Generating Artificial Ribozymes Using Sparse Coevolutionary Models.

RNA ribozyme (Walter Engelke, Biologist (London, England) 49:199-203, 2002) datasets typically contain from a few hundred to a few thousand naturally occurring sequences. However, the potential sequence space of RNA is huge. For example, the number of possible RNA sequences of length 150 nucleotides is approximately 1 0 90 , a figure that far surpasses the estimated number of atoms in the known universe, which is around 1 0 80 . This disparity highlights a vast realm of sequence variability that remains unexplored by natural evolution. In this context, generative models emerge as a powerful tool. Learning from existing natural instances, these models can create artificial variants that extend beyond the currently known sequences. In this chapter, we will go through the use of a generative model based on direct coupling analysis (DCA) (Russ et al., Science 369:440-445, 2020; Trinquier et al., Nat Commun 12:5800, 2021; Calvanese et al., Nucleic Acids Res 52(10):5465-5477, 2024) applied to the twister ribozyme RNA family with three key applications: generating artificial twister ribozymes, designing potentially functional mutations of a natural wild type, and predicting mutational effects.

The effects of photochemical aging and interactions with secondary organic aerosols on cellular toxicity of combustion particles.

Fine particulate matter (PM2.5) is associated with numerous adverse health effects, including pulmonary and cardiovascular diseases and premature death. Significant contributors to ambient PM2.5 include combustion particles and secondary organic aerosols (SOA). Combustion particles enter the atmosphere and undergo an aging process that changes their shape and composition, but there is limited study on the health effects of combustion particle aging and interactions with SOA. This study aimed to understand how biological responses to combustion particles would be affected by atmospheric aging and interaction with anthropogenic SOA. Fresh combustion particles underwent photochemical aging in a potential aerosol mass (PAM) oxidation flow reactor and interacted with SOA produced by the oxidation of toluene vapor in the PAM reactor. Photochemical aging and SOA interactions lead to significant changes in the PAH content and oxidative potential of the particle. Photochemical aging and SOA interactions also affected the biological responses, such as the inflammatory response and CYP1A1 induction of the particles in monoculture and coculture cells. These findings highlight the significance of photochemical aging and SOA interactions on the composition and cellular responses of combustion particles.

Flexible regression model for predicting the dissemination of Candidatus Liberibacter asiaticus under variable climatic conditions.

Greening, or Huanglongbing (HLB), poses a severe threat to global citrus cultivation, affecting various citrus species and compromising fruit production. Primarily transmitted by psyllids during phloem feeding, the bacterium Candidatus Liberibacter induces detrimental symptoms, including leaf yellowing and reduced fruit quality. Given the limitations of conventional control strategies, the search for innovative approaches, such as resistant genotypes and early diagnostic methods, becomes essential for the sustainability of citrus cultivation. The development of predictive models, such as the one proposed in this study, is essential as it enables the estimation of the bacterium's concentration and the vulnerability of healthy plants to infection, which will be instrumental in determining the risk of HLB. This study proposes a prediction model utilizing environmental factors, including temperature, humidity, and precipitation, which play a decisive role in greening epidemiology, influencing the complex interaction among the pathogen, vector, and host plant. In the proposed modeling, it addresses non-linear relationships through cubic smoothing splines applications and tackles imbalanced categorical predictor variables, requiring the use of a random-effects regression model, incorporating a random intercept to account for variability across different groups and mitigate the risk of biased predictions. The model's ability to predict HLB incidence under varying climatic conditions provides a significant contribution to disease management, offering a strategic tool for early intervention and potentially reducing the spread of HLB. Using climatological and environmental data, the research aims to develop a predictive model, assessing the influence of these variables on the spread of Candidatus Liberibacter asiaticus, essential for effective disease management. The proposed flexible model demonstrates robust predictions for both training and test data, identifying climatological and environmental predictors influencing the dissemination of Candidatus Liberibacter asiaticus, the vascular bacterium associated with Huanglongbing (HLB) or greening.

