Biomedicines最新文献

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A Word of Caution-Potential Limitations of Pulmonary Artery Pressure Monitoring in Detecting Congestion Caused by Right-Sided Heart Failure. 警告:肺动脉压监测在检测右侧心力衰竭引起的充血方面存在潜在的局限性。
IF 3.9 3区 工程技术
Biomedicines Pub Date : 2025-06-14 DOI: 10.3390/biomedicines13061469
Ester Judith Herrmann, Eva Herrmann, Khodr Tello, Kathleen Mantzsch, Meaza Tekeste, Stephan Fichtlscherer, Christian W Hamm, Birgit Assmus
{"title":"A Word of Caution-Potential Limitations of Pulmonary Artery Pressure Monitoring in Detecting Congestion Caused by Right-Sided Heart Failure.","authors":"Ester Judith Herrmann, Eva Herrmann, Khodr Tello, Kathleen Mantzsch, Meaza Tekeste, Stephan Fichtlscherer, Christian W Hamm, Birgit Assmus","doi":"10.3390/biomedicines13061469","DOIUrl":"10.3390/biomedicines13061469","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Patients with New York Heart Association (NYHA) class III heart failure (HF) suffer from frequent hospitalizations. Non-invasive pulmonary artery pressure (PAP) sensor-guided HF care has been shown to reduce hospitalizations. However, it is unknown whether the PAP changes prior to hospitalization differ between clinical right, left or global cardiac decompensation. <b>Methods:</b> Sensor-derived PAP data and HF hospitalization records from 41 patients with NYHA class III HF were classified retrospectively into predominantly left, right or global decompensation. Linear mixed-effect regression models were used for statistical evaluations of the PAP in selected hospitalizations for which admission was at least 28 days after the last admission and 14 days after the last hospital discharge and with readings in between. <b>Results:</b> During 24.4 months of follow-up, 127 hospitalizations in 38 patients were evaluated. The global cardiac decompensation (n = 13) had the highest PAP before hospitalization, followed by left-sided (n = 20) decompensation. Patients with right-sided decompensation (n = 9) had comparable PAP values before hospitalization to the cohort without any cardiac decompensation (n = 85). The diastolic PAP showed a significant increase of 0.035 mmHg/day (<i>p</i> = 0.0097) in left-sided decompensation and of 0.13 mmHg/day (<i>p</i> < 0.0001) in global cardiac decompensation, whereas no significant change in the diastolic PAP occurred prior to the right-sided decompensation. The baseline right ventricular function and right ventricle-pulmonary arterial coupling (TAPSE/PASP ratio) were impaired in patients with subsequent global cardiac decompensation. <b>Conclusion:</b> PAP telemonitoring-guided therapy can reliably detect early signs of left and global cardiac decompensation but may be limited in detecting right-sided cardiac congestion. The routine assessment of RV-PA coupling may improve the detection of global cardiac decompensation, as severe impairments could indicate impending deterioration. In contrast, monitoring the RV contractility may aid in identifying isolated right-sided congestion and imminent decompensation.</p>","PeriodicalId":8937,"journal":{"name":"Biomedicines","volume":"13 6","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12190875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dualistic Dynamics in Neuropsychiatry: From Monoaminergic Modulators to Multiscale Biomarker Maps. 神经精神病学的二元动力学:从单胺能调节剂到多尺度生物标志物图谱。
IF 3.9 3区 工程技术
Biomedicines Pub Date : 2025-06-13 DOI: 10.3390/biomedicines13061456
Masaru Tanaka, Simone Battaglia
{"title":"Dualistic Dynamics in Neuropsychiatry: From Monoaminergic Modulators to Multiscale Biomarker Maps.","authors":"Masaru Tanaka, Simone Battaglia","doi":"10.3390/biomedicines13061456","DOIUrl":"10.3390/biomedicines13061456","url":null,"abstract":"<p><p>Neuropsychiatry lives at the crossroads of chemistry and cognition, where millisecond synaptic sparks sculpt decades-long stories of mood, memory, and identity [...].</p>","PeriodicalId":8937,"journal":{"name":"Biomedicines","volume":"13 6","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12190881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Heart Failure and Wide QRS: Clinical and Pharmacological Perspectives. 心力衰竭和宽QRS:临床和药理学观点。
