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Smart nano-assembly from traditional Chinese medicine: manganese-enhanced polysaccharide platform for orchestrated cancer chemo-immunotherapy 来自中医的智能纳米组装:锰增强多糖平台,用于精心安排的癌症化学免疫治疗
IF 10.7 1区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-03-17 DOI: 10.1016/j.jare.2026.03.030
Zhen Lin, Mingming Rong, Wanyu Tang, Zixian Yang, Yifei Xu, Jing Xu, Yuanqiang Guo
The limitations of conventional cancer therapies have driven the development of precise, low-toxicity strategies. Natural products with bioactivity and self-assembly potential offer a basis for designing multifunctional nanomedicines combining chemotherapy, chemodynamic therapy (CDT), and immunotherapy.
传统癌症疗法的局限性推动了精确、低毒性策略的发展。具有生物活性和自组装潜力的天然产物为设计结合化疗、化疗动力治疗(CDT)和免疫治疗的多功能纳米药物提供了基础。
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引用次数: 0
Oral Delivery of siSIRPα via Yeast-Derived β-Glucan Particles Enhances Macrophage-Mediated Antitumor Immunity by Blocking the CD47-SIRPα Axis 通过酵母衍生的β-葡聚糖颗粒口服siirp α通过阻断CD47-SIRPα轴增强巨噬细胞介导的抗肿瘤免疫
IF 10.7 1区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-03-17 DOI: 10.1016/j.jare.2026.03.036
Liuyang He, Jie Chen, Meng Yuan, Lei Xia, Jie Pan, Yewen Xie, Chunjian Qi

Introduction

The CD47-SIRPα Axis functions as a key innate immune checkpoint that enables tumors to evade phagocytosis and immune surveillance. Blockade of this interaction has emerged as a promising anticancer immunotherapy strategy.

Objective

The study aimed to develop a macrophage-targeting delivery system using whole β-glucan particles (WGPs) with an immune-stimulatory property to deliver small interfering RNA against SIRPα (siSIRPα), thereby abrogating SIRPα-mediated phagocytosis inhibition and enhancing antitumor immunity.

Methods

Dectin-1-dependent uptake of WGP-siSIRPα was confirmed with bone marrow derived macrophages (BMDMs) from WT and Dectin-1-/- using immunofluorescences and flow cytometry. Cytoskeletal dynamics and lysosomal escape of siSIRPα in BMDMs were visualized by immunofluorescences. Phenotype of BMDMs was characterized via transcriptomics, flow cytometry, ELISA and ROS detection. WGP-siSIRPα mediated T-cell activation was assessed using flow cytometry. In vitro phagocytosis of macrophages was evaluated by confocal microscopy. Therapeutic efficacy was evaluated in subcutaneous B16 melanoma (C57BL/6 mice) and 4 T1 breast cancer (BALB/c mice) models following oral administration of WGP-siSIRPα.

Results

WGP-mediated siSIRPα delivery, dependent on Dectin-1 receptor, achieved robust SIRPα silencing and significantly downregulated expression of SIRPα in macrophages, accompanied by cytoskeletal reorganization and effective lysosomal escape. WGPs promoted M0-to-M1 polarization in macrophages, which synergistically augmented T-cell responses through enhanced antigen presentation. Enhanced phagocytosis of tumor cells with high CD47 expression was observed following siSIRPα delivery. Orally administered WGP-siSIRPα significantly inhibited tumor growth in both B16 melanoma and 4 T1 breast cancer models, associated with decreased SIRPα expression in tumor-associated macrophages (TAMs) and increased M1 polarization within the tumor microenvironment (TME).

