FCS

FCS
  • 文章类型: Journal Article
    最近的研究表明,与纳米塑料接触的生物膜物质在纳米塑料的聚集和沉降中起着重要作用。这些过程的后果是生物膜形成和稳定性的变化以及污染物在环境中的迁移和归宿的变化。对纳米塑料-生物膜相互作用有更深入的了解将有助于评估不受控制的纳米塑料污染带来的风险。这些相互作用受到气候变化引起的环境变化的影响,例如,例如,地表水的酸化。我们应用荧光相关光谱(FCS)研究了非官能化聚苯乙烯(PS)纳米颗粒(NPs)的pH依赖性聚集趋势,这是由于分子间作用力与模型细胞外生物膜物质。我们的生物膜模型包括牛血清白蛋白(BSA),作为球状蛋白质的代表,和多糖藻酸盐,这是许多生物膜的主要成分,在含有Na的溶液中,离子强度对于淡水条件是现实的。考虑的生物分子浓度范围为0.5g/L至最高21g/L。我们使用非官能化的PSNP作为主要带负电荷的纳米塑料的代表。BSA通过吸附到NP上和BSA介导的桥接促进NP聚集。在BSA-藻酸盐混合物中,海藻酸盐阻碍了这种相互作用,很可能是由于藻酸盐-BSA复合物的形成。在大多数BSA-藻酸盐混合物中,如单独的藻酸盐中,NP聚集主要是由较弱的,与pH无关的消耗力。藻酸盐的稳定作用仅在高BSA含量下减弱,当静电BSA-BSA吸引力未被藻酸盐充分筛选时。这项研究清楚地表明,考虑多种生物膜成分之间的相关作用对于更好地了解复杂生物膜物质存在下的NP聚集至关重要。基于比较细胞外生物膜物质的总有机碳(TOC)含量的单组分生物膜模型系统,正如通常认为的那样,会导致对聚集稳定性的误判。
    Recent studies show that biofilm substances in contact with nanoplastics play an important role in the aggregation and sedimentation of nanoplastics. Consequences of these processes are changes in biofilm formation and stability and changes in the transport and fate of pollutants in the environment. Having a deeper understanding of the nanoplastics-biofilm interaction would help to evaluate the risks posed by uncontrolled nanoplastic pollution. These interactions are impacted by environmental changes due to climate change, such as, e.g., the acidification of surface waters. We apply fluorescence correlation spectroscopy (FCS) to investigate the pH-dependent aggregation tendency of non-functionalized polystyrene (PS) nanoparticles (NPs) due to intermolecular forces with model extracellular biofilm substances. Our biofilm model consists of bovine serum albumin (BSA), which serves as a representative for globular proteins, and the polysaccharide alginate, which is a main component in many biofilms, in solutions containing Na+ with an ionic strength being realistic for fresh-water conditions. Biomolecule concentrations ranging from 0.5 g/L up to at maximum 21 g/L are considered. We use non-functionalized PS NPs as representative for mostly negatively charged nanoplastics. BSA promotes NP aggregation through adsorption onto the NPs and BSA-mediated bridging. In BSA-alginate mixtures, the alginate hampers this interaction, most likely due to alginate-BSA complex formation. In most BSA-alginate mixtures as in alginate alone, NP aggregation is predominantly driven by weaker, pH-independent depletion forces. The stabilizing effect of alginate is only weakened at high BSA contents, when the electrostatic BSA-BSA attraction is not sufficiently screened by the alginate. This study clearly shows that it is crucial to consider correlative effects between multiple biofilm components to better understand the NP aggregation in the presence of complex biofilm substances. Single-component biofilm model systems based on comparing the total organic carbon (TOC) content of the extracellular biofilm substances, as usually considered, would have led to a misjudgment of the stability towards aggregation.
