Tag: pubmed

Antibodies (Basel). 2026 Feb 6;15(1):13. doi: 10.3390/antib15010013.

ABSTRACT

BACKGROUND/OBJECTIVES: Allergic features of anisakiasis, caused by ingestion of third-stage larvae of Anisakis simplex via raw or undercooked fish, manifest clinically as acute gastroallergic anisakiasis (GAA) or chronic urticaria with Anisakis sensitization (CU+). Differentiating these clinical phenotypes remains challenging. This study aimed to evaluate the maturation and avidity of specific antibodies (IgE, IgG4, IgG, and IgA) as biomarkers for discriminating between acute and chronic forms of anisakiasis.

METHODS: A prospective cohort of 65 patients from Madrid, Spain, was classified into three groups: GAA (n = 22), CU+ (n = 22), and chronic urticaria without sensitization (CU-, n = 21). Serum samples were analyzed for antigen-specific immunoglobulins using ELISA and Western blot. Avidity indices (AIs) were quantified through urea dissociation assays. Statistical comparisons and correlation analyses were performed to associate antibody avidity with clinical phenotype and demographic variables.

RESULTS: GAA patients exhibited significantly lower IgE avidity indices compared to CU+ individuals (mean AI: 79.9% vs. 88.5%), indicating a less mature IgE response during acute infection. Conversely, IgG4 and IgG avidity were elevated in GAA relative to CU+, reflecting an active but transient immune response. IgA antibodies were detected in both groups, although avidity differences lacked discriminatory capacity. No sex- or age-related differences in antibody avidity were observed. Longitudinal follow-up of GAA patients demonstrated an increase in IgE avidity over time.

CONCLUSIONS: Quantitative assessment of antibody avidity, particularly for IgE and IgG4, enhances understanding of A. simplex immunopathogenesis and serves as a valuable biomarker for distinguishing acute from chronic clinical presentations. These findings support the use of avidity indices in the diagnosis, staging, and clinical management of anisakiasis.

PMID:41718401 | DOI:10.3390/antib15010013

Pathophysiology. 2026 Feb 2;33(1):13. doi: 10.3390/pathophysiology33010013.

ABSTRACT

Background/Objectives: Although tissue inhibitors of metalloproteinases (TIMPs) are key regulators in breast cancer, their differential expression, clinical relevance, and molecular roles remain unclear. This study aimed to compare the expression patterns of the four TIMPs in breast cancer and evaluate their molecular interactions and associated pathways through an integrated bioinformatic analysis. Methods: The expression of TIMPs and their correlations with MMPs were analyzed using the TCGA PanCancer, cBioPortal, and GEO datasets. Associations between TIMP expression and overall survival were assessed in the TCGA Breast Invasive Carcinoma PanCancer cohort. Pathway enrichment analysis was performed using GO, KEGG, and DAVID. The relationships between immune cell infiltration, stromal cells, and TIMP expression were assessed using the EPIC algorithm. Statistical analyses were performed using R. Results:TIMP1 was the only inhibitor overexpressed in breast tumors and showed significant associations with the Luminal B, HER2, TNBC, and normal-like subtypes, along with a modest increase across stages. TIMP2, TIMP3, and TIMP4 were downregulated in tumors. High expression of TIMP1 and TIMP4 correlated with better overall survival. TIMP1-associated genes were enriched in NF-kappa and PI3K-Akt signaling and actin cytoskeleton components. TIMP2 was linked to Hedgehog and MAPK pathways and actin-related elements. TIMP3 correlated with Hedgehog and PI3K-Akt signaling, DNA damage response, and membrane components. TIMP4 was associated with VEGF, MAPK, PI3K-Akt, DNA damage pathways, and actin organization. TIMP2 showed strong positive correlations with MMP2 and MMP14, while TIMP4 showed negative correlations with MMP1 and MMP9. Interestingly, we found a strong positive correlation between TIMP2 and TIMP3 with ADAM12, as well as between TIMP2 and TIMP3 with ADAM10, and negative correlations with ADAM15. The differential expression of TIMPs favors greater infiltration of immune cells related to tumor progression and poor prognosis in breast cancer patients. Conclusions: TIMPs display contrasting expression profiles and distinct pathway associations in breast cancer. TIMP1 emerges as the only consistently overexpressed inhibitor, while TIMP4 appears as a promising prognostic marker with unique MMP correlations that may influence tumor behaviors.

