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Sharing antigens from stem cell membranes 共享干细胞膜上的抗原
IF 28.1 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-12-27 DOI: 10.1038/s41551-024-01323-2
Yuewen Zhai, Siwen Li
A prophylactic cancer vaccine leveraging shared antigens between the membranes of tumour cells and pluripotent stem cells inhibited the progression of multiple types of tumour in mice.
一种利用肿瘤细胞和多能干细胞膜之间共享抗原的预防性癌症疫苗抑制了小鼠多种类型肿瘤的进展。
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引用次数: 0
Challenges and opportunities of acquiring cortical recordings for chronic adaptive deep brain stimulation 慢性适应性深部脑刺激获取皮层记录的挑战和机遇
IF 28.1 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-12-27 DOI: 10.1038/s41551-024-01314-3
Jeffrey Herron, Aura Kullmann, Timothy Denison, Wayne K. Goodman, Aysegul Gunduz, Wolf-Julian Neumann, Nicole R. Provenza, Maryam M. Shanechi, Sameer A. Sheth, Philip A. Starr, Alik S. Widge

Deep brain stimulation (DBS), a proven treatment for movement disorders, also holds promise for the treatment of psychiatric and cognitive conditions. However, for DBS to be clinically effective, it may require DBS technology that can alter or trigger stimulation in response to changes in biomarkers sensed from the patient’s brain. A growing body of evidence suggests that such adaptive DBS is feasible, it might achieve clinical effects that are not possible with standard continuous DBS and that some of the best biomarkers are signals from the cerebral cortex. Yet capturing those markers requires the placement of cortex-optimized electrodes in addition to standard electrodes for DBS. In this Perspective we argue that the need for cortical biomarkers in adaptive DBS and the unfortunate convergence of regulatory and financial factors underpinning the unavailability of cortical electrodes for chronic uses threatens to slow down or stall research on adaptive DBS and propose public–private partnerships as a potential solution to such a critical technological gap.

脑深部刺激(DBS)是一种已被证实的治疗运动障碍的方法,也有望治疗精神和认知疾病。然而,要使DBS在临床上有效,可能需要DBS技术能够改变或触发刺激,以响应从患者大脑感知到的生物标志物的变化。越来越多的证据表明,这种适应性DBS是可行的,它可能达到标准连续DBS无法达到的临床效果,并且一些最好的生物标志物是来自大脑皮层的信号。然而,除了DBS的标准电极外,捕获这些标记还需要放置皮质优化电极。从这个角度来看,我们认为适应性DBS中对皮质生物标志物的需求,以及导致皮质电极无法长期使用的监管和财务因素的不幸融合,可能会减缓或停滞适应性DBS的研究,并提出公私合作伙伴关系作为解决这一关键技术差距的潜在解决方案。
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引用次数: 0
An application-based taxonomy for brain–computer interfaces 基于应用程序的脑机接口分类法
IF 28.1 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-12-23 DOI: 10.1038/s41551-024-01326-z
Jacob T. Robinson, Sumner L. Norman, Matthew R. Angle, Timothy G. Constandinou, Timothy Denison, John P. Donoghue, Ryan M. Field, Andreas Forsland, Sid Kouider, José del R. Millán, Jonathan A. Michaels, Amy L. Orsborn, Chethan Pandarinath, J. Andrew Pruszynski, Christopher J. Rozell, Nishal P. Shah, Maryam M. Shanechi, Mahsa Shoaran, Sameer A. Sheth, Sergey D. Stavisky, Eric Trautmann, Nicolas Vachicouras, Chong Xie
Naming brain–computer interfaces according to their intended application will assist stakeholders in the evaluation of the benefits and risks of neurotechnologies.
