Intelligent digital tools for screening of brain connectivity and dementia risk estimation in people affected by mild cognitive impairment: the AI-Mind clinical study protocol

More than 10 million Europeans show signs of mild cognitive impairment (MCI), a transitional stage between normal brain aging and dementia stage memory disorder. The path MCI takes can be divergent; while some maintain stability or even revert to cognitive norms, alarmingly, up to half of the cases progress to dementia within 5 years. Current diagnostic practice lacks the necessary screening tools to identify those at risk of progression. The European patient experience often involves a long journey from the initial signs of MCI to the eventual diagnosis of dementia. The trajectory is far from ideal. Here, we introduce the AI-Mind project, a pioneering initiative with an innovative approach to early risk assessment through the implementation of advanced artificial intelligence (AI) on multimodal data. The cutting-edge AI-based tools developed in the project aim not only to accelerate the diagnostic process but also to deliver highly accurate predictions regarding an individual's risk of developing dementia when prevention and intervention may still be possible. AI-Mind is a European Research and Innovation Action (RIA H2020-SC1-BHC-06-2020, No. 964220) financed between 2021 and 2026. First, the AI-Mind Connector identifies dysfunctional brain networks based on high-density magneto- and electroencephalography (M/EEG) recordings. Second, the AI-Mind Predictor predicts dementia risk using data from the Connector, enriched with computerized cognitive tests, genetic and protein biomarkers, as well as sociodemographic and clinical variables. AI-Mind is integrated within a network of major European initiatives, including The Virtual Brain, The Virtual Epileptic Patient, and EBRAINS AISBL service for sensitive data, HealthDataCloud, where big patient data are generated for advancing digital and virtual twin technology development. AI-Mind's innovation lies not only in its early prediction of dementia risk, but it also enables a virtual laboratory scenario for hypothesis-driven personalized intervention research. This article introduces the background of the AI-Mind project and its clinical study protocol, setting the stage for future scientific contributions.

Structural requirements of steroidal agonists of transient receptor potential melastatin 3 (TRPM3) cation channels

Background and Purpose

Transient receptor potential melastatin 3 (TRPM3) proteins form non-selective but calcium-permeable membrane channels, rapidly activated by extracellular application of the steroid pregnenolone sulphate and the dihydropyridine nifedipine. Our aim was to characterize the steroid binding site by analysing the structural chemical requirements for TRPM3 activation.

Experimental Approach

Whole-cell patch-clamp recordings and measurements of intracellular calcium concentrations were performed on HEK293 cells transfected with TRPM3 (or untransfected controls) during superfusion with pharmacological substances.

Key Results

Pregnenolone sulphate and nifedipine activated TRPM3 channels supra-additively over a wide concentration range. Other dihydropyridines inhibited TRPM3 channels. The natural enantiomer of pregnenolone sulphate was more efficient in activating TRPM3 channels than its synthetic mirror image. However, both enantiomers exerted very similar inhibitory effects on proton-activated outwardly rectifying anion channels. Epiallopregnanolone sulphate activated TRPM3 almost equally as well as pregnenolone sulphate. Exchanging the sulphate for other chemical moieties showed that a negative charge at this position is required for activating TRPM3 channels.

Conclusions and Implications

Our data demonstrate that nifedipine and pregnenolone sulphate act at different binding sites when activating TRPM3. The latter activates TRPM3 by binding to a chiral and thus proteinaceous binding site, as inferred from the differential effects of the enantiomers. The double bond between position C5 and C6 of pregnenolone sulphate is not strictly necessary for the activation of TRPM3 channels, but a negative charge at position C3 of the steroid is highly important. These results provide a solid basis for understanding mechanistically the rapid chemical activation of TRPM3 channels.

Current-driven domain wall depinning from an anisotropy boundary in nanowires

The interaction of a current-driven domain wall with an anisotropy boundary in nanowires with perpendicular magnetic anisotropy is investigated. A local reduction of the anisotropy constant is used to create an artificial boundary where the domain wall gets pinned. Micromagnetic simulations and analytical calculations, based on a one-dimensional model, are employed to describe the interaction of the domain wall and the anisotropy boundary and to determine the depinning current densities. Two different pinning regimes-an intrinsic and an extrinsic-can be identified in dependence with the characteristic of the boundary. A very good agreement between simulated and analytically obtained data is achieved.

