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Wang X, Gong Q, Nie H, Tu J, Fan W, Tan X. High level of C3 is associated with Th2 immune response and liver fibrosis in patients with schistosomiasis. Parasite Immunol 2024; 46:e13029. [PMID: 38465509 DOI: 10.1111/pim.13029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Revised: 01/10/2024] [Accepted: 02/05/2024] [Indexed: 03/12/2024]
Abstract
Long-term infection of schistosomiasis will seriously affect the liver health of patients. The serum of 334 chronic Schistosoma japonicum patients and 149 healthy volunteers was collected. Compared with heathy people, the level of C4 (complement 4) was increased, and the level of C3 (complement 3) was in an obvious skewed distribution. ELISA was performed to detect the serum cytokines, the results showed that the levels of IFN-γ (interferon-γ), IL (interleukin)-2 and TNF-α (tumour necrosis factor-α) were reduced, while the levels of Th2 cytokines (IL-4, IL-6 and IL-10) were increased. In the serum of patients with high C3, the secretion of HA (hyaluronic acid), LN (laminin), IV-C (type IV collagen) and PCIII (type III procollagen) were increased, the activation of hepatic stellate cells was promoted. Exogenous human recombinant C3 made mice liver structure of the mice damaged and collagen deposition. IFN-γ and IFN-γ/IL-4 were decreased, while HA, LN, PCIII and IV-C were increased, and the expressions of α-SMA and TGF-β1 in liver tissues were up-regulated. However, the addition of IFN-γ partially reversed the effect of C3 on promoting fibrosis. High level of C3 is associated with Th2 immune response and liver fibrosis in patients with schistosomiasis.
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Affiliation(s)
- Xianmo Wang
- Clinical Laboratory, The First Affiliated Hospital of Yangtze University, Jingzhou, Hubei Province, China
| | - Quan Gong
- Yangtze University, Jingzhou, Hubei Province, China
| | - Hao Nie
- Yangtze University, Jingzhou, Hubei Province, China
| | - Jiancheng Tu
- Clinical Laboratory, The Second Clinical College of Wuhan University, Wuhan, Hubei province, China
| | - Wen Fan
- Clinical Laboratory, The First Affiliated Hospital of Yangtze University, Jingzhou, Hubei Province, China
| | - Xiaoping Tan
- Gastroenterology, The First Affiliated Hospital of Yangtze University, Jingzhou, Hubei Province, China
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Hu S, Jiang X, Yang L, Tang X, Yang G, Hu Y, Wang J, Lu N. A Miniature Biomedical Sensor for Rapid Detection of Schistosoma japonicum Antibodies. BIOSENSORS 2023; 13:831. [PMID: 37622917 PMCID: PMC10452731 DOI: 10.3390/bios13080831] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Revised: 08/15/2023] [Accepted: 08/18/2023] [Indexed: 08/26/2023]
Abstract
Schistosomiasis, typically characterized by chronic infection in endemic regions, has the potential to affect liver tissue and pose a serious threat to human health. Detecting and screening for this disease early on is crucial for its prevention and control. However, existing methods encounter challenges such as low sensitivity, time-consuming processes, and complex sample handling. To address these challenges, we report a soluble egg antigen (SEA)-based functionalized gridless and meander-type AlGaN/GaN high electron mobility transistors (HEMT) sensor for the highly sensitive detection of antibodies to Schistosoma japonicum. Immobilization of the self-assembled membrane on the gate surface was verified using a semiconductor parameter analyzer, scanning electron microscope (SEM), and atomic force microscopy (AFM). The developed biosensor demonstrates remarkable performance in detecting anti-SEA, exhibiting a linear concentration range of 10 ng/mL to 100 μg/mL and a sensitivity of 0.058 mA/log (ng/mL). It also exhibits similar excellent performance in serum systems. With advantages such as rapid detection, high sensitivity, miniaturization, and label-free operation, this biosensor can fulfill the requirements for blood defense.
