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Generative artificial intelligence and large language models in smart healthcare applications: Current status and future perspectives. 智能医疗应用中的生成式人工智能和大型语言模型:现状和未来展望。
Pub Date : 2026-02-01 Epub Date: 2025-07-29 DOI: 10.1016/j.compbiolchem.2025.108611
Md Asraful Haque, Hifzur R Siddique

With climate change, habitat destruction, and increased population ages, the incidence of both communicable and non-communicable diseases is rising, and managing these has become a growing concern. In recent years, generative artificial intelligence (AI) and large language models (LLMs) have ushered in a transformative era for smart healthcare applications. These models, built on advanced ML architectures like Generative Pre-trained Transformers (GPT) and Bidirectional Encoder Representations from Transformers (BERT), have demonstrated significant capabilities in various medical tasks. This review aims to provide an overview of the potential benefits of generative AI and LLMs in smart healthcare applications, as well as challenges and ethical considerations. A systematic literature review was conducted to identify relevant research papers published in peer-reviewed journals. Databases such as PubMed, PMC, Cochrane Library, Google Scholar, and Web of Science were searched using keywords related to generative AI, LLMs, and healthcare applications. The relevant papers were analyzed to extract key findings and contributions. Generative AI and LLMs are powerful tools that can process and analyze massive amounts of data. Researchers are actively exploring their potential to transform healthcare-powering intelligent virtual health assistants, crafting personalized patient care plans, and facilitating early detection and intervention for medical conditions. With ongoing research and development, the future of generative AI and LLMs in healthcare is promising; however, issues such as bias in AI models, lack of explainability, ethical concerns, and integration difficulties must be addressed.

随着气候变化、栖息地破坏和人口老龄化加剧,传染性和非传染性疾病的发病率正在上升,管理这些疾病已成为一个日益令人关注的问题。近年来,生成式人工智能(AI)和大型语言模型(llm)迎来了智能医疗应用的变革时代。这些模型建立在先进的机器学习架构上,如生成预训练变形金刚(GPT)和变形金刚的双向编码器表示(BERT),已经在各种医疗任务中展示了重要的能力。本综述旨在概述生成式人工智能和法学硕士在智能医疗应用中的潜在好处,以及挑战和伦理考虑。我们进行了系统的文献综述,以确定发表在同行评议期刊上的相关研究论文。使用与生成式人工智能、法学硕士和医疗保健应用相关的关键字搜索PubMed、PMC、Cochrane Library、b谷歌Scholar和Web of Science等数据库。对相关论文进行分析,以提取主要发现和贡献。生成式人工智能和法学硕士是可以处理和分析大量数据的强大工具。研究人员正在积极探索他们的潜力,以改变医疗保健的智能虚拟健康助手,制定个性化的患者护理计划,促进医疗状况的早期发现和干预。随着不断的研究和发展,生成式人工智能和法学硕士在医疗保健领域的未来是有希望的;然而,人工智能模型中的偏见、缺乏可解释性、伦理问题和集成困难等问题必须得到解决。
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引用次数: 0
A two-step joint model based on deep learning realizes intelligent recognition of exfoliated cells in serous effusion. 一种基于深度学习的两步联合模型实现了浆液积液中脱落细胞的智能识别。
Pub Date : 2026-02-01 Epub Date: 2025-08-09 DOI: 10.1016/j.compbiolchem.2025.108616
Yige Yin, Xiaotao Li, Dongsheng Li, Yue Hu, Qiang Wu, Jiarong Zhao, Qiuyan Sun, Hong-Qiang Wang, Wulin Yang

Cytological examination of serous effusion is critical for diagnosing malignancies, yet it heavily relies on subjective interpretation by pathologists, leading to inconsistent accuracy and misdiagnosis, especially in regions with limited medical resources. To address this challenge, we propose a two-step deep learning framework to standardize and enhance the diagnostic process. First, we improved the YOLOv8 model by integrating the Online Convolutional Reparameterization (OREPA) module, achieving a 93.09 % sensitivity for detecting abnormal cells. Second, we employed the Dual Attention Vision Transformer (DaViT) to classify normal cells (lymphocytes, mesothelial cells, histiocytes, neutrophils) with 98.74 % accuracy. By jointly deploying these models, our approach reduces missed diagnoses and provides granular insights into cell composition, offering a robust tool for rapid and objective cytopathological diagnosis. This work bridges the gap between AI-driven automation and clinical needs, particularly in resource-constrained settings.

