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        <title>Experimental Biology and Medicine | New and Recent Articles</title>
        <link>https://www.ebm-journal.org/journals/experimental-biology-and-medicine</link>
        <description>RSS Feed for Experimental Biology and Medicine | New and Recent Articles</description>
        <language>en-us</language>
        <generator>Frontiers Feed Generator,version:1</generator>
        <pubDate>2026-08-03T08:15:06.489+00:00</pubDate>
        <ttl>60</ttl>
        <item>
        <guid isPermaLink="true">https://www.ebm-journal.org/articles/10.3389/ebm.2026.10923</guid>
        <link>https://www.ebm-journal.org/articles/10.3389/ebm.2026.10923</link>
        <title><![CDATA[Causal association between clonal hematopoiesis indeterminate potential and cancer: a Mendelian randomization study]]></title>
        <pubdate>2026-07-27T00:00:00Z</pubdate>
        <category>Original Research</category>
        <author>Juan Jin</author><author>Qian Pu</author><author>Chengrong Wu</author><author>Yu Lei</author><author>Yaxin Hu</author><author>Xiuju Yang</author><author>Jinghui Huang</author><author>Fangfang Wu</author><author>Li Xiao</author><author>Lei Yu</author>
        <description><![CDATA[Clonal hematopoiesis of indeterminate potential (CHIP) causes the expansion of mutated hematopoietic stem cells and produces immunophenotypically altered leukocytes, which induce a tumor-promoting inflammatory condition. However, the causal effect of CHIP on cancer remains unclear. We assessed the relationship of genetically predicted CHIP with the risk of 18 cancer types involving 612,576 cases using two-sample Mendelian randomization (MR). Genetic instruments for overall and sub-types of CHIP were obtained from the a large-scale genome-wide association study using independent (r2 < 0.001) SNPs at genome-wide significance (p < 5.0 × 10-8). Summary statistics for 18 cancers were obtained from the FinnGen, MVP, PLCO study, and large consortia. Inverse-variance weighted random-effects models were used as the primary method for estimating causal effects. Findings from independent datasets were combined using the fixed-effect model and Bonferroni corrections were applied for multiple testing. We found genetic predicted overall and DNMT3A CHIP was significantly associated with an increased risk of thyroid cancer, lung cancer, kidney cancer, brain cancer, basal cell carcinoma, and malignant melanoma after corrections. In addition, we found the causal estimate of CHIP varied across histological sub-types of cancer. Sensitivity analyses confirmed that these findings were robust. Strong associations were found between genetic predicted CHIP and an increased risk of a broad range of cancers, highlighting the importance of timely screening for CHIP in cancer early detection and prevention.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.ebm-journal.org/articles/10.3389/ebm.2026.11114</guid>
        <link>https://www.ebm-journal.org/articles/10.3389/ebm.2026.11114</link>
        <title><![CDATA[Novel perspective on immune cell regulation in gastrointestinal inflammation: the role of extracellular vesicles and therapeutic prospects]]></title>
        <pubdate>2026-07-17T00:00:00Z</pubdate>
        <category>Review</category>
        <author>Jianshu Wang</author><author>Junxuan Xu</author><author>Zilu Cui</author><author>Jing Wu</author>
        <description><![CDATA[Gastrointestinal inflammation is an inflammatory disease arising from immune imbalance in any segment of the digestive tract, triggered by various factors. Immune cells play important roles in both the onset and resolution of gastrointestinal inflammation. With the recent extensive research on extracellular vesicles, the mechanism by which immune cells regulate gastrointestinal inflammation through extracellular vesicles has gradually gained recognition within the scientific community. Extracellular vesicles derived from immune cells can communicate with other immune cells in the digestive tract and directly regulate digestive tract epithelial cells. Furthermore, with advances in biological nanotechnology, immune cell-derived extracellular vesicles may be used to treat inflammatory gastrointestinal diseases. This review focuses on delineating the role of immune cell-derived extracellular vesicles in gastrointestinal inflammation and exploring their potential applications in treating these inflammatory diseases.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.ebm-journal.org/articles/10.3389/ebm.2026.10948</guid>
        <link>https://www.ebm-journal.org/articles/10.3389/ebm.2026.10948</link>
        <title><![CDATA[Genetic evidence for causal relationships between brain functional networks and domain-specific recovery after nondisabling ischemic stroke]]></title>
        <pubdate>2026-07-13T00:00:00Z</pubdate>
        <category>Original Research</category>
        <author>Huan Cai</author><author>Zhenchun Huang</author><author>Jialin Liang</author><author>Hao Zhang</author><author>Zhonghua Liu</author>
        <description><![CDATA[Intrinsic brain networks are crucial for post-stroke recovery, but the causal relationships between specific networks and domain-specific recovery outcomes, as well as the role of lipid metabolism, remain unclear. This study leveraged Mendelian randomization (MR) to evaluate 191 resting-state functional magnetic resonance imaging (rs-fMRI) BOLD-derived phenotypes in relation to post-stroke recovery after nondisabling ischemic stroke. Genetic instruments for rs-fMRI phenotypes were derived from a UK Biobank genome-wide association study (n = 34,691). Outcomes included motor, cognitive, and global recovery after nondisabling ischemic stroke, assessed using longitudinal National Institutes of Health Stroke Scale subscales over 2 years (n = 1,270). Primary analyses used the multiplicative random-effects inverse-variance weighted method. A two-step MR analysis investigated whether brain networks mediate the effects of lipids on post-stroke outcomes. Higher BOLD-derived functional connectivity within the triple network (default mode network, central executive network, and salience network) was associated with better motor and