Normal Physiology Research Articles

SELENOI Functions as a Key Modulator of Ferroptosis Pathway in Colitis and Colorectal Cancer.

Ferroptosis plays important roles both in normal physiology and multiple human diseases. It is well known that selenoprotein named glutathione peroxidase 4 (GPX4) is a crucial regulator for ferroptosis. However, it remains unknown whether other selenoproteins responsible for the regulation of ferroptosis, particularly in gut diseases. In this study, it is observed that Selenoprotein I (Selenoi) prevents ferroptosis by maintaining ether lipids homeostasis. Specific deletion of Selenoi in intestinal epithelial cells induced the occurrence of ferroptosis, leading to impaired intestinal regeneration and compromised colonic tumor growth. Mechanistically, Selenoi deficiency causes a remarkable decrease in ether-linked phosphatidylethanolamine (ePE) and a marked increase in ether-linked phosphatidylcholine (ePC). The imbalance of ePE and ePC results in the upregulation of phospholipase A2, group IIA (Pla2g2a) and group V (Pla2g5), as well as arachidonate-15-lipoxygenase (Alox15), which give rise to excessive lipid peroxidation. Knockdown of PLA2G2A, PLA2G5, or ALOX15 can reverse the ferroptosis phenotypes, suggesting that they are downstream effectors of SELENOI. Strikingly, GPX4 overexpression cannot rescue the ferroptosis phenotypes of SELENOI-knockdown cells, while SELENOI overexpression can partially rescue GPX4-knockdown-induced ferroptosis. It suggests that SELENOI prevents ferroptosis independent of GPX4. Taken together, these findings strongly support the notion that SELENOI functions as a novel suppressor of ferroptosis during colitis and colon tumorigenesis.

Osteoimmunology: An Overview of the Interplay of the Immune System and the Bone Tissue in Fracture Healing

Bone healing occurs through three consecutive and interdependent phases. While the acute inflammatory response is vital to fracture healing, chronic and systemic inflammation negatively affect the healing process. The bone tissue relies heavily on the immune system for its normal physiology and turnover. The interactions are more pronounced in injury states, such as fractures and autoimmune disorders. Recently, the field of osteoimmunology, the study of the molecular interplay of the immune and skeletal systems, has gained much-needed attention to develop new therapeutic strategies to accelerate fracture healing and prevent the complications of fracture healing. This review provides an overview of the process of fracture healing and discusses the role of immune cells, their interplay with the released cytokines, and the current state of the art in the field of osteoimmunology.

Dimerization and antidepressant recognition at noradrenaline transporter.

The noradrenaline transporter has a pivotal role in regulating neurotransmitter balance and is crucial for normal physiology and neurobiology1. Dysfunction of noradrenaline transporter has been implicated in numerous neuropsychiatric diseases, including depression and attention deficit hyperactivity disorder2. Here we report cryo-electron microscopy structures of noradrenaline transporter in apo and substrate-bound forms, and as complexes with six antidepressants. The structures reveal a noradrenaline transporter dimer interface that is mediated predominantly by cholesterol and lipid molecules. The substrate noradrenaline binds deep in the central binding pocket, and its amine group interacts with a conserved aspartate residue. Our structures also provide insight into antidepressant recognition and monoamine transporter selectivity. Together, these findings advance our understanding of noradrenaline transporter regulation and inhibition, and provide templates for designing improved antidepressants to treat neuropsychiatric disorders.

Nasopharyngoscopic Evaluation of Velopharyngeal Closure During Speech.

Definitive oronasal separation through closure of the velopharyngeal (VP) sphincter is necessary for the development of normal speech and feeding. Individuals with velopharyngeal incompetence or insufficiency often exhibit hypernasal speech, poor speech intelligibility, and nasal regurgitation. Assessment of VP sphincter function using nasopharyngoscopy is a key element in identifying VP dysfunction. A foundational understanding of normal anatomy and physiology of the velopharyngeal mechanism is paramount to successful diagnosis. This includes recognition of 4 distinct VP sphincter closure patterns: coronal, sagittal, circular, and circular with Passavant's ridge. In this study, the authors showcase 2 patients with velopharyngeal competence who presented to an ear, nose, and throat clinic for nasopharyngoscopic evaluation. This study sought to demonstrate the use of nasopharyngoscopy to recognize velopharyngeal closure patterns and discuss how they may influence the surgical management of VP dysfunction.

