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Predictive value analysis of the interaction network of Tks4 scaffold protein in colon cancer. Tks4 支架蛋白相互作用网络对结肠癌的预测价值分析
IF 3.9 3区 生物学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-08-21 eCollection Date: 2024-01-01 DOI: 10.3389/fmolb.2024.1414805
Álmos Tilajka, Anita Kurilla, Loretta László, Anna Lovrics, Julianna Novák, Tamás Takács, László Buday, Virag Vas

Background: Colorectal carcinoma (CRC) has emerged as one of the most widespread cancers and was the third leading cause of cancer-related mortality in 2020. The role of the podosomal protein Tks4 in tumor formation and progression is well established, including its involvement in gastric carcinoma and hepatocellular carcinoma; however, exploration of Tks4 and its associated EMT-regulating interactome in the context of colon cancer remains largely unexplored.

Methods: We conducted a comprehensive bioinformatic analysis to investigate the mRNA and protein expression levels of Tks4 and its associated partner molecules (CD2AP, GRB2, WASL, SRC, CTTN, and CAPZA1) across different tumor types. We quantified the expression levels of Tks4 and its partner molecules using qPCR, utilizing a TissueScan colon cancer array. We then validated the usefulness of Tks4 and its associated molecules as biomarkers via careful statistical analyses, including Pearson's correlation analysis, principal component analysis (PCA), multiple logistic regression, confusion matrix analysis, and ROC analysis.

Results: Our findings indicate that the co-expression patterns of the seven examined biomarker candidates better differentiate between tumor and normal samples compared with the expression levels of the individual genes. Moreover, variable importance analysis of these seven genes revealed four core genes that yield consistent results similar to the seven genes. Thus, these four core genes from the Tks4 interactome hold promise as potential combined biomarkers for colon adenocarcinoma diagnosis and prognosis.

Conclusion: Our proposed biomarker set from the Tks4 interactome shows promising sensitivity and specificity, aiding in colon cancer prevention and diagnosis.

背景:结直肠癌(CRC)已成为最常见的癌症之一,并在 2020 年成为癌症相关死亡的第三大原因。荚膜蛋白Tks4在肿瘤形成和进展中的作用已得到公认,包括参与胃癌和肝细胞癌的作用;然而,在结肠癌的背景下,对Tks4及其相关的EMT调控相互作用组的探索在很大程度上仍未进行:我们进行了全面的生物信息学分析,研究了不同肿瘤类型中 Tks4 及其相关伙伴分子(CD2AP、GRB2、WASL、SRC、CTTN 和 CAPZA1)的 mRNA 和蛋白表达水平。我们利用 TissueScan 结肠癌阵列,通过 qPCR 对 Tks4 及其伙伴分子的表达水平进行了量化。然后,我们通过仔细的统计分析,包括皮尔逊相关分析、主成分分析(PCA)、多元逻辑回归、混淆矩阵分析和 ROC 分析,验证了 Tks4 及其相关分子作为生物标记物的有用性:我们的研究结果表明,与单个基因的表达水平相比,七个候选生物标记物的共表达模式能更好地区分肿瘤和正常样本。此外,对这七个基因的变量重要性分析表明,有四个核心基因的结果与这七个基因相似。因此,Tks4相互作用组中的这四个核心基因有望成为结肠腺癌诊断和预后的潜在组合生物标记物:结论:我们从 Tks4 相互作用组中提出的生物标志物集具有良好的灵敏度和特异性,有助于结肠癌的预防和诊断。
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引用次数: 0
Editorial: Immune infiltration and immunotherapy in cancer studies. 社论:癌症研究中的免疫渗透和免疫疗法。
IF 3.9 3区 生物学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-08-20 eCollection Date: 2024-01-01 DOI: 10.3389/fmolb.2024.1459242
Udayan Bhattacharya, Pooja Chauhan, Manish Goyal
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引用次数: 0
PBMC-engrafted humanized mice models for evaluating immune-related and anticancer drug delivery systems. 用于评估免疫相关给药系统和抗癌给药系统的 PBMC 接种人源化小鼠模型。
IF 3.9 3区 生物学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-08-20 eCollection Date: 2024-01-01 DOI: 10.3389/fmolb.2024.1447315
Yoshie Kametani, Ryoji Ito, Yoshiyuki Manabe, Jerzy K Kulski, Toshiro Seki, Hitoshi Ishimoto, Takashi Shiina

