Kidney Transplantation

Applying exposure-response analysis to enhance Mycophenolate Mofetil dosing precision in pediatric patients with immune-mediated renal diseases by machine learning models.

BACKGROUND: Mycophenolate mofetil (MMF), a cornerstone immunosuppressant for lupus nephritis, is increasingly used off-label in pediatric immune-mediated renal diseases. The aims of this study were to develop and validate pharmacokinetic models for mycophenolic acid (MPA), the active metabolite of MMF, to optimize dosing strategies in Chinese pediatric patients with immune-mediated renal diseases ...

Immunotyping the Tumor Microenvironment Reveals Molecular Heterogeneity for Personalized Immunotherapy in Cancer.

The tumor microenvironment (TME) significantly influences cancer prognosis and therapeutic outcomes, yet its composition remains highly heterogeneous, and currently, no highly accessible, high-throughput method exists to define it. To address this complexity, the TMEclassifier, a machine-learning tool that classifies cancers into three distinct subtypes: immune Exclusive (IE), immune Suppressive (...

Advances of oncolytic vaccinia viruses armed with interleukin in tumor therapy.

Oncolytic vaccinia viruses armed with interleukins represent a promising frontier in tumor therapy. Oncolytic vaccinia viruses express IL-2, IL-10, IL...

A multi-faceted discovery strategy identifies functional antibodies binding to cysteine-rich domain 1 of hDKK1 for cancer immunotherapy via Wnt non-canonical pathway.

Wnt signaling is important in embryonic development and tumorigenesis. These biological effects can be exerted by the activation of the β-catenin-depe...

Predicting Treatment Outcomes in Glioblastoma: A Risk Score Model for TMZ Resistance and Immune Checkpoint Inhibition.

Glioblastoma (GBM) presents significant therapeutic challenges due to its invasive nature and resistance to standard chemotherapy, i.e., temozolomide ...

Patient Voices in Dialysis Care: Sentiment Analysis and Topic Modeling Study of Social Media Discourse.

BACKGROUND: Patients with end-stage kidney disease undergoing dialysis face significant physical, psychological, and social challenges that impact the...

Longitudinal changes in minerals are influenced by immunosuppressive treatment in men with granuloma disease.

PURPOSE: To investigate whether granuloma formation following self-administered cosmetic oil injections affects mineral homeostasis, specifically calc...

Exosomes derived from human umbilical cord mesenchymal stem cells attenuate senescence of peritoneal mesothelial cells by inhibiting oxidative stress.

OBJECTIVE: Aging is a natural process that affects cellular function. In peritoneal dialysis (PD), chronic exposure to dialysate induces oxidative str...

Push Forward Clinical Management of Hematological Toxicity due to Lenalidomide Overexposure: Model-Informed Precision Dosing for Chinese Population With Renal Insufficiency.

Dose-dependent hematological toxicity of lenalidomide has been reported previously, and thus, there is a clinical need for dose individualization to m...

Comparison of Machine Learning Algorithms and Bayesian Estimation in Predicting Tacrolimus Concentration in Tunisian Kidney Transplant Patients During the Early Post-Transplant Period.

BACKGROUND AND OBJECTIVE: Model-informed precision dosing (MIPD), based on a Bayesian approach and machine learning (ML) algorithms, is a suitable app...

Orexin Restoration in Narcolepsy: Breakthroughs in Cellular Therapy.

Narcolepsy is a chronic neurodegenerative disorder defined by the selective loss of orexin-producing neurons in the lateral hypothalamus, leading to e...

Expert of Experts Verification and Alignment (EVAL) Framework for Large Language Models Safety in Gastroenterology.

Large language models generate plausible text responses to medical questions, but inaccurate responses pose significant risks in medical decision-maki...

Development and external validation of a machine learning model for cardiac valve calcification early screening in dialysis patients: a multicenter study.

BACKGROUND: Cardiac valve calcification (CVC) is common in dialysis patients and associated with increased cardiovascular risk. However, early screeni...

Beyond immunosuppression: decoding systemic immune dysregulation in ICU-acquired pneumonia.

Timing of kidney replacement therapy in critically ill patients: A call to shift the paradigm in the era of artificial intelligence.

Acute kidney injury (AKI) is a common condition in intensive care units (ICUs) and is associated with high mortality rates, particularly when kidney r...

Ambiguity-aware semi-supervised learning for leaf disease classification.

In deep learning, Semi-Supervised Learning is a highly effective technique to enhances neural network training by leveraging both labeled and unlabele...

Explainable machine learning algorithm to predict cardiovascular event in patients undergoing peritoneal dialysis.

OBJECTIVE: To compare the performance of predictive models for cardiovascular event (CVE) in patients undergoing peritoneal dialysis (PD) based on mac...

ShenJiaoLingCao decoction ameliorates cyclophosphamide-induced splenic injury and immunosuppression via the inhibition of MEK/ERK signaling pathway activity and modulation of amino acid metabolism.

ETHNOPHARMACOLOGICAL RELEVANCE: ShenJiaoLingCao Decoction (SJLCD) is derived from the classic Chinese medicine prescription, which consists of ten kin...

Accurate bladder cancer diagnosis using ensemble deep leaning.

There are an estimated 1.3 million cases of cancer globally each year, making it one of the most serious types of urinary tract cancer. The methods us...

Urinary biomarkers of kidney transplant rejection.

PURPOSE OF REVIEW: Despite the introduction of many new immunosuppressive medications, allograft rejection remains a significant complication in trans...