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1.
PLoS Biol ; 19(2): e3001044, 2021 02.
Artículo en Inglés | MEDLINE | ID: mdl-33529193

RESUMEN

Evolutionarily conserved microRNAs (miRNAs) usually have high copy numbers in the genome. The redundant and specific roles of each member of a multimember miRNA gene family are poorly understood. Previous studies have shown that the miR156-SPL-miR172 axis constitutes a signaling cascade in regulating plant developmental transitions. Here, we report the feasibility and utility of CRISPR-Cas9 technology to investigate the functions of all 5 MIR172 family members in Arabidopsis. We show that an Arabidopsis plant devoid of miR172 is viable, although it displays pleiotropic morphological defects. MIR172 family members exhibit distinct expression pattern and exert functional specificity in regulating meristem size, trichome initiation, stem elongation, shoot branching, and floral competence. In particular, we find that the miR156-SPL-miR172 cascade is bifurcated into specific flowering responses by matching pairs of coexpressed SPL and MIR172 genes in different tissues. Our results thus highlight the spatiotemporal changes in gene expression that underlie evolutionary novelties of a miRNA gene family in nature. The expansion of MIR172 genes in the Arabidopsis genome provides molecular substrates for the integration of diverse floral inductive cues, which ensures that plants flower at the optimal time to maximize seed yields.


Asunto(s)
Arabidopsis/crecimiento & desarrollo , Arabidopsis/genética , MicroARNs/genética , Arabidopsis/metabolismo , Sistemas CRISPR-Cas , Flores/genética , Flores/crecimiento & desarrollo , Edición Génica , Regulación de la Expresión Génica de las Plantas , Genes de Plantas , Desarrollo de la Planta/genética
2.
EMBO J ; 38(8)2019 04 15.
Artículo en Inglés | MEDLINE | ID: mdl-30842098

RESUMEN

Heteroblasty refers to a phenomenon that a plant produces morphologically or functionally different lateral organs in an age-dependent manner. In the model plant Arabidopsis thaliana, the production of trichomes (epidermal leaf hairs) on the abaxial (lower) side of leaves is a heteroblastic mark for the juvenile-to-adult transition. Here, we show that the heteroblastic development of abaxial trichomes is regulated by a spatiotemporally regulated complex comprising the leaf abaxial fate determinant (KAN1) and the developmental timer (miR172-targeted AP2-like proteins). We provide evidence that a short-distance chromatin loop brings the downstream enhancer element into close association with the promoter elements of GL1, which encodes a MYB transcription factor essential for trichome initiation. During juvenile phase, the KAN1-AP2 repressive complex binds to the downstream sequence of GL1 and represses its expression through chromatin looping. As plants age, the gradual reduction in AP2-like protein levels leads to decreased amount of the KAN1-AP2 complex, thereby licensing GL1 expression and the abaxial trichome initiation. Our results thus reveal a novel molecular mechanism by which a heteroblastic trait is governed by integrating age and leaf polarity cue in plants.


Asunto(s)
Proteínas de Arabidopsis/metabolismo , Arabidopsis/crecimiento & desarrollo , Regulación del Desarrollo de la Expresión Génica , Regulación de la Expresión Génica de las Plantas , Hojas de la Planta/crecimiento & desarrollo , Regiones Promotoras Genéticas , Análisis Espacio-Temporal , Arabidopsis/genética , Arabidopsis/metabolismo , Proteínas de Arabidopsis/genética , Proteínas de Unión al ADN/genética , Proteínas de Unión al ADN/metabolismo , Proteínas de Homeodominio/genética , Proteínas de Homeodominio/metabolismo , MicroARNs/genética , Mutación , Fenotipo , Hojas de la Planta/genética , Hojas de la Planta/metabolismo , Plantas Modificadas Genéticamente/genética , Plantas Modificadas Genéticamente/crecimiento & desarrollo , Plantas Modificadas Genéticamente/metabolismo , Factores de Transcripción/genética , Factores de Transcripción/metabolismo , Activación Transcripcional
3.
J Basic Microbiol ; 63(6): 594-603, 2023 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-36646522

