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1.
Bioinformatics ; 36(11): 3522-3527, 2020 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-32176244

RESUMO

MOTIVATION: Low-dimensional representations of high-dimensional data are routinely employed in biomedical research to visualize, interpret and communicate results from different pipelines. In this article, we propose a novel procedure to directly estimate t-SNE embeddings that are not driven by batch effects. Without correction, interesting structure in the data can be obscured by batch effects. The proposed algorithm can therefore significantly aid visualization of high-dimensional data. RESULTS: The proposed methods are based on linear algebra and constrained optimization, leading to efficient algorithms and fast computation in many high-dimensional settings. Results on artificial single-cell transcription profiling data show that the proposed procedure successfully removes multiple batch effects from t-SNE embeddings, while retaining fundamental information on cell types. When applied to single-cell gene expression data to investigate mouse medulloblastoma, the proposed method successfully removes batches related with mice identifiers and the date of the experiment, while preserving clusters of oligodendrocytes, astrocytes, and endothelial cells and microglia, which are expected to lie in the stroma within or adjacent to the tumours. AVAILABILITY AND IMPLEMENTATION: Source code implementing the proposed approach is available as an R package at https://github.com/emanuelealiverti/BC_tSNE, including a tutorial to reproduce the simulation studies. CONTACT: aliverti@stat.unipd.it.


Assuntos
Células Endoteliais , Software , Algoritmos , Animais , Expressão Gênica , Perfilação da Expressão Gênica , Camundongos
2.
Biometrika ; 107(4): 1005-1012, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33462537

RESUMO

Classification with high-dimensional data is of widespread interest and often involves dealing with imbalanced data. Bayesian classification approaches are hampered by the fact that current Markov chain Monte Carlo algorithms for posterior computation become inefficient as the number [Formula: see text] of predictors or the number [Formula: see text] of subjects to classify gets large, because of the increasing computational time per step and worsening mixing rates. One strategy is to employ a gradient-based sampler to improve mixing while using data subsamples to reduce the per-step computational complexity. However, the usual subsampling breaks down when applied to imbalanced data. Instead, we generalize piecewise-deterministic Markov chain Monte Carlo algorithms to include importance-weighted and mini-batch subsampling. These maintain the correct stationary distribution with arbitrarily small subsamples and substantially outperform current competitors. We provide theoretical support for the proposed approach and demonstrate its performance gains in simulated data examples and an application to cancer data.

3.
Blood ; 134(19): 1598-1607, 2019 11 07.
Artigo em Inglês | MEDLINE | ID: mdl-31558468

RESUMO

Burkitt lymphoma (BL) is an aggressive, MYC-driven lymphoma comprising 3 distinct clinical subtypes: sporadic BLs that occur worldwide, endemic BLs that occur predominantly in sub-Saharan Africa, and immunodeficiency-associated BLs that occur primarily in the setting of HIV. In this study, we comprehensively delineated the genomic basis of BL through whole-genome sequencing (WGS) of 101 tumors representing all 3 subtypes of BL to identify 72 driver genes. These data were additionally informed by CRISPR screens in BL cell lines to functionally annotate the role of oncogenic drivers. Nearly every driver gene was found to have both coding and non-coding mutations, highlighting the importance of WGS for identifying driver events. Our data implicate coding and non-coding mutations in IGLL5, BACH2, SIN3A, and DNMT1. Epstein-Barr virus (EBV) infection was associated with higher mutation load, with type 1 EBV showing a higher mutational burden than type 2 EBV. Although sporadic and immunodeficiency-associated BLs had similar genetic profiles, endemic BLs manifested more frequent mutations in BCL7A and BCL6 and fewer genetic alterations in DNMT1, SNTB2, and CTCF. Silencing mutations in ID3 were a common feature of all 3 subtypes of BL. In vitro, mass spectrometry-based proteomics demonstrated that the ID3 protein binds primarily to TCF3 and TCF4. In vivo knockout of ID3 potentiated the effects of MYC, leading to rapid tumorigenesis and tumor phenotypes consistent with those observed in the human disease.


