bluuebunny/crossref_metadata_2025 huggingface dataset:
Human leukocyte antigen evolutionary divergence as a novel risk factor for donor selection in acute lymphoblastic leukemia patients undergoing haploidentical hematopoietic stem cell transplantation
Authors: Cao Xing-Yu , Zhou Hai-Fei , Liu Xiang-Jun , Li Xiao-Bo
Published: August 2024

Introduction

The human leukocyte antigen (HLA) evolutionary divergence (HED) reflects immunopeptidome diversity and has been shown to predict the response of tumors to immunotherapy. Its impact on allogeneic hematopoietic stem cell transplantation (HSCT) is controversial in different studies.

Methods

In this study, we retrospectively analyzed the clinical impact of class I and II HED in 225 acute lymphoblastic leukemia patients undergoing HSCT from related haploidentical donors. The HED for recipient, donor, and donor-recipient pair was calculated based on Grantham distance, which accounts for variations in the composition, polarity, and volume of each amino acid within the peptide-binding groove of two HLA alleles. The median value of HED scores was used as a cut-off to stratify patients with high or low HED.

Results

The class I HED for recipient (R_HEDclass I) showed the strongest association with cumulative incidence of relapse (12.2 vs. 25.0%, P = 0.00814) but not with acute graft-versus-host disease. The patients with high class II HED for donor-recipient (D/R_HEDclass II) showed a significantly higher cumulative incidence of severe aGVHD than those with low D/R_HEDclass II (24.0% vs. 6.1%, P = 0.0027). Multivariate analysis indicated that a high D/R_HEDclass II was an independent risk factor for the development of severe aGVHD (P = 0.007), and a high R_HEDclass I had a more than two-fold reduced risk of relapse (P = 0.028). However, there was no discernible difference in overall survival (OS) or disease-free survival (DFS) for patients with high or low HED, which was inconsistent with the previous investigation.

Discussion

While the observation are limited by the presented single center retrospective cohort, the results show that HED has poor prognostic value in OS or DFS, as well as the associations with relapse and aGVHD. In haploidentical setting, class II HED for donor-recipient pair (D/R_HEDclass II) is an independent and novel risk factor for finding the best haploidentical donor, which could potentially influence clinical practice if verified in larger cohorts.
A future of AI-driven personalized care for people with multiple sclerosis
Authors: Praet Jelle , Anderhalten Lina , Comi Giancarlo , Horakova Dana , Ziemssen Tjalf , Vermersch Patrick , Lukas Carsten , van Leemput Koen , Steppe Marjan , Aguilera Cristina , Kadas Ella Maria , Bertrand Alexis , van Rampelbergh Jean , de Boer Erik , Zingler Vera , Smeets Dirk , Ribbens Annemie , Paul Friedemann
Published: August 2024

Multiple sclerosis (MS) is a devastating immune-mediated disorder of the central nervous system resulting in progressive disability accumulation. As there is no cure available yet for MS, the primary therapeutic objective is to reduce relapses and to slow down disability progression as early as possible during the disease to maintain and/or improve health-related quality of life. However, optimizing treatment for people with MS (pwMS) is complex and challenging due to the many factors involved and in particular, the high degree of clinical and sub-clinical heterogeneity in disease progression among pwMS. In this paper, we discuss these many different challenges complicating treatment optimization for pwMS as well as how a shift towards a more pro-active, data-driven and personalized medicine approach could potentially improve patient outcomes for pwMS. We describe how the ‘Clinical Impact through AI-assisted MS Care’ (CLAIMS) project serves as a recent example of how to realize such a shift towards personalized treatment optimization for pwMS through the development of a platform that offers a holistic view of all relevant patient data and biomarkers, and then using this data to enable AI-supported prognostic modelling.
Effect of alemtuzumab over sNfL and sGFAP levels in multiple sclerosis
Authors: Sainz-Amo Raquel , Rodero Romero Alexander , Monreal Enric , Chico García Juan Luis , Fernández Velasco José Ignacio , Villarrubia Noelia , Veiga González Jose Luis , Sainz de la Maza Susana , Rodríguez Jorge Fernando , Masjuan Jaime , Costa-Frossard Lucienne , Villar Luisa María
Published: August 2024

Introduction

Alemtuzumab is a highly effective pulsed immune reconstitution therapy for multiple sclerosis (MS).

Aim

To evaluate serum neurofilament light chain (sNfL) and serum glial fibrillary acidic protein (sGFAP) in patients with relapsing-remitting MS who have been treated with Alemtuzumab over the course of 2 years.

Methods

This prospective study involved MS patients treated with Alemtuzumab at a referral MS center. Both sNfL and sGFAP were analyzed at baseline and then again at 6, 12, and 24 months post-treatment using the single molecule array (SiMoA) technique. We also recruited matched healthy controls (HCs) for comparison.

Results

The study included 46 patients (with a median age of 34.2 [Interquartile range (IQR), 28.7–42.3] years, 27 of which were women [58%]) and 76 HCs. No differences in demographic characteristics were observed between patients and HC. The median disease duration was 6.22 (IQR, 1.56–10.13) years. The median annualized relapse rate before treatment was 2 (IQR, 1–3). At baseline, sNfL and sGFAP levels were higher in MS patients (median of 18.8 [IQR, 10.7–52.7] pg/ml and 158.9 [IQR, 126.9–255.5] pg/ml, respectively) when compared to HC (6.11 [IQR, 2.03–8.54] pg/ml and 91.0 [72.6–109] pg/ml, respectively) (p<0.001 for both comparisons). The data indicates that 80% of patients had high (≥10 pg/ml) sNfL values at baseline. We observed a significant decrease in sNfL levels at 6 (65%, p = 0.02), 12 (70.8%, p<0.001), and 24 (78.1%, p<0.001) months. sNfL reached similar levels to HC only after 24 months of Alemtuzumab treatment. During the follow-up period, no changes were identified in the sGFAP values.

