Current Medicinal Chemistry - Online First
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1 - 20 of 223 results
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The Effect of Everolimus Conjugated Albumin Nanocarrier on the Viability of Lung Cancer A549 Cell Line
Authors: Ameneh Baghbani Rizi, Aroona Chabra, Fereshteh Chekin and Bahman Rahimi EsboeiAvailable online: 28 January 2026More LessIntroductionLung cancer is a leading cause of cancer-related morbidity and mortality. The development and evaluation of effective treatment strategies for lung cancer are of high clinical importance. Everolimus (Eve) has been shown to upregulate the expression of phosphatases and inhibit the migration and proliferation of A549 cancer cells. The present study focuses on the synthesis of biodegradable bovine serum albumin (BSA) nanoparticles for the loading and delivery of Eve.
MethodsIn the desolvation process, Eve molecules were kept in the BSA system. The physicochemical properties of the Eve drug containing BSA nanoparticles (Eve@BSA) have been exactly characterized. The loading and release assays of Eve were also studied at different glutaraldehyde percentages, times, and solvents.
ResultsField emission scanning electron microscopy (FE-SEM) analysis of BSA nanoparticles revealed a spherical morphology with an average size of 93.7 ± 3.7 nm. The results demonstrated that BSA nanoparticles are highly efficient carriers, achieving an Eve loading efficiency of approximately 54% at 4% glutaraldehyde. The release of Eve from the BSA nanoparticles was dependent on the solvent and duration of incubation. According to the MTT assay, Eve@BSA exhibited low cytotoxicity and high biocompatibility against L929 fibroblast cells. In contrast, the cytotoxicity of Eve@BSA against A549 cells (IC50 ≈ 47 μg/mL) was significantly higher than that of free Eve (IC50 ≈ 283 μg/mL) after 48 hours.
DiscussionThe synergistic effects of Eva@BSA nanoformulation due to functional groups-rich BSA seemed to improve in vitro antiproliferation efficacies compared with the single treatment of Eve.
ConclusionThe findings confirm the synergistic anticancer effect of Eve@BSA, indicating that this nanosystem may serve as a promising candidate for the treatment of lung cancer.
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An Immune Cell Activation Signature for Non - Small Cell Lung Cancer Revealed Tumor Microenvironment Heterogeneity and the Role of RORA in Regulating ZNF490/NDUFA12 Axis
Authors: Yiyi Song, Zhen Zhu, Hong Li, Shuang Song and Xin LinAvailable online: 23 January 2026More LessIntroductionThe development and progression of non-small cell lung cancer (NSCLC) are intricately linked to immune cell activation, but its related signature has not been reported.
MethodsThis study combines in silico and in vitro approaches. TCGA-NSCLC and Gene Expression Omnibus (GEO) datasets were utilized to develop and validate a prognostic signature based on cell activation genes. The signature’s validity was assessed through the identification of genomic, transcriptomic, tumor microenvironment (TME), and single-cell infiltration characteristics. The function of the candidate gene RORA was verified using CCK8, apoptosis, colony formation, wound healing, and transwell assays. The detailed mechanism of RORA was investigated through ChIP-PCR, luciferase assays, Western blot, and ROS detection.
ResultsThe prognostic signature was constructed from TCGA-NSCLC datasets and validated in six independent datasets (GSE30219, GSE33072, GSE37745, GSE41271, GSE42127, GSE50081). The signature was associated with LRP1B and RYR2 mutations, NSCLC-related pathways, drug response, and immune cell infiltration. The candidate gene RORA significantly inhibits the proliferation and migration abilities of NSCLC cell lines (A549 and NCI-H1299). Furthermore, the transcription factor RORA promotes ZNF490 expression, which subsequently inhibits NUDFs expression and oxidative phosphorylation (oxphos).
DiscussionThe signature highlighted its significance with genomic features that were frequently reported as prognostic indicators (LRP1B and RYR2 mutations, cancer-related infiltration and pathway infiltration), and putative treatment response (IC50 in the TCGA dataset). Its detailed mechanism of candidate gene RORA revealed its role in oxphos, highlighting the crosstalk between metabolism and immune activation.
ConclusionThe model is robust and effectively reflects NSCLC heterogeneity while predicting prognosis. RORA promotes the expression of ZNF490 to inhibit NUDFs and oxidative phosphorylation.
