• 文章类型: Journal Article
    该研究旨在建立奶牛的异常体温概率(ABTP)模型,利用环境和生理数据。该模型旨在加强对热应力影响的管理,为农场管理者提供早期预警系统,以改善奶牛福利和农场生产力,以应对气候变化。该研究采用最小绝对收缩和选择算子(LASSO)算法分析了320头奶牛的环境和生理数据,确定影响体温异常的关键因素。此方法支持各种模型的开发,包括LymanKutcher-Burman(LKB),物流,Schultheiss,和泊松模型,评估它们有效预测奶牛异常体温的能力。该研究成功验证了预测奶牛体温异常的多个模型,重点是温度-湿度指数(THI)作为关键决定因素。这些模型,包括LKB,物流,Schultheiss,和Poisson,证明了高精度,通过AUC和其他性能指标(如Brier评分和Hosmer-Lemeshow(HL)测试)来衡量。结果突出了模型在捕获热应激对奶牛影响的细微差别方面的稳健性。该研究开发了控制奶牛热应激的创新模型,有效加强检测和干预策略。通过整合先进技术和新颖的预测模型,这项研究提供了早期发现和管理异常体温的有效措施,在不断变化的气候条件下提高牛的福利和农场生产力。这种方法突出了使用多个模型来准确预测和解决牲畜热应激的重要性,为加强农场管理实践做出重大贡献。
    The study aims to develop an abnormal body temperature probability (ABTP) model for dairy cattle, utilizing environmental and physiological data. This model is designed to enhance the management of heat stress impacts, providing an early warning system for farm managers to improve dairy cattle welfare and farm productivity in response to climate change. The study employs the Least Absolute Shrinkage and Selection Operator (LASSO) algorithm to analyze environmental and physiological data from 320 dairy cattle, identifying key factors influencing body temperature anomalies. This method supports the development of various models, including the Lyman Kutcher-Burman (LKB), Logistic, Schultheiss, and Poisson models, which are evaluated for their ability to predict abnormal body temperatures in dairy cattle effectively. The study successfully validated multiple models to predict abnormal body temperatures in dairy cattle, with a focus on the temperature-humidity index (THI) as a critical determinant. These models, including LKB, Logistic, Schultheiss, and Poisson, demonstrated high accuracy, as measured by the AUC and other performance metrics such as the Brier score and Hosmer-Lemeshow (HL) test. The results highlight the robustness of the models in capturing the nuances of heat stress impacts on dairy cattle. The research develops innovative models for managing heat stress in dairy cattle, effectively enhancing detection and intervention strategies. By integrating advanced technologies and novel predictive models, the study offers effective measures for early detection and management of abnormal body temperatures, improving cattle welfare and farm productivity in changing climatic conditions. This approach highlights the importance of using multiple models to accurately predict and address heat stress in livestock, making significant contributions to enhancing farm management practices.
