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Machine learning-based prediction of one-year mortality in ischemic stroke patients. 基于机器学习的缺血性中风患者一年死亡率预测。
Pub Date : 2024-11-14 eCollection Date: 2024-01-01 DOI: 10.1093/oons/kvae011
Ahmad Abujaber, Said Yaseen, Yahia Imam, Abdulqadir Nashwan, Naveed Akhtar

Background: Accurate prediction of mortality following an ischemic stroke is essential for tailoring personalized treatment strategies. This study evaluates the effectiveness of machine learning models in predicting one-year mortality after an ischemic stroke.

Methods: Five machine learning models were trained using data from a national stroke registry, with logistic regression demonstrating the highest performance. The SHapley Additive exPlanations (SHAP) analysis explained the model's outcomes and defined the influential predictive factors.

Results: Analyzing 8183 ischemic stroke patients, logistic regression achieved 83% accuracy, 0.89 AUC, and an F1 score of 0.83. Significant predictors included stroke severity, pre-stroke functional status, age, hospital-acquired pneumonia, ischemic stroke subtype, tobacco use, and co-existing diabetes mellitus (DM).

Discussion: The model highlights the importance of predicting mortality in enhancing personalized stroke care. Apart from pneumonia, all predictors can serve the early prediction of mortality risk which supports the initiation of early preventive measures and in setting realistic expectations of disease outcomes for all stakeholders. The identified tobacco paradox warrants further investigation.

Conclusion: This study offers a promising tool for early prediction of stroke mortality and for advancing personalized stroke care. It emphasizes the need for prospective studies to validate these findings in diverse clinical settings.

背景:准确预测缺血性脑卒中后的死亡率对于制定个性化治疗策略至关重要。本研究评估了机器学习模型在预测缺血性中风后一年死亡率方面的有效性:方法: 使用来自全国中风登记处的数据训练了五种机器学习模型,其中逻辑回归表现最佳。结果:对 8183 例缺血性脑卒中患者进行了分析,结果表明,这些患者的病死率为 1%:对 8183 名缺血性中风患者进行分析,逻辑回归的准确率达到 83%,AUC 为 0.89,F1 得分为 0.83。重要的预测因素包括卒中严重程度、卒中前功能状态、年龄、医院获得性肺炎、缺血性卒中亚型、吸烟和并存糖尿病(DM):讨论:该模型强调了预测死亡率对加强个性化卒中治疗的重要性。除肺炎外,所有预测因子均可用于早期预测死亡风险,从而支持早期预防措施的启动,并为所有利益相关者设定切合实际的疾病结果预期。已发现的烟草悖论值得进一步研究:这项研究为早期预测脑卒中死亡率和推进个性化脑卒中护理提供了一个很有前景的工具。它强调了在不同临床环境中验证这些发现的前瞻性研究的必要性。
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引用次数: 0
Astrocytic GPCR signaling in the anterior cingulate cortex modulates decision making in rats. 前扣带回皮层中的星形胶质细胞 GPCR 信号调节大鼠的决策制定。
Pub Date : 2024-06-22 eCollection Date: 2024-01-01 DOI: 10.1093/oons/kvae010
Mastura Akter, Zhongqi Fu, Xianlin Zheng, Zafar Iqbal, Na Zhang, Anwarul Karim, Ying Li

Decision making is a process of selecting a course of action by assessing the worth or value of the potential consequences. Rat Gambling Task (RGT) is a well-established behavioral paradigm that allows for assessment of the decision-making performance of rats. Astrocytes are emerging as key players in modulating cognitive functions. Using repeated RGTs with short intersession time intervals (48 h), the current study demonstrates that Gi pathway activation of astrocytes in the anterior cingulate cortex (ACC) leads to impaired decision-making in consistently good decision-making rats. On the other hand, ACC astrocytic Gq pathway activation improves decision-making in a subset of rats who are not consistently good decision-makers. Furthermore, we show that astrocytic Gq activation is associated with an increase in the L-lactate level in the extracellular fluid of the ACC. Together, these results expand our knowledge of the role of astrocytic GPCR signaling in modulating cognitive functions.