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Ferroptosis Targeting by β-Sitosterol in Cervical Cancer Radiotherapy
Authors: Yuanyuan Xiao, Yuanqin Zhao, Zhenlei Wang, Changmin Peng, Le li and Shuangyang TangAvailable online: 19 January 2026More LessThis review addresses the challenge of radioresistance in cervical cancer by exploring the role of ferroptosis in enhancing the efficacy of radiotherapy (RT). It emphasizes the radiosensitizing effect of β-sitosterol through modulation of the GPX4/ACSL4 axis. β-Sitosterol targets mitochondrial membranes, inhibits GPX4 activity, and activates ACSL4, promoting polyunsaturated fatty acid synthesis and thereby facilitating ferroptosis. Preclinical models demonstrate that β-sitosterol significantly improves RT sensitivity and increases tumor iron accumulation. The review further proposes a predictive framework based on ox-LDL levels and the ACSL4/GPX4 ratio for potential clinical application, alongside discussions on innovative delivery systems, ferroptosis-apoptosis interactions, microbiota-mediated metabolic effects, and AI-driven optimization of RT-drug combinations. These insights contribute to advancing personalized radiotherapy strategies for cervical cancer.
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An Overview of Novel Compounds from Marine Invertebrates: Sources, Structures, and Bioactivities
Authors: Chengqian Pan, Kuntai Yang, Zongyang Li, Haohang Ni and Syed Shams ul HassanAvailable online: 19 January 2026More LessMarine invertebrates exhibit a vast taxonomic diversity, encompassing multiple phyla ranging from Porifera (sponges) to Echinodermata. These organisms inhabit complex marine environments and have evolved a diverse array of unique bioactive substances with various pharmacological effects, including antibacterial, antiviral, antitumor, and anti-inflammatory properties. As a result, they have long served as a crucial source of active natural products. The application prospects of these natural products are expanding rapidly across various fields, including medicine, cosmetics, and biotechnology, offering new possibilities for human health and sustainable development. This review compiles information on 159 novel natural products derived from marine invertebrates, which were first discovered in 2024. These compounds, originating from a diverse range of marine invertebrates, encompass various chemical classes, including terpenoids, alkaloids, peptides, and other unique categories. This review places a strong emphasis on elucidating their origins, intricate chemical structures, and promising biological activities. By presenting the latest discoveries and advancements in the field, this comprehensive review aims to offer valuable references and novel insights for the research and development of innovative antibacterial, antitumor, and anti-inflammatory drugs.
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CXCL5/CXCR2 Axis Related to Neutrophilic Inflammation in Ulcerative Colitis: A Comprehensive Analysis Integrating eQTL, pQTL, and Transcriptome Data
Authors: Yiyi Feng, Yichuan Xv, Jingyi Shan, Enjia Guo, Jiang Lin, Hong Pan, Miaoxia Dong and Jianling MoAvailable online: 16 January 2026More LessBackgroundAn excessive inflammatory response plays a central role in the pathogenesis of ulcerative colitis (UC), but the specific cytokines involved remain unclear. This study aimed to identify inflammatory factors associated with UC and explore the possible mechanisms of the identified targets.
MethodsProtein quantitative trait loci (pQTLs) and expression quantitative trait loci (eQTLs) for inflammatory cytokines were obtained from a genome-wide pQTL study and the eQTL consortium, respectively. Summary data for UC from the exploration and validation cohorts were derived from a genome-wide association study and the Finngen cohort. MR and colocalization analyses were conducted to identify causal associations between inflammatory cytokines and UC. Bioinformatics analyses were employed to explore the involved biological processes of candidate targets. Immunohistochemistry was used to validate the expression of these candidate targets in colon tissues.
ResultsAmong all inflammatory cytokines, a significant causal association was identified between C-X-C motif chemokine ligand 5 (CXCL5) and UC. Using eQTL data, a significant genetic association was established between the mRNA expression of CXCL5 and its receptor, C-X-C motif chemokine receptor 2 (CXCR2), with UC. Colocalization analysis further supported these identified links. Differential expression analysis confirmed the dysregulation of the CXCL5/CXCR2 axis in UC patients. Enrichment and immune infiltration analysis indicated that the CXCL5/CXCR2 axis was involved in neutrophil chemotaxis and immune activation in UC. Moreover, CXCL5 expression was found to correlate with neutrophil extracellular trap (NET) formation in UC. Immunohistochemistry further confirmed the dysregulation of the CXCL5/CXCR2 axis in colon tissues of UC patients.
DiscussionThe CXCL5/CXCR2 axis has been implicated to play a significant role within a broader inflammatory network that includes Interleukin (IL)-17, NF-κB, and Tumor Necrosis Factor (TNF) signaling pathways. Additionally, this axis interacts with macrophages and T cells, further contributing to the complexity of inflammatory responses in UC.
ConclusionThere is a significant association between CXCL5/CXCR2 and UC under the MR assumption, which is potentially linked with colonic chemotaxis and activation of neutrophils. These findings highlight the potential of CXCL5/CXCR2 as a therapeutic target for UC. However, future functional studies are needed to validate these findings and explore the exact mechanisms by which CXCL5/CXCR2 influences immune cell crosstalk in UC.
