Deep Learning-based Glaucoma Detection Using CNN and Digital Fundus Images: A Promising Approach for Precise Diagnosis.

BACKGROUND: Glaucoma is a significant cause of irreversible blindness worldwide, with symptoms often going undetected until the patient's visual field starts shrinking. OBJECTIVE: To develop an AI-based glaucoma detection method to reduce glaucoma-related blindness and offer more precise diagnosis. METHODS: Discusses various methods and technologies, including Heidelberg Retinal Tomography (HRT), Optical Coherence Tomography (OCT), and Fundus Photography, for obtaining relevant information about the presence of glaucoma in a patient. Additionally, it mentions the use of Support Vector Machines (SVMs) and Convolutional Neural Networks (CNNs) for glaucoma detection. There are many limitations for existing methods as; Asymptomatic Progression, reliance on subjective feedback, multiple tests required, late detection, limited availability of preventive tests, influence of external factors. RESULTS: Findings reveal promising outcomes in terms of glaucoma detection accuracy, particularly in the analysis of the RIM-ONE-r3 dataset. By scrutinizing 20 images from the Healthy, Glaucoma, and Suspects categories through fundus image recognition, our developed AI model consistently achieved high diagnostic accuracy rates. Conclusion Our study suggests that further enhancements in glaucoma detection accuracy are attainable by augmenting the dataset with additional labeled images. We emphasize the significance of considering various application parameters when discussing the integration of computer-aided decision/management systems into healthcare frameworks.

lncRNA FOXD2-AS1 Promotes the Retinoblastoma Cell Viability and Migration by Sponging miR-31.

Background: The purpose of this study was to explore the functions of FOXD2-AS1 and miR-31 in retinoblastoma. Material and Methods. An RT-qPCR assay was applied to calculate the mRNA levels of FOXD2-AS1, miR-31, and PAX9. A dual-luciferase reporter gene assay was employed to verify the connection between FOXD2-AS1, miR-31, and PAX9 expression. Results: FOXD2-AS1 was upregulated, and miR-31 was lowly expressed in retinoblastoma. Low expression of FOXD2-AS1 promoted cell proliferation and migration, and upregulation of FOXD2-AS1 inhibited proliferative and migratory abilities. lncRNA FOXD2-AS1 directly bound to miR-31 and regulated miR-31 expression in SO-RB50 cells. Cell proliferation and migration were inhibited by the miR-31 mimic. miR-31 mediated PAX9 expression via directly binding to PAX9 mRNA. A miR-31 inhibitor partially reversed the effect of FOXD2-AS1 knockdown on the proliferation and migration in SO-RB50 cells. FOXD2-AS1 knockdown reduced PAX9 expression in SO-RB50 cells. PAX9 had negative connection with miR-31, and it had positive relationship with FOXD2-AS1. Conclusion: lncRNA FOXD2-AS1 inhibited cell proliferation and migration via the miRNA-31/PAX9 axis in retinoblastoma.

Macular Edema and Visual Acuity Observation after Cataract Surgery in Patients with Diabetic Retinopathy.

OBJECTIVE: The purpose was to explore the effect of cataract surgery on postoperative macular edema and visual acuity in patients with diabetic retinopathy. METHODS: 88 patients with diabetic retinopathy treated in our hospital (December 2019-December 2020) were chosen as research subjects and divided into experimental group of 44 patients (52 eyes) and control group of 44 patients (54 eyes) according to the odd and even admission numbers. The control group received laser photocoagulation treatment, while the experimental group underwent cataract surgery. The central macular thickness (CMT) and visual acuity of the two groups after treatment were detected to evaluate the therapeutic effect of different treatment methods on diabetic retinopathy. RESULTS: No obvious differences in sex ratio, average age, average course of disease, average weight, average BMI, average glycosylated hemoglobin, and residence were found between the two groups (P > 0.05). The total clinical effective rate in the experimental group was obviously higher compared with the control group (P < 0.05). The CMT at T1, T2, and T3 in the experimental group was obviously lower compared with the control group (P < 0.05). The BCVA in the experimental group at 1 month and 3 months after treatment was obviously higher compared with the control group (P < 0.05). The VEGF levels of both groups after treatment were obviously lower (P < 0.001), and the VEGF level in the experimental group after treatment was obviously lower compared with the control group (P < 0.001). The total incidence of complications in the experimental group was obviously lower compared with the control group (P < 0.05). CONCLUSION: Cataract surgery is a reliable method to improve visual acuity and reduce serum inflammatory indicators in patients with diabetic retinopathy, with better clinical effect than laser photocoagulation, which is recommended for the treatment of diabetic retinopathy.