Assuntos
Linfoma de Burkitt/genética , Sequenciamento Completo do Genoma/métodos , Animais , Humanos , Camundongos
4.
Bioinformatics ; 34(14): 2457-2464, 2018 07 15.
Artigo em Inglês | MEDLINE | ID: mdl-29506206

RESUMO

Motivation: Although there is a rich literature on methods for assessing the impact of functional predictors, the focus has been on approaches for dimension reduction that do not suit certain applications. Examples of standard approaches include functional linear models, functional principal components regression and cluster-based approaches, such as latent trajectory analysis. This article is motivated by applications in which the dynamics in a predictor, across times when the value is relatively extreme, are particularly informative about the response. For example, physicians are interested in relating the dynamics of blood pressure changes during surgery to post-surgery adverse outcomes, and it is thought that the dynamics are more important when blood pressure is significantly elevated or lowered. Results: We propose a novel class of extrema-weighted feature (XWF) extraction models. Key components in defining XWFs include the marginal density of the predictor, a function up-weighting values at extreme quantiles of this marginal, and functionals characterizing local dynamics. Algorithms are proposed for fitting of XWF-based regression and classification models, and are compared with current methods for functional predictors in simulations and a blood pressure during surgery application. XWFs find features of intraoperative blood pressure trajectories that are predictive of postoperative mortality. By their nature, most of these features cannot be found by previous methods. Availability and implementation: The R package 'xwf' is available at the CRAN repository: https://cran.r-project.org/package=xwf. Supplementary information: Supplementary data are available at Bioinformatics online.


Assuntos
Pressão Sanguínea , Biologia Computacional/métodos , Complicações Pós-Operatórias , Software , Algoritmos , Feminino , Humanos , Masculino , Resultado do Tratamento
5.
J Exp Med ; 214(5): 1371-1386, 2017 05 01.
Artigo em Inglês | MEDLINE | ID: mdl-28424246

RESUMO

Enteropathy-associated T cell lymphoma (EATL) is a lethal, and the most common, neoplastic complication of celiac disease. Here, we defined the genetic landscape of EATL through whole-exome sequencing of 69 EATL tumors. SETD2 was the most frequently silenced gene in EATL (32% of cases). The JAK-STAT pathway was the most frequently mutated pathway, with frequent mutations in STAT5B as well as JAK1, JAK3, STAT3, and SOCS1 We also identified mutations in KRAS, TP53, and TERT Type I EATL and type II EATL (monomorphic epitheliotropic intestinal T cell lymphoma) had highly overlapping genetic alterations indicating shared mechanisms underlying their pathogenesis. We modeled the effects of SETD2 loss in vivo by developing a T cell-specific knockout mouse. These mice manifested an expansion of γδ T cells, indicating novel roles for SETD2 in T cell development and lymphomagenesis. Our data render the most comprehensive genetic portrait yet of this uncommon but lethal disease and may inform future classification schemes.


Assuntos
Linfoma de Células T Associado a Enteropatia/fisiopatologia , Histona-Lisina N-Metiltransferase/fisiologia , Animais , Variações do Número de Cópias de DNA/genética , Linfoma de Células T Associado a Enteropatia/classificação , Linfoma de Células T Associado a Enteropatia/genética , Feminino , Perfilação da Expressão Gênica , Inativação Gênica , Humanos , Masculino , Camundongos Knockout , Pessoa de Meia-Idade , Mutação/genética , Análise de Sequência de DNA , Linfócitos T/fisiologia
6.
Biometrics ; 73(3): 1018-1028, 2017 09.
Artigo em Inglês | MEDLINE | ID: mdl-28083869

RESUMO

High-throughput genetic and epigenetic data are often screened for associations with an observed phenotype. For example, one may wish to test hundreds of thousands of genetic variants, or DNA methylation sites, for an association with disease status. These genomic variables can naturally be grouped by the gene they encode, among other criteria. However, standard practice in such applications is independent screening with a universal correction for multiplicity. We propose a Bayesian approach in which the prior probability of an association for a given genomic variable depends on its gene, and the gene-specific probabilities are modeled nonparametrically. This hierarchical model allows for appropriate gene and genome-wide multiplicity adjustments, and can be incorporated into a variety of Bayesian association screening methodologies with negligible increase in computational complexity. We describe an application to screening for differences in DNA methylation between lower grade glioma and glioblastoma multiforme tumor samples from The Cancer Genome Atlas. Software is available via the package BayesianScreening for R: github.com/lockEF/BayesianScreening.


