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Biomolecules

MDPI AG

Preprints posted in the last 30 days, ranked by how well they match Biomolecules's content profile, based on 95 papers previously published here. The average preprint has a 0.07% match score for this journal, so anything above that is already an above-average fit.

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COSMIC-Linked Ras Mutations at the Interface Between H-Ras and PI3KγRBD Frequently Generate Affinity Increases as Well as Affinity Decreases

Mead, E. H.; Batz, K. C.; Shih, K.-H.; Fleming, I. R.; Tesdahl, C. D.; Lizardos, L.; Armendariz, J. R.; Hannan, J. P.; Hickey, A. M.; Leyk, A.; Erbse, A. H.; Falke, J. J.

2026-05-06 biochemistry 10.64898/2026.05.01.722339 medRxiv
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The three conventional isoforms of the Ras G-protein (H-, K-, N-Ras) function as molecular on-off switches that regulate a wide array of signaling pathways, including the Ras-PI3K-PIP3-PDK1-AKT pathway that is central to innate immunity and normal cell growth, and is dysregulated in many disease states. Activation of the pathway by Ras requires adequate Ras-PI3K binding affinity. Here we focus on the interface of known structure in the H-Ras:PI3K{gamma} co-complex essential to multiple pathways including directed pseudopod growth in leukocyte chemotaxis. At this interface 10 H-Ras residues, all 100% conserved between the H-, K- and N-Ras isomers, contact the Ras binding domain of PI3K{gamma} (PI3K{gamma}RBD). To investigate the degree to which the native H-Ras:PI3K{gamma}RBD interface is optimized by evolution for maximal binding affinity, 8 interfacial Ras mutations selected from the COSMIC database and the literature were introduced at the contact positions. All 8 Ras mutations were observed to alter the H-Ras:PI3K{gamma}RBD binding affinity, with 4 mutations yielding significant affinity increases and 4 yielding significant affinity decreases. These findings indicate that the native H-Ras:PI3K{gamma}RBD interface provides intermediate, rather than maximal, binding affinity. Such intermediate affinity is consistent with the substantial binding plasticity of the conserved H-, N-, K-Ras effector docking surface, which has evolved to bind a diverse array of effectors. Furthermore, the findings provide evidence that COSMIC-linked mutations at the H-Ras:PI3K{gamma}RBD interface frequently generate affinity increases as well as decreases, with potential implications for molecular mechanisms of disease and for tool development in cell biology.

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DentaCoPilot: An LLM-Augmented Next-Procedure Recommender for General Dentistry, Designed for Dentist Augmentation

Rodrigues, C. C.; Rebello, S. D.

2026-05-08 dentistry and oral medicine 10.64898/2026.05.07.26352635 medRxiv
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BackgroundCommercial dental artificial intelligence in 2026 is over-whelmingly diagnostic: caries, calculus, periapical, and bone-level detection on radiographs. The clinically harder question that follows every diagno-sis -- given a patients chart and most recent procedure, what should the dentist do next -- remains unsolved at general-dentistry scale. The closest published system, MultiTP (Chen et al., 2024), is a CNN-RNN restricted to partial-edentulism cases and provides neither calibrated uncertainty, structured rationale, nor an evaluation that treats the model as decision support rather than as an autonomous classifier. MethodsWe introduce DentaCoPilot, a recommender that, given a structured chart, returns (i) a calibrated top-K probability distribution over Current Dental Terminology (CDT) codes for the next procedure, (ii) a verbalised confidence label, (iii) an explicit abstain flag when context is insufficient, and (iv) a chartgrounded rationale. We compare four classical baselines (frequency bigram, TF-IDF + logistic regression, XGBoost, MultiTP-style CNN-RNN) and six large-language-model (LLM) variants (Claude Haiku, Sonnet + chain-of-thought, Sonnet + retrieval, Opus + chain-of-thought, Sonnet + classical prior, Opus + classical prior) on a synthetic chart corpus of 500 patients (1,284 test examples). All LLM inference is routed through the local Anthropic Claude Code CLI; every call is logged for full audit. ResultsOn apples-to-apples evaluation, classical baselines reach 0.567 top-1 / 0.967 top-5; pure LLM variants trail at 0.267-0.467 top-1. Prompt-conditioning a Sonnet LLM on the classical baselines top-10 candidates (M5) closes the gap: top-5 rises from 0.733 (pure Sonnet + chain-of-thought) to 0.933, matching classical baselines, while preserving rationale and abstention. Increasing the LLM backbone from Sonnet to Opus does not improve accuracy with or without priming. Calibration via temperature scaling and coverage-risk analysis is reported for the baselines. ConclusionPrompt-conditioning a small LLM on a classical baselines top-K is the most cost-effective LLM design we tested for next-procedure recommendation, and the design preserves the augmentation features that distinguish the system from an autonomous classifier. A pre-registered clinician-in-the-loop evaluation at the KLE Vish-wanath Katti Institute of Dental Sciences (Belgaum, India) and a real-data evaluation on the multi-institutional BigMouth dental data repository are the next stage of work.

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RT-nested and interfering-Primer PCR reveal prevalent isoform-specific A-to-I RNA editing in neuronal genes

Wang, Z.; Ni, Y.; Cai, W.; Li, H.; Duan, Y.

