Highlights of the BMC Series – July 2025

What can eagle DNA tell about adapting to poisonous prey? How do early diet habits affect oral health in young children? What does quality mean in homecare for older adults? How can we study the gastroesophageal tract from cells to tissue? How can explainable AI improve cancer text classification?
Highlights of the BMC Series – July 2025
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BMC Ecology and Evolution - Evolutionary insights into Na+/K+-ATPase-mediated toxin resistance in the Crested Serpent-eagle preying on introduced cane toads in Okinawa, Japan 
From Tobe et al., Fig.1

Crested Serpent-eagles on the Japanese islands of Ishigaki and Iriomote prey on cane toads (Rhinella marina), which defend themselves by secreting cardiotonic steroids. However, these eagles appear unaffected by the toads’ toxins, raising questions about whether they have evolved resistance to cardiotonic steroids.

A recent study published in BMC Ecology and Evolution explores, for the first time, the genetic population structure of Crested Serpent-eagles on Ishigaki and Iriomote Islands. The aim was to determine whether the two island populations are genetically distinct and whether they show genetic signatures associated with resistance to cardiotonic steroids. The researchers also investigated the evolutionary history of potential toxin resistance, focusing on the ATP1A1 gene, which encodes a sodium-potassium pump protein—a known target of these toxins. Mutations in this gene have been linked to toxin resistance in other vertebrates.

Whole-genome resequencing revealed that the Ishigaki and Iriomote eagle populations are genetically distinct, and that the Crested Serpent-eagle carries specific substitutions in the ATP1A1 gene which may confer toxin resistance. This potential resistance appears to have been maintained throughout the species’ evolutionary history.

Furthermore, the closely related Black-chested Snake Eagle shares a similar ATP1A1 gene sequence, suggesting that natural selection may have shaped this trait within their lineage. 
However, a lack of genetic, molecular, and dietary data on raptors currently limits a full understanding of the evolutionary origins of toxin resistance. The study concludes that further research is needed to clarify the mechanisms underlying toxin resistance in the Crested Serpent-eagle.

BMC Oral Health - Early-life snack and drink consumption patterns among children: findings from a U.S. birth cohort study
From Manning et al., Fig. 1

Early childhood diets play a crucial role in long-term oral health, with children from low-income and racially minoritised backgrounds in the U.S. experiencing higher rates of early childhood caries (ECC), often due to frequent consumption of sugary drinks and processed snacks. While it is well established that diet contributes to ECC, key questions remain about how specific snacking and drinking habits influence risk during the earliest years of life.

A recent study published in BMC Oral Health examines dietary patterns during the first two years of life among underserved birth cohorts, with the aim of better understanding these links and informing more targeted, evidence-based strategies to improve oral health equity. To achieve this, researchers analysed a birth cohort of 127 Medicaid-eligible children aged 1 to 2 years, recruited from two university-affiliated clinics in Upstate New York. Parents completed structured dietary questionnaires when their children were 12, 18, and 24 months old, allowing researchers to track the types of snacks and drinks consumed.

Snacks were grouped based on their cavity-causing potential, and Latent Class Analysis (LCA) was used to identify common patterns in snack and drink consumption and to explore how these patterns related to early signs of tooth decay.

The study found that young children from underserved communities exhibit diverse snack and drink consumption behaviours. However, despite identifying distinct dietary patterns, no significant association was observed between these patterns and the onset of ECC—highlighting the multifactorial nature of the condition.

BMC Health Services Research - The meaning of ‘quality’ of homecare for older people: a scoping review
From Hall et al., Fig. 1

Formal homecare—delivered by paid care workers under regulated systems—plays a vital role in helping older adults live independently in their own homes. These services support daily activities such as washing, cooking, and shopping, and may also extend to helping individuals stay connected with their communities. Unlike unpaid care from family or friends, formal homecare can also indirectly support informal caregivers by easing their burden and helping to sustain crucial care networks.

This scoping review, published in BMC Health Services Research, analysed 93 articles from 16 high-income countries to explore how different stakeholders understand the concept of ‘quality’ in homecare for older people. It highlighted both shared and differing perspectives, and identified the qualitative and quantitative measures used to assess quality.

