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Viral genome sequence datasets display pervasive evidence of strand-specific substitution biases that are best described using non-reversible nucleotide substitution models. 病毒基因组序列数据集显示了链特异性取代偏差的普遍证据,这些证据最好使用不可逆核苷酸取代模型来描述。
Pub Date : 2025-08-08 DOI: 10.21203/rs.3.rs-2407778/v2
Rita Sianga-Mete, Penelope Hartnady, Wimbai Caroline Mandikumba, Kayleigh Rutherford, Christopher Brian Currin, Florence Phelanyane, Sabina Stefan, Steven Weaver, Sergei L Kosakovsky Pond, Darren P Martin

Most phylogenetic trees are inferred using time-reversible evolutionary models that assume that the relative rates of substitution for any given pair of nucleotides are the same regardless of the direction of the substitutions. However, there is no reason to assume that the underlying biochemical mutational processes that cause substitutions are similarly symmetrical. We consider two non-reversible nucleotide substitution models: (1) a 6-rate non-reversible model (NREV6) that is applicable to analyzing mutational processes in double-stranded genomes in that complementary substitutions occur at identical rates; and (2) a 12-rate non-reversible model (NREV12) that is applicable to analyzing mutational processes in single-stranded (ss) genomes in that all substitution types are free to occur at different rates. Using likelihood ratio and Akaike Information Criterion-based model tests, we show that, surprisingly, NREV12 provided a significantly better fit than the General Time Reversible (GTR) and NREV6 models to 21/31 dsRNA and 20/30 dsDNA datasets. As expected, however, NREV12 provided a significantly better fit to 24/33 ssDNA and 40/47 ssRNA datasets. We tested how non-reversibility impacts the accuracy with which phylogenetic trees are inferred. As simulated degrees of non-reversibility (DNR) increased, the tree topology inferences using both NREV12 and GTR became more accurate, whereas inferred tree branch lengths became less accurate. We conclude that while non-reversible models should be helpful in the analysis of mutational processes in most virus species, there is no pressing need to use these models for routine phylogenetic inference.

背景:绝大多数系统发育树是使用时间可逆进化模型从分子序列数据(核苷酸或氨基酸)推断出来的,该模型假设,对于任何一对核苷酸或氨基酸特征,X到Y的相对取代率与Y到X的相对取代速率相同。然而,这种可逆性假设不太可能准确反映导致取代固定的实际潜在生化和/或进化过程。在这里,我们使用经验病毒基因组序列数据来揭示进化的不可逆性在大多数病毒群中普遍存在。明确地我们考虑了两个不可逆的核苷酸取代模型:(1)6速率不可逆模型(NREV6),其中Watson-Crick互补取代以相同的相对速率发生,因此它可能最适用于分析基因组的进化,其中两个互补链都经历相同的突变过程(例如双链(ds)RNA或dsDNA基因组);和(2)12速率不可逆模型(NREV12),其中所有相对取代类型都可以以不同的速率自由发生,因此可能适用于分析互补基因组链经历不同突变过程的基因组进化(例如具有单链(ss)RNA或ssDNA基因组的病毒可能预期的)似然比和基于Akaike信息标准的模型测试,我们发现,令人惊讶的是,NREV12对21/31 dsRNA和20/30 dsDNA数据集的拟合明显好于一般时间可逆(GTR)和NREV6模型,其中NREV6仅在5/30 dsDNA和2/31 dsRNA数据集中提供了比NREV12和GTR更好的拟合。正如预期的那样,NREV12对24/33 ssDNA和40/47 ssRNA数据集提供了明显更好的拟合。接下来,我们使用模拟来表明,无论GTR还是NREV12用于描述突变过程,链特异性取代偏差程度的增加都会降低系统发育推断的准确性。然而,在链特异性取代偏差极端的情况下(如在严重急性呼吸系统综合征冠状病毒2型和Torque teno-sus病毒数据集中),NREV12往往比使用GTR获得的系统发育树更准确。结论:我们表明,在涉及病毒基因组序列的系统发育分析的模型选择阶段,应该认真考虑NREV12。
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引用次数: 0
Structure of METTL3-METTL14 with an m6A nucleotide reveals insights into m6A conversion and sensing. METTL3-METTL14中的一个神秘口袋调节m6A的转换和传感。
Pub Date : 2024-10-23 DOI: 10.21203/rs.3.rs-3150186/v2
Shan Qi, Abhay Kumar, Shuang Chen, Shuo Zhou, Manish Parihar, Carmen Villalobos, Navom Gupta, Siu-Hong Chan, Manjeet K Rao, Stanton F McHardy, Shozeb Haider, Yogesh K Gupta