2026-05-17 molecular biology 10.64898/2026.05.15.725286 medRxiv
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BackgroundMetazoan adenosine-to-inosine (A-to-I) mRNA editing temporospatially diversifies the neuronal transcriptome and proteome. The limited read length from next-generation sequencing (NGS) constrains the quantification of the potentially differential editing levels across different splicing isoforms, restricting our understanding of the extent to which RNA editing contributes to molecular diversity and its interplay with splicing. MethodsWe employed reverse transcription nested PCR (RT-nPCR) and developed a novel interfering-Primer PCR (iPrimer PCR) technique to distinguish different transcripts of any gene. We selected multiple essential genes exhibiting RNA editing in coding sequences (CDSs) or untranslated regions (UTRs) for isoform-specific amplification and Sanger sequencing. ResultsNine different Adar isoforms together with pre-mRNA had distinct editing levels at the S>G auto-recoding site, which was predicted to have isoform-specific effects on catalytic activities. Although pre-mRNA editing might exert isoform-dependent promotion/suppression of splicing, closely located editing sites, such as those in neuronal genes qvr and stj, still exhibited high correlation in editing levels due to co-editing. iPrimer strategy further discovered differential recoding levels between the long/short 3UTR isoforms of gene jef. ConclusionsWe provide the first comprehensive solution for isoform-specific PCR amplification of any gene, enabling quantification of RNA editing level of different isoforms. Our results offer insights into how RNA editing interplays with splicing, and highlight its complicated role in expanding molecular diversity. Graphical abstract O_FIG O_LINKSMALLFIG WIDTH=200 HEIGHT=79 SRC="FIGDIR/small/725286v1_ufig1.gif" ALT="Figure 1"> View larger version (17K): org.highwire.dtl.DTLVardef@1ebc82org.highwire.dtl.DTLVardef@1ea365dorg.highwire.dtl.DTLVardef@1971aceorg.highwire.dtl.DTLVardef@160d053_HPS_FORMAT_FIGEXP M_FIG C_FIG We developed isoform-specific PCR followed by Sanger sequencing, and achieved the quantification of differential RNA editing levels in different transcripts of a gene.

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New insight into the RNA-chaperon activity of nucleobindin 1

Kostareva, O. S.; Eliseeva, I. A.; Buyan, A. I.; Lyabin, D. N.; Tishchenko, S. V.; Mikhaylina, A. O.

2026-05-22 molecular biology 10.64898/2026.05.22.727093 medRxiv
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Nucleobindin 1 (NUCB1) is a multifunctional conserved protein located in Golgi luminal, nucleus, extracellular and cytosolic pools. NUCB1 is multidomain protein comprised of a signal peptide, a DNA-binding domain, a leucine zipper and Ca2+ -binding domain. The multiple domains and localization of NUCB1 potentiates its interactions with various partners, such as DNA, Gi3 protein, cyclooxygenase 2, LRP10 and RNA suggests its importance in the regulation of many cellular events. We revealed that NUCB1 contains three RNA-binding regions and able to interact with two RNA fragments. It was suggested possible variants of the participation of NUCB1 in the interaction of the two partially complementary RNAs. The RNA-binding properties of the NUCB1 were also confirmed in vivo experiments.

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Fecal untargeted metabolomic and short-chain fatty acid analyses in cats with chronic kidney disease

Schmidt, T.; Quimby, J.; Whitehouse, W. H.; Aronson, L.; Suchodolski, J. S.; Li, Q.

2026-05-14 molecular biology 10.64898/2026.05.12.724333 medRxiv
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BackgroundThe gut-kidney axis plays a direct role in gastrointestinal and kidney health. Gut-derived metabolites like uremic toxins are associated with the pathophysiology of feline chronic kidney disease (CKD). The aim of the study was to identify novel fecal biomarkers and investigate the roles of gastrointestinal metabolites in feline CKD. ResultsFecal samples from 41 healthy non-CKD (control) and 67 CKD cats, including 5 IRIS stage 1 (CKD1), 37 stage 2a (CKD2a), 18 stage 2b (CKD2b), and 7 stage 3 (CKD3), were subject to fecal untargeted metabolomics and targeted short-chain fatty acid (SCFA) analyses. Multiple linear regression, adjusted for sex, age, body weight and study site, identified 64 differential metabolites between control and across CKD groups (P<0.0001 and FDR<0.10). Approximately 65% of the metabolites were lipids, including polyunsaturated long-chain fatty acids, acylcarnitines, and ceramides. Random Forest algorithm selected N1-methyl-2-pyridone-5-carboxamide (2PY), a uremic toxin from nicotinamide catabolism, as the top fecal marker for classifying feline CKD. Fecal 2PY was increased in CKD1 (P = 0.03), CKD2a, CKD2b, and CKD3 (all P<0.0001) compared to the controls. Data mining revealed serum concentration of 2PY was significantly increased with severity of CKD in cats, possibly due to impaired renal excretion. Cholesterol and arachidonic acid, markers for enterocyte shedding and inflammation, were increased in CKD3 versus control (both P<0.05). In healthy non-CKD cats, evident suggested fecal lipids increased with age (P<0.0001), and were higher in females versus males (P<0.0001). While fecal indole and p-cresol were increased in CKD3 versus control (both P<0.05), no change was observed in indoxyl sulfate (IS) or p-cresol sulfate (PCS). Fecal indole-3-acetic acid (IAA) was decreased in several CKD groups compared to the controls (all P<0.05). Finally, two branched SCFAs, isobutyrate and isovalerate, were increased in CKD3 versus control (both P<0.05). ConclusionsThe study revealed 2PY as a novel marker and unveiled profound alterations in intestinal lipid compositions with a potential link to gut barrier integrity and inflammation in CKD.

