Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia and a growing source of cardiovascular morbidity, stroke, heart failure, and death. Current pharmacologic rhythm-control strategies rely predominantly on antiarrhythmic agents with significant ventricular proarrhythmia risk and systemic toxicity, limiting their use in medically complex and underserved patient populations. The Kv1.5 channel, encoded by KCNA5, generates the atrial-selective ultrarapid delayed rectifier current (IKur) and has long been considered a promising target for safer rhythm control. This review focuses on the molecular biology of Kv1.5, including its regulation by auxiliary Kvβ1.2 subunits, redox signaling, oxidative stress, and extra-atrial vascular roles, and examines the preclinical and clinical evidence for Kv1.5-targeted therapy. We analyzed why selective IKur inhibitors, including XEN-D0103 and MK-0448, have failed to translate into effective antiarrhythmic therapy, with particular attention to the role of atrial electrical remodeling and reduced IKur density in established AF. We also review the limitations of existing class III and class Ic antiarrhythmic agents and discuss how genetic variation in KCNA5 across ethnic populations may inform more precise and equitable approaches to rhythm control. Together, these findings highlight the promise of Kv1.5 as an atrial-selective target and the major barriers limiting its clinical translation in AF.
Spinal cord injury (SCI) is a devastating and irreversible damage to the central nervous system that can result in permanent disability or even death. Electrospinning technology, as a specialized fiber preparation method, possesses unique advantages such as high porosity, adjustable pore size, and an extremely high surface area-to-volume ratio. Despite the widespread attention this technology has garnered for its potential application in the treatment of SCI, there is still a lack of comprehensive and up-to-date reviews in the existing literature, and specific clinical treatment guidelines are also scarce. As a result, researchers and clinicians lack targeted guidance for practical implementation. To address this gap, the present article systematically summarizes the mechanisms by which electrospun scaffolds facilitate SCI repair and their current therapeutic applications. First, this review provides an in-depth analysis of the five core mechanisms underlying electrospinning therapy for SCI, including extracellular matrix (ECM) mimicry, axonal-extension guidance, multimodal signal regulation, drug loading and sustained release, and physical support and protection. Next, this review examines how key electrospinning parameters (fiber diameter, alignment, surface chemistry, biodegradation rate, and nanomorphology) influence these therapeutic mechanisms. Finally, this review explores the state-of-the-art applications of electrospun scaffolds in SCI treatment, including purely structural conduits, biochemical functionalization (drug loading and controlled release, immunomodulation and anti-inflammation, and coaxial electrospinning), and multi-component composite materials (hydrogel–electrospun hybrids, cell- and growth-factor co-delivery systems, and cell electrospinning).
Lung cancer ranks first in mortality and the third in total cancer cases diagnosed in the US. The epidemiological trends may vary among different age groups, while the dynamics of risk factors evolve as well. We aim to carefully characterize trends of lung cancer among different age groups in the past two decades, by accessing the Surveillance, Epidemiology, and End Results (SEER) datasets from the National Cancer Institute (NCI), and to delineate possible root causes. The SEER datasets were obtained from NCI. Data on environmental risk factors were acquired from the Environmental Protection Agency and the United States Geological Survey. The tobacco consumption data were sourced from the Centers for Disease Control and Prevention. Trends were examined statistically with the Mann-Kendall algorithm. The incidence rate of lung cancer in the <15 age group has been rising in the past two decades, most strikingly among infants in the 0 age group (at birth to less than 1 year old). These findings were unique for lung cancer. The usage of e-Cigarettes among pregnant women increased, while the potential influence of other known risk factors was on the decline. A shrinkage of the infant population and a higher rate of pregnancy loss were observed during the same timespan. A striking rise in lung cancer incidence among infants has been identified that is opposite to the declining trend in the overall population, which might be related to increased e-Cigarette use in pregnant women. Urgent further investigation is warranted to safeguard the newborn population from being continuously affected potentially by lung cancer.
To protect streams in agricultural watersheds, best management practices (BMPs) are implemented to reduce or prevent contaminated runoff from reaching surface waters. Over the course of three growing seasons (2000–2002), this study assessed physical, chemical, and biological indicators of water quality at 13 total stream sites in two agricultural watersheds (Garvin Brook, Whitewater River) in southeastern Minnesota USA, where BMPs have been used for over 50 years prior to the study period. Some sites in both watersheds exhibited impaired water quality due to high turbidities, high levels of total suspended solids (TSS) and fecal coliform bacteria, and low fish and benthic macroinvertebrate biotic integrities. Non-metric multi-dimensional scaling of water quality indicators and principal components analysis of fish and invertebrate communities highlighted varying degrees of differences between watersheds. On average, Garvin watershed sites exhibited better water quality during 2000–2002 than sites in the Whitewater watershed, likely because more headwater reaches were surveyed in Garvin Brook. A fish community index biotic integrity (IBI) was significantly negatively correlated with turbidities, TSS, and fecal coliform bacteria levels, but the benthic macroinvertebrate community IBI was not correlated to any water quality indicator or to the fish IBI. More recent studies in these watersheds and current impaired waters listings continue to indicate significant and ongoing water quality issues, so continued water quality monitoring is needed in these two watersheds to highlight and prioritize problematic subwatersheds for future conservation efforts to reduce or prevent agriculture-related runoff from reaching the stream networks.
Ambulatory Cardiac Monitoring (ACM) is often used to evaluate pregnant patients with palpitations without structural heart disease; however, the diagnostic yield is not well defined. This single-center retrospective cohort study included pregnant patients without structural heart disease evaluated in a tertiary care cardio-obstetrics clinic between June 2023 and June 2024. The primary outcome was the detection of a clinically significant arrhythmia. Secondary outcomes included symptom–rhythm correlation and adverse maternal cardiac, obstetric, and fetal outcomes. Out of 124 patients identified, 49 (40%) completed ACM. Two patients had symptomatic clinically significant arrhythmias detected on ACM, including non-sustained ventricular tachycardia that did not alter management (n = 1), and symptomatic supraventricular tachycardia (SVT) resulting in medical therapy (n = 1). Palpitations occurred during monitoring in 35 of the 49 remaining monitored patients; of those, symptoms correlated with non-significant arrhythmias (premature atrial and ventricular contractions) in 11 (31%). No adverse cardiac events occurred in the remaining patients. Obstetric and fetal outcomes did not differ between monitored and unmonitored patients. In this small single center study, ACM in pregnant patients without structural heart disease has a low diagnostic yield. These findings could be used in shared decision-making for pregnant patients being evaluated for palpitations.
