Recruitment Capacity Research Articles

Multi-level digital-twin models of pulmonary mechanics: correlation analysis of 3D CT lung volume and 2D Chest motion

Creating multi-level digital-twin models for mechanical ventilation requires a detailed estimation of regional lung volume. An accurate generic map between 2D chest surface motion and 3D regional lung volume could provide improved regionalisation and clinically acceptable estimates localising lung damage. This work investigates the relationship between CT lung volumes and the forced vital capacity (FVC) a surrogate of tidal volume proven linked to 2D chest motion. In particular, a convolutional neural network (CNN) with U-Net architecture is employed to build a lung segmentation model using a benchmark CT scan dataset. An automated thresholding method is proposed for image morphology analysis to improve model performance. Finally, the trained model is applied to an independent CT dataset with FVC measurements for correlation analysis of CT lung volume projection to lung recruitment capacity. Model training results show a clear improvement of lung segmentation performance with the proposed automated thresholding method compared to a typically suggested fixed value selection, achieving accuracy greater than 95% for both training and independent validation sets. The correlation analysis for 160 patients shows a good correlation ofRsquared value of 0.73 between the proposed 2D volume projection and the FVC value, which indicates a larger and denser projection of lung volume relative to a greater FVC value and lung recruitable capacity. The overall results thus validate the potential of using non-contact, non-invasive 2D measures to enable regionalising lung mechanics models to equivalent 3D models with a generic map based on the good correlation. The clinical impact of improved lung mechanics digital twins due to regionalising the lung mechanics and volume to specific lung regions could be very high in managing mechanical ventilation and diagnosing or locating lung injury or dysfunction based on regular monitoring instead of intermittent and invasive lung imaging modalities.

Three-Dimensional Printed Silk Fibroin/Hyaluronic Acid Scaffold with Functionalized Modification Results in Excellent Mechanical Strength and Efficient Endogenous Cell Recruitment for Articular Cartilage Regeneration.

Treatment of articular cartilage remains a great challenge due to its limited self-repair capability. In tissue engineering, a scaffold with both mechanical strength and regenerative capacity has been highly desired. This study developed a double-network scaffold based on natural biomaterials of silk fibroin (SF) and methacrylated hyaluronic acid (MAHA) using three-dimensional (3D) printing technology. Structural and mechanical characteristics of the scaffold was first investigated. To enhance its ability of recruiting endogenous bone marrow mesenchymal stem cells (BMSCs), the scaffold was conjugated with a proven BMSC-specific-affinity peptide E7, and its biocompatibility and capacity of cell recruitment were assessed in vitro. Animal experiments were conducted to evaluate cartilage regeneration after transplantation of the described scaffolds. The SF/HA scaffolds exhibited a hierarchical macro-microporous structure with ideal mechanical properties, and offered a 3D spatial microenvironment for cell migration and proliferation. In vitro experiments demonstrated excellent biocompatibility of the scaffolds to support BMSCs proliferation, differentiation, and extracellular matrix production. In vivo, superior capacity of cartilage regeneration was displayed by the SF/MAHA + E7 scaffold as compared with microfracture and unconjugated SF/MAHA scaffold based on macroscopic, histologic and imaging evaluation. In conclusion, this structurally and functionally optimized SF/MAHA + E7 scaffold may provide a promising approach to repair articular cartilage lesions in situ.

Relative decline in density of Northern Hemisphere tree species in warm and arid regions of their climate niches

Although climate change is expected to drive tree species toward colder and wetter regions of their distribution, broadscale empirical evidence is lacking. One possibility is that past and present human activities in forests obscure or alter the effects of climate. Here, using data from more than two million monitored trees from 73 widely distributed species, we quantify changes in tree species density within their climatic niches across Northern Hemisphere forests. We observe a reduction in mean density across species, coupled with a tendency toward increasing tree size. However, the direction and magnitude of changes in density exhibit considerable variability between species, influenced by stand development that results from previous stand-level disturbances. Remarkably, when accounting for stand development, our findings show a significant change in density toward cold and wet climatic conditions for 43% of the species, compared to only 14% of species significantly changing their density toward warm and arid conditions in both early- and late-development stands. The observed changes in climate-driven density showed no clear association with species traits related to drought tolerance, recruitment and dispersal capacity, or resource use, nor with the temperature or aridity affiliation of the species, leaving the underlying mechanism uncertain. Forest conservation policies and associated management strategies might want to consider anticipated long-term species range shifts alongside the integration of contemporary within-distribution density changes.

