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Mechanomedicine in anastomosis: Bridging biomechanics and clinical outcomes for improved surgical healing 吻合中的机械医学:桥接生物力学和改善手术愈合的临床结果
IF 14.3 1区 生物学 Q1 BIOLOGY Pub Date : 2025-10-05 DOI: 10.1016/j.plrev.2025.09.008
Nianyuan Shi , Yufei Ma , Ning Liu , Yi Lv , Feng Xu
Anastomosis is a critical surgical procedure for reconnecting the tissue ends. Despite progress in surgical techniques, complications such as leaks and strictures still pose serious health risks. Most traditional approaches primarily focus on tissue alignment and perfusion. However, they often overlook the influence of mechanical cues on healing process. In this review, we introduce the concept of mechanomedicine that is a new field for integration of biomechanics and mechanobiology to guide cellular responses and tissue regeneration during anastomosis. We summarize the mechanical characteristics of different anastomotic techniques, including the type and level of mechanical forces generated at the repair site. In addition, we explore how these mechanical cues affect signaling pathways, such as Piezo1, TRPV4, and YAP/TAZ that are essential for hemostasis, inflammation, and tissue regeneration during the anastomotic healing process. By evaluating conventional and emerging anastomotic techniques, we reveal how distinct mechanical cues influence clinical outcomes. Finally, we highlight the potential of artificial intelligence and robotic systems that may help to optimize the mechanical microenvironment, predict complications, and personalize treatments. This review will establishe a novel mechanomedicine-driven framework for anastomosis, aiming to utilize biomechanics and mechanobiology for enhancing surgical precision and improving patient outcomes.
吻合是重新连接组织末端的关键外科手术。尽管外科技术取得了进步,但诸如泄漏和狭窄等并发症仍然构成严重的健康风险。大多数传统的方法主要集中在组织对齐和灌注。然而,他们往往忽略了机械线索对愈合过程的影响。本文介绍了机械医学的概念,这是生物力学和力学生物学相结合的一个新领域,用于指导吻合过程中的细胞反应和组织再生。我们总结了不同吻合技术的力学特征,包括修复部位产生的机械力的类型和水平。此外,我们还探讨了这些机械信号如何影响信号通路,如Piezo1、TRPV4和YAP/TAZ,这些信号通路在吻合口愈合过程中对止血、炎症和组织再生至关重要。通过评估传统和新兴的吻合技术,我们揭示了不同的机械线索如何影响临床结果。最后,我们强调了人工智能和机器人系统的潜力,它们可能有助于优化机械微环境、预测并发症和个性化治疗。本文将建立一种新的机械医学驱动的吻合框架,旨在利用生物力学和机械生物学来提高手术精度和改善患者预后。
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引用次数: 0
On not forgetting: Comment on “Thoughts and thinkers: On the complementarity between objects and processes” by Fields and Levin 不要忘记:评论菲尔兹和列文的《思想与思想家:论对象与过程之间的互补性》
IF 14.3 1区 生物学 Q1 BIOLOGY Pub Date : 2025-09-24 DOI: 10.1016/j.plrev.2025.09.006
Pamela Lyon
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引用次数: 0
“Homo informatio”
IF 14.3 1区 生物学 Q1 BIOLOGY Pub Date : 2025-09-23 DOI: 10.1016/j.plrev.2025.09.007
Michael J. Walker
<div><div>A phylogenetic split ∼7.5 Ma (million years ago) separated paninan ancestors that were unlike today's chimpanzees, from homininan ancestors that were unlike <em>Homo sapiens</em> today; neither had evolved into their modern physical and behavioural forms. Those paninans gave rise to the mainly frugivorous woodland-dwelling chimpanzees (<em>Pan troglodytes</em>), whose multifemale-multimale troops have social hierarchies where prominent parts are played by promiscuous males whose female offspring have little choice after menarche but to seek sexual partners in other troops, hostility between troops notwithstanding, whilst male promiscuity is incompatible with paternal interest in their offspring, interest being provided mainly by mothers or female alloparents. Contrary to widespread conjecture that the social arrangements of <em>Pan</em> were those of primaeval homininans, it is proposed here that ∼4 Ma the nature of the mosaic landscapes (of grasslands and stands of trees) that were the habitat of australopithecine homininans, had 4 consequences that impinged on homininan evolution, differentiating it from that of woodland-dwelling paninans: (1) The diversity of whatever was available to eat was not the