Discovery medicine最新文献

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Comprehensive 16S rRNA Sequencing and Untargeted Metabolomics Analysis Reveal the Mechanism of Oral Microorganisms in Rat Dental Caries 16S rRNA综合测序和非靶向代谢组学分析揭示大鼠龋病口腔微生物机制
4区 医学
Discovery medicine Pub Date : 2026-01-01 DOI: 10.24976/discov.med.202638208.118
Min Sheng
{"title":"Comprehensive 16S rRNA Sequencing and Untargeted Metabolomics Analysis Reveal the Mechanism of Oral Microorganisms in Rat Dental Caries","authors":"Min Sheng","doi":"10.24976/discov.med.202638208.118","DOIUrl":"https://doi.org/10.24976/discov.med.202638208.118","url":null,"abstract":"Background: This study integrated 16S ribosomal ribonucleic acid sequencing and untargeted metabolomics to investigate the mechanisms by which oral microorganisms and <i>Lacticaseibacillus rhamnosus</i> (LGG) influence dental caries development in rats. Methods: A rat caries model was established to examine the effects of different interventions, including healthy dental plaque suspension (NC_R), caries-associated plaque suspension (M_R), and the probiotic LGG, on oral microbial composition, metabolic profiles, and caries severity. Results: The caries model group exhibited ecological dysbiosis, characterized by a significant increase in the abundance of cariogenic bacteria such as <i>Streptococcus mutans</i> and a decrease in health-associated genera like <i>Veillonella</i>. Metabolomic analysis identified 105 significantly differential metabolites between the Model and Normal Control (NC) groups. Kyoto Encyclopedia of Genes and Genomes pathway enrichment classification revealed that carbohydrate metabolism pathways were significantly enriched in the Model group, whereas lipid metabolism and cofactor metabolism pathways exhibited higher activity in the NC group. Notably, the sphingolipid metabolism pathway showed the highest significance in differential metabolite enrichment. Probiotic intervention, particularly the combined application of LGG and NC_R, substantially reversed the levels of abnormal metabolites, improved enamel surface area, volume, and mineral density (<i>p</i> < 0.05), and reduced caries scores (<i>p</i> < 0.05). Conclusion: By integrating microbiome and metabolomics analyses, this study elucidates the interplay between microbial dysbiosis and metabolic dysregulation in the pathogenesis of dental caries. It further reveals a novel anti-caries mechanism of probiotics through their modulation of oral microecological balance and host metabolic networks, particularly via key pathways such as sphingolipid metabolism. This provides experimental evidence for the development of precise caries prevention and control strategies based on microecological regulation.","PeriodicalId":11379,"journal":{"name":"Discovery medicine","volume":"38 208","pages":"1516-1516"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148408685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
UPLC/MS-MS-based pharmacokinetics of phytosterol magnetic targeted drug delivery system in rat and tissue distribution in mouse 基于UPLC/ ms - ms的植物甾醇磁性靶向给药系统大鼠药动学及小鼠组织分布
4区 医学
Discovery medicine Pub Date : 2025-01-01 DOI: 10.53388/imd202509016
Xiaoyu Wang, Wenjing Chen, Yifan Mao, Junli Zhang, Hai-Ting Zhu, Hui-Nan Wang, Mingrui Jiang, Xin-Ning Zhang, Peng Xu, Yingzi Wang
{"title":"UPLC/MS-MS-based pharmacokinetics of phytosterol magnetic targeted drug delivery system in rat and tissue distribution in mouse","authors":"Xiaoyu Wang, Wenjing Chen, Yifan Mao, Junli Zhang, Hai-Ting Zhu, Hui-Nan Wang, Mingrui Jiang, Xin-Ning Zhang, Peng Xu, Yingzi Wang","doi":"10.53388/imd202509016","DOIUrl":"https://doi.org/10.53388/imd202509016","url":null,"abstract":"","PeriodicalId":11379,"journal":{"name":"Discovery medicine","volume":"9 0","pages":"e25016-e25016"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147879039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
miRNAs expression change in spinal dorsal horn after Tuina in neuropathic pain rats 神经性疼痛大鼠推拿后脊髓背角miRNAs表达的变化
4区 医学
Discovery medicine Pub Date : 2025-01-01 DOI: 10.53388/imd202509019
