Brief Bioinform. 2024 Nov 22;26(1):bbaf006. doi: 10.1093/bib/bbaf006.

ABSTRACT

Studying the changes in cellular transcriptional profiles induced by small molecules can significantly advance our understanding of cellular state alterations and response mechanisms under chemical perturbations, which plays a crucial role in drug discovery and screening processes. Considering that experimental measurements need substantial time and cost, we developed a deep learning-based method called Molecule-induced Transcriptional Change Predictor (MiTCP) to predict changes in transcriptional profiles (CTPs) of 978 landmark genes induced by molecules. MiTCP utilizes graph neural network-based approaches to simultaneously model molecular structure representation and gene co-expression relationships, and integrates them for CTP prediction. After training on the L1000 dataset, MiTCP achieves an average Pearson correlation coefficient (PCC) of 0.482 on the test set and an average PCC of 0.801 for predicting the top 50 differentially expressed genes, which outperforms other existing methods. Furthermore, we used MiTCP to predict CTPs of three cancer drugs, palbociclib, irinotecan and goserelin, and performed gene enrichment analysis on the top differentially expressed genes and found that the enriched pathways and Gene Ontology terms are highly relevant to the corresponding diseases, which reveals the potential of MiTCP in drug development.

PMID:39847444 | DOI:10.1093/bib/bbaf006

Transl Vis Sci Technol. 2025 Jan 2;14(1):20. doi: 10.1167/tvst.14.1.20.

ABSTRACT

PURPOSE: The purpose of this study was to develop and validate a deep-learning model for noninvasive anemia detection, hemoglobin (Hb) level estimation, and identification of anemia-related retinal features using fundus images.

METHODS: The dataset included 2265 participants aged 40 years and above from a population-based study in South India. The dataset included ocular and systemic clinical parameters, dilated retinal fundus images, and hematological data such as complete blood counts and Hb concentration levels. Eighty percent of the dataset was used for algorithm development and 20% for validation. A deep-convolutional neural network, utilizing VGG16, ResNet50, and InceptionV3 architectures, was trained to predict anemia and estimate Hb levels. Sensitivity, specificity, and accuracy were calculated, and receiver operating characteristic (ROC) curves were generated for comparison with clinical anemia data. GradCAM saliency maps highlighted regions linked to anemia and image processing techniques to quantify anemia-related features.

RESULTS: For predicting anemia, the InceptionV3 model demonstrated the best performance, achieving 98% accuracy, 99% sensitivity, 97% specificity, and an area under the curve (AUC) of 0.98 (95% confidence interval [CI] = 0.97-0.99). For estimating Hb levels, the mean absolute error for the InceptionV3 model was 0.58 g/dL (95% CI = 0.57-0.59 g/dL). The model focused on the area around the optic disc and the neighboring retinal vessels, revealing that anemic subjects exhibited significantly increased vessel tortuosity and reduced vessel density (P < 0.001), with variable effects on vessel thickness.

CONCLUSIONS: The InceptionV3 model accurately predicted anemia and Hb levels, highlighting the potential of deep learning and vessel analysis for noninvasive anemia detection.

TRANSLATIONAL RELEVANCE: The proposed method offers the possibility to quantitatively predict hematological parameters in a noninvasive manner.

PMID:39847377 | DOI:10.1167/tvst.14.1.20

Transl Vis Sci Technol. 2025 Jan 2;14(1):22. doi: 10.1167/tvst.14.1.22.

ABSTRACT

PURPOSE: The purpose of this study was to develop a deep learning approach that restores artifact-laden optical coherence tomography (OCT) scans and predicts functional loss on the 24-2 Humphrey Visual Field (HVF) test.

METHODS: This cross-sectional, retrospective study used 1674 visual field (VF)-OCT pairs from 951 eyes for training and 429 pairs from 345 eyes for testing. Peripapillary retinal nerve fiber layer (RNFL) thickness map artifacts were corrected using a generative diffusion model. Three convolutional neural networks and 2 transformer-based models were trained on original and artifact-corrected datasets to estimate 54 sensitivity thresholds of the 24-2 HVF test.

