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BACKGROUND: In vitro fertilization (IVF) has emerged as a transformative solution for infertility. However, achieving favorable live-birth outcomes remains challenging. Current clinical IVF practices in IVF involve the collection of heterogeneous embryo data through diverse methods, including static images and temporal videos. However, traditional embryo selection methods, primarily reliant on visual inspection of morphology, exhibit variability and are contingent on the experience of practitioners. Therefore, an automated system that can evaluate heterogeneous embryo data to predict the final outcomes of live births is highly desirable. METHODS: We employed artificial intelligence (AI) for embryo morphological grading, blastocyst embryo selection, aneuploidy prediction, and final live-birth outcome prediction. We developed and validated the AI models using multitask learning for embryo morphological assessment, including pronucleus type on day 1 and the number of blastomeres, asymmetry, and fragmentation of blastomeres on day 3, using 19,201 embryo photographs from 8271 patients. A neural network was trained on embryo and clinical metadata to identify good-quality embryos for implantation on day 3 or day 5, and predict live-birth outcomes. Additionally, a 3D convolutional neural network was trained on 418 time-lapse videos of preimplantation genetic testing (PGT)-based ploidy outcomes for the prediction of aneuploidy and consequent live-birth outcomes. RESULTS: These two approaches enabled us to automatically assess the implantation potential. By combining embryo and maternal metrics in an ensemble AI model, we evaluated live-birth outcomes in a prospective cohort that achieved higher accuracy than experienced embryologists (46.1% vs. 30.7% on day 3, 55.0% vs. 40.7% on day 5). Our results demonstrate the potential for AI-based selection of embryos based on characteristics beyond the observational abilities of human clinicians (area under the curve: 0.769, 95% confidence interval: 0.709-0.820). These findings could potentially provide a noninvasive, high-throughput, and low-cost screening tool to facilitate embryo selection and achieve better outcomes. CONCLUSIONS: Our study underscores the AI model's ability to provide interpretable evidence for clinicians in assisted reproduction, highlighting its potential as a noninvasive, efficient, and cost-effective tool for improved embryo selection and enhanced IVF outcomes. The convergence of cutting-edge technology and reproductive medicine has opened new avenues for addressing infertility challenges and optimizing IVF success rates.
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Inteligência Artificial , Fertilização in vitro , Humanos , Fertilização in vitro/métodos , Feminino , Gravidez , Adulto , Diagnóstico Pré-Implantação/métodos , Transferência Embrionária/métodos , Blastocisto/fisiologia , Blastocisto/citologia , AneuploidiaRESUMO
Flexible strain sensors have been continuously optimized and widely used in various fields such as health monitoring, motion detection, and human-machine interfaces. There is a higher demand for sensors that can sensitively identify both the strain amplitude and direction in real-time to adapt to complex human movements. This study proposes a flexible strain sensor construction strategy based on V-groove/wrinkle hierarchical structures via a facile and scalable prestretching approach. A gold film is sputtered on a V-groove structure soft substrate under a vertical biaxial prestrain. When the strain is released, a variety of wondrous V-groove/wrinkle hierarchical structures are formed. The microstructure and the properties of the resulting sensor can be controlled by adjusting the prestrain, which has obvious anisotropic response characteristics and exhibits high sensitivity (maximum gauge factor up to 20,727.46) and a wide sensing range (up to 51%). In addition, the resulting multidirectional sensor based on double-sided microstructures has an exceptional directional selectivity of 67.39, at an advanced level among all stretchable multidirectional strain sensors reported so far. The sensor can detect human motion signals and distinguish motion patterns, proving its great potential in the field of human motion detection and laying a foundation for high-performance wearable devices.
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OBJECTIVE: To determine whether non-invasive prenatal testing is an alternative testing option to preimplantation genetic testing (PGT) in pregnant patients. METHODS: This was a retrospective study of the clinical outcomes of patients who underwent PGT and invasive or non-invasive pregnancy testing after euploid blastocyst transfer at our IVF centre between January 2017 and December 2022. RESULTS: In total, 321 patients were enrolled in this study, 138 (43.0%) received invasive pregnancy testing, and 183 (57.0%) patients underwent non-invasive testing. The mean age of the patients in Group 2 was higher than that of the patients in Group 1 (35.64 ± 4.74 vs. 31.04 ± 4.15 years, P < 0.001). The basal LH and AMH levels were higher in Group 1 than in Group 2 (4.30 ± 2.68 vs. 3.40 ± 1.88, P = 0.003; 5.55 ± 11.22 vs. 4.09 ± 3.55, P = 0.012), but the clinical outcomes were not significantly different. Furthermore, the clinical outcomes of patients undergoing invasive testing were similar to those of patients undergoing non-invasive testing with the same PGT indication. CONCLUSION: Our results suggest that non-invasive pregnancy testing is a suitable alternative option for detecting the foetal chromosomal status in a PGT cycle. However, the usefulness of non-invasive testing in PGT-M patients is still limited.