The nuclear METTL3-METTL14 transfers a methyl group from SAM to convert the N 6 of adenosine (A) in RNA to m6A and in ssDNA to 6mA. m6A marks are prevalent in eukaryotic mRNAs and lncRNAs and modulate their stability and fate in a context-dependent manner. The cytoplasmic METTL3 can act as a m6A reader. However, the precise mechanism during m6A writing, reading, or sensing is unclear. Here, we present a ~2.5 Å structure of the methyltransferase core of human METTL3-METTL14 in complex with the reaction product mimic, N 6 -methyladenosine monophosphate (m6A), representing a state post-catalysis but before the release of m6A. m6A occupies an evolutionarily conserved RNA-binding pocket ~16 Å away from the SAM pocket that also frequently mutates in cancer. We propose a two-step model of swiveling of target A upon conversion to m6A and sensing its methylation status by this pocket, enabling it to actuate enzymes' switch from writer to an m6A-sensor. Cancer-associated mutations show impaired RNA binding dynamics, de-stacking, and defective m6A writing and sensing.

核METTL3-METTL14酶复合物将甲基从S-腺苷-L-蛋氨酸(SAM)转移到RNA中腺苷(a)碱基的N6氨基,以将其转化为m6A,并在ssDNA中转化为6mA。m6A标记在真核信使核糖核酸和lncRNA中普遍存在,并以上下文依赖的方式调节其稳定性和命运。细胞质METTL3可以作为m6A读取器来调节mRNA翻译。然而,驱动从m6A写入器到读取器/传感器的开关的确切机制尚不清楚。在这里,我们展示了人METTL3-METTL14的甲基转移酶核心与反应产物N6-甲基腺苷一磷酸(m6A)的复合物的~2.5Å晶体结构,代表催化后但释放m6A之前的状态。m6A在METTL3-METTL14中占据一个新的进化保守的隐袋,位于距离癌症中频繁突变的SAM袋约16Å的位置。我们提出了一个两步模型,即靶a在转化为m6A时旋转,并通过隐袋检测其甲基化状态,使其能够启动酶从写入器切换到m6A传感器。癌症相关突变无法区分甲基化和非甲基化腺嘌呤,并显示RNA结合受损、去标记和m6A书写和感知缺陷。
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引用次数: 0
Combination of a MIP3α-antigen fusion therapeutic DNA vaccine with treatments of IFNα and 5-Aza-2'Deoxycytidine enhances activated effector CD8+ T cells expressing CD11c in the B16F10 melanoma model. MIP3α-抗原融合治疗性DNA疫苗与IFNα和5-氮杂-2脱氧胞苷治疗的组合增强了B16F10黑色素瘤模型中表达CD11c的活化效应CD8+T细胞。
Pub Date : 2024-08-20 DOI: 10.21203/rs.3.rs-3243336/v2
Kaitlyn Fessler, Jiaqi Zhang, Avinaash K Sandhu, Yinan Hui, Aakanksha R Kapoor, Samuel K Ayeh, Styliani Karanika, Petros C Karakousis, Richard B Markham, James T Gordy

Previous studies in the B16F10 mouse melanoma model have demonstrated that combining a DNA vaccine comprised of regions of gp100 and tyrosinase-related protein 2 fused to Macrophage-inflammatory protein 3-alpha (MIP3α) with recombinant Interferon alpha (IFN) and 5-Aza-2'-Deoxycytidine (5Aza) treatments resulted in significantly greater anti-tumor activity and immunogenicity in the tumor microenvironment (TME). This brief report details that the combination of vaccine with treatments IFN and 5Aza results in both the upregulation of genes expressing CD11c-interacting proteins and an increase in the TME of a distinct CD11c+ CD8+ T cell population. This cell population correlates with tumor size, is primarily comprised of effector or effector memory T cells, and has a more robust response to ex vivo stimulation as compared to CD11c- CD8+ T cells as measured by surface activation markers 4-1BB (CD137) and KLRG1 (Killer cell lectin-like receptor G1) and intracellular IFNγ production. In conclusion, this combination therapy results in greater presence of highly active effector CD8+ T-cells expressing CD11c in the TME that correlate with and are likely primary contributors to treatment efficacy.