IF 3.9 3区 工程技术
Biomedicines Pub Date : 2025-06-13 DOI: 10.3390/biomedicines13061462
Alfredo Mauriello, Adriana Correra, Gerardo Elia Del Vecchio, Martina Grieco, Arianna Amata, Pierpaolo Di Micco, Egidio Imbalzano, Mariano Paternoster, Antonia Ascrizzi, Vincenzo Quagliariello, Nicola Maurea, Francesco Giallauria, Antonello D'Andrea, Vincenzo Russo
{"title":"Heart Failure and Wide QRS: Clinical and Pharmacological Perspectives.","authors":"Alfredo Mauriello, Adriana Correra, Gerardo Elia Del Vecchio, Martina Grieco, Arianna Amata, Pierpaolo Di Micco, Egidio Imbalzano, Mariano Paternoster, Antonia Ascrizzi, Vincenzo Quagliariello, Nicola Maurea, Francesco Giallauria, Antonello D'Andrea, Vincenzo Russo","doi":"10.3390/biomedicines13061462","DOIUrl":"10.3390/biomedicines13061462","url":null,"abstract":"<p><p>Heart failure (HF) is a highly prevalent cardiovascular clinical syndrome. Health care spending on HF treatment is high. Therefore, its treatment has generated a great deal of interest in pharmacological research in recent years. Recent guidelines have introduced several molecules for the treatment of HF that have demonstrated safety, and above all, efficacy. One of the worst aspects of HF is ventricular dyssynchrony (VD) with a wide QRS interval. Currently, the cornerstone of VD therapy is cardiac resynchronization therapy (CRT). Our comprehensive review aims to analyze the effects of new molecules on QRS width and understand whether these molecules can provide benefits.</p>","PeriodicalId":8937,"journal":{"name":"Biomedicines","volume":"13 6","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12190266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Proton Density of the Dorsal Root Ganglia in Classical Fabry Disease: MRI Correlates of Small Fibre Neuropathy. 经典法布里病的背根神经节质子密度:小纤维神经病的MRI相关性。
IF 3.9 3区 工程技术
Biomedicines Pub Date : 2025-06-13 DOI: 10.3390/biomedicines13061468
Simon Weiner, Sarah Perleth, Charlotte Schäfer Gómez, Thomas Kampf, Kolja Lau, Florian Hessenauer, György Homola, Peter Nordbeck, Nurcan Üçeyler, Claudia Sommer, Mirko Pham, Magnus Schindehütte
{"title":"Proton Density of the Dorsal Root Ganglia in Classical Fabry Disease: MRI Correlates of Small Fibre Neuropathy.","authors":"Simon Weiner, Sarah Perleth, Charlotte Schäfer Gómez, Thomas Kampf, Kolja Lau, Florian Hessenauer, György Homola, Peter Nordbeck, Nurcan Üçeyler, Claudia Sommer, Mirko Pham, Magnus Schindehütte","doi":"10.3390/biomedicines13061468","DOIUrl":"10.3390/biomedicines13061468","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Fabry disease (FD) is a lysosomal storage disorder often associated with early-onset neuropathic pain, attributed to small fibre neuropathy (SFN). The dorsal root ganglion (DRG) has emerged as a critical site of early pathophysiological involvement in FD, with structural and functional alterations implicated in the development of neuropathic symptoms. This exploratory study introduces DRG proton density (DRG-PD) as a novel MRI-derived biomarker and evaluates its association with SFN. <b>Methods:</b> Eighty genetically confirmed FD patients underwent high-resolution 3T MRI with DRG-PD quantification at the lumbosacral levels L5 and S1. DRG-PD was derived from B1-corrected multi-echo spin echo sequences and normalised to cerebrospinal fluid intensity. All patients underwent clinical, biochemical and histological evaluation to determine SFN status. Associations between DRG imaging parameters and clinical variables were analysed using correlation and regression models. Diagnostic performance was evaluated using receiver operating characteristic curve analysis. <b>Results:</b> DRG-PD values were significantly increased in patients with classical FD and SFN, demonstrating a large effect size (Cliff's δ = 0.92) and excellent discriminatory performance (AUC = 0.96). In contrast, DRG volume and T2 relaxation time were not significantly associated with SFN status. DRG-PD remained an independent predictor of SFN in multivariable logistic regression (<i>p</i> = 0.019). <b>Conclusions:</b> DRG-PD is a non-invasive correlate of SFN in classical FD. It may provide superior diagnostic value compared to existing MRI metrics and reflects proximal ganglionic pathology not captured by distal histological assessments.