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1.
Nat Cell Biol ; 2024 May 23.
Artículo en Inglés | MEDLINE | ID: mdl-38783142

RESUMEN

When cells are stressed, DNA from energy-producing mitochondria can leak out and drive inflammatory immune responses if not cleared. Cells employ a quality control system called autophagy to specifically degrade damaged components. We discovered that mitochondrial transcription factor A (TFAM)-a protein that binds mitochondrial DNA (mtDNA)-helps to eliminate leaked mtDNA by interacting with the autophagy protein LC3 through an autolysosomal pathway (we term this nucleoid-phagy). TFAM contains a molecular zip code called the LC3 interacting region (LIR) motif that enables this binding. Although mutating TFAM's LIR motif did not affect its normal mitochondrial functions, more mtDNA accumulated in the cell cytoplasm, activating inflammatory signalling pathways. Thus, TFAM mediates autophagic removal of leaked mtDNA to restrict inflammation. Identifying this mechanism advances understanding of how cells exploit autophagy machinery to selectively target and degrade inflammatory mtDNA. These findings could inform research on diseases involving mitochondrial damage and inflammation.

2.
Int J Biol Macromol ; 268(Pt 1): 131833, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38663703

RESUMEN

The emergence and widespread of multidrug-resistant Gram-negative bacteria have posed a severe threat to human health and environmental safety, escalating into a global medical crisis. Utilization of antibiotic adjuvants is a rapid approach to combat bacterial resistance effectively since the development of new antimicrobial agents is a formidable challenge. NhaA, driven by proton motive force, is a crucial secondary transporter on the cytoplasmic membrane of Escherichia coli. We found that 2-Aminoperimidine (2-AP), which is a specific inhibitor of NhaA, could enhance the activity of colistin against sensitive E. coli and reverse the resistance in mcr-1 positive E. coli. Mechanistic studies indicated that 2-AP induced dysfunction in cytoplasmic membrane through the suppression of NhaA, leading to metabolic inhibition and ultimately enhancing the sensitivity of E. coli to colistin. Moreover, 2-AP restored the efficacy of colistin against resistant E. coli in two animal infection models. Our findings reveal the potential of NhaA as a novel target for colistin adjuvants, providing new possibilities for the clinical application of colistin.


Asunto(s)
Colistina , Proteínas de Escherichia coli , Escherichia coli , Colistina/farmacología , Escherichia coli/efectos de los fármacos , Proteínas de Escherichia coli/metabolismo , Animales , Antibacterianos/farmacología , Pruebas de Sensibilidad Microbiana , Farmacorresistencia Bacteriana/efectos de los fármacos , Ratones , Infecciones por Escherichia coli/tratamiento farmacológico , Infecciones por Escherichia coli/microbiología
3.
Sci Rep ; 14(1): 1832, 2024 Jan 21.
Artículo en Inglés | MEDLINE | ID: mdl-38246973

RESUMEN

The detection of faint and small targets by space-based surveillance systems is difficult owing to the long distances, low energies, high speeds, high false alarm rates, and low algorithmic efficiencies involved in the process. To improve space object detection and help prevent collisions with critical facilities such as satellites, this study proposes an improved method for the detection of faint and small space-based targets. The proposed method consists of two components: star atlas preprocessing and space-based target detection. The star atlas preprocessing step applies multi-exposure image pyramidal weighted fusion to the original image containing the faint and small space-based target. After obtaining the image pyramidal weighted fusion result atlas, the algorithm employs threshold segmentation to improve the overall image clarity, highlight image details, and provide additional information for target detection. The detection of targets partially relies on the local symmetry of the image. Accordingly, a diffusion function describing the local symmetry is established to precisely locate stars by measuring the symmetry factor in a small area surrounding each pixel in the star atlas. This effectively removes the background stars while retaining high-definition and high-contrast images. The efficacy of the algorithm is validated using simulated datasets consisting of space-based and real images. The results demonstrate that the proposed technique improves the applicability of the multistage hypothesis testing (MHT) method in the context of a complex space environment, thus improving the performance of the space-based electro-optical detection system to better catalogue, identify, and track space targets.