Proteomic insights from extracellular vesicles into the molecular mechanisms of health effects induced by Per- and polyfluoroalkyl substances.

Per- and polyfluoroalkyl substances (PFASs) can induce a range of adverse health effects, with the precise molecular mechanisms remaining elusive. Extracellular vesicles (EVs) have demonstrated their potential to elucidate unknown molecular mechanisms. Building upon the close alignment of their biological functions with the observed health effects of PFASs, this study innovatively focuses on proteomic insights from EVs into the molecular mechanisms underlying the systemic health effects of PFASs. Through rat exposure experiments and proteomics technology, it not only demonstrated the occurrence of PFASs in EVs but also revealed the alterations in the serum EVs and the expression of their protein cargos following mixed exposure to PFASs, leading to changes in related pathways. These changes encompass various biological processes, including proteasome activity, immune response, cytoskeletal organization, oxidative stress, cell signaling, and nervous system function. Particularly noteworthy is the uncovering of the activation of the proteasome pathway, highlighting significant key contributing proteins. These novel findings provide a new perspective for exploring the molecular mechanism underlying the systemic health effects of PFASs and offer reliable screening for potential biomarkers. Additionally, comparisons with serum confirmed the potential of serum EVs as biological responders and measurable endpoints for evaluating PFASs-induced toxicity.

Review of Core-shell structure zeolite-based catalysts for NOx emission control.

Nitrogen oxides (NOx) from diesel engine exhaust, is one of the major sources of environmental pollution. Currently, selective catalytic reduction with ammonia (NH3-SCR) is considered to be the most effective protocol for reducing NOx emissions. Nowadays, zeolite-based NH3-SCR catalysts have been industrialized and widespread used in this field. Nevertheless, with the increasingly stringent environmental regulations and implementation of the requirement of "zero emission" of diesel engine exhaust, it is extremely urgent to prepare catalysts with superior NH3-SCR activity and exceptional resistance to poisons (SO2, alkali metals, hydrocarbons, etc.). Core-shell structure zeolite-based catalysts (CSCs) have shown great promise in NH3-SCR of NOx in recent years by virtue of its relatively higher low-temperature activity, broader operation temperature window and outstanding resistance to poisons. This review mainly focuses on the recent progress of CSCs for NH3-SCR of NOx with three extensively investigated SSZ-13, ZSM-5, Beta zeolites as cores. The reaction mechanisms of resistance to sulfur poisoning, alkali metal poisoning, hydrocarbon poisoning, and hydrothermal aging are summarized. Moreover, the important role of interfacial effect between core and shell in the reaction of NH3-SCR was clarified. Finally, the future development and application outlook of CSCs are prospected.

Alkyl effects on charge recombination in copper electrolyte-based dye-sensitized solar cells: Insights for targeted molecular design towards high performance.

Two quinoxaline dyes utilized in copper-electrolyte-based dye-sensitized solar cells (Cu-DSSCs) are theoretically investigated to analyze the impact of alkyl chains on dye performance. The investigation shows that ZS4, known for its record efficiency of up to 13.2 %, exhibits higher electron coupling and fewer binding sites for dye-[Cu(tmby)2]2+ interaction compared to ZS5. Contrary to common belief, alkyl chains are found to not only provide shielding but also hinder the interaction between dye and [Cu(tmby)2]2+ by influencing the optimal conformation of dyes, thereby impeding the charge recombination process. It is crucial to consider the influence of alkyl chains on dye conformation when discussing the relationship between dye structure and performance, rather than oversimplifying it as often done traditionally. Building on these findings, eight dyes are strategically designed by adjusting the position of the alkyl chain to further decrease charge recombination compared to ZS4. Theoretical evaluation of these dyes reveals that changing the alkyl chain on the nitrogen atom from 2-ethylhexyl (ZS4) to 1-hexylheptyl (D3-2) not only reduces the charge recombination rate but also enhances light harvesting ability. Therefore, D3-2 shows potential as a candidate for experimental synthesis of high-performance Cu-DSSCs with improved efficiency.