Conclusion

Alemtuzumab leads to the normalization of sNfL values in MS patients after 2 years of treatment, with no apparent effect on sGFAP values.
Case report: a co-occurring case of severe Mycoplasma pneumoniae pneumonia and Anti-IgLON5 antibody-associated encephalitis in a pediatric patient
Authors: Ye Zimao , Chen Yuequn , Tian Xin
Published: August 2024

This case report details the clinical course of a 16-year-old female student withMycoplasma pneumoniaeinfection complicated by autoimmune encephalitis, spanning from 6 February 2022, to 12 April 2022, with a one-year follow-up. The patient presented with a two-week history of cough and fever, followed by altered consciousness and neuropsychiatric symptoms, including hyperactivity and incoherent speech. Despite normal brain MRI findings, cerebrospinal fluid (CSF) analysis confirmedMycoplasma pneumoniaewith titers of, and positive IgLON5 antibodies. Initial treatment included azithromycin, ceftriaxone, and acyclovir, followed by mechanical ventilation and ECMO due to respiratory failure. The antibiotic regimen was switched to intravenous omadacycline based on genetic testing results. Autoimmune encephalitis was managed with intravenous methylprednisolone, intravenous immunoglobulin (IVIG), and plasma exchange. The patient’s condition improved, and she was discharged on 12 March 2022, with normal cognitive and behavioral functions. However, she was readmitted one month later due to cognitive decline and sleep disturbances, with a Mini-Mental State Examination (MMSE) score of 20/30 and a modified Rankin Scale (mRS) score of 3. At the one-year follow-up, her MMSE score had improved to 28/30, and her mRS score was 1. This case underscores the importance of comprehensive diagnostic approaches and personalized treatment strategies in managing complex cases of mycoplasma-related infections and associated autoimmune conditions.
The humanistic care ability of nurses in 27 provinces in China: a multi-center cross-sectional study
Authors: He Xiaoxiao , Wang Wei , Liao Lulu , Ren Yanhong , Liu Yilan , Xu Juan
Published: August 2024

Background

Currently, studies found that the humanistic care ability of nurses is at low level in China, resulting in patients’ concerns and dissatisfaction regarding the lack of empathy among nurses. We aimed to explore the factors that influence nurses’ humanistic care ability, providing a new perspective on improving patient satisfaction and promote high quality medical services.

Methods

A multi-center cross-sectional study recruited nurses from tertiary and secondary hospitals in China between July 2022 and August 2022. Data concerning self-developed questions on nurses’ socio-demographic data and Caring Ability Inventory (CAI) were collected through the Questionnaire Star Platform, using a multi-stage sampling method.

Results

The total score for the level of caring ability among the 15,653 surveyed Chinese nurses was 192.16 ± 24.94. Various factors significantly influence the level of humanistic care ability, including professional title, department, degree of passion for the job, job satisfaction, emphasis on self-care, participation in humanistic care training, support from family for the job, relationships with colleagues, satisfaction with salary, and previous experience working in pilot wards emphasizing humanistic care (p < 0.01).

Conclusion

At present, nurses exhibit a comparatively modest proficiency in humanistic care ability. Numerous factors contribute to this situation. Nursing administrators ought to enhance the scope of humanistic care practices, conduct consistent professional training sessions, advocate for the implementation of model wards emphasizing humanistic care, foster a supportive organizational culture conducive to nurses, and underscore the significance of both nurturing nurses and promoting self-care among them.
Total substitution and partial modification of the set of non-ribosomal peptide synthetases clusters lead to pyoverdine diversity in the Pseudomonas fluorescens complex
Authors: Graña-Miraglia Lucía , Geney Higuita Jorge Luis , Salazar Juan Carlos , Guaya Iñiguez Diana , Alcolado León Carlos , García-Angulo Víctor A.
Published: August 2024

Pyoverdines are high affinity siderophores produced by most Pseudomonas with a wide role in microbial interspecies interactions. They are primarily composed of a conserved chromophore moiety, an acyl side chain and a peptide backbone which may be highly variable among strains. Upon ferric iron sequestration, pyoverdines are internalized through specialized receptors. The peptide precursor of pyoverdine, termed ferribactin, is synthesized by a set of non-ribosomal peptide synthetase (NRPS) enzymes and further modified by tailoring enzymes. While PvdL, the NRPS responsible for the synthesis of the peptide moiety that derives into the chromophore is conserved, the NRPSs for the peptide backbone are different across fluorescent Pseudomonas. Although the variation of pyoverdine is a widely recognized characteristic within the genus, the evolutionary events associated with the diversity and distribution of this trait remain mostly unknown. This study analyzed the NRPSs clusters for the biosynthesis of the peptide backbone of ferribactin in the genomes of a representative subset of strains of the Pseudomonas fluorescens complex. Bioinformatic analysis of the specificity of adenylation domains of the NRPSs allowed the prediction of 30 different pyoverdine variants. Phylogenetic reconstruction and mapping of the NRPS clusters pinpointed two different general levels of modifications. In the first level, a complete replacement of the set of NRPRs by horizontal transfer occurs. In the second level, the original set of NRPSs is modified through different mechanisms, including partial substitution of the NRPS genes by horizontal transfer, adenylation domain specificity change or NRPS accessory domain gain/loss.
Brain-inspired biomimetic robot control: a review
Authors: Mompó Alepuz Adrià , Papageorgiou Dimitrios , Tolu Silvia
Published: August 2024