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Prognostic and Immune Infiltration Analysis in ESCC Using a Ferroptosis-EMT Biomarker Signature
Authors: Zhidong Wang, Cheng Gong, Ce Chao, Youpu Zhang, Yiongxiang Qian, Min Wang, Bin Wang and Yang LiuAvailable online: 16 January 2026More LessIntroductionLimited studies have explored how ferroptosis and Epithelial-Mesenchymal Transition (EMT) jointly affect the prognosis of Esophageal Squamous Cell Carcinoma (ESCC). This study aimed to develop a clinical prognostic model based on the combined impact of ESCC.
MethodsGene expression levels and clinical data of ESCC patients were obtained from the Gene Expression Omnibus (GEO) and the Cancer Genome Atlas (TCGA) database. Using Cox regression analysis and Least Absolute Shrinkage and Selection Operator (LASSO) regression analysis, we identified nine prognostic genes to build a predictive model. Immune cell infiltration was evaluated using CIBERSORT and single-sample Gene Set Enrichment Analysis methods. Finally, in vitro experiments were conducted to assess the oncogenic effects of ACSL3 and VIM.
ResultsWe developed a Ferroptosis-EMT Integrated Score (FEIS) based on nine key genes. High-FEIS patients had worse survival, increased immune infiltration, and higher expression of immune checkpoints. A nomogram was built for prognosis prediction, and in vitro studies confirmed the tumor-promoting roles of ACSL3 and VIM.
DiscussionThe FEIS model robustly predicts ESCC prognosis by integrating ferroptosis and EMT, offering novel biomarkers for personalized immunotherapy, though further validation is warranted.
ConclusionOur study introduced a novel prognostic tool that integrates ferroptosis and EMT-related biomarkers and offers valuable insights for developing personalized treatment strategies for ESCC patients.
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Stereoselective Synthesis, Anticolon Cancer Activity, Molecular Docking, and Dynamics Simulation Studies of Spirooxindole Derivatives
Authors: Rajat Ghosh, Afzal B. Shaik, Richie R. Bhandare, Bhima Sridevi and Pratap Chandra AcharyaAvailable online: 16 January 2026More LessBackgroundSpirooxindoles have been reported to be effective anticancer drug candidates by displaying promising pre-clinical results. Therefore, to find out a lead spirocyclic oxindole template, a series of spirooxindole derivatives bearing pyrrolizidine (14a-e) and N-methyl pyrrolidine (15a-e) were synthesized using an efficient multicomponent, one-pot, and stereoselective [3+2] cycloaddition reaction and evaluated in vitro against HT29 and HCT116 human colon cancer cell lines.
MethodsThe pyrrolizidine and N-methyl pyrrolidine spirooxindole derivatives were synthesised in excellent regio- and stereoselectivity using previously optimized reaction conditions. They were evaluated in vitro against cell lines HT29 and HCT116. In silico ADME profiling, molecular docking, and dynamics simulation studies were performed to ascertain the probable mode of action of the lead derivative.
Results and DiscussionThe spirooxindoles were characterized using FTIR, ESI-MS, 1H and 13C NMR, purity was determined by RP-HPLC, and stereochemistry was confirmed by X-ray crystallography. Compound 14a produced the best anti-colon cancer activity with IC50 values of 62.66 and 9.55 µM against HT29 and HCT116 human colon cancer cell lines, respectively. The in silico studies revealed that MDM2 protein inhibition is a probable mode of anti-colon cancer activity, supported by the data obtained in the molecular docking and molecular dynamics study.
ConclusionThe described [3+2] cycloaddition reaction proved to be a highly efficient and catalyst-free reaction. The in vitro cell viability assays and in silico studies revealed that more spirooxindoles can be designed with a varied degree of substitution to target colon cancer.
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A Comprehensive Review on Extracellular Vesicles, Liposomes, and Biohybrid Nanocarriers for Enhanced Wound Healing and Precision Drug Delivery
Authors: Jzit Weii Chen, Fong Fong Liew, Hsiao Wei Tan and Ivy ChungAvailable online: 16 January 2026More LessNanomedicine has advanced drug delivery by addressing key challenges such as poor solubility, instability, and off-target effects. Yet, despite its promise, clinical translation remains limited, with few FDA-approved formulations and ongoing biocompatibility concerns. Extracellular vesicles (EVs), particularly those derived from mesenchymal stem cells, offer natural advantages as nanocarriers, including biocompatibility, immunomodulatory effects, and regenerative properties. However, their therapeutic application is constrained by low drug-loading capacity, rapid clearance, and batch-to-batch variability. To overcome these limitations, biohybrid vesicles—fusions of natural EVs and synthetic liposomes—have emerged as an innovative platform. These hybrids combine the biological targeting and immune-evasive features of EVs with the scalability, structural stability, and tunable drug-release capabilities of liposomes. Advanced fabrication methods, including freeze-thaw cycling, co-extrusion, and pH-mediated fusion, enhance biohybrid vesicle integrity and production. Surface modifications such as PEGylation and ligand attachment further improve biodistribution and cell-specific uptake. This review focuses on extracellular vesicles (EVs), liposomes, and biohybrid vesicles, examining their cellular interactions, design strategies, and therapeutic potential. It also explores the biological pathways involved in tissue repair and regeneration, while addressing key translational challenges such as standardisation and large-scale manufacturing. By leveraging the complementary advantages of natural and synthetic systems, biohybrid EVs represent a promising next-generation platform for precision nanomedicine. The review summarises current progress and proposes a roadmap for advancing these technologies toward clinical application, with a specific focus on wound management.
