Remodelling of the membranes and protein clustering patterns during the pathogenesis of cardiomyopathies has renewed the interest in spatial visualisation of these structures in cardiomyocytes. Coincidental emergence of single molecule (super-resolution) imaging and tomographic electron microscopy tools in the last decade have led to a number of new observations on the structural features of the couplons, the primary sites of excitation-contraction coupling in the heart. In particular, super-resolution and tomographic electron micrographs have revised and refined the classical views of the nanoscale geometries of couplons, t-tubules and the organisation of the principal calcium handling proteins in both healthy and failing hearts. These methods have also allowed the visualisation of some features which were too small to be detected with conventional microscopy tools. With new analytical capabilities such as single-protein mapping, in situ protein quantification, correlative and live cell imaging we are now observing an unprecedented interest in adapting these research tools across the cardiac biophysical research discipline. In this article, we review the depth of the new insights that have been enabled by these tools toward understanding the structure and function of the cardiac couplon. We outline the major challenges that remain in these experiments and emerging avenues of research which will be enabled by these technologies.

The oral microbiome, a complex ecosystem of microbes, is crucial for oral health. Imbalances in this ecosystem can lead to various oral diseases. Probiotics, live beneficial bacteria, offer a potential solution by strengthening oral defences. This study aimed to develop and evaluate a novel toothpaste containing Streptococcus salivarius M18, a probiotic strain. After ensuring compatibility with toothpaste ingredients, a stable formulation with desirable properties was created. The toothpaste demonstrated cleaning efficacy and antimicrobial activity against oral pathogens in vitro. A clinical trial involving healthy adults showed that all doses of the probiotic toothpaste significantly increased S. salivarius M18 levels in saliva, with the effect persisting even after discontinuation. These findings suggest that the toothpaste effectively delivers the probiotic to the oral cavity and promotes colonisation. Further research is needed to optimise the formulation and assess its long-term impact on oral health.

The skin microbiome is a focus for innovative skincare. This study investigated topical semi-solid balm formulations of Micrococcus luteus Q24, a live skin-native probiotic, to enhance skin quality parameters such as hydration, pores, pigmentation, wrinkles and dryness. Firstly, the compatibility and growth-promoting effects of prebiotics and functional actives on M. luteus Q24 were evaluated, identifying oil-based actives, including vitamin E and pomegranate seed oil, that significantly boosted bacterial growth compared to oatmeal, the sole effective prebiotic tested. Subsequently, a pilot cosmetic trial assessed two M. luteus Q24-enriched balms on healthy adults utilising a cutting-edge AI (Artificial Intelligence) driven skin analyser device. Balm B significantly reduced keratin levels, wrinkles, and pore size, and increased hydration, while Balm A effectively reduced spots and keratin. After 4 days of application, Balm A showed mean percentage reductions of 80% in pores, 20% in spots, 60% in wrinkles, and 100% in keratin scores, while Balm B exhibited mean percentage reductions of 100% in pores, 50% in spots, 67% in wrinkles, and 80% in keratin, with a 100% increase in hydration score. Both balms demonstrated compatibility and efficacy, highlighting the potential of M. luteus Q24 in improving skin parameters. These findings suggest that balms optimise the benefits of skin-specific probiotics for microbiome-friendly skincare. Future research with larger, placebo-controlled trials is needed to substantiate these preliminary findings.