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A multi-omics Mendelian randomization study identifies new therapeutic targets for alcohol use disorder and problem drinking 多组学孟德尔随机化研究确定了酒精使用障碍和问题饮酒的新治疗靶点
IF 29.9 1区 材料科学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-11 DOI: 10.1038/s41562-024-02040-1
Daniel B. Rosoff, Josephin Wagner, Andrew S. Bell, Lucas A. Mavromatis, Jeesun Jung, Falk W. Lohoff

Integrating proteomic and transcriptomic data with genetic architectures of problematic alcohol use and alcohol consumption behaviours can advance our understanding and help identify therapeutic targets. We conducted systematic screens using genome-wise association study data from ~3,500 cortical proteins (N = 722) and ~6,100 genes in 8 canonical brain cell types (N = 192) with 4 alcohol-related outcomes (N ≤ 537,349), identifying 217 cortical proteins and 255 cell-type genes associated with these behaviours, with 36 proteins and 37 cell-type genes being new. Although there was limited overlap between proteome and transcriptome targets, downstream neuroimaging revealed shared neurophysiological pathways. Colocalization with independent genome-wise association study data further prioritized 16 proteins, including CAB39L and NRBP1, and 12 cell-type genes, implicating mechanisms such as mTOR signalling. In addition, genes such as SAMHD1, VIPAS39, NUP160 and INO80E were identified as having favourable neuropsychiatric profiles. These findings provide insights into the genetic landscapes governing problematic alcohol use and alcohol consumption behaviours, highlighting promising therapeutic targets for future research.

将蛋白质组和转录组数据与问题酒精使用和酒精消费行为的基因结构相结合,可以加深我们的理解,并有助于确定治疗靶点。我们利用基因组学关联研究数据对约 3,500 个皮质蛋白质(N = 722)和 8 种典型脑细胞类型(N = 192)中的约 6,100 个基因与 4 种酒精相关结果(N ≤ 537,349)进行了系统筛选,确定了与这些行为相关的 217 个皮质蛋白质和 255 个细胞类型基因,其中 36 个蛋白质和 37 个细胞类型基因是新发现的。虽然蛋白质组和转录组目标之间的重叠有限,但下游神经影像学发现了共同的神经生理通路。与独立基因组关联研究数据的共定位进一步确定了 16 个蛋白质(包括 CAB39L 和 NRBP1)和 12 个细胞类型基因的优先级,这与 mTOR 信号传导等机制有关。此外,还发现 SAMHD1、VIPAS39、NUP160 和 INO80E 等基因具有良好的神经精神特征。这些研究结果提供了有关问题酒精使用和酒精消费行为的基因图谱,为未来的研究提供了有前景的治疗目标。
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引用次数: 0
Audio Summary 音频摘要
IF 24 1区 材料科学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-11 DOI: 10.1016/s0735-1097(24)09993-5
No Abstract
无摘要
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引用次数: 0
Social movements boosted online orders for US Black-owned restaurants after the murder of George Floyd 乔治-弗洛伊德遇害后,社会运动促进了美国黑人餐馆的网上订单量
IF 29.9 1区 材料科学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-11 DOI: 10.1038/s41562-024-02038-9
Sumit Agarwal, Yupeng Lin, Jean (Jieyin) Zeng

We use the rise of Black Lives Matter and the sentiment of racial sympathy to examine the interplay between the social movement and citizens’ sympathetic actions in supporting Black people. Using detailed food order flow information from one of the largest online food delivery platforms in the USA, we find that the total number of food orders from Black-owned restaurants increased by 39% relative to nearby non-Black-owned restaurants in the 140 days following the murder of George Floyd on the basis of a difference-in-difference model. The platform company’s strategic traffic allocation acted as an accelerator, enhancing the sympathetic responses of individuals, but it did not drive the entire surge in food orders. Protests resulting in severe injuries and those linked to demands for defunding the police diminished the positive sympathetic responses, highlighting a potential risk associated with protests. Our study provides large-scale, micro-level evidence that social movements and increased sympathy can foster collective actions to support marginalized communities.

