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BACKGROUND: Cognitive impairment is widely prevalent in maintenance hemodialysis (MHD) patients, and seriously affects their quality of life. The intestinal flora likely regulates cognitive function, but studies on cognitive impairment and intestinal flora in MHD patients are lacking. METHODS: MHD patients (36) and healthy volunteers (18) were evaluated using the Montreal Cognitive Function Scale, basic clinical data, and 16S ribosome DNA (rDNA) sequencing. Twenty MHD patients and ten healthy volunteers were randomly selected for shotgun metagenomic analysis to explore potential metabolic pathways of intestinal flora. Both16S rDNA sequencing and shotgun metagenomic sequencing were conducted on fecal samples. RESULTS: Roseburia were significantly reduced in the MHD group based on both 16S rDNA and shotgun metagenomic sequencing analyses. Faecalibacterium, Megamonas, Bifidobacterium, Parabacteroides, Collinsella, Tyzzerella, and Phascolarctobacterium were positively correlated with cognitive function or cognitive domains. Enriched Kyoto Encyclopedia of Genes and Genomes (KEGG) pathways included oxidative phosphorylation, photosynthesis, retrograde endocannabinoid signaling, flagellar assembly, and riboflavin metabolism. CONCLUSION: Among the microbiota, Roseburia may be important in MHD patients. We demonstrated a correlation between bacterial genera and cognitive function, and propose possible mechanisms.
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Microbioma Gastrointestinal , Humanos , Microbioma Gastrointestinal/genética , Metagenoma , ADN Ribosómico , Calidad de Vida , ARN Ribosómico 16S/genética , Ribosomas , CogniciónRESUMEN
Digestive tract cancer is one of the most common types of cancers globally, with ~4.8 million new cases and 3.4 million cancerassociated deaths in 2018, accounting for 26% of cancer incidence and 35% of cancerrelated deaths worldwide. S100 protein family is involved in regulating cancer cell proliferation, angiogenesis, epithelialmesenchymal transition (EMT), metastasis, metabolism and immune microenvironment homeostasis. The critical role of S100 protein family in digestive tract cancer involves complicated mechanisms, such as cancer stemness remodeling, anaerobic glycolysis regulation, tumorassociated macrophage differentiation and EMT. The present study systematically reviewed published studies on the compositions, function and the underlying molecular mechanisms of the S100 family, as well as guidance for diagnosis, treatment and prognosis of digestive tract cancer. Systematic review of the roles and underlying molecular mechanisms of S100 protein family may provide new insight into exploring potential cancer biomarkers and the optimized therapeutic strategies for digestive tract cancer.
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Biomarcadores de Tumor , Transición Epitelial-Mesenquimal , Proteínas S100 , Humanos , Biomarcadores de Tumor/metabolismo , Proliferación Celular , Neoplasias Gastrointestinales/metabolismo , Neoplasias Gastrointestinales/patología , Regulación Neoplásica de la Expresión Génica , Neovascularización Patológica/metabolismo , Pronóstico , Proteínas S100/metabolismo , Microambiente Tumoral/inmunologíaRESUMEN
Aquatic water with carbonate alkalinity presents a survival challenge to aquatic animals. As an economically important crab, large quantities of Eriocheir sinensis are cultured in carbonate-type saline-alkali ponds, while the toxic effect on E. sinensis from carbonate alkalinity is still unclear. In this study, untargeted liquid chromatography-mass spectrometry metabolomics was performed to investigate the metabolic change caused by culture alkalinity, and confirmed distinct physiological response under gradient alkalinities. There were 39 differential metabolites obtained in the low-alkalinity group (4.35 mmol/L) versus control group, and "arachidonic acid metabolism" was enriched as a core response pathway. 93 differential metabolites were identified in the high-alkalinity group (17.43 mmol/L) versus control group, and a complex response net was manifested through integrated analysis, building by "steroid hormone biosynthesis", "phenylalanine, tyrosine and tryptophan biosynthesis", "phosphonate and phosphinate metabolism", "phenylalanine metabolism", "mineral absorption", "purine metabolism" and "carbon metabolism". This indicated the mobilization of energy reserves and the suppression of protein and amino acid catabolism were manifested in E. sinensis gills to defense high alkalinity stress. In addition, the persistently regulation of key metabolites under various alkalinity, including diuretic compound "spironolactone" and the antiphlogistic compound "LXB4", suggested anti-inflammatory action and excretion regulation were initiated to defend the stress.