cognitive outcomes. Higher genetically predicted orbitofrontal node amplitude in the limbic network correlated with better motor recovery, while stronger parieto-frontal connectivity was associated with cognitive recovery. Genetically proxied higher low-density lipoprotein cholesterol (LDL-C) was associated with poorer cognitive recovery, with evidence suggesting partial mediation through differences in BOLD-derived triple-network connectivity. This MR study supports a potential causal role of BOLD-derived functional network phenotypes, particularly the triple network, in motor and cognitive recovery, and further suggests that differences in triple-network connectivity act as a partial mediator linking elevated LDL-C liability to impaired cognitive recovery. These findings provide hypothesis-generating evidence for future mechanistic studies and for exploring whether specific brain network-targeted interventions could have a role in stroke recovery.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.ebm-journal.org/articles/10.3389/ebm.2026.11058</guid>
        <link>https://www.ebm-journal.org/articles/10.3389/ebm.2026.11058</link>
        <title><![CDATA[Gut microbiota and polyendocrine metabolic ovarian syndrome: an integrated gut–metabolism–endocrine–ovary axis]]></title>
        <pubdate>2026-07-10T00:00:00Z</pubdate>
        <category>Review</category>
        <author>Shengyue Jin</author><author>Menglei Zhu</author><author>Yiyang Lu</author><author>Jia Zhao</author><author>Jiayi Zhu</author><author>Xiaohong Fang</author>
        <description><![CDATA[Polyendocrine metabolic ovarian syndrome (PMOS), previously known as polycystic ovary syndrome (PCOS), is a common endocrine and metabolic disorder in reproductive-age women, characterized by marked clinical and biological heterogeneity. Accumulating evidence suggests that gut microbiota dysbiosis is associated with metabolic disturbances, hormonal imbalance, and ovarian dysfunction in PMOS. However, the pathways linking gut microbiota alterations to PMOS pathogenesis remain incompletely understood, and most evidence remains associative. This review aims to summarize current evidence regarding interactions between gut microbiota and PMOS, clarify the roles of key microbiota-derived metabolites, and evaluate the potential and limitations of gut microbiota–targeted interventions. A major novelty is the proposal of an integrated gut–metabolism–endocrine–ovary axis incorporating phenotypic heterogeneity, methodological variability, and evidence grading across clinical and preclinical studies. A narrative review with a systematic literature search was conducted. PubMed, Web of Science, Embase, and CNKI were searched from inception to March 2026 using terms related to PMOS, gut microbiota, microbial metabolites, and microbiota-targeted interventions. Eligible studies included human observational or interventional studies, animal experiments exploring microbiota–PMOS mechanisms, and peer-reviewed full-text articles in English or Chinese. Case reports, letters, conference abstracts, non-English publications, and irrelevant studies were excluded. Duplicate records were removed. Two authors independently screened records and resolved disagreements by consensus. No meta-analysis was performed, and clinical registration was not applicable. Gut microbiota dysbiosis may contribute to PMOS through chronic low-grade inflammation, insulin resistance, and hyperandrogenism. Microbiota-derived metabolites link intestinal dysbiosis with metabolic and endocrine dysfunction. Bile acids and short-chain fatty acids exert regulatory effects, whereas amino acid disorders and LPS-mediated endotoxemia amplify metabolic and inflammatory abnormalities. Considerable heterogeneity exists across studies regarding obesity, insulin resistance, hyperandrogenism, diet, ethnicity, region, and methodology. Microbiota-targeted interventions show potential, although evidence quality varies and most findings remain associative. Gut microbiota dysbiosis is a critical regulatory node within the integrated gut–metabolism–endocrine–ovary axis in PMOS. This review highlights phenotypic stratification, evidence hierarchy, and clinical translation potential. Although microbiota-targeted strategies may serve as adjunctive therapies, their causal roles and long-term efficacy require confirmation in well-designed longitudinal and randomized controlled trials.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.ebm-journal.org/articles/10.3389/ebm.2026.11099</guid>
        <link>https://www.ebm-journal.org/articles/10.3389/ebm.2026.11099</link>
        <title><![CDATA[A whole-transcriptome analysis of differentially expressed genes, transcripts, and transcript usage in blood samples from Parkinson’s disease patients]]></title>
        <pubdate>2026-07-08T00:00:00Z</pubdate>
        <category>Original Research</category>
        <author>Sulev Koks</author><author>Mari Muldmaa</author><author>Jack Price</author><author>Luke Whiley</author><author>Maili Jakobson</author><author>Lewis Singleton</author><author>Denise Howting</author><author>Abigail L. Pfaff</author><author>Abha Chopra</author><author>Mark Watson</author><author>Katrin Sikk</author><author>Pille Taba</author>
        <description><![CDATA[Parkinson’s disease (PD) is a complex neurodegenerative disorder with diverse molecular signatures that extend beyond the central nervous system. Peripheral blood serves as a minimally invasive source of transcriptomic biomarkers reflecting systemic inflammation, mitochondrial dysfunction, lysosomal impairment, and disrupted RNA processing—key pathways involved in PD. Long-read RNA sequencing with Oxford Nanopore Technologies (ONT) offers unprecedented detail of full-length transcripts, alternative isoforms, and RNA modifications, enabling more accurate detection of disease-related transcriptional changes. We conducted high-throughput ONT long-read RNA sequencing on blood samples from 145 individuals, including PD patients and age-matched healthy controls. RNA libraries were prepared using a cDNA-based protocol optimised for high-accuracy PromethION sequencing. Transcriptomes were quantified with ONT-specific pipelines, and analyses of differential