RESUMEN

This study was aim at investigating antifungal activities of Bacillus velezensis FJAT-52631 and its lipopeptides against Colletotrichum acutatum ex situ and in situ. The results showed that the strain FJAT-52631 and its crude lipopeptides (10 mg/ml) exhibited strong inhibitory effects on growth of C. acutatum FJAT-30256 with an inhibition rate of 75.3% and an inhibition zone diameter of 17.66 mm, respectively. Both the viable bacterial cultures and lipopeptides of FJAT-52631 could delay the onset of loquat anthracnose by 1 day and lower the incidence of loquat anthracnose in situ. The whole cultures of B. velezensis FJAT-52631 displayed a 50% biocontrol efficacy on loquat anthracnose at the fourth day after inoculation, but the crude lipopeptides not. The average lesion diameter of the whole-culture treated group was 5.62 mm, which was smaller than that of control group (6.81 mm). All the three types of lipopeptides including iturin A, fengycin, and surfactin A secreted from the strain FJAT-52631 exhibited antifungal activities. Among them, surfactin A displayed higher antifungal activity at a concentration of 1.25 mg/mL than other two lipopeptides even if at a concentration of 60 mg/mL. Thus, the results indicated that surfactin A produced by FJAT-52631 played a major role in the biocontrol of the loquat anthracnose. Scanning electron microscopy (SEM) observation revealed the structural deformities in the mycelia of C. acutatum. The above results suggested that the antifungal lipopeptides from B. velezensis FJAT-52631 would be potential in biocontrol against anthracnose disease of loquat caused by C. acutatum.


Asunto(s)
Bacillus , Colletotrichum , Antifúngicos/farmacología , Antifúngicos/química , Lipopéptidos/farmacología , Lipopéptidos/química
4.
Stat Med ; 41(25): 5084-5101, 2022 11 10.
Artículo en Inglés | MEDLINE | ID: mdl-36263919

RESUMEN

Distributed estimation based on different sources of observations has drawn attention in the modern statistical learning. In practice, due to the expensive cost or time-consuming process to collect data in some cases, the sample size on each local site can be small, but the dimension of covariates is large and may be far larger than the sample size on each site. In this article, we focus on the distributed estimation and inference for a preconceived low-dimensional parameter vector in the high-dimensional quantile regression model with small local sample size. Specifically, we consider that the data are inherently distributed and propose two communication-efficient estimators by generalizing the decorrelated score approach to conquer the slow convergence rate of nuisance parameter estimation and adopting the smoothing technique based on multiround algorithms. The risk bounds and limiting distributions of the proposed estimators are given. The finite sample performance of the proposed estimators is studied through simulations and an application to a gene expression dataset is also presented.


Asunto(s)
Algoritmos , Comunicación , Humanos
5.
Biometrics ; 77(3): 903-913, 2021 09.
Artículo en Inglés | MEDLINE | ID: mdl-32750150

RESUMEN

As ultra high-dimensional longitudinal data are becoming ever more apparent in fields such as public health and bioinformatics, developing flexible methods with a sparse model is of high interest. In this setting, the dimension of the covariates can potentially grow exponentially as exp(n1/2) with respect to the number of clusters n. We consider a flexible semiparametric approach, namely, partially linear single-index models, for ultra high-dimensional longitudinal data. Most importantly, we allow not only the partially linear covariates but also the single-index covariates within the unknown flexible function estimated nonparametrically to be ultra high dimensional. Using penalized generalized estimating equations, this approach can capture correlation within subjects, can perform simultaneous variable selection and estimation with a smoothly clipped absolute deviation penalty, and can capture nonlinearity and potentially some interactions among predictors. We establish asymptotic theory for the estimators including the oracle property in ultra high dimension for both the partially linear and nonparametric components, and we present an efficient algorithm to handle the computational challenges. We show the effectiveness of our method and algorithm via a simulation study and a yeast cell cycle gene expression data.


