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The Last Dose

New England Journal of Medicine David N. Korones May 08, 2025 DOI: 10.1056/nejmp2415430

A correlational study of plasma galectin-3 as a potential predictive marker of postoperative delirium in patients with acute aortic dissection

Scientific Reports Fei Jiang, Meiling Cai, Yanchun Peng et al. May 08, 2025 DOI: 10.1038/s41598-025-98858-4

Cabozantinib in Advanced Neuroendocrine Tumors

New England Journal of Medicine May 08, 2025 DOI: 10.1056/nejmc2503524

Isolation and characterization of a bioactive compound from Sphingomonas sanguinis DM with cytotoxic and molecular docking analysis

Scientific Reports Mohamed A. Awad, Hesham S. M. Soliman, Samir F. El-Mashtoly et al. May 08, 2025 DOI: 10.1038/s41598-025-99178-3

Abstract Datura metel, a common plant in the Solanaceae family, is known for its valuable medicinal properties. The metabolites created by its rhizosphere bacterium, Sphingomonas sanguinis DM, have garnered interest for their potential biological effects. This study will discuss the steps involved in fermenting and processing a bacterial strain to extract potent secondary metabolites. The ethyl acetate extract of the propagated strain was subjected to fractionation and purification through various chromatographic techniques. The purified compound was characterized through multiple spectroscopic methods for structure elucidation, including UV, MS, 1D, and 2D-NMR. Its cytotoxic activity was assessed on malignant skin cells (A-431) using the MTT test compared with normal melanocytes (HFB 4). Furthermore, A-431 cells were double-stained with PI and annexin V-FITC and analyzed by flow cytometry to detect Apoptosis. Molecular investigations include PCR screening to detect genes related to the biosynthesis of bioactive metabolites, such as NRPS and lipopeptide ItuD genes. A prospective effective strategy to overcome tumor plasticity in melanoma is to target the Wnt signaling pathways. Molecular docking studies were conducted in the different proteins (Fz4-CRD, LRP6, GSK3β) of the Wnt signaling pathway and Protein Kinase B/Akt for the isolated compound to investigate the possible pathway to inhibit melanoma. Sphingomonas sanguinis DM produced bis (2-methylheptyl) benzene-1,4-dicarboxylate isolated for the first time from a natural source. It was cytotoxic against the A-431 human skin carcinoma cell line (IC50 = 191.61 µg/mL) but less effective against HFB 4 human normal melanocytes (IC50 = 416.23 µg/mL; selectivity index = 2.17). The A-431 cells showed a significant increase in early Apoptosis and a moderate rise in late Apoptosis. PCR amplification confirmed genes encoding A domain and Iturin A. Bacterial sequences are available in NCBI GenBank with accession codes OR597597 and OR597598. Consequently, Sphingomonas sanguinis DM synthesized a cytotoxic natural terephthalate diester derivative, along with the host specificity of the strain.

Chemical Complexity of Food and Implications for Therapeutics

New England Journal of Medicine Giulia Menichetti, Albert-László Barabási, Joseph Loscalzo May 08, 2025 DOI: 10.1056/nejmra2413243

Microwave assisted synthesis of fly ash based zeolites for degradation of reactive blue 19 dye from wastewater

Scientific Reports Sanam Sadiq, Shahzad Ali Shahid Chatha, Shafaqat Ali et al. May 08, 2025 DOI: 10.1038/s41598-025-87462-1

Death by a Thousand Cuts — The Crushing Weight of Nonclinical Demands in Primary Care

New England Journal of Medicine Bruce E. Landon, Sara B. Fazio, Jennifer L. Cluett et al. May 08, 2025 DOI: 10.1056/nejmp2415431

Morphometric effects of particulate air pollution on an optically trapped single red blood cell

Scientific Reports Vahideh Farzam Rad, Maryam Mohammadi, Ali-Reza Moradi May 08, 2025 DOI: 10.1038/s41598-025-00955-x