gene expression (DGE), differential transcript expression (DEX), differential transcript usage (DTU), and alternative splicing were performed using ONT-aware tools such as DRIMSeq, DEXSeq, and stageR. Pathway enrichment linked disease-related changes to mitochondrial, lysosomal, and vesicle-trafficking pathways. Our analysis identified highly significant PD-associated transcriptional signatures in peripheral blood (SNCA, VPS13C, LRRK2, GRN, STAU1, NPTN, PARK7). Long-read sequencing uncovered extensive isoform-level dysregulation, including novel transcript variants (e.g., BCL2L2-PABPN1, SQSTM1) in pathways relevant to PD, such as autophagy and endolysosomal trafficking. DTU analyses revealed shifts in isoforms of LRRK2 and GBA1, indicating widespread disturbances in RNA processing. Enrichment analysis showed activation of molecular pathways linked to neurodegeneration. This study provides the largest long-read blood transcriptomic dataset in PD to date, demonstrating that ONT sequencing can resolve isoform-level changes and reveal systemic molecular signatures of PD. Our findings support the development of blood-based RNA biomarkers and the establishment of long-read transcriptomics as a transformative approach for genomic pathology in PD.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.ebm-journal.org/articles/10.3389/ebm.2026.11060</guid>
        <link>https://www.ebm-journal.org/articles/10.3389/ebm.2026.11060</link>
        <title><![CDATA[Transcriptomics-based identification of shared biomarkers across type 2 diabetes, mild cognitive impairment, and uric acid metabolism]]></title>
        <pubdate>2026-07-06T00:00:00Z</pubdate>
        <category>Original Research</category>
        <author>Yan Liu</author><author>Dongmei Kang</author><author>Yuan Lei</author>
        <description><![CDATA[Uric acid metabolism is associated with the development of type 2 diabetes mellitus (T2DM), cardiometabolic, and cardiovascular diseases. Additionally, T2DM patients often exhibit mild cognitive impairment (MCI). However, the underlying mechanisms remain unclear. This study aims to identify and validate biomarkers associated with uric acid metabolism in T2DM and MCI, with the goal of discovering potential diagnostic and therapeutic targets to improve the quality of life for T2DM patients. Transcriptomic data for T2DM, MCI and uric acid metabolism-related genes were sourced from public databases. Biomarkers were screened using machine learning and validated for expression. Subsequent analyses included functional enrichment, immune infiltration, subcellular localization, and drug prediction. Three biomarkers—HP, ITGB3, and SELP—were identified. All showed significantly elevated expression in the T2DM group (p < 0.05). HP and ITGB3 were primarily enriched in ribosome-related pathways, primary immunodeficiency, and adherens junction processes. Immune infiltration analysis revealed that immature B cells and plasmacytoid dendritic cells were significantly enriched in T2DM. HP showed the strongest positive correlation with plasmacytoid dendritic cells (cor = 0.65, FDR <0.05), while ITGB3 exhibited the strongest positive correlation with immature B cells (cor = 0.76, FDR <0.05). Several potential therapeutic drugs were predicted, including calcifediol (score = −99.93) and meclofenamic acid (score = −99.89). This study identified three candidate biomarkers co-dysregulated across T2DM and MCI transcriptomes and associated with uric acid metabolism. Given the exploratory sample sizes, these findings are considered hypothesis-generating and require validation in larger independent cohorts.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.ebm-journal.org/articles/10.3389/ebm.2026.11128</guid>
        <link>https://www.ebm-journal.org/articles/10.3389/ebm.2026.11128</link>
        <title><![CDATA[Mitochondrial transfer and mesenchymal stem cells in ophthalmology: current evidence and therapeutic implications]]></title>
        <pubdate>2026-06-30T00:00:00Z</pubdate>
        <category>Mini Review</category>
        <author>Xiaoli Liu</author><author>Mingqi Zhang</author><author>Zhuoshi Wang</author>
        <description><![CDATA[Mitochondrial dysfunction, driven by genetic mutations or oxidative stress, is a central contributor to the onset and progression of ophthalmic diseases. In recent years, intercellular mitochondrial transfer (MT) has emerged as a novel mechanism of cellular communication and repair in ocular tissues. MT occurs through tunneling nanotubes, extracellular vesicles (EVs), cell fusion, or transmitophagy, and has been shown to support photoreceptor survival, maintain retinal homeostasis, and protect against oxidative injury. Mesenchymal stem cells (MSCs), owing to their remarkable reparative and immunomodulatory properties, have attracted particular attention as efficient mitochondrial donors. Evidence from experimental models demonstrates that MSC-mediated MT can restore bioenergetics, mitigate oxidative stress, and rescue cellular function in inherited optic neuropathies, corneal injuries, retinal degenerative diseases, and ischemic retinopathies. This review summarizes current evidence of MT in ophthalmology, highlights the therapeutic contributions of MSCs, discusses the molecular and microenvironmental factors regulating MT efficiency, and outlines unresolved challenges. We further provide perspectives on how mitochondrial transfer may be translated into innovative therapies for ocular disorders.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.ebm-journal.org/articles/10.3389/ebm.2026.11069</guid>
        <link>https://www.ebm-journal.org/articles/10.3389/ebm.2026.11069</link>
        <title><![CDATA[Advances in research on pharmacological mechanisms of anatabine: from nicotinic modulation to multitarget therapeutic potential]]></title>
        <pubdate>2026-06-29T00:00:00Z</pubdate>
        <category>Review</category>
        <author>Xiaonan Li</author><author>Xiaomin Liu</author><author>Huaquan Sheng</author><author>Jianfeng Guo</author><author>Leihao Zhang</author><author>Ting Fei</author><author>Yihan Gao</author>