Female Menstrual Cycle and its relation to Tridosha and Sapta Dhatu - A Literary Review

Ayurveda is the life science which specifies its two purposes very clearly, first maintenance of one’s health and second curing the diseased condition. Concepts of Ayurveda are based on Tridoshas, Sapta Dhatus and Trimala. Their balanced state is said to be the characteristic feature of a healthy individual. Beside the Doshas and Sapta Dhatus, Upadhatu also mentioned which plays a major role in individual health. Artava, the foremost of its category is the Upadhatu of Rasa Dhatu plays a significant role in reproductive health and conception. The word Artava is used for menstrual blood in Ayurveda classics. The menstrual cycle in Ayurveda is known as Rituchakra, consisting three phases which are Rajashravakala, the Ritukala and the Rituvyatita Kala and shows a time period of 28 days. The normal characteristics of Shudh Artava has been mentioned in Ayurveda classics and deviation from this characteristic are shown due to Tridosha imbalance leading to further problems in Menstrual cycle and reproduction. This abnormality has been described as Artavdushti, Yonivyapad in Ayurveda classics where they are classified on the basis of the three Doshas (Vata, Pitta, Kapha). Considering the normal physiology of menstrual cycle, the bleeding phase is facilitated by Vata dosha, whereas the time period during ovulatory/proliferative phase shows the predominance of Kapha dosha. During the luteal phase, the Pitta Dosha comes into action. Most of the discomforts, abnormalities during menstruation are the outcomes of the Doshas imbalances.

Abstract ED10-02: Identifying Collateral Vulnerabilities in the AKT pathway for Therapeutic Benefit

Abstract The PI 3-kinase (PI3K) and AKT signaling pathway plays a critical role in regulating all aspects of normal cellular physiology, and is also frequently deregulated in human pathophysiologies, most evidently in cancer and diabetes. Three AKT isoforms exist in humans encoded by distinct genes (AKT1, AKT2, AKT3), and although originally thought to function redundantly, many studies have shown that AKT isoforms have non-overlapping and unique roles in both normal physiology and disease. Similarly, genetic lesions in the PIK3CA and AKT oncogenes have been described, and many of the genes that contribute to PI3K/AKT pathway activation and also signal termination have been found to be altered in human cancers. Numerous drugs that inhibit PI3K as well AKT have been developed for therapeutic use in patients, and many of these are being evaluated in late-stage clinical trials. During the seminar, I will review the major mechanisms that contribute to AKT hyperactivation in cancer. Genetic lesions in the PI3K/AKT pathway in human cancers will also be discussed, as well as efforts to target this pathway therapeutically, including our recent efforts aimed at developing new AKT degrader compounds. I will further present new studies using CRISPR-based genome wide synthetic lethal screens to identify genes that synergize with PI3K and AKT pathway inhibition to induce a cytotoxic response in TNBC addicted to pathway hyperactivation. I will present studies on genes and mechanisms that represent collateral vulnerabilities to pathway inhibition and our efforts at designing combination therapy strategies for cancer patients with genetic aberrations in the PI3K and AKT pathway. Citation Format: A. Toker. Identifying Collateral Vulnerabilities in the AKT pathway for Therapeutic Benefit [abstract]. In: Proceedings of the 2023 San Antonio Breast Cancer Symposium; 2023 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2024;84(9 Suppl):Abstract nr ED10-02.

Exploring the Enigma: The Role of the Epithelial Protein Lost in Neoplasm in Normal Physiology and Cancer Pathogenesis.

The cytoskeleton plays a pivotal role in maintaining the epithelial phenotype and is vital to several hallmark processes of cancer. Over the past decades, researchers have identified the epithelial protein lost in neoplasm (EPLIN, also known as LIMA1) as a key regulator of cytoskeletal dynamics, cytoskeletal organization, motility, as well as cell growth and metabolism. Dysregulation of EPLIN is implicated in various aspects of cancer progression, such as tumor growth, invasion, metastasis, and therapeutic resistance. Its altered expression levels or activity can disrupt cytoskeletal dynamics, leading to aberrant cell motility and invasiveness characteristic of malignant cells. Moreover, the involvement of EPLIN in cell growth and metabolism underscores its significance in orchestrating key processes essential for cancer cell survival and proliferation. This review provides a comprehensive exploration of the intricate roles of EPLIN across diverse cellular processes in both normal physiology and cancer pathogenesis. Additionally, this review discusses the possibility of EPLIN as a potential target for anticancer therapy in future studies.