</p>","PeriodicalId":8937,"journal":{"name":"Biomedicines","volume":"13 6","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12191292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Next-Generation Drug Delivery for Neurotherapeutics: The Promise of Stimuli-Triggered Nanocarriers. 神经治疗的下一代药物递送:刺激触发纳米载体的前景。
IF 3.9 3区 工程技术
Biomedicines Pub Date : 2025-06-13 DOI: 10.3390/biomedicines13061464
Radka Boyuklieva, Nikolay Zahariev, Plamen Simeonov, Dimitar Penkov, Plamen Katsarov
{"title":"Next-Generation Drug Delivery for Neurotherapeutics: The Promise of Stimuli-Triggered Nanocarriers.","authors":"Radka Boyuklieva, Nikolay Zahariev, Plamen Simeonov, Dimitar Penkov, Plamen Katsarov","doi":"10.3390/biomedicines13061464","DOIUrl":"10.3390/biomedicines13061464","url":null,"abstract":"<p><p>Nanotherapeutics have emerged as novel unparalleled drug delivery systems (DDSs) for the treatment of neurodegenerative disorders. By applying different technological approaches, nanoparticles can be engineered to possess different functionalities. In recent years, the developed, stimuli-responsive nanocarriers stand out as novel complex DDSs ensuring selective and specific drug delivery in response to different endogenous and exogenous stimuli. Due to the multifaceted pathophysiology of the nervous system, a major challenge in modern neuropharmacology is the development of effective therapies ensuring high efficacy and low toxicity. Functionalization of the nanocarriers to react to specific microenvironmental changes in the nervous system tissues or external stimulations significantly enhances the efficacy of drug delivery. This review discusses the microenvironmental characteristics of some common neurological diseases in-depth and provides a comprehensive overview on the progress of the development of exogenous and endogenous stimuli-sensitive nanocarriers for the treatment of Alzheimer's and Parkinson's disease.</p>","PeriodicalId":8937,"journal":{"name":"Biomedicines","volume":"13 6","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12191273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Predictive Biomarkers and Novel Treatments for the Progressive Fibrosing Phenotype in Interstitial Lung Disease Associated with Connective Tissue Disease. 结缔组织病相关间质性肺疾病进行性纤维化表型的预测性生物标志物和新疗法
IF 3.9 3区 工程技术
Biomedicines Pub Date : 2025-06-13 DOI: 10.3390/biomedicines13061463
Sang Wan Chung
{"title":"Predictive Biomarkers and Novel Treatments for the Progressive Fibrosing Phenotype in Interstitial Lung Disease Associated with Connective Tissue Disease.","authors":"Sang Wan Chung","doi":"10.3390/biomedicines13061463","DOIUrl":"10.3390/biomedicines13061463","url":null,"abstract":"<p><p>Progressive fibrosing interstitial lung disease (PF-ILD) is a significant complication of connective tissue diseases (CTDs), particularly in systemic sclerosis (SSc), rheumatoid arthritis (RA), and idiopathic inflammatory myopathies (IIM). Despite clinical similarities with idiopathic pulmonary fibrosis (IPF), CTD-associated ILDs exhibit distinct pathogenetic and immunologic features. <b>Objective:</b> This review aims to summarize key predictive biomarkers and current treatment strategies associated with the progressive fibrosing phenotype in SSc-ILD, RA-ILD, and IIM-ILD. <b>Methods:</b> We conducted a focused literature search of PubMed and Scopus databases covering publications from January 2010 to February 2024. Included studies evaluated serum, cellular, or genetic biomarkers with predictive value for disease progression or treatment