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Epigenome Wide Association Studies of Proteasome Inhibitors-Related Cardiotoxicity in Multiple Myeloma Patients
Raed Awadh Alshammari
,Samuel M. Rubinstein
,Eric Farber-Eger
,Lauren Lee Shaffer
,Marwa Tantawy
,Mohammed E. Alomar
,Quinn S Wells
,Daniel Lenihan
,Robert F. Cornell
,Kenneth H. Shain
+2 authors
Background/Objectives: Carfilzomib (CFZ) and bortezomib (BTZ) are proteasome inhibitors used as the first-line therapy for relapsed or refractory multiple myeloma (MM) but are associated with cardiovascular adverse events (CVAEs). This study aims to identify differentially methylated positions (DMPs) and regions (DMRs), and enriched pathways in patients who developed CFZ- and BTZ- related CVAEs. Methods: Baseline germline DNA methylation profiles from 79 MM patients (49 on CFZ and 30 on BTZ) in the Prospective Study of Cardiac Events During Proteasome Inhibitor Therapy (PROTECT) were analyzed. Epigenome-wide analyses within each group identified DMPs, DMRs, and enriched pathways associated with CVAEs compared with individuals without CVAEs. Results: Four DMPs were significantly associated with CFZ-CVAE: cg15144237 within ENSG00000224400 (p = 9.45x10−10), cg00927646 within TBX3 (p = 9.78x10−8), and cg10965131 within WDR86 (p = 1.00x10−7). One DMR was identified in the FAM166B region (p = 5.46x10−7). There was no evidence of any DMPs in BTZ-CVAE patients, however two DMPs and one DMR reached a suggestive level of significance (p < 1.00x10−5): cg09666417 in DNAJC18 (p = 3.41x10−7) and cg12987761 in USP18 (p = 5.00x10−7), and a DMR mapped to the WDR86/WDR86-AS1 region (p = 8.11x10−8). Meta-analysis did not find any significant DMPs, with the top CpG being cg17933807 in GNL2 (p = 7.38 x10−5). Pathway enrichment analyses identified peroxisome, MAPK, Rap1, adherens junction, phospholipase D, autophagy, and aldosterone-related pathways to be implicated in CVAEs. Conclusions: Our study identified distinct DMP, DMR, and pathway enrichment associated with CVAE, suggesting epigenetic contributors to CVAEs and supporting the need for larger validation studies.
Background/Objectives: Carfilzomib (CFZ) and bortezomib (BTZ) are proteasome inhibitors used as the first-line therapy for relapsed or refractory multiple myeloma (MM) but are associated with cardiovascular adverse events (CVAEs). This study aims to identify differentially methylated positions (DMPs) and regions (DMRs), and enriched pathways in patients who developed CFZ- and BTZ- related CVAEs. Methods: Baseline germline DNA methylation profiles from 79 MM patients (49 on CFZ and 30 on BTZ) in the Prospective Study of Cardiac Events During Proteasome Inhibitor Therapy (PROTECT) were analyzed. Epigenome-wide analyses within each group identified DMPs, DMRs, and enriched pathways associated with CVAEs compared with individuals without CVAEs. Results: Four DMPs were significantly associated with CFZ-CVAE: cg15144237 within ENSG00000224400 (p = 9.45x10−10), cg00927646 within TBX3 (p = 9.78x10−8), and cg10965131 within WDR86 (p = 1.00x10−7). One DMR was identified in the FAM166B region (p = 5.46x10−7). There was no evidence of any DMPs in BTZ-CVAE patients, however two DMPs and one DMR reached a suggestive level of significance (p < 1.00x10−5): cg09666417 in DNAJC18 (p = 3.41x10−7) and cg12987761 in USP18 (p = 5.00x10−7), and a DMR mapped to the WDR86/WDR86-AS1 region (p = 8.11x10−8). Meta-analysis did not find any significant DMPs, with the top CpG being cg17933807 in GNL2 (p = 7.38 x10−5). Pathway enrichment analyses identified peroxisome, MAPK, Rap1, adherens junction, phospholipase D, autophagy, and aldosterone-related pathways to be implicated in CVAEs. Conclusions: Our study identified distinct DMP, DMR, and pathway enrichment associated with CVAE, suggesting epigenetic contributors to CVAEs and supporting the need for larger validation studies.
