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Multi-omics strategies for personalized and predictive medicine: past, current, and future translational opportunities. 个性化和预测医学的多组学策略:过去,现在和未来的转化机会。
IF 3.8 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2022-03-02 DOI: 10.1042/ETLS20210244
Zeeshan Ahmed
Precision medicine is driven by the paradigm shift of empowering clinicians to predict the most appropriate course of action for patients with complex diseases and improve routine medical and public health practice. It promotes integrating collective and individualized clinical data with patient specific multi-omics data to develop therapeutic strategies, and knowledgebase for predictive and personalized medicine in diverse populations. This study is based on the hypothesis that understanding patient's metabolomics and genetic make-up in conjunction with clinical data will significantly lead to determining predisposition, diagnostic, prognostic and predictive biomarkers and optimal paths providing personalized care for diverse and targeted chronic, acute, and infectious diseases. This study briefs emerging significant, and recently reported multi-omics and translational approaches aimed to facilitate implementation of precision medicine. Furthermore, it discusses current grand challenges, and the future need of Findable, Accessible, Intelligent, and Reproducible (FAIR) approach to accelerate diagnostic and preventive care delivery strategies beyond traditional symptom-driven, disease-causal medical practice.
精准医学是由授权临床医生预测复杂疾病患者最合适的行动方案并改进常规医疗和公共卫生实践的范式转变驱动的。它促进将集体和个性化的临床数据与患者特异性的多组学数据相结合,以制定治疗策略,并为不同人群的预测性和个性化医学建立知识库。这项研究基于这样一种假设,即结合临床数据了解患者的代谢组学和基因构成将大大有助于确定易感性、诊断、预后和预测性生物标志物,以及为各种有针对性的慢性病、急性病和传染病提供个性化护理的最佳途径。这项研究简要介绍了最近报道的旨在促进精准医学实施的多组学和转化方法。此外,它还讨论了当前的巨大挑战,以及可查找、可访问、智能和可复制(FAIR)方法的未来需求,以加速诊断和预防性护理提供策略,超越传统的症状驱动、疾病因果医疗实践。
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引用次数: 5
Crown of thorns starfish life-history traits contribute to outbreaks, a continuing concern for coral reefs 棘冠海星的生活史特征有助于爆发,这是珊瑚礁持续关注的问题
IF 3.8 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2022-02-28 DOI: 10.1042/ETLS20210239
D. Deaker, M. Byrne
Crown of thorns starfish (COTS, Acanthaster sp.) are notorious for their destructive consumption of coral that decimates tropical reefs, an attribute unique among tropical marine invertebrates. Their populations can rapidly increase from 0–1 COTS ha−1 to more than 10–1000 COTS ha−1 in short order causing a drastic change to benthic communities and reducing the functional and species diversity of coral reef ecosystems. Population outbreaks were first identified to be a significant threat to coral reefs in the 1960s. Since then, they have become one of the leading causes of coral loss along with coral bleaching. Decades of research and significant investment in Australia and elsewhere, particularly Japan, have been directed towards identifying, understanding, and managing the potential causes of outbreaks and designing population control methods. Despite this, the drivers of outbreaks remain elusive. What is becoming increasingly clear is that the success of COTS is tied to their inherent biological traits, especially in early life. Survival of larval and juvenile COTS is likely to be enhanced by their dietary flexibility and resilience to variable food conditions as well as their phenotypically plastic growth dynamics, all magnified by the extreme reproductive potential of COTS. These traits enable COTS to capitalise on anthropogenic disturbances to reef systems as well as endure less favourable conditions.
