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Overview of a Sleep Monitoring Protocol for a Large Natural Population. 大型自然人群睡眠监测方案概述。
Q2 GENETICS & HEREDITY Pub Date : 2023-05-06 DOI: 10.1007/s43657-023-00102-4
Minghui Liu, Hangyu Zhu, Jinbu Tang, Hongyu Chen, Chen Chen, Jingchun Luo, Wei Chen

A standard operating procedure for studying the sleep phenotypes in a large population cohort is proposed. It is intended for academic researchers in investigating the sleep phenotypes in conjunction with the clinical sleep disorders assessment guidelines. The protocol refers to the definitive American Academy of Sleep Medicine (AASM) manual for setting polysomnography (PSG) technical specifications, scoring of sleep and associated events, etc. On this basis, it not only provides a standardized procedure of sleep interview, sleep-relevant questionnaires, and laboratory-based PSG test, but also offers a comprehensive process of sleep data analysis, phenotype extraction, and data storage. Both the objective sleep data recorded by PSG test and subjective sleep information obtained by the sleep interview and sleep questionnaires are involved in the data acquisition procedure. Subsequently, sleep phenotypes can be characterized by observable/inconspicuous physiological patterns during sleep from PSG test or can be marked by sleeping habits like sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, daytime dysfunction, etc., from sleep interview or questionnaires derived. In addition, solutions to the problems that may be encountered during the protocol are summarized and addressed. With the protocol, it can significantly improve scientific research efficiency and reduce unnecessary workload in large population cohort studies. Moreover, it is also expected to provide a valuable reference for researchers to conduct systematic sleep research.

提出了一种在大人群队列中研究睡眠表型的标准操作程序。它旨在为学术研究人员在研究睡眠表型与临床睡眠障碍评估指南相结合。该协议参考了美国睡眠医学学会(AASM)关于设置多导睡眠图(PSG)技术规范、睡眠和相关事件评分等的权威手册。在此基础上,不仅提供了标准化的睡眠访谈、睡眠相关问卷、实验室PSG测试流程,还提供了睡眠数据分析、表型提取、数据存储的综合流程。数据采集过程包括PSG测试记录的客观睡眠数据,以及睡眠访谈和睡眠问卷所获得的主观睡眠信息。随后,睡眠表型可以通过PSG测试中可观察/不明显的睡眠生理模式来表征,也可以通过睡眠访谈或问卷调查中得出的睡眠质量、睡眠潜伏期、睡眠持续时间、习惯性睡眠效率、睡眠障碍、白天功能障碍等睡眠习惯来表征。此外,对协议过程中可能遇到的问题进行了总结和处理。该方案可显著提高科研效率,减少大人群队列研究的不必要工作量。此外,也有望为研究者进行系统的睡眠研究提供有价值的参考。
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引用次数: 6
RNA-Sequencing Reveals Gene Expression and Pathway Signatures in Umbilical Cord Blood Affected by Birth Delivery Mode. RNA测序揭示受分娩方式影响的脐带血中的基因表达和通路特征。
Q2 GENETICS & HEREDITY Pub Date : 2023-04-08 eCollection Date: 2023-06-01 DOI: 10.1007/s43657-022-00086-7
Yongjie Liu, Kun Sun, Yuexin Gan, Han Liu, Juehua Yu, Wei Xu, Lin Zhang, Dan Chen

Cesarean section (CS) confers increased risk of type I diabetes, asthma, inflammatory bowel disease, celiac disease, overweight and obesity, etc., in the offspring. However, the underlying mechanism remains unknown. To investigate the influence of CS on gene expression in cord blood, we have performed RNA-sequencing followed by single-gene analysis, gene set enrichment analysis, gene co-expression network analysis, and interacting genes/proteins analysis in eight full-term infants born by elective CS and eight matched vaginally delivered (VD) infants. Crucial genes identified above were further validated in another 20 CS and 20 VD infants. We found for the first time that mRNA expression of genes involved in immune response (IL12A, INFG, IL1B, TNF, MIF, IL4, CA1, IFI27, HLA-DOB and EPHB1) and metabolism (DLK1, CYP2A6 and GATM) were significantly influenced by CS. Notably, serum TNF-α and IFN-γ were remarkably up-regulated in the CS infants (p = 5.0 × 10-4 and 3.0 × 10-3, respectively) compared to the VD infants. It is biologically plausible that CS may exert adverse impacts on offspring health through influencing expression of genes in the above processes. These findings will help understand the potential underlying mechanisms of the adverse health impacts of CS and identify biomarkers for future health of offspring born with different delivery modes.

