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Tumor-derived extracellular vesicles (tEVs) are potential biomarkers for noninvasive cancer diagnosis. However, accurate and sensitive detection of tEVs is hampered by their high heterogeneity, as well as the potential interference from biological samples. Herein, a ual ecognition-nabled plification (DREAM) strategy is established, which employs dual aptamers to specifically recognize two exosomal membrane proteins, initiating a proximity ligation-mediated self-reproducing DNA cascade circuit based on catalytic hairpin assembly (CHA) for fluorescence detection of tEVs. Taking tEVs derived from a pancreatic cancer cell line as a model, this assay achieves sensitive, specific, and accurate detection of tEVs in clinical serum samples, accurately differentiating pancreatic cancer patients from healthy donors and other cancer patients. In addition, through simply customizing the dual-recognition sequences, the proposed method is versatilely applied to detect tEVs from different cancer cells (e.g., cervical cancer cells). Overall, the proposed DREAM strategy provides a dream method to detect tEVs for noninvasive cancer diagnosis.
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http://dx.doi.org/10.1021/acs.nanolett.5c01528 | DOI Listing |
Biology (Basel)
August 2025
Department of Patomorphology, Poznan University of Medical Sciences, 61-701 Poznan, Poland.
Chimeric antigen receptor (CAR)-T-cell therapy has revolutionised haematological cancer treatment. However, its application in solid tumours remains significantly limited by the immunosuppressive tumour microenvironment (TME), poor antigen specificity, and physical barriers to infiltration. This review explores a compelling question: can CAR-T cells be adapted to overcome immunosuppression in solid tumours effectively? We provide an in-depth analysis of the immunological, metabolic, and structural challenges posed by the TME and critically evaluate emerging engineering strategies designed to enhance CAR-T cells' persistence, targeting, and function.
View Article and Find Full Text PDFPeerJ
September 2025
Department of Life Sciences, Tangshan Normal University, Tangshan, Hebei, China.
Background: With the acceleration of urbanization, urban rivers have become a significant component of the urban ecosystem, attracting considerable attention regarding their ecological status and biodiversity. This study focuses on the Shiliu River, aiming to analyze the microbial diversity and functions present in the overlying water and sediments of severely polluted areas.
Methods: This study investigated the Shiliu River.
Radiography (Lond)
August 2025
NuMIQ Research Focus Area, School of Nursing Science, North-West University, North-West Province, South Africa.
Introduction: Therapeutic radiography (TR) students frequently encounter a range of positive emotions as they engage with their work during clinical placements, often feeling that their contributions are both meaningful and impactful in patients' lives. However, many healthcare students grapple with elevated stress levels due to the pressures of maintaining academic performance and adapting to the demanding work environment inherent in healthcare settings. The aim of this research study was to explore and describe the experiences of TR students working with patients in radiation oncology departments.
View Article and Find Full Text PDFBiomimetics (Basel)
August 2025
School of Information Science and Technology, Shijiazhuang Tiedao University, Shijiazhuang 050043, China.
The multi-strategy optimized dream optimization algorithm (MSDOA) is proposed to address the challenges of inadequate search capability, slow convergence, and susceptibility to local optima in intelligent optimization algorithms applied to UAV three-dimensional path planning, aiming to enhance the global search efficiency and accuracy of UAV path planning algorithms in 3D environments. First, the algorithm utilizes Bernoulli chaotic mapping for population initialization to widen individual search ranges and enhance population diversity. Subsequently, an adaptive perturbation mechanism is incorporated during the exploration phase along with a lens imaging reverse learning strategy to update the population, thereby improving the exploration ability and accelerating convergence while mitigating premature convergence.
View Article and Find Full Text PDFIntensive Care Med
August 2025
Département Anesthésie Réanimation B, Centre Hospitalier Universitaire (CHU) Montpellier, Hôpital Saint Eloi, PhyMedExp, Université de Montpellier, INSERM U1046, Montpellier, France.
Purpose: Airway driving pressure has garnered considerable attention for lung-protective ventilation. We evaluated the clinical effectiveness of airway driving pressure as a target to individualize positive-end-expiratory pressure (PEEP) setting in mechanically ventilated patients at risk for postoperative respiratory failure.
Methods: We conducted a multicenter, pragmatic, assessor-masked, randomized trial among adult patients undergoing emergency abdominal surgery in 22 hospitals in France.