RESULTS: Predictive performances were calculated using root mean square error (RMSE) and mean absolute error (MAE), with explainability evaluated through GradCAM, attention maps, and dimensionality reduction techniques. The Distillation with No Labels (DINO) Vision Transformers (ViT) trained on artifact-corrected datasets achieved the highest accuracy (RMSE, 95% confidence interval [CI] = 4.44, 95% CI = 4.07, 4.82 decibel [dB], MAE = 3.46, 95% CI = 3.14, 3.79 dB), and the greatest interpretability, showing improvements of 0.15 dB in global RMSE and MAE (P < 0.05) compared to the performance on original maps. Feature maps and visualization tools indicate that artifacts compromise DINO-ViT's predictive ability but improve with artifact correction.

CONCLUSIONS: Combining self-supervised ViTs with generative artifact correction enhances the correlation between glaucomatous structures and functions.

TRANSLATIONAL RELEVANCE: Our approach offers a comprehensive tool for glaucoma management, facilitates the exploration of structure-function correlations in research, and underscores the importance of addressing artifacts in the clinical interpretation of OCT.

PMID:39847375 | DOI:10.1167/tvst.14.1.22

Endocr Pathol. 2025 Jan 23;36(1):2. doi: 10.1007/s12022-025-09846-3.

ABSTRACT

Pancreatic neuroendocrine tumors (PanNETs) are a heterogeneous group of neoplasms that include tumors with different histomorphologic characteristics that can be correlated to sub-categories with different prognoses. In addition to the WHO grading scheme based on tumor proliferative activity, a new parameter based on the scoring of infiltration patterns at the interface of tumor and non-neoplastic parenchyma (tumor-NNP interface) has recently been proposed for PanNET categorization. Despite the known correlations, these categorizations can still be problematic due to the need for human judgment, which may involve intra- and inter-observer variability. Although there is a great need for automated systems working on quantitative metrics to reduce observer variability, there are no such systems for PanNET categorization. Addressing this gap, this study presents a computational pipeline that uses deep learning models to automatically categorize PanNETs for the first time. This pipeline proposes to quantitatively characterize PanNETs by constructing entity-graphs on the cells, and to learn the PanNET categorization using a graph neural network (GNN) trained on these graphs. Different than the previous studies, the proposed model integrates pathology domain knowledge into the GNN construction and training for the purpose of a deeper utilization of the tumor microenvironment and its architectural changes for PanNET categorization. We tested our model on 105 HE stained whole slide images of PanNET tissues. The experiments revealed that this domain knowledge integrated pipeline led to a 76.70% test set F1-score, resulting in significant improvements over its counterparts.

PMID:39847242 | DOI:10.1007/s12022-025-09846-3

Med Biol Eng Comput. 2025 Jan 23. doi: 10.1007/s11517-025-03296-z. Online ahead of print.

ABSTRACT

Positron emission tomography (PET) imaging plays a pivotal role in oncology for the early detection of metastatic tumors and response to therapy assessment due to its high sensitivity compared to anatomical imaging modalities. The balance between image quality and radiation exposure is critical, as reducing the administered dose results in a lower signal-to-noise ratio (SNR) and information loss, which may significantly affect clinical diagnosis. Deep learning (DL) algorithms have recently made significant progress in low-dose (LD) PET reconstruction. Nevertheless, a successful clinical application requires a thorough evaluation of uncertainty to ensure informed clinical judgment. We propose NPB-LDPET, a DL-based non-parametric Bayesian framework for LD PET reconstruction and uncertainty assessment. Our framework utilizes an Adam optimizer with stochastic gradient Langevin dynamics (SGLD) to sample from the underlying posterior distribution. We employed the Ultra-low-dose PET Challenge dataset to assess our framework's performance relative to the Monte Carlo dropout benchmark. We evaluated global reconstruction accuracy utilizing SSIM, PSNR, and NRMSE, local lesion conspicuity using mean absolute error (MAE) and local contrast, and the clinical relevance of uncertainty maps employing correlation between the uncertainty measures and the dose reduction factor (DRF). Our NPB-LDPET reconstruction method exhibits a significantly superior global reconstruction accuracy for various DRFs (paired t-test, p < 0.0001 , N=10, 631). Moreover, we demonstrate a 21% reduction in MAE (573.54 vs. 723.70, paired t-test, p < 0.0001 , N=28) and an 8.3% improvement in local lesion contrast (2.077 vs. 1.916, paired t-test, p < 0.0001 , N=28). Furthermore, our framework exhibits a stronger correlation between the predicted uncertainty 95th percentile score and the DRF ( r 2 = 0.9174 vs. r 2 = 0.6144 , N=10, 631). The proposed framework has the potential to improve clinical decision-making for LD PET imaging by providing a more accurate and informative reconstruction while reducing radiation exposure.

