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Pre-analytical considerations for microRNA quantification in childhood leukemia research. 儿童白血病研究中microRNA定量的分析前考虑。
Pub Date : 2025-05-27 eCollection Date: 2025-01-01 DOI: 10.14440/jbm.2025.0001
Ioannis Kyriakidis, Iordanis Pelagiadis, Eftichia Stiakaki

Background: MicroRNAs (miRNAs) have gained significant attention as potential biomarkers in childhood leukemia, offering insights into diagnosis, prognosis, and therapeutic targeting. However, the clinical translation of miRNA biomarkers faces several challenges, including inconsistencies in results caused by methodological differences, sample processing variability, and a lack of standardized normalization techniques. In addition, miRNA profiles are highly cell-specific, with unique signatures for different blood cell types and leukemic blasts, reflecting their distinct biological roles and disease states. Pre-analytical factors are critical in ensuring the accuracy and reproducibility of miRNA quantification. The selectively enriched and highly stable exosomal miRNAs have shown great promise for studying intercellular communication and disease-specific miRNAs. The selection of the analytical matrix should align with the specific objectives of the research or diagnostic application. Addressing technical challenges and recording potential confounding variables (e.g., age, gender, ethnicity, body mass index, menstrual cycle, fasting, circadian rhythm, comorbidities, medications, smoking, and physical activity) are essential to enhancing the reproducibility and reliability of miRNA biomarkers.

Objective: This review aims to highlight the challenges facing miRNA quantification in childhood leukemias, scrutinizing all relevant pre-analytical issues, including the preferred specimen source, leukemic blast type and count, the selection of suitable blood components, the impact of time and freeze-thaw cycles, collection, processing, and storage variables.

Conclusion: Further research is needed to standardize methodologies and expand our understanding of miRNA interaction networks, ultimately advancing the application of miRNAs in childhood leukemia research.

背景:MicroRNAs (miRNAs)作为儿童白血病的潜在生物标志物,在诊断、预后和治疗靶向方面具有重要意义。然而,miRNA生物标志物的临床翻译面临着一些挑战,包括由于方法差异、样品处理可变性和缺乏标准化的规范化技术而导致的结果不一致。此外,miRNA谱具有高度的细胞特异性,对不同的血细胞类型和白血病母细胞具有独特的特征,反映了它们不同的生物学作用和疾病状态。分析前因素对于确保miRNA定量的准确性和可重复性至关重要。选择性富集和高度稳定的外泌体mirna在研究细胞间通讯和疾病特异性mirna方面显示出很大的希望。分析矩阵的选择应与研究或诊断应用的具体目标相一致。解决技术挑战和记录潜在的混杂变量(如年龄、性别、种族、体重指数、月经周期、禁食、昼夜节律、合并症、药物、吸烟和身体活动)对于提高miRNA生物标志物的可重复性和可靠性至关重要。目的:本综述旨在强调儿童白血病中miRNA定量所面临的挑战,仔细审查所有相关的分析前问题,包括首选标本来源,白血病细胞类型和计数,合适血液成分的选择,时间和冻融周期的影响,收集,处理和储存变量。结论:需要进一步的研究来规范方法,扩大我们对miRNA相互作用网络的理解,最终推进miRNA在儿童白血病研究中的应用。
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引用次数: 0
Extraocular features of Leber hereditary optic neuropathy: A scoping review. Leber遗传性视神经病变的眼外特征:镜检回顾。
Pub Date : 2025-05-14 eCollection Date: 2025-01-01 DOI: 10.14440/jbm.2024.0113
Layla Ali, Iyawnna Hazzard, Niloufar S Tehrani, Ubaid Ansari, Adam Ali, Preyasi Kumar, Nadia Ali, Gurkiranjeet Gakhal, Forshing Lui

