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Gastrointestinal motility in microgravity: a critical review of multi-level mechanisms and model-dependent effects

4 September 2026 at 18:00

Front Physiol. 2026 Aug 20;17:1930628. doi: 10.3389/fphys.2026.1930628. eCollection 2026.

ABSTRACT

BACKGROUND: Gastrointestinal motility disturbances rank among the most frequently reported medical complications of spaceflight. Astronauts experience delayed gastric emptying, erratic small intestinal transit and reduced colonic propulsion. The underlying mechanisms are multifactorial. Microgravity alters intra-abdominal physical mechanics, disrupts autonomic and enteric neural circuits, shifts gastrointestinal hormone secretion profiles, inflicts oxidative stress upon effector cells, and perturbs gut microbial communities. Cross-model comparisons reveal substantial disagreement, suggesting that no single ground-based analog fully captures the pathophysiology of orbital flight.

AIM: To critically review how weightlessness affects gastric emptying, small intestinal transit and colonic motility; to critically evaluate contradictory findings across simulation platforms; and to delineate the neural, humoral, cellular and microbiological mechanisms involved.

METHODS: We searched PubMed, Web of Science and the NASA Technical Reports Server for articles published between January 1990 and June 2026 (last search 30 June 2026). Search terms included: "microgravity", "weightlessness", "spaceflight", "gastrointestinal motility", "gastric emptying", "intestinal transit", "gut microbiome", "interstitial cells of Cajal" and "oxidative stress". Studies using head-down bed rest, hindlimb unloading, clinorotation, parabolic flight and actual spaceflight were included. The review follows a critical narrative design; the full search strategy and the framework used to appraise the evidence are described in Section 1.1.

RESULTS: Altered-gravity studies suggest that gastrointestinal dysmotility may involve neurohumoral dysregulation, oxidative injury to interstitial cells of Cajal and smooth muscle, barrier dysfunction and altered enteric signaling; however, most mechanistic evidence derives from simulated models and has not been directly validated during human spaceflight. Direct human motility measurements remain sparse, and the evidence comprises a mixture of direct observations, model-dependent inferences and testable hypotheses. Cross-study agreement is poor: some head-down bed rest trials report accelerated small-bowel transit, whereas tail-suspension models and limited flight observations suggest motor suppression. These divergences may reflect model-specific confounding rather than a uniform effect of microgravity.

CONCLUSION: Current ground-based models each capture only partial aspects of orbital GI pathophysiology. Future work should combine multi-omics profiling with next-generation simulation platforms to develop evidence-based countermeasures for long-duration missions.

PMID:42694486 | PMC:PMC13539599 | DOI:10.3389/fphys.2026.1930628

Integrative Multi-Omics Mendelian Randomization Analysis Identifies NIT2 as a Potential Metabolic Risk Gene in Hepatocellular Carcinoma

J Gene Med. 2026 Sep;28(9):e70111. doi: 10.1002/jgm.70111.

ABSTRACT

BACKGROUND: Metabolic pathways are crucial in hepatocellular carcinoma (HCC) pathogenesis, but causal metabolic genes remain unclear. This study used Summary data-based Mendelian Randomization (SMR) and colocalization to identify metabolism-related genetic loci influencing HCC risk.

METHODS: Differentially expressed genes in hepatic malignancy phenotype versus normal tissues from TCGA and GTEx were analyzed. Metabolism-related candidates were examined via SMR and colocalization using multi-omics data: methylation (mQTL), expression (eQTL), and protein (pQTL) quantitative trait loci.

RESULTS: Multi-omics integration identified NIT2 as a key metabolic regulator for HCC. The cg13016775 locus of NIT2 was associated with elevated HCC risk at gene (OR = 1.618, 95% CI: 1.199-2.182) and protein (OR = 4.432, 95% CI: 1.783-11.018) levels. Colocalization supported a shared causal variant (PPH4 > 0.6), linking NIT2 to hepatocarcinogenesis via metabolic regulation.

CONCLUSIONS: This study provides multi-omics evidence for NIT2 as a potential causal gene in HCC, enhancing understanding of metabolic contributions to HCC pathogenesis and highlighting integrative genomics for uncovering causal relationships.

PMID:42681890 | PMC:PMC13534973 | DOI:10.1002/jgm.70111

PiXTime: A Model for Federated Time Series Forecasting with Heterogeneous Data across Nodes

arXiv:2601.05613v2 Announce Type: replace-cross Abstract: While collaborative forecasting on distributed time series is highly desirable, directly pooling localized datasets is often impractical due to data sharing constraints. Federated learning offers a promising alternative, yet conventional federated learning algorithms require homogeneous model architectures, which are incompatible with the structural discrepancies, such as unaligned temporal resolutions and mismatched variable channels, commonly observed across decentralized nodes. To bridge this gap, we introduce PiXTime, a novel Transformer-based framework designed to natively accommodate and leverage structurally heterogeneous temporal data. At its core, PiXTime adopts a parameter-decoupling architecture, strategically partitioning the model into localized personalized modules and a globally aggregated shared backbone. Specifically, node-specific local modules act as dimensional adapters, projecting raw sequences of diverse lengths into a unified representation space. Concurrently, a globally synchronized VE Table injects consistent categorical identities into the feature space, allowing the shared backbone to collaboratively learn and generalize representations across inconsistent variable distributions. Comprehensive evaluations on multiple benchmarks demonstrate that PiXTime achieves state-of-the-art performance in heterogeneous federated environments, while maintaining robust superiority in standard homogeneous and centralized forecasting settings.