Shi-Ye Wu, Hong-Ye Huang, Le-Chun Chen, Jing-Jing Jiang, Huan-Zhen Zhang, Jin-Cheng Chen, Shui-Jin Chen, Zhi-Gang Lin
{"title":"miRNAs expression change in spinal dorsal horn after Tuina in neuropathic pain rats","authors":"Shi-Ye Wu, Hong-Ye Huang, Le-Chun Chen, Jing-Jing Jiang, Huan-Zhen Zhang, Jin-Cheng Chen, Shui-Jin Chen, Zhi-Gang Lin","doi":"10.53388/imd202509019","DOIUrl":"https://doi.org/10.53388/imd202509019","url":null,"abstract":"","PeriodicalId":11379,"journal":{"name":"Discovery medicine","volume":"9 0","pages":"e25019"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147919895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
TWEAK Knockdown Alleviates Post-Cardiac Arrest Brain Injury via the p38 MAPK/NF-κB Pathway. TWEAK下调可通过p38 MAPK/NF-κB通路减轻心脏骤停后脑损伤
IF 1.4 4区 医学
Discovery medicine Pub Date : 2023-08-01 DOI: 10.24976/Discov.Med.202335177.51
Haifang Zhang, Ran Wang
{"title":"TWEAK Knockdown Alleviates Post-Cardiac Arrest Brain Injury via the p38 MAPK/NF-κB Pathway.","authors":"Haifang Zhang,&nbsp;Ran Wang","doi":"10.24976/Discov.Med.202335177.51","DOIUrl":"https://doi.org/10.24976/Discov.Med.202335177.51","url":null,"abstract":"<p><strong>Background: </strong>Cardiac arrest (CA) and subsequent cardiopulmonary resuscitation (CPR) can cause brain injury, which is one of the factors affecting the recovery of brain function in CA patients. There is increasing evidence that tumor necrosis factor-like weak apoptosis-inducing factor (TWEAK) is associated with the brain injury diseases. This study was aimed to investigate the modulation mechanism of TWEAK involved in brain injury after cardiac arrest/subsequent cardiopulmonary resuscitation (CA/CPR).</p><p><strong>Materials and methods: </strong>For <i>in vivo</i> experiments, healthy male Sprague-Dawley (SD) rats were applied to establish CA/CPR model, and oxygen-glucose deprivation/reoxygenation (OGD/R)-stimulated neurons model was established <i>in vitro</i>. TWEAK short hairpin RNAs (shRNAs) were injected into the lateral ventricle of CA/CPR rats or transfected into OGD/R cell culture to analyze the consequent alteration in neurological scores, behavioral tests, cell proliferation, cell apoptosis, and neuroinflammation through immunofluorescence staining, terminal deoxynucleotidyl transferase-mediated dUTP-biotin nick end labeling (TUNEL) staining and enzyme linked immunosorbent assay (ELISA).</p><p><strong>Results: </strong>There were high expressions of TWEAK and fibroblast growth factor-inducible 14 (Fn14) in the cerebral cortex of CA/CPR rats and OGD/R-stimulated neuronal cells. TWEAK knockdown attenuated cell apoptosis, inflammation and showed better behavioral tests in CA/CPR rats. Furthermore, TWEAK shRNAs obviously facilitated cell proliferation, suppressed apoptosis and inflammation after OGD/R injury. Western blotting results stated that TWEAK silencing promoted phosphorylated p38 (p-p38) and phosphorylated p65 (p-p65) expressions.</p><p><strong>Conclusions: </strong>TWEAK might be involved in the pathogenesis of CA/CPR through inhibiting p38 MAPK/NF-κB pathway.</p>","PeriodicalId":11379,"journal":{"name":"Discovery medicine","volume":"35 177","pages":"503-516"},"PeriodicalIF":1.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10493987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Significance of Serum IgG4/IgG and IgG4/IgG1 Ratio in the Diagnosis Value of IgG4-Related Diseases. 血清IgG4/IgG及IgG4/IgG1比值在IgG4相关疾病诊断中的意义
IF 1.4 4区 医学
Discovery medicine Pub Date : 2023-08-01 DOI: 10.24976/Discov.Med.202335177.48
Wei Wang, Yuanyuan Li, He Feng
{"title":"The Significance of Serum IgG4/IgG and IgG4/IgG1 Ratio in the Diagnosis Value of IgG4-Related Diseases.","authors":"Wei Wang,&nbsp;Yuanyuan Li,&nbsp;He Feng","doi":"10.24976/Discov.Med.202335177.48","DOIUrl":"https://doi.org/10.24976/Discov.Med.202335177.48","url":null,"abstract":"<p><strong>Objective: </strong>Elevated serum immunoglobulin G4 (IgG4) is one of the important features of patients with IgG4-related diseases (IgG4-RD). But diagnosing these diseases using IgG4 alone is tricky because the tests can sometimes give inaccurate results. Our research is focused on studying the ratio of IgG4 to two other substances, immunoglobulin G (IgG) and immunoglobulin G1 (IgG1), in the blood. We hope this approach will lead to more accurate diagnoses of IgG4-RD.