PMID:39847156 | DOI:10.1007/s11517-025-03296-z

Med Biol Eng Comput. 2025 Jan 23. doi: 10.1007/s11517-025-03301-5. Online ahead of print.

ABSTRACT

The generalization of deep learning (DL) models is critical for accurate lesion segmentation in breast ultrasound (BUS) images. Traditional DL models often struggle to generalize well due to the high frequency and scale variations inherent in BUS images. Moreover, conventional loss functions used in these models frequently result in imbalanced optimization, either prioritizing region overlap or boundary accuracy, which leads to suboptimal segmentation performance. To address these issues, we propose UMA-Net, an enhanced UNet architecture specifically designed for BUS image segmentation. UMA-Net integrates residual connections, attention mechanisms, and a bottleneck with atrous convolutions to effectively capture multi-scale contextual information without compromising spatial resolution. Additionally, we introduce an adaptive ensemble loss function that dynamically balances the contributions of different loss components during training, ensuring optimization across key segmentation metrics. This novel approach mitigates the imbalances found in conventional loss functions. We validate UMA-Net on five diverse BUS datasets-BUET, BUSI, Mendeley, OMI, and UDIAT-demonstrating superior performance. Our findings highlight the importance of addressing frequency and scale variations, confirming UMA-Net as a robust and generalizable solution for BUS image segmentation.

PMID:39847155 | DOI:10.1007/s11517-025-03301-5

J Microsc. 2025 Jan 23. doi: 10.1111/jmi.13385. Online ahead of print.

ABSTRACT

The types and quantities of microorganisms in activated sludge are directly related to the stability and efficiency of sewage treatment systems. This paper proposes a sludge microorganism detection method based on microscopic phase contrast image optimisation and deep learning. Firstly, a dataset containing eight types of microorganisms is constructed, and an augmentation strategy based on single and multisamples processing is designed to address the issues of sample deficiency and uneven distribution. Secondly, a phase contrast image quality optimisation algorithm based on fused variance is proposed, which can effectively improve the standard deviation, entropy, and detection performance. Thirdly, a lightweight YOLOv8n-SimAM model is designed, which introduces a SimAM attention module to suppress the complex background interference and enhance attentions to the target objects. The lightweight of the network is realised using a detection head based on multiscale information fusion convolutional module. In addition, a new loss function IW-IoU is proposed to improve the generalisation ability and overall performance. Comparative and ablative experiments are conducted, demonstrating the great application potential for rapid and accurate detection of microbial targets. Compared to the baseline model, the proposed method improves the detection accuracy by 12.35% and hastens the running speed by 37.9 frames per second while evidently reducing the model size.

PMID:39846854 | DOI:10.1111/jmi.13385

J Funct Morphol Kinesiol. 2025 Jan 1;10(1):14. doi: 10.3390/jfmk10010014.

ABSTRACT

Background/Objectives: Chronic low back pain (CLBP) is prevalent among older adults and leads to significant functional limitations and reduced quality of life. Segmental stabilization exercises (SSEs) are commonly used to treat CLBP, but the selective activation of deep abdominal muscles during these exercises can be challenging for patients. To support muscle activation, physiotherapists use biofeedback methods such as palpation and ultrasound imaging. This randomized controlled pilot study aimed to compare the effectiveness of these two biofeedback techniques in older adults with CLBP. Methods: A total of 24 participants aged 65 years or older with CLBP were randomly assigned to one of two groups: one group performed self-palpation biofeedback, while the other group used real-time ultrasound imaging to visualize abdominal muscle activation. Muscle activation and thickness were continuously tracked using a semi-automated algorithm. The preferential activation ratio (PAR) was calculated to measure muscle activation, and statistical comparisons between groups were made using ANOVA. Results: Both groups achieved positive PAR values during all repetitions of the abdominal-draw-in maneuver (ADIM) and abdominal bracing (AB). Statistical analysis revealed no significant differences between the groups in terms of PAR during ADIM (F(2, 42) = 0.548, p = 0.58, partial η2 = 0.025) or AB (F(2, 36) = 0.812, p = 0.45, partial η2 = 0.043). Both groups reported high levels of exercise enjoyment and low task load. Conclusions: In conclusion, both palpation and ultrasound biofeedback appear to be effective for guiding older adults with CLBP during SSE. Larger studies are needed to confirm these results and examine the long-term effectiveness of these biofeedback methods.