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  • 文章类型: Journal Article
    蛋白质等细胞成分的扩散对所有活细胞的功能至关重要。细胞中大分子的丰度很可能造成大分子拥挤的状态,但它对扩散程度的影响仍然知之甚少。
    在这里,我们研究了间充质细胞类型在三个不同位置的扩散速率,即开放的细胞质,开放细胞质中的应力纤维,和那些在细胞核以下使用三种生物惰性绿色荧光蛋白(GFP),即单体,二聚体,和三聚体GFP。使用荧光相关光谱法(FCS)来确定扩散系数。
    我们表明,在应力纤维中扩散平均趋于降低,而在位于原子核下方的那些纤维中则显着降低。我们的数据表明,GFP的扩散特性,还有潜在的其他分子,受到大分子拥挤的阻碍。然而,尽管还研究了单体对蛋白质扩散的大小依赖性,二聚体,和三聚体GFP,这些大小的GFP之间的扩散速率没有显着差异。这些结果可归因于在所选择的GFP多聚体中缺乏蛋白质大小的显著变化。
    此处提供的数据将为更好地理解复杂蛋白质在不均匀细胞质中的扩散提供基础,照亮细胞对机械应力的反应,它们的局部机械性能,减少衰老细胞的周转。
    UNASSIGNED: The diffusion of cell components such as proteins is crucial to the function of all living cells. The abundance of macromolecules in cells is likely to cause a state of macromolecular crowding, but its effects on the extent of diffusion remain poorly understood.
    UNASSIGNED: Here we investigate the diffusion rate in three distinct locations in mesenchymal cell types, namely the open cytoplasm, the stress fibers in the open cytoplasm, and those below the nucleus using three kinds of biologically inert green fluorescent proteins (GFPs), namely a monomer, dimer, and trimer GFP. Fluorescence correlation spectroscopy (FCS) was used to determine the diffusion coefficients.
    UNASSIGNED: We show that diffusion tends to be lowered on average in stress fibers and is significantly lower in those located below the nucleus. Our data suggest that the diffusive properties of GFPs, and potentially other molecules as well, are hindered by macromolecular crowding. However, although the size dependence on protein diffusion was also studied for monomer, dimer, and trimer GFPs, there was no significant difference in the diffusion rates among the GFPs of these sizes. These results could be attributed to the lack of significant change in protein size among the selected GFP multimers.
    UNASSIGNED: The data presented here would provide a basis for better understanding of the complex protein diffusion in the nonuniform cytoplasm, shedding light on cellular responses to mechanical stress, their local mechanical properties, and reduced turnover in senescent cells.
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  • 文章类型: Journal Article
    帕妥珠单抗(Perjeta®),与HER2(人表皮生长因子受体2)的二聚化臂结合的人源化抗体,作为HER2过表达的恶性肿瘤的单一治疗剂失败。由于HER2与配体结合的EGFR(表皮生长因子受体)的分子相互作用已暗示有丝分裂信号传导和恶性增殖,我们假设这种相互作用,而不是单独的HER2表达和寡聚化,可能是帕妥珠单抗治疗疗效的潜在分子靶标和预测因子。因此,我们使用Förster共振能量转移(FRET)显微镜和荧光相关和交叉相关光谱(FCS/FCCS)研究了HER2+EGFR+SK-BR-3乳腺肿瘤细胞中存在和不存在帕妥珠单抗时,EGF刺激下HER2和EGFR分子之间的静态和动态相互作用.通过蛋白质印迹和MTT测定测量信号传导的相应激活和细胞增殖的变化。HER2扩散的自相关函数最好通过校正三重态形成的三分量模型拟合,在这些成分中,缓慢扩散的膜成分揭示了EGFR配体结合诱导的聚集,如光子计数直方图和共扩散分数所证明。帕妥珠单抗治疗有效地预防了这种聚集,这也抑制了刺激后EGFR和HER2的相互作用,如通过FRET效率的变化监测。总的来说,数据表明,帕妥珠单抗,通过阻碍EGFR和HER2之间的刺激后相互作用,抑制EGFR诱发的HER2聚集和磷酸化,并导致细胞增殖的剂量依赖性降低,特别是当存在较高量的EGF时。因此,我们提出,在预测帕妥珠单抗治疗结果时,可以将HER2阳性肿瘤上的EGFR表达作为一个潜在的生物标志物加以考虑.