Conclusion

These findings establish a proof-of-concept for an oral WGP-based delivery platform and demonstrate a novel siRNA-mediated approach to CD47-SIRPα blockade, which potentiates macrophage-driven antitumor immune responses.
CD47-SIRPα轴作为一个关键的先天免疫检查点,使肿瘤能够逃避吞噬和免疫监视。阻断这种相互作用已成为一种很有前途的抗癌免疫治疗策略。目的利用具有免疫刺激特性的全β-葡聚糖颗粒(WGPs)构建巨噬细胞靶向递送系统,递送小干扰RNA (siirp α),从而消除SIRPα介导的吞噬抑制作用,增强抗肿瘤免疫。方法采用免疫荧光和流式细胞术检测WT骨髓源性巨噬细胞(bmdm)和Dectin-1-/-对WGP-siSIRPα的依赖性摄取。免疫荧光法观察BMDMs细胞骨架动力学和siSIRPα溶酶体逃逸。通过转录组学、流式细胞术、ELISA和ROS检测对BMDMs的表型进行了表征。流式细胞术评估WGP-siSIRPα介导的t细胞活化。用共聚焦显微镜观察巨噬细胞的体外吞噬作用。口服WGP-siSIRPα对皮下B16黑色素瘤(C57BL/6小鼠)和4例 T1乳腺癌(BALB/c小鼠)模型的治疗效果进行了评估。结果swgp介导的siSIRPα递送依赖于Dectin-1受体,在巨噬细胞中实现了SIRPα的强大沉默和SIRPα的显著下调表达,并伴有细胞骨架重组和有效的溶酶体逃逸。WGPs促进巨噬细胞中m0 - m1极化,通过增强抗原呈递协同增强t细胞反应。转染siSIRPα后,CD47高表达的肿瘤细胞吞噬能力增强。口服WGP-siSIRPα显著抑制B16黑色素瘤和4 T1乳腺癌模型的肿瘤生长,与肿瘤相关巨噬细胞(tam)中SIRPα表达降低和肿瘤微环境(TME)中M1极化增加有关。这些发现为口服wgp给药平台建立了概念验证,并证明了一种新的sirna介导的CD47-SIRPα阻断方法,可增强巨噬细胞驱动的抗肿瘤免疫反应。
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引用次数: 0
Unleashing antifungal power: Nanopriming with selenium boosts JA signaling, suppresses pathogen enzymes, and activates phytoalexins for enhanced Fusarium graminearum resistance in maize 释放抗真菌能力:硒纳米膜增强JA信号,抑制病原体酶,并激活植物抗菌素,以增强玉米对镰刀菌的抗性
IF 10.7 1区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-03-15 DOI: 10.1016/j.jare.2026.03.025
Qinyong Dong, Tingjie Huang, Yaling Bi, Jiawen Ji, Mufan Hu, Chunran Zhou, Xiaoying Wan, Peijuan Miao, Xi Wang, Huan Yu, Jiaqi Li, Canping Pan
Stalk rot caused by Fusarium graminearum (F. graminearum) poses a serious threat to maize production, further exacerbated by contamination with the mycotoxin deoxyninylenol (DON). Although selenium nanoparticle (SeNP) priming technology shows potential for enhancing crop resistance, the systematic regulatory mechanisms by which it reprograms plant defense responses against this pathogen remain unclear.
由谷草镰刀菌(F. graminearum)引起的秸秆腐病对玉米生产构成严重威胁,而霉菌毒素脱氧乙烯烯醇(DON)的污染进一步加剧了这一威胁。尽管硒纳米颗粒(SeNP)引发技术显示出增强作物抗性的潜力,但其重新编程植物对这种病原体的防御反应的系统调控机制尚不清楚。
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引用次数: 0
Co-decorated Co9S8/MoS2 heterostructures anchored to ultrathin graphene nanosheets as trifunctional electrocatalysts for self-powered universal-pH overall water splitting 锚定在超薄石墨烯纳米片上的共修饰Co9S8/MoS2异质结构作为三功能电催化剂用于自供电通用ph整体水分解
IF 10.7 1区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-03-15 DOI: 10.1016/j.jare.2026.03.028
Ailing Feng, Xu Zhu, Shijiu Ding, Peitao Liu, Yue Peng, Yanqing Zu, Xiaodong Li, Yanan Chen, Pengfei Bi