棘冠海星(COTS,Acanthaster sp.)因其对珊瑚的破坏性消耗而臭名昭著,这种破坏性消耗会摧毁热带珊瑚礁,这是热带海洋无脊椎动物特有的特性。它们的数量可以从0到1迅速增加 帆布床 ha−1至10–1000以上 帆布床 ha−1,导致底栖生物群落发生剧烈变化,降低珊瑚礁生态系统的功能和物种多样性。20世纪60年代,首次发现种群爆发对珊瑚礁构成重大威胁。从那时起,它们与珊瑚白化一起成为珊瑚损失的主要原因之一。在澳大利亚和其他地方,特别是日本,数十年的研究和重大投资一直致力于识别、理解和管理疫情的潜在原因,并设计人口控制方法。尽管如此,疫情的驱动因素仍然难以捉摸。越来越清楚的是,COTS的成功与它们固有的生物学特征有关,尤其是在生命早期。幼虫和幼年COTS的生存率可能会因其饮食灵活性和对可变食物条件的恢复力以及其表型可塑性生长动态而提高,所有这些都因COTS的极端繁殖潜力而放大。这些特性使COTS能够利用对珊瑚礁系统的人为干扰,并承受不太有利的条件。
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引用次数: 7
Contingency planning for coral reefs in the Anthropocene; The potential of reef safe havens. 人类世珊瑚礁应急规划;珊瑚礁安全避难所的潜力。
IF 3.8 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2022-02-28 DOI: 10.1042/ETLS20210232
E. Camp
Reducing the global reliance on fossil fuels is essential to ensure the long-term survival of coral reefs, but until this happens, alternative tools are required to safeguard their future. One emerging tool is to locate areas where corals are surviving well despite the changing climate. Such locations include refuges, refugia, hotspots of resilience, bright spots, contemporary near-pristine reefs, and hope spots that are collectively named reef 'safe havens' in this mini-review. Safe havens have intrinsic value for reefs through services such as environmental buffering, maintaining near-pristine reef conditions, or housing corals naturally adapted to future environmental conditions. Spatial and temporal variance in physicochemical conditions and exposure to stress however preclude certainty over the ubiquitous long-term capacity of reef safe havens to maintain protective service provision. To effectively integrate reef safe havens into proactive reef management and contingency planning for climate change scenarios, thus requires an understanding of their differences, potential values, and predispositions to stress. To this purpose, I provide a high-level review on the defining characteristics of different coral reef safe havens, how they are being utilised in proactive reef management and what risk and susceptibilities they inherently have. The mini-review concludes with an outline of the potential for reef safe haven habitats to support contingency planning of coral reefs under an uncertain future from intensifying climate change.
减少全球对化石燃料的依赖对确保珊瑚礁的长期生存至关重要,但在此之前,需要其他工具来保护它们的未来。一种新兴的工具是定位珊瑚在气候变化的情况下存活良好的地区。这些地点包括避难所、避难所、恢复力热点、亮点、当代近原始珊瑚礁和希望点,这些地点在本迷你评论中被统称为珊瑚礁“避风港”。通过提供环境缓冲、维持近乎原始的珊瑚礁条件或为自然适应未来环境条件的珊瑚提供住房等服务,安全港对珊瑚礁具有内在价值。然而,物理化学条件和压力暴露的时空差异排除了普遍存在的珊瑚礁安全港维持提供保护服务的长期能力的确定性。因此,为了有效地将珊瑚礁安全港纳入积极的珊瑚礁管理和气候变化情景应急规划中,需要了解它们的差异、潜在价值和对压力的倾向。为此,我对不同珊瑚礁安全港的定义特征、如何在积极的珊瑚礁管理中加以利用以及它们固有的风险和脆弱性进行了高水平的审查。这份小型评估报告总结了珊瑚礁安全避难所栖息地的潜力,以支持在气候变化加剧的不确定未来下珊瑚礁的应急规划。
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引用次数: 3
Applied machine learning in Alzheimer's disease research: omics, imaging, and clinical data. 机器学习在阿尔茨海默病研究中的应用:组学、成像和临床数据。
IF 3.8 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2021-12-21 DOI: 10.1042/ETLS20210249
Ziyi Li, Xiaoqian Jiang, Yizhuo Wang, Yejin Kim

