virus infection

病毒感染
  • 文章类型: Journal Article
    真核延伸因子(eEFs)是介导肽链延伸的蛋白质因子,其中真核延伸因子1α(eEF1A)是最丰富的蛋白质合成因子之一。以前我们证明了大豆花叶病毒(SMV)的P3蛋白,大豆中最具破坏性和最成功的病毒病原体之一,靶向大豆翻译延伸复合物的成分以促进其发病机理。这里,我们对大豆中的大豆eEF(GmeEF)基因家族进行了系统分析,并检查了其在病毒抗性中的作用。在这项研究中,基于序列分析鉴定和表征GmeEF家族成员。42名成员,它们在15条染色体上分布不均,根据它们的染色体位置重新命名。GmeEF成员根据保守的主题进一步分为12个亚组,基因结构,和系统发育分析。对启动子区域的分析显示明显存在骨髓细胞瘤病(MYC)和乙烯反应性(ERE)顺式作用元件,通常与干旱和植物激素反应有关,分别,从而在植物应激反应信号传导中。转录组数据显示,15个GmeEF基因家族成员的表达在响应SMV感染时发生了显着变化。为了进一步检查EF1A在病原体反应中的功能,分析了在直系同源基因中携带T-DNA插入的三种不同的拟南芥突变体对萝卜褶皱病毒(TCV)和黄瓜花叶病毒(CMV)的反应。结果表明,突变体和野生型植物之间的病毒反应没有差异。本研究通过分析表达模式和预测的蛋白质特征,对GmeEF基因家族进行了系统分析。本研究结果为理解eEF基因在大豆抗病毒应答中的作用奠定了基础。
    Eukaryotic elongation factors (eEFs) are protein factors that mediate the extension of peptide chain, among which eukaryotic elongation factor 1 alpha (eEF1A) is one of the most abundant protein synthesis factors. Previously we showed that the P3 protein of Soybean mosaic virus (SMV), one of the most destructive and successful viral pathogens of soybean, targets a component of the soybean translation elongation complex to facilitate its pathogenesis. Here, we conducted a systematic analyses of the soybean eEF (GmeEF) gene family in soybean and examinedits role in virus resistance. In this study, GmeEF family members were identified and characterized based on sequence analysis. The 42 members, which were unevenly distributed across the 15 chromosomes, were renamed according to their chromosomal locations. The GmeEF members were further divided into 12 subgroups based on conserved motif, gene structure, and phylogenetic analyses. Analysis of the promoter regions showed conspicuous presence of myelocytomatosis (MYC) and ethylene-responsive (ERE) cis-acting elements, which are typically involved in drought and phytohormone response, respectively, and thereby in plant stress response signaling. Transcriptome data showed that the expression of 15 GmeEF gene family members changed significantly in response to SMV infection. To further examine EF1A function in pathogen response, three different Arabidopsis mutants carrying T-DNA insertions in orthologous genes were analyzed for their response to Turnip crinkle virus (TCV) and Cucumber mosaic virus (CMV). Results showed that there was no difference in viral response between the mutants and the wild type plants. This study provides a systematic analysis of the GmeEF gene family through analysis of expression patterns and predicted protein features. Our results lay a foundation for understanding the role of eEF gene in soybean anti-viral response.
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  • 文章类型: Journal Article
    目的:胶质纤维酸性蛋白星形细胞病(GFAP-A)的发病机制尚不明确,有潜在的病毒参与。需要更多的临床病例来加深我们对这种疾病的认识,同时探索更有效的治疗方案,为临床医生提供更多选择。
    方法:我们报告一例因EBV感染继发的GFAP-A严重病例,以中枢呼吸衰竭为主要特征。此外,我们进行了文献综述,总结了与EBV感染相关的GFAP-IgG阳性患者的特征.
