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Neuromodulation for the treatment of sexual dysfunction: An opportunity for the field 治疗性功能障碍的神经调节疗法:这一领域的机遇
IF 4.7 3区 工程技术 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-10-24 DOI: 10.1016/j.cobme.2024.100564
Tim M. Bruns , Lauren Zimmerman Hershey
Sexual dysfunction affects a substantial number of women and men. Currently there are no commercially available neuromodulation therapies for sexual dysfunction. Neuromodulation has long been used as a third-line therapy for bladder and bowel dysfunction, with frequent reports of utility for sexual dysfunction. Sacral neuromodulation has a robust literature showing benefits in sexual function for implant recipients. Tibial nerve stimulation (TNS) has seen a recent growth in studies for sexual dysfunction. Transcutaneous TNS provides a lower-barrier neuromodulation approach with potential efficacy for male and female sexual dysfunction. Other neuromodulation approaches, including spinal cord stimulation and dorsal genital nerve stimulation also have potential as therapies for sexual dysfunction. There is a considerable opportunity for one or more neuromodulation therapies to enter an open market space.
性功能障碍影响着大量女性和男性。目前,市场上还没有治疗性功能障碍的神经调节疗法。长期以来,神经调控疗法一直被用作治疗膀胱和肠道功能障碍的三线疗法,经常有报告称这种疗法可用于治疗性功能障碍。有大量文献显示,骶神经调节对植入者的性功能有益。胫神经刺激(TNS)治疗性功能障碍的研究最近有所增加。经皮 TNS 提供了一种屏障较低的神经调控方法,对男性和女性性功能障碍具有潜在疗效。其他神经调节方法,包括脊髓刺激和生殖器背神经刺激,也具有治疗性功能障碍的潜力。一种或多种神经调节疗法有很大的机会进入开放的市场空间。
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引用次数: 0
Enhancing resilience against adversarial attacks in medical imaging using advanced feature transformation training 利用高级特征变换训练增强医学成像对对抗性攻击的复原力
IF 4.7 3区 工程技术 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-10-22 DOI: 10.1016/j.cobme.2024.100561
Danish Vasan , Mohammad Hammoudeh
This study presents a machine learning-driven defense mechanism against adversarial attacks, specifically tailored for medical imaging applications. This mechanism utilizes feature transformation through transfer learning, leveraging a fine-tuned ResNet152V2 network trained on original medical images. To enhance the model's robustness, we apply efficient adversarial training on transformed features extracted from both original and adversarial images. Additionally, we integrate Principal Component Analysis (PCA) to reduce feature dimensionality, optimizing the adversarial training process. When evaluated on Chest X-ray datasets, focusing on pneumonia and normal cases, the proposed mechanism demonstrated strong resilience against imperceptible attacks while maintaining a performance retention rate above 90 %. These results show the potential of the proposed mechanism to enhance the reliability and security of CNN-based medical imaging systems in practical, real-world settings.
本研究提出了一种机器学习驱动的防御机制,专门针对医学影像应用来抵御对抗性攻击。该机制通过迁移学习,利用在原始医学图像上训练的微调 ResNet152V2 网络进行特征转换。为了增强模型的鲁棒性,我们对从原始图像和对抗图像中提取的转换特征进行了有效的对抗训练。此外,我们还整合了主成分分析(PCA)来降低特征维度,从而优化对抗训练过程。在以肺炎和正常病例为重点的胸部 X 光数据集上进行评估时,所提出的机制对不可察觉的攻击表现出了很强的抵御能力,同时保持了 90% 以上的性能保持率。这些结果表明,所提出的机制有潜力在实际的真实世界环境中提高基于 CNN 的医学成像系统的可靠性和安全性。
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引用次数: 0
The prospect of electroceutical intervention and its implementation toward intractable neuromuscular diseases 电疗干预的前景及其在难治性神经肌肉疾病中的应用
IF 4.7 3区 工程技术 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-10-19 DOI: 10.1016/j.cobme.2024.100563
Aseer Intisar , Minseok S. Kim
The treatment of intractable neuromuscular diseases (INMDs) via biochemical interventions has remained challenging. Treatments using electrical stimulation (ES), or electroceuticals, can potentially shift the paradigm in the treatment of INMDs, since (1) their localized nature minimizes the risks for systemic side effects and (2) they conform with the innate neuromuscular communication. In addition, the recent developments in electrical interfaces for the neuromuscular system can advance the possibility of the clinical adoption of electroceuticals. In this review, we first introduce the studies that have explored the potential of ES in the treatment or management of INMDs. We then highlight the recent advancements in interfaces to deliver ES to the neuromuscular system, focusing on their miniaturization, flexibility, and non-invasive implantation. This review sheds light on the therapeutic benefits and implementation of electroceuticals toward INMDs and will hopefully encourage further in-depth research that can transform their treatment landscape.
通过生化干预治疗难治性神经肌肉疾病(INMDs)仍然具有挑战性。使用电刺激(ES)或电药物进行治疗有可能改变治疗 INMDs 的模式,因为(1)电刺激的局部性将全身副作用的风险降至最低,(2)电刺激符合神经肌肉的先天交流。此外,神经肌肉系统电接口的最新发展也为电疗法的临床应用提供了可能。在本综述中,我们首先介绍了探索 ES 在治疗或管理 INMDs 方面潜力的研究。然后,我们着重介绍了将 ES 输送到神经肌肉系统的接口的最新进展,重点关注其微型化、灵活性和无创植入。这篇综述揭示了电疗法对 INMDs 的治疗益处和实施情况,希望能鼓励进一步的深入研究,从而改变其治疗格局。
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引用次数: 0
Synthetically programming natural cell–cell communication pathways for tissue engineering 合成编程组织工程中的天然细胞-细胞通讯途径
IF 4.7 3区 工程技术 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-08-24 DOI: 10.1016/j.cobme.2024.100554
Leah A. Wallach , Connor D. Thomas , Pulin Li