Background: Leber hereditary optic neuropathy (LHON) is a rare inherited mitochondrial disease that leads to mitochondrial dysfunction, resulting in optic nerve damage and vision loss. Systemic involvement has been reported in several LHON cases, referred to as LHON+ disorders. However, the causes and presentations of such conditions have been poorly studied. It is suggested that 90% of mitochondrial dysfunction is caused by one of three primary point mutations in mitochondrial DNA that affect respiratory complex I (referred to as mtDNA LHON), with unresolved cases of LHON being caused by other variants, known as autosomal recessive LHON. The cardiac, musculoskeletal, neurological, and auditory systems are commonly affected in LHON. For example, hypertrophic cardiomyopathy and sudden cardiac death have been linked to specific mutations. Neurological effects - such as dystonia, epilepsy, polyneuropathy, and ataxia - as well as hearing loss, have also been observed in patients with specific mitochondrial mutations. These findings highlight the need for a more comprehensive evaluation beyond standard ophthalmic assessments. LHON is typically diagnosed based on a combination of ophthalmic imaging, patient age and gender, clinical course (bilateral, rapidly progressive, and sequential visual loss), family history, maternal inheritance, and fundus appearance. However, the advent of genetic testing has significantly expanded the recognized phenotype. In terms of treatment, idebenone is the only FDA-approved therapy for LHON; however, intravitreal gene therapy yields promising improvement, especially for the most common m.11778G>A mutation, which accounts for 70% of causative mutations. At present, these therapies are confined to ocular treatment.

Objective: This review highlights the importance of recognizing systemic manifestations of LHON, which are frequently overlooked in clinical practice.

Conclusion: Early detection of these systemic manifestations, especially in cardiac and neurological systems, could help with prompt intervention and improve patient outcomes. Further research into gene therapy and mitochondrial replacement techniques holds promising potential for developing more effective treatment strategies.

背景:Leber遗传性视神经病变(LHON)是一种罕见的遗传性线粒体疾病,导致线粒体功能障碍,导致视神经损伤和视力丧失。据报道,在一些LHON病例中,被称为LHON+疾病,全身性受累。然而,对这些情况的原因和表现的研究很少。研究表明,90%的线粒体功能障碍是由影响呼吸复合体I的线粒体DNA的三个主要点突变之一(称为mtDNA LHON)引起的,而未解决的LHON病例是由其他变异引起的,称为常染色体隐性LHON。心脏、肌肉骨骼、神经系统和听觉系统通常在LHON中受到影响。例如,肥厚性心肌病和心源性猝死与特定的突变有关。神经系统的影响,如肌张力障碍、癫痫、多神经病变和共济失调,以及听力损失,也在特定线粒体突变的患者中被观察到。这些发现强调需要在标准的眼科评估之外进行更全面的评估。LHON的诊断通常基于眼科影像、患者年龄和性别、临床病程(双侧、快速进展和顺序性视力丧失)、家族史、母体遗传和眼底外观。然而,基因检测的出现大大扩大了公认的表型。在治疗方面,伊地贝酮是fda批准的唯一治疗LHON的药物;然而,玻璃体内基因治疗产生了有希望的改善,特别是对于最常见的m.11778G>A突变,占70%的致病突变。目前,这些疗法仅限于眼部治疗。目的:本文综述强调了认识LHON的系统性表现的重要性,这些表现在临床实践中经常被忽视。结论:早期发现这些系统性症状,特别是心脏和神经系统的症状,有助于及时干预,改善患者预后。基因治疗和线粒体替代技术的进一步研究有望开发出更有效的治疗策略。
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引用次数: 0
Theta rhythm as a real-time quantitative marker for non-invasive analysis of adult neurogenesis in the intact brain. Theta节律作为成人完整大脑中神经发生的无创分析的实时定量标记。
Pub Date : 2025-05-02 eCollection Date: 2025-01-01 DOI: 10.14440/jbm.2024.0133
Mahesh Kandasamy

Background: Adult neurogenesis is a regenerative mechanism of the brain that contributes to neuroplasticity and memory consolidation. Aberrant neurogenesis is considered a key pathogenic hallmark of a wide array of neurocognitive disorders. While the functional significance of adult neurogenesis is well established in most experimental and wild animals, its occurrence in the aging human brain remains uncertain.

Objective: Most studies on adult neurogenesis in humans rely on post-mortem analysis, as there is currently no method to accurately evaluate the neurogenic process in the intact brain. Theta rhythm, a neural oscillatory pattern, is believed to originate from hippocampal place cells that play a crucial role in creating cognitive maps. Theta rhythm is positively modulated by various factors, such as physical activities and enriched environment, which also promote adult neurogenesis. The strength and stability of theta rhythm are closely linked to mental well-being and cognitive functions, while its disruptions serve as indicators of neuropathogenic events that directly intersect with the regulation of adult neurogenesis.

