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A graph-based algorithm for RNA-seq data normalization
Authors: Diem-Trang Tran aff001; Aditya Bhaskara aff001; Balagurunathan Kuberan aff002; Matthew Might aff004
Authors place of work: School of Computing, University of Utah, Salt Lake City, Utah, United States of America aff001; Department of Medicinal Chemistry, University of Utah, Salt Lake City, Utah, United States of America aff002; Department of Biology, University of Utah, Salt Lake City, Utah, United States of America aff003; Hugh Kaul Precision Medicine Institute, University of Alabama at Birmingham, Birmingham, Alabama, United States of America aff004
Published in the journal: PLoS ONE 15(1)
Category: Research Article
doi: https://doi.org/10.1371/journal.pone.0227760Summary
The use of RNA-sequencing has garnered much attention in recent years for characterizing and understanding various biological systems. However, it remains a major challenge to gain insights from a large number of RNA-seq experiments collectively, due to the normalization problem. Normalization has been challenging due to an inherent circularity, requiring that RNA-seq data be normalized before any pattern of differential (or non-differential) expression can be ascertained; meanwhile, the prior knowledge of non-differential transcripts is crucial to the normalization process. Some methods have successfully overcome this problem by the assumption that most transcripts are not differentially expressed. However, when RNA-seq profiles become more abundant and heterogeneous, this assumption fails to hold, leading to erroneous normalization. We present a normalization procedure that does not rely on this assumption, nor prior knowledge about the reference transcripts. This algorithm is based on a graph constructed from intrinsic correlations among RNA-seq transcripts and seeks to identify a set of densely connected vertices as references. Application of this algorithm on our synthesized validation data showed that it could recover the reference transcripts with high precision, thus resulting in high-quality normalization. On a realistic data set from the ENCODE project, this algorithm gave good results and could finish in a reasonable time. These preliminary results imply that we may be able to break the long persisting circularity problem in RNA-seq normalization.
Keywords:
Gene expression – Sequence alignment – Algorithms – signal transduction – Transcriptome analysis – RNA sequencing – Clustering algorithms – Gene pool
Introduction
RNA-sequencing (RNA-seq) has become a critical tool to study biological systems [1]. The technique starts with extracting the RNA fraction of interest and preparing them for high-throughput sequencing. Sequencers typically output short reads that are then assembled or aligned to a pre-assembled genome or transcriptome, resulting in a quantity called read count for each transcript. Due to variations in sequencing depth (i.e. library size, the total number of read count per sample) and in relative contribution of each transcript under different conditions, these read counts need to be normalized such that the changes in their measurements, usually indicated by fold-change, accurately reflect the differences between conditions. This is often named the between-sample normalization problem, which has attracted much efforts in solving it. One universal aim of the methods proposed in this arena is to derive sample-specific scaling factors, either by a data-driven or knowledge-based approach. Data-driven methods to estimate normalization factors have evolved from simple total count (TC) to more sophisticated statistics [2–4], to iterative approaches [5–8] that are built on top of simpler estimators. The most primitive estimator, usually referred to as total count (TC) normalization, simply uses the sum of all counts in each sample to normalize every gene. This operation is in fact a within-sample normalization. First-generation methods of between-sample normalization involve a closed-form evaluation of one scaling factor per sample. In the upper quartile (UQ) method [2], each samples are scaled by the total counts of genes in the upper quartile after removing zero counts. Adjustments based on more sophisticated statistics such as median of the ratio of a gene and its geometric mean across samples [4] or Trimmed Mean of M-values (TMM) [3] worked on the assumption that most genes are not differentially expressed across conditions. Second-generation methods usually follow an iterative scheme in which read counts are first normalized under the hypothesis that (almost) no genes are differentially expressed (DE), the set of non-DE genes are then refined based on some gene-based measures, and the procedure repeats until convergence. PoissonSeq [5] starts with total count as initial estimate of scaling factor, equivalently the result of fitting a Poisson log linear model under the null hypothesis (no gene is DE), then calculates the goodness-of-fit for each genes, marking those within a chosen quantile to be non-DE, and fits the model again under new hypothesis (selected genes are non-DE). TbT [6] and its generalized form DEGES (DE-Gene Elimination Strategy) [7] calculate normalization factors with a first-generation method (UQ, TMM, DESeq), tests for differential expression by a DE detection routine (edgeR, DESeq, baySeq), removes the DE genes and re-calculates normalization factors. In a similar fashion, a more recent method by Zhuo et al. [8] starts with the DESeq normalization (sometimes referred to as the relative log expression (RLE) method, to distinguish the scaling step from the DE detection step of DESeq), fitting a Poisson log linear model for each gene, calculating the total variance of each genes under this model, selecting a subset with least variance as the references, updating the normalization factors and repeats if necessary. Knowledge-based methods rely on sources of information beyond the RNA-seq measurements to determine possibly invariant transcripts and pivot on them to normalize the raw counts. Following the common practices in quantitative PCR, housekeeping genes, believed to be expressed at similar levels across conditions, have been used as endogenous references [9]. However, many common housekeeping references turned out to vary significantly (see Huggett et al. [10] for an extensive list of such examples), leading to the favor of exogenous controls, i.e spike-in RNAs [11, 12]. The addition of external spike RNAs significantly increases the cost, complicates experimental processes, and is inapplicable for integrating the large number of data from different experiments and laboratories which used different spikes, or most of the times, no spike at all. At the intersection between data-driven and knowledge-based approaches, a hybrid method proposed by Chen et al. [13] uses functional annotations to calculate the relevance of a genes with respect to the target experimental conditions and automatically suggest most functionally distant set of genes as references.
Among data-driven methods, early benchmark studies have shown that some first-generation methods can perform very well in differential expression (DE) analyses [14, 15]. A major caveat is the core assumption that most genes are not differentially expressed across conditions of interest [16]. This assumption fails to hold when one needs to analyze multitude and variable conditions. Second-generation, iterative procedures consciously operate under a circular dependence wherein the pruning of DE genes depends on a good normalization [8]. They are, in turn, dependent on the same assumption as that of the first-generation methods and tend to exaggerate the errors when the proportion of DE genes are high [16]. Knowledge-based methods suffer from a different type of circularity, implicitly requiring that new findings align with previously documented gene functions. Although useful, they may become problematic when experimental conditions are vastly different from established ones.
We propose a new method of normalization that can break this circularity, without relying on assumption of biological similarity between the conditions, nor a priori knowledge about the controls, internal or external. We first show that there exist intrinsic correlations among reference transcripts that could be exploited to distinguish them from differential ones, and then introduce an algorithm to discover these references. This algorithm works by modeling each transcript as a vertex, and correlations between them as edges in a graph. Under this model, a set of references manifest themselves as a complete subgraph and therefore can be identified by solving a clique problem. With a few practical adjustments, the algorithm can be finished in reasonable time and give good results on both the validation data and a real data set.
Formulation of graph-based normalization
Definitions and notations
An RNA-seq measurement on one biological sample results in a vector of abundance values of n genes/transcripts. A collection of measurements on m samples results in m such vectors can then be represented by an m × n matrix.
Let A denote the abundance matrix in which the element aij is the true abundance of transcript j in sample i, C the read count matrix in which the element cij represents the read count of transcript j in sample i. The total read counts of row Ci is the sequencing depth (or library size) of sample i, Mi = ∑j cij. Let Arel denote the relative abundance matrix, of which the element a i j r e l is the relative abundance of transcript j in sample i
A is the underlying expression profile dictating the measurement in C. Since the exact recovery of A is difficult, it usually suffices to normalize C to a manifest abundance matrix A* of which a i j * = const × a i j, const is an unknown, yet absolute constant. Such A* is considered a desirable normalization.
Differential genes/transcripts are differentially expressed due to distinct biological regulation of the conditions being studied, thus are of biological interest. The term condition may represent different states of a cell population (normal vs tumor, control vs drug-administered, etc.), or different histological origins (cerebellum vs frontal cortex, lung, liver, muscle, etc.). Although differential is usually encountered in the comparison of two conditions, we will use the term with a broader sense, for multi-condition assays to indicate genes/transcripts that vary with the conditions.
Reference genes/transcripts are expressed at equivalent levels across conditions. From the biological standpoint, reference genes/transcripts should be constitutive, or at the least, are not under the biological regulations that distinguish the conditions. It should be noted that, for the purpose of normalizing read counts, reference genes/transcripts are numerically stable across conditions, and are not necessarily related to housekeeping genes/transcripts.
In this text, it is often more appropriate to use the term feature in place of gene/transcript to indicate the target entity of quantification, which can be mRNA, non-coding RNA or spike-in RNA. These features can be quantified at the transcript level or the gene level which aggregates the abundance of multiple isoforms if necessary.
Normalization by references
Normalization by references has been a standard practice since the early expression profiling experiments where a few transcripts are measured individually by quantitative PCR [17]. This idea has been carried over to normalizing RNA-seq expression profiles. Here we show how it works in this new setting (Theorem 1), and how the inclusion of differential features or exclusion of reference ones affect the normalization (Proposition 1 and 2).
