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Antiproliferative Plaque Assay for Screening in vitro Bioactive Molecules against Toxoplasma gondii Tachyzoites. 抗刚地弓形虫速殖子体外生物活性分子筛选的增生性斑块测定。
IF 1.2 4区 综合性期刊 Q3 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-01-23 DOI: 10.3791/69725
Mike Dos Santos, Andréia Luiza Oliveira Costa, Mariana Maciel Cunha, Adalberto Alves Pereira Filho, Ricardo Wagner de Almeida Vitor, Érica S Martins-Duarte

Toxoplasmosis is a parasitic infection commonly related to ocular lesions and neonatal malformations. Since the early 1950s, the first-line treatment of this disease has relied on the combination of sulfadiazine, pyrimethamine, and folinic acid. Over those years, only a few alternative regimens have been introduced. This highlights the need for discovering new bioactive molecules against Toxoplasma gondii. Given that this pathogen is an obligate intracellular parasite, traditional drug screening in the laboratory typically requires expensive materials and equipment, such as assays using fluorescent proteins or β-galactosidase-expressing parasites. Additionally, methods like optical microscopy quantification can be time-consuming. The plaque assay is a method that evaluates the intensity of intracellular pathogen proliferation by measuring the number of regions and area of destruction in a cell monolayer damaged by the parasite's lytic cycle. This work describes an optimized plaque assay protocol designed for screening active molecules against intracellular tachyzoites of T. gondii in vitro. This protocol utilizes inexpensive materials and a straightforward laboratory setup, yielding rapid and reproducible results that facilitate the identification of new active molecules against this parasite by various research groups.

弓形虫病是一种寄生虫感染,通常与眼部病变和新生儿畸形有关。自20世纪50年代初以来,该病的一线治疗依赖于磺胺嘧啶、乙胺嘧啶和亚叶酸的联合治疗。这些年来,只有少数替代方案被引入。这突出了发现新的抗刚地弓形虫生物活性分子的必要性。鉴于这种病原体是一种专性细胞内寄生虫,传统的实验室药物筛选通常需要昂贵的材料和设备,例如使用荧光蛋白或表达β-半乳糖苷酶的寄生虫进行检测。此外,光学显微镜定量等方法可能很耗时。斑块测定法是一种通过测量被寄生虫溶解循环破坏的细胞单层中区域和破坏面积的数量来评估细胞内病原体增殖强度的方法。本工作描述了一种优化的斑块测定方案,旨在筛选抗体外弓形虫胞内速殖子的活性分子。该方案利用廉价的材料和简单的实验室设置,产生快速和可重复的结果,促进各种研究小组识别针对这种寄生虫的新活性分子。
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引用次数: 0
Mendelian Randomization Transcriptomics and Network Pharmacology for Identification of Osteoarthritis Drug Targets. 孟德尔随机化转录组学和网络药理学鉴定骨关节炎药物靶点。
IF 1.2 4区 综合性期刊 Q3 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-01-23 DOI: 10.3791/69569
Zhiwei Zhang, Min Tu, Ning Yuan, Wenqiang Qian, Guopeng Wang, Maohua Lin, Jiefei Xie, Li Liang, Jian Guo, Bin Zhang, Shaoyong Fan, Haiming Huang