    Pertuzumab (Perjeta®), a humanized antibody binding to the dimerization arm of HER2 (Human epidermal growth factor receptor-2), has failed as a monotherapy agent in HER2 overexpressing malignancies. Since the molecular interaction of HER2 with ligand-bound EGFR (epidermal growth factor receptor) has been implied in mitogenic signaling and malignant proliferation, we hypothesized that this interaction, rather than HER2 expression and oligomerization alone, could be a potential molecular target and predictor of the efficacy of pertuzumab treatment. Therefore, we investigated static and dynamic interactions between HER2 and EGFR molecules upon EGF stimulus in the presence and absence of pertuzumab in HER2+ EGFR+ SK-BR-3 breast tumor cells using Förster resonance energy transfer (FRET) microscopy and fluorescence correlation and cross-correlation spectroscopy (FCS/FCCS). The consequential activation of signaling and changes in cell proliferation were measured by Western blotting and MTT assay. The autocorrelation functions of HER2 diffusion were best fitted by a three-component model corrected for triplet formation, and among these components the slowly diffusing membrane component revealed aggregation induced by EGFR ligand binding, as evidenced by photon-counting histograms and co-diffusing fractions. This aggregation has efficiently been prevented by pertuzumab treatment, which also inhibited the post-stimulus interaction of EGFR and HER2, as monitored by changes in FRET efficiency. Overall, the data demonstrated that pertuzumab, by hindering post-stimulus interaction between EGFR and HER2, inhibits EGFR-evoked HER2 aggregation and phosphorylation and leads to a dose-dependent decrease in cell proliferation, particularly when higher amounts of EGF are present. Consequently, we propose that EGFR expression on HER2-positive tumors could be taken into consideration as a potential biomarker when predicting the outcome of pertuzumab treatment.
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  • 文章类型: Journal Article
    滤泡细胞悬液(FCS)移植是一种治疗耐药稳定期白癜风的新型手术方法,而微型冲床移植是治疗稳定白癜风的有效方法。FCS与微型冲床嫁接联合是一种较好的耐药稳定期白癜风的医治战略。该研究的目的是评估滤泡细胞悬液的功效,迷你冲床嫁接,并结合两种技术治疗稳定型白癜风。这项前瞻性比较研究是对48例稳定型白癜风患者进行的。他们被分成三个相等的组,包括A组(滤泡细胞悬液),B组(采用小穿孔移植治疗),和C组(两种技术联合治疗)。所有患者均随访6个月,以评估他们对临床结果的治疗反应。通过比较三个研究组的数据,我们发现,治疗1个月和3个月后色素再沉着程度的差异不显著.然而,治疗6个月后,3个研究组的再色素沉着进展差异有统计学意义(P=0.027).具体来说,C组再色素沉着明显优于A组和B组(P分别为0.037和0.017),但是A组和B组之间没有显着差异。
    Follicular cell suspension (FCS) transplantation is a novel surgical method for treating resistant stable vitiligo, whereas mini punch grafting is an established effective method for treating stable vitiligo. The combination of FCS and mini punch grafting is a better strategy for the treatment of resistant stable vitiligo. The aim of the study was to evaluate the efficacy of follicular cell suspension, mini punch grafting, and a combination of both techniques in the treatment of stable vitiligo. This prospective comparative study was conducted on 48 patients with stable vitiligo. They were divided into three equal groups, including group A (treated with follicular cell suspension), group B (treated with mini punch grafting), and group C (treated with the combination of both techniques). All patients were followed-up for six months for the assessment of their therapeutic response regarding clinical outcomes. By comparing the data of the three studied groups, we found that the difference in the degree of re-pigmentation after one and three months of treatment was not significant. However, the progress of re-pigmentation was significantly different after six months of treatment among the three studied groups (P = 0.027). Specifically, re-pigmentation was significantly better in group C than in groups A and B (P = 0.037 and 0.017, respectively), but it was not significantly different between groups A and B.