Side effects of flux enhancing chemicals in membrane bioreactors (MBRs): study on their biological toxicity and their residual fouling propensity

Soluble and colloidal materials like soluble microbial products (SMP) or extracellular polymeric substances (EPS) are considered to be major foulants in membrane bioreactors (MBRs). Removing these fouling causing substances is thus thought to reduce the fouling of the membrane in general. In addition to traditional strategies for fouling prevention which mostly try to remedy the effects of fouling by air scour, etc., the new and promising method of adding chemicals is being investigated here. Previous tests with 30 different substances have shown that several of these reduce SMP concentration in the supernatant and enhance filtration. Nevertheless, additive dosing might have unknown side effects in filtration systems. Results presented in this study indicate that these additives may themselves cause severe fouling on different membranes if they remain unbound in the liquid phase. Therefore, the thorough control of the dosing rate of these chemicals will be of paramount importance in full scale applications. Biological toxicity of additives was measured in terms of respiration. OUR tests did not show inhibiting effects for most additives. Chitosan even showed an enhanced OUR due to biodegradability. Oxygen transfer could be enhanced for 25% with the addition of a polymer.

Monitoring of transparent exopolymer particles (TEP) in a membrane bioreactor (MBR) and correlation with other fouling indicators

The occurrence of Transparent Exopolymer Particles (TEP), an acidic fraction of polysaccharides, was monitored for more than six months in the activated sludge of three MBR units, and the relationship between TEP and other fouling indicators was studied. These compounds consist mainly of exopolysaccharides of a sticky nature, a characteristic which makes them a group of interesting substances in processes like sedimentation, flocculation and membrane fouling. The relationship between capillary suction time (CST) and polysaccharides (PS) was linear for the three tested sludges, although the correlation with TEP concentrations was stronger. A slight linear correlation of both TEP and PS was found with the critical flux (CF) measured with a small filtration test cell, which was submerged in the membrane tank to assess the filterability performance of the sludge in situ. However, the correlation CF-PS was clearer. The relationship between TEP, polysaccharides and sludge filterability highlights the potential of this parameter for the monitoring of membrane systems.

Biomass effects on oxygen transfer in membrane bioreactors

Ten biomass samples from both municipal and industrial pilot and full scale submerged membrane bioreactors (MBRs) with mixed liquor suspended solids concentrations (MLSS) ranging from 7.2 to 30.2g L(-1) were studied at six air-flow rates (0.7, 1.3, 2.3, 3, 4.4 and 6m(3)m(-3)h(-1)). Statistical analyses were applied to identify the relative impacts of the various bulk biomass characteristics on oxygen transfer. Of the biomass characteristics studied, only solids concentration (correlated with viscosity), the carbohydrate fraction of the EPS (EPS(c)) and the chemical oxygen demand (COD) concentration of the SMP (SMP(COD)) were found to affect the oxygen transfer parameters k(L)a(20) (the oxygen transfer coefficient) and alpha-factor. The relative influence on k(L)a(20) was MLSS>aeration>EPS(c)>SMP(COD) and on alpha-factor was MLSS>SMP(COD)>EPS(c)>aeration. Both k(L)a(20) and alpha-factor increased with increasing aeration and EPS(c) and decreased with increasing MLSS and SMP(COD). MLSS was found to be the main parameter controlling the oxygen transfer.

Continuous measurement and control of fouling active compounds in membrane bioreactor systems

For a more effective fouling reduction in membrane bioreactors (MBR) the approach of continuous measurement and control of protein and polysaccharide concentrations is followed. So called extra-cellular polymer substances (EPS) can be partially measured by a newly developed protein sensor based on sequential injection analysis. The sensor is validated by real MBR pilot data, stating the feasibility of the technique for continuous monitoring. Parallel to EPS, other fouling active compounds such as organic bio-polymer were determined in two parallel MBR pilot lines by size exclusion chromatography, proving desired comparable conditions in both lines for later parallel testing. The daily variation of EPS in MBR operation are moderate, where protein changes tend to react more pronounced to operational changes than polysaccharides. This was also the case for the organic bio-polymer fraction, especially in manipulated bench experiments at abruptly changing redox conditions.

Impact of different recirculation schemes on nitrogen removal and overall performance of a laboratory scale MBR

For membrane bioreactors (MBR) with enhanced nutrients removal, rather complex recirculation schemes based on the biological requirements are commonly recommended. The aim of this work was to evaluate other recirculation options. For a laboratory scale MBR, four different recirculation schemes were tested. The MBR was operated with COD degradation, nitrification, post-denitrification without carbon dosing and biological phosphorus removal. For all configurations, efficient COD, nitrogen and phosphorus removal could be achieved. There were no big differences in elimination efficiency between the configurations (COD elimination: 96.6-97.9%, nitrogen removal: 89.7-92.1% and phosphorus removal: 97.4-99.4%). Changes in the degradation, release and uptake rates were levelled out by the changes in contact time and biomass distribution. With relatively constant outflow concentrations, different configurations are still interesting with regard to oxygen consumption, simplicity of plant operation or support of certain degradation pathways such as biological phosphorus removal or denitrification.