Posted: 07 January 2026
Escalating Dengue in Bangladesh: An Analytical Assessment of Environmental and Socioeconomic Drivers
Abdul Kader Mohiuddin
Dengue has emerged as one of the most severe and rapidly escalating public health threats in Bangladesh, reflecting both localized vulnerabilities and broader global transmission dynamics. This study aims to examine the key environmental, climatic, and socioeconomic drivers underlying the country’s unprecedented dengue surge since 2018, with particular emphasis on post-COVID trends. The central research questions are: (i) how climate variability and urban environmental changes are reshaping dengue transmission in Bangladesh, (ii) which often-overlooked structural factors are intensifying the severity of outbreaks, (iii) how these local dynamics reflect emerging global risks, and (iv) how global risk management practices can be effectively implemented in the Bangladeshi context. Using a comprehensive narrative review of national surveillance data obtained from official sources, peer-reviewed literature, meteorological records, and validated public reports, the study synthesizes evidence on temperature rise, altered rainfall patterns, humidity, unplanned urban growth, population density, sanitation failures, construction activity, pollution, insecticide resistance, and declining green cover. Findings indicate that dengue transmission in Bangladesh is driven by a convergence of climate stressors and human-made environmental conditions, particularly clogged drainage systems, unmanaged plastic waste, water storage practices, and high-rise construction sites that facilitate Aedes mosquito breeding. The study concludes that Bangladesh’s dengue crisis represents an early warning of a wider global emergency. Addressing it requires integrated climate-responsive surveillance, urban planning reforms, strengthened vector control, and coordinated public health action grounded in a One Health approach.
Dengue has emerged as one of the most severe and rapidly escalating public health threats in Bangladesh, reflecting both localized vulnerabilities and broader global transmission dynamics. This study aims to examine the key environmental, climatic, and socioeconomic drivers underlying the country’s unprecedented dengue surge since 2018, with particular emphasis on post-COVID trends. The central research questions are: (i) how climate variability and urban environmental changes are reshaping dengue transmission in Bangladesh, (ii) which often-overlooked structural factors are intensifying the severity of outbreaks, (iii) how these local dynamics reflect emerging global risks, and (iv) how global risk management practices can be effectively implemented in the Bangladeshi context. Using a comprehensive narrative review of national surveillance data obtained from official sources, peer-reviewed literature, meteorological records, and validated public reports, the study synthesizes evidence on temperature rise, altered rainfall patterns, humidity, unplanned urban growth, population density, sanitation failures, construction activity, pollution, insecticide resistance, and declining green cover. Findings indicate that dengue transmission in Bangladesh is driven by a convergence of climate stressors and human-made environmental conditions, particularly clogged drainage systems, unmanaged plastic waste, water storage practices, and high-rise construction sites that facilitate Aedes mosquito breeding. The study concludes that Bangladesh’s dengue crisis represents an early warning of a wider global emergency. Addressing it requires integrated climate-responsive surveillance, urban planning reforms, strengthened vector control, and coordinated public health action grounded in a One Health approach.
Posted: 07 January 2026
On the Mass of Neutrinos in Flavour State
Engel Roza
Posted: 07 January 2026
Effects of Harvesting Height and Processing Methods on Silage Quality and Cellulose Degradation Characteristics of Cenchrus fungigraminus
Hongyuan He
,Ziting Wang
,Hako Fuke
,Ben Menda Ukii
,Jufen Deng
,Mengying Zhao
,Zhanxi Lin
,Peishan He
,Jing Li
,Simeng Song
+2 authors
Posted: 07 January 2026
A Study on the Microscopic Mechanism of Dielectric Electromagnetic Effects Based on the Theory of Existence Field
Jiqing Zeng
Posted: 07 January 2026
Precise Analysis and Prediction of Active Earth Pressure for Retaining Walls Based on Explainable Machine Learning
Tianqin Zeng
,Zhe Zhang
,Yongge Zeng
The classical Rankine and Coulomb theories frequently encounter difficulties in accurately modeling the complex, nonlinear, and displacement-coupled behavior of earth pressure on retaining walls under non-limit states. The present study proposes a “key feature refinement strategy based on collinearity analysis” and employs the said strategy by applying it to model test data. The strategy identified an optimum set of five physical parameters, namely displacement mode (DM), relative displacement (Δ/H), relative depth (Z/H), unit weight (γ), and internal friction angle (φ). A machine learning (ML) model has been developed that integrates Categorical Boosting with SHapley Additive exPlanations (CatBoost-SHAP). This model has been found to exhibit a marked enhancement in accuracy (R² = 0.917) when compared to classical theories, while concurrently offering the distinct advantage of explicit interpretability. SHAP analysis has been demonstrated to elucidate the nonlinear influence of each parameter. It is confirmed that displacement mode is identified as the governing factor for spatial pressure distribution, and classical mechanisms such as top‑down stress relaxation in the rotation-about-the-base (RB) mode and soil arching in the rotation-about-the-base (RT) mode are visualized. Furthermore, a displacement‑dependent mechanical threshold (Δ/H ≈ 0.006) has been identified, which marks the transition from a mode‑dominated to displacement‑driven pressure evolution. In addition, the proposed approach is integrated into a graphical user interface (GUI) that is designed to be user‑friendly, thereby furnishing practitioners with a precise tool for designing retaining walls. The validation of the model's performance against independent experimental results has demonstrated its superior agreement and practical utility under displacement-controlled conditions in comparison to conventional methods.