决策是一个通过评估潜在后果的价值来选择行动方案的过程。大鼠赌博任务(RGT)是一种成熟的行为范式,可用于评估大鼠的决策能力。星形胶质细胞正在成为调节认知功能的关键角色。本研究利用短间隔时间(48 小时)重复进行 RGT,证明前扣带回皮层(ACC)星形胶质细胞的 Gi 通路激活会导致决策能力一贯良好的大鼠决策能力受损。另一方面,前扣带回皮层星形胶质细胞 Gq 通路激活可改善决策能力不佳的亚组大鼠的决策能力。此外,我们还发现星形胶质细胞 Gq 的激活与 ACC 细胞外液中 L-乳酸盐水平的增加有关。这些结果拓展了我们对星形胶质细胞 GPCR 信号在调节认知功能中的作用的认识。
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引用次数: 0
Modulation of marble-burying behavior in adult versus adolescent C57BL/6J mice of both sexes by ethologically relevant chemosensory stimuli 伦理相关化学感官刺激对成年与青春期 C57BL/6J 雌雄小鼠埋大理石行为的调节作用
Pub Date : 2024-05-24 DOI: 10.1093/oons/kvae009
C. L. J. Chavez, K. Szumlinski
The marble-burying test is a pharmacologically validated paradigm used to study anxiety-like behaviors in laboratory rodents. Our laboratory has employed this assay as part of a behavioral screen to examine drug-induced negative affective states. Historically, the majority of our prior binge alcohol-drinking studies employed male subjects exclusively and reliably detected adolescent-adult differences in both basal and alcohol withdrawal-induced negative affect. However, age-related differences in marble-burying behavior were either absent or opposite those observed in our prior work when female subjects were included in the experimental design. As chemosensory cues from females are reported to be anxiolytic in males, the present study examined how odors from adult members of the opposite and same sex (obtained from soiled bedding) influence marble-burying behavior in adult, as well as adolescent, mice. Control studies examined the responsiveness of mice in the presence of novel neutral (vanilla) and aversive (tea tree) odors. Adult males exhibited reduced signs of anxiety-like behavior in the presence of female-soiled bedding, while adult females and adolescent mice of both sexes increased marble-burying behavior in the presence of both male- and female-soiled bedding. All mice exhibited increased burying in the presence of an aversive odor, while only adolescents increased marble-burying in response to the novel neutral odor. These data indicate sex by age interactions in the effects of volatile and nonvolatile odors from sexually-naive adult conspecifics on indices of anxiety-like behavior in the marble-burying test of relevance to the experimental design and procedural timing of experiments including sex as a biological variable.
埋弹珠试验是一种经过药理学验证的范式,用于研究实验室啮齿动物的焦虑样行为。我们的实验室将该试验作为行为筛选的一部分,以研究药物诱发的负面情绪状态。从历史上看,我们之前进行的狂饮酒精研究大多只使用男性受试者,并能可靠地检测出基础和戒断酒精诱导的负性情绪中青少年和成人之间的差异。然而,当我们在实验设计中加入女性受试者时,在埋入大理石的行为中要么没有与年龄相关的差异,要么与我们之前的研究中观察到的差异相反。据报道,来自雌性的化学感觉线索对雄性有抗焦虑作用,因此本研究考察了来自成年异性和同性(从弄脏的被褥中获取)的气味如何影响成年和青少年小鼠的埋石子行为。对照研究考察了小鼠在新的中性(香草)和厌恶(茶树)气味面前的反应能力。成年雄性小鼠在雌性污染的垫料面前表现出的类似焦虑的行为有所减少,而成年雌性小鼠和青春期雌雄小鼠在雄性和雌性污染的垫料面前的埋石行为都有所增加。所有小鼠在出现厌恶气味时都会增加掩埋行为,而只有青少年小鼠在出现新的中性气味时才会增加掩埋大理石的行为。这些数据表明,在有性倾向的成年同种动物的挥发性和非挥发性气味对大理石掩埋试验中焦虑样行为指数的影响中,性别与年龄之间存在相互作用,这与将性别作为生物变量的实验设计和程序时间安排有关。
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引用次数: 0
Correction to: Retina regeneration: lessons from vertebrates 更正为视网膜再生:脊椎动物的经验教训
Pub Date : 2024-05-21 DOI: 10.1093/oons/kvae008
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引用次数: 0
Altered neuroepithelial morphogenesis and migration defects in iPSC-derived cerebral organoids and 2D neural stem cells in familial bipolar disorder 家族性躁郁症中 iPSC 衍生的脑器官组织和二维神经干细胞的神经上皮形态发生改变和迁移缺陷
Pub Date : 2024-04-03 DOI: 10.1093/oons/kvae007