PMID:39846655 | DOI:10.3390/jfmk10010014

Animal Model Exp Med. 2025 Jan 23. doi: 10.1002/ame2.12530. Online ahead of print.

ABSTRACT

BACKGROUND: Quantifying the rich home-cage activities of tree shrews provides a reliable basis for understanding their daily routines and building disease models. However, due to the lack of effective behavioral methods, most efforts on tree shrew behavior are limited to simple measures, resulting in the loss of much behavioral information.

METHODS: To address this issue, we present a deep learning (DL) approach to achieve markerless pose estimation and recognize multiple spontaneous behaviors of tree shrews, including drinking, eating, resting, and staying in the dark house, etc. RESULTS: This high-throughput approach can monitor the home-cage activities of 16 tree shrews simultaneously over an extended period. Additionally, we demonstrated an innovative system with reliable apparatus, paradigms, and analysis methods for investigating food grasping behavior. The median duration for each bout of grasping was 0.20 s.

CONCLUSION: This study provides an efficient tool for quantifying and understand tree shrews' natural behaviors.

PMID:39846430 | DOI:10.1002/ame2.12530

IET Syst Biol. 2025 Jan-Dec;19(1):e70000. doi: 10.1049/syb2.70000.

ABSTRACT

Spatially resolved transcriptomics technologies potentially provide the extra spatial position information and tissue image to better infer spatial cell-cell interactions (CCIs) in processes such as tissue homeostasis, development, and disease progression. However, methods for effectively integrating spatial multimodal data to infer CCIs are still lacking. Here, the authors propose a deep learning method for integrating features through co-convolution, called SpaGraphCCI, to effectively integrate data from different modalities of SRT by projecting gene expression and image feature into a low-dimensional space. SpaGraphCCI can achieve significant performance on datasets from multiple platforms including single-cell resolution datasets (AUC reaches 0.860-0.907) and spot resolution datasets (AUC ranges from 0.880 to 0.965). SpaGraphCCI shows better performance by comparing with the existing deep learning-based spatial cell communication inference methods. SpaGraphCCI is robust to high noise and can effectively improve the inference of CCIs. We test on a human breast cancer dataset and show that SpaGraphCCI can not only identify proximal cell communication but also infer new distal interactions. In summary, SpaGraphCCI provides a practical tool that enables researchers to decipher spatially resolved cell-cell communication based on spatial transcriptome data.

PMID:39846423 | DOI:10.1049/syb2.70000

Proteomes. 2025 Jan 13;13(1):3. doi: 10.3390/proteomes13010003.

ABSTRACT

Idiopathic pulmonary fibrosis (IPF) is a progressive lung disease characterized by repetitive alveolar injuries with excessive deposition of extracellular matrix (ECM) proteins. A crucial need in understanding IPF pathogenesis is identifying cell types associated with histopathological regions, particularly local fibrosis centers known as fibroblast foci. To address this, we integrated published spatial transcriptomics and single-cell RNA sequencing (scRNA-seq) transcriptomics and adopted the Query method and the Overlap method to determine cell type enrichments in histopathological regions. Distinct fibroblast cell types are highly associated with fibroblast foci, and transitional alveolar type 2 and aberrant KRT5-/KRT17+ (KRT: keratin) epithelial cells are associated with morphologically normal alveoli in human IPF lungs. Furthermore, we employed laser capture microdissection-directed mass spectrometry to profile proteins. By comparing with another published similar dataset, common differentially expressed proteins and enriched pathways related to ECM structure organization and collagen processing were identified in fibroblast foci. Importantly, cell type enrichment results from innovative spatial proteomics and scRNA-seq data integration accord with those from spatial transcriptomics and scRNA-seq data integration, supporting the capability and versatility of the entire approach. In summary, we integrated spatial multi-omics with scRNA-seq data to identify disease-associated cell types and potential targets for novel therapies in IPF intervention. The approach can be further applied to other disease areas characterized by spatial heterogeneity.

PMID:39846634 | DOI:10.3390/proteomes13010003

ACS Nano. 2025 Jan 23. doi: 10.1021/acsnano.4c18056. Online ahead of print.