Asunto(s)
Algoritmos , Análisis de Datos , Biología Computacional , Simulación por Computador , Humanos , Modelos Lineales
6.
Mol Ther ; 28(3): 946-962, 2020 03 04.
Artículo en Inglés | MEDLINE | ID: mdl-31982037

RESUMEN

Recent studies suggest that long noncoding RNAs (lncRNAs) play essential roles in tumor progression. However, the functional roles and underlying mechanisms of lncRNAs in neuroblastoma (NB), the most common malignant solid tumor in pediatric population, still remain elusive. Herein, through integrating analysis of a public RNA sequencing dataset, neuroblastoma highly expressed 1 (NHEG1) was identified as a risk-associated lncRNA, contributing to an unfavorable outcome of NB. Depletion of NHEG1 led to facilitated differentiation and decreased growth and aggressiveness of NB cells. Mechanistically, NHEG1 bound to and stabilized DEAD-box helicase 5 (DDX5) protein through repressing proteasome-mediated degradation, resulting in ß-catenin transactivation that altered target gene expression associated with NB progression. We further determined a lymphoid enhancer binding factor 1 (LEF1)/transcription factor 7-like 2 (TCF7L2)/NHEG1/DDX5/ß-catenin axis with a positive feedback loop and demonstrated that NHEG1 harbored oncogenic properties via its interplay with DDX5. Administration of small interfering RNAs against NHEG1 or DDX5 reduced tumor growth and prolonged survival of nude mice bearing xenografts. High NHEG1 or DDX5 expression was associated with poor survival of NB patients. These results indicate that lncRNA NHEG1 exhibits oncogenic activity that affects NB progression via stabilizing the DDX5 protein, which might serve as a potential therapeutic target for NB.


Asunto(s)
ARN Helicasas DEAD-box/genética , Regulación Neoplásica de la Expresión Génica , Neuroblastoma/genética , ARN Largo no Codificante/genética , beta Catenina/genética , Animales , Biomarcadores de Tumor , Línea Celular Tumoral , Biología Computacional , ARN Helicasas DEAD-box/metabolismo , Progresión de la Enfermedad , Perfilación de la Expresión Génica , Técnicas de Silenciamiento del Gen , Xenoinjertos , Humanos , Factor de Unión 1 al Potenciador Linfoide/genética , Ratones , Modelos Biológicos , Neuroblastoma/metabolismo , Neuroblastoma/mortalidad , Neuroblastoma/patología , Pronóstico , Unión Proteica , Estabilidad del ARN , Factor 1 de Transcripción de Linfocitos T/genética , Activación Transcripcional , beta Catenina/metabolismo
7.
Plant Physiol ; 181(1): 208-220, 2019 09.
Artículo en Inglés | MEDLINE | ID: mdl-31248965

RESUMEN

The internal boundary between inner and outer microsporangia within anthers is essential for male fertility of vascular plants. Dehiscence zones embedded in the boundary release pollen for fertilization. However, the molecular mechanism underlying boundary formation in anthers remains poorly understood. Here, we report that microRNA166 (miR166) and its target PHABULOSA (PHB) regulate SPOROCYTELESS/NOZZLE (SPL/NZZ), which controls microsporogenesis. In developing anthers of Arabidopsis (Arabidopsis thaliana), the expression domains of miR165/6 and SPL/NZZ are overlapped and rearranged synchronously. Dominant mutation of PHB suppresses SPL/NZZ expression on the adaxial sides of stamens, resulting in a thickened boundary, whereas activation of MIR166g up-regulates SPL/NZZ expression, leading to ectopic microsporogenesis in the boundary. PHB limits the expression domains of SPL/NZZ to facilitate construction of the boundary, while miR166 preserves the expression domains of SPL/NZZ by inhibiting PHB to allow the inner microsporangia to take shape. Subsequently, PHB activates the key stem cell maintainer WUSCHEL in anthers to restrict the stomium cells to the boundary so that dehiscence zones develop and release pollen properly. These findings link adaxial/abaxial polarity to microsporogenesis in building of the internal boundary of anthers and thus advance the concepts underlying the establishment of the internal structure of male organs.


Asunto(s)
Proteínas de Arabidopsis/metabolismo , Arabidopsis/genética , Gametogénesis en la Planta/genética , Proteínas de Homeodominio/metabolismo , MicroARNs/metabolismo , Proteínas Nucleares/metabolismo , Proteínas Represoras/metabolismo , Arabidopsis/crecimiento & desarrollo , Arabidopsis/fisiología , Proteínas de Arabidopsis/genética , Flores/genética , Flores/crecimiento & desarrollo , Flores/fisiología , Proteínas de Homeodominio/genética , MicroARNs/genética , Mutación , Proteínas Nucleares/genética , Polen/genética , Polen/crecimiento & desarrollo , Polen/fisiología , Proteínas Represoras/genética
8.
Plant Cell ; 29(5): 1073-1087, 2017 May.
Artículo en Inglés | MEDLINE | ID: mdl-28389585