response. Only peer-reviewed English-language articles were included. Exclusion criteria encompassed single case reports and editorials. <b>Results:</b> Several biomarkers, including KL-6, SP-D, CXCL4, and anti-MDA5, demonstrate potential in predicting fibrotic progression in CTD-ILDs. However, variability in sensitivity and specificity across CTD subtypes limits broad clinical applicability. Therapeutic agents such as nintedanib and pirfenidone show efficacy in slowing lung function decline. Biologics including rituximab and tocilizumab offer additional options, particularly in immunologically active diseases. <b>Conclusion:</b> Although promising biomarkers and therapies are emerging, no single marker or intervention currently predicts or modifies PF-ILD outcomes across all CTD subsets. Prospective studies and integrative biomarker panels are needed to improve patient stratification and guide therapy.</p>","PeriodicalId":8937,"journal":{"name":"Biomedicines","volume":"13 6","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12190877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sex-Specific Impact of 17β-Estradiol and Testosterone Levels on Inflammation and Injury in Acute Myocardial Infarction-Preliminary Results. 17β-雌二醇和睾酮水平对急性心肌梗死炎症和损伤的性别特异性影响——初步结果。
IF 3.9 3区 工程技术
Biomedicines Pub Date : 2025-06-13 DOI: 10.3390/biomedicines13061466
Niya E Semerdzhieva, Adelina D Tsakova, Vesela V Lozanova
{"title":"Sex-Specific Impact of 17β-Estradiol and Testosterone Levels on Inflammation and Injury in Acute Myocardial Infarction-Preliminary Results.","authors":"Niya E Semerdzhieva, Adelina D Tsakova, Vesela V Lozanova","doi":"10.3390/biomedicines13061466","DOIUrl":"10.3390/biomedicines13061466","url":null,"abstract":"<p><p><b>Background:</b> Estrogens play a protective role during the early stages of life. However, endogenous 17β-estradiol (E2) can accelerate atherosclerosis progression. Aim: The purpose of this study was to test for the significance of the sex-specific associations of gonadal hormones with the extent of the inflammatory response, myocardial damage, and ventricular arrhythmia risk in acute myocardial infarction (MI). <b>Materials and Methods:</b> Study design: single-center cohort study. Blood samples for the assessment of sex steroids (E2, total testosterone [T]), oxidized low-density lipoproteins, high-sensitivity C-reactive protein (CRP), white blood cell (WBC) counts, and cardiac enzymes were collected 48 h after the onset of symptoms (and within 6 h after PCI) from 111 patients (37% women) with acute MI. Coronary disease severity, left ventricular systolic function (LV), and indices of ventricular repolarization were assessed using coronary angiography, echocardiography, and a conventional electrocardiogram, respectively. <b>Results:</b> In men with acute MI, peak cardiac enzyme levels were predicted by post-percutaneous coronary intervention (PCI) E2 plasma levels, peak WBC count, and peak CRP plasma levels. T levels and the E2/T ratio were associated with post-PCI CRP in these men. For women, peak WBC count was a marker of highest testosterone, and only WBC count was a significant indicator of myocardial injury extent. The incidence of acute ventricular tachycardia detected in AMI was significantly associated with left ventricular ejection fraction and with peak WBC count (as a tendency) regardless of sex. A longer duration of cardiac repolarization prior to PCI was predicted by lower ejection fractions in men and by age, CRP, and testosterone levels in female patients. <b>Conclusions:</b> During acute MI, elevated endogenous estradiol levels in men and increased leukocytes in women indicate acute myocardial damage. Post-PCI plasma inflammatory markers are sex-specific confounding factors for acute endogenous E2 levels, T levels, and the E2/T ratio. LV systolic function in men and, characteristically, the acute inflammatory response and testosterone levels in women are predictors of longer ventricular repolarization and arrhythmia risk.</p>","PeriodicalId":8937,"journal":{"name":"Biomedicines","volume":"13 6","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12190329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efficacy and Safety of Epigallocatechin Gallate in the Treatment and Prevention of Dermatitis: A Systematic Review. 表没食子儿茶素没食子酸酯治疗和预防皮炎的有效性和安全性:系统综述。