Supplementary information: The online version contains supplementary material available at 10.1007/s43657-022-00086-7.

剖腹产会增加后代患I型糖尿病、哮喘、炎症性肠病、乳糜泻、超重和肥胖等的风险。然而,其根本机制仍然未知。为了研究CS对脐血中基因表达的影响,我们对8名选择性CS出生的足月婴儿和8名匹配的阴道分娩(VD)婴儿进行了RNA测序,然后进行了单基因分析、基因集富集分析、基因共表达网络分析和相互作用基因/蛋白质分析。在另外20名CS和20名VD婴儿中进一步验证了上述关键基因。我们首次发现,CS对参与免疫反应(IL12A、INFG、IL1B、TNF、MIF、IL4、CA1、IFI27、HLA-DOB和EPHB1)和代谢(DLK1、CYP2A6和GATM)的基因的mRNA表达有显著影响。值得注意的是,CS婴儿血清TNF-α和IFN-γ显著上调(p = 5 × 10-4和3.0 × 10-3)。CS可能通过影响上述过程中基因的表达,对后代健康产生不利影响,这在生物学上是合理的。这些发现将有助于了解CS对健康不利影响的潜在潜在潜在机制,并确定不同分娩方式出生的后代未来健康的生物标志物。补充信息:在线版本包含补充材料,请访问10.1007/s43657-022-00086-7。
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引用次数: 0
Genetic Phenotypes of Alzheimer's Disease: Mechanisms and Potential Therapy. 阿尔茨海默病的遗传表型:机制和潜在的治疗方法。
Q2 GENETICS & HEREDITY Pub Date : 2023-04-03 eCollection Date: 2023-08-01 DOI: 10.1007/s43657-023-00098-x
Meina Quan, Shuman Cao, Qi Wang, Shiyuan Wang, Jianping Jia

Years of intensive research has brought us extensive knowledge on the genetic and molecular factors involved in Alzheimer's disease (AD). In addition to the mutations in the three main causative genes of familial AD (FAD) including presenilins and amyloid precursor protein genes, studies have identified several genes as the most plausible genes for the onset and progression of FAD, such as triggering receptor expressed on myeloid cells 2, sortilin-related receptor 1, and adenosine triphosphate-binding cassette transporter subfamily A member 7. The apolipoprotein E ε4 allele is reported to be the strongest genetic risk factor for sporadic AD (SAD), and it also plays an important role in FAD. Here, we reviewed recent developments in genetic and molecular studies that contributed to the understanding of the genetic phenotypes of FAD and compared them with SAD. We further reviewed the advancements in AD gene therapy and discussed the future perspectives based on the genetic phenotypes.

多年的深入研究使我们对阿尔茨海默病(AD)的遗传和分子因素有了广泛的了解。除了家族性AD(FAD)的三个主要致病基因(包括早老素和淀粉样蛋白前体蛋白基因)的突变外,研究还确定了几个基因是FAD发病和进展的最合理基因,如髓细胞上表达的触发受体2、sortilin相关受体1、,和三磷酸腺苷结合盒转运蛋白亚家族A成员7。载脂蛋白Eε4等位基因是散发性AD(SAD)的最强遗传危险因素,在FAD中也起着重要作用。在此,我们回顾了遗传和分子研究的最新进展,这些研究有助于理解FAD的遗传表型,并将其与SAD进行了比较。我们进一步回顾了AD基因治疗的进展,并讨论了基于遗传表型的未来前景。
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引用次数: 4
Hidden Genetic Regulation of Human Complex Traits via Brain Isoforms. 通过大脑异构体对人类复杂性状的隐性遗传调控。
Q2 GENETICS & HEREDITY Pub Date : 2023-03-20 eCollection Date: 2023-06-01 DOI: 10.1007/s43657-023-00100-6
Lu Pan, Chenqing Zheng, Zhijian Yang, Yudi Pawitan, Trung Nghia Vu, Xia Shen