Abstract 2048: Pla2g12b Is Critical For Intestinal Lipid Absorption In Mice

We previously showed that Pla2g12bhlb218/hlb218 (Pla2g12bmt/mt) mice injected with viruses expressing mutant PCSK9, fed a western diet had significantly lower plasma lipids and fewer atherosclerotic plaques. Here, we aimed to explain mechanisms for resistance to hyperlipidemia and atherosclerosis in these mice. We performed studies in 3-month-old male and female chow fed Pla2g12bmt/mt and control mice. Dual x-ray absorptiometry did not reveal any significant differences in body weight, fat weight and fat percentage in Pla2g12bmt/mt mice compared to controls. Moreover, there were no significant differences in energy expenditure and food intake between mutant and control mice. However, these mice had significantly lower levels of plasma glucose, insulin, triglyceride, cholesterol, HDL-c, LDL-c, apoB48, and apoB100. In oral fat tolerance test Pla2g12bmt/mt mice showed significant defects in triglyceride absorption. Furthermore, these mice excreted more fecal triglyceride, but not cholesterol. Oil Red O, H & E staining, transmission electron microscopy, and quantifications of lipids in the duodenum indicated accumulation of large lipid droplets and dilated endoplasmic reticulum. These studies suggest that Pla2g12bmt/mt mice have significant defect in intestinal fat absorption. These defects were not due to reductions in apoB and MTP expression. RNA-Seq analysis of duodenal samples revealed upregulation of glycerolipid metabolism, arachidonic acid metabolism, oxidative phosphorylation, and thermogenesis. These pathways were likely upregulated to increase cellular catabolism and oxidation of accumulated lipids. Down upregulated pathways were related to pancreatic secretion, protein digestion and absorption. Despite severe defects in fat absorption, these mice maintain normal growth and physiology. These mice may serve as model to understand metabolism in hypolipidemia disorders associated with significant defects in lipid absorption such as abetalipoproteinemia and hypobetalipoproteinemia.

SLC44A4 Is the Predominant Transport System for Uptake of the Microbiota-Generated Phosphorylated Form of Vitamin B1 (Thiamin Pyrophosphate; TPP) in Colonocytes: Role in Colonocyte's Physiology

Background: Humans/mammals obtain vitamin B1 from diet and the gut-microbiota. Considerable amount of the microbiota-generated vitamin B1 exists in the form of TPP. We have previously shown that colonocytes are capable of absorbing intact TPP via a specific and effcient carrier-mediated process ( JBC 289:4405-16, 2014); we have also identified the SLC44A4 as a colonic TPP transporter (cTPPT) in both human and mouse and have characterized different aspects of its regulation and cell biology ( Plos One 14: e0224234, 2019). Little, however, is known about the relative contribution of the cTPPT toward total colonic carrier-mediated TPP uptake. Aims: To determine the relative contribution of cTPPT toward total colonic carrier-mediated TPP uptake, and to investigate the effect of its knockout/down on colonocyte's physiology. Methods: An Slc44a4 knockout (KO) mouse model was generated by crossing homozygous Slc44a4 LoxP (+/+) animals with CMV promoter-driven Cre-transgenic mice. Knocking down the SLC44A4 in human colonic epithelial CCD841 cells and in human primary differentiated colonocyte monolayers (from organ donors) was achieved using gene-specific siRNAs. [3H]-TPP was used in uptake studies. Results: Body weight and colonic length of the Slc44a4 KO mice were significantly lower than those of WT-littermates. Near complete (and specific) inhibition in colonic carrier-mediated [3H]-TPP uptake was observed in Slc44a4 KO mice compared to WT-littermates. Similarly, knocking down SLC44A4 of human CCD841 cells and that of human primary colonocyte monolayers led to significant reduction in [3H]-TPP uptake. Since colonocytes have limited ability to synthesize TPP endogenously [they express a very low level of the enzyme thiamin pyrophosphokinase; BBA 1517:320-2, 2001] and that recent genomic studies have suggested that the SLC44A4 gene could be a potential “ulcerative colitis susceptibility” gene ( Genes Immun 17:105-9, 2016), we also examined the effect of Slc44a4 KO on colonocytes physiology. Results of our RNA-seq and Ingenuity Pathway Analysis showed an increase in several genes related to chronic colitis and intestinal inflammation, and changes in genes involved in energy metabolism. Also, the Slc44a4 KO mice were found to be more susceptible to developing colitis when exposed to a low dose of dextran sodium sulfate compared to their WT-littermates. Conclusion: The SLC44A4 is the predominant/only transport system for uptake of the microbiota-generated TPP and that its loss compromise normal colonocyte's physiology. Supported by NIH grants DK-56061 & AA-018071, and VA grants 101BX001142 & IK6BX006189. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.