4.
Molecules ; 29(2)2024 Jan 19.
Artículo en Inglés | MEDLINE | ID: mdl-38276572

RESUMEN

Selective supported catalysts have emerged as a promising approach to enhance carrier separation, particularly in the realm of photocatalytic hydrogen production. Herein, a pioneering exploration involves the loading of PdS and Pt catalyst onto g-C3N4 nanosheets to construct g-C3N4@PdS@Pt nanocomposites. The photocatalytic activity of nanocomposites was evaluated under visible light and full spectrum irradiation. The results show that g-C3N4@PdS@Pt nanocomposites exhibit excellent properties. Under visible light irradiation, these nanocomposites exhibit a remarkable production rate of 1289 µmol·g-1·h-1, marking a staggering 60-fold increase compared to g-C3N4@Pt (20.9 µmol·g-1·h-1). Furthermore, when subjected to full spectrum irradiation, the hydrogen production efficiency of g-C3N4@PdS@Pt-3 nanocomposites reaches an impressive 11,438 µmol·g-1·h-1, representing an eightfold enhancement compared to g-C3N4@Pt (1452 µmol·g-1·h-1) under identical conditions. Detailed investigations into the microstructure and optical properties of g-C3N4@PdS catalysts were conducted, shedding light on the mechanisms governing photocatalytic hydrogen production. This study offers valuable insights into the potential of these nanocomposites and their pivotal role in advancing photocatalysis.

5.
Opt Express ; 31(25): 41479-41495, 2023 Dec 04.
Artículo en Inglés | MEDLINE | ID: mdl-38087546

RESUMEN

The wireless transmission of video data mainly entails addressing the massive video stream data and ensuring the quality of image frame transmission. To reduce the amount of data and ensure an optimal data transmission rate and quality, we propose a free-space optical video transmission system that applies compressed sensing (CS) algorithms to wireless optical communication systems. Based on the Artix-7 series field programmable gate array (FPGA) chip, we completed the hardware design of the optical wireless video transceiver board; the CS image is transmitted online to the FPGA through Gigabit Ethernet, and the video data is encoded by gigabit transceiver with low power (GTP) and converted into an optical signal, which is relayed to the atmospheric turbulence simulation channel through an attenuator and a collimating mirror. After the optical signal is decoded by photoelectric conversion at the receiving end, the Camera-Link frame grabber is d; thus, the image is collected, and it is reconstructed offline. Herein, the link transmission conditions of different algorithm sampling rates, optical power at the receiving end, and atmospheric coherence length are measured. The experimental results indicate that the encrypt-then-compress (ETC) type algorithm exhibits a more optimal image compression transmission reconstruction performance, and that the 2D compressed sensing (2DCS) algorithm exhibits superior performance. Under the condition that the optical power satisfies the link connectivity, the PSNR value of the reconstructed image is 3-7 dB higher than that of the comparison algorithm. In a strong atmosphere turbulence environment, the peak signal-to-noise ratio (PSNR) of the corresponding reconstructed image under different transmission rates at the receiving end can still exceed 30 dB, ensuring the complete reconstruction of the image.

6.
Opt Express ; 31(24): 39396-39414, 2023 Nov 20.
Artículo en Inglés | MEDLINE | ID: mdl-38041262

RESUMEN

Optical holographic encryption (OHE) has been extensively researched in the field of information security due to its parallel and multi-dimensional characteristics. However, although some progress in OHE has been made in recent years, inherent security flaws resulting from the robust nature of holograms persist. In this study, we propose a multilevel holographic encryption method based on the Tiger Amulet (TA) concept. Compared with the normal OHE, our method employs two ciphertexts. It strategically utilizes the low-level plaintext as intentional deceptive content to confound the potential eavesdroppers. Furthermore, we ingeniously exploit the hologram's robustness in reverse, thereby establishing an additional protection mechanism to enhance the security of the middle-level plaintext. Leveraging the TA concept, the high-level plaintext can only be decrypted when two matched ciphertexts are combined and collimated. The TA based decryption mechanism enhances the security and sensitivity deciphering high-level plaintext. Benefiting from the security mechanisms above, our proposed method demonstrates promising applicability across diverse scenarios and holds the potential to redefine the landscape of multilevel OHE design.

