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Bone marrow immune cells and drug resistance in acute myeloid leukemia. 骨髓免疫细胞与急性髓性白血病的耐药性。
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-02-11 eCollection Date: 2025-01-01 DOI: 10.3389/ebm.2025.10235
Miao Zhang, You Yang, Jing Liu, Ling Guo, Qulian Guo, Wenjun Liu

In recent years, the relationship between the immunosuppressive niche of the bone marrow and therapy resistance in acute myeloid leukemia (AML) has become a research focus. The abnormal number and function of immunosuppressive cells, including regulatory T cells (Tregs) and myeloid-derived suppressor cells (MDSCs), along with the dysfunction and exhaustion of immunological effector cells, including cytotoxic T lymphocytes (CTLs), dendritic cells (DCs) and natural killer cells (NKs), can induce immune escape of leukemia cells and are closely linked to therapy resistance in leukemia. This article reviews the research progress on the relationship between immune cells in the marrow microenvironment and chemoresistance in AML, aiming to provide new ideas for the immunotherapy of AML.

近年来,骨髓免疫抑制生态位与急性髓性白血病(AML)治疗耐药之间的关系已成为研究热点。包括调节性T细胞(Tregs)和髓源性抑制细胞(MDSCs)在内的免疫抑制细胞数量和功能异常,以及细胞毒性T淋巴细胞(ctl)、树突状细胞(DCs)和自然杀伤细胞(NKs)在内的免疫效应细胞功能障碍和耗竭,可诱导白血病细胞的免疫逃逸,并与白血病治疗耐药密切相关。本文就骨髓微环境免疫细胞与AML化疗耐药关系的研究进展进行综述,旨在为AML的免疫治疗提供新的思路。
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引用次数: 0
MONet: cancer driver gene identification algorithm based on integrated analysis of multi-omics data and network models. MONet:基于多组学数据和网络模型集成分析的癌症驱动基因识别算法。
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-02-04 eCollection Date: 2025-01-01 DOI: 10.3389/ebm.2025.10399
Yingzan Ren, Tiantian Zhang, Jian Liu, Fubin Ma, Jiaxin Chen, Ponian Li, Guodong Xiao, Chuanqi Sun, Yusen Zhang

Cancer progression is orchestrated by the accrual of mutations in driver genes, which endow malignant cells with a selective proliferative advantage. Identifying cancer driver genes is crucial for elucidating the molecular mechanisms of cancer, advancing targeted therapies, and uncovering novel biomarkers. Based on integrated analysis of Multi-Omics data and Network models, we present MONet, a novel cancer driver gene identification algorithm. Our method utilizes two graph neural network algorithms on protein-protein interaction (PPI) networks to extract feature vector representations for each gene. These feature vectors are subsequently concatenated and fed into a multi-layer perceptron model (MLP) to perform semi-supervised identification of cancer driver genes. For each mutated gene, MONet assigns the probability of being potential driver, with genes identified in at least two PPI networks selected as candidate driver genes. When applied to pan-cancer datasets, MONet demonstrated robustness across various PPI networks, outperforming baseline models in terms of both the area under the receiver operating characteristic curve and the area under the precision-recall curve. Notably, MONet identified 37 novel driver genes that were missed by other methods, including 29 genes such as APOBEC2, GDNF, and PRELP, which are corroborated by existing literature, underscoring their critical roles in cancer development and progression. Through the MONet framework, we successfully identified known and novel candidate cancer driver genes, providing biologically meaningful insights into cancer mechanisms.