        <description><![CDATA[Anatabine, a characteristic minor alkaloid derived from tobacco byproducts, exhibits unique structural analogy to nicotine but possesses a superior safety profile and lower addictive liability, rendering it a promising natural multi-target therapeutic candidate. Accumulating preclinical evidence has demonstrated that anatabine exerts neuroprotective, anti-inflammatory, and antioxidant effects mainly through modulating α7/α4β2 nicotinic acetylcholine receptors, suppressing NF-κB/STAT3 inflammatory signaling, and activating the Nrf2-mediated antioxidant pathway. It effectively ameliorates typical pathological alterations, including β-amyloid deposition, tau hyperphosphorylation, and microglial overactivation, thereby improving cognitive and behavioral deficits in neurodegenerative disease models. Additionally, anatabine displays broad pharmacological potentials in chronic inflammation, autoimmune thyroiditis, asthma, and hypertension. Differing from previous reviews that merely focused on single receptor regulation, the present work systematically summarizes the multi-target pharmacological characteristics of anatabine, comprehensively collates its preclinical efficacy across multiple disease categories, and highlights its advantages over nicotine in safety and addiction risk. Furthermore, we analyze the current limitations, druggability optimization challenges, and clinical translation prospects, and propose sustainable strategies for high-value utilization of tobacco byproducts. This review provides an updated and systematic theoretical basis for further mechanism exploration and therapeutic development of anatabine.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.ebm-journal.org/articles/10.3389/ebm.2026.10979</guid>
        <link>https://www.ebm-journal.org/articles/10.3389/ebm.2026.10979</link>
        <title><![CDATA[Phenotypic profiling of Pathogen Box compounds MMV667494 and MMV028694 in bloodstream-form Trypanosoma brucei brucei]]></title>
        <pubdate>2026-06-12T00:00:00Z</pubdate>
        <category>Original Research</category>
        <author>Pearl Ihuoma Akazue</author><author>Neils Ben Quashie</author><author>Sue Vaughan</author><author>Harry P. de Koning</author><author>Theresa Manful Gwira</author>
        <description><![CDATA[Open-access drug discovery platforms have accelerated hit identification and lead prioritization across multiple diseases and enable systematic repurposing of bioactive compounds beyond their original indications. However, there remains a need for new chemotypes for African trypanosomiasis with improved efficacy and resilience to emerging drug resistance. In this study, we evaluated the antitrypanosomal potential and cellular effects of two Pathogen Box compounds, MMV667494 and MMV028694. The compounds were selected through a resazurin-based in vitro phenotypic viability screen that measures metabolic activity as a proxy for parasite viability against bloodstream-form Trypanosoma brucei brucei. To explore cellular phenotypes consistent with potential mechanisms of action, we applied cytological profiling using flow cytometry- and microscopy-based assays, including Annexin V/propidium iodide staining, cell-cycle DNA-content analysis, mitochondrial membrane potential (TMRE), and mitochondrial reactive oxygen species (MitoSOX) measurements. Both MMV667494 and MMV028694 (IC50 = 0.44 ± 0.05 µM and 0.33 ± 0.03 µM, respectively) displayed sub-micromolar antitrypanosomal potency and preferential toxicity toward trypanosomes over mammalian cells (selectivity indices >10). Growth profiling demonstrated dose-dependent inhibition of parasite proliferation, with evidence of trypanocidal activity at higher concentrations and longer exposure times. Treatment resulted in increased populations of phosphatidylserine-exposed and membrane-compromised cells, which is consistent with apoptosis-like phenotypes in trypanosomes. Although both compounds induced mitochondrial membrane depolarization in treated T. b. brucei cells, this effect was observed predominantly in a subpopulation of cells and is therefore unlikely to represent the primary cause of cell death. Increased mitochondrial production of reactive oxygen species and altered cell-cycle progression were also observed, which might indicate disruption of key cellular processes. These findings shows that MMV667494 and MMV028694 are selective antitrypanosomal compounds and their activities are associated with induce apoptosis-like features, cell-cycle disruption, and mitochondrial stress signatures in bloodstream-form T. b. brucei. These findings provide phenotypic insights into the activity of the compounds, warranting further target deconvolution and optimization, although validation in human-infective subspecies and in vivo systems will be required.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.ebm-journal.org/articles/10.3389/ebm.2026.10941</guid>
        <link>https://www.ebm-journal.org/articles/10.3389/ebm.2026.10941</link>
        <title><![CDATA[Nicotinamide adenine dinucleotide phosphate oxidase 4 in lung disease: a review of its biology and therapeutic potential]]></title>
        <pubdate>2026-06-12T00:00:00Z</pubdate>
        <category>Review</category>
        <author>Yilin Wang</author><author>Tianru Ben</author><author>Jianjiang Fang</author><author>Zengpan Li</author><author>Jinhua Ding</author><author>Liyan Xu</author><author>Kai Lin</author><author>Li Jiang</author>
        <description><![CDATA[Nicotinamide adenine dinucleotide phosphate oxidase 4 (NOX4) is a constitutively active enzyme that primarily produces hydrogen peroxide, a reactive oxygen species (ROS) with diverse cellular functions. While initially recognized for its role in oxidative stress, emerging evidence suggests that NOX4 plays a pivotal role in the pathogenesis of various lung diseases. This review delineates the structure characteristics of NOX4, emphasizing how its domain organization underlies a distinctive mode of molecular regulation. It further discusses current knowledge on the biological functions of NOX4-derived oxygen species, including their roles in modulating inflammation, cell death pathways, oxygen sensing, nuclear signaling, and metabolic reprogramming. Through these interconnected processes, NOX4 is positioned as a central mediator linking redox imbalance to cellular dysfunction. In addition, the contribution of NOX4 to the pathogenesis of major lung diseases, including idiopathic pulmonary fibrosis (IPF), chronic obstructive pulmonary disease (COPD), asthma, acute lung injury/acute respiratory distress syndrome (ALI/ARDS), and pulmonary hypertension are critically evaluated. Emerging therapeutic strategies targeting NOX4 are also discussed, together with key challenges associated with clinical translation, including isoform specificity, off-target effects, and tissue-selective delivery. Overall, this review provides an integrated framework for understanding NOX4 biology across multiple levels and highlights its potential as a therapeutic target in lung disease.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.ebm-journal.org/articles/10.3389/ebm.2026.10868</guid>