IF 3.9 3区 工程技术
Biomedicines Pub Date : 2025-06-13 DOI: 10.3390/biomedicines13061458
Katarzyna Śladowska, Paweł Moćko, Tomasz Brzostek, Iwona Malinowska-Lipień, Michał Owca, Paweł Kawalec
{"title":"Efficacy and Safety of Epigallocatechin Gallate in the Treatment and Prevention of Dermatitis: A Systematic Review.","authors":"Katarzyna Śladowska, Paweł Moćko, Tomasz Brzostek, Iwona Malinowska-Lipień, Michał Owca, Paweł Kawalec","doi":"10.3390/biomedicines13061458","DOIUrl":"10.3390/biomedicines13061458","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Epigallocatechin gallate (EGCG) is the most abundant catechin in green tea. Based on results from in vitro studies, EGCG-with its wide range of beneficial properties-has been considered a promising option for the treatment of patients with various skin conditions. <b>Methods</b>: The aim of this systematic review, conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, was to evaluate the efficacy and safety of EGCG in the treatment and prevention of various types of dermatitis. <b>Results</b>: A search of PubMed, Embase, CENTRAL, and ClinicalTrials.gov databases identified eight trials (including four randomized trials) that investigated the use of EGCG alone (as a saline solution) for the treatment and prevention of radiation-induced dermatitis or as a component of a shampoo or cream for atopic and seborrheic scalp dermatitis. The identified single-arm and randomized controlled trials were characterized by low methodological quality, were in early phases of development, and/or included a small number of participants. The topical effect of EGCG on the severity of dermatitis was shown to depend on the type of dermatitis, concentration, and pharmaceutical form used. The administration of EGCG resulted in a significant reduction in skin symptoms in patients with radiation-induced dermatitis compared with placebo and with baseline, while in seborrheic dermatitis of the scalp, the results of shampoo with EGCG component were similar to those of active conventional treatment. The EGCG treatment was generally well tolerated, with no serious treatment-related adverse events. <b>Conclusions</b>: This study showed that EGCG can be a promising option for the treatment and prevention of various types of dermatitis. However, due to the small sample size, large, well-designed, randomized phase III trials are needed to confirm its safety and efficacy.</p>","PeriodicalId":8937,"journal":{"name":"Biomedicines","volume":"13 6","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12191366/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Tubal Ectopic Pregnancy: From Diagnosis to Treatment. 输卵管异位妊娠:从诊断到治疗。
IF 3.9 3区 工程技术
Biomedicines Pub Date : 2025-06-13 DOI: 10.3390/biomedicines13061465
Dimitrios Papageorgiou, Ioakeim Sapantzoglou, Ioannis Prokopakis, Eleftherios Zachariou
{"title":"Tubal Ectopic Pregnancy: From Diagnosis to Treatment.","authors":"Dimitrios Papageorgiou, Ioakeim Sapantzoglou, Ioannis Prokopakis, Eleftherios Zachariou","doi":"10.3390/biomedicines13061465","DOIUrl":"10.3390/biomedicines13061465","url":null,"abstract":"<p><p>The most frequent form of ectopic pregnancy, known as tubal pregnancy, leads to a dangerous situation where the fertilized ovum implants inside a fallopian tube, which can result in tubal rupture and severe bleeding. The purpose of this narrative review is to evaluate all existing data regarding epidemiology, risk factors, pathophysiology, clinical presentation, diagnosis, and management of tubal ectopic pregnancy in order to provide a comprehensive understanding of this common yet difficult clinical condition. Prior ectopic pregnancy, together