The design of multifunctional catalysts demonstrating exceptional efficiency in complete water electrolysis reactions across various pH environments represents a critical advancement for large-scale generation of renewable hydrogen. This study presents an exceptionally effective catalytic system consisting of cobalt-decorated Co9S8/MoS2 heterostructures supported on ultrathin nitrogen-doped graphene nanosheets (denoted as Co-Co9S8/MoS2@NG). The hybrid architecture integrates transition metal sulfides with conductive graphene substrates through strategic cobalt decoration and nitrogen doping, achieving optimized electronic configurations for enhanced catalytic performance. The Co9S8/MoS2@NG composite demonstrates outstanding catalytic performance and durability across various pH conditions for oxygen generation processes, achieving overpotentials of 210, 238, and 230 mV at 10 mA/cm2 in alkaline, neutral, and acidic environments respectively. Notably, this bifunctional catalyst also shows remarkable efficiency in hydrogen production applications. When implemented in a customized water-splitting electrolyzer utilizing Co-Co9S8/MoS2@NG for both anode and cathode functions, the system achieved operational voltages of 1.58, 1.55, and 1.56 V under alkaline, neutral, and acidic conditions correspondingly. The synthesized Co-Co9S8/MoS2@NG composite demonstrates remarkable catalytic performance, requiring only 1.52 V to maintain 10 mA/cm2 current density across alkaline, neutral, and acidic electrolytes. This material surpasses commercial Pt/C||Ir/C systems (showing 1.64 V, 1.68 V, and 1.66 V in corresponding media) while maintaining competitiveness with state-of-the-art catalysts documented in recent studies. These findings demonstrate the multifunctional capabilities of Co-Co9S8/MoS2@NG as an efficient tri-electrode material for enhanced water electrolysis systems, offering new possibilities for sustainable energy conversion technologies.
多功能催化剂的设计在不同pH环境下的完全水电解反应中表现出卓越的效率,代表了大规模生产可再生氢的关键进步。本研究提出了一种特别有效的催化体系,由钴修饰的Co9S8/MoS2异质结构支撑在超薄氮掺杂石墨烯纳米片上(标记为Co-Co9S8/MoS2@NG)。混合结构通过战略性钴装饰和氮掺杂将过渡金属硫化物与导电石墨烯衬底集成在一起,实现了优化的电子配置,增强了催化性能。Co9S8/MoS2@NG复合材料在不同的pH条件下表现出出色的催化性能和耐久性,在碱性、中性和酸性环境下分别达到210、238和230 mV(10 mA/cm2)的过电位。值得注意的是,这种双功能催化剂在制氢应用中也显示出显著的效率。当在使用Co-Co9S8/MoS2@NG作为阳极和阴极功能的定制水分解电解槽中实施时,该系统在碱性、中性和酸性条件下的工作电压分别为1.58、1.55和1.56 V。合成的Co-Co9S8/MoS2@NG复合材料具有出色的催化性能,仅需要1.52 V就能在碱性、中性和酸性电解质中保持10 mA/cm2的电流密度。该材料超越了商业Pt/C||Ir/C体系(在相应的介质中显示1.64 V, 1.68 V和1.66 V),同时与最近研究中记录的最先进的催化剂保持竞争力。这些发现证明了Co-Co9S8/MoS2@NG作为一种高效的三电极材料用于增强水电解系统的多功能能力,为可持续能源转换技术提供了新的可能性。
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引用次数: 0
Ion channels in macrophages: dynamic regulation in cardiovascular and cerebrovascular diseases and therapeutic potential 巨噬细胞中的离子通道:心脑血管疾病的动态调节及其治疗潜力
IF 10.7 1区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-03-14 DOI: 10.1016/j.jare.2026.03.003
Xiangqin Tian, Yangyang Jia, Changye Sun, Yongkun Sun, Zhikun Guo, Xianwei Wang