Complex robotic systems, such as humanoid robot hands, soft robots, and walking robots, pose a challenging control problem due to their high dimensionality and heavy non-linearities. Conventional model-based feedback controllers demonstrate robustness and stability but struggle to cope with the escalating system design and tuning complexity accompanying larger dimensions. In contrast, data-driven methods such as artificial neural networks excel at representing high-dimensional data but lack robustness, generalization, and real-time adaptiveness. In response to these challenges, researchers are directing their focus to biological paradigms, drawing inspiration from the remarkable control capabilities inherent in the human body. This has motivated the exploration of new control methods aimed at closely emulating the motor functions of the brain given the current insights in neuroscience. Recent investigation into these Brain-Inspired control techniques have yielded promising results, notably in tasks involving trajectory tracking and robot locomotion. This paper presents a comprehensive review of the foremost trends in biomimetic brain-inspired control methods to tackle the intricacies associated with controlling complex robotic systems.
EEG-driven automatic generation of emotive music based on transformer
Authors: Jiang Hui , Chen Yu , Wu Di , Yan Jinlin
Published: August 2024

Utilizing deep features from electroencephalography (EEG) data for emotional music composition provides a novel approach for creating personalized and emotionally rich music. Compared to textual data, converting continuous EEG and music data into discrete units presents significant challenges, particularly the lack of a clear and fixed vocabulary for standardizing EEG and audio data. The lack of this standard makes the mapping relationship between EEG signals and musical elements (such as rhythm, melody, and emotion) blurry and complex. Therefore, we propose a method of using clustering to create discrete representations and using the Transformer model to reverse mapping relationships. Specifically, the model uses clustering labels to segment signals and independently encodes EEG and emotional music data to construct a vocabulary, thereby achieving discrete representation. A time series dictionary was developed using clustering algorithms, which more effectively captures and utilizes the temporal and structural relationships between EEG and audio data. In response to the insensitivity to temporal information in heterogeneous data, we adopted a multi head attention mechanism and positional encoding technology to enable the model to focus on information in different subspaces, thereby enhancing the understanding of the complex internal structure of EEG and audio data. In addition, to address the mismatch between local and global information in emotion driven music generation, we introduce an audio masking prediction loss learning method. Our method generates music thatHits@20 On the indicator, a performance of 68.19% was achieved, which improved the score by 4.9% compared to other methods, indicating the effectiveness of this method.
Innovative prognostication: a novel nomogram for post-interventional aneurysmal subarachnoid hemorrhage patients
Authors: Guo Qinyu , Chen Hongyi , Lin Shirong , Gong Zheng , Song Zhiwei , Chen Feng
Published: August 2024

Background and purpose

Spontaneous aneurysmal subarachnoid hemorrhage (aSAH) is a common acute cerebrovascular disease characterized by severe illness, high mortality, and potential cognitive and motor impairments. We carried out a retrospective study at Fujian Provincial Hospital to establish and validate a model for forecasting functional outcomes at 6 months in aSAH patients who underwent interventional embolization.

Methods

386 aSAH patients who underwent interventional embolization between May 2012 and April 2022 were included in the study. We established a logistic regression model based on independent risk factors associated with 6-month adverse outcomes (modified Rankin Scale Score ≥ 3, mRS). We evaluated the model’s performance based on its discrimination, calibration, clinical applicability, and generalization ability. Finally, the study-derived prediction model was also compared with other aSAH prognostic scales and the model’s itself constituent variables to assess their respective predictive efficacy.

Results

The predictors considered in our study were age, the World Federation of Neurosurgical Societies (WFNS) grade of IV-V, mFisher score of 3–4, secondary cerebral infarction, and first leukocyte counts on admission. Our model demonstrated excellent discrimination in both the modeling and validation cohorts, with an area under the curve of 0.914 (p < 0.001, 95%CI = 0.873–0.956) and 0.947 (p < 0.001, 95%CI = 0.907–0.987), respectively. Additionally, the model also exhibited good calibration (Hosmer-Lemeshow goodness-of-fit test: X2 = 9.176, p = 0.328). The clinical decision curve analysis and clinical impact curve showed favorable clinical applicability. In comparison to other prediction models and variables, our model displayed superior predictive performance.

Conclusion

The new prediction nomogram has the capability to forecast the unfavorable outcomes at 6 months after intervention in patients with aSAH.
α-Synuclein-mediated mitochondrial translocation of cofilin-1 leads to oxidative stress and cell apoptosis in PD
Authors: Yan Mingmin , Zhang Qian , Chen Yu , Zhu Chenyi , Wang Dan , Tan Jie , He Bihua , Li Qin , Deng Xiaorong , Wan Yue
Published: August 2024