This article delineates an integrated methodology that combines Mendelian randomization (MR), transcriptomic analysis, and network pharmacology to identify and prioritize potential therapeutic targets for osteoarthritis (OA). It is designed to guide researchers in implementing this multimodal pipeline to investigate drug repurpose and the development of novel therapeutic interventions for OA. The methodological framework comprises five sequential stages: first, MR analysis pipeline, employing two-sample MR to identify putative causal plasma proteins associated with OA, followed by Steiger filtering and phenome-wide association scanning to assess causal directionality and potential off-target effects; second, transcriptomic sequencing workflow, integrating RNA-seq data to identify and refine candidate protein targets; third, integration strategy, merging MR and transcriptomic results to prioritize candidate proteins; fourth, network pharmacology and molecular docking procedures, involving the construction of protein-protein interaction networks, functional enrichment analysis, and molecular docking to explore ligand-target interactions; and fifth, intended application, focusing on the prioritization of candidate compounds and natural products with potential therapeutic relevance. By organizing the workflow into distinct analytical phases, this framework provides a reproducible approach for transitioning from genetic and transcriptomic discovery to computational drug-target evaluation, without presenting specific experimental outcomes. The methodology facilitates systematic and hypothesis-driven investigation into OA therapeutics using publicly accessible datasets and computational tools.

本文描述了一种结合孟德尔随机化(MR)、转录组学分析和网络药理学的综合方法,以确定和优先考虑骨关节炎(OA)的潜在治疗靶点。它旨在指导研究人员实施这种多模式管道,以研究OA的药物再利用和新型治疗干预措施的发展。方法框架包括五个连续阶段:首先,MR分析管道,使用两样本MR识别与OA相关的推定因果血浆蛋白,然后是Steiger滤波和全现象关联扫描,以评估因果方向性和潜在的脱靶效应;二是转录组测序工作流程,整合RNA-seq数据,识别和细化候选蛋白靶点;第三,整合策略,融合MR和转录组学结果,优先考虑候选蛋白;四是网络药理学与分子对接程序,涉及蛋白质-蛋白质相互作用网络构建、功能富集分析、分子对接探索配体-靶标相互作用;第五,预期应用,重点关注具有潜在治疗相关性的候选化合物和天然产物的优先级。通过将工作流程组织到不同的分析阶段,该框架为从遗传和转录组学发现过渡到计算药物靶标评估提供了一种可重复的方法,而无需呈现特定的实验结果。该方法使用可公开访问的数据集和计算工具,促进对OA治疗进行系统和假设驱动的调查。
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引用次数: 0
Lateral-PLIF for Lumbar Spinal Arthrodesis: A Detailed Step-By-Step Surgical Technique. 腰椎融合术的侧边plif:一种详细的一步一步的手术技术。
IF 1.2 4区 综合性期刊 Q3 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-01-23 DOI: 10.3791/68452
Donato Creatura, Maria Rossella Fasinella, Alberto Benato, Alexis Morgado, Gabriele Capo, Cédric Y Barrey

Posterior lumbar interbody fusion (PLIF) is widely recognized as an effective surgical approach for treating degenerative lumbar spine conditions. To address challenges associated with the classical PLIF technique, such as the need for extensive neural retraction and the associated risk of dural tears, we developed a novel variant, the Lateral-PLIF, which optimizes cage placement to enhance outcomes and minimize risks. This article offers a detailed, step-by-step explanation of the procedure, highlighting its advantages in the operative field. Here we present a case of a posterior interbody fusion performed for a lumbar degenerative disease. The technique involves bilateral cage placement through the transition zone, between the central canal and intervertebral foramen, just above the lateral recess. This entry point is strategically chosen as it is safer for respecting the surrounding nervous structures, avoiding manipulation of the foraminal root, while reducing medial dural retraction and providing a better cage orientation. Finally, the technique keeps the advantages of the bilateral approach: direct bilateral decompression, high-quality discectomy, and endplates cleaning performed from each side, progressive distraction achieved from the disc space alternating right/left, and opportunity for massive bone grafting. Lateral-PLIF is a safe and effective surgical technique for lumbar interbody fusion. Its high fusion rate, improved functional outcomes, and low complication rates make it a promising alternative to traditional PLIF. This step-by-step article serves as a practical guide for surgeons, promoting the broader adoption and further validation of this technique in comparative studies.