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Diagnóstico Pré-Implantação , Gravidez , Feminino , Humanos , Diagnóstico Pré-Implantação/métodos , Estudos Retrospectivos , Aneuploidia , Testes Genéticos/métodos , Transferência Embrionária/métodos , Fertilização in vitro/métodosRESUMO
The pyrolysis kinetics of cellulosic fibres, a natural cotton yarn (NCY) and a mercerized cotton yarn (MCY), has been explored with a modified first order global analysis method (FOG), via a series of non-isothermal experiments, using thermogravimetric analysis (TGA). The modified FOG analysis routine was developed to overcome discrepancy in heating rate and the difference between exact results and approximations in integrals. The intrinsic pyrolysis activation energy, with temperature range tending to zero, was found to be independent of heating rate and approximation used, giving average values of 153 ± 2 kJ/mol for NCY and 192 ± 7 kJ/mol for MCY. This proves the applicability of the reported analysis routine under the conducted TGA measurements. The reasons for different values were hypothesized to be the difference in chemical composition and crystalline structure. The findings provide a new approach in the investigation on pyrolysis kinetics of biomass and factors impacting their pyrolytic behaviour.
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Three methods are established to explore the dissolution kinetics of cellulosic fibres in the ionic liquid 1-ethyl-3-methyl-imidazolium acetate ([C2mim][OAc]), based on optical microscopic images of processed dried cellulose and cellulose hydrogels. The dissolution process for different times at various temperatures was analysed using time-temperature superposition, and from this the dissolution was found to follow an Arrhenius behaviour. Three values for the activation energy of dissolution were obtained from three different quantifying methods; these were found to agree, giving an average value of 73 ± 2 kJ/mol. A new method is developed to determine the swelling ratio of different regions of the processed cellulose samples, along with the different water volume fractions contained therein. The findings will be of interest to researchers making all cellulose composites and those studying the dissolution of cellulose by ionic liquids.
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Imidazóis , Líquidos Iônicos , Celulose , Solubilidade , TemperaturaRESUMO
BACKGROUND: This study aimed to evaluate the ability of next-generation sequencing (NGS) to conduct preimplantation genetic testing (PGT) for thalassemia using affected embryos. METHODS: This study included data from 36 couples who underwent PGT for thalassemia without probands and relative pedigrees. NGS results were compared with prenatal diagnosis results. RESULTS: Thirty-six couples (29 α-thalassemia and 7 ß-thalassemia) underwent 41 PGT cycles (31 α-thalassemia and 10 ß-thalassemia). Analysis using NGS produced conclusive results for all biopsied blastocysts (100%, 217/217). One hundred and sixty (73.7%, 160/217) were unaffected by thalassemia. Preimplantation genetic testing for aneuploidy revealed that 112 (70.0%, 112/160) were euploid. Single blastocysts were transferred into the uteri of 34 women (53 frozen embryo transfer [FET] cycles). Thirty-two cycles resulted in clinical pregnancies, with a clinical pregnancy rate of 60.1% (32/53) per FET cycle. Twenty-two cycles (22 couples) resulted in 23 live births, with a live birth rate of 43.4% (23/53; 3 cycles were ongoing pregnancies). All 25 embryos' prenatal diagnosis results and/or thalassemia gene analyses after delivery were concordant with the NGS-PGT results. Seven embryos (21.9%, 7/32) were miscarried before 12 weeks' gestation, and the abortion villus in four showed a normal karyotype and thalassemia results consistent with the NGS-PGT results. Aborted fetus samples from 3 cycles were not available because the pregnancy lasted less than 5 weeks. CONCLUSION: NGS can be used to conduct PGT for thalassemia using affected embryos as a reference. TRIAL REGISTRATION: Retrospectively registered.