Recruitment and Aggregation Capacity of Tea Trees to Rhizosphere Soil Characteristic Bacteria Affects the Quality of Tea Leaves.

There are obvious differences in quality between different varieties of the same plant, and it is not clear whether they can be effectively distinguished from each other from a bacterial point of view. In this study, 44 tea tree varieties (Camellia sinensis) were used to analyze the rhizosphere soil bacterial community using high-throughput sequencing technology, and five types of machine deep learning were used for modeling to obtain characteristic microorganisms that can effectively differentiate different varieties, and validation was performed. The relationship between characteristic microorganisms, soil nutrient transformation, and tea quality formation was further analyzed. It was found that 44 tea tree varieties were classified into two groups (group A and group B) and the characteristic bacteria that distinguished them came from 23 genera. Secondly, the content of rhizosphere soil available nutrients (available nitrogen, available phosphorus, and available potassium) and tea quality indexes (tea polyphenols, theanine, and caffeine) was significantly higher in group A than in group B. The classification result based on both was consistent with the above bacteria. This study provides a new insight and research methodology into the main reasons for the formation of quality differences among different varieties of the same plant.

Attraction of microarthropods to dung of invasive mammals in meadows of northwestern Patagonia

AbstractThe attractive effect of dung on coprophagous beetle communities and their role in dung degradation are well‐known phenomena. However, little research has been conducted on the recruitment capacity of this substrate for other arthropods, especially those inhabiting the soil. With the aim of beginning to recognize general patterns in these relationships, the influence of the structure and origin of dung from invasive exotic mammals on the recruitment of microarthropods was investigated in two meadows within Nahuel Huapi National Park in southwestern Argentina. Abundance, richness and diversity of microarthropod communities collected on invasive mammal dung were studied. A total of 2478 microarthropods were collected and 52 species were identified. Recruitment of microarthropods on dung of two invasive coprophagic herbivores, the rabbit, Oryctolagus cuniculus and the hare, Lepus europaeus, were compared with two invasive non‐coprophagic mammals, one herbivorous, the red deer, Cervus elaphus and one omnivorous, the wild boar, Sus scrofa. Pellets of S. scrofa showed the highest microarthropod abundance and richness while diversity was greatest on pellets of C. elaphus. Pygmephorid and oribatid mites and springtails were the most abundant. Liposcelis psocopterans and oribatid mites were more abundant on S. scrofa dung. Low similarity was observed when comparing dung of invasive mammals from different sites revealing spatial variability regarding species composition. Based on its more diverse diet, we conclude that S. scrofa dung exerts a strong influence on microarthropod communities by recruiting a greater number of individuals and species than the dung of the remaining invasive mammals.

Konsep Dasar dan Ruang Lingkup Manajemen Pendidik Dan Tenaga Kependidikan

The aim of this research is to integrate Islamic management principles in the management of educators and education personnel in order to improve the quality and effectiveness of education. This research uses the library research method to explore and analyze literature from various written sources such as books, journals, articles, dissertations and official documents regarding the management of educators and education personnel, with the aim of understanding existing theories and identifying gaps in the literature. Data was collected through literature searches in academic databases, selection of credible sources, organizing data based on themes, and analysis by reducing, presenting, and synthesizing information to draw conclusions that can improve the quality and effectiveness of educational management. The result of this work is that educators, including teachers, lecturers and counselors, have an important role in the educational process with the main task of teaching, educating and guiding students, while educational staff such as tutors and instructors support the implementation of education through technical tasks. The management of educators and education personnel is based on Islamic teachings which emphasize skill, discipline and good implementation of tasks, as well as the principle of order to achieve organizational goals. The aim of this management is to ensure that the institution has a quality workforce, an effective work system and a harmonious work climate through recruitment, fair compensation and employee capacity development. Management covers critical aspects such as curriculum, personnel, classes, student affairs, and finance, with duties and functions that emphasize professionalism to improve the quality of education. Even though it is formally recognized, Islamic educational institutions in Indonesia still face quality challenges due to limited facilities and the government's unpreparedness.