Parkinson's disease (PD) is characterized by the accumulation of misfolded α-synuclein protein and the loss of dopaminergic neurons in the substantia nigra. Abnormal α-synuclein aggregates form toxic Lewy bodies, ultimately inducing neuronal injury. Mitochondrial dysfunction was reported to be involved in the neurotoxicity of α-synuclein aggregates in PD. However, the specific mechanism by which abnormal α-synuclein aggregates cause mitochondrial disorders remains poorly defined. Previously, we found that cofilin-1, a member of the actin-binding protein, regulates α-synuclein pathogenicity by promoting its aggregation and spreading in vitro and in vivo. In this study, we further investigated the effect of cofilin-1 on α-synuclein induced mitochondrial damage. We discovered that α-synuclein aggregates accelerate the translocation of cofilin-1 to mitochondria, promote its combination with the mitochondrial outer membrane receptor Tom 20, and ultimately activate the oxidative damage and apoptosis pathway in mitochondria. All these results demonstrate the important regulatory role of cofilin-1 in the mitochondrial neurotoxicity of pathological α-synuclein during the progression of PD.
Consistency and stability of individualized cortical functional networks parcellation at 3.0 T and 5.0 T MRI
Authors: Yu Minhua , Rao Bo , Cao Yayun , Gao Lei , Li Huan , Song Xiaopeng , Xu Haibo
Published: August 2024

Background

Individualized cortical functional networks parcellation has been reported as highly reproducible at 3.0 T. However, in view of the complexity of cortical networks and the greatly increased sensitivity provided by ultra-high field 5.0 T MRI, the parcellation consistency between different magnetic fields is unclear.

Purpose

To explore the consistency and stability of individualized cortical functional networks parcellation at 3.0 T and 5.0 T MRI based on spatial and functional connectivity analysis.

Materials and methods

Thirty healthy young participants were enrolled. Each subject underwent resting-state fMRI at both 3.0 T and 5.0 T in a random order in less than 48 h. The individualized cortical functional networks was parcellated for each subject using a previously proposed iteration algorithm. Dice coefficient was used to evaluate the spatial consistency of parcellated networks between 3.0 T and 5.0 T. Functional connectivity (FC) consistency was evaluated using the Euclidian distance and Graph-theory metrics.

Results

A functional cortical atlas consisting of 18 networks was individually parcellated at 3.0 T and 5.0 T. The spatial consistency of these networks at 3.0 T and 5.0 T for the same subject was significantly higher than that of inter-individuals. The FC between the 18 networks acquired at 3.0 T and 5.0 T were highly consistent for the same subject. Positive cross-subject correlations in Graph-theory metrics were found between 3.0 T and 5.0 T.

Conclusion

Individualized cortical functional networks at 3.0 T and 5.0 T showed consistent and stable parcellation results both spatially and functionally. The 5.0 T MR provides finer functional sub-network characteristics than that of 3.0 T.
Investigation of the relationship between neuroplasticity and grapheme-color synesthesia
Authors: Eckardt Nadine , Sinke Christopher , Bleich Stefan , Lichtinghagen Ralf , Zedler Markus
Published: August 2024

Grapheme-color synesthesia is a normal and healthy variation of human perception. It is characterized by the association of letters or numbers with color perceptions. The etiology of synesthesia is not yet fully understood. Theories include hyperconnectivity in the brain, cross-activation of adjacent or functionally proximate sensory areas of the brain, or various models of lack of inhibitory function in the brain. The growth factor brain-derived neurotrophic (BDNF) plays an important role in the development of neurons, neuronal pathways, and synapses, as well as in the protection of existing neurons in both the central and peripheral nervous systems. ELISA methods were used to compare BDNF serum concentrations between healthy test subjects with and without grapheme-color synesthesia to establish a connection between concentration and the occurrence of synesthesia. The results showed that grapheme-color synesthetes had an increased BDNF serum level compared to the matched control group. Increased levels of BDNF can enhance the brain's ability to adapt to changing environmental conditions, injuries, or experiences, resulting in positive effects. It is discussed whether the integration of sensory information is associated with or results from increased neuroplasticity. The parallels between neurodegeneration and brain regeneration lead to the conclusion that synesthesia, in the sense of an advanced state of consciousness, is in some cases a more differentiated development of the brain rather than a relic of early childhood.
Abnormal large-scale resting-state functional networks in anti-N-methyl-D-aspartate receptor encephalitis
Authors: Gong Xiarong , Wang Libo , Guo Yuanyuan , Ma Yingzi , Li Wei , Zhang Juanjuan , Chen Meiling , Wang Jiaojian , Meng Qiang , Chen Kexuan , Tian Yanghua
Published: August 2024

Background

Patients with anti-N-methyl-D-aspartate receptor (anti-NMDAR) encephalitis often experience severe symptoms. Resting-state functional MRI (rs-fMRI) has revealed widespread impairment of functional networks in patients. However, the changes in information flow remain unclear. This study aims to investigate the intrinsic functional connectivity (FC) both within and between resting-state networks (RSNs), as well as the alterations in effective connectivity (EC) between these networks.

Methods

Resting-state functional MRI (rs-fMRI) data were collected from 25 patients with anti-NMDAR encephalitis and 30 healthy controls (HCs) matched for age, sex, and educational level. Changes in the intrinsic functional connectivity (FC) within and between RSNs were analyzed using independent component analysis (ICA). The functional interaction between RSNs was identified by granger causality analysis (GCA).

Results

Compared to HCs, patients with anti-NMDAR encephalitis exhibited lower performance on the Wisconsin Card Sorting Test (WCST), both in terms of correct numbers and correct categories. Additionally, these patients demonstrated decreased scores on the Montreal Cognitive Assessment (MoCA). Neuroimaging studies revealed abnormal intra-FC within the default mode network (DMN), increased intra-FC within the visual network (VN) and dorsal attention network (DAN), as well as increased inter-FC between VN and the frontoparietal network (FPN). Furthermore, aberrant effective connectivity (EC) was observed among the DMN, DAN, FPN, VN, and somatomotor network (SMN).