根据其预期应用命名脑机接口将有助于利益相关者评估神经技术的收益和风险。
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引用次数: 0
Prediction of metabolic subphenotypes of type 2 diabetes via continuous glucose monitoring and machine learning 通过连续血糖监测和机器学习预测2型糖尿病的代谢亚表型
IF 28.1 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-12-23 DOI: 10.1038/s41551-024-01311-6
Ahmed A. Metwally, Dalia Perelman, Heyjun Park, Yue Wu, Alokkumar Jha, Seth Sharp, Alessandra Celli, Ekrem Ayhan, Fahim Abbasi, Anna L. Gloyn, Tracey McLaughlin, Michael P. Snyder

The classification of type 2 diabetes and prediabetes does not consider heterogeneity in the pathophysiology of glucose dysregulation. Here we show that prediabetes is characterized by metabolic heterogeneity, and that metabolic subphenotypes can be predicted by the shape of the glucose curve measured via a continuous glucose monitor (CGM) during standardized oral glucose-tolerance tests (OGTTs) performed in at-home settings. Gold-standard metabolic tests in 32 individuals with early glucose dysregulation revealed dominant or co-dominant subphenotypes (muscle or hepatic insulin-resistance phenotypes in 34% of the individuals, and β-cell-dysfunction or impaired-incretin-action phenotypes in 40% of them). Machine-learning models trained with glucose time series from OGTTs from the 32 individuals predicted the subphenotypes with areas under the curve (AUCs) of 95% for muscle insulin resistance, 89% for β-cell deficiency and 88% for impaired incretin action. With CGM-generated glucose curves obtained during at-home OGTTs, the models predicted the muscle-insulin-resistance and β-cell-deficiency subphenotypes of 29 individuals with AUCs of 88% and 84%, respectively. At-home identification of metabolic subphenotypes via a CGM may aid the risk stratification of individuals with early glucose dysregulation.

2型糖尿病和前驱糖尿病的分类没有考虑到葡萄糖失调病理生理的异质性。本研究表明,糖尿病前期以代谢异质性为特征,代谢亚表型可以通过在家庭环境中进行标准化口服葡萄糖耐量试验(ogtt)期间通过连续血糖监测仪(CGM)测量的葡萄糖曲线形状来预测。32例早期血糖失调患者的金标准代谢测试显示出显性或共显性亚表型(34%的个体为肌肉或肝脏胰岛素抵抗表型,40%的个体为β细胞功能障碍或胰岛素作用受损表型)。使用来自32个个体的ogtt的葡萄糖时间序列训练的机器学习模型预测的亚表型曲线下面积(auc)为肌肉胰岛素抵抗95%,β细胞缺乏89%,肠促胰岛素作用受损88%。利用在家ogtt中获得的cgm生成的葡萄糖曲线,模型预测了29名auc分别为88%和84%的个体的肌肉胰岛素抵抗和β细胞缺乏亚表型。通过CGM在家中鉴定代谢亚表型可能有助于早期血糖失调个体的风险分层。
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引用次数: 0
Leucine zipper-based immunomagnetic purification of CAR T cells displaying multiple receptors 基于亮氨酸拉链的多受体CAR - T细胞免疫磁纯化
IF 26.8 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-12-23 DOI: 10.1038/s41551-024-01287-3
Scott E. James, Sophia Chen, Brandon D. Ng, Jacob S. Fischman, Lorenz Jahn, Alexander P. Boardman, Adhithi Rajagopalan, Harold K. Elias, Alyssa Massa, Dylan Manuele, Katherine B. Nichols, Amina Lazrak, Nicole Lee, Aoife M. Roche, Alexander G. McFarland, Angelina Petrichenko, John K. Everett, Frederic D. Bushman, Teng Fei, Anastasia I. Kousa, Andri L. Lemarquis, Susan DeWolf, Jonathan U. Peled, Santosha A. Vardhana, Christopher A. Klebanoff, Marcel R. M. van den Brink
Resistance to chimaeric antigen receptor (CAR) T cell therapy develops through multiple mechanisms, most notably antigen loss and tumour-induced immune suppression. It has been suggested that T cells expressing multiple CARs may overcome the resistance of tumours and that T cells expressing receptors that switch inhibitory immune-checkpoint signals into costimulatory signals may enhance the activity of the T cells in the tumour microenvironment. However, engineering multiple features into a single T cell product is difficult because of the transgene-packaging constraints of current gene-delivery vectors. Here we describe a cell-sorting method that leverages leucine zippers for the selective single-step immunomagnetic purification of cells co-transduced with two vectors. Such ‘Zip sorting’ facilitated the generation of T cells simultaneously expressing up to four CARs and coexpressing up to three ‘switch’ receptors. In syngeneic mouse models, T cells with multiple CARs and multiple switch receptors eliminated antigenically heterogeneous populations of leukaemia cells coexpressing multiple inhibitory ligands. By combining diverse therapeutic strategies, Zip-sorted multi-CAR multi-switch-receptor T cells can overcome multiple mechanisms of CAR T cell resistance. A cell-sorting method leveraging leucine zippers allows for the generation of T cells displaying multiple chimaeric antigen receptors as well as receptors converting inhibitory signals into stimulatory signals.