Is Muscle Pain in Temporomandibular Disorder a Hyperactivity Problem? A Clinical, Thermographic, and Electromyographic Analysis.

This study aimed to report clinical data on muscle pain in temporomandibular disorders using thermography, algometry, and surface electromyography (EMG). This was done to support or rule out the hypothesis that painful muscles are always related to muscular hyperactivity. This cross-sectional, analytical study included 50 participants who underwent clinical examination and evaluation of anterior temporal muscles and bilateral masseters using thermography, algometry, and EMG. The muscles with greater pain symptoms had hyporadiation and a lower temperature compared with both contralateral muscles and muscles in the asymptomatic group. There was no muscle hyperactivity at rest on EMG analysis; however, there was a greater capacity for muscle recruitment of these symptomatic muscles after a joint decompression test with cotton rolls, suggesting hypoactivity of the affected muscles in the symptomatic patient group. Muscle pain may be related to hypoactivity of the musculature when there is neurological inhibition of the recruitment of muscle fibers, and treatment must consider these neurophysiological alterations. Level IV.

Cross-border political competition.

Individuals are increasingly exposed to news and opinion from beyond national borders. This news and opinion are often concentrated in clusters of ideological homophily, such as political parties, factions, or interest groups. But how does exposure to cross-border information affect the diffusion of ideas across national and ideological borders? Here, we develop a non-linear mathematical model for the cross-border spread of two ideologies. First, we describe the standard deterministic model where the populations of each country are assumed to be constant and homogeneously mixed. We solve the system of differential equations numerically by the Runge-Kutta method and show how small changes in the influence of a minority ideology can trigger shifts in the global political equilibrium. Second, we simulate recruitment as a stochastic differential process for each political affiliation and fit model solutions to population growth rates and voting populations in US presidential elections from 1932 to 2020. We also project the dynamics of several possible scenarios from 2020 to the end of the century. We show that cross-border influence plays a fundamental role in determining election outcomes. An increase in foreign support for a national party's ideas could change the election outcome, independent of domestic recruitment capacity. One key finding of our study suggests that voter turnout in the US will grow at a faster rate than non-voters in the coming decades. This trend is attributed to the enhanced recruitment capabilities of both major parties among non-partisans over time, making political disaffection less prominent. This phenomenon holds true across all simulated scenarios.

Biomimetic cascade-released hydrogel scaffolds from microfluidics for efficient T cell recruitment and expansion

Adoptive T-cell immunotherapy has shown powerful therapeutic effects in cancer treatment. Attempts to implement T cell therapy have tended to focus on providing T cells with specific targeting and sufficient activation to enhance their tumor killing ability. Although biomaterial-based scaffolds can provide necessary molecular cues for T cell activation, efficient stimulation necessitates more attention on the reconstruction of natural T cell activation processes. Here, we present a novel biomimetic scaffold with cascade-released capacity for T-cell recruitment and activation. Core-shell structured hydrogel scaffolds are fabricated by single-step microfluidic electrospray, and chemokines and stimulatory antibodies are compartmentalized in the shell and core, respectively. Benefiting from the heterogeneity in the microstructure and swelling degree of the core and shell hydrogels, chemokine peptides are robustly released to recruit tumor-reactive T cells, and stimulatory antibodies are continuously released to support T cell proliferation. Such biomimetic recruitment and activation processes contribute to the formation of T cell clusters, which enhances their proliferation and infiltration in tumor tissues. Owing to the high expression of cytotoxic receptor and chemokine receptor, the activated T cells exhibit potent antitumor activity in vitro and in vivo. These features demonstrate that the cascade-released hydrogel scaffolds are promising for the local recruitment and activation of tumor-reactive T cells.