Conclusion

Patients with anti-NMDAR encephalitis displayed noticeable deficits in both memory and executive function. Notably, these patients exhibited widespread impairments in intra-FC, inter-FC, and EC. These results may help to explain the pathophysiological mechanism of anti-NMDAR encephalitis.
Telemedicine in nutritional management of children with severe neurological impairment: implication for quality of life
Authors: Tagi Veronica Maria , Eletti Francesca , Dolor Jonabell , Zuccotti Gianvincenzo , Montanari Chiara , Verduci Elvira
Published: August 2024

Children with severe neurological impairment (SNI) frequently present feeding problems requiring a close monitoring of their nutritional status. In addition to constant clinical monitoring of body composition and nutritional indexes in these patients, frequent reports of dietary intake and weight gain variations are useful to ensure proper nutritional management. Furthermore, non-oral feeding is often needed to avoid malnutrition or aspiration pneumonia, constantly necessitating medical assistance. Despite their necessity for frequent hospital accesses, these patients’ disabilities represent an important obstacle to accessing care, generating anxiety and concern in children and their families. Telemedicine has proven to be a promising instrument for improving pediatric patients’ healthcare in several fields. By breaking down geographical and temporal barriers, telehealth may represent a valuable tool to implement in clinical practice, in order to improve patients’ outcomes and quality of life. The aim of this narrative review is to provide an overview of the main nutritional issues in children with SNI, the potential implications of telemedicine in their management and the available evidence regarding the effects and benefits of telehealth.
Prevalence of alternative lengthening of telomeres in pediatric sarcomas determined by the telomeric DNA C-circle assay
Authors: Burrow Trevor A. , Koneru Balakrishna , Macha Shawn J. , Sun Wenyue , Barr Frederic G. , Triche Timothy J. , Reynolds C. Patrick
Published: August 2024

Introduction

Alternative lengthening of telomeres (ALT) occurs in sarcomas and ALT cancers share common mechanisms of therapy resistance or sensitivity. Telomeric DNA C-circles are self-primed circular telomeric repeats detected with a PCR assay that provide a sensitive and specific biomarker exclusive to ALT cancers. We have previously shown that 23% of high-risk neuroblastomas are of the ALT phenotype. Here, we investigate the frequency of ALT in Ewing’s family sarcoma (EFS), rhabdomyosarcoma (RMS), and osteosarcoma (OS) by analyzing DNA from fresh frozen primary tumor samples utilizing the real-time PCR C-circle Assay (CCA).

Methods

We reviewed prior publications on ALT detection in pediatric sarcomas. DNA was extracted from fresh frozen primary tumors, fluorometrically quantified, C-circles were selectively enriched by isothermal rolling cycle amplification and detected by real-time PCR.

Results

The sample cohort consisted of DNA from 95 EFS, 191 RMS, and 87 OS primary tumors. One EFS and 4 RMS samples were inevaluable. Using C-circle positive (CC+) cutoffs previously defined for high-risk neuroblastoma, we observed 0 of 94 EFS, 5 of 187 RMS, and 62 of 87 OS CC+ tumors.

Conclusions

Utilizing the ALT-specific CCA we observed ALT in 0% of EFS, 2.7% of RMS, and 71% of OS. These data are comparable to prior studies in EFS and OS using less specific ALT markers. The CCA can provide a robust and sensitive means of identifying ALT in sarcomas and has potential as a companion diagnostic for ALT targeted therapeutics.
Association between preoperative neutrophil-to-lymphocyte ratio and the survival outcomes of esophageal cancer patients underwent esophagectomy: a systematic review and meta-analysis
Authors: Wu Xun , Liu SiJie , Li FengWei , Chen YingTai
Published: August 2024

Objectives

The purpose of this study was to assess the association between preoperative neutrophil-to-lymphocyte ratio (NLR) and the survival outcomes of esophageal cancer patients who underwent esophagectomy, the latest and comprehensive systematic review performed.

Methods

Related literature retrieved from PubMed, Web of Science, Embase, and Cochrane before January 2024, according to the inclusion criteria. Outcomes measured were overall survival (OS), disease-free survival (DFS), relapse-free survival (RFS), and cancer-specific survival (CSS).

Results

Eighteen studies with 6,119 esophageal cancer patients were retained for analysis. Meta-analysis demonstrated that OS (HR: 1.47; 95% CI: 1.29, 1.67; P < 0.00001), DFS (HR: 1.62; 95% CI: 1.29, 2.05; P < 0.0001), and CSS (HR: 1.62; 95% CI: 1.29, 2.05; P < 0.0001) were significantly shorter in the high NLR group compared with the low NLR group. In addition, meta-analysis revealed a similar RFS (HR: 1.47; 95% CI: 0.92, 2.35; P = 0.10) among the two groups. Subgroup analysis of OS and DFS based on mean/median age, NLR cutoff, and region found that all subgroups remained significant difference between two groups.

Conclusion

Among esophageal cancer patients who underwent esophagectomy, preoperative NLR can be used as prognostic factor independently. High-preoperative NLR is associated with poor prognosis. More large-scale, multicenter prospective clinical studies are needed to further validate the relationship between preoperative NLR and prognosis of esophageal cancer.
Imaging and histopathologic characteristics of typical pancreatic hamartoma: a case report and literature review
Authors: Liu Shunli , Yang Lei , Wu Jie , Lin Xin , Zhang Zaixian
Published: August 2024

Background

Pancreatic hamartoma, a rare benign non-neoplastic condition, presents challenges in differentiating from other pancreatic diseases due to its atypical imaging and unreliable biopsy results. In this study, we present a case of pancreatic hamartoma and conduct a comprehensive review of relevant literature to outline its characteristic features, aiming to underscore its clinical relevance and implications.