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Braquiuros , Animales , Branquias/metabolismo , Carbonatos/toxicidad , Metabolómica , Fenilalanina/metabolismoRESUMEN
Saline-alkali water resources are abundant and widely distributed in China. The effective utilization of saline-alkali water resources by fishery is of great significance to enhance the aquatic product economy and restore the ecology of saline-alkali environments. Eriocheir sinensis is a saline-alkali water-suitable species. To explore its physiological response to saline-alkali stress, the hepatopancreas tissue structure, antioxidation, immunocompetence and metabolomics were investigated after 96 h of gradient saline-alkali treatment. The results confirmed the hepatopancreas damage through tissue sectioning, abnormal enzyme activity (aspartate transaminase (AST), alanine aminotransferase (ALT)) and aberrant malondialdehyde (MDA) content. The activity of superoxide dismutase (SOD), catalase (CAT), and total antioxidant capacity (T-AOC) was significantly upregulated (p < 0.05), which was followed by a decrease trend, indicating the enhancement of antioxidant capacity in response to the stress. Strengthened immunocompetence in response to saline-alkali toxicity was shown in the gradual increase of immune enzyme activity (acid phosphatase (ACP) and alkaline phosphatase (AKP)) and the upregulated expression of immune genes (hsp 70, hsp 90, proPO and toll). Among the differential metabolites quantified by metabolomics, small peptides were significantly downregulated (p < 0.05), and acylcarnitines were obviously upregulated (p < 0.05), indicating that saline-alkali toxicity inhibited protein catabolism and stimulated the mobilization of energy reserves. Metabolic pathways enriched through the Kyoto Encyclopedia of Genes and Genomes (KEGG) analysis suggested that Eriocheir sinensis activated different mechanisms in response to various degrees of stress, such as "ABC transporters" and "purine metabolism" in response to low saline-alkali stress, while "pyrimidine metabolism" and "beta-alanine metabolism" to high saline-alkali stress.
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Antioxidantes , Braquiuros , Animales , Antioxidantes/metabolismo , Álcalis/toxicidad , Estrés Oxidativo , Metabolómica , Fosfatasa Ácida/metabolismoRESUMEN
Purpose: Optical coherence tomography (OCT) is a noninvasive, high-resolution imaging modality capable of providing both cross-sectional and three-dimensional images of tissue microstructures. Owing to its low-coherence interferometry nature, however, OCT inevitably suffers from speckles, which diminish image quality and mitigate the precise disease diagnoses, and therefore, despeckling mechanisms are highly desired to alleviate the influences of speckles on OCT images. Approach: We propose a multiscale denoising generative adversarial network (MDGAN) for speckle reductions in OCT images. A cascade multiscale module is adopted as MDGAN basic block first to raise the network learning capability and take advantage of the multiscale context, and then a spatial attention mechanism is proposed to refine the denoised images. For enormous feature learning in OCT images, a deep back-projection layer is finally introduced to alternatively upscale and downscale the features map of MDGAN. Results: Experiments with two different OCT image datasets are conducted to verify the effectiveness of the proposed MDGAN scheme. Results compared those of the state-of-the-art existing methods show that MDGAN is able to improve both peak-single-to-noise ratio and signal-to-noise ratio by 3 dB at most, with its structural similarity index measurement and contrast-to-noise ratio being 1.4% and 1.3% lower than those of the best existing methods. Conclusions: Results demonstrate that MDGAN is effective and robust for OCT image speckle reductions and outperforms the best state-of-the-art denoising methods in different cases. It could help alleviate the influence of speckles in OCT images and improve OCT imaging-based diagnosis.