ABSTRACT

As natural agonists of the stimulator of interferon genes (STING) protein, cyclic dinucleotides (CDNs) can activate the STING pathway, leading to the expression of type I interferons and various cytokines. Efficient activation of the STING pathway in antigen-presenting cells (APCs) and tumor cells is crucial for antitumor immune response. Tumor-derived exosomes can be effectively internalized by APCs and tumor cells and have excellent potential to deliver CDNs to the cytoplasm of APCs and tumor cells. Here, we leverage tumor exosomes as a delivery platform, designing an EXOTLR1/2-STING loaded with CDNs. To achieve efficient loading of CDNs onto exosomes, we chemically conjugated CDNs with Pam3CSK4, a compound featuring multiple fatty acid chains, resulting in Pam3CSK4-CDGSF. Utilizing the high lipophilicity of Pam3CSK4, Pam3CSK4-CDGSF could be efficiently loaded onto the exosomes through simple incubation. Moreover, as an agonist for Toll-like receptor 1/2, Pam3CSK4 also exhibits robust immunological synergistic effects in conjunction with CDNs. EXOTLR1/2-STING effectively induced the activation of APCs and triggered tumor cell death, producing a favorable antitumor therapeutic effect. It also demonstrated significant synergistic effects with immune checkpoint therapies.

PMID:39846950 | DOI:10.1021/acsnano.4c18056

J Bacteriol. 2025 Jan 23:e0042824. doi: 10.1128/jb.00428-24. Online ahead of print.

ABSTRACT

The mammalian gut microbiome is a dense and diverse community of microorganisms that reside in the distal gastrointestinal tract. In recent decades, the bacterial members of the gut microbiome have been the subject of intense research. Less well studied is the large community of bacteriophages that reside in the gut, which number in the billions of viral particles per gram of feces, and consist of considerable unknown viral "dark matter." This community of gut-residing bacteriophages, called the gut "phageome," plays a central role in the gut microbiome through predation and transformation of native gut bacteria, and through interactions with their mammalian hosts. In this review, we will summarize what is known about the composition and origins of the gut phageome, as well as its role in microbiome homeostasis and host health. Furthermore, we will outline the interactions of gut phages with their bacterial and mammalian hosts, and plot a course for the mechanistic study of these systems.

PMID:39846747 | DOI:10.1128/jb.00428-24

Biotechnol Prog. 2025 Jan 23:e3520. doi: 10.1002/btpr.3520. Online ahead of print.

ABSTRACT

The biopharmaceutical industry is shifting toward employing digital analytical tools for improved understanding of systems biology data and production of quality products. The implementation of these technologies can streamline the manufacturing process by enabling faster responses, reducing manual measurements, and building continuous and automated capabilities. This study discusses the use of soft sensor models for prediction of viability and viable cell density (VCD) in CHO cell culture processes by using in-line optical density and permittivity sensors. A significant innovation of this study is the development of a simplified empirical model and adoption of an integrated systems approach for in-line viability prediction. The initial evaluation of this viability model demonstrated promising accuracy with 96% of the residuals within a ±5% error limit and a Final Day mean absolute percentage error of ≤5% across various scales and process conditions. This model was integrated with a VCD prediction model utilizing Gaussian Process Regressor with Matern Kernel (nu = 0.5), selected from over a hundred advanced machine learning techniques. This VCD prediction model had an R2 of 0.92 with 89% predictions within ±10% error and significantly outperformed the commonly used partial least squares regression models. The results validated the use of these models for real-time in-line prediction of viability and VCD and highlighted the potential to substantially reduce reliance on labor-intensive discrete offline measurements. The integration of these innovative technologies aligns with regulatory guidelines and establishes a foundation for further advancements in the biomanufacturing industry, promising improved process control, efficiency, and compliance with quality standards.

PMID:39846513 | DOI:10.1002/btpr.3520

Schmerz. 2025 Jan 23. doi: 10.1007/s00482-024-00857-3. Online ahead of print.

ABSTRACT

The spontaneous reporting system for cases of suspected side effects is a central instrument for detecting possible side effects after a pharmaceutical preparation has received marketing authorization. It provides important information (signals) on the occurrence of rare, previously unknown side effects, on increases in the frequency of known side effects that may also be due to quality defects, or on changes in the type or severity of known side effects. In recent decades, this system has made a significant contribution to the identification of drug-related risks that only arise upon widespread use following approval and to the introduction of appropriate measures to minimize risk.

PMID:39847136 | DOI:10.1007/s00482-024-00857-3

Pediatr Radiol. 2025 Jan 23. doi: 10.1007/s00247-024-06153-7. Online ahead of print.