LINC-AC092535.5 regulates MICAL2 mRNA level to inhibit p53-mediated ferroptosis in nasopharyngeal carcinoma

Oncogene, Published online: 14 March 2026; doi:10.1038/s41388-026-03714-y

LINC-AC092535.5 regulates MICAL2 mRNA level to inhibit p53-mediated ferroptosis in nasopharyngeal carcinoma

GarmentPile++: Affordance-Driven Cluttered Garments Retrieval with Vision-Language Reasoning

arXiv:2603.04158v1 Announce Type: cross Abstract: Garment manipulation has attracted increasing attention due to its critical role in home-assistant robotics. However, the majority of existing garment manipulation works assume an initial state consisting of only one garment, while piled garments are far more common in real-world settings. To bridge this gap, we propose a novel garment retrieval pipeline that can not only follow language instruction to execute safe and clean retrieval but also guarantee exactly one garment is retrieved per attempt, establishing a robust foundation for the execution of downstream tasks (e.g., folding, hanging, wearing). Our pipeline seamlessly integrates vision-language reasoning with visual affordance perception, fully leveraging the high-level reasoning and planning capabilities of VLMs alongside the generalization power of visual affordance for low-level actions. To enhance the VLM's comprehensive awareness of each garment's state within a garment pile, we employ visual segmentation model (SAM2) to execute object segmentation on the garment pile for aiding VLM-based reasoning with sufficient visual cues. A mask fine-tuning mechanism is further integrated to address scenarios where the initial segmentation results are suboptimal. In addition, a dual-arm cooperation framework is deployed to address cases involving large or long garments, as well as excessive garment sagging caused by incorrect grasping point determination, both of which are strenuous for a single arm to handle. The effectiveness of our pipeline are consistently demonstrated across diverse tasks and varying scenarios in both real-world and simulation environments. Project page: https://garmentpile2.github.io/.

Topology of Reasoning: Retrieved Cell Complex-Augmented Generation for Textual Graph Question Answering

arXiv:2602.19240v1 Announce Type: new Abstract: Retrieval-Augmented Generation (RAG) enhances the reasoning ability of Large Language Models (LLMs) by dynamically integrating external knowledge, thereby mitigating hallucinations and strengthening contextual grounding for structured data such as graphs. Nevertheless, most existing RAG variants for textual graphs concentrate on low-dimensional structures -- treating nodes as entities (0-dimensional) and edges or paths as pairwise or sequential relations (1-dimensional), but overlook cycles, which are crucial for reasoning over relational loops. Such cycles often arise in questions requiring closed-loop inference about similar objects or relative positions. This limitation often results in incomplete contextual grounding and restricted reasoning capability. In this work, we propose Topology-enhanced Retrieval-Augmented Generation (TopoRAG), a novel framework for textual graph question answering that effectively captures higher-dimensional topological and relational dependencies. Specifically, TopoRAG first lifts textual graphs into cellular complexes to model multi-dimensional topological structures. Leveraging these lifted representations, a topology-aware subcomplex retrieval mechanism is proposed to extract cellular complexes relevant to the input query, providing compact and informative topological context. Finally, a multi-dimensional topological reasoning mechanism operates over these complexes to propagate relational information and guide LLMs in performing structured, logic-aware inference. Empirical evaluations demonstrate that our method consistently surpasses existing baselines across diverse textual graph tasks.

PoTable: Towards Systematic Thinking via Plan-then-Execute Stage Reasoning on Tables

arXiv:2412.04272v4 Announce Type: replace-cross Abstract: In recent years, table reasoning has garnered substantial research interest, particularly regarding its integration with Large Language Models (LLMs), which have revolutionized natural language applications. Existing LLM-based studies typically achieve step-by-step thinking for table reasoning guided by task semantics. While these approaches emphasize autonomous exploration and enhance fine-grained table understanding, they often overlook systematic thinking in the reasoning process. This oversight can lead to omitted steps, disorganized logic and misleading results, especially in complex scenarios. In this paper, we propose PoTable, a novel stage-oriented plan-then-execute approach that incorporates systematic thinking into table reasoning. Specifically, PoTable involves several distinct analytical stages with clear objectives to provide adequate guidance. To accomplish stage-specific goals, PoTable employs a plan-then-execute mechanism: it first plans the operation chain based on the stage objective, and then executes operations sequentially through code generation, real-time running and feedback processing. Consequently, PoTable produces reliable table reasoning results with highly accurate, step-wise commented and completely executable programs. It mirrors the workflow of a professional data analyst, offering advantages in both accuracy and explainability. Finally, we conduct extensive experiments on four datasets from the WikiTQ and TabFact benchmarks, where the results demonstrate the effectiveness, efficiency and explainability of PoTable. Our code is available at: https://github.com/Double680/PoTable.
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