Alternative splicing exists in most multi-exonic genes, and exploring these complex alternative splicing events and their resultant isoform expressions is essential. However, it has become conventional that RNA sequencing results have often been summarized into gene-level expression counts mainly due to the multiple ambiguous mapping of reads at highly similar regions. Transcript-level quantification and interpretation are often overlooked, and biological interpretations are often deduced based on combined transcript information at the gene level. Here, for the most variable tissue of alternative splicing, the brain, we estimate isoform expressions in 1,191 samples collected by the Genotype-Tissue Expression (GTEx) Consortium using a powerful method that we previously developed. We perform genome-wide association scans on the isoform ratios per gene and identify isoform-ratio quantitative trait loci (irQTL), which could not be detected by studying gene-level expressions alone. By analyzing the genetic architecture of the irQTL, we show that isoform ratios regulate educational attainment via multiple tissues including the frontal cortex (BA9), cortex, cervical spinal cord, and hippocampus. These tissues are also associated with different neuro-related traits, including Alzheimer's or dementia, mood swings, sleep duration, alcohol intake, intelligence, anxiety or depression, etc. Mendelian randomization (MR) analysis revealed 1,139 pairs of isoforms and neuro-related traits with plausible causal relationships, showing much stronger causal effects than on general diseases measured in the UK Biobank (UKB). Our results highlight essential transcript-level biomarkers in the human brain for neuro-related complex traits and diseases, which could be missed by merely investigating overall gene expressions.

Supplementary information: The online version contains supplementary material available at 10.1007/s43657-023-00100-6.

选择性剪接存在于大多数多外显子基因中,探索这些复杂的选择性剪接事件及其产生的异构体表达是至关重要的。然而,RNA测序结果通常被总结为基因水平的表达计数,这已成为惯例,主要是由于高度相似区域的读数的多重模糊映射。转录物水平的量化和解释往往被忽视,生物学解释往往是基于基因水平的转录物组合信息推导出来的。在这里,对于可变剪接最多的组织,即大脑,我们使用我们之前开发的强大方法,估计了基因组型组织表达(GTEx)联盟收集的1191个样本中的同种型表达。我们对每个基因的异构体比率进行了全基因组关联扫描,并鉴定了异构体比率定量性状位点(irQTL),这是单独研究基因水平表达所无法检测到的。通过分析irQTL的遗传结构,我们发现同种型比率通过多种组织调节教育程度,包括额叶皮层(BA9)、皮层、颈脊髓和海马。这些组织还与不同的神经相关特征有关,包括阿尔茨海默氏症或痴呆症、情绪波动、睡眠时间、酒精摄入、智力、焦虑或抑郁等。孟德尔随机化(MR)分析揭示了1139对具有合理因果关系的亚型和神经相关特征,显示出比在英国生物库(UKB)中测量的一般疾病更强的因果效应。我们的研究结果强调了人脑中与神经相关的复杂特征和疾病的重要转录水平生物标志物,而仅仅研究整体基因表达可能会错过这些生物标志物。补充信息:在线版本包含补充材料,可访问10.1007/s43657-023-00100-6。
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引用次数: 0
Sample Collection, DNA Extraction, and Library Construction Protocols of the Human Microbiome Studies in the International Human Phenome Project. 国际人类表型项目中人类微生物组研究的样本收集、DNA提取和文库构建方案。
IF 3.7 Q2 GENETICS & HEREDITY Pub Date : 2023-03-08 eCollection Date: 2023-06-01 DOI: 10.1007/s43657-023-00097-y
Yetong Wang, Ruyi Zhang, Yanni Pu, Danqi Wang, Yanren Wang, Xuemei Wu, Yujie Pan, Chen Luo, Guoping Zhao, Zhexue Quan, Yan Zheng