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Diagnóstico Pré-Implantação , Talassemia alfa , Talassemia beta , Transferência Embrionária , Feminino , Testes Genéticos/métodos , Humanos , Masculino , Gravidez , Diagnóstico Pré-Implantação/métodos , Talassemia alfa/genética , Talassemia beta/diagnóstico , Talassemia beta/genéticaRESUMO
Alicyclobacillus spp. can cause commercially pasteurized fruit juices/beverages to spoil and the spoilage is characterized by the formation of a distinct medicinal or antiseptic off-odor attributed to guaiacol. The aim of this study was to reveal the mechanism of guaiacol production in A. acidoterrestris by combining transcriptomic and proteomic approaches. RNA-sequencing and iTRAQ analyses were conducted to investigate differences in expression levels of genes and proteins in A. acidoterrestris when producing (with 500 µM vanillic acid) and not producing (without vanillic acid) guaiacol. A total of 225 differentially expressed genes and 77 differentially expressed proteins were identified. The transcription of genes vdcBCD encoding subunits of vanillic acid decarboxylase were 626.47, 185.01 and 52.81-fold up-regulated, respectively; they were the most up-regulated genes involved in guaiacol production. Expressions of the benzoate membrane transport protein, fusaric acid resistance protein, resistance-nodulation- division transporter, some ATP-binding cassette transporters and major facilitator superfamily transporters were increased at either mRNA, protein or both levels, indicating that they participated in the uptake of vanillic acid and extrusion of guaiacol. In the metabolic process of vanillic acid to guaiacol in A. acidoterrestris, genes related to the pathway of tricarboxylic acid cycle and ribosome were up-regulated, while the expression of some genes associated with valine, leucine and isoleucine biosynthesis was decreased. These findings provide novel insight to understand the mechanism of guaiacol production in A. acidoterrestris, which will serve as an important guide for developing strategies for the control of A. acidoterrestris problems in the fruit juice industry.
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Alicyclobacillus , Alicyclobacillus/genética , Guaiacol , Proteoma/genética , Proteômica , TranscriptomaRESUMO
Reactivation of fetal haemoglobin (HbF) expression is an effective way to treat ß-thalassaemia and sickle cell anaemia. In the present study, we identified a novel GATA zinc finger domain-containing protein 2A (GATAD2A) mutation, which contributed to the elevation of HbF and ameliorated clinical severity in a patient with ß-thalassaemia, by targeted next-generation sequencing. Knockout of GATAD2A led to a significant induction of HbF in both human umbilical cord blood-derived erythroid progenitor-2 (HUDEP-2) and human cluster of differentiation (CD)34+ cells with a detectable impact on erythroid differentiation. Furthermore, heterozygous knockout of GATAD2A impaired recruitment of chromodomain helicase DNA-binding protein 4 (CHD4) to the methyl-binding domain protein 2 (MBD2)-containing nucleosome remodelling and deacetylation (NuRD) complex. Our present data suggest that mutations causing the haploinsufficiency of GATAD2A might contribute to amelioration of clinical severity in patients with ß-thalassaemia.
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Proteínas de Ligação a DNA/metabolismo , Células Precursoras Eritroides/metabolismo , Hemoglobina Fetal/metabolismo , Complexo Mi-2 de Remodelação de Nucleossomo e Desacetilase/metabolismo , Nucleossomos/metabolismo , Proteínas Repressoras/deficiência , Talassemia beta/metabolismo , Acetilação , Adolescente , Linhagem Celular , Criança , Códon sem Sentido , Proteínas de Ligação a DNA/genética , Hemoglobina Fetal/genética , Haploinsuficiência , Humanos , Masculino , Complexo Mi-2 de Remodelação de Nucleossomo e Desacetilase/genética , Nucleossomos/genética , Proteínas Repressoras/metabolismo , Talassemia beta/genéticaRESUMO
Objectives: To compare successful beta-thalassemia (ß-thalassemia) detection rates obtained using spent culture medium and spent culture medium containing blastocoelic fluid (BF). Method: This study involved data from 10 couples who underwent preimplantation genetic testing (PGT) for ß-thalassemia. A total of 26 samples of spent culture medium containing BF (group A) and 33 samples without BF (group B) were collected and analyzed. The DNA concentration and ß-thalassemia detection rates were evaluated. Results: The HBB mutation analysis results of 34 samples were concordant with the biopsy results (34/59, 57.6%). In group A, the HBB mutation analysis results of 19 of 26 samples (73.1%) were concordant with the biopsy results. The concordance rate in group A was higher than that in group B (15/33, 45.5%; P < 0.05). The haplotyping results of 38 samples were concordant with the biopsy results (38/59, 64.4%). The concordance rate in group B was 17/33 (51.5%), which was significantly lower than that in group A (21/26, 80.8%) (P < 0.05). In group A, the mean DNA concentration of samples with <10% fragmentation was 107.3 ± 70.1 ng/µL, which was lower than that of samples with ≥10% fragmentation (194.6 ± 28.0 ng/µL) (P < 0.05). However, the detection rates of <10% and ≥10% fragmentation were not significantly different (P > 0.05). Conclusion: The ß-thalassemia detection rate with non-invasive PGT using the spent culture medium containing BF was higher than that using the spent culture medium alone. Fragmentation is associated with DNA concentration in the spent culture medium containing BF.