Kruttika Phalnikar, M. Srividya, S. Mythri, N. S. Vasavi, Archisha Ganguly, Aparajita Kumar, Padmaja S, Kishan Kalia, Srishti S Mishra, S. Dhanya, P. Paul, B. Holla, Suhas Ganesh, Puli Chandramouli Reddy, R. Sud, B. Viswanath, Bhavana Muralidharan
Abstract Bipolar disorder (BD) is a severe mental illness that can result from neurodevelopmental aberrations, particularly in familial BD, which may include causative genetic variants. In the present study, we derived cortical organoids from BD patients and healthy (control) individuals from a clinically dense family in the Indian population. Our data reveal that the patient organoids show neurodevelopmental anomalies, including organisational, proliferation and migration defects. The BD organoids show a reduction in both the number of neuroepithelial buds/cortical rosettes and the ventricular zone size. Additionally, patient organoids show a lower number of SOX2-positive and EdU-positive cycling progenitors, suggesting a progenitor proliferation defect. Further, the patient neurons show abnormal positioning in the ventricular/intermediate zone of the neuroepithelial bud. Transcriptomic analysis of control and patient organoids supports our cellular topology data and reveals dysregulation of genes crucial for progenitor proliferation and neuronal migration. Lastly, time-lapse imaging of neural stem cells in 2D in vitro cultures reveals abnormal cellular migration in BD samples. Overall, our study pinpoints a cellular and molecular deficit in BD patient-derived organoids and neural stem cell cultures.
摘要 双相情感障碍(BD)是一种严重的精神疾病,可由神经发育异常导致,尤其是在家族性双相情感障碍中,可能包括致病基因变异。在本研究中,我们从躁狂症患者和健康(对照)个体中提取了皮质器官组织,这些患者来自印度人口中的一个临床密集型家族。我们的数据显示,患者的器官组织显示出神经发育异常,包括组织、增殖和迁移缺陷。BD患者的器官组织显示神经上皮芽/皮质花环的数量和脑室区的大小均有所减少。此外,患者器官组织显示 SOX2 阳性和 EdU 阳性的循环祖细胞数量较少,这表明祖细胞增殖存在缺陷。此外,患者的神经元在神经上皮芽的室间/中间区定位异常。对照组和患者器官组织的转录组分析支持了我们的细胞拓扑数据,并揭示了对祖细胞增殖和神经元迁移至关重要的基因失调。最后,二维体外培养神经干细胞的延时成像显示,BD样本中的细胞迁移异常。总之,我们的研究指出了BD患者衍生的器官组织和神经干细胞培养物的细胞和分子缺陷。
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引用次数: 0
Effects of group size on movement patterns and clustering dynamics in rats 群体大小对大鼠运动模式和集群动态的影响
Pub Date : 2024-04-02 DOI: 10.1093/oons/kvae005
M. Monfils, Michael Pasala, Cassidy A. Malone, L. Agee, R. Roquet, Lawrence Cormack
Abstract Environment is a determining factor that can facilitate or hinder social interactions. A precursor to meaningfully engaging with conspecifics is being exposed to opportunistic encounters with others. Increasing the number of individuals in a given space (thus increasing density) would, statistically speaking, increase the likelihood of accidental encounters. This might have consequences on the formation of social networks—an idea that has not reliably been explored. If true, we would expect that increasing density would lead to an increase in the number and the duration of ‘clusters’ of animals. Here, we examined whether varying the number of rats in an open field environment differentially affected their movement dynamics or their propensity to aggregate into clusters and, if so, whether such effects are dependent solely on statistical factors due to increases in density, the potential for actively-sought social interactions, or both. We found that the number of rats in an environment impacts ambulation speed, distance traveled, cluster formation and approaches, and that number and duration of clusters are highly dependent on the propensity for the rats to engage in social interactions.