</p><p><strong>Methods: </strong>We conducted a study on 68 patients diagnosed with IgG4-related diseases (IgG4-RD) and 160 individuals suffering from other autoimmune diseases (AID) at our hospital between June 2018 and June 2022. Eighty healthy people who underwent physical examination in our hospital at the same time were randomly selected as controls, and medical records were collected for all subjects. The serum IgG and IgG subclasses were detected, and the IgG4/IgG and IgG4/IgG1 ratios were calculated.</p><p><strong>Results: </strong>We found that patients with IgG4-RD have significantly higher average levels of serum IgG4 and more elevated IgG4/IgG and IgG4/IgG1 ratios compared to individuals with other AID patients and those in good health (<i>p</i> < 0.001). The receiver operating characteristic (ROC) curve analysis showed that the diagnostic effectiveness area under the curve (AUC) of the serum IgG4/IgG ratio for IgG4-RD was 0.906 (95% confidence interval [CI], 0.865-0.947) and 0.921 (95% CI, 0.876-0.965) when comparing with other AID patients and healthy individuals, respectively. The optimal cut-off value for the IgG4/IgG ratio was 0.147 (with 72.1% sensitivity and 94.4% specificity) compared with AID patients and 0.129 (with 77.9% sensitivity and 96.2% specificity) compared with healthy individuals. Similarly, the AUC of the serum IgG4/IgG1 ratio for diagnosing IgG4-RD was 0.919 (95% CI, 0.882-0.956) and 0.916 (95% CI, 0.870-0.962) when compared with patients with other AID and healthy individuals, respectively. When we divided our study participants into a high IgG4/IgG ratio group (>0.129) and a normal IgG4/IgG ratio group (≤0.129) using a cut-off point of 0.129, we found through logistic regression analysis that those with a high IgG4/IgG ratio were more likely to be associated with IgG4-RD (odds ratio [OR], 31.25; 95% CI, 15.31-63.79; <i>p</i> < 0.001). Likewise, a high IgG4/IgG1 ratio was also significantly linked to an increased risk of IgG4-RD (OR, 36.39; 95% CI, 17.57-75.38; <i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>The serum's IgG4/IgG and IgG4/IgG1 ratios are independently linked to IgG4-RD and are valuable in its diagnosis.</p>","PeriodicalId":11379,"journal":{"name":"Discovery medicine","volume":"35 177","pages":"476-482"},"PeriodicalIF":1.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10493983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Role of ON and OFF Visual Pathways in Rod- and Cone-Driven Flicker Responses. 打开和关闭视觉通路在视杆和视锥驱动的闪烁反应中的作用。
IF 1.4 4区 医学
Discovery medicine Pub Date : 2023-08-01 DOI: 10.24976/Discov.Med.202335177.56
Fei Liao, Haitao Liu, Alejandro Gallego-Ortega, Francisco Germain, Pedro de la Villa
{"title":"Role of ON and OFF Visual Pathways in Rod- and Cone-Driven Flicker Responses.","authors":"Fei Liao,&nbsp;Haitao Liu,&nbsp;Alejandro Gallego-Ortega,&nbsp;Francisco Germain,&nbsp;Pedro de la Villa","doi":"10.24976/Discov.Med.202335177.56","DOIUrl":"https://doi.org/10.24976/Discov.Med.202335177.56","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the effects of various retinal neurotransmitters on temporal resolution, particularly, on the Critical Flicker Fusion Frequency (CFF), which has been previously applied in ophthalmic pathophysiologic research.</p><p><strong>Methods: </strong>A binocular physiologic electroretinogram was performed on adult mice. Animals in the control group were injected in the right eye with 1 μL of phosphate-buffered saline (PBS). Animals in the experimental group were injected in the left eye with 1 μL of PBS and in the right eye with 1 μL of PBS to which different molecules were added: 2-amino-4-phosphonobutyric acid (APB), Glutamate, γ-aminobutyric acid (GABA), 6,7-dinitroquinoxaline-2,3-dione (DNQX), Bicuculline, Glycine, and 4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid (HEPES). Initially, rod response was recorded and later the cone response.