Respiratory Research,
Journal Year:
2025,
Volume and Issue:
26(1)
Published: Jan. 19, 2025
Recent
studies
suggest
that
neutrophil
elastase
inhibitor
(Sivelestat)
may
improve
pulmonary
function
and
reduce
mortality
in
patients
with
acute
respiratory
distress
syndrome.
We
examined
the
association
between
receipt
of
sivelestat
improvement
oxygenation
among
syndrome
(ARDS)
induced
by
COVID-19.
A
large
multicentre
cohort
study
ARDS
COVID-19
who
had
been
admitted
to
intensive
care
units
(ICUs).
used
propensity
score
matching
compare
outcomes
treated
those
were
not.
The
differences
continuous
assessed
Wilcoxon
signed-rank
test.
Kaplan–Meier
method
was
show
28-day
survival
curves
matched
cohorts.
log-rank
P-test
stratified
on
pairs
test
equality
estimated
curves.
Cox
proportional
hazards
model
incorporated
a
robust
sandwich-type
variance
estimator
account
for
nature
data
estimate
hazard
ratios
(HR).
All
statistical
analyses
performed
SPSS
26.0
R
4.2.3.
two-sided
p-value
<
0.05
considered
statistically
significant.
total
387
met
inclusion
criteria,
including
259
(66.9%)
sivelestat.
In
158
treatment,
associated
improved
oxygenation,
decreased
Murray
lung
injury
score,
increased
non-mechanical
ventilation
time
within
28
days,
alive
ICU-free
days
(HR,
1.85;
95%
CI
1.29
2.64;
p
0.001),
shortened
ICU
stay
ultimately
2.78;
1.32
5.88;
=
0.0074).
Among
induce
COVID-19,
administration
is
clinical
outcomes.
Journal of Clinical Medicine,
Journal Year:
2023,
Volume and Issue:
12(23), P. 7245 - 7245
Published: Nov. 23, 2023
COVID-19,
caused
by
the
SARS-CoV-2
virus,
has
revealed
a
complex
interplay
between
inflammation
and
coagulation,
leading
to
emergence
of
concept
thrombo-inflammation.
This
recognizes
that
COVID-19
is
not
solely
respiratory
illness,
but
systemic
disease
with
significant
vascular
hematological
components.
associated
an
unusual
prothrombotic
state,
intense
endothelial
activation
vasculopathy,
cytokine
storm,
complement
system
hypercoagulability
state
(the
platelets
coagulation
cascade,
impaired
fibrinolysis).
The
aim
this
review
discuss
different
pathological
pathways
described
in
lead
thromboembolic
events.
Widespread
vaccination
post-COVID-19
immunization
allows
control
over
severity
pandemic.
A
better
understanding
pathophysiology
can
improve
management
frail
patients
who
are
hospitalized
intensive
care
units.
Journal of Advanced Research,
Journal Year:
2024,
Volume and Issue:
62, P. 229 - 243
Published: March 27, 2024
Overwhelming
neutrophil
activation
and
oxidative
stress
significantly
contribute
to
acute
respiratory
distress
syndrome
(ARDS)
pathogenesis.
However,
the
potential
of
repurposing
ribociclib,
a
cyclin-dependent
kinase
4
6
(CDK4/6)
inhibitor
used
clinically
in
cancer
treatment,
for
treating
neutrophilic
ARDS
remains
uncertain.
This
study
illustrated
ability
underlying
mechanism
ribociclib
inflammation.
Journal of Inflammation Research,
Journal Year:
2024,
Volume and Issue:
Volume 17, P. 1561 - 1576
Published: March 1, 2024
Background:
Coronavirus
disease
2019
(COVID-19)
is
a
respiratory
infectious
illness
caused
by
severe
acute
syndrome
coronavirus
2
(SARS-CoV-2).
The
objective
of
this
study
to
identify
reliable
and
accurate
biomarkers
for
the
early
stratification
severity,
crucial
aspect
that
currently
lacking
impending
phases
next
COVID-19
pandemic.
Methods:
In
study,
we
identified
important
module
hub
genes
related
clinical
using
differentially
expressed
(DEGs)
screening
combing
weighted
gene
co-expression
network
analysis
(WGCNA)
in
dataset
GSE213313.