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  • 文章类型: Journal Article
    从头设计的从头肽的组装是半理性的方式,并产生具有独特性质的人工超分子结构。考虑到活细胞中各种蛋白质的功能受到其组装的高度调节,在细胞内构建人工组件具有模拟天然蛋白质组件的功能和工程细胞活动以进行受控操作的潜力。我们如何评估设计肽在细胞中的自组装?最有效的方法涉及荧光蛋白(FPs)的遗传融合。在细胞内表达与FP融合的自组装肽允许通过荧光信号评估组装体。当形成微米级的组件如冷凝物时,肽组装体可以通过成像直接观察。对于亚微米级组件,荧光相关光谱分析更加实用。此外,FPs之间的荧光共振能量转移(FRET)信号是邻近的有价值的证据。与同源FRET相关的荧光各向异性的降低揭示了自组装的性质。此外,通过结合两个FP,一个作为捐赠者,另一个作为接受者,可以通过FRET信号研究两种不同组分之间的异聚相互作用。在这一章中,我们提供详细的协议,从设计和构建表达肽融合蛋白的质粒DNA到分析活细胞中的自组装。
    Assembly of de novo peptides designed from scratch is in a semi-rational manner and creates artificial supramolecular structures with unique properties. Considering that the functions of various proteins in living cells are highly regulated by their assemblies, building artificial assemblies within cells holds the potential to simulate the functions of natural protein assemblies and engineer cellular activities for controlled manipulation. How can we evaluate the self-assembly of designed peptides in cells? The most effective approach involves the genetic fusion of fluorescent proteins (FPs). Expressing a self-assembling peptide fused with an FP within cells allows for evaluating assemblies through fluorescence signal. When µm-scale assemblies such as condensates are formed, the peptide assemblies can be directly observed by imaging. For sub-µm-scale assemblies, fluorescence correlation spectroscopy analysis is more practical. Additionally, the fluorescence resonance energy transfer (FRET) signal between FPs is valuable evidence of proximity. The decrease in fluorescence anisotropy associated with homo-FRET reveals the properties of self-assembly. Furthermore, by combining two FPs, one acting as a donor and the other as an acceptor, the heteromeric interaction between two different components can be studied through the FRET signal. In this chapter, we provide detailed protocols, from designing and constructing plasmid DNA expressing the peptide-fused protein to analysis of self-assembly in living cells.
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  • 文章类型: Journal Article
    我们介绍了制造和测试模型脂滴(LD)的膜生物物理学的方法。描述了使用高分辨率显微镜和光谱学对直径为0.1至40μm的LD进行成像的方法。使用已知的LD组合物,膜结合,排序,扩散,和张力通过荧光相关光谱(FCS)测量,光漂白后的荧光恢复(FRAP),荧光寿命成像显微镜(FLIM),原子力显微镜(AFM),和成像流式细胞术。此外,一个习俗,描述了小体积悬垂液滴张力计,并用于测量磷脂与LD表面的缔合。这些互补的,测量LD膜行为的交叉验证方法揭示了脂滴单层上生物物理过程的相互作用。
    We present methods for making and testing the membrane biophysics of model lipid droplets (LDs). Methods are described for imaging LDs ranging in size from 0.1 to 40 μm in diameter with high-resolution microscopy and spectroscopy. With known LD compositions, membrane binding, sorting, diffusion, and tension were measured via fluorescence correlation spectroscopy (FCS), fluorescence recovery after photobleaching (FRAP), fluorescence lifetime imaging microscopy (FLIM), atomic force microscopy (AFM), and imaging flow cytometry. Additionally, a custom, small-volume pendant droplet tensiometer is described and used to measure the association of phospholipids to the LD surface. These complementary, cross-validating methods of measuring LD membrane behavior reveal the interplay of biophysical processes on lipid droplet monolayers.
