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  • Open Access

    REVIEW

    Endothelial and Mitochondrial Dysfunction in COPD Pathophysiology: Focus on Homocysteine–L-Carnitine Interplay

    Eduard Belskikh1,*, Yuliya Marsyanova2, Denis Melnikov3, Oleg Uryasev1, Valentina Zvyagina2

    BIOCELL, Vol.49, No.11, pp. 2093-2123, 2025, DOI:10.32604/biocell.2025.069272 - 24 November 2025

    Abstract Elevated homocysteine is a clinically relevant metabolic signal in chronic obstructive pulmonary disease (COPD). Higher circulating levels track with oxidative stress, endothelial dysfunction, mitochondrial impairment, and pulmonary vascular remodeling, rise with disease severity, and may contribute to the excess cardiovascular risk—although effect sizes and causality remain uncertain. This review centers on the homocysteine–carnitine relationship in COPD pathophysiology. Carnitine deficiency, prevalent in COPD, can worsen mitochondrial bioenergetics, promote accumulation of acyl intermediates, and reduce nitric oxide bioavailability via endothelial nitric oxide synthase uncoupling (eNOS). Conversely, restoring carnitine status in experimental and early clinical settings has been… More >

  • Open Access

    ARTICLE

    Tranexamic acid and hematuria outcomes following aquablation for benign prostatic hyperplasia

    Phillip Taboada1, Rohit R. Badia1, Dhillon Advano1, Andrew Murphy1, Christina Sze1, Ryan J. Mauck1, Jennifer Tse1, Jeffrey Gahan2, Claus G. Roehrborn1, Ramy Goueli1,*

    Canadian Journal of Urology, Vol.32, No.5, pp. 491-499, 2025, DOI:10.32604/cju.2025.068150 - 30 October 2025

    Abstract Background: Aquablation is a robotic-assisted, water jet-based transurethral therapy for benign prostatic hyperplasia (BPH). Concerns about postoperative hematuria led to the practice of limited transurethral resection (TUR) with cauterization. This study aimed to assess the impact of tranexamic acid (TXA) on hematuria outcomes when combined with limited TUR after Aquablation. Methods: We retrospectively analyzed men undergoing Aquablation at our institution (October 2020–July 2024). Demographic, prostate, surgical, and hematuria outcomes were extracted from electronic medical records. Kruskal-Wallis test compared medians. Results: Of 131 patients, 113 (86%) had limited TUR; 31 (27%) received 1 g TXA perioperatively. TXA… More >

  • Open Access

    ARTICLE

    Correlation between chronic prostate inflammation and overactive bladder symptoms following transurethral resection of the prostate due to benign prostate hyperplasia

    Ozgu Aydogdu1,*, Onur Erdemoglu2, Halil Ibrahim Bozkurt2, Tansu Degirmenci2, Michael Winder3

    Canadian Journal of Urology, Vol.32, No.5, pp. 529-538, 2025, DOI:10.32604/cju.2025.064564 - 30 October 2025

    Abstract Objectives: Treatment of patients with lower urinary tract symptoms (LUTS) is often challenging. In men, the origin of LUTS, in particular overactive bladder (OAB) symptoms, is often due to prostate enlargement. However, patients with chronic prostate inflammation (CPI) also frequently experience OAB. Thus far, it is not known if the inflammation per se or concomitant prostate enlargement is the underlying cause of LUTS. Currently, we aim to examine if there is any correlation between CPI and the persistence of OAB symptoms in patients with benign prostate hyperplasia (BPH). Methods: Fifty-one men underwent transurethral resection of… More >

  • Open Access

    REVIEW

    Crosstalk between mitochondrial dysfunction and benign prostatic hyperplasia: unraveling the intrinsic mechanisms

    Huan Liu1,#, Yan Li2,#, Jizhang Qiu1, Junchao Zhang1, Huan Lai1, Xinhua Zhang1,*

    Canadian Journal of Urology, Vol.32, No.4, pp. 255-269, 2025, DOI:10.32604/cju.2025.066523 - 29 August 2025

    Abstract Benign prostatic hyperplasia (BPH) represents a prevalent etiology of lower urinary tract symptoms (LUTS) in the male population, clinically defined by a non-malignant proliferation of prostatic tissue. While BPH exhibits a high prevalence among older male populations globally, the precise underlying mechanisms contributing to its development remain incompletely elucidated. Mitochondria, essential organelles within eukaryotic cells, are critical for cellular bioenergetics, the regulation of reactive oxygen species (ROS) generation, and the modulation of cell death pathways. The maintenance of mitochondrial homeostasis involves a complex interplay of processes. By synthesizing previous literature, this review discusses mitochondrial homeostasis More >

  • Open Access

    ARTICLE

    Impact of metabolic syndrome on combination therapy efficacy in LUTS due to BPH: a prospective study

    Iqbal Singh1,*, Himanshu Agrawal2, Vidhi Maurya2, Sanjay Gupta2, Alpana Raizada3

    Canadian Journal of Urology, Vol.32, No.4, pp. 299-308, 2025, DOI:10.32604/cju.2025.064827 - 29 August 2025

    Abstract Objectives: Benign prostatic hyperplasia (BPH) is a common benign tumor in men, with an age-related prevalence of multifactorial etiology. The present study aimed to accurately assess and predict the effect of co-existing metabolic syndrome (MtS) upon treatment outcomes of combination medical therapy in select patients of lower urinary tract symptoms (LUTS) due to BPH. Methods: After obtaining informed consent from the patients, 70 eligible patients with LUTS due to BPH with and without MtS were enrolled in this study from September 2022 to January 2024 from the outpatient clinic at the University College of Medical… More >