先前对B16F10小鼠黑色素瘤模型的研究表明,将由gp100和与巨噬细胞炎症蛋白3-α(MIP3α)融合的酪氨酸酶相关蛋白2区域组成的DNA疫苗与重组干扰素-α(IFN)和5-氮杂-2’-脱氧胞苷(5Aza)治疗相结合,可显著提高肿瘤的抗肿瘤活性和免疫原性微环境(TME)。这份简短的报告详细说明了疫苗与治疗IFN和5Aza的组合导致表达CD11c相互作用蛋白的基因的上调和不同CD11c+CD8+T细胞群的TME的增加。该细胞群与肿瘤大小相关,主要由效应或效应记忆T细胞组成,与CD11c-CD8+T细胞相比,通过表面活化标记4-1BB(CD137)和KLRG1(杀伤细胞凝集素样受体G1)和细胞内IFNγ产生测量,该细胞群对离体刺激具有更强大的反应。总之,这种联合治疗导致TME中表达CD11c的高活性效应CD8+T细胞的更多存在,这些细胞与治疗效果相关并且可能是治疗效果的主要贡献者。
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引用次数: 0
Disparity in temporal and spatial relationships between resting-state electrophysiological and fMRI signals. 静息状态大脑网络产生于电生理学上的不可见信号。
Pub Date : 2024-06-26 DOI: 10.21203/rs.3.rs-3251741/v5
Wenyu Tu, Samuel R Cramer, Nanyin Zhang

Resting-state brain networks (RSNs) have been widely applied in health and disease, but the interpretation of RSNs in terms of the underlying neural activity is unclear. To address this fundamental question, we conducted simultaneous recordings of whole-brain resting-state functional magnetic resonance imaging (rsfMRI) and electrophysiology signals in two separate brain regions of rats. Our data reveal that for both recording sites, spatial maps derived from band-specific local field potential (LFP) power can account for up to 90% of the spatial variability in RSNs derived from rsfMRI signals. Surprisingly, the time series of LFP band power can only explain to a maximum of 35% of the temporal variance of the local rsfMRI time course from the same site. In addition, regressing out time series of LFP power from rsfMRI signals has minimal impact on the spatial patterns of rsfMRI-based RSNs. This disparity in the spatial and temporal relationships between resting-state electrophysiology and rsfMRI signals suggests that electrophysiological activity alone does not fully explain the effects observed in the rsfMRI signal, implying the existence of an rsfMRI component contributed by "electrophysiology-invisible" signals. These findings offer a novel perspective on our understanding of RSN interpretation.

