基础科学和病原发生学
Alexei Taylor1, Alexandra Sahl1, Hansoo Chang1
1Drexel University, Philadelphia, PA, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 24, 2025
概括
这项研究引入了一个新的框架来定义阿尔茨海默病 (AD) 亚型,使用死后数据指导聚类. 与传统方法相比,这种方法可以提高亚型预测的准确性.
科学领域:
- 神经科学是一个神经科学.
- 生物医学成像技术 生物医学成像技术
- 计算生物学 计算生物学
背景情况:
- 阿尔茨海默病 (AD) 的认知衰退与神经病理相关,这种神经病理以可预测的模式在大脑中传播.
- 非典型的tau模式和定义AD亚型的挑战阻碍了个人层面的比较和对不同病理特征的理解.
- 使用体内成像数据识别AD亚型的现有方法在定义和比较方面存在局限性.
研究的目的:
- 提出一种新的框架来解释AD亚型的可复制性,通过将假设驱动的死后发现与数据驱动的集群集成.
- 解决定义和比较AD亚型的挑战,特别是关于tau病理和灰质缩之间的时空关系.
- 开发一种方法,有助于对个体进行一致和稳定的AD亚型的分配.
主要方法:
- 利用了来自阿尔茨海默病神经成像计划 (ADNI) 的数据.
- 基于假设驱动的协议,为每个参与者计算AD亚型概率.
- 采用半监督集群,结合亚型概率集群ADNI数据,并使用嵌套交叉验证与无监督方法比较稳定性.
- 使用横截面tau特征 (n=222) 和缩相关特征 (n=527) 评估集群性能.
主要成果:
- 半监督集群在持有测试集上显示了一致的亚型预测 (调整后的兰德指数:tau特征为0.57,缩特征为0.12).
- 无监督的集群方法 (等级,k-means) 产生了机会级结果,突出了纯数据驱动方法的局限性.
- 拟议的框架在基于tau和缩特征的AD亚型预测方面表现得更好.
结论:
- 仅仅依靠无监督的集群来解释AD亚型,就会带来很大的风险.
- 建议将假设驱动的定义与数据驱动的集群相结合的框架用于定义,培训和评估AD亚型.
- 这种方法提高了AD亚型识别的可靠性和可解释性,基于既有的神经病理发现.
相关概念视频
Infection
11.6K
When a pathogen enters the body and reproduces, it can cause an infection, damage body cells, and cause illness symptoms that eventually lead to disease. Therefore, its prevention requires breaking the chain of infection.
The chain begins with pathogens: bacteria, viruses, fungi, prions, or parasites such as protozoa helminths. These can be present on the skin as transient or resident flora, or they can be acquired from the environment. Identifying and treating the type of infection and...
The chain begins with pathogens: bacteria, viruses, fungi, prions, or parasites such as protozoa helminths. These can be present on the skin as transient or resident flora, or they can be acquired from the environment. Identifying and treating the type of infection and...
11.6K
Urinary Tract Infection II: Pathophysiology
524
The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...
524
Cystic Fibrosis: Pathogenesis
676
Cystic fibrosis (CF), an autosomal recessive disorder, significantly affects the function of exocrine glands. This genetically inherited disease is characterized by the production of thick and sticky mucus, which can severely affect various organs and systems in the body.
CF is primarily caused by a genetic mutation in a chromosome 7 gene coding for the cystic fibrosis transmembrane conductance regulator (CFTR) protein. The most common gene mutation leading to CF is the ΔF508 mutation,...
CF is primarily caused by a genetic mutation in a chromosome 7 gene coding for the cystic fibrosis transmembrane conductance regulator (CFTR) protein. The most common gene mutation leading to CF is the ΔF508 mutation,...
676
Pneumonia II: Pathophysiology
2.5K
The pathophysiology of pneumonia involves the following steps:
2.5K
Stages of Infection
64.7K
Stages of infection describe what happens to a susceptible host once a pathogen invades the human body. The stages of infection are incubation, prodromal, illness, stage of decline, and convalescence. The incubation stage is the period from exposure to a pathogen until symptoms start. The infected person is unaware of impending illness as the pathogens grow and multiply within the body. The duration may vary depending on the type of infection. The incubation period of measles averages ten to...
64.7K
Defense Against Bacterial Pathogens
2.6K
The human immune system is a complex network of cells, tissues, and organs that work together to defend the body against bacterial infections. It consists of various immune cells, each playing a specific role in the defense mechanism.
Phagocytes
Phagocytes are the frontline soldiers of the immune system. They include neutrophils and macrophages. Neutrophils are the most abundant type of white blood cell and are quickly mobilized to the site of infection. Macrophages are larger cells that patrol...
Phagocytes
Phagocytes are the frontline soldiers of the immune system. They include neutrophils and macrophages. Neutrophils are the most abundant type of white blood cell and are quickly mobilized to the site of infection. Macrophages are larger cells that patrol...
2.6K


