemicals.

A maturity model for omnichannel adoption in health care institutions

Omnichannel adoption in healthcare service has recently become widely discussed as healthcare institutions struggle to keep up with changing patient expectations and technological advances. However, the need for a standard model for addressing this issue has left many healthcare institutions working to implement effective strategies. This study aims to establish a comprehensive model to evaluate adopting an omnichannel strategy in healthcare. To this purpose, two main objectives were pursued: i) identify and describe the different stages of maturity in adopting omnichannel strategy by healthcare institutions; ii) address the gaps identified in the literature and propose a roadmap to be followed to attain greater maturity levels. This roadmap is presented to healthcare institutions based on a gap analysis done regarding the adoption of an omnichannel strategy by healthcare institutions. Thus, a survey was conducted through online questionnaires in which ten Portuguese public hospitals participated. The survey data were collected, transformed, and analyzed using statistical methods to evaluate and make the proof-of-concept of the proposed model to identify the level of maturity regarding omnichannel strategy adoption. The results showed that Portuguese institutions participating in this survey are between the early and mid-stage of omnichannel adoption. Among the participants, it was possible to identify the healthcare institution's current level and the dimensions they lagged off and should improve to reach the next level regarding adopting the omnichannel strategy. Lastly, the findings and insights obtained from the data analysis provided valuable indications regarding omnichannel strategy in Portuguese healthcare institutions that participated in this study. Guidelines and directions were provided for future research on omnichannel maturity in healthcare.

Physicochemical Characterization and Antioxidant Capacity of Açaí (Euterpe oleracea) in Ecuadorian Region

The phytochemical components and antioxidant capacity of Açaí (Euterpe oleracea) give it nutritional and bioactive characteristics with anti-cancer and anti-inflammatory properties; it is exported mainly from Brazil to various places worldwide. In Ecuador, the cultivated Euterpe oleracea variety has an abundant production that has not been used or studied in depth; because of this, it is relevant to expand the study of this fruit’s phytochemical and antioxidant properties. This paper presents the results of evaluating the concentration of antioxidants and antioxidant activity in different stages of maturation and geographical locations of the Açaí, for which samples obtained in the Ecuadorian provinces of Sucumbíos and Orellana have been evaluated. Antioxidant concentrations were determined with a UV/VIS spectrophotometer at 450–760 nm wavelengths. Antioxidant capacity was determined using the ABTS and FRAP methods. It was evidenced that the values of total polyphenols and total flavonoids decrease with increasing ripening; the opposite effect occurs with total anthocyanins that have a higher concentration in ripe fruits and evidencing an antioxidant capacity that decreases with ripening determined by both methods (FRAP and ABTS).

The Reproductive Lifespan of Ovarian Follicle.

The functional unit within mammalian ovaries is the ovarian follicle. The development of the ovarian follicle is a lengthy process beginning from the time of embryogenesis, passing through multiple different stages of maturation. The purpose of this review is to describe the most basic events in the journey of ovarian follicle development, discussing the importance of ovarian reserve and highlighting the role of several factors that affect oocyte quality and quantity during aging including hormonal, genetic and epigenetic factors. Novel, promising anti-aging strategies are also discussed.

A self-assessment maturity matrix to support large-scale change using collaborative networks in the New Zealand health system

BackgroundA maturity matrix can be a useful tool for organisations implementing large-system transformation (LST) initiatives in complex systems. Insights from implementation of a local LST initiative using collaborative networks, known as Alliances, highlighted a tool was needed to help health system leaders prompt discussions on how and where to focus their change efforts. In the New Zealand (NZ) health system, Alliances were introduced to integrate the planning and delivery of health care between primary and hospital care.MethodsThe aim of this research was to use insights from Alliance members to develop a learning tool that collaborative networks could use to assess and improve their readiness for change. We constructed a maturity matrix using the knowledge of senior NZ health system leaders, in a workshop setting. The maturity matrix was empirically tested and refined with three Alliances and with feedback from the NZ Ministry of Health Māori Health Strategy and Policy team.ResultsThe maturity matrix described the 10 key elements that had been found to support successful implementation of LST initiatives in the NZ health system, along with success indicators and different stages of maturity from beginning to excellence. Testing of the maturity matrix with three Alliances suggested that it functioned as a learning tool and stimulated collective thinking and reflection. The Māori Health Strategy and Policy team commented on the importance of such a tool to increase health system leaders’ responsiveness to improving Māori health outcomes. Comparisons with similar international matrices revealed common elements with ours. A strength of our maturity matrix is that it is specific to the NZ context and is the first practical tool to implement large-scale change in the health system that incorporates principles of the Government’s treaty with Māori, the indigenous people of NZ.ConclusionsThrough a regular self-assessment process, use of the maturity matrix may create feedback loops to support deliberate learning and knowledge sharing for senior health system leaders and collaborative networks. The maturity matrix fills an important gap in the NZ health system and contributes to implementation science literature internationally.OtherThis study was approved by the Victoria University of Wellington Human Ethics Committee (Ethics Approval Number 27,356). The research was supported by the Victoria University of Wellington research grant (222,809) and from the University of Auckland Department of Medicine research fund (H10779).