癌症的进展是由驱动基因突变的累积精心策划的,这些突变赋予恶性细胞选择性增殖优势。识别癌症驱动基因对于阐明癌症的分子机制、推进靶向治疗和发现新的生物标志物至关重要。基于多组学数据和网络模型的综合分析,我们提出了一种新的癌症驱动基因识别算法MONet。该方法利用蛋白质-蛋白质相互作用(PPI)网络上的两种图神经网络算法提取每个基因的特征向量表示。这些特征向量随后被连接并输入到多层感知器模型(MLP)中,以执行癌症驱动基因的半监督识别。对于每个突变基因,MONet分配了成为潜在驱动基因的概率,在至少两个PPI网络中识别的基因被选为候选驱动基因。当应用于泛癌症数据集时,MONet在各种PPI网络中表现出鲁棒性,在接受者工作特征曲线下的面积和精确召回率曲线下的面积方面都优于基线模型。值得注意的是,MONet发现了其他方法所遗漏的37个新的驱动基因,包括29个基因,如APOBEC2、GDNF和PRELP,这些基因得到了现有文献的证实,强调了它们在癌症发生和进展中的关键作用。通过MONet框架,我们成功地鉴定了已知的和新的候选癌症驱动基因,为癌症机制提供了具有生物学意义的见解。
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引用次数: 0
Is platelet-rich plasma better than steroids as epidural drug of choice in lumbar disc disease with radiculopathy? Meta-analysis of randomized controlled trials. 富血小板血浆作为腰椎间盘突出症的硬膜外首选药物是否优于类固醇?随机对照试验的元分析。
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-02-04 eCollection Date: 2025-01-01 DOI: 10.3389/ebm.2025.10390
Sathish Muthu, Vibhu Krishnan Viswanathan, Prakash Gangadaran

The current meta-analysis was performed to analyze the efficacy and safety of platelet-rich plasma (PRP) as an epidural injectate, in comparison with steroids in the management of radiculopathy due to lumbar disc disease (LDD). We conducted independent and duplicate searches of the electronic databases (PubMed, Embase and Cochrane Library) in March 2024 to identify randomized controlled trials (RCTs) analyzing the efficacy of epidural PRP for pain relief in the management of LDD. Animal or in vitro studies, clinical studies without a comparator group, and retrospective or non-randomised clinical studies were excluded. Diverse post-intervention pain scores [visual analog score (VAS)] and functional scores [Oswestry Disability Index (ODI), SF-36], as reported in the reviewed studies, were evaluated. Statistical analysis was performed using STATA 17 software. 5 RCTs including 310 patients (PRP/Steroids = 153/157) were included in the analysis. The included studies compared the efficacy and safety of epidural PRP and steroids at various time-points including 1, 3, 6, 12, 24, and 48 weeks. Epidural PRP injection was found to offer comparable pain relief (VAS; WMD = -0.09, 95% CI [-0.66, 0.47], p = 0.641; I2 = 96.72%, p < 0.001), functional improvement (ODI; WMD = 0.72, 95% CI [-6.81, 8.25], p = 0.524; I2 = 98.73%, p < 0.001), and overall health improvement (SF-36; WMD = 1.01, 95% CI [-1.14, 3.17], p = 0.224; I2 = 0.0%, p = 0.36) as epidural steroid injection (ESI) at all the observed time points in the included studies without any increase in adverse events or complications. Epidural administration of PRP offers comparable benefit as epidural steroid injection (ESI) in the management of radiculopathy due to LDD. The safety profile of the epidural PRP is also similar to ESI.

当前的荟萃分析是为了分析富血小板血浆(PRP)作为硬膜外注射与类固醇治疗腰椎间盘病(LDD)引起的神经根病的有效性和安全性。我们于2024年3月对电子数据库(PubMed、Embase和Cochrane Library)进行了独立和重复检索,以确定分析硬膜外PRP缓解LDD疼痛疗效的随机对照试验(rct)。排除了动物或体外研究、没有比较组的临床研究以及回顾性或非随机临床研究。对所回顾研究中报道的不同干预后疼痛评分[视觉模拟评分(VAS)]和功能评分[Oswestry残疾指数(ODI), SF-36]进行评估。采用STATA 17软件进行统计学分析。5项随机对照试验共纳入310例患者(PRP/Steroids = 153/157)。纳入的研究比较了硬膜外PRP和类固醇在不同时间点的疗效和安全性,包括1、3、6、12、24和48周。发现硬膜外PRP注射可提供相当的疼痛缓解(VAS;WMD = -0.09, 95% CI [-0.66, 0.47], p = 0.641;I2 = 96.72%, p < 0.001),功能改善(ODI;WMD = 0.72, 95% CI [-6.81, 8.25], p = 0.524;I2 = 98.73%, p < 0.001),总体健康状况改善(SF-36;WMD = 1.01, 95% CI [-1.14, 3.17], p = 0.224;I2 = 0.0%, p = 0.36)作为硬膜外类固醇注射(ESI),在纳入研究的所有观察时间点,不良事件或并发症均未增加。在LDD引起的神经根病的治疗中,硬膜外给药PRP与硬膜外类固醇注射(ESI)具有相当的疗效。硬膜外PRP的安全性也与ESI相似。
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引用次数: 0
Induced mesenchymal stem cells generated from periodontal ligament fibroblast for regenerative therapy. 牙周韧带成纤维细胞诱导间充质干细胞再生治疗。
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-02-03 eCollection Date: 2025-01-01 DOI: 10.3389/ebm.2025.10342
Hemanathan Vembuli, Sheeja Rajasingh, Patrick Nabholz, Jefferson Guenther, Brian R Morrow, Margaret M Taylor, Marziyeh Aghazadeh, Vinoth Sigamani, Johnson Rajasingh