Environmental free radicals efficiently inhibit the conjugative transfer of antibiotic resistance by altering cellular metabolism and plasmid transfer.

Spread of antibiotic-resistant genes (ARGs) is a global public safety issue and inhibition their transfer is imperative. In this study, a novel strategy using environmental free radical exposure was developed to inhibit conjugative transfer of ARGs (RP4 plasmid) in aqueous solutions. Long-time free radical (·OH, 1O2, and O2·-) exposure significantly suppressed the conjugative transfer frequency of ARGs between Escherichia coli (E. coli) strains, and ·OH was more likely to attack ARG, thereby inhibiting the conjugate transfer frequency, compared to 1O2 and O2·-. Compared with the control, the conjugative transfer frequency significantly decreased from 4.08 × 10-5 to 1.2 × 10-8 after 10 min free radical exposure, confirming that the transfer and proliferation of ARGs were well inhibited. Correspondingly, the number of transconjugant significantly decreased by 61.7% after 10 min free radical exposure. Significant reductions in reactive oxygen species levels (ROS content and enzyme levels) and DNA damage-induced responses in the donor strains were observed after 10 min free radical exposure. Concurrently, intercellular contact was also weakened via inhibiting the synthesis of polysaccharides in extracellular polymeric substances. Moreover, the expressions of plasmid transfer genes were down-regulated after 10 min exposure due to the shortage of adenosine-triphosphate supply. This study firstly disclosed the underneath mechanisms for depressing ARGs transfer and dissemination via environmental free radical exposure.

Inhibited conjugative transfer of antibiotic resistance genes in antibiotic resistant bacteria by surface plasma.

Antibiotic resistant bacteria (ARB) and resistance genes (ARGs) are emerging environmental pollutants with strong pathogenicity. In this study, surface plasma was developed to inactivate the donor ARB with Escherichia coli (AR E. coli) as a model, eliminate ARGs, and inhibit conjugative transfer of ARGs in water, highlighting the influences of concomitant inorganic ions. Surface plasma oxidation significantly inactivated AR E. coli, eliminated ARGs, and inhibited conjugative transfer of ARGs, and the presence of NO3-, Cu2+, and Fe2+ all promoted these processes, and SO42- did not have distinct effect. Approximately 4.5log AR E. coli was inactivated within 10 min treatment, and it increased to 7.4log AR E. coli after adding Fe2+. Integrons intI1 decreased by 3.10log (without Fe2+) and 4.43log (adding Fe2+); the addition of Fe2+ in the surface plasma induced 99.8% decline in the conjugative transfer frequency. The inhibition effects on the conjugative transfer of ARGs were mainly attributed to the reduced reactive oxygen species levels, decreased DNA damage-induced response, decreased intercellular contact, and down-regulated expression of plasmid transfer genes. This study disclosed underlying mechanisms for inhibiting ARGs transfer, and supplied a prospective technique for ARGs control.

Plasma induced efficient removal of antibiotic-resistant Escherichia coli and antibiotic resistance genes, and inhibition of gene transfer by conjugation.

Antibiotic-resistant bacteria (ARB) and their resistance genes (ARGs) are emerging environmental pollutants that pose great threats to human health. In this study, a novel strategy using plasma was developed to simultaneously remove antibiotic-resistant Escherichia coli (AR bio-56954 E. coli) and its ARGs, aiming to inhibit gene transfer by conjugation. Approximately 6.6 log AR bio-56954 E. coli was inactivated within 10 min plasma treatment, and the antibiotic resistance to tested antibiotics (tetracycline, gentamicin, and amoxicillin) significantly decreased. Reactive oxygen and nitrogen species (RONS) including •OH, 1O2, O2•-, NO2-, and NO3- contributed to ARB and ARGs elimination; their attacks led to destruction of cell membrane, accumulation of excessive intracellular reactive oxygen substances, deterioration of conformational structures of proteins, and destroy of nucleotide bases of DNA. As a result, the ARGs (tet(C), tet(W), blaTEM-1, aac(3)-II), and integron gene intI1), and conjugative transfer frequency of ARGs significantly decreased after plasma treatment. The results demonstrated that plasma has great prospective application in removing ARB and ARGs in water, inhibiting gene transfer by conjugation.

TUG1 promotes retinoblastoma progression by sponging miR-516b-5p to upregulate H6PD expression.