PMID:41718391 | DOI:10.3390/pathophysiology33010013

J Eye Mov Res. 2026 Feb 4;19(1):16. doi: 10.3390/jemr19010016.

ABSTRACT

Fluent word reading is a key literacy skill, yet the full extent of the oculomotor underpinnings in developing readers remains unknown. Rapid automatized naming (RAN) is a useful clinical measure that has been shown to predict word reading fluency. Here we use RAN scores to predict early, mid, and late local stages of word reading as measured by eye tracking in children who are at a critical time in their literacy development. Thirty-three children participated in two RAN tasks (rapid letter naming (RLN) and rapid digit naming (RDN)) and an eye-tracking task, which included sentence-level reading with an embedded target word. The eye-tracking measures of first fixation duration, regression path duration, and total word reading time were used as early, mid, and late local measures, respectively. RLN and RDN significantly predicted only the mid-stage of the reading process (regression path duration). Faster RLN and RDN times were associated with briefer regressions from target words. Preliminary results link behavioral RAN performance to a mid-stage oculomotor variable, indicating that children with slower RAN times may exhibit longer regressions during reading, suggesting possible difficulties with the integration of phonological processing skills.

PMID:41718376 | DOI:10.3390/jemr19010016

J Eye Mov Res. 2026 Feb 3;19(1):15. doi: 10.3390/jemr19010015.

ABSTRACT

The purpose of the study was to analyze, characterize, and compare the measurements of saccades that occurred during the positive and negative fusional vergence test (PFV and NFV, respectively) as a function of the disparity vergence demand. Thirty-four participants’ PFV and NFV amplitudes were measured in a haploscopic setup, recording eye movements with an Eyelink 1000 Plus (SR Research). The visual stimulus was a column of letters. Break and recovery points were determined objectively offline, and saccades were detected with a velocity-threshold-based method. A total of 13,103 and 14,381 saccades were detected during the measurement of the PFV and NFV ranges, respectively. Saccades followed the main sequence (ρ = 0.97, p < 0.001). The distributions of saccadic amplitudes during PFV and NFV differed significantly (U = 4.28, p < 0.001). The amplitude of saccades that occurred while fusion was maintained (median (IQR) 0.73 (0.92) deg) was significantly smaller than that of saccades during diplopia (2.10 (3.90) deg) (U = -75.63, p < 0.001). The distributions of saccade direction during the measurement of PFV and NFV amplitudes were statistically significantly different (p < 0.01). These findings contribute to a better understanding of how the visual system adjusts saccades in response to different disparity vergence demand during fusional vergence amplitudes evaluation.

PMID:41718375 | DOI:10.3390/jemr19010015

J Eye Mov Res. 2026 Jan 30;19(1):14. doi: 10.3390/jemr19010014.

ABSTRACT

Understanding how tacit knowledge embedded in visual materials is accessed and utilized during evaluation tasks remains a key challenge in human-computer interaction and visual expertise research. Although eye-tracking studies have identified systematic differences between experts and novices, findings remain inconsistent, particularly in art-related visual evaluation contexts. This study examines whether tacit aspects of visual evaluation can be inferred from gaze behavior by comparing individuals with and without formal art education. Visual evaluation was assessed using a structured, prompt-based task in which participants inspected artistic images and responded to items targeting specific visual elements. Eye movements were recorded using a screen-based eye-tracking system. Areas of Interest (AOIs) corresponding to correct-answer regions were defined a priori based on expert judgment and item prompts. Both AOI-level metrics (e.g., fixation count, mean, and total visit and gaze durations) and image-level metrics (e.g., fixation count, saccade count, and pupil size) were analyzed using appropriate parametric and non-parametric statistical tests. The results showed that participants with an art-education background produced more fixations within AOIs, exhibited longer mean and total AOI visit and gaze durations, and demonstrated lower saccade counts than participants without art education. These patterns indicate more systematic and goal-directed gaze behavior during visual evaluation, suggesting that formal art education may shape tacit visual evaluation strategies. The findings also highlight the potential of eye tracking as a methodological tool for studying expertise-related differences in visual evaluation processes.