        <link>https://www.ebm-journal.org/articles/10.3389/ebm.2026.10868</link>
        <title><![CDATA[High systolic blood pressure and stroke: evidence from the NHANES 1999–2023 and global burden of disease 2021]]></title>
        <pubdate>2026-06-08T00:00:00Z</pubdate>
        <category>Original Research</category>
        <author>LuYi Tang</author><author>BoWen Yang</author><author>PeiWen Li</author><author>YingQi Chen</author><author>Yi Liu</author><author>Ting Wang</author><author>Xiaohan Ye</author>
        <description><![CDATA[High systolic blood pressure (HSBP) is a major modifiable risk factor for stroke, but trends in disease burden and causal associations related to HSBP in the United States require further investigation using multidimensional approaches. This study aims to elucidate this relationship by utilizing data from the Global Burden of Disease (GBD) database, the National Health and Nutrition Examination Survey (NHANES). This study integrated data from the GBD 2021 database and the NHANES. The GBD data provided macro-level estimates of stroke-related mortality and disability-adjusted life years (DALYs) attributable to various risk factors within the United States. By employing multivariable logistic regression models on individual-level NHANES data, the study assessed the association between HSBP history and stroke risk after adjusting for multiple confounding factors. GBD analysis revealed HSBP as the leading risk factor for U.S. stroke burden in 2021, with an increasing attributable burden since 2010, particularly among the elderly and women. NHANES analysis showed that HSBP significantly increased the risk of stroke (fully adjusted OR = 1.33, 95% CI: 1.17–1.51). Elevated SBP was additionally associated with increased all-cause mortality risk in stroke survivors (HR = 1.01). A novel U-shaped relationship emerged: stroke risk decreased below an SBP of 100 mmHg but increased sharply above this threshold. HSBP is the core driver and modifiable risk factor behind the persistently increasing stroke burden in the United States. The findings of this study highlight the critical importance of HSBP in stroke prevention and management.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.ebm-journal.org/articles/10.3389/ebm.2026.11038</guid>
        <link>https://www.ebm-journal.org/articles/10.3389/ebm.2026.11038</link>
        <title><![CDATA[Scaling human liver microphysiological systems: implementing a higher-throughput liver acinus microphysiological system platform]]></title>
        <pubdate>2026-05-22T00:00:00Z</pubdate>
        <category>Original Research</category>
        <author>Dillon C. Gavlock</author><author>Michael W. Castiglione</author><author>Allen Wang</author><author>Mahboubeh Varmazyad</author><author>Lawrence A. Vernetti</author><author>Mark E. Schurdak</author><author>D. Lansing Taylor</author><author>Jacquelyn A. Brown</author><author>Mark T. Miedel</author>
        <description><![CDATA[The advancement in the use of all-human high content microphysiological systems (MPS) has enabled better in vitro modeling of liver function and disease progression as well as drug efficacy, metabolism and toxicity (ADME-Tox) testing. However, a continuing need in liver MPS development is balancing throughput without loss of the high-content biological complexity required for physiologically relevant modeling. Here, we present a scalable version of our well-established liver acinus microphysiological system (LAMPS). This higher-throughput format (ht-LAMPS) is designed to recapitulate the physiological complexity of the standard single-chamber LAMPS system while increasing experimental capacity through a seven-chamber microfluidic design. The ht-LAMPS is constructed using the same four key liver cell types as the LAMPS: primary hepatocytes and liver sinusoidal endothelial cells (LSECs) as well as Kupffer-like cells (THP-1) and hepatic stellate cells (LX-2). It recapitulates key physiological characteristics previously established in the LAMPS platform, including oxygen zonation–dependent liver phenotypes including model viability, secretion of functional and cytotoxicity markers, mitochondrial activity, and lipid accumulation, demonstrating reproducibility in the ht-LAMPS format. Finally, we also demonstrate that the ht-LAMPS model recapitulates key phenotypes associated with the progression of metabolic dysfunction–associated steatotic liver disease (MASLD), including increased steatosis and elevated production of inflammatory cytokines and profibrotic markers using our established MASLD media formulations. Overall, by increasing throughput while maintaining key high-content biological features of the LAMPS, ht-LAMPS provides a scalable platform for investigating liver function, modeling disease progression, and enabling downstream drug testing in MASLD and other liver-related conditions.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.ebm-journal.org/articles/10.3389/ebm.2026.11094</guid>
        <link>https://www.ebm-journal.org/articles/10.3389/ebm.2026.11094</link>
        <title><![CDATA[Race, oxygen exposure, and retinopathy of prematurity: re-examining a persistent epidemiologic paradox]]></title>
        <pubdate>2026-05-18T00:00:00Z</pubdate>
        <category>Mini Review</category>
        <author>Beryl Zhou</author><author>Sarah H. Rodriguez</author><author>Alexis Warren</author><author>Dimitra Skondra</author>