7.
Opt Express ; 31(24): 39647-39663, 2023 Nov 20.
Artículo en Inglés | MEDLINE | ID: mdl-38041281

RESUMEN

Estimating the polarization properties of objects from polarization images is still an important but extremely undefined problem. Currently, there are two types of methods to probe the polarization properties of complex materials: one is about the equipment acquisition, which makes the collection of polarization information unsatisfactory due to the cumbersome equipment and intensive sampling, and the other is to use polarized imaging model for probing. Therefore, the accuracy of the polarized imaging model will be crucial. From an imaging perspective, we propose an end-to-end learning method that can predict accurate, physically based model parameters of polarimetric BRDF from a limited number of captured photographs of the object. In this work, we first design a novel pBRDF model as a powerful prior knowledge. This hybrid pBRDF model completely defines specular reflection, body scattering and directional diffuse reflection in imaging. Then, an end-to-end inverse rendering is performed to connect the multi-view measurements of the object with the geometry and pBRDF parameter estimation, and a reflectance gradient consistency loss is introduced to iteratively estimate the per-pixel normal, roughness, and polarimetric reflectance. Real-world measurement and rendering experiments show that the results obtained by applying our method are in strong agreement with ground truth, validating that we can reproduce the polarization properties of real-world objects using the estimated polarimetric reflectance.

8.
Opt Express ; 31(22): 36992-37010, 2023 Oct 23.
Artículo en Inglés | MEDLINE | ID: mdl-38017837

RESUMEN

A continuous time-domain adaptive power model of transmitter optical and control algorithm based on atmospheric turbulence channel reciprocity are explored for mitigating the free-space optical communication (FSOC) receiver optical intensity scintillation and bit error rate (BER) deterioration. First, a transmitter optical adaptive power control (OAPC) system architecture using four wavelength optical signals based on atmospheric turbulence channel reciprocity is proposed, and electronically variable optical attenuator (EVOA) and erbium-doped fiber amplifier (EDFA) are employed as the main OAPC units for power adaptation. Moreover, a reciprocity evaluation model for gamma-gamma (G-G) continuous-time signals is generated using the autoregressive moving average (ARMA) stochastic process, which takes into account the delay time and system noise, and a reciprocity-based OPAC algorithm is proposed. Numerical simulations were also performed to analyze the signal reciprocity characteristics under different turbulence, noise, and sampling time mismatch at both ends, as well as the scintillation index (SI) performance under OAPC system operation. Simultaneously, the time-domain signals of continuous quadrature amplitude modulation -16 (QAM-16) and QAM-32 real states are fused with the gamma-gamma (G-G) reciprocal turbulence continuous signals to analyze the probability density function (PDF) and bit error ratio (BER) performance after OAPC correction. Finally, a 64 Gpbs QAM-16 OPAC communication experiment was successfully executed based on an atmospheric turbulence simulator. It is shown that the OAPC correction is carried out using reciprocity at millisecond sampling delay, the light intensity scintillation of the communication signal can be well suppressed, the signal-to-noise ratio (SNR) is greatly improved, the suppression is more obvious under strong turbulence, the overall BER reduction is greater than 2.8 orders of magnitude with the OAPC system, and this trend becomes more pronounced as the received power increases, even reach 6 orders of magnitude in some places. This work provides real time-domain continuous signal samples for real signal generation of communication signals in real turbulence environments, adaptive coding modulation using reciprocity, channel estimation, and optical wavefront adaptive suppression, which are the basis of advanced adaptive signal processing algorithms.