Conclusion: Modulation of the theta rhythm may reciprocally reflect the degree of neurogenesis in the adult brain, as newborn neurons can directly integrate with place cells, especially in the hippocampus. Given their electrophysical properties, newborn neurons may hold an intrinsic potential to generate theta rhythm upon motor sensory inputs and different neural activities. Biomedical tools such as electroencephalography, which measures theta rhythm, could thus be utilized to non-invasively monitor ongoing neurogenic processes in intact brains. Consequently, theta rhythm may function as a potential real-time, quantitative marker of adult neurogenesis.

背景:成人神经发生是大脑的一种再生机制,有助于神经可塑性和记忆巩固。异常神经发生被认为是一系列神经认知障碍的关键致病标志。虽然成年神经发生的功能意义在大多数实验动物和野生动物中都得到了很好的证实,但它在衰老的人类大脑中的发生仍不确定。目的:成人神经发生的研究大多依赖于死后分析,目前还没有准确评估完整大脑中神经发生过程的方法。θ节律,一种神经振荡模式,被认为起源于海马位置细胞,它在创造认知地图中起着至关重要的作用。Theta节律受到多种因素的正向调节,如体育活动和丰富的环境,这些因素也促进成人神经发生。θ波节律的强度和稳定性与心理健康和认知功能密切相关,而其中断可作为与成人神经发生调节直接交叉的神经致病事件的指标。结论:由于新生神经元可以直接与位置细胞整合,尤其是海马中的位置细胞,因此theta节律的调节可能反映了成人大脑中神经发生的程度。鉴于其电物理特性,新生神经元可能具有在运动感觉输入和不同神经活动中产生θ节律的内在潜力。生物医学工具,如测量θ波节律的脑电图,因此可以用于无创监测完整大脑中正在进行的神经发生过程。因此,θ波节律可能作为成人神经发生的潜在实时、定量标志物。
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引用次数: 0
Diagnosing myasthenia gravis versus congenital myasthenia gravis in British Shorthair cats: A case study. 诊断重症肌无力与先天性重症肌无力在英国短毛猫:一个案例研究。
Pub Date : 2025-04-21 eCollection Date: 2025-01-01 DOI: 10.14440/jbm.2024.0129
Adriana Amfim, Maria Cartacuzencu

Background: Myasthenia gravis (MG) is an acquired autoimmune disorder characterized by autoantibodies targeting the neuromuscular junction of skeletal muscles. In contrast, congenital myasthenic syndromes (CMSs) represent a clinically diverse group of genetic disorders affecting the neuromuscular junctions, with early onset and autosomal recessive inheritance. CMSs are particularly prevalent in Devon Rex and Sphynx cats. The gold standard for diagnosing MG in cats involves detecting neuromuscular junction autoantibodies by measuring acetylcholine receptor autoantibodies using radioimmunoassay. For CMS, a definitive diagnosis requires the identification of a causative genetic mutation in addition to clinical signs of skeletal muscle weakness and fatigue. With the Sphynx and Devon Rex breeds, data collected have identified a candidate disease region on the feline C2 chromosome, discovered by employing a genome-wide single-nucleotide polymorphism-based homozygosity mapping strategy. Given that MG is an autoimmune condition, it is treated with steroids, immunosuppressive drugs, and sometimes a thymectomy (surgical removal of the thymus gland). CMS is a set of genetic conditions that do not respond to these treatments. Hence, accurate differential diagnosis is critical.

Case presentation: Presented in this case study was a British Shorthair feline which was anamnetically, clinically, paraclinically, and pharmacologically assessed. Genetic testing revealed a positive result for the COLQ gene mutation.

Conclusion: This case study clarified and added criteria to the differential diagnosis between MC and CMS, allowing for more accurate prognostic evaluations and appropriate treatment planning. It also underscores the importance of genetic testing in British Shorthair cats to differentiate between these conditions.

