383 results match your criteria: "Institute of Personalized Medicine[Affiliation]"

Current dissociation methods for solid tissues in scRNA-seq studies do not guarantee intact single-cell isolation, especially for sensitive and complex human endocrine tissues. Most studies rely on enzymatic dissociation of fresh samples or nuclei isolation from frozen samples. Dissociating whole intact cells from fresh-frozen samples, commonly collected by biobanks, remains a challenge.

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Exploring treatment-driven subclonal evolution of prognostic triple biomarkers: Dual gene fusions and chimeric RNA variants in novel subtypes of acute myeloid leukemia patients with KMT2A rearrangement.

Drug Resist Updat

January 2025

Loma Linda University Cancer Center, Loma Linda, CA 92354, United States; Department of Basic Sciences, Loma Linda University, Loma Linda, CA 92354, United States. Electronic address:

Chromosomal rearrangements (CR) initiate leukemogenesis in approximately 50 % of acute myeloid leukemia (AML) patients; however, limited targeted therapies exist due to a lack of accurate molecular and genetic biomarkers of refractory mechanisms during treatment. Here, we investigated the pathological landscape of treatment resistance and relapse in 16 CR-AML patients by monitoring cytogenetic, RNAseq, and genome-wide changes among newly diagnosed, refractory, and relapsed AML. First, in FISH-diagnosed KMT2A (MLL gene, 11q23)/AFDN (AF6, 6q27)-rearrangement, RNA-sequencing identified an unknown CCDC32 (15q15.

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Integrating multi-omics data may help researchers understand the genetic underpinnings of complex traits and diseases. However, the best ways to integrate multi-omics data and use them to address pressing scientific questions remain a challenge. One important and topical problem is how to assess the aggregate effect of multiple genomic data types (e.

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Even though gene duplication is a key source of new genes and evolutionary innovation, it is unclear how duplicates survive the period immediately following gene duplication, in which both copies are functionally redundant. In the absence of epigenetic silencing, the abundance of the gene product would double after gene duplication, which would often have deleterious effects. However, recent duplicates exhibit low expression levels, which could be at least partially explained by high levels of promoter methylation.

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Clostridioides difficile infection (CDI) is the most common nosocomial infection in the US. CDI has become a growing concern due to C. difficile's resistance to several antibiotics, including cephalosporins.

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Deep Learning for Contrast Enhanced Mammography - A Systematic Review.

Acad Radiol

December 2024

Division of Data-Driven and Digital Medicine (D3M), Icahn School of Medicine at Mount Sinai, New York, NY (B.S.G., G.N.N., E.K.); The Charles Bronfman Institute of Personalized Medicine, Icahn School of Medicine at Mount Sinai, New York, NY (G.N.N., E.K.).

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Insights into chemoautotrophic traits of a prevalent bacterial phylum CSP1-3, herein .

Natl Sci Rev

November 2024

State Key Laboratory of Biocontrol, Guangdong Provincial Key Laboratory of Plant Stress Biology and Southern Marine Science and Engineering Guangdong Laboratory (Zhuhai), School of Life Sciences, Sun Yat-Sen University, Guangzhou 510275, China.

Candidate bacterial phylum CSP1-3 has not been cultivated and is poorly understood. Here, we analyzed 112 CSP1-3 metagenome-assembled genomes and showed they are likely facultative anaerobes, with 3 of 5 families encoding autotrophy through the reductive glycine pathway (RGP), Wood-Ljungdahl pathway (WLP) or Calvin-Benson-Bassham (CBB), with hydrogen or sulfide as electron donors. Chemoautotrophic enrichments from hot spring sediments and fluorescence hybridization revealed enrichment of six CSP1-3 genera, and both transcribed genes and DNA-stable isotope probing were consistent with proposed chemoautotrophic metabolisms.

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A fundamental and theoretical framework for mutation interactions and epistasis.