In the following, ∑j∈ref means summation over features in the reference set, and ∑j∈all means summation over all features.
For simplicity, feature abundance is treated as condition-specific constant, that is, assuming biological and technical variance across replicates of the same condition is zero. The operations remain the same when abundance levels and read counts are treated as random variables, by replacing the relevant constants (aij, cij) by the expectations of their random-variable counterparts (E [ a i j ] , E [ c i j ]).
Theorem 1. Let N = [N1, N2, …, Nm]T be the reference-based normalizing vector, i.e. the scaling factor Ni is the sum of read counts of all the reference features in that sample.
The manifest abundance A* resulted from normalizing C against N is the desirable manifest abundance. In other words, if a i j * = c i j / N i then a i j * = c o n s t × a i j , const is a quantity that does not depend on the row/column.
Since references are constant across samples, their sum is also constant.
Thus, the Eq (6) implies that the manifest abundance is simply a multiple of the true abundance.
Note that in the proof above, we have used a simplified assumption about the distribution of read counts, c i j = a i j r e l × M i. This assumption has abstracted away length bias in which a longer transcript takes a larger share of reads. To account for length more explicitly, one can define a quantity called length-adjusted relative abundance, b i j r e l = a i j ℓ j ∑ g ∈ a l l a i g ℓ g, in which ℓj is the length correction factor for feature j. The model of read counts is now equivalent to that used by Robinson & Oshlack [3], i.e.
The relative abundance a i j r e l can then be replaced by b i j r e l, resulting in a proof identical to the above.
A subset of references is sufficient for normalization
Proposition 1 and 2 demonstrate the effect of mistaking differential features in the reference set, or missing some reference features during normalization.
Proposition 1. Inclusion of any differential feature in the normalizing factors leads to an invalid normalization.
Proof. Let a i j ′ = c i j N i + c i d in which cid is the count of a differential feature, in similar operations as the above, we can arrive at a i j ′ = a i j ∑ j r e f a i j + a i d. Since d is differential gene, the denominator is not constant, thus A′ ≠ const × A.
Proposition 2. Any non-empty subset of the reference set leads to a valid normalization.
Proof. Identical to that of Proposition 1.
Intuitively, a larger reference set is more favorable than a smaller one, due to the noisy nature of experimental measurements. In practice, a larger set of references can be identified with more confidence than a smaller one, as elaborated later in Practical considerations.
Manifest correlation of transcripts in RNA-seq
In the following sections we use c for read count and a for the true abundance, hence c is a function of a, i.e. c = f(a). The subscript i, j indicates different conditions, and u, v different features.
u and v are both references
By definition, reference features are constant across conditions, i.e.
Since read counts depends on true abundance a, sequencing depth M, and transcript length ℓ,
From Eqs (8) and (9), it is true that
Observation 1. If u and v are both reference features, their read counts are linearly correlated.
u is differential, v is reference (or vice versa)
With similar operation, the observed relation between u and v in each condition are
Observation 2. If u is a differential feature and v is a reference one (or vice versa), their read counts are not linearly correlated.
u and v are both differential
Observation 3. If u and v are both differential features, the two will exhibit linear correlation if and only if they vary at similar proportion (i.e. same fold change) across different conditions.
Graph-based normalization algorithm
It follows from the earlier remarks (Observations 1, 2, 3) that all the references in an RNA-seq data set are linearly correlated with one another. Although the derivation was based on a simplistic treatment of expression levels as condition-specific constants, the effect was in fact observed in real data. In the ENCODE data set where ERCC spike-in RNAs were added at constant concentrations across samples, the read counts of these spike-ins are highly correlated (Fig 1).
Fig. 1. Correlation of references in experimental data. Read counts of ERCC spike RNAs in ENCODE mouse tissue samples are plotted on parallel coordinates. Each polyline represents a sample, spike-in RNAs are sorted by their nominal concentration which is specific for each spike, but constant per spike across all samples. The parallel polylines indicate a positive correlation between these spikes. On this premise, using a graph that models features as vertices, and positive correlation between them as edges, it is apparent that reference features will manifest themselves as a complete subgraph. However, there might exist other complete subgraphs composed of strongly co-expressed differential features (Observation 3). A couple of criteria can be employed to further distinguish the reference subgraph and the differential ones. First, differential subgraphs represent tightly regulated and co-expressed features in biological systems throughout all conditions. Consequently, larger differential subgraph is less likely to exists. By setting the minimum size of the target subgraph, or favoring larger size subgraphs, one can reduce the chance of picking up differential ones. Second, all reference features are correlated with one another, resulting in a close-to-rank-1 read count matrix. By favoring the subset having smaller rank-1-residuals, one can choose a better set of references. Rank-1-residuals of the reference features R, more precisely of their read count matrix CR, is the normalized sum of the singular values except the first one.
Altogether, these observations imply that by finding all maximal_cliques() and select the best() one, i.e. the lowest rank-1-residuals with a large enough size, one can identify the set of references (Algorithm 1) to be used in normalizing the read counts (Algorithm 2).
Algorithm 1 Graph-based reference identification
function identify_references(C)
for i from 1 to (n − 1) do
for j from (i + 1) to n do
if cor(i, j) ≥ t) then Eij ← 1
Build graph: G = (V,E)
candidates = maximal_cliques(G)
return best(candidates)
Algorithm 2 Graph-based normalization
function gbnorm(C)
Stage 1. Identify references: R ← identify_references(C)
Stage 2. Normalize C against R:
for every sample i do
calculate scale factor si ← ∑j∈R C[i, j]
A [ i , j ] ← C [ i , j ] s i
return A
Practical considerations
The idea outlined in Algorithm 1 is in fact not efficient enough for realistic data. The first major cost is incurred by the construction of graph G(V, E) which requires O(|V|2) both in time and space for calculating and storing the correlation matrix, with |V| being the number of vertices. A typical transcriptome with 70000 features takes up 18GB, far exceeding the average computer memory of 8GB at the time of this writing. In practice, the number of vertices can be significantly reduced by retaining only features that have non-zero (or high enough to be considered reliably detected) read counts across all samples. The cumulative distribution of minimum read count across samples of the real data set revealed that 85% of the vertices can be eliminated with a non-zero filter (S1 Supporting Methods). The vertices can be pruned even further with a low-expression filter, for example, to retain only transcripts that are persistently expressed above the lower quartile. Since RNA-seq measures are most reliable in the moderate expression levels, such trimming practice, in addition to reducing complexity of the graph problem, will also improve reliability of the input and have been a common practice in earlier normalization strategies [2, 3]. The second bottleneck happens at the clique problem. The enumeration of all maximal cliques takes exponential time, for which the most efficient algorithm available runs in time O(d|V|3d/3), that is, exponential in graph degeneracy d which measures a graph sparsity, making it efficient only on sparse graphs where d is small enough [18]. Since a feature cannot be both reference and differential at the same time, it is sufficient to find non-overlapping subgraph. This allows us to avoid the prohibitive cost of enumerating all maximal cliques replacing this problem with finding densely connected subgraphs, i.e. graph communities (Algorithm 3). Because we are only concerned with one outstanding community in the graph, an accurate and complete graph partitioning may not be necessary. Furthermore, as a subset of references is sufficient for good normalization (Theorem 2), it is tolerable to miss a few members in the target community. For those reasons, many good graph partitioning methods can be used in this step. Among the available methods, affinity propagation [19] conveniently takes a similarity matrix as an input, thus can be run on correlation matrix without transformation.
For a proof-of-concept implementation, we used the R package apcluster [20] for affinity propagation algorithm. Parametric choices were elaborated further in the S1 Supporting Methods.
Algorithm 3 Graph-based reference identification, with practical considerations
function identify_references(C)
remove features with zero/low counts, m features remain
for i from 1 to (m − 1) do
for j from (i + 1) to m do
if cor(i, j) ≥ t) then Eij ← t
Build graph with weighted edges: G = (V,E)
candidates = community(G)
remove candidates with minimum cor < t
return arg min b ∈ c a n d i d a t e s rank_1_residuals(b)
Methods
Normalization performance is measured against a collection of mini validation data sets and a full-size data set, where a ground truth can be computed using ERCC spike-ins. The effect of normalization in the presence of batches was observed on a batch-confounded data set.
Performance measure
Performance of normalization procedure was measured in two terms, by precision in detecting the references, and by condition-number-based deviation (cdev) from the ground-truth normalization. Both measures are only computable when a ground-truth is known. In the case of precision, constant-concentration spike-in RNAs are the ground-truth references. In the case of cdev, the expression matrix resulted from normalizing against these spike-ins serves as the ground-truth normalization.
Condition-number-based deviation (cdev)
Let A be the true abundance matrix. Since A cannot be measured directly, in the setting of performance measure, a ground-truth normalization serves as a surrogate for A, i.e, A ≡ normalize(C, R), with R being the set of all true references.