浆液积液的细胞学检查是诊断恶性肿瘤的关键,但它严重依赖于病理学家的主观解释,导致准确性不一致和误诊,特别是在医疗资源有限的地区。为了应对这一挑战,我们提出了一个两步深度学习框架,以标准化和增强诊断过程。首先,我们通过集成在线卷积重新参数化(OREPA)模块改进了YOLOv8模型,实现了检测异常细胞的93.09 %灵敏度。其次,我们使用双注意视觉转换器(DaViT)对正常细胞(淋巴细胞、间皮细胞、组织细胞、中性粒细胞)进行分类,准确率为98.74 %。通过联合部署这些模型,我们的方法减少了漏诊,并提供了对细胞组成的细粒度见解,为快速客观的细胞病理学诊断提供了一个强大的工具。这项工作弥合了人工智能驱动的自动化与临床需求之间的差距,特别是在资源有限的环境中。
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引用次数: 0
Discovery of biselyngbyaside B a novel lead inhibitor of drug-resistant bacteria targeting DNA gyrase B. 靶向DNA回转酶B的新型耐药细菌先导抑制剂biselyngbyaside B的发现。
Pub Date : 2026-02-01 Epub Date: 2025-08-07 DOI: 10.1016/j.compbiolchem.2025.108628
Kiran Mahapatra, Swagat Ranjan Maharana, Showkat Ahmad Mir, Munmun Bordhan, Binata Nayak

Antimicrobial resistance (AMR) poses a growing global threat, with antibiotic-resistant infections becoming a leading cause of death worldwide. The present study explores natural cyanobacterial compounds as possible inhibitors of Escherichia coli DNA gyrase B (GyrB) which is a verified antibacterial target that is not present in higher eukaryotes. Because of the urgent need for novel antibacterial drugs, we identified nine drug-like candidates using lipinski's rule of five and ADMET profiling. Molecular docking revealed that Biselyngbyaside B and Smenamide A exhibited greater binding affinities in comparison to the co-crystallized inhibitor EOF, with a binding energy of -9.03 kcal/mol. Further molecular dynamics simulations revealed that the Biselyngbyaside B-DNA gyrase B complex surpassed both EOF and Smenamide A in terms of structural stability, compactness, and strong hydrogen bonding. Umbrella sampling was employed to estimate the binding free energy from thirty sampling simulations, and Biselyngbyaside B exhibited a significantly favourable ΔG bind of -91.66 kJ/mol, outperforming EOF (-68.93 kJ/mol) and Smenamide A (-36.4 kJ/mol). These findings clearly indicate a stronger and more stable interaction between Biselyngbyaside B and GyrB. Biselyngbyaside B continuously showed better pharmacokinetic characteristics, non-hepatotoxicity, and a greater binding affinity than previously documented DNA gyrase B inhibitors. This study emphasizes the integration of molecular dockings, molecular dynamics simulation, umbrella sampling, and ADMET analysis provided crucial quantitative insights into the identification of potent drug-like candidates for further validation. Overall, the Biselyngbyaside B was found to be the most promising lead compound for novel antibacterial drug development targeting DNA gyrase B.

抗菌素耐药性(AMR)构成了日益严重的全球威胁,抗生素耐药性感染已成为全球死亡的主要原因。本研究探索天然蓝藻化合物作为大肠杆菌DNA回转酶B (GyrB)的可能抑制剂,这是一种经过验证的抗菌靶点,不存在于高等真核生物中。由于对新型抗菌药物的迫切需求,我们使用lipinski的五法则和ADMET分析确定了9个类似药物的候选药物。分子对接发现,与共晶抑制剂EOF相比,Biselyngbyaside B和Smenamide A具有更强的结合亲和力,结合能为-9.03 kcal/mol。进一步的分子动力学模拟表明,Biselyngbyaside B- dna gyrase B复合物在结构稳定性、致密性和强氢键性方面优于EOF和Smenamide A。采用伞式采样法对30个采样模拟进行了结合自由能估算,结果表明Biselyngbyaside B的结合自由能为-91.66 kJ/mol,明显优于EOF(-68.93 kJ/mol)和Smenamide a(-36.4 kJ/mol)。这些发现清楚地表明Biselyngbyaside B和GyrB之间的相互作用更强、更稳定。Biselyngbyaside B持续表现出更好的药代动力学特征、无肝毒性和比先前文献记载的DNA gyrase B抑制剂更大的结合亲和力。本研究强调了分子对接、分子动力学模拟、保护伞取样和ADMET分析的整合,为进一步验证有效的候选药物的鉴定提供了重要的定量见解。综上所述,Biselyngbyaside B被认为是最有希望开发针对DNA旋切酶B的新型抗菌药物的先导化合物。
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引用次数: 0
Trichomonas vaginalis acid sphingomyelinases' theoretical structural analysis shows substrate binding diversity related to protein flexibility and mobility. 阴道毛滴虫酸性鞘磷脂酶的理论结构分析表明,底物结合多样性与蛋白质的柔韧性和流动性有关。
Pub Date : 2026-02-01 Epub Date: 2025-08-05 DOI: 10.1016/j.compbiolchem.2025.108601
Ana Laura Medina-Nieto, Sairy Yarely Andrade-Guillen, Fátima Berenice Ramírez-Montiel, Fátima Tornero-Gutiérrez, José A Martínez-Álvarez, Ángeles Rangel-Serrano, Itzel Páramo-Pérez, Naurú Idalia Vargas-Maya, Javier de la Mora, Claudia Leticia Mendoza-Macías, Patricia Cuéllar-Mata, Nayeli Alva-Murillo, Bernardo Franco, Felipe Padilla-Vaca

