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Huang X, Liu B, Guo S, Guo W, Liao K, Hu G, Shi W, Kuss M, Duryee MJ, Anderson DR, Lu Y, Duan B. SERS spectroscopy with machine learning to analyze human plasma derived sEVs for coronary artery disease diagnosis and prognosis. Bioeng Transl Med 2023; 8:e10420. [PMID: 36925713 PMCID: PMC10013764 DOI: 10.1002/btm2.10420] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Revised: 09/02/2022] [Accepted: 09/18/2022] [Indexed: 11/12/2022] Open
Abstract
Coronary artery disease (CAD) is one of the major cardiovascular diseases and represents the leading causes of global mortality. Developing new diagnostic and therapeutic approaches for CAD treatment are critically needed, especially for an early accurate CAD detection and further timely intervention. In this study, we successfully isolated human plasma small extracellular vesicles (sEVs) from four stages of CAD patients, that is, healthy control, stable plaque, non-ST-elevation myocardial infarction, and ST-elevation myocardial infarction. Surface-enhanced Raman scattering (SERS) measurement in conjunction with five machine learning approaches, including Quadratic Discriminant Analysis, Support Vector Machine (SVM), K-Nearest Neighbor, Artificial Neural network, were then applied for the classification and prediction of the sEV samples. Among these five approaches, the overall accuracy of SVM shows the best predication results on both early CAD detection (86.4%) and overall prediction (92.3%). SVM also possesses the highest sensitivity (97.69%) and specificity (95.7%). Thus, our study demonstrates a promising strategy for noninvasive, safe, and high accurate diagnosis for CAD early detection.
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Affiliation(s)
- Xi Huang
- Department of Electrical and Computer Engineering University of Nebraska Lincoln Lincoln Nebraska USA
| | - Bo Liu
- Mary & Dick Holland Regenerative Medicine Program University of Nebraska Medical Center Omaha Nebraska USA.,Division of Cardiovascular Medicine, Department of Internal Medicine University of Nebraska Medical Center Omaha Nebraska USA
| | - Shenghan Guo
- Department of Industrial and Systems Engineering Rutgers, The State University of New Jersey Piscataway New Jersey USA.,School of Manufacturing Systems and Networks Arizona State University Mesa Arizona USA
| | - Weihong Guo
- Department of Industrial and Systems Engineering Rutgers, The State University of New Jersey Piscataway New Jersey USA
| | - Ke Liao
- Department of Pharmacology and Experimental Neuroscience University of Nebraska Medical Center Omaha Nebraska USA
| | - Guoku Hu
- Department of Pharmacology and Experimental Neuroscience University of Nebraska Medical Center Omaha Nebraska USA
| | - Wen Shi
- Mary & Dick Holland Regenerative Medicine Program University of Nebraska Medical Center Omaha Nebraska USA.,Division of Cardiovascular Medicine, Department of Internal Medicine University of Nebraska Medical Center Omaha Nebraska USA
| | - Mitchell Kuss
- Mary & Dick Holland Regenerative Medicine Program University of Nebraska Medical Center Omaha Nebraska USA.,Division of Cardiovascular Medicine, Department of Internal Medicine University of Nebraska Medical Center Omaha Nebraska USA
| | - Michael J Duryee
- Division of Rheumatology, Department of Internal Medicine University of Nebraska Medical Center Omaha Nebraska USA
| | - Daniel R Anderson
- Division of Cardiovascular Medicine, Department of Internal Medicine University of Nebraska Medical Center Omaha Nebraska USA
| | - Yongfeng Lu
- Department of Electrical and Computer Engineering University of Nebraska Lincoln Lincoln Nebraska USA
| | - Bin Duan
- Mary & Dick Holland Regenerative Medicine Program University of Nebraska Medical Center Omaha Nebraska USA.,Department of Surgery, College of Medicine University of Nebraska Medical Center Omaha Nebraska USA.,Department of Mechanical and Materials Engineering University of Nebraska-Lincoln Lincoln Nebraska USA
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Tang CX, Zhou Z, Zhang JY, Xu L, Lv B, Jiang Zhang L. Cardiovascular Imaging in China: Yesterday, Today, and Tomorrow. J Thorac Imaging 2022; 37:355-365. [PMID: 36162066 DOI: 10.1097/rti.0000000000000678] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
The high prevalence and mortality of cardiovascular diseases in China's large population has increased the use of cardiovascular imaging for the assessment of conditions in recent years. In this study, we review the past 20 years of cardiovascular imaging in China, the increasingly important role played by cardiovascular computed tomography in coronary artery disease and pulmonary embolism assessment, magnetic resonance imaging's use for cardiomyopathy assessment, the development and application of artificial intelligence in cardiovascular imaging, and the future of Chinese cardiovascular imaging.