摘要 环境是促进或阻碍社会互动的决定性因素。与同类进行有意义的交往的先决条件是与他人发生偶然相遇。从统计学角度看,增加特定空间中的个体数量(从而提高密度)会增加意外相遇的可能性。这可能会对社会网络的形成产生影响--这一观点尚未得到可靠的探讨。如果这是真的,我们就会认为密度的增加会导致动物 "集群 "的数量和持续时间的增加。在这里,我们研究了在开放的野外环境中,改变老鼠的数量是否会对它们的运动动态或聚集成群的倾向产生不同的影响,如果会,这种影响是否仅仅取决于密度增加所导致的统计因素、主动寻求社会互动的潜力或两者兼而有之。我们发现,环境中大鼠的数量会影响它们的移动速度、行进距离、集群的形成和接近,而集群的数量和持续时间在很大程度上取决于大鼠参与社会互动的倾向。
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引用次数: 0
Having a chat and then watching a movie: how social interaction synchronises our brains during co-watching 先聊天再看电影:在共同观看电影的过程中,社交互动是如何使我们的大脑同步的
Pub Date : 2024-03-25 DOI: 10.1093/oons/kvae006
S. De Felice, U. Hakim, N. Gunasekara, P. Pinti, I. Tachtsidis, A. Hamilton
How does co-presence change our neural experience of the world? Can a conversation change how we synchronise with our partner during later events? Using fNIRS hyperscanning, we measured brain activity from 27 pairs of familiar adults simultaneously over frontal, temporal and parietal regions bilaterally, as they co-watched two different episodes of a short cartoon. In-between the two episodes, each pair engaged in a face-to-face conversation on topics unrelated to the cartoon episodes. Brain synchrony was calculated using wavelet transform coherence and computed separately for real pairs and shuffled (pseudo) pairs. Findings reveal that real pairs showed increased brain synchrony over right Dorso-Lateral Pre-Frontal cortex (DLPFC) and right Superior Parietal Lobe (SPL), compared to pseudo pairs (who had never seen each other and watched the same movie at different times; uncorrected for multiple comparisons). In addition, co-watching after a conversation was associated with greater synchrony over right TPJ compared to co-watching before a conversation, and this effect was significantly higher in real pairs (who engaged in conversation with each other) compared to pseudo pairs (who had a conversation with someone else; uncorrected for multiple comparisons). The present study has shed the light on the role of social interaction in modulating brain synchrony across people not just during social interaction, but even for subsequent non-social activities. These results have implications in the growing domain of naturalistic neuroimaging and interactive neuroscience.