RESUMEN

Plant cells are totipotent and competent to regenerate from differentiated organs. It has been known for six decades that cytokinin-rich medium induces shoot regeneration from callus cells. However, the underlying molecular mechanism remains elusive. The homeodomain transcription factor WUSCHEL (WUS) is essential for de novo establishment of the shoot stem cell niche in Arabidopsis thaliana We found that WUS-positive (WUS+) cells mark the shoot progenitor region during regeneration. A cytokinin-rich environment initially promotes the removal of the repressive histone mark H3K27me3 at the WUS locus in a cell cycle-dependent manner. Subsequently, the B-type ARABIDOPSIS RESPONSE REGULATORs (ARRs) ARR1, ARR2, ARR10, and ARR12, which function as transcriptional activators in the cytokinin signaling pathway, spatially activate WUS expression through binding with microRNA165/6-targeted HD-ZIP III transcription factors. Thus, our results provide important insights into the molecular framework for cytokinin-directed shoot regeneration and reveal a two-step mechanism for de novo activation of WUS.


Asunto(s)
Proteínas de Arabidopsis/metabolismo , Arabidopsis/metabolismo , Arabidopsis/fisiología , Proteínas de Homeodominio/metabolismo , Brotes de la Planta/metabolismo , Brotes de la Planta/fisiología , Arabidopsis/genética , Proteínas de Arabidopsis/genética , Proteínas de Unión al ADN/genética , Proteínas de Unión al ADN/metabolismo , Regulación de la Expresión Génica de las Plantas/genética , Regulación de la Expresión Génica de las Plantas/fisiología , Proteínas de Homeodominio/genética , Brotes de la Planta/genética , Factores de Transcripción/genética , Factores de Transcripción/metabolismo
9.
Plant Cell ; 27(2): 349-60, 2015 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-25649435

RESUMEN

Plant cells are totipotent and competent to regenerate from differentiated organs. It has been shown that two phytohormones, auxin and cytokinin, play critical roles within this process. As in animals, the regenerative capacity declines with age in plants, but the molecular basis for this phenomenon remains elusive. Here, we demonstrate that an age-regulated microRNA, miR156, regulates shoot regenerative capacity. As a plant ages, the gradual increase in miR156-targeted SQUAMOSA PROMOTER BINDING PROTEIN-LIKE (SPL) transcription factors leads to the progressive decline in shoot regenerative capacity. In old plants, SPL reduces shoot regenerative capacity by attenuating the cytokinin response through binding with the B-type ARABIDOPSIS RESPONSE REGULATORs, which encode the transcriptional activators in the cytokinin signaling pathway. Consistently, the increased amount of exogenous cytokinin complements the reduced shoot regenerative capacity in old plants. Therefore, the recruitment of age cues in response to cytokinin contributes to shoot regenerative competence.


Asunto(s)
Arabidopsis/fisiología , MicroARNs/metabolismo , Nicotiana/fisiología , Brotes de la Planta/genética , Brotes de la Planta/fisiología , Regeneración/genética , Arabidopsis/genética , Citocininas/farmacología , Genes de Plantas , MicroARNs/genética , Proteínas de Plantas/metabolismo , Nicotiana/genética
10.
Stat Med ; 37(6): 1009-1030, 2018 03 15.
Artículo en Inglés | MEDLINE | ID: mdl-29243338

RESUMEN

Proportion data with support lying in the interval [0,1] are a commonplace in various domains of medicine and public health. When these data are available as clusters, it is important to correctly incorporate the within-cluster correlation to improve the estimation efficiency while conducting regression-based risk evaluation. Furthermore, covariates may exhibit a nonlinear relationship with the (proportion) responses while quantifying disease status. As an alternative to various existing classical methods for modeling proportion data (such as augmented Beta regression) that uses maximum likelihood, or generalized estimating equations, we develop a partially linear additive model based on the quadratic inference function. Relying on quasi-likelihood estimation techniques and polynomial spline approximation for unknown nonparametric functions, we obtain the estimators for both parametric part and nonparametric part of our model and study their large-sample theoretical properties. We illustrate the advantages and usefulness of our proposition over other alternatives via extensive simulation studies, and application to a real dataset from a clinical periodontal study.


