bluuebunny/crossref_metadata_2025_split huggingface dataset:
Changes in body weight and cardiovascular risk factors in a Chinese population with type 2 diabetes mellitus: a longitudinal study
Authors: Li Yun-Yi , Yang Yu-Meng , Zhu Sufen , Cheng Hui , Hernandez Jose , Huang Wenyong , Wang Harry H. X. , Li Yu Ting 
Published: April 2023

IntroductionThe primary care management of blood glucose, blood pressure, lipid profiles, and body weight is important among patients with type 2 diabetes mellitus (T2DM) to prevent disease progression. Information on how weight changes would improve or deteriorate cardiovascular (CV) risk factors is warranted for making primary care recommendations. We aimed to investigate the changes in body weight and CV risk factors and to analyse their association in a Chinese population with T2DM.MethodsWe retrieved longitudinal data between 2020 and 2021 from 1,758 adult primary care patients enrolled in a diabetic retinopathy (DR) screening programme. Linear associations of changes in body weight with CV risk factors were explored. Multivariable logistic regression analysis was performed to examine associations between different weight change categories and the worsening of CV risk factors.ResultsThe mean age of all the participants was 63.71 years, and over half of participants were females. During a one-year follow-up period, 24.7% of patients had a weight loss of ≥3%, while 22.2% of patients had a weight gain of ≥3%. Patients who had a weight loss of ≥3% were more likely to prevent the worsening of haemoglobin A1c (HbA1c) and triglycerides, while those who had a weight gain of ≥3% tended to have worsened HbA1c, lipid profiles, and blood pressure.ConclusionResults from this real-world investigation suggested the concurrent need for weight loss intervention among patients who are overweight or obese and weight gain prevention among patients whose body weight falls within the normal range in the context of community-based diabetes management.
A network perspective on the ecology of gut microbiota and progression of type 2 diabetes: Linkages to keystone taxa in a Mexican cohort
Authors: Esquivel-Hernández Diego A. , Martínez-López Yoscelina Estrella , Sánchez-Castañeda Jean Paul , Neri-Rosario Daniel , Padrón-Manrique Cristian , Giron-Villalobos David , Mendoza-Ortíz Cristian , Resendis-Antonio Osbaldo 
Published: April 2023

IntroductionThe human gut microbiota (GM) is a dynamic system which ecological interactions among the community members affect the host metabolism. Understanding the principles that rule the bidirectional communication between GM and its host, is one of the most valuable enterprise for uncovering how bacterial ecology influences the clinical variables in the host.MethodsHere, we used SparCC to infer association networks in 16S rRNA gene amplicon data from the GM of a cohort of Mexican patients with type 2 diabetes (T2D) in different stages: NG (normoglycemic), IFG (impaired fasting glucose), IGT (impaired glucose tolerance), IFG + IGT (impaired fasting glucose plus impaired glucose tolerance), T2D and T2D treated (T2D with a 5-year ongoing treatment).ResultsBy exploring the network topology from the different stages of T2D, we observed that, as the disease progress, the networks lose the association between bacteria. It suggests that the microbial community becomes highly sensitive to perturbations in individuals with T2D. With the purpose to identify those genera that guide this transition, we computationally found keystone taxa (driver nodes) and core genera for a Mexican T2D cohort. Altogether, we suggest a set of genera driving the progress of the T2D in a Mexican cohort, among them Ruminococcaceae NK4A214 group, Ruminococcaceae UCG-010, Ruminococcaceae UCG-002, Ruminococcaceae UCG-005, Alistipes, Anaerostipes, and Terrisporobacter.DiscussionBased on a network approach, this study suggests a set of genera that can serve as a potential biomarker to distinguish the distinct degree of advances in T2D for a Mexican cohort of patients. Beyond limiting our conclusion to one population, we present a computational pipeline to link ecological networks and clinical stages in T2D, and desirable aim to advance in the field of precision medicine.
Development and validation of a contrast-enhanced CT-based radiomics nomogram for preoperative diagnosis in neuroendocrine carcinoma of digestive system
Authors: Xu Liang , Yang Xinyi , Xiang Wenxuan , Hu Pengbo , Zhang Xiuyuan , Li Zhou , Li Yiming , Liu Yongqing , Dai Yuhong , Luo Yan , Qiu Hong 
Published: April 2023