The human microbiome plays a crucial role in human health. In the past decade, advances in high-throughput sequencing technologies and analytical software have significantly improved our knowledge of the human microbiome. However, most studies concerning the human microbiome did not provide repeatable protocols to guide the sample collection, handling, and processing procedures, which impedes obtaining valid and timely microbial taxonomic and functional results. This protocol provides detailed operation methods of human microbial sample collection, DNA extraction, and library construction for both the amplicon sequencing-based measurements of the microbial samples from the human nasal cavity, oral cavity, and skin, as well as the shotgun metagenomic sequencing-based measurements of the human stool samples among adult participants. This study intends to develop practical procedure standards to improve the reproducibility of microbiota profiling of human samples.

Supplementary information: The online version contains supplementary material available at 10.1007/s43657-023-00097-y.

人类微生物组在人类健康中起着至关重要的作用。在过去的十年里,高通量测序技术和分析软件的进步显著提高了我们对人类微生物组的了解。然而,大多数关于人类微生物组的研究都没有提供可重复的方案来指导样本收集、处理和加工程序,这阻碍了获得有效和及时的微生物分类和功能结果。该方案提供了人类微生物样本收集、DNA提取和文库构建的详细操作方法,用于对来自人类鼻腔、口腔和皮肤的微生物样本进行基于扩增子测序的测量,以及对成年参与者中的人类粪便样本进行基于霰弹枪宏基因组测序的测量。本研究旨在制定实用的程序标准,以提高人类样本微生物群图谱的再现性。补充信息:在线版本包含补充材料,可访问10.1007/s43657-023-00097-y。
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引用次数: 0
α2,3-Sialylation with Fucosylation Associated with More Severe Anti-MDA5 Positive Dermatomyositis Induced by Rapidly Progressive Interstitial Lung Disease. α2,3-唾液酸化和岩藻糖基化与快速进展的间质性肺病诱导的更严重的抗MDA5阳性皮肌炎相关。
IF 3.7 Q2 GENETICS & HEREDITY Pub Date : 2023-03-07 eCollection Date: 2023-10-01 DOI: 10.1007/s43657-023-00096-z
Rongrong Zhang, Li Guo, Jichen Sha, Shuwai Chang, Jiangfeng Zhao, Kaiwen Wang, Jiucun Wang, Jianxin Gu, Jing Liu, Shifang Ren

Dermatomyositis (DM) is a heterogeneous autoimmune disease associated with numerous myositis specific antibodies (MSAs) in which DM with anti-melanoma differentiation-associated gene 5-positive (MDA5 + DM) is a unique subtype of DM with higher risk of developing varying degrees of Interstitial lung disease (ILD). Glycosylation is a complex posttranslational modification of proteins associated with many autoimmune diseases. However, the association of total plasma N-glycome (TPNG) and DM, especially MDA5 + DM, is still unknown. TPNG of 94 DM patients and 168 controls were analyzed by mass spectrometry with in-house reliable quantitative method called Bionic Glycome method. Logistic regression with age and sex adjusted was used to reveal the aberrant glycosylation of DM and the association of TPNG and MDA5 + DM with or without rapidly progressive ILD (RPILD). The elastic net model was used to evaluate performance of glycans in distinguishing RPLID from non-RPILD, and survival analysis was analyzed with N-glycoslyation score by Kaplan-Meier survival analysis. It was found that the plasma protein N-glycome in DM showed higher fucosylation and bisection, lower sialylation (α2,3- not α2,6-linked) and galactosylation than controls. In MDA5 + DM, more severe disease condition was associated with decreased sialylation (specifically α2,3-sialylation with fucosylation) while accompanying elevated H6N5S3 and H5N4FSx, decreased galactosylation and increased fucosylation and the complexity of N-glycans. Moreover, glycosylation traits have better discrimination ability to distinguish RPILD from non-RPILD with AUC 0.922 than clinical features and is MDA5-independent. Survival advantage accrued to MDA5 + DM with lower N-glycosylation score (p = 3e-04). Our study reveals the aberrant glycosylation of DM for the first time and indicated that glycosylation is associated with disease severity caused by ILD in MDA5 + DM, which might be considered as the potential biomarker for early diagnosis of RPILD and survival evaluation of MDA5 + DM.