Asunto(s)
Biometría/métodos , Modelos Lineales , Simulación por Computador , Interpretación Estadística de Datos , Humanos , Funciones de Verosimilitud , Estadísticas no Paramétricas
11.
J Exp Bot ; 64(11): 3397-410, 2013 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-23918970

RESUMEN

The stamen produces pollen grains for pollination in higher plants. Coordinated development of four microsporangia in the stamen is essential for normal fertility. The roles of miR165/166-directed pathways in the establishment of adaxial-abaxial polarity have been well defined in leaves. However, the molecular mechanism underlying the adaxial-abaxial polarity of the stamen is elusive. Here it is reported that HYPONASTIC LEAVES1 (HYL1), a general regulator of microRNA (miRNA) biogenesis, plays an essential role in establishing the stamen architecture of the four microsporangia in Arabidopsis thaliana. In stamens, HYL1 and miR165/6 expression are progressively restricted to the lateral region, microsporangia, microspore mother cells, and microspores, whereas HD-ZIP III genes are preferentially expressed in the middle region, vascular bundle, and stomium. Loss of HYL1 leads to the formation of two rather than four microsporangia in each stamen. In the stamen of the hyl1 mutant, miR165/6 accumulation is reduced, whereas miR165/6-targeted HD-ZIP III genes are up-regulated and FILAMENTOUS FLOWER (FIL) is down-regulated; and, specifically, REVOLUTA (REV) is overexpressed in the adaxial region and FIL is underexpressed in the abaxial regions, concomitant with the aberrance of the two inner microsporangia and partial adaxialization of the connectives. Genetic analysis reveals that FIL works downstream of HYL1, and the defects in hyl1 stamens are partially rescued by rev-9 or phv-5 phb-6 alleles. These results suggest that HYL1 modulates inner microsporangia and stamen architecture by repression of HD-ZIP III genes and promotion of the FIL gene through miR165/6. Thus, the role of HYL1 in establishment of stamen architecture provides insight into the molecular mechanism of male fertility.


Asunto(s)
Proteínas de Arabidopsis/metabolismo , Arabidopsis/anatomía & histología , Arabidopsis/metabolismo , Flores/anatomía & histología , Flores/metabolismo , Proteínas de Unión al ARN/metabolismo , Arabidopsis/genética , Arabidopsis/ultraestructura , Proteínas de Arabidopsis/genética , Flores/genética , Flores/ultraestructura , MicroARNs/genética , Microscopía Electrónica de Rastreo , Proteínas de Unión al ARN/genética
12.
Biometrics ; 69(2): 348-57, 2013 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-23796105

RESUMEN

To explore the nonlinear interactions between covariates and an index variable, partially linear proportional hazards models have been proposed for censored survival data. However, specification of the partially linear structure was usually carried out in an ad-hoc manner by first fitting a full varying-coefficient model and visually examining the resulting fit to identify the linear part. In this article, we consider the problem of coefficient estimation and constant coefficient identification based on a double shrinkage approach. Variable selection is also considered in a coherent estimation framework, resulting in a double-penalization procedure. Under the mild assumptions, we establish asymptotic properties for the procedure such as consistency, sparesistency, constansistency, and asymptotic normality. We evaluate the performance of the proposed method by numerical simulations and demonstrate its application using a breast cancer data set.


Asunto(s)
Biometría/métodos , Modelos de Riesgos Proporcionales , Neoplasias de la Mama/terapia , Simulación por Computador , Femenino , Humanos , Funciones de Verosimilitud , Modelos Lineales , Método de Montecarlo , Dinámicas no Lineales , Análisis de Supervivencia
13.
IEEE Trans Neural Netw Learn Syst ; 34(11): 9536-9541, 2023 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-35235527

RESUMEN

We consider supervised learning in a reproducing kernel Hilbert space (RKHS) using random features. We show that the optimal rate is obtained under suitable regularity conditions, and at the same time improving on the existing bounds on the number of random features required. As a straightforward extension, distributed learning in the simple setting of one-shot communication is also considered that achieves the same optimal rate.