Adverse Events and Outcomes of High-volume Plasma Exchange in 50 Acute Liver Failure Patients: A Monocentric Retrospective Real-world Study.

Background and aims: Acute liver failure (ALF) is a condition that mostly requires Intensive Care Unit (ICU) admission and sometimes necessitates emergency liver transplantation. High-volume plasma exchange (HVPE) may improve transplant-free survival (TFS) in ALF. Our study assessed complications of HVPE therapy and outcome in ALF patients. Methods: We conducted a single-center retrospective study of all patients admitted to the ICU for ALF and who underwent HVPE between June 2016 and June 2021. The plasmapheresis technique used was centrifugation, and the volume exchanged was calculated as 15% of the ideal body weight. Dedicated staff prospectively collected clinical adverse effects, while biological data were retrospectively collected. The primary outcome was the rate of severe adverse effects (SAE, defined as severe manifestations of hypotension, allergy, metabolic disturbances or other life-threatening event) that occurred during HVPE sessions. Factors influencing day-21 TFS were also studied. Results: One hundred twenty sessions were performed in 50 patients. The main etiology for ALF was paracetamol (52% of the patients). During the session, hemoglobin, platelet, transaminases, ammonia and bilirubin decreased, coagulation factors increased, and creatinine and lactate remained unchanged. At least one SAE was reported for 32 out of 120 sessions (26.7% [19%-35.5%], mostly severe alkalosis [24/117], hypotension [4/120] and hypocalcemia [4/119]). Arterial pH ≤ 7.43 following HVPE and paracetamol etiology were negatively and positively associated with day-21 TFS, respectively. Conclusion: Severe adverse effects were frequent during HVPE performed for ALF, mainly severe alkalosis, hypotension and hypocalcemia. Post-HVPE, pH and paracetamol etiology were prognosis markers.

Change in the collision avoidance performance of autonomous emergency braking systems.

OBJECTIVE: This study quantifies the change in collision avoidance performance of autonomous emergency braking (AEB) systems for traffic accidents in Japan since 2015. METHOD: This study used data on Japanese traffic accidents compiled by Japan's National Police Agency. The data included only accidents involving loss of or injury to human life; accidents involving only property damage were excluded. We restricted our analysis to collisions between two 4-wheel vehicles and considered only collisions for which we could determine whether the primary party's car was equipped with an AEB system. Both Poisson and negative binomial mixed-effects regression analyses were conducted using the data for 2021 and 2022 to measure the collision avoidance performance of first registered cars in 2015 to 2020 equipped with AEB systems compared with cars without AEB systems first registered in 2015. Collision avoidance performance was measured for 2 types of intervehicle collisions: rear-end collisions and right-turn collisions. Collision avoidance performance for rear-end collisions was also measured for each of the 3 car types-Standard, small, and light cars. RESULTS: The collision reduction rate for rear-end collisions increases with the year of first registration and for cars equipped with AEB systems first registered in 2020 compared with non-AEB-equipped cars first registered in 2015 is 69.2% (95% confidence interval [CI] 67.0%-71.1%), indicating that the performance of AEB systems has dramatically improved in terms of preventing rear-end collisions. For right-turn collisions, the rate increased to 20.4% (95% CI 5.9%-32.6%) for cars equipped with AEB systems first registered in 2019. However, no clear trend is observed. CONCLUSIONS: This study evaluated a time series of the collision reduction performance of AEB systems using an original methodology. Japan's New Car Assessment Program (JNCAP) has included AEB's effectiveness in reducing damage from traffic collisions as an evaluation item since FY2014. The results could demonstrate the effectiveness of JNCAP.

Supporting driver performance in closely spaced tunnel-interchange structure: Traffic control devices and effects on driving behavior.