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  • 文章类型: Case Reports
    LMNA中的致病变体与广泛的肌肉疾病有关:层蛋白病。LMNA相关的先天性肌营养不良是一种以早期症状为特征的层肌病,通常在年轻时导致致命的结果。儿童面临恶性心律失常的风险增加。没有建立的儿科方案来管理这种情况。我们回顾了已发表的病例,并提供了两个患有LMNA相关肌营养不良的双胞胎姐妹的疾病进展的见解。我们的目标是提出专门为儿科患者量身定制的心脏监测和管理计划。我们介绍了一个有五个成员的家庭,包括两个患有LMNA相关肌营养不良的双胞胎姐妹。对所有家庭成员进行了全面的神经肌肉和心脏检查。使用大规模测序技术对两个双胞胎进行了遗传分析。临床评估显示,只有双胞胎诊断出LMNA相关的肌营养不良。随访显示早期出现症状和危及生命的心律失常,尽管两个双胞胎都去世了,但疾病进展不同。遗传分析确定了LMNA基因中的从头罕见的错义有害变体。在与肌无力综合征相关的基因中发现了其他其他罕见变异。早发性神经肌肉症状可能与LMNA相关肌营养不良中危及生命的心律失常的预后有关。作为其他罕见变体的载体可能是表型进展的修饰因素,虽然还需要进一步的研究。迫切需要针对儿科人群的特定心脏建议,以减轻恶性心律失常的风险。
    Pathogenic variants in LMNA have been associated with a wide spectrum of muscular conditions: the laminopathies. LMNA-related congenital muscular dystrophy is a laminopathy characterised by the early onset of symptoms and often leads to a fatal outcome at young ages. Children face a heightened risk of malignant arrhythmias. No established paediatric protocols for managing this condition are available. We review published cases and provide insights into disease progression in two twin sisters with LMNA-related muscular dystrophy. Our objective is to propose a cardiac surveillance and management plan tailored specifically for paediatric patients. We present a family of five members, including two twin sisters with LMNA-related muscular dystrophy. A comprehensive neuromuscular and cardiac work-up was performed in all family members. Genetic analysis using massive sequencing technology was performed in both twins. Clinical assessment showed that only the twins showed diagnoses of LMNA-related muscular dystrophy. Follow-up showed an early onset of symptoms and life-threatening arrhythmias, with differing disease progressions despite both twins passing away. Genetic analysis identified a de novo rare missense deleterious variant in the LMNA gene. Other additional rare variants were identified in genes associated with myasthenic syndrome. Early-onset neuromuscular symptoms could be related to a prognosis of worse life-threatening arrhythmias in LMNA related muscular dystrophy. Being a carrier of other rare variants may be a modifying factor in the progression of the phenotype, although further studies are needed. There is a pressing need for specific cardiac recommendations tailored to the paediatric population to mitigate the risk of malignant arrhythmias.
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  • 文章类型: Journal Article
    Dysferlin是一种大型跨膜蛋白,涉及关键的细胞过程,包括膜修复和囊泡融合。dysferlin基因(DYSF)的突变可导致罕见形式的肌营养不良;Miyoshi肌病;2B型肢带肌营养不良(LGMD2B);和远端肌病。这些病症被统称为异常ferlinopathies,并且是由迄今为止在DYSF基因中已鉴定的600多个突变引起的。在这次审查中,我们讨论了LGMD2B的关键分子和临床特征,致病基因DYSF,和相关的dyferlin蛋白结构。我们还提供了最新的LGMD2B诊断方法和药物开发的进展,包括剪接转换反义寡核苷酸。我们简要介绍了涉及腺相关病毒基因治疗的临床试验以及CRISPR/Cas9介导的LGMD2B治疗的最新进展。然后通过讨论以反义寡聚体为基础的干预治疗导致疾病异常的选择性突变的前景来得出结论。
    Dysferlin is a large transmembrane protein involved in critical cellular processes including membrane repair and vesicle fusion. Mutations in the dysferlin gene (DYSF) can result in rare forms of muscular dystrophy; Miyoshi myopathy; limb girdle muscular dystrophy type 2B (LGMD2B); and distal myopathy. These conditions are collectively known as dysferlinopathies and are caused by more than 600 mutations that have been identified across the DYSF gene to date. In this review, we discuss the key molecular and clinical features of LGMD2B, the causative gene DYSF, and the associated dysferlin protein structure. We also provide an update on current approaches to LGMD2B diagnosis and advances in drug development, including splice switching antisense oligonucleotides. We give a brief update on clinical trials involving adeno-associated viral gene therapy and the current progress on CRISPR/Cas9 mediated therapy for LGMD2B, and then conclude by discussing the prospects of antisense oligomer-based intervention to treat selected mutations causing dysferlinopathies.