ObjectivesTo develop and validate a contrast-enhanced CT-based radiomics nomogram for the diagnosis of neuroendocrine carcinoma of the digestive system.MethodsThe clinical data and contrast-enhanced CT images of 60 patients with pathologically confirmed neuroendocrine carcinoma of the digestive system and 60 patients with non-neuroendocrine carcinoma of the digestive system were retrospectively collected from August 2015 to December 2021 at Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, and randomly divided into a training cohort (n=84) and a validation cohort (n=36). Clinical characteristics were analyzed by logistic regression and a clinical diagnosis model was developed. Radiomics signature were established by extracting radiomic features from contrast-enhanced CT images. Based on the radiomic signature and clinical characteristics, radiomic nomogram was developed. ROC curves and Delong’s test were used to evaluate the diagnostic efficacy of the three models, calibration curves and application decision curves were used to analyze the accuracy and clinical application value of nomogram.ResultsLogistic regression results showed that TNM stage (stage IV) (OR 6.8, 95% CI 1.320-43.164, p=0. 028) was an independent factor affecting the diagnosis for NECs of the digestive system, and a clinical model was constructed based on TNM stage (stage IV). The AUCs of the clinical model, radiomics signature, and radiomics nomogram for the diagnosis of NECs of the digestive system in the training, validation cohorts and pooled patients were 0.643, 0.893, 0.913; 0.722, 0.867, 0.932 and 0.667, 0.887, 0.917 respectively. The AUCs of radiomics signature and radiomics nomogram were higher than clinical model, with statistically significant difference (Z=4.46, 6.85, both p &lt; 0.001); the AUC difference between radiomics signature and radiomics nomogram was not statistically significant (Z=1.63, p = 0.104). The results of the calibration curve showed favorable agreement between the predicted values of the nomogram and the pathological results, and the decision curve analysis indicated that the nomogram had favorable application in clinical practice.ConclusionsThe nomogram constructed based on contrast-enhanced CT radiomics and clinical characteristics was able to effectively diagnose neuroendocrine carcinoma of the digestive system.
Thermal properties and kinetic analysis of pyrolysis products of nicotine salts from e-cigarettes using pyrolysis-gas chromatography/mass spectrometry
Authors: Yang Ji , Li Yirong , Liu Chunbo , Tang Shiyun , Li Zhengjie , Jiang Lihong 
Published: April 2023

Volatile organic chemicals (VOCs) released from e-cigarettes are a special source of air pollutants. In this work, we investigated the VOCs released from six nicotine salts (namely, nicotine benzoate, nicotine tartrate, nicotine citrate, nicotine malate, nicotine lactate, and nicotine levulinate) that are commonly used in e-cigarettes. The pyrolysis-gas chromatography/mass spectrometry (Py-GC/MS) and thermogravimetric methods were used to analyze the thermogravimetric characteristics and product release behavior of different nicotine salts. Moreover, the kinetic models and thermodynamic parameters of nicotine salts during the thermal decomposition process were obtained. Thermogravimetric characteristic parameters of six nicotine salts showed significant differences. By the use of Py-GC/MS, our data showed that the pyrolysis products of nicotine salts were mainly from nicotine, acid anhydrides, carboxylic acids, and N-heterocycles, while more than 90% of the nicotine of citrate, tartrate, and malate was transferred to smoke. The result revealed that activation energies of the nicotine salts range from 21.26 to 74.10 kJ mol-1, indicating that the pyrolysis of the nicotine salts is a non-spontaneous heat absorption process, and the organic acid was the key factor affecting the release of nicotine into the ambient air.
Vultures in the southeastern United States ingest more plastic in landscapes with more developed landcover
Authors: Partridge Hannah C. , Barnett Sophie , Amodeo Joseph , Snyder Jacob , Gagné Sara A. 
Published: April 2023