Genomics

November 2024

Nevada Institute of Personalized Medicine, University of Nevada Las Vegas, 4505 S. Maryland Parkway, Las Vegas, NV 89154, USA; School of Life Sciences, University of Nevada Las Vegas, 4505 S. Maryland Parkway, Las Vegas, NV 89154, USA; Heligenics Inc., 10530 Discovery Drive, Las Vegas, NV 89135, USA. Electronic address:

Many pathological conditions are a result of intragenic epistasis; however, there are ambiguities in current epistasis models. Herein, the new Mutation Interaction Spectrum model defines a discrete outcome, named a Mutation Interaction, for each double point mutation in a gene and its component single mutations. The model is a universal genetic model of all types of mutation interactions and their functional outcomes and is derived from digital logic, commonly used in electrical engineering.

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A strategy for cost-effective large language model use at health system-scale.

NPJ Digit Med

November 2024

Division of Data-Driven and Digital Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Large language models (LLMs) can optimize clinical workflows; however, the economic and computational challenges of their utilization at the health system scale are underexplored. We evaluated how concatenating queries with multiple clinical notes and tasks simultaneously affects model performance under increasing computational loads. We assessed ten LLMs of different capacities and sizes utilizing real-world patient data.

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As human complex diseases are influenced by the interaction between genetics and the environment, identifying gene-environment interactions (G×E) is crucial for understanding disease mechanisms and predicting risk. Developing robust quantitative tools for G×E analysis can enhance the study of complex diseases. However, many existing methods that explore G×E focus on the interplay between an environmental factor and genetic variants, exclusively for common or rare variants.

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Evaluating ten years of breast cancer screening with contrast enhanced mammography in women with Intermediate-high risk.

Eur J Radiol

December 2024

Department of Diagnostic Imaging, Chaim Sheba Medical Center, Affiliated to the Sackler School of Medicine, Tel-Aviv University, Israel.

Purpose: While mammography is considered the gold standard for screening women for breast cancer, its accuracy declines in women with dense breasts. The purpose of the study is to evaluate the diagnostic accuracy of contrast enhanced mammography (CEM) for detecting breast cancer in intermediate and high-risk women, including those with genetic predispositions, over a decade-long cohort at a tertiary center.

Methods: We retrospectively analyzed all CEM examinations performed for screening purposes at a tertiary center between 2012 and 2023.

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  • * Advanced techniques like genome analysis and optical tweezers were used to isolate and study these microorganisms, revealing their rapid assimilation of C-starch in sediments.
  • * The study proposes a taxonomic reclassification of the Fervidibacteria, highlighting their important role in polysaccharide degradation within a newly defined class of the Armatimonadota phylum.
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Multimodal technology is poised to revolutionize clinical practice by integrating artificial intelligence with traditional diagnostic modalities. This evolution traces its roots from Hippocrates' humoral theory to the use of sophisticated AI-driven platforms that synthesize data across multiple sensory channels. The interplay between historical medical practices and modern technology challenges conventional patient-clinician interactions and redefines diagnostic accuracy.

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Article Synopsis
  • Large language models (LLMs) in medicine struggle to express uncertainty, which hampers their integration into patient care, necessitating methods to quantify their confidence levels effectively.
  • The study evaluated different uncertainty proxies—confidence elicitation, token-level probability, and sample consistency—across multiple models including GPT3.5 and Llama3, using patient scenario datasets for assessment.
  • Sample consistency (SC) emerged as the best method for estimating uncertainty, particularly when used with reference cases for recalibration, while verbalized confidence was found to consistently overestimate the model's true confidence.
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Tetrahydropyrimidine Ionizable Lipids for Efficient mRNA Delivery.

ACS Nano

October 2024

Department of Chemistry and Biochemistry, University of Nevada, Las Vegas, Las Vegas, Nevada 89154, United States.