后路腰椎椎体间融合术(PLIF)被广泛认为是治疗腰椎退行性疾病的有效手术方法。为了解决与传统PLIF技术相关的挑战,例如需要广泛的神经牵拉和相关的硬脑膜撕裂风险,我们开发了一种新的变体,侧向PLIF,它优化了笼的放置,以提高疗效并降低风险。这篇文章提供了一个详细的,一步一步的解释程序,突出其在手术领域的优势。我们报告一例后路椎间融合术治疗腰椎退行性疾病。该技术包括通过过渡区放置双侧笼,在中央椎管和椎间孔之间,就在外侧隐窝上方。策略性地选择这个入路点是为了更安全地尊重周围的神经结构,避免对椎间孔根的操作,同时减少内侧硬脑膜后缩并提供更好的椎笼定位。最后,该技术保留了双侧入路的优点:直接双侧减压,高质量的椎间盘切除术,从两侧进行终板清洗,从右/左交替的椎间盘间隙实现渐进式牵张,以及大量植骨的机会。侧边plif是一种安全有效的腰椎椎体间融合术。其高融合率、改善的功能预后和低并发症率使其成为传统PLIF的一个有希望的替代方案。这篇循序渐进的文章为外科医生提供了实用指南,促进了该技术在比较研究中的广泛采用和进一步验证。
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引用次数: 0
Deployment and Retrieval of Mineral Samplers. 矿物取样器的部署和回收。
IF 1.2 4区 综合性期刊 Q3 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-01-20 DOI: 10.3791/69443
Dora Taggart, Hannah Ward, Craig Divine, Shandra Justicia-Leon, Jennifer Martin Tilton, Erika Carter, Erik Zardouzian, Sam Rosolina

Subsurface chemical, geochemical, and microbiological interactions, such as reactive mineral formation, gas generation, and contaminant sorption, play a critical role in shaping remediation strategies. However, evaluating these processes at the field scale is often limited by the expense and invasiveness of traditional sampling methods. The mineral trap sampler offers a practical, low-cost alternative for in situ monitoring of reactive mineral formation without requiring additional drilling or core extraction. Deployed within the screen interval of a monitoring well, the sampler passively collects mineral precipitates and microbial biomass over a period of at least thirty days. Once retrieved, the sampler is vacuum sealed and transported on ice to a laboratory for analysis using standard commercial techniques. This innovation enables scientists and engineers to assess both the rate and spatial distribution of mineral precipitation, providing valuable insights into subsurface conditions. By delivering actionable data on mineral formation and microbial activity, the mineral trap sampler supports performance evaluations and helps guide optimization strategies for remediation systems. Its simplicity and affordability make it a useful tool for improving site characterization and long-term management.

地下化学、地球化学和微生物相互作用,如反应性矿物形成、气体生成和污染物吸附,在形成修复策略中起着关键作用。然而,在实地尺度上评估这些过程往往受到传统采样方法的费用和侵入性的限制。矿物陷阱取样器为现场监测活性矿物地层提供了一种实用、低成本的替代方案,无需额外的钻井或提取岩心。采样器部署在监测井的筛管间隔内,在至少30天的时间内被动收集矿物沉淀和微生物生物量。一旦回收,采样器被真空密封,并在冰上运输到实验室,使用标准的商业技术进行分析。这一创新使科学家和工程师能够评估矿物降水的速率和空间分布,为地下条件提供有价值的见解。通过提供矿物形成和微生物活动的可操作数据,矿物陷阱采样器支持性能评估,并有助于指导修复系统的优化策略。它的简单性和可负担性使其成为改善站点特征和长期管理的有用工具。
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引用次数: 0
Cross-Layer Reliability Analysis and Edge-Adaptive Multi-Objective Optimization Strategies for Network-Physical Modeling in Intelligent Agriculture CPS Management. 智能农业CPS管理中网络物理建模的跨层可靠性分析及边缘自适应多目标优化策略
IF 1.2 4区 综合性期刊 Q3 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-01-20 DOI: 10.3791/69826
Yanhong Chen, Haijun Liu