Assuntos
Genoma , Teorema de Bayes , Ilhas de CpG , Metilação de DNA , Epigênese Genética , Epigenômica , Glioblastoma , Humanos
7.
Biometrika ; 102(4): 829-842, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-27046939

RESUMO

This article concerns testing for equality of distribution between groups. We focus on screening variables with shared distributional features such as common support, modes and patterns of skewness. We propose a Bayesian testing method using kernel mixtures, which improves performance by borrowing information across the different variables and groups through shared kernels and a common probability of group differences. The inclusion of shared kernels in a finite mixture, with Dirichlet priors on the weights, leads to a simple framework for testing that scales well for high-dimensional data. We provide closed asymptotic forms for the posterior probability of equivalence in two groups and prove consistency under model misspecification. The method is applied to DNA methylation array data from a breast cancer study, and compares favourably to competitors when Type I error is estimated via permutation.

8.
J Am Stat Assoc ; 109(508): 1481-1494, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25544786

RESUMO

Modeling object boundaries based on image or point cloud data is frequently necessary in medical and scientific applications ranging from detecting tumor contours for targeted radiation therapy, to the classification of organisms based on their structural information. In low-contrast images or sparse and noisy point clouds, there is often insufficient data to recover local segments of the boundary in isolation. Thus, it becomes critical to model the entire boundary in the form of a closed curve. To achieve this, we develop a Bayesian hierarchical model that expresses highly diverse 2D objects in the form of closed curves. The model is based on a novel multiscale deformation process. By relating multiple objects through a hierarchical formulation, we can successfully recover missing boundaries by borrowing structural information from similar objects at the appropriate scale. Furthermore, the model's latent parameters help interpret the population, indicating dimensions of significant structural variability and also specifying a 'central curve' that summarizes the collection. Theoretical properties of our prior are studied in specific cases and efficient Markov chain Monte Carlo methods are developed, evaluated through simulation examples and applied to panorex teeth images for modeling teeth contours and also to a brain tumor contour detection problem.

9.
Bioinformatics ; 29(20): 2610-6, 2013 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-23990412

RESUMO

MOTIVATION: In biomedical research a growing number of platforms and technologies are used to measure diverse but related information, and the task of clustering a set of objects based on multiple sources of data arises in several applications. Most current approaches to multisource clustering either independently determine a separate clustering for each data source or determine a single 'joint' clustering for all data sources. There is a need for more flexible approaches that simultaneously model the dependence and the heterogeneity of the data sources. RESULTS: We propose an integrative statistical model that permits a separate clustering of the objects for each data source. These separate clusterings adhere loosely to an overall consensus clustering, and hence they are not independent. We describe a computationally scalable Bayesian framework for simultaneous estimation of both the consensus clustering and the source-specific clusterings. We demonstrate that this flexible approach is more robust than joint clustering of all data sources, and is more powerful than clustering each data source independently. We present an application to subtype identification of breast cancer tumor samples using publicly available data from The Cancer Genome Atlas. AVAILABILITY: R code with instructions and examples is available at http://people.duke.edu/%7Eel113/software.html.


Assuntos
Genômica/métodos , Algoritmos , Teorema de Bayes , Análise por Conglomerados , Dosagem de Genes , Humanos , Modelos Estatísticos
10.
Nat Genet ; 44(12): 1321-5, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-23143597

RESUMO

Burkitt lymphoma is characterized by deregulation of MYC, but the contribution of other genetic mutations to the disease is largely unknown. Here, we describe the first completely sequenced genome from a Burkitt lymphoma tumor and germline DNA from the same affected individual. We further sequenced the exomes of 59 Burkitt lymphoma tumors and compared them to sequenced exomes from 94 diffuse large B-cell lymphoma (DLBCL) tumors. We identified 70 genes that were recurrently mutated in Burkitt lymphomas, including ID3, GNA13, RET, PIK3R1 and the SWI/SNF genes ARID1A and SMARCA4. Our data implicate a number of genes in cancer for the first time, including CCT6B, SALL3, FTCD and PC. ID3 mutations occurred in 34% of Burkitt lymphomas and not in DLBCLs. We show experimentally that ID3 mutations promote cell cycle progression and proliferation. Our work thus elucidates commonly occurring gene-coding mutations in Burkitt lymphoma and implicates ID3 as a new tumor suppressor gene.