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  • 文章类型: Journal Article
    背景:非洲城市,特别是阿比让和约翰内斯堡,面对城市快速增长的挑战,非正式和紧张的卫生服务,气候变化导致温度升高。这项研究旨在了解这些城市与热相关的健康影响的复杂性。目标是:(1)使用健康绘制城市内热风险和暴露图,社会经济,气候和卫星图像数据;(2)建立分层热健康预测模型,以预测不良健康结果;(3)建立早期预警系统,以及时发出热浪警报。最终目标是培育具有气候适应性的非洲城市,保护不成比例的受影响人群免受热危害。
    方法:该研究将从2000年至2022年在约翰内斯堡和阿比让进行的合格成人临床试验或队列研究中获取健康相关数据集。将收集更多数据,包括社会经济,气候数据集和卫星图像。这些资源将有助于绘制热危害图并量化热健康暴露,风险和发病率升高的程度。结果将使用先进的数据分析方法来确定,包括统计评估,机器学习和深度学习技术。
    背景:该研究已获得Wits人类研究伦理委员会的批准(参考号:220606)。数据管理将遵循批准的程序。结果将通过讲习班传播,社区论坛,会议和出版物。将根据道德和安全考虑制定数据存储和管理计划。
    BACKGROUND: African cities, particularly Abidjan and Johannesburg, face challenges of rapid urban growth, informality and strained health services, compounded by increasing temperatures due to climate change. This study aims to understand the complexities of heat-related health impacts in these cities. The objectives are: (1) mapping intraurban heat risk and exposure using health, socioeconomic, climate and satellite imagery data; (2) creating a stratified heat-health forecast model to predict adverse health outcomes; and (3) establishing an early warning system for timely heatwave alerts. The ultimate goal is to foster climate-resilient African cities, protecting disproportionately affected populations from heat hazards.
    METHODS: The research will acquire health-related datasets from eligible adult clinical trials or cohort studies conducted in Johannesburg and Abidjan between 2000 and 2022. Additional data will be collected, including socioeconomic, climate datasets and satellite imagery. These resources will aid in mapping heat hazards and quantifying heat-health exposure, the extent of elevated risk and morbidity. Outcomes will be determined using advanced data analysis methods, including statistical evaluation, machine learning and deep learning techniques.
    BACKGROUND: The study has been approved by the Wits Human Research Ethics Committee (reference no: 220606). Data management will follow approved procedures. The results will be disseminated through workshops, community forums, conferences and publications. Data deposition and curation plans will be established in line with ethical and safety considerations.
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  • 文章类型: Journal Article
    背景:肌肉疾病有各种类型,viz.,肌营养不良,炎症性肌病,肌强直性障碍,先天性肌病,和代谢性肌病。他们都表现为肌肉无力,无论是近端还是远端。在酶组织化学的帮助下评估肌肉活检,组织病理学,免疫组织化学方法是神经肌肉疾病诊断的重要组成部分。作者概述了北印度地区普遍存在的肌肉疾病的简要数据。
    方法:进行肌肉活检,活检在液氮中新鲜冷冻,切片在低温恒温器上进行。然后用苏木精和伊红(H&E)对载玻片进行染色,改良的Gomori毛状体(MGT),烟酰胺腺嘌呤二核苷酸氢化酶(NADH),和琥珀酸脱氢酶(SDH)染色。还进行了进一步的特异性免疫组织化学测试。
    结果:n=16例,3例被诊断为Becker肌营养不良症,2例诊断为炎症性肌病,4例诊断为面肩肱肌营养不良,和1例异常铁素病和α肌糖病。
    结论:肌肉疾病可导致不同程度的身体残疾,因此在适当的时间进行诊断以确保适当的治疗非常重要。
    BACKGROUND: Muscle diseases are of various types, viz., muscular dystrophies, inflammatory myopathies, myotonic disorders, congenital myopathies, and metabolic myopathies. They all present with muscle weakness, be it proximal or distal. The assessment of muscle biopsy with the help of enzyme histochemistry, histopathological, and immunohistochemical methods is an essential component in the diagnosis of neuromuscular disorders. The authors outline brief data on muscle diseases prevalent in the North Indian region.