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Affiliation(s)
- Shengjie Hu
- School of Food Science and Technology, Jiangnan University, Wuxi 214122, China; (S.H.); (X.J.); (L.Y.); (X.T.); (G.Y.)
| | - Xuecheng Jiang
- School of Food Science and Technology, Jiangnan University, Wuxi 214122, China; (S.H.); (X.J.); (L.Y.); (X.T.); (G.Y.)
| | - Liang Yang
- School of Food Science and Technology, Jiangnan University, Wuxi 214122, China; (S.H.); (X.J.); (L.Y.); (X.T.); (G.Y.)
| | - Xue Tang
- School of Food Science and Technology, Jiangnan University, Wuxi 214122, China; (S.H.); (X.J.); (L.Y.); (X.T.); (G.Y.)
| | - Guofeng Yang
- School of Food Science and Technology, Jiangnan University, Wuxi 214122, China; (S.H.); (X.J.); (L.Y.); (X.T.); (G.Y.)
| | - Yuanyuan Hu
- Changsha Semiconductor Technology and Application Innovation Research Institute, College of Semiconductors (College of Integrated Circuits), Hunan University, Changsha 410082, China;
| | - Jie Wang
- National Health Commission Key Laboratory of Parasitic Disease Control and Prevention, Jiangsu Provincial Key Laboratory on Parasite and Vector Control Technology, Jiangsu Provincial Medical Key Laboratory, Jiangsu Institute of Parasitic Diseases, Wuxi 214064, China
| | - Naiyan Lu
- School of Food Science and Technology, Jiangnan University, Wuxi 214122, China; (S.H.); (X.J.); (L.Y.); (X.T.); (G.Y.)
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Huang L, Xie B, Zhang K, Xu Y, Su L, Lv Y, Lu Y, Qin J, Pang X, Qiu H, Li L, Wei X, Huang K, Meng Z, Hu Y, Lv J. Prediction of the risk of cytopenia in hospitalized HIV/AIDS patients using machine learning methods based on electronic medical records. Front Public Health 2023; 11:1184831. [PMID: 37575113 PMCID: PMC10416630 DOI: 10.3389/fpubh.2023.1184831] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2023] [Accepted: 07/14/2023] [Indexed: 08/15/2023] Open
Abstract
Background Cytopenia is a frequent complication among HIV-infected patients who require hospitalization. It can have a negative impact on the treatment outcomes for these patients. However, by leveraging machine learning techniques and electronic medical records, a predictive model can be developed to evaluate the risk of cytopenia during hospitalization in HIV patients. Such a model is crucial for designing a more individualized and evidence-based treatment strategy for HIV patients. Method The present study was conducted on HIV patients who were admitted to Guangxi Chest Hospital between June 2016 and October 2021. We extracted a total of 66 clinical features from the electronic medical records and employed them to train five machine learning prediction models (artificial neural network [ANN], adaptive boosting [AdaBoost], k-nearest neighbour [KNN] and support vector machine [SVM], decision tree [DT]). The models were tested using 20% of the data. The performance of the models was evaluated using indicators such as the area under the receiver operating characteristic curve (AUC). The best predictive models were interpreted using the shapley additive explanation (SHAP). Result The ANN models have better predictive power. According to the SHAP interpretation of the ANN model, hypoproteinemia and cancer were the most important predictive features of cytopenia in HIV hospitalized patients. Meanwhile, the lower hemoglobin-to-RDW ratio (HGB/RDW), low-density lipoprotein cholesterol (LDL-C) levels, CD4+ T cell counts, and creatinine clearance (Ccr) levels increase the risk of cytopenia in HIV hospitalized patients. Conclusion The present study constructed a risk prediction model for cytopenia in HIV patients during hospitalization with machine learning and electronic medical record information. The prediction model is important for the rational management of HIV hospitalized patients and the personalized treatment plan setting.