Assuntos
Linfoma de Burkitt/genética , Mutação , Amônia-Liases/genética , Sequência de Bases , Linhagem Celular Tumoral , Chaperonina com TCP-1/genética , DNA Helicases/genética , Proteínas de Ligação a DNA , Subunidades alfa G12-G13 de Proteínas de Ligação ao GTP/genética , Genes myc/genética , Genoma Humano , Glutamato Formimidoiltransferase/genética , Proteínas de Homeodomínio/genética , Humanos , Proteínas Inibidoras de Diferenciação/genética , Peptídeos e Proteínas de Sinalização Intracelular , Linfoma Difuso de Grandes Células B/genética , Proteínas de Membrana/genética , Dados de Sequência Molecular , Enzimas Multifuncionais , Proteínas de Neoplasias/genética , Proteínas Nucleares/genética , Proteínas Proto-Oncogênicas c-ret/genética , Análise de Sequência de DNA , Fatores de Transcrição/genética , Translocação Genética
11.
Biometrics ; 67(3): 1111-8, 2011 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-21175554

RESUMO

Current status data are a type of interval-censored event time data in which all the individuals are either left or right censored. For example, our motivation is drawn from a cross-sectional study, which measured whether or not fibroid onset had occurred by the age of an ultrasound exam for each woman. We propose a semiparametric Bayesian proportional odds model in which the baseline event time distribution is estimated nonparametrically by using adaptive monotone splines in a logistic regression model and the potential risk factors are included in the parametric part of the mean structure. The proposed approach has the advantage of being straightforward to implement using a simple and efficient Gibbs sampler, whereas alternative semiparametric Bayes' event time models encounter problems for current status data. The model is generalized to allow systematic underreporting in a subset of the data, and the methods are applied to an epidemiologic study of uterine fibroids.


Assuntos
Interpretação Estatística de Dados , Estudos Epidemiológicos , Análise de Regressão , Teorema de Bayes , Feminino , Humanos , Leiomioma , Razão de Chances , Modelos de Riscos Proporcionais , Fatores de Risco
12.
Biometrics ; 66(2): 493-501, 2010 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-19673866

RESUMO

In National Toxicology Program (NTP) studies, investigators want to assess whether a test agent is carcinogenic overall and specific to certain tumor types, while estimating the dose-response profiles. Because there are potentially correlations among the tumors, a joint inference is preferred to separate univariate analyses for each tumor type. In this regard, we propose a random effect logistic model with a matrix of coefficients representing log-odds ratios for the adjacent dose groups for tumors at different sites. We propose appropriate nonparametric priors for these coefficients to characterize the correlations and to allow borrowing of information across different dose groups and tumor types. Global and local hypotheses can be easily evaluated by summarizing the output of a single Monte Carlo Markov chain (MCMC). Two multiple testing procedures are applied for testing local hypotheses based on the posterior probabilities of local alternatives. Simulation studies are conducted and an NTP tumor data set is analyzed illustrating the proposed approach.


Assuntos
Teorema de Bayes , Relação Dose-Resposta a Droga , Ensaios de Seleção de Medicamentos Antitumorais/estatística & dados numéricos , Neoplasias/tratamento farmacológico , Humanos , Modelos Logísticos , Métodos
13.
Epidemiology ; 20(4): 604-10, 2009 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-19305350