OBJECTIVES: With the rapid development of expressways in the mountainous regions of southwestern China, closely spaced tunnel-interchange structures have inevitably emerged due to topographical constraints and environmental limitations. Given the unfavorable road geometry and rapid cross-section transitions, drivers face significant safety concerns. This study aims to investigate drivers' safety performance at closely spaced tunnel-interchange sections and determine how safety risks can be mitigated through improved traffic control devices design. METHODS: Thirty-nine participants conducted an experimental study in a fixed-base simulator. The test scenario was modeled on the Xingyan Freeway-S3801 and accurately reproduced in the simulator. For each safety performance metric, the driving simulator experiments yielded a dataset with 780 observations. To address the idiosyncratic variation due to individual driver differences, a series of linear mixed effects models (LMM) were developed to analyze drivers' behavior responses. RESULTS: In closely spaced tunnel-interchange sections, a general impairment of both longitudinal and lateral performance was observed. This study identified potential critical impact variables in traffic control device systems. According to the LMM results: (a) Removing the 0.5 km interchange ramp exit advance guide sign located in the tunnel exit area reduces dangerous behavior in the corresponding impact area. (b) Replacing the 0.5 km interchange ramp exit advance guide sign with arrow pavement markers as an information source supports improved driver performance, promoting driver safety. (c) Adding tunnel exit distance signs within tunnels is recommended to enhance situation awareness for drivers. CONCLUSIONS: This study addresses the scientific issues related to traffic control devices setup for closely spaced tunnel-interchange sections, focusing on identifying potential critical impact variables. The findings provide guidance on the design of traffic control devices for such sections and support revisions to national engineering standards.

Phytotherapy in psychiatry: why psychiatrists should know about it.

There is a substantial use of Complementary and Alternative Medicine (CAM) among both the general population and psychiatric patients, with only a minority of these users disclosing this information to their healthcare providers, including physicians and psychiatrists. This widespread use of CAM can impact positively or negatively on the clinical outcomes of psychiatric patients, and it is often done along with conventional medicines. Among CAM, phytotherapy has a major clinical relevance due to the introduction of potential adverse effects and drug interactions. Thus, the psychiatrist must learn about phytotherapy and stay up-to-date with solid scientific knowledge about phytotherapeutics/herbal medicines to ensure optimal outcomes for their patients. Furthermore, questions about herbal medicines should be routinely asked to psychiatric patients. Finally, scientifically sound research must be conducted on this subject.

Unveiling the non-linear effects of water and oil on hyperspectral imaging-based characterization of solid waste by hyperspectral unmixing.

Rapid characterization of solid waste using near-infrared hyperspectral imaging (HSI) coupled with machine learning models has been increasingly investigated to replace the traditional time- and labor-intensive methods. However, contamination by waste-derived leachates or other fractions etc., can cause the spectra evolutions and significantly influences the identification performance, which has not been investigated before. The first attempt was made by using hyperspectral unmixing (HU) to extract the endmember components and demonstrate their contributions (abundance) to solid waste, taking the non-linear reflectance changes due to the O-H vibration of water and unclear variation associated with oil and leachates as an example. The HSI spectra of various solid waste components influenced by pure water, oil and three kinds of leachates were acquired. A novel method based on HU models, including multivariate curve resolution with alternating least squares and state-of-the-art autoencoder architectures (deep learning models), was developed to estimate the spectra of endmembers as well as their abundances in individual pixel. Their spatial distribution overview in solid waste was then yielded. The selected models were validated via an independent test data set, with lower spectral angle distance, 12.3° ± 6.5°, indicating the similarity of the predicted endmembers with real components. And the lowest root of mean square error on endmember distribution maps was 0.17. The non-linear liquid's effects by water and oil on spectra variations of solid waste were clearly illuminated. Additionally, the proposed method can extract information from mixed spectroscopic images and generate reconstructed spectra.

Spontaneous interactions between typical antibiotics and soil enzyme: Insights from multi-spectroscopic approaches, XPS technology, molecular modeling, and joint toxic actions.