静息状态脑网络(RSN)已在健康和疾病中得到广泛应用,但其对潜在神经活动的解释尚不清楚。为了系统地研究这一基石问题,我们同时记录了大鼠大脑两个独立区域的全脑静息状态功能性磁共振成像(rsfMRI)和电生理信号。我们的数据表明,对于两个记录位点,带特异性局部场电位(LFP)功率导出的空间图可以解释血氧水平依赖(BOLD)信号获得的RSN高达90%的空间方差。矛盾的是,即使在控制了可能影响明显LFP-BOLD相关性的因素(如对比噪声比)之后,LFP频带功率的时间序列也只能解释来自同一位置的局部BOLD时间过程的高达35%的时间变化。此外,从rsfMRI信号中回归出LFP带功率不会影响BOLD衍生的RSN的空间模式,这共同表明电生理活动对rsfMRI的信号具有边际影响。这些发现在轻度镇静和清醒状态下都保持一致。为了调和静息状态电生理学和rsfMRI信号之间的空间和时间关系中的这种矛盾,我们提出了一个模型,假设rssfMRI信号是由电生理学不可见的神经活动驱动的,这些神经活动在神经-血管耦合中活跃,但在时间上与电生理数据弱相关。同时,电生理学和电生理学不可见/BOD活动的信号传导都受到相同解剖主干的约束,导致空间相似的RSN。这些数据和模型为我们解释RSN提供了一个新的视角。
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引用次数: 0
A cluster randomized controlled trial to assess the impact of the ‘Caring for Providers to Improve Patient Experience’ intervention on person-centered maternity care in Kenya and Ghana: Study Protocol 评估 "关爱医护人员,改善患者体验 "干预措施对肯尼亚和加纳以人为本的孕产妇护理的影响的分组随机对照试验:研究方案
Pub Date : 2024-05-10 DOI: 10.21203/rs.3.rs-4344678/v1
P. Afulani, Monica Getahun, L. Ongeri, Raymond A Aborigo, J. Kinyua, Beryl A Ogolla, Jaffer Okiring, Ali Moro, Iscar Oluoch, Maxwell Dalaba, Osamuede Odiase, Jerry Nutor, Wendy Berry Mendes, Dilys Walker, Torsten B. Neilands
Abstract Background Poor person-centered maternal care (PCMC) contributes to high maternal mortality and morbidity, directly and indirectly, through lack of, delayed, inadequate, unnecessary, or harmful care. While evidence on poor PCMC prevalence, as well as inequities, expanded in the last decade, there is still a significant gap in evidence-based interventions to address PCMC. We describe the protocol for a trial to test the effectiveness of the “Caring for Providers to Improve Patient Experience” (CPIPE) intervention, which includes five strategies for provider behavior change, targeting provider stress and bias as intermediate factors to improve PCMC and to address inequities. Methods The trial will assess the effect of CPIPE on PCMC, as well as on intermediate and distal outcomes, using a two-arm cluster randomized controlled trial in 40 health facilities in Migori and Homa Bay Counties in Kenya and Upper East and Northeast Regions in Ghana. Twenty facilities in each country will be randomized to 10 intervention and 10 control sites. The primary intervention targets are all healthcare workers who provide maternal health services. The intervention impact will also be assessed first among providers, and then among women who give birth in health facilities. The primary outcome is PCMC measured with the PCMC scale, via multiple cross-sectional surveys of mothers who gave birth in the preceding 12 weeks in study facilities at baseline (prior to the intervention), midline (6 months after intervention start), and endline (12 months post-baseline) (N = 2000 across both countries at each time point). Additionally, 400 providers in the study facilities across both countries will be followed longitudinally at baseline, midline, and endline, to assess intermediate outcomes. The trial incorporates a mixed-methods design; survey data alongside in-depth interviews (IDIs) with healthcare facility leaders, providers, and mothers to qualitatively explore factors influencing the outcomes. Finally, we will collect process and cost data to assess intervention fidelity and cost-effectiveness. Discussion This trial will be the first to rigorously assess an intervention to improve PCMC that addresses both provider stress and bias and will advance the evidence base for interventions to improve PCMC and contribute to equity in maternal and neonatal health.
