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High self-healing rate of oral ranula: A prospective study 口腔积液自愈率高的前瞻性研究
Pub Date : 1900-01-01 DOI: 10.59717/j.xinn-med.2023.100011
Yunan Liu, Lin Wang, Yidan Zhu, Lin Lan, Diancang Wang
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引用次数: 1
Advancing the battle against Alzheimer's Disease: a focus on targeting tau pathology by antisense oligonucleotide 推进与阿尔茨海默病的斗争:反义寡核苷酸靶向tau病理的焦点
Pub Date : 1900-01-01 DOI: 10.59717/j.xinn-med.2023.100020
Rong-Rong Lin, Hui-Fen Huang, Qing-Qing Tao
clinical symptoms in AD patients.
AD患者的临床症状。
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引用次数: 0
Confinement-guided ultrasensitive optical assay with artificial intelligence for disease diagnostics 基于人工智能的禁锢引导超灵敏光学检测用于疾病诊断
Pub Date : 1900-01-01 DOI: 10.59717/j.xinn-med.2023.100023
Wenjing Zhang, Yongfeng Lu, Chenyi Su, Yibo Wang, Yong-Fei Wang, Bo Zhang, Cheng Jiang, Keying Guo, Chuan Xu
The necessity for ultrasensitive detection is becoming increasingly apparent as it plays a pivotal role in disease early diagnostics and health management, particularly when it comes to detecting and monitoring low-abundance biomarkers or precious samples with tiny volumes. In many disease cases, such as cancer, infectious disease, autoimmune disorder, and neurodegenerative disease, low-abundant target biomarkers like circulating tumor cells (CTCs), extracellular vesicle (EV) subpopulations, and post-translational modified proteins (PTMs) are commonly existing and can be served as early indicators of disease onset or progression. However, these biomarkers often exist in ultra-low quantities in body fluids, surpassing the detection limits of conventional diagnostic tools like enzyme-linked immunosorbent assay (ELISA). This leads to the inability to probe disease evolution at a very early stage from molecular pathology perspective. In such regard, ultrasensitive optical assays have emerged as a solution to overcome these limitations and have witnessed significant progress in recent decades. This review provides a comprehensive overview of the recent advancements in ultrasensitive optical detection for disease diagnostics, particularly focusing on the conjunction of confinement within micro-/nano-structures and signal amplification to generate distinguishable optical readouts. The discussion begins with a meticulous evaluation of the advantages and disadvantages of these ultra-sensitive optical assays. Then, the spotlight is turned towards the implementation of artificial intelligence (AI) algorithms. The ability of AI to process large volumes of visible reporter signal and clinical data has proven invaluable in identifying unique patterns across multi-center cohort samples. Looking forward, the review underscores future advancements in developing convergent biotechnology (BT) and information technology (IT) toolbox, especially optical biosensors for high-throughput biomarker screening, point-of-care (PoC) testing with appropriate algorithms for their clinical translation are highlighted.
超灵敏检测的必要性正变得越来越明显,因为它在疾病早期诊断和健康管理中起着关键作用,特别是在检测和监测低丰度生物标志物或微小体积的珍贵样品时。在许多疾病病例中,如癌症、传染病、自身免疫性疾病和神经退行性疾病,低丰度的靶生物标志物如循环肿瘤细胞(ctc)、细胞外囊泡(EV)亚群和翻译后修饰蛋白(PTMs)普遍存在,可以作为疾病发生或进展的早期指标。然而,这些生物标志物在体液中的含量通常极低,超过了酶联免疫吸附试验(ELISA)等传统诊断工具的检测极限。这导致无法从分子病理学的角度在非常早期的阶段探测疾病的演变。在这方面,超灵敏光学分析已经成为克服这些限制的一种解决方案,并在最近几十年取得了重大进展。本文综述了用于疾病诊断的超灵敏光学检测的最新进展,特别关注微/纳米结构内约束和信号放大的结合,以产生可区分的光学读数。讨论开始与这些超灵敏的光学分析的优点和缺点的细致评价。然后,焦点转向人工智能(AI)算法的实现。人工智能处理大量可见报告信号和临床数据的能力在识别跨多中心队列样本的独特模式方面已被证明是无价的。展望未来,综述强调了发展融合生物技术(BT)和信息技术(IT)工具箱的未来进展,特别是用于高通量生物标志物筛选的光学生物传感器,以及为其临床转化提供适当算法的护理点(PoC)测试。
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引用次数: 1
Association between air pollution and telomere length: A study of 471,808 UK Biobank participants 空气污染与端粒长度之间的关系:一项对471808名英国生物银行参与者的研究
Pub Date : 1900-01-01 DOI: 10.59717/j.xinn-med.2023.100017
Yao Wu, D. Gasevic, Bo Wen, P. Yu, R. Xu, Guowei Zhou, Yan Zhang, Jiangning Song, Hong Liu, Shanshan Li, Yuming Guo