我们利用 "黑人生命至上 "运动的兴起和种族同情情绪来研究社会运动与公民支持黑人的同情行动之间的相互作用。我们利用美国最大的在线送餐平台之一提供的详细订餐流信息,在差分模型的基础上发现,在乔治-弗洛伊德谋杀案发生后的 140 天内,黑人拥有的餐馆的订餐总数比附近非黑人拥有的餐馆增加了 39%。平台公司的战略流量分配起到了加速器的作用,增强了个人的同情反应,但并没有推动整个食品订单的激增。导致严重伤害的抗议活动以及与要求为警察拨款有关的抗议活动削弱了积极的同情反应,凸显了与抗议活动相关的潜在风险。我们的研究提供了大规模、微观层面的证据,证明社会运动和同情的增加可以促进支持边缘化社区的集体行动。
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引用次数: 0
Interacting as equals reduces partisan polarization in Mexico 平等互动减少了墨西哥的党派两极分化
IF 29.9 1区 材料科学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-11 DOI: 10.1038/s41562-024-02043-y
Kenneth F. Greene, Erin L. Rossiter, Enrique Seira, Alberto Simpser

In many contemporary democracies, political polarization increasingly involves deep-seated intolerance of opposing partisans. The decades-old contact hypothesis suggests that cross-partisan interactions might reduce intolerance if individuals interact with equal social status. Here we test this idea by implementing collaborative contact between 1,227 pairs of citizens (2,454 individuals) with opposing partisan sympathies in Mexico, using the online medium to credibly randomize participants’ relative social status within the interaction. Interacting under both equal and unequal status enhanced tolerant behaviour immediately after contact; however, 3 weeks later, only the salutary effects of equal contact endured. These results demonstrate that a simple, scalable intervention that puts people on equal footing can reduce partisan polarization and make online contact into a prosocial force.

在许多当代民主国家,政治两极化越来越多地表现为对对立党派的根深蒂固的不容忍。已有几十年历史的接触假说认为,如果个人在社会地位平等的情况下进行互动,跨党派互动可能会减少不容忍现象。在这里,我们通过在墨西哥 1,227 对具有对立党派同情心的公民(2,454 人)之间实施协作接触来验证这一观点,并利用在线媒介可信地随机化参与者在互动中的相对社会地位。在平等和不平等地位的情况下进行互动,会在接触后立即增强容忍行为;然而,3 周后,只有平等接触的有利影响持续存在。这些结果表明,一种简单、可扩展的干预措施能让人们处于平等的地位,从而减少党派两极分化,使在线接触成为一种亲社会的力量。
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引用次数: 0
Intraoperative Conduction Mapping to Reduce Postoperative Atrioventricular Block in Complex Congenital Heart Disease 绘制术中传导图以减少复杂先天性心脏病术后房室传导阻滞
IF 24 1区 材料科学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-11 DOI: 10.1016/j.jacc.2024.07.054
Edward T. O’Leary, Eric N. Feins, Jocelyn Davee, Christopher W. Baird, Rebecca Beroukhim, Pedro J. del Nido, Audrey Dionne, Kimberlee Gauvreau, David M. Hoganson, John K. Triedman, Edward P. Walsh, Meena Nathan, Sitaram M. Emani, Elizabeth S. DeWitt

Background

Postoperative atrioventricular block requiring pacemaker (AVB/PM) complicates 14% to 25% of biventricular repair operations for complex congenital heart disease (CHD) and in those with heterotaxy syndrome.

Objectives

This study aimed to evaluate if intraoperative His bundle (HB) mapping during complex biventricular CHD repair can be performed safely and reduce postoperative AVB/PM.

Methods

HB mapping was performed using a commercially available multielectrode grid catheter in patients with complex CHD undergoing biventricular repair between 2019 and 2022 compared with an unmapped cohort. The primary outcome was postoperative AVB/PM.