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  • 文章类型: Journal Article
    不同的信号传导机制可以确保动物发育过程中强大的组织模式和细胞命运指导。这些机制大多依赖于所产生的信号蛋白,运输,并检测到。信号分子的时空动力学在很大程度上是未知的,然而,他们确定信号活动的空间范围和时间框架。这里,我们使用秀丽隐杆线虫胚胎来研究Wnt配体,一个进化上保守的信号蛋白家族,动态组织以在发育中的组织中建立细胞极性。我们确定了Wnt配体,在胚胎的后半部产生,向细胞外传播以将信息传输到前半部的远处靶细胞。用定量实时成像和荧光相关光谱,我们显示Wnt配体在比细胞周期短的时间尺度上通过胚胎扩散,在细胞间空间,在蛋壳下面的组织外面。我们提取了Wnt配体及其受体Frizzled的扩散系数,并表征了它们的共定位。将我们不同的测量和观察整合在一个简单的计算框架中,通过配体到达靶细胞的时间积分,我们显示了胚胎中的扩散速度如何使单个细胞极化。由后部Wnt源在组织水平建立的极性可以转移到细胞水平。我们的结果支持基于扩散的远程Wnt信号,这与发展过程的动态是一致的。
    Different signaling mechanisms concur to ensure robust tissue patterning and cell fate instruction during animal development. Most of these mechanisms rely on signaling proteins that are produced, transported, and detected. The spatiotemporal dynamics of signaling molecules are largely unknown, yet they determine signal activity\'s spatial range and time frame. Here, we use the Caenorhabditis elegans embryo to study how Wnt ligands, an evolutionarily conserved family of signaling proteins, dynamically organize to establish cell polarity in a developing tissue. We identify how Wnt ligands, produced in the posterior half of the embryos, spread extracellularly to transmit information to distant target cells in the anterior half. With quantitative live imaging and fluorescence correlation spectroscopy, we show that Wnt ligands diffuse through the embryo over a timescale shorter than the cell cycle, in the intercellular space, and outside the tissue below the eggshell. We extracted diffusion coefficients of Wnt ligands and their receptor Frizzled and characterized their co-localization. Integrating our different measurements and observations in a simple computational framework, we show how fast diffusion in the embryo can polarize individual cells through a time integration of the arrival of the ligands at the target cells. The polarity established at the tissue level by a posterior Wnt source can be transferred to the cellular level. Our results support a diffusion-based long-range Wnt signaling, which is consistent with the dynamics of developing processes.
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  • 文章类型: Journal Article
    为了应对全球超重和肥胖患病率的增加,已经开发了几种营养分析系统;其中,FoodCompassScore(FCS)旨在涵盖食品健康的多个领域。然而,健康饮食的环境可持续性是人类健康背景下不应忽视的另一个重要方面。本研究的目的是评估食品的健康与环境可持续性之间的关系,使用FCS和Agribalyse数据库,分别。共鉴定出806份相配的食物,分为12个食物类别;在每个类别中,评估了FCS和单一环境足迹(EF)评分之间的中位Z评分差异.虽然水果,豆类和坚果,混合食品,禽肉和鸡蛋(MPE),咸味和甜食,和蔬菜显示出统计学上的显着差异(所有p<0.001),饮料(p=0.361),乳制品(p=0.092),脂肪和油(p=0.594),谷物(p=0.436),酱汁和调味品(p=0.093),海鲜(p=0.241)具有相似的食物罗盘和单EFZ分数分布。这些发现强调了一些突出食品类别的健康和环境影响之间缺乏相关差异,如谷物和海鲜。因此,我们建议将营养分析系统与适当的环境可持续性指数相匹配。
    In order to tackle the global increase in overweight and obesity prevalence, several nutrient profiling systems have been developed; among others, Food Compass Score (FCS) has been designed to encompass multiple domains of food healthfulness. However, environmental sustainability of healthy diets is another crucial dimension which should not be overlooked in the context of human health. The aim of the present study is to assess the association between healthiness and environmental sustainability of food items, using the FCS and Agribalyse databases, respectively. A total of 806 matching food items were identified, grouped in 12 food categories; within each category, differences in median Z-scores between FCS and Single Environmental Footprint (EF) Score were assessed. While Fruits, Legumes and Nuts, Mixed foods, Meat Poultry and Eggs (MPE), Savory and Sweets, and Vegetables showed statistically significant differences (all p < 0.001), Beverages (p = 0.361), Dairy (p = 0.092), Fats and Oils (p = 0.594), Grains (p = 0.436), Sauce and Condiments (p = 0.093), and Seafood (p = 0.241) had similar Food Compass and Single EF Z-scores distributions. These findings underscore a relevant lack of difference between healthfulness and environmental impact of some prominent food categories, such as Grains and Seafood. Therefore, we suggest matching nutrient profiling systems with adequate environmental sustainability indices.