9.
PLoS One ; 18(11): e0291553, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-38032948

RESUMEN

Aiming at the problem of poor oil identification accuracy in existing oil spill detection technologies, the polarization degree model of oil spill on rough sea surface under different azimuths and zenith angles was established based on Fresnel theory. The analytical expressions of visible light polarization degree in calm and fluctuating water surface were derived respectively, and the polarization degree model of oil spill in reflection space was constructed. The effectiveness of the method and its influence on the polarization distribution of oil spill were analyzed by simulation. A portable turntable was designed to test the polarization characteristics of the experiment, and the visible light polarization detection experiment was carried out. The visible light polarization images of five typical oil spills at different observation azimuth and zenth angles were obtained. The differences in the polarization degrees of different oil species were analyzed, and the correctness of the theoretical model was proved by experiments. The polarization detection experiment of visible light pBRDF was completed, which more intuitively showed the variation law of the polarization characteristics of light reflected by different oil spills in different spatial positions. Using polarization information to distinguish oil species is a useful supplement to the traditional oil spill detection method and has important significance to improve the marine pollution control ability.


Asunto(s)
Contaminación por Petróleo , Contaminantes Químicos del Agua , Contaminación Ambiental , Modelos Teóricos , Simulación por Computador , Contaminantes Químicos del Agua/análisis , Monitoreo del Ambiente/métodos
10.
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue ; 35(11): 1218-1222, 2023 Nov.
Artículo en Chino | MEDLINE | ID: mdl-37987135

RESUMEN

OBJECTIVE: To explore clinical rules based on the big data of the emergency department of the Second Affiliated Hospital of Guangzhou Medical University, and to establish an integrated platform for clinical research in emergency, which was finally applied to clinical practice. METHODS: Based on the hospital information system (HIS), laboratory information system (LIS), emergency specialty system, picture archiving and communication systems (PACS) and electronic medical record system of the Second Affiliated Hospital of Guangzhou Medical University, the structural and unstructured information of patients in the emergency department from March 2019 to April 2022 was extracted. By means of extraction and fusion, normalization and desensitization quality control, the database was established. In addition, data were extracted from the database for adult patients with pre screening triage level III and below who underwent emergency visits from March 2019 to April 2022, such as demographic characteristics, vital signs during pre screening triage, diagnosis and treatment characteristics, diagnosis and grading, time indicators, and outcome indicators, independent risk factors for poor prognosis in patients were analyzed. RESULTS: (1) The data of 338 681 patients in the emergency department of the Second Affiliated Hospital of Guangzhou Medical University from March 2019 to April 2022 were extracted, including 15 modules, such as demographic information, triage information, visit information, green pass and rescue information, diagnosis information, medical record information, laboratory examination overview, laboratory information, examination information, microbiological information, medication information, treatment information, hospitalization information, chest pain management and stroke management. The database ensured data visualization and operability. (2) Total 140 868 patients with pre-examination and triage level III and below were recruited from the emergency department database. The gender, age, type of admission to the hospital, pulse, blood pressure, Glasgow coma scale (GCS) and other indicators of the patients were included. Taking emergency admission to operating room, emergency admission to intervention room, emergency admission to intensive care unit (ICU) or emergency death as poor prognosis, the poor prognosis prediction model for patients with pre-examination and triage level III and below was constructed. The receiver operator characteristic curve and forest map results showed that the model had good predictive efficiency and could be used in clinical practice to reduce the risk of insufficient emergency pre-examination and triage. CONCLUSIONS: The establishment of high-quality clinical database based on big data in emergency department is conducive to mining the clinical value of big data, assisting clinical decision-making, and improving the quality of clinical diagnosis and treatment.