Article Synopsis
  • - Lipid nanoparticles (LNPs) are an effective way to deliver messenger RNA (mRNA), overcoming challenges associated with traditional viral gene therapy methods, but current LNP technologies still struggle with optimal mRNA release.
  • - Researchers developed a new type of ionizable lipid using a simple one-pot reaction, creating 26 different lipids with a special tetrahydropyrimidine (THP) backbone, significantly speeding up the synthesis process.
  • - One of the new lipids, named THP1, showed impressive results in delivering mRNA, providing sustained protein expression, low toxicity, and successful gene editing in liver tissues, making it a promising candidate for future mRNA therapeutic applications.
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We can now analyze 3D physical interactions of chromatin regions with chromatin conformation capture technologies, in addition to the 1D chromatin state annotations, but methods to integrate this information are lacking. We propose a method to integrate the chromatin state of interacting regions into a vector representation through the contact-weighted sum of chromatin states. Unsupervised clustering on integrated chromatin states and Micro-C contacts reveals common patterns of chromatin interaction signatures.

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Postoperative urinary retention (POUR) is a common and distressing surgical complication that may be associated with the pharmacological reversal technique of neuromuscular blockade (NMB). This study aimed to investigate the impact that POUR has on medical charges. This was a retrospective observational study of adult patients undergoing select surgeries who were administered neuromuscular blockade agent (NMBA), which was pharmacologically reversed between February 2017 and November 2021 using data from the PINC-AI™ Healthcare Database.

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Variable calling of m6A and associated features in databases: a guide for end-users.

Brief Bioinform

July 2024

Epigenetics and RNA Biology Laboratory, School of Medical Sciences, The University of Sydney, Camperdown, NSW 2050, Australia.

N6-methyladenosine (m$^{6}$A) is a widely-studied methylation to messenger RNAs, which has been linked to diverse cellular processes and human diseases. Numerous databases that collate m$^{6}$A profiles of distinct cell types have been created to facilitate quick and easy mining of m$^{6}$A signatures associated with cell-specific phenotypes. However, these databases contain inherent complexities that have not been explicitly reported, which may lead to inaccurate identification and interpretation of m$^{6}$A-associated biology by end-users who are unaware of them.

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  • Increased intracranial pressure (ICP) ≥15 mmHg can harm neurological health, but measuring it traditionally requires invasive methods; researchers developed a new AI-based biomarker (aICP) using non-invasive extracranial waveform data instead.
  • The aICP was validated using an independent dataset and showed good performance metrics with an area under the receiver operating characteristic curve (AUROC) of 0.80 and an accuracy of 73.8%.
  • Further analysis indicated that higher aICP predictions are linked to specific health conditions, such as brain tumors and intracerebral hemorrhages, suggesting its potential clinical relevance.
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  • Clonal hematopoiesis (CH) occurs when genetically identical blood cells expand, often influenced by genetic mutations linked to blood cancers; however, many cases happen without known driver mutations.
  • Researchers analyzed 51,399 genomes to study a specific type of CH (CH-LPMneg) without detectable leukemia-related mutations, developing a new method (GEM rate) to estimate mutation burden without paired samples.
  • Through their study, they identified seven genes linked to CH-LPMneg and found that alterations in hematopoietic stem cell (HSC) behavior may drive this mutation burden, while a broader analysis revealed relationships between GEM and the expression of 404 genes.
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Large language models (LLMs) have significantly impacted various fields with their ability to understand and generate human-like text. This study explores the potential benefits and limitations of integrating LLMs, such as ChatGPT, into haematology practices. Utilizing systematic review methodologies, we analysed studies published after 1 December 2022, from databases like PubMed, Web of Science and Scopus, and assessing each for bias with the QUADAS-2 tool.

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Objectives: This study aims to assess the performance of a multimodal artificial intelligence (AI) model capable of analyzing both images and textual data (GPT-4V), in interpreting radiological images. It focuses on a range of modalities, anatomical regions, and pathologies to explore the potential of zero-shot generative AI in enhancing diagnostic processes in radiology.

Methods: We analyzed 230 anonymized emergency room diagnostic images, consecutively collected over 1 week, using GPT-4V.

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