Previous research suggested an association between air pollution and shortened telomere length (TL), a biomarker of oxidative stress and inflammation. However, supporting results are challenged by the small sample size and heterogeneity in participant characteristics. To comprehensively evaluate the association of long-term exposure to air pollution with telomere length, we studied 471,808 participants from UK Biobank with measurements on leukocyte telomere length (LTL). Air pollution data on PM2.5, PM10, NO2, NOx, SO2, and CO before baseline at 1 km spatial resolution were collected and linked to each participant��s residential address. We applied mixed-effects linear regression models to examine the association between long-term air pollution exposure and LTL. Compared to the lowest quartile (Q1) of air pollutants, the estimated percentage changes of age-corrected LTL were -2.71% [95% confidence interval (CI): -3.78, -1.63] for SO2, -0.82% (95% CI: -1.87, 0.23) for NO2, -1.17% (95% CI: -2.23, -0.11) for NOx, and -0.47% (95% CI: -1.45, 0.53) for CO in the highest quartile groups (Q4). Decreasing trends in age-corrected LTL following the increase in PM2.5 and PM10 leveled off during high levels of air pollutants. Among participants with lower household income, lower educational attainment, and higher BMI, a stronger association was found between air pollution and LTL. Our findings suggest a negative association between air pollution and LTL and provide insights into the potential pathways linking air pollution to age-related diseases.
先前的研究表明,空气污染与端粒长度缩短(TL)之间存在关联,TL是氧化应激和炎症的生物标志物。然而,支持结果受到样本量小和参与者特征异质性的挑战。为了全面评估长期暴露于空气污染与端粒长度的关系,我们研究了来自英国生物银行的471,808名参与者,测量了白细胞端粒长度(LTL)。收集了基线前1公里空间分辨率的PM2.5、PM10、NO2、NOx、SO2和CO的空气污染数据,并与每个参与者的居住地址相关联。我们采用混合效应线性回归模型来检验长期空气污染暴露与LTL之间的关系。与空气污染物的最低四分位数(Q1)相比,SO2的年龄校正LTL的估计百分比变化为-2.71%[95%可信区间(CI): -3.78, -1.63], NO2的估计百分比变化为-0.82% (95% CI: -1.87, 0.23), NOx的估计百分比变化为-1.17% (95% CI: -2.23, -0.11), CO的估计百分比变化为-0.47% (95% CI: -1.45, 0.53)。随着PM2.5和PM10的增加,年龄校正LTL的下降趋势在高水平空气污染物期间趋于平稳。在家庭收入较低、受教育程度较低、身体质量指数较高的参与者中,空气污染与LTL之间存在更强的关联。我们的研究结果表明,空气污染与LTL之间存在负相关关系,并为将空气污染与年龄相关疾病联系起来的潜在途径提供了见解。
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引用次数: 4
Advanced prompting as a catalyst: Empowering large language models in the management of gastrointestinal cancers 作为催化剂的先进提示:在胃肠道癌症管理中增强大型语言模型的能力
Pub Date : 1900-01-01 DOI: 10.59717/j.xinn-med.2023.100019
J. Yuan, Peng Bao, Zi Chen, Mingze Yuan, Jie Zhao, Jiahua Pan, Yi Xie, Yanshuo Cao, Yakun Wang, Zhenghang Wang, Zhihao Lu, Xiaotian Zhang, Jian Li, Lei Ma, Yang Chen, Li Zhang, Lin Shen, Bin Dong
Large Language Models' (LLMs) performance in healthcare can be significantly impacted by prompt engineering. However, the area of study remains relatively uncharted in gastrointestinal oncology until now. Our research delves into this unexplored territory, investigating the efficacy of varied prompting strategies, including simple prompts, templated prompts, in-context learning (ICL), and multi-round iterative questioning, for optimizing the performance of LLMs within a medical setting. We develop a comprehensive evaluation system to assess the performance of LLMs across multiple dimensions. This robust evaluation system ensures a thorough assessment of the LLMs' capabilities in the field of medicine. Our findings suggest a positive relationship between the comprehensiveness of the prompts and the LLMs' performance. Notably, the multi-round strategy, which is characterized by iterative question-and-answer rounds, consistently yields the best results. ICL, a strategy that capitalizes on interrelated contextual learning, also displays significant promise, surpassing the outcomes achieved with simpler prompts. The research underscores the potential of advanced prompt engineering and iterative learning approaches for boosting the applicability of LLMs in healthcare. We recommend that additional research be conducted to refine these strategies and investigate their potential integration, to truly harness the full potential of LLMs in medical applications.