Enhanced CAR T-Cell Therapy for Lymphoma after Previous Failure

New England Journal of Medicine Jakub Svoboda, Daniel J. Landsburg, James Gerson et al. May 08, 2025 DOI: 10.1056/nejmoa2408771

Author Correction: Numerical treatment of radiative Nickel–Zinc ferrite-Ethylene glycol nanofluid flow past a curved surface with thermal stratification and slip conditions

Scientific Reports Muhammad Ramzan, Nosheen Gul, Jae Dong Chung et al. May 08, 2025 DOI: 10.1038/s41598-025-98336-x

Targeting the Tumor and the Immune System in Smoldering Multiple Myeloma

New England Journal of Medicine Francesco Maura, P. Leif Bergsagel May 08, 2025 DOI: 10.1056/nejme2504273

Analysis of prosthetic risk factors for peri-implant medication-related osteonecrosis of the jaw: an observational study

Scientific Reports Da Young Kim, Sunyoung Choi, Jeong Joon Han May 08, 2025 DOI: 10.1038/s41598-025-97960-x

To BCG or Not Two BCG

New England Journal of Medicine Stephen M. Carpenter, W. Henry Boom May 08, 2025 DOI: 10.1056/nejme2502491

Phytochemical analysis and neuroprotective potential of Achillea santolina L. fractions

Scientific Reports Passent M. Abdel-Baki, Nariman E. Mahdy, Rana M. Ibrahim et al. May 08, 2025 DOI: 10.1038/s41598-025-98887-z

Abstract Phytochemical characterization, and biological assessment of the neuroprotective activities of Achillea santolina L. methanolic extract (AS), its methylene chloride fraction (MF), butanol fraction (BF) and their isolated compounds were investigated. Twenty-two compounds were identified and quantified in AS using HPLC. Luteolin and kaempferol were isolated from MF. Isovitexin and kaempferol 3-O-glucoside were isolated from BF. The anti-inflammatory activity of the isolated compounds was determined by employing cyclooxygenase-2 (COX-2) and 5-lipoxygenase (5-LOX) inhibitory assays. Neuroprotective activities of AS, MF and BF were investigated against monosodium glutamate (MSG) induced neurotoxicity in rats. Brain damage amended significantly as indicated by the decreased lactate dehydrogenase and tumor necrosis factor. Brain oxidative status was restored as indicated by increased glutathione and decreased lipid peroxidation. AS, MF and BF markedly attenuated histopathological alterations in cerebral cortex and downregulated expression of COX-2, IL-1B, IL-10 genes. The affinity of the isolated compounds for Human Heme Oxygenase-1, 5-LOX, Kelch-like ECH-associated protein and COX-2 was studied. Molecular dynamics simulation and ADME study proved that isovitexin has stable conformations and binding patterns with the active sites of the studied enzymes. For the first time, the neuroprotective potential of AS, fractions and isolated compounds was determined supported by anti-inflammatory study.

Central Nervous System Tuberculomas

New England Journal of Medicine In-Suk Bae, Yung Ki Park May 08, 2025 DOI: 10.1056/nejmicm2415077

Disease burden of rotavirus related diarrhea in children under 5 years in China: a meta-analysis

Scientific Reports Li Cai, Bicheng Tang, Fanxu Kong et al. May 08, 2025 DOI: 10.1038/s41598-025-00778-w

Liraglutide for Children 6 to <12 Years of Age with Obesity

New England Journal of Medicine May 08, 2025 DOI: 10.1056/nejmc2503084

Sea Anemone Sting

New England Journal of Medicine Weniko Caré, Raphaële Mestiri May 08, 2025 DOI: 10.1056/nejmicm2416009

Lorundrostat Efficacy and Safety in Patients with Uncontrolled Hypertension

New England Journal of Medicine Luke J. Laffin, Branko Kopjar, Carrie Melgaard et al. May 08, 2025 DOI: 10.1056/nejmoa2501440

Oncolytic virus VG161 in refractory hepatocellular carcinoma

Nature Yinan Shen, Xueli Bai, Qi Zhang et al. May 08, 2025 DOI: 10.1038/s41586-025-08717-5