Do Dominant Native Ants Outcompete the Invasive Argentine Ant in Mediterranean Citrus Ecosystems? A Laboratory Test.

The invasive Argentine ant (Linepithema humile) poses a significant threat to ecosystem stability worldwide. In Mediterranean citrus ecosystems, its spread may be limited by interactions with dominant native ant species. We conducted laboratory experiments to investigate the competitive dynamics between Argentine ants and two major native species, Tapinoma nigerrimum and Lasius grandis. At the individual level, both native species exhibited superior competitive performance, attributed to their larger body sizes and potential differences in chemical defences. At the colony level, T. nigerrimum demonstrated efficiency in interference competition, successfully defending food resources from Argentine ants. However, the Argentine ant exhibited higher recruitment capacity, albeit it was density-dependent. Our findings support the hypothesis that dominant native ants can serve as barriers against Argentine ant invasion in citrus ecosystems, highlighting the importance of interspecific competition in shaping community dynamics and invasive species management. This study underscores the potential role of native ant species in mitigating the impacts of invasive ants on ecosystem functioning and biodiversity conservation in agricultural landscapes, offering valuable insights for invasive species management strategies in Mediterranean citrus ecosystems.

Chimeric Antigen Receptor T-Cell Recruitment and Killing can be Evaluated on an Organ-Chip model system

Abstract Objective. Chimeric antigen (CAR) T-cell therapies for solid tumors are challenging to develop due to the lack of human relevant models that adequately capture the mechanisms of CAR T-cell recruitment-a critical yet often overlooked rate-limiting step. The current study aimed to develop a novel system for investigating both the recruitment and killing capacity of CAR T cells in Organ-Chips. Methods. Chip-S1™ Stretchable Chips (Emulate) were seeded with a human HER2+ non-small cell lung cancer cell line (NSCLC) in the top channel and lung microvascular endothelial cells in the vascular (bottom) channel to create a tumor-vascular interface. Both channels were primed with an NSCLC-specific mix of chemokines and cytokines. HER2-specific CAR T cells were perfused through the vascular channel. Total CAR T-cell recruitment into the top channel and CAR T-mediated killing were measured over 48 hours. The IL-2 cytokine was also co-administered with CAR T cells as immunotherapy. Results. HER2 CAR T cells demonstrated significant antigen-specific killing when recruited to the top channel as measured by caspase activity and cytokine release compared to the control. Furthermore, IL-2 co-therapy increased CAR T-cell recruitment and antigen-specific killing compared to the control group. Conclusion. These findings suggest that human-centric Organ-Chips can evaluate CAR T-cell therapies for solid tumors by integrating the critical rate-limiting steps of CAR T recruitment and killing.

Microcirculation, endothelium and glycocalyx changes associated with the use of milrinone in children with septic shock.

The goal of fluid resuscitation and the use of inotropes in septic shock has traditionally focused on improving blood pressure and cardiac output, without considering the microcirculatory changes. Reaching macrocirculatory goals but with persistent microcirculatory abnormalities (hemodynamic incoherence) in septic shock has been associated with greater organ dysfunction and mortality. The objective of this study was to evaluate the microcirculation (flow and capillary density) and endothelial glycocalyx changes associated with the use of milrinone in children with septic shock, as well as their relationship with clinical variables and organ dysfunction. A prospective cohort study from February 2022 to January 2023 at a university hospital (Fundación Cardioinfantil-Instituto de Cardiología). Sublingual video microscopy was used to evaluate capillary density, microvascular flow rates and perfused boundary region (PBR-inverse parameter of glycocalyx thickness-abnormal if >2.0 microns). The primary outcome was the association between microcirculation and endothelial glycocalyx changes related to the use of milrinone. A total of 140 children with a median age of two years [interquartile range (IQR) 0.58-12.1] were included. About 57.9% (81/140) of the patients received milrinone infusions. Twenty-four hours after receiving milrinone, the patients maintained functional capillary density (P<0.01) and capillary recruitment capacity (P=0.04) with no changes in capillary blood volume versus those who did not receive milrinone. Children under two years old who received milrinone had better 4-6-micron capillary density than older children [odds ratio (OR) 0.33; 95% confidence interval (95% CI): 0.12-0.89; P=0.02] and less endothelial glycocalyx degradation [adjusted OR (aOR) 0.34 95% CI: 0.11-0.99; P=0.04]. These changes persisted despite elevated ferritin (aOR 0.41; 95% CI: 0.18-0.93; P=0.03). Prolonged capillary refill and elevated lactate were correlated with microcirculation changes in both groups. The patients who died had the highest PBR levels (P=0.04). Children with septic shock who receive milrinone infusions have microcirculation changes compared with those who do not receive them. The group that received milrinone was found to maintain functional capillary density and capillary recruitment capacity and have less endothelial glycocalyx degradation 24 hours after administration. These changes were present despite the inflammatory response and were more significant in those under two years of age.