Differential Role for the Clock Gene, BMAL1, on Kidney Function in Male versus Female Rats

Many activities of modern life, such as social visits with friends at night, long working hours, jet lag, and shift work cause circadian rhythm disturbances, which increase the risk of renal decline and eventual disease. Chronic kidney disease (CKD) is defined by decreases in glomerular filtration rate (GFR) which is higher during the daytime and lower at night in healthy individuals. Prior studies indicate that processes critical for maintaining blood pressure ( e.g. autoregulation) contribute to this time-of-day-dependence mediated by a molecular timekeeping mechanism known as the molecular circadian clock that resides in all tissues including the kidney. We hypothesized that loss of the molecular clock would impair normal kidney physiology through misalignment of functional rhythms with normal environmental patterns associated with day and night. We used a rat model of circadian disruption to interrogate our hypothesis. Male and female brain and muscle ARNT-like protein 1 knockout (BMAL1 KO) and littermate control (CON) rats aged 12-14 weeks underwent GFR measurements using FITC-labeled sinistrin clearance at two times of the day corresponding to the dark (active) and light (inactive) periods. Following GFR measurements, rats were placed in metabolic cages with food to record water intake and urine excretion over 12h active and inactive periods. Implantable telemeters were used for 24h measurement of systolic and diastolic blood pressure, locomotor activity and body temperature. Autoregulatory behavior was assessed using the isolated juxtamedullary nephron preparation to determine afferent arteriole diameter responses to changes in perfusion pressure. Diurnal measurements of GFR revealed that male BMAL1 KO rats had a significantly lower GFR in the active period as compared to CON males (1.87±0.37 vs 2.55±0.47 ml/min/100g; 2-way ANOVA, p<0.05; n=8-9). As a result, there was no diurnal variation in the KO males as seen in the CON males (Δ GFR 0.63±0.24 vs 0.04±0.21 ml/min/100g/12h CON vs KO respectively) (Sidak post-hoc, p<0.05; n=8-9) in parallel with a lack of diurnal variation in urine volume and Na excretion. Both male (n=8) and female (n=6-9) BMAL1 KO rats also displayed a significantly lower 24h mean arterial pressure (Males; 103±1 vs 107±1 mmHg, p<0.05; Females; 110±1 vs 100±2 mmHg, p<0.05) compared to CON with diurnal variation and autoregulatory reactivity preserved. Male BMAL1 KO rats consumed significantly more water compared to CON (n=5-9, 22.5±5.4 vs 14.7±4.0 mL/12h, p<0.05) concomitant with increased urine excretion (n=5-9, 13.3±6 vs 4.2±0.8 mL/12h, p<0.05) and reduced urine osmolality (n=5-7, 967±398 vs 2140±811 mmol/kg, p<0.05) regardless of time of day. Taken together these data suggest that BMAL1 is necessary for maintaining renal functional rhythms and urine concentrating ability in a sex-dependent manner. R01 DK134562 P01 HL158500. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.

Discrete placental gene expression signatures accompany diabetic disease classifications during pregnancy