Acid sphingomyelinases (aSMases) are enzymes involved in the repair of the plasma membrane in eukaryotic cells. However, neutral sphingomyelinases (nSMases) have also been shown to possess other roles in bacteria and eukaryotic microorganisms, especially as virulence factors. These enzymes exhibit structural conservation but are characterized by elusive homology and the lack of sequence signatures or motifs. In a previous study, we reported the structural features of the complete set of sphingomyelinases (SMases) in Entamoeba histolytica and Trichomonas vaginalis, showing structural homology and functional differences in two aSMases from E. histolytica (EhSMase). However, the approach was limited due to the AlphaFold3 source code not being publicly available at the time. In this report, the structural transitions in the aSMases from T. vaginalis (TvSMase) were measured using open-source AlphaFold3 and collective motions of proteins via Normal Mode Analysis in internal coordinates. They compared them with the models from aSMase4 (EHI_100080) and aSMase6 (EHI_125660) from E. histolytica, containing different combinations of ligands. Using full-length sphingomyelin and the Mg2+ and Co2+ ions, where Co2+ was shown to inhibit the enzymes of both organisms, we demonstrate that the enzymes exhibit limited flexibility and deformability, except for the T. vaginalis TVAG_271580 enzyme, which displays high structural deformability. This contrasts with the inhibitory mechanism elicited by Co2+ as shown previously. TVSMase3 (TVAG_222460) could not be modelled with the sphingomyelin in the active site pocket, suggesting a regulatory role rather than a functional active enzyme. Additional physicochemical parameters calculated for T. vaginalis enzymes suggest unstable structures and high internal mobility (estimated using the Internal Coordinate method), which may be associated with the functional role of these enzymes. The results presented here open an avenue for searching for novel inhibitors of aSMases that target their physical properties, which could potentially complement treatment to control the parasite burden. These inhibitors could be valuable for further studying the role of these enzymes in parasite pathobiology and, potentially, as therapeutic targets.

酸性鞘磷脂酶(aSMases)是真核细胞中参与质膜修复的酶。然而,中性鞘磷脂酶(nSMases)也被证明在细菌和真核微生物中具有其他作用,特别是作为毒力因子。这些酶具有结构保守性,但其特点是难以捉摸的同源性和缺乏序列特征或基序。在之前的研究中,我们报道了溶组织内阿米巴和阴道毛滴虫鞘磷脂酶(sphingomyelinase, SMases)的全套结构特征,显示了溶组织内阿米巴和阴道毛滴虫鞘磷脂酶(EhSMase)的结构同源性和功能差异。然而,由于AlphaFold3源代码当时没有公开可用,这种方法受到了限制。在这篇报告中,我们使用开源的AlphaFold3软件测量了T. vaginalis (TvSMase)的aSMases的结构转变,并通过Normal Mode Analysis在内部坐标中测量了蛋白质的集体运动。他们将它们与来自溶组织杆菌的aSMase4 (EHI_100080)和aSMase6 (EHI_125660)的模型进行了比较,这些模型含有不同的配体组合。使用全长鞘磷脂和Mg2+和Co2+离子,其中Co2+被证明可以抑制这两种生物的酶,我们证明了酶表现出有限的灵活性和可变形性,除了阴道T. TVAG_271580酶表现出高度的结构可变形性。这与前面所示的Co2+引起的抑制机制形成对比。TVSMase3 (TVAG_222460)不能用活性位点口袋中的鞘磷脂来建模,这表明它具有调节作用而不是功能性活性酶。计算出的阴道t酶的其他理化参数表明,阴道t酶的结构不稳定,内部流动性高(使用内部坐标法估计),这可能与这些酶的功能作用有关。本研究的结果为寻找针对aSMases物理特性的新型抑制剂开辟了一条道路,这些抑制剂可能会补充治疗以控制寄生虫负担。这些抑制剂可以为进一步研究这些酶在寄生虫病理生物学中的作用以及潜在的治疗靶点提供价值。
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