PMID:41718374 | DOI:10.3390/jemr19010014

J Eye Mov Res. 2026 Jan 21;19(1):11. doi: 10.3390/jemr19010011.

ABSTRACT

Visual search behavior, influenced by expertise, prior knowledge, training, and visual fatigue, is crucial in ophthalmic diagnostics. This study investigates differences in eye-tracking strategies between novice and experienced eye care practitioners during fundus image interpretation. Forty-seven participants, including 37 novices (first- to fourth-year optometry students) and 10 experienced optometrists (≥2 years of experience), viewed 20 fundus images (10 normal, 10 abnormal) while their eye movements were recorded using an Eyelink1000 Plus gaze tracker (2000 Hz). Diagnostic and laterality accuracy were assessed, and statistical analyses were conducted using Sigma Plot 12.0. Results showed that experienced practitioners had significantly higher diagnostic accuracy (83 ± 6.3%) than novices (70 ± 12.9%, p < 0.005). Significant differences in oculomotor behavior were observed, including median latency (p < 0.001), while no significant differences were found in median peak velocity (p = 0.11) or laterality accuracy (p = 0.97). Diagnostic accuracy correlated with fixation count in novices (r = 0.54, p < 0.001), while laterality accuracy correlated with total dwelling time (r = -0.62, p < 0.005). The experienced practitioners demonstrated systematic and focused visual search patterns, whereas the novices exhibited unorganized scan paths. Enhancing training with visual feedback could improve fundus image analysis accuracy in novice clinicians.

PMID:41718371 | DOI:10.3390/jemr19010011

Geriatrics (Basel). 2026 Jan 30;11(1):15. doi: 10.3390/geriatrics11010015.

ABSTRACT

Background/Objectives: This pilot study aimed to evaluate the feasibility of applying the Beers criteria in the community pharmacy setting and aid pharmacists in identifying and emphasizing adverse effects from potentially inappropriate medications (PIMs) for older adults. Methods: We applied a single-center retrospective study to collect demographic and outcome data in order to analyze dispensed PIMs for older adults. We used an evaluation tool to compare warnings between pharmacy dispensing software and the Beers criteria. Descriptive statistics were computed via standard statistical software. Results: Culled from a random selection of 215 patients, the medical records from 50 subjects ≥65 years old were reviewed, including 440 of their medications. Our data demonstrated that 96% of subjects were dispensed at least one PIM, with a total of 34 different PIMs distributed at varying frequencies. A comparative analysis indicated that 74% of dispensed medications had similar, but not identical, warning profiles presented in the dispensing software and Beers criteria. Anticholinergic burden of dispensed PIMs indicated that older adults were at risk of falls and delirium. By supplementing the dispensing software with Beers criteria, we were able to create clinical communication notes for providers, patients, and pharmacy students to emphasize the role pharmacists can play to minimize PIM’s adverse effects on older adults. Conclusions: Our data indicates the feasibility of implementing the Beers criteria in the community pharmacy setting. Integrating the dispensing software warnings with Beers criteria created a structured intervention strategy to prevent potential adverse effects and develop clinical communication notes to emphasize a more engaging role that the community pharmacy setting can play to optimize therapeutic outcomes for older adults.

PMID:41718363 | DOI:10.3390/geriatrics11010015

Audiol Res. 2026 Feb 14;16(1):27. doi: 10.3390/audiolres16010027.