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Taxol exploits molecular switches within tubulin to stabilize microtubules.

Vangos, N. E.; DeLear, P. E.; Thomas, E. C.; Verhey, K.; DeSantis, M. E.; Zanic, M.; Sept, D.; Cianfrocco, M. A.

2026-05-19 molecular biology 10.64898/2026.05.17.725690 medRxiv
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Microtubules are dynamic filaments of tubulin heterodimers that comprise an essential part of the eukaryotic cytoskeleton1. The nucleotide state of tubulin controls microtubule dynamics: stable GTP-microtubules favor polymerization, whereas unstable GDP-microtubules drive depolymerization2. Anticancer compounds such as Taxol (paclitaxel) target microtubule dynamicity by preventing microtubule depolymerization3,4. Despite decades of work, the molecular basis of microtubule dynamics remains poorly defined. Using cryo-EM, we determined [~]2.2 [A] structures of human microtubules in GTP-like (GMPCPP) and GDP states. Comparison of these two states revealed switch-like structural changes as tubulins transition from the pre-hydrolysis (GMPCPP) to the post-hydrolysis (GDP) state. Additional structure determination of Taxol-bound microtubules at [~]2.2 [A] showed that Taxol binding converts the microtubule lattice into a pre-hydrolysis state by reversing the structural switches flipped during GTP hydrolysis. Focusing our analysis on the microtubule seam shows that the pre-hydrolysis conformation of GMPCPP or Taxol-GDP exhibits favorable lateral interactions at the seam, with lattice deformations clearly visible at the GDP seam. Together, our data show the existence of structural switches in tubulin that are coupled to the nucleotide state and are exploited by Taxol to stabilize microtubules into a pre-hydrolysis-like state. (191 words)

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DKK1 and CKAP4 expression is associated with cervical lymph node metastasis in tongue squamous cell carcinoma

Fujita, H.; Takahashi, O.; Yada, N.; Tanaka, J.; Haraguchi, K.; Morioka, M.; Yaginuma, T.; Sasaguri, M.; Kokabu, S.; Habu, M.

2026-06-01 dentistry and oral medicine 10.64898/2026.05.29.26354440 medRxiv
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Objective: To identify Dickkopf-1 (DKK1) as a prognostically relevant candidate in head and neck squamous cell carcinoma and to evaluate whether DKK1 and cytoskeleton-associated protein 4 (CKAP4) expression is associated with cervical lymph node metastasis in tongue squamous cell carcinoma (TSCC). Methods: DKK1 was screened using the Human Protein Atlas Pathology Atlas. Immunohistochemical expression of DKK1 and CKAP4 was examined in 54 patients with primary TSCC (cT1-4N0) treated surgically between 2015 and 2020. Nine cases were excluded because of insufficient tissue blocks or inadequate staining quality, leaving 45 evaluable cases. Associations with delayed cervical lymph node metastasis were assessed together with conventional clinicopathological factors, including infiltrative growth pattern (INF) and pathological depth of invasion (pDOI). Results: In public database analysis, high DKK1 expression was associated with poorer overall survival in head and neck squamous cell carcinoma. In the TSCC cohort, pDOI [&ge;]5 mm and INF pattern c were significantly associated with cervical lymph node metastasis. Positive DKK1 and CKAP4 expression were also significantly associated with cervical lymph node metastasis. Furthermore, combined DKK1/CKAP4 positivity, when incorporated with INF and pDOI, provided additional risk stratification, and cases with all 3 factors showed a markedly increased likelihood of cervical lymph node metastasis. Conclusions: Expression of DKK1 and CKAP4 was associated with cervical lymph node metastasis in TSCC. Combined assessment of DKK1/CKAP4 expression with INF and pDOI may improve pathological risk stratification and may help identify patients who require closer neck evaluation and postoperative management.

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Dietary serine protects the retinal pigmented epithelium by blunting reactive oxygen species in dry age-related macular degeneration

Satyanarayana, G.; Kumpakha, R.; Papania, J.; Sellers, J.; Chrenek, M.; Handa, J. T.; Datta, S.