Immune-related drug delivery systems (DDSs) in humanized mouse models are at the forefront of cancer research and serve as bridges between preclinical studies and clinical applications. These systems offer unique platforms for exploring new therapies and understanding their interactions with human cells and the immune system. Here, we focus on a DDS and a peripheral blood mononuclear cell (PBMC)-engrafted humanized mouse model that we recently developed, and consider some of the key components, challenges, and applications to advance these systems towards better cancer treatment on the basis of a better understanding of the immune response. Our DDS is unique and has a dual function, an anticancer effect and a capacity to fine-tune the immune reaction. The PBL-NOG-hIL-4-Tg mouse system is superior to other available humanized mouse systems for the development of such multifunctional DDSs because it supports the rapid reconstruction of an individual donor's immunity and avoids the onset of graft-versus-host disease.

人源化小鼠模型中的免疫相关给药系统(DDS)处于癌症研究的前沿,是临床前研究与临床应用之间的桥梁。这些系统为探索新疗法和了解它们与人体细胞和免疫系统的相互作用提供了独特的平台。在这里,我们将重点介绍我们最近开发的 DDS 和外周血单核细胞(PBMC)移植人源化小鼠模型,并考虑一些关键组成部分、挑战和应用,以便在更好地了解免疫反应的基础上推动这些系统更好地治疗癌症。我们的 DDS 具有独特的双重功能:抗癌效果和免疫反应微调能力。PBL-NOG-hIL-4-Tg小鼠系统在开发这种多功能DDS方面优于其他现有的人源化小鼠系统,因为它支持供体个体免疫力的快速重建,避免了移植物抗宿主疾病的发生。
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引用次数: 0
The biochemistry of melanogenesis: an insight into the function and mechanism of melanogenesis-related proteins. 黑色素生成的生物化学:对黑色素生成相关蛋白的功能和机制的深入了解。
IF 3.9 3区 生物学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-08-20 eCollection Date: 2024-01-01 DOI: 10.3389/fmolb.2024.1440187
Feifei Wang, Wenjing Ma, Dongjie Fan, Jing Hu, Xiaohong An, Zuding Wang

Melanin is an amino acid derivative produced by melanocyte through a series of enzymatic reactions using tyrosinase as substrate. Human skin and hair color is also closely related to melanin, so understanding the mechanisms and proteins that produce melanin is very important. There are many proteins involved in the process of melanin expression, For example, proteins involved in melanin formation such as p53, HNF-1α (Hepatocyte nuclear factor 1α), SOX10 (Sry-related HMg-Box gene 10) and pax3 (paired box gene 3), MC1R(Melanocortin 1 Receptor), MITF (Microphthalmia-associated transcription factor), TYR (tyrosinase), TYRP1 (tyrosinase-related protein-1), TYRP2 (tyrosinase-related protein-2), and can be regulated by changing their content to control the production rate of melanin. Others, such as OA1 (ocular albinism type 1), Par-2 (protease-activated receptor 2) and Mlph (Melanophilin), have been found to control the transfer rate of melanosomes from melanocytes to keratinocytes, and regulate the amount of human epidermal melanin to control the depth of human skin color. In addition to the above proteins, there are other protein families also involved in the process of melanin expression, such as BLOC, Rab and Rho. This article reviews the origin of melanocytes, the related proteins affecting melanin and the basic causes of related gene mutations. In addition, we also summarized the active ingredients of 5 popular whitening cosmetics and their mechanisms of action.