背景:重症肌无力(MG)是一种以自身抗体靶向骨骼肌神经肌肉连接处为特征的获得性自身免疫性疾病。相反,先天性肌无力综合征(cms)是一组影响神经肌肉连接的遗传性疾病,具有早发性和常染色体隐性遗传。cms在德文雷克斯和斯芬克斯猫中尤为普遍。诊断猫MG的金标准包括通过使用放射免疫分析法测量乙酰胆碱受体自身抗体来检测神经肌肉连接处自身抗体。对于CMS,除了骨骼肌无力和疲劳的临床症状外,明确的诊断还需要确定致病基因突变。在Sphynx和Devon Rex品种中,通过采用基于全基因组单核苷酸多态性的纯合作图策略,收集的数据确定了猫C2染色体上的候选疾病区域。鉴于MG是一种自身免疫性疾病,治疗方法包括类固醇、免疫抑制药物,有时还需要胸腺切除术(手术切除胸腺)。CMS是一组对这些治疗没有反应的遗传条件。因此,准确的鉴别诊断至关重要。案例介绍:在这个案例研究中,介绍了一只英国短毛猫,对其进行了记忆学、临床、临床旁和药理学评估。基因检测显示COLQ基因突变呈阳性。结论:本病例研究明确并增加了MC和CMS的鉴别诊断标准,允许更准确的预后评估和适当的治疗计划。它还强调了对英国短毛猫进行基因检测以区分这些疾病的重要性。
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引用次数: 0
Survival outcomes in patients with stages I-III gastric adenocarcinoma treated with surgery alone versus surgery plus adjuvant chemotherapy: A systematic review. I-III期胃腺癌患者单独手术治疗与手术加辅助化疗的生存结局:一项系统综述
Pub Date : 2025-04-18 eCollection Date: 2025-01-01 DOI: 10.14440/jbm.2025.0135
Naveena Kaur Rikhraj

Background: Gastric adenocarcinoma, the malignant proliferation of glandular cells in stomach epithelium, is a type of gastric cancer with a statistical disease burden of the fifth most common cancer globally and the 17th most common malignancy in the United Kingdom. Prognosis varies with stage (I-IV), with stages I-III showing promising 5-year survival rates up to 71.8%, warranting timely diagnosis and treatment. Surgery is the gold-standard treatment; however, due to complex tumor pathophysiology, there is growing interest in the use of multimodal therapies. Specifically, the combination of surgery and adjuvant chemotherapy has become a key focus of the treatment for stages I-III gastric adenocarcinoma.

Objective: The study reviewed patients with stages I-III (non-advanced) gastric adenocarcinoma to assess whether adjuvant chemotherapy combined with surgery provides better disease-free/disease-specific/cause-specific survival, overall survival, and reduced recurrence rates/improved recurrence-free survival, compared to surgery alone. Analyzed were 17 English-language, full-text, levels I-III peer-reviewed studies from MEDLINE and Embase from the past 10 years were analyzed. No age/sex/ethnicity/country restrictions were applied, and the dimension of interest was limited to stages I-III gastric adenocarcinoma patients who underwent tumor resection through surgery and received chemotherapy as the only adjuvant therapy. Seven (41.2%) studies have more than one statistically significant outcome measure supporting the benefit of adjuvant chemotherapy in combination with surgery over surgery alone. Ten (58.8%) studies showed no statistically significant benefit of adjuvant chemotherapy.

Conclusion: The findings contrasted with previous large-scale meta-analyses, which were limited by sample size and biases in individual studies reviewed. Continued research, incorporating advances in surgical techniques and new chemotherapeutic combinations, is necessary to ascertain best-tailored treatments for gastric adenocarcinoma.