By definition, an ideal normalization is one that can be transformed into A by multiplying with a constant factor, i.e., A* is ideal normalization if A* × constI = A, with I being the identity matrix.
Let AX ≡ normalize(C, X) be result of normalizing C against the set X, BX the matrix that transforms AX to the ground-truth normalization A.
Since any constant multiplication of the ground-truth A is a valid normalization (see Definitions and Notations), AX is considered valid if BX = const × I. Hence the quality of the reference set X can be measured by how much B deviates from the identity form, quantified by the condition number of B.
In another word, X is a better reference set and AX is closer to the ground truth if the condition-number-based deviation of AX from A, denoted cdev(AX, A)≡κ(BX) is closer to 1. For brevity, cdev in the following text is implicitly measured against the ground truth normalization A.
Data sets
Validation data sets
Transcriptomic profiling data were downloaded from the ENCODE project [21], including 71 samples covering various mouse tissues (Table 1). All of the raw output have been pre-processed according to the ENCODE Uniform Processing Pipeline, i.e. aligned to the mouse genome mm10, and quantified by RSEM [22] to result in expected read counts, using the gene/transcript annotation GENCODE M4. These results were then consolidated into a read count matrix of 71 samples × 69691 features. This matrix is the Full data set. Among these samples, only a subset of 41 were spiked with ERCC synthetic RNAs (at concentrations established in the NIST Pool 14), composing the Full Spiked set. Together, these two sets help to evaluate the performance of reference identification in a realistic situation. The Full set is typical for what is usually subjected to RNA-seq normalization algorithms: covering the complete transcriptome with a number of internal references. Since this set includes some samples that were not spiked with external RNAs, the spike RNAs are differential, thus should not be selected by reference identification procedure. As internal references are constant across all samples in the Full set, they are also constant in the Full Spiked set, thus remain the references in this subset. The Full Spiked set, as its name implies, has additional references thanks to the spiked RNAs. As stated by Proposition 2, both reference sets should result in equally valid normalization. Since external references are known, normalization by them is chosen to be the ground truth. A reference set is better if it can normalize the read counts closer to the ground truth.
Tab. 1. Number of samples per conditions in the Full and Validation data sets. A subset of 41 samples that were spiked with ERCC synthetic RNAs (NIST Pool 14 concentrations) and 1433 genes plus spike RNAs were used to construct the validation data set as illustrated in Fig 2B. In these data, the ERCC spike RNAs serve as reference features, while the differential features are emulated by genes known to participate in signal transduction pathways (REACTOME accession R-MMU-162582 [23]). This choice of differential genes aims to ensure that the validation data set (1) covers a wide range of expression levels (gene products in a signaling cascade are expressed at different levels), (2) includes biologically meaningful correlation, i.e. regulated co-expression, besides artifact correlation of the reference genes and (3) mimics the variability across tissue types (signaling pathways are generally different across biological conditions) (see S1 Supporting Methods). From this pool of differential features, mini validation sets are generated by picking random combinations of signal transduction pathways (Fig 2B).
Fig. 2. Diagram of validation data set construction. (A) The largest—Full dataset—includes 71 samples (rows) and 69691 features (columns). A subset of these samples were spiked with ERCC spike-ins, making up the Full Spiked data set (41 samples × 69691 features). Among these features (i.e. genes), only those those involving the signal transduction pathways were selected to create the Reduced set from which mini validation sets were sampled from. (B) Method of generating mini validation sets from experimental mRNA-seq data. The Reduced set includes 1433 genes from signal transduction pathways, plus all ERCC spike-ins. From this pool, 200 mini validation sets were created by random selection of 08 out of 16 pathways. Batch-confounded data set
To illustrate the role of normalization in batch-confounded data, we used a set of 26 samples including 13 pairs of comparable human—mouse tissues. This data was originally collected as part of the ENCODE project [24], and later re-analyzed by Gilad and Mizrahi-Man [25]. Re-analysis showed that the data was confounded by batches, resulting in samples being clustered by species. RNA-seq read counts of these samples and a table of human-mouse orthologous gene pairs were downloaded at doi:10.5281/zenodo.17606 [26]. From these pre-processed counts and gene list, an expression matrix of 26 samples × 14646 genes was compiled.
Batch effects were corrected using ComBat [27] (implemented in the R package sva [28]) to adjust for five sequencing batches identified by Gilad and Mizrahi-Man [25, 26]. ComBat was run either on the raw counts or that normalized by various methods, including gbnorm, resulting in different corrected versions of the expression matrix. Genes with levels in the lowest 30% quantile were then removed, and samples were clustered based on distances calculated from the remaining genes. Various clustering methods (hierarchical, spectral, k-means) on different distance metrics were attempted. The result of hierarchical clustering on Euclidean distance with UPGMA agglomeration scheme is reported in the main text, while the rest of this analysis and source code are available in S2 R Notebook.
Results
Normalization of validation data
The validation data sets include 200 mini expression matrices created as described in Fig 2. The performance of gbnorm is compared with random subset of references and with some existing normalization methods including UQ [2], TMM [3], DESeq [4] and PoissonSeq [5].
Two parameters of the graph construction step were explored: correlation method (Pearson and Spearman) and transformation on the read count (identity, log2 and log10). References were identified with high precision (>0.8) on the mini validation sets, regardless of the graph-construction parameters, resulting in significantly better normalization results compared to random selection of the reference sets. Log-transformation and Pearson Correlation Coefficient (PCC) tend to result in slightly better reference sets, with higher precision (>0.9) and consistently lower cdev (Fig 3).
Fig. 3. Performance of graph-based normalization on the validation data measured by precision in reference identification (left) and by deviation from the ground-truth normalization, cdev(AX, A*) (right). cdev(Arandom, A*) resulted from normalization by random set of references are plotted for comparison. Three types of transformation (identity, log2, log10) and two correlation measures (Spearman, Pearson) were tested, resulted in six different configurations of input to the reference identification procedure. In comparison with earlier normalization methods, gbnorm on validation sets always resulted in normalized counts closer to the ground-truth obtained by normalizing against the external spikes (Fig 4).
Fig. 4. Comparison of graph-based normalization and existing global-scaling methods. Distribution of deviation from the ground-truth, measured by cdev, when normalizing the validation sets by UQ, TMM, DESeq, PoissonSeq, gbnorm and by random sets of features. Ground-truth is obtained by normalizing against ERCC spike-ins with at least 100 counts). Normalization of real data
Graph-based normalization may have difficulty detecting references in a real data set where there are only internal references (genes that are naturally expressed at the same level across conditions) but no external ones (exotic RNAs added at constant concentration to all samples). To test its applicability in such realistic situation, we performed reference identification on the Full set, and measured the quality of its output on the Full Spiked where it is possible to calculate a ground-truth normalization.
gbnorm was run in two stages, (1) reference identification and (2) scaling. Such split-up of the algorithm was to test its ability to detect references in practice when there is no artificially constant RNAs, while retaining our ability to measure normalization quality against a ground-truth dictated by external spikes. The first step was run on both the Full set and the Full Spiked, with one of the best graph-construction parameters as determined on the validation data sets, i.e. edges were formed by Pearson correlation on the log-transformation of read counts. The later used output from the first to normalize the Full Spiked set. Other normalization methods were run in one single step to normalize the Full Spiked set. As shown in Table 2, gbnorm was able to identify internal references where there were no spikes, resulting in a better (smaller cdev) normalization compared to other methods. While earlier methods can be done within seconds, graph-based normalization is inherently expensive, taking from a few to 30 minutes depending on the input on the current data set. This running time is still reasonably accessible for one-time operations. On the Full Spiked set, gbnorm based on affinity propagation clustering had trouble converging to a good solution, resulting in a long running time and worse normalization. It remains to be studied whether other clustering methods can improve on this data set, and how sensitive they are with respect to different properties of the input data such as the correlation distribution and the community structure.
Tab. 2. Comparison of gbnorm and existing normalization methods. Normalization on batch-confounded data set
Given the widespread presence of batch effects [29, 30] in high-throughput data, RNA-seq analytic workflows typically include a batch correction step following normalization [31]. To test the ability of gbnorm to facilitate batch effect removal, we observed the clustering pattern of samples in a human—mouse tissue data set. This data set was originally published by Lin et al. [24] and later demonstrated to be confounded by sequencing batches such that uncorrected data resulted in samples being clustered mostly by species [25]. Here we performed clustering on four different versions of the expression matrix: uncorrected raw counts, uncorrected normalized counts, batch-corrected raw counts and batch-corrected normalized counts. Without batch effect removal, expression profiles of the tissue samples were barely distinguishable, with some outliers standing out from the rest of samples (Fig 5). In contrasts, batch effect removal using ComBat [27] resulted in distinct groups of samples, with grouping pattern varies depending on how the inputs were processed. Correcting for batch effects on raw counts resulted in the clustering of samples mostly by species, while on normalized counts resulted in clustering mostly by tissues (Fig 5). This shift of clustering pattern was observed for all normalization methods (S2 R Notebook), suggesting that normalization, in general, is helpful for batch effect removal, and that most scaling methods examined here (UQ, TMM, DESeq, PoissonSeq, and gbnorm) are equivalent in this role. While different normalization methods resulted in only slightly different clusters, depending on the choice of clustering algorithms and distance metric, batch-corrected raw counts consistently failed to group samples by tissues.
