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Circle-map profiling of extrachromosomal circular DNA as diagnostic biomarkers for lung cancer 作为肺癌诊断生物标志物的染色体外环状 DNA 的环状图谱分析
IF 5.3 4区 医学 Q1 Medicine Pub Date : 2024-03-22 DOI: 10.1093/pcmedi/pbae006
Yongfeng Yang, Tingting Song, Sha Liu, Zhiqiang Liu, Xuehui Wang, Yi Li, Dan Liu
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引用次数: 0
Accurate prediction of myopic progression and high myopia by machine learning 通过机器学习准确预测近视发展和高度近视
IF 5.3 4区 医学 Q1 Medicine Pub Date : 2024-03-04 DOI: 10.1093/pcmedi/pbae005
Jiahui Li, Simiao Zeng, Zhihuan Li, Jie Xu, Zhuo Sun, Jing Zhao, Meiyan Li, Zixing Zou, Taihua Guan, Jin Zeng, Zhuang Liu, Wenchao Xiao, Ran Wei, Hanpei Miao, Ian Ziyar, Junxiong Huang, Yuanxu Gao, Yangfa Zeng, Xing-Tao Zhou, Kang Zhang
Myopia is a leading cause of visual impairment in Asia and worldwide. However, accurately predicting the progression of myopia and the high risk of myopia remains a challenge. This study aims to develop a predictive model for the development of myopia. We first retrospectively gathered 612 530 medical records from five independent cohorts, encompassing 227 543 patients ranging from infants to young adults. Subsequently, we developed a multivariate linear regression algorithm model to predict the progression of myopia and the risk of high myopia. The model to predict the progression of myopia achieved an R-squared (R2) value of 0.964 vs a mean absolute error (MAE) of 0.119D (95% CI: 0.119, 1.146) in the internal validation set. It demonstrated strong generalizability, maintaining consistent performance across external validation sets: R2 of 0.950 vs MAE of 0.119D (95% CI: 0.119, 1.136) in validation Study 1, R2 of 0.950 vs MAE of 0.121D (95% CI: 0.121, 1.144) in validation Study 2, and R2 of 0.806 vs MAE of −0.066D (95% CI: −0.066, 0.569) in Shanghai Children Myopia Study. Beijing Children Eye Study, the model sustained R2 of 0.749 vs MAE of 0.178D (95% CI: 0.178, 1.557). The model to predict the risk of high myopia achieved and an area under the curve (AUC) of 0.99 in the internal validation set and consistently high AUC values of 0.99, 0.99,0.96 and 0.99 in the respective external validation sets. Our study demonstrates accurate prediction of myopia progression and risk of high myopia providing valuable insights for tailoring strategies to personalize and optimize the clinical management of myopia in children.
近视是亚洲乃至全球视力受损的主要原因。然而,准确预测近视的发展和近视的高风险仍然是一项挑战。本研究旨在建立近视发展的预测模型。 我们首先回顾性地收集了来自五个独立队列的 612 530 份病历,其中包括 227 543 名从婴儿到青年的患者。随后,我们建立了一个多变量线性回归算法模型来预测近视的发展和高度近视的风险。 在内部验证集中,预测近视发展的模型的 R 平方 (R2) 值为 0.964,而平均绝对误差 (MAE) 为 0.119D (95% CI: 0.119, 1.146)。它具有很强的普适性,在外部验证集上保持了一致的性能:在验证研究 1 中,R2 为 0.950 vs MAE 为 0.119D (95% CI: 0.119, 1.136);在验证研究 2 中,R2 为 0.950 vs MAE 为 0.121D (95% CI: 0.121, 1.144);在上海儿童近视研究中,R2 为 0.806 vs MAE 为 -0.066D (95% CI: -0.066, 0.569)。在北京儿童眼科研究中,该模型的 R2 为 0.749,而 MAE 为 0.178D (95% CI: 0.178, 1.557)。预测高度近视风险的模型在内部验证集中的曲线下面积(AUC)达到了 0.99,在外部验证集中的曲线下面积(AUC)也分别达到了 0.99、0.99、0.96 和 0.99。 我们的研究证明了对近视发展和高度近视风险的准确预测,为定制个性化和优化儿童近视临床管理的策略提供了宝贵的见解。
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引用次数: 0
Extracellular vesicles derived from mesenchymal stem cells: the wine in Hebe's hands to treat skin aging. 源自间充质干细胞的细胞外囊泡:Hebe手中治疗皮肤老化的美酒。
IF 5.3 4区 医学 Q1 Medicine Pub Date : 2024-02-24 eCollection Date: 2024-03-01 DOI: 10.1093/pcmedi/pbae004
Qixiang Gui, Neng Ding, Zuochao Yao, Minjuan Wu, Ruifeng Fu, Yue Wang, Yunpeng Zhao, Lie Zhu

Owing to its constant exposure to the external environment and various stimuli, skin ranks among the organs most vulnerable to manifestations of aging. Preventing and delaying skin aging has become one of the prominent research subjects in recent years. Mesenchymal stem cells (MSCs) are multipotent stem cells derived from mesoderm with high self-renewal ability and multilineage differentiation potential. MSC-derived extracellular vesicles (MSC-EVs) are nanoscale biological vesicles that facilitate intercellular communication and regulate biological behavior. Recent studies have shown that MSC-EVs have potential applications in anti-aging therapy due to their anti-inflammatory, anti-oxidative stress, and wound healing promoting abilities. This review presents the latest progress of MSC-EVs in delaying skin aging. It mainly includes the MSC-EVs promoting the proliferation and migration of keratinocytes and fibroblasts, reducing the expression of matrix metalloproteinases, resisting oxidative stress, and regulating inflammation. We then briefly discuss the recently discovered treatment methods of MSC-EVs in the field of skin anti-aging. Moreover, the advantages and limitations of EV-based treatments are also presented.