背景:胃腺癌是胃上皮中腺细胞的恶性增殖,是一种统计疾病负担的胃癌,在全球最常见的癌症中排名第五,在英国最常见的恶性肿瘤中排名第17。不同分期(I-IV期)预后不同,其中I-III期的5年生存率为71.8%,需要及时诊断和治疗。手术是金标准的治疗方法;然而,由于复杂的肿瘤病理生理,人们对多模式治疗的使用越来越感兴趣。具体而言,手术与辅助化疗相结合已成为I-III期胃腺癌治疗的重点。目的:该研究回顾了I-III期(非晚期)胃腺癌患者,以评估与单独手术相比,辅助化疗联合手术是否能提供更好的无病/疾病特异性/原因特异性生存期、总生存期和降低复发率/改善无复发生存期。分析了MEDLINE和Embase过去10年的17篇英文、全文、I-III级同行评议研究。没有年龄/性别/种族/国家限制,感兴趣的维度仅限于通过手术切除肿瘤并接受化疗作为唯一辅助治疗的I-III期胃腺癌患者。7项(41.2%)研究有不止一项具有统计学意义的结果测量支持辅助化疗联合手术优于单独手术。10项(58.8%)研究显示辅助化疗没有统计学意义上的显著益处。结论:该研究结果与之前的大规模荟萃分析形成对比,这些荟萃分析受到样本量和个体研究偏差的限制。持续的研究,结合手术技术的进步和新的化疗组合,是确定胃腺癌的最佳治疗方法的必要条件。
{"title":"Survival outcomes in patients with stages I-III gastric adenocarcinoma treated with surgery alone versus surgery plus adjuvant chemotherapy: A systematic review.","authors":"Naveena Kaur Rikhraj","doi":"10.14440/jbm.2025.0135","DOIUrl":"10.14440/jbm.2025.0135","url":null,"abstract":"<p><strong>Background: </strong>Gastric adenocarcinoma, the malignant proliferation of glandular cells in stomach epithelium, is a type of gastric cancer with a statistical disease burden of the fifth most common cancer globally and the 17<sup>th</sup> most common malignancy in the United Kingdom. Prognosis varies with stage (I-IV), with stages I-III showing promising 5-year survival rates up to 71.8%, warranting timely diagnosis and treatment. Surgery is the gold-standard treatment; however, due to complex tumor pathophysiology, there is growing interest in the use of multimodal therapies. Specifically, the combination of surgery and adjuvant chemotherapy has become a key focus of the treatment for stages I-III gastric adenocarcinoma.</p><p><strong>Objective: </strong>The study reviewed patients with stages I-III (non-advanced) gastric adenocarcinoma to assess whether adjuvant chemotherapy combined with surgery provides better disease-free/disease-specific/cause-specific survival, overall survival, and reduced recurrence rates/improved recurrence-free survival, compared to surgery alone. Analyzed were 17 English-language, full-text, levels I-III peer-reviewed studies from MEDLINE and Embase from the past 10 years were analyzed. No age/sex/ethnicity/country restrictions were applied, and the dimension of interest was limited to stages I-III gastric adenocarcinoma patients who underwent tumor resection through surgery and received chemotherapy as the only adjuvant therapy. Seven (41.2%) studies have more than one statistically significant outcome measure supporting the benefit of adjuvant chemotherapy in combination with surgery over surgery alone. Ten (58.8%) studies showed no statistically significant benefit of adjuvant chemotherapy.</p><p><strong>Conclusion: </strong>The findings contrasted with previous large-scale meta-analyses, which were limited by sample size and biases in individual studies reviewed. Continued research, incorporating advances in surgical techniques and new chemotherapeutic combinations, is necessary to ascertain best-tailored treatments for gastric adenocarcinoma.</p>","PeriodicalId":73618,"journal":{"name":"Journal of biological methods","volume":"12 2","pages":"e99010060"},"PeriodicalIF":0.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12342337/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144839261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Incorporating ultrafiltration into Protein A membrane chromatography as a strategy to reduce elution volume and buffer consumption. 将超滤纳入蛋白A膜层析中,以减少洗脱量和缓冲液消耗。
Pub Date : 2025-04-10 eCollection Date: 2025-01-01 DOI: 10.14440/jbm.2025.0109
Gaoya Yuan, Meng Qu, Xudong Zhang, Yifeng Li

Background: Protein A chromatography is widely used for antibody purification. With conventional packed-bed columns, mass transfer within resin beads is diffusion-limited, entailing long residence time to achieve high binding capacities. Recently, several vendors have introduced Protein A membranes as alternatives to traditional Protein A resins/columns. These membranes feature open pore structures that facilitate the convective transport of protein molecules, enabling high binding capacities within significantly shorter residence time. The use of Protein A membranes can improve throughput, eliminate the need for column packing, and reduce cost. These advantages notwithstanding, Protein A membranes present certain drawbacks. A major limitation is their high dead volume-to-stationary phase ratio, which leads to larger elution volumes compared to their conventional counterparts. This results in significant eluate dilution and increased buffer consumption.

Objective: In the current study, we aimed to demonstrate that ultrafiltration (UF), when used in combination with Protein A membrane chromatography, can address these limitations by allowing eluate concentration and buffer reuse.

Methods: A laboratory model of UF integrated Protein A membrane was set up to test the feasibility and effectiveness of the proposed strategy.