Results

One hundred forty-nine patients underwent HB mapping compared to 201 unmapped controls. The median age of mapped patients was 1.9 years (Q1-Q3: 0.9-3.9 years). Heterotaxy syndrome was present in 31% (n = 46 of 149), ventricular septal defect in 95% (n = 142 of 149), and prior single ventricle palliation in 68% (n = 89 of 149). The HB was identified in 97% (n = 144 of 149) of cases. The median mapping time was 6 minutes. No episodes of intraoperative systemic air embolism occurred. Postoperative AVB/PM frequency was significantly reduced in mapped patients with heterotaxy (2% [n = 1 of 46] vs 16% [n = 11 of 67]; P = 0.026) and in patients without L-malposed great arteries (3% [n = 3 of 88] vs 11% [n = 15 of 134]; P = 0.045).

Conclusions

Intraoperative HB mapping can be performed safely and is associated with significantly reduced postoperative AVB/PM in select populations undergoing complex biventricular repair, including heterotaxy syndrome and non–L-malposed great arteries. Nonetheless, certain subgroups remain at risk for AVB/PM, showing the need for further improvements to current intraoperative HB mapping technology and techniques.
背景术后需要起搏器的房室传导阻滞(AVB/PM)并发症占复杂先天性心脏病(CHD)双心室修复手术和异位综合征患者的 14% 至 25%。本研究旨在评估在复杂的双心室 CHD 修复手术中能否安全地进行术中 His 束(HB)映射,并减少术后 AVB/PM。方法使用市售的多电极网格导管对 2019 年至 2022 年期间接受双心室修复手术的复杂 CHD 患者进行 HB 映射,并与未映射的队列进行比较。主要结果是术后 AVB/PM。结果 149 名患者接受了 HB 映射,而未接受映射的对照组为 201 人。映射患者的中位年龄为 1.9 岁(Q1-Q3:0.9-3.9 岁)。31%的患者(149 例中的 46 例)存在异位综合征,95%的患者(149 例中的 142 例)存在室间隔缺损,68%的患者(149 例中的 89 例)曾接受单心室姑息治疗。97%的病例(149 例中的 144 例)确定了 HB。中位绘图时间为 6 分钟。术中未发生系统性空气栓塞。术后 AVB/PM 发生率在有异位(2% [n = 46 例中的 1 例] vs 16% [n = 67 例中的 11 例];P = 0.026)和无 L 型大动脉(3% [n = 88 例中的 3 例] vs 11% [n = 134 例中的 15 例];P = 0.045)的映射患者中明显降低。结论在接受复杂双心室修复术(包括异位综合征和非 L 假体大动脉)的特定人群中,可以安全地进行术前 HB 图谱绘制,并能显著减少术后 AVB/PM。尽管如此,某些亚群仍有发生房室传导阻滞/房室传导阻滞的风险,这表明目前的术中 HB 测绘技术和技巧需要进一步改进。
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引用次数: 0
Ten Years of Leadless Cardiac Pacing 无导线心脏起搏十年
IF 24 1区 材料科学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-11 DOI: 10.1016/j.jacc.2024.08.077
Karel T.N. Breeman, Fleur V.Y. Tjong, Marc A. Miller, Petr Neuzil, Srinivas Dukkipati, Reinoud E. Knops, Vivek Y. Reddy
Leadless pacemakers (LPs) are self-contained pacemakers implanted inside the heart, providing a clinical strategy of pacing without pacemaker leads or a subcutaneous pocket. From an experimental therapy first used clinically in 2012, a decade later this technology is an established treatment option. Because of technologic advances and growing evidence, LPs are increasingly being used. Herein, the experience gained from a decade of leadless pacing is reviewed. We cover the safety and efficacy of single-chamber LPs, including comparisons with transvenous pacemakers and various models, and the initial clinical results of the first dual-chamber LP system. Furthermore, evidence and considerations regarding the optimal replacement strategy will be covered. Finally, we discuss future device developments that may broaden indications, such as LPs communicating with subcutaneous implantable cardiac defibrillators and energy-harvesting LPs.
无导联起搏器(LP)是一种植入心脏内部的独立起搏器,提供了一种无需起搏器导联或皮下袋的临床起搏策略。从 2012 年首次用于临床的实验性疗法到十年后成为一种成熟的治疗方案。由于技术的进步和证据的增加,LPs 的应用越来越广泛。本文回顾了无导联起搏十年来的经验。我们将介绍单腔 LP 的安全性和有效性,包括与经静脉起搏器和各种型号的比较,以及首个双腔 LP 系统的初步临床结果。此外,我们还将介绍有关最佳更换策略的证据和注意事项。最后,我们将讨论未来可能扩大适应症的设备发展,例如与皮下植入式心脏除颤器和能量收集 LP 相连接的 LP。
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引用次数: 0
Science and Hinduism share the vision of a quest for truth 科学与印度教共享追求真理的愿景
IF 29.9 1区 材料科学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-11 DOI: 10.1038/s41562-024-02055-8
Rohitash Chandra
Hinduism seeks to provide insight into the nature of the universe and is not antithetical to science. Rohitash Chandra explains why he sees value in bringing together science and spirituality in the quest for knowledge.
印度教寻求对宇宙本质的洞察,与科学并不对立。罗希塔什-钱德拉(Rohitash Chandra)解释了为什么他认为在探索知识的过程中将科学与灵性结合在一起是有价值的。
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引用次数: 0
TYK2 regulates tau levels, phosphorylation and aggregation in a tauopathy mouse model TYK2 在牛磺酸病小鼠模型中调控牛磺酸水平、磷酸化和聚集
IF 25 1区 材料科学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-11 DOI: 10.1038/s41593-024-01777-2
Jiyoen Kim, Bakhos Tadros, Yan Hong Liang, Youngdoo Kim, Cristian Lasagna-Reeves, Jun Young Sonn, Dah-eun Chloe Chung, Bradley Hyman, David M. Holtzman, Huda Yahya Zoghbi