    METHODS: Muscle biopsy was done, and the biopsy was freshly frozen in liquid nitrogen and sections were taken on a cryostat. Slides were then stained with hematoxylin and eosin (H&E), modified Gomori trichome (MGT), nicotinamide adenine dinucleotide hydrogenase (NADH), and succinic dehydrogenase (SDH) stains. Further specific immunohistochemistry tests were also done.
    RESULTS: Out of n=16 cases, three cases were diagnosed as Becker\'s muscular dystrophy, two cases were diagnosed as inflammatory myopathy, four cases were diagnosed as Facioscapulohumeral muscular dystrophy, and one each case of dysferlinopathy and alpha sarcoglycanopathy.
    CONCLUSIONS: Muscle diseases can cause different levels of physical disability and thus it is important to diagnose at the appropriate time to ensure proper treatment.
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  • 文章类型: Journal Article
    骨骼肌再生依赖于肌肉生态位内的各种细胞群的复杂相互作用,肌肉生态位是调节肌肉干细胞(MuSC)的行为和确保出生后组织维持和再生的关键环境。这篇综述深入研究了这一过程的关键参与者之间的动态互动,包括MuSC,巨噬细胞(MPs),纤维脂肪原祖细胞(FAP),内皮细胞(ECs),和周细胞(PC),每个人都在协调体内平衡和再生方面发挥着关键作用。这些相互作用中的功能障碍不仅会导致病理状况,还会加剧肌营养不良。在生理和营养不良条件下,对这些人群之间的细胞和分子串扰的探索提供了对控制肌肉再生的多方面通信网络的见解。此外,这篇综述讨论了调节肌肉再生生态位的新兴策略,全面概述当前的理解和创新方法。
    Skeletal muscle regeneration relies on the intricate interplay of various cell populations within the muscle niche-an environment crucial for regulating the behavior of muscle stem cells (MuSCs) and ensuring postnatal tissue maintenance and regeneration. This review delves into the dynamic interactions among key players of this process, including MuSCs, macrophages (MPs), fibro-adipogenic progenitors (FAPs), endothelial cells (ECs), and pericytes (PCs), each assuming pivotal roles in orchestrating homeostasis and regeneration. Dysfunctions in these interactions can lead not only to pathological conditions but also exacerbate muscular dystrophies. The exploration of cellular and molecular crosstalk among these populations in both physiological and dystrophic conditions provides insights into the multifaceted communication networks governing muscle regeneration. Furthermore, this review discusses emerging strategies to modulate the muscle-regenerating niche, presenting a comprehensive overview of current understanding and innovative approaches.
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  • 文章类型: Editorial
    暂无摘要。
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  • 文章类型: Journal Article
    肌营养不良和先天性肌病包括由于临床复杂性和遗传异质性而提出诊断挑战的各种遗传性肌肉疾病。
    本研究旨在探讨全外显子组测序(WES)在台湾儿科患者肌肉疾病诊断中的应用。在161名怀疑患有遗传性/遗传性肌病的儿科患者中,115通过常规测试接受了分子诊断,单基因检测,和基因面板。其余46例患者分为三组:第1组(多重结扎依赖性探针扩增阴性Duchenne型肌营养不良症),其中3例(6.5%),第2组(各种形式的肌营养不良)21例(45.7%),第3组(先天性肌病)22例(47.8%)。
    对这些组进行的WES分析发现致病性变异为100.0%(3/3),57.1%(12/21),和68.2%(15/22)的患者组1至3,分别。WES的诊断率为65.2%(46名患者中有30名),检测28个基因的30个致病性或潜在致病性变异。
    WES能够诊断具有类似于先天性肌病和肌营养不良的症状和特征的罕见疾病,比如肌肉无力。因此,这种方法有利于针对性治疗的实施和适当的遗传咨询.