same in adjoining habitats of homininan social units, each of which may have been constrained by whatever mostly could be foraged, scavenged, eaten, or carried away, within perhaps a 2-hour walk; (2) Whatever was forageable, scavengeable, and edible within that distance likely was limited at any period of the year, so social units were increasingly omnivorous and <em>necessarily small</em>; (3) <em>Smallness</em> demanded <em>cognitive ingenuity</em> and <em>transmissibility of existential information</em> acquired by <em>active inference</em> generated by self-evidencing through enacted neuroethological behavioural responses, in line with the free energy principle, thanks to the cognitive <em>broadening</em> of <em>homininan “zones of bounded surprisal”</em> (<em>ZBS</em>) with respect to <em>paninans' ZBS,</em> both <em>within</em> each homininan “<em>small-world</em>” social unit and <em>between</em> nearby homininan units spreading out, in space and time, as budding very <em>small-world</em> information networks; (4) The <em>existential continuity</em> of small homininan social units depended on cooperation and sporadic collaboration between social units with mixed-sex philopatry (perhaps present ∼4 Ma among <em>Australopithecus anamensis</em>), behaviour which, together with (a) the generation of <em>information</em> within each unit that is enhanced by the intimate proximity to toddlers and children of older females and males in small mixed-sex social units<em>,</em> and (b) mixed-sex dispersal of sexually-active partners establishing mixed-sex social units at newly-formed localities nearby, was behaviour that maintained not only heterozygosity, but also, <em>crucial cognitive awareness of kinship links favouring transmissibility o
大约750万年前的系统发育分裂将与今天的黑猩猩不同的猿人祖先与与今天的智人不同的人类祖先分开;它们都没有进化成现代的身体和行为形式。这些paninans产生了主要以水果为食的林地黑猩猩(Pan troglodytes),其多雌多雄的群体具有社会等级制度,其中突出的角色是滥交的雄性,它们的雌性后代在月经初潮后别无选择,只能在其他群体中寻找性伴侣,尽管群体之间存在敌意,而雄性的滥交与父亲对后代的兴趣是不相容的。兴趣主要由母亲或女性异体父母提供。与普遍的推测相反,潘人的社会安排是原始人类的社会安排,这里提出,大约4年前,作为南方古猿人类栖息地的马赛克景观(草原和树木)的性质对人类进化产生了4个影响,使其与居住在林地的潘人区分开来:(1)在人类社会单位相邻的栖息地中,可吃的东西的多样性是不一样的,每一个都可能受到大约2小时步行范围内可以觅食、拾取、食用或带走的东西的限制;(2)在这一距离内,任何可采、可食和可食用的东西在一年中的任何时期都可能是有限的,因此社会单位越来越杂食性,必然是小的;(3)“小”要求认知独创性和存在信息的可传递性,这些信息是通过通过制定的神经行为学行为反应产生的自证性主动推理获得的,符合自由能原理,这要归功于人类“有限惊奇区”(ZBS)的认知扩展,无论是在每个人类“小世界”社会单位内,还是在空间和时间上分布的邻近人类单位之间。正在萌芽的小世界信息网络;(4)小型人类社会单位的存在连续性依赖于具有混合性别哲学的社会单位之间的合作和零星合作(可能在南方古猿中存在~ 4 Ma),这种行为连同(a)在小型混合性别社会单位中,每个单位内的信息生成通过与幼儿和老年女性和男性的儿童的亲密接触而增强;(b)性活跃伴侣的混合性别分散在附近新形成的地方建立混合性别社会单位,这不仅是维持杂合性的行为,而且是对亲属关系的关键认知意识,有利于信息的传播,以及邻近社会单位之间的合作和协作(而不是敌意),这是代表进化认知和社会分化的行为。小而脆弱的社会单位的脆弱性意味着,在公元前4万年到公元前4万年之间,甚至尼安德特人都消失了,只有我们的史前智人祖先拥有“信息人”的高度进化的等级机械思维,其无与伦比的广泛认知“有限惊喜区”(ZBS)基于与自由能原理一致的主动推理。
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引用次数: 0
Beyond stimulus-centric, dualist and modular theories of cognitive control: fact or fiction? Comment on “Active inference and cognitive control: Balancing deliberation and habits through precision optimization” by Riccardo Proietti, Thomas Parr, Alessia Tessari, Karl Friston, & Giovanni Pezzulo 超越刺激中心、二元论和模块化的认知控制理论:事实还是虚构?评论Riccardo Proietti、Thomas Parr、Alessia Tessari、Karl Friston和Giovanni Pezzulo的《主动推理和认知控制:通过精确优化平衡深思熟虑和习惯
IF 14.3 1区 生物学 Q1 BIOLOGY Pub Date : 2025-09-19 DOI: 10.1016/j.plrev.2025.09.005
Francisco Barceló
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引用次数: 0
Cognitive control under active inference: from habits to metacognition. Comment on "Active inference and cognitive control: Balancing deliberation and habits through precision optimization” by Riccardo Proietti, Thomas Parr, Allessia Tessari, Karl Friston & Giovanni Pezzulo 主动推理下的认知控制:从习惯到元认知。评论Riccardo Proietti、Thomas Parr、Allessia Tessari、Karl Friston和Giovanni Pezzulo的《主动推理和认知控制:通过精确优化平衡深思和习惯
IF 14.3 1区 生物学 Q1 BIOLOGY Pub Date : 2025-09-18 DOI: 10.1016/j.plrev.2025.09.004
Anna-Lena Eckert
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引用次数: 0