Bone fractures and bone loss represent significant global health challenges, with their incidence rising due to an aging population. Despite autologous bone grafts remain the gold standard for treatment, challenges such as limited bone availability, immune reactions, and the risk of infectious disease transmission have driven the search for alternative cell-based therapies for bone regeneration. Stem cells derived from oral tissues and umbilical cord mesenchymal stem cells (MSCs) have shown potential in both preclinical and clinical studies for bone tissue regeneration. However, their limited differentiation capacity and wound healing abilities necessitate the exploration of alternative cell sources. In this study, we generated induced pluripotent stem cells (iPSCs) using a safe, nonviral and mRNA-based approach from human periodontal ligament fibroblasts (PDLF), an easily accessible cell source. These iPSCs were subsequently differentiated into MSCs, referred to as induced MSCs (iMSCs). The resulting iMSCs were homogeneous, highly proliferative, and possessed anti-inflammatory properties, suggesting their potential as a superior alternative to traditional MSCs for regenerative therapy. These iMSCs demonstrated trilineage differentiation potential, giving rise to osteocytes, chondrocytes, and adipocytes. The iMSC-derived osteocytes (iOSTs) were homogeneous, patient-specific and showed excellent attachment and growth on commercial collagen-based membranes, highlighting their suitability for bone tissue regeneration applications. Given their promising characteristics compared to traditional MSCs, PDLF-derived iMSCs are strong candidates for future clinical studies in bone regeneration and other regenerative dental therapies.

骨折和骨质流失是全球健康面临的重大挑战,由于人口老龄化,其发病率不断上升。尽管自体骨移植仍然是治疗的金标准,但诸如有限的骨可用性、免疫反应和传染病传播风险等挑战促使人们寻找替代的基于细胞的骨再生疗法。来自口腔组织的干细胞和脐带间充质干细胞(MSCs)在骨组织再生的临床前和临床研究中都显示出潜力。然而,它们有限的分化能力和伤口愈合能力需要探索替代细胞来源。在这项研究中,我们使用一种安全、非病毒和基于mrna的方法,从人类牙周韧带成纤维细胞(PDLF)中生成了诱导多能干细胞(iPSCs),这是一种容易获得的细胞来源。这些iPSCs随后分化为间充质干细胞,称为诱导间充质干细胞(iMSCs)。由此产生的间充质干细胞具有同质性、高增殖性和抗炎特性,这表明它们有潜力成为传统间充质干细胞再生治疗的优越替代品。这些iMSCs表现出三期分化潜能,可分化为骨细胞、软骨细胞和脂肪细胞。imsc衍生的骨细胞(iOSTs)是均匀的,具有患者特异性,并且在商业胶原基膜上表现出良好的附着和生长,突出了它们在骨组织再生应用中的适用性。与传统的间充质干细胞相比,pdlf衍生的间充质干细胞具有良好的特性,是未来骨再生和其他再生牙科治疗临床研究的有力候选者。
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引用次数: 0
Functional mass spectrometry indicates anti-protease and complement activity increase with COVID-19 severity. 功能质谱分析显示,抗蛋白酶和补体活性随着COVID-19严重程度的增加而增加。
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-01-29 eCollection Date: 2025-01-01 DOI: 10.3389/ebm.2025.10308
Douglas D Fraser, Swapan Roy, Matt Kuruc, Maritza Quintero, Logan R Van Nynatten, Gediminas Cepinskas, Haiyan Zheng, Amenah Soherwardy, Devjit Roy