2026-05-04 molecular biology 10.64898/2026.04.30.722030 medRxiv
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Age-related macular degeneration (AMD) is a progressive complex eye disease and one of the leading causes of blindness. AMD progression is marked by molecular changes in the retinal pigmented epithelium (RPE) which include increased reactive oxygen species (ROS) accumulation, mitochondrial dysfunction - eventually leading to dysfunctional RPE. Mitophagy regulator, Pink1, is reduced in the RPE of AMD patients and Pink1 loss leads to a shift from mitochondrial respiration to glycolysis. Serine is a non-essential amino acid which is de novo synthesized from glycolytic intermediate 3-PG via the rate limiting enzyme PHGDH. Serine is tightly integrated into anabolic processes like glutathione (GSH) cycling, maintaining NADH/NADPH pools leading to changes in AMPK signaling. Here, we show that Pink1 loss leads to a reduction in PHGDH and serine levels in the RPE leading to impaired mitochondrial structure and function, increased ROS mediated damage, increased inflammation, and hampered retinal function. Serine supplementation rescued ROS accumulation, balanced GSH abundance, and increased retinal function. Overall, our study highlights the potential of dietary serine in ROS management in AMD.

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Cross-Sectional Measures of Periodontal Severity: Distortion from Severity-Dependent Tooth Loss

McCormick, K. M.; Amarasena, N.; Guzzo, G.; Nath, S.; Jamieson, L.

2026-05-30 dentistry and oral medicine 10.64898/2026.05.27.26354277 medRxiv
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Aim: Cross-sectional summaries of periodontitis based on clinical attachment loss (CAL) are, by definition, conditioned on surviving teeth. Because the most severely affected teeth are more likely to have been lost, these measures may underestimate cumulative disease burden and show an artificial flattening (attenuation) of severity with age. We hypothesised that measures more sensitive to severe attachment loss would show greater attenuation at older ages than measures defined across a broader range of sites. Materials and Methods: Using nationally representative data from adults aged 30+ years in NHANES 2009-2014, we examined age-specific trajectories across multiple continuous measures of periodontal severity and assessed whether divergence between measures followed the pattern predicted under severity-dependent tooth loss. Results: The proportion of observable sites declined from 93% at ages 30-34 to 68% at 80+ years, establishing the structural basis for the divergence observed across severity measures. All severity measures showed nonlinear attenuation with age, with distortion increasing with severity threshold. Higher-threshold measures exhibited the greatest attenuation, while lower-threshold measures showed more stable trajectories. Conclusions: Cross-sectional summaries of periodontitis reflect disease among surviving teeth rather than cumulative damage across teeth originally at risk. Attenuation at older ages is consistent with depletion of the most severely affected teeth rather than biological slowing. Distortion varies by measure, with higher-threshold and mean-based indices most affected, whereas the CAL 3+ mm threshold provides a more stable basis for age comparisons.

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Estimating Lifetime Periodontal Burden Under Informative Tooth Loss

McCormick, K. M.; Amarasena, N.; Guzzo, G.

2026-05-30 dentistry and oral medicine 10.64898/2026.05.27.26354300 medRxiv
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Background: Periodontitis is defined by cumulative, irreversible tissue destruction, yet population-based measurement typically relies on cross-sectional indicators derived from retained teeth. Destruction that occurred earlier in life, particularly disease severe enough to result in tooth loss, is structurally excluded from these measures, potentially leading to systematic underestimation of lifetime periodontal burden. Objective: To develop and evaluate a measurement framework that estimates lifetime periodontal burden from cross-sectional data by explicitly incorporating informative tooth loss under etiological uncertainty. Methods: Data were drawn from 10,324 adults aged [&ge;]30 years participating in the 20090-2016 National Health and Nutrition Examination Survey (NHANES) who completed full-mouth periodontal examination and glycated hemoglobin (HbA1c) testing. Lifetime periodontal burden was estimated by combining observed clinical attachment loss in retained teeth with probabilistic contributions from missing teeth, using three alternative age-stratified attribution schedules derived from epidemiological studies of periodontal extraction. Performance was compared with conventional measures of periodontal severity and extent using distributional analyses, correlations with HbA1c, discrimination of diabetes status, and relative importance analysis. Age-adjusted models were treated as sensitivity analyses. Results: Estimated lifetime periodontal burden exhibited strong, monotonic age gradients across glycemic categories, in contrast to more attenuated patterns observed for severity and extent. Across attribution schedules, lifetime burden showed stronger correlations with HbA1c ({rho} = 0.30-0.32) than conventional measures. In multivariable models including all indices, lifetime burden retained an independent association with HbA1c, whereas severity and extent contributed little unique information. Discriminative performance for diabetes status was consistently higher for lifetime burden than for conventional measures and remained stable across attribution schedules. Conclusions: Lifetime periodontal burden can be estimated from cross-sectional data by explicitly modelling informative tooth loss rather than restricting measurement to retained teeth. Incorporating historical tissue loss under uncertainty yields a more coherent representation of cumulative periodontal destruction than snapshot-based measures and provides a methodological basis for life-course-oriented periodontal epidemiology.

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Physiological levels of 3-hydroxykynurenine alter mitochondrial function and morphology in neuronal cells

Cassidy, J.; Collier, M. E. W.; Giorgini, F.