</p><p><strong>Results: </strong>APB suppressed the rod-driven, but not the cone-driven flicker response. The other agents severely affected the lower flickering frequency response amplitude, in particular, at 3 Hz. The threshold of CFF was lowered from 50 Hz to 40 Hz after applying APB, Glycine, and HEPES. GABA remarkably enhanced rod-driven and cone-driven flicker response at 3 Hz, whereas Glutamate and GABA/Glutamate only did in rod-driven flicker response.</p><p><strong>Conclusions: </strong>Both ON and OFF visual pathways were implied in cone-driven response, but only the ON visual pathway appears to play a relevant role in rod-driven flicker response. Flicker response seems to be enhanced by horizontal cells both in rod-driven and cone-driven response. In addition, due to the greater sensitivity of the flicker at low frequencies, it is suggested that pathophysiological studies should be carried out at said frequencies.</p>","PeriodicalId":11379,"journal":{"name":"Discovery medicine","volume":"35 177","pages":"553-564"},"PeriodicalIF":1.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10195771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring Influenza A Virus-Induced Lung Injury and Immune Response Based on Humanized Lung-on-Chip. 基于人源化芯片肺研究甲型流感病毒诱导的肺损伤和免疫反应。
IF 2.1 4区 医学
Discovery medicine Pub Date : 2023-08-01 DOI: 10.24976/Discov.Med.202335177.55
Shaoyan Gu, Pan Pan, Jiang Wang, Yinghan Shi, Feng Shi, Yuhan Zhang, Wei Guan, Yan Cao, Haimao Qin, Qingzhong Wang, Lixin Xie
{"title":"Exploring Influenza A Virus-Induced Lung Injury and Immune Response Based on Humanized Lung-on-Chip.","authors":"Shaoyan Gu, Pan Pan, Jiang Wang, Yinghan Shi, Feng Shi, Yuhan Zhang, Wei Guan, Yan Cao, Haimao Qin, Qingzhong Wang, Lixin Xie","doi":"10.24976/Discov.Med.202335177.55","DOIUrl":"10.24976/Discov.Med.202335177.55","url":null,"abstract":"<p><strong>Background: </strong>Influenza is an important respiratory tract pathogen that causes substantial seasonal and pandemic morbidity and mortality. The aim of this study was to systematically analyze the transcriptome characteristics of peripheral blood mononuclear cells (PBMCs) after influenza A virus infection by constructing a human lung microarray model composed of PBMCs to simulate the influenza A virus infection process.</p><p><strong>Methods: </strong>A human lung microarray model was constructed using alveolar epithelial cells, vascular endothelial cells, alveolar macrophages and PBMCs, for simulation of the process of influenza A virus infection. The transcriptome characteristics of PBMCs after influenza A virus infection were analyzed by a single-cell RNA sequencing system.</p><p><strong>Results: </strong>The study could realistically mimic the structure and physiological functions of the alveoli <i>in vitro</i> using immunofluorescence staining and expression of the specific marker. After the influenza A virus infected the upper lung chip channels, the epithelial cells underwent a high inflammatory response and spread to endothelial cells. Under experimental conditions, the Influenza A virus infection did not compromise the integrity of epithelial cells, but caused damage to endothelial cells and barrier dysfunction. Single-cell RNA sequencing of PBMCs showed that B and cluster of differentiation 4 (CD4) T cells played important immunomodulatory roles in response to influenza A virus infection, including significantly activating type I interferon signaling pathway, regulating cytokine and chemokine signaling pathway. Especially genes involved in cellular communication were significantly highly expressed post-infection.</p><p><strong>Conclusions: </strong>All these results suggested that the interactions among immune cells played a crucial role in endothelial cell injury and immune cell recruitment after influenza virus infection. This lung-on-chip infection model combined with single-cell RNA sequencing provided a unique platform that can closely investigate the lung immune response to influenza A virus infection and new therapeutic strategies for influenza.</p>","PeriodicalId":11379,"journal":{"name":"Discovery medicine","volume":"35 177","pages":"539-552"},"PeriodicalIF":2.1,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10195769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Potential Role of TRPM8 in Cold-Induced Hypertension and Its Clinical Implications. TRPM8在冷致高血压中的潜在作用及其临床意义