Tissue patterning, the process of localizing different cell types to the right place, is critical for tissue function and thus a central goal for tissue engineering. Developing embryos employ diverse cell interaction-based mechanisms to robustly pattern tissues, such as specifying different regions of the central nervous system and aligning all the hair cells in the inner ear. These events range in lengthscale and must all be specified with cell-level precision, imposing challenges for recreating such patterns in vitro using conventional engineering approaches. Synthetic developmental biology as an emerging field provides a complementary approach for patterning tissues, by harnessing the molecular mechanisms used by natural tissues to program self-organizing behavior of the cells. Here we review advances in adapting these modules to program cells in culture. These modules could potentially be used for biomedical tissue engineering, as a complement to existing methods for generating morphologically complex multi-cell-type tissues in vitro.

组织模式化是将不同细胞类型定位到正确位置的过程,对组织功能至关重要,因此也是组织工程学的核心目标。发育中的胚胎采用多种基于细胞相互作用的机制来稳健地进行组织模式化,例如指定中枢神经系统的不同区域和排列内耳中的所有毛细胞。这些事件的长度范围很广,而且都必须以细胞级的精度来指定,这给使用传统工程方法在体外再造这种模式带来了挑战。合成发育生物学作为一个新兴领域,通过利用天然组织使用的分子机制来编程细胞的自组织行为,为组织模式化提供了一种补充方法。在此,我们回顾了在利用这些模块对培养细胞进行编程方面取得的进展。这些模块可用于生物医学组织工程,作为现有体外生成形态复杂的多细胞型组织方法的补充。
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引用次数: 0
Computational modeling of autonomic nerve stimulation: Vagus et al. 自律神经刺激的计算建模:Vagus et al.
IF 4.7 3区 工程技术 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-08-24 DOI: 10.1016/j.cobme.2024.100557
Warren M. Grill, Nicole A. Pelot

Computational models of electrical stimulation, block and recording of autonomic nerves enable analysis of mechanisms of action underlying neural responses and design of optimized stimulation parameters. We reviewed advances in computational modeling of autonomic nerve stimulation, block, and recording over the past five years, with a focus on vagus nerve stimulation, including both implanted and less invasive approaches. Few models achieved quantitative validation, but integrated computational pipelines increase the reproducibility, reusability, and accessibility of computational modeling. Model-based optimization enabled design of electrode geometries and stimulation parameters for selective activation (across fiber locations or types). Growing efforts link models of neural activity to downstream physiological responses to represent more directly the therapeutic effects and side effects of stimulation. Thus, computational modeling is an increasingly important tool for analysis and design of bioelectronic therapies.