Simulated reproductive allocation to fisheries-induced evolution among small yellow croaker populations in the Yellow and Bohai Seas

Fishery-induced evolution (FIE) affects the body size and reproduction of offspring, resulting in feedback regulation of fish survival and stock recruitment. Small yellow croaker (Larimichthys polyactis) is a species of high ecological and commercial importance in the Yellow and Bohai Seas, with large fluctuations in abundance linked to overfishing and environmental changes in recent decades. To better understand the maturation size and age, threshold reproduction cost, and energy trade-offs of small yellow croaker under environmental changes (e.g. conditions) and human impacts (e.g. fishing) in the Yellow and Bohai Seas, we utilised a two-pool uncertain growth model containing the growth threshold of reproductive energy and reproductive energy cost. The results showed that for growth, maturation age, and reproduction under the baseline scenario based on field survey data from the 1950 s, when resources for small yellow croaker were underexploited, the average age was 5–6 years old and the average body length was approximately 220 mm. As the model parameters for fishing pressure and condition mortality increased, small yellow croaker tended to mature earlier, had a smaller body size, and allocated more energy to reproduction, resulting in higher population fecundity but shorter lifespan. Higher reproductive costs led to a greater proportion of reproductive energy being allocated during the spawning period, resulting in an older age of sexual maturity, shorter lifespan for spawning populations, and poor physical conditions, resulting in higher post-reproductive mortality and a limited capacity for stock recruitment. The key life-history traits of small yellow croaker, including maturity age, mean age of the population, age-specific body weight, and spawn production at different age stages, can change under different conditions. The model represents the main life history strategies and energy allocation characteristics of small yellow croaker. The simulated age and body size were within the observed range and the predicted fecundity aligned with the observed values. This study provides a prediction tool for protecting the spawning and recruitment of small yellow croaker and establishes a biological reference for sustainable management of small yellow croaker populations in the Yellow and Bohai Seas in the future.

Crosstalk of human coronary perivascular adipose-derived stem cells with vascular cells: role of tissue factor.

The coronary perivascular adipose tissue (cPVAT) has been associated to the burden of cardiovascular risk factors and to the underlying vessel atherosclerotic plaque severity. Although the "outside to inside" hypothesis of PVAT-derived-adipokine regulation of vessel function is currently accepted, whether the resident mesenchymal stem cells (ASCs) in PVAT have a regulatory role on the underlying vascular arterial smooth muscle cells (VSMCs) is not known. Here, we investigated the interactions between resident PVAT-ASCs and VSMCs. ASCs were obtained from PVAT overlying the left anterior descending (LAD) coronary artery of hearts removed at heart transplant operations. PVAT was obtained both from patients with non-ischemic and ischemic heart disease as the cause of heart transplant. ASCs were isolated from PVAT, phenotypically characterized by flow cytometry, functionally tested for proliferation, and differentiation. Crosstalk between ASCs and VSMCs was investigated by co-culture studies. ASCs were detected in the adventitia of the LAD-PVAT showing differentiation capacity and angiogenic potential. ASCs obtained from PVAT of non-ischemic and ischemic hearts showed different tissue factor (TF) expression levels, different VSMCs recruitment capacity through the axis ERK1/2-ETS1 signaling and different angiogenic potential. Induced upregulation of TF in ASCs isolated from ischemic PVAT rescued their angiogenic capacity in subcutaneously implanted plugs in mice, whereas silencing TF in ASCs decreased the proangiogenic capacity of non-ischemic ASCs. The results indicate for the first time a novel mechanism of regulation of VSMCs by PVAT-ASCs in angiogenesis, mediated by TF expression in ASCs. Regulation of TF in ASCs may become a therapeutic intervention to increase cardiac protection.