Case presentation

A 63-year-old man presented with a pancreatic mass, discovered during evaluation of abdominal pain and distension. Laboratory tests were largely unremarkable. Ultrasound revealed a hypoechoic mass in the head of the pancreas. Subsequent computed tomography and magnetic resonance imaging demonstrated an inhomogeneous mass with a clear boundary in the uncinate process of the pancreas. Furthermore, a distinct delayed enhancement pattern was noted on imaging. Histopathological examination confirmed the diagnosis of pancreatic hamartoma.

Conclusions

Preoperative diagnosis of pancreatic hamartoma remains challenging. Imaging modalities can play a crucial role in facilitating accurate diagnosis and potentially avoiding unnecessary surgical intervention in patients with this condition.
Prevalence of non-Hodgkin lymphoma patients at high-risk of failure after CAR T-cell therapy eligible for bridging radiation therapy
Authors: Danish Adnan , Della Pia Alexandra , Fogel Lindsay , Alkhatatneh Hassan , Zhao Charles , Varughese Tony , Al Feghali Karine A. , Pascual Lauren , Sinclaire Brittany , Marafelias Michael , Zenreich Joshua , Kuo Yen-Hong , Feldman Tatyana A. , Zhang Yi , Goy Andre H. , Ip Andrew , Rowley Scott D.
Published: August 2024

Background and purpose

The aim of this study was to determine the prevalence of patients with relapsed or refractory (R/R) non-Hodgkin lymphoma (NHL) meeting high-risk criteria for early relapse after CD19 CAR T-cell therapy (CART) who have disease encompassable in a standard radiation therapy (RT) plan (defined as <5 malignant lesions) and may benefit from bridging RT prior to CD19 CART.

Materials and methods

This is a single-center, retrospective study of patients with R/R NHL who received CD19 CART from 2018 to 2022. Eligible patients had pre-apheresis radiologic studies available. All patients were classified by number of lesions and history of high-risk disease criteria: bulky disease ≥10 cm, ≥1 extranodal (EN) sites, LDH ≥normal, or ≥1 lesion with SUVmax ≥10.

Results

A total of 81 patients with R/R NHL were evaluated. Based on our definition, 40 (49%) patients would have been eligible for bridging RT, including 38 patients who met high-risk criteria: 31 with ≥1 EN site, 19 had ≥1 lesion with SUVmax ≥10, 16 with bulky disease, and 3 with elevated LDH. At 3 months after CART, ORRs in high-risk patients with <5 lesions, ≥5 lesions, and no lesions on pre-apheresis studies were 76% (CR 69%, PR 7%), 70% (CR 60%, PR 10%), and 80% (CR 80%), respectively.

Conclusion

Approximately 47% (38/81) of patients were classified as at high risk of relapse after CART with disease encompassable in a standard radiation plan and eligible for bridging RT studies.
Pathologic response evaluation of localized or locally advanced esophageal carcinoma to induction chemotherapy followed by preoperative concurrent chemotherapy and hypofractionated radiotherapy: a clinical trial
Authors: Emadi Torghabeh Ali , Aledavood Seyed Amir , Soltani Ehsan , Akbari Oryani Mahsa , Akhlaghi Saeed , Hosseini Sare , Fani Pakdel Azar , Taghizadeh Kermani Ali , Anvari Kazem , Shahidsales Soodabeh , Bahadorian Shahrzad , Mashreghi Moghaddam Shervin
Published: August 2024

Objective

Esophageal cancer is a therapeutic challenge in most healthcare systems. Most patients present with locally advanced disease at diagnosis. Concurrent chemoradiotherapy (CRT) is the standard treatment for locally advanced esophageal carcinoma. Since achieving a complete pathological response in postoperative specimens following neoadjuvant therapy is associated with improved patient survival, this study was designed to evaluate the pathologic response of localized or locally advanced esophageal carcinoma to induction chemotherapy followed by preoperative concurrent chemotherapy and hypofractionated radiotherapy (HFR).

Methods

This single-arm clinical trial (IRCT20210623051676N1) evaluated patients with squamous cell carcinoma or adenocarcinoma of the esophagus, stage cT2-T4a N0 M0 or cT1-T4a N+ M0. Patients received 3-5 cycles of weekly induction chemotherapy with the paclitaxel (50 mg/m2) and carboplatin (AUC=2) regimen, followed by weekly concurrent CRT with the same chemotherapy regimen. The radiation dose was 40 Gy, delivered over 16 fractions, 5 days per week (2.5 Gray/fraction). Patients underwent surgery 4-6 weeks after completion of CRT. The surgical specimens were evaluated for pathological response. A p-value of < 0.05 was considered significant in all analyses.

Results

Out of 54 patients enrolled in this study, 45 completed the neoadjuvant protocol. Of these 45 patients, 32 underwent surgery and were finally analyzed. The mean age of the patients was 59.9 ± 8.6 years (range, 37-75 years). The location of the tumor was in the mid-thoracic esophagus in most patients (21, 65.6%) and the most common histological type was SCC (29, 90.6%). The median number of induction and concurrent chemotherapy cycles was 5 (4.8 ± 1.3 course, range, 1-10) and 3 (2.6 ± 0.8 course, range, 0-4), respectively. Among 45 patients who completed the neoadjuvant protocol, the most common toxicities were grade 3 neutropenia (15.6%), acute renal failure (4.4%), and odynophagia (37.8%). Nearly two-thirds of the patients experienced complete or near-complete responses (71.9%, 23 patients). Partial response was reported in 6 patients (18.8%) and poor response in 3 patients (9.4%).