2026-05-13 cell biology 10.64898/2026.05.13.724856 medRxiv
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Mitochondrial morphology and function are critical determinants of neuronal function and survival, with disruptions in mitochondrial dynamics often preceding the overt neuronal dysfunction seen in neurodegenerative diseases such as Alzheimers disease, Huntingtons disease and Parkinsons disease. The kynurenine pathway accounts for 95% of dietary tryptophan catabolism and many of the metabolites are neuroactive, including redox-active 3-hydroxykynurenine (3-HK). 3-HK is present under normal physiological conditions in the central nervous system (CNS) and is elevated during inflammation. While supraphysiological levels of 3-HK have been associated with neurotoxicity, the effects of physiological concentrations on neuronal cells, and specifically their mitochondria, remain poorly understood. Here we assessed viability, ATP levels and redox status to determine cellular health and function in neuronal cells exposed to physiological levels of 3-HK, alongside confocal imaging and transcriptomic profiling, finding significant alterations in mitochondrial function and morphology. Interestingly, a biphasic influence of 3-HK on mitochondrial morphology was observed, with an elongated network as well as decreased surface area and volume being observed only at the lowest concentration of 3-HK, reflecting normal physiological levels. At the highest 3-HK concentration tested, reflecting an inflammatory situation, an increased number of mitochondria were present, accompanied by increased activation of caspase-3/7 and enhanced production of mitochondrial superoxide. These results highlight a previously unknown role for 3-HK in regulating mitochondrial function and structure, possibly through altered fission and fusion events, suggesting that subtle changes in kynurenine pathway metabolism may contribute to early mitochondrial dysfunction in neurological disease.

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WITHDRAWN: Integrative Transcriptomic Analysis Identifies Hypoxia-Responsive Cell Cycle Hub Genes as Prognostic Markers in Glioblastoma

Sharma, M. K.; Chongtham, J.; Bhushan, A.; Chosdol, K.; Sinha, S.; Srivastava, T.

2026-05-12 cancer biology 10.1101/2025.10.18.683218 medRxiv
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Glioblastoma (GBM) is the most aggressive primary brain malignancy, characterized by hypoxia-driven proliferation, therapeutic resistance, and poor prognosis. While hypoxia-induced transcriptional changes are well documented, the temporal regulation of cell cycle genes under sustained hypoxia remains unclear. This study profiled transcriptomic alterations in U87MG cells cultured under normoxia and graded hypoxia for one to three days. Differentially expressed genes (DEGs) were identified and analyzed using STRING, Cytoscape, MCODE, and CytoHubba to construct protein-protein interaction (PPI) networks and extract hub genes. Functional enrichment was assessed through DAVID, ClueGO, and KEGG, while prognostic relevance was evaluated using GlioVis and ONCOMINE datasets. qRT-PCR validated expression of selected hub genes. A total of 294 DEGs were identified, forming two main functional modules enriched in cell cycle regulation and chemokine signaling pathways. Eighteen hub genes (KIF20A, CCNB1, AURKA, EGR1, CDCA3, CENPF, CDCA2, ASPM, KIF11, CCL2, CCNA2, DLGAP5, RACGAP1, TPX2, PTGS2, CTGF, and KIFC1) were significantly associated with mitotic processes and GBM progression. Survival analysis demonstrated that 17 of these genes correlated with poor overall survival (p < 0.05). qRT-PCR confirmed that hub gene expression peaked during early hypoxia and declined with prolonged exposure, indicating dynamic regulatory adaptation. These findings identify key hypoxia-responsive genes governing cell cycle progression and highlight their prognostic and therapeutic potential in glioblastoma.

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Cardiac Mitochondrial Dysfunction Following Bleomycin-Induced Acute Lung Injury in Rats

Wilcox, R. M.; Ngu, A. K.; Jiang, I.; Nielsen, G. K.; Pellegrino, P. R.; Wang, H.

2026-05-11 molecular biology 10.64898/2026.05.06.723353 medRxiv
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BackgroundAcute lung injury (ALI) and acute respiratory distress syndrome (ARDS) are frequently associated with cardiac complications, including myocardial injury and right ventricular dysfunction. However, the mechanisms linking pulmonary injury to cardiac dysfunction remain incompletely understood. In this study, we investigated ventricular mitochondrial respiratory function during the acute phase of bleomycin-induced ALI. MethodsALI was induced in male and female rats by intratracheal bleomycin (2.5 mg/kg); saline served as a control. Circulating cardiac troponin I (cTnI) was measured as an indicator of myocardial injury. Mitochondrial respiration was assessed in permeabilized ventricular fibers using high-resolution respirometry (HRR). The mitochondrial respiration rate of the H9C2 cardiomyoblast cell line was performed using Seahorse Xfe96 Cell Mitochondrial Stress Test. Cells were treated with pro-inflammatory cytokine cocktails (PRO; IL1{beta} plus TNF plus IL6), anti-inflammatory cytokine cocktails (ANTI; IL4 plus IL10), a mixture of PRO and ANTI (BOTH), and (-)-norepinephrine (NE) in either hypoxic (1% oxygen) or normoxic conditions. ResultsBleomycin-induced ALI increased circulating cTnI levels in male rats, indicating early cardiac stress following lung injury. Mitochondrial respiration in the LV appeared to show modest alterations, with preserved oxidative phosphorylation (OXPHOS) and electron transport (ET) capacity. In contrast, the RV of male animals demonstrated marked reductions in absolute respiratory flux and substrate-supported OXPHOS capacity, indicating impaired mitochondrial oxidative capacity. Female animals exhibited greater preservation of mitochondrial respiratory function, particularly in the RV, with higher OXPHOS capacity and greater Complex I gain than males. H9C2 cells treated with PRO showed a significant increase in uncoupled respiration following 6- and 24-hour incubation periods, under normoxic conditions. Maximal respiration and spare respiratory capacity were increased following 24-hours under hypoxia. No significant changes were observed following treatment with NE alone and in combination with PRO under normoxia or hypoxia for 24 hours. ConclusionsALI induces ventricle-specific and sex-dependent alterations in cardiac mitochondrial bioenergetics, with pronounced impairment in males and relative mitochondrial resilience in females. In H9C2 cardiomyoblasts, short-term exposure (6-24 hours) to pro-inflammatory cytokines enhances uncoupled mitochondrial respiration under normoxic conditions, while short-term hypoxic exposure independently increases maximal respiration and spare respiratory capacity.