Background

Cardiovascular and cerebrovascular diseases (CCVDs) have surpassed cancer as a significant global health challenge. As essential responders of the immune system, macrophages play a critical role in maintaining and remodeling CCVD homeostasis. They are involved in various functions, including the clearance of apoptotic cells, regulation of inflammatory responses, enhancement of electrical conduction, and facilitation of tissue development and repair. Ion channels not only participate in the electrophysiological activities of macrophages but also directly influence tissue immune responses and inflammatory processes. The regulatory role of ion channels in macrophage function in CCVDs has attracted considerable attention.

Aim

of Review: This review aims to systematically elucidate the specific expression and functional regulation of macrophage ion channels within the cardiovascular and cerebrovascular systems and analyzes the functional heterogeneity of these channels across distinct tissue-specific macrophage subsets. It further explores their mechanistic roles in the progression and repair of CCVDs.Key Scientific Concepts of Review: This review elucidates the fundamental functions and electrophysiological basis of macrophages in the heart, vasculature, and brain, including parenchymal resident macrophages (microglia) of the brain. It further discusses the variation in ion channel expression across macrophages of different tissue origins and polarization states and how this heterogeneity dictates their specific functional roles. Additionally, this review summarizes the pathophysiological contributions of macrophage ion channels to major cardiovascular and cerebrovascular disorders, as well as the underlying molecular mechanisms. Furthermore, it provides an in-depth analysis of the functional mechanisms of key ion channels, critically discusses existing controversies and limitations in current research, and offers our perspectives along with feasible solutions. Finally, this review explores future research directions and emerging trends in this field, along with the clinical potential of targeting macrophage ion channels as a novel therapeutic strategy for CCVDs.
背景心脑血管疾病(ccvd)已经超过癌症,成为一个重大的全球健康挑战。巨噬细胞作为免疫系统的重要应答者,在维持和重塑CCVD稳态中起着关键作用。它们参与多种功能,包括凋亡细胞的清除、炎症反应的调节、电传导的增强以及组织发育和修复的促进。离子通道不仅参与巨噬细胞的电生理活动,而且直接影响组织免疫反应和炎症过程。离子通道在ccvd巨噬细胞功能中的调节作用引起了人们的广泛关注。综述目的:本文旨在系统阐明巨噬细胞离子通道在心脑血管系统中的特异性表达和功能调控,并分析这些通道在不同组织特异性巨噬细胞亚群中的功能异质性。进一步探讨其在ccvd进展和修复中的机制作用。重点科学概念综述:本文综述了巨噬细胞在心脏、脉管系统和大脑中的基本功能和电生理基础,包括脑实质巨噬细胞(小胶质细胞)。它进一步讨论了不同组织来源和极化状态的巨噬细胞中离子通道表达的变化,以及这种异质性如何决定它们的特定功能作用。此外,本文还综述了巨噬细胞离子通道在主要心脑血管疾病中的病理生理作用及其分子机制。深入分析了关键离子通道的功能机制,批判性地讨论了当前研究中存在的争议和局限性,并提出了我们的观点和可行的解决方案。最后,本文展望了该领域未来的研究方向和新趋势,以及靶向巨噬细胞离子通道作为ccvd治疗新策略的临床潜力。