with tubal pathology and assisted reproduction, represent the main risk factors for this condition. The diagnosis relies on serial β-hCG tests combined with transvaginal ultrasonography, but laparoscopy serves as the diagnostic tool for cases with uncertain results. The treatment plan depends on the fallopian tube integrity, along with the patient's hemodynamic condition. Patients with unruptured pregnancies who are hemodynamically stable receive methotrexate treatment as the preferred option, but surgical intervention with salpingectomy or salpingostomy becomes necessary in case of tubal rupture or when medical treatment fails. The development of laparoscopic procedures has led to better results and improved possibilities for fertility preservation. The psychological effects on patients require both counseling and follow-up care. Early detection, along with personalized management, helps decrease maternal complications and optimize reproductive outcomes.</p>","PeriodicalId":8937,"journal":{"name":"Biomedicines","volume":"13 6","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12191334/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Regulatory Genetic Networks by microRNAs: Exploring Genomic Signatures in Cervical Cancer. 通过microrna调控遗传网络:探索宫颈癌的基因组特征。
IF 3.9 3区 工程技术
Biomedicines Pub Date : 2025-06-13 DOI: 10.3390/biomedicines13061457
Carlos Pérez-Plasencia, Yaneth Citlalli Orbe-Orihuela, Armando Méndez-Herrera, Jessica Deas, Claudia Gómez-Cerón, Hilda Jiménez-Wences, Julio Ortiz-Ortiz, Gloria Fernández-Tilapa, Aldo Francisco Clemente-Soto, Jesús Ricardo Parra-Unda, Jesús Salvador Velarde-Felix, Mauricio Rodríguez-Dorantes, Oscar Peralta-Zaragoza
{"title":"Regulatory Genetic Networks by microRNAs: Exploring Genomic Signatures in Cervical Cancer.","authors":"Carlos Pérez-Plasencia, Yaneth Citlalli Orbe-Orihuela, Armando Méndez-Herrera, Jessica Deas, Claudia Gómez-Cerón, Hilda Jiménez-Wences, Julio Ortiz-Ortiz, Gloria Fernández-Tilapa, Aldo Francisco Clemente-Soto, Jesús Ricardo Parra-Unda, Jesús Salvador Velarde-Felix, Mauricio Rodríguez-Dorantes, Oscar Peralta-Zaragoza","doi":"10.3390/biomedicines13061457","DOIUrl":"10.3390/biomedicines13061457","url":null,"abstract":"<p><p>Cervical cancer remains a significant global health concern, impacting over half a million women annually. The primary cause is a persistent infection with hr-HPV, which disrupts various cellular processes crucial for normal function. This disruption leads to genetic instability, including changes in the expression of microRNAs and their corresponding host genes, with far-reaching consequences for cellular regulation. Researchers have widely utilized high-throughput technologies to analyze gene expression in cervical cancer, aiming to identify distinct molecular signatures of microRNAs and genes through genomic analysis. However, discrepancies among studies have been noted, possibly due to variations in sample collection, technological platforms, and data processing methods such as normalization and filtering. Therefore, it is essential to synthesize findings from diverse studies to comprehensively understand the molecular mechanisms of regulatory genetic networks involved in the initiation and progression of cervical cancer. This review examined the evidence detailing the role of microRNA signatures and their target genes in cervical carcinogenesis and disease advancement. The accumulated data suggest the presence of widespread regulatory genetic networks active in both precancerous and cancerous cervical cells, potentially acting as key drivers of this malignancy. Identifying these molecular genomic signatures could open new avenues for developing therapeutic strategies for cervical cancer, particularly in the realm of precision medicine.</p>","PeriodicalId":8937,"journal":{"name":"Biomedicines","volume":"13 6","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12190544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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