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Affiliation(s)
- Liling Huang
- Guangxi Clinical Center for AIDS Prevention and Treatment, Chest Hospital of Guangxi Zhuang Autonomous Region, Liuzhou, Guangxi, China
| | - Bo Xie
- School of Information and Management, Guangxi Medical University, Nanning, Guangxi, China
| | - Kai Zhang
- Guangxi Clinical Center for AIDS Prevention and Treatment, Chest Hospital of Guangxi Zhuang Autonomous Region, Liuzhou, Guangxi, China
| | - Yuanlong Xu
- Guangxi Clinical Center for AIDS Prevention and Treatment, Chest Hospital of Guangxi Zhuang Autonomous Region, Liuzhou, Guangxi, China
| | - Lingsong Su
- Guangxi Clinical Center for AIDS Prevention and Treatment, Chest Hospital of Guangxi Zhuang Autonomous Region, Liuzhou, Guangxi, China
| | - Yu Lv
- Guangxi Clinical Center for AIDS Prevention and Treatment, Chest Hospital of Guangxi Zhuang Autonomous Region, Liuzhou, Guangxi, China
| | - Yangjie Lu
- Guangxi Clinical Center for AIDS Prevention and Treatment, Chest Hospital of Guangxi Zhuang Autonomous Region, Liuzhou, Guangxi, China
| | - Jianqiu Qin
- Nanning Center for Disease Control and Prevention, Nanning, Guangxi, China
| | - Xianwu Pang
- Center for Genomic and Personalized Medicine, Guangxi key Laboratory for Genomic and Personalized Medicine, Guangxi Collaborative Innovation Center for Genomic and Personalized Medicine, Guangxi Medical University, Nanning, Guangxi, China
| | - Hong Qiu
- Institute of Life Sciences, Guangxi Medical University, Nanning, Guangxi, China
| | - Lanxiang Li
- Basic Medical College of Guangxi Medical University, Nanning, Guangxi, China
| | - Xihua Wei
- Center for Genomic and Personalized Medicine, Guangxi key Laboratory for Genomic and Personalized Medicine, Guangxi Collaborative Innovation Center for Genomic and Personalized Medicine, Guangxi Medical University, Nanning, Guangxi, China
| | - Kui Huang
- Guangxi Clinical Center for AIDS Prevention and Treatment, Chest Hospital of Guangxi Zhuang Autonomous Region, Liuzhou, Guangxi, China
| | - Zhihao Meng
- Guangxi Clinical Center for AIDS Prevention and Treatment, Chest Hospital of Guangxi Zhuang Autonomous Region, Liuzhou, Guangxi, China
| | - Yanling Hu
- School of Information and Management, Guangxi Medical University, Nanning, Guangxi, China
- Center for Genomic and Personalized Medicine, Guangxi key Laboratory for Genomic and Personalized Medicine, Guangxi Collaborative Innovation Center for Genomic and Personalized Medicine, Guangxi Medical University, Nanning, Guangxi, China
- Institute of Life Sciences, Guangxi Medical University, Nanning, Guangxi, China
| | - Jiannan Lv
- Guangxi Clinical Center for AIDS Prevention and Treatment, Chest Hospital of Guangxi Zhuang Autonomous Region, Liuzhou, Guangxi, China
- Department of Infection, Affiliated Hospital of the Youjiang Medical University for Nationalities, Baise, Guangxi, China
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A Proposed Framework for Early Prediction of Schistosomiasis. Diagnostics (Basel) 2022; 12:diagnostics12123138. [PMID: 36553145 PMCID: PMC9777618 DOI: 10.3390/diagnostics12123138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2022] [Revised: 12/08/2022] [Accepted: 12/08/2022] [Indexed: 12/15/2022] Open
Abstract
Schistosomiasis is a neglected tropical disease that continues to be a leading cause of illness and mortality around the globe. The causing parasites are affixed to the skin through defiled water and enter the human body. Failure to diagnose Schistosomiasis can result in various medical complications, such as ascites, portal hypertension, esophageal varices, splenomegaly, and growth retardation. Early prediction and identification of risk factors may aid in treating disease before it becomes incurable. We aimed to create a framework by incorporating the most significant features to predict Schistosomiasis using machine learning techniques. A dataset of advanced Schistosomiasis has been employed containing recovery and death cases. A total data of 4316 individuals containing recovery and death cases were included in this research. The dataset contains demographics, socioeconomic, and clinical factors with lab reports. Data preprocessing techniques (missing values imputation, outlier removal, data normalisation, and data transformation) have also been employed for better results. Feature selection techniques, including correlation-based feature selection, Information gain, gain ratio, ReliefF, and OneR, have been utilised to minimise a large number of features. Data resampling algorithms, including Random undersampling, Random oversampling, Cluster Centroid, Near miss, and SMOTE, are applied to address the data imbalance problem. We applied four machine learning algorithms to construct the model: Gradient Boosting, Light Gradient Boosting, Extreme Gradient Boosting and CatBoost. The performance of the proposed framework has been evaluated based on Accuracy, Precision, Recall and F1-Score. The results of our proposed framework stated that the CatBoost model showed the best performance with the highest accuracy of (87.1%) compared with Gradient Boosting (86%), Light Gradient Boosting (86.7%) and Extreme Gradient Boosting (86.9%). Our proposed framework will assist doctors and healthcare professionals in the early diagnosis of Schistosomiasis.