共同存在如何改变我们对世界的神经体验?对话能否改变我们在以后的活动中与伴侣同步的方式?利用 fNIRS 超扫描技术,我们测量了 27 对熟悉的成年人在共同观看两集不同的短片时,双侧额叶、颞叶和顶叶区域同时出现的大脑活动。在两集动画片之间,每对成人就与动画片无关的话题进行面对面交谈。使用小波变换相干性计算大脑同步性,并分别计算真实配对和洗牌(伪)配对的大脑同步性。研究结果表明,与假配对(从未见过对方且在不同时间观看同一部电影;未经多重比较校正)相比,真配对在右侧多侧前额叶皮层(DLPFC)和右侧顶叶上皮层(SPL)显示出更高的大脑同步性。此外,与交谈前的共同观看相比,交谈后的共同观看与右侧 TPJ 的同步性更强相关,而且这种效应在真实配对(彼此交谈)中显著高于假性配对(与他人交谈;多重比较未校正)。本研究揭示了社交互动在调节人与人之间大脑同步性中的作用,这种作用不仅体现在社交互动中,甚至还体现在随后的非社交活动中。这些结果对不断发展的自然神经成像和互动神经科学领域具有重要意义。
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引用次数: 0
Moral considerability of brain organoids from the perspective of computational architecture 从计算架构的角度看大脑有机体的道德可考量性
Pub Date : 2024-03-12 DOI: 10.1093/oons/kvae004
J. Lomax Boyd
Human brain organoids equipped with complex cytoarchitecture and closed-loop feedback from virtual environments could provide insights into neural mechanisms underlying cognition. Yet organoids with certain cognitive capacities might also merit moral consideration. A precautionary approach has been proposed to address these ethical concerns by focusing on the epistemological question of whether organoids possess neural structures for morally-relevant capacities that bear resemblance to those found in human brains. Critics challenge this similarity approach on philosophical, scientific, and practical grounds but do so without a suitable alternative. Here, I introduce an architectural approach that infers the potential for cognitive-like processing in brain organoids based on the pattern of information flow through the system. The kind of computational architecture acquired by an organoid then informs the kind of cognitive capacities that could, theoretically, be supported and empirically investigated. The implications of this approach for the moral considerability of brain organoids are discussed.
配备复杂细胞结构和来自虚拟环境的闭环反馈的人脑器官,可以让人们深入了解认知的神经机制。然而,具有某些认知能力的有机体可能也值得从道德角度加以考虑。有人提出了一种预防性方法来解决这些伦理问题,即把重点放在一个认识论问题上,即有机体是否拥有与人类大脑相似的神经结构来实现与道德相关的能力。批评者以哲学、科学和实践为由质疑这种相似性方法,但却没有合适的替代方法。在此,我将介绍一种架构方法,它能根据系统中的信息流模式推断出大脑有机体中类似认知处理的潜力。然后,类有机体所获得的计算架构类型将为理论上可以支持和实证研究的认知能力类型提供信息。本文讨论了这种方法对大脑有机体的道德可考量性的影响。
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引用次数: 0
Neuroimmune Mechanisms in Autism Etiology - Untangling A Complex Problem using Human Cellular Models 自闭症病因中的神经免疫机制--利用人类细胞模型解决复杂问题
Pub Date : 2024-02-22 DOI: 10.1093/oons/kvae003
Janay M. Vacharasin, Joseph A Ward, Mikayla M. McCord, Kaitlin Cox, Jaime Imitola, Sofia B Lizarraga
Autism spectrum disorders (ASD) affect 1 in 36 people and is more often diagnosed in males than in females. Core features of ASD are impaired social interactions, repetitive behaviors and deficits in verbal communication. ASD is a highly heterogeneous and heritable disorder, yet its underlying genetic causes account only for up to 80% of the cases. Hence, a subset of ASD cases could be influenced by environmental risk factors. Maternal immune activation (MIA) is a response to inflammation during pregnancy, which can lead to increased inflammatory signals to the fetus. Inflammatory signals can cross the placenta and blood brain barriers affecting fetal brain development. Epidemiological and animal studies suggest that MIA could contribute to ASD etiology. However, human mechanistic studies have been hindered by a lack of experimental systems that could replicate the impact of MIA during fetal development. Therefore, mechanisms altered by inflammation during human pre-natal brain development, and that could underlie ASD pathogenesis have been largely understudied. The advent of human cellular models with induced pluripotent stem cell (iPSC) and organoid technology is closing this gap in knowledge by providing both access to molecular manipulations and culturing capability of tissue that would be otherwise inaccessible. We present an overview of multiple levels of evidence from clinical, epidemiological, and cellular studies that provide a potential link between higher ASD risk and inflammation. More importantly, we discuss how stem cell-derived models may constitute an ideal experimental system to mechanistically interrogate the effect of inflammation during the early stages of brain development.