Supplementary information: The online version contains supplementary material available at 10.1007/s43657-023-00096-z.

皮肌炎(DM)是一种与多种肌炎特异性抗体(MSAs)相关的异质性自身免疫性疾病,其中具有抗黑色素瘤分化相关基因5阳性(MDA5 + DM)是一种独特的DM亚型,其发展为不同程度间质性肺病(ILD)的风险较高。糖基化是与许多自身免疫性疾病相关的蛋白质的复杂翻译后修饰。然而,血浆总N-糖组(TPNG)与DM,尤其是MDA5的相关性 + DM仍然未知。94名糖尿病患者和168名对照者的TPNG通过质谱法进行分析,采用内部可靠的定量方法称为仿生糖组分法。经年龄和性别调整后的Logistic回归用于揭示糖尿病的异常糖基化以及TPNG和MDA5的相关性 + 伴有或不伴有快速进行性ILD(RPILD)的DM。使用弹性网模型来评估聚糖在区分RPLID和非RPILD方面的性能,并通过Kaplan-Meier生存分析用N-糖酵解评分分析生存分析。研究发现,与对照组相比,DM患者的血浆蛋白N-糖组表现出更高的岩藻糖基化和二等分,更低的唾液酸化(α2,3-非α2,6-连接)和半乳糖基化。在MDA5中 + DM,更严重的疾病状况与唾液酸化减少(特别是α2,3-岩藻糖基化分析)有关,同时伴有H6N5S3和H5N4FSx升高,半乳糖基化减少和岩藻糖基化增加以及N-聚糖的复杂性。此外,糖基化特征比临床特征具有更好的区分RPILD和非RPILD的能力,AUC为0.922,并且是MDA5独立性的。MDA5的生存优势 + 糖尿病患者的N-糖基化评分较低(p = 3e-04)。我们的研究首次揭示了糖尿病的异常糖基化,并表明糖基化与MDA5中ILD引起的疾病严重程度有关 + DM,可能被认为是RPILD早期诊断和MDA5生存评估的潜在生物标志物 + DM.补充信息:在线版本包含补充材料,可访问10.1007/s43657-023-00096-z。
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引用次数: 0
Diets, Gut Microbiota and Metabolites. 饮食、肠道微生物群和代谢产物。
Q2 GENETICS & HEREDITY Pub Date : 2023-03-02 eCollection Date: 2023-06-01 DOI: 10.1007/s43657-023-00095-0
Yilian Liu, Wanglei Zhong, Xiao Li, Feng Shen, Xiaonan Ma, Qi Yang, Shangyu Hong, Yan Sun

The gut microbiota refers to the gross collection of microorganisms, estimated trillions of them, which reside within the gut and play crucial roles in the absorption and digestion of dietary nutrients. In the past decades, the new generation 'omics' (metagenomics, transcriptomics, proteomics, and metabolomics) technologies made it possible to precisely identify microbiota and metabolites and describe their variability between individuals, populations and even different time points within the same subjects. With massive efforts made, it is now generally accepted that the gut microbiota is a dynamically changing population, whose composition is influenced by the hosts' health conditions and lifestyles. Diet is one of the major contributors to shaping the gut microbiota. The components in the diets vary in different countries, religions, and populations. Some special diets have been adopted by people for hundreds of years aiming for better health, while the underlying mechanisms remain largely unknown. Recent studies based on volunteers or diet-treated animals demonstrated that diets can greatly and rapidly change the gut microbiota. The unique pattern of the nutrients from the diets and their metabolites produced by the gut microbiota has been linked with the occurrence of diseases, including obesity, diabetes, nonalcoholic fatty liver disease, cardiovascular disease, neural diseases, and more. This review will summarize the recent progress and current understanding of the effects of different dietary patterns on the composition of gut microbiota, bacterial metabolites, and their effects on the host's metabolism.