Fig. 5. Batch effect removal performed on raw vs normalized counts resulted in different clustering pattern of the samples. No processing (raw) or normalization alone (gbnorm) did not create clear groups of samples, batch effect correction alone (raw + combat) resulted in samples clustered mostly by species, while the combination of normalization and batch effect correction (gbnorm + combat) resulted in samples clustered mostly by tissues. Samples were clustered by hierarchical clustering, with UPGMA agglomeration method, on Euclidean distance calculated from genes above the 30% quantile. Discussion
Using a simplistic treatment of RNA-seq read counts, we showed that artificial correlations are theoretically expected, and experimentally observed in RNA-seq data. This observation leads to a new way to identify reference features, and consequently, to normalize RNA-seq read counts. Unlike existing methods, this algorithm helps identify a set of references, based on their correlation in read counts, thus eliminating the need for prior knowledge about stably expressed genes and assumptions about similar expression profiles between experimental conditions. It’s worth noticing that this method requires a large number of samples and a quality feature count method for reliable correlation measure.
Upon the finding on artifactual correlations among reference features, the challenge of performance measure is renewed. Quality of RNA-seq normalization has been traditionally judged on the accuracy of DEG detection which requires simulated data sets where DE and non-DE genes can be specified. As conventional simulation procedures do not capture the correlations in the real data, we constructed validation data sets from real measurements, eliminating the need to simulate sequencing reads while preserving the intrinsic correlation required for graph-based normalization. Although this construction aims to measure the performance of graph-based normalization (hereafter denoted as gbnorm), it was crafted to introduce more adversities rather than advantage for the method. This construction also allows us to use a new performance measure based on comparison against the ground-truth instead of relying on the result of DEG detection, effectively uncoupling the normalization step from its downstream analyses. Even though such uncoupling prevents us from positing further on the performance of gbnorm in these analyses, we believe it is a necessary restriction, for those assessments requires careful selection of data sets and performance measures specific to the biological insights being pursued. More sophisticated simulation protocols to re-produce the real data in target properties while retaining correlation structure may be necessary to study such downstream effects of normalization.
To avoid confusion, a discussion on the broad meaning of normalization in the gene expression literature has been delayed until now. Although normalization in this article has been formally defined, and so far exclusively meant, to be a global scaling operation in which a single scaling factor is used per sample, the term may also indicate other distinctive transformations of read count matrix. In particular, factor analysis such as RUV [32] allows for both sample - and gene-specific scaling factors, and quantile normalization [33, 34] enforces identical distribution of read counts between all conditions, via complete replacement of numerical counts by rank-equivalent counts. These processes generate highly different normalized results which would be meaningless to compare directly. It is most likely that specific requirements of downstream analyses will dictate which approach is appropriate, and in case they all are, in which terms they can be compared. That said, these approaches are not always mutually exclusive. For instance, the RUVg variant of RUV method relies on a set of references, either known or determined empirically, to factor out unwanted variations. The empirical determination of these references relies on other processes, such as DE tests with built-in global scaling normalization, or graph-based reference identification. This way, RUV and global scaling methods are complementary steps in a normalization protocol.
Another important aspect of gene expression profiling analysis is batch effect removal. Batch effects can arise from various technical discrepancies in the whole experimental process, ranging from instruments, reagents, protocols to handlers and time, producing non-biological sources of variations [29, 30]. The use of ERCC spike-ins to establish the ground truth may lead to an expectation that this ground truth is free from all batch effects. This expectation would be reasonable if spike-ins are used to derive a standard curve from which absolute RNA concentrations can be inferred, a use originally intended for these synthetic sequences [11]. Other than building standard curve, spike-ins can also be used in global scaling and factor analysis, to derive sample-specific and sample-gene-specific scaling factors, respectively [35]. Since batch effects can be complicated, e.g. affecting different genes in different ways [29], it is apparent that sample-specific scaling factors will not be able to eliminate all the unwanted variations. That realization does not negate the need of global scaling normalization. As indicated by our analysis on a batch-confounded data set, such normalization prior to batch effect correction can critically improve the outcome. Still, the complete remedy of batch effects is a complicated matter which calls for scrupulous planning as early as experimental design, as well as deliberations on batch effect removal algorithms [30].
A peripheral, yet important implication of this work is the fact that artifactual correlations do arise from RNA sequencing process. Because correlations have been routinely used to measure co-expression and to derive biological meanings [36, 37], this finding suggests that researchers exercise more caution when interpreting correlations on RNA-seq read counts. As a result of Observation 1, correlation does not always indicate the existence of biological regulation.
Graph-based normalization promises to deliver a better result, evidently at the cost of higher computational demand. In many conventional use cases such as DE detection in comparable conditions, it may still be preferable to use conventional methods such as TMM [3] and DESeq [4, 38], which performed well in previous benchmark studies [14]. As the need arises for analyzing more expression profiles of higher heterogeneity, methods without assumption about condition similarity such as gbnorm should be considered. The ability to work on abundant and heterogeneous profiles make it more versatile, applicable to a wide range of settings such as mRNA-seq from different organs, tissue types, developmental stages, cell types, or even 16S-RNA-seq from diverse microbiomes. Analytic methods that specifically required normalized expression levels as their input [39, 40] will benefit from cross-sample, application-independent normalization methods such as gbnorm. Although presented here as a normalization method, at the core of gbnorm is a reference identification procedure. These references can be applied in different ways. In many count-based DE tests, it is critical that the input count matrix remain integer, and normalization factors introduced as offsets. Users of these workflows should be highly aware of how scaling factors are defined and used in each case [41, 42].
Gbnorm relies on a community detection algorithm which has plenty of options from previous research, provided that the chosen algorithm does not require the number of communities as an input. Unfortunately, this wealth of choices implies that the performance can vary significantly depending on specific community detection approach and its corresponding parameters, as is the case with many graph-based problems. Our current choice, the affinity propagation algorithm, conveniently takes similarity matrix as an input, avoiding the need to transform similarity into distance measure. Whether other algorithms provide better performance remained to be explored, although they may introduce a varying set of parameters. Beyond algorithmic parameters, it is also important to understand how the method perform in various practical settings, specifically gene-level vs transcript-level read counts, the degree of heterogeneity among conditions, and the proportion of differential features. Such knowledge will guide the development of a more versatile and faster normalization tool.
In summary, as a proof-of-concept, it is an encouraging result that we may be able to break the circular dependency problem in RNA-seq data. Further studies in the directions outlined above are needed toward more practical implementations.
Supporting information
S1 Supporting Methods [pdf]
Characterization of the data sets and parametric details.S1 R Notebook [html]
Interpreting condition number as the variance of random noise.S2 R Notebook [html]
Clustering of human and mouse tissue samples.