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Clinical Features of Hypo- and Hypervitaminosis of Fat-Soluble Vitamins in Pediatric Patients
Available online: 15 January 2026More LessFat-soluble vitamins (A, D, E, and K) are crucial for pediatric health, contributing to normal cellular function, growth, immune defense, and development. Unlike water-soluble vitamins, they are absorbed with dietary fats and stored in the liver and adipose tissue, leading to risks of deficiency (hypovitaminosis) and toxicity (hypervitaminosis) in certain physiological and pathological conditions. This narrative review aimed to summarize the clinical manifestations, diagnostic considerations, and management of hypo- and hypervitaminosis of fat-soluble vitamins in pediatric populations. A comprehensive literature review was conducted, highlighting the physiological roles, symptoms of deficiency and toxicity, diagnostic strategies, and treatment options, with particular focus on high-risk groups, including neonates and children with malabsorption or dietary restrictions. Pediatric patients are especially vulnerable to vitamin imbalances due to rapid growth and specific developmental needs. Deficiencies can result in vision problems, bone disorders, immune dysfunction, and coagulation issues, while excess intake can lead to toxicity. Management strategies include clinical assessment, biochemical testing, supplementation, dietary counseling, and public health interventions. Early detection and preventive measures are essential. Future research is needed to explore non-classical roles of these vitamins and optimize supplementation guidelines.
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Development of New Drugs from the Iminosugar Class
Authors: Bo Luo, Li Shen and Yongmin ZhangAvailable online: 15 January 2026More Less
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EGF Family-Based Prognostic Model Reveals AREG as a Key Regulator in Cervical Cancer Progression
Authors: Ruina Jiang, Jianfeng Zheng, Xuefen Lin, Siping Wang, Xintong Cai, Li Liu and Yang SunAvailable online: 09 January 2026More LessIntroductionThis study investigates the prognostic value of Epidermal Growth Factor (EGF) family genes in Cervical Cancer (CC) and experimentally validates the role of AREG in the progression of CC.
MethodsTranscriptome and clinical data of CC were obtained from the TCGA database. We constructed a prognostic model using LASSO Cox regression analysis based on candidate EGF family genes. Multiple bioinformatics approaches were employed to analyze functional pathways and immune characteristics. The biological function of Amphiregulin (AREG) was validated through in vitro experiments, including colony formation, CCK8 proliferation assay, wound healing assay, transwell assay, macrophage polarization analysis using the co-culture system, and in vivo subcutaneous tumor formation in nude mice. Combination therapy with anti-AREG and anti-PD-L1 antibodies was evaluated in a murine C57BL/6 model.
ResultsWe identified 116 EGF family-related genes associated with CC progression and established a prognostic model. High-risk and low-risk groups showed distinct functional enrichment patterns and immune characteristics. AREG emerged as a key prognostic factor, with significantly elevated expression in CC cells. Knockdown of AREG suppressed CC cell proliferation, migration, and invasion, potentially through modulating Epithelial-Mesenchymal Transition (EMT). AREG promoted M2 macrophage polarization, fostering an immunosuppressive tumor microenvironment. Anti-AREG antibody treatment demonstrated antitumor effects in vitro and in vivo, synergizing with anti-PD-L1 therapy to significantly inhibit tumor growth and reverse EMT.
DiscussionOur findings establish the first EGF family-based prognostic model for CC and reveal AREG's dual role in promoting EMT and reshaping the immune microenvironment. The observed synergy between AREG inhibition and PD-L1 blockade provides mechanistic insights for overcoming immunotherapy resistance. Limitations include retrospective data analysis and a lack of multi-omics validation.
ConclusionOur study establishes a robust EGF family gene-based prognostic model for CC patients and identifies AREG as a promising therapeutic target. These findings provide new insights for CC prognosis assessment and treatment strategies.
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Computational Analysis and in vitro Validation of the Anti-Prostate Cancer Activity of Sesamin from Sesamum indicum
Available online: 09 January 2026More LessIntroductionProstate cancer is the fourth most commonly diagnosed cancer worldwide and the eighth leading cause of cancer-related mortality, primarily affecting elderly males. Conventional therapeutic approaches, while effective in some cases, often come with substantial side effects, posing particular challenges for older patients. As a result, the exploration of natural compounds from traditional Chinese medicine (TCM) as potential anticancer agents has gained increasing attention. Sesamin, a dietary lignan found in sesame seeds and frequently used in TCM, has shown promise in preliminary studies for its antioxidant, anti-inflammatory, and potential anticancer properties. However, its specific effects and underlying mechanisms against prostate cancer cells remain inadequately characterized.