摘要 背景 以人为本的孕产妇护理(PCMC)不完善,直接或间接地导致孕产妇死亡率和发病率居高不下,其原因是缺乏护理、护理延误、护理不充分、护理不必要或有害。在过去十年中,有关以人为本的孕产妇护理(PCMC)不良率以及不公平现象的证据有所增加,但在以证据为基础的干预措施方面仍存在巨大差距。我们介绍了 "关爱医护人员,改善患者体验"(CPIPE)干预试验的方案,其中包括五项改变医护人员行为的策略,将医护人员的压力和偏见作为改善 PCMC 和解决不平等问题的中间因素。方法 该试验将在肯尼亚米戈里和霍马湾县以及加纳上东部和东北部地区的 40 家医疗机构开展双臂分组随机对照试验,评估 CPIPE 对 PCMC 以及中间和远端结果的影响。每个国家的 20 家医疗机构将被随机分配到 10 个干预地点和 10 个对照地点。主要干预对象是所有提供孕产妇保健服务的医护人员。干预效果也将首先在医疗服务提供者中进行评估,然后在医疗机构的产妇中进行评估。主要结果是使用 PCMC 量表测量 PCMC,在基线(干预前)、中线(干预开始后 6 个月)和终点(基线后 12 个月)对研究机构中前 12 周分娩的母亲进行多次横断面调查(每个时间点两国的调查人数均为 2000 人)。此外,还将在基线、中线和终点对两国研究机构的 400 名医疗服务提供者进行纵向跟踪,以评估中间结果。该试验采用混合方法设计;调查数据与对医疗机构领导、医疗服务提供者和母亲的深入访谈(IDI)相结合,从定性角度探讨影响结果的因素。最后,我们还将收集过程和成本数据,以评估干预的忠实性和成本效益。讨论 该试验将是首次对改善 PCMC 的干预措施进行严格评估,以解决提供者的压力和偏见问题,并将推进改善 PCMC 的干预措施的证据基础,促进孕产妇和新生儿健康的公平性。
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引用次数: 0
Prioritizing disease-related rare variants by integrating gene expression data 通过整合基因表达数据确定与疾病相关的罕见变异的优先次序
Pub Date : 2024-05-10 DOI: 10.21203/rs.3.rs-4355589/v1
Hanmin Guo, Alexander Eckehart Urban, Wing Hung Wong
Abstract Rare variants, comprising a vast majority of human genetic variations, are likely to have more deleterious impact on human diseases compared to common variants. Here we present carrier statistic, a statistical framework to prioritize disease-related rare variants by integrating gene expression data. By quantifying the impact of rare variants on gene expression, carrier statistic can prioritize those rare variants that have large functional consequence in the diseased patients. Through simulation studies and analyzing real multi-omics dataset, we demonstrated that carrier statistic is applicable in studies with limited sample size (a few hundreds) and achieves substantially higher sensitivity than existing rare variants association methods. Application to Alzheimer's disease reveals 16 rare variants within 15 genes with extreme carrier statistics. We also found strong excess of rare variants among the top prioritized genes in diseased patients compared to that in healthy individuals. The carrier statistic method can be applied to various rare variant types and is adaptable to other omics data modalities, offering a powerful tool for investigating the molecular mechanisms underlying complex diseases.