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Traumatic Occlusion in Orthodontics: A Systematic Review and Meta-Analysis of Prevalence, Classification, Treatment Outcomes, and the Evidence-Practice Gap

Mahfouz, M.; Alzaben, E.

2026-05-04 dentistry and oral medicine 10.64898/2026.05.02.26352281 medRxiv
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BackgroundTrauma from occlusion (TFO) is a frequently under-recognized clinical entity. While narrative reviews exist, no prior systematic review has quantitatively synthesized the prevalence of TFO signs in orthodontic patients, the distribution of the Akerly classification for deep traumatic overbite, the efficacy of orthodontic intrusion, or the outcomes of immediate orthodontic repositioning of traumatized incisors. Furthermore, the knowledge-practice gap among orthodontists regarding trauma management has not been meta-analyzed. MethodsSystematic review and meta-analysis of observational and interventional studies, including cross-sectional studies, randomized controlled trials, and before-after studies. We searched PubMed (n=57), PubMed Central (n=538), the Cochrane Library (n=11: 2 reviews, 9 trials), and Google Scholar (~3,930) up to December 2025. Studies reporting prevalence of TFO signs, Akerly classification distribution, overbite reduction following orthodontic intrusion, success of immediate orthodontic repositioning, or orthodontist knowledge/practice were included. Random-effects meta-analyses were performed using the meta package in R (DerSimonian-Laird estimation for {tau}2). The protocol was not registered due to the exploratory nature of this multi-domain synthesis; however, the methodology strictly adhered to PRISMA 2020 guidelines. ResultsTwenty-seven studies (n=8,432 participants) were included. The pooled prevalence of any TFO sign was 34% (95%CI:27-42%, I2=86%), with wide prediction intervals indicating substantial between-study variability. TFO was variably defined across studies as the presence of [&ge;]1 of the following: fremitus, increased mobility, occlusal interference, soft tissue trauma, or CR-CO discrepancy. Higher prevalence was observed in Class II malocclusion (46% vs. 22%). Among deep traumatic overbite cases classified using the Akerly system, Type II was most common (52%, 95%CI:44-60%), followed by Type I (31%) and Type III (17%). Orthodontic intrusion reduced overbite by a mean of 2.8 mm (95%CI:2.1-3.5, I2=72%); TAD-assisted intrusion produced greater reduction (3.4 mm) than conventional archwires (2.1 mm, p<0.001). Immediate orthodontic repositioning of traumatized incisors with light forces ([&le;]50 g) achieved 91% success (95%CI:84-96%) at 12 months, comparable to splinting (84%), with no statistically significant difference between groups. The orthodontic group required fewer visits and reported better comfort. Meta-analysis of orthodontist knowledge showed correct awareness of specific trauma management protocols was below 40% in most domains, indicating a substantial evidence-practice gap. ConclusionThis first systematic review and meta-analysis on TFO in orthodontics provides preliminary quantitative benchmarks. One-third of orthodontic patients exhibit TFO signs; Akerly Type II is the dominant deep overbite pattern; orthodontic intrusion effectively reduces overbite by approximately 3 mm; immediate light-force repositioning is comparable to splinting in success and superior in efficiency. However, the disconnect between high clinical efficacy (e.g., 91% success of repositioning) and low practitioner awareness (<40%) represents a substantial translational gap in clinical practice. Assessment of publication bias was limited due to the small number of studies in several analyses (<10), precluding reliable funnel plot interpretation.

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Using iPALM to determine protein organisation in cardiac muscle Z-discs

Umney, O.; Curd, A. P.; Martin, H.; Lewis, T.; Tang, A. A.-S.; Balusubramanian, H.; Khuon, S.; Aaron, J.; Peckham, M.

2026-05-12 biophysics 10.64898/2026.05.08.723761 medRxiv
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Sarcomeres, the basic repeating unit of striated muscle, are joined together by crosslinked actin filaments found at the boundaries of muscle sarcomeres, termed Z-discs. Z-discs play a key role in cardiac signalling and disease, however, the arrangement and function of many of the proteins present in the Z-disc remain to be understood. Here, we determined the organisation of 3 key proteins, ZASP, [a]-Actinin-2 and the Z1Z2 epitope of titin, located within the Z-disc. We fluorescently labelled these proteins in cardiac myofibrils using Adhirons specific to each protein and used interferometric photoactivated localization microscopy (iPALM) to obtain the 3D position of these proteins to a high precision (<10nm in x,y,z). We then used PERPL (Pattern Extraction from Relative Positions of Localisations) to analyse patterns in the relative positions of the proteins and reveal their underlying organisation. This analysis revealed that ZASP and [a]-Actinin-2 have a similar repeating organisation, but that the organisation of Z1Z2 is different.