每 36 人中就有 1 人患有自闭症谱系障碍 (ASD),被诊断出患有自闭症谱系障碍的男性多于女性。自闭症谱系障碍的核心特征是社会交往障碍、重复行为和语言交流障碍。ASD 是一种高度异质性和遗传性疾病,但其潜在的遗传原因仅占病例的 80%。因此,一部分 ASD 病例可能受到环境风险因素的影响。母体免疫激活(MIA)是孕期炎症的一种反应,可导致胎儿炎症信号增加。炎症信号可穿过胎盘和血脑屏障,影响胎儿的大脑发育。流行病学和动物研究表明,MIA 可能是导致 ASD 的病因之一。然而,由于缺乏可复制胎儿发育过程中 MIA 影响的实验系统,人类机理研究一直受到阻碍。因此,人类产前大脑发育过程中因炎症而改变的、可能成为 ASD 发病机制基础的机制在很大程度上一直未得到充分研究。采用诱导多能干细胞(iPSC)和类器官技术的人体细胞模型的出现,通过提供分子操作和组织培养能力弥补了这一知识空白,否则这些模型将无法获得。我们概述了来自临床、流行病学和细胞研究的多层次证据,这些证据提供了较高ASD风险与炎症之间的潜在联系。更重要的是,我们讨论了干细胞衍生模型如何构成一个理想的实验系统,从机理上探究大脑发育早期阶段炎症的影响。
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引用次数: 0
Effects of optogenetic silencing the anterior cingulate cortex in a delayed non-match to trajectory task. 在延迟非匹配轨迹任务中光遗传学沉默前扣带回皮层的效果。
Pub Date : 2024-02-08 eCollection Date: 2024-01-01 DOI: 10.1093/oons/kvae002
Ana S Cruz, Sara Cruz, Miguel Remondes

Working memory is a fundamental cognitive ability, allowing us to keep information in memory for the time needed to perform a given task. A complex neural circuit fulfills these functions, among which is the anterior cingulate cortex (CG). Functionally and anatomically connected to the medial prefrontal, retrosplenial, midcingulate and hippocampus, as well as motor cortices, CG has been implicated in retrieving appropriate information when needed to select and control appropriate behavior. The role of cingulate cortex in working memory-guided behaviors remains unclear due to the lack of studies reversibly interfering with its activity during specific epochs of working memory. We used eNpHR3.0 to silence cingulate neurons while animals perform a standard delayed non-match to trajectory task, and found that, while not causing an absolute impairment in working memory, silencing cingulate neurons during retrieval decreases the mean performance if compared to silencing during encoding. Such retrieval-associated changes are accompanied by longer delays observed when light is delivered to control animals, when compared to eNpHR3.0+ ones, consistent with an adaptive recruitment of additional cognitive resources.

工作记忆是一种基本的认知能力,它使我们能够在完成特定任务所需的时间内将信息保存在记忆中。实现这些功能的是一个复杂的神经回路,其中包括前扣带回皮层(CG)。扣带回皮层在功能和解剖上与内侧前额叶、后脾叶、中扣带回皮层、海马以及运动皮层相连,在需要选择和控制适当行为时,扣带回皮层与检索适当信息有关。由于缺乏在工作记忆的特定时段可逆地干扰扣带皮层活动的研究,扣带皮层在工作记忆指导行为中的作用仍不清楚。我们使用eNpHR3.0在动物执行标准延迟非匹配轨迹任务时沉默扣带回神经元,结果发现,在检索期间沉默扣带回神经元虽然不会造成工作记忆的绝对损伤,但与在编码期间沉默扣带回神经元相比,在检索期间沉默扣带回神经元会降低平均成绩。与 eNpHR3.0+ 动物相比,当向对照组动物提供光照时,这种与检索相关的变化伴随着更长的延迟,这与额外认知资源的适应性招募是一致的。
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引用次数: 0
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Oxford open neuroscience
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