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Meios de Cultura/análise , Diagnóstico Pré-Implantação/métodos , Globinas beta/genética , Talassemia beta/diagnóstico , Biópsia , DNA/análise , Técnicas de Cultura Embrionária , Fertilização in vitro , Humanos , Polimorfismo de Nucleotídeo Único , Talassemia beta/genéticaRESUMO
BACKGROUND: Preimplantation genetic testing (PGT) is a powerful tool for patients with a high risk of transmitting a genetic abnormality to their children. Unlike other assisted reproductive technologies (ART), it has technical issues which remain unresolved. OBJECTIVES: To develop a modified tubing method for placing biopsied samples into amplification tubes for PGT. MATERIAL AND METHODS: A modified tubing method was developed and applied to PGT, with the micromanipulator aiding in the fine movement of transfer pipettes, and with a microinjector to minimize the amount of medium which is transferred with the biopsy samples into the amplification tube. A total of 826 blastocysts from 222 PGT cycles performed between December 2016 and December 2019 were retrospectively analyzed. As the tubing of the cells could not always be inspected visually and they would only be detected by the presence of DNA after amplification, the main outcome measure was the amplification success rate. RESULTS: The amplification success rate with the modified tubing method was 99.6%. CONCLUSIONS: The modified tubing method is efficient and simple. It is a promising technique for PGT tubing. To the best of our knowledge, this is the first report on the use of a modified micromanipulator and microinjector for improving the tubing rate in PGT cycles, and the presented method is by far the closest to actual use for PGT tubing.
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Testes Genéticos , Aneuploidia , Biópsia , Blastocisto , Feminino , Humanos , Gravidez , Diagnóstico Pré-Implantação , Estudos RetrospectivosRESUMO
BACKGROUND: To compare the concordance between trophectoderm (TE) analysis and whole blastocyst analysis of embryos from chromosomal structural rearrangement (SR) carriers. METHOD: Sixty-three abnormal blastocysts identified by preimplantation genetic testing for chromosomal structural rearrangement (PGT-SR) were included. The whole blastocysts were processed through multiple displacement amplification cycle and sequenced for 24-chromosome aneuploidy screening by next-generation sequencing (NGS). The sequencing results were compared with those of TE biopsy from the same blastocysts and the primary chromosomal rearrangement of the couples. RESULTS: Analysis of the 63 blastocysts showed 68% (43/63) complete concordance between TE sequencing analysis and whole blastocyst results. Approximately one third (20/63, 32%) of the sequencing results showed some level of discordance between the two samples. Of these, 14% (9/63) of the embryos were identified as euploid after whole blastocyst sequencing. Among them, seven blastocysts were classified as chromosome mosaicism (five whole chromosomes, two segmental) after TE analysis, while two displayed non-SR related segmental changes in the TE biopsy. Of the original analyses, 70% (44/63) of findings were associated with the primary parental chromosomal rearrangement, while 30% (19/63) had no association. CONCLUSIONS: TE biopsy with NGS for PGT-SR is an efficient strategy to identify embryos suitable for transfer. While there was a high concordance between TE and whole blastocyst chromosome results, some embryos classified as mosaic in the original analysis and therefore unsuitable for transfer were reclassified as chromosomally balanced. To maximize the number of embryos available for PGT-SR patients, we suggest that embryos with mosaic non-SR chromosomal rearrangement should be stored and considered for transfer after appropriate counseling.