        <description><![CDATA[Retinopathy of prematurity (ROP) is a leading cause of childhood blindness that arises from disrupted retinal vascular development in premature infants. Oxygen exposure remains a central driver of treatment-warranted ROP, as higher saturation levels suppress early retinal vascular growth and later promote pathological neovascularization. Large, randomized trials of oxygen targeting show that lower oxygen saturation ranges reduce the incidence of treatment-requiring ROP, though with trade-offs in mortality. Observational cohorts, including the CRYO-ROP, ETROP, and e-ROP trials, consistently report lower rates of treatment-warranted ROP and reduced treatment need among Black infants despite similar or greater prematurity risk. Multiple explanations have been proposed to account for the paradoxically lower rates of treatment-warranted ROP observed among Black infants. Although biologic variations in angiogenic pathways have been proposed, evidence suggests that structural and clinical factors may offer an alternative explanation for these patterns. Black race is strongly correlated with residence in neighborhoods with greater socioeconomic disadvantage, which is associated with increased risk of prematurity and missed ROP follow-up visits. In addition, pulse oximeters may overestimate oxygen saturation in individuals with darker skin pigmentation, potentially altering targeted oxygen exposure. Survival-related selection bias may further contribute to this paradox, as infants at the highest risk of both mortality and treatment-warranted ROP may not survive long enough to develop treatment-requiring disease. This review examines racial differences in ROP severity and examines how oxygen exposure and structural factors may contribute to these disparities, while acknowledging the limited evidence supporting biologic explanations.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.ebm-journal.org/articles/10.3389/ebm.2026.10987</guid>
        <link>https://www.ebm-journal.org/articles/10.3389/ebm.2026.10987</link>
        <title><![CDATA[Peripheral immune cells and glycation indices as potential diagnostic biomarkers in amyotrophic lateral sclerosis]]></title>
        <pubdate>2026-05-13T00:00:00Z</pubdate>
        <category>Original Research</category>
        <author>Xue Yang</author><author>Jing Yang</author><author>Rui Li</author><author>Hui Dong</author><author>Yaling Liu</author>
        <description><![CDATA[The diagnosis of amyotrophic lateral sclerosis (ALS) mainly relies on clinical symptoms and the exclusion of other diseases, with a lack of specific biomarkers, leading to delayed diagnosis and a high rate of misdiagnosis. This study aims to explore the utility of peripheral immune cells and glycosylation indices as potential diagnostic biomarkers for ALS to enhance the accuracy and efficiency of early ALS diagnosis. This retrospective study included 54 ALS patients diagnosed in our hospital from June 2023 to October 2024, along with 54 healthy controls. Blood samples and laboratory data, including levels of peripheral immune cells and glycosylation indices, were collected from both groups. Through logistic regression, random forest models, receiver operating characteristic (ROC) curve analysis, and SHAP interpretability analysis, the predictive abilities and clinical significance of each candidate indicator were screened and evaluated. Notable disparities were detected in age, leukocyte count, monocyte levels, glycated haemoglobin A1c (HbA1c), and haemoglobin glycation index (HGI) between the control and ALS groups (all P < 0.05). Logistic regression analysis revealed that age (OR = 1.114) and monocyte (OR = 3.174) were risk factors for ALS, while leukocyte (OR = 0.533) and HbA1c (OR = 0.069) were protective factors. The random forest algorithm, ranked by decreasing importance, showed that leukocyte, HGI, monocyte, and HbA1c level all influenced ALS. Using these indicators to predict ALS resulted in a false-positive rate of 18% and a false-negative rate of 6%. ROC curve analysis indicated that the combined use of leukocyte, monocyte, HbA1c level, and HGI provided the highest diagnostic value for ALS (AUC = 0.774), which was higher than that of any individual indicator (all P < 0.05). SHAP analysis visualization demonstrated that increased monocyte and decreased leukocyte, HGI, and HbA1c level were all associated with an increased risk of ALS onset, ranked in descending order of feature importance as monocyte, leukocyte, HGI, and HbA1c. Peripheral blood white blood cells, monocytes, HbA1c, and HGI can serve as potential diagnostic biomarkers for ALS. Combined detection can improve the diagnostic accuracy of ALS, facilitating early diagnosis and intervention, and ultimately improving patient prognosis. Further validation in cohorts including disease controls is required to confirm specificity.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.ebm-journal.org/articles/10.3389/ebm.2026.10945</guid>
        <link>https://www.ebm-journal.org/articles/10.3389/ebm.2026.10945</link>
        <title><![CDATA[Antibody-mediated immune responses and cardiovascular disease: a Mendelian randomization study]]></title>
        <pubdate>2026-05-12T00:00:00Z</pubdate>
        <category>Original Research</category>
        <author>Yi Li</author><author>Jiuqi Fan</author><author>Lirong Wu</author>