肠道微生物群是指微生物的总集合,估计有数万亿微生物,它们位于肠道内,在吸收和消化膳食营养素方面发挥着至关重要的作用。在过去的几十年里,新一代的“组学”(宏基因组学、转录组学、蛋白质组学和代谢组学)技术使精确识别微生物群和代谢产物成为可能,并描述它们在个体、群体甚至同一受试者内不同时间点之间的变异性。经过大量的努力,现在人们普遍认为肠道微生物群是一个动态变化的群体,其组成受到宿主健康状况和生活方式的影响。饮食是形成肠道微生物群的主要因素之一。饮食中的成分因国家、宗教和人口而异。数百年来,人们一直采用一些旨在改善健康的特殊饮食,而其潜在机制在很大程度上仍然未知。最近基于志愿者或饮食治疗动物的研究表明,饮食可以极大而迅速地改变肠道微生物群。肠道微生物群产生的饮食营养素及其代谢产物的独特模式与疾病的发生有关,包括肥胖、糖尿病、非酒精性脂肪肝、心血管疾病、神经疾病等。这篇综述将总结不同饮食模式对肠道微生物群组成、细菌代谢产物及其对宿主代谢的影响的最新进展和当前理解。
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引用次数: 0
Virtual Fluorescence Translation for Biological Tissue by Conditional Generative Adversarial Network. 条件生成对抗性网络对生物组织的虚拟荧光翻译。
IF 3.7 Q2 GENETICS & HEREDITY Pub Date : 2023-03-02 eCollection Date: 2023-08-01 DOI: 10.1007/s43657-023-00094-1
Xin Liu, Boyi Li, Chengcheng Liu, Dean Ta

Fluorescence labeling and imaging provide an opportunity to observe the structure of biological tissues, playing a crucial role in the field of histopathology. However, when labeling and imaging biological tissues, there are still some challenges, e.g., time-consuming tissue preparation steps, expensive reagents, and signal bias due to photobleaching. To overcome these limitations, we present a deep-learning-based method for fluorescence translation of tissue sections, which is achieved by conditional generative adversarial network (cGAN). Experimental results from mouse kidney tissues demonstrate that the proposed method can predict the other types of fluorescence images from one raw fluorescence image, and implement the virtual multi-label fluorescent staining by merging the generated different fluorescence images as well. Moreover, this proposed method can also effectively reduce the time-consuming and laborious preparation in imaging processes, and further saves the cost and time.

Supplementary information: The online version contains supplementary material available at 10.1007/s43657-023-00094-1.

荧光标记和成像提供了观察生物组织结构的机会,在组织病理学领域发挥着至关重要的作用。然而,当标记和成像生物组织时,仍然存在一些挑战,例如,耗时的组织制备步骤、昂贵的试剂以及由于光漂白引起的信号偏差。为了克服这些限制,我们提出了一种基于深度学习的组织切片荧光翻译方法,该方法通过条件生成对抗性网络(cGAN)实现。来自小鼠肾组织的实验结果表明,该方法可以从一张原始荧光图像中预测其他类型的荧光图像,并通过合并生成的不同荧光图像来实现虚拟多标记荧光染色。此外,该方法还可以有效地减少成像过程中耗时费力的准备工作,并进一步节省成本和时间。补充信息:在线版本包含补充材料,可访问10.1007/s43657-023-00094-1。
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引用次数: 0
Deep Immunophenotyping of Human Whole Blood by Standardized Multi-parametric Flow Cytometry Analyses. 用标准化多参数流式细胞术分析人类全血的深层免疫表型。
IF 3.7 Q2 GENETICS & HEREDITY Pub Date : 2023-02-23 eCollection Date: 2023-06-01 DOI: 10.1007/s43657-022-00092-9
Jian Gao, Yali Luo, Helian Li, Yiran Zhao, Jialin Zhao, Xuling Han, Jingxuan Han, Huiqin Lin, Feng Qian