Gestational diabetes mellitus (GDM) affects up to 10% of pregnancies and is classified into subtypes GDMA1 (managed by lifestyle modifications) and GDMA2 (requiring medication). However, whether these subtypes are distinct clinical entities or more reflective of an extended spectrum of normal pregnancy endocrine physiology remains unclear. Integrated bulk RNA-sequencing (RNA-seq), single-cell RNA-sequencing (scRNA-seq), and spatial transcriptomics harbors the potential to reveal disease gene signatures in subsets of cells and tissue microenvironments. We aimed to combine these high-resolution technologies with rigorous classification of diabetes subtypes in pregnancy. We hypothesized that differences between pre-existing Type 2 and gestational diabetes subtypes would be associated with altered gene expression profiles in specific placental cell populations. In a large case-cohort design, we compared validated cases of GDMA1, GDMA2, and type 2 diabetes (T2DM) to healthy controls by bulk RNA-seq (n=54). Quantitative analyses with RT-qPCR of presumptive genes of significant interest were undertaken in an independent and non-overlapping validation cohort of similarly well-characterized cases and controls (n=122). Additional integrated analyses of term placental single-cell, single-nuclei, and spatial transcriptomics data enabled us to determine the cellular subpopulations and niches that aligned with the GDMA1, GDMA2, and T2DM gene expression signatures at higher resolution and with greater confidence. Dimensional reduction of the bulk RNA-seq data revealed that the most common source of placental gene expression variation was the diabetic disease subtype. Relative to controls, we found 2,052 unique and significantly differentially expressed genes (-2<Log2(fold-change)>2 thresholds; q<0.05 Wald Test) among GDMA1 placental specimens, 267 among GDMA2, and 1,520 among T2DM. Several candidate marker genes (CSH1, PER1, PIK3CB, FOXO1, EGFR, IL2RB, SOD3, DOCK5, and SOGA1) were validated in an independent and non-overlapping validation cohort (q<0.05 Tukey). Functional enrichment revealed the pathways and genes most impacted for each diabetes subtype, and the degree of proximal similarity to other subclassifications. Surprisingly, GDMA1 and T2DM placental signatures were more alike by virtue of increased expression of chromatin remodeling and epigenetic regulation genes, while albumin was the top marker for GDMA2 with increased expression of placental genes in the wound healing pathway. Assessment of these gene signatures in single-cell, single-nuclei, and spatial transcriptomics data revealed high specificity and variability by placental cell and microarchitecture types. For example, at the cellular and spatial (e.g., microarchitectural) levels, distinguishing features were observed in extravillous trophoblasts (GDMA1) and macrophages (GDMA2). Lastly, we utilized these data to train and evaluate four machine learning models to estimate our confidence in predicting the control or diabetes status of placental transcriptome specimens with no available clinical metadata. Consistent with the distinct association of perinatal outcome risk, placentae from GDMA1, GDMA2, and T2DM-affected pregnancies harbor unique gene signatures that can be further distinguished by altered placental cellular subtypes and microarchitectural niches.

Resuscitation Endpoints in Polytrauma Patients: Fixed or Dynamic

Abstract Shock results from insufficient oxygen delivery, leading to metabolic acidosis, inflammation, and coagulopathy. Resuscitation aims to restore normal physiology by addressing various haemodynamic, metabolic, and regional endpoints that gauge the severity of shock. While numerous endpoints exist, no universal standard applies. This review critically examines the importance of endpoints in resuscitation in the management of shock and the improvement of trauma patients’ outcomes. A thorough literature search and analysis highlighting effective endpoints in clinical practice and areas necessitating further investigation was carried out. Established markers such as serum lactate, base deficit, and pH offer valuable insights over time, although a single value may not suffice. Early controlled resuscitation in haemorrhagic shock and tailored haemostatic approaches enhance survival rates. Damage control resuscitation strategies have been proven to improve outcomes by prioritizing haemorrhage management as an additional endpoint. As trauma is a dynamic condition that changes from minute to minute based on the patient’s condition during the acute phase, it is imperative that resuscitation strategies and endpoints remain dynamic during this phase to effectively accommodate changes in the patient’s condition. This belief is supported by the wide variation in endpoints without a consensus on a single endpoint or value.

Aquaporins: Navigating the channels of cellular hydration

Aquaporin’s are water channel proteins found in all plasma membrane of various cells in all forms of life from bacteria to mammals. Around 17 mammalian aquaporin’s have been identified till date, which are classified into 3 subcategories based on their permeability. In normal physiology, AQPs serve as essential modulators of fluid transport and homeostasis in multiple organs and tissues. Altered expression of aquaporin’s is linked to numerous pathologies including fluid dysregulation, tumor metastasis and traumatic injury. Although some potential AQP modulators have been identified, challenges associated with the development of better modulators, include the suitability of the assay methods used to identify modulators and the drug ability of the target. The present review focus on aquaporin types and their altered conditions along with role of aquaporin’s in cancer and other diseases.