    结果:在确定的13例患者中,发烧(92.3%)和头痛(84.6%)是最常见的初始症状,而排尿功能障碍在所有患者中普遍存在。超过一半的意识改变的患者需要气管插管(7/11,63.6%),只有一个人经历了完全的解决,没有任何残留的后遗症。只有2例患者(16.7%)在神经影像学上表现出典型的脑室周围增强特征,而T2-FLAIR高信号更为普遍。所有患者脑脊液GFAP-IgG检测呈阳性,91.7%(11/12)的血清GFAP-IgG抗体检测。3例患者(23.1%)仅通过抗病毒治疗即可完全康复。在接受各种免疫疗法的患者中,60%(6/10)仍有残留后遗症。
    结论:EBV感染可能与GFAP-A的发病有关。在出现呼吸功能不全的中枢神经系统病毒感染的情况下,建议进行GFAP抗体测试以进行诊断评估。对于重度GFAP-A患者,蛋白A免疫吸附(蛋白AIA)。
    OBJECTIVE: Glial fibrillary acidic protein astrocytopathy (GFAP-A) pathogenesis remains uncertain, with potential viral involvement. More clinical cases are needed to deepen our understanding of this disease, along with the exploration of more effective treatment options to provide clinicians with additional choices.
    METHODS: We report a severe case of GFAP-A secondary to EBV infection, characterized predominantly by central respiratory failure. Additionally, we conducted a literature review summarizing the characteristics of GFAP-IgG-positive patients associated with EBV infection.
    RESULTS: Among the 13 patients identified, fever (92.3%) and headache (84.6%) were the most common initial symptoms, while urinary dysfunction was universally present in all patients. Over half of the patients with altered consciousness required endotracheal intubation (7/11, 63.6%), with only one individual experiencing complete resolution without any residual sequela. Only two patients (16.7%) displayed the classic feature of periventricular enhancement on neuroimaging, whereas T2-FLAIR hyperintensities were more prevalent. All patients tested positive for GFAP-IgG in CSF, and 91.7% (11/12) had detectable serum GFAP-IgG antibodies. Three patients (23.1%) achieved full recovery solely through antiviral therapy. In patients receiving various immunotherapies, 60% (6/10) still had residual sequelae.
    CONCLUSIONS: EBV infection may contribute to the pathogenesis of GFAP-A. GFAP antibody testing is recommended for diagnostic evaluation in cases of central nervous system viral infections presenting with respiratory insufficiency. For severe GFAP-A patients, Protein A immunoadsorption (Protein A IA).
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  • 文章类型: Journal Article
    朝鲜蓟(CynaracardunculusL.subsp。scolymus)是地中海盆地的重要作物,具有许多特性,比如保护肝脏,抗癌,抗氧化剂,抗菌,对人类健康有益。高生物活性化合物(BAC)含量,作为多酚,引起了朝鲜蓟提取物的研究兴趣。我们分析了消毒(S)无病毒和非消毒(NS)朝鲜蓟植物之间的多酚转录组变化,重点研究苯丙素代谢途径和类黄酮生物合成相关基因。对总共2458个上调和2154个下调的差异表达基因(DEGs)进行了功能表征。其中,31和35KEGG矫形条目的特征是上调和下调的DEG,分别,参与其他次生代谢产物的生物合成。下调PAL,C4H,4CL,HST/HQT,C3\'H,CCoAMT,CCR1和F5H,在朝鲜蓟中观察到,与NS相比,而CSE,CHS,和CHI基因在S样本中上调。将转录组结果与S和NS朝鲜蓟叶片中的多酚积累进行了比较。在NS样品的老叶中观察到较高的总多酚含量,与从幼叶或S植物中获得的提取物相比,这一结果与NS植物中病毒感染的存在有关。在所有测试的条件下,最具代表性的化合物是绿原酸,其次是木犀草素-7-O-葡萄糖苷。通过在啮齿动物肝癌FaO细胞系上对活性氧(ROS)的积累进行多酚剂量反应处理来评估每种提取物的不同组成。当使用来自NS或S植物的10-20mg/L多酚时,观察到ROS含量在-40%和-48%之间的显着降低。以化合物的特定概况为特征。为了减少多酚提取物中的MetOH残留,对超临界流体CO2萃取进行了评估,提出了一种可持续的绿色萃取方法。
    