Conclusion

Preoperative induction chemotherapy followed by HFR with concurrent chemotherapy has low toxicity and side effects, good tolerance, and significant efficacy in the treatment of patients with esophageal cancer.

Clinical trial registration

https://irct.behdasht.gov.ir/trial/59930, identifier NCT05745545.
Impact of cold storage on the oxygenation and oxidation reactions of red blood cells
Authors: Kassa Tigist , Jana Sirsendu , Baek Jin Hyen , Alayash Abdu I.
Published: August 2024

Introduction: Electrostatic binding of deoxyhemoglobin (Hb) to cytoplasmic domain of band 3 anion transport protein occurs as part of the glycolytic regulation in red blood cells (RBCs). Hb oxidation intermediates not only impact RBC’s oxygenation but also RBC’s membrane through the interaction with band 3. It is not known however whether these critical pathways undergo changes during the storage of RBCs.

Methods and Results: Oxygen parameters of fresh blood showed a sigmoidal and cooperative oxygen dissociation curve (ODC) for the first week of storage. This was followed by a large drop in oxygen affinity (P50) (from 30 to 20 mmHg) which remained nearly unchanged with a slight elevation in Bohr coefficients and a significant drop in extracellular acidification rates (ECAR) at the 42-day storage. Oxidation of Hb increased with time as well as the formation of a highly reactive ferryl Hb under oxidative stress conditions. Ferryl Hb interacted avidly with RBC’s membrane’s band 3, but to lesser extent with old ghost RBCs.

Discussion: The observed alterations in RBC’s oxygen binding may have been affected by the alterations in band 3’s integrity which are largely driven by the internal iron oxidation of Hb. Restoring oxygen homeostasis in stored blood may require therapeutic interventions that target changes in Hb oxidation and membrane changes.
Biochar derived from olive oil pomace mitigates salt stress on seedling growth of forage pea
Authors: Gullap Mehmet Kerim , Karabacak Tuba , Severoglu Sedat , Kurt Ayse Nida , Ekinci Melek , Turan Metin , Aktas Halit , Yildirim Ertan
Published: August 2024

Studies are being conducted to develop strategies to reduce the adverse effects of salinity stress. In the present study, it was aimed to determine the interactive effects of salinity stress with biochar on plant growth—the physiological and biochemical attributes of forage peas (Pisum sativum ssp. arvense L.). Salt applications were carried out with irrigation water at concentrations of 0, 25, 50, 75, and 100 mM NaCl. The experiment was conducted using a randomized complete block design with three applications [control: 0 (B0), 2.5% biochar (B1), and 5% biochar (B2)], five salt doses [0 (S0), 25 (S1), 50 (S2), 75 (S3), and 100 (S4) mM NaCl], and three replications, arranged in a 3 × 5 factorial arrangement. In the salt-stressed environment, the highest plant height (18.75 cm) and stem diameter (1.71 mm) in forage pea seedlings were obtained with the application of B1. The root fresh (0.59 g/plant) and dry weight (0.36 g/plant) were determined to be the highest in the B1 application, both in non-saline and saline environments. A decrease in plant chlorophyll content in forage pea plants was observed parallel to the increasing salt levels. Specifically, lower H2O2, MDA, and proline content were determined at all salt levels with biochar applications, while in the B0 application these values were recorded at the highest levels. Furthermore, in the study, it was observed that the CAT, POD, and SOD enzyme activities were at their lowest levels at all salt levels with the biochar application, while in the B0 application, these values were determined to be at the highest levels. There was a significant decrease in plant mineral content, excluding Cl and Na, parallel to the increasing salt levels. The findings of the study indicate that biochar amendment can enhance forage peas’ growth by modulating the plant physiology and biochemistry under salt stress. Considering the plant growth parameters, no significant difference was detected between 2.5% and 5% biochar application. Therefore, application of 2.5 biochar may be recommended.
Asteraceae genome database: a comprehensive platform for Asteraceae genomics
Authors: Wang Liang , Yang Hanting , Xu Guoqing , Liu Zhaoyu , Meng Fanbo , Shi LiangRui , Liu Xiongfeng , Zheng Yixuan , Zhang Guichun , Yang Xinyu , Chen Wei , Song Chi , Zhang Boli
Published: August 2024

Asteraceae, the largest family of angiosperms, has attracted widespread attention for its exceptional medicinal, horticultural, and ornamental value. However, researches on Asteraceae plants face challenges due to their intricate genetic background. With the continuous advancement of sequencing technology, a vast number of genomes and genetic resources from Asteraceae species have been accumulated. This has spurred a demand for comprehensive genomic analysis within this diverse plant group. To meet this need, we developed the Asteraceae Genomics Database (AGD; http://cbcb.cdutcm.edu.cn/AGD/). The AGD serves as a centralized and systematic resource, empowering researchers in various fields such as gene annotation, gene family analysis, evolutionary biology, and genetic breeding. AGD not only encompasses high-quality genomic sequences, and organelle genome data, but also provides a wide range of analytical tools, including BLAST, JBrowse, SSR Finder, HmmSearch, Heatmap, Primer3, PlantiSMASH, and CRISPRCasFinder. These tools enable users to conveniently query, analyze, and compare genomic information across various Asteraceae species. The establishment of AGD holds great significance in advancing Asteraceae genomics, promoting genetic breeding, and safeguarding biodiversity by providing researchers with a comprehensive and user-friendly genomics resource platform.
Structural insights into binding of polyglutamylated tetrahydrofolate by serine hydroxymethyltransferase 8 from soybean
Authors: Owuocha Luckio F. , Mitchum Melissa G. , Beamer Lesa J.
Published: August 2024