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The direct conversion of human somatic cells into neural-like cells involves a transition through a transient intermediate state.

Bueno, C.; Martinez-Morga, M.; Rodriguez-Lozano, F. J.; Garcia-Bernal, D.; Martinez, S.; Moraleda, J. M.; Blanquer, M.

2026-05-18 neuroscience 10.64898/2026.05.14.725118 medRxiv
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BackgroundDirect conversion of human somatic cells into functional neurons could offer a faster way to generate patient-specific neurons for use in regenerative medicine, disease modelling, and drug development. Although it has been reported that neuronal direct reprogramming bypasses the intermediate pluripotent state, no reports have included time-lapse experiments, potentially overlooking transient intermediate states. Recent studies have shown that the conversion of human mesenchymal stromal cells (hMSCs) into neuron-like cells involves a transition through a transient intermediate state. Therefore, further research is needed to fully understand the process by which human somatic cells can become neurons without cell division. In this study we investigates whether direct neuronal reprogramming of human bone marrow-derived MSC (hBM-MSCs), dental pulp-derived MSC (hDP-MSCs), and adult human dermal fibroblasts (HDFa), involves a transient intermediate state, and sought to further validate the neuronal identity of hMSC-derived induced neurons. MethodsIn this study, we conducted time-lapse experiments to observe the transformation of hBM-MSCs, hDP-MSCs and HDFa, into neurons using a small-molecule-based direct reprogramming protocol. Cellular and ultrastructural changes were further characterized by confocal and electron microscopy. ResultsDirect conversion of hBM-MSCs, hDP-MSCs and HDFa into neuron-like cells occurred rapidly and in absence of cell division. Time-lapse analyses revealed that reprogramming proceeds through a transient intermediate state characterized by distinct morphological changes and dynamic nuclear remodelling. Furthermore, we found that neuron-like cells derived from hBM-MSCs and hDP-MSCs exhibit neuronal polarization, expressed specific neuronal and synaptic markers, formed interconnected cellular networks, and exhibited functional plasticity, providing further evidence that hMSCs can become functional neurons. ConclusionsThis study provides clear evidence that the direct neuronal reprogramming process involves a transition through an intermediate, transient state. Our findings also provide further evidence that hMSCs can become functional neurons. In summary, our work provides new insights into the direct neuronal reprogramming process, which is essential for advancing both developmental biology and regenerative medicine.

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AlphaFold3 predicted LWO G-protein complex from European robin features active-state biased Gα

Hungerland, J.; Kostritski, A.; Koch, K.-W.; Solov'yov, I.

2026-05-20 biophysics 10.64898/2026.05.19.726335 medRxiv
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Avian phototransduction and magnetoreception have been proposed to involve shared retinal proteins, including interactions between long-wavelength opsin (LWO), the cone-specific heterotrimeric G protein (Gt), and cryptochrome 4a (Cry4a), yet structural information on avian phototransduction complexes is lacking. Here we present and critically assess two atomistic models of the European robin LWO-Gt complex generated by distinct modelling strategies. A full-complex prediction using AlphaFold3 yields a tightly packed, structurally stable interface but exhibits pronounced activation-like conformational features of the Gt-subunit that persist in simulations of the isolated protein, revealing a strong bias toward the active state. In contrast, a template-guided assembly based on single-chain predictions and an experimental rhodopsin-Gt reference structure forms a weaker interface and shows no intrinsic activation bias, while still displaying subtle activation-related dynamics. These results demonstrate that machine-learned complex prediction can encode functional states independently of the local interaction environment, thereby limiting its interpretability for signalling mechanisms that hinge on activation equilibria. Our findings highlight the need for explicit assessment of conformational-state bias when modelling regulatory protein assemblies and provide a structural framework for future studies of Cry4a-dependent modulation of retinal G-protein signalling in avian magnetoreception.

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Determinants of total and inhaled allergen-specific immunoglobulin E in the middle-aged and elderly population

Al Fatly, M.; Leonard, S.; van Daele, P.; Helleman, G.; Tobari-azandeh, E.; Lahousse, L.; Veenbergen, S.; Chaker, L.