Asunto(s)
Macrodatos , Servicio de Urgencia en Hospital , Adulto , Humanos , Triaje/métodos , Unidades de Cuidados Intensivos , Hospitalización , Estudios Retrospectivos
11.
Appl Opt ; 62(20): 5580-5587, 2023 Jul 10.
Artículo en Inglés | MEDLINE | ID: mdl-37706877

RESUMEN

The paper describes the observation of diverse bound-state patterns, including tightly bound states, loosely bound states, and composite bound states, in a figure-9 fiber laser. By performing dispersion management and using polarization-maintaining fibers with high gain coefficient, stable dispersion-managed solitons and bound solitons can be simultaneously generated. This work advances our understanding of complex soliton dynamics and presents a novel, to the best of our knowledge, approach for future applications of bound states. Additionally, the research involves integrated packaging, effectively enhancing overall work stability.

12.
Opt Express ; 31(17): 28257-28272, 2023 Aug 14.
Artículo en Inglés | MEDLINE | ID: mdl-37710884

RESUMEN

A micromechanical target tracking system based on polarization grating (PG) is designed to meet the conformal design of laser communication systems and to realize the lightweight and miniaturization of space laser communication networking. The rotating dual PGs are applied to the dynamic tracking of laser targets for the first time, the relationship between the target position and the dual polarization gratings (PGs) angles is defined, and the PG beam deflection multi-coordinate construction and decoupling are carried out. A dual PGs mathematical model was established, and a controller based on the dual PGs system loop was designed. After calibration and dynamic verification of the dual PGs, the unmanned aerial vehicle (UAV) tracking experiment is conducted for the first time, and the dual axis closed-loop tracking error of the dynamic target is within 300µrad (RMSE). The feasibility of dual PGs tracking formula, the feasibility of laser target fixed-point closed-loop control, and the dynamic closed-loop tracking performance are verified. In engineering applications, the dual PGs tracking system has guiding significance for realizing the lightweight and miniaturization of system integration, as well as the possibility to replace the traditional tracking control system.

13.
Opt Express ; 31(13): 21507-21520, 2023 Jun 19.
Artículo en Inglés | MEDLINE | ID: mdl-37381248

RESUMEN

Optical encryption has been extensively researched in the field of information security due to its characteristics of being parallel and multi-dimensionsal. However, most of the proposed multiple-image encryption systems suffer from a cross-talk problem. Here, we propose a multi-key optical encryption method based on a two-channel incoherent scattering imaging. In the encryption process, plaintexts are coded by the random phase mask (RPM) in each channel and then coupled by an incoherent superposition to form the output ciphertexts. In the decryption process, the plaintexts, keys, and ciphertexts, are treated as a system of two linear equations with two unknowns. By utilizing the principles of linear equations, the issue of cross-talk can be mathematically resolved. The proposed method enhances the security of the cryptosystem through the quantity and order of the keys. Specifically, the key space is significantly expanded by removing the requirement of uncorrected keys. This approach provides a superior method that can be easily implemented in various application scenarios.

14.
Opt Express ; 31(6): 9886-9903, 2023 Mar 13.
Artículo en Inglés | MEDLINE | ID: mdl-37157549

RESUMEN

A compressive space-dimensional dual-coded hyperspectral polarimeter (CSDHP) and interactive design method are introduced. A digital micromirror device (DMD), a micro polarizer array detector (MPA), and a prism grating prism (PGP) are combined to achieve single-shot hyperspectral polarization imaging. The longitudinal chromatic aberration (LCA) and spectral smile of the system are both eliminated to guarantee the matching accuracy of DMD and MPA pixels. A 4D data cube with 100 channels and 3 Stocks parameters is reconstructed in the experiment. The feasibility and fidelity are verified from the image and spectral reconstruction evaluations. It is demonstrated that the target material can be distinguished by CSDHP.

