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  • Open Access

    REVIEW

    Mitochondrial Stress, Melatonin, and Neurodegenerative Diseases: New Nanopharmacological Approaches

    Virna Margarita Martín Giménez1, SebastiáN GarcíA MenéNdez2,3, Luiz Gustavo A. Chuffa4, Vinicius Augusto SimãO4, Russel J. Reiter5, Ramaswamy Sharma6, Walter Balduini7, Carla Gentile8, Walter Manucha2,3,*

    BIOCELL, Vol.49, No.12, pp. 2245-2282, 2025, DOI:10.32604/biocell.2025.071830 - 24 December 2025

    Abstract Neurodegenerative diseases (NDs) such as Alzheimer’s disease (AD), Parkinson’s disease (PD), Huntington’s disease (HD), and amyotrophic lateral sclerosis (ALS) are characterized by progressive neuronal loss, which is closely linked to mitochondrial dysfunction. These pathologies involve a complex interplay of genetics, protein misfolding, and cellular stress, culminating in impaired energy metabolism, an increase in reactive oxygen species (ROS), and defective mitochondrial quality control. The accumulation of damaged mitochondria and dysregulation of pathways such as the Integrated Stress Response (ISR) are central to the pathogenesis of these conditions. This review explores the critical relationship between mitochondrial stress… More >

  • Open Access

    MINI REVIEW

    Urinary Biomarkers for Parkinson’s Disease: Current Insights

    Ilhong Son1,2, Sun Jung Han2, Dong Hwan Ho1,3,*

    BIOCELL, Vol.49, No.12, pp. 2283-2297, 2025, DOI:10.32604/biocell.2025.071119 - 24 December 2025

    Abstract The potential of urinary biomarkers to facilitate non-invasive monitoring of Parkinson’s disease (PD) is a promising avenue, offering insights into the complex pathophysiology of the disease. The aggregation of α-synuclein, a central feature of PD, can be detected in urine, providing a diagnostic clue. Mutations in the LRRK2 gene, associated with increased kinase activity, can be estimated through the measurement of phosphorylated LRRK2 (pS1292) in urine. Oxidative stress, a hallmark of PD, is reflected in elevated levels of oxidized DJ-1 (oxDJ-1) in urine. Beyond these core biomarkers, other urinary components like DOPA decarboxylase, acetyl phenylalanine, More >

  • Open Access

    ARTICLE

    Evaluating the Association between Acute Postoperative Enteral Nutrition and Clinical Outcomes in Infants after Congenital Heart Surgery: A Retrospective Cohort Study

    Shun Maki1,*, Satoshi Nakano1, Taiki Haga2, Takehiro Niitsu1, Ikuya Ueta1

    Congenital Heart Disease, Vol.20, No.5, pp. 547-558, 2025, DOI:10.32604/chd.2025.072277 - 30 November 2025

    Abstract Background: Considering the limited evidence for acute postoperative nutritional therapy for congenital heart disease (CHD), this study evaluated the effects of achieving enteral nutrition (EN) targets in the acute postoperative phase on clinical outcomes in infants after congenital heart surgery. Methods: This retrospective cohort study, conducted in a multivalent pediatric intensive care unit (PICU), enrolled infants aged ≤6 months following congenital heart surgery between April 2021 and March 2023. Based on the American Society for Parenteral and Enteral Nutrition guidelines, the EN target was defined as two-thirds of the resting energy expenditure with a protein intake… More >

  • Open Access

    ARTICLE

    A Comprehensive Brain MRI and Neurodevelopmental Dataset in Children with Tetralogy of Fallot

    Yang Xu1,#, Yaqi Zhang2,#, Meijiao Zhu3, Pengcheng Xue4, Siyu Ma1, Di Yu1, Liang Hu1, Yuxi Zhang1, Wei Peng1, Jirong Qi1, Xuyun Wen4, Ming Yang3, Xuming Mo1,2,5,*