Alzheimer’s disease is one of at least 26 diseases characterized by tau-positive accumulation in neurons, glia or both. However, it is still unclear what modifications cause soluble tau to transform into insoluble aggregates. We previously performed genetic screens that identified tyrosine kinase 2 (TYK2) as a candidate regulator of tau levels. Here we verified this finding and found that TYK2 phosphorylates tau at tyrosine 29 (Tyr29) leading to its stabilization and promoting its aggregation in human cells. We discovered that TYK2-mediated Tyr29 phosphorylation interferes with autophagic clearance of tau. We also show that TYK2-mediated phosphorylation of Tyr29 facilitates pathological tau accumulation in P301S tau-transgenic mice. Furthermore, knockdown of Tyk2 reduced total tau and pathogenic tau levels and rescued gliosis in a tauopathy mouse model. Collectively, these data suggest that partial inhibition of TYK2 could thus be a strategy to reduce tau levels and toxicity.

阿尔茨海默病是至少 26 种疾病之一,其特征是神经元、神经胶质细胞或两者中都有 tau 阳性聚集。然而,目前还不清楚是什么修饰导致可溶性 tau 转变为不溶性聚集体。我们之前进行了基因筛选,发现酪氨酸激酶2(TYK2)是tau水平的候选调节因子。在这里,我们验证了这一发现,并发现 TYK2 可使 tau 在酪氨酸 29 (Tyr29) 处磷酸化,导致其稳定并促进其在人体细胞中的聚集。我们发现,TYK2 介导的 Tyr29 磷酸化会干扰 tau 的自噬清除。我们还发现,在 P301S tau 转基因小鼠中,TYK2 介导的 Tyr29 磷酸化促进了病理性 tau 的积累。此外,Tyk2的敲除降低了总tau和致病性tau的水平,并挽救了tau病小鼠模型中的神经胶质病变。总之,这些数据表明,部分抑制TYK2可能是降低tau水平和毒性的一种策略。
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引用次数: 0
Astrocyte transcriptomic changes along the spatiotemporal progression of Alzheimer’s disease 星形胶质细胞转录组在阿尔茨海默病时空进展过程中的变化
IF 25 1区 材料科学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-11 DOI: 10.1038/s41593-024-01791-4
Alberto Serrano-Pozo, Huan Li, Zhaozhi Li, Clara Muñoz-Castro, Methasit Jaisa-aad, Molly A. Healey, Lindsay A. Welikovitch, Rojashree Jayakumar, Annie G. Bryant, Ayush Noori, Theresa R. Connors, Miwei Hu, Karen Zhao, Fan Liao, Gen Lin, Timothy Pastika, Joseph Tamm, Aicha Abdourahman, Taekyung Kwon, Rachel E. Bennett, Maya E. Woodbury, Astrid Wachter, Robert V. Talanian, Knut Biber, Eric H. Karran, Bradley T. Hyman, Sudeshna Das