Zdroje
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- The effect of strontium and silicon substituted hydroxyapatite electrochemical coatings on bone ingrowth and osseointegration of selective laser sintered porous metal implants
- Modeling the Theory of Planned Behaviour to predict adherence to preventive dental visits in preschool children
- Molecular prevalence of Bartonella, Babesia, and hemotropic Mycoplasma species in dogs with hemangiosarcoma from across the United States
- Color discrimination and gas chromatography-mass spectrometry fingerprint based on chemometrics analysis for the quality evaluation of Schizonepetae Spica
- Comparisons of recurrence-free survival and overall survival between microwave versus radiofrequency ablation treatment for hepatocellular carcinoma: A multiple centers retrospective cohort study with propensity score matching
- Transcriptome-wide identification of novel circular RNAs in soybean in response to low-phosphorus stress
- Oral misoprostol, low dose vaginal misoprostol, and vaginal dinoprostone for labor induction: Randomized controlled trial
- The association between dietary patterns before and in early pregnancy and the risk of gestational diabetes mellitus (GDM): Data from the Malaysian SECOST cohort
- Gene expression noise in a complex artificial toxin expression system
- Dynamic Extreme Aneuploidy (DEA) in the vegetable pathogen Phytophthora capsici and the potential for rapid asexual evolution
- Assertive, trainable and older dogs are perceived as more dominant in multi-dog households
- Prediction of Uropathogens by Flow Cytometry and Dip-stick Test Results of Urine Through Multivariable Logistic Regression Analysis
- Accelerated brain aging towards transcriptional inversion in a zebrafish model of the K115fs mutation of human PSEN2
- Copper to Tuscany – Coals to Newcastle? The dynamics of metalwork exchange in early Italy
- The Brazilian TP53 mutation (R337H) and sarcomas
- Interleukin 6 is increased in preclinical HNSCC models of acquired cetuximab resistance, but is not required for maintenance of resistance
- Detection of amitraz resistance and reduced treatment efficacy in the Varroa Mite, Varroa destructor, within commercial beekeeping operations
- Impact of viral disease hypophagia on pig jejunal function and integrity
- Enzyme response of activated sludge to a mixture of emerging contaminants in continuous exposure
- Molecular evidence for horizontal transmission of chelonid alphaherpesvirus 5 at green turtle (Chelonia mydas) foraging grounds in Queensland, Australia
- Technology anxiety and resistance to change behavioral study of a wearable cardiac warming system using an extended TAM for older adults
- Evaluation and validation of 2D biomechanical models of the knee for radiograph-based preoperative planning in total knee arthroplasty
- Soil-Transmitted Helminth infections reduction in Bhutan: A report of 29 years of deworming
- Age-related differences in the temporal dynamics of spectral power during memory encoding
- cagA gene EPIYA motif genetic characterization from Colombian Helicobacter pylori isolates: Standardization of a molecular test for rapid clinical laboratory detection
- Mugharat an-Nachcharini: A specialized sheep-hunting camp reveals high-altitude habitats in the earliest Neolithic of the Central Levant
- Spectral characteristics of urine from patients with end-stage kidney disease analyzed using Raman Chemometric Urinalysis (Rametrix)
- Clinicians’ communication with patients receiving a MCI diagnosis: The ABIDE project
- Quantitative PCR provides a simple and accessible method for quantitative microbiota profiling
- Fast quantitative time lapse displacement imaging of endothelial cell invasion
- Two novel mutations in MSX1 causing oligodontia
- 7,200 years old constructions and mudbrick technology: The evidence from Tel Tsaf, Jordan Valley, Israel
- Tuberculosis recurrences and predictive factors in a vulnerable population in Catalonia
- Dome-shaped macula in children and adolescents
- Barriers in the access, diagnosis and treatment completion for tuberculosis patients in central and western Nepal: A qualitative study among patients, community members and health care workers
- Evaluation of KRAS, NRAS and BRAF mutations detection in plasma using an automated system for patients with metastatic colorectal cancer
- Targeted transcriptomic study of the implication of central metabolic pathways in mannosylerythritol lipids biosynthesis in Pseudozyma antarctica T-34
- Preliminary evidences of the presence of extracellular DNA single stranded forms in soil
- A comparison of quality of life between patients treated with different dialysis modalities in Taiwan
- The effectiveness of substance use interventions for homeless and vulnerably housed persons: A systematic review of systematic reviews on supervised consumption facilities, managed alcohol programs, and pharmacological agents for opioid use disorder
- Spatiotemporal characteristics and driving forces of construction land expansion in Yangtze River economic belt, China
- Comparison of Monocyte Distribution Width (MDW) and Procalcitonin for early recognition of sepsis
- Morphological association between the muscles and bones in the craniofacial region
- Transcriptome analysis of Actinidia chinensis in response to Botryosphaeria dothidea infection
- Evaluating two decision aids for Australian men supporting informed decisions about prostate cancer screening: A randomised controlled trial
- Serum galectins as potential biomarkers of inflammatory bowel diseases
- Linguistic Z-number weighted averaging operators and their application to portfolio selection problem
- Comparative study on skin protection activity of polyphenol-rich extract and polysaccharide-rich extract from Sargassum vachellianum
- Real-world data about emotional stress, disability and need for social care in a German IBD patient cohort
- The regenerative compatibility: A synergy between healthy ecosystems, environmental attitudes, and restorative experiences
- Fusion of augmented reality imaging with the endoscopic view for endonasal skull base surgery; a novel application for surgical navigation based on intraoperative cone beam computed tomography and optical tracking
- Functional characterization of NK cells in Mexican pediatric patients with acute lymphoblastic leukemia: Report from the Mexican Interinstitutional Group for the Identification of the Causes of Childhood Leukemia
- Radiomics signature for prediction of lateral lymph node metastasis in conventional papillary thyroid carcinoma
- Antenatal depression and its association with adverse birth outcomes in low and middle-income countries: A systematic review and meta-analysis
- Perceptions of risk and influences of choice in pregnant women with obesity. An evidence synthesis of qualitative research
- The role of refugee and migrant migration status on medication adherence: Mediation through illness perceptions
- Job stress and emotional exhaustion at work in Spanish workers: Does unhealthy work affect the decision to drive?
- Correction: Amphibians on the hotspot: Molecular biology and conservation in the South American Atlantic Rainforest
- Sexual risk classes among youth experiencing homelessness: Relation to childhood adversities, current mental symptoms, substance use, and HIV testing
- Time for change is now: Experiences of participants in a community-based approach for iron and folic acid supplementation in a rural county in Kenya, a qualitative study
- Non-invasive genetic monitoring for the threatened valley elderberry longhorn beetle
- Statistical learning for turboshaft helicopter accidents using logistic regression
- Vegetation change over seven years in the largest protected Pacific Northwest Bunchgrass Prairie remnant
- The effect of various metal-salts on the sedimentation of soil in a water-based suspension
- Using electronic health record system triggers to target delivery of a patient-centered intervention to improve venous thromboembolism prevention for hospitalized patients: Is there a differential effect by race?
- Effects of CK2β subunit down-regulation on Akt signalling in HK-2 renal cells
- Novel broad-spectrum activity-based probes to profile malarial cysteine proteases
- Health-related quality of life in cancer patients treated with immune checkpoint inhibitors: A systematic review on reporting of methods in randomized controlled trials
- Environmental tobacco smoke (ETS) and hyperlipidemia modified by perceived work stress
- Association between opioid analgesic therapy and initiation of buprenorphine management: An analysis of prescription drug monitoring program data
- Effect of a community-based approach of iron and folic acid supplementation on compliance by pregnant women in Kiambu County, Kenya: A quasi-experimental study
- Radiocarbon dating of two old African baobabs from India
- Improvement project in higher education institutions: A BPEP-based model
- An updated evaluation of serum sHER2, CA15.3, and CEA levels as biomarkers for the response of patients with metastatic breast cancer to trastuzumab-based therapies
- Genome-wide association study of metabolic syndrome in Korean populations
- The diagnostic accuracy of liver fibrosis in non-viral liver diseases using acoustic radiation force impulse elastography: A systematic review and meta-analysis
- Drug therapy problems and treatment satisfaction among ambulatory patients with epilepsy in a specialized hospital in Ethiopia
- Short- & long-term effects of monetary and non-monetary incentives to cooperate in public good games: An experiment
- Niche modeling reveals life history shifts in birds at La Brea over the last twenty millennia
- Morphological consequences of artificial cranial deformation: Modularity and integration
- Distributed flux balance analysis simulations of serial biomass fermentation by two organisms
- Plasma kynurenines and prognosis in patients with heart failure
- Occurrence and distribution of anthropogenic persistent organic pollutants in coastal sediments and mud shrimps from the wetland of central Taiwan
- Intensified visual clutter induces increased sympathetic signalling, poorer postural control, and faster torsional eye movements during visual rotation
- Restoration of cortical symmetry and binaural function: Cortical auditory evoked responses in adult cochlear implant users with single sided deafness
- A smartphone-enabled wireless and batteryless implantable blood flow sensor for remote monitoring of prosthetic heart valve function
- Gut microbiota composition alterations are associated with the onset of diabetes in kidney transplant recipients
- Shock index and TIMI risk index as valuable prognostic tools in patients with acute coronary syndrome complicated by cardiogenic shock
- Merit overrules theory of mind when young children share resources with others
- Economic burden of maternal morbidity – A systematic review of cost-of-illness studies
- Comparison of balance changes after inspiratory muscle or Otago exercise training
- Correction: Escherichia coli and Salmonella spp. isolated from Australian meat chickens remain susceptible to critically important antimicrobial agents
- Metabolic analysis of amino acids and vitamin B6 pathways in lymphoma survivors with cancer related chronic fatigue