Growing food demand and climate stresses drive smart agriculture implementation, but existing Cyber-Physical Systems (CPS) lack dependable cross-layer integration and real-time flexibility, limiting performance in dynamic environments. This protocol aims to provide a cross-layer cyber-physical modeling and optimization strategy for intelligent greenhouse agriculture. It demonstrates potential applicability for enhancing the reliability and adaptability of agricultural Cyber-Physical Systems. The approach integrates a physical layer with the Soil-Plant-Atmosphere Continuum model and Ensemble Kalman Filter (EnKF) calibration for accurate soil moisture prediction. It includes a network layer employing multi-protocol fusion with Stochastic Petri Net modeling to evaluate communication reliability. A control layer builds on a stochastic hybrid system to coordinate joint decision-making. Reliability is further assessed through a functional-temporal-ecological indicator framework, while optimization combines multi-objective reinforcement learning with safety constraints and Bayesian meta-learning to enable rapid adaptation during crop switching. An edge-intelligent deployment ensures robust control during communication interruptions. Results from greenhouse tomato cultivation in Shouguang, China, show reproducible and stable performance in yield prediction, water use efficiency, and control latency under challenging conditions. This methodology provides a practical and replicable workflow for implementing adaptive and reliable agricultural Cyber-Physical Systems.

不断增长的粮食需求和气候压力推动了智能农业的实施,但现有的信息物理系统(CPS)缺乏可靠的跨层集成和实时灵活性,限制了其在动态环境中的性能。该协议旨在为智能温室农业提供一种跨层的网络物理建模和优化策略。它显示了提高农业信息物理系统可靠性和适应性的潜在适用性。该方法将物理层与土壤-植物-大气连续体模型和集合卡尔曼滤波(EnKF)校准相结合,用于精确的土壤湿度预测。它包括一个网络层,采用多协议融合和随机Petri网建模来评估通信可靠性。控制层建立在随机混合系统的基础上,以协调联合决策。通过功能-时间-生态指标框架进一步评估可靠性,而优化将多目标强化学习与安全约束和贝叶斯元学习相结合,以实现作物切换期间的快速适应。边缘智能部署确保在通信中断期间进行稳健控制。在具有挑战性的条件下,中国寿光温室番茄栽培在产量预测、水分利用效率和控制潜伏期方面表现出可重复性和稳定性。该方法为实现适应性强、可靠的农业信息物理系统提供了实用且可复制的工作流程。
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引用次数: 0
Machine Learning Approaches for Precision Risk Assessment of Transfusion Adverse Reactions: A Scikit-learn-Based Review. 输血不良反应精确风险评估的机器学习方法:基于scikit -learn的综述。
IF 1.2 4区 综合性期刊 Q3 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-01-20 DOI: 10.3791/69658
Yu Wang, Weixin Zhou, Yuanshuai Huang

Transfusion adverse reactions (TARs) encompass undesirable effects occurring during or after blood transfusion, resulting from the administration of blood, blood products, or transfusion-associated materials. These reactions may cause mild to severe clinical manifestations, including allergic reactions, hemolysis, and transfusion-related acute lung injury (TRALI). Current conventional approaches -- such as ABO/Rh blood group matching and massive transfusion protocols -- can improve patient outcomes but fail to address complex patient-specific factors. Consequently, developing a dedicated TAR risk model is essential. Machine learning (ML) algorithms can leverage large-scale clinical and laboratory datasets to construct diagnostic and prognostic models, advancing personalized and precision medicine. Notably, the scikit-learn (SK-learn) ML algorithmhas not yet been directly applied to TAR risk assessment; nevertheless, its efficacy in constructing similar medical risk prediction models has gained significant recognition. This review presents an ML-based framework for predicting and preventing TAR, with a specific emphasis on the role of SK-learn across diverse clinical contexts. Our analysis lays the groundwork for future precision diagnosis of TAR and the development of SK-learn algorithms. Crucially, our synthesis of the literature indicates that sklearn offers a versatile and powerful toolkit for this task; however, its successful translation into clinical practice is contingent upon overcoming key challenges, including multi-center data heterogeneity and the need for robust model interpretability.

输血不良反应(TARs)包括输血期间或之后发生的不良反应,由血液、血液制品或输血相关物质的管理引起。这些反应可引起轻至重度的临床表现,包括过敏反应、溶血和输血相关性急性肺损伤(TRALI)。目前的传统方法,如ABO/Rh血型匹配和大规模输血方案,可以改善患者的预后,但无法解决复杂的患者特异性因素。因此,制定专门的TAR风险模型至关重要。机器学习(ML)算法可以利用大规模临床和实验室数据集构建诊断和预后模型,推进个性化和精准医疗。值得注意的是,科学学习(SK-learn)机器学习算法尚未直接应用于TAR风险评估;尽管如此,它在构建类似医疗风险预测模型方面的有效性已经得到了显著的认可。这篇综述提出了一个基于ml的预测和预防TAR的框架,特别强调了SK-learn在不同临床背景下的作用。我们的分析为未来TAR的精确诊断和SK-learn算法的发展奠定了基础。至关重要的是,我们对文献的综合表明,sklearn为这项任务提供了一个多功能和强大的工具包;然而,其成功转化为临床实践取决于克服关键挑战,包括多中心数据异质性和对稳健模型可解释性的需求。
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引用次数: 0
Intranasal Delivery of mRNA Polyplexes via Rayleigh Breakup Aerosols: An In Vitro Method for Nasal Deposition and Functional Testing. 经瑞利分解气雾剂的mRNA多丛鼻内递送:一种体外鼻腔沉积和功能测试方法。
IF 1.2 4区 综合性期刊 Q3 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-01-20 DOI: 10.3791/70000
Mazen Kafienah, Ziheng Zheng, Hao-Ying Li

Intranasal delivery of mRNA therapeutics is a promising strategy for vaccination and treating respiratory diseases, offering direct immune activation at the site of pathogen entry. However, conventional aerosolization methods (e.g., ultrasonic or high-pressure nebulizers) deteriorate non-viral mRNA vectors through excessive shear forces, causing mRNAs to lose their structural integrity and biological activities. A Rayleigh breakup nasal atomizer was used to gently aerosolize polyethyleneimine (PEI)-mRNA vectors into uniform droplets. Green Fluorescent Protein (GFP)-encoding mRNA was formulated into cationic polyplexes and characterized pre- and post-aerosolization. The Rayleigh breakup process forms a continuous micro-jet of droplets with minimal shear, thereby preserving the physicochemical properties of the nanoparticles. Consistent particle size, low polydispersity index, and stable zeta potential before and after aerosolization were observed, confirming that the physicochemical properties of mRNA polyplexes were well preserved via Rayleigh breakup for aerosolization. Using an Alberta Idealized Nasal Inlet (AINI) model of the nasal airway, the PEI-mRNA aerosols were delivered. The aerosolized mRNAs were primarily deposited in the turbinate regions. Negligible fractions were found in the nasopharynx or lung-equivalent sections. In addition, the post-aerosolized mRNA polyplexes were successfully delivered to A549 human lung epithelial cells and produced detectable GFP expression. This protocol demonstrates a non-destructive intranasal mRNA delivery method using Rayleigh breakup aerosolization. It effectively maintains the physicochemical properties and biological functions of non-viral mRNA vectors, atomizing the aqueous phase into droplets of appropriate sizes for targeted nasal deposition. This protocol reveals a novel approach for effectively aerosolizing mRNAs and evaluating their regional deposition in the nasal cavity.

鼻内递送mRNA治疗药物是一种很有前途的疫苗接种和治疗呼吸道疾病的策略,在病原体进入的部位提供直接的免疫激活。然而,传统的雾化方法(如超声波或高压雾化器)通过过大的剪切力使非病毒mRNA载体变质,导致mRNA失去其结构完整性和生物活性。采用瑞利型鼻雾化器将PEI -mRNA载体雾化成均匀液滴。将绿色荧光蛋白(GFP)编码的mRNA配制成阳离子多聚物,并对雾化前后进行表征。瑞利破碎过程以最小的剪切形成连续的微液滴射流,从而保持了纳米颗粒的物理化学性质。雾化前后观察到一致的粒径、低的多分散指数和稳定的zeta电位,证实了通过瑞利分解雾化的mRNA多聚体的物理化学性质得到了很好的保存。使用艾伯塔省理想鼻气道(AINI)模型,输送PEI-mRNA气溶胶。雾化的mrna主要沉积在鼻甲区域。在鼻咽部或肺等效切片中发现可忽略不计的部分。此外,雾化后的mRNA多聚体成功递送至A549人肺上皮细胞,并产生可检测的GFP表达。该方案展示了一种使用瑞利分解雾化的非破坏性鼻内mRNA递送方法。它有效地维持了非病毒mRNA载体的物理化学性质和生物学功能,将水相雾化成适当大小的液滴用于靶向鼻沉积。该方案揭示了一种有效雾化mrna并评估其在鼻腔中的区域沉积的新方法。
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引用次数: 0
The Pathways and Efficacy of Horticultural Therapy in Promoting College Students' Mental Health: An Explanatory Sequential Mixed-methods Study. 园艺疗法促进大学生心理健康的途径与效果:一项解释性序贯混合方法研究。
IF 1.2 4区 综合性期刊 Q3 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-01-16 DOI: 10.3791/69962
Haixing Wang, Lin Cai, Chenyan Yue, Mengsha Qi

With increasing societal competition, mental health issues among college students have become increasingly prominent, while traditional mental health education often suffers from limited formats and effectiveness. This study investigates the mechanisms and effectiveness of horticultural therapy (HT), a nature-based intervention, in improving college students' mental health using a sequential mixed-methods explanatory design. In the quantitative phase, 112 college students were randomly assigned to an experimental group receiving HT intervention or a control group, with the experimental group participating in eight weekly HT sessions (90 min each) involving activities such as flower arrangement and herbal tea tasting. Intervention effects were assessed using standardized psychological scales and facial expression video analysis. In the qualitative phase, textual data reflecting participants' authentic experiences were collected and analyzed using grounded theory with NVivo 12. Results showed that, compared with the control group, the experimental group demonstrated significantly higher post-intervention scores in meaning in life (p = 0.017), overall affect index (p = 0.044), and life satisfaction (p = 0.046). Within the experimental group, post-intervention levels of meaning in life (p = 0.02), affect balance (p = 0.007), and positive affect (p = 0.019) were significantly higher than pre-intervention values. Facial expression analysis revealed notable differences in the distribution of seven expressions between groups, with positive expressions increasing over time, particularly during flower arranging and tea tasting activities. Qualitative analysis further identified a four-layer pathway model (Environment → Cognition → Emotion → Behavior), explaining 36%, 32%, 16%, and 15% of the variance, respectively. Overall, horticultural therapy effectively enhances college students' life satisfaction, sense of life meaning, and affect balance, thereby improving mental health through a multi-layered psychological pathway.

随着社会竞争的加剧,大学生心理健康问题日益突出,而传统的心理健康教育往往存在形式和效果有限的问题。本研究采用序贯混合方法解释设计,探讨以自然为基础的园艺疗法改善大学生心理健康的机制和效果。在定量阶段,112名大学生被随机分为实验组和对照组,实验组每周参加8次HT课程(每次90分钟),包括插花和品尝凉茶等活动。采用标准化心理量表和面部表情视频分析评估干预效果。在定性阶段,使用扎根理论和NVivo 12收集和分析反映参与者真实体验的文本数据。结果显示,实验组干预后在生活意义(p = 0.017)、整体情感指数(p = 0.044)、生活满意度(p = 0.046)得分均显著高于对照组。实验组干预后的生活意义水平(p = 0.02)、情感平衡水平(p = 0.007)、积极情感水平(p = 0.019)均显著高于干预前。面部表情分析显示,7种表情在各组之间的分布存在显著差异,积极的表情随着时间的推移而增加,尤其是在插花和品茶活动中。定性分析进一步确定了四层通路模型(环境→认知→情感→行为),分别解释了36%、32%、16%和15%的方差。总体而言,园艺疗法可以有效提高大学生的生活满意度、生活意义感和情感平衡,从而通过多层次的心理途径改善心理健康。
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引用次数: 0
Meta-analysis of Effects of Nutritional Therapies on Nutritional Status of Gastric Cancer Patients. 营养疗法对胃癌患者营养状况影响的meta分析。
IF 1.2 4区 综合性期刊 Q3 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-01-16 DOI: 10.3791/69720
Jing Wang, Xu Yan, Xiao-Xia Zuo, Bing-Song Zhang

This protocol provides a methodological framework for conducting a meta-analysis to evaluate the effects of nutritional therapies on the nutritional status of gastric cancer patients. By following this protocol, researchers will be able to systematically identify, appraise, and synthesize evidence from randomized controlled trials and comparative studies. The steps include: formulating a comprehensive search strategy across multiple databases; dual-independent screening and selection of studies using predefined PICOS criteria (population, interference, comparison, outcome, and study design); standardized data extraction and harmonization of outcome measures; assessment of study quality using the Cochrane Risk of Bias 2.0 tool; and statistical synthesis using appropriate models, with exploration of heterogeneity and sensitivity analyses. Application of this protocol to the available evidence suggests potential benefits of specific nutritional interventions, e.g., oral supplementation for body weight, though high heterogeneity underscores the need for rigorous and standardized methodology in this field. A continuous model with fixed or random effects was used to get the mean difference (MD) with 95% confidence intervals (CIs). A total of 18 studies, involving 3,586 subjects, were selected for the meta-analysis. Oral nutritional supplementation had a significantly increased body weight (MD, 0.74; 95% CI, 0.20-1.27, p = 0.007) compared to the control in patients with gastric cancer. Early enteral nutrition had significantly improved prealbumin levels (MD, 22.53; 95% CI, 13.37-31.69, p < 0.001) compared to parenteral nutrition in patients. However, no significant differences were found between enteral immunonutrition and standard enteral nutrition for albumin (MD, 0.57, 95%CI, -0.31-1.44, p=0.20), prealbumin (MD, 0.23, 95%CI, -0.29-0.76, p=0.38), or transferrin levels (MD, 0.11, 95%CI, -0.09-0.32, p=0.28). The studied data showed that using oral nutritional supplementation had significantly increased body weight compared to control, and early enteral nutrition had significantly improved prealbumin levels compared to parenteral nutrition. However, more studies are required to validate this finding.

本方案提供了一个方法学框架,用于进行荟萃分析,以评估营养疗法对胃癌患者营养状况的影响。通过遵循该方案,研究人员将能够系统地识别、评估和综合来自随机对照试验和比较研究的证据。步骤包括:制定跨多个数据库的综合搜索策略;采用预定义的PICOS标准(人群、干扰、比较、结果和研究设计)进行双独立筛选和研究选择;标准化数据提取和结果措施的统一;使用Cochrane风险偏倚2.0工具评估研究质量;并使用适当的模型进行统计综合,探索异质性和敏感性分析。将该方案应用于现有证据表明,特定营养干预措施(例如口服补充体重)可能有益处,尽管高度异质性强调了在该领域需要严格和标准化的方法。采用固定效应或随机效应的连续模型,获得95%置信区间(ci)的均值差(MD)。荟萃分析共纳入18项研究,涉及3586名受试者。与对照组相比,口服营养补充剂显著增加了胃癌患者的体重(MD, 0.74; 95% CI, 0.20-1.27, p = 0.007)。与肠外营养相比,早期肠内营养显著改善了患者的前白蛋白水平(MD, 22.53; 95% CI, 13.37-31.69, p < 0.001)。然而,肠内免疫营养与标准肠内营养在白蛋白(MD, 0.57, 95%CI, -0.31-1.44, p=0.20)、白蛋白前(MD, 0.23, 95%CI, -0.29-0.76, p=0.38)或转铁蛋白水平(MD, 0.11, 95%CI, -0.09-0.32, p=0.28)方面没有显著差异。研究数据显示,与对照组相比,口服营养补充剂显著增加了体重,与肠外营养相比,早期肠内营养显著改善了白蛋白前水平。然而,需要更多的研究来验证这一发现。
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引用次数: 0
Mining in Endometrial Cancer Based on the TCGA Database and Constructing Prognostic Models. 基于TCGA数据库的子宫内膜癌数据挖掘及预后模型构建。
IF 1.2 4区 综合性期刊 Q3 MULTIDISCIPLINARY SCIENCES Pub Date : 2026-01-16 DOI: 10.3791/69650
Yang Li, Ge Yu, Li Liu, Shumin Liu

Endometrial cancer (EC) ranks among the least prevalent gynecological tumors worldwide, with rising incidence due to aging and obesity. Lymph node metastasis remains common in Uterine Corpus Endometrial Carcinoma (UCEC), necessitating new prognostic biomarkers to guide treatment. In this research, UCEC information from the Cancer Genome Atlas (TCGA) was analyzed, and the results were validated using the Gene Expression Omnibus (GEO). Eighteen differentially expressed genetic factors associated with nicotinamide metabolism (NMRDEGs) were identified. Gene Set Enrichment Analysis (GSEA) indicated their role in oxidative stress, hypoxia, glycolysis, and apoptosis processes. Univariate Cox regression identified six key genes (AURKA, CDKN3, FOXM1, CDKN2A, TK1, and CDK1), utilized to progress a hazard prediction framework. Protein-protein interaction (PPI) analysis uncovered additional hub genes such as CDK2, CCNA2, TP53, and FOXM1. The six key genes showed strong prognostic value, and the study's risk model could guide clinical decisions. Nicotinamide metabolism was found to be significantly linked with EC progression. This study offers new perceptions into the role of nicotinamide metabolism in EC and suggests possible avenues for treatment advancements.

子宫内膜癌(EC)是世界范围内发病率最低的妇科肿瘤之一,由于老龄化和肥胖,发病率不断上升。淋巴结转移在子宫内膜癌(UCEC)中仍然很常见,需要新的预后生物标志物来指导治疗。本研究对来自癌症基因组图谱(TCGA)的UCEC信息进行分析,并利用基因表达图谱(GEO)对结果进行验证。鉴定出18种与烟酰胺代谢相关的差异表达遗传因子(NMRDEGs)。基因集富集分析(GSEA)表明它们在氧化应激、缺氧、糖酵解和细胞凋亡过程中发挥作用。单变量Cox回归确定了6个关键基因(AURKA、CDKN3、FOXM1、CDKN2A、TK1和CDK1),用于构建风险预测框架。蛋白-蛋白相互作用(PPI)分析揭示了其他中心基因,如CDK2、CCNA2、TP53和FOXM1。6个关键基因显示出很强的预后价值,该研究的风险模型可以指导临床决策。烟酰胺代谢被发现与EC进展显著相关。本研究为烟酰胺代谢在EC中的作用提供了新的认识,并为治疗进展提供了可能的途径。
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Jove-Journal of Visualized Experiments
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