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  • 文章类型: Journal Article
    在所有尾噬菌体中,通过末端酶马达复合物将双链基因组包装到头部是病毒体形成的重要步骤。尽管进行了广泛的研究,在理解这种高度动态的过程和负责DNA易位的机制方面仍然存在很大的差距.在过去的十五年里,单分子荧光技术已应用于研究病毒核酸包装,使用强大而灵活的T4体外包装系统与遗传,生物化学,和结构分析。在这次审查中,我们讨论这些研究的新发现,包括通过在门户结构上方的染料标记的DNA末端的共定位,确定T4基因组被包装为细长的环。TerL电机的封装效率被证明与基板结构固有地联系在一起,包装在DNA分支上停滞。后者导致了多个实验的设计,其结果均支持提出的扭转压缩移位模型来解释衬底封装。底物压缩的证据来自相对于电机组件的停滞与分解酶释放的染料标记的Y-DNA和其他染料标记的底物的FRET和/或smFRET测量。此外,活性体内T4TerS荧光融合蛋白促进了先进的超分辨率光学显微镜对包装启动可视化的应用。形成孪生的TerS环配合物,每个直径预计为~15纳米,支持用于控制包装起始的双蛋白质环-DNA突触模型,该模型可能有助于解释在pac位点噬菌体中报告的各种环结构。在这些研究中,在单分子水平上对T4包装马达的动力学的检查证明了最先进的荧光工具对于复杂病毒复制机制的未来研究的价值。
    In all tailed phages, the packaging of the double-stranded genome into the head by a terminase motor complex is an essential step in virion formation. Despite extensive research, there are still major gaps in the understanding of this highly dynamic process and the mechanisms responsible for DNA translocation. Over the last fifteen years, single-molecule fluorescence technologies have been applied to study viral nucleic acid packaging using the robust and flexible T4 in vitro packaging system in conjunction with genetic, biochemical, and structural analyses. In this review, we discuss the novel findings from these studies, including that the T4 genome was determined to be packaged as an elongated loop via the colocalization of dye-labeled DNA termini above the portal structure. Packaging efficiency of the TerL motor was shown to be inherently linked to substrate structure, with packaging stalling at DNA branches. The latter led to the design of multiple experiments whose results all support a proposed torsional compression translocation model to explain substrate packaging. Evidence of substrate compression was derived from FRET and/or smFRET measurements of stalled versus resolvase released dye-labeled Y-DNAs and other dye-labeled substrates relative to motor components. Additionally, active in vivo T4 TerS fluorescent fusion proteins facilitated the application of advanced super-resolution optical microscopy toward the visualization of the initiation of packaging. The formation of twin TerS ring complexes, each expected to be ~15 nm in diameter, supports a double protein ring-DNA synapsis model for the control of packaging initiation, a model that may help explain the variety of ring structures reported among pac site phages. The examination of the dynamics of the T4 packaging motor at the single-molecule level in these studies demonstrates the value of state-of-the-art fluorescent tools for future studies of complex viral replication mechanisms.