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Aneuploidia , Blastocisto/metabolismo , Aberrações Cromossômicas , Testes Genéticos/métodos , Diagnóstico Pré-Implantação/métodos , Trofoblastos/metabolismo , Biópsia , Blastocisto/citologia , Feminino , Sequenciamento de Nucleotídeos em Larga Escala , Humanos , Gravidez , Trofoblastos/citologiaRESUMO
Haploinsufficiency of erythroid Krüppel-like factor (EKLF/KLF1) has been shown recently to ameliorate the clinical severity of ß-thalassemia by increased expression levels of fetal hemoglobin (HbF). The underlying mechanisms for role of EKLF in regulating HbF are of great interest but remain incompletely understood. In this study, we used a combination of in silico, in vitro, and in vivo approaches to identify microRNAs (miRs) involved in EKLF regulation and to validate the role of miR-326 in HbF modification. We found that miR-326 suppresses EKLF expression directly by targeting its 3' untranslated region. miR-326 overexpression in K562 cells or CD34+ hematopoietic progenitor cells resulted in reduced EKLF protein levels and was associated with elevated expression of γ-globin, whereas inhibition of physiological miR-326 levels increased EKLF and thus reduced γ-globin expression. Moreover, miR-326 expression is positively correlated with HbF levels in ß-thalassemia patients. Our results suggest that miR-326 plays a key role in regulating EKLF expression and in modifying the HbF level, which may provide a new strategy for activating HbF in individuals with ß-thalassemia or sickle cell disease.
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Células Eritroides/metabolismo , Fatores de Transcrição Kruppel-Like/biossíntese , MicroRNAs/fisiologia , gama-Globinas/biossíntese , Regiões 3' não Traduzidas , Adulto , Sítios de Ligação , Células Cultivadas , Regulação para Baixo , Células Eritroides/efeitos dos fármacos , Eritropoese , Hemoglobina Fetal/análise , Regulação da Expressão Gênica/efeitos dos fármacos , Genes Reporter , Células HEK293 , Células-Tronco Hematopoéticas/citologia , Células-Tronco Hematopoéticas/efeitos dos fármacos , Células-Tronco Hematopoéticas/metabolismo , Humanos , Células K562 , Fatores de Transcrição Kruppel-Like/genética , MicroRNAs/antagonistas & inibidores , MicroRNAs/farmacologia , Reação em Cadeia da Polimerase em Tempo Real , Proteínas Recombinantes/biossíntese , Talassemia beta/sangue , gama-Globinas/genéticaRESUMO
Erythroid Krüppel-like factor (EKLF/KLF1) is an erythroid-specific transcription factor whose activity is essential for erythropoiesis. The underlying mechanisms for EKLF specifically restricted to erythroid cells are of great interest but remain incompletely understood. To explore the epigenetic regulation of EKLF expression by promoter DNA methylation, we investigated the methylation status of the EKLF promoter and EKLF gene expression from a panel of human tissues. We observed that erythroid-specific hypomethylation of the EKLF promoter in adult erythroid cells was positively associated with EKLF expression. Demethylation of the EKLF promoter by 5-aza-2'-deoxycytidine led to elevated EKLF expression in non-erythroid cells. We further uncovered that EKLF promoter DNA methylation reduced the binding affinity for the transcription factors GATA1 and c-myb (MYB), which in turn silenced EKLF expression. These results suggest that hypomethylation of the EKLF promoter has functional significance in the establishment and maintenance of erythroid-specific gene expression.
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Metilação de DNA , Regulação da Expressão Gênica , Fatores de Transcrição Kruppel-Like/genética , Regiões Promotoras Genéticas , Sítios de Ligação , Linhagem Celular , Epigênese Genética , Células Eritroides/metabolismo , Eritropoese/genética , Fator de Transcrição GATA1/metabolismo , Humanos , Fatores de Transcrição Kruppel-Like/metabolismo , Especificidade de Órgãos/genética , Ligação Proteica , Proteínas Proto-Oncogênicas c-myb/metabolismoRESUMO
Microcrystalline cellulose (MCC) was first swollen and then hybridized with nano-ZnO to prepare MCC-ZnO hybrid composites using a microreactor technique. The microstructure of the ZnO particles was controlled and characterized. The results showed that the nano-ZnO particles had a Wurtzite structure and were successfully loaded on the surface of the MCC, and the ZnO morphologies could be shaped as spheres, rods or tubes by controlling the size of microreactor. The hybrid ratio of ZnO was approximately 20%. The MCC-ZnO hybrids were used in SSBR2557A/SiO2 compounds to replace portions of the silica. The results showed that MCC-ZnO compounds had improved processing and mechanical properties compared to the pure MCC sample. The dynamic mechanical analysis (DMA) indicated that MCC-ZnO compounds had higher wet-skid resistance and lower rolling resistance than the control samples. The interfacial bonding between the hybrids and rubber was also improved; the sizes of the hybrid composites decreased in situ during the rubber processing.