RESUMO

BACKGROUND: Insulin-like growth factor-I (IGF-I) and insulin stimulate cell proliferation in uterine leiomyoma (fibroid) tissue. We hypothesized that circulating levels of these proteins would be associated with increased prevalence and size of uterine fibroids. METHODS: Participants were 35-49-year-old, randomly selected members of an urban health plan who were enrolled in the study in 1996-1999. Premenopausal participants were screened for fibroids with ultrasound. Fasting blood samples were collected. Associations between fibroids and diabetes, plasma IGF-I, IGF binding protein 3 (BP3), and insulin were evaluated for blacks (n = 585) and whites (n = 403) by using multiple logistic regression. RESULTS: IGF-I showed no association with fibroids in blacks, but in whites the adjusted odds ratios (aORs) for both mid and upper tertiles compared with the lowest tertile were 0.6 (95% confidence intervals [CI] = 0.3-1.0 and 0.4-1.1, respectively). Insulin and diabetes both tended to be inversely associated with fibroids in blacks. The insulin association was with large fibroids; aOR for the upper insulin tertile relative to the lowest was 0.4 (0.2-0.9). The aOR for diabetes was 0.5 (0.2-1.0). Associations of insulin and diabetes with fibroids were weak for whites. Binding protein 3 showed no association with fibroids. CONCLUSIONS: Contrary to our hypothesis, high circulating IGF-I and insulin were not related to increased fibroid prevalence. Instead, there was suggestion of the opposite. The inverse association with diabetes, although based on small numbers, is consistent with previously reported findings. Future studies might investigate vascular dysfunction as a mediator between hyperinsulinemia or diabetes and possible reduced risk of fibroids.


Assuntos
Proteína 1 de Ligação a Fator de Crescimento Semelhante à Insulina/sangue , Insulina/sangue , Leiomioma/sangue , Leiomioma/epidemiologia , Útero/fisiopatologia , Adulto , Proliferação de Células , Diabetes Mellitus/sangue , Feminino , Humanos , Modelos Logísticos , Pessoa de Meia-Idade
14.
Biostatistics ; 8(4): 821-34, 2007 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-17429104

RESUMO

For large data sets, it can be difficult or impossible to fit models with random effects using standard algorithms due to memory limitations or high computational burdens. In addition, it would be advantageous to use the abundant information to relax assumptions, such as normality of random effects. Motivated by data from an epidemiologic study of childhood growth, we propose a 2-stage method for fitting semiparametric random effects models to longitudinal data with many subjects. In the first stage, we use a multivariate clustering method to identify G<

Assuntos
Interpretação Estatística de Dados , Modelos Estatísticos , Biometria , Criança , Pré-Escolar , Análise por Conglomerados , Feminino , Crescimento , Humanos , Lactente , Recém-Nascido , Estudos Longitudinais , Cadeias de Markov , Método de Monte Carlo , Poluição por Fumaça de Tabaco/efeitos adversos , Aumento de Peso
15.
Biometrics ; 63(3): 724-32, 2007 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-17403106

RESUMO

This article considers methodology for hierarchical functional data analysis, motivated by studies of reproductive hormone profiles in the menstrual cycle. Current methods standardize the cycle lengths and ignore the timing of ovulation within the cycle, both of which are biologically informative. Methods are needed that avoid standardization, while flexibly incorporating information on covariates and the timing of reference events, such as ovulation and onset of menses. In addition, it is necessary to account for within-woman dependency when data are collected for multiple cycles. We propose an approach based on a hierarchical generalization of Bayesian multivariate adaptive regression splines. Our formulation allows for an unknown set of basis functions characterizing the population-averaged and woman-specific trajectories in relation to covariates. A reversible jump Markov chain Monte Carlo algorithm is developed for posterior computation. Applying the methods to data from the North Carolina Early Pregnancy Study, we investigate differences in urinary progesterone profiles between conception and nonconception cycles.


Assuntos
Algoritmos , Biometria/métodos , Interpretação Estatística de Dados , Ciclo Menstrual/urina , Modelos Biológicos , Modelos Estatísticos , Progesterona/urina , Teorema de Bayes , Simulação por Computador , Bases de Dados Factuais , Feminino , Humanos , Análise Numérica Assistida por Computador , Análise de Regressão
16.
Am J Epidemiol ; 165(2): 157-63, 2007 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-17090618