14.
Neural Netw ; 166: 437-445, 2023 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-37566954

RESUMEN

The classical theory of reinforcement learning focused on the tabular setting when states and actions are finite, or for linear representation of the value function in a finite-dimensional approximation. Establishing theory on general continuous state and action space requires a careful treatment of complexity theory of appropriately chosen function spaces and the iterative update of the value function when stochastic gradient descent (SGD) is used. For the classical prediction problem in reinforcement learning based on i.i.d. streaming data in the framework of reproducing kernel Hilbert spaces, we establish polynomial sample complexity taking into account the smoothness of the value function. In particular, we prove that the gradient descent algorithm efficiently computes the value function with appropriately chosen step sizes, with a convergence rate that can be close to 1/N, which is the best possible rate for parametric SGD. The advantages of using the gradient descent algorithm include its computational convenience and it can naturally deal with streaming data.


Asunto(s)
Algoritmos , Refuerzo en Psicología , Aprendizaje
15.
IEEE Trans Pattern Anal Mach Intell ; 45(8): 10596-10602, 2023 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-37022423

RESUMEN

Kernel Fisher discriminant (KFD) is a popular tool as a nonlinear extension of Fisher's linear discriminant, based on the use of the kernel trick. However, its asymptotic properties are still rarely studied. We first present an operator-theoretical formulation of KFD which elucidates the population target of the estimation problem. Convergence of the KFD solution to its population target is then established. However, the complexity of finding the solution poses significant challenges when n is large and we further propose a sketched estimation approach based on a m×n sketching matrix which possesses the same asymptotic properties (in terms of convergence rate) even when m is much smaller than n. Some numerical results are presented to illustrate the performances of the sketched estimator.


Asunto(s)
Algoritmos , Análisis Discriminante
16.
iScience ; 26(1): 105839, 2023 Jan 20.
Artículo en Inglés | MEDLINE | ID: mdl-36660475

RESUMEN

The oral microbiome has been implicated in a growing number of diseases; however, determinants of the oral microbiome and their roles remain elusive. Here, we investigated the oral (saliva and tongue dorsum) metagenome, the whole genome, and other omics data in a total of 4,478 individuals and demonstrated that the oral microbiome composition and its major contributing host factors significantly differed between sexes. We thus conducted a sex-stratified metagenome-genome-wide-association study (M-GWAS) and identified 11 differential genetic associations with the oral microbiome (p sex-difference  < 5 × 10-8). Furthermore, we performed sex-stratified Mendelian randomization (MR) analyses and identified abundant causalities between the oral microbiome and serum metabolites. Notably, sex-specific microbes-hormonal interactions explained the mostly observed sex hormones differences such as the significant causalities enrichments for aldosterone in females and androstenedione in males. These findings illustrate the necessity of sex stratification and deepen our understanding of the interplay between the oral microbiome and serum metabolites.

17.
Biometrics ; 68(2): 437-45, 2012 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-21950383

RESUMEN

The additive model is a semiparametric class of models that has become extremely popular because it is more flexible than the linear model and can be fitted to high-dimensional data when fully nonparametric models become infeasible. We consider the problem of simultaneous variable selection and parametric component identification using spline approximation aided by two smoothly clipped absolute deviation (SCAD) penalties. The advantage of our approach is that one can automatically choose between additive models, partially linear additive models and linear models, in a single estimation step. Simulation studies are used to illustrate our method, and we also present its applications to motif regression.


Asunto(s)
Biometría/métodos , Perfilación de la Expresión Génica/estadística & datos numéricos , Modelos Estadísticos , Bases de Datos Genéticas/estadística & datos numéricos , Modelos Lineales , Método de Montecarlo , Análisis de Secuencia por Matrices de Oligonucleótidos/estadística & datos numéricos , Análisis de Regresión , Saccharomyces cerevisiae/genética , Estadísticas no Paramétricas
18.
Zhonghua Wai Ke Za Zhi ; 50(10): 879-82, 2012 Oct.
Artículo en Zh | MEDLINE | ID: mdl-23302455