IntroductionPlastics are found in ecosystems worldwide and can have widespread impacts on organisms and the environment. Cathartid vultures, including the black vulture (Coragyps atratus) and the turkey vulture (Cathartes aura), have adapted to urbanized environments, making frequent use of human-made structures and anthropogenic resources. Thus, urban vultures are likely exposed to more plastic materials than rural vultures, which they intentionally or unintentionally ingest when foraging or loafing.MethodsOur objective was to determine the extent and type of plastic ingested by black and turkey vultures in an urban environment by (1) measuring the plastic content of regurgitated pellets collected along an urban-to-rural gradient, and (2) identifying the plastics within pellets. We dissected 1,087 pellets collected at eight vulture congregation sites in the Charlotte Metropolitan Area, United States between January 2021 and July 2022.Results and DiscussionSixty percent of pellets contained plastic materials, with an average plastic composition by weight of 2.66 ± 8.76%. Repeated measures linear mixed models of the proportion of pellets that were plastic suggested that black and turkey vultures are ingesting more plastic materials when congregation sites are surrounded by more developed landcover and a greater density of commercial food providers, such as food stores and restaurants, within 20km. Fourier transform infrared (FTIR) spectroscopy of a subset of pellets indicated that the most common types of plastic ingested by vultures were silicone rubber (used in tires and automobile/boat seals) and polyethylene (used in plastic bags and food packages). Future research should investigate the relative importance of plastic sources in vulture diets, vulture behavioral changes associated with plastic ingestion, and the consequences of plastic pollution on species health and urban ecosystem functioning.
Ubiquitous conservative interaction patterns between post-spliced introns and their mRNAs revealed by genome-wide interspecies comparison
Authors: Bo Suling , Sun Qiuying , Li Zhongxian , Aodun Gerile , Ji Yucheng , Wei Lihua , Wang Chao , Lu Zhanyuan , Zhang Qiang , Zhao Xiaoqing 
Published: April 2023

Introns, as important vectors of biological functions, can influence many stages of mRNA metabolism. However, in recent research, post-spliced introns are rarely considered. In this study, the optimal matched regions between introns and their mRNAs in nine model organism genomes were investigated with improved Smith–Waterman local alignment software. Our results showed that the distributions of mRNA optimal matched frequencies were highly consistent or universal. There are optimal matched frequency peaks in the UTR regions, which are obvious, especially in the 3′-UTR. The matched frequencies are relatively low in the CDS regions of the mRNA. The distributions of the optimal matched frequencies around the functional sites are also remarkably changed. The centers of the GC content distributions for different sequences are different. The matched rate distributions are highly consistent and are located mainly between 60% and 80%. The most probable value of the optimal matched segments is about 20 bp for lower eukaryotes and 30 bp for higher eukaryotes. These results show that there are abundant functional units in the introns, and these functional units are correlated structurally with all kinds of sequences of mRNA. The interaction between the post-spliced introns and their corresponding mRNAs may play a key role in gene expression.
Identification of novel immune ferroptosis-related genes associated with clinical and prognostic features in breast cancer
Authors: Xie Zhenlan , Li Jialin , Liu Chen , Zhao Tie , Xing Yixiang 
Published: April 2023

Introduction: Breast cancer is the most common form of cancer among women, it is critical to identify potential targets and prognostic biomarkers. Ferroptosis combined with immunity shows a pivotal role in a variety of tumors, which provides new opportunities to detect and treat breast cancer.Methods: Our first step was to combine multiple datasets to search for immune ferroptosis-related mRNAs. In the next step, risk signatures were created using Least Absolute Shrinkage and Selection Operator (LASSO). After that, based on the results of the multivariate Cox analysis, we created a prognostic nomogram and validated the model’s accuracy. Finally, functional enrichment analysis, single sample gene set enrichment analysis (ssGSEA), immunity and drug sensitivity correlation analysis were performed to explore the possible mechanisms by which these immune ferroptosis associated mRNAs affect BRCA survival.Results: An immune ferroptosis signature (IFRSig) consisting of 5 mRNAs was constructed and showed excellent predictability in the training and validation cohorts. A correlation analysis revealed that clinical characteristics were closely related to risk characteristics. Our nomogram model, which we created by combining risk characteristics and clinical parameters, was proven to be accurate at predicting BRCA prognosis. Further, we divided patients into lowrisk and high-risk groups based on the expression of the model-related genes. Compared with low-risk group, high-risk group showed lower levels of immune cell infiltration, immune-related functions, and immune checkpoints molecules, which may associate with the poor prognosis.Discussion: The IFRSig could be used to predict overall survival (OS) and treatment response in BRCA patients and could be viewed as an independent prognostic factor. The findings in this study shed light on the role of immune ferroptosis in the progression of BRCA.
Wiskott-Aldrich syndrome gene as a prognostic biomarker correlated with immune infiltrates in clear cell renal cell carcinoma
Authors: Ding Guixin , Wang Tianqi , Liu Shangjing , Zhou Zhongbao , Ma Jian , Wu Jitao 
Published: April 2023