Results: Integrated UF effectively concentrated Protein A membrane eluate to a concentration comparable to that of Protein A column eluate. In addition, reuse of pH-adjusted UF filtrate as elution buffer reduces buffer consumption by 50%.

Conclusion: UF integration is an effective solution for addressing the problem of increased elution volume and buffer consumption associated with Protein A membrane.

背景:蛋白A层析法广泛用于抗体纯化。对于传统的填充床柱,树脂珠内的传质受到扩散限制,需要较长的停留时间才能获得高的结合能力。最近,一些供应商已经推出了蛋白A膜作为传统蛋白A树脂/柱的替代品。这些膜具有开放的孔结构,有利于蛋白质分子的对流运输,在更短的停留时间内实现高结合能力。使用蛋白A膜可以提高通量,消除柱填料的需要,并降低成本。尽管有这些优点,蛋白A膜也有一些缺点。一个主要的限制是它们的高死相与固定相比,这导致与传统的相相比,更大的洗脱体积。这导致显着洗脱液稀释和增加缓冲液消耗。目的:在当前的研究中,我们旨在证明超滤(UF)与蛋白A膜色谱结合使用,可以通过允许洗脱液浓度和缓冲液重复使用来解决这些限制。方法:建立UF整合蛋白A膜的实验室模型,验证该策略的可行性和有效性。结果:集成UF有效地浓缩了蛋白A膜洗脱液,其浓度与蛋白A柱洗脱液相当。此外,再利用ph调节UF滤液作为洗脱缓冲液可减少50%的缓冲液消耗。结论:UF整合是解决蛋白A膜导致的洗脱量和缓冲液消耗增加的有效方法。
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引用次数: 0
Current trends in breast cancer genetics, risk factors, and screening strategies. 乳腺癌遗传学、危险因素和筛查策略的当前趋势。
Pub Date : 2025-03-13 eCollection Date: 2025-01-01 DOI: 10.14440/jbm.2025.0079
Sorana Caterina Anton, Alexandra Lazan, Mihaela Grigore, Ciprian Ilea, Şadiye-Ioana Scripcariu, Setalia Popa, Simona Volovăț, Bogdan Doroftei, Delia Nicolaiciuc, Diana Popovici, Gabriel Costăchescu, Ovidiu Sebastian Nicolaiciuc, Emil Anton

Background: Breast cancer is the most frequently diagnosed female malignancy worldwide and one of the primary causes of cancer-related mortality in women. According to the latest the World Health Organization data, it was the most common cancer in 157 out of 185 countries and was culpable for an estimated 670,000 deaths in 2023. With breast cancer incidence continuing to increase, there is a mounting interest in early detection and prevention, with a focus particularly directed on genetic factors, modifiable risk factors, and screening methods.

Objective: This review aimed to examine the genetic landscape of breast cancer, the role of risk factors in disease development, and the importance of advancing diagnostic modalities for early detection. A comprehensive search and analysis of peer-reviewed articles and clinical studies from major medical databases were conducted to assess the most recent advancements and discoveries in the field. The literature review identified several modifiable and non-modifiable risk factors, including genetic predispositions (e.g., BRCA mutations), hormonal influences, lifestyle factors, and reproductive patterns.

Conclusion: By synthesizing current knowledge, this review enhances the understanding of breast cancer's multifactorial nature and provides insights to guide future research on screening strategies and preventive measures.

背景:乳腺癌是世界范围内最常见的女性恶性肿瘤,也是女性癌症相关死亡的主要原因之一。根据世界卫生组织的最新数据,在185个国家中,肺癌是157个国家中最常见的癌症,在2023年导致约67万人死亡。随着乳腺癌发病率的持续增加,人们对早期检测和预防的兴趣日益浓厚,特别关注遗传因素、可改变的风险因素和筛查方法。目的:本综述旨在探讨乳腺癌的遗传格局,危险因素在疾病发展中的作用,以及推进早期发现的诊断方式的重要性。对来自主要医学数据库的同行评议文章和临床研究进行了全面的搜索和分析,以评估该领域的最新进展和发现。文献综述确定了几种可改变和不可改变的风险因素,包括遗传易感性(如BRCA突变)、激素影响、生活方式因素和生殖模式。结论:通过对现有知识的综合,本综述提高了对乳腺癌多因素性质的认识,并为指导未来筛查策略和预防措施的研究提供了见解。
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引用次数: 0
Bacterial identification using MALDI-TOF mass spectrometry in positive blood cultures: A pilot study. 在阳性血液培养中使用MALDI-TOF质谱法鉴定细菌:一项初步研究。
Pub Date : 2025-03-12 eCollection Date: 2025-01-01 DOI: 10.14440/jbm.2025.0119
Smriti Srivastava, Akshay Shankar, Neha Sharad, Aparna Ningombam, Kamran Farooque, Purva Mathur