Beyond behavioral studies: Exploring the multi-omics impact of music on human health.: Comment on Can arts-based interventions improve health? A conceptual and methodological critique by Martin Skov and Marcos Nadal 超越行为研究:探索音乐对人类健康的多组学影响。基于艺术的干预措施能改善健康吗?马丁·斯科夫(Martin Skov)和马科斯·巴布(Marcos bbb)的概念和方法批判。
IF 14.3 1区 生物学 Q1 BIOLOGY Pub Date : 2025-09-11 DOI: 10.1016/j.plrev.2025.09.002
Antonio Salas , Laura Navarro , Federico Martinón-Torres , Alberto Gómez-Carballa
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引用次数: 0
Sensing the unsensed: Ionizing radiation at the boundaries of human perception 感知未感知的:人类感知边界的电离辐射
IF 14.3 1区 生物学 Q1 BIOLOGY Pub Date : 2025-09-10 DOI: 10.1016/j.plrev.2025.09.003
Marco Durante
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引用次数: 0
Modeling network connectivity may reveal further insights on how transcranial alternating current stimulation modulates brain activity 模拟网络连接可以进一步揭示经颅交流电刺激如何调节大脑活动
IF 14.3 1区 生物学 Q1 BIOLOGY Pub Date : 2025-09-08 DOI: 10.1016/j.plrev.2025.08.013
Heiko I. Stecher , Daniel Strüber , Christoph S. Herrmann
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引用次数: 0
Balancing objects and processes: advocating pluralism in biology: Comment on “Thoughts and thinkers: On the complementarity between objects and processes" by Chris Fields and Michael Levin 平衡客体与过程:倡导生物学的多元主义——评克里斯·菲尔兹和迈克尔·莱文的《思想与思想家:论客体与过程的互补性
IF 14.3 1区 生物学 Q1 BIOLOGY Pub Date : 2025-09-04 DOI: 10.1016/j.plrev.2025.09.001
Soumya Banerjee
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引用次数: 0
Integrating large language models and active inference to understand eye movements in reading and dyslexia 整合大语言模型和主动推理来理解阅读和阅读障碍中的眼球运动
IF 14.3 1区 生物学 Q1 BIOLOGY Pub Date : 2025-09-03 DOI: 10.1016/j.plrev.2025.08.008
Francesco Donnarumma , Mirco Frosolone , Giovanni Pezzulo
We present a novel computational model employing hierarchical active inference to simulate reading and eye movements. The model characterizes linguistic processing as inference over a hierarchical generative model, facilitating predictions and inferences at various levels of granularity, from syllables to sentences. Our approach combines the strengths of large language models for realistic textual predictions and active inference for guiding eye movements to informative textual information, enabling the testing of predictions. The model exhibits proficiency in reading both known and unknown words and sentences, adhering to the distinction between lexical and nonlexical routes in dual route theories of reading. Our model therefore provides a novel approach to understand the cognitive processes underlying reading and eye movements, within a predictive processing framework. Furthermore, our model can potentially aid in understanding how maladaptive predictive processing can produce reading deficits associated with dyslexia. As a proof of concept, we show that attenuating the contribution of priors during the reading process leads to incorrect inferences and a more fragmented reading style, characterized by a greater number of shorter saccades, aligning with empirical findings regarding eye movements in dyslexic individuals. In summary, our model represents a significant advancement in comprehending the cognitive processes involved in reading and eye movements, with potential implications for understanding dyslexia in terms of maladaptive inference.
我们提出了一种新的计算模型,采用分层主动推理来模拟阅读和眼球运动。该模型将语言处理描述为分层生成模型上的推理,促进从音节到句子的各种粒度级别的预测和推理。我们的方法结合了大型语言模型的优势,用于现实文本预测和主动推理,用于引导眼球运动以获取翔实的文本信息,从而能够对预测进行测试。该模型能够熟练地阅读已知和未知的单词和句子,坚持阅读双路径理论中词汇路径和非词汇路径的区分。因此,我们的模型提供了一种在预测处理框架内理解阅读和眼球运动背后的认知过程的新方法。此外,我们的模型可以潜在地帮助理解不适应的预测处理如何产生与阅读障碍相关的阅读缺陷。作为概念的证明,我们表明,在阅读过程中减弱先验的贡献会导致不正确的推理和更碎片化的阅读风格,其特征是更多的短扫视,这与关于阅读困难个体眼球运动的实证研究结果一致。总之,我们的模型在理解与阅读和眼球运动有关的认知过程方面取得了重大进展,对理解阅读障碍的适应不良推理具有潜在的意义。
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Physics of Life Reviews
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