    Congenital Heart Disease, Vol.20, No.5, pp. 559-570, 2025, DOI:10.32604/chd.2025.072242 - 30 November 2025

    Abstract Background: The life-course management of children with tetralogy of Fallot (TOF) has focused on demonstrating brain structural alterations, developmental trajectories, and cognition-related changes that unfold over time. Methods: We introduce an magnetic resonance imaging (MRI) dataset comprising TOF children who underwent brain MRI scanning and cross-sectional neurocognitive follow-up. The dataset includes brain three-dimensional T1-weighted imaging (3D-T1WI), three-dimensional T2-weighted imaging (3D-T2WI), and neurodevelopmental evaluations using the Wechsler Preschool and Primary Scale of Intelligence–Fourth Edition (WPPSI-IV). Results: Thirty-one children with TOF (age range: 4–33 months; 18 males) were recruited and completed corrective surgery at the Children’s Hospital of Nanjing More >

  • Open Access

    CASE REPORT

    Persistent Left Superior Vena Cava with Severely Dilated Coronary Sinus: A Rare Case Report of Failed CRT-P and Successful Dual-Chamber Pacemaker Implantation

    Khaled Elenizi1, Abdullah Sharaf Aldeen2, Nasser Alotaibi3,*, Nagy Fagir2, Hussien Hado2, Mubarak Aldossari2

    Congenital Heart Disease, Vol.20, No.5, pp. 539-546, 2025, DOI:10.32604/chd.2025.071226 - 30 November 2025

    Abstract Persistent left superior vena cava (PLSVC) is a rare congenital anomaly that may complicate cardiac procedures when associated with a dilated coronary sinus (CS) and conduction disturbances. We report the case of a 27-year-old male with Wilson’s disease who presented with complete heart block. Echocardiography showed biatrial enlargement and severe CS dilation, while contrast-enhanced computed tomography (CT) confirmed PLSVC draining into the CS without a bridging vein. Anatomical constraints prevented cardiac resynchronization therapy, and dual-chamber pacemaker implantation proved technically challenging due to lead placement difficulties. This case highlights the importance of thorough preoperative assessment and More >

  • Open Access

    ARTICLE

    Increased Incidence of Congenital Heart Disease during the COVID-19 Pandemic in 492,662 Newborns: Multicenter Observational Study

    Lanqing Qu1,2,#, Jinbiao Zhang1,2,#, Wei Jiang1,2, Jiayu Zhang1,2, Die Li1, Wei Cheng3, Linghua Tao4, Hongdan Zhu5, Jing Li6, Min Xue7, Feng Chen8, Cuicui Xu9, Qiang Shu1,2,*, Weize Xu1,2,*

    Congenital Heart Disease, Vol.20, No.5, pp. 571-580, 2025, DOI:10.32604/chd.2025.066258 - 30 November 2025

    Abstract Background: Congenital heart disease (CHD) is the most common congenital anomaly, but whether the COVID-19 pandemic affects its prevalence is unknown. We aimed to compare the incidence of CHD during the COVID-19 pandemic with that before the pandemic in China. Methods: This multicenter retrospective observational study involved all newborns in seven representative cities of China between 01 September 2019, and 31 December 2021. All the newborns underwent pulse oximetry monitoring combined with cardiac murmur auscultation in the first 6 h to 72 h after birth for CHD screening. We defined fetuses born in and beyond September… More >

  • Open Access

    REVIEW

    Precision Pharmacology in Pediatric Congenital Heart Disease: Gene Editing and Organoid Models Addressing Developmental Challenges

    Jun He1, Jianli Luo1, Yanling Wang1,*, Dai Zhou1,*, Shuanglin Xiang2,*

    Congenital Heart Disease, Vol.20, No.5, pp. 613-623, 2025, DOI:10.32604/chd.2025.071773 - 30 November 2025