ABSTRACT

Background: Hearing aid (HA) outcome is a multidimensional construct that requires not only the analysis of auditory function improvement, but also a subjective evaluation of benefits from HAs. Indeed, subjective satisfaction of patients with HAs is not entirely predictable from audiometric outcomes such as real ear gain or functional gain. In light of this possible discrepancy the 1990 Consensus Statement for “Recommended Components of a Hearing Aid Selection Procedure for Adults” suggested that verification of hearing aids benefit also incorporate the subjective satisfaction with amplification. Objectives: The aim of this study was to test the validity and reliability of the Italian version of International Outcome Inventory for Hearing Aids (IOI-HA-It). Methods: Ninety-eight outpatients were randomly recruited to participate in this study. They all made regular use of HAs and were supplied with three different self-administered questionnaires. The International Outcome Inventory for Hearing Aids (IOI-HA), the Hearing Handicap Inventory for Adults (HHIA) or for elderly (HHIE) and the Italian translation of the MOS 36-Item Short Form Health Survey (SF-36). The epidemiological features and results were analyzed as descriptive statistics. Continuous variables were expressed as means with standard deviations (SDs). Reliability of the Italian version was assessed by the following two parameters: internal and test-retest consistencies. Internal consistency reliability was measured by Cronbach’s alpha coefficient. Results and Conclusions: This study evidenced that the IOI-HA-It is proved to offer adequate subjective outcome measures to better appreciate the integral evaluation of a patient’s rehabilitative experience. Furthermore, since it is a very brief questionnaire with low demand on time and cost involved in its compilation, it should be recommended in clinical practice.

PMID:41718344 | DOI:10.3390/audiolres16010027

Audiol Res. 2026 Feb 6;16(1):24. doi: 10.3390/audiolres16010024.

ABSTRACT

Background/Objective: Self-perceived hearing handicap (SPHH) reflects functional consequences of hearing loss beyond audiometric measures. Clarifying its relationship with audiometric severity and demographic factors is important for understanding age-related hearing loss (ARHL). This study examined associations between SPHH, audiometric measures, age, and sex in individuals with ARHL. Methods: A total of 145 adults (50 men, 95 women) aged 60-89 years (mean 71.65 ± 7.19 years) participated. Hearing status was defined using better-ear pure-tone average thresholds at 0.5, 1, 2, and 4 kHz (BE PTA-4), with ≥20 dB HL as the cutoff and World Health Organization (WHO)-defined severity categories. SPHH was assessed using the Croatian Hearing Handicap Inventory for the Elderly-Screening version (HHIE-S-CRO). HHIE-S-CRO total and subscale scores were examined across BE PTA-4 values and hearing loss categories. Associations were analyzed using correlation and linear regression adjusted for age and sex; group differences were tested using the Kruskal-Wallis test, and ordinal logistic regression assessed monotonic trends across ordered severity categories. Results: HHIE-S-CRO total and subscale scores increased with worsening BE PTA-4 and across hearing loss categories, with substantial overlap. Strong correlations were observed between HHIE-S-CRO scores and audiometric measures. In linear regression, BE PTA-4 was independently associated with HHIE-S-CRO total, emotional, and social/situational scores, whereas age and sex were not. Kruskal-Wallis tests showed significant differences across hearing loss categories. Ordinal logistic regression anchored to WHO severity categories demonstrated graded associations for HHIE-S-CRO total and emotional scores, while the social/situational subscale showed greater dispersion and overlap despite a statistically significant association. Conclusions: SPHH in ARHL shows a strong association with audiometric severity, with particularly robust correspondence for overall and emotional domains, underscoring the complementary role of patient-reported outcome measures alongside audiometric assessment.

PMID:41718341 | DOI:10.3390/audiolres16010024

Methods Protoc. 2026 Feb 12;9(1):25. doi: 10.3390/mps9010025.

ABSTRACT

We describe a comprehensive methodology for the application of game theory to omics data analysis, with a particular focus on coalitional games and Shapley values. This approach evaluates the cooperative distribution of genes within high-dimensional transcriptomics datasets, providing a complementary perspective to conventional statistical methods. We present the mathematical framework, implementation details, and references for applications that demonstrate its ability to improve the detection of biologically meaningful signals that may not be explicitly modeled by many conventional statistical methods. Our results highlight the potential of coalitional game theory as a powerful tool for enhancing reproducibility and interpretability in omics research, opening new perspectives in systems biology and precision medicine.

PMID:41718327 | DOI:10.3390/mps9010025