Globe artichoke (Cynara cardunculus L. subsp. scolymus) is an important crop of the Mediterranean basin characterized by many properties, like hepatoprotective, anticarcinogenic, antioxidant, antibacterial, and beneficial to human health. The high bioactive compounds (BACs) content, as polyphenols, has attracted the research interest in artichoke extracts. We analysed the changes in polyphenol transcriptome profile between sanitized (S) virus-free and non-sanitized (NS) artichoke plants, focusing on genes involved in phenylpropanoid metabolic pathway and flavonoid biosynthesis. A total of 2458 upregulated and 2154 downregulated differentially expressed genes (DEGs) were functionally characterized. Among them, 31 and 35 KEGG orthology entries characterized by upregulated and downregulated DEGs, respectively, were involved in the biosynthesis of other secondary metabolites. A downregulation of PAL, C4H, 4CL, HST/HQT, C3\'H, CCoAMT, CCR1, and F5H, was observed in S artichoke compared to NS one, whereas the CSE, CHS, and CHI genes were upregulated in S samples. Transcriptome results were compared to the polyphenols accumulation in S and NS artichoke leaves. A higher content of total polyphenols was observed in older leaves of NS samples, compared to extracts obtained from young leaves or from S plants, and this result was associated with the presence of viral infections in NS plants. In all the conditions tested, the most represented compound was chlorogenic acid, followed by luteolin-7-O-glucoside. The different composition of each extract was evaluated by a polyphenol dose-response treatment on the rodent hepatoma FaO cell line to the accumulation of reactive oxygen species (ROS). A significant reduction in ROS content ranging between -40% and -48% was observed when 10-20 mg/L of polyphenols from NS or S plants were used, characterized by a specific profile of compounds. To reduce MetOH residues in polyphenol extracts, a supercritical fluid CO2 extraction was evaluated to propose a sustainable green extraction.
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  • 文章类型: Journal Article
    非人灵长类动物,由于它们与人类的免疫反应相似,是研究感染过程和任何相关认知障碍的首选模型。行为测试对于研究神经感染的发病机理是必不可少的,尤其是那些没有明显临床症状的人,以及在向慢性病的过渡中。建模病毒感染需要专门的实验条件。我们的工作描述了研究助记功能的技术,疲倦,注意力集中,机智,在假定的条件下,灵长类动物的基本行为反应,这些病毒感染没有空气传播途径。它还概述了用于病毒学研究的灵长类动物的训练和选择方法,以及分析学习能力的性别差异,住房条件对结果的影响,以及训练成功与行为测试成绩之间的相关性。这些方法将允许对非人灵长类动物进行更详细的研究,作为研究感染和免疫应激下的认知和行为障碍的模型,以及在感染早期评估治疗和预防策略的有效性和安全性的低能量实验的设计。
    Non-human primates, due to their similarities in immune response to humans, are the preferred model for studying infectious processes and any associated cognitive impairments. Behavioral tests are indispensable for investigating pathogenesis in neuroinfections, especially those that do not manifest with noticeable clinical symptoms, as well as in the transition to a chronic form of the disease. Modeling viral infection requires specialized experimental conditions. Our work describes techniques for investigating mnemonic functions, tiredness, attentional focus, quick-wittedness, and basic behavioral responses in primates under the assumed conditions for infections with viruses that do not have an airborne route of transmission. It also outlines approaches to the training and selection of primates for virological research, as well as analyzing gender differences in learning abilities, the impact of housing conditions on the results, and the correlation between training success and behavioral test scores. These methods will allow a more detailed study of non-human primates as a model for researching cognitive and behavioral impairments under infectious and immune stress, as well as the design of less energy-intensive experiments for evaluating the efficacy and safety of therapeutic and prophylactic strategies at early stages of infection.