        <description><![CDATA[Cardiovascular diseases represent the leading cause of global mortality and disability, posing a severe threat to human health. Accumulating evidence suggests that antigen–antibody–mediated immune responses may be involved in the pathogenesis of various cardiovascular conditions; however, whether these associations reflect causal relationships has long remained unclear. To address this question, we conducted a bidirectional two-sample Mendelian randomization study leveraging summary-level data from genome-wide association studies. In this analysis, 46 antibody-mediated immune traits were evaluated as exposures, and 11 cardiovascular outcomes, including aortic aneurysm, aortic valve stenosis, atrial fibrillation, coronary artery disease, dilated cardiomyopathy, atrioventricular block, heart failure with reduced ejection fraction, hypertrophic cardiomyopathy, infective endocarditis, myocarditis, and pericarditis, were examined as outcomes. Our results revealed several significant causal associations: genetically predicted higher levels of Epstein–Barr virus EBNA-1 antibodies were associated with increased risks of myocarditis and aortic valve stenosis, while elevated VCA p18 antibody levels were linked to a higher risk of myocarditis. Furthermore, increased antibody levels against BK polyomavirus VP1 were causally associated with greater risks of aortic valve stenosis and dilated cardiomyopathy. In contrast, higher levels of antibodies against varicella-zoster virus glycoproteins and human herpesvirus 6 IE1B were associated with reduced risks of myocarditis and aortic aneurysm, respectively. These findings not only help clarify the causal role of immune-mediated mechanisms in cardiovascular pathogenesis but also provide a theoretical foundation for the future development of immune-targeted strategies for prevention and treatment.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.ebm-journal.org/articles/10.3389/ebm.2026.10922</guid>
        <link>https://www.ebm-journal.org/articles/10.3389/ebm.2026.10922</link>
        <title><![CDATA[Causal relationship between oral diseases and hypertension: a Mendelian randomization study]]></title>
        <pubdate>2026-05-07T00:00:00Z</pubdate>
        <category>Original Research</category>
        <author>Bofan Qian</author><author>Zhiwen Fang</author>
        <description><![CDATA[Current evidence supports the potential association between several common oral diseases and hypertension. The aim of the research is to clarify the causal relationship between these oral diseases and hypertension using Mendelian randomization (MR) analysis. Single nucleotide polymorphisms (SNPs) related to five oral traits (periodontitis, bleeding gums, loose teeth, periapical abscess and dental caries) were obtained from GWAS catalog, while those associated with hypertension (essential and secondary) were extracted from the FinnGen database. The SNPs were employed as instrumental variables (IVs) in the MR analysis. Assorted methods were applied, and inverse variance-weighted (IVW) analytical method was prioritized. Sensitivity analyses including MR-PRESSO method, MR Egger intercept test, Cochran’s Q test, leave-one-out analysis and MR Steiger test were conducted. Our analysis identified the potential causal relationship between dental caries and essential hypertension. The forward MR analysis demonstrated a significant causal effect of dental caries on essential hypertension (OR = 1.036, 95%CI: 1.012–1.059, P = 0.003). The reverse analysis also indicated a significant causal effect (OR = 1.160, 95%CI: 1.016–1.323, P = 0.028). Additionally, we observed a causal effect of bleeding gums on essential hypertension (OR = 1.145, 95%CI: 1.019–1.288, P = 0.023). These findings support the potential causality between specific oral diseases and essential hypertension.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.ebm-journal.org/articles/10.3389/ebm.2026.10997</guid>
        <link>https://www.ebm-journal.org/articles/10.3389/ebm.2026.10997</link>
        <title><![CDATA[Ferroptosis and futile recanalization after mechanical thrombectomy in acute ischemic stroke: mechanisms, risk factors, predictive models and therapeutic interventions]]></title>
        <pubdate>2026-05-01T00:00:00Z</pubdate>
        <category>Review</category>
        <author>Yuexin Wu</author><author>Cuiying Zhang</author><author>Yangyang Peng</author><author>Longlong Liu</author>
        <description><![CDATA[Acute ischemic stroke (AIS) remains a leading cause of mortality and long-term disability worldwide. Endovascular mechanical thrombectomy (EVT) has revolutionized stroke treatment by enabling rapid recanalization of occluded cerebral vessels. However, a significant proportion of patients experience futile recanalization, where successful vessel reopening fails to translate into favorable functional outcomes. Emerging evidence highlights ferroptosis, a regulated form of cell death driven by iron-dependent lipid peroxidation, as a critical mechanism contributing to neuronal damage in ischemic stroke, particularly during reperfusion injury. This comprehensive review examines the intricate relationship between ferroptosis and futile recanalization following mechanical thrombectomy. We systematically explore the molecular mechanisms underlying ferroptosis in the context of cerebral ischemia-reperfusion injury, including iron metabolism dysregulation, lipid peroxidation cascades, glutathione depletion, and mitochondrial dysfunction. Multiple factors contribute to futile recanalization, including patient demographics (age, comorbidities), stroke characteristics (severity, infarct volume, collateral status), procedural variables (time to treatment, recanalization quality), and post-procedural complications (hemorrhagic transformation, reperfusion injury). We review current predictive models, including nomograms and machine learning algorithms, that integrate clinical, radiological, and biomarker data to stratify patient risk. Importantly, we discuss potential therapeutic interventions targeting ferroptosis pathways, such as iron chelators, lipophilic antioxidants, and ferroptosis-specific inhibitors. The integration of ferroptosis biomarkers into predictive models may enhance risk stratification and guide personalized treatment strategies. Future research should focus on validating ferroptosis-targeted therapies in clinical trials, developing real-time monitoring techniques, and establishing standardized protocols for neuroprotective interventions during mechanical thrombectomy. A deeper understanding of ferroptosis mechanisms and their contribution to futile recanalization may pave the way for novel therapeutic approaches to improve stroke outcomes.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.ebm-journal.org/articles/10.3389/ebm.2026.10946</guid>
        <link>https://www.ebm-journal.org/articles/10.3389/ebm.2026.10946</link>