IntroductionThe abnormal expression of the Wiskott-Aldrich syndrome protein (WASP) encoded by the Wiskott-Aldrich syndrome (WAS) gene has been implicated in tumor invasion and immune regulation. However, prognostic implications of WAS and its correlation tumor infiltrating in renal clear cell carcinoma (ccRCC) is not clear cut.MethodsThe correlation between WAS expression, clinicopathological variables and clinical outcomes were evaluated using The Cancer Genome Atlas (TCGA), Gene Expression Omnibus (GEO), Tumor Immune Estimation Resource (TIMER), UALCAN, Gene Expression Profiling Interaction Analysis (GEPIA), Kaplan-Meier (KM) plotter and other databases. Furthermore, we assessed the transcription expression of WAS in renal cancer tissues, various renal carcinoma cell lines and human renal tubular cells (HK2) using quantitative polymerase chain reaction (qPCR). A comprehensive analysis of multiple databases including TIMER, GEPIA, TISIDB, ESTIMATE algorithm, and CIBERSORT algorithm were performed to determine the correlation between WAS and tumor infiltrating immune cells in ccRCC.ResultsThe results displayed an increase in WAS mRNA level in ccRCC compared to normal tissue. WAS protein level was found highly expressed in cancer tissues, particularly within renal tumor cells via the human protein atlas (HPA). Interestingly, we found that elevated WAS expression was significantly positively correlated with the infiltration of CD8+ T cells, B cells, Monocytes, Neutrophils, Macrophages, T cell regulation, NK cells, and Dendritic cells in ccRCC. Bioinformatics demonstrated a strong correlation between WAS expression and 42 immune checkpoints, including the T cell exhaustion gene PD-1, which is critical for exploring immunotherapy for ccRCC. We revealed that patients with high WAS expression were less sensitive to immunotherapy medications.ConclusionIn conclusion, our study identified that WAS was a prognostic biomarker and correlated with immune infiltrates in ccRCC.
Prevalence and diagnostic value of non-criteria antiphospholipid antibodies for antiphospholipid syndrome in Chinese patients
Authors: Li Siting , Bai Yina , Meng Jingjing , Wang Qian , Tian Xinping , Li Mengtao , Zeng Xiaofeng , Zhao Jiuliang , Hu Chaojun 
Published: April 2023

BackgroundThe presence of antiphospholipid antibodies (aPLs) plays a pivotal role in the pathogenesis of antiphospholipid antibody syndrome (APS). This study aimed to examine the diagnostic value of a set of non−criteria aPLs and their relevance with APS-related criteria and extra-criteria manifestations.MethodsFrom a prospectively constructed database, consecutive APS patients consisting of 114 primary APS (PAPS group), 54 with APS secondary to SLE (SAPS group), 9 seronegative APS (SNAPS), as well as 209 patients with systemic lupus erythematosus (SLE) and 88 healthy controls were included in this study. Levels of criteria aPLs, baseline information, and APS-related criteria and extra-criteria features were extracted from the database. Serum levels of non-criteria aPLs including aPC IgG/IgM, aPI IgG/IgM, aPE IgG/IgM/IgA, aPG IgG/IgM/IgA, anti-phosphatidic acid (aPA) IgG/IgM, aSM IgG/IgM, and aPS/PT IgG/IgM were analyzed with AESKULISA® ELISA Test Kits.ResultsThe addition of aPC IgG/M, aPI IgG/M, aPE IgG/M/A, aSM IgG/M, and aPA IgG/M to aCL or aβ2GPI IgG/M could significantly increase diagnostic sensitivity and accuracy. A significant difference between PAPS or SAPS and HC was presented in all non-criteria aPLs except for aSM IgM and aPG IgA. Eight out of nine SNAPS patients were positive for at least 1 aPL. Pregnancy morbidity was associated with aSM IgM (r = 0.22) and aSM IgG (r = 0.15). Pre-eclampsia or premature birth was associated with aSM IgG (r = 0.16), aPI IgG (r = 0.22), aPC IgG (r = 0.16), and aPG IgG (r = 0.18). Stroke was associated with aPI IgG (r = 0.2). The clinical association was also observed in DVT with aPS/PT IgG (r = 0.17). Valve lesion was positively associated with aSM IgM (Fisher test p = 0.039), APS nephropathy was associated with aPC IgG (OR 3.797), and livedo reticularis was associated with aPE IgM (OR 15.391).ConclusionAdditional detection of non-criteria aPLs including aPC IgG/M, aPE IgG/M/A, aPI IgG/M, aSM IgG/M, and aPA IgG/M could assist in APS diagnosis. The positivity of certain aPLs was statistically associated with both criteria and extra-criteria APS clinical manifestations.
Changes of peripheral T cell subsets in melanoma patients with immune-related adverse events
Authors: Müller Benjamin , Bärenwaldt Anne , Herzig Petra , Zippelius Alfred , Maul Lara Valeska , Hess Viviane , König David , Läubli Heinz 
Published: April 2023