BACKGROUND: Retinoblastoma (RB), depicted as an aggressive eye cancer, mainly occurs in infancy and childhood and is followed by high mortality and poor prognosis. Increasing evidence has revealed that long noncoding RNA taurine upregulated gene 1 (TUG1) is closely linked to the progression of diverse cancers. Nonetheless, the specific function and molecular regulatory mechanism of TUG1 in RB still need to be explored. METHODS: To explore the specific role of TUG1 in RB. TUG1 expression was detected by real-time quantitative polymerase chain reaction (RT-qPCR). Cell counting kit-8 (CCK-8), colony formation, 5-ethynyl-2'-deoxyuridine (EdU), caspase-3, terminal-deoxynucleotidyl transferase mediated nick end labeling (TUNEL) and western blot assays were utilized to study the role of TUG1 in RB. The binding relation between miR-516b-5p and TUG1 or hexose-6-phosphate dehydrogenase/glucose 1-dehydrogenase (H6PD) was analyzed by luciferase reporter and RNA immunoprecipitation (RIP) assays. RESULTS: The expression of TUG1 was upregulated in RB cells. TUG1 knockdown repressed proliferation ability and promoted apoptosis ability of RB cells. Moreover, TUG1 could bind with miR-516b-5p, which targeted H6PD in RB. In addition, the expression of H6PD was negatively and positively regulated by miR-516b-5p and TUG1 in RB, respectively. Finally, H6PD overexpression could partially offset the effects of TUG1 deficiency on cell proliferation and apoptosis. CONCLUSIONS: TUG1 promoted the development of RB by sponging miR-516b-5p to upregulate H6PD expression, which might provide a new thought for researching RB-related molecular mechanism.

Expression of miR-34a in cataract rats and its related mechanism.

Expression of miR-34a in cataract rats and its related mechanism were investigated. A total of 30 SD rats were selected and divided into three groups: group A: 2-month-old lucent lens, group B: 18-month-old lucent lens, and group C: 18-month-old naturally occurring cataract lens. The lens was taken and measured by LOC III to determine the degree of lens opacity of the three groups of rats. qPCR was used to detect expression of miR-34a and mRNA of SIRT1 and P53. Western blotting was used to detect the protein expression of SIRT1 and P53. Cell apoptosis was detected by flow cytometry. The lens of rats in group C was more turbid than that of groups A and B (P<0.05). The expression levels of miR-34a and P53 mRNA in the rats lens of group C were significantly higher than those in groups A and B, and the expression of SIRT1 mRNA was significantly lower than that of groups A and group B (P<0.05). Expression of miR-34a in group A was significantly higher than that in group B, the mRNA expression of SIRT1 was significantly lower than that in the lucent lens of 18-month-old rats (P<0.05). The expression of SIRT1 protein in group C was significantly lower than that in groups A and group B, while the expression level of P53 protein in group C was significantly higher than that of groups A and B. The expression of SIRT1 protein in group B was significantly higher than that in group A (P<0.05). The apoptosis rate of group C was higher than that of groups A and group B (P<0.05). In conclusion, the upregulation of expression level of miR-34a is related to cataract occurrence in rats, which may be caused by regulation of SIRT1 protein.

Formation of simple single-tailed vesicles mediated by lipophilic solid surfaces.

Adsorption and aggregation of surfactants at solid-liquid interfaces were fairly well understood, but there was limited knowledge regarding the effect of the presence of a solid surface on aggregate structures in bulk solution. Except for the fatty acid system, most simple single-tailed surfactants (STSs) are well known to form micelles but not vesicles in aqueous solution. Herein, we report a novel phenomenon: with the mediation of lipophilic solid surfaces (LSSs), the zwitterionic STS lauryl sulfobetaine (LSB) formed vesicles from its micellar solution without any additives, producing a mixed solution of vesicles and micelles. More interestingly, the STS vesicles coexisted stably with micelles in the solution and were thermally insensitive even after the removal of LSSs. The quantity of LSB vesicles decreases with the addition of ethanol. The pH effects (4.0-9.0) did not have an obvious influence on the formation and stability of the LSB vesicles. Similar results were obtained from the other STSs, suggesting that the LSS-mediated micelle-to-vesicle transition may be a general phenomenon. We proposed a possible mechanism that adsorption, the matrix effect, and interdigitated bilayer structures were probably crucial for the formation and stability of STS vesicles. We expect this work to provide important insights into the effect of the solid/liquid interface on the self-assembly chemistry of surfactants in bulk solution.

A Nonconventional Model of Protocell-like Vesicles: Anionic Clay Surface-Mediated Formation from a Single-Tailed Amphiphile.