由于经常暴露在外部环境和各种刺激下,皮肤是最容易出现衰老表现的器官之一。预防和延缓皮肤衰老已成为近年来的重要研究课题之一。间充质干细胞(MSCs)是一种多能干细胞,来源于中胚层,具有很强的自我更新能力和多线分化潜能。间充质干细胞衍生的细胞外囊泡(MSC-EVs)是一种纳米级生物囊泡,可促进细胞间的交流并调节生物行为。最近的研究表明,间充质干细胞胞外小泡具有抗炎、抗氧化应激和促进伤口愈合的能力,因此在抗衰老治疗中具有潜在的应用前景。本综述介绍了间充质干细胞-EV 在延缓皮肤衰老方面的最新进展。它主要包括间充质干细胞-EV促进角质形成细胞和成纤维细胞的增殖和迁移、减少基质金属蛋白酶的表达、抗氧化应激和调节炎症。然后,我们简要讨论了最近发现的间充质干细胞-EVs 在皮肤抗衰老领域的治疗方法。此外,我们还介绍了基于间充质干细胞-EV 的治疗方法的优势和局限性。
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引用次数: 0
Radiomics-based quantitative contrast-enhanced CT analysis of abdominal lymphadenopathy to differentiate tuberculosis from lymphoma 基于放射组学的腹部淋巴结病定量对比增强 CT 分析可区分结核病和淋巴瘤
IF 5.3 4区 医学 Q1 Medicine Pub Date : 2024-02-01 DOI: 10.1093/pcmedi/pbae002
Meng-ting Shen, Xi Liu, Yue Gao, Rui Shi, Li Jiang, Jin Yao
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引用次数: 0
The new insights of hyperbaric oxygen therapy: focus on inflammatory bowel disease 高压氧疗法的新见解:聚焦炎症性肠病
IF 5.3 4区 医学 Q1 Medicine Pub Date : 2024-01-18 DOI: 10.1093/pcmedi/pbae001
Leilei Chen, Yan Wang, Huihui Zhou, Yi Liang, Fengqin Zhu, Guangxi Zhou
Inflammatory bowel diseases, with an increasing incidence, pose a significant health burden. Although there have been significant advances in the treatment of IBD, more progress is still needed. Hyperbaric oxygen therapy (HBOT) has been shown to treat a host of conditions such as carbon monoxide poisoning, decompression sickness, and gas gangrene. In the last few years, there has been an increase in research into the use of HBOT as an adjunct to conventional treatment for IBD. Related researches have shown that HBOT may exert its therapeutic effects by decreasing oxidative stress, inhibiting mucosal inflammation, promoting ulcer healing, influencing gut microbes and reducing the incidence of IBD complications. This paper aims to provide a comprehensive review of experimental and clinical trials exploring hyperbaric oxygen therapy as a supplement to IBD treatment strategies.