大型语言模型(llm)在医疗保健领域的性能会受到即时工程的显著影响。然而,到目前为止,胃肠道肿瘤学的研究领域仍然相对未知。我们的研究深入了这一未开发的领域,调查了各种提示策略的有效性,包括简单提示、模板提示、上下文学习(ICL)和多轮迭代提问,以优化llm在医疗环境中的性能。我们开发了一个全面的评估系统,从多个维度评估法学硕士的表现。这个强大的评估系统确保了法学硕士在医学领域的能力的全面评估。我们的研究结果表明,提示的全面性与法学硕士的表现之间存在正相关关系。值得注意的是,以反复问答为特征的多轮策略始终产生最佳结果。ICL是一种利用相互关联的上下文学习的策略,也显示出巨大的前景,超过了使用更简单的提示所取得的结果。该研究强调了先进的快速工程和迭代学习方法的潜力,以提高法学硕士在医疗保健领域的适用性。我们建议进行更多的研究来完善这些策略,并调查它们的潜在整合,以真正利用法学硕士在医学应用中的全部潜力。
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引用次数: 1
Win-win cooperation for advancing medical innovation 合作共赢,推进医疗创新
Pub Date : 1900-01-01 DOI: 10.59717/j.xinn-med.2023.100002
Jie Qiao
Peking University Health Science Center, Beijing 100191, China *Correspondence: Jie Qiao: jie.qiao@263.net Received: May 5, 2023; Accepted: May 29, 2023; Published Online: June 6, 2023; https://doi.org/10.59717/j.xinn-med.2023.100002 © 2023 The Author(s). This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Citation: Qiao J. (2023). Win-win cooperation for advancing medical innovation. The Innovation Medicine 1(1), 100002. Scientific and technological advancements in medicine have always been highly esteemed worldwide. According to statistics published by the Organization for Economic Cooperation and Development (OECD), global health spending accounted for 9.6% of GDP in 2021. Research and development expenses incurred in “health and environmental projects” comprised 30% to 50% of the total R&D funds available in major developed countries such as the United States and the United Kingdom in 2019. . Novel scientific and technological advancements in medicine will be key areas for innovation and capital investments globally over the next 30 years. These medical innovations are expected to generate new preventative, diagnostic, and treatment methods, as well as health monitoring techniques, new drugs, and devices for managing diseases. These advancements in medicine will not only accelerate existing medical and commercial processes to address people’s ever-changing health demands but also enhance the ability to respond effectively to future emergencies, such as pandemics. Ultimately, the benefits will extend to the entire global community. Achieving this goal requires global cooperation across all levels: governments, medical companies, hospitals, and scientific research institutes must collaborate to create a favorable ecosystem for medical innovation. Governments and companies must partner to tackle the critical challenge of ensuring that innovative products benefit as many individuals as possible.
北京大学医学部,北京100191 *通讯:乔杰:jie.qiao@263.net收稿日期:2023年5月5日;录用日期:2023年5月29日;在线出版:2023年6月6日;https://doi.org/10.59717/j.xinn-med.2023.100002©2023作者。这是一篇基于CC BY-NC-ND许可(http://creativecommons.org/licenses/by-nc-nd/4.0/)的开放获取文章。引用本文:乔杰(2023)。合作共赢,推进医疗创新。创新医学1(1),2000。医学方面的科技进步一直受到全世界的高度重视。根据经济合作与发展组织(OECD)公布的统计数据,2021年全球卫生支出占GDP的9.6%。2019年,在美国、英国等主要发达国家,“健康和环境项目”的研发费用占可用研发资金总额的30%至50%。医药领域的新科技进步将是未来30年全球创新和资本投资的关键领域。这些医学创新有望产生新的预防、诊断和治疗方法,以及健康监测技术、新药和管理疾病的设备。医学上的这些进步不仅将加速现有的医疗和商业进程,以满足人们不断变化的健康需求,而且还将增强有效应对未来突发事件(如流行病)的能力。最终,这些好处将惠及整个全球社会。实现这一目标需要全球各级合作:政府、医疗公司、医院和科研机构必须合作,为医疗创新创造有利的生态系统。政府和公司必须合作,以应对确保创新产品使尽可能多的人受益的关键挑战。
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引用次数: 2
Bioinformatics: Advancing biomedical discovery and innovation in the era of big data and artificial intelligence 生物信息学:在大数据和人工智能时代推进生物医学发现和创新
Pub Date : 1900-01-01 DOI: 10.59717/j.xinn-med.2023.100012
Yuan Liu, Ya-Min Chen, Leng Han
Brown Center for Immunotherapy, School of Medicine, Indiana University, Indianapolis, IN 46202, USA *Correspondence: yl218@iu.edu (Y.L.); lenghan@iu.edu (L.H.) Received: April 12, 2023; Accepted: May 16, 2023; Published Online: May 28, 2023; https://doi.org/10.59717/j.xinn-med.2023.100012 © 2023 The Author(s). This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Citation: Liu Y., Chen Y., and Han L. (2023). Bioinformatics: Advancing biomedical discovery and innovation in the era of big data and artificial intelligence. The Innovation Medicine 1(1), 100012. Bioinformatics made significant progress in generating, analyzing, and interpreting vast amounts of biological data in the past decades. Challenged by the vast amount of data collected from diverse sources, bioinformatics research powered by artificial intelligence has led to novel insights into the field of biomedicine and will continue to drive further discoveries.