摘要 罕见变异占人类基因变异的绝大多数,与常见变异相比,罕见变异可能对人类疾病产生更大的有害影响。在此,我们提出了载体统计法,这是一种通过整合基因表达数据来优先排序与疾病相关的罕见变异的统计框架。通过量化罕见变异对基因表达的影响,carrier statistic 可以优先选择那些对患病患者有较大功能影响的罕见变异。通过模拟研究和对真实多组学数据集的分析,我们证明了载体统计法适用于样本量有限(几百个)的研究,而且灵敏度大大高于现有的罕见变异关联方法。在阿尔茨海默病中的应用揭示了 15 个基因中有 16 个罕见变异具有极高的载体统计量。我们还发现,与健康人相比,患病病人的优先基因中罕见变异极多。载体统计方法可应用于各种罕见变异类型,并可适用于其他 Omics 数据模式,为研究复杂疾病的分子机制提供了一个强大的工具。
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引用次数: 0
Pharmacological PINK1 activation ameliorates Pathology in Parkinson’s Disease models 药理激活 PINK1 可改善帕金森病模型的病理变化
Pub Date : 2024-05-10 DOI: 10.21203/rs.3.rs-4356493/v1
Nicholas Hertz, Randall Chin, Rishi Rakhit, D. Ditsworth, Chengzhong Wang, Johan Bartholomeus, Song Liu, Akash Mody, Alex Laihsu, A. Eastes, Chao Tai, Roy Kim, Jessica Li, Saurabh Khasnavis, Victoria Rafalski, Donald Heerendeen, Virginia Garda, Jennie Phung, Daniel de Roulet, A. Ordureau, J. W. Harper, Shawn Johnstone, Jan Stöhr
Abstract PINK1 loss-of-function mutations and exposure to mitochondrial toxins are causative for Parkinson’s disease (PD) and Parkinsonism, respectively. We demonstrate that pathological α-synuclein deposition, the hallmark pathology of idiopathic PD, induces mitochondrial dysfunction, and impairs mitophagy as evidenced by the accumulation of the PINK1 substrate pS65-Ubiquitin (pUb). We discovered MTK458, a brain penetrant small molecule that binds to PINK1 and stabilizes its active complex, resulting in increased rates of mitophagy. Treatment with MTK458 mediates clearance of accumulated pUb and α-synuclein pathology in α-synuclein pathology models in vitro and in vivo. Our findings from preclinical PD models suggest that pharmacological activation of PINK1 warrants further clinical evaluation as a therapeutic strategy for disease modification in PD.
摘要 PINK1功能缺失突变和线粒体毒素暴露分别是帕金森病(PD)和帕金森综合症的致病原因。我们证明,病理性α-突触核蛋白沉积是特发性帕金森病的标志性病理特征,会诱发线粒体功能障碍,并损害有丝分裂,PINK1底物pS65-泛素(pUb)的积累就是证明。我们发现了一种脑穿透性小分子 MTK458,它能与 PINK1 结合并稳定其活性复合物,从而提高有丝分裂率。在体外和体内的α-突触核蛋白病理模型中,用MTK458治疗可介导累积的pUb和α-突触核蛋白病理的清除。我们从临床前帕金森病模型中获得的研究结果表明,药理激活 PINK1 作为帕金森病的一种治疗策略,值得进一步进行临床评估。
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引用次数: 0
Acute sympathetic activation blunts the hyperemic and vasodilatory response to passive leg movement 交感神经的急性激活会减弱对腿部被动运动的高充血和血管扩张反应
Pub Date : 2024-05-10 DOI: 10.21203/rs.3.rs-4356062/v1
Brady E Hanson, Joshua F Lee, R. Garten, Zachary Barrett O'Keefe, G. Layec, Bradley A Ruple, D. Wray, Russell S. Richardson, J. Trinity
Abstract Heightened muscle sympathetic nerve activity (MSNA) contributes to impaired vasodilatory capacity and vascular dysfunction associated with aging and cardiovascular disease. The contribution of elevated MSNA to the vasodilatory response during passive leg movement (PLM) has not been adequately addressed. This study sought to test the hypothesis that elevated MSNA diminishes the vasodilatory response to PLM in healthy young males (n = 11, 25 ± 2 year). Post exercise circulatory occlusion (PECO) following 2 min of isometric handgrip (HG) exercise performed at 25% (ExPECO 25%) and 40% (ExPECO 40%) of maximum voluntary contraction was used to incrementally engage the metaboreceptors and augment MSNA. Control trials were performed without PECO (ExCON 25% and ExCON 40%) to account for changes due to HG exercise. PLM was performed 2 min after the cessation of exercise and central and peripheral hemodynamics were assessed. MSNA was directly recorded by microneurography in the peroneal nerve (n = 8). Measures of MSNA (i.e., burst incidences) increased during ExPECO 25% (+ 15 ± 5 burst/100 bpm) and ExPECO 40% (+ 22 ± 4 burst/100 bpm) and returned to pre-HG levels during ExCON trials. Vasodilation, assessed by the change in leg vascular conductance during PLM, was reduced by 16% and 44% during ExPECO 25% and ExPECO 40%, respectively. These findings indicate that elevated MSNA attenuates the vasodilatory response to PLM and that the magnitude of reduction in vasodilation during PLM is graded in relation to the degree of sympathoexcitation.