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A Noninvasive Prediction Model for Hepatitis B Virus Disease in Patients with HIV: Based on the Population of Jiangsu, China. BIOMED RESEARCH INTERNATIONAL 2021; 2021:6696041. [PMID: 33860053 PMCID: PMC8024075 DOI: 10.1155/2021/6696041] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/27/2020] [Accepted: 03/17/2021] [Indexed: 02/07/2023]
Abstract
Objective To establish a machine learning model for identifying patients coinfected with hepatitis B virus (HBV) and human immunodeficiency virus (HIV) through two sexual transmission routes in Jiangsu, China. Methods A total of 14197 HIV cases transmitted by homosexual and heterosexual routes were recruited. After data processing, 12469 cases (HIV and HBV, 1033; HIV, 11436) were left for further analysis, including 7849 cases with homosexual transmission and 4620 cases with heterosexual transmission. Univariate logistic regression was used to select variables with significant P value and odds ratio for multivariable analysis. In homosexual transmission and heterosexual transmission groups, 10 and 6 variables were selected, respectively. For identifying HIV individuals coinfected with HBV, a machine learning model was constructed with four algorithms, including Decision Tree, Random Forest, AdaBoost with decision tree (AdaBoost), and extreme gradient boosting decision tree (XGBoost). The detective value of each variable was calculated using the optimal machine learning algorithm. Results AdaBoost algorithm showed the highest efficiency in both transmission groups (homosexual transmission group: accuracy = 0.928, precision = 0.915, recall = 0.944, F − 1 = 0.930, and AUC = 0.96; heterosexual transmission group: accuracy = 0.892, precision = 0.881, recall = 0.905, F − 1 = 0.893, and AUC = 0.98). Calculated by AdaBoost algorithm, the detective value of PLA was the highest in homosexual transmission group, followed by CR, AST, HB, ALT, TBIL, leucocyte, age, marital status, and treatment condition; in the heterosexual transmission group, the detective value of PLA was the highest (consistent with the condition in the homosexual group), followed by ALT, AST, TBIL, leucocyte, and symptom severity. Conclusions The univariate logistics regression combined with the AdaBoost algorithm could accurately screen the risk factors of HBV in HIV coinfection without invasive testing. Further studies are needed to evaluate the utility and feasibility of this model in various settings.