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  • 文章类型: Journal Article
    许多新出现和重新出现的病毒具有神经侵入潜力,强调病毒性脑炎是全球研究重点。病毒进入中枢神经系统后,严重的危及生命的神经系统疾病可能表现为与高发病率和高死亡率相关.目前可用的病毒性脑炎治疗库相当有限,强调需要更好地了解受感染的CNS内的局部抗病毒免疫状况。在这次审查中,我们讨论了病毒性脑炎病理生理学的新见解,重点是骨髓细胞和CD8+T细胞,这对防止病毒中枢神经系统感染至关重要。通过阐明髓样和T细胞活化的先决条件,讨论关于它们转录特征的新发现,并解剖它们募集到中枢神经系统内病毒复制位点的机制,我们的目标是进一步描述感染的CNS内抗病毒反应的复杂性.此外,我们总结了目前在病毒感染和神经变性领域的知识,并讨论了一些亲神经病毒与神经变性中观察到的某些病理标志的潜在联系。
    Many newly emerging and re-emerging viruses have neuroinvasive potential, underscoring viral encephalitis as a global research priority. Upon entry of the virus into the CNS, severe neurological life-threatening conditions may manifest that are associated with high morbidity and mortality. The currently available therapeutic arsenal against viral encephalitis is rather limited, emphasizing the need to better understand the conditions of local antiviral immunity within the infected CNS. In this review, we discuss new insights into the pathophysiology of viral encephalitis, with a focus on myeloid cells and CD8+ T cells, which critically contribute to protection against viral CNS infection. By illuminating the prerequisites of myeloid and T cell activation, discussing new discoveries regarding their transcriptional signatures, and dissecting the mechanisms of their recruitment to sites of viral replication within the CNS, we aim to further delineate the complexity of antiviral responses within the infected CNS. Moreover, we summarize the current knowledge in the field of virus infection and neurodegeneration and discuss the potential links of some neurotropic viruses with certain pathological hallmarks observed in neurodegeneration.
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  • 文章类型: Journal Article
    外泌体是促进细胞间通讯的细胞外囊泡,在细胞基因调控网络内的转录后调控中起关键作用。影响病原体动态。这些囊泡是免疫反应的关键调节剂,介导细胞相互作用并能够将病毒致病区域引入宿主细胞。从病毒感染的细胞释放的外泌体含有不同的microRNAs(miRNAs),可以转移到受体细胞,从而调节病毒感染。这种转移是由外来体介导的分子相互作用中的关键因素。此外,外泌体内运输(ESCRT)所需的内体分选复合物在病毒感染中起着至关重要的作用,ESCRT成分与病毒蛋白结合以促进病毒出芽。这篇综述阐明了外泌体及其成分在病毒侵袭宿主细胞中的作用。旨在为通过外泌体调节病毒传播提供新的思路。
    Exosomes are extracelluar vesicles that facilitate intercellular communication and are pivotal in post-transcriptional regulation within cellular gene regulatory networks, impacting pathogen dynamics. These vesicles serve as crucial regulators of immune responses, mediating cellular interactions and enabling the introduction of viral pathogenic regions into host cells. Exosomes released from virus-infected cells harbor diverse microRNAs (miRNAs), which can be transferred to recipient cells, thereby modulating virus infection. This transfer is a critical element in the molecular interplay mediated by exosomes. Additionally, the endosomal sorting complex required for transport (ESCRT) within exosomes plays a vital role in virus infection, with ESCRT components binding to viral proteins to facilitate virus budding. This review elucidates the roles of exosomes and their constituents in the invasion of host cells by viruses, aiming to shed new light on the regulation of viral transmission via exosomes.