We
further
screened
confirmed
these
another
two
new
independent
datasets
(GSE172114
GSE157103).
order
evaluate
key
genes'
stability
robustness
diagnosing
or
predicting
progression
illness,
used
RT-PCR
validation
selected
blood
samples
obtained
from
hospitalized
patients.
Results:
A
total
968
52
DEGs
were
between
patients
normal
people,
critical
non-critical
patients,
respectively.
Then,
WGCNA,
10
modules
constructed.
Among
them,
blue
positively
associated
with
clinic
severity
COVID-19.
From
overlapped
section
module,
12
intersected
common
differential
obtained.
Subsequently,
validated
as
well
9
showed
highly
correlation
severity.
Finally,
mRNA
expression
levels
tested
cases,
there
was
increased
MCEMP1,
ANXA3,
CD177
,
SCN9A
.
particular,
MCEMP1
which
suggested
an
unfavorable
development
frustrating
prognosis.
Conclusion:
Using
comprehensive
bioinformatical
samples,
four
major
candidate
genes,
are
essential
diagnosis
Keywords:
COVID-19,
neutrophil
European Respiratory Journal,
Journal Year:
2024,
Volume and Issue:
64(1), P. 2400133 - 2400133
Published: July 1, 2024
Background
Evidence
for
the
impact
of
smoking
on
coronavirus
disease
2019
(COVID-19)
is
contradictory,
and
there
little
research
vaping.
Here
we
provide
greater
clarity
mechanisms
perturbed
by
tobacco
cigarette,
electronic
cigarette
nicotine
exposures
that
may
risks
infection
and/or
severity.
Methods
Following
Preferred
Reporting
Items
Systematic
Reviews
Meta-Analyses
(PRISMA)
guidelines,
Ovid
Web
Science
databases
were
searched.
Study
design
exposure-induced
gene
expression
changes
extracted.
Each
study
was
quality
assessed
higher
confidence
scores
assigned
to
genes
consistently
changed
across
multiple
studies
following
same
exposure.
These
used
explore
pathways
significantly
altered
Results
125
provided
data
480
exposure
cigarettes,
e-cigarettes,
or
severe
acute
respiratory
syndrome
2
(SARS-CoV-2).
Genes
involved
in
both
SARS-CoV-2
viral-entry
inflammation
Pathway
analysis
revealed
many
those
with
high
are
common
cellular
processes
relating
hyperinflammatory
immune
responses.
Conclusion
Exposure
e-cigarettes
therefore
initial
host–pathogen
interactions
Smokers
vapers
could
potentially
be
at
increased
risk
infection,
associated
cytokine
storm,
distress
syndrome.
However,
further
required,
particularly
determine
biological
perturbation
subsequent
responses
within
tract.
This
will
improve
our
physiological
understanding
vaping
COVID-19,
informing
public
health
advice
providing
improved
guidance
management
other
viruses.
Tissue Barriers,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 11, 2025
Acute
lung
injury
(ALI)
and
acute
respiratory
distress
syndrome
(ARDS)
are
the
result
of
an
exaggerated
inflammatory
response
triggered
by
a
variety
pulmonary
systemic
insults.
The
tissues
comprised
cell
types,
including
alveolar
epithelial
cells,
vascular
endothelial
macrophages,
neutrophils,
others.
There
is
mounting
evidence
that
these
diverse
populations
within
interact
to
regulate
inflammation
in
both
direct
indirect
stimuli.
aim
this
review
provide
summary
discussion
recent
advances
understanding
importance
cell-cell
crosstalk
pathogenesis
ALI/ARDS,
with
specific
focus
on
interactions
may
offer
prospective
therapeutic
avenues
for
ALI/ARDS.
Macromolecular Bioscience,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 13, 2025
Abstract
Hygrophila
ringens
var.
is
a
medicinal
plant
of
the
Acanthaceae
family.
A
soluble
polysaccharide
extracted
from
H.
seeds
using
warm
water,
followed
by
deproteinization
and
purification
column
chromatography.