IF 1.4 4区 医学
Discovery medicine Pub Date : 2023-08-01 DOI: 10.24976/Discov.Med.202335177.46
Undurti Narasimha Das
{"title":"Potential Role of TRPM8 in Cold-Induced Hypertension and Its Clinical Implications.","authors":"Undurti Narasimha Das","doi":"10.24976/Discov.Med.202335177.46","DOIUrl":"https://doi.org/10.24976/Discov.Med.202335177.46","url":null,"abstract":"<p><p>Seasonal variation in blood pressure that is higher in winter and lower in summer has been attributed to several factors that include changes in the activity of autonomic nervous system, vasopressin and expression of endothelial nitric oxide synthase (eNOS). Transient receptor potential melastatin 8 (TRPM8), a non-selective Ca<sup>2+</sup>-permeable cationic channel, serves as a molecular transducer to sense cold by the somatosensory system. TRPM8 is sensitive to protein kinase C (PKC) and phosphatidyl inositol-4,5-biphosphate [PI(4,5)P<sub>2</sub>] suggesting that TRPM8 is stimulated by phospholipase C (PLC)-coupled receptors. Activated PLC inhibits TRPM8 by reducing cellular PI(4,5)P<sub>2</sub> levels and by activating PKC via diacyl glycerol. Bradykinin and prostaglandin E2 (PGE2), which are pro-inflammatory molecules, reduce the responses to cold, suggesting that phospholipase A2 (PLA2), which releases polyunsaturated fatty acids (PUFAs), the precursors of various eicosanoids, from the cell membrane lipid pool can modulate the function of TRPM8. TRPM8 functions as a nociceptor and modulates immune response. These and other studies indicate that cold-induced activation of transient receptor potential melastatin 8 (TRPM8) plays a role in the pathobiology of hypertension, preeclampsia and in the regulation of inflammation and immunity.</p>","PeriodicalId":11379,"journal":{"name":"Discovery medicine","volume":"35 177","pages":"451-457"},"PeriodicalIF":1.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10493984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Development and Comparative Analysis of an Early Prediction Model for Acute Kidney Injury within 72-Hours Post-ICU Admission Using Evidence from the MIMIC-III Database. 基于MIMIC-III数据库的重症监护病房入院后72小时内急性肾损伤早期预测模型的建立与对比分析
IF 1.4 4区 医学
Discovery medicine Pub Date : 2023-08-01 DOI: 10.24976/Discov.Med.202335177.61
Yan Luo, Wenling Ye, Yawei Sun, Heling Bao, Hui Liu
{"title":"Development and Comparative Analysis of an Early Prediction Model for Acute Kidney Injury within 72-Hours Post-ICU Admission Using Evidence from the MIMIC-III Database.","authors":"Yan Luo,&nbsp;Wenling Ye,&nbsp;Yawei Sun,&nbsp;Heling Bao,&nbsp;Hui Liu","doi":"10.24976/Discov.Med.202335177.61","DOIUrl":"https://doi.org/10.24976/Discov.Med.202335177.61","url":null,"abstract":"<p><strong>Background: </strong>Prompt recognition of patients predisposed to acute kidney injury (AKI) within 72 hours of intensive care unit (ICU) admission holds significant clinical importance as it can considerably lower mortality rates. However, existing AKI prediction models often require complex data collection yet yield only moderate performance. This study aims to develop a straightforward and efficient AKI prediction model, providing ICU physicians with a powerful tool to expedite the detection of AKI patients.</p><p><strong>Methods: </strong>This study proposed a novel generative adversarial imputation networks-least absolute shrinkage and selection operator-extreme gradient boosting (Gain-Lasso-XGBoost) framework and developed an AKI prediction model on the basis of the medical information mart for intensive care (MIMIC-III) database. All the steps, including data preprocessing, feature selection, development, and optimization of prediction models, are organically integrated into the framework which has strong scalability. To compare the performance of our model with current models, we conducted a systematic review to collect all studies on the basis of the MIMIC-III database with similar objectives.