{"title":"Ion channels in macrophages: dynamic regulation in cardiovascular and cerebrovascular diseases and therapeutic potential","authors":"Xiangqin Tian, Yangyang Jia, Changye Sun, Yongkun Sun, Zhikun Guo, Xianwei Wang","doi":"10.1016/j.jare.2026.03.003","DOIUrl":"https://doi.org/10.1016/j.jare.2026.03.003","url":null,"abstract":"<h3>Background</h3>Cardiovascular and cerebrovascular diseases (CCVDs) have surpassed cancer as a significant global health challenge. As essential responders of the immune system, macrophages play a critical role in maintaining and remodeling CCVD homeostasis. They are involved in various functions, including the clearance of apoptotic cells, regulation of inflammatory responses, enhancement of electrical conduction, and facilitation of tissue development and repair. Ion channels not only participate in the electrophysiological activities of macrophages but also directly influence tissue immune responses and inflammatory processes. The regulatory role of ion channels in macrophage function in CCVDs has attracted considerable attention.<h3>Aim</h3><strong>of Review:</strong> This review aims to systematically elucidate the specific expression and functional regulation of macrophage ion channels within the cardiovascular and cerebrovascular systems and analyzes the functional heterogeneity of these channels across distinct tissue-specific macrophage subsets. It further explores their mechanistic roles in the progression and repair of CCVDs.<strong>Key Scientific Concepts of Review:</strong> This review elucidates the fundamental functions and electrophysiological basis of macrophages in the heart, vasculature, and brain, including parenchymal resident macrophages (microglia) of the brain. It further discusses the variation in ion channel expression across macrophages of different tissue origins and polarization states and how this heterogeneity dictates their specific functional roles. Additionally, this review summarizes the pathophysiological contributions of macrophage ion channels to major cardiovascular and cerebrovascular disorders, as well as the underlying molecular mechanisms. Furthermore, it provides an in-depth analysis of the functional mechanisms of key ion channels, critically discusses existing controversies and limitations in current research, and offers our perspectives along with feasible solutions. Finally, this review explores future research directions and emerging trends in this field, along with the clinical potential of targeting macrophage ion channels as a novel therapeutic strategy for CCVDs.","PeriodicalId":14952,"journal":{"name":"Journal of Advanced Research","volume":"9 1","pages":""},"PeriodicalIF":10.7,"publicationDate":"2026-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147448037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Systematic profiling of human gut bacteria with cyclic di-AMP secretion to enhance anti-tumor immunity 人类肠道细菌与环二磷酸腺苷分泌增强抗肿瘤免疫的系统分析
IF 10.7 1区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-03-13 DOI: 10.1016/j.jare.2026.03.013
Linggang Zheng, Jumin Huang, Haoran Ni, Xiaoxian Kuang, Jin Liao, Zepeng Qu, Hongbin Liu, Chen Huang, Lili Yu, Lei Dai, Elaine Lai-Han Leung
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引用次数: 0
Exogenous biostimulants: mechanisms and innovations for enhancing seed germination and resilience under abiotic stress 外源性生物刺激剂:在非生物胁迫下提高种子萌发和恢复力的机制和创新
IF 10.7 1区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-03-13 DOI: 10.1016/j.jare.2026.03.023
Xin Liang, Yaohua Zhai, Jun Li, Jiasui Zhan, Fuguang Li, Wenjing Wang