ABSTRACT

The bone marrow of immunocompromised patients may exhibit abnormalities due to the underlying disease, adverse treatment effects, and/or complications arising from either source. Such complexity poses a significant diagnostic challenge, particularly in children. Magnetic resonance imaging (MRI) is the modality of choice when evaluating bone marrow in these patients. The high soft tissue contrast of MRI studies allows for detailed evaluation of bone marrow composition, including fat content, cellularity, and vascularisation. During the early years of life, bone marrow undergoes physiological maturation manifesting as a wide range of MRI findings. Understanding the most common MRI features during this phase of development is essential. However, it is equally critical to recognise physiological variations that can mimic pathological changes, as distinguishing between variations and truly pathological abnormalities is crucial for accurate diagnosis and management. This article reviews normal bone marrow and its variations during childhood, as well as the most common alterations presenting in immunocompromised patients.

PMID:39847093 | DOI:10.1007/s00247-024-06153-7

Front Immunol. 2025 Jan 7;15:1440922. doi: 10.3389/fimmu.2024.1440922. eCollection 2024.

ABSTRACT

BACKGROUND: SLE and ME/CFS both present significant fatigue and share immune dysregulation. The mechanisms underlying fatigue in these disorders remain unclear, and there are no standardized treatments. This study aims to explore shared mechanisms and predict potential therapeutic drugs for fatigue in SLE and ME/CFS.

METHODS: Genes associated with SLE and ME/CFS were collected from disease target and clinical sample databases to identify overlapping genes. Bioinformatics analyses, including GO, KEGG, PPI network construction, and key target identification, were performed. ROC curve and correlation analysis of key targets, along with single-cell clustering, were conducted to validate their expression in different cell types. Additionally, an inflammation model was established using THP-1 cells to simulate monocyte activation in both diseases in vitro, and RT-qPCR was used to validate the expression of the key targets. A TF-mRNA-miRNA co-regulatory network was constructed, followed by drug prediction and molecular docking.

RESULTS: Fifty-eight overlapping genes were identified, mainly involved in innate immunity and inflammation. Five key targets were identified (IL1β, CCL2, TLR2, STAT1, IFIH1). Single-cell sequencing revealed that monocytes are enriched with these targets. RT-qPCR confirmed significant upregulation of these targets in the model group. A co-regulatory network was constructed, and ten potential drugs, including suloctidil, N-Acetyl-L-cysteine, simvastatin, ACMC-20mvek, and camptothecin, were predicted. Simvastatin and camptothecin showed high affinity for the key targets.

CONCLUSION: SLE and ME/CFS share immune and inflammatory pathways. The identified key targets are predominantly enriched in monocytes at the single-cell level, suggesting that classical monocytes may be crucial in linking inflammation and fatigue. RT-qPCR confirmed upregulation in activated monocytes. The TF-mRNA-miRNA network provides a foundation for future research, and drug prediction suggests N-Acetyl-L-cysteine and camptothecin as potential therapies.

PMID:39845969 | PMC:PMC11752880 | DOI:10.3389/fimmu.2024.1440922

EClinicalMedicine. 2024 Dec 31;80:103035. doi: 10.1016/j.eclinm.2024.103035. eCollection 2025 Feb.

ABSTRACT

BACKGROUND: Phosphodiesterase 5 (PDE5) inhibitors, owing to their mechanism of action, have been gaining recognition as a potential case of drug repurposing and combination therapy for diabetes treatment. We aimed to examine the effect of long and short half-life PDE5 inhibitors have on Haemoglobin A1c (HbA1c) levels.

METHODS: A systematic review and meta-analysis was conducted of randomised controlled trials (RCTs) in people with elevated HbA1c (>6%) to assess mean difference in HbA1c levels from baseline versus controls after any PDE5 inhibitor intervention of ≥4 weeks, excluding multiple interventions. Cochrane CENTRAL, PMC Medline, ClinicalTrials.gov, and WHO ICTRP were searched without language restrictions up to September 30, 2024. Summary data from published data were extracted. PRISMA and Cochrane guidelines used to extract and assess data using a random-effects meta-analysis. This study is registered with the Research Registry, reviewregistry1733.