- Cell-free DNA donor fraction analysis in pediatric and adult heart transplant patients by multiplexed allele-specific quantitative PCR: Validation of a rapid and highly sensitive clinical test for stratification of rejection probability
- Immunopathogenesis of canine chronic ulcerative stomatitis
- Correction: Quantification of speech and synchrony in the conversation of adults with autism spectrum disorder
- Efficacy and safety of ultrasonic circular cyclocoagulation with second-generation probe in glaucoma: A retrospective study
- Generalizing findings from a randomized controlled trial to a real-world study of the iLookOut, an online education program to improve early childhood care and education providers’ knowledge and attitudes about reporting child maltreatment
- Self-selection of food ingredients and agricultural by-products by the house cricket, Acheta domesticus (Orthoptera: Gryllidae): A holistic approach to develop optimized diets
- Machine learning detection of Atrial Fibrillation using wearable technology
- Comparative proteomic analysis of different stages of breast cancer tissues using ultra high performance liquid chromatography tandem mass spectrometer
- A cross-sectional study of psychopathy and khat abuse among prisoners in the correctional institution in Jimma, Ethiopia
- Head impulse compensatory saccades: Visual dependence is most evident in bilateral vestibular loss
- Complementarity of empirical and process-based approaches to modelling mosquito population dynamics with Aedes albopictus as an example—Application to the development of an operational mapping tool of vector populations
- Pepsin promotes laryngopharyngeal neoplasia by modulating signaling pathways to induce cell proliferation
- When and what to test for: A cost-effectiveness analysis of febrile illness test-and-treat strategies in the era of responsible antibiotic use
- Comparison of effects and safety in providing controlled hypotension during surgery between dexmedetomidine and magnesium sulphate: A meta-analysis of randomized controlled trials
- The gene encoding the ketogenic enzyme HMGCS2 displays a unique expression during gonad development in mice
- Seroepidemiological study of rubella in Vojvodina, Serbia: 24 years after the introduction of the MMR vaccine in the national immunization programme
- Efficacy of a mitochondrion-targeting agent for reducing the level of urinary protein in rats with puromycin aminonucleoside-induced minimal-change nephrotic syndrome
- Association of endothelial nitric oxide synthase (NOS3) gene polymorphisms with primary open-angle glaucoma in a Saudi cohort
- Antitrust analysis with upward pricing pressure and cost efficiencies
- Machine learning models for identifying preterm infants at risk of cerebral hemorrhage
- Natural selection contributes to food web stability
- Pyramiding QTLs controlling tolerance against drought, salinity, and submergence in rice through marker assisted breeding
- Diversity and plant growth-promoting functions of diazotrophic/N-scavenging bacteria isolated from the soils and rhizospheres of two species of Solanum
- Sustainability effects of motor control stabilisation exercises on pain and function in chronic nonspecific low back pain patients: A systematic review with meta-analysis and meta-regression
- Sofosbuvir-based regimen for genotype 2 HCV infected patients in Taiwan: A real world experience
- The virulence domain of Shigella IcsA contains a subregion with specific host cell adhesion function
- Sequencing artifacts derived from a library preparation method using enzymatic fragmentation
- Analysis of the Rdr1 gene family in different Rosaceae genomes reveals an origin of an R-gene cluster after the split of Rubeae within the Rosoideae subfamily
- Concomitant phytonutrient and transcriptome analysis of mature fruit and leaf tissues of tomato (Solanum lycopersicum L. cv. Oregon Spring) grown using organic and conventional fertilizer
- Quantitative analysis of adsorption and desorption of volatile organic compounds on reusable zeolite filters using gas chromatography
- Comparing bioinformatic pipelines for microbial 16S rRNA amplicon sequencing
- TMEM98 is a negative regulator of FRAT mediated Wnt/ß-catenin signalling
- Modeling migration patterns in the USA under sea level rise
- Quo vadis Pantanal? Expected precipitation extremes and drought dynamics from changing sea surface temperature
- Cloud-computing and machine learning in support of country-level land cover and ecosystem extent mapping in Liberia and Gabon
- An exploratory study on the quality of patient screening and counseling for hypertension management in Tanzania
- Relation of fibroblast growth factor receptor 2 expression to hepatocellular carcinoma recurrence after liver resection
- The Brief Measure of Emotional Preoperative Stress (B-MEPS) as a new predictive tool for postoperative pain: A prospective observational cohort study
- The impact of diabetes mellitus medication on the incidence of endogenous endophthalmitis
- Correction: Chl1 DNA helicase and Scc2 function in chromosome condensation through cohesin deposition
- Clinical and pathological features of thrombotic microangiopathy influencing long-term kidney transplant outcomes
- Multidisciplinary investigation of two Egyptian child mummies curated at the University of Tartu Art Museum, Estonia (Late/Graeco-Roman Periods)
- Occupational exposure to particulate matter from air pollution in the outdoor workplaces in Almaty during the cold season
- Morphological adjustment in free-living Steinernema feltiae infective juveniles to increasing concentration of Nemafric-BL phytonematicide
- Murine Surf4 is essential for early embryonic development
- Using mHealth to improve health care delivery in India: A qualitative examination of the perspectives of community health workers and beneficiaries
- Algorithmic handwriting analysis of the Samaria inscriptions illuminates bureaucratic apparatus in biblical Israel
- Key necroptotic proteins are required for Smac mimetic-mediated sensitization of cholangiocarcinoma cells to TNF-α and chemotherapeutic gemcitabine-induced necroptosis
- Concurrent lipidomics and proteomics on malignant plasma cells from multiple myeloma patients: Probing the lipid metabolome
- Short treatment with antalarmin alters adrenal gland receptors in the rat model of endometriosis
- Is it really always only the others who are to blame? GP’s view on medical overuse. A questionnaire study
- Serum visfatin and vaspin levels in hepatocellular carcinoma (HCC)
- Retraction: SDR9C7 Promotes Lymph Node Metastases in Patients with Esophageal Squamous Cell Carcinoma
- iTRAQ proteomics reveals the regulatory response to Magnaporthe oryzae in durable resistant vs. susceptible rice genotypes
- A smartphone-based test for the assessment of attention deficits in delirium: A case-control diagnostic test accuracy study in older hospitalised patients
- Association between tuberculosis and depression on negative outcomes of tuberculosis treatment: A systematic review and meta-analysis
- Incidence and predictors of loss to follow up among adult HIV patients on antiretroviral therapy in University of Gondar Comprehensive Specialized Hospital: A competing risk regression modeling
- Point-of-care diagnostic (POCD) method for detecting Bursaphelenchus xylophilus in pinewood using recombinase polymerase amplification (RPA) with the portable optical isothermal device (POID)
- Bioluminescent imaging of Arabidopsis thaliana using an enhanced Nano-lantern luminescence reporter system
- Biosynthetic pathway of indole-3-acetic acid in ectomycorrhizal fungi collected from northern Thailand
- Clinical implications of elevated serum interleukin-6 in IgG4-related disease
- Downscaling NLDAS-2 daily maximum air temperatures using MODIS land surface temperatures
- Sex-specific and opposite modulatory aspects revealed by PPI network and pathway analysis of ischemic stroke in humans
- Plasma Trimethylamine-N-oxide and impaired glucose regulation: Results from The Oral Infections, Glucose Intolerance and Insulin Resistance Study (ORIGINS)
- Self-esteem and other risk factors for depressive symptoms among adolescents in United Arab Emirates
- Control of the microsporidian parasite Nosema ceranae in honey bees (Apis mellifera) using nutraceutical and immuno-stimulatory compounds
- The effect of storage conditions on microbial communities in stool
- Role of donor genotype in RT-QuIC seeding activity of chronic wasting disease prions using human and bank vole substrates
- Influence of flow on phosphorus-dynamics and particle size in agricultural drainage ditch sediments
- A prospective, randomized, double-blind trial to compare body weight-adjusted and fixed doses of palonosetron for preventing postoperative nausea and vomiting in obese female patients
- Application of computerized 3D-CT texture analysis of pancreas for the assessment of patients with diabetes
- Predictive validation and forecasts of short-term changes in healthcare expenditure associated with changes in smoking behavior in the United States
- An information-based approach to handle various types of uncertainty in fuzzy bodies of evidence
- Oral magnesium supplementation for leg cramps in pregnancy—An observational controlled trial
- Health care professionals’ knowledge of commonly used sedative, analgesic and neuromuscular drugs: A single center (Rambam Health Care Campus), prospective, observational survey
- Campylobacter portucalensis sp. nov., a new species of Campylobacter isolated from the preputial mucosa of bulls
- OGG1 deficiency alters the intestinal microbiome and increases intestinal inflammation in a mouse model
- Transgenic interleukin 11 expression causes cross-tissue fibro-inflammation and an inflammatory bowel phenotype in mice
- Novel method to measure temporal windows based on eye movements during viewing of the Necker cube
- Whole blood transcriptomic analysis of beef cattle at arrival identifies potential predictive molecules and mechanisms that indicate animals that naturally resist bovine respiratory disease
- Effects of smoke flavoring using different wood chips and barbecuing on the formation of polycyclic aromatic hydrocarbons and heterocyclic aromatic amines in salmon fillets
- Sleep quality and sex modify the relationships between trait energy and fatigue on state energy and fatigue
- The role of peer, parental, and school norms in predicting adolescents’ attitudes and behaviours of majority and different minority ethnic groups in Croatia
- Filtered beauty in Oslo and Tokyo: A spatial frequency analysis of facial attractiveness
- The impact of rehabilitation frequency on the risk of stroke in patients with rheumatoid arthritis
- Availability, prices and affordability of selected antibiotics and medicines against non-communicable diseases in western Cameroon and northeast DR Congo
- The effect of mutations derived from mouse-adapted H3N2 seasonal influenza A virus to pathogenicity and host adaptation
- Detection of posttraumatic pneumothorax using electrical impedance tomography—An observer-blinded study in pigs with blunt chest trauma
- Educators’ perceptions of organisational readiness for implementation of a pre-adolescent transdisciplinary school health intervention for inter-generational outcomes