Tetrahydrofolate and its derivatives participate in one-carbon transfer reactions in all organisms. The cellular form of tetrahydrofolate (THF) is modified by multiple glutamate residues and polyglutamylation plays a key role in organellar and cellular folate homeostasis. In addition, polyglutamylation of THF is known to increase the binding affinity to enzymes in the folate cycle, many of which can utilize polyglutamylated THF as a substrate. Here, we use X-ray crystallography to provide a high-resolution view of interactions between the enzyme serine hydroxymethyltransferase (SHMT), which provides one carbon precursors for the folate cycle, and a polyglutamylated form of THF. Our 1.7 Å crystal structure of soybean SHMT8 in complex with diglutamylated 5-formyl-THF reveals, for the first time, a structural rearrangement of a loop at the entrance to the folate binding site accompanied by the formation of novel specific interactions between the enzyme and the diglutamyl tail of the ligand. Biochemical assays show that additional glutamate moieties on the folate ligand increase both enzyme stability and binding affinity. Together these studies provide new information on SHMT structure and function and inform the design of anti-folate agents.
An integrated method for phenotypic analysis of wheat based on multi-view image sequences: from seedling to grain filling stages
Authors: Sun Shengxuan , Zhu Yeping , Liu Shengping , Chen Yongkuai , Zhang Yihan , Li Shijuan
Published: August 2024

Wheat exhibits complex characteristics during its growth, such as extensive tillering, slender and soft leaves, and severe organ cross-obscuration, posing a considerable challenge in full-cycle phenotypic monitoring. To address this, this study presents a synthesized method based on SFM-MVS (Structure-from-Motion, Multi-View Stereo) processing for handling and segmenting wheat point clouds, covering the entire growth cycle from seedling to grain filling stages. First, a multi-view image acquisition platform was constructed to capture image sequences of wheat plants, and dense point clouds were generated using SFM-MVS technology. High-quality dense point clouds were produced by implementing improved Euclidean clustering combined with centroids, color filtering, and statistical filtering methods. Subsequently, the segmentation of wheat plant stems and leaves was performed using the region growth segmentation algorithm. Although segmentation performance was suboptimal during the tillering, jointing, and booting stages due to the glut leaves and severe overlap, there was a salient improvement in wheat leaf segmentation efficiency over the entire growth cycle. Finally, phenotypic parameters were analyzed across different growth stages, comparing automated measurements of plant height, leaf length, and leaf width with actual measurements. The results demonstrated coefficients of determination (R2) of 0.9979, 0.9977, and 0.995; root mean square errors (RMSE) of 1.0773 cm, 0.2612 cm, and 0.0335 cm; and relative root mean square errors (RRMSE) of 2.1858%, 1.7483%, and 2.8462%, respectively. These results validate the reliability and accuracy of our proposed workflow in processing wheat point clouds and automatically extracting plant height, leaf length, and leaf width, indicating that our 3D reconstructed wheat model achieves high precision and can quickly, accurately, and non-destructively extract phenotypic parameters. Additionally, plant height, convex hull volume, plant surface area, and Crown area were extracted, providing a detailed analysis of dynamic changes in wheat throughout its growth cycle. ANOVA was conducted across different cultivars, accurately revealing significant differences at various growth stages. This study proposes a convenient, rapid, and quantitative analysis method, offering crucial technical support for wheat plant phenotypic analysis and growth dynamics monitoring, applicable for precise full-cycle phenotypic monitoring of wheat.
Study protocol for a pre/post study on knowledge, attitudes and behaviors regarding STIs and in particular HPV among Italian adolescents, teachers, and parents in secondary schools
Authors: Brunelli Laura , Valent Francesca , Comar Manola , Suligoi Barbara , Salfa Maria Cristina , Gianfrilli Daniele , Sesti Franz , Restivo Vincenzo , Casuccio Alessandra ,   ESPRIT Study Collaboration Group
Published: August 2024

Sexually transmitted infections (STIs) are one of the most important issues related to sexual and reproductive health, as it is estimated that more than 1 million new infections are acquired every day worldwide and data on the prevalence and incidence of these infections, especially among young people, are increasing. Nevertheless, there are some knowledge and behavioral gaps, and young people need more support from their school and family network to protect themselves and their peers. Therefore, we have designed a multicenter prospective intervention study involving public lower and upper secondary school students, their parents and teachers (ESPRIT). The intervention will take place in the school year 2023–2024, where students will meet with experts and be involved in peer education, while adults (parents and teachers) will participate in distance and face-to-face trainings. All target groups will complete KAP (knowledge, attitudes, practice) questionnaires before and after participating in the intervention to measure its effectiveness. The results of this study will help to assess and improve the level of knowledge of lower and upper secondary school students, parents and teachers about STIs and HPV in particular, raise awareness of sexual and reproductive health issues, including vaccination, among lower and upper secondary school students and their families, and evaluate the effectiveness of these interventions in terms of improving knowledge and changing attitudes and behaviors. The study protocol has been approved by the Regional Unique Ethics Committee of Friuli Venezia Giulia (CEUR-2023-Sper-34). The project is being carried out with the technical and financial support of the Italian Ministry of Health—CCM.