DL1
characterized
comprehensively
spectroscopic
chromatographic
techniques
identified
as
polymer
containing
xylose
(Xyl;
78.5%)
4‐
O
‐methyl‐
d
‐glucuronic
acid
(4‐
‐MeGlcA;
21.5
%).
The
most
prominent
glycosidic
linkages
detected
are
terminal‐xylose
(T‐Xyl);
1,2,3,4‐Xyl
p
;
1,2,4‐Xyl
T‐4‐
‐MeGlcA.
belongs
to
xylan
group
‐methylglucuronoxylan.
exhibits
inhibition
bovine
serum
albumin
denaturation
with
IC
50
values
0.35
mg
mL
−1
similar
activity
diclofenac
(non‐steroidal
anti‐inflammatory
drug).
In
model
lipopolysaccharide‐stimulated
macrophages,
(20–40
µg
)
strongly
inhibits
inflammatory
cytokines
reactive
oxygen
species
release
without
having
significant
macrophage
cytotoxicity.
inhibitory
effect
on
mediated
activation
mitogen‐activated
protein
kinases
inhibiting
phosphorylation
p38
extracellular
signal‐regulated
kinase.
These
results
highlight
potential
for
treating
inflammation
through
its
cytokine‐suppressive
activity.
Journal of Nanobiotechnology,
Journal Year:
2025,
Volume and Issue:
23(1)
Published: Feb. 6, 2025
Neutrophil
extracellular
traps
(NETs)
participate
in
both
host
defense
and
the
pathogenesis
of
various
diseases,
such
as
infections,
thrombosis,
tumors.
While
they
help
capture
eliminate
pathogens,
NETs'
excessive
or
dysregulated
formation
can
lead
to
tissue
damage
disease
progression.
Therapeutic
strategies
targeting
NET
modulation
have
shown
potential,
but
challenges
remain,
particularly
achieving
precise
drug
delivery
maintaining
stability.
Nanoparticle
(NP)-based
systems
offer
innovative
solutions
for
overcoming
limitations
conventional
therapies.
This
review
explores
biological
mechanisms
formation,
their
interactions
with
NPs,
therapeutic
applications
NP-based
modulating
NETs.
We
discuss
how
NPs
be
designed
either
promote
inhibit
provide
a
comprehensive
analysis
potential
treating
NET-related
diseases.
Additionally,
we
address
current
future
prospects
therapies
research,
aiming
bridge
gap
between
nanotechnology
development
novel
approaches.
BMC Infectious Diseases,
Journal Year:
2025,
Volume and Issue:
25(1)
Published: April 21, 2025
Acute
respiratory
distress
syndrome
(ARDS)
is
a
severe
complication
associated
with
high
mortality
rate
in
patients
sepsis.
Early
identification
of
sepsis
at
risk
developing
ARDS
crucial
for
timely
intervention,
optimization
treatment
strategies,
and
improvement
clinical
outcomes.
However,
traditional
prediction
methods
are
often
insufficient.
This
study
aimed
to
develop
machine
learning
(ML)
model
predict
the
using
circulating
immune
cell
parameters
other
physiological
data.
Clinical
data
from
10,559
were
obtained
MIMIC-IV
database.
Principal
component
analysis
(PCA)
was
used
dimensionality
reduction
comprehensively
evaluate
models'
predictive
capabilities,
we
several
ML
algorithms,
including
decision
trees,
k-nearest
neighbors
(KNN),
logistic
regression,
naive
Bayes,
random
forests,
neural
networks,
XGBoost,
support
vector
machines
(SVM)
risk.
The
performance
assessed
area
under
receiver
operating
characteristic
curve
(AUC),
accuracy,
sensitivity,
specificity,
F1
score.
Shapley
additive
explanations
(SHAP)
interpret
contribution
individual
features
predictions.
Among
all
models,
XGBoost
showed
best
an
AUC
0.764.
Feature
importance
revealed
that
mean
arterial
pressure,
monocyte
count,
neutrophil
pH,
platelet
count
key
predictors
SHAP
provided
further
information
on
how
these
contributed
model's
predictions,
aiding
interpretability
potential
applications.
accurately
predicted
could
be
useful
tool
early
high-risk
intervention;
however,
validation
integration
into
practice
required.