Materials and MethodsThis study investigated the anticancer effects of sesamin on human prostate cancer DU145 cells. Cell viability was evaluated using MTT assays. Apoptosis induction and cell cycle distribution were assessed by flow cytometry. Protein expression levels of PPAR-γ, p21, and p53 were measured using Western blotting. Additionally, in silico molecular docking was performed using the LibDock algorithm to evaluate sesamin’s binding affinity with the target proteins PPAR-γ and p21.
ResultsSesamin treatment significantly reduced the viability of DU145 cells in a dose-dependent manner. Flow cytometry revealed increased apoptosis and cell cycle arrest at the G1 phase. Western blot analysis showed upregulated expression of PPAR-γ and p21, while p53 expression remained largely unchanged. Molecular docking analysis demonstrated strong binding affinity of sesamin to PPAR-γ (LibDock score: 125.03) and p21 (LibDock score: 105.45), supporting its involvement in a p53-independent apoptotic mechanism.
DiscussionThe study demonstrates that sesamin exerts significant anticancer effects on prostate cancer DU145 cells by inhibiting cell viability, inducing apoptosis, and causing G1 phase cell cycle arrest. The upregulation of PPAR-γ and p21, coupled with unchanged p53 expression, suggests that sesamin may activate a p53-independent pathway, a valuable feature in treating prostate cancers with defective p53 signaling. Molecular docking results corroborate these findings, indicating direct interactions between sesamin and its molecular targets.
ConclusionSesamin exhibits promising antiproliferative and pro-apoptotic activities against DU145 prostate cancer cells. Its potential to act as a G1-phase-specific chemotherapeutic agent via a p53-independent mechanism warrants further investigation and development as a natural candidate for prostate cancer therapy.
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Citral-Loaded Self Nano-Emulsifying Drug Delivery System Suppresses Metastasis and Enhances Apoptosis in SW620 Colon Cancer Cells
Available online: 09 January 2026More LessIntroductionThe global incidence of colon cancer is rising, highlighting the need for complementary therapeutic approaches using natural products such as citral. A self-nano-emulsifying drug delivery system incorporated with citral (CIT-SNEDDS) was formulated, and prior studies have demonstrated its potent antiproliferative effects on colon cancer cell lines.
Materials and MethodsThe apoptosis-inducing ability of CIT-SNEDDS treatment on SW620 cells was evaluated using Acridine Orange/Propidium Iodide (AO/PI) assay, Annexin V-FITC assay, and cell cycle analysis by flow cytometry. Scratch assay and migration, and invasion assays were performed to assess its anti-metastatic effects.
ResultsThe cytotoxicity assay results showed that SNEDDS with citral (CIT-SNEDDS) significantly reduced cell viability in a dose-dependent manner compared to free citral and SNEDDS without citral. Acridine orange/propidium iodide staining and Annexin V assay results confirmed apoptosis in CIT-SNEDDS-treated cells. Cell cycle analysis indicated that CIT-SNEDDS induced arrest at the S and G2/M phases, which may contribute to apoptosis initiation. The scratch and trans-well assays demonstrated a reduction in SW620 cell migration and invasion capabilities following CIT-SNEDDS treatment, suggesting a potent anti-metastatic effect.
DiscussionThe ability of CIT-SNEDDS to induce apoptosis, disrupt the cell cycle, and inhibit cellular migration in cancer cells aligns with the goals of targeted cancer therapies, which aim to selectively eradicate cancer cells while minimizing effects on healthy tissue.
ConclusionThese findings highlight the therapeutic potential of CIT-SNEDDS for enhancing the efficacy of citral as an anti-tumor and antimetastatic agent for colorectal cancer, warranting further in vivo and preclinical studies to optimize its application.
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Exploring the Causal Relationship of Metabolites in Breast Cancer
Authors: Xin Wang, Zihan Xu, Yiyao Zeng and Jie ChenAvailable online: 09 January 2026More LessBackgroundObservational studies have suggested associations between circulating metabolites and breast cancer (BC) risk, but the direction and causality of these relationships remain unclear due to confounding and reverse causation. Therefore, we aimed to evaluate the potential causal effects of 1,400 circulating metabolites on BC subtypes using Mendelian randomization (MR) based on GWAS data from European-ancestry populations.
MethodsTwo-sample and reverse MR analyses were performed to explore potential causal links between metabolites and BC from the FinnGen and Breast Cancer Association Consortium (BCAC) cohorts. The inverse-variance weighted (IVW) approach served as the main analytical method to evaluate these associations. To further ensure the robustness and credibility of the MR findings, sensitivity analyses were conducted, incorporating leave-one-out procedures, the Cochran's Q test, and the MR-Egger intercept test.