Background

Seed germination is a critical phase in the plant life cycle that is highly vulnerable to abiotic stresses such as drought, salinity, and extreme temperatures, posing a severe threat to global crop establishment and food security. Climate change is exacerbating these challenges, necessitating innovative strategies to enhance seed resilience.

Aim

of Review: This review comprehensively elucidates the physiological and biochemical mechanisms by which abiotic stress inhibits seed germination, focusing on disruptions in reactive oxygen species (ROS) homeostasis, phytohormone signaling, and energy metabolism. We further critically evaluate the potential of diverse exogenous substances including nanomaterials, phytohormones, metabolites, amino acids, and signaling molecules to mitigate these stresses.

Key Scientific Concepts of Review

We synthesize evidence demonstrating that exogenous substances can effectively enhance seed tolerance by modulating antioxidant defences, rebalancing hormonal crosstalk (particularly GA/ABA), and reprogramming energy metabolism. However, the transition from laboratory promise to field application faces significant hurdles, including cost-effectiveness, environmental safety, and short action cycles.

Future Directions

Looking beyond mere efficacy, this review proposes a transformative roadmap to overcome these limitations. We highlight the immense potential of integrating synthetic biology for sustainable biostimulant production, developing biosafe and biodegradable nanomaterials, and engineering stimulus-responsive nano-delivery systems for the targeted, on-demand release of active ingredients. We argue that the convergence of these multidisciplinary strategies is essential to bridge the lab-field gap and usher in a new era of intelligent, efficient, and sustainable seed technology, ultimately supporting the overarching goals of green agriculture and robust food systems.
种子萌发是植物生命周期的关键阶段,极易受到干旱、盐度和极端温度等非生物胁迫的影响,对全球作物种植和粮食安全构成严重威胁。气候变化正在加剧这些挑战,需要采取创新战略来增强种子的适应力。综述目的:本文综述了非生物胁迫抑制种子萌发的生理生化机制,重点阐述了活性氧(ROS)稳态的破坏、植物激素信号传导和能量代谢。我们进一步批判性地评估了各种外源物质的潜力,包括纳米材料、植物激素、代谢物、氨基酸和信号分子,以减轻这些胁迫。我们综合证据证明外源物质可以通过调节抗氧化防御、重新平衡激素串扰(特别是GA/ABA)和重编程能量代谢来有效地增强种子的耐受性。然而,从实验室到现场应用的转变面临着巨大的障碍,包括成本效益、环境安全性和短的作用周期。未来的发展方向除了单纯的疗效,本综述还提出了克服这些局限性的变革路线图。我们强调将合成生物学整合到可持续的生物刺激素生产中,开发生物安全和可生物降解的纳米材料,以及为靶向、按需释放活性成分而设计刺激响应纳米递送系统的巨大潜力。我们认为,这些多学科战略的融合对于弥合实验室领域的差距和开创智能、高效和可持续种子技术的新时代至关重要,最终支持绿色农业和稳健粮食系统的总体目标。
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引用次数: 0
The stress responsive transcription factor ATF4: from molecular structure to disease mechanisms 应激反应转录因子ATF4:从分子结构到发病机制
IF 10.7 1区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-03-13 DOI: 10.1016/j.jare.2026.03.017
Jian-Rong Yuan, Jie Tang, Rui Sheng

Background

Activating transcription factor 4 (ATF4), a member of the ATF/CREB family, regulates cell survival and death via governing the expression of genes involved in integrated stress response, endoplasmic reticulum stress, autophagy, and metabolism. ATF4′s protein level is tightly controlled by translational regulation (via eIF2α phosphorylation), epigenetic modifications, and post-translational modifications (PTMs) under stress, which are linked to cancer, cardiovascular, neurodegenerative, and metabolic diseases.

Aim

This review aims to summarize recent advances in epigenetic- and PTM-mediated regulation of ATF4 stability and function, and to clarify its multifaceted roles in relevant pathological processes.

Key scientific concepts

Emerging evidence highlights that epigenetic modifications and PTMs are critical for fine-tuning ATF4 activity. These regulatory mechanisms not only modulate ATF4-dependent stress responses but also contribute to disease progression, providing potential therapeutic targets for ATF4-associated disorders.
激活转录因子4 (ATF4)是ATF/CREB家族的一员,通过调控参与综合应激反应、内质网应激、自噬和代谢的基因表达来调节细胞的生存和死亡。ATF4的蛋白水平受到翻译调控(通过eIF2α磷酸化)、表观遗传修饰和应激下的翻译后修饰(PTMs)的严格控制,这些修饰与癌症、心血管、神经退行性和代谢疾病有关。目的综述近年来表观遗传和ptm介导的ATF4稳定性和功能调控的研究进展,并阐明其在相关病理过程中的多方面作用。新出现的证据表明,表观遗传修饰和ptm对微调ATF4活性至关重要。这些调节机制不仅调节atf4依赖的应激反应,而且还有助于疾病进展,为atf4相关疾病提供潜在的治疗靶点。
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引用次数: 0
Evolutionary-Based Deep Learning Network Model using Adaptive Mixing Differential Evolution and Application in Acute Pulmonary Embolism 基于自适应混合差分进化的深度学习网络模型及其在急性肺栓塞中的应用
IF 10.7 1区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-03-13 DOI: 10.1016/j.jare.2026.03.009
Mingjing Wang, Hao ShangGuan, Yang yang, Yeqi Shou, Lizhi Shao, Yazhou Ji, Ali Asghar Heidari, Huiling Chen, Peiliang Wu

Introduction:

Acute pulmonary embolism (APE) is characterized by high incidence and mortality, along with non-specific clinical manifestations. Its common symptoms such as dyspnea, chest pain, cough, and hemoptysis can also appear in other diseases, frequently resulting in the oversight of APE patients and raising the risk of misdiagnosis and mortality. Current clinical risk stratification for pulmonary embolism usually depends on hemodynamic evaluation, the pulmonary embolism severity index, echocardiography, and myocardial injury markers. However, these assessment methods tend to be complex, time-consuming, invasive, and lack repeatability. Therefore, developing a more efficient and accurate tool for APE prediction and analysis is crucial.

Objectives:

To achieve precise prediction and analysis of APE patients using accessible clinical data, we developed an evolutionary-based deep learning network AlexNet model (EDLAlexNet) that leverages blood biochemical indices, vital signs, clinical parameters, and clinical characteristics. The goal is to provide a reliable clinical tool for the assessment and management of APE with high accuracy, specificity, sensitivity, and a favorable AUC.

Methods:

We developed the EDLAlexNet model, which incorporates a novel evolutionary computation method called adaptive mixing differential evolution (MIXDE) integrating Q-learning and opposition-based learning. The performance of the MIXDE algorithm was statistically validated on standard test datasets. Subsequently, the MIXDE-based EDLAlexNet was used to analyze data from intermediate-low-risk and high-risk pulmonary embolism patients.

Result:

The results for APE using EDLAlexNet showed promising performance, achieving an accuracy of 93.76%, specificity of 89.46%, sensitivity of 95.74%, and an AUC of 0.9527. These outcomes demonstrate the model’s effectiveness in precisely predicting and analyzing APE patients.

Conclusion:

Overall, EDLAlexNet, which integrates the MIXDE algorithm, exhibits excellent performance in APE prediction and analysis. It shows potential as a valuable clinical tool for the assessment and management of APE, addressing the limitations of current assessment methods.
急性肺栓塞(APE)的特点是发病率高、死亡率高,临床表现无特异性。其常见症状如呼吸困难、胸痛、咳嗽和咯血也可出现在其他疾病中,经常导致APE患者被忽视,并增加误诊和死亡的风险。目前肺栓塞的临床风险分层通常取决于血流动力学评估、肺栓塞严重程度指数、超声心动图和心肌损伤标志物。然而,这些评估方法往往是复杂的、耗时的、侵入性的,并且缺乏可重复性。因此,开发一种更有效、更准确的APE预测和分析工具至关重要。目的:为了利用可获得的临床数据实现APE患者的精确预测和分析,我们开发了一个基于进化的深度学习网络AlexNet模型(EDLAlexNet),该模型利用血液生化指标、生命体征、临床参数和临床特征。目的是为APE的评估和管理提供一种可靠的临床工具,具有较高的准确性、特异性、敏感性和良好的AUC。方法:我们开发了EDLAlexNet模型,该模型结合了一种新的进化计算方法,称为自适应混合差分进化(MIXDE),将q学习和基于对立的学习相结合。在标准测试数据集上对MIXDE算法的性能进行了统计验证。随后,基于mixde的EDLAlexNet被用于分析中低危和高危肺栓塞患者的数据。结果:EDLAlexNet检测APE的准确率为93.76%,特异度为89.46%,灵敏度为95.74%,AUC为0.9527。这些结果证明了该模型在准确预测和分析APE患者方面的有效性。结论:总体而言,集成MIXDE算法的EDLAlexNet在APE预测和分析方面表现优异。它显示了作为评估和管理APE的有价值的临床工具的潜力,解决了当前评估方法的局限性。
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引用次数: 0
Development of machine perfusion strategies for liver support and beyond 发展机器灌注策略的肝脏支持和超越
IF 10.7 1区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-03-13 DOI: 10.1016/j.jare.2026.03.019
Boqi Fu, Jinglin Wang, Wenkui Yu, Haozhen Ren
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引用次数: 0
期刊
Journal of Advanced Research
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