    Abstract Pediatric congenital heart disease (CHD) pharmacotherapy faces three fundamental barriers: developmental pharmacokinetic complexity, anatomic-genetic heterogeneity, and evidence chain gaps. Traditional agents exhibit critical limitations: digoxin’s narrow therapeutic index (0.5–0.9 ng/mL) is exacerbated by ABCB1 mutations (toxicity risk increases 4.1-fold), furosemide efficacy declines by 35% in neonates due to NKCC2 immaturity, and β-blocker responses vary by CYP2D6 polymorphisms (poor metabolizers require 50–75% dose reduction). Novel strategies demonstrate transformative potential—CRISPR editing achieves 81% reversal of BMPR2-associated pulmonary vascular remodeling, metabolically matured cardiac organoids replicate adult myocardial energy metabolism for drug screening, and SGLT2 inhibitors activate triple mechanisms (calcium overload More >

  • Open Access

    ARTICLE

    The Plateau Dilemma: Identifying Key Factors of Depression Risk among Middle-Aged and Older Chinese with Chronic Diseases

    Zhe He1, Yaning Zhang2,*

    International Journal of Mental Health Promotion, Vol.27, No.11, pp. 1747-1768, 2025, DOI:10.32604/ijmhp.2025.070491 - 28 November 2025

    Abstract Background: Depression represents a significant global mental health burden, particularly among middle-aged and older Chinese with chronic diseases in high-altitude regions, where harsh environmental conditions and limited social support exacerbate mental health disparities. This paper aims to develop an interpretable machine learning prediction framework to identify the key factors of depression in this vulnerable population, thereby proposing targeted intervention measures. Methods: Utilizing data from the China Health and Retirement Longitudinal Study in 2020, this paper screened out and analyzed 2431 samples. Subsequently, Recursive Feature Elimination and Least Absolute Shrinkage and Selection Operator were applied to screen… More >

  • Open Access

    ARTICLE

    DeepNeck: Bottleneck Assisted Customized Deep Convolutional Neural Networks for Diagnosing Gastrointestinal Tract Disease

    Sidra Naseem1, Rashid Jahangir1,*, Nazik Alturki2, Faheem Shehzad3, Muhammad Sami Ullah4

    CMES-Computer Modeling in Engineering & Sciences, Vol.145, No.2, pp. 2481-2501, 2025, DOI:10.32604/cmes.2025.072575 - 26 November 2025

    Abstract Diagnosing gastrointestinal tract diseases is a critical task requiring accurate and efficient methodologies. While deep learning models have significantly advanced medical image analysis, challenges such as imbalanced datasets and redundant features persist. This study proposes a novel framework that customizes two deep learning models, NasNetMobile and ResNet50, by incorporating bottleneck architectures, named as NasNeck and ResNeck, to enhance feature extraction. The feature vectors are fused into a combined vector, which is further optimized using an improved Whale Optimization Algorithm to minimize redundancy and improve discriminative power. The optimized feature vector is then classified using artificial… More >

  • Open Access

    ARTICLE

    A Meta-Learning Model for Mortality Prediction in Patients with Chronic Cardiovascular Disease

    Sam Rahimzadeh Holagh1, Bugao Xu1,2,*

    CMES-Computer Modeling in Engineering & Sciences, Vol.145, No.2, pp. 2383-2399, 2025, DOI:10.32604/cmes.2025.072259 - 26 November 2025

    Abstract Cardiovascular diseases (CVD) remain a leading cause of mortality worldwide, highlighting the need for precise risk assessment tools to support clinical decision-making. This study introduces a meta-learning model for predicting mortality risk in patients with CVD, classifying them into high-risk and low-risk groups. Data were collected from 868 patients at Tabriz Heart Hospital (THH) in Iran, along with two open-access datasets—the Cleveland Heart Disease (CHD) and Faisalabad Institute of Cardiology (FIC) datasets. Data preprocessing involved class balancing via the Synthetic Minority Over-Sampling Technique (SMOTE). Each dataset was then split into training and test sets, and… More >

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