    UNASSIGNED: Muscular dystrophies and congenital myopathies encompass various inherited muscular disorders that present diagnostic challenges due to clinical complexity and genetic heterogeneity.
    UNASSIGNED: This study aimed to investigate the use of whole exome sequencing (WES) in diagnosing muscular disorders in pediatric patients in Taiwan. Out of 161 pediatric patients suspected to have genetic/inherited myopathies, 115 received a molecular diagnosis through conventional tests, single gene testing, and gene panels. The remaining 46 patients were divided into three groups: Group 1 (multiplex ligation-dependent probe amplification-negative Duchenne muscular dystrophy) with three patients (6.5%), Group 2 (various forms of muscular dystrophies) with 21 patients (45.7%), and Group 3 (congenital myopathies) with 22 patients (47.8%).
    UNASSIGNED: WES analysis of these groups found pathogenic variants in 100.0% (3/3), 57.1% (12/21), and 68.2% (15/22) of patients in Groups 1 to 3, respectively. WES had a diagnostic yield of 65.2% (30 patients out of 46), detecting 30 pathogenic or potentially pathogenic variants across 28 genes.
    UNASSIGNED: WES enables the diagnosis of rare diseases with symptoms and characteristics similar to congenital myopathies and muscular dystrophies, such as muscle weakness. Consequently, this approach facilitates targeted therapy implementation and appropriate genetic counseling.
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  • 文章类型: Journal Article
    钙痛,也称为肢带肌营养不良隐性1型,是一种进行性肌肉疾病,会影响臀部和肩膀周围的肌肉。该疾病是由CAPN3基因的缺陷引起的,并且可以隐性和显性形式遗传。在这项回顾性研究中,我们的目的是评估我们的钙痛患者的临床和分子结果,并在土耳其和全球人群中检查CAPN3变异.
    使用下一代测序(NGS)方法进行分子分析。通过检查各种数据库鉴定CAPN3变体。
    在这项回顾性研究中,该队列由7例患者组成,这些患者在Türkiye的一个中心表现出CAPN3(NM_000070.3)突变,且表型与钙疼痛病相符.所有患者均显示高CK水平和肌肉无力。我们报告了一个新的错义c.2437G>A变体,该变体导致常染色体显性形式的钙痛。有趣的是,新突变患者的肌肉活检报告提示肌糖缺乏.队列中其余个体的分子发现包括复合杂合变体(移码和错义),一个纯合的废话,一个纯合内含子缺失,和三个纯合错义变体。土耳其人口中最常见的变体是c.550del。在这两个群体中,根据外显子长度,致病变异最常位于外显子21.变体是基于CAPN3域中的结果随机分布的。
    因此,NGS方法被证明在诊断以临床异质性为特征的罕见疾病方面非常有效。基于种族的变异评估在精确疗法的开发中具有重要意义。
    UNASSIGNED: Calpainopathy, also known as limb-girdle muscular dystrophy recessive type 1, is a progressive muscle disorder that impacts the muscles around the hips and shoulders. The disease is caused by defects in the CAPN3 gene and can be inherited in both recessive and dominant forms. In this retrospective study, we aimed to evaluate the clinical and molecular results of our patients with calpainopathy and to examine the CAPN3 variants in Turkish and global populations.
    UNASSIGNED: Molecular analyses were performed using the next-generation sequencing (NGS) method. CAPN3 variants were identified through the examination of various databases.
    UNASSIGNED: In this retrospective study, the cohort consisted of seven patients exhibiting the CAPN3 (NM_000070.3) mutation and a phenotype compatible with calpainopathy at a single center in Türkiye. All patients displayed high CK levels and muscle weakness. We report a novel missense c.2437G>A variant that causes the autosomal dominant form of calpainopathy. Interestingly, the muscle biopsy report for the patient with the novel mutation indicated sarcoglycan deficiency. Molecular findings for the remaining individuals in the cohort included a compound heterozygous variant (frameshift and missense), one homozygous nonsense, one homozygous intronic deletion, and three homozygous missense variants. The most common variant in the Turkish population was c.550del. In both populations, pathogenic variants were most frequently located in exon 21, according to exon length. Variants were stochastically distributed based on consequences in CAPN3 domains.