</p><p><strong>Results: </strong>From 15 demographic and clinical variables, 8 features and 5 features were identified as the optimal group of features and processed into the model development. The model optimization further improved the performance of our proposed framework, and the area under curve (AUC) results with 8 and 5 feature vectors achieved 0.849 and 0.830, respectively. Compared with other studies, our method extracted only 8 or 5 feature vectors and obtained superior performance, with an average AUC 1.9% higher than the state-of-the-art approaches in the same type.</p><p><strong>Conclusions: </strong>Our study suggested that the onset of AKI be effectively and quickly predicted using simplified features, and not just for more specific patient groups. It may help clinicians accurately identify patients at risk of AKI after ICU admission and provide timely monitoring and treatment.</p>","PeriodicalId":11379,"journal":{"name":"Discovery medicine","volume":"35 177","pages":"623-631"},"PeriodicalIF":1.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10140772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Animal Feasibility Study of a Novel Spinal Cord Stimulation Multicolumn Lead (Heron Lead). 一种新型脊髓刺激多柱引线的动物可行性研究。
IF 1.4 4区 医学
Discovery medicine Pub Date : 2023-08-01 DOI: 10.24976/Discov.Med.202335177.62
Patrick Mertens, Maria Celeste Cantone, Alessandro Antonini, Sandro Ferrari, Valentina Ferpozzi, Alaa Abd-Elsayed
{"title":"Animal Feasibility Study of a Novel Spinal Cord Stimulation Multicolumn Lead (Heron Lead).","authors":"Patrick Mertens,&nbsp;Maria Celeste Cantone,&nbsp;Alessandro Antonini,&nbsp;Sandro Ferrari,&nbsp;Valentina Ferpozzi,&nbsp;Alaa Abd-Elsayed","doi":"10.24976/Discov.Med.202335177.62","DOIUrl":"https://doi.org/10.24976/Discov.Med.202335177.62","url":null,"abstract":"<p><strong>Background: </strong>Currently available spinal cord stimulation paddle leads require a laminectomy, limiting the types of clinicians who can implant and increasing the risk of complications. Recently, WISE S.r.l. designed a prototype multicolumn lead named the Heron® lead that can be implanted percutaneously. The purpose of the study was to examine the efficiency of placing a paddle lead percutaneously.</p><p><strong>Methods: </strong>Ten sheep were assigned to either the Heron lead group (n = 7) or the control group (n = 3). The sheep were observed for 13 weeks after implantation. Neurological and clinical examinations were conducted prior to surgery and then during the follow-up period. The implantation sites were evaluated through macroscopic observations during the article explantation and the lead migration was evaluated by comparing the article positioning at the surgery, four weeks after the surgery and at the explantation day through fluoroscope images. A qualitative comparison was made between the results collected with the test article and the control article.</p><p><strong>Results: </strong>Observations at the surgical sites indicate that test animals appeared to have less swelling around the surgical wound than control ones in the first 14 days, but no impact on wound healing was noticed. Additionally, no clear difference was observed in pain scores between the two groups, with observations tending to show that the maximum pain was occurring later in the test group with respect to the control group. General clinical observations showed no major difference between the two groups, and determined clinical abnormalities were not directly related to the procedure. Lastly, neurological deficits frequency decreased from the first to last animal operated, regardless of their test or control status.</p><p><strong>Conclusions: </strong>Our study concluded that the Heron lead is safe to implant, with a safety profile similar to the control article. Additionally, we conclude that the Heron lead is effective in reducing lead migration events.</p>","PeriodicalId":11379,"journal":{"name":"Discovery medicine","volume":"35 177","pages":"632-641"},"PeriodicalIF":1.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10140774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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