Physicochemical characterisation of a new Myrtaceae fruit native to Brazilian Cerrado

ABSTRACT A new fruit of the Myrtaceae, Eugenia bonita, was recently discovered. Its composition is unknown, which makes its physicochemical characterisation and its development profile during maturation necessary. Therefore, this work constitutes the first study aimed at determining the quality parameters and bioactive compounds of new fruit of E. bonita, at different stages of maturation. The fruits were collected in the city of Bonito de Minas, Minas Gerais in five stages of maturation and submitted for analysis of the physicochemical characteristics. The advance of maturation caused increase in all biometric characteristics of E. bonita fruits and reduction in all constituents of the proximate composition, except moisture. In addition, the ripe fruit was characterised by high water content, high acidity, and good sweetness. Moreover, there was change in the fruit color from green to yellow-orange, after maturity. In turn, although some phytochemicals have degraded during maturation, the high levels of vitamin C (61.17 mg/100 g) and total phenolics (587.92 mg GAE/100 g) in the ripe fruits characterise E. bonita as an important source of bioactive compounds. These data are of great importance to the scientific community, food industry, and popular culture since this fruit has interesting functional properties and great nutritional value.

Analysis of Chemical Changes during Maturation of Amomum tsao-ko Based on GC-MS, FT-NIR, and FT-MIR.

Amomum tsao-ko Crevost et Lemaire (A. tsao-ko) is widely grown for its high nutritional and economic value. However, the lack of a scientific harvesting and quality control system has resulted in an uneven product quality. The present study was based on A. tsao-ko from four maturity stages from the same growing area, and its chemical trends and quality were evaluated using a combination of agronomic trait analysis, spectroscopy, chromatography, chemometrics, and network pharmacology. The results showed that A. tsao-ko was phenotypically dominant in October. Spectroscopy showed that the absorbance intensity at different maturity stages showed a trend of October > September > August > July. Further chemical differences between A. tsao-ko at different stages of maturity were found by chromatography to originate mainly from alcohol, aromatic, acids, esters, hydrocarbons, ketone, heterocyclic, and aldehydes. The network pharmacology results showed that the active ingredient for the treatment of obesity was present in A. tsao-ko and had high levels in A. tsao-ko in September and October. The results of this study provide a new idea for the comprehensive evaluation of A. tsao-ko and a theoretical basis for the harvesting and resource utilization of A. tsao-ko.

Detection of dried jujube from fresh jujube with different variety and maturity after hot air drying based on hyperspectral imaging technology

The consistent quality of dried jujube has a significant impact on its economic value and consumer acceptance. Currently, the evaluation of dried jujube quality heavily relies on agricultural experts and advanced instrument analysis, which is time costly and is limited by many uncertainties. This study aims to develop a rapid and accurate method for classifying dried jujube produced from fresh jujube at different stages of maturity using hyperspectral imaging. Dried jujube samples were collected from two varieties (Zhongyang Muzao jujube and Yuanling jujube) in Hebei Province, representing two maturity stages: Kimri and Rutab. Linear partial least squares-discriminant analysis (PLS-DA), K-Nearest Neighbor (KNN) and support vector machine (SVM)algorithms were combined with six pre-processing methods. the pretreatment spectra of Area Naturalization (AN), Baseline and Multiple scattering correction (MSC) were selected for further analysis. Successive projections algorithm (SPA), Competitive adaptive reweighted sampling （CARS）and Uninformative Variables Elimination (UVE)were combined to select characteristic variables. A total of 16 characteristic variables were selected by AN-UVE-SPA-SVM model. This model achieved the highest accuracies of 96.0 % and 93.1 % in the final discriminant accuracy for the calibration and Validation sets, respectively. The hardness, soluble solid content (SSC), and moisture of two categories of dried jujube derived from fresh jujube at various stages of maturity were analyzed. The results showed that dried jujube produced from fresh jujubes at the Rutab stage were more likely to exhibit characteristics of high SSC and low hardness' compared to those produced at the Kimri stage. The partial least squares regression (PLSR) model established based on characteristic wavelengths extracted by AN-UVE-SPA showed the best results in predicting SSC and moisture. This study showcased the feasibility of identifying and classifying dried jujube using hyperspectral imaging technology, laying a solid foundation for further research in the rapid non-destructive testing of dried fruits and vegetables through the application of hyperspectral technology.