Investigations on some innate immunity proteins can yield misleading information, as investigators often rely on static measurements and assume a direct correlation to function. As protein function is often not directly proportional to protein abundance, and mechanistic pathways are interconnected and under constant feedback regulatory control, functional analysis is required. In this study, we used functional mass spectrometry to measure anti-protease and complement activity in plasma obtained from coronavirus disease 2019 (COVID-19) patients. Our data suggests that within 48 h of hospital admission, COVID-19 patients undergo a protease storm with significantly elevated neutrophil elastase (p < 0.001) and lymphocyte granzyme B (p < 0.01), while, anti-protease activity is significantly increased, including alpha-1 antitrypsin (AAT; p < 0.001) and alpha-1-antichymotrypsin (ACT; p < 0.001). Concurrently, the ratio of C3a to C3beta activity significantly decreased with increasing COVID-19 severity, suggesting more complement activation (Mild COVID-19 p < 0.05; Severe COVID-19 p < 0.001). Activity levels of AAT, ACT and C3a/C3beta remained unchanged over 10 hospital days. Our data suggests that COVID-19 is associated with both a protease storm and complement activation, with the former somewhat balanced with increased anti-protease activity. Evaluation of the AAT/ACT ratio and C3a/C3beta ratio indicated that COVID-19 severity is associated with both neutrophil elastase neutralization and complement activation.

对某些先天免疫蛋白的研究可能会产生误导性信息,因为研究人员通常依赖静态测量,并假设其与功能直接相关。由于蛋白质功能通常与蛋白质丰度不成正比,而且机制途径相互关联,并处于不断反馈的调节控制下,因此需要进行功能分析。在这项研究中,我们使用功能质谱法测量了2019冠状病毒病(COVID-19)患者血浆中的抗蛋白酶和补体活性。我们的数据表明,在入院48 h内,COVID-19患者经历蛋白酶风暴,中性粒细胞弹性酶(p < 0.001)和淋巴细胞颗粒酶B (p < 0.01)显著升高,而抗蛋白酶活性显著升高,包括α -1抗胰蛋白酶(AAT;p < 0.001)和α -1抗凝乳胰蛋白酶(ACT;P < 0.001)。同时,随着COVID-19严重程度的增加,C3a与C3beta活性之比显著降低,提示补体活化较多(轻度COVID-19 p < 0.05;重症COVID-19 (p < 0.001)。AAT、ACT和C3a/C3beta的活性水平在10个住院天数内保持不变。我们的数据表明,COVID-19与蛋白酶风暴和补体激活有关,前者与抗蛋白酶活性增加在一定程度上平衡。AAT/ACT比值和C3a/C3beta比值的评估表明,COVID-19严重程度与中性粒细胞弹性酶中和和补体激活有关。
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引用次数: 0
Impaired fracture healing is associated with callus chondro-osseous junction abnormalities in periostin-null and osteopontin-null mice. 在骨膜蛋白缺失和骨桥蛋白缺失的小鼠中,骨折愈合受损与骨痂软骨-骨连接异常有关。
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-01-22 eCollection Date: 2024-01-01 DOI: 10.3389/ebm.2024.10066
Marc Teitelbaum, Maya D Culbertson, Charlene Wetterstrand, J Patrick O'Connor