通过自律神经电刺激、阻断和记录的计算模型,可以分析神经反应的作用机制,并设计优化的刺激参数。我们回顾了过去五年中自律神经刺激、阻断和记录计算模型的进展,重点是迷走神经刺激,包括植入式和微创方法。实现定量验证的模型寥寥无几,但集成计算管道提高了计算建模的可重复性、可重用性和可访问性。基于模型的优化设计实现了电极几何形状和刺激参数的选择性激活(跨纤维位置或类型)。越来越多的研究将神经活动模型与下游生理反应联系起来,以更直接地体现刺激的治疗效果和副作用。因此,计算建模是分析和设计生物电子疗法的一个日益重要的工具。
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引用次数: 0
What can protein circuit design learn from DNA nanotechnology? 蛋白质电路设计能从 DNA 纳米技术中学到什么?
IF 4.7 3区 工程技术 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-08-21 DOI: 10.1016/j.cobme.2024.100556
Dingchen Yu , Xinwen Fan , Zibo Chen

Protein circuit design is still in its infancy in terms of programmability. DNA nanotechnology, however, excels at this property and its community has created a myriad of circuits and assemblies following modular hierarchical design rules. In this mini-review, we reason that the rationales behind DNA nanotechnology can nurture protein circuit design, and the unique versatility orchestrated by groups of proteins can be further exploited to program cells. Community efforts to develop databases and design algorithms for standardizing and customizing protein modules could bring the programmability of protein circuits to a level comparable to DNA nanotechnology, ultimately empowering modular hierarchical protein circuit design.

就可编程性而言,蛋白质电路设计仍处于起步阶段。然而,DNA 纳米技术在这一特性上表现出色,其群体已经按照模块化分层设计规则创造出了无数电路和组件。在这篇小型综述中,我们认为 DNA 纳米技术背后的原理可以促进蛋白质电路设计,而蛋白质组所协调的独特多功能性可以进一步用于细胞编程。为标准化和定制化蛋白质模块开发数据库和设计算法的各界努力,可将蛋白质电路的可编程性提高到与 DNA 纳米技术相当的水平,最终增强模块化分层蛋白质电路设计的能力。
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引用次数: 0
Perspectives on synthetic protein circuits in mammalian cells 哺乳动物细胞中合成蛋白质回路的前景
IF 4.7 3区 工程技术 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-08-14 DOI: 10.1016/j.cobme.2024.100555
Carlos A. Aldrete , Connie An , Connor C. Call , Xiaojing J. Gao, Alexander E. Vlahos

Mammalian synthetic biology aims to engineer cellular behaviors for therapeutic applications, such as enhancing immune cell efficacy against cancers or improving cell transplantation outcomes. Programming complex biological functions necessitates an understanding of molecular mechanisms governing cellular responses to stimuli. Traditionally, synthetic biology has focused on transcriptional circuits, but recent advances have led to the development of synthetic protein circuits, leveraging programmable binding, proteolysis, or phosphorylation to modulate protein interactions and cellular functions. These circuits offer advantages including robust performance, rapid functionality, and compact design, making them suitable for cellular engineering or gene therapies. This review outlines the post-translational toolkit, emphasizing synthetic protein components utilizing proteolysis or phosphorylation to program mammalian cell behaviors. Finally, we focus on key differences between rewiring native signaling pathways and creating orthogonal behaviors, alongside a proposed framework for translating synthetic protein circuits from tool development to pre-clinical applications in biomedicine.

哺乳动物合成生物学旨在为治疗应用设计细胞行为,如提高免疫细胞对癌症的疗效或改善细胞移植效果。要编程复杂的生物功能,就必须了解细胞对刺激做出反应的分子机制。传统上,合成生物学的重点是转录电路,但最近的进展导致了合成蛋白质电路的发展,利用可编程的结合、蛋白水解或磷酸化来调节蛋白质相互作用和细胞功能。这些电路具有性能稳定、功能快速、设计紧凑等优点,适合用于细胞工程或基因治疗。本综述概述了翻译后工具包,强调了利用蛋白水解或磷酸化来编程哺乳动物细胞行为的合成蛋白元件。最后,我们将重点讨论重新连接本地信号通路与创造正交行为之间的主要区别,并提出一个将合成蛋白质电路从工具开发转化为生物医学临床前应用的框架。
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引用次数: 0
Using machine learning to enhance and accelerate synthetic biology 利用机器学习增强和加速合成生物学
IF 4.7 3区 工程技术 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-08-02 DOI: 10.1016/j.cobme.2024.100553
Kshitij Rai , Yiduo Wang , Ronan W. O'Connell , Ankit B. Patel , Caleb J. Bashor