ResultsFollowing correction using the False Discovery Rate (FDR) method at a significance level of 0.10, we identified 5alpha-pregnan-3beta,20alpha-diol monosulfate levels (p = 6.7714*10-5, PFDR = 0.0798) and Myristoleate (14:1n5) levels (p =0.0002, PFDR = 0.0798) were associated with an increased risk of ER+ BC. Conversely, the Caffeine to paraxanthine ratio (p =0.0001, PFDR = 0.0798) was associated with a reduced risk. In the reverse MR analysis, interactions were observed between Eicosanedioate (C20-DC) levels, Piperine levels, Caffeine to theobromine ratio, Indolepropionate levels, 1-oleoyl-GPC (18:1) levels, and Oleoylcarnitine levels with BC. Notably, the p-values of intercept terms in MR-Egger regression all exceeded 0.05, suggesting an absence of potential horizontal pleiotropy.
DiscussionThese findings suggested that hormone-related, lipid-related, and diet-derived metabolites might play subtype-specific roles in breast cancer development. The identified metabolites provided mechanistic insights and highlighted potential biological pathways that warrant further functional validation. They may also serve as preliminary biomarkers for future metabolomic and translational research.
ConclusionOur MR study identified several metabolites that may be causally associated with BC risk. These findings offer potential candidates for further mechanistic investigation and highlight the importance of subtype-specific approaches in metabolomics research.
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Tigecycline in the Era of Antibiotic Resistance: A Current Review
Available online: 09 January 2026More LessTigecycline (TIG) is a broad-spectrum antibiotic of the tetracycline class that evades the resistance mechanisms common to first- and second-generation tetracyclines and is effective against Gram-negative and Gram-positive bacteria, as well as intracellular bacteria. TIG is indicated for the treatment of intra-abdominal, skin, and soft tissue infections in adults, as well as community-acquired bacterial pneumonia. The clinical performance of the TIG has been the subject of discussion since its introduction due to variable safety and efficacy outcomes. Concerns have arisen regarding its association with increased mortality when used in ventilator-associated pneumonia. In addition, resistance to TIG has been reported, driven by various mechanisms such as expulsion by efflux via chromosomal pumps, target site modifications, mutations in tet genes, and enzymatic inactivation. The latter, particularly due to the emergence of multiple TetX monooxygenase variants, is of growing concern. The rise of resistance to last-line antibiotics like TIG presents a significant public health challenge, given the limited therapeutic alternatives available. Therefore, this review analyzes the safety and efficacy reports of TIG, third-generation tetracyclines, documented clinical cases of resistance, and the underlying mechanisms contributing to resistance.
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Comprehensive Analysis to Reveal Nitrogen Metabolism-Associated Genes as a Prognostic Index in Head and Neck Squamous Cell Cancer
Authors: Yiming Shen, Wenfang Sun and Chunfu DaiAvailable online: 09 January 2026More LessBackgroundHead and neck squamous cell carcinoma (HNSCC) has a poor prognosis and a high fatality rate. To predict the prognosis of HNSCC, this study developed a prognostic model based on nitrogen metabolism (NM)-related genes.
MethodsThis study utilized transcriptomic data and clinical information from HNSCC obtained from the Cancer Genome Atlas (TCGA) and Gene Expression Omnibus (GEO) databases to identify differentially expressed NM-related genes. Subsequently, an NM-related prognostic risk model was established by integrating univariate Cox regression, LASSO regression, and multivariate Cox regression. Its predictive value was validated using Kaplan-Meier and ROC curves. Further analysis using GSVA and CIBERSORT examined the relationship between the risk model and the tumor microenvironment immune status, while also evaluating chemotherapy drug sensitivity across different risk groups. Finally, protein-protein interaction (PPI) networks and key gene screening were employed, and the functional validation of the core genes was conducted through in vitro experiments.
ResultsWe identified 10 key NM-related genes (GLS, ASNS, EXT2, HPRT1, SLC7A5, SMS, B3GNT8, GATM, NAGK, and SULT1B1) to construct a prognostic risk model. The GSVA analysis revealed that the low-risk group was enriched in immune-related pathways, while the high-risk group favored metabolic pathways. Additionally, the low-risk group exhibited higher levels of immune cell infiltration. We discovered that gefitinib, belinostat, erlotinib, and phenformin were more effective against cancer cells with lower risk scores. The PPI network screening identified key hub genes, including LORICRIN. Experimental validation demonstrated that LORICRIN overexpression significantly suppressed migration and invasion in HNSCC cells, suggesting its potential tumor-suppressive role in carcinogenesis and progression.
DiscussionThis study emphasizes the links between NM signatures, immune regulation, and signaling pathways, underscoring their potential in the HNSCC mechanism research.
ConclusionOur study established a NM-related gene signature closely linked to immune microenvironment and drug sensitivity, highlighting potential biomarkers and therapeutic targets for prognosis and personalized therapy in HNSCC.