Alzheimer's disease (AD) remains a devastating neurodegenerative disease with few preventive or curative treatments available. Modern technology developments of high-throughput omics platforms and imaging equipment provide unprecedented opportunities to study the etiology and progression of this disease. Meanwhile, the vast amount of data from various modalities, such as genetics, proteomics, transcriptomics, and imaging, as well as clinical features impose great challenges in data integration and analysis. Machine learning (ML) methods offer novel techniques to address high dimensional data, integrate data from different sources, model the etiological and clinical heterogeneity, and discover new biomarkers. These directions have the potential to help us better manage the disease progression and develop novel treatment strategies. This mini-review paper summarizes different ML methods that have been applied to study AD using single-platform or multi-modal data. We review the current state of ML applications for five key directions of AD research: disease classification, drug repurposing, subtyping, progression prediction, and biomarker discovery. This summary provides insights about the current research status of ML-based AD research and highlights potential directions for future research.

阿尔茨海默病(AD)仍然是一种破坏性的神经退行性疾病,几乎没有可用的预防或治疗方法。高通量组学平台和成像设备的现代技术发展为研究这种疾病的病因和进展提供了前所未有的机会。与此同时,来自遗传学、蛋白质组学、转录组学和成像等各种模式的大量数据以及临床特征给数据整合和分析带来了巨大挑战。机器学习(ML)方法提供了新的技术来处理高维数据,整合来自不同来源的数据,对病因和临床异质性进行建模,并发现新的生物标志物。这些方向有可能帮助我们更好地控制疾病进展并制定新的治疗策略。这篇小型综述文章总结了使用单平台或多模态数据研究AD的不同ML方法。我们回顾了ML在AD研究的五个关键方向的应用现状:疾病分类、药物再利用、分型、进展预测和生物标志物发现。本综述深入了解了基于ML的AD研究的现状,并强调了未来研究的潜在方向。
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引用次数: 15
Graph representation learning for structural proteomics. 结构蛋白质组学的图表示学习。
IF 3.8 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2021-12-21 DOI: 10.1042/ETLS20210225
Romanos Fasoulis, Georgios Paliouras, Lydia E Kavraki

The field of structural proteomics, which is focused on studying the structure-function relationship of proteins and protein complexes, is experiencing rapid growth. Since the early 2000s, structural databases such as the Protein Data Bank are storing increasing amounts of protein structural data, in addition to modeled structures becoming increasingly available. This, combined with the recent advances in graph-based machine-learning models, enables the use of protein structural data in predictive models, with the goal of creating tools that will advance our understanding of protein function. Similar to using graph learning tools to molecular graphs, which currently undergo rapid development, there is also an increasing trend in using graph learning approaches on protein structures. In this short review paper, we survey studies that use graph learning techniques on proteins, and examine their successes and shortcomings, while also discussing future directions.

结构蛋白质组学领域正经历着快速发展,主要研究蛋白质和蛋白质复合物的结构-功能关系。自21世纪初以来,蛋白质数据库等结构数据库存储了越来越多的蛋白质结构数据,建模结构也越来越可用。这与基于图形的机器学习模型的最新进展相结合,使蛋白质结构数据能够在预测模型中使用,目的是创建工具,促进我们对蛋白质功能的理解。与目前正在快速发展的分子图使用图学习工具类似,在蛋白质结构上使用图学习方法也有越来越多的趋势。在这篇简短的综述文章中,我们调查了在蛋白质上使用图形学习技术的研究,并检查了它们的成功和不足,同时也讨论了未来的方向。
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引用次数: 7
It takes guts to learn: machine learning techniques for disease detection from the gut microbiome. 学习需要勇气:从肠道微生物组检测疾病的机器学习技术。
IF 3.8 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2021-12-21 DOI: 10.1042/ETLS20210213
Kristen D Curry, Michael G Nute, Todd J Treangen

Associations between the human gut microbiome and expression of host illness have been noted in a variety of conditions ranging from gastrointestinal dysfunctions to neurological deficits. Machine learning (ML) methods have generated promising results for disease prediction from gut metagenomic information for diseases including liver cirrhosis and irritable bowel disease, but have lacked efficacy when predicting other illnesses. Here, we review current ML methods designed for disease classification from microbiome data. We highlight the computational challenges these methods have effectively overcome and discuss the biological components that have been overlooked to offer perspectives on future work in this area.

人类肠道微生物组与宿主疾病表达之间的关联已在从胃肠道功能障碍到神经系统缺陷等多种疾病中被注意到。机器学习(ML)方法在利用肠道元基因组信息预测疾病(包括肝硬化和肠易激综合症)方面取得了可喜的成果,但在预测其他疾病方面却缺乏有效性。在此,我们回顾了目前利用微生物组数据进行疾病分类的 ML 方法。我们强调了这些方法有效克服的计算挑战,并讨论了被忽视的生物成分,为这一领域未来的工作提供了展望。
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引用次数: 0
Molecular-based precision oncology clinical decision making augmented by artificial intelligence. 人工智能增强的基于分子的精准肿瘤临床决策。
IF 3.8 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2021-12-21 DOI: 10.1042/ETLS20210220
Jia Zeng, Md Abu Shufean

The rapid growth and decreasing cost of Next-generation sequencing (NGS) technologies have made it possible to conduct routine large panel genomic sequencing in many disease settings, especially in the oncology domain. Furthermore, it is now known that optimal disease management of patients depends on individualized cancer treatment guided by comprehensive molecular testing. However, translating results from molecular sequencing reports into actionable clinical insights remains a challenge to most clinicians. In this review, we discuss about some representative systems that leverage artificial intelligence (AI) to facilitate some processes of clinicians' decision making based upon molecular data, focusing on their application in precision oncology. Some limitations and pitfalls of the current application of AI in clinical decision making are also discussed.