Periostin and osteopontin are matricellular proteins abundantly expressed in bone fracture callus. Null mutation of either the periostin (Postn) gene or the osteopontin (Spp1) gene can impair bone fracture healing. However, the cell and molecular pathways affected by loss of POSTN or SPP1 which lead to impaired fracture healing are not well understood. To identify potential pathways, a detailed radiological, histological, and immunohistochemical analysis of femur fracture healing in Postn-null (PostnKO), Spp1-null (Spp1KO), and normal (WT) mice was performed. Apparent changes in specific protein levels identified by immunohistochemistry were confirmed by mRNA quantitation. Comparisons between the PostnKO and Spp1KO fracture calluses were confounded by interactions between the two genes; loss of Postn reduced Spp1 expression and loss of Spp1 reduced Postn expression. Consequently, alterations in fracture healing between mice heterozygous for the Postn-null allele (PostnHET) as well as the PostnKO and Spp1KO mice were similar. Calluses from PostnHET, PostnKO, and Spp1KO mice all had dysmorphic chondro-osseous junctions and reduced numbers of osteoclasts. The dysmorphic chondro-osseous junctions in the PostnHET, PostnKO, and Spp1KO calluses were associated with reduced numbers of MMP-13 expressing hypertrophic chondrocytes, consistent with delayed cartilage resolution. Unlike collagen X expressing callus chondrocytes, chondrocytes only expressed MMP-13 when localized to the chondro-osseous junction or after traversing the chondro-osseous junction. Cyclooxygenase-2 (COX-2) expression also appeared to be reduced in osteoclasts from the PostnHET, PostnKO, and Spp1KO calluses, including in those osteoclasts localized at the chondro-osseous junction. The results indicate that POSTN and SPP1 are necessary for normal chondro-osseous junction formation and that signaling from the chondro-osseous junction, possibly from COX-2 expressing osteoclasts, regulates callus vasculogenesis and chondrocyte hypertrophy necessary for endochondral ossification during fracture healing.

骨膜蛋白和骨桥蛋白是骨折痂中大量表达的基质细胞蛋白。骨膜蛋白(Postn)基因或骨桥蛋白(Spp1)基因的零突变均可影响骨折愈合。然而,受POSTN或SPP1缺失影响的导致骨折愈合受损的细胞和分子途径尚不清楚。为了确定潜在的途径,对后n-null (PostnKO)、Spp1-null (Spp1KO)和正常(WT)小鼠股骨骨折愈合进行了详细的放射学、组织学和免疫组织化学分析。免疫组织化学鉴定的特异性蛋白水平明显改变,mRNA定量证实。PostnKO和Spp1KO骨折老茧的比较由于两种基因的相互作用而混淆;Postn缺失可降低Spp1表达,Spp1缺失可降低Postn表达。因此,post -null等位基因(postnet)杂合小鼠与PostnKO和Spp1KO小鼠之间的骨折愈合变化相似。postnet、PostnKO和Spp1KO小鼠的老茧都有畸形的软骨-骨连接和破骨细胞数量减少。postnet、PostnKO和Spp1KO老茧中畸形的软骨-骨连接与表达肥大软骨细胞的MMP-13数量减少有关,这与软骨溶解延迟一致。与表达X胶原的骨痂软骨细胞不同,软骨细胞仅在定位于软骨-骨连接处或穿过软骨-骨连接处后表达MMP-13。在postnet、PostnKO和Spp1KO的破骨细胞中,包括那些位于软骨-骨交界处的破骨细胞,环氧合酶-2 (COX-2)的表达似乎也降低了。结果表明,POSTN和SPP1是正常软骨-骨连接点形成所必需的,来自软骨-骨连接点的信号,可能来自表达COX-2的破骨细胞,调节骨折愈合过程中软骨内成骨所必需的骨痂血管生成和软骨细胞肥大。
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引用次数: 0
Function of formyl peptide receptor 2 in adriamycin resistance of breast cancer. 甲酰基肽受体2在乳腺癌阿霉素耐药中的作用。
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-01-15 eCollection Date: 2024-01-01 DOI: 10.3389/ebm.2024.10281
Landi Su, Jingjing Li, Li Qin, Yang Feng, Dingwen Xu