Description of the female and variation in males of the critically endangered Caledargiolestes janiceae Lieftinck, 1975 from South New Caledonia (Odonata: Zygoptera: Argiolestidae)

Caledargiolestes janiceae Lieftinck, 1975 was erected on the basis of a single not-fully mature male. Eleven years later a female was captured but never described. Despite further searching, this species was only rediscovered in early 2022 with one female and two males (immature and mature) collected. This paper provides descriptions of the female and of the male in different stages of maturity.

Targeting glucose metabolism with dichloroacetate (DCA) reduces zika virus replication in brain cortical progenitors at different stages of maturation

The underlying threat of new Zika virus (ZIKV) outbreaks remains, as no vaccines or therapies have yet been developed. In vitro research has shown that glycolysis is a key factor to enable sustained ZIKV replication in neuroprogenitors. However, neither in vivo nor clinical investigation of glycolytic modulators as potential therapeutics for ZIKV-related fetal abnormalities has been conducted. Accordingly, we tested the therapeutic potential of metabolic modulators in relevant in vitro systems comprising two pools of neuroprogenitors (NPCs), which resemble early and late stages of pregnancy. Effective doses of metabolic modulators [3.0 μM] dimethyl fumarate (DMF), [3.2 mM] dichloroacetate (DCA), and [6.3 μM] VER-246608 were determined for these cells by their effect on lactate release, pyruvate dehydrogenase (PDH) activity and cell survival. The drugs were used in a 24h pre-treatment and kept throughout ZIKV infection of NPCs. Drug effects and ZIKV replication were assessed at 24- and 56-h post-infection. In early NPCs treated with DMF, DCA and VER-246608, there was a significant reduction in the extracellular release of ZIKV potentially by PDH-mediated increased mitochondrial oxidation of glucose. Out of the three drugs, only DCA was observed to reduce viral replication in late NPCs treated with DCA. Altogether, our findings suggest that reduction of anaerobic glycolysis could be of therapeutic potential against ZIKV-related fetal abnormalities and that clinical translation should consider the use of specific glycolytic modulators over different trimesters.

Cladodes of Opuntia ficus-indica (L.) Mill. Possess Important Beneficial Properties Dependent on Their Different Stages of Maturity.

Opuntia ficus-indica (L.) Mill. belongs to the Cactaceae family and the genus Opuntia; it is a succulent plant that adapts to extreme climatic conditions. The aerial part of the plant consists of the cladodes, morphological changes of branches that appear green, are covered with thorns, and are essential to reduce excessive perspiration of water. The composition of cladodes is very varied, and the main constituents are water, fibers, polysaccharides, proteins, fatty acids, vitamins, sterols, minerals, and polyphenols. Polyphenols are responsible for many beneficial activities for human health, such as antioxidant, anti-inflammatory, anticancer, and nutritional properties. The purpose of this manuscript was to compare the properties of cladodes belonging to the same plant but with different stages of maturity. Relative extracts were tested both in vitro and on a cell line and antioxidant and anti-apoptotic properties were found. The antioxidant activity was tested by the Oxygen Radical Absorbance Capacity (ORAC) test, the 1,1-diphenyl-2-picrylhydrazil (DPPH) test, and the measurement of cellular accumulation of reactive oxygen species (ROS). Anti-apoptotic activity was evaluated by the annexin/PI assay and measurement of caspases 9 and 3 expression. The results obtained showed that the extracts considered possess antioxidant and anti-apoptotic properties. However, the different stages of maturity of cladodes are essential for the performance of both functions. In addition, important variations were made in the dissolution of the extracts that brought greater safety in their use. In conclusion, this manuscript provides further information on cladodes of Opuntia ficus-indica, which can be used as adjuvants in many human pathologies.