Apt‐19s‐Functionalized 3D‐Printed Mesoporous Bioactive Glass Scaffold Promotes BMSC Recruitment in Bone Regeneration via SDF‐1α/CXCR4 Axis and MAPK Signaling

AbstractDirectional migration and differentiation of stem cells in situ are two essential processes for tissue regeneration. However, transplanted scaffold itself lacks sufficient ability to induce stem cell recruitment. As an artificial synthesized nucleic acid, aptamer 19s (Apt‐19s), with high cost‐effectiveness and bioactivity, demonstrates a robust capacity for specific binding and recruitment of mesenchymal stem cells. In this study, a mesoporous bioactive glass scaffold fabricated via a seamless route of self‐assembly and 3D printing (3D‐MBG), functionalized with Apt‐19s is successfully prepared via physical adsorption and lyophilization with optimized release kinetics and bone marrow‐derived mesenchymal stem cells (BMSCs) recruiting efficiency in vitro. This scaffold significantly enhanced migration and osteogenic differentiation of BMSCs in vitro and in vivo. The mechanism underlying Apt‐19s‐induced BMSCs recruitment is elucidated for the first time, that Apt‐19s promoted BMSCs migration by upregulating stromal cell‐derived factor‐1α (SDF‐1α) gene expression, facilitating SDF‐1α protein translation and secretion, and further activating the SDF‐1α/CXCR4 signaling axis and MAPK pathway. In summary, the Apt‐19s‐functionalized 3D‐MBG scaffold offers an economical and efficient solution for customized bone regeneration in situ, and the elucidation of Apt‐19s‐induced BMSCs recruitment at molecular biological level may shed light on its broader clinical applications.

Safety and feasibility of a functional electrical stimulation cycling-based muscular dysfunction diagnostic method in mechanically ventilated patients.

A nonvolitional diagnostic method based on FES-Cycling technology has recently been demonstrated for mechanically ventilated patients. This method presents good sensitivity and specificity for detecting muscle dysfunction and survival prognosis, even in unconscious patients. As the clinical relevance of this method has already been reported, we aimed to evaluate its safety and feasibility. An observational prospective study was carried out with 20 critically ill, mechanically ventilated patients. The FES-cycling equipment was set in a specific diagnostic mode. For safety determination, hemodynamic parameters and peripheral oxygen saturation were measured before and immediately after the diagnostic protocol, as well as venous oxygen saturation and blood lactate. The creatine phosphokinase level (CPK) was measured before and 24, 48, and 72 h after the test. The time taken to carry out the entire diagnostic protocol and the number of patients with visible muscle contraction (capacity of perceptive muscular recruitment) were recorded to assess feasibility. Heart rate [91 ± 23 vs. 94 ± 23 bpm (p = 0.0837)], systolic [122 ± 19 vs. 124 ± 19 mm Hg (p = 0.4261)] and diastolic blood pressure [68 ± 13 vs. 70 ± 15 mm Hg (p = 0.3462)], and peripheral [98 (96-99) vs. 98 (95-99) % (p = 0.6353)] and venous oxygen saturation [71 ± 14 vs. 69 ± 14% (p = 0.1317)] did not change after the diagnostic protocol. Moreover, blood lactate [1.48 ± 0.65 vs. 1.53 ± 0.71 mmol/L (p = 0.2320)] did not change. CPK did not change up to 72 h after the test [99 (59-422) vs. 125 (66-674) (p = 0.2799) vs. 161 (66-352) (p > 0.999) vs. 100 (33-409) (p = 0.5901)]. The time taken to perform the diagnostic assessment was 11.3 ± 1.1 min. In addition, 75% of the patients presented very visible muscle contractions, and 25% of them presented barely visible muscle contractions. The FES cycling-based muscular dysfunction diagnostic method is safe and feasible. Hemodynamic parameters, peripheral oxygen saturation, venous oxygen saturation, and blood lactate did not change after the diagnostic protocol. The muscle damage marker (CPK) did not increase up to 72 h after the diagnostic protocol.