对嵌合抗原受体(CAR) T细胞治疗的耐药性通过多种机制发展,最明显的是抗原丢失和肿瘤诱导的免疫抑制。有研究表明,表达多种car的T细胞可能克服肿瘤的耐药性,并且表达将抑制性免疫检查点信号转换为共刺激信号的受体的T细胞可能增强肿瘤微环境中T细胞的活性。然而,由于目前基因传递载体的转基因包装限制,将多个特征工程化为单个T细胞产品是困难的。在这里,我们描述了一种细胞分选方法,利用亮氨酸拉链选择性单步免疫磁纯化细胞共转导与两个载体。这种“Zip分选”促进了T细胞的产生,同时表达多达四种car和共表达多达三种“开关”受体。在同基因小鼠模型中,具有多种car和多种开关受体的T细胞消除了共表达多种抑制配体的白血病细胞的抗原性异质性群体。通过结合多种治疗策略,zip - sorting multi-CAR - multi-switch-receptor T细胞可以克服多种机制的CAR - T细胞耐药性。
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引用次数: 0
An antifibrotic therapy for myocardial infarction 一种治疗心肌梗塞的抗纤维化疗法
IF 26.8 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-12-23 DOI: 10.1038/s41551-024-01335-y
Valeria Caprettini
High-throughput screening led to the identification of artesunate as an antifibrotic agent that targets the glycoprotein myeloid differentiation factor 2 in the infarcted heart.
高通量筛选鉴定出青蒿琥酯是一种抗纤维化药物,可靶向梗死心脏的糖蛋白髓样分化因子2。
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引用次数: 0
Making CRISPR more deliverable 让CRISPR更具可交付性
IF 26.8 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-12-23 DOI: 10.1038/s41551-024-01332-1
Filipe V. Almeida
Cas9-based ribonucleoproteins engineered via directed evolution and encapsulated in optimized lipid nanoparticles improve genome-editing efficacies in the livers and lungs of mice.
通过定向进化设计的基于cas9的核糖核蛋白并包裹在优化的脂质纳米颗粒中,可提高小鼠肝脏和肺部的基因组编辑效率。
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引用次数: 0
‘CRISPRing’ with therapeutic cells “crispr”治疗细胞
IF 26.8 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-12-23 DOI: 10.1038/s41551-024-01336-x
Genome editing is powering the generation of increasingly safer and potent multifunctional therapeutic cells.
基因组编辑正在为越来越安全和有效的多功能治疗细胞的产生提供动力。
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引用次数: 0
Bridging scales in brain connectivity 大脑连接的桥接尺度
IF 26.8 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-12-23 DOI: 10.1038/s41551-024-01329-w
Pep Pàmies
Combining neuroimaging with molecular and cellular data reveals how microscale features shape large-scale brain networks.
将神经成像与分子和细胞数据相结合,揭示了微尺度特征如何塑造大规模的大脑网络。
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引用次数: 0
Synthetic multimodal data modelling for data imputation 用于数据输入的综合多模态数据建模
IF 28.1 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-12-23 DOI: 10.1038/s41551-024-01324-1
Francisco Carrillo-Perez, Marija Pizurica, Kathleen Marchal, Olivier Gevaert
Foundation models can be advantageously harnessed to estimate missing data in multimodal biomedical datasets and to generate realistic synthetic samples.
基础模型可以被有利地利用来估计多模态生物医学数据集中的缺失数据并生成真实的合成样本。
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Nature Biomedical Engineering
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