Development of Thai-taste maoberry (Antidesma bunius (L.) Spreng.) vegan sorbet from fruit of different maturities with added inulin: Physicochemical and antioxidant properties

Maoberry (Antidesma bunius (L.) Spreng.) is a tropical fruit popularly consumed with Thai-style chili sugar flakes containing sugar, salt, and chili to enhance its flavour, and reduce its sour and bitter taste. The present work aimed to develop a Thai-taste maoberry vegan sorbet using maoberries at different stages of maturity with added inulin, and to evaluate its physicochemical properties, total phenolic and total flavonoid contents, and antioxidant capacities. Results showed that the three different stages of maoberry maturity caused significant changes on pH, total soluble solids, mixture viscosity, overrun, and firmness of the sorbets. The antioxidant activities assessed using ferric-reducing antioxidant power (FRAP), 2,2-diphenyl-1-picrylhydrazyl (DPPH) radical scavenging, 3-ethylbenzthiazoline-6-sulphonic acid (ABTS), radical cation decolourisation, and oxygen radical absorbance capacity (ORAC) assays indicated similar trends. Black maoberry sorbet exhibited total flavonoid contents and FRAP values almost twice those of red maoberry sorbet. However, adding inulin significantly increased the melting rate of the product (p < 0.05), but improved the mixture viscosity and overrun, which are important attributes of sorbets.

The types and numbers of kinesins and dyneins transporting endocytic cargoes modulate their motility and response to tau

Organelles and vesicular cargoes are transported by teams of kinesin and dynein motors along microtubules. We isolated endocytic organelles from cells at different stages of maturation and reconstituted their motility along microtubules in vitro. We asked how the sets of motors transporting a cargo determine its motility and response to the microtubule-associated protein tau. Here, we find that phagosomes move in both directions along microtubules, but the directional bias changes during maturation. Early phagosomes exhibit retrograde-biased transport while late phagosomes are directionally unbiased. Correspondingly, early and late phagosomes are bound by different numbers and combinations of kinesins -1, -2, -3, and dynein. Tau stabilizes microtubules and directs transport within neurons. While single-molecule studies show that tau differentially regulates the motility of kinesins and dynein in vitro, less is known about its role in modulating the trafficking of endogenous cargoes transported by their native teams of motors. Previous studies showed that tau preferentially inhibits kinesin motors, which biases late phagosome transport towards the microtubule minus-end. Here, we show that tau strongly inhibits long-range, dynein-mediated motility of early phagosomes. Tau reduces forces generated by teams of dynein motors on early phagosomes and accelerates dynein unbinding under load. Thus, cargoes differentially respond to tau, where dynein-complexes on early phagosomes are more sensitive to tau inhibition than those on late phagosomes. Mathematical modeling further explains how small changes in the number of kinesins and dynein on cargoes impact the net directionality but also that cargoes with different sets of motors respond differently to tau.

Status of the reproductive system of anchovy sprat (Clupeonella engrauliformis, Borodin, 1904) in the Caspian sea

The impact of negative factors on the population of anchovy sprat (Clupeonella engrauliformis, Borodin, 1904) continues, and therefore in recent years there has been a steady downward trend in the abundance and density of the species. Research catches of anchovy sprat are declining. One of the conditions contributing to the population recovery is an optimal, without critical pathologies condition of reproductive system of individuals. The purpose of this work is to study the condition of testes and ovaries of anchovy sprat. According to the histological picture of germ cells it is possible to objectively assess the state of reproductive ability of individuals. The study was carried out using the methods of classical histology. The material was gonads of females and males sampled in the summer of 2023 in the Middle Caspian Sea. According to the results of histological study it was found that gonads have different stages of maturity (II–III, III, IV and V). The presence of direct correlations between maturity indices (gonad weight, gonadosomatic index, maturity coefficient) in individuals of both sexes was found. In females, the size of oocytes of different stages of maturity is described, and the absence of correlation between cell diameter and length and mass of the individual is revealed. Distinctive features of resorption of oocytes of III and IV stages of maturity by such characteristics as shape, color and transparency of the cell are given. The proportion of females with resorbed oocytes (67%) and the average proportion of cells with developmental abnormalities (24%) were noted. The results of this study may contribute to a better understanding of the processes occurring in the reproductive glands of male and female anchovy sprat, which is very important for fish reproduction.