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Synthesis of Enduracididine Free Linear Teixobactin Analogs: Molecular Docking, DFT Calculations, and Their Antimicrobial Activities, Bacterial Cell Wall Lysis and Glucose Assay
Available online: 08 January 2026More LessIntroductionTeixobactin (TX) is a new class of antibiotics with a unique structure and strong efficacy against gram-positive bacteria. It is a “head-to-side-chain” cyclodepsipeptide with considerable potential as a lead molecule for creating novel antibiotics to combat multidrug-resistant pathogens.
MethodsIn this study, we systematically design, synthesize, and evaluate modified Teixobactin analogs (TX1-TX5) for antimicrobial activity. This study presents a novel peptide derived from linearized Teixobactin, with amino acid substitutions at aa1 (N-Me-D-Phe-OH), aa5 (H-L-allo-Ile-OH), and the exclusion of L-allo-Enduracididine at aa10, synthesized using solid-phase peptide synthesis. We employed various software tools, including Molinspiration and SwissADME, to estimate the pharmacokinetic features of the synthesized TX analogs. Molecular docking studies were performed using AutoDock Vina, and PyMOL and Biovia Discovery Studio visualizer were utilized to visualize the protein-ligand interactions. The molecular structures of TX and TX analogs were modeled using the Sinapsis software.
ResultsAntimicrobial susceptibility tests against Staphylococcus aureus, Bacillus subtilis, E. coli, Pseudomonas sp., Aspergillus niger, and Fusarium sp. identified novel TX analogs exhibiting strong bactericidal and fungicidal activity at 80 μg/mL. Bacterial cell wall lysis assays confirmed significant cell wall breakdown upon TX analog treatment. Glucose assay results indicate reduced glucose uptake in bacterial cells treated with TX analogs. Docking studies revealed that the synthesized TX analogs exhibited good binding affinity, ranging from -5.0 to -12.5 kcal/mol, compared with bacterial and fungal proteins, as well as the Delafloxacin and Ketoconazole standards. Density Functional Theory (DFT) computations were employed to investigate chemical reactivity descriptors.
DiscussionIn-vitro studies indicated that TX1 and TX3 showed excellent bactericidal activity by forming inhibition zone diameters (mm) from 6.49 ±0.31 to 11.50 ±0.59 at 70 and 80 μg/mL concentrations against Staphylococcus aureus, Bacillus subtilis, E. coli, and Pseudomonas sp., compared to the standards Streptomycin (+ve) and DMSO (-ve). The TX2, TX3, and TX5 exhibit excellent fungicidal activity with inhibition zone diameters (mm) from 7.23 ±0.25 to 10.23 ±0.30 at 70 and 80 μg/mL concentrations against Aspergillus niger and Fusarium sp., compared to the standards ketoconazole (+ve) and DMSO (-ve). The bacterial cells treated with TX1 displayed more dead cells than the control in all bacterial strains, indicating excellent cell lysis.
ConclusionMass, 1H NMR, and HPLC analysis characterized the synthesized fine TX analogs (TX1-TX5). The DFT and docking studies' electronic characteristic calculations predicted that halogenated (TX1, TX2, and TX4) and methoxy (TX3) substituted analogs have higher stability and electrophilicity, making them suitable agents for antimicrobial activity.
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Aspirin Downregulates PDE4D to Inhibit Malignant Progression of Osteosarcoma through the NF-κB/p65 Pathway
Authors: Jinwu Wang, Yan Zhang, Zhuolun Li, Yiqin Li, Peng Zhou, Yao Xu, Long Chen, Houzhi Yang, Chao Zhang, Jinyan Feng and Guowen WangAvailable online: 08 January 2026More LessIntroductionOsteosarcoma is a highly aggressive cancer with a notably low five-year survival rate. Although aspirin has demonstrated potential in inhibiting the malignant progression of osteosarcoma, the underlying mechanisms remain unclear.
MethodsIn this study, RNA sequencing (RNA-seq) was employed to identify the downstream targets of aspirin in osteosarcoma cells. Then, we examined the expression and clinical significance of PDE4D using osteosarcoma patient samples, tissue microarrays, and data from the TARGET and GTEx databases. The effects of PDE4D on cell growth and mobility were assessed by CCK-8, colony formation, transwell, and wound-healing assays. To explore how aspirin influenced the NF-κB/p65/PDE4D axis, we performed qRT-PCR, Western blotting, luciferase reporter assays, etc. Additionally, mouse models with subcutaneous tumors were used to confirm the roles of aspirin and PDE4D.
