抽象目标很少有效治疗改善中风后的上肢(UE)功能。沉浸式虚拟现实(IMVR)是一种新颖而有前途的UE恢复策略。我们评估了基于IMVR的UE康复可以增强常规治疗的程度,并探讨了与康复有关的大脑功能连通性(FC)的变化。方法,对40名随机分配给IMVR或对照组的受试者进行了评估者盲目的,平行组的随机对照试验(1:1分配),每个受试者每周接受5次康复3周。受试者同时接受了IMVR和常规康复,而在控件中的受试者仅接受了常规康复。我们的主要和次要结果分别是Fugl-Meyer评估的上肢子量表(FMA-EU)和Barthel指数(BI)。进行了意向性治疗(ITT)和每项协议(PP)分析以评估试验的有效性。用于FMA-EU/BI,使用了干预后或随访时的FMA-EU/BI进行单向协方差分析(ANCOVA)模型,作为因变量,两组作为自变量,基线FMA-EU/BI/BI/BI,年龄,性别,性别,性别,性别,性别,性别,性别,性别,性别,自发,高度含量,高度含量为covariat,是covariat,covariat和covariat syperepersion和covariat。结果ITT和PP分析都证明了基于IMVR的康复的有效性。与干预后的对照相比,IMVR的FMA-EU分数更高(平均差异:9.1(95%CI 1.6,16.6); P = 0.019)和随访(平均差异:11.5:11.5(95%CI 1.9,21.0); P = 0.020)。对BI得分的结果是一致的。此外,大脑FC分析发现,运动功能的改善与干预后的ipsilesiles iPsiles iPsiles iPsiles iPsiles型前运动皮层和ipsiles背外侧前额叶皮质相关,并在12周后进行了ipsilesiles视觉区域和ipsilesiles视觉区域以及ipsilesiles的中间回去。基于IMVR的结论是一种有效的工具,可以在添加到标准护理中时提高亚急性中风患者的UE功能功能。这些改进与两次中风后时间点处的大脑变化有关。研究结果将使未来的中风患者受益,并为有希望的新方法中风康复方法提供证据。试验注册临床标识符:NCT03086889。
精神分裂症(SCZ)遗传风险对脑中基因表达的影响仍然存在。这一问题的一种流行方法是基因共表达网络算法(例如WGCNA)的应用。要通过这种方法提高可靠性,至关重要的是要消除不良方差的来源,同时也保留了感兴趣的生物学信号。在这项WCGNA研究的RNA-seq数据研究中,我们的后额叶前皮层(78个神经型供体,欧洲血统)测试了SCZ遗传风险对共表达网络的影响。具体而言,我们实施了一种新颖的设计,在该设计中,通过线性回归模型调整了基因表达,以保存或消除通过生物学兴趣信号解释的方差(SCZ风险的GWAS基因组评分) - (GS-SCZ),(GS-SCZ),基因组分数,高度(GS-HT)作为负面对照的高度(GS-HT),同时删除了covariat diment covariat dixpect files coeriat covariat from covariat。我们通过调整后的表达(GS-SCZ和GS-HT保留或删除)计算了共表达网络,以及它们之间的共识(代表“背景”网络无基因组得分效应的“背景”网络)。然后,我们测试了GS-SCZ保留的模块和背景网络之间的重叠,该模块的重叠减少的模块将受到GS-SCZ生物学的影响最大。此外,我们还测试了这些模块的SCZ风险收敛性(即,PGC3 SCZ GWAS优先基因的富集,SCZ风险遗传力的富集和相关的生物本体论。总的来说,我们的结果表明我们的结果突出了GS-SCZ对大脑共同辅助网络的影响的关键方面,特别是:1)保存/删除SCZ遗传风险改变了共同表达模块; 2)富含GS-SCZ影响的模块中的生物学途径暗示转录,翻译和代谢过程,这些过程会融合到影响突触传播的影响; 3)优先级PGC3 SCZ GWAS基因和SCZ风险遗传力富含与GS-SCZ效应相关的模块。
Table of Figures Figure 1: Effect of Sotorasib on In Vitro ERK1/2 Phosphorylation and Cell Viability ................... 46 Figure 2: Effect of Sotorasib on In Vitro Downstream KRAS Signaling and Apoptosis ................. 47 Figure 3: Effect of Sotorasib on In Vivo Anti-Tumor Activity in Mice Bearing KRAS G12C mutant NSCLC NCI-H358 Xenografts ........................................................................................................ 48 Figure 4: Effect of Sotorasib on ERK1/2 Phosphorylation and KRAS G12C Occupancy in NCI-H358 NSCLC Xenografts ........................................................................................................................ 49 Figure 5: Effect of Sotorasib on In Vivo Anti-Tumor Activity in Mice Bearing Syngeneic KRAS G12D Mutant CRC CT-26 Tumors .......................................................................................................... 50 Figure 6: Effect of Sotorasib and anti-PD-1 on In Vivo Anti-Tumor Activity and Survival in Mice Bearing Syngeneic KRAS G12C mutant CRC CT-26 Tumors ............................................................. 50 Figure 7: Effect of Re-challenging Tumor-Free Mice with CT-26, CT-26 KRAS G12C , or 4T1 Cells 51 Figure 8: Effect of Sotorasib on Intra-tumoral Immune Cell Infiltration in Mice Bearing CT-26 KRAS G12C -H10 xenografts ......................................................................................................... 52 Figure 9.Study 20170543 Phase 1 Schema (Part 1 – Dose Exploration and Part 2 – Dose Expansion) ................................................................................................................................. 115 Figure 10.模型预测与..........................................................................................................................................................研究20170543食品效应评估模式(第1阶段第1部分[可选]和第1D和第2d部分).........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................研究20170543从第1阶段到第2阶段研究模式的过渡...................................................................................................................................................................................................................................................................................................................................................................................................................................Waterfall Plot of Best Tumor Shrinkage by Central Review (Phase 2 NSCLC Full Analysis Set) .............................................................................................................................. 139 Figure 13.基于盲人独立中央审查的响应持续时间20170543(第2阶段NSCLC - 完整分析集中的响应者)Progression-free Survival (BICR) -- Study 20170543 Phase 2 NSCLC ........................ 146 Figure 15.整体生存 - 研究20170543阶段2 NSCLC .......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................Waterfall Plot of Best Tumor Shrinkage by Central Review by 01 September 2020 Data Cutoff Date (Phase 2 NSCLC Full Analysis Set) .................................................................. 158 Figure 17.Swimmer Plot of Duration of Response (Response Assessed by Central Review) (Phase 2 NSCLC Responders in full Analysis Set) ....................................................................... 160 Figure 18.Covariates Selected in the Final Model .................................................................... 239 Figure 19.Goodness of Fit Plots of the Final Model .................................................................. 240 Figure 20.sotorasib浓度时间数据通过肿瘤类型分层的视觉预测性检查。在sotorasib浓度时间数据按剂量水平分层的视觉预测检查。在Observed AUC and Cmax on Day 1 and Day 8 Following 960 mg QD Dosing of Sotorasib ............................................................................................................. 243 Figure 23.对稳定状态下Sotorasib暴露(CMAX,SS)的协变作用................................................................................................................................................................... 244。对稳定状态下索托拉西氏菌(Auctau,ss)的协变作用................................................................................................................................................................................................................................... 245比较跨肾功能或肝功能的个体估计CL的比较。