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Modelling Atherosclerotic Plaque Cap Mechanics: Microcalcifications Reduce Mechanical Properties in Mesenchymal Stromal Cell-Based Model 模拟动脉粥样硬化斑块帽力学:微钙化降低间充质间质细胞模型的力学特性。
IF 2.6 3区 生物学 Q3 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2025-07-09 DOI: 10.1002/adbi.202500106
Imke L. Jansen, Deniz Şahin, Frank J.H. Gijsen, Eric Farrell, Kim van der Heiden

Rupture of atherosclerotic plaque caps is the cause of many disabling or lethal cardiovascular events, such as stroke and myocardial infarction. Microcalcifications (<50 µm) have been shown, in computational models, to affect the biomechanical stability of the cap. The current study aims to develop a tissue-engineered model of the atherosclerotic fibrous cap with microcalcifications produced by mesenchymal stromal cells (MSCs). Human MSCs are seeded in fibrin gels and cultured for 2 weeks in medium supplemented with TGF-β1 to induce smooth muscle cell differentiation and collagenous matrix formation. Afterward, mineralizing medium stimulates microcalcification formation for an additional 4 weeks. Tissue-engineered structures are imaged after culture with second harmonic generation microscopy with a hydroxyapatite probe, showing collagenous matrix with microcalcifications. Mechanical characterization shows the effect of microcalcifications on global tissue mechanics, as the ultimate stress at rupture of the tissue is significantly lower compared to control tissues. The amount of calcification, determined by histological analysis, is correlated to the decrease in ultimate tensile stress, with a higher amount of microcalcification resulting in weakened mechanical properties. The developed tissue-engineered plaque cap model with biologically formed collagenous matrix and microcalcifications offers valuable insight into the impact of microcalcifications on biomechanical stability.

动脉粥样硬化斑块帽破裂是许多致残或致命心血管事件的原因,如中风和心肌梗死。微钙化物质(
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引用次数: 0
The c-di-GMP Metabolic Gene pdeN Interacts with LacY and ManZ to Modulate Biofilm Formation in Avian Pathogenic Escherichia coli c-二gmp代谢基因pdeN与LacY和ManZ相互作用调控禽致病性大肠杆菌生物膜形成
IF 2.6 3区 生物学 Q3 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2025-07-09 DOI: 10.1002/adbi.202500190
Zhihao Wang, Xiaolong Lv, Lanfang Kong, Saqib Nawaz, Chuanyan Che, Zhaoguo Chen, Huifang Yin, Cuiqin Huang, Yinli Bao, Wei Jiang, Xiangan Han

Bis-(3′-5′)-cyclic diguanylic acid (c-di-GMP), a ubiquitous secondary messenger, affects multiple biological characteristics, including biofilm formation in avian pathogenic Escherichia coli (APEC). C-di-GMP is synthesized by diguanylate cyclase harboring a GGDEF domain and degraded by phosphodiesterase harboring either an EAL or an HD-GYP domain. However, the roles of PdeN, encoding a CSS-EAL domain, are uncharacterized. In this study, it is demonstrated that lacking pdeN significantly promotes biofilm formation and reduces the motility of the clinically isolated APEC O2 serotype strain DE17. In addition, macrocolony morphotypes showed that the ΔpdeN strain exhibits increasing production of curli fibers and cellulose, which is consistent with the results of RNA-seq and qPCR. Further exploration shows that lactose permease LacY and mannose permease subunit ManZ interact with PdeN. Infection experiments show that lacking pdeN significantly reduced the release of LDH in HD-11 cells and adhesion capacity to DF-1 cells. In conclusion, c-di-GMP metabolic gene pdeN involves biofilm formation and pathogenicity of APEC. Besides, it interacts with LacY and ManZ. Those results provide a basis for the prevention and control of APEC from the perspective of biofilm and carbohydrate metabolism.

双-(3'-5')-环双胍酸(c-di-GMP)是一种普遍存在的次级信使,影响多种生物学特性,包括禽致病性大肠杆菌(APEC)生物膜的形成。c -二gmp由含有GGDEF结构域的二胍酸环化酶合成,并由含有EAL或HD-GYP结构域的磷酸二酯酶降解。然而,编码CSS-EAL域的PdeN的作用是未知的。本研究表明,缺乏pdeN可显著促进临床分离的APEC O2血清型菌株DE17的生物膜形成并降低其运动性。此外,大菌落形态显示ΔpdeN菌株卷曲纤维和纤维素的产量增加,这与RNA-seq和qPCR的结果一致。进一步的研究表明,乳糖渗透酶LacY和甘露糖渗透酶亚基ManZ与PdeN相互作用。感染实验表明,缺乏pdeN可显著降低HD-11细胞中LDH的释放和对DF-1细胞的粘附能力。综上所述,c-二gmp代谢基因pdeN参与了APEC的生物膜形成和致病性。此外,它还与LacY和ManZ互动。这些结果为从生物膜和碳水化合物代谢的角度防治APEC提供了依据。
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引用次数: 0
Microphysiological Glomerular Filtration Barriers: Current Insights, Innovations, and Future Applications 微生理肾小球滤过障碍:当前的见解,创新和未来的应用。
IF 2.6 3区 生物学 Q3 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2025-07-07 DOI: 10.1002/adbi.202500108
Manon Miran, Kieu Ngo, David Buob, Hanna Debiec, Pierre Ronco, Guillaume Perry

Chronic kidney disease (CKD) affects over 850 million individuals worldwide, often progressing to stages requiring dialysis or kidney transplants. Central to kidney function is the glomerular filtration barrier (GFB), which selectively filters waste while retaining essential proteins. Traditional models, including animal studies and 2D cell cultures, fail to fully replicate the GFB's complexity, limiting CKD research. Recent developments in microphysiological systems (MPS), particularly microphysiological glomerular filtration barriers (MPGFB), provide more accurate in vitro models for studying kidney diseases and evaluating therapies. MPGFB systems use organ-on-chip technology to integrate podocytes and glomerular endothelial cells within confined microfluidic environments, closely mimicking GFB's dynamic in vivo conditions. This setup enables detailed permeability analysis, aiding in research on disease mechanisms and drug toxicity. Furthermore, using human-induced pluripotent stem cells in MPGFB platforms allows patient-specific studies, enhancing insights into genetic kidney disorders. This review first examines the GFB's structure and function, focusing on its cellular and extracellular matrix components. It then discusses biological and engineering approaches to MPGFB fabrication, covering materials, 3D design, and flow control. The review concludes with MPGFB applications in disease modeling and drug testing, and addresses improvements needed for refining MPGFB as a key tool in kidney disease research and treatment.

慢性肾脏疾病(CKD)影响全球超过8.5亿人,通常进展到需要透析或肾脏移植的阶段。肾脏功能的核心是肾小球滤过屏障(GFB),它选择性地过滤废物,同时保留必需的蛋白质。传统的模型,包括动物研究和2D细胞培养,不能完全复制GFB的复杂性,限制了CKD的研究。微生理系统(MPS)的最新发展,特别是微生理肾小球滤过屏障(MPGFB),为研究肾脏疾病和评估治疗提供了更准确的体外模型。MPGFB系统使用器官芯片技术将足细胞和肾小球内皮细胞整合在受限的微流体环境中,密切模仿GFB的动态体内条件。这种设置可以进行详细的渗透性分析,帮助研究疾病机制和药物毒性。此外,在MPGFB平台中使用人类诱导的多能干细胞可以进行患者特异性研究,从而增强对遗传性肾脏疾病的了解。本文首先研究了GFB的结构和功能,重点介绍了其细胞和细胞外基质成分。然后讨论了MPGFB制造的生物和工程方法,涵盖材料,3D设计和流量控制。本文总结了MPGFB在疾病建模和药物测试中的应用,并提出了将MPGFB作为肾脏疾病研究和治疗的关键工具需要改进的地方。
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引用次数: 0
Chaperone-Mediated Autophagy: A Critical Regulator of Neuroinflammation and Neurodegeneration 伴侣介导的自噬:神经炎症和神经退行性变的关键调节因子。
IF 2.6 3区 生物学 Q3 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2025-07-02 DOI: 10.1002/adbi.202500191
Ying-ying Han, Xin-yue Huang, Ying Su, Jing-jing Ma, Jin Wu

Neurodegenerative diseases, including Alzheimer's disease (AD) and Parkinson's disease (PD), are characterized by hallmark pathological features such as the accumulation of misfolded proteins and neuroinflammation. Chaperone-mediated autophagy (CMA), a selective lysosomal pathway, facilitates the degradation of proteins containing KFERQ-like motifs via the receptor lysosome-associated membrane protein type 2A (LAMP2A). In the recent review, the pivotal role of CMA in regulating proteostasis and modulating inflammatory responses is highlighted. This commentary explores the multifaceted roles of CMA in neurodegenerative disease progression, emphasizing its involvement in age-related decline, feedback loops between CMA dysregulation and neurodegeneration, and potential as a therapeutic target. Emerging CMA activators and the challenges of modulating CMA for clinical use are also discussed.

神经退行性疾病,包括阿尔茨海默病(AD)和帕金森病(PD),其特点是典型的病理特征,如错误折叠蛋白的积累和神经炎症。伴侣介导的自噬(CMA)是一种选择性溶酶体途径,通过受体溶酶体相关膜蛋白2A (LAMP2A)促进含有kferq样基序的蛋白质的降解。在最近的综述中,强调了CMA在调节蛋白质平衡和调节炎症反应中的关键作用。这篇评论探讨了CMA在神经退行性疾病进展中的多方面作用,强调其参与年龄相关的衰退,CMA失调和神经退行性疾病之间的反馈回路,以及作为治疗靶点的潜力。还讨论了新兴的CMA激活剂和调节CMA用于临床使用的挑战。
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引用次数: 0
Investigating the Cellular Effects of GALC Dosing in Enzyme Replacement Therapy for Krabbe Disease Supports the Role of Nanomedicine 研究在蟹黄病酶替代疗法中GALC剂量的细胞效应支持纳米药物的作用。
IF 2.6 3区 生物学 Q3 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2025-07-01 DOI: 10.1002/adbi.202500147
Ambra Del Grosso, Sara Carpi, Laura Colagiorgio, Miriam De Sarlo, Mariacristina Gagliardi, Marco Cecchini

Krabbe disease (KD) is a lysosomal storage disorder characterized by severe neurodegeneration and demyelination. It is caused by mutations in the galactosylceramidase (GALC) gene, leading to the accumulation of psychosine, a neurotoxic metabolite. This study presents an optimized workflow for the production and characterization of recombinant murine GALC (rm-GALC) from HEK293T cells, aiming to improve the feasibility of enzyme replacement therapy (ERT) for KD. An affinity chromatography protocol is refined to purify His-tagged rm-GALC, followed by buffer exchange and concentration steps to produce a stable and active enzyme suitable for subsequent in vitro applications. The purified rm-GALC is characterized for enzymatic activity, purity, and stability using SDS-PAGE, immunoblotting, and dynamic light scattering (DLS). In vitro assays reveal dose-dependent enzymatic activity recovery in KD primary cells upon rm-GALC administration, with no adverse effects on cell viability up to the physiological GALC dose. Additionally, GALC treatment at the physiological dose restored autophagic function in KD cells, as shown by LC3 and p62 marker analyses, confirming its compatibility with lysosomal-autophagic pathways. Conversely, supra-physiological GALC administration resulted in decreased viability and autophagy impairment. Finally, the feasibility of loading GALC into a polymeric nanovector based on stabilized reverse micelles is investigated. These findings highlight the critical importance of precise GALC dose regulation in developing a safe and effective enzyme replacement therapy (ERT) strategy for Krabbe disease (KD), further supporting the potential of a nanovector-mediated ERT approach.

克拉伯病(KD)是一种以严重的神经退行性变和脱髓鞘为特征的溶酶体贮积疾病。它是由半乳糖神经酰胺酶(GALC)基因突变引起的,导致精神碱(一种神经毒性代谢物)的积累。本研究提出了一种从HEK293T细胞生产和表征重组小鼠GALC (rm-GALC)的优化工作流程,旨在提高酶替代疗法(ERT)治疗KD的可行性。通过亲和层析纯化his标记的rm-GALC,然后进行缓冲交换和浓缩步骤,以产生适合后续体外应用的稳定活性酶。利用SDS-PAGE、免疫印迹和动态光散射(DLS)对纯化的rm-GALC的酶活性、纯度和稳定性进行了表征。体外实验显示,在给药后,KD原代细胞的酶活性恢复呈剂量依赖性,在生理剂量的GALC下,对细胞活力没有不良影响。此外,LC3和p62标记分析显示,生理剂量的GALC治疗恢复了KD细胞的自噬功能,证实了其与溶酶体自噬途径的相容性。相反,超生理的GALC给药导致细胞活力下降和自噬损伤。最后,研究了将GALC装入基于稳定反胶束的聚合物纳米载体的可行性。这些发现强调了精确的GALC剂量调节对于开发安全有效的Krabbe病(KD)酶替代疗法(ERT)策略的重要性,进一步支持了纳米载体介导的ERT方法的潜力。
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引用次数: 0
Fecal Microbiota Transplantation Modulates Th17/Treg Balance via JAK/STAT Pathway in ARDS Rats 粪便菌群移植通过JAK/STAT通路调节ARDS大鼠Th17/Treg平衡
IF 2.6 3区 生物学 Q3 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2025-06-27 DOI: 10.1002/adbi.202500028
Dongwei Zhang, Biying Dong, Jie Chen, Zhenqiang Zhang, Weitong Zeng, Longxiong Liao, Xia Xiong, Xuejun Qin, Xianming Fan

This study evaluated the therapeutic effects of fecal microbiota transplantation (FMT) on lipopolysaccharide (LPS)-induced acute respiratory distress syndrome (ARDS) in rats. The study focused on the balance of T-helper 17 (Th17) and regulatory T (Treg) cells, as well as the modulation of the JAK/STAT pathway. This study established a rat ARDS model using intranasal LPS instillation, administering interventions such as FMT, Treg cell depletion, and JAK inhibitors. Assessments included histopathological examination of lung and intestinal tissues, flow cytometry for Th17 and Treg cell proportions, qPCR and Western blot for gene and protein expression, ELISA for inflammatory cytokines, and correlation analysis using Spearman's method for cytokine-immune cell interactions. Results indicated that FMT and JAK inhibitors significantly reduce lung damage induced by LPS, reduced alveolar destruction and inflammation, restored Th17/Treg balance, and inhibited JAK/STAT pathway activity. Notably, FMT decreased pro-inflammatory cytokines (IL-2, IL-6, IL-8, IL-17A, IL-23, TGF-β1) and increased anti-inflammatory cytokines (IL-10, IL-35) in serum. Spearman correlation analysis indicated that FMT restored immune balance by modulating the interactions between cytokines and immune cells. In conclusion, FMT effectively alleviates lung and intestinal injury in LPS-induced ARDS rat models by modulating Th17/Treg balance and inhibiting JAK/STAT pathway activity, demonstrating promising therapeutic potential for ARDS treatment.

本研究评价了粪便微生物群移植(FMT)对脂多糖(LPS)诱导的大鼠急性呼吸窘迫综合征(ARDS)的治疗作用。本研究主要关注辅助性T- 17 (Th17)和调节性T (Treg)细胞的平衡,以及JAK/STAT通路的调节。本研究采用鼻内注射LPS,给予FMT、Treg细胞耗尽和JAK抑制剂等干预措施,建立了大鼠ARDS模型。评估包括肺和肠组织病理学检查,流式细胞术检测Th17和Treg细胞比例,qPCR和Western blot检测基因和蛋白表达,ELISA检测炎症因子,使用Spearman方法进行细胞因子-免疫细胞相互作用的相关性分析。结果表明,FMT和JAK抑制剂可显著减轻LPS诱导的肺损伤,减轻肺泡破坏和炎症,恢复Th17/Treg平衡,抑制JAK/STAT通路活性。值得注意的是,FMT降低了血清中促炎因子(IL-2、IL-6、IL-8、IL-17A、IL-23、TGF-β1),升高了血清中抗炎因子(IL-10、IL-35)。Spearman相关分析表明,FMT通过调节细胞因子与免疫细胞之间的相互作用来恢复免疫平衡。综上所述,FMT通过调节Th17/Treg平衡和抑制JAK/STAT通路活性,有效缓解lps诱导的ARDS大鼠模型的肺和肠道损伤,显示出良好的ARDS治疗潜力。
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引用次数: 0
Targeting RAGE with Nanobodies for Molecular Imaging of Cancers and Alzheimer's Disease 靶向RAGE的纳米体用于癌症和阿尔茨海默病的分子成像。
IF 2.6 3区 生物学 Q3 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2025-06-27 DOI: 10.1002/adbi.202400617
Guangfeng Liang, Fujing Wang, Wei Xiong, Guangwei Shi, Junling Yuan, Yang Li, Hongyan Zhang, Yanmei Xing, Shan Jin, Kongjun Yang, Zhongliang Dai, Jichao Sun, Zhijie Li, Jianhong Wang

The receptor for advanced glycation end products (RAGE) is a multifunctional cell surface receptor implicated in aging and the progression of chronic diseases, including cancer and Alzheimer's disease. Its interaction with advanced glycation end products (AGEs) promotes cellular stress and inflammation, underscoring the diagnostic and therapeutic relevance of targeting RAGE. In this study, we explored the potential of nanobodiessingle-domain antibodies known for high specificity, strong affinity, and deep tissue penetrationas molecular tools for RAGE-targeted applications. Using a phage display library, a panel of RAGE-specific nanobodies were isolated and characterized. Binding activity and affinity were evaluated through enzyme-linked immunosorbent assay (ELISA) and surface plasmon resonance (SPR) assays. Among them, nanobody NbF8 demonstrated the highest affinity and specificity toward RAGE. In vitro, NbF8 selectively bound RAGE-expressing cells, while in vivo imaging in renal carcinoma and Alzheimer's disease mouse models confirmed its targeted accumulation in RAGE-overexpressing tumors and brain tissues. These findings highlight NbF8 as a promising molecular imaging agent for RAGE-associated diseases. This study supports the potential of RAGE-targeting nanobodies in both diagnostic imaging and therapeutic development, offering a novel approach for precision medicine in conditions driven by RAGE signaling.

晚期糖基化终产物受体(RAGE)是一种涉及衰老和慢性疾病进展的多功能细胞表面受体,包括癌症和阿尔茨海默病。它与晚期糖基化终产物(AGEs)的相互作用促进细胞应激和炎症,强调靶向RAGE的诊断和治疗相关性。在这项研究中,我们探索了纳米体单域抗体的潜力,这种单域抗体具有高特异性、强亲和力和深度组织穿透性,可以作为rage靶向应用的分子工具。利用噬菌体展示库,分离并表征了rage特异性纳米体。通过酶联免疫吸附法(ELISA)和表面等离子体共振法(SPR)评价其结合活性和亲和力。其中,纳米体NbF8对RAGE的亲和力和特异性最高。在体外,NbF8选择性结合rage -表达细胞,而在肾癌和阿尔茨海默病小鼠模型的体内成像证实了它在rage -过表达肿瘤和脑组织中的靶向积累。这些发现突出了NbF8作为rage相关疾病的一种有前景的分子显像剂。这项研究支持了RAGE靶向纳米体在诊断成像和治疗发展方面的潜力,为RAGE信号驱动的精准医疗提供了一种新的方法。
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引用次数: 0
Lithocholic Acid, Calorie Restriction, and Halting Aging 石胆酸、卡路里限制和延缓衰老。
IF 2.6 3区 生物学 Q3 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2025-06-25 DOI: 10.1002/adbi.202500110
Cade Ward, Michael M. Shahid, Grace Hohman, Mohamed A. Eldeeb

While aging is a natural biological process, it is associated with a greater risk for multiple diseases, including cancer, neurodegeneration, and cardiovascular disease. Thus, it is important to study the biochemical mechanisms involved in aging to understand how to treat and prevent these health conditions. The discovery that calorie restriction (CR) promoted longevity in various organisms is a major breakthrough for aging research. Molecular studies of CR have revealed that it mediates its anti-aging effects by activating key signaling pathways, including the AMPK pathway. This pathway is important for regulating various processes, including energy homeostasis, metabolism, and proteostasis. Despite the advantages associated with CR, this practice can have detrimental effects, including decreased liver, body, and muscle mass. Additionally, CR is difficult to track and maintain, limiting its long-term potential. Interestingly, direct activation of the AMPK pathway offers a potential approach to increase longevity and quality of life without dietary restrictions. Remarkably, a recent discovery revealed that lithocholic acid (LCA), a metabolite from bile acid, could directly activate the AMPK pathway. Activation of the AMPK pathway by LCA leads to the beneficial effects of CR without the negative effects. These recent findings point to the possibility that supplementation of specific doses of LCA could offer a novel approach to induce anti-aging pathways that lead to increased longevity and improved quality of life.

虽然衰老是一个自然的生物过程,但它与多种疾病的风险增加有关,包括癌症、神经变性和心血管疾病。因此,研究与衰老相关的生化机制对于了解如何治疗和预防这些健康状况至关重要。热量限制(CR)促进多种生物体寿命的发现是衰老研究的重大突破。分子研究表明,CR通过激活包括AMPK通路在内的关键信号通路介导其抗衰老作用。这一途径对调节各种过程非常重要,包括能量稳态、代谢和蛋白质稳态。尽管与CR相关的好处,这种做法可能有有害的影响,包括减少肝脏,身体和肌肉质量。此外,CR很难跟踪和维护,限制了它的长期潜力。有趣的是,直接激活AMPK通路提供了一种潜在的方法,可以在没有饮食限制的情况下延长寿命和提高生活质量。值得注意的是,最近的一项发现表明,胆汁酸的代谢物石胆酸(LCA)可以直接激活AMPK途径。LCA激活AMPK通路导致CR的有益作用而没有负面影响。这些最近的发现表明,补充特定剂量的LCA可能提供一种新的方法来诱导抗衰老途径,从而延长寿命和提高生活质量。
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引用次数: 0
Precision Medicine in ICH Unveiling the Superior Predictive Power of a Joint Model ICH中的精准医学揭示了联合模型的卓越预测能力。
IF 2.6 3区 生物学 Q3 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2025-06-23 DOI: 10.1002/adbi.202400833
Fa Wu, YuLin Yang, TingTing Wu, JinPing Sheng, FeiZhou Du, JianHao Li, ZhiWei Zuo, JunFeng Zhang, Rui Jiang, Peng Wang

This study examined the effectiveness of a combined model using non-contrast computed tomography (NCCT) imaging, clinical data, and radiomics for predicting early hematoma enlargement in patients with spontaneous intracerebral hemorrhage. The study involved 232 patients with primary cerebral hemorrhage who met the inclusion criteria at the General Hospital of the Western Theater Command, PLA, between January 2018 and December 2023. Imaging and clinical features were compared, radiomic features were extracted from head CT scans, and a multivariate logistic regression model identified key imaging markers and clinical features. Univariate and multivariate logistic regression models were used for dimensionality reduction of radiomic features and to develop a radiomic signature/model. Patients were split into training and validation sets in a 7:3 ratio. Then, NCCT, clinical, radiomics, and combined NCCT-clinical-radiomics models were built, along with a nomogram. The AUC values for hematoma expansion prediction were as follows in the training set: NCCT model (0.758), clinical model (0.742), radiomics model (0.779), and combined model (0.872). In the validation set, the AUCs were: NCCT model (0.853), clinical model (0.754), radiomics model (0.778), and combined model (0.905). Calibration and decision curve analysis further confirmed the superior clinical utility of the combined model over the individual models. In conclusion, the combined NCCT-clinical-radiomics model significantly outperformed the individual models, leading to improved predictive accuracy, stability, and generalizability.

本研究检验了使用非对比计算机断层扫描(NCCT)成像、临床数据和放射组学联合模型预测自发性脑出血患者早期血肿扩大的有效性。该研究纳入了2018年1月至2023年12月解放军西部战区总医院符合纳入标准的232例原发性脑出血患者。比较影像学和临床特征,从头部CT扫描中提取放射学特征,并使用多变量logistic回归模型识别关键影像学标志物和临床特征。使用单变量和多变量逻辑回归模型对放射组特征进行降维,并开发放射组特征/模型。患者按7:3的比例分为训练组和验证组。然后,构建NCCT、临床、放射组学以及NCCT-临床-放射组学组合模型,并绘制nomogram。训练集中预测血肿扩张的AUC值分别为:NCCT模型(0.758)、临床模型(0.742)、放射组学模型(0.779)、联合模型(0.872)。验证集中auc分别为:NCCT模型(0.853)、临床模型(0.754)、放射组学模型(0.778)和联合模型(0.905)。校正和决策曲线分析进一步证实了联合模型优于单独模型的临床效用。总之,ncct -临床-放射组学联合模型显著优于单个模型,从而提高了预测准确性、稳定性和通用性。
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引用次数: 0
New Approaches to Understand Movement as Medicine 将运动理解为医学的新方法
IF 2.6 3区 生物学 Q3 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2025-06-18 DOI: 10.1002/adbi.202400709
Kieran F. Reid
<p>This <i>Special Section</i> of <i>Advanced Biology</i> provides new insights, novel perspectives, and future directions to advance our understanding of “movement as medicine”. With a distinct translational science perspective, this section included studies ranging from molecular level transcriptome experiments in mice to late phase efficacy clinical trials of mind-body interventions. A unique combination of original investigations is presented that describes two preclinical studies of exercise training to induce neural regeneration and cardiac remodeling,<sup>[</sup><span><sup>1, 2</sup></span><sup>]</sup> an innovative characterization of the gut microbiome within elite athletes and sedentary controls,<sup>[</sup><span><sup>3</sup></span><sup>]</sup> studies on new approaches to further delineate anthropometric aspects of sarcopenia<sup>[</sup><span><sup>4</sup></span><sup>]</sup> and sarcopenic obesity,<sup>[</sup><span><sup>5</sup></span><sup>]</sup> a characterization of neurohemodynamic responses to acute aerobic exercise in pre-dementia older adults,<sup>[</sup><span><sup>6</sup></span><sup>]</sup> the efficacy of a music-based mind-body program of Dalcroze Eurthymics for improving patient-important outcomes in older adults at high fall risk,<sup>[</sup><span><sup>7</sup></span><sup>]</sup> and a comprehensive narrative review of physical, pharmacological, and multimodality therapeutic approaches to mitigate the impact of musculoskeletal diseases among individuals living with spinal cord injury (SCI).<sup>[</sup><span><sup>8</sup></span><sup>]</sup></p><p>Fang et al.<sup>[</sup><span><sup>1</sup></span><sup>]</sup> sought to examine the potential molecular mechanisms of exercise-induced axonal regeneration in a mouse model of optic nerve injury. Several weeks of exercise stimulation restored DNA methylation patterns and promoted retinal ganglion cell (RGC) axon regeneration via TET3 mediated epigenetic effects. The authors then further demonstrated in a series of elegant experiments that exercise training induced RGC axon regeneration, reestablished visual circuits, partially restored vision loss, and improved metabolic function in older mice. This elucidation of the mechanistic effects of exercise-induced regeneration of these functionally important CNS neurons may allow for the further development of novel regenerative approaches to mitigate the adverse effects of optic neuropathy in humans. In another preclinical study, Han et al.<sup>[</sup><span><sup>2</sup></span><sup>]</sup> examined whether a combination of endurance and resistance training could improve cardiac function. Compared to sedentary controls, aging mice underwent an 8-week intensive and progressive swimming or voluntary resistance running training regimen. This experimental approach revealed that both swimming and voluntary resistance running attenuated age-related cardiac hypertrophy and cellular senescence, cardiac metabolism, and oxidative stress, and they improved
这个高级生物学的特别部分提供了新的见解,新的视角和未来的方向,以推进我们对“运动作为医学”的理解。从独特的转化科学角度来看,本节包括从小鼠分子水平转录组实验到身心干预的后期疗效临床试验的研究。一项独特的原始调查组合描述了两项运动训练诱导神经再生和心脏重塑的临床前研究,[1][2]精英运动员和久坐对照组肠道微生物组的创新表征,[3]研究了进一步描述肌肉减少症和肌肉减少性肥胖的人体测量学方面的新方法,[5]研究了痴呆症前期老年人急性有氧运动的神经血流动力学反应,[6]研究了基于音乐的Dalcroze Eurthymics项目对改善高跌倒风险老年人患者重要结局的疗效,[7]和综合研究对减轻肌肉骨骼疾病对脊髓损伤(SCI)患者影响的物理、药理学和多模式治疗方法的叙述性回顾。Fang等人试图在视神经损伤小鼠模型中研究运动诱导的轴突再生的潜在分子机制。几周的运动刺激恢复DNA甲基化模式,并通过TET3介导的表观遗传效应促进视网膜神经节细胞(RGC)轴突再生。随后,作者通过一系列优雅的实验进一步证明,运动训练诱导RGC轴突再生,重建视觉回路,部分恢复视力丧失,并改善老年小鼠的代谢功能。运动诱导这些功能重要的中枢神经系统神经元再生的机制作用的阐明可能允许进一步开发新的再生方法来减轻人类视神经病变的不良影响。在另一项临床前研究中,Han等人研究了耐力和阻力训练相结合是否能改善心功能。与久坐不动的对照组相比,衰老小鼠进行了为期8周的强化渐进式游泳或自愿阻力跑步训练方案。该实验方法表明,游泳和自愿抵抗跑步都能减轻衰老小鼠的年龄相关性心脏肥大和细胞衰老、心脏代谢和氧化应激,并改善线粒体结构和心脏功能。从他们的分析中,其他值得注意的意义是确定了上游刺激因子2在两种训练方案中的上调,这表明该转录因子作为缓解年龄相关性心功能障碍的潜在治疗靶点值得进一步研究。在他们的横断面研究中,Aya等人提供了一个关于运动生理学中一个重要但经常被忽视的原则的优雅提醒,即“训练的特殊性”原则。在他们的研究中,他们解决了一个重要的问题,即不同类型的运动训练和体育活动水平是否会对肠道微生物群产生不同的影响。他们将哥伦比亚精英级举重运动员和公路自行车运动员的肠道微生物群与非运动员对照组进行了比较。他们的动态研究结果显示,在三个不同的研究组中,微生物特征存在很大差异。与非运动员对照组相比,举重运动员具有独特的涉及病毒和古菌域的微生物网络连接,而职业公路自行车运动员在细菌和古菌家族之间表现出大量的联系,这表明微生物相互作用模式受到精英水平有氧耐力型运动的特定代谢需求的调节。两项临床研究集中在老年人肌肉减少症和肌肉减少性肥胖的人体测量学方面。Quizzini等人评估了生物电阻抗矢量分析(BIVA)的效用,以评估老年人肌肉减少症患者在接受为期12周的全身阻力训练计划后细胞完整性和相位角的变化。将经典的(全身)BIVA方法与局部方法(特定的四肢或躯干区域)进行比较,作者报告了经典的全身测量方法的更大改善,这表明身体成分可能有所改善,表明在高强度阻力训练刺激下,脂肪量减少,无脂肪量积累增加。Cook等人研究了绝对握力水平或双手握力差异(不对称)是否更能预测老年肌肉减少型肥胖患者的身体功能。 这项研究的一个主要前提是基于这样一个概念,即握力不对称可能是早期神经肌肉损伤的标志,因此可以作为老年人肌肉减少性肥胖的一个更有鉴别性的预测指标。然而,根据两项减肥干预研究的基线数据,作者报告说,在预测老年人的身体功能测量方面,握力不对称远不如最大握力。虽然该研究指出了同时评估最大握力和握力不对称的一些潜在效用,但似乎传统的最大握力测量应该继续作为肌肉减少型肥胖的诊断标准,直到有更多和更明确的研究可以确定握力不对称在“有风险”的老年人中的预后效用。另外两项临床研究的重点是检查运动对“高危”老年人的急性或慢性影响。Da Costa等人研究了患有运动认知危险综合征(MCR)的老年人急性一轮骑车运动的机制和神经血流动力学反应。使用功能性近红外光谱(fNIRS),研究人员表征了前额叶皮质(PFC)的氧合反应以及其他生理和知觉反应,以急性运动为高痴呆风险表型。作者发现,增加的自行车运动以一种强度依赖的方式诱导PFC氧合变化,这些变化与参与者自我感知的运动水平呈正相关。这些令人鼓舞的发现表明,在MCR中,PFC对运动的反应与先前在年轻健康受试者和其他老年人群体中的研究相对一致。尽管MCR老年人可能有大量潜在的脑萎缩和结构和功能脑损伤。Hars等人于2010年报道了一项长期(12个月)随机比较Dalcroze韵律运动(DE)与传统多组分运动(DE)在大量有跌倒风险的老年人中有效性的试验结果。DE干预是一种以音乐为基础的、通过运动进行教育的方法,包括多个多任务练习、动作序列、与其他参与者的动作互动,所有这些都伴随着即兴钢琴音乐的节奏进行。在研究参与者中,DE被发现在减少跌倒发生率和改善许多其他身体和认知结果方面比传统运动更有效。虽然综合运动和认知成分可能是提供这种干预效力的主要成分,但作者强调,需要未来的研究来描述DE可以使老年人受益的具体潜在生物学机制。最后的手稿集中在脊髓损伤,一个毁灭性的,改变生活的事件,导致瘫痪,减少体力活动,加速发病率和死亡率。echevaria - cruz等人描述了在脊髓损伤后固定后迅速发生的心脏代谢、肌肉骨骼和内分泌器官的相互关联的失调。本综述还强调了脊髓损伤中骨质流失的严重危害问题,以及诸如骨骼卸载、久坐行为和运动不耐受等因素如何加剧了这一问题。尽管尝试了物理干预和骨质疏松药物治疗,但仍然缺乏有效的治疗方法来维持脊髓损伤后的肌肉骨骼健康。作者批判性地评估了现有的骨质流失、骨折和治疗方法的数据,从物理到药物和电刺激,以减轻sci相关的骨骼疾病,并强调了未来研究的重要领域。总之,本专题的研究已经确定了运动对抗神经病变、心功能障碍的新分子机制,以及运动训练的不同模式如何影响肠道微生物群。研究还提供了对老年人身体成分年龄相关改变的决定因素的新见解,并分别描述了运动和身心方法对痴呆前期和高风险老年人的新影响。本文还全面概述了开发新的治疗策略,特别是多模式治疗方法以改善脊髓损伤患者预后的必要性。总的来说,我相信上述手稿将激发新的研究努力,进一步推进我们对运动的生物学机制及其对人类健康和功能的多重内在和外在影响的理解。 我要感谢共同为这一新颖的工作做出贡献的所有59位作者,感谢所有同行审稿人的批判性和建设性努力,感谢他们为本专题作出的堪称典范的贡献。作者声明无利益冲突。
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