Immunophenotyping is proving crucial to understanding the role of the immune system in health and disease. High-throughput flow cytometry has been used extensively to reveal changes in immune cell composition and function at the single-cell level. Here, we describe six optimized 11-color flow cytometry panels for deep immunophenotyping of human whole blood. A total of 51 surface antibodies, which are readily available and validated, were selected to identify the key immune cell populations and evaluate their functional state in a single assay. The gating strategies for effective flow cytometry data analysis are included in the protocol. To ensure data reproducibility, we provide detailed procedures in three parts, including (1) instrument characterization and detector gain optimization, (2) antibody titration and sample staining, and (3) data acquisition and quality checks. This standardized approach has been applied to a variety of donors for a better understanding of the complexity of the human immune system.

Supplementary information: The online version contains supplementary material available at 10.1007/s43657-022-00092-9.

免疫表型对于理解免疫系统在健康和疾病中的作用至关重要。高通量流式细胞术已被广泛用于在单细胞水平上揭示免疫细胞组成和功能的变化。在这里,我们描述了六个优化的11色流式细胞仪面板,用于人类全血的深层免疫表型。共选择了51种易于获得和验证的表面抗体,以在单一测定中鉴定关键免疫细胞群并评估其功能状态。有效流式细胞术数据分析的门控策略包含在方案中。为了确保数据的可重复性,我们分三部分提供了详细的程序,包括(1)仪器表征和检测器增益优化,(2)抗体滴定和样品染色,以及(3)数据采集和质量检查。这种标准化的方法已经应用于各种捐赠者,以更好地了解人类免疫系统的复杂性。补充信息:在线版本包含补充材料,请访问10.1007/s43657-022-00092-9。
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引用次数: 0
Management of Intraductal Papilloma of the Breast Diagnosed on Core Needle Biopsy: Latest Controversies. 核心针活检诊断的乳腺导管内乳头状瘤的治疗:最新争议。
Q2 GENETICS & HEREDITY Pub Date : 2023-02-14 eCollection Date: 2023-04-01 DOI: 10.1007/s43657-022-00085-8
Siyuan Tu, Yulian Yin, Chunchun Yuan, Hongfeng Chen

Intraductal papillomas (IDPs), including central papilloma and peripheral papilloma, are common in the female population. Due to the lack of specific clinical manifestations of IDPs, it is easy to misdiagnose or miss diagnose. The difficulty of differential diagnosis using imaging techniques also contributes to these conditions. Histopathology is the gold standard for the diagnosis of IDPs while the possibility of under sample exists in the percutaneous biopsy. There have been some debates about how to treat asymptomatic IDPs without atypia diagnosed on core needle biopsy (CNB), especially when the upgrade rate to carcinoma is considered. This article concludes that further surgery is recommended for IDPs without atypia diagnosed on CNB who have high-risk factors, while appropriate imaging follow-up may be suitable for those without risk factors.

导管内乳头状瘤,包括中央乳头状瘤和外周乳头状瘤在女性人群中很常见。由于缺乏IDP的具体临床表现,很容易误诊或漏诊。使用成像技术进行鉴别诊断的困难也是造成这些情况的原因之一。组织病理学是诊断IDP的金标准,而经皮活检中存在样本不足的可能性。关于如何治疗在核心针活检(CNB)中诊断为无异型性的无症状IDP,特别是在考虑癌症升级率的情况下,一直存在一些争论。这篇文章的结论是,对于在CNB上诊断为具有高危因素的无异型性的国内流离失所者,建议进行进一步的手术,而适当的影像学随访可能适用于那些没有危险因素的人。
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引用次数: 0
期刊
Phenomics (Cham, Switzerland)
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