Single-Dose Oral Toxicity Study of Chloroform Extract of Kaffir Lime (Citrus hystrix DC.) Leaves in Wistar Rats (Rattus norvegicus Berkenhout, 1769)

Leaves of kaffir lime (Citrus hystrix) are commonly used as a seasoning in various Indonesian and Southeast Asian dishes. Phytochemical studies reported various secondary metabolites that possess medicinal properties. Before exploring their potential as therapeutic agent, a series of toxicity studies must be conducted to assess the toxicity and safety levels. This research aimed to study the single-dose acute oral toxicity of chloroform extract of kaffir lime leaves (CECHL) in female Wistar rats (Rattus norvegicus) as experimental animals. The procedure followed OECD Test Guideline No.420 with the dose 2000 mg/kg bw for 14 days (Sighting study). Parameters consisted of mortality, clinical signs of sublethal effect based on changes in general appearance and daily activity/behavior, hematological profile, and blood clinical biochemistry. Neither mortality nor sublethal effects were found during the experiment. All blood parameter values (erythrocytes, leukocytes, thrombocytes, ALT, AST, creatinine, BUN, glucose, cholesterol, and triglycerides) were within reference interval, indicating that CECHL is not harmful to normal physiology. In conclusion, single-dose oral administration of CECHL is safe, no-observed-adverse-effect-level (NOAEL) at dose 2000 mg/kg bw or included in Category 5 based on the Globally Harmonized System of Classification and Labeling of Chemicals (GHS).

CASE REPORT: INFERTILITY IN TWO DAIRY GOATS

Two female goats with infertility were reported in December during the breeding season. Both patients showed normal physiology on the day of presentation. Patient A, a 2.5-year-old primiparous lactating alpine with a history of blurred signs of estrous behavior, refused to mate with a buck since the breeding season in August. Patient B, a 2-year-old nulliparous alpine, failed to conceive after three times of natural mating and did not return to estrus. Two protocols of estrus synchronization were prescirbed for each patient and the changes of progesterone (P4) profile were monitored. Hormones integrating eCG (400 IU) plus hCG (200 IU) on Day 1, GnRH (0.1[Formula: see text]mg gonadorelin) on Day 6, PGF2[Formula: see text] (0.125[Formula: see text]mg clopostenol sodium) on Day 13, and eCG (400 IU) plus hCG (200 IU) on Day 14 were used in patient A. The increasing P4 concentrations from 0.16[Formula: see text]ng/mL to 24.14[Formula: see text]ng/mL during the treatment course were detected, then an estrous induction was performed, followed by natural mating with a buck for 2 days. Pregnancy was confirmed by abdominal ultrasonography 50 days after mating. Patient B failed to respond to the treatment of 5 consecutive injections of GnRH (a total of 0.5[Formula: see text]mg gonadorelin) as all the P4 values were less than 1[Formula: see text]ng/mL. Furthermore, vaginal speculum revealed a stenosis of vagina, possibly elucidating a case of infertility in this young goat. Our results demonstrated that an eCG-based protocol without pretreatment of progesterone was beneficial to help restore cyclicity for breeding in an alpine goat with seasonal anestrus.

Extracellular Vesicles in Pathophysiology: A Prudent Target That Requires Careful Consideration.

Extracellular vesicles (EVs) are membrane-bound particles released by cells to perform multitudes of biological functions. Owing to their significant implications in diseases, the pathophysiological role of EVs continues to be extensively studied, leading research to neglect the need to explore their role in normal physiology. Despite this, many identified physiological functions of EVs, including, but not limited to, tissue repair, early development and aging, are attributed to their modulatory role in various signaling pathways via intercellular communication. EVs are widely perceived as a potential therapeutic strategy for better prognosis, primarily through utilization as a mode of delivery vehicle. Moreover, disease-associated EVs serve as candidates for the targeted inhibition by pharmacological or genetic means. However, these attempts are often accompanied by major challenges, such as off-target effects, which may result in adverse phenotypes. This renders the clinical efficacy of EVs elusive, indicating that further understanding of the specific role of EVs in physiology may enhance their utility. This review highlights the essential role of EVs in maintaining cellular homeostasis under different physiological settings, and also discusses the various aspects that may potentially hinder the robust utility of EV-based therapeutics.

Hypoxia delays steroid-induced developmental maturation in Drosophila by suppressing EGF signaling.