2026-05-15 allergy and immunology 10.64898/2026.05.12.26352742 medRxiv
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Background: The determinants of immunoglobulin E (IgE) remain poorly understood in older adults, a population with an increasing burden of chronic diseases. Identifying IgE's determinants may improve its clinical interpretation in the evaluation of allergic and IgE-related conditions. Objective: To investigate age, sex, smoking, alcohol, body mass index (BMI), corticosteroid use, and season as potential determinants of total IgE (tIgE) and inhaled allergen-specific IgE (sIgE). Methods: Using Rotterdam Study data, we investigated the determinants of tIgE and sIgE using multivariable linear regression. Longitudinal changes and the effects of corticosteroids were assessed with linear mixed models. Results: We included 8769 participants, of which 478 had repeated IgE measurements. Age showed a U-shaped relationship with tIgE and L-shaped relationship with sIgE (both p<0.001). Women had lower tIgE (OR [95%CI]: 0.69 [0.65-0.74]), whereas current smokers (1.34 [1.23-1.46]), higher BMI (1.01 [1.01-1.02]), topical corticosteroid users (1.27 [1.07-1.50]) and inhaled corticosteroid users (1.93 [1.64-2.26]) showed higher tIgE. Women (0.96 [0.92-1.00]), former smokers (0.87 [0.83-0.91]) and current smokers (0.72 [0.68-0.76]) had lower sIgE, whereas topical corticosteroid users (1.20 [1.07-1.35]) and inhaled corticosteroid users (1.20 [1.07-1.35]) showed higher sIgE. Over time, tIgE and sIgE decreased (p<0.001) but did not significantly change after corticosteroid use. Conclusion: We identified age, sex, smoking, BMI, season and topical and inhaled corticosteroids as determinants of tIgE and sIgE. Incorporating these determinants may improve IgE's clinical interpretation for the diagnosis and management of allergic and IgE-related conditions. Future research should investigate how these determinants shape IgE's relationship with chronic diseases in aging populations.

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Antioxidant capacity of Catechinopyranocyanidins derived from adzuki beans

Kawabata, R.; Hagiwara, I.; Komizo, N.; Inaba, Y.; Matsui, T.; Ito, T.

2026-05-19 biochemistry 10.64898/2026.05.15.725587 medRxiv
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Catechinopyranocyanidins (Cpcs) which consist of diastereomers A and B are pigments derived from adzuki beans and are compounds in which the catechin and cyanidin skeletons are condensed to a pyrano ring. While catechins and anthocyanidins possess high antioxidant capacity, the physiological functions of Cpcs remains unclear. In this study, the antioxidant capacity of Cpcs was evaluated by in vitro antioxidant assays and by assessing their cytoprotective activity against oxidative stress in normal human dermal fibroblasts (NHDFs). Antioxidant capacity based on the hydrogen atom transfer (HAT) mechanism, as assessed by the ORAC assay revealed that Cpcs exhibit 14.1 mol TE/mol (Trolox equivalent antioxidant capacity: TEAC). Meanwhile, capacity based on the single electron transfer (SET) mechanism, as assessed by the DPPH, ABTS and CUPRAC assays revealed, they exhibit 2.1-3.6 mol TE/mol. Since TEAC value of Cpcs demonstrated by the HAT based mechanism higher than its SET based oxidative capacity suggesting that the antioxidant capacity of Cpcs is driven by the HAT mechanism. In cell culture experiments, Cpcs ameliorate cell toxicity in rotenone-induced injury model, suggesting to cytoprotective activity against mitochondrial dysfunction-dependent apoptosis. These results reveal novel physiological functions of Cpcs which may serve as a design guideline for elucidating in vivo dynamics based on antioxidant mechanisms.

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Immune Checkpoint Response Profiles and Resistance Mechanisms in NSCLC Revealed by Circulating Extracellular Vesicle Proteomics

Taylor, C.; Davey, M.; Allain, E. P.; Cheema, A. S.; Crapoulet, N.; Finn, N.; Abd, M.; Ouellette, R.

2026-05-26 oncology 10.64898/2026.05.25.26354042 medRxiv
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Background: Immune-oncology has revolutionized cancer treatment, but some patients fail to benefit due to primary resistance and tumour-immune evasion. Extracellular vesicles (EVs) are secreted by both tumour and immune cells and mediate communication between cancer cells and the immune system. Our study used proteomic profiling of circulating EVs collected from NSCLC patients treated with immune checkpoint inhibitors (ICI) to identify predictive biomarkers of response as well as immune evasion mechanisms related to treatment resistance. Methods: EVs were isolated from plasma collected prior to ICI treatment using peptide-affinity purification and high-throughput proteomics was performed using Proximal Extension Assay. Differentially expressed EV proteins between durable (DR) and non-durable responders (NDR) were identified and evaluated using Cox proportional hazards regression, survival analysis, sex-stratified analysis, as well as pathway and network analysis. Results: Proteomics analysis identified 116 differentially expressed EV proteins between DR and NDR. NDR was characterized by enrichment of inflammatory, angiogenic, and immune-suppressive EV proteins, such as IL1RL1, TFRC, IL6ST, galectins, TNF superfamily death receptors, chemokines, and PCSK9. Pathway analysis revealed enrichment of angiogenesis, chemotaxis, ECM remodeling, and neutrophil degranulation associated with poor progression-free survival (PFS). In contrast, DR to ICI treatment was associated with EV proteins related to T- and B-cell activation and adaptive immunity. Sex-related differences in abundance and association with PFS was observed for certain EV proteins, including IL1RL1 and TFRC. A six protein EV model (IL1RL1, TFRC, ERI1, CCN5, IGFBPL1, and TNFRSF13C) demonstrated good prognostic performance for identifying NDR (AUC = 0.907) and stratified patients into three discrete risk groups. Conclusions: High-plex EV proteomics revealed biologically coherent tumour-immune signaling programs that are associated with ICI treatment resistance. Profiling circulating EVs may improve our understanding of EV-mediated immune evasion mechanisms and identify protein signatures that reflect the tumour immune microenvironment and predict response to immune checkpoint blockade.