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  • 文章类型: Journal Article
    我们实验室和其他实验室的先前研究已将树突状细胞(DC)确立为RSV的关键靶标,可驱动感染诱导的病理学。RSV感染的DC中RSV诱导的转录组变化的分析揭示了代谢基因特征提示改变的细胞代谢。反相蛋白阵列(RPPA)数据显示RSV感染的DC中PARP1磷酸化显著增加。实时细胞代谢分析显示RSV感染后PARP1-/-DC糖酵解增加,确认PARP1在调节DC代谢中的作用。我们的数据显示,PARP1的酶抑制或基因组消融导致RSV感染的DC中ifnb1,il12和il27增加,一起,促进更合适的抗病毒环境。保护PARP1-/-小鼠和PARP1抑制剂治疗的小鼠免受RSV诱导的免疫病理学,包括气道炎症,Th2细胞因子产生,粘液分泌过多.然而,在RSV感染的小鼠中,PARP1抑制剂的延迟治疗仅提供部分保护,提示PARP1在RSV感染的早期先天性免疫阶段最为重要。
    Previous studies from our laboratory and others have established the dendritic cell (DC) as a key target of RSV that drives infection-induced pathology. Analysis of RSV-induced transcriptomic changes in RSV-infected DC revealed metabolic gene signatures suggestive of altered cellular metabolism. Reverse phase protein array (RPPA) data showed significantly increased PARP1 phosphorylation in RSV-infected DC. Real-time cell metabolic analysis demonstrated increased glycolysis in PARP1-/- DC after RSV infection, confirming a role for PARP1 in regulating DC metabolism. Our data show that enzymatic inhibition or genomic ablation of PARP1 resulted in increased ifnb1, il12, and il27 in RSV-infected DC which, together, promote a more appropriate anti-viral environment. PARP1-/- mice and PARP1-inhibitor-treated mice were protected against RSV-induced immunopathology including airway inflammation, Th2 cytokine production, and mucus hypersecretion. However, delayed treatment with PARP1 inhibitor in RSV-infected mice provided only partial protection, suggesting that PARP1 is most important during the earlier innate immune stage of RSV infection.
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  • 文章类型: Journal Article
    组织中的间质液作为淋巴通过传入淋巴管不断排入淋巴结(LN),并通过传出淋巴管从LN排入血液。LN被策略性地定位并且具有合适的细胞组成以充当针对入侵病原体的适应性免疫起始位点。然而,淋巴传播的病毒,通过淋巴系统从进入部位传播到其他组织,引流LN(dLN)中的免疫细胞在抑制原发性和继发性感染期间的全身性病毒传播中也起关键作用。组织中的淋巴携带病毒可以作为淋巴中或感染细胞内的游离病毒体被转运到dLN。不管进入机制如何,感染的骨髓抗原呈递细胞,包括树突状细胞的各种亚型,炎性单核细胞,和巨噬细胞,在启动dLN内的先天免疫应答中起关键作用。这种先天性免疫应答涉及感染和旁观者先天性免疫细胞之间的细胞串扰,所述先天性免疫细胞最终产生I型干扰素(IFN-Is)和其他细胞因子并募集炎性单核细胞和自然杀伤(NK)细胞。IFN-I和NK细胞的细胞毒性可以限制原发性感染期间的全身性病毒传播并预防严重的疾病。此外,驻留或快速迁移到dLN的记忆性CD8+T细胞可有助于在继发病毒感染期间预防疾病。这篇综述探讨了在含有原发性病毒感染的dLN中精心安排的复杂的先天免疫反应,以及继发性感染或CD8T细胞疫苗接种后记忆CD8T细胞的作用。
    The interstitial fluids in tissues are constantly drained into the lymph nodes (LNs) as lymph through afferent lymphatic vessels and from LNs into the blood through efferent lymphatics. LNs are strategically positioned and have the appropriate cellular composition to serve as sites of adaptive immune initiation against invading pathogens. However, for lymph-borne viruses, which disseminate from the entry site to other tissues through the lymphatic system, immune cells in the draining LN (dLN) also play critical roles in curbing systemic viral dissemination during primary and secondary infections. Lymph-borne viruses in tissues can be transported to dLNs as free virions in the lymph or within infected cells. Regardless of the entry mechanism, infected myeloid antigen-presenting cells, including various subtypes of dendritic cells, inflammatory monocytes, and macrophages, play a critical role in initiating the innate immune response within the dLN. This innate immune response involves cellular crosstalk between infected and bystander innate immune cells that ultimately produce type I interferons (IFN-Is) and other cytokines and recruit inflammatory monocytes and natural killer (NK) cells. IFN-I and NK cell cytotoxicity can restrict systemic viral spread during primary infections and prevent serious disease. Additionally, the memory CD8+ T-cells that reside or rapidly migrate to the dLN can contribute to disease prevention during secondary viral infections. This review explores the intricate innate immune responses orchestrated within dLNs that contain primary viral infections and the role of memory CD8+ T-cells following secondary infection or CD8+ T-cell vaccination.