新一代测序(NGS)技术的快速发展和成本的降低使得在许多疾病环境中进行常规的大面板基因组测序成为可能,特别是在肿瘤学领域。此外,目前已知患者的最佳疾病管理取决于以综合分子检测为指导的个体化癌症治疗。然而,将分子测序报告的结果转化为可操作的临床见解对大多数临床医生来说仍然是一个挑战。在这篇综述中,我们讨论了一些有代表性的系统,利用人工智能(AI)来促进临床医生基于分子数据的决策过程,重点介绍了它们在精确肿瘤学中的应用。本文还讨论了目前人工智能在临床决策中应用的一些局限性和缺陷。
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引用次数: 4
Artificial intelligence, machine learning, and deep learning for clinical outcome prediction. 用于临床结果预测的人工智能、机器学习和深度学习。
IF 3.8 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2021-12-20 DOI: 10.1042/ETLS20210246
Rowland W Pettit, Robert Fullem, Chao Cheng, Christopher I Amos

AI is a broad concept, grouping initiatives that use a computer to perform tasks that would usually require a human to complete. AI methods are well suited to predict clinical outcomes. In practice, AI methods can be thought of as functions that learn the outcomes accompanying standardized input data to produce accurate outcome predictions when trialed with new data. Current methods for cleaning, creating, accessing, extracting, augmenting, and representing data for training AI clinical prediction models are well defined. The use of AI to predict clinical outcomes is a dynamic and rapidly evolving arena, with new methods and applications emerging. Extraction or accession of electronic health care records and combining these with patient genetic data is an area of present attention, with tremendous potential for future growth. Machine learning approaches, including decision tree methods of Random Forest and XGBoost, and deep learning techniques including deep multi-layer and recurrent neural networks, afford unique capabilities to accurately create predictions from high dimensional, multimodal data. Furthermore, AI methods are increasing our ability to accurately predict clinical outcomes that previously were difficult to model, including time-dependent and multi-class outcomes. Barriers to robust AI-based clinical outcome model deployment include changing AI product development interfaces, the specificity of regulation requirements, and limitations in ensuring model interpretability, generalizability, and adaptability over time.

人工智能是一个广泛的概念,它将使用计算机执行通常需要人类完成的任务的举措分组。人工智能方法非常适合预测临床结果。在实践中,人工智能方法可以被认为是学习标准化输入数据的结果的功能,以在使用新数据进行试验时产生准确的结果预测。目前用于清洁、创建、访问、提取、扩充和表示用于训练AI临床预测模型的数据的方法已经得到了很好的定义。使用人工智能预测临床结果是一个动态且快速发展的领域,新的方法和应用正在出现。提取或登录电子医疗记录并将其与患者基因数据相结合是目前关注的一个领域,具有巨大的未来增长潜力。机器学习方法,包括随机森林和XGBoost的决策树方法,以及深度多层和递归神经网络等深度学习技术,提供了从高维多模式数据中准确创建预测的独特能力。此外,人工智能方法正在提高我们准确预测以前难以建模的临床结果的能力,包括时间依赖性和多类别结果。稳健的基于人工智能的临床结果模型部署的障碍包括不断变化的人工智能产品开发界面、监管要求的特殊性,以及在确保模型可解释性、可推广性和随时间变化的适应性方面的局限性。
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引用次数: 0
Bioinformatics approach to spatially resolved transcriptomics. 空间解析转录组学的生物信息学方法。
IF 3.8 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2021-11-12 DOI: 10.1042/ETLS20210131
Ivan Krešimir Lukić