        <title><![CDATA[Sacubitril valsartan combined with bisoprolol reduces doxorubicin-induced cardiotoxicity in rats by attenuating oxidative stress]]></title>
        <pubdate>2026-04-28T00:00:00Z</pubdate>
        <category>Original Research</category>
        <author>Ping Liu</author><author>Hui Yang</author><author>Runqi Li</author><author>Hui Huang</author><author>Min Xu</author>
        <description><![CDATA[Doxorubicin-induced cardiotoxicity remains a leading cause of mortality among cancer patients, with oxidative stress serving as a central pathogenic mechanism. This study investigated whether combination therapy with sacubitril valsartan and bisoprolol attenuates doxorubicin-induced cardiotoxicity through modulation of oxidative stress pathways. Sixty male Sprague-Dawley rats were randomized into five groups: control, doxorubicin (DOX), bisoprolol (1.0 mg/kg/d), sacubitril valsartan (30 mg/kg/d), and combination therapy. All groups except control received intraperitoneal DOX (2.5 mg/kg weekly for 5 weeks). Cardiac function was assessed by echocardiography, myocardial injury by histopathology and enzyme levels (CK-MB, cTnI, BNP), and oxidative stress by ROS fluorescence, MDA, and SOD. Protein expression of Nrf2, HO-1, and Keap1 was analyzed by Western blot. DOX administration significantly impaired cardiac function, induced myocardial structural damage, elevated cardiac enzymes and oxidative stress markers, and downregulated Nrf2 pathway proteins compared to controls (all P < 0.05). All treatment groups significantly attenuated these abnormalities versus DOX (all P < 0.05), with combination therapy demonstrating superior cardioprotection evidenced by greatest improvement in LVEF (68.74 ± 6.87% vs. 50.26 ± 6.11%, P < 0.05), lowest cardiac enzyme levels, and most robust restoration of Nrf2 pathway expression. These findings demonstrate that sacubitril valsartan combined with bisoprolol effectively reduces doxorubicin-induced cardiotoxicity in rats by activating Nrf2-mediated antioxidant responses, providing experimental evidence for a potentially synergistic prophylactic strategy.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.ebm-journal.org/articles/10.3389/ebm.2026.10988</guid>
        <link>https://www.ebm-journal.org/articles/10.3389/ebm.2026.10988</link>
        <title><![CDATA[Training the next-generation of biomedical scientists through artificial intelligence-driven education and research in pharmacology and pharmaceutical sciences]]></title>
        <pubdate>2026-04-22T00:00:00Z</pubdate>
        <category>Mini Review</category>
        <author>Santosh Kumar</author><author>Ritu Karwasra</author><author>Weinan Zhou</author><author>Jayaraman Seetharaman</author><author>Bhupesh Singla</author>
        <description><![CDATA[Artificial intelligence (AI)-driven graduate education and research in pharmacology and pharmaceutical sciences (AIPPS) aims to address the rapidly-growing role of AI and machine learning (ML) applications in biomedical sciences. This review provides perspectives on why and how the next-generation of biomedical scientists equip themselves with skills necessary to integrate AI and ML tools into their current fields of study, particularly pharmacology and pharmaceutical sciences. The AI-enabled approaches discussed in this article highlight opportunities for improving competitiveness in an evolving scientific landscape, that includes academia, pharmaceutical and biotech industries and regulatory science. Furthermore, this review discusses how graduate education and research can be enhanced through training in AI-driven disease prediction, molecular target identification drug design and discovery, drug repurposing and pharmacometric modelling. The knowledge outlined here may help graduate students and early career researchers navigate the challenges associated with applying AI-based methodologies in fundamental research, product and process development, service delivery, and regulatory policy and ethics. Overall, the insights provided in the review aim to support the development of skilled forward-thinking biomedical and pharmaceutical scientists capable of leveraging AI technologies in modern research environments.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.ebm-journal.org/articles/10.3389/ebm.2026.10827</guid>
        <link>https://www.ebm-journal.org/articles/10.3389/ebm.2026.10827</link>
        <title><![CDATA[Elevated ApoC3 levels in cerebrospinal fluid predict poor outcomes in patients with aneurysmal subarachnoid hemorrhage]]></title>
        <pubdate>2026-04-17T00:00:00Z</pubdate>
        <category>Original Research</category>
        <author>Bin Tong</author><author>Junjie Wang</author><author>Jiarui Chen</author><author>Qia Zhang</author><author>Zhouhan Xu</author><author>Kaichuang Yang</author><author>Xiaomin Chen</author>
        <description><![CDATA[Aneurysmal subarachnoid hemorrhage (aSAH) is a devastating condition associated with approximately 30% mortality and 20% severe disability among survivors. Delayed cerebral ischemia due to cerebral vasospasm and hydrocephalus significantly contribute to poor neurological outcomes. Currently, reliable biomarkers for early prediction of these complications remain lacking. In this study, 63 patients with a mean age of 59.7 ± 11.53 years were enrolled. Functional outcomes were assessed by the modified Rankin Scale (mRS). Cerebrospinal fluid (CSF) samples were obtained through lumbar drainage (LD) or external ventricular drainage (EVD) and analyzed by ELISA. The predictive value of biomarkers was evaluated using receiver operating characteristic (ROC) curve analysis. Elevated Apolipoprotein C-III (ApoC3) levels in CSF of aSAH patients were observed. Furthermore, increased ApoC3 concentrations were significantly associated with poor prognosis and an elevated risk of severe complications. At an optimal cutoff value of 4,463 ng/mL, patients with high ApoC3 levels exhibited significantly worse 3-month functional outcomes and a higher incidence of delayed cerebral ischemia and hydrocephalus. Monitoring ApoC3 levels in CSF may be beneficial for predicting complications such as delayed cerebral ischemia and hydrocephalus in patients with aSAH.]]></description>
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