摘要 肌肉交感神经活动(MSNA)的增强会导致血管舒张能力受损以及与衰老和心血管疾病相关的血管功能障碍。在腿部被动运动(PLM)过程中,MSNA 升高对血管舒张反应的贡献尚未得到充分研究。本研究试图验证一个假设,即 MSNA 升高会降低健康年轻男性(n = 11,25 ± 2 岁)在被动腿部运动时的血管舒张反应。在最大自主收缩量的 25% (ExPECO 25%) 和 40% (ExPECO 40%) 下进行 2 分钟的等长手握(HG)运动后,采用运动后循环闭塞(PECO)来逐步调动代谢感受器并增强 MSNA。对照试验在不进行 PECO(ExCON 25% 和 ExCON 40%)的情况下进行,以考虑 HG 运动引起的变化。运动停止 2 分钟后进行 PLM,评估中心和外周血液动力学。通过腓总神经显微神经电图直接记录 MSNA(n = 8)。在 ExPECO 25% 和 ExPECO 40% 试验期间,MSNA 的测量值(即爆发发生率)分别增加(+ 15 ± 5 爆发/100 bpm)和(+ 22 ± 4 爆发/100 bpm),而在 ExCON 试验期间则恢复到 HG 前的水平。通过 PLM 期间腿部血管传导变化评估的血管舒张在 ExPECO 25% 和 ExPECO 40% 试验期间分别减少了 16% 和 44%。这些研究结果表明,MSNA 的升高会减弱对 PLM 的血管舒张反应,而 PLM 期间血管舒张减少的程度与交感兴奋的程度有关。
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引用次数: 0
Radiomics-Based Predictive Nomogram for Assessing the Risk of Intracranial Aneurysms 基于放射组学的颅内动脉瘤风险评估预测提名图
Pub Date : 2024-05-10 DOI: 10.21203/rs.3.rs-4350156/v1
Sricharan S. Veeturi, Arshaq Saleem, Diego Ojeda, Elena Sagues, Sebastian Sanchez, Andres S Gudino, E. Levy, David Hasan, Adnan H Siddiqui, V. Tutino, Edgar A Samaniego
Abstract Background: Aneurysm wall enhancement (AWE) has the potential to be used as an imaging biomarker for the risk stratification of intracranial aneurysms (IAs). Radiomics provides a refined approach to quantify and further characterize AWE's textural features. This study examines the performance of AWE quantification combined with clinical information in detecting symptomatic IAs. Methods: Ninety patients harboring 104 IAs (29 symptomatic and 75 asymptomatic) underwent high-resolution magnetic resonance imaging (HR-MRI). The assessment of AWE was performed using two different methods: 3D-AWE mapping and composite radiomics-based score (RadScore). The dataset was split into training and testing subsets. The testing set was used to build two different nomograms using each modality of AWE assessment combined with patients’ demographic information and aneurysm morphological data. Finally, each nomogram was evaluated on an independent testing set. Results: A total of 22 radiomic features were significantly different between symptomatic and asymptomatic IAs. The 3D-AWE Mapping nomogram achieved an area under the curve (AUC) of 0.77 (63% accuracy, 78% sensitivity and 58% specificity). The RadScore nomogram exhibited a better performance, achieving an AUC of 0.83 (77% accuracy, 89% sensitivity and 73% specificity). Conclusions : Combining AWE quantification through radiomic analysis with patient demographic data in a clinical nomogram achieved high accuracy in detecting symptomatic IAs.