Engineering synthetic regulatory circuits with precise input–output behavior—a central goal in synthetic biology—remains encumbered by the inherent molecular complexity of cells. Non-linear, high-dimensional interactions between genetic parts and host cell machinery make it difficult to design circuits using first-principles biophysical models. We argue that adopting data-driven approaches that integrate modern machine learning (ML) tools and high-throughput experimental approaches into the synthetic biology design/build/test/learn process could dramatically accelerate the pace and scope of circuit design, yielding workflows that rapidly and systematically discern design principles and achieve quantitatively precise behavior. Current applications of ML to circuit design are occurring at three distinct scales: 1) learning relationships between part sequence and function; 2) determining how part composition determines circuit behavior; 3) understanding how function varies with genomic/host-cell context. This work points toward a future where ML-driven genetic design is used to program robust solutions to complex problems across diverse biotechnology domains.

设计具有精确输入输出行为的合成调控电路--这是合成生物学的核心目标--仍然受到细胞固有分子复杂性的制约。基因部件与宿主细胞机器之间非线性、高维的相互作用,使得使用第一原理生物物理模型设计电路变得困难。我们认为,采用数据驱动的方法,将现代机器学习(ML)工具和高通量实验方法整合到合成生物学的设计/构建/测试/学习过程中,可以大大加快电路设计的速度和范围,产生快速、系统地辨别设计原理并实现定量精确行为的工作流程。目前,ML 在电路设计中的应用有三种不同的规模:1)学习部件序列与功能之间的关系;2)确定部件组成如何决定电路行为;3)了解功能如何随基因组/宿主细胞环境而变化。这项工作为未来指明了方向,即使用 ML 驱动的基因设计来为不同生物技术领域的复杂问题提供稳健的解决方案。
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引用次数: 0
Regeneration of interfaces bridging disparate tissues and systems of the human body 连接人体不同组织和系统的界面再生
IF 4.7 3区 工程技术 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-07-11 DOI: 10.1016/j.cobme.2024.100552
Melissa L.K. Tate, Helen H. Lu
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引用次数: 0
Where the wild molecules are: Engineering the spatial distribution of signaling molecules 野生分子在哪里?信号分子空间分布工程学
IF 4.7 3区 工程技术 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-07-08 DOI: 10.1016/j.cobme.2024.100551
Xinwen Zhu, Erin Neu, Wilson W. Wong

The spatial distribution of the signaling molecules that mediate cell–cell communication and pattern formation is an important consideration for natural and engineered multicellular systems.

Signaling molecule concentration profiles directly impact cell response profiles, and various experimental techniques can be utilized to modulate these spatial distributions. Current strategies focused on physically or chemically modifying the extracellular space to affect signal distribution include performing experiments in microfluidic devices with dynamic user-controlled inputs and flow rates or adjusting the mesh sizes and protein binding affinities of extracellular matrix-mimicking hydrogels. Recent advances in synthetic biology have paved the way for new approaches that involve directly engineering the signaling molecules, their interactors, and their downstream effectors for fully orthogonal communication platforms.

信号分子的浓度分布直接影响细胞的反应曲线,可以利用各种实验技术来调节这些空间分布。目前的策略侧重于通过物理或化学方法改变细胞外基质空间以影响信号分布,包括在微流控装置中进行实验,用户可动态控制输入和流速,或调整细胞外基质模拟水凝胶的网孔大小和蛋白质结合亲和力。合成生物学的最新进展为新方法铺平了道路,这些新方法涉及直接设计信号分子、其相互作用者及其下游效应器,以实现完全正交的通信平台。
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引用次数: 0
期刊
Current Opinion in Biomedical Engineering
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