Chestnut Honey Is Effective against Mixed Biofilms at Different Stages of Maturity.

The irresponsible overuse of antibiotics has increased the occurrence of resistant bacterial strains, which represents one of the biggest patient safety risks today. Due to antibiotic resistance and biofilm formation in bacteria, it is becoming increasingly difficult to suppress the bacterial strains responsible for various chronic infections. Honey was proven to inhibit bacterial growth and biofilm development, offering an alternative solution in the treatment of resistant infections and chronic wounds. Our studies included chestnut honey, valued for its high antibacterial activity, and the bacteria Pseudomonas aeruginosa, methicillin-resistant Staphylococcus aureus, and S. epidermidis, known to form multi-species biofilm communities. Minimum inhibitory concentrations (MIC) of chestnut honey were determined for each bacterial strain. Afterwards, the mixed bacterial biofilms were treated with chestnut honey at different stages of maturity (incubation times: 2, 4, 6, 12, 24 h). The extent of biofilm inhibition was measured with a crystal violet assay and demonstrated by scanning electron microscopy (SEM). As the incubation time increased and the biofilm became more mature, inhibition rates decreased gradually. The most sensitive biofilm was the combination MRSA-S. epidermidis, with a 93.5% inhibition rate after 2 h of incubation. Our results revealed that chestnut honey is suitable for suppressing the initial and moderately mature stages of mixed biofilms.

The Transformation of a Person’s Life Plans in Mature Age

Introduction. There is a dual view about the orientation of transformation of life plans in people of mature age: on the one hand, the personality goes beyond the old structures, revealing its potential for the sake of further development; on the other hand, there is the risk of a motivational crisis associated with a change in the trajectory of personality development. Our research is designed to deepen and concretize ideas about the orientation and motivation of human life plans’ transformation at different stages of maturity. Purpose. The study of the peculiarities of motivation for the life plans’ transformation in mature age.Materials and methods. In this study, 4 tests were applied: The Diagnostics of Motivational Structure of Personality test by V. E. Milman, the Index of Aspirations test by E. Desi and R. Ryan (adapted by Yu. A. Kotelnikova), the Morphological Test of Life Values (MTLV) by V. F. Sopov, L. V. Karpushina, Test for Assessing the Life and Time Prospects of a Person by N. I. Nikolskaya. The Mann-Whitney U-test was used for statistical analysis of the obtained data.Results. The study involved 160 people aged 35–55. We found out that respondents’ motivational priorities differ in general orientation – representatives of early maturity are oriented externally, whereas the motivational orientation of older respondents is rather internal. The features of emotional experiences are also revealed: in early maturity, they are sthenic and characterized by productivity, and in later maturity, they are rather asthenic, hindering activity.Discussion. Our study expands existing information about the motivational and emotional aspects of the life plans’ transformation in early and late maturity. The motivational priorities of the representatives of both age cohorts are established. In general, maturity is associated with a redefinition of the activity vector, a revision of the significance of life goals, and a transformation of plans, which leads to an expansion or change in the boundaries of the subject or the actualization of asthenic emotional experiences.

Disaggregating the influence of maturity status on training, anthropometric, performance, skeletal periphery, and hormonal factors in athletic boys

Maturity offset (i.e., age from peak height velocity [PHV]) is widely used to assess maturational status among youth athletes, but details on the skeletal periphery, hormones and training factors are lacking. More precision is also needed to explicate the timing, tempo, and sequence of growth-related events. These gaps were addressed in a cross-sectional study. One hundred and two athletic boys (aged 14.1 ± 0.5 years) were evaluated for training details, salivary testosterone and cortisol, height, body mass, body mass index, body fat, fat-free mass (FFM), hand and carpal bone area, bone mineral content (BMC) and density (BMD), and countermovement jump performance. Participants were assigned to circa-PHV (N = 56) and post-PHV (N = 46) groups for comparisons, before data pooling and disaggregation using generalized additive and linear regression models. The older post-PHV group had a larger body size, more testosterone, and better performance and skeletal outcomes, whilst weekly training and school-based exercise favored the younger circa-PHV group (all p < 0.001). Smoother plots verified these differences via linear, or weakly non-linear, associations. Maturity offset was predicted (R2 = 0.848) by the linear combination of FFM (42.0 % relative contribution), hand BMD (31.5 %), chronological age (16.0 %), testosterone (6.7 %), and training hours (3.8 %). In conclusion, athletic boys who presented at different stages of maturity (-0.98 to 2.84 years from PHV) also differed on many developmental features. Most variables increased at constant, or near-constant, tempo with a higher maturity offset, with FFM and hand BMD emerging as the strongest linear predictors of maturational status.

