Regulated cell death (RCD) pathways function as interlinked networks, not isolated modules, presenting new chances for cancer treatment. This review focused on chemical modulation strategies for five major RCD pathways, namely apoptosis, autophagy - associated cell death, ferroptosis, pyroptosis, and cuproptosis. Druggable nodes and translational barriers are specifically emphasized. Intervention methods for each pathway are reviewed, and multi - pathway synergy is critically appraised. Compensatory crosstalk can be employed to improve the efficiency but also leads to toxicity risks. Primary translational challenges are the inadequacy of predictive biomarkers, the narrowness of therapeutic windows for emerging modalities, and the insufficiency of validation in immune - competent models. Apoptosis targeting has had clinical success in hematologic malignancies, but its effectiveness is limited in solid tumors because of compensatory buffering. Ferroptosis provides strategies to get past apoptosis resistance, and the translation to clinical use depends on biomarker - guided patient selection. Pyroptosis gives immunostimulatory vulnerabilities, while cuproptosis provides metabolic - selective ones. But both are dealing with systemic toxicity challenges that call for controllable induction ways. It is proposed that functional diagnostics, next - generation chemical tools, and network - aware trial designs be integrated to advance RCD modulation towards durable, mechanism - guided cancer therapy.

Biomimetic nanozymes are a class of artificial enzyme mimetics that integrate the intrinsic properties of nanomaterials, such as small particle size and large specific surface area, with the catalytic mechanisms of natural enzymes. They exhibit high catalytic activity, excellent stability, and tunable enzymatic performance, serving as stable and efficient alternatives to natural enzymes. This article reviews the application potential of biomimetic nanozymes in advanced drug delivery systems (DDS), with particular emphasis on their roles in overcoming the limitations of current intelligent DDS by enabling stimulus-responsive drug release. This includes responses to endogenous stimuli like pH (targeting the acidic tumor microenvironment), temperature, and glucose (for insulin regulation), as well as exogenous triggers such as light, electrical, and magnetic fields. In comparison with conventional drug delivery systems, these third-generation biomimetic nanozyme platforms enable precise targeting, on-demand release, reduced toxic and adverse effects, and enhanced therapeutic efficacy. Although challenges remain in terms of biocompatibility, biodegradability, response sensitivity and specificity, as well as clinical translation including large-scale manufacturing, biomimetic nanozymes demonstrate broad prospects in personalized therapy, closed-loop drug delivery systems, and toxicity monitoring.

Skeletal muscle is crucial for daily activities, but various external risk factors can impair its normal physiological function, including aging, injury, and autoimmune disorders. Therefore, there is an urgent need for effective treatment interventions. MSC and mesenchymal stem cell-derived exosomes have great potential in the treatment of skeletal muscle-related diseases. This paper summarizes the therapeutic effects and potential mechanisms of MSCs and MSC exosomes in skeletal muscle-related diseases, including age-related sarcopenia (AAS), myasthenia gravis (MG), and rotator cuff injury (RCI). This paper mainly compares the efficacy and mechanism of MSCs and MSC exons in the treatment of skeletal muscle dysfunction, and explores the optimized pathways of MSC exons and MSCs in the treatment of sarcopenia. This study suggests that MSCs and MSC Exos exert therapeutic effects through multiple pathways, including anti-inflammatory, mitochondrial function enhancement, and apoptosis inhibition. This paper suggests that future research should explore drug treatment strategies that combine HUC MSCs and MSC Exos. The purpose is to explore the possible theoretical basis for the future application of MSCs and MSC Exos in the clinical treatment of skeletal muscle-related diseases, especially in the progression of sarcopenia, and to guide future related research to adjust treatment plans to adapt to patient progression and protect patients from the troubles caused by chronic diseases.

Respiratory tract infections are one of the leading causes of morbidity and mortality worldwide, with particularly significant disease burden in specific vulnerable populations, such as young children, older adults, and patients with chronic respiratory diseases. These groups serve as the high-risk populations for respiratory tract infections and their disease characteristics, risk factors, and prevention need exhibit distinct differences. For example, young children show higher viral infection rates, while older adults face greater risks from comorbidities. Most existing studies focus on a single population or a specific virus, lacking a systematic review across populations to identify overlooked similarities and differences. This study systematically synthesizes the epidemiological characteristics, key risk factors and management strategies for respiratory tract infections from recent studies in these three high-risk populations. This study may provide insights for understanding the disease characteristics of different populations, optimizing prevention and control practices, and inspiring future research on antibiotics, vaccines, and related interventions.