Animals often grow and develop in unpredictable environments where factors like food availability, temperature, and oxygen levels can fluctuate dramatically. To ensure proper sexual maturation into adulthood, juvenile animals need to adapt their growth and developmental rates to these fluctuating environmental conditions. Failure to do so can result in impaired maturation and incorrect body size. Here we describe a mechanism by which Drosophila larvae adapt their development in low oxygen (hypoxia). During normal development, larvae grow and increase in mass until they reach critical weight (CW), after which point a neuroendocrine circuit triggers the production of the steroid hormone ecdysone from the prothoracic gland (PG), which promotes maturation to the pupal stage. However, when raised in hypoxia (5% oxygen), larvae slow their growth and delay their maturation to the pupal stage. We find that, although hypoxia delays the attainment of CW, the maturation delay occurs mainly because of hypoxia acting late in development to suppress ecdysone production. This suppression operates through a distinct mechanism from nutrient deprivation, occurs independently of HIF-1 alpha and does not involve dilp8 or modulation of Ptth, the main neuropeptide that initiates ecdysone production in the PG. Instead, we find that hypoxia lowers the expression of the EGF ligand, spitz, and that the delay in maturation occurs due to reduced EGFR/ERK signaling in the PG. Our study sheds light on how animals can adjust their development rate in response to changing oxygen levels in their environment. Given that hypoxia is a feature of both normal physiology and many diseases, our findings have important implications for understanding how low oxygen levels may impact animal development in both normal and pathological situations.

On the heart rhythm analysis using a nonlinear dynamics perspective: analytical study and electronic simulation

Biological systems are highly complex, so understanding them requires extensive analysis. Cardiac rhythms are one such analysis. These rhythms are linked to a complex dynamic system defined on the basis of the electrical activity of cardiac cells. This electrical activity is essential to human physiology, defining numerous behaviours that include normal or pathological rhythms, generally measured by the electrocardiogram (ECG). This article presents a mathematical model to describe the electrical activity of the heart, using a nonlinear dynamics perspective. The stability analysis of this model in its autonomous state, uni-directionally coupled, shows a very rich dynamical behaviour characterized by periodical regions of stability and unstability. The model studied makes it possible to construct synthetic ECGs. These ECGs demonstrate a variety of responses, including normal and pathological rhythms: ventricular flutter, ventricular fibrillation, ventricular tachycardia and ventricular extrasystole. A quantitative analysis of the model is also carried out using bifurcation diagrams and the corresponding maximum Lyapunov exponents. In addition, variations in sinus rhythm are described by a time-dependent frequency (a dynamic variable varying in a disordered manner or following a given law), representing transient disturbances. This type of situation can represent transitions between different pathological behaviours or between normal and pathological physiologies. In this respect, the perspective of nonlinear dynamics is used to describe cardiac rhythms, which makes it possible to represent normal or pathological behaviours. An electronic simulation performed with the OrCAD-Pspice software for a real implementation of the cardiac system is carried out. The results obtained are in agreement with those obtained numerically.

Identification and validation of an anoikis-related genes signature for prognostic implication in papillary thyroid cancer.

Thyroid cancer, notably papillary thyroid cancer (PTC), is a global health concern with increasing incidence. Anoikis, a regulator of programmed cell death, is pivotal in normal physiology and, when dysregulated, can drive cancer progression and metastasis. This study explored the impact of anoikis on PTC prognosis. Analyzing data from GEO, TCGA, and GeneCards, we identified a prognostic signature consisting of six anoikis-related genes (ARGs): EZH2, PRKCQ, CD36, INHBB, TDGF1, and MMP9. This signature independently predicted patient outcomes, with high-risk scores associated with worse prognoses. A robust predictive ability was confirmed via ROC analysis, and a nomogram achieved a C-index of 0.712. Differences in immune infiltration levels were observed between high- and low-risk groups. Importantly, the high-risk group displayed reduced drug sensitivity and poor responses to immunotherapy. This research provides insights into anoikis in PTC, offering a novel ARG signature for predicting patient prognosis and guiding personalized treatment strategies.

A review of the role of testosterone in the care of the critically ill patient.

Testosterone is an anabolic and androgenic steroid hormone therapeutically used to produce male sex characteristics. It has also been shown to have a modulating effect on proinflammatory biomarkers. Critical illness is characterised by a proinflammatory and catabolic state and is accompanied by altered testosterone production, which may persist into the recovery phase. Testosterone may, therefore be a potential therapeutic option in critical illness. This paper reviews normal testosterone physiology, and the changes seen during critical illness and systematically reviews testosterone therapy during both the acute and chronic phases of critical illness. This article explains the pathophysiology of testosterone during critical illness and explores the therapeutic value of testosterone in the management of critically ill patients.