The review found strong agreement across countries and stakeholder groups on the meaning of quality in homecare. Quality is widely seen as a multi-dimensional concept, with particular emphasis on personal relationships and services tailored to individual needs. However, despite recognition of the importance of data in shaping and measuring quality, there is still uncertainty about what types of data should be collected and how best to use them.

To improve care delivery, the authors recommend the development of an internationally agreed, multi-dimensional framework for measuring homecare quality—one that reflects the views of multiple stakeholders while keeping the burden on providers and families manageable.

BMC Methods - Integrated protocol for single-cell RNA sequencing, organoid culture, and RNA-protein spatial analysis in gastroesophageal tissues
From Kumar et al., Fig. 1

The gastroesophageal tract—which includes the esophagus, gastroesophageal junction (GEJ), and stomach—plays a vital role in digestive health. Disruptions in its cellular and molecular composition can lead to a range of conditions, including gastroesophageal reflux, infection-related inflammation, Barrett’s esophagus, and even cancer. A clear understanding of tissue development and homeostasis is therefore essential to uncover the mechanisms underlying these diseases.

A recent study published in BMC Methods presents a high-quality, integrated protocol that allows researchers to isolate single cells from mouse gastroesophageal tissues—ranging from early embryonic stages to adulthood. This approach enables high-resolution single-cell RNA sequencing (scRNA-seq), offering detailed insight into gene expression and cellular heterogeneity. 

In addition to sequencing, the authors describe a method for generating 3D organoids from adult epithelial stem cells. These organoids closely mimic real tissue architecture, making them valuable models for studying development and disease. The study also introduces a spatial analysis workflow that combines single-molecule RNA in situ hybridisation with immunofluorescence, allowing researchers to simultaneously visualise gene activity and protein expression within intact tissue sections.

Together, these tools provide a powerful platform for investigating cellular dynamics, tissue architecture, and disease mechanisms in the gastroesophageal tract.

BMC Artificial Intelligence - Inconsistency detection in cancer data classification using explainable-AI
From Mortezaagha et al., Fig. 1

Accurate classification of cancer-related textual data is essential for enabling timely diagnosis and treatment. However, many existing classification methods lack clarity due to data inconsistencies and mislabelling, making it difficult to analyse prediction errors. In addition, manual error analysis is often time-consuming and prone to mistakes.

To address these challenges and systematically identify and analyse errors, a study published in BMC Artificial Intelligence developed and employed explainable AI techniques. The researchers designed a dual-perspective approach that combines two key components: unsupervised semantic clustering and supervised classification.

On one hand, BERTopic (unsupervised clustering) groups texts based on their underlying meaning. On the other, a support vector machine – SVM (supervised classification) classifier uses graph-based embeddings (via Node2Vec) to analyse structural relationships within the data.

The framework also incorporates an Explainable Inconsistency Detection (EID) module, which identifies and eliminates outlier nodes through targeted feature refinement. To enhance the accuracy of label assignments, a collaborative filtering recommender system aligns clusters with the most likely correct labels. Finally, the model’s performance improvements are validated using robust statistical tests.

When tested on cancer datasets, the approach led to notable improvements. Classification accuracy increased from 46% to 91%, and the F1-score rose from 50% to 89%. Importantly, statistical analysis showed that these improvements weren’t due to random data removal but to the targeted identification and exclusion of problematic data points. This work offers valuable insight by combining semantic clustering with structural classification and enhancing explainability through the EID framework.

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Evolutionary Biology
Life Sciences > Biological Sciences > Evolutionary Biology
Artificial Intelligence
Mathematics and Computing > Computer Science > Artificial Intelligence
Dental Public Health
Life Sciences > Health Sciences > Clinical Medicine > Dentistry > Dental Public Health
Health Care
Life Sciences > Health Sciences > Health Care
RNA Sequencing
Life Sciences > Biological Sciences > Biological Techniques > Genomic Analysis > Sequencing > RNA Sequencing

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