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Citrulline (Cit), a non-essential amino acid, is characterized by its unique extrahepatic metabolism, which significantly enhances the bioavailability of arginine metabolism in tissues. This study investigated the impact of -Cit supplementation on ruminal microbiota composition, plasma metabolites, reproductive hormones, and antioxidant capacity in Hu ewes. Sixty non-pregnant Hu ewes, similar in age and parity, with an average body weight of 47 ± 5.05 kg, were randomly assigned to either a Control group or Experimental group. The Control group received a basal diet, while the Experimental group was supplemented with 10 g/d of -Cit in addition to the basal diet for 65 days. Compared to the Control group, the Experimental group exhibited a significantly higher estrus rate. Plasma estradiol (E) levels were significantly reduced ( < 0.01), while luteinizing hormone (LH) and follicle-stimulating hormone (FSH) concentrations showed significant increases ( < 0.05). Testosterone (T) content was also significantly elevated ( < 0.01). Plasma levels of superoxide dismutase (SOD), malondialdehyde (MDA), glutathione peroxidase (GSH-PX), catalase (CAT), and total antioxidant capacity (T-AOC) were significantly higher in the experimental group, with highly significant differences ( < 0.01). The 16S rRNA sequencing analysis revealed that at the phylum level, the relative abundance of Bacteroidetes was decreased, while that of Firmicutes was increased in the experimental group. At the family level, the relative abundance of norank_o__Clostridia_UCG-014 was significantly increased. At the genus level, the relative abundance of Prevotellaceae_UCG-003 was significantly decreased. The main enriched pathways in the CON group were identified as Lipoic acid metabolism and Nicotinate and nicotinamide metabolism. The main enriched pathways in the experimental group were identified as Prion diseases, Chlorocyclohexane and chlorobenzene degradation, Chloroalkane and chloroalkene degradation, Biofilm formation-, and Phosphotransferase system (PTS). LC-MS analysis indicated significant upregulation of pathways such as drug metabolism by other enzymes, folate biosynthesis, and valine, leucine, and isoleucine biosynthesis, whereas oxidative phosphorylation and propanoate metabolism were significantly downregulated. These results demonstrate that -Cit supplementation in the diet modulates the ruminal microbiota of Hu ewes, optimizing volatile fatty acid (VFA) proportions, enhancing carbohydrate metabolism, improving xenobiotic degradation capacity, stimulating the synthesis and release of reproductive hormones. Ultimately, these coordinated effects led to a synergistic increase in estrus and conception rates.
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http://dx.doi.org/10.3389/fmicb.2025.1606437 | DOI Listing |
Health Expect
October 2025
Murdoch Children's Research Institute, Parkville, Victoria, Australia.
Introduction: Despite high coverage of routine childhood vaccines, uptake of the human papillomavirus (HPV) vaccine in the Pacific Island nation of Tonga has been slow. Culturally appropriate communication resources on the importance, safety, and effectiveness of the HPV vaccine are critical to support acceptance and uptake. To develop these resources, it is important to understand what people want to know.
View Article and Find Full Text PDFJ Relig Health
September 2025
Department of Midwifery, Faculty of Health Sciences, Agri Ibrahim Cecen University, Agri, Turkey.
This study aims to examine the effect of education interventions given to women with religious orientation on cervical cancer and Pap smear test health beliefs.The study used a quasi-experimental research design with the pre-test-post-test control group. It was conducted in Qur'an courses in a province in eastern Turkey between January and October 2023.
View Article and Find Full Text PDFHealth Soc Care Deliv Res
September 2025
Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Background: Remote services (in which the patient and staff member are not physically colocated) and digital services (in which a patient encounter is digitally mediated in some way) were introduced extensively when the COVID-19 pandemic began in 2020. We undertook a longitudinal qualitative study of the introduction, embedding, evolution and abandonment of remote and digital innovations in United Kingdom general practice. This synoptic paper summarises study design, methods, key findings, outputs and impacts to date.
View Article and Find Full Text PDFHealth Econ
September 2025
Yangtze River Institute of International Digital Trade Innovation and Development, Nanjing University of Information Science and Technology, Nanjing, China.
This study investigates the impact of transportation infrastructure financed by Chinese aid on child health in 11 sub-Saharan African countries using Demographic and Health Survey data matched with the precise geospatial features of transportation infrastructure. We find that an additional year of exposure to transportation infrastructure significantly increases children's height-for-age z-scores by 0.041 standard deviations and reduces the likelihood of stunting by 1.
View Article and Find Full Text PDFPurpose Clear cell renal cell carcinoma (ccRCC), the dominant subtype of renal malignancy, has a rising global incidence and mortality. While surgery is the standard of care for localized cases, adjuvant therapy aims to improve outcomes in high-risk postoperative patients. To quantify the clinical value of adjuvant pharmacotherapy, this systematic review and meta-analysis assesses its effect on overall survival (OS), disease-free survival (DFS), and progression-free survival (PFS) in patients with ccRCC.
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