Background: Early pathogen identification in the bloodstream has long been a key focus for microbiologists and clinicians, given its crucial role in patient management. Matrix-assisted laser desorption ionization-time of flight mass spectrometry has emerged as a valuable tool for the direct and rapid identification of organisms from positive blood cultures.

Objective: This study aimed to evaluate the accuracy, productivity, and feasibility of two methods for the rapid detection of bloodstream infections.

Methods: Two methods were employed in this study: One based on differential centrifugation and the other using a lysis buffer.

Results: The addition of a lysis buffer, sodium dodecyl sulfate (SDS), to the blood culture broth resulted in the identification of a greater number of microorganisms (Acinetobacter baumannii, Pseudomonas aeruginosa, and Klebsiella pneumonia).

Conclusion: The application of SDS into culture broths is user-friendly and can be easily integrated into routine blood culture processing, allowing for species-level identification within hours of a positive BacT/ALERT signal.

背景:血液中的早期病原体鉴定长期以来一直是微生物学家和临床医生关注的焦点,因为它在患者管理中起着至关重要的作用。基质辅助激光解吸电离飞行时间质谱法已成为一种有价值的工具,用于直接和快速鉴定阳性血液培养的生物体。目的:本研究旨在评价两种快速检测血液感染的方法的准确性、效率和可行性。方法:采用差速离心法和裂解缓冲液两种方法。结果:在血培养液中加入裂解缓冲液十二烷基硫酸钠(SDS),可以鉴定出更多的微生物(鲍曼不动杆菌、铜绿假单胞菌和肺炎克雷伯菌)。结论:SDS在培养液中的应用操作简便,易于整合到常规血液培养处理中,可在BacT/ALERT阳性信号出现后数小时内进行种级鉴定。
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引用次数: 0
Magnetic resonance imaging/ultrasound fusion-guided transperineal prostate biopsy: Protocol for a clinic-based surgical technique. 磁共振成像/超声融合引导下经会阴前列腺活检:一种基于临床的手术技术方案。
Pub Date : 2025-03-07 eCollection Date: 2025-01-01 DOI: 10.14440/jbm.2025.0115
Ilias Giannakodimos, Napoleon Moulavasilis, Aris Kaltsas, Dionysios Mitropoulos, Michael Chrisofos, Konstantinos Stravodimos, Evangelos Fragkiadis

Background: Prostate biopsy is a crucial diagnostic tool for detecting clinically significant prostate cancer (csPCa). Traditional transrectal ultrasound (TRUS)-guided biopsy methods are often associated with an increased infection risk of infection and limited accuracy, particularly when diagnosing anterior lesions of the prostate gland.

Objective: This article presented a structured protocol for performing transperineal fusion magnetic resonance imaging/ultrasound (MRI/US) prostate biopsy, highlighting its advantages over the TRUS approach. Our study included biopsy-naïve patients with elevated prostate-specific antigen levels or abnormal digital rectal examination findings, all of whom underwent pre-biopsy multiparametric MRI to guide targeted biopsies. The key objectives of this protocol were to improve the detection rates of csPCa, minimize infection risk, and standardize a transperineal technique that combines both systematic and targeted biopsies. In addition, we provided details on patient preparation, equipment requirements, procedural steps, and follow-up protocols to ensure the safety and effectiveness of the procedure. This protocol aims to serve as a guideline for institutions to adopt MRI/US fusion-guided transperineal biopsy, thereby enhancing diagnostic accuracy and patient safety.

Conclusion: The transperineal fusion MRI/US biopsy protocol enhances diagnostic accuracy, particularly for anterior lesions, while reducing infections risks. Combining targeted and systematic biopsies improves detection rates of csPCa and offers a standardized, safe approach for clinical implementation.