Activity of enzymes in the follicular fluid and outcome of in vitro fertilization.

Defining certain parameters of the oocyte microenvironment that can be simply and quickly detected and that enable differentiation of oocytes that have better or worse quality could potentially increase the efficacy of the in vitro fertilization (IVF) method. Follicular fluid represents the microenvironment for the development of oocytes during different stages of maturation. Enzymes present in the follicular fluid may affect the quality of oocytes. There are inconsistencies in the literature concerning enzyme concentration in follicular fluid. The main aim of this study was to examine whether the concentration of enzymes aspartate aminotransferase, alanine aminotransferase (ALT), alkaline phosphatase, and lactate dehydrogenase in follicular fluid can influence the outcome of IVF. The study included 120 patients who were involved in the process of IVF. We used the follicular fluid obtained after follicular aspiration in the ovaries as biological material for the analysis. The values of enzymes LDL (method-kinetic UV test), aspartate aminotransferase (method-kinetic UV test), ALT (method-kinetic UV test) and alkaline phosphatase (method-colorimetric kinetic test) in the follicular fluid were determined on the analyzer АU 680, Becman Coulter. The criteria of the Istanbul consensus of clinical embryologists were used for the embryo assessment. The software package SPSS 20 was used for the statistical processing of data. The results of follicular fluid sample analysis showed a correlation between ALT concentration in the follicular fluid and IVF outcome. Based on our results, we can conclude that ALT concentration affects the outcome of IVF.

Physicochemical characterization, ethylene and carbon dioxide production at different stages of maturity of canistel

Physicochemical characterization, ethylene and carbon dioxide production at different stages of maturity of canistel

Erythroid variant evolving from chronic myeloid leukemia resistant to multiple tyrosine kinase inhibitors: a rare case report

BackgroundChronic myeloid leukemia (CML) is characterized by the presence of BCR::ABL1 fusion gene resulting from a reciprocal translocation, t(9;22)(q34;q11.2), leading to prominent granulocytic proliferation. The majority of patients initially present in chronic phase (CP), which may progress to advanced CML with predominantly granulocytic phenotypes in the absence of proper treatment or response to tyrosine kinase inhibitors (TKIs). We present an exceptionally rare case in which an erythroid variant emerged from a CML patient resistant to multiple TKIs. This variant is characterized by the detection of t(9;22) BCR::ABL1 fusion in erythroid precursors at various maturation stages and the absence of granulocytic progenitor hyperplasia typically seen in classical CML.Case presentationA 33-year-old female with CP-CML had received multiple TKI therapies since her initial diagnosis in 2015. Due to intolerable side effects and inconsistent adherence, she exhibited an inadequate response and developed new-onset pancytopenia. Bone marrow (BM) biopsy specimen revealed a hypercellular marrow with significant erythroid hyperplasia (90% of marrow cellularity) and a reversed myeloid-to-erythroid (M: E) ratio of 1:10. Both erythroid and myeloid cells displayed progressive maturation without dysplasia or excess blasts. Chromosomal analysis identified t(9;22) (q34;q11.2) in 19 out of 20 metaphase cells. BCR::ABL1 fusion transcript (p210 isoform) was confirmed by real-time quantitative polymerase chain reaction (RT-qPCR) and next-generation sequencing (NGS). Notably, no additional pathogenic cytogenetic abnormalities or ABL1 kinase domain mutations were detected. Here, we report the first published case of an erythroid variant emerging in a CML patient resistant to multiple TKIs—a distinct entity from the erythroid blast crisis evolving from CML.ConclusionThe erythroid variant of CML is distinguished by the presence of t(9;22) (q34;q11.2) BCR::ABL1 in predominant erythroid precursors at different stages of maturation. In a myeloid neoplasm showing predominant erythroid hyperplasia without typical CML features, it is vital to correlate morphology and t(9;22) BCR::ABL1 cytogenetic testing for accurate diagnosis, and to prevent confusion with PEL transformation in CML.