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Affiliation(s)
- Chun Xiang Tang
- Department of Radiology, Jinling Hospital, Medical School of Nanjing University, Nanjing, Jiangsu Province
| | - Zhen Zhou
- Department of Radiology, Beijing Anzhen Hospital, Capital Medical University
| | - Jia Yin Zhang
- Department of Radiology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Lei Xu
- Department of Radiology, Beijing Anzhen Hospital, Capital Medical University
| | - Bin Lv
- Department of Radiology, Fuwai Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences
- State Key Laboratory and National Center for Cardiovascular Diseases, Beijing
| | - Long Jiang Zhang
- Department of Radiology, Jinling Hospital, Medical School of Nanjing University, Nanjing, Jiangsu Province
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Hashiyama N, Goda M, Uchida K, Isomatsu Y, Suzuki S, Mo M, Nishida T, Masuda M. Stanford type B aortic dissection is more frequently associated with coronary artery atherosclerosis than type A. J Cardiothorac Surg 2018; 13:80. [PMID: 29945663 PMCID: PMC6020428 DOI: 10.1186/s13019-018-0765-y] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2018] [Accepted: 06/19/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The relationship between aortic dissection and coronary artery disease is not clear. The purpose of this study was to clarify the difference in the rate of coronary artery atherosclerosis between Stanford type A and type B aortic dissection by reviewing our institutional database. METHODS One hundred and forty-five patients (78 males, 67 females; mean age: 60 ± 12 years) admitted to our hospital with acute aortic dissection who underwent coronary angiography during hospitalization from 2000 through 2002 were enrolled in this study. The background characteristics, coronary risk factors, and coronary angiography findings (number of significant stenoses, stenoses according to Bogaty standards, extent index) of patients were compared between type A (Group A; n = 71) and type B dissection (Group B; N = 74). RESULTS Significantly more patients had prior histories of complications from ischemic heart disease in Group B than in Group A (P = 0.04), with no significant differences in comparison to other risk factors observed except for hypertension. Significantly (p = 0.005) more stenoses were observed in Group B (1.54 ± 0.04) than in Group A (0.38 ± 0.1). A significantly higher (P < 0.05) index score indicating the severity of coronary atherosclerosis was observed in Group B (1.49 ± 0.09) than in Group A (0.72 ± 0.07). CONCLUSIONS Stanford type B acute aortic dissection was significantly more frequently associated with coronary artery atherosclerosis than type A.
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Affiliation(s)
- Naoki Hashiyama
- Department of Cardiovascular Surgery, Yokohama Minami-kyosai Hospital, Mutsuurahigashi 1-21-1, Kanazawa-ku, Yokohama, 236-0037, Japan
| | - Motohiko Goda
- Department of Cardiovascular Surgery, Yokohama City University Hospital, Fukuura 3-9, Kanazawaku, Yokohama, 236-0004, Japan.
| | - Keiji Uchida
- Cardiovascular Center, Yokohama City University Medical Center, Yokohama, Japan
| | - Yukihisa Isomatsu
- Department of Cardiovascular Surgery, Yokohama City University Hospital, Fukuura 3-9, Kanazawaku, Yokohama, 236-0004, Japan
| | - Shinichi Suzuki
- Department of Cardiovascular Surgery, Yokohama City University Hospital, Fukuura 3-9, Kanazawaku, Yokohama, 236-0004, Japan
| | - Makoto Mo
- Department of Cardiovascular Surgery, Yokohama Minami-kyosai Hospital, Mutsuurahigashi 1-21-1, Kanazawa-ku, Yokohama, 236-0037, Japan
| | - Takahiro Nishida
- Department of Cardiovascular Surgery, Yokohama Citizen's Municipal Hospital, Yokohama, Japan
| | - Munetaka Masuda
- Department of Cardiovascular Surgery, Yokohama City University Hospital, Fukuura 3-9, Kanazawaku, Yokohama, 236-0004, Japan.,Cardiovascular Center, Yokohama City University Medical Center, Yokohama, Japan
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Wang L, Li Y, Gong X. Changes in inflammatory factors and prognosis of patients complicated with non-alcoholic fatty liver disease undergoing coronary artery bypass grafting. Exp Ther Med 2017; 15:949-953. [PMID: 29434690 PMCID: PMC5772944 DOI: 10.3892/etm.2017.5476] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2017] [Accepted: 11/02/2017] [Indexed: 02/07/2023] Open
Abstract
This study was designed to assess the relationship between changes in peripheral inflammatory factors of patients complicated with non-alcoholic fatty liver disease (NAFLD) undergoing coronary artery bypass grafting (CABG) before and after operation, and their prognosis. A total of 68 patients with stable angina pectoris treated in Xinjiang Hospital who underwent CABG at some point between August of 2013 and August of 2015 were enrolled in the study, and divided into the NAFLD group (n=31) and the non-NAFLD group (n=37) according to the presence of the condition or its absence. Peripheral blood was drawn from the patients before and at 24 h and 1 month after the operation, and the expression levels of high-sensitivity C-reactive protein (hsCRP), soluble CD40 ligand (sCD40L), intercellular adhesion molecule-1 (ICAM-1) and matrix metalloproteinase-9 (MMP-9) were measured via standard enzyme-linked immunosorbent assay. Our results showed the expression levels of hsCRP and sCD40L of patients in both groups reached a peak 24 h after operation; and there were statistically significant changes compared with the levels before the operation and at 1 month after operation (p<0.01). However, there were no statistically significant differences in the expression levels between the two groups (p>0.05). The expression levels of ICAM-1 at each time-point in both groups were increased after the operation, but the changes were not statistically significant (p>0.05). The expression levels of MMP-9 increased after the operation, and the levels at 1 month after operation were significantly higher than those before operation and at 24 h after the operation (p<0.01). Importantly, the expression levels of MMP-9 of patients in the NAFLD group at 1 month after operation were significantly higher than those of patients in the non-NAFLD group at the same time, and the differences were statistically significant (p<0.01). Finally, logistic regression analysis showed that the expression level of MMP-9 was an important influencing factor for cardiovascular events after CABG (OR=1.182, p<0.05). Based on our findings, the expression levels of inflammatory factors in peripheral blood in patients complicated with NAFLD undergoing CABG differ from those who are not complicated, and the MMP-9 levels may be closely related to the prognosis of patients complicated with NAFLD.
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Affiliation(s)
- Lei Wang
- Department of Surgery, Ward 3, The Second Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830028, P.R. China
| | - Yuanming Li
- Department of Surgery, Ward 3, The Second Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830028, P.R. China
| | - Xiaojin Gong
- Department of Pathology, The Second Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830028, P.R. China
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