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  • 文章类型: Journal Article
    作为“非细胞生物”,病毒需要感染活细胞才能生存。病毒感染必须改变宿主的代谢。然而,病毒感染宿主细胞代谢改变产生的代谢物对病毒-宿主相互作用的影响尚不清楚.为了解决这个问题,虾,甲壳类动物的代表性物种,在这项研究中受到白斑综合症病毒(WSSV)的攻击。体内结果表明,WSSV感染增强了虾的糖酵解,导致乳酸的积累。乳酸的积累又以p300/HDAC1/HDAC3依赖性方式促进了位点特异性组蛋白的乳酸化(H3K18la和H4K12la)。H3K18la和H4K12la富含75个靶基因的启动子,其中H3K18la和H4K12la修饰上调了核糖体蛋白S6激酶2(S6K2)在病毒感染宿主中的表达,以促进病毒感染。进一步的数据显示,病毒编码的miR-N20靶向缺氧诱导因子-1α(HIF-1α)抑制宿主糖酵解,导致抑制H3K18la和H4K12la。因此,这些发现对病毒诱导的组蛋白乳酸化对病毒-宿主相互作用的影响和潜在机制做出了新的见解,为控制病毒感染提供了新的靶点。
    As \"non-cellular organisms\", viruses need to infect living cells to survive themselves. The virus infection must alter host\'s metabolisms. However, the influence of the metabolites from the altered metabolisms of virus-infected host cells on virus-host interactions remains largely unclear. To address this issue, shrimp, a representative species of crustaceans, is challenged with white spot syndrome virus (WSSV) in this study. The in vivo results presented that the WSSV infection enhanced shrimp glycolysis, leading to the accumulation of lactate. The lactate accumulation in turn promoted the site-specific histone lactylation (H3K18la and H4K12la) in a p300/HDAC1/HDAC3-dependent manner. H3K18la and H4K12la are enriched in the promoters of 75 target genes, of which the H3K18la and H4K12la modification upregulated the expression of ribosomal protein S6 kinases 2 (S6K2) in the virus-infected hosts to promote the virus infection. Further data revealed that the virus-encoded miR-N20 targeted hypoxia inducible factor-1α (HIF-1α) to inhibit the host glycolysis, leading to the suppression of H3K18la and H4K12la. Therefore, the findings contributed novel insights into the effects and the underlying mechanism of the virus-induced histone lactylation on the virus-host interactions, providing new targets for the control of virus infection.