美国印第安纳大学医学院布朗免疫治疗中心,印第安纳州印第安纳波利斯46202 *通讯:yl218@iu.edu (Y.L.);lenghan@iu.edu (L.H.)收稿日期:2023年4月12日;录用日期:2023年5月16日;在线出版:2023年5月28日;https://doi.org/10.59717/j.xinn-med.2023.100012©2023作者。这是一篇基于CC BY-NC-ND许可(http://creativecommons.org/licenses/by-nc-nd/4.0/)的开放获取文章。引用本文:刘勇,陈勇,韩磊(2023)。生物信息学:在大数据和人工智能时代推进生物医学发现和创新。创新医学1(1),100012。在过去的几十年里,生物信息学在生成、分析和解释大量生物数据方面取得了重大进展。受到来自不同来源的大量数据的挑战,由人工智能驱动的生物信息学研究已经为生物医学领域带来了新的见解,并将继续推动进一步的发现。
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引用次数: 2
A new perspective in the research of antibody drug conjugate 抗体药物偶联物研究的新视角
Pub Date : 1900-01-01 DOI: 10.59717/j.xinn-med.2023.100018
Qiao Li, Mingxia Jiang, Bing-he Xu
Antibody drug conjugate (ADC) combines the high specificity of monoclonal antibodies and the high activity of small molecule cytotoxic drugs through linkers to improve the targeting of tumor drugs and reduce the toxic side effects. Due to the advantages of clear targets, mature technology, and good selectivity, ADCs have shown excellent application prospects in hematological and solid tumor therapeutic fields. In this perspective, the selection of ADC-targeting antigens is described in the group of driver gene target antigens and non-driver gene target antigens to make more evident the importance of targeting antigens in advancing ADCs for tumor therapy. In the future, continued research and innovation in this field will help provide more effective, targeted, and personalized treatments for cancer patients, ultimately improving patients�� outcomes and quality of life.
抗体药物偶联物(Antibody drug conjugate, ADC)通过连接体将单克隆抗体的高特异性和小分子细胞毒药物的高活性结合起来,提高肿瘤药物的靶向性,减少毒副作用。adc因其靶点明确、技术成熟、选择性好等优点,在血液学和实体肿瘤治疗领域显示出良好的应用前景。从这个角度出发,本文将adc靶向抗原的选择分为驱动基因靶向抗原和非驱动基因靶向抗原两组,进一步说明靶向抗原在推进adc肿瘤治疗中的重要性。未来,这一领域的持续研究和创新将有助于为癌症患者提供更有效、更有针对性和更个性化的治疗方法,最终改善患者的预后和生活质量。
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引用次数: 0
Lilly's Donanemab, will it be the light at the end of the tunnel? Lilly的Donanemab,会是隧道尽头的光吗?
Pub Date : 1900-01-01 DOI: 10.59717/j.xinn-med.2023.100006
Jianhong Dong, Ying Wang
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引用次数: 0
COVID-19 Pandemic: End of emergency, but not end of challenge COVID-19大流行:紧急情况结束,但挑战并未结束
Pub Date : 1900-01-01 DOI: 10.59717/j.xinn-med.2023.100004
Rongrong Song, Jiuyang Xu, B. Cao
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引用次数: 0
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The Innovation Medicine
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