FPRL2 has been shown to be associated with a variety of tumours but has not been well studied in breast cancer. In this study, We combine molecular biology techniques with bioinformatics to analyze the role of FPRL2 in breast cancer and adriamycin resistance. By utilizing bioinformatics, we mine TCGA and GEO public databases to assess FPRL2 expression in breast cancer patients and its correlation with patient prognosis. Additionally, we employ the DepMap tool to probe the CCLE database, examining the relationship between FPRL2 gene effects and adriamycin sensitivity. Chemosensitivity of Adriamycin in breast cancer cells was tested by CCK-8 method. The apoptosis of breast cancer cells was determined by flow cytometry assay. Expression of p-ERK5 and p-AKT was determined by Western blot assay. Our results indicate that the expression level of FPRL2 in tumor tissues of breast cancer patients is significantly higher than that in normal tissues, and it correlates with poor prognosis in patients. Furthermore, the expression level of FPRL2 in tumor tissues of adriamycin-resistant breast cancer patients is also significantly higher than that in adriamycin-sensitive patients. The IC50 (Inhibitory Concentration 50). Of Adriamycin was significantly lower in FPRL2 silenced cells than those control cells. The apoptosis was markedly increased in FPRL2-silenced cells. p-ERK5 and p-AKT in breast cancer cells was significantly reduced after FPRL2 knocked down. In Conclusion, FPRL2 mediates Adriamycin resistance in breast cancer cells, and knockdown of FPRL2 increased apoptosis and decreased Adriamycin resistance in breast cancer cells.

FPRL2已被证明与多种肿瘤有关,但尚未在乳腺癌中得到充分研究。在这项研究中,我们将分子生物学技术与生物信息学相结合,分析FPRL2在乳腺癌和阿霉素耐药中的作用。我们利用生物信息学方法,挖掘TCGA和GEO公共数据库,评估乳腺癌患者中FPRL2的表达及其与患者预后的关系。此外,我们使用DepMap工具探查CCLE数据库,检查FPRL2基因效应与阿霉素敏感性之间的关系。CCK-8法检测阿霉素对乳腺癌细胞的化疗敏感性。采用流式细胞术检测乳腺癌细胞的凋亡情况。Western blot法检测p-ERK5、p-AKT的表达。我们的研究结果表明,乳腺癌患者肿瘤组织中FPRL2的表达水平明显高于正常组织,并与患者预后不良相关。此外,FPRL2在阿霉素耐药乳腺癌患者肿瘤组织中的表达水平也明显高于阿霉素敏感患者。IC50 (Inhibitory Concentration 50)。FPRL2沉默细胞中阿霉素的含量明显低于对照细胞。fprl2沉默的细胞凋亡明显增加。FPRL2敲除后,乳腺癌细胞中p-ERK5和p-AKT显著降低。综上所述,FPRL2介导了乳腺癌细胞对阿霉素的耐药,敲低FPRL2增加了乳腺癌细胞凋亡,降低了阿霉素耐药。
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引用次数: 0
Retraction: Pyridoxal 5' phosphate protects islets against streptozotocin-induced beta-cell dysfunction - in vitro and in vivo. 撤回:吡哆醛5'磷酸保护胰岛免受链脲佐菌素诱导的β细胞功能障碍-在体外和体内。
IF 2.7 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-01-09 eCollection Date: 2024-01-01 DOI: 10.3389/ebm.2024.10441

[This retracts the article DOI: 10.1258/ebm.2011.010361.].

[本文撤回文章DOI: 10.1258/ebm.2011.010361.]。
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引用次数: 0
Whole blood transcriptome profile identifies motor neurone disease RNA biomarker signatures. 全血转录组谱鉴定运动神经元疾病RNA生物标志物特征。
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-01-08 eCollection Date: 2024-01-01 DOI: 10.3389/ebm.2024.10401
Sulev Kõks, Karin Rallmann, Mari Muldmaa, Jack Price, Abigail L Pfaff, Pille Taba

Blood-based biomarkers for motor neuron disease are needed for better diagnosis, progression prediction, and clinical trial monitoring. We used whole blood-derived total RNA and performed whole transcriptome analysis to compare the gene expression profiles in (motor neurone disease) MND patients to the control subjects. We compared 42 MND patients to 42 aged and sex-matched healthy controls and described the whole transcriptome profile characteristic for MND. In addition to the formal differential analysis, we performed functional annotation of the genomics data and identified the molecular pathways that are differentially regulated in MND patients. We identified 12,972 genes differentially expressed in the blood of MND patients compared to age and sex-matched controls. Functional genomic annotation identified activation of the pathways related to neurodegeneration, RNA transcription, RNA splicing and extracellular matrix reorganisation. Blood-based whole transcriptomic analysis can reliably differentiate MND patients from controls and can provide useful information for the clinical management of the disease and clinical trials.