背景:前列腺活检是检测临床显著性前列腺癌(csPCa)的重要诊断工具。传统的经直肠超声(TRUS)引导活检方法通常与感染风险增加和准确性有限有关,特别是在诊断前列腺前部病变时。目的:本文介绍了一种经会阴融合磁共振成像/超声(MRI/US)前列腺活检的结构化方案,强调了其相对于TRUS入路的优势。我们的研究包括biopsy-naïve前列腺特异性抗原水平升高或直肠指检结果异常的患者,所有患者都进行了活检前的多参数MRI以指导靶向活检。该方案的主要目标是提高csPCa的检出率,最大限度地降低感染风险,并将系统和靶向活检相结合的经会阴技术标准化。此外,我们还详细介绍了患者准备、设备要求、手术步骤和随访方案,以确保手术的安全性和有效性。本方案旨在为各机构采用MRI/US融合引导的经会阴活检提供指导,从而提高诊断准确性和患者安全性。结论:经会阴融合MRI/US活检方案提高了诊断准确性,特别是对前部病变,同时降低了感染风险。结合有针对性和系统的活检可提高csPCa的检出率,并为临床实施提供标准化、安全的方法。
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引用次数: 0
Integration of an automated cell culture analyzer with a closed-system hollow-fiber bioreactor for online metabolite detection and cell monitoring. 自动化细胞培养分析仪与封闭系统中空纤维生物反应器的集成,用于在线代谢物检测和细胞监测。
Pub Date : 2025-03-04 eCollection Date: 2025-01-01 DOI: 10.14440/jbm.2025.0046
Nathan Schwab, Nathan Frank, Tonya Acker, Kelly Richardson, Mindy Miller

Background: On-line sensing technologies for expanding cell cultures are becoming essential tools for understanding metabolic activity during critical stages of expansion. These tools generate data that indicate when user interventions are required, such as harvesting cells or cell products, inducing cell differentiation, or altering growth medium inputs. The platform must reliably measure the biochemical and physiochemical properties of interest in a dependable, aseptic, and non-invasive manner to benefit users.

Objective: In this proof-of-concept study, we used the Nova Biomedical BioProfile FLEX2 as a platform for metabolic and cellular measurements due to its ability to detect a range of metabolically relevant compounds, measure cell counts and viability, and acquire samples automatically.

Methods: Here, we demonstrated the straightforward integration of the analyzer with the Quantum Flex™ Cell Expansion System (Quantum Flex) using an available sampling port. While this approach can accommodate both suspension and adherent cell types, this study focused on suspension cells only. In addition, we developed a simple method to integrate the sampling adapter into a Quantum cell expansion set, allowing sample collection at precise intervals.

Results: In both cases, the samples were acquired automatically using the analyzer's timing function, facilitating an automated expansion process with increased data collection frequency - previously impractical with manual sampling.

Conclusion: This model provides Quantum Flex users with an option for online sensing to monitor cell expansion at scheduled intervals without requiring additional user input.

背景:用于扩增细胞培养的在线传感技术正成为了解扩增关键阶段代谢活动的重要工具。这些工具生成的数据可指示用户何时需要进行干预,如收获细胞或细胞产品、诱导细胞分化或改变生长培养基的输入。该平台必须以可靠、无菌和无创的方式可靠地测量感兴趣的生化和理化特性,使用户受益:在这项概念验证研究中,我们使用 Nova Biomedical BioProfile FLEX2 作为代谢和细胞测量平台,因为它能够检测一系列代谢相关化合物、测量细胞计数和活力,并自动采集样本。方法:在此,我们演示了使用可用采样端口将分析仪与 Quantum Flex™ 细胞扩增系统(Quantum Flex)直接集成的方法。虽然这种方法既可用于悬浮细胞,也可用于粘附细胞,但本研究只侧重于悬浮细胞。此外,我们还开发了一种简单的方法,将取样适配器集成到量子细胞扩增装置中,从而可以在精确的时间间隔内采集样本:结果:在这两种情况下,样品都是利用分析仪的定时功能自动采集的,从而促进了自动扩增过程,提高了数据采集频率--以前手动采样是不可行的:该模型为 Quantum Flex 用户提供了在线传感选项,可在预定时间间隔监测细胞扩增,无需用户额外输入。
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Journal of biological methods
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