Adipose Tissue Dysfunction Determines Lipotoxicity and Triggers the Metabolic Syndrome: Current Challenges and Clinical Perspectives.

The adipose tissue organ is organised as distinct anatomical depots located all along the body axis, and it is constituted of three different types of adipocytes: white, beige and brown, which are integrated with vascular, immune, neural, and extracellular stroma cells. These distinct adipocytes serve different specialised functions. The main function of white adipocytes is to ensure healthy storage of excess nutrients/energy and its rapid mobilisation to supply the demand of energy imposed by physiological cues in other organs, whereas brown and beige adipocytes are designed for heat production through uncoupling lipid oxidation from energy production. The concerted action of the three types of adipocytes/tissues ensures an optimal metabolic status. However, when one or several of these adipose depots become dysfunctional because of sustained lipid/nutrient overload, then insulin resistance and associated metabolic complications ensue. These metabolic alterations close a vicious cycle that negatively affects the adipose tissue functionality and compromises global metabolic homeostasis. Optimising white adipose tissue expandability and ensuring its functional metabolic flexibility and/or promoting brown/beige mediated thermogenic activity are complementary strategies that counteract obesity and its associated lipotoxic metabolic effects. However, the development of these therapeutic approaches requires a deep understanding of adipose tissue in all broad aspects. In this chapter, we will discuss the characteristics of the different adipose tissue depots with respect to origins and precursors recruitment, plasticity, cellular composition, and expandability capacity potential as well as molecular and metabolic characteristic signatures in both physiological and pathophysiological conditions. Current antilipotoxic strategies for future clinical application are also discussed in this chapter.

The origin and development of gangs in El Salvador

For more than four decades, violence has characterized the political and social dynamics in El Salvador, beginning with the armed conflict of 1980 and the formation of the Farabundo Martí National Liberation Front (FMLN). This conflict, part of the Cold War, lasted almost twelve years and left deep social scars, especially in areas of overcrowding, poverty and unemployment. Subsequently, the deportation of gang members from the United States transformed the local gangs, giving them a more complex structure and organization. Since the 1990s, street gangs, known as "maras", became a significant cultural-generational phenomenon. Despite the Peace Accords, violence became socially sedimented. Gangs such as Mara Salvatrucha 13 and Barrio 18 consolidated in El Salvador, exacerbated by the deportation of experienced gang members from the United States. These deportees, upon their return, found themselves in marginalized conditions that favored the expansion of the gang phenomenon. The paper explores how gangs developed in a context of accelerated urbanization, economic crisis and a culture of post-conflict violence. It also examines the influence of government policies such as the emergency regime implemented by Nayib Bukele in 2022, which has reduced the gangs' capacity for territorial control and recruitment, albeit with criticism for human rights violations. The evolution of gangs in El Salvador is the result of multiple historical, social and economic factors, reflecting a complex interaction between internal and external influences that have perpetuated violence and social exclusion.

Impaired Capillary Recruitment Capacity in Obesity: A Subgroup Analysis of Prospective Observational Study on Anesthesia Effects.