黑色素是黑色素细胞以酪氨酸酶为底物,通过一系列酶促反应生成的氨基酸衍生物。人类皮肤和头发的颜色也与黑色素密切相关,因此了解产生黑色素的机制和蛋白质非常重要。参与黑色素表达过程的蛋白质有很多,例如 p53、HNF-1α(肝细胞核因子 1α)、SOX10(Sry 相关 HMg-Box 基因 10)和 pax3(配对盒基因 3)等参与黑色素形成的蛋白质、MC1R(黑色素皮质素 1 受体)、MITF(小眼球相关转录因子)、TYR(酪氨酸酶)、TYRP1(酪氨酸酶相关蛋白-1)、TYRP2(酪氨酸酶相关蛋白-2),可通过改变其含量来控制黑色素的生成速度。还有一些蛋白质,如 OA1(眼白化病 1 型)、Par-2(蛋白酶激活受体 2)和 Mlph(嗜黑蛋白),被发现可以控制黑色素小体从黑色素细胞转移到角质细胞的速度,并调节人体表皮黑色素的数量,从而控制人体肤色的深浅。除上述蛋白外,还有其他蛋白家族也参与了黑色素的表达过程,如 BLOC、Rab 和 Rho。本文回顾了黑色素细胞的起源、影响黑色素的相关蛋白以及相关基因突变的基本原因。此外,我们还总结了 5 种常用美白化妆品的有效成分及其作用机制。
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引用次数: 0
Editorial: Enzyme targeting for the development of novel antimicrobials. 社论:酶靶向开发新型抗菌药物。
IF 3.9 3区 生物学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-08-19 eCollection Date: 2024-01-01 DOI: 10.3389/fmolb.2024.1472318
Elena G Salina, Chunhua Qiao, Laurent R Chiarelli
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引用次数: 0
A comprehensive pan-cancer analysis revealing the role of ITPRIPL1 as a prognostic and immunological biomarker. 一项全面的泛癌症分析揭示了 ITPRIPL1 作为预后和免疫生物标志物的作用。
IF 3.9 3区 生物学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-08-15 eCollection Date: 2024-01-01 DOI: 10.3389/fmolb.2024.1452290
Wenyuan Duan, Wen Tian, Zhongyi Li, Yunsong Liu, Linping Xu

Inositol 1,4,5-Trisphosphate Receptor-Interacting Protein-Like 1 (ITPRIPL1), a single-pass type I membrane protein located in the membrane, functions as an inhibitory ligand of CD3ε. Recent studies have shown that its expression suppresses T cells activation and promote tumor immune evasion. Despite increasing evidence suggesting that ITPRIPL1 plays a significant role in tumor growth, no systematic pan-cancer analysis of ITPRIPL1 has been conducted to date. This study utilized datasets curated from The Cancer Genome Atlas, Genotype Tissue-Expression, and Human Protein Atlas to investigate the relationship between ITPRIPL1 expression and clinical outcomes, immune infiltration, and drug sensitivity across 33 cancer types. We employed multiple methods to assess its prognostic value in pan-cancer, such as univariate Cox regression, survival analysis, and ROC curve analysis and explored the relationship between ITPRIPL1 and tumor mutation burden (TMB), tumor microsatellite instability (MSI), CNV, DNA methylation, immune-related genes, immune cell infiltration, and drug sensitivity to reveal its immunological role. The mRNA expression levels of the ITPRIPL1 gene vary significantly across multiple types of cancer and significantly reduced in breast cancer. Conversely, high ITPRIPL1 expression was associated with a better prognosis in BRCA. Furthermore, the expression of ITPRIPL1 highly correlates with the presence of tumor-infiltrating immune cells and immune checkpoint genes across various types of cancers. Additionally, ITPRIPL1 expression was associated with TMB in 6 cancer types and with MSI in 13 cancer types. High expression of ITPRIPL1 serves as a protective factor in certain cancer types, correlating with longer overall survival in BRCA. Our study further confirms that ITPRIPL1 participates in regulating immune infiltration and affecting the prognosis of patients in pan-cancer. These findings underscore the promising potential of ITPRIPL1 as a therapeutic target for human cancer.

