Cannabinoid Therapeutics in Chronic Neuropathic Pain: From Animal Research to Human Treatment

Despite the importance of pain as a warning physiological system, chronic neuropathic pain is frequently caused by damage in the nervous system, followed by persistence over a long period, even in the absence of dangerous stimuli or after healing of injuries. Chronic neuropathic pain affects hundreds of millions of adults worldwide, creating a direct impact on quality of life. This pathology has been extensively characterized concerning its cellular and molecular mechanisms, and the endocannabinoid system (eCS) is widely recognized as pivotal in the development of chronic neuropathic pain. Scientific evidence has supported that phyto-, synthetic and endocannabinoids are efficient for pain management, while strong data arise from the therapeutic use of Cannabis-derived products. The use of medicinal Cannabis products is directed toward not only relieving symptoms of chronic pain, but also improving several aspects of patients’ welfare. Here, we review the involvement of eCS, along with other cellular and molecular elements, in chronic neuropathic pain pathology and how this system can be targeted for pain management.

Sex and Gender Bias in Covid-19 Clinical Case Reports

Clinical case reports circulate relevant information regarding disease presentation and describe treatment protocols, particularly for novel conditions. In the early months of the Covid-19 pandemic, case reports provided key insights into the pathophysiology and sequelae associated with Covid-19 infection and described treatment mechanisms and outcomes. However, case reports are often subject to selection bias due to their singular nature. To better understand how selection biases may have influenced Covid-19-releated case reports, we conducted a bibliometric analysis of Covid-19-releated case reports published in high impact journals from January 1 to June 1, 2020. Case reports were coded for patient sex, country of institutional affiliation, physiological system, and first and last author gender. Of 494 total case reports, 45% (n = 221) of patients were male, 30% (n = 146) were female, and 25% (n = 124) included both sexes. Ratios of male-only to female-only case reports varied by physiological system. The majority of case reports had male first (61%, n = 302) and last (70%, n = 340) authors. Case reports with male last authors were more likely to describe male patients [X2 (2, n = 465) = 6.6, p = 0.037], while case reports with female last authors were more likely to include patients of both sexes [OR = 1.918 (95% CI = 1.163–3.16)]. Despite a limited sample size, these data reflect emerging research on sex-differences in the physiological presentation and impact of Covid-19 and parallel large-scale trends in authorship patterns. Ultimately, this work highlights potential biases in the dissemination of clinical information via case reports and underscores the inextricable influences of sex and gender biases within biomedicine.

Controlling Tumor Regression about the Physiological System

It is proposed to study the mechanism of tumor regression from an evolutionary point of view. The proposal is based on the assumption that the evolutionary precursor of this mechanism is the resorption mechanism in sedentary modular invertebrates preparing for diapause in embryos. To understand how the tumor regression mechanism works, it is necessary to investigate the mechanism of resorption of these embryos in these invertebrates.

Influence of Heavy Metals on the Nitrogen Metabolism in Plants

As an essential element, Nitrogen is needed in large quantities for being an important component of cellular constituents and for plant metabolism, and its deficiency is one of the most common limitations for plant development. The study of the toxic effects of metal in plants involves a complex system of reactions that can be better determined once having a large attention of the different backgrounds of occurence to determinate how to proceed. The objective of this review is to add scientific knowledge, addressing the main functionalities and characteristics of this relation heavy metals – nitrogen metabolism in plant. Increasing industrialization and urbanization had anthropogenic contribution of heavy metals in biosphere and had largest availability in ecosystems. This toxicity in plants varies with plant species, specific metal, concentration, soil composition, as many heavy metals are considered to be essential for plant growth. Were provided data and reviews regarding the effect of heavy metals on nitrogen metabolism of plants and the responses of plants and the cross-talk of heavy metals and various stressors factors. Is clear to understand the relation between metals amount and the benefit or harm caused on plants, determining then, which mechanism should be activated to protect your physiological system.

Advances in understanding the nutritional value of antioxidants in wheat

Whole grain wheat has a diverse supply of hydrophilic and lipophilic antioxidants which include phenolic compounds (phenolic acids, flavonoids, anthocyanins which are present only in pigmented wheat, alkylresorcinols, and to a lesser extent proanthocyanidins), carotenoids (mainly lutein and zeaxanthin) and tocochromanols (α, β, γ and δ - tocopherols and tocotrienols). This diversity of antioxidants function to protect consumers from radical-induced oxidative damage caused by various free radicals produced endogenously from metabolic processes and exogenously from sunlight and other chemicals and environmental pollutants. They also chelate metal ions which could catalyze oxidation reactions in the physiological system, thereby providing antioxidant protection. However, phenolic compounds might exert pro-oxidant effect when bound to heavy metal ions. This effect could be prevented by the diverse antioxidant system in wheat.

Role of the Renin-Angiotensin-Aldosterone System in Various Disease Processes: An Overview

The renin-angiotensin-aldosterone system is a physiological system that plays an important role in the regulation of blood pressure and body water-electrolyte balance, in which the kidney, liver and lungs play a role in its activation. This system comes into play in various diseases such as the cardiovascular, renal, pulmonary and nervous system where blood pressure and fluid-electrolyte balance may change. The purpose of this study, which is presented in line with this information, is to explain the working principle of this system, how this system is activated, how it comes into play in the mentioned diseases, and what kind of results occur.

Biology of Lymphedema

This narrative review portrays the lymphatic system, a poorly understood but important physiological system. While several reviews have been published that are related to the biology of the lymphatic system and lymphedema, the physiological alternations, which arise due to disturbances of this system, and during lymphedema therapy, are poorly understood and, consequently, not widely reported. We present an inclusive collection of evidence from the scientific literature reflecting important developments in lymphedema research over the last few decades. This review aims at advancing the knowledge on the area of lymphatic system function as well as how system dysfunction, as seen in lymphedema, affects physiological systems and how lymphedema therapy modulates these mechanisms. We propose that future studies should aim at investigating, in-detail, aspects that are related to fluid regulation, hemodynamic responses, and endothelial and/or vascular changes due to lymphedema and lymphedema therapy.