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Numerous studies have demonstrated that micro- and nanoplastics can induce adverse effects in both zebrafish and mice, primarily targeting the intestine in oral exposure scenarios. Organisms under disease conditions are suggested to exhibit increased susceptibility to environmental pollutants, with inflammatory bowel disease (IBD) serving as a relevant model for understanding toxicity initiated in a diseased intestine. Here, we compared the adverse outcomes of polystyrene micro- (PSMPs) and nanoplastics (PSNPs) in both normal and IBD-like zebrafish and mouse models. We found that in zebrafish, no significant difference in mortality was elicited by the two particles, while IBD-like fish exhibited greater susceptibility to exposure. Conversely, transcriptomic analysis of surviving fish revealed that PSNPs disrupted metabolic pathways, particularly galactose metabolism, and induced more pronounced apoptosis in intestinal epithelial cells compared to PSMPs in IBD-like fish. These effects were further associated with an increase in the genus . Similarly, in IBD-like mice, PSNPs induced a more significant increase in crypt length than control mice and more severe histological injury and greater disruptions in gut microbial diversity compared to PSMPs, mirroring the findings in zebrafish. Notably, two shared pathways, glycosphingolipid synthesis (globo and isoglobo series) and NOD-like receptor signaling, were identified in response to PSNP and PSMP exposure in two models, respectively, along with a consistent decline in Firmicutes abundance. These findings suggest that smaller-sized PSNPs may pose higher environmental and health risks compared to larger-sized PSMPs, providing key insights into the interactions between polystyrene particles and compromised biological systems and their resulting adverse outcomes.
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http://dx.doi.org/10.1021/acsnano.5c02307 | DOI Listing |
Sud Med Ekspert
January 2025
Saint Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine, Saint Petersburg, Russia.
Two expert reports of medical malpractice cases, in one of which there was a conclusion about the presence of a direct causal relationship with the natural course of the disease, and the other - with the incorrect actions of the doctor, were analyzed. Methodological approaches to solving such issues are discussed. It is recommended to use the logical method of hypothetical elimination of incorrect actions of medical professionals in order to avoid errors.
View Article and Find Full Text PDFWorld J Pediatr Congenit Heart Surg
September 2025
Postgraduate Program in Health Sciences, Medical School, Federal University of Amazonas (UFAM), Manaus, Amazonas, Brazil.
To analyze in-hospital mortality in children undergoing congenital heart interventions in the only public referral center in Amazonas, North Brazil, between 2014 and 2022. This retrospective cohort study included 1041 patients undergoing cardiac interventions for congenital heart disease, of whom 135 died during hospitalization. Records were reviewed to obtain demographic, clinical, and surgical data.
View Article and Find Full Text PDFJ Alzheimers Dis
September 2025
Paula Costa-Urrutia Medical Affairs, Terumo BCT, Edificio Think MVD, Montevideo, Uruguay.
BackgroundTherapeutic plasma exchange (TPE) with albumin replacement has emerged as a potential treatment for Alzheimer's disease (AD). The AMBAR trial showed that TPE could slow cognitive and functional decline, along with changes in core and inflammatory biomarkers in cerebrospinal fluid.ObjectiveTo evaluate the safety and effectiveness of TPE in a real-world setting in Argentina.
View Article and Find Full Text PDFJAMA Psychiatry
September 2025
School of Psychological Sciences, Monash University, Melbourne, Victoria, Australia.
Importance: Cannabis is the most commonly used illicit drug, with 10% to 30% of regular users developing cannabis use disorder (CUD), a condition linked to altered hippocampal integrity. Evidence suggests high-intensity interval training (HIIT) enhances hippocampal structure and function, with this form of physical exercise potentially mitigating CUD-related cognitive and mental health impairments.
Objective: To determine the impact of a 12-week HIIT intervention on hippocampal integrity (ie, structure, connectivity, biochemistry) compared with 12 weeks of strength and resistance (SR) training in CUD.
JAMA Psychiatry
September 2025
Denovo Biopharma LLC, San Diego, California.
Importance: This study represents a first successful use of a genetic biomarker to select potential responders in a prospective study in psychiatry. Liafensine, a triple reuptake inhibitor, may become a new precision medicine for treatment-resistant depression (TRD), a major unmet medical need.
Objective: To determine whether ANK3-positive patients with TRD benefit from a 1-mg and/or 2-mg daily oral dose of liafensine, compared with placebo, in a clinical trial.