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Objective.Learning-based histopathology image (HI) classification methods serve as important tools for auxiliary diagnosis in the prognosis stage. However, most existing methods are focus on a single target cancer due to inter-domain differences among different cancer types, limiting their applicability to different cancer types. To overcome these limitations, this paper presents a high-performance HI classification method that aims to address inter-domain differences and provide an improved solution for reliable and practical HI classification.Approach.Firstly, we collect a high-quality hepatocellular carcinoma (HCC) dataset with enough data to verify the stability and practicability of the method. Secondly, a novel dual-branch hybrid encoding embedded network is proposed, which integrates the feature extraction capabilities of convolutional neural network and Transformer. This well-designed structure enables the network to extract diverse features while minimizing redundancy from a single complex network. Lastly, we develop a salient area constraint loss function tailored to the unique characteristics of HIs to address inter-domain differences and enhance the robustness and universality of the methods.Main results.Extensive experiments have conducted on the proposed HCC dataset and two other publicly available datasets. The proposed method demonstrates outstanding performance with an impressive accuracy of 99.09% on the HCC dataset and achieves state-of-the-art results on the other two public datasets. These remarkable outcomes underscore the superior performance and versatility of our approach in multiple HI classification.Significance.The advancements presented in this study contribute to the field of HI analysis by providing a reliable and practical solution for multiple cancer classification, potentially improving diagnostic accuracy and patient outcomes. Our code is available athttps://github.com/lms-design/DHEE-net.
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Carcinoma Hepatocelular , Neoplasias Hepáticas , Humanos , Carcinoma Hepatocelular/diagnóstico por imagen , Neoplasias Hepáticas/diagnóstico por imagen , Procesamiento de Imagen Asistido por Computador , Redes Neurales de la ComputaciónRESUMEN
As a leading cause of blindness worldwide, macular edema (ME) is mainly determined by sub-retinal fluid (SRF), intraretinal fluid (IRF), and pigment epithelial detachment (PED) accumulation, and therefore, the characterization of SRF, IRF, and PED, which is also known as ME segmentation, has become a crucial issue in ophthalmology. Due to the subjective and time-consuming nature of ME segmentation in retinal optical coherence tomography (OCT) images, automatic computer-aided systems are highly desired in clinical practice. This paper proposes a novel loss-balanced parallel decoding network, namely PadNet, for ME segmentation. Specifically, PadNet mainly consists of an encoder and three parallel decoder modules, which serve as segmentation, contour, and diffusion branches, and they are employed to extract the ME's characteristics, the contour area features, and to expand the ME area from the center to edge, respectively. A new loss-balanced joint-loss function with three components corresponding to each of the three parallel decoding branches is also devised for training. Experiments are conducted with three public datasets to verify the effectiveness of PadNet, and the performances of PadNet are compared with those of five state-of-the-art methods. Results show that PadNet improves ME segmentation accuracy by 8.1%, 11.1%, 0.6%, 1.4% and 8.3%, as compared with UNet, sASPP, MsTGANet, YNet, RetiFluidNet, respectively, which convincingly demonstrates that the proposed PadNet is robust and effective in ME segmentation in different cases.
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Edema Macular , Desprendimiento de Retina , Humanos , Tomografía de Coherencia Óptica/métodos , Retina/diagnóstico por imagen , Edema Macular/diagnóstico por imagen , Desprendimiento de Retina/diagnóstico por imagenRESUMEN
As a low-coherence interferometry-based imaging modality, optical coherence tomography (OCT) inevitably suffers from the influence of speckles originating from multiply scattered photons. Speckles hide tissue microstructures and degrade the accuracy of disease diagnoses, which thus hinder OCT clinical applications. Various methods have been proposed to address such an issue, yet they suffer either from the heavy computational load, or the lack of high-quality clean images prior, or both. In this paper, a novel self-supervised deep learning scheme, namely, Blind2Unblind network with refinement strategy (B2Unet), is proposed for OCT speckle reduction with a single noisy image only. Specifically, the overall B2Unet network architecture is presented first, and then, a global-aware mask mapper together with a loss function are devised to improve image perception and optimize sampled mask mapper blind spots, respectively. To make the blind spots visible to B2Unet, a new re-visible loss is also designed, and its convergence is discussed with the speckle properties being considered. Extensive experiments with different OCT image datasets are finally conducted to compare B2Unet with those state-of-the-art existing methods. Both qualitative and quantitative results convincingly demonstrate that B2Unet outperforms the state-of-the-art model-based and fully supervised deep-learning methods, and it is robust and capable of effectively suppressing speckles while preserving the important tissue micro-structures in OCT images in different cases.