RESUMO

The relation between physical activity and uterine leiomyomata (fibroids) has received little study, but exercise is protective for breast cancer, another hormonally mediated tumor. Participants in this study were randomly selected members of a health plan based in Washington, DC, aged 35-49 years (734 African Americans, 455 Whites) enrolled between 1996 and 1999. Fibroid status was based on ultrasound screening. Physical activity was based on detailed interview questions. Logistic regression with adjustment for body mass index and other risk factors showed that women in the highest category of physical activity were significantly less likely to have fibroids (odds ratio = 0.6, 95% confidence interval = 0.4, 0.9 for the highest vs. the lowest category (equivalent to approximately > or =7 hours/week vs <2 hours/week)). There was a dose-response pattern; a significant trend was seen for both African-American and White women. A multistate Bayesian analysis indicated that exercise was associated with tumor onset more strongly than with tumor growth. When data for women who reported major fibroid-related symptoms were excluded, results remained essentially unchanged, suggesting that the observed association could not be attributed to reverse causation (fibroids preventing exercise). The authors concluded that regular exercise might help women prevent fibroids.


Assuntos
Leiomioma/etiologia , Atividade Motora , Neoplasias Uterinas/etiologia , Adolescente , Adulto , Negro ou Afro-Americano , Índice de Massa Corporal , District of Columbia/epidemiologia , Feminino , Humanos , Incidência , Leiomioma/diagnóstico por imagem , Leiomioma/etnologia , Pessoa de Meia-Idade , Prognóstico , Estudos Retrospectivos , Fatores de Risco , Inquéritos e Questionários , Ultrassonografia , Neoplasias Uterinas/diagnóstico por imagem , Neoplasias Uterinas/epidemiologia , População Branca
17.
Biometrics ; 62(4): 1044-52, 2006 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-17156278

RESUMO

Many biomedical studies collect data on times of occurrence for a health event that can occur repeatedly, such as infection, hospitalization, recurrence of disease, or tumor onset. To analyze such data, it is necessary to account for within-subject dependency in the multiple event times. Motivated by data from studies of palpable tumors, this article proposes a dynamic frailty model and Bayesian semiparametric approach to inference. The widely used shared frailty proportional hazards model is generalized to allow subject-specific frailties to change dynamically with age while also accommodating nonproportional hazards. Parametric assumptions on the frailty distribution are avoided by using Dirichlet process priors for a shared frailty and for multiplicative innovations on this frailty. By centering the semiparametric model on a conditionally conjugate dynamic gamma model, we facilitate posterior computation and lack-of-fit assessments of the parametric model. Our proposed method is demonstrated using data from a cancer chemoprevention study.


Assuntos
Teorema de Bayes , Modelos Estatísticos , Algoritmos , Animais , Biometria , Cantaxantina/farmacologia , Interpretação Estatística de Dados , Humanos , Neoplasias Mamárias Experimentais/prevenção & controle , Cadeias de Markov , Método de Monte Carlo , Ratos , Fatores de Tempo
18.
J Soc Gynecol Investig ; 13(2): 130-5, 2006 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-16443507

RESUMO

OBJECTIVE: Human chorionic gonadotropin (hCG) has proliferative effects on uterine smooth muscle and leiomyoma tissue in vitro. We hypothesized that luteinizing hormone (LH) would have the same effect by activating the LH/hCG receptor, and it would follow that premenopausal women with higher basal LH levels would be more likely to have leiomyomata. METHODS: Randomly selected women, aged 35 to 49 years, from a prepaid health plan were screened for leiomyomata with pelvic ultrasound. Urine samples collected during the first or last 5 days of the menstrual cycle were analyzed for LH by immunofluorometric assay, and concentrations were corrected for creatinine (n = 523). Logistic regression and Bayes analyses were used to evaluate the association of LH with presence and size of leiomyomata, adjusting for age, and other risk factors. RESULTS: Women with higher LH were more likely to have leiomyomata (adjusted odds ratios for second and third tertiles were 1.7 and 2.0 compared with lower tertile; 95% confidence intervals, 1.0 to 2.7 and 1.2 to 3.4, respectively). The association was stronger for large leiomyomata. Bayes analyses designed to estimate LH effects on tumor onset separately from tumor growth showed significantly accelerated tumor onset but little evidence of effects on tumor growth. Age, an independent risk factor for leiomyomata, was not affected by inclusion of LH in the logistic models. CONCLUSIONS: As hypothesized, women with higher LH were more likely to have leiomyomata, but this did not explain the age-related increase in leiomyomata during perimenopausal ages. Determining whether LH is causal or a marker for susceptibility will require further research.