摘要 背景:动脉瘤壁强化(AWE)有可能被用作颅内动脉瘤(IAs)风险分层的成像生物标志物。放射组学提供了一种精细的方法来量化和进一步描述 AWE 的纹理特征。本研究探讨了 AWE 定量与临床信息相结合在检测无症状 IAs 方面的性能。方法:携带 104 个 IAs 的 90 位患者(29 位有症状,75 位无症状)接受了高分辨率磁共振成像(HR-MRI)检查。AWE 评估采用两种不同的方法:3D-AWE 绘图和基于放射组学的综合评分(RadScore)。数据集分为训练子集和测试子集。测试集用于使用每种 AWE 评估方法结合患者的人口统计学信息和动脉瘤形态学数据建立两种不同的提名图。最后,在独立的测试集上对每个提名图进行评估。结果有症状和无症状动脉瘤之间共有22个放射学特征存在显著差异。3D-AWE Mapping提名图的曲线下面积(AUC)为0.77(准确率63%,灵敏度78%,特异性58%)。RadScore 提名图的表现更好,AUC 为 0.83(准确率为 77%,灵敏度为 89%,特异性为 73%)。结论 :在临床提名图中,通过放射学分析将 AWE 定量与患者人口统计学数据相结合,在检测有症状的 IA 方面达到了很高的准确性。
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引用次数: 0
The intersecting effects of race, wealth, and education on AIDS incidence, mortality, and case-fatality rate: a Brazilian cohort study of 28.3 million individuals 种族、财富和教育对艾滋病发病率、死亡率和病死率的交叉影响:对 2 830 万人进行的巴西队列研究
Pub Date : 2024-05-10 DOI: 10.21203/rs.3.rs-4314004/v1
Iracema Lua, Laio Magno, Andréa Silva, P. Pinto, João Luiz Bastos, Gabriela S Jesus, Ronaldo Coelho, Maria Ichihara, M. Barreto, Carlos Teles Santos, C. Moucheraud, Pamina Gorbach, James Macinko, Luis Souza, Inês Dourado, D. Rasella
Abstract The relationships between race, education, wealth, their intersections and AIDS morbidity/mortality were analyzed in retrospective cohort of 28.3 million individuals followed for 9 years (2007-2015). Together with several sensitivity analyses, a wide range of interactions on additive and multiplicative scales were estimated. Race, education, and wealth were each strongly associated with all of the AIDS-related outcomes, and the magnitude of the associations increased as intersections were included. A significantly higher risk of illness (aRR: 3.07, 95%CI:2.67-3.53) and death (aRR: 4.96, 95%CI:3.99-6.16) from AIDS was observed at the intersection of Black race, lower educational attainment, and less wealth. A higher case-fatality rate (aRR: 1.62, 95%CI:1.18-2.21) was also seen for the same intersectional group. Historically oppressed groups lying at the intersections of race, education, and wealth, had a considerably higher risk of illness and death from AIDS. AIDS-related interventions will require the implementation of comprehensive intersectoral policies that follow an intersectionality perspective.
摘要 在对 2830 万人进行了长达 9 年(2007-2015 年)跟踪调查的回顾性队列中,分析了种族、教育、财富及其交叉点与艾滋病发病率/死亡率之间的关系。结合几种敏感性分析,对加法和乘法尺度上的各种交互作用进行了估算。种族、教育程度和财富均与所有艾滋病相关结果密切相关,而且随着交叉分析的加入,相关程度也在增加。在黑人种族、教育程度较低和财富较少的交叉点,观察到因艾滋病而患病(aRR:3.07,95%CI:2.67-3.53)和死亡(aRR:4.96,95%CI:3.99-6.16)的风险明显较高。同一交叉群体的病死率也较高(aRR:1.62,95%CI:1.18-2.21)。处于种族、教育和财富交叉点上的历史受压迫群体患艾滋病和死于艾滋病的风险要高得多。与艾滋病有关的干预措施需要实施全面的跨部门政策,并遵循交叉性观点。
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