A large amount of antibiotics enters the soil environment and accumulates therein as individuals and mixtures, threatening the soil safety. However, there is little information regarding the influence of single and mixed antibiotics on key soil proteins at molecular level. In this study, setting sulfadiazine (SD) and tetracycline hydrochloride (TC) as the representative antibiotics, the interactions between these agents and α-amylase (an important hydrolase in soil carbon cycle) were investigated through multi-spectroscopic approaches, X-ray photoelectron spectrometry, and molecular modeling. It was found that both SD and TC spontaneously bound to α-amylase with 1:1 stoichiometry mainly via forming stable chemical bonds. The interactions altered the polarity of aromatic amino acids, protein backbone, secondary structure, hydrophobicity and activity of α-amylase. The SD-TC mixtures were designed based on the direct equipartition ray to comprehensively characterize the possible concentration distribution, and interactive effects indicated that the mixtures antagonistically impacted α-amylase. These findings reveal the binding characteristics between α-amylase and typical antibiotics, which probably influence the ecological functions of α-amylase in soil. This study clarifies the potential harm of antibiotics on soil functional enzyme, which is significant for the environmental risk assessment of antibiotics and their mixtures.

The effects of commercial vessel anchorages span ecological, cultural, and socio-economic endpoints.

Anchorages are specific areas used by vessels to maintain position and are used as waiting areas for freighters wanting to enter ports. The surge in demand experienced by ports from 2019 to 2022 significantly extended wait times at anchorages, heightening concerns of potential ecological and socio-economic effects among coastal communities. Effective anchorage management requires a connected and holistic approach to understand these diverse and complex effects. We summarise current knowledge on the cumulative effects of anchoring on ecological and socio-economic endpoints in a Pathways of Effects conceptual model informed by scientific literature and public consultation documents. We developed a Pathways of Effects Matrix (PoEM), a graphical advance designed to concisely visualise complex effects and explore mitigation scenarios, demonstrated in the example for commercial anchoring in Pacific Canada. In addition to supporting management decisions, this simple visual tool can also provide a way for communities to communicate their concerns in a structured way.

HUC-MSC-derived exosomes repaired the damage induced by hydroquinone to 16HBE cells via miR-221/PTEN pathway.

Mesenchymal stem cell - originated exosomes (MSC-exo) are promising non-cellular treatment agents for various diseases. The present study aimed to explore whether human umbilical cord MSC - originated exosomes (HUC-MSC-exo) have the function of protecting human cells (16HBE) against the damage caused by HQ and the related mechanism. HUC-MSC-exo was isolated with differential gradient ultracentrifugation method and characterized by using transmission electron microscope (TEM). 16HBE cells were used as the tool cells and co-cultured with HUC-MSC-exo. Confocal laser scanning microscope was employed to confirm the ingestion of HUC-MSC-exo by 16HBE. Cell proliferation, migration, oxidative stress, DNA and chromosome damages of 16HBE were analyzed under HQ stress, and the role of miR-221/PTEN axis was investigated. Our data showed that under HQ stress, different groups of cells exhibited significantly decreased proliferation and migration abilities, and significant oxidative stress, DNA and chromosome damage effects. HUC-MSC-exo could alleviate the cytotoxic, oxidative stress and genotoxic damage effects of HQ on 16HBE cells. Mechanistically, HQ exposure up-regulated the level of miR-221 and down-regulated PTEN, while HUC-MSC-exo could significantly reduce the level of miR-221 and promote PTEN expression, which was involved in alleviating the toxic effects of HQ on 16HBE cells. Our data indicates that HUC-MSC-exo can alleviate the oxidative stress, cytotoxic and genotoxic effects of HQ on 16HBE cells via miR-221/PTEN pathway, and it may be a promising agent for protecting against the toxicity of HQ.

A Systematic Review of Early General Parenting Interventions: Long-term Effects in Underrepresented Populations and Implications for Obesity Prevention.