ResultsOur results showed that aspirin significantly impeded the proliferation, migration, and invasion of osteosarcoma cells by various functional assays. RNA-seq identified PDE4D as a key target modulated by aspirin treatment in osteosarcoma. Clinically, PDE4D was highly expressed in osteosarcoma cells and tissues, and higher levels of PDE4D were linked to poorer patient outcomes. Functionally, PDE4D served as an oncogene that promoted the malignant traits of osteosarcoma both in vitro and in vivo. Mechanistically, our findings revealed that NF-κB/p65 directly interacted with the core region of the PDE4D promoter, increasing its expression.
DiscussionThe findings of this study reveal a novel mechanism whereby aspirin exerts its anti-tumor effects by inhibiting the NF-κB/p65/PDE4D axis, providing a mechanistic basis for its therapeutic potential. Further validation in different animal models of osteosarcoma is warranted.
ConclusionAspirin suppressed the malignant progression of osteosarcoma by targeting the NF-κB/p65/PDE4D axis, positioning PDE4D as a potential therapeutic target for aspirin-based treatment strategies.
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Identification and Immune Cell Profiling of Exosome-related Genes in Acute Respiratory Distress Syndrome: An Integrated Bioinformatics Analysis
Authors: Xiaoli Tu, Yu-an Qiu, Yubo Duan and Qian OuyangAvailable online: 08 January 2026More LessBackgroundAcute respiratory distress syndrome (ARDS) is a life-threatening condition associated with high mortality and morbidity. However, targeted therapies that effectively improve patient outcomes remain limited. Exosomes play pivotal roles in intercellular communication and epigenetic regulation.
ObjectiveThis study aimed to identify exosome-related differentially expressed genes (EXORDEGs) in whole blood associated with ARDS and to explore their potential mechanistic roles in the disease.
MethodsTwo gene expression datasets (GSE32707 and GSE66890) were retrieved from the Gene Expression Omnibus for comprehensive bioinformatics analysis. Analytical approaches included Gene Ontology and Kyoto Encyclopedia of Genes and Genomes pathway enrichment analyses, protein-protein interaction network construction using the STRING database, and immune infiltration profiling via single-sample gene set enrichment analysis in relation to hub genes.
ResultsWe identified 21 EXORDEGs, primarily enriched in biological processes such as endothelial cell development and apoptosis. Four hub genes—PI3, EEF1A1, ANAPC1, and PSMD2—were robustly associated with ARDS, with PSMD2 showing the most pronounced differential expression. Immune infiltration analysis revealed significant disparities in nine immune cell populations between ARDS and control samples.
DiscussionThe results of this comprehensive bioinformatics analysis identified four EXORDEGs—PI3, EEF1A1, ANAPC1, and PSMD2—with important roles in acute respiratory distress syndrome.
ConclusionThis study first systematically identified EXORDEGs in ARDS, discovering four hub genes and their associations with immune cells. The hub genes may be implicated in endothelial injury, inflammation, and immune dysregulation. These findings provide novel insights into ARDS pathogenesis and highlight potential therapeutic targets for further investigation. Given the disease heterogeneity, our findings primarily reflect common molecular characteristics, while the specific features of different etiological subtypes require further investigation.
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PELI3-Mediating Epithelial-Mesenchymal Transition Correlates with Radiation Sensitivity in Non-Small Cell Lung Cancer
Authors: Fannian Li, Xiaoning Li, Haitao Li, Shuai Li, Yanchao Liu, Xianhua Bai, Tianjie Qi, Xiumin Zhao and Yuzheng HeAvailable online: 08 January 2026More LessIntroductionRadiotherapy remains a cornerstone of treatment for non-small cell lung cancer (NSCLC). Despite its critical role, the emergence of radiation resistance remains a significant hurdle, often leading to therapeutic failure and disease progression. This research aimed to investigate the expression of Pellino E3 ubiquitin protein ligase family member 3 (PELI3) in NSCLC and examine its involvement in modulating the tumor's response to radiation.
Materials and MethodsTo quantify PELI3 levels in NSCLC tissues, real-time PCR and Western blotting techniques were employed. The effects of silencing PELI3 on cancer cell proliferation were evaluated using CCK-8 and colony formation assays. Furthermore, an in vivo mouse xenograft model was used to corroborate the in vitro results.
ResultsPELI3 expression was markedly elevated in NSCLC tumor samples relative to normal tissues and showed a strong association with clinical features, such as tumor volume, lymph node involvement, and radiotherapy responsiveness. Further analysis revealed that PELI3 promoted epithelial-to-mesenchymal transition (EMT) following radiation exposure. Suppressing PELI3 expression mitigated radiation-induced EMT in both cellular and animal models.
DiscussionElevated PELI3 promotes radiation-induced EMT and radioresistance in NSCLC. Suppressing PELI3 reverses EMT features and enhances radiosensitivity in vitro and in vivo, highlighting PELI3 as a potential biomarker and therapeutic target to improve radiotherapy outcomes.
ConclusionThese findings suggest that PELI3 could serve as a valuable prognostic marker in NSCLC and may represent a promising target to improve tumor sensitivity to radiotherapy.
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