  • Open Access

    ARTICLE

    How I do it: percutaneous cystolitholapaxy for bladder stones with complex lower urinary tract anatomy

    Matthew S. Lee, Trey R. Sledge, Amanda K. Seyer, Robert Qi, Kevin Koo*

    Canadian Journal of Urology, Vol.32, No.4, pp. 325-333, 2025, DOI:10.32604/cju.2025.064255 - 29 August 2025

    Abstract While cystolitholapaxy for bladder stones is commonly performed using a transurethral approach, large or complex stone burdens in patients with complex lower urinary tract anatomy may make this inefficient or infeasible. Percutaneous cystolitholapaxy is a safe, effective, minimally invasive alternative for diverse indications, including patients with benign prostatic hyperplasia, urethral stricture disease, closed bladder neck, continent catheterized channel, or other urinary diversion. In this article, we review the indications for and advantages of percutaneous cystolitholapaxy and describe our step-by-step technique for this procedure, including representative imaging and favored equipment. We also discuss preoperative and postoperative More >

  • Open Access

    ARTICLE

    MRPL18 Promotes Breast Cancer Progression: Connecting Mitochondrial Ribosomal Protein to Immune Response

    Hailong Li1,#, Wen Ouyang2,#, Yiyin Long1, Yun Peng1, Ziyi Liu1, Qi Zhou1, Rong Xu1,*, Wei Du1,*

    Oncology Research, Vol.33, No.9, pp. 2549-2571, 2025, DOI:10.32604/or.2025.065050 - 28 August 2025

    Abstract Background: The study aimed to explore the clinical value of mitochondrial ribosomal protein L18 (MRPL18) in breast cancer. Methods: Multiple databases were used to validate the expression of MRPL18. The prognostic impact and predictive value of MRPL18 were evaluated by using predictive models. Protein-protein interaction (PPI) networks were constructed by using GeneMANIA. Enrichment analysis is used to explore the signaling pathway regulated by MRPL18. Cell counting kit-8 (CCK-8) assays, colony formation, migration assays, flow cytometry, and xenograft models were employed to evaluate the role of MRPL18 in tumor progression. The immune response of MRPL18 was More >

  • Open Access

    ARTICLE

    Decentralized Authentication and Secure Distributed File Storage for Healthcare Systems Using Blockchain and IPFS

    Maazen Alsabaan1, Jasmin Praful Bharadiya2, Vishwanath Eswarakrishnan3, Adnan Mustafa Cheema4, Zaid Bin Faheem5, Jehad Ali6,*

    CMC-Computers, Materials & Continua, Vol.85, No.1, pp. 1135-1160, 2025, DOI:10.32604/cmc.2025.066969 - 29 August 2025

    Abstract The healthcare sector involves many steps to ensure efficient care for patients, such as appointment scheduling, consultation plans, online follow-up, and more. However, existing healthcare mechanisms are unable to facilitate a large number of patients, as these systems are centralized and hence vulnerable to various issues, including single points of failure, performance bottlenecks, and substantial monetary costs. Furthermore, these mechanisms are unable to provide an efficient mechanism for saving data against unauthorized access. To address these issues, this study proposes a blockchain-based authentication mechanism that authenticates all healthcare stakeholders based on their credentials. Furthermore, also… More >

  • Open Access

    ARTICLE

    NADSA: A Novel Approach for Detection of Sinkhole Attacks Based on RPL Protocol in 6LowPAN Network

    Atena Shiranzaei1,*, Emad Alizadeh2, Mahdi Rabbani3, Sajjad Bagheri Baba Ahmadi4,*, Mohsen Tajgardan5

    CMC-Computers, Materials & Continua, Vol.84, No.3, pp. 5381-5402, 2025, DOI:10.32604/cmc.2025.064414 - 30 July 2025

    Abstract The sinkhole attack is one of the most damaging threats in the Internet of Things (IoT). It deceptively attracts neighboring nodes and initiates malicious activity, often disrupting the network when combined with other attacks. This study proposes a novel approach, named NADSA, to detect and isolate sinkhole attacks. NADSA is based on the RPL protocol and consists of two detection phases. In the first phase, the minimum possible hop count between the sender and receiver is calculated and compared with the sender’s reported hop count. The second phase utilizes the number of DIO messages to More >

  • Open Access

    ARTICLE

    Mapping of the Pepper Purple Fruit Gene and Development of Molecular Markers Based on BSA-Seq

    Xinxin Liu1,#, Yueyue Zhang1,#, Rahat Sharif1, Weiqin Mo2, Zhenrong Li1, Guiling Yang1, Chao Song1, Ting Ye2,*, Changming Chen1,*

    Phyton-International Journal of Experimental Botany, Vol.94, No.6, pp. 1695-1709, 2025, DOI:10.32604/phyton.2025.063349 - 27 June 2025

    Abstract The color difference of capsicum fruit is closely related to the type and content of pigment in the peel, which is mainly determined by anthocyanins, chlorophyll, and carotenoids. This study used green “CA59” and purple “Z81” pepper fruits as parents to create the F2 generation. The fruit color of 466 F2 population was identified, and the extreme individuals from this population were selected for Bulked Segregant Analysis (BSA) using resequencing. Genetic analysis revealed that a pair of genes controls the expression of the purple fruit trait in capsicum. Using functional annotation, expression analysis, and sequencing analysis… More >

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