- Beyond the heterodimer model for mineralocorticoid and glucocorticoid receptor interactions in nuclei and at DNA
- The effects of sport expertise and shot results on basketball players’ action anticipation
- Framework and algorithms for identifying honest blocks in blockchain
- Efficacy and safety of anti-viral therapy for Hepatitis B virus-associated glomerulonephritis: A meta-analysis
- Selective transmission of some HIV-1 subtype C variants might depend on Envelope stimulating dendritic cells to secrete IL-10
- Noise reduction and quantification of fiber orientations in greyscale images
- Exploring the impact of terminology differences in blood and organ donor decision making
- Ontogenetic similarities between giraffe and sauropod neck osteological mobility
- Load transfer mechanism and critical length of anchorage zone for anchor bolt
- Income inequalities in stroke incidence and mortality: Trends in stroke-free and stroke-affected life years based on German health insurance data
- Community’s perception, experiences and health seeking behavior towards newborn illnesses in Debre Libanos District, North Shoa, Oromia, Ethiopia: Qualitative study
- Platelet indices significantly correlate with liver fibrosis in HCV-infected patients
- Reanalysis of the Bridge et al. study of suicide following release of 13 Reasons Why
- Validation of the easyscreen flavivirus dengue alphavirus detection kit based on 3base amplification technology and its application to the 2016/17 Vanuatu dengue outbreak
- The nitrate content of fresh and cooked vegetables and their health-related risks
- Bioreactor for mobilization of mesenchymal stem/stromal cells into scaffolds under mechanical stimulation: Preliminary results
- Serotonin transporter dependent modulation of food-seeking behavior
- Implicit task switching in Parkinson’s disease is preserved when on medication
- Root treatment with oxathiapiprolin, benthiavalicarb or their mixture provides prolonged systemic protection against oomycete foliar pathogens
- Real-world effectiveness and safety of ranibizumab for the treatment of myopic choroidal neovascularization: Results from the LUMINOUS study
- Non-gradient and genotype-dependent patterns of RSV gene expression
- Multiplex real-time PCR for the detection of Clavibacter michiganensis subsp. michiganensis, Pseudomonas syringae pv. tomato and pathogenic Xanthomonas species on tomato plants
- The 24-hour urinary cortisol in post-traumatic stress disorder: A meta-analysis
- Parasites modulate the gut-microbiome in insects: A proof-of-concept study
- The dynamics of shapes of vesicle membranes with time dependent spontaneous curvature
- Vascularization and biocompatibility of poly(ε-caprolactone) fiber mats for rotator cuff tear repair
- The shield of self-compassion: A buffer against disordered eating risk from physical appearance perfectionism
- Disease-specific out-of-pocket healthcare expenditure in urban Bangladesh: A Bayesian analysis
- Advanced biofilm analysis in streams receiving organic deicer runoff
- Upregulation of long non-coding RNA ROR1-AS1 promotes cell growth and migration in bladder cancer by regulation of miR-504
- Method development and validation for rapid identification of epigallocatechin gallate using ultra-high performance liquid chromatography
- Neonatal sepsis in Iran: A systematic review and meta-analysis on national prevalence and causative pathogens
- Drug-eluting versus bare-metal stents for first myocardial infarction in patients with atrial fibrillation: A nationwide population-based cohort study
- Same-day antiretroviral therapy initiation for HIV-infected adults in South Africa: Analysis of routine data
- Health-related quality of life among patients with type 2 diabetes mellitus in Eastern Province, Saudi Arabia: A cross-sectional study
- Photocatalytic biocidal effect of copper doped TiO2 nanotube coated surfaces under laminar flow, illuminated with UVA light on Legionella pneumophila
- The interoceptive hippocampus: Mouse brain endocrine receptor expression highlights a dentate gyrus (DG)–cornu ammonis (CA) challenge–sufficiency axis
- Educational attainment and HIV testing and counselling service utilisation during antenatal care in Ghana: Analysis of Demographic and Health Surveys
- Dissection of flag leaf metabolic shifts and their relationship with those occurring simultaneously in developing seed by application of non-targeted metabolomics
- Centromeres of Cucumis melo L. comprise Cmcent and two novel repeats, CmSat162 and CmSat189
- Acute high-intensity and moderate-intensity interval exercise do not change corticospinal excitability in low fit, young adults
- “I like the way I am, but I feel like I could get a little bit bigger”: Perceptions of body image among adolescents and youth living with HIV in Durban, South Africa
- Nanoparticle-based ‘turn-on’ scattering and post-sample fluorescence for ultrasensitive detection of water pollution in wider window
- The relationship of moral sensitivity and patient safety attitudes with nursing students’ perceptions of disclosure of patient safety incidents: A cross-sectional study
- Insights into the strategy of micro-environmental adaptation: Transcriptomic analysis of two alvinocaridid shrimps at a hydrothermal vent
- Thirty-day readmission after medical-surgical hospitalization for people who experience imprisonment in Ontario, Canada: A retrospective cohort study
- The effect of long-term brine discharge from desalination plants on benthic foraminifera
- Hyper-spectral response and estimation model of soil degradation in Kenli County, the Yellow River Delta
- Prescribing trends of glaucoma drugs in six major cities of China from 2013 to 2017
- Significant changes in synovial fluid microRNAs after high tibial osteotomy in medial compartmental knee osteoarthritis: Identification of potential prognostic biomarkers
- Reassortment and adaptive mutations of an emerging avian influenza virus H7N4 subtype in China
- Ischemia and reperfusion injury in superficial inferior epigastric artery-based vascularized lymph node flaps
- High failure rates of protease inhibitor-based antiretroviral treatment in rural Tanzania – A prospective cohort study
- Switchable resolution in soft x-ray tomography of single cells
- Mitochondrial DNA variations and mitochondrial dysfunction in Fanconi anemia
- Extended-spectrum beta-lactamase (ESBL)-producing and non-ESBL-producing Escherichia coli isolates causing bacteremia in the Netherlands (2014 – 2016) differ in clonal distribution, antimicrobial resistance gene and virulence gene content
- Molecular characterization of blaKHM-1 encoding plasmid in an Enterobacter hormaechei subsp. hoffmannii isolate from blood culture
- PR3 levels are impaired in plasma and PBMCs from Arabs with cardiovascular diseases
- Sex differences in self-regulation in early, middle and late adolescence: A large-scale cross-sectional study
- Interaction between elevated temperature and different types of Na-salicylate treatment in Brachypodium dystachion
- A highway crash risk assessment method based on traffic safety state division
- A brain connectivity characterization of children with different levels of mathematical achievement based on graph metrics
- Quantifying the level of difficulty to treat major depressive disorder with antidepressants: Treatment Resistance to Antidepressants Evaluation Scale
- Occupational gender segregation and economic growth in U.S. local labor markets, 1980 through 2010
- The association of telomere length and telomerase activity with adverse outcomes in older patients with non-ST-elevation acute coronary syndrome
- Construction of a high-density genetic map and fine mapping of a candidate gene locus for a novel branched-spike mutant in barley
- Alterations of aqueous humor Aβ levels in Aβ-infused and transgenic mouse models of Alzheimer disease
- Parameters impacting the live birth rate per transfer after frozen single euploid blastocyst transfer
- Deep2Full: Evaluating strategies for selecting the minimal mutational experiments for optimal computational predictions of deep mutational scan outcomes
- Economic compensation interventions to increase uptake of voluntary medical male circumcision for HIV prevention: A systematic review and meta-analysis
- Distinctive effect of anesthetics on the effect of limb remote ischemic postconditioning following ischemic stroke
- Natural hybridization between Phyllagathis and Sporoxeia species produces a hybrid without reproductive organs
- Preliminary evaluation of a novel nine-biomarker profile for the prediction of autism spectrum disorder
- The impact of peer attachment on prosocial behavior, emotional difficulties and conduct problems in adolescence: The mediating role of empathy
- Spatial and climatic variables independently drive elevational gradients in ant species richness in the Eastern Himalaya
- What is the qualitative evidence concerning the risks, diagnosis, management and consequences of gastrointestinal infections in the community in the United Kingdom? A systematic review and meta-ethnography
- Naringenin protects AlCl3/D-galactose induced neurotoxicity in rat model of AD via attenuation of acetylcholinesterase levels and inhibition of oxidative stress
- Key barriers and enablers associated with uptake and continuation of oral pre-exposure prophylaxis (PrEP) in the public sector in Zimbabwe: Qualitative perspectives of general population clients at high risk for HIV
- Characterizing the University of California’s tenure-track teaching position from the faculty and administrator perspectives
- Restoration of Mal overcomes the defects of apoptosis in lung cancer cells
- Patient preferences for maintenance therapy in Crohn’s disease: A discrete-choice experiment
- Diagnostic performance of serum interferon gamma, matrix metalloproteinases, and periostin measurements for pulmonary tuberculosis in Japanese patients with pneumonia
- Hesperidin improves insulin resistance via down-regulation of inflammatory responses: Biochemical analysis and in silico validation
- Accuracy of intraocular lens power calculation formulas using a swept-source optical biometer
- Characterization of black patina from the Tiber River embankments using Next-Generation Sequencing
- Comparison of blood lactate and perceived exertion responses in two matched time-under-tension protocols
- Fibrin hydrogels are safe, degradable scaffolds for sub-retinal implantation
- Post-translational modifications of Drosophila melanogaster HOX protein, Sex combs reduced
- Problem gambling, associations with comorbid health conditions, substance use, and behavioural addictions: Opportunities for pathways to treatment
- Liganded T3 receptor β2 inhibits the positive feedback autoregulation of the gene for GATA2, a transcription factor critical for thyrotropin production
- Characterization of METTL16 as a cytoplasmic RNA binding protein
- Impact of long-term storage and freeze-thawing on eight circulating microRNAs in plasma samples
- Nanosheet wrapping-assisted coverslip-free imaging for looking deeper into a tissue at high resolution
- Assessment of dynamic cerebral autoregulation in humans: Is reproducibility dependent on blood pressure variability?