PURPOSE OF REVIEW: While some parenting interventions designed for early-life obesity prevention have demonstrated short-term success, there is limited evidence of longer-term impacts and feasibility with underrepresented populations. The goal of this review was to examine existing general parenting programs for parents of children 0-5 years that were not designed to target obesity but investigated long-term effects on parenting and/or were conducted with underrepresented populations to offer recommendations for the modification or development of parenting-focused obesity prevention programs. RECENT FINDINGS: Most studies with sustained impacts on parenting in underrepresented populations were brief, group-based programs for parents of children 2-5 years. Many effective interventions included guided practice of skills and cultural adaptations. Unique intervention approaches included remote or school-based delivery models and motivational interviewing. Brief, group-based programs for parents of young children may be a promising approach to achieving longer-term impacts of parenting interventions on obesity risk among underrepresented populations.

The Implications of Sanctions on Civilian Mental Health and Quality of life Iranian: An overview.

BACKGROUND: The Islamic Republic of Iran has been under sanctions since 1979. These sanctions were further reinforced between the years 2005 and 2012. This study utilizes available data from Iran post-sanctions to review the impact of economic sanctions on both the mental health and the quality of life of Iranian citizens. METHODS: A comprehensive scoping review was conducted to identify studies examining the impact of sanctions on health in Iran. Searches were initiated in 2012 using PubMed/Medline, Embase, Web of Science, Scopus, and the Scientific Information Database (Iranian Database) with keywords such as sanctions, implications, mental health, quality of life, civilian mental health, and Iran. Subsequent to the screening process, secondary reports and letters to the editor were excluded. Only original studies-those collecting data via observation, interviews, surveys, experiments, or literature reviews-were retained for analysis. In addition to these search strategies, reference scanning was undertaken to identify additional articles pertinent to the scope of the current study. This thorough approach facilitated the discovery of relevant and significant articles exploring the effects of sanctions against Iran on the mental health and overall well-being of its civilian population. Following the search, duplicate articles were meticulously identified and removed by the authors. Data were subsequently extracted and summarized, focusing on study characteristics and the observed effects of sanctions on civilian mental health and quality of life in Iran. RESULT: Out of 165 items identified in the preliminary search, ten articles met the inclusion criteria. These selected articles highlighted the pronounced effects of sanctions on various health-related domains. CONCLUSION: Since 2012, Iran has been subject to intensified sanctions. There is evidence to suggest that the economic sanctions, imposed by Western nations, and have exerted a negative and detrimental impact on the health of individual Iranians.

A pair of enantiotropic carbazole alkaloids from the stems of Clausena emarginata C. C. Huang.

Two new carbazole alkaloids clauemarazole H (1) and clauemarazole I (2) were isolated from the stems of Clausena emarginata C. C. Huang. Their structures were confirmed by comprehensive spectroscopic analyses, and the absolute configurations were determined based on ECD experiments. The two compounds were evaluated for their neuroprotective effects against rotenone-induced damage in PC12 cells but did not exhibit any significant activity.

Environmental concern and eco-entrepreneurial intention: the mediating effects of nature-based solutions and self-efficacy.

Environmental responsibility is crucial in both consumption and production processes. Increasing environmental concerns of societies require eco-innovative and nature-based solutions (NBS) for entrepreneurs. Young people's intentions as potential innovators and entrepreneurs on eco-entrepreneurship with mediating effects have not been investigated, which is a shortcoming in the literature. This study was conducted with 920 respondents from a public university (Düzce University) students to determine the underlying motivations of eco-entrepreneurship intentions using structural equation modeling (SEM) and bootstrap methodology. SEM results show that environmental concerns have a positive direct effect (ß = 0.62) on students' eco-entrepreneurship intention. This study can serve the several sustainable development goals (SDGs) making suggestions for the efficient and effective use of production factors in terms of environmentally responsible behavior. Study results provide data for sustainable business applications and eco-innovative thinking. Study results intend the direction of modern environmental governance, policymakers, and SEM developers.

Non-gastrointestinal symptom burden following colorectal cancer treatment-a systematic review.