The classical Rankine and Coulomb theories frequently encounter difficulties in accurately modeling the complex, nonlinear, and displacement-coupled behavior of earth pressure on retaining walls under non-limit states. The present study proposes a “key feature refinement strategy based on collinearity analysis” and employs the said strategy by applying it to model test data. The strategy identified an optimum set of five physical parameters, namely displacement mode (DM), relative displacement (Δ/H), relative depth (Z/H), unit weight (γ), and internal friction angle (φ). A machine learning (ML) model has been developed that integrates Categorical Boosting with SHapley Additive exPlanations (CatBoost-SHAP). This model has been found to exhibit a marked enhancement in accuracy (R² = 0.917) when compared to classical theories, while concurrently offering the distinct advantage of explicit interpretability. SHAP analysis has been demonstrated to elucidate the nonlinear influence of each parameter. It is confirmed that displacement mode is identified as the governing factor for spatial pressure distribution, and classical mechanisms such as top‑down stress relaxation in the rotation-about-the-base (RB) mode and soil arching in the rotation-about-the-base (RT) mode are visualized. Furthermore, a displacement‑dependent mechanical threshold (Δ/H ≈ 0.006) has been identified, which marks the transition from a mode‑dominated to displacement‑driven pressure evolution. In addition, the proposed approach is integrated into a graphical user interface (GUI) that is designed to be user‑friendly, thereby furnishing practitioners with a precise tool for designing retaining walls. The validation of the model's performance against independent experimental results has demonstrated its superior agreement and practical utility under displacement-controlled conditions in comparison to conventional methods.
Posted: 07 January 2026
Left Atrioventricular Coupling Index: An Echocardiographic Index of Atrioventricular Dysfunction in Dogs with Myxomatous Mitral Valve Disease
Federica Valeri
,Francesco Porciello
,Mark Rishniw
,Simone Cupido
,Maria Cicogna
,Andrea Corda
,Domenico Caivano
Posted: 07 January 2026
Edge Reinforced Learning Platform with Homomorphic Encryption and Swarm Intelligence for Ultra-Low Latency IoT Sensing and Cross-Device Communication
Thamilarasi V
Posted: 07 January 2026
Two-Stage Wildlife Event Classification for Edge Deployment
Aditya Viswanathan
,Adis Bock
,Zoe Bent
,Mark Peyton
,Daniel Tartakovsky
,Javier E. Santos
Posted: 07 January 2026
Decentralized Payment Optimization for Scalable Microservice Transactions
Vimal Teja Manne
Posted: 07 January 2026
Virtual Synchronous Machine Testing and System Split Resilience: A Comparative Analysis with Grid-Following PV Inverters
Ibrahim Okikiola Lawal
,Horst Schulte
,Salman Ammar
Posted: 07 January 2026
Neospora caninum: Recent Progress in Host-Pathogen Interactions, Molecular Insights, and Control Strategies
Karim Debache
,Andrew Hemphill
Posted: 07 January 2026
Antifibrotic Effects of Thymus syriacus Essential Oil in Bleomycin-Induced Pulmonary Fibrosis via the TGF-β1/Smad2 Pathway
Pınar Aksoy
,Önder Yumrutaş
,Muhittin Doğan
,Pınar Yumrutaş
,Mehmet Sökücü
,Mustafa Pehlivan
Posted: 07 January 2026
Edge AI–Based Gait Phase Detection for Closed-Loop Neuromodulation in SCI Mice
Ahnsei Shon
,Justin Vernam
,Xiaolong Du
,Wei Wu
Posted: 07 January 2026
Goldbach’s Conjecture as an Informational Coherence Phenomenon
Raoul Bianchetti
Posted: 07 January 2026
The Energy-Deficit Hypothesis of Autism: Linking Parental Autoimmune Diseases to Offspring Autism Risk via TNF-α-Mediated Mitochondrial Dysfunction, Impaired Protein Synthesis, and Maternal Immune Maladaptation
Byul Kang
Posted: 07 January 2026
Causal Lorentzian Theory of GravitationConceptual Foundations, Nonlinear Completion, and Observational Signatures
Azzam AlMosallami
Posted: 07 January 2026
Early Detection of Flying Obstacles by Optical Flow to Assist the Pilot in Avoiding Mid-Air Collisions
Daniel Vera-Yanez
,António Pereira
,Nuno Rodrigues
,José Pascual Molina Massó
,Arturo S. García
,Antonio Fernández-Caballero
Posted: 07 January 2026
Rigid Adamantane and Cubane Scaffolds in Chemical Biology and Medicine
Valery M Dembitsky
,Alexander O. Terent’ev
Posted: 07 January 2026
FAM3 Cytokine-like Proteins, Their Putative Receptors and Signaling Pathways in Metabolic Diseases and Cancers
Jose E. Belizario
,Izabela D. S. Caldeira
,Bruna Moreira
,Joao Marcelo Occhiucci
,Brant R. Burkhardt
,Humberto Miguel Garay-Malpartida
Posted: 07 January 2026
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