运动神经元疾病的血液生物标志物需要更好的诊断、进展预测和临床试验监测。我们使用全血来源的总RNA,并进行全转录组分析,比较(运动神经元疾病)MND患者与对照组的基因表达谱。我们将42名MND患者与42名年龄和性别匹配的健康对照进行了比较,并描述了MND的整个转录组特征。除了正式的差异分析外,我们对基因组学数据进行了功能注释,并确定了MND患者中差异调节的分子途径。与年龄和性别匹配的对照组相比,我们在MND患者的血液中发现了12,972个差异表达的基因。功能基因组注释鉴定了与神经变性、RNA转录、RNA剪接和细胞外基质重组相关的通路的激活。基于血液的全转录组分析可以可靠地区分MND患者和对照组,并可以为疾病的临床管理和临床试验提供有用的信息。
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引用次数: 0
Leveraging AI to improve disease screening among American Indians: insights from the Strong Heart Study. 利用人工智能改善美国印第安人的疾病筛查:来自强大心脏研究的见解。
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-01-08 eCollection Date: 2024-01-01 DOI: 10.3389/ebm.2024.10341
Paul Rogers, Thomas McCall, Ying Zhang, Jessica Reese, Dong Wang, Weida Tong

Screening tests for disease have their performance measured through sensitivity and specificity, which inform how well the test can discriminate between those with and without the condition. Typically, high values for sensitivity and specificity are desired. These two measures of performance are unaffected by the outcome prevalence of the disease in the population. Research projects into the health of the American Indian frequently develop Machine learning algorithms as predictors of conditions in this population. In essence, these models serve as in silico screening tests for disease. A screening test's sensitivity and specificity values, typically determined during the development of the test, inform on the performance at the population level and are not affected by the prevalence of disease. A screening test's positive predictive value (PPV) is susceptible to the prevalence of the outcome. As the number of artificial intelligence and machine learning models flourish to predict disease outcomes, it is crucial to understand if the PPV values for these in silico methods suffer as traditional screening tests in a low prevalence outcome environment. The Strong Heart Study (SHS) is an epidemiological study of the American Indian and has been utilized in predictive models for health outcomes. We used data from the SHS focusing on the samples taken during Phases V and VI. Logistic Regression, Artificial Neural Network, and Random Forest were utilized as in silico screening tests within the SHS group. Their sensitivity, specificity, and PPV performance were assessed with health outcomes of varying prevalence within the SHS subjects. Although sensitivity and specificity remained high in these in silico screening tests, the PPVs' values declined as the outcome's prevalence became rare. Machine learning models used as in silico screening tests are subject to the same drawbacks as traditional screening tests when the outcome to be predicted is of low prevalence.

疾病筛查测试的表现是通过敏感性和特异性来衡量的,这表明该测试可以在多大程度上区分患有和没有这种疾病的人。通常,需要高的灵敏度和特异性值。这两项绩效指标不受疾病在人口中流行程度的影响。关于美洲印第安人健康的研究项目经常开发机器学习算法作为该人群状况的预测器。从本质上讲,这些模型充当了疾病的计算机筛选测试。筛选试验的敏感性和特异性值通常是在试验开发过程中确定的,它反映了在人口水平上的表现,不受疾病流行的影响。筛查试验的阳性预测值(PPV)易受结果的流行程度影响。随着人工智能和机器学习模型在预测疾病结果方面的蓬勃发展,了解这些计算机方法的PPV值在低患病率结果环境中是否会像传统筛查试验一样受到影响至关重要。健康心脏研究(SHS)是一项对美洲印第安人的流行病学研究,已被用于健康结果的预测模型。我们使用了SHS的数据,重点是在第五和第六阶段采集的样本。在SHS组中,逻辑回归、人工神经网络和随机森林被用作硅筛选测试。它们的敏感性、特异性和PPV表现与SHS受试者中不同患病率的健康结果进行了评估。尽管这些硅筛选试验的敏感性和特异性仍然很高,但ppv的价值随着结果的流行变得罕见而下降。当预测结果的流行率较低时,用作计算机筛选测试的机器学习模型与传统筛选测试存在相同的缺点。
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Experimental Biology and Medicine
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