Assuntos
Leiomioma/epidemiologia , Hormônio Luteinizante/urina , Pré-Menopausa/urina , Neoplasias Uterinas/epidemiologia , Adulto , Negro ou Afro-Americano , Teorema de Bayes , Creatinina/urina , Feminino , Humanos , Leiomioma/diagnóstico por imagem , Leiomioma/etiologia , Modelos Logísticos , Ciclo Menstrual , Pessoa de Meia-Idade , Razão de Chances , Perimenopausa , Ultrassonografia , Neoplasias Uterinas/diagnóstico por imagem , Neoplasias Uterinas/etiologia , População Branca
19.
Am J Epidemiol ; 162(6): 523-32, 2005 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-16093292

RESUMO

Polychlorinated biphenyls (PCBs), once used widely in transformers and other applications, and 1,1-dichloro-2,2-bis(p-chlorophenyl)ethylene (DDE), the main metabolite of the pesticide 1,1,1-trichloro-2,2-bis(p-chlorophenyl)ethane (DDT), are hormonally active agents. Changes in menstrual cycle functioning associated with PCBs and DDE, and increased odds of spontaneous abortion associated with DDE, suggest that these compounds could affect fertility. The authors investigated the association between PCB and DDE exposure and time to pregnancy by using serum levels measured in 390 pregnant women in the Collaborative Perinatal Project enrolled at 12 study centers in the United States from 1959 to 1965. They estimated adjusted fecundability odds ratios by using Cox proportional hazards modeling for discrete time data. Compared with time to pregnancy for women in the lowest exposure category (PCBs < 1.24 microg/liter, DDE < 14 microg/liter), time to pregnancy increased for women in the highest exposure category in terms of both PCBs (fecundability odds ratio for PCBs > or = 5.00 microg/liter = 0.65, 95% confidence interval: 0.36, 1.18) and DDE (fecundability odds ratio for DDE > or = 60 microg/liter = 0.65, 95% confidence interval: 0.32, 1.31). Overall, time to pregnancy increased with increasing serum PCB levels but was less suggestive of an association with DDE. Both trends were imprecise and attenuated when expressed on a lipid basis. Overall, evidence of an association between PCB or DDE exposure and time to pregnancy was weak and inconclusive.


Assuntos
Diclorodifenil Dicloroetileno/sangue , Fertilidade/fisiologia , Exposição Materna , Bifenilos Policlorados/sangue , Terceiro Trimestre da Gravidez/sangue , Adulto , Feminino , Seguimentos , Humanos , Gravidez , Estudos Prospectivos , Fatores de Tempo , Estados Unidos
20.
Biostatistics ; 6(3): 434-49, 2005 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-15831579

RESUMO

Samples of curves are collected in many applications, including studies of reproductive hormone levels in the menstrual cycle. Many approaches have been proposed for correlated functional data of this type, including smoothing spline methods and other flexible parametric modeling strategies. In many cases, the underlying biological processes involved restrict the curve to follow a particular shape. For example, progesterone levels in healthy women increase during the menstrual cycle to a peak achieved at random location with decreases thereafter. Reproductive epidemiologists are interested in studying the distribution of the peak and the trajectory for women in different groups. Motivated by this application, we propose a simple approach for restricting each woman's mean trajectory to follow an umbrella shape. An unconstrained hierarchical Bayesian model is used to characterize the data, and draws from the posterior distribution obtained using a Gibbs sampler are then mapped to the constrained space. Inferences are based on the resulting quasi-posterior distribution for the peak and individual woman trajectories. The methods are applied to a study comparing progesterone trajectories for conception and nonconception cycles.


Assuntos
Biometria/métodos , Teorema de Bayes , Feminino , Fertilização/fisiologia , Humanos , Ciclo Menstrual/sangue , Modelos Biológicos , Modelos Estatísticos , Gravidez , Progesterona/sangue
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