1,4,5- 三磷酸肌醇受体相互作用蛋白 1(Inositol 1,4,5-Trisphosphate Receptor-Interacting Protein-Like 1,ITPRIPL1)是一种位于膜上的单通道 I 型膜蛋白,具有 CD3ε 抑制配体的功能。最近的研究表明,它的表达能抑制 T 细胞的活化并促进肿瘤免疫逃避。尽管越来越多的证据表明 ITPRIPL1 在肿瘤生长中起着重要作用,但迄今为止还没有对 ITPRIPL1 进行过系统的泛癌症分析。本研究利用癌症基因组图谱、基因型组织表达和人类蛋白质图谱中的数据集,研究了33种癌症类型中ITPRIPL1的表达与临床结果、免疫浸润和药物敏感性之间的关系。我们采用单变量考克斯回归、生存分析和ROC曲线分析等多种方法评估了ITPRIPL1在泛癌症中的预后价值,并探讨了ITPRIPL1与肿瘤突变负荷(TMB)、肿瘤微卫星不稳定性(MSI)、CNV、DNA甲基化、免疫相关基因、免疫细胞浸润和药物敏感性之间的关系,以揭示其免疫学作用。ITPRIPL1 基因的 mRNA 表达水平在多种类型的癌症中差异显著,在乳腺癌中则明显降低。相反,ITPRIPL1 的高表达与 BRCA 的较好预后相关。此外,ITPRIPL1 的表达与各种类型癌症中肿瘤浸润免疫细胞和免疫检查点基因的存在高度相关。此外,在 6 种癌症类型中,ITPRIPL1 的表达与 TMB 相关,在 13 种癌症类型中,ITPRIPL1 的表达与 MSI 相关。ITPRIPL1 的高表达在某些癌症类型中是一种保护因素,与 BRCA 患者的总生存期延长相关。我们的研究进一步证实,ITPRIPL1 参与调节免疫浸润并影响泛癌症患者的预后。这些发现凸显了 ITPRIPL1 作为人类癌症治疗靶点的巨大潜力。
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引用次数: 0
Enhanced enrichment of extracellular vesicles for laboratory and clinical research from drop-sized blood samples. 从液滴大小的血液样本中富集细胞外囊泡,用于实验室和临床研究。
IF 3.9 3区 生物学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-08-15 eCollection Date: 2024-01-01 DOI: 10.3389/fmolb.2024.1365783
Alexa Guerrero-Alba, Sandhya Bansal, Aryan N Sankpal, Geetanjali Mitra, Mohammad Rahman, Ranjithkumar Ravichandran, Christin Poulson, Timothy P Fleming, Michael A Smith, Ross M Bremner, T Mohanakumar, Narendra V Sankpal

In the realm of biomedical advancement, extracellular vesicles (EVs) are revolutionizing our capacity to diagnose, monitor, and predict disease progression. However, the comprehensive exploration and clinical application of EVs face significant limitations due to the current isolation techniques. The size exclusion chromatography, commercial precipitation reagents, and ultracentrifugation are frequently employed, necessitating skilled operators and entailing challenges related to consistency, reproducibility, quality, and yields. Notably, the formidable challenge of extracellular vesicle isolation persists when dealing with clinical samples of limited availability. This study addresses these challenges by aiming to devise a rapid, user-friendly, and high-recovery EVs isolation technique tailored for blood samples. The NTI-EXO precipitation method demonstrated a 5-fold increase in the recovery of serum EVs compared to current methodologies. Importantly, we illustrate that a mere two drops of blood (∼100 µL) suffice for the recovery of enriched EVs. The integrity and quality of these isolated EVs were rigorously assessed for the size, purity, and contaminants. This method was validated through the successful isolation of EVs from organ transplant recipients to detect disease-specific exosomal markers, including LKB1, SARS-CoV-2 spike protein, and PD-L1. In conclusion, NTI-EXO method can be used for small clinical samples, thereby advancing discoveries in the EV-centric domain and propelling the frontiers of biomedical research and clinical applications.

在生物医学发展领域,细胞外囊泡(EVs)正在彻底改变我们诊断、监测和预测疾病进展的能力。然而,由于目前的分离技术,EVs 的全面探索和临床应用面临着很大的限制。我们经常使用尺寸排阻色谱法、商业沉淀试剂和超速离心法,这些方法需要熟练的操作人员,并在一致性、可重复性、质量和产量方面面临挑战。值得注意的是,在处理可用性有限的临床样本时,细胞外囊泡分离仍是一项艰巨的挑战。为了应对这些挑战,本研究旨在为血液样本量身定制一种快速、易操作、高回收率的细胞外囊泡分离技术。与目前的方法相比,NTI-EXO 沉淀法的血清 EVs 回收率提高了 5 倍。重要的是,我们证明只需两滴血(100 µL)就能回收富集的 EVs。我们对这些分离出的 EVs 的大小、纯度和杂质的完整性和质量进行了严格评估。通过成功分离器官移植受者的 EVs 来检测疾病特异性外泌体标记物,包括 LKB1、SARS-CoV-2 穗蛋白和 PD-L1,验证了该方法的有效性。总之,NTI-EXO 方法可用于小型临床样本,从而推动了以 EV 为中心的领域的发现,推动了生物医学研究和临床应用的发展。
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引用次数: 0
Application of clinical blood metabogram for diagnosis of early-stage Parkinson's disease: a pilot study. 应用临床血液代谢图诊断早期帕金森病:一项试点研究。
IF 3.9 3区 生物学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-08-14 eCollection Date: 2024-01-01 DOI: 10.3389/fmolb.2024.1407974
Petr G Lokhov, Oxana P Trifonova, Elena E Balashova, Dmitry L Maslov, Michael V Ugrumov, Alexander I Archakov