FINDINGS: Among 1096 studies identified, in analysis of 13 studies with 1083 baseline patients, long half-life PDE5 inhibitors (tadalafil, PF-00489791) had decreases in HbA1c while short half-life PDE5 inhibitors (sildenafil, avanafil) had no change. Five (38.5%) studies had a low risk of bias, and eight (61.5%) had some concerns. Long half-life inhibitors had significant mean decrease of -0.40% ([-0.66, -0.14], p = 0.002, I2 = 82%, 7.70% baseline HbA1c). Short half-life inhibitors had insignificant mean difference of +0.08% ([-0.16, 0.33], p = 0.51, I2 = 40%, 7.73% baseline HbA1c). In ≥8-week trials with participants with type 2 diabetes (T2D) and mean HbA1c ≥ 6.5%, long half-life inhibitors had significant mean decrease of -0.50% ([-0.83, -0.17], I2 = 88%, p = 0.003); short half-life inhibitors had significant mean increase of +0.36% ([0.03, 0.68], I2 = 3%, p = 0.03).

INTERPRETATION: At the well-controlled HbA1c of the participants, previous literature shows current diabetes treatments have similar HbA1c decreases, so the HbA1c mean difference of long half-life PDE5 inhibitors may indeed be clinically relevant. This suggests future investigation into PDE5 inhibitors as part of combination therapy or as therapy for high HbA1c individuals is needed, especially because of variable risk of biases, homogeneity, and sample sizes in our study.

FUNDING: None.

PMID:39844934 | PMC:PMC11751502 | DOI:10.1016/j.eclinm.2024.103035

BMC Bioinformatics. 2025 Jan 22;26(1):26. doi: 10.1186/s12859-024-06026-8.

ABSTRACT

BACKGROUND: Interpretability is a topical question in recommender systems, especially in healthcare applications. An interpretable classifier quantifies the importance of each input feature for the predicted item-user association in a non-ambiguous fashion.

RESULTS: We introduce the novel Joint Embedding Learning-classifier for improved Interpretability (JELI). By combining the training of a structured collaborative-filtering classifier and an embedding learning task, JELI predicts new user-item associations based on jointly learned item and user embeddings while providing feature-wise importance scores. Therefore, JELI flexibly allows the introduction of priors on the connections between users, items, and features. In particular, JELI simultaneously (a) learns feature, item, and user embeddings; (b) predicts new item-user associations; (c) provides importance scores for each feature. Moreover, JELI instantiates a generic approach to training recommender systems by encoding generic graph-regularization constraints.

CONCLUSIONS: First, we show that the joint training approach yields a gain in the predictive power of the downstream classifier. Second, JELI can recover feature-association dependencies. Finally, JELI induces a restriction in the number of parameters compared to baselines in synthetic and drug-repurposing data sets.

PMID:39844056 | DOI:10.1186/s12859-024-06026-8

Acta Radiol. 2025 Jan 23:2841851241305736. doi: 10.1177/02841851241305736. Online ahead of print.

ABSTRACT

BACKGROUND: The wide variability in thresholds on computed tomography (CT) perfusion parametric maps has led to controversy in the stroke imaging community about the most accurate measurement of core infarction.

PURPOSE: To investigate the feasibility of using U-Net to perform infarct core segmentation in CT perfusion imaging.

MATERIAL AND METHODS: CT perfusion parametric maps were the input of U-Net, while the ground truth segmentation was determined based on diffusion-weighted imaging (DWI). The dataset used in this study was from the ISLES2018 challenge, which contains 63 acute stroke patients receiving CT perfusion imaging and DWI within 8 h of stroke onset. The segmentation accuracy of model outputs was assessed by calculating Dice similarity coefficient (DSC), sensitivity, and intersection over union (IoU).

RESULTS: The highest DSC was observed in U-Net taking mean transit time (MTT) or time-to-maximum (Tmax) as input. Meanwhile, the highest sensitivity and IoU were observed in U-Net taking Tmax as input. A DSC in the range of 0.2-0.4 was found in U-Net taking Tmax as input when the infarct area contains < 1000 pixels. A DSC of 0.4-0.6 was found in U-Net taking Tmax as input when the infarct area contains 1000-1999 pixels. A DSC value of 0.6-0.8 was found in U-Net taking Tmax as input when the infarct area contains ≥ 2000 pixels.

CONCLUSION: Our model achieved good performance for infarct area containing ≥ 2000 pixels, so it may assist in identifying patients who are contraindicated for intravenous thrombolysis.

PMID:39846186 | DOI:10.1177/02841851241305736