Anterior cruciate ligament (ACL) injuries have a high incidence in basketball and exert a profound impact on athletes' careers. This paper systematically sorts out the anatomical structure and physiological function of the ACL and analyzes the main causes of ACL injuries in basketball from two categories of injury mechanisms: non-contact and contact injuries. Non-contact injuries are dominant, which commonly occur during high-risk movements such as rapid change of direction, sudden stop and drive, and single-leg landing. Contact injuries are mostly induced by the loss of movement rhythm control caused by physical confrontation or indirect interference. Targeting these injury mechanisms, this paper puts forward prevention strategies with neuromuscular control training as the core, and also emphasizes standardizing landing and direction change techniques, strengthening the strength of lower limb and core muscle groups, rationally arranging training load and fatigue management, and establishing individualized intervention programs for high-risk groups. Studies have shown that multi-dimensional comprehensive interventions have higher feasibility and preventive value than single measures. This paper provides a theoretical basis and practical reference for the prevention and control of ACL injuries and training intervention for basketball athletes.

In the treatment of inflammatory diseases, systemic administration has drawbacks such as severe side effects and poor targeting. Microneedle-based local drug delivery is an ideal alternative, but existing materials have deficiencies in biocompatibility and degradability. In this study, biodegradable microneedles were prepared using hyaluronic acid (HA) with different molecular weights, loaded with methotrexate (HA-MTX microneedles). HA-MTX microneedles has a regular pyramidal structure, which can effectively penetrate pig skin and degrade to release drugs. Fluorescence imaging showed uniform drug distribution. CCK-8 assay confirmed no toxicity to HUVECs. Flow cytometry and RT-qPCR indicated that HA-MTX microneedles can promote the polarization of macrophages from M1 to M2 and reduce the expression of pro-inflammatory factors, providing a safe and efficient new tool for inflammatory treatment.

Compared with previous dynasties, pediatric care techniques in the Song Dynasty were improved in various aspects, forming a relatively systematic body of inherited knowledge. In the Song Dynasty, medical books stipulated rules for newborn care, umbilical cord cutting, breastfeeding, careful nursing and dietary taboos for children. For newborn care, Song medical books advocated wiping the newborn clean and wrapping it with cotton wool right after birth; for umbilical cord cutting, they promoted proper cord amputation; for breastfeeding, they suggested adjusting the wet nurse's diet according to children's different symptoms. For careful nursing, Song physicians held that children should be exposed to wind and sunlight in mild weather, and their clothing should avoid sudden cold or heat to strengthen their physique. For dietary taboos, Song physicians had summarized a mature set of dietary taboo theories and insisted that feeding should take good care of children's spleen and stomach. In short, pediatric care in the Song Dynasty was characterized by meticulous feeding, moderate clothing warmth and mild medication, forming the medical feature of taking gentle nurturing as the foundation and conditioning care as the priority.

To explore the potential mechanism of Modified Bugan Yangrong Decoction (Angelicae Sinensis Radix, Paeoniae Radix Alba, Rehmanniae Radix Praeparata, Citri Reticulatae Pericarpium, Chrysanthemi Flos, Glycyrrhizae Radix et Rhizoma) from Chi Shui Xuan Zhu by Sun Yikui in the treatment of Meniere's disease (MD) using network pharmacology and molecular docking. Active components and targets of the six herbs were screened using TCMSP database. MD-related targets were obtained from GeneCards and DrugBank databases. Intersection targets were identified. A "Chinese medicine-component-target" network and a PPI network were constructed. GO and KEGG enrichment analyses were performed. Molecular docking was carried out using AutoDock Vina. Results 190 active components were screened, including quercetin, kaempferol, luteolin, etc. 292 drug targets and 186 disease targets were obtained, with 23 intersection targets. Core PPI targets included TNF, IFNG, CXCL8, NOS3, CASP9, CCL2, IL1A. KEGG pathways mainly involved AGE-RAGE, lipid and atherosclerosis, calcium signaling, NF-κB, IL-17, and TNF signaling pathways. Molecular docking showed stable binding. Conclusion Modified Bugan Yangrong Decoction may treat MD through multi-component (quercetin, kaempferol, luteolin), multi-target (TNF, IFNG, CXCL8, NOS3), and multi-pathway (AGE-RAGE, NF-κB, calcium) mechanisms, involving anti-inflammation, immunomodulation, and improvement of inner ear microcirculation.