炎症性肠病的发病率越来越高,给人们的健康造成了巨大负担。尽管在治疗 IBD 方面取得了重大进展,但仍需取得更多进展。高压氧疗法(HBOT)已被证明可以治疗一系列疾病,如一氧化碳中毒、减压病和气性坏疽。在过去几年中,将高压氧疗法作为 IBD 传统疗法辅助手段的研究越来越多。相关研究表明,HBOT 可通过降低氧化应激、抑制粘膜炎症、促进溃疡愈合、影响肠道微生物和降低 IBD 并发症的发生率来发挥治疗作用。本文旨在全面回顾探讨高压氧疗法作为 IBD 治疗策略补充的实验和临床试验。
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引用次数: 0
SARS-CoV-2 pathogenesis in the gastrointestinal tract mediated by Spike induced intestinal inflammation 由穗状病毒诱发的肠道炎症介导的 SARS-CoV-2 在胃肠道的致病机制
IF 5.3 4区 医学 Q1 Medicine Pub Date : 2023-12-21 DOI: 10.1093/pcmedi/pbad034
Zhan-yu Li, Jian-zhong He, Yun Yin, Lei Tang, Ye Liu, Olivia Monteiro, Fa-min Zeng
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引用次数: 0
Precision medicine in inflammatory bowel disease 炎症性肠病的精准医疗
IF 5.3 4区 医学 Q1 Medicine Pub Date : 2023-12-18 DOI: 10.1093/pcmedi/pbad033
Zhen Zeng, Mingshan Jiang, Xi Li, Jing Yuan, Hu Zhang
Inflammatory bowel disease (IBD) is an incurable disease characterized by remission-relapse cycles throughout its course. Both Crohn's disease (CD) and ulcerative colitis (UC), the two main forms of IBD, exhibit tendency to develop complications and substantial heterogeneity in terms of frequency and severity of relapse, thus posing great challenges to the clinical management for IBD. Current treatment strategies are effective in different ways in induction and maintenance therapies for IBD. Recent advances in studies of genetics, pharmacogenetics, proteomics and microbiome provide a strong driving force for identifying molecular markers of prognosis and treatment response, which should help clinicians manage IBD patients more effectively, and then, improve clinical outcomes and reduce treatment costs of patients. In this review, we summarize and discuss precision medicine in IBD, focusing on predictive markers of disease course and treatment response, and monitoring indices during therapeutic drug monitoring.
炎症性肠病(IBD)是一种不治之症,其特点是在整个病程中会出现缓解-复发循环。克罗恩病(CD)和溃疡性结肠炎(UC)是 IBD 的两种主要形式,这两种疾病都有并发症倾向,而且在复发频率和严重程度方面存在很大的异质性,因此给 IBD 的临床治疗带来了巨大挑战。目前的治疗策略对 IBD 的诱导治疗和维持治疗有不同的效果。遗传学、药物遗传学、蛋白质组学和微生物组研究的最新进展为确定预后和治疗反应的分子标记提供了强大的推动力,有助于临床医生更有效地管理 IBD 患者,进而改善临床疗效并降低患者的治疗费用。在这篇综述中,我们总结并讨论了 IBD 的精准医疗,重点是疾病过程和治疗反应的预测标志物以及治疗药物监测期间的监测指标。
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引用次数: 0
The significance of long non-coding RNAs in the pathogenesis, diagnosis and treatment of inflammatory bowel disease. 长非编码 RNA 在炎症性肠病的发病机制、诊断和治疗中的意义。
IF 5.3 4区 医学 Q1 Medicine Pub Date : 2023-12-11 eCollection Date: 2023-12-01 DOI: 10.1093/pcmedi/pbad031
Fei Jiang, Min Wu, Rongpeng Li

Inflammatory bowel diseases (IBD) are a group of chronic relapsing gastrointestinal inflammatory diseases with significant global incidence. Although the pathomechanism of IBD has been extensively investigated, several aspects of its pathogenesis remain unclear. Long non-coding RNAs (lncRNAs) are transcripts with more than 200 nucleotides in length that have potential protein-coding functions. LncRNAs play important roles in biological processes such as epigenetic modification, transcriptional regulation and post-transcriptional regulation. In this review, we summarize recent advances in research on IBD-related lncRNAs from the perspective of the overall intestinal microenvironment, as well as their potential roles as immune regulators, diagnostic biomarkers and therapeutic targets or agents for IBD.

炎症性肠病(IBD)是一组慢性复发性胃肠道炎症性疾病,在全球发病率很高。虽然 IBD 的病理机制已被广泛研究,但其发病机制的几个方面仍不清楚。长非编码 RNA(lncRNA)是长度超过 200 个核苷酸的转录本,具有潜在的蛋白质编码功能。LncRNA 在表观遗传修饰、转录调控和转录后调控等生物过程中发挥着重要作用。在这篇综述中,我们从整体肠道微环境的角度总结了与 IBD 相关的 lncRNA 的最新研究进展,以及它们作为免疫调节剂、诊断生物标志物和 IBD 治疗靶标或药物的潜在作用。
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引用次数: 0
PBS: a prospective longitudinal multi-omics bariatric surgery cohort PBS:前瞻性纵向多组学减肥手术队列
IF 5.3 4区 医学 Q1 Medicine Pub Date : 2023-12-01 DOI: 10.1093/pcmedi/pbad032
Y. Jiao, Jiaming Xue, Shuai Chen, Wei Sun, Xiangqing Kong, Lianmin Chen, Liming Tang
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引用次数: 0
Prealbumin as a prognostic indicator for hospital readmission of ulcerative colitis patients 前白蛋白作为溃疡性结肠炎患者再入院的预后指标
4区 医学 Q1 Medicine Pub Date : 2023-11-10 DOI: 10.1093/pcmedi/pbad026
Chao Ye, Anmin Wang, Wei Li, Wenyuan Li, Qi shen, Zhangfei Wang, Li Xie, Qiuxia Jiang, Kaiguang Zhang, Shu Zhu
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引用次数: 0
期刊
Precision Clinical Medicine
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