RESUMEN

OBJECTIVE: To evaluate the one year effect of modified Roux-en-Y gastric bypass (RYGP) in the treatment of non-obese type 2 diabetes and to investigate the reasonable indications for surgery. METHODS: Totally 72 patients diagnosed as type 2 diabetes underwent RYGP from May 2009 to June 2010. There were 45 male and 27 female patients, with an average age of (47 ± 10) years. Preoperative body mass index (BMI) of the patients was 18.69 to 31.22 kg/m(2), average (26 ± 4) kg/m(2). The follow-up data included fasting plasma glucose (FPG), 2 h plasma glucose after oral glucose challenge (2hPG), weight, BMI and medication usage in 1, 3, 6 and 12 months postoperative; hemoglobin A1c (HbA1c), fasting C-peptide (C-P), fasting serum insulin (Fins) and homeostasis model assessment of insulin resistance index (HOMA-IR) in 6 and 12 months postoperative, respectively. RESULTS: Compared with the preoperative, FPG, 2hPG, weight and BMI in 1, 3, 6 and 12 months after surgery were improved (t = 7.014 to 10.254, P = 0.000), while HbA1c, C-P and HOMA-IR in 6 and 12 months after surgery were improved (t = 1.782 to 7.789, P = 0.000 to 0.103) and there was no significant difference in Fins (P > 0.05). The rates of complete remission in 1, 3, 6 and 12 months after surgery were gradually improved to 22.2%, 27.8%, 36.1% and 60.6%, respectively, and the rate of remission in 1 year was 94.3%. The complete remission of 1 year after surgery was associated with normal C-P, insulin antibody and oral antidiabetic drugs (χ(2) = 11.730, P = 0.003; χ(2) = 7.131, P = 0.028;χ(2) = 6.149, P = 0.046). CONCLUSIONS: Modified RYGP is safely and effectively in the treatment of no-obese type 2 diabetes patients. The function of islet cells is significantly improved after operation. Especially for the patients of whom C-P is normal, insulin antibody is negative before surgery, the rate of complete remission after 1 year is better.


Asunto(s)
Diabetes Mellitus Tipo 2/cirugía , Derivación Gástrica/métodos , Adulto , Glucemia/metabolismo , Índice de Masa Corporal , Péptido C/metabolismo , Femenino , Estudios de Seguimiento , Hemoglobina Glucada/metabolismo , Humanos , Insulina/sangre , Resistencia a la Insulina , Masculino , Persona de Mediana Edad , Obesidad , Pérdida de Peso
19.
Artículo en Inglés | MEDLINE | ID: mdl-36269928

RESUMEN

Discrimination problems are of significant interest in the machine learning literature. There has been growing interest in extending traditional vector-based machine learning techniques to their matrix forms. In this article, we investigate the statistical properties of the nuclear-norm-based regularized linear support vector machines (SVMs), in particular establishing the convergence rate of the estimator in the high-dimensional setting. Furthermore, within the distributed estimation paradigm, we propose a communication-efficient estimator that can achieve the same convergence rate. We illustrate the performances of the estimators via some simulation examples and an empirical data analysis.

20.
Int J Ophthalmol ; 15(1): 98-105, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35047363

RESUMEN

AIM: To evaluate the macular microvasculature before and after surgery for idiopathic macular hole (MH) and the association of preoperative vascular parameters with postoperative recovery of visual acuity and configuration. METHODS: Twenty eyes from 20 patients with idiopathic MH were enrolled. Optical coherence tomography angiography (OCTA) images were obtained before, 2wk, 1, and 3mo after vitrectomy with internal limiting membrane peeling. Preoperative foveal avascular zone (FAZ) area and perimeter and regional vessel density (VD) in both layers were compared according to the 3-month best-corrected visual acuity (BCVA). RESULTS: The BCVA improved from 0.98±0.59 (logMAR, Snellen 20/200) preoperatively to 0.30±0.25 (Snellen 20/40) at 3mo postoperatively. The preoperative deep VD was smaller and the FAZ perimeter was larger in the 3-month BCVA<20/32 group (all P<0.05). A significant reduction was observed in FAZ parameters and all VDs 2wk postoperatively. Except for deep perifoveal VD, all VDs recovered only to their preoperative values. The postoperative FAZ parameters were lower during follow-up. Decreases in preoperative deep VDs were correlated with worse postoperative BCVA (Pearson's r=-0.667 and -0.619, respectively). A larger FAZ perimeter (Spearman's r=-0.524) and a lower deep perifoveal VD preoperatively (Pearson's r=0.486) were associated with lower healing stage. CONCLUSION: The status of the deep vasculature may be an indicator of visual acuity in patients with a closed MH. Except for the deep perifoveal region, VD recovers only to preoperative levels.

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