IntroductionImmunotherapies have improved the prognosis of many cancer patients including patients with advanced melanoma. Immune checkpoint receptors including CTLA-4 and PD-1 have been established as main therapeutic targets for immunotherapy of melanoma. Although monotherapy is effective in melanoma patients, a dual therapy approach has been shown to be most effective. Dual checkpoint blockade, however, increases substantially the risk for immune-related adverse events (irAEs).MethodsIn this study, we characterized peripheral immune cell subsets in patients with anti-PD-1 monotherapy and with dual immune receptors blockade targeting PD-1 and CTLA-4.ResultsWe found differences in peripheral T cells between patients who developed severe immune-related side effects and patients with mild irAEs. We identified several mainly changes in CD8+ T cell subsets in patients with severe irAE under dual PD-1 and CTLA-4 blockade.DiscussionThis work suggests that peripheral immune cell dynamics could be associated with severe immune-related side effects in patients receiving immune checkpoint inhibitors. These changes could be used as future biomarkers in early diagnosis of irAEs.
Ischemic stroke caused by large-artery atherosclerosis: a red flag for subclinical coronary artery disease
Authors: de Araújo Ana Luíza Vieira , Santos Raul D. , Bittencourt Marcio Sommer , Dantas Roberto Nery , Oshiro Carlos André , Nomura Cesar Higa , Bor-Seng-Shu Edson , Oliveira Marcelo de Lima , Leite Claudia da Costa , Martin Maria da Graça Morais , Alves Maramelia Miranda , Silva Gisele Sampaio , Silva Victor Marinho , Conforto Adriana Bastos 
Published: April 2023

BackgroundThe coronary calcium score (CAC) measured on chest computerized tomography is a risk marker of cardiac events and mortality. We compared CAC scores in two multiethnic groups without symptomatic coronary artery disease: subjects in the chronic phase after stroke or transient ischemic attack and at least one symptomatic stenosis ≥50% in the carotid or vertebrobasilar territories (Groupathero) and a control group (Groupcontrol).MethodsIn this cross-sectional study, Groupathero included two subgroups: GroupExtraorIntra, with stenoses in either cervical or intracranial arteries, and GroupExtra&amp;Intra, with stenoses in at least one cervical and one intracranial artery. Groupcontrol had no history of prior stroke/transient ischemic attacks and no stenoses ≥50% in cervical or intracranial arteries. Age and sex were comparable in all groups. Frequencies of CAC ≥100 and CAC &gt; 0 were compared between Groupathero and Groupcontrol, as well as between GroupExtraorIntr, GroupExtra&amp;Intra, and Groupcontrol, with bivariate logistic regressions. Multivariate analyses were also performed.ResultsA total of 120 patients were included: 80 in Groupathero and 40 in Groupcontrol. CAC &gt;0 was significantly more frequent in Groupathero (85%) than Groupcontrol (OR, 4.19; 1.74–10.07; p = 0.001). Rates of CAC ≥100 were not significantly different between Groupathero and Groupcontrol but were significantly greater in GroupExtra&amp;Intra (n = 13) when compared to Groupcontrol (OR 4.67; 1.21–18.04; p = 0.025). In multivariate-adjusted analyses, “Groupathero” and “GroupExtra&amp;Intra” were significantly associated with CAC.ConclusionThe frequency of coronary calcification was higher in subjects with stroke caused by large-artery atherosclerosis than in controls.