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End-stage renal disease (ESRD) results in hippocampal volume reduction, but the hippocampal subfields atrophy patterns cannot be identified. We explored the volumes and asymmetry of the hippocampal subfields and their relationships with memory function and biochemical changes. Hippocampal global and subfields volumes were derived from 33 ESRD patients and 46 healthy controls (HCs) from structural MRI. We compared the volume and asymmetric index of each subfield, with receiver operating characteristic curve analysis to evaluate the differentiation between ESRD and HCs. The relations of hippocampal subfield volumes with memory performance and biochemical data were investigated in ESRD group. ESRD patients had smaller hippocampal subfield volumes, mainly in the left CA1 body, left fimbria, right molecular layer head, right molecular layer body and right HATA. The right molecular layer body exhibited the highest accuracy for differentiating ESRD from HCs, with a sensitivity of 80.43% and specificity of 72.73%. Worse learning process (r = 0.414, p = 0.032), immediate recall (r = 0.396, p = 0.041) and delayed recall (r = 0.482, p = 0.011) was associated with left fimbria atrophy. The left fimbria volume was positively correlated with Hb (r = 0.388, p = 0.05); the left CA1 body volume was negatively correlated with Urea (r = - 0.469, p = 0.016). ESRD patients showed global and hippocampal subfields atrophy. Left fimbria atrophy was related to memory function. Anemia and Urea level may be associated with the atrophy of left fimbria and CA1 body, respectively.
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Fallo Renal Crónico , Enfermedades Neurodegenerativas , Humanos , Hipocampo/diagnóstico por imagen , Hipocampo/patología , Imagen por Resonancia Magnética , Enfermedades Neurodegenerativas/patología , Atrofia/patología , Fallo Renal Crónico/patologíaRESUMEN
Urban space architectural color is the first feature to be perceived in a complex vision beyond shape, texture and material, and plays an important role in the expression of urban territory, humanity and style. However, because of the difficulty of color measurement, the study of architectural color in street space has been difficult to achieve large-scale and fine development. The measurement of architectural color in urban space has received attention from many disciplines. With the development and promotion of information technology, the maturity of street view big data and deep learning technology has provided ideas for the research of street architectural color measurement. Based on this background, this study explores a highly efficient and large-scale method for determining architectural colors in urban space based on deep learning technology and street view big data, with street space architectural colors as the research object. We conducted empirical research in Jiefang North Road, Tianjin. We introduced the SegNet deep learning algorithm to semantically segment the street view images, extract the architectural elements and optimize the edges of the architecture. Based on K-Means clustering model, we identified the colors of the architectural elements in the street view. The accuracy of the building color measurement results was cross-sectionally verified by means of a questionnaire survey. The validation results show that the method is feasible for the study of architectural colors in street space. Finally, the overall coordination, sequence continuity, and primary and secondary hierarchy of architectural colors of Jiefang North Road in Tianjin were analyzed. The results show that the measurement model can realize the intuitive expression of architectural color information, and also can assist designers in the analysis of architectural color in street space with the guidance of color characteristics. The method helps managers, planners and even the general public to summarize the characteristics of color and dig out problems, and is of great significance in the assessment and transformation of the color quality of the street space environment.
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Macrodatos , Aprendizaje Profundo , Análisis por Conglomerados , Encuestas y CuestionariosRESUMEN
Automatic optical coherence tomography angiography (OCTA) vessel segmentation is of great significance to retinal disease diagnoses. Due to the complex vascular structure, however, various existing factors make the segmentation task challenging. This paper reports a novel end-to-end three-stage channel and position attention (CPA) module integrated graph reasoning convolutional neural network (CGNet) for retinal OCTA vessel segmentation. Specifically, in the coarse stage, both CPA and graph reasoning network (GRN) modules are integrated in between a U-shaped neural network encoder and decoder to acquire vessel confidence maps. After being directed into a fine stage, such confidence maps are concatenated with the original image and the generated fine image map as a 3-channel image to refine retinal micro-vasculatures. Finally, both the fine and refined images are fused at the refining stage as the segmentation results. Experiments with different public datasets are conducted to verify the efficacy of the proposed CGNet. Results show that by employing the end-to-end training scheme and the integrated CPA and GRN modules, CGNet achieves 94.29% and 85.62% in area under the ROC curve (AUC) for the two different datasets, outperforming the state-of-the-art existing methods with both improved operability and reduced complexity in different cases. Code is available at https://github.com/GE-123-cpu/CGnet-for-vessel-segmentation.