METHODS: Following PRISMA-ScR guidelines, a systematic search was conducted across PubMed, Scopus, Cochrane CENTRAL, and IEEE Xplore for studies published between January 2010 and December 2025. Eligible studies evaluated Head-Mounted Displays (HMDs) or comparable wearable devices integrated with motion-tracking technologies for CRM execution. Data were synthesized using a convergent narrative approach.
RESULTS: Six studies met the inclusion criteria, comprising clinical feasibility trials (n = 3) and computational simulation studies (n = 3). Hardware predominantly included smartphone-based Virtual Reality (VR) and custom head-mounted Inertial Measurement Units (IMUs) utilizing visual or auditory feedback. Clinical evidence demonstrated that sensor-guided feedback significantly minimized angular positional errors compared to standard unguided maneuvers. Concurrently, advanced 3D simulations successfully mapped inner ear biomechanics and validated optimized maneuver pathways.
CONCLUSION: XR and motion-tracking technologies effectively standardize CRM angular precision. By reducing execution variability, these systems can ensure consistent, expert-level care among clinicians and ultimately democratize execution to enable safe, highly effective self-treatment for patients at home. Future research must prioritize large-scale comparative effectiveness trials and evaluate Mixed Reality (MR) systems to mitigate visual occlusion and fall risks.
OBJECTIVE: To assess the impact of IL-8 on cell viability and mRNA expression of pro-tumorigenic markers in A549 cells.
MATERIALS AND METHODS: Cell viability was measured using MTT assay. The mRNA expression levels of matrix metalloproteinase-7 (MMP-7), C-X-C motif chemokine ligand 1 (CXCL1), and interleukin-1α (IL-1α) were examined by RT-qPCR.
RESULTS: Two-way analysis revealed significant main effects for both timepoint and concentration on cell viability. Post hoc testing showed that IL-8 stimulation (0.5 ng/mL) induced a significant increase in A549 cell viability at the 24-hour timepoint. In contrast, prolonged stimulation (0.5 ng/mL) at 48 hours resulted in a marked downward trend in cell viability, followed by a return to baseline levels at 72 hours, indicating a highly dynamic, time-dependent cellular profile. At the transcriptional level, an initial upward trend in MMP-7 gene expression at a low concentration was not statistically significant following variance stabilization. Similarly, no significant changes in CXCL1 or IL-1α expression profiles were observed across concentrations.
CONCLUSION: IL-8 was found to exert selective, context-dependent effects on A549 lung cancer cells, driving early viability shifts and an upregulatory trend in MMP-7 expression. These findings underscore the nuanced role of IL-8 in the tumor microenvironment and warrant future functional assays to fully elucidate its underlying mechanisms in lung cancer.
OBJECTIVE: We previously identified AtWRKY50 as a transcriptional activator of SAR gene PR1. Although PR1 accumulates to high levels in plants after attack by pathogens, its function is still elusive. Here we investigated the effects of overexpression of several WRKY proteins, including AtWRKY50, on the metabolome of Arabidopsis thaliana.
METHODS: The influence of overexpression of WRKY proteins on the metabolites of Arabidopsis was investigated by using an NMR spectroscopy-based metabolomic approach. The 1H NMR data was analysed using the multivariate data analysis methods, such as principal component analysis, hierarchical cluster analysis and partial least square-discriminant analysis.
RESULTS: The results showed that the metabolome of transgenic Arabidopsis seedlings overexpressing AtWRKY50 was different from wild type Arabidopsis and transgenic Arabidopsis overexpressing other WRKY genes. Amongst other metabolites, sinapic acid and 1-O-sinapoyl-β-D-glucose especially appeared to be the most prominent discriminating metabolites, accumulating to levels 2 to 3 times higher in the AtWRKY50 overexpressor lines.
CONCLUSION: Our results indicate a possible involvement of AtWRKY50 in secondary metabolite production in Arabidopsis, in particular of hydroxycinnamates such as sinapic acid and 1-O-sinapoyl-β-D-glucose.
AREAS COVERED: The steps involved in preparing the mRNA-based cancer vaccines are isolation of the mRNA cancer from the target protein using the nucleic acid RNA-based vaccine, sequence construction to prepare the DNA template, in vitro transcription for protein translation from DNA into mRNA strand, 5' cap addition and poly(A) tailing to stabilize and protect the mRNA from degradation and purification process to remove contaminants produced during preparation.
EXPERT OPINION: Lipid nanoparticles, lipid/protamine/mRNA nanoparticles, and cell-penetrating peptides have been used to formulate mRNA vaccine and to ensure vaccine stability and delivery to the target site. Delivery of the vaccine to the target site will trigger adaptive and innate immune responses. Two predominant factors of the development of mRNA-based cancer vaccines are intrinsic influence and external influence. In addition, research relating to the dosage, route of administration, and cancer antigen types have been observed to positively impact the development of mRNA vaccine.
METHOD: This 5-year retrospective study of 185 confirmed cases which were taken from the Negeri Sembilan Melioidosis Registry between 2018 and 2022. We aim to describe the incidence, mortality rate, case fatality, relationship with meteorology, and factors that influence mortality in this central region of Peninsular Malaysia.
RESULTS: Incidence rate (IR) of melioidosis in Negeri Sembilan is varied at 1.9 to 5.1 with mean of 3.1 in 100,000 population per year. IR varied between districts in the state from zero to 22.01 in 100,000 population per year. Mortality rate were ranged from 0.17 to 0.74 cases with mean of 0.44 cases in 100,000 population per year. The case fatality rate of this state scattered from 8.70% to 16.67%. There were no significant linear associations between cases and deaths with monthly rainfall and humidity. The mean age of patients was 52.8 years, predominated with age around 41-60 years old. Males (77.8%) predominated, and the majority of cases were Malays (88.9%) and had exposed to soil related activities (74.6%). Mortality from melioidosis was more likely in Bumiputera and non-Malaysians (p<0.05). Patients who had at least one comorbidity were at a higher risk of death from melioidosis (p<0.05). Diabetes mellitus was found in 41.1% of all identified cases, making it a major underlying risk factor for both developing and dying from melioidosis (aOR:19.32, 95%CI:1.91-195.59, p<0.05). Hypertension and mortality status in melioidosis are also significantly correlated (aOR: 7.75, 95% CI: 2.26-26.61, p<0.05).
CONCLUSION: The epidemiological patterns of cases reported from Negeri Sembilan are consistent for the most part from previous studies in other states in Malaysia and global with regard to its incidence, case fatality, demographic and predisposing chronic diseases. Diabetes mellitus and hypertension were significantly linked to increased mortality among all determinants.