- Early diagnosis of sepsis in emergency departments, time to treatment, and association with mortality: An observational study
- Validity of cerebrovascular ICD-9-CM codes in healthcare administrative databases. The Umbria Data-Value Project
- Tuberculoid leprosy: An in vivo microvascular evaluation of cutaneous lesions
- Neuromuscular blockers in the acute respiratory distress syndrome: A meta-analysis
- Identification of putative Type-I sex pheromone biosynthesis-related genes expressed in the female pheromone gland of Streltzoviella insularis
- Redefining transcriptional regulation of the APOE gene and its association with Alzheimer’s disease
- Disease-relevant mutations alter amino acid co-evolution networks in the second nucleotide binding domain of CFTR
- A bushel of viruses: Identification of seventeen novel putative viruses by RNA-seq in six apple trees
- Torque teno virus viral load is related to age, CMV infection and HLA type but not to Alzheimer's disease
- The variability of bacterial communities in both the endosphere and ectosphere of different niches in Chinese chives (Allium tuberosum)
- Tripartite factors leading to molecular divergence between human and murine smooth muscle
- Characterization of dermal skin innervation in fibromyalgia syndrome
- A neonatal nonhuman primate model of gestational Zika virus infection with evidence of microencephaly, seizures and cardiomyopathy
- A scoping review of importation and predictive models related to vector-borne diseases, pathogens, reservoirs, or vectors (1999–2016)
- Assessment of climate change impact on the malaria vector Anopheles hyrcanus, West Nile disease, and incidence of melanoma in the Vojvodina Province (Serbia) using data from a regional climate model
- Associations of cigarette smoking and burden of thoracic aortic calcification in asymptomatic individuals: A dose-response relationship
- Healthcare utilization of Mexican-American Medicare beneficiaries with and without Alzheimer’s disease and related dementias
- Evaluation of questionnaire as an instrument to measure the level of nutritional and weight gain knowledge in pregnant women in Poland. A pilot study
- TranCEP: Predicting the substrate class of transmembrane transport proteins using compositional, evolutionary, and positional information
- Non-Invasive Functional-Brain-Imaging with an OPM-based Magnetoencephalography System
- Expression of acyl-CoA-binding protein 5 from Rhodnius prolixus and its inhibition by RNA interference
- Transforming assessment of speech in children with cleft palate via online crowdsourcing
- High prevalence of off-label and unlicensed paediatric prescribing in a hospital in Indonesia during the period Aug.—Oct. 2014
- General practice management of rotator cuff related shoulder pain: A reliance on ultrasound and injection guided care
- Estimating the population size of female sex workers and transgender women in Sri Lanka
- Can helmet decrease mortality of craniocerebral trauma patients in a motorcycle accident?: A propensity score matching
- Obesity, smoking habits, and serum phosphate levels predicts mortality after life-style intervention
- Treatment of children under 4 years of age with medulloblastoma and ependymoma in the HIT2000/HIT-REZ 2005 trials: Neuropsychological outcome 5 years after treatment
- Can a semi-quantitative method replace the current quantitative method for the annual screening of microalbuminuria in patients with diabetes? Diagnostic accuracy and cost-saving analysis considering the potential health burden
- A two-arm parallel double-blind randomised controlled pilot trial of the efficacy of Omega-3 polyunsaturated fatty acids for the treatment of women with endometriosis-associated pain (PurFECT1)
- Association of benzodiazepines, opioids and tricyclic antidepressants use and falls in trauma patients: Conditional effect of age
- Burden and risk factors of cutaneous leishmaniasis in a peri-urban settlement in Kenya, 2016
- Predicting strike susceptibility and collision patterns of the common buzzard at wind turbine structures in the federal state of Brandenburg, Germany
- Embryonic thermal manipulation has short and long-term effects on the development and the physiology of the Japanese quail
- High-order radiomics features based on T2 FLAIR MRI predict multiple glioma immunohistochemical features: A more precise and personalized gliomas management
- Human-raptor conflict in rural settlements of Colombia
- Regional adaptations and parallel mutations in Feline panleukopenia virus strains from China revealed by nearly-full length genome analysis
- Long-term ecological research in southern Brazil grasslands: Effects of grazing exclusion and deferred grazing on plant and arthropod communities
- Assessment of peritoneal microbial features and tumor marker levels as potential diagnostic tools for ovarian cancer
- Survival analysis of 230 patients with unresectable hepatocellular carcinoma treated with bland transarterial embolization
- Adverse drug reaction reporting practice and associated factors among medical doctors in government hospitals in Addis Ababa, Ethiopia
- TaWAK6 encoding wall-associated kinase is involved in wheat resistance to leaf rust similar to adult plant resistance
- Deficiency syndromes in top predators associated with large-scale changes in the Baltic Sea ecosystem
- The inhibitor of apoptosis proteins antagonist Debio 1143 promotes the PD-1 blockade-mediated HIV load reduction in blood and tissues of humanized mice
- Allele specific expression of Dof genes responding to hormones and abiotic stresses in sugarcane
- Perceived relative social status and cognitive load influence acceptance of unfair offers in the Ultimatum Game
- Quantitative evaluation of choriocapillaris using optical coherence tomography and optical coherence tomography angiography in patients with central serous chorioretinopathy after half-dose photodynamic therapy
- Structure-function analyses of candidate small molecule RPN13 inhibitors with antitumor properties
- Extracting lung function measurements to enhance phenotyping of chronic obstructive pulmonary disease (COPD) in an electronic health record using automated tools
- Multiple fragmented habitat-patch use in an urban breeding passerine, the Short-toed Treecreeper
- Histological and immunohistochemical characterization of the porcine ocular surface
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- Wind energy development and wildlife conservation in Lithuania: A mapping tool for conflict assessment
- Characteristics and prognosis of primary treatment-naïve oral cavity squamous cell carcinoma in Norway, a descriptive retrospective study
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- Error rates of human reviewers during abstract screening in systematic reviews
- Faecal analyses and alimentary tracers reveal the foraging ecology of two sympatric bats
- Urethral realignment with maximal urethral length and bladder neck preservation in robot-assisted radical prostatectomy: Urinary continence recovery
- Error metrics determination in functionally approximated circuits using SAT solvers
- Spatial movement pattern recognition in soccer based on relative player movements
- A novel visual ranking system based on arterial spin labeling perfusion imaging for evaluating perfusion disturbance in patients with ischemic stroke
- Prospective Validation of the Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) Score for Necrotizing Fasciitis of the Extremities
- The importance of transporters and cell polarization for the evaluation of human stem cell-derived hepatic cells
- Incidence, trends, and outcomes of infection sites among hospitalizations of sepsis: A nationwide study
- Morphological and functional characteristics of mitral annular calcification and their relationship to stroke
- And the nominees are: Using design-awards datasets to build computational aesthetic evaluation model
- Service delivery interventions to increase uptake of voluntary medical male circumcision for HIV prevention: A systematic review
- Multidimensional Scales of Perceived Self-Efficacy (MSPSE): Measurement invariance across Italian and Colombian adolescents
- Diversity of Mycobacteriaceae from aquatic environment at the São Paulo Zoological Park Foundation in Brazil
- A graph-based algorithm for RNA-seq data normalization
- Parents’ underestimation of their child’s weight status. Moderating factors and change over time: A cross-sectional study
- Pharmacokinetics, absolute bioavailability and tolerability of ketamine after intranasal administration to dexmedetomidine sedated dogs
- Spatial variation in fertilizer prices in Sub-Saharan Africa
- Knowledge, beliefs, and concerns about bone health from a systematic review and metasynthesis of qualitative studies
- Successