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Limitations of Protein Structure Prediction Algorithms in Therapeutic Protein Development 治疗性蛋白质开发中蛋白质结构预测算法的局限性
Pub Date : 2024-01-08 DOI: 10.3390/biomedinformatics4010007
Sarfaraz K. Niazi, Zamara Mariam, R. Z. Paracha
The three-dimensional protein structure is pivotal in comprehending biological phenomena. It directly governs protein function and hence aids in drug discovery. The development of protein prediction algorithms, such as AlphaFold2, ESMFold, and trRosetta, has given much hope in expediting protein-based therapeutic discovery. Though no study has reported a conclusive application of these algorithms, the efforts continue with much optimism. We intended to test the application of these algorithms in rank-ordering therapeutic proteins for their instability during the pre-translational modification stages, as may be predicted according to the confidence of the structure predicted by these algorithms. The selected molecules were based on a harmonized category of licensed therapeutic proteins; out of the 204 licensed products, 188 that were not conjugated were chosen for analysis, resulting in a lack of correlation between the confidence scores and structural or protein properties. It is crucial to note here that the predictive accuracy of these algorithms is contingent upon the presence of the known structure of the protein in the accessible database. Consequently, our conclusion emphasizes that these algorithms primarily replicate information derived from existing structures. While our findings caution against relying on these algorithms for drug discovery purposes, we acknowledge the need for a nuanced interpretation. Considering their limitations and recognizing that their utility may be constrained to scenarios where known structures are available is important. Hence, caution is advised when applying these algorithms to characterize various attributes of therapeutic proteins without the support of adequate structural information. It is worth noting that the two main algorithms, AlfphaFold2 and ESMFold, also showed a 72% correlation in their scores, pointing to similar limitations. While much progress has been made in computational sciences, the Levinthal paradox remains unsolved.
蛋白质的三维结构对于理解生物现象至关重要。它直接决定着蛋白质的功能,因此有助于药物发现。蛋白质预测算法的发展,如 AlphaFold2、ESMFold 和 trRosetta,为加快基于蛋白质的治疗发现带来了很大希望。虽然还没有研究报告称这些算法得到了最终应用,但人们仍对其前景充满信心。我们打算测试这些算法在对治疗用蛋白质进行排序时的应用情况,以确定这些蛋白质在翻译前修饰阶段的不稳定性。所选分子基于已获许可的治疗蛋白质统一类别;在 204 种已获许可的产品中,有 188 种未共轭,因此可信度评分与结构或蛋白质特性之间缺乏相关性。在此必须指出的是,这些算法的预测准确性取决于可访问数据库中是否存在已知的蛋白质结构。因此,我们的结论强调,这些算法主要是复制从现有结构中获得的信息。虽然我们的研究结果提醒人们不要依赖这些算法来发现药物,但我们也承认有必要对其进行细致的解释。考虑到这些算法的局限性,并认识到它们的实用性可能仅限于已知结构可用的情况,这一点非常重要。因此,在没有足够结构信息支持的情况下,应用这些算法来描述治疗蛋白质的各种属性时,建议谨慎行事。值得注意的是,AlfphaFold2 和 ESMFold 这两种主要算法的得分也显示出 72% 的相关性,这也说明了类似的局限性。虽然计算科学取得了很大进展,但勒文塔尔悖论仍未得到解决。
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引用次数: 0
Interpretable Medical Imagery Diagnosis with Self-Attentive Transformers: A Review of Explainable AI for Health Care 利用自适应变压器进行可解释医学影像诊断:医疗保健领域可解释人工智能综述
Pub Date : 2024-01-08 DOI: 10.3390/biomedinformatics4010008
Tin Lai
Recent advancements in artificial intelligence (AI) have facilitated its widespread adoption in primary medical services, addressing the demand–supply imbalance in healthcare. Vision Transformers (ViT) have emerged as state-of-the-art computer vision models, benefiting from self-attention modules. However, compared to traditional machine learning approaches, deep learning models are complex and are often treated as a “black box” that can cause uncertainty regarding how they operate. Explainable artificial intelligence (XAI) refers to methods that explain and interpret machine learning models’ inner workings and how they come to decisions, which is especially important in the medical domain to guide healthcare decision-making processes. This review summarizes recent ViT advancements and interpretative approaches to understanding the decision-making process of ViT, enabling transparency in medical diagnosis applications.
人工智能(AI)的最新进展促进了其在初级医疗服务中的广泛应用,从而解决了医疗保健供需失衡的问题。视觉转换器(ViT)已成为最先进的计算机视觉模型,得益于自我关注模块。然而,与传统的机器学习方法相比,深度学习模型非常复杂,通常被视为一个 "黑盒子",可能会导致其运行方式的不确定性。可解释人工智能(XAI)指的是解释和诠释机器学习模型内部工作原理及其如何做出决策的方法,这在医疗领域指导医疗决策过程尤为重要。本综述总结了最近的 ViT 进展和解释性方法,以了解 ViT 的决策过程,实现医疗诊断应用的透明化。
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引用次数: 0
Biomedical Informatics: State of the Art, Challenges, and Opportunities 生物医学信息学:技术现状、挑战和机遇
Pub Date : 2024-01-02 DOI: 10.3390/biomedinformatics4010006
Carson K. Leung
Biomedical informatics can be considered as a multidisciplinary research and educational field situated at the intersection of computational sciences (including computer science, data science, mathematics, and statistics), biology, and medicine. In recent years, there have been advances in the field of biomedical informatics. The current article highlights some interesting state-of-the-art research outcomes in these fields. These include research outcomes in areas like (i) computational biology and medicine, (ii) explainable artificial intelligence (XAI) in biomedical research and clinical practice, (iii) machine learning (including deep learning) methods and application for bioinformatics and healthcare, (iv) imaging informatics, as well as (v) medical statistics and data science. Moreover, the current article also discusses some existing challenges and potential future directions for these research areas to advance the fields of biomedical informatics.
生物医学信息学可被视为一个多学科研究和教育领域,它位于计算科学(包括计算机科学、数据科学、数学和统计学)、生物学和医学的交叉点。近年来,生物医学信息学领域取得了一些进展。本文重点介绍了这些领域中一些令人感兴趣的最新研究成果。其中包括以下领域的研究成果:(i) 计算生物学和医学;(ii) 生物医学研究和临床实践中的可解释人工智能(XAI);(iii) 机器学习(包括深度学习)方法及其在生物信息学和医疗保健中的应用;(iv) 影像信息学;以及 (v) 医学统计学和数据科学。此外,本文还讨论了这些研究领域的一些现有挑战和潜在的未来方向,以推动生物医学信息学领域的发展。
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引用次数: 0
The Bioinformatics Identification of Potential Protein Glycosylation Genes Associated with a Glioma Stem Cell Signature 通过生物信息学鉴定与胶质瘤干细胞特征相关的潜在蛋白糖基化基因
Pub Date : 2024-01-01 DOI: 10.3390/biomedinformatics4010005
Kazuya Tokumura, Koki Sadamori, Makoto Yoshimoto, Akane Tomizawa, Yuki Tanaka, Kazuya Fukasawa, E. Hinoi
Glioma stem cells (GSCs) contribute to the pathogenesis of glioblastoma (GBM), which is the most malignant form of glioma. The implications and underlying mechanisms of protein glycosylation in GSC phenotypes and GBM malignancy are not fully understood. The implication of protein glycosylation and the corresponding candidate genes on the stem cell properties of GSCs and poor clinical outcomes in GBM were investigated, using datasets from the Gene Expression Omnibus, The Cancer Genome Atlas, and the Chinese Glioma Genome Atlas, accompanied by biological validation in vitro. N-linked glycosylation was significantly associated with GSC properties and the prognosis of GBM in the integrated bioinformatics analyses of clinical specimens. N-linked glycosylation was associated with the glioma grade, molecular biomarkers, and molecular subtypes. The expression levels of the asparagine-linked glycosylation (ALG) enzyme family, which is essential for the early steps in the biosynthesis of N-glycans, were prominently associated with GSC properties and poor survival in patients with GBM with high stem-cell properties. Finally, the oxidative phosphorylation pathway was primarily enriched in GSCs with a high expression of the ALG enzyme family. These findings suggest the role of N-linked glycosylation in the regulation of GSC phenotypes and GBM malignancy.
胶质瘤干细胞(GSCs)是胶质母细胞瘤(GBM)的发病机制之一,而GBM是胶质瘤中恶性程度最高的一种。蛋白质糖基化在GSC表型和GBM恶性肿瘤中的影响和潜在机制尚未完全明了。本研究利用基因表达总集、癌症基因组图谱和中国胶质瘤基因组图谱中的数据集,并通过体外生物学验证,研究了蛋白质糖基化和相应候选基因对GSCs干细胞特性和GBM不良临床预后的影响。在临床标本的综合生物信息学分析中,N-连接的糖基化与GSC的特性和GBM的预后明显相关。N-连接的糖基化与胶质瘤分级、分子生物标志物和分子亚型相关。天冬酰胺连接糖基化(ALG)酶家族是N-糖基化生物合成早期步骤的关键,其表达水平与GSC特性和干细胞特性较高的GBM患者的生存率较低密切相关。最后,氧化磷酸化途径主要在ALG酶家族高表达的GSC中富集。这些发现表明,N-连接的糖基化在调控GSC表型和GBM恶性程度中发挥作用。
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引用次数: 0
Survey of Multimodal Medical Question Answering 多模态医学问题解答调查
Pub Date : 2023-12-31 DOI: 10.3390/biomedinformatics4010004
Hilmi Demirhan, Wlodek Zadrozny
Multimodal medical question answering (MMQA) is a vital area bridging healthcare and Artificial Intelligence (AI). This survey methodically examines the MMQA research published in recent years. We collect academic literature through Google Scholar, applying bibliometric analysis to the publications and datasets used in these studies. Our analysis uncovers the increasing interest in MMQA over time, with diverse domains such as natural language processing, computer vision, and large language models contributing to the research. The AI methods used in multimodal question answering in the medical domain are a prominent focus, accompanied by applicability of MMQA to the medical field. MMQA in the medical field has its unique challenges due to the sensitive nature of medicine as a science dealing with human health. The survey reveals MMQA research to be in an exploratory stage, discussing different methods, datasets, and potential business models. Future research is expected to focus on application development by big tech companies, such as MedPalm. The survey aims to provide insights into the current state of multimodal medical question answering, highlighting the growing interest from academia and industry. The identified research gaps and trends will guide future investigations and encourage collaborative efforts to advance this transformative field.
多模态医疗问题解答(MMQA)是连接医疗保健与人工智能(AI)的重要领域。本调查有条不紊地考察了近年来发表的多模态医学问题解答(MMQA)研究成果。我们通过谷歌学术收集学术文献,并对这些研究中使用的出版物和数据集进行文献计量分析。我们的分析表明,随着时间的推移,人们对 MMQA 的兴趣与日俱增,自然语言处理、计算机视觉和大型语言模型等不同领域的研究都为 MMQA 做出了贡献。医疗领域多模态问题解答中使用的人工智能方法以及 MMQA 在医疗领域的适用性是一个突出的重点。由于医学是一门涉及人类健康的科学,其敏感性使医学领域的 MMQA 面临着独特的挑战。调查显示,MMQA 研究正处于探索阶段,讨论了不同的方法、数据集和潜在的商业模式。预计未来的研究将侧重于大型科技公司(如 MedPalm)的应用开发。调查旨在深入了解多模态医学问题解答的现状,突出学术界和产业界日益增长的兴趣。已确定的研究差距和趋势将为未来的调查提供指导,并鼓励各方共同努力推动这一变革性领域的发展。
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引用次数: 0
Supporting the Demand on Mental Health Services with AI-Based Conversational Large Language Models (LLMs) 利用基于人工智能的大语言对话模型(LLMs)支持心理健康服务需求
Pub Date : 2023-12-22 DOI: 10.3390/biomedinformatics4010002
Tin Lai, Yukun Shi, Zicong Du, Jiajie Wu, Ken Fu, Yichao Dou, Ziqi Wang
The demand for psychological counselling has grown significantly in recent years, particularly with the global outbreak of COVID-19, which heightened the need for timely and professional mental health support. Online psychological counselling emerged as the predominant mode of providing services in response to this demand. In this study, we propose the Psy-LLM framework, an AI-based assistive tool leveraging large language models (LLMs) for question answering in psychological consultation settings to ease the demand on mental health professions. Our framework combines pre-trained LLMs with real-world professional questions-and-answers (Q&A) from psychologists and extensively crawled psychological articles. The Psy-LLM framework serves as a front-end tool for healthcare professionals, allowing them to provide immediate responses and mindfulness activities to alleviate patient stress. Additionally, it functions as a screening tool to identify urgent cases requiring further assistance. We evaluated the framework using intrinsic metrics, such as perplexity, and extrinsic evaluation metrics, including human participant assessments of response helpfulness, fluency, relevance, and logic. The results demonstrate the effectiveness of the Psy-LLM framework in generating coherent and relevant answers to psychological questions. This article discusses the potential and limitations of using large language models to enhance mental health support through AI technologies.
近年来,对心理咨询的需求大幅增长,尤其是 COVID-19 在全球爆发后,人们对及时、专业的心理健康支持的需求更加强烈。在线心理咨询成为应对这一需求的主要服务模式。在本研究中,我们提出了 Psy-LLM 框架,这是一种基于人工智能的辅助工具,利用大型语言模型(LLM)在心理咨询环境中进行问题解答,以缓解对心理健康专业人员的需求。我们的框架将预先训练好的 LLM 与来自心理学家的真实世界专业问答(Q&A)和广泛抓取的心理学文章相结合。Psy-LLM 框架可作为医疗保健专业人员的前端工具,使他们能够提供即时响应和正念活动,以减轻患者的压力。此外,它还可作为筛选工具,识别需要进一步帮助的紧急病例。我们使用内在指标(如困惑度)和外在评价指标(包括人类参与者对响应的有用性、流畅性、相关性和逻辑性的评估)对该框架进行了评估。结果表明,Psy-LLM 框架在为心理问题生成连贯、相关的答案方面非常有效。本文讨论了使用大型语言模型通过人工智能技术加强心理健康支持的潜力和局限性。
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引用次数: 0
BioMedInformatics, the Link between Biomedical Informatics, Biology and Computational Medicine 生物医学信息学,生物医学、生物学和计算医学之间的纽带
Pub Date : 2023-12-21 DOI: 10.3390/biomedinformatics4010001
Alexandre G. de Brevern
Welcome to BioMedInformatics (ISSN: 2673-7426) [...]
欢迎访问 BioMedInformatics(ISSN:2673-7426)[......]
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引用次数: 0
Transforming Drug Design: Innovations in Computer-Aided Discovery for Biosimilar Agents 变革药物设计:生物仿制药的计算机辅助发现创新
Pub Date : 2023-12-08 DOI: 10.3390/biomedinformatics3040070
Shadi Askari, Alireza Ghofrani, Hamed Taherdoost
In pharmaceutical research and development, pursuing novel therapeutics and optimizing existing drugs have been revolutionized by the fusion of cutting-edge technologies and computational methodologies. Over the past few decades, the field of drug design has undergone a remarkable transformation, catalyzed by the rapid advancement of computer-aided discovery techniques and the emergence of biosimilar agents. This dynamic interplay between scientific innovation and technological prowess has expedited the drug discovery process and paved the way for more targeted, effective, and personalized treatment approaches. This review investigates the transformative computer-aided discovery techniques for biosimilar agents in reshaping drug design. It examines how computational methods expedite drug candidate identification and explores the rise of cost-effective biosimilars as alternatives to biologics. Through this analysis, this study highlights the potential of these innovations to enhance the efficiency and accessibility of pharmaceutical development. It represents a pioneering effort to examine how computer-aided discovery is revolutionizing biosimilar agent development, exploring its applications, challenges, and prospects.
在药物研究和开发中,追求新的治疗方法和优化现有药物已经被尖端技术和计算方法的融合所彻底改变。在过去的几十年里,由于计算机辅助发现技术的快速发展和生物仿制药的出现,药物设计领域经历了一次显著的转变。科学创新和技术实力之间的这种动态相互作用加快了药物发现过程,并为更有针对性、更有效和更个性化的治疗方法铺平了道路。本文综述了生物类似药的计算机辅助发现技术在重塑药物设计中的应用。它探讨了计算方法如何加快候选药物的鉴定,并探讨了成本效益生物仿制药作为生物制剂替代品的兴起。通过这一分析,本研究强调了这些创新在提高药物开发效率和可及性方面的潜力。它代表了一项开创性的努力,研究计算机辅助发现如何革命性地改变生物类似药的开发,探索其应用,挑战和前景。
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引用次数: 0
Genomics for Emerging Pathogen Identification and Monitoring: Prospects and Obstacles 新病原体鉴定和监测的基因组学:前景与障碍
Pub Date : 2023-12-07 DOI: 10.3390/biomedinformatics3040069
Vishakha Vashisht, A. Vashisht, A. Mondal, Jaspreet Farmaha, Ahmet Alptekin, Harmanpreet Singh, P. Ahluwalia, Anaka Srinivas, R. Kolhe
Emerging infectious diseases (EIDs) pose an increasingly significant global burden, driven by urbanization, population explosion, global travel, changes in human behavior, and inadequate public health systems. The recent SARS-CoV-2 pandemic highlights the urgent need for innovative and robust technologies to effectively monitor newly emerging pathogens. Rapid identification, epidemiological surveillance, and transmission mitigation are crucial challenges for ensuring public health safety. Genomics has emerged as a pivotal tool in public health during pandemics, enabling the diagnosis, management, and prediction of infections, as well as the analysis and identification of cross-species interactions and the categorization of infectious agents. Recent advancements in high-throughput DNA sequencing tools have facilitated rapid and precise identification and characterization of emerging pathogens. This review article provides insights into the latest advances in various genomic techniques for pathogen detection and tracking and their applications in global outbreak surveillance. We assess methods that leverage pathogen sequences and explore the role of genomic analysis in understanding the epidemiology of newly emerged infectious diseases. Additionally, we address technical challenges and limitations, ethical and legal considerations, and highlight opportunities for integrating genomics with other surveillance approaches. By delving into the prospects and obstacles of genomics, we can gain valuable insights into its role in mitigating the threats posed by emerging pathogens and improving global preparedness in the face of future outbreaks.