In terms of time, cost, and reproducibility of clinical laboratory tests, a mass spectrometric clinical blood metabogram (CBM) enables the investigation of the blood metabolome. Metabogram's components provide clinically relevant information by describing related groups of blood metabolites connected to humoral regulation, the metabolism of lipids, carbohydrates and amines, lipid intake into the organism, and liver function. For further development of the CBM approach, the ability of CBM to detect metabolic changes in the blood in the early stages of Parkinson's disease (PD) was studied in this work. In a case-control study (n = 56), CBM enabled the detection of the signature in blood metabolites related to 1-2.5 clinical stages of PD, according to the modified Hoehn and Yahr scale, which is formed by alterations in eicosanoids, phospholipids and, presumably, in the butadione metabolism. The CBM component-based diagnostic accuracy reached 77%, with a specificity of 71% and sensitivity of 82%. The research results extend the range of disorders for which CBM is applicable and offer new opportunities for revealing PD-specific metabolic alterations and diagnosing early-stage PD.

就临床实验室检测的时间、成本和可重复性而言,质谱临床血液代谢图(CBM)可对血液代谢组进行研究。代谢图的组成部分通过描述与体液调节、脂类、碳水化合物和胺类代谢、机体摄入脂类以及肝功能有关的血液代谢物组,提供临床相关信息。为了进一步发展 CBM 方法,本研究对 CBM 检测帕金森病(PD)早期血液代谢变化的能力进行了研究。在一项病例对照研究(n = 56)中,根据修改后的 Hoehn 和 Yahr 量表,CBM 能够检测出与帕金森病 1-2.5 临床阶段相关的血液代谢物特征,该特征由二十酸类、磷脂以及丁二酮代谢的变化形成。基于 CBM 成分的诊断准确率达到 77%,特异性为 71%,灵敏度为 82%。研究结果扩大了 CBM 适用的疾病范围,为揭示帕金森病特异性代谢改变和诊断早期帕金森病提供了新的机会。
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引用次数: 0
qPCR detection of Mycobacterium leprae DNA in urine samples of leprosy patients using the Rlep gene target. 使用 Rlep 基因靶标对麻风病人尿液样本中的麻风分枝杆菌 DNA 进行 qPCR 检测。
IF 3.9 3区 生物学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-08-13 eCollection Date: 2024-01-01 DOI: 10.3389/fmolb.2024.1435679
D Diana, M C Harish

Background: Leprosy, a chronic infectious disease caused by Mycobacterium leprae, continues to pose a public health challenge in many parts of the world. Early and accurate diagnosis is crucial for effective treatment and prevention of disabilities associated with the disease. Molecular techniques such as PCR have demonstrated great potential as a diagnostic tool for directly detecting M. leprae DNA in different clinical samples, providing better sensitivity and specificity than conventional diagnostic techniques. The objective of this study was to measure the amount of M. leprae DNA in leprosy patients' urine samples using the Rlep gene target through qPCR.

Methods: Different clinical samples such as smear, blood, and urine samples were collected from leprosy patients and healthy individuals. Leprosy patients were classified by the Ridley-Jopling classification. The Ziehl-Neelsen staining method was used for the slit skin smear (SSS) samples, and the bacteriological index (BI) was calculated for leprosy patients. DNA extraction and qPCR were performed for all three types of clinical samples using the Rlep gene target.

Results: The Mycobacterial leprae DNA was successfully detected and quantified in all clinical samples across all types of leprosy among all the study groups using the Rlep gene (129 bp) target. The Rlep gene target was able to detect the presence of M. leprae DNA in 100% of urine, 96.1% of blood, and 92.2% of SSS samples of leprosy patients. Urine samples showed significant differences (p < 0.001) between the control and the different clinical forms and between borderline tuberculoid (BT) and pure neuritic leprosy (PNL) cases. There are significant differences in cycle threshold (Ct) values between control cases and clinical categories (p < 0.001), as well as specific differences within clinical categories (p < 0.001), reflecting the variability in bacterial load and detection sensitivity across different sample types and clinical manifestations of leprosy.

Conclusion: Overall, this study's findings suggest that the qPCR technique can be used to detect M. leprae DNA in urine samples of leprosy patients using the Rlep gene target. It can also be used for diagnosing the disease and monitoring the effectiveness of anti-leprosy drugs, including multi-drug therapy (MDT), across various leprosy disease groups.