We report a novel model system of precursor cellular membranes, self-assembled from micellar solution of a common anionic single-tailed amphiphile (STA), including sodium dodecyl sulfate (SDS) and sodium dodecylbenzenesulfonate (SDBS). The self-assembly process was mediated with solid surfaces of Mg2Al-CO3 hydrotalcite-like compound (HTlc), an anionic clay, in the absence of cosurfactants or any additives. The resultant STA vesicles were characterized using negative-staining and cryogenic transmission electron microscopies, as well as dynamic light scattering and steady state fluorescence techniques. Interestingly, the obtained STA vesicles displayed good stability even after the removal of the anionic clay surface (ACS), and a self-reproduction phenomenon was observed for the "preformed" STA vesicles when mixing with corresponding STA micellar solutions. More importantly, the micelle-to-vesicle transition for SDS could be still arisen in high-salinity artificial seawater under the ACS mediation. Instead of conventional fatty acid scenario, our finding provides another novel possible model for protocell-like vesicles, which are easily formed under the plausible prebiotic conditions.

Association between PON1 L55M polymorphism and ischemic stroke: a systematic review and meta-analysis.

OBJECTIVE: The present study aims to evaluate the relation between PON1 L55M polymorphism and ischemic stroke by a meta-analysis method. METHODS: English and Chinese databases were retrieved to find qualified studies; a random or fixed effects model was used to merge the odds ratio (OR); Q test was used to assess the heterogeneity among studies, and Egger's test and funnel plot were used for the assessment of publication bias. RESULTS: 14 studies were included in the meta-analysis; in total populations, there was no association between PON1 gene L55M polymorphism and ischemic stroke in additive, dominant, and recessive model, respectively. Furthermore, we did not found associations between L55M and ischemic stroke in Asian or Caucasian population. CONCLUSION: Available evidences suggested that L55M polymorphism had no effect on the risk of ischemic stroke. However, this conclusion needs further validation by larger sample and well-designed studies.

Rough glass surface-mediated transition of micelle-to-vesicle in sodium dodecylbenzenesulfonate solutions.

In this paper, we report a micelle-to-vesicle transition in aqueous solution of the anionic single-tailed surfactant (STS) sodium dodecylbenzenesulfonate (SDBS), with the mediation of a rough glass surface (RGS) in the absence of cosurfactants or additives. This transition produced a mixed solution of vesicles and micelles. Interestingly, the obtained SDBS vesicles in the solution displayed good stability during a long-term storage (at least 6 months at room temperature), exposure to high temperature (80 °C for 2 h), and freeze-thawing (-20 or -196 °C for 2 h to approximately 25 °C) after the RGS was removed. Our results confirmed that SDBS could adsorb on the RGS to form bilayers, in which the molecular packing parameter of SDBS was in the range of 1/2-1. The bilayer adsorption and the roughness of the solid surface played an important role in the vesicle formation. In addition, we propose a possible mechanism for the RGS-mediated transition of micelle-to-vesicle in SDBS solutions: SDBS micelles and molecules adsorb on the RGS to form curved bilayers; the curved bilayers detach from the RGS, and then close to form vesicles.

Rough glass surface-mediated formation of vesicles from lauryl sulfobetaine micellar solutions.

We report novel vesicles composed of the zwitterionic surfactant lauryl sulfobetaine (LSB), which is a simple single-tailed surfactant (STS). The novel vesicles spontaneously formed from LSB micellar solutions with the mediation of a rough glass surface (RGS) in the absence of any cosurfactants or additives. Importantly, the obtained STS vesicles displayed good stability upon long-term storage, exposure to high temperature, and freeze-thawing after the RGS was removed. The pH of the LSB solution (4.0-9.0) and the presence of NaCl (1.0 × 10(-5) and 1.0 × 10(-4) mol/L) in the LSB solution had no obvious influence on the formation and stability of the vesicles. The adsorption configuration of LSB on the RGS was investigated via water contact angle measurements and atomic force microscope observations. The results showed that LSB adsorption bilayers could form on the RGS, and the bilayer adsorption of LSB on the RGS and the roughness of the solid surface played a key role in the vesicle formation. A possible mechanism for the RGS-mediated formation of LSB vesicles is proposed: LSB micelles and molecules adsorb on the RGS to form curved bilayers, and the curved bilayers are then detached from the RGS and close to form vesicles. To the best of our knowledge, this is the first report of LSB alone forming vesicles. This finding extends our understanding of the nature of vesicle systems.

Vesicles composed of one simple single-tailed surfactant.

Novel vesicles formed spontaneously from the micelle solution of DTAB, a single-tailed surfactant (STS), mediated by a rough glass surface (RGS) without any additives. The obtained STS vesicles displayed good stability upon long-term storage, exposure to high temperatures, and freeze-thawing after the removal of RGS.