在城市化、人口爆炸、全球旅行、人类行为变化和公共卫生系统不足的推动下,新发传染病(eid)构成了日益严重的全球负担。最近的SARS-CoV-2大流行凸显了迫切需要创新和强大的技术来有效监测新出现的病原体。快速识别、流行病学监测和减轻传播是确保公共卫生安全的关键挑战。基因组学已成为流行病期间公共卫生的关键工具,使诊断、管理和预测感染,以及跨物种相互作用的分析和鉴定以及传染因子的分类成为可能。高通量DNA测序工具的最新进展促进了新兴病原体的快速和精确鉴定和表征。本文综述了用于病原体检测和跟踪的各种基因组技术的最新进展及其在全球疫情监测中的应用。我们评估了利用病原体序列的方法,并探索了基因组分析在理解新出现的传染病流行病学中的作用。此外,我们还讨论了技术上的挑战和限制,道德和法律方面的考虑,并强调了将基因组学与其他监测方法相结合的机会。通过深入研究基因组学的前景和障碍,我们可以获得宝贵的见解,了解基因组学在减轻新出现的病原体构成的威胁和改善全球防范以应对未来疫情方面的作用。
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引用次数: 0
Avatar Intervention for Cannabis Use Disorder in a Patient with Schizoaffective Disorder: A Case Report 阿凡达干预精神分裂症患者的大麻使用障碍:病例报告
Pub Date : 2023-12-06 DOI: 10.3390/biomedinformatics3040067
Sabrina Giguère, Laura Dellazizzo, M. Beaudoin, Marie-Andrée Lapierre, Marie Villeneuve, K. Phraxayavong, Stéphane Potvin, A. Dumais
Considering the harmful effects of cannabis on individuals with a severe mental disorder and the limited effectiveness of current interventions, this case report showcases the beneficial results of a 10-session Avatar intervention for cannabis use disorder (CUD) on a polysubstance user with a comorbid schizoaffective disorder. Virtual reality allowed the creation of an Avatar representing a person significantly related to the patient’s drug use. Avatar intervention for CUD aims to combine exposure, relational, and cognitive behavioral therapies while practicing real-life situations and learning how to manage negative emotions and cravings. Throughout therapy and later on, Mr. C managed to maintain abstinence from all substances. Also, an improvement in the severity of CUD, as well as a greater motivation to change consumption, was observed after therapy. As observed by his mother, his psychiatrist, and himself, the benefits of Avatar intervention for CUD extended to other spheres of his life. The drastic results observed in this patient could be promising as an alternative to the current treatment available for people with a dual diagnosis of cannabis use disorder and psychotic disorder, which generally lack effectiveness. A single-blind randomized control trial comparing the treatment with a classical intervention in a larger sample is currently underway to evaluate whether the results are reproducible on a larger sample.
考虑到大麻对患有严重精神障碍的个人的有害影响和目前干预措施的有限效力,本病例报告展示了对患有共病分裂情感障碍的多物质使用者进行10期大麻使用障碍阿凡达干预的有益结果。虚拟现实允许创建一个化身,代表与患者药物使用有显著关系的人。CUD的化身干预旨在结合暴露,关系和认知行为疗法,同时练习现实生活中的情况,学习如何管理负面情绪和渴望。在整个治疗过程和之后,C先生成功地保持了对所有物质的戒断。此外,治疗后观察到CUD严重程度的改善,以及改变消费的更大动机。根据他的母亲、他的精神科医生和他自己的观察,阿凡达对CUD的干预的好处扩展到了他生活的其他领域。在这个病人身上观察到的激烈结果可能是有希望的,作为目前对双重诊断为大麻使用障碍和精神障碍的人可用的治疗方法的替代方案,这种治疗通常缺乏有效性。目前正在进行一项单盲随机对照试验,将该治疗与经典干预在更大样本中进行比较,以评估结果在更大样本中是否可重复。
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引用次数: 0
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