15.
Opt Express ; 31(6): 10489-10499, 2023 Mar 13.
Artículo en Inglés | MEDLINE | ID: mdl-37157594

RESUMEN

Metalenses can achieve diffraction-limited focusing via localized phase modification of the incoming light beam. However, the current metalenses face to the restrictions on simultaneously achieving large diameter, large numerical aperture, broad working bandwidth and the structure manufacturability. Herein, we present a kind of metalenses composed of concentric nanorings that can address these restrictions using topology optimization approach. Compared to existing inverse design approaches, the computational cost of our optimization method is greatly reduced for large-size metalenses. With its design flexibility, the achieved metalens can work in the whole visible range with millimeter size and a numerical aperture of 0.8 without involving high-aspect ratio structures and large refractive index materials. Electron-beam resist PMMA with a low refractive index is directly used as the material of the metalens, enabling a much more simplified manufacturing process. Experimental results show that the imaging performance of the fabricated metalens has a resolution better than 600 nm corresponding to the measured FWHM of 745 nm.

16.
Front Public Health ; 11: 1166056, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37143989

RESUMEN

Since the advent of coronavirus disease 2019 (COVID-19), healthcare workers (HCWs) wearing personal protective equipment (PPE) has become a common phenomenon. COVID-19 outbreaks overlap with heat waves, and healthcare workers must unfortunately wear PPE during hot weather and experience excessive heat stress. Healthcare workers are at risk of developing heat-related health problems during hot periods in South China. The investigation of thermal response to heat stress among HCWs when they do not wear PPE and when they finish work wearing PPE, and the impact of PPE use on HCWs' physical health were conducted. The field survey were conducted in Guangzhou, including 11 districts. In this survey, HCWs were invited to answer a questionnaire about their heat perception in the thermal environment around them. Most HCWs experienced discomfort in their back, head, face, etc., and nearly 80% of HCWs experienced "profuse sweating." Up to 96.81% of HCWs felt "hot" or "very hot." The air temperature had a significant impact on thermal comfort. Healthcare workers' whole thermal sensation and local thermal sensation were increased significantly by wearing PPE and their thermal sensation vote (TSV) tended towards "very hot." The adaptive ability of the healthcare workers would decreased while wearing PPE. In addition, the accept range of the air temperature (T a) were determined in this investigation. Graphical Abstract.


Asunto(s)
COVID-19 , Humanos , COVID-19/epidemiología , COVID-19/prevención & control , Equipo de Protección Personal , Personal de Salud , Temperatura , Respuesta al Choque Térmico
17.
Appl Opt ; 62(3): 552-559, 2023 Jan 20.
Artículo en Inglés | MEDLINE | ID: mdl-36821257

RESUMEN

We report the concept of a 1550 nm laser line scanning microscope based on a polydimethylsiloxane (PDMS) grating with scanning by stretching the PDMS grating to improve the scanning speed and enable low-cost scanning. Zemax is used to verify the possibility of realizing the system by simulating the illumination light path and the emission light path. The scanning field of view is 0.11m m×0.11m m, and the modulation transfer function (MTF) data of the 0th, ±1st, and ±2 nd diffraction orders in the illumination light path and the emission light path, respectively, meet the requirements of the diffraction limit resolution at the cutoff frequencies.

18.
World J Emerg Med ; 14(1): 10-16, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36713343

RESUMEN

BACKGROUND: Endothelial dysfunction in sepsis is a pathophysiological feature of septic organ failure. Endothelial cells (ECs) exhibit specific metabolic traits and release metabolites to adapt to the septic state in the blood to maintain vascular homeostasis. METHODS: Web of Science and PubMed were searched from inception to October 1, 2022. The search was limited to the English language only. Two reviewers independently identified studies related to EC metabolism in sepsis. The exclusion criteria were duplicate articles according to multiple search criteria. RESULTS: Sixty articles were included, and most of them were cell and animal studies. These studies reported the role of glycolysis, oxidative phosphorylation, fatty acid metabolism, and amino acid metabolism in EC homeostasis. including glycolysis, oxidative phosphorylation, fatty acid metabolism and amino acid metabolism. However, dysregulation of EC metabolism can contribute to sepsis progression. CONCLUSION: There are few clinical studies on EC metabolism in sepsis. Related research mainly focuses on basic research, but some scientific problems have also been clarified. Therefore, this review may provide an overall comprehension and novel aspects of EC metabolism in sepsis.