    UNASSIGNED: Therefore, the NGS method proves highly effective in diagnosing rare diseases characterized by clinical heterogeneity. Assessing variants based on ethnicity holds significance in the development of precise therapies.
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  • 文章类型: Journal Article
    家禽业减少抗生素使用的压力加强了对支持肠道健康的替代解决方案的研究,包括但不限于直接饲喂微生物(DFM)。已知热应激影响肠道健康和功能。这项研究的目的是确定夏季期间水施用的DFM产品对肉鸡性能的功效。将两种处理中的一种随机分配到12个重复的地板围栏中:对照处理和每天提供的双菌株DFM处理,该双菌株DFM由嗜酸乳杆菌AG01和动物双歧杆菌AG02组成,剂量为1×108CFU/鸟/d。每笔包含20只罗斯308只肉鸡。所有禽类都饲喂相同的三阶段小麦和大豆粉饮食。体重,饲料摄入量,饲料转化率,在第0、10、24、35和42天测量死亡率。由于自然极端的外部温度条件,所有鸟类在生长阶段结束时都会受到热应激,直到包括完成阶段。与行业推荐相比,温度平均高5°C。对照和DFM处理之间的生长性能没有显着差异,然而,与品种标准相比,两种处理在第42天的BW降低了19%。DFM处理显著降低了禽类的死亡率。第1天至第35天的总死亡率从4.58%降至0.42%(P=0.023),第1天至第42天的总死亡率从5.83%降至0.83%(P=0.027)。这是由第25天至第42天的修整期与热应激相关的死亡率差异驱动的,其中DFM治疗的死亡率仅为0.44%,而未补充的对照治疗的死亡率为2.88%。验尸分析证实了热应激相关的缺氧。总之,双菌株DFM可以提供改善的(肠)体内平衡和屏障功能,允许增加肉鸡对热应激的恢复力。
    Pressure to reduce the use of antibiotics in the poultry industry has intensified research on alternative solutions to support intestinal health, including but not limited to direct fed microbials (DFM). Heat stress is known to impact intestinal health and function. The aim of this study was to determine efficacy of a water applied DFM product on broiler performance during the summer period. One of two treatments were randomly allocated to 12 replicate floor pens each: a control treatment and a treatment provided daily with a dual strain DFM comprised of Lactobacillus acidophilus AG01 and Bifidobacterium animalis AG02 at 1 × 108 CFU/bird/d. Each pen contained 20 Ross 308 broilers. All birds were fed the same three-phased wheat- and soybean meal-based diets. Body weight, feed intake, feed conversion ratio, and mortality were measured at d 0, 10, 24, 35, and 42. Due to natural extreme external temperature conditions, all birds were subject to heat stress during the end of the grower phase up to and including the finisher phase. Temperature was on average 5°C higher compared to industry recommendation. No significant differences were found in growth performance between the control and DFM treatment, yet BW at d 42 in both treatments was reduced by 19% compared to the breed standard. The DFM treatment significantly reduced mortality among the birds. Overall mortality from d 1 to d 35 was reduced from 4.58% to 0.42% (P = 0.023) and overall mortality from d 1 to d 42 was reduced from 5.83 to 0.83% (P = 0.027). This was driven by the difference in heat-stress related mortality in the finisher phase from d 25 to d 42, where mortality reached only 0.44% in the DFM treatment versus 2.88% in the unsupplemented control treatment. Post-mortem analysis confirmed heat-stress related hypoxia. In conclusion, the dual strain DFM may have provided improved (intestinal) homeostasis and barrier function allowing increased resilience to heat stress in broilers.
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