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Classification and prediction of diabetes disease using machine learning paradigm. Health Inf Sci Syst 2020; 8:7. [PMID: 31949894 DOI: 10.1007/s13755-019-0095-z] [Citation(s) in RCA: 45] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2019] [Accepted: 12/21/2019] [Indexed: 12/19/2022] Open
Abstract
Background and objectives Diabetes is a chronic disease characterized by high blood sugar. It may cause many complicated disease like stroke, kidney failure, heart attack, etc. About 422 million people were affected by diabetes disease in worldwide in 2014. The figure will be reached 642 million in 2040. The main objective of this study is to develop a machine learning (ML)-based system for predicting diabetic patients. Materials and methods Logistic regression (LR) is used to identify the risk factors for diabetes disease based on p value and odds ratio (OR). We have adopted four classifiers like naïve Bayes (NB), decision tree (DT), Adaboost (AB), and random forest (RF) to predict the diabetic patients. Three types of partition protocols (K2, K5, and K10) have also adopted and repeated these protocols into 20 trails. Performances of these classifiers are evaluated using accuracy (ACC) and area under the curve (AUC). Results We have used diabetes dataset, conducted in 2009-2012, derived from the National Health and Nutrition Examination Survey. The dataset consists of 6561 respondents with 657 diabetic and 5904 controls. LR model demonstrates that 7 factors out of 14 as age, education, BMI, systolic BP, diastolic BP, direct cholesterol, and total cholesterol are the risk factors for diabetes. The overall ACC of ML-based system is 90.62%. The combination of LR-based feature selection and RF-based classifier gives 94.25% ACC and 0.95 AUC for K10 protocol. Conclusion The combination of LR and RF-based classifier performs better. This combination will be very helpful for predicting diabetic patients.
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Xue M, Su Y, Li C, Wang S, Yao H. Identification of Potential Type II Diabetes in a Large-Scale Chinese Population Using a Systematic Machine Learning Framework. J Diabetes Res 2020; 2020:6873891. [PMID: 33029536 PMCID: PMC7532405 DOI: 10.1155/2020/6873891] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/12/2020] [Revised: 08/01/2020] [Accepted: 09/02/2020] [Indexed: 12/19/2022] Open
Abstract
BACKGROUND An estimated 425 million people globally have diabetes, accounting for 12% of the world's health expenditures, and the number continues to grow, placing a huge burden on the healthcare system, especially in those remote, underserved areas. METHODS A total of 584,168 adult subjects who have participated in the national physical examination were enrolled in this study. The risk factors for type II diabetes mellitus (T2DM) were identified by p values and odds ratio, using logistic regression (LR) based on variables of physical measurement and a questionnaire. Combined with the risk factors selected by LR, we used a decision tree, a random forest, AdaBoost with a decision tree (AdaBoost), and an extreme gradient boosting decision tree (XGBoost) to identify individuals with T2DM, compared the performance of the four machine learning classifiers, and used the best-performing classifier to output the degree of variables' importance scores of T2DM. RESULTS The results indicated that XGBoost had the best performance (accuracy = 0.906, precision = 0.910, recall = 0.902, F-1 = 0.906, and AUC = 0.968). The degree of variables' importance scores in XGBoost showed that BMI was the most significant feature, followed by age, waist circumference, systolic pressure, ethnicity, smoking amount, fatty liver, hypertension, physical activity, drinking status, dietary ratio (meat to vegetables), drink amount, smoking status, and diet habit (oil loving). CONCLUSIONS We proposed a classifier based on LR-XGBoost which used fourteen variables of patients which are easily obtained and noninvasive as predictor variables to identify potential incidents of T2DM. The classifier can accurately screen the risk of diabetes in the early phrase, and the degree of variables' importance scores gives a clue to prevent diabetes occurrence.
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Affiliation(s)
- Mingyue Xue
- Hospital of Traditional Chinese Medicine Affiliated to the Fourth Clinical Medical College of Xinjiang Medical University, Urumqi, China
- College of Public Health, Xinjiang Medical University, Urumqi, China
| | - Yinxia Su
- College of Public Health, Xinjiang Medical University, Urumqi, China
| | - Chen Li
- The First Affiliated Hospital of Xinjiang Medical University, Urumqi, China
| | - Shuxia Wang
- Center of Health Management, The First Affiliated Hospital, Xinjiang Medical University, Urumqi, China
| | - Hua Yao
- Center of Health Management, The First Affiliated Hospital, Xinjiang Medical University, Urumqi, China
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Ali Y, Farooq A, Alam TM, Farooq MS, Awan MJ, Baig TI. Detection of Schistosomiasis Factors Using Association Rule Mining. IEEE ACCESS 2019; 7:186108-186114. [DOI: 10.1109/access.2019.2956020] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/01/2023]
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