Astrocytes are crucial to brain homeostasis, yet their changes along the spatiotemporal progression of Alzheimer’s disease (AD) neuropathology remain unexplored. Here we performed single-nucleus RNA sequencing of 628,943 astrocytes from five brain regions representing the stereotypical progression of AD pathology across 32 donors spanning the entire normal aging to severe AD continuum. We mapped out several unique astrocyte subclusters that exhibited varying responses to neuropathology across the AD-vulnerable neural network (spatial axis) or AD pathology stage (temporal axis). The proportion of homeostatic, intermediate and reactive astrocytes changed only along the spatial axis, whereas two other subclusters changed along the temporal axis. One of these, a trophic factor-rich subcluster, declined along pathology stages, whereas the other increased in the late stage but returned to baseline levels in the end stage, suggesting an exhausted response with chronic exposure to neuropathology. Our study underscores the complex dynamics of astrocytic responses in AD.

星形胶质细胞对大脑稳态至关重要,但它们随着阿尔茨海默病(AD)神经病理学的时空进展而发生的变化仍未得到研究。在这里,我们对来自五个脑区的 628,943 个星形胶质细胞进行了单核 RNA 测序,这些细胞代表了从正常衰老到严重阿兹海默症病理过程中 32 个供体的阿兹海默症病理刻板进展。我们绘制出了几个独特的星形胶质细胞亚群,它们在AD易感神经网络(空间轴)或AD病理阶段(时间轴)对神经病理学表现出不同的反应。静态星形胶质细胞、中间星形胶质细胞和反应性星形胶质细胞的比例仅沿空间轴发生变化,而另外两个亚群则沿时间轴发生变化。其中一个富含营养因子的亚群在病理阶段下降,而另一个亚群在晚期增加,但在末期恢复到基线水平,这表明长期暴露于神经病理环境中会产生衰竭反应。我们的研究强调了 AD 中星形胶质细胞反应的复杂动态。
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引用次数: 0
Inadequate foundational decoding skills constrain global literacy goals for pupils in low- and middle-income countries 基础解码技能不足制约了中低收入国家学生的全球扫盲目标
IF 29.9 1区 材料科学 Q1 CHEMISTRY, MULTIDISCIPLINARY Pub Date : 2024-11-08 DOI: 10.1038/s41562-024-02028-x
Michael Crawford, Neha Raheel, Maria Korochkina, Kathleen Rastle

Learning to read is the most important outcome of primary education. However, despite substantial improvements in primary school enrolment, most students in low- and middle-income countries (LMICs) fail to learn to read by age 10. We report reading assessment data from over half a million pupils from 48 LMICs tested primarily in a language of instruction and show that these pupils are failing to acquire the most basic skills that contribute to reading comprehension. Pupils in LMICs across the first three instructional years are not acquiring the ability to decode printed words fluently and, in most cases, are failing to master the names and sounds associated with letters. Moreover, performance gaps against benchmarks widen with each instructional year. Literacy goals in LMICs will be reached only by ensuring focus on decoding skills in early-grade readers. Effective literacy instruction will require rigorous systematic phonics programmes and assessments suitable for LMIC contexts.

学会阅读是初等教育最重要的成果。然而,尽管小学入学率大幅提高,中低收入国家(LMICs)的大多数学生到 10 岁时仍无法学会阅读。我们报告了来自 48 个中低收入国家的 50 多万名学生的阅读评估数据,这些数据主要以教学语言进行测试,结果表明这些学生未能掌握有助于阅读理解的最基本技能。低收入和中等收入国家的学生在前三年的教学中无法获得流利地解码印刷单词的能力,在大多数情况下,也无法掌握与字母相关的名称和读音。此外,与基准的成绩差距随着教学年限的增加而扩大。要在低收入和中等收入国家实现扫盲目标,就必须确保重视低年级学生的解码技能。有效的扫盲教学需要严格的系统语音方案和适合低收入和中等收入国家情况的评估。
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引用次数: 0
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