BACKGROUND This subgroup analysis of prospective observational research, involving 71 participants, compared the effects of anesthesia on microvascular reactivity in obese vs lean individuals using near-infrared spectroscopy and vascular occlusion tests. The correlation between the body mass index (BMI) and microvascular reactivity under general anesthesia was also investigated. MATERIAL AND METHODS This study enrolled adult patients classified as American Society of Anesthesiologists physical status I or II, undergoing elective surgery under general anesthesia. The microcirculatory variables measured before (Tpre) and 30 min following the induction of anesthesia (Tpost) were as follows: baseline tissue oxygen saturation (StO₂), occlusion slope (∇occl), and recovery slope (∇recov). The patients were grouped according to their BMI (lean [BMI <25 kg/m²] vs obese [BMI ≥25 kg/m²]). Data are presented as medians and interquartile ranges. RESULTS There were 43 patients in the lean group and 28 in the obese group. At Tpre, baseline StO2, ∇occl, and ∇recov were not different between the 2 groups (P=0.860, 0.659, and 0.518, respectively). At Tpost, the baseline StO₂ and ∇occl were not different between the 2 groups (P=0.343 and 0.791); however, the ∇recov was lower in the obese group than in the lean group (3.245 [2.737, 3.977] vs 4.131 [3.491, 4.843], P=0.003). At Tpost, BMI showed a moderate correlation with ∇recov (correlation coefficient: -0.319, P=0.007). CONCLUSIONS In obese patients, capillary recruitment capacity during general anesthesia is compromised compared to lean patients.

Monocyte priming during acute myocardial infarction

Abstract Introduction Purpose Myocardial infarction (MI) inflicts a sterile wound on the heart which recruits hundreds of thousands of monocytes from the blood. The bone marrow (BM) responds to cardiac ischemia with an increase in monocyte production, hence meeting the high demand of these cells. Apart from this quantitative response, little is known whether the BM supplies qualitatively different monocytes during the course of MI. Methods &amp; Results We isolated BM Ly6Chigh monocytes from non-infarcted mice and from mice which were infarcted 72h prior (surgically induced by permanent coronary ligation) and contrasted monocytic transcriptomes using RNA sequencing. We found 672 differentially expressed genes (DEG) of which 289 were up- and 383 down-regulated (log2FoldChange³±1.0, adjusted p&amp;lt;0.05). Since most DEG were enriched in "cell adhesion and recruitment" pathways, we tested the functional relevance of our findings in the context of monocyte recruitment to the heart using competitive adoptive transfer experiments. Our data revealed that the BM provides monocytes that are primed for better recruitment (relative recruitment: 56.1% 12h after MI vs. 43.9% steady state, p&amp;lt;0.01) at the early inflammatory phase following coronary ligation (12h after MI). In contrast, monocytes displayed worse recruitment capacities (relative recruitment: 30.4% 72h after MI vs. 65.8% steady state, p&amp;lt;0.01) at the end of the inflammatory phase (72h after MI). We next sought to identify key players in this BM-controlled cardiac recruitment process. Our RNA sequencing data revealed that – in monocytes with poor recruitment capacities – the cell adhesion molecule CD209 was among the most significantly downregulated genes at 72h after MI over steady state. To investigate the molecular role of CD209 in the process of leukocyte recruitment to the myocardium during MI, we cloned human CD209 from a cDNA library into an overexpression plasmid system. After ectopic overexpression of CD209, THP-1 cells (a cell line derived from immortalized human blood monocytes) showed enhanced adhesion to endothelial cells (HUVECs) compared to THP-1 cells under control conditions. Finally, we infarcted wild type (CD209+/+) and CD209 knockout (CD209-/-) mice and found decreased numbers of Ly6Chigh monocytes in infarcted hearts of CD209-/- mice in comparison to CD209+/+ mice (491+52 vs. 915+180 Ly6Chigh monocytes/mg infarct tissue, mean+SEM, p&amp;lt;0.05) while numbers of blood Ly6Chigh monocytes were unchanged. Conclusions The BM responds to MI and provides an altered monocyte repertoire in terms of numbers and function and hence remotely controls monocyte/macrophage accumulation in the ischemic heart. Consequently, the heart–bone marrow axis may represent a novel therapeutic target to beneficially modify post-MI cardiac remodeling, a major contributor of MI-related morbidity and mortality.