19.
Sensors (Basel) ; 22(24)2022 Dec 10.
Artículo en Inglés | MEDLINE | ID: mdl-36560044

RESUMEN

The division of focal plane (DoFP) polarization imaging sensors, which can simultaneously acquire the target's two-dimensional spatial information and polarization information, improves the detection resolution and recognition capability by capturing the difference in polarization characteristics between the target and the background. In this paper, we propose a novel polarization imaging method based on deep compressed sensing (DCS) by adding digital micromirror devices (DMD) to an optical system and simulating the polarization transmission model of the optical system to reconstruct high-resolution images under low sampling rate conditions. By building a simulated dataset, training a polarization super-resolution imaging network, and showing excellent reconstructions on real shooting scenes, compared to current algorithms, our model has a higher peak signal-to-noise ratio (PSNR), which validates the feasibility of our approach.

20.
Crit Care ; 26(1): 398, 2022 12 21.
Artículo en Inglés | MEDLINE | ID: mdl-36544199

RESUMEN

BACKGROUND: Acute kidney injury (AKI) is a common complication in sepsis. However, the trajectories of sepsis-induced AKI and their transcriptional profiles are not well characterized. METHODS: Sepsis patients admitted to centres participating in Chinese Multi-omics Advances In Sepsis (CMAISE) from November 2020 to December 2021 were enrolled, and gene expression in peripheral blood mononuclear cells was measured on Day 1. The renal function trajectory was measured by the renal component of the SOFA score (SOFArenal) on Days 1 and 3. Transcriptional profiles on Day 1 were compared between these renal function trajectories, and a support vector machine (SVM) was developed to distinguish transient from persistent AKI. RESULTS: A total of 172 sepsis patients were enrolled during the study period. The renal function trajectory was classified into four types: non-AKI (SOFArenal = 0 on Days 1 and 3, n = 50), persistent AKI (SOFArenal > 0 on Days 1 and 3, n = 62), transient AKI (SOFArenal > 0 on Day 1 and SOFArenal = 0 on Day 3, n = 50) and worsening AKI (SOFArenal = 0 on Days 1 and SOFArenal > 0 on Day 3, n = 10). The persistent AKI group showed severe organ dysfunction and prolonged requirements for organ support. The worsening AKI group showed the least organ dysfunction on day 1 but had higher serum lactate and prolonged use of vasopressors than the non-AKI and transient AKI groups. There were 2091 upregulated and 1,902 downregulated genes (adjusted p < 0.05) between the persistent and transient AKI groups, with enrichment in the plasma membrane complex, receptor complex, and T-cell receptor complex. A 43-gene SVM model was developed using the genetic algorithm, which showed significantly greater performance predicting persistent AKI than the model based on clinical variables in a holdout subset (AUC: 0.948 [0.912, 0.984] vs. 0.739 [0.648, 0.830]; p < 0.01 for Delong's test). CONCLUSIONS: Our study identified four subtypes of sepsis-induced AKI based on kidney injury trajectories. The landscape of host response aberrations across these subtypes was characterized. An SVM model based on a gene signature was developed to predict renal function trajectories, and showed better performance than the clinical variable-based model. Future studies are warranted to validate the gene model in distinguishing persistent from transient AKI.


Asunto(s)
Lesión Renal Aguda , Sepsis , Humanos , Pronóstico , Leucocitos Mononucleares , Insuficiencia Multiorgánica/genética , Insuficiencia Multiorgánica/complicaciones , Lesión Renal Aguda/genética , Lesión Renal Aguda/complicaciones , Sepsis/complicaciones , Sepsis/genética
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