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  • 文章类型: Journal Article
    家族性乳糜微粒血症(FCS)是一种罕见的代谢紊乱,会影响身体,情感,社会,和认知功能。FCS症状和影响量表(FCS-SIS)患者报告结果(PRO)评估FCS的常见症状和影响。本研究旨在评估FCS-SIS的横截面心理测量特性及其评分方法。
    此多站点,横截面,在美国和加拿大对FCS患者进行了观察性研究.参与者完成了一项由7项PRO措施组成的调查,包括FCS-SIS,以及有关临床特征和人口统计学的问题。FCS-SIS的结构使用项目间和项目-量表相关性以及内部一致性可靠性进行评估。Construct,已知团体,通过检查FCS-SIS项目与综合评分和调查中包含的其他指标之间的关联,评估了标准有效性。
    33名参与者中大多数是女性(63.6%)和白人(78.1%)。平均而言,参与者报告在约16岁时首次注意到FCS症状,腹痛是最常见的初始症状(n=20)。参与者报告过去一年平均有2.5次急性胰腺炎发作。在24小时召回期内,FCS-SIS症状项目的平均评分范围为1.8至3.9(以0至10的量表[从最坏到可能])。平均症状综合评分为2.7。FCS-SIS的平均影响项目得分范围为1.6至3.0(以0至4为量表),平均冲击综合评分为2.1。FCS-SIS症状项目之间的项目间相关性范围为0.32至0.78。校正后的项目-总相关性对于影响项目非常令人满意,范围从0.62到0.85。所有先验有效性假设均得到已知组之间观察到的相关性和得分差异的支持。
    这项研究的结果支持了该结构,可靠性,和FCS-SIS的有效性,为纵向评估其在FCS临床研究中评估治疗获益方面的效用奠定了心理计量学基础。
    UNASSIGNED: Familial chylomicronemia syndrome (FCS) is a rare metabolic disorder that impacts physical, emotional, social, and cognitive functioning. The FCS-Symptom and Impact Scale (FCS-SIS) patient-reported outcome (PRO) measure assesses common symptoms and impacts of FCS. This study was conducted to evaluate cross-sectional psychometric properties of the FCS-SIS and its scoring method.
    UNASSIGNED: This multisite, cross-sectional, observational study of individuals with FCS was conducted in the United States and Canada. Participants completed a survey composed of 7 PRO measures, including the FCS-SIS, and questions about clinical characteristics and demographics. The structure of the FCS-SIS was evaluated using inter-item and item-scale correlations and internal consistency reliability. Construct, known-groups, and criterion validity were evaluated by examining associations between FCS-SIS item and composite scores and other measures included within the survey.
    UNASSIGNED: Most of the 33 participants were female (63.6%) and White (78.1%). On average, participants reported first noticing FCS symptoms at ~16 years, with abdominal pain the most frequently reported initial symptom (n=20). Participants reported 2.5 acute pancreatitis attacks on average over the past year. Average FCS-SIS symptom item scores ranged from 1.8 to 3.9 (on a 0-to-10 scale [none-to-worst-possible]) within the 24-hour recall period, with an average Symptom composite score of 2.7. The average impact item scores on the FCS-SIS ranged from 1.6 to 3.0 (on a 0-to-4 scale), with an average Impact composite score of 2.1. Inter-item correlations between the FCS-SIS Symptom items ranged from 0.32 to 0.78. Corrected item-total correlations were highly satisfactory for Impact items, ranging from 0.62 to 0.85. All a priori validity hypotheses were supported by observed correlations and score differences between known groups.
    UNASSIGNED: The results of this study support the structure, reliability, and validity of the FCS-SIS, laying the psychometric groundwork for longitudinal evaluation of its utility in assessing treatment benefit in FCS clinical studies.
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