BACKGROUND: Colorectal cancer is one of the most common malignancies worldwide. Improvements in screening and treatment have allowed for earlier detection and longer survival. However, treatments, which may involve surgery, radiotherapy and/or chemotherapy, often lead to patients developing both gastrointestinal and non-gastrointestinal symptoms that can persist long term. This systematic review aims to understand better the non-gastrointestinal symptoms that patients develop after colorectal cancer treatment and how these are identified and assessed through the use of questionnaires. METHOD: The review was conducted according to PRISMA guidelines. Scopus, PubMed, Web of Science, PsycINFO and Cochrane Library were searched. Eligible studies evaluated the non-gastrointestinal symptoms that patients had developed and continued to have at 12 months or longer after treatment. Studies that were performed on patients who were within 12 months of treatment, who had a recurrent or a secondary cancer, had stage 4 cancer/were palliative or that looked solely at gastro-intestinal symptoms were excluded. Articles were limited to studies on human subjects written in English published between February 2012 and July 2024. RESULTS: The searches identified 3491 articles. Thirty-seven articles met the inclusion criteria, of which, 33 were quantitative, 2 were qualitative and 2 were mixed methods study designs. Nearly two-thirds (n = 22) were cross-sectional studies, whereas 14 were longitudinal. One study had both a cross-sectional and longitudinal component to it. Most studies were of medium to high quality based on the Newcastle Ottawa Scale (n = 23) and were conducted in 14 countries, the majority of which were performed in the Netherlands (n = 14). The majority of participants in the included studies (n = 30/37) were men. There were also three studies that were performed with only female participants and one study that was performed with male participants only. The age range of research participants across all the studies was 29 to 89 years. Forty-five different validated questionnaires containing 5-125 question items were used to collect information on the side effects and impact of colorectal cancer treatment. Completion rate for questionnaires varied from 30 to 100% (median 63.5%). These determined effects on quality of life, emotional/psychological distress, sexual and urinary dysfunction, neuropathy, fatigue and hip pain. CONCLUSION: This systematic review highlighted a wide range of longer-term non-gastrointestinal symptoms that frequently adversely affect QoL following treatment. These studies included highlighting the importance of nutrition/diet, physical activity, spirituality and communication in managing these long-term side effects.

Effects of Berberis asiatica, Withania somnifera, and Their Combination on Body Weight in Streptozotocin-Nicotinamide-Induced Type 2 Diabetes in Wistar Rats.

Introduction Type 2 diabetes mellitus (T2DM) is characterized by insulin resistance, impaired insulin secretion, and beta cell dysfunction, often leading to chronic hyperglycemia and associated complications. Berberis asiatica (BA) and Withania somnifera (WS) are ancient medicinal plants with a reputation for having potential therapeutic effects in diabetes management. The purpose of this study was to look into how body weight (BW) was affected in streptozotocin-nicotinamide (STZ-NIC) induced T2DM in Wistar rats by BA, WS, and their polyherbal combination (PHC). Materials and methods Seventy-eight Wistar rats of both sexes were divided into 13 groups, with six rats in each group, including normal and diabetic controls, and treated with varying doses of BA, WS, and PHC. The rats were under observation over the course of 35 days for any change in BW. The Organization for Economic Co-operation and Development (OECD) rules and guidelines were followed in the conduct of acute toxicity tests. One-way analysis of variance (ANOVA), followed by Tukey-Kramer post hoc tests, was used for statistical analysis. Results The findings indicated that the highest dose of BA (1000 mg/kg) significantly improved BW in diabetic rats, approaching that of the normal control group. The combination of BA and WS also demonstrated significant improvements in BW, suggesting a synergistic effect. The standard antidiabetic drugs, metformin and glimepiride, were effective in increasing BW in diabetic rats. Conclusion The study concludes that BA, WS, and their combination have a positive impact on BW management in T2DM rats, with the combination therapy showing enhanced effects. These findings support the potential utilization of these herbs in managing BW and other T2DM-associated metabolic disturbances and abnormalities.