背景:麻风病是一种由麻风分枝杆菌引起的慢性传染病,在世界许多地区仍然是一项公共卫生挑战。早期准确的诊断对于有效治疗和预防麻风病导致的残疾至关重要。分子技术(如 PCR)作为直接检测不同临床样本中麻风杆菌 DNA 的诊断工具已显示出巨大的潜力,其灵敏度和特异性均优于传统诊断技术。本研究的目的是通过 qPCR,以 Rlep 基因为靶标,检测麻风病人尿液样本中麻风杆菌 DNA 的含量:方法:收集麻风病人和健康人的不同临床样本,如涂片、血液和尿液样本。麻风病人按 Ridley-Jopling 分类法进行分类。对裂隙皮肤涂片(SSS)样本采用齐氏-奈尔森染色法,并计算麻风病人的细菌学指数(BI)。使用 Rlep 基因靶标对所有三种临床样本进行了 DNA 提取和 qPCR 分析:结果:使用 Rlep 基因(129 bp)靶标,在所有研究组的所有麻风类型临床样本中都成功检测到了麻风分枝杆菌 DNA 并对其进行了定量。Rlep基因靶标能检测出100%的麻风病人尿液样本、96.1%的麻风病人血液样本和92.2%的麻风病人SSS样本中存在的麻风杆菌DNA。尿液样本在对照组和不同临床类型之间,以及在边缘型类结核病(BT)和纯神经性麻风病(PNL)病例之间存在显著差异(p < 0.001)。对照病例和临床类别之间的周期阈值(Ct)存在明显差异(p < 0.001),临床类别内部也存在特定差异(p < 0.001),这反映了不同样本类型和麻风病临床表现在细菌负荷和检测灵敏度方面的差异:总之,本研究结果表明,qPCR 技术可用于检测麻风病人尿液样本中以 Rlep 基因为靶点的麻风杆菌 DNA。该技术还可用于诊断麻风病和监测抗麻风病药物(包括多种药物疗法(MDT))在不同麻风病群中的疗效。
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引用次数: 0
Breathomics for diagnosing tuberculosis in diabetes mellitus patients. 用于诊断糖尿病患者肺结核的呼吸基因。
IF 3.9 3区 生物学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-08-13 eCollection Date: 2024-01-01 DOI: 10.3389/fmolb.2024.1436135
Rong Xu, Ying Zhang, Zhaodong Li, Mingjie He, Hailin Lu, Guizhen Liu, Min Yang, Liang Fu, Xinchun Chen, Guofang Deng, Wenfei Wang

Introduction: Individuals with diabetes mellitus (DM) are at an increased risk of Mycobacterium tuberculosis (Mtb) infection and progressing from latent tuberculosis (TB) infection to active tuberculosis disease. TB in the DM population is more likely to go undiagnosed due to smear-negative results.

Methods: Exhaled breath samples were collected and analyzed using high-pressure photon ionization time-of-flight mass spectrometry. An eXtreme Gradient Boosting (XGBoost) model was utilized for breathomics analysis and TB detection.

Results: XGBoost model achieved a sensitivity of 88.5%, specificity of 100%, accuracy of 90.2%, and an area under the curve (AUC) of 98.8%. The most significant feature across the entire set was m106, which demonstrated a sensitivity of 93%, specificity of 100%, and an AUC of 99.7%.

Discussion: The breathomics-based TB detection method utilizing m106 exhibited high sensitivity and specificity potentially beneficial for clinical TB screening and diagnosis in individuals with diabetes.

导言:糖尿病(DM)患者感染结核分枝杆菌(Mtb)并从潜伏结核(TB)感染发展为活动性结核病的风险增加。DM人群中的结核病更有可能因涂片阴性结果而得不到诊断:方法:收集呼气样本,并使用高压光子电离飞行时间质谱法进行分析。结果:XGBoost 模型的灵敏度和准确度都达到了很高的水平:XGBoost模型的灵敏度为88.5%,特异度为100%,准确度为90.2%,曲线下面积(AUC)为98.8%。整组数据中最重要的特征是 m106,其灵敏度为 93%,特异性为 100%,AUC 为 99.7%:基于呼吸组学的结核病检测方法利用 m106 表现出了高灵敏度和高特异性,可能有利于糖尿病患者的结核病临床筛查和诊断。
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引用次数: 0
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