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  • 文章类型: Journal Article
    背景:有必要协调和标准化临床研究病例报告表(CRF)中使用的数据变量,以促进在多个临床研究中收集的患者数据的合并和共享。对于专注于传染病的临床研究尤其如此。公共卫生可能高度依赖于这些研究的结果。因此,有一种更高的紧迫性来产生有意义的,可靠的见解,理想情况下基于高样本数量和质量数据。核心数据元素的实施和互操作性标准的合并可以促进统一的临床数据集的创建。
    目的:本研究的目的是比较,协调,并标准化变量,这些变量集中在6项国际传染病临床研究中用作CRF一部分的诊断测试中,最终,然后为正在进行的和未来的研究提供全研究通用数据元素(CDE),以促进跨试验收集数据的互操作性和可比性.
    方法:为了确定CDE,我们回顾并比较了包含在所有6项传染病研究中和所有研究中用于数据收集的CRF的元数据。我们检查了医学系统化命名法-临床术语中国际语义标准代码的可用性,国家癌症研究所词库,和逻辑观察标识符名称和代码系统,用于明确表示构成CDE的诊断测试信息。然后,我们提出了2个数据模型,这些模型结合了已识别的CDE的语义和句法标准。
    结果:在分析范围内考虑的216个变量中,我们确定了11个CDE来描述诊断测试(特别是,血清学和测序)用于传染病:病毒谱系/进化枝;测试日期,type,表演者,和制造商;目标基因;定量和定性结果;和样本标识符,type,和收集日期。
    结论:确定用于感染性疾病的CDE是促进整个临床研究中数据子集的交换和可能合并的第一步(并且,大型研究项目),以进行可能的共享分析,以增加发现的力量。为了互操作性,临床研究数据的协调和标准化路径可以以两种方式铺就。首先,映射到标准术语确保每个数据元素的(变量)定义是明确的,并且它有一个,跨研究的独特解释。第二,这些数据的交换是通过以标准交换格式“包装”来辅助的,如快速医疗保健互操作性资源或临床数据交换标准联盟的临床数据采集标准协调模型。
    It is necessary to harmonize and standardize data variables used in case report forms (CRFs) of clinical studies to facilitate the merging and sharing of the collected patient data across several clinical studies. This is particularly true for clinical studies that focus on infectious diseases. Public health may be highly dependent on the findings of such studies. Hence, there is an elevated urgency to generate meaningful, reliable insights, ideally based on a high sample number and quality data. The implementation of core data elements and the incorporation of interoperability standards can facilitate the creation of harmonized clinical data sets.
    This study\'s objective was to compare, harmonize, and standardize variables focused on diagnostic tests used as part of CRFs in 6 international clinical studies of infectious diseases in order to, ultimately, then make available the panstudy common data elements (CDEs) for ongoing and future studies to foster interoperability and comparability of collected data across trials.
    We reviewed and compared the metadata that comprised the CRFs used for data collection in and across all 6 infectious disease studies under consideration in order to identify CDEs. We examined the availability of international semantic standard codes within the Systemized Nomenclature of Medicine - Clinical Terms, the National Cancer Institute Thesaurus, and the Logical Observation Identifiers Names and Codes system for the unambiguous representation of diagnostic testing information that makes up the CDEs. We then proposed 2 data models that incorporate semantic and syntactic standards for the identified CDEs.
    Of 216 variables that were considered in the scope of the analysis, we identified 11 CDEs to describe diagnostic tests (in particular, serology and sequencing) for infectious diseases: viral lineage/clade; test date, type, performer, and manufacturer; target gene; quantitative and qualitative results; and specimen identifier, type, and collection date.
    The identification of CDEs for infectious diseases is the first step in facilitating the exchange and possible merging of a subset of data across clinical studies (and with that, large research projects) for possible shared analysis to increase the power of findings. The path to harmonization and standardization of clinical study data in the interest of interoperability can be paved in 2 ways. First, a map to standard terminologies ensures that each data element\'s (variable\'s) definition is unambiguous and that it has a single, unique interpretation across studies. Second, the exchange of these data is assisted by \"wrapping\" them in a standard exchange format, such as Fast Health care Interoperability Resources or the Clinical Data Interchange Standards Consortium\'s Clinical Data Acquisition Standards Harmonization Model.
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