Spatially resolved transcriptomics encompasses a growing number of methods developed to enable gene expression profiling of individual cells within a tissue. Different technologies are available and they vary with respect to: the method used to define regions of interest, the method used to assess gene expression, and resolution. Since techniques based on next-generation sequencing are the most prevalent, and provide single-cell resolution, many bioinformatics tools for spatially resolved data are shared with single-cell RNA-seq. The analysis pipelines diverge at the level of quantification matrix, downstream of which spatial techniques require specific tools to answer key biological questions. Those questions include: (i) cell type classification; (ii) detection of genes with specific spatial distribution; (iii) identification of novel tissue regions based on gene expression patterns; (iv) cell-cell interactions. On the other hand, analysis of spatially resolved data is burdened by several specific challenges. Defining regions of interest, e.g. neoplastic tissue, often calls for manual annotation of images, which then poses a bottleneck in the pipeline. Another specific issue is the third spatial dimension and the need to expand the analysis beyond a single slice. Despite the problems, it can be predicted that the popularity of spatial techniques will keep growing until they replace single-cell assays (which will remain limited to specific cases, like blood). As soon as the computational protocol reach the maturity (e.g. bulk RNA-seq), one can foresee the expansion of spatial techniques beyond basic or translational research, even into routine medical diagnostics.

空间分解转录组学包括越来越多的方法开发,使基因表达谱在一个组织内的单个细胞。不同的技术是可用的,它们在以下方面有所不同:用于定义感兴趣区域的方法,用于评估基因表达的方法和分辨率。由于基于下一代测序的技术是最普遍的,并且提供单细胞分辨率,许多用于空间分辨率数据的生物信息学工具与单细胞RNA-seq共享。分析管道在量化矩阵水平上存在分歧,其下游的空间技术需要特定的工具来回答关键的生物学问题。这些问题包括:(i)细胞类型分类;(ii)具有特定空间分布的基因检测;(iii)基于基因表达模式鉴定新的组织区域;(iv)细胞-细胞相互作用。另一方面,空间解析数据的分析面临着一些具体的挑战。定义感兴趣的区域,例如肿瘤组织,通常需要对图像进行手动注释,这就构成了管道中的瓶颈。另一个具体问题是第三空间维度,需要将分析扩展到单个切片之外。尽管存在这些问题,但可以预测的是,空间技术的普及将继续增长,直到它们取代单细胞分析(这将仍然局限于特定的情况,如血液)。一旦计算协议达到成熟(例如批量RNA-seq),人们可以预见空间技术的扩展将超越基础或转化研究,甚至进入常规医学诊断。
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引用次数: 0
Transthyretin-mediated protein and peptide oligomerization for enhanced target clustering. 转甲状腺视黄醛介导的蛋白和肽寡聚增强靶聚类。
IF 3.8 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2021-11-12 DOI: 10.1042/ETLS20210028
Daniel Yoo, Kenneth W Walker

Advances in cancer research have led to the development of new therapeutics with significant and durable responses such as immune checkpoint inhibitors. More recent therapies aim to stimulate anti-tumor immune responses by targeting the tumor necrosis factor (TNF) receptors, however this approach has been shown to require clustering of receptors in order to achieve a significant response. Here we present a perspective on using transthyretin, a naturally occurring serum protein, as a drug delivery platform to enable cross-linking independent clustering of targets. TTR forms a stable homo-tetramer with exposed termini that make TTR a highly versatile platform for generating multimeric antibody fusions to enable enhanced target clustering. Fusions with antibodies or Fabs targeting TRAILR2 were shown to have robust cytotoxic activity in vitro and in vivo in colorectal xenograft models demonstrating that TTR is a highly versatile, stable, therapeutic fusion platform that can be used with antibodies, Fabs and other bioactive fusion partners and has broad applications in oncology and infectious disease research.

癌症研究的进步导致了具有显著和持久反应的新疗法的发展,如免疫检查点抑制剂。最近的治疗旨在通过靶向肿瘤坏死因子(TNF)受体来刺激抗肿瘤免疫反应,然而,这种方法已被证明需要受体聚集才能达到显著的反应。在这里,我们提出了使用转甲状腺素(一种天然存在的血清蛋白)作为药物递送平台以实现交联独立聚类靶标的观点。TTR形成一个稳定的同源四聚体,其末端暴露,这使得TTR成为一个高度通用的平台,用于产生多聚体抗体融合,从而增强目标聚类。在结直肠癌异种移植模型中,与靶向TRAILR2的抗体或fab的融合在体外和体内均显示出强大的细胞毒活性,这表明TTR是一种高度通用、稳定的治疗性融合平台,可与抗体、fab和其他生物活性融合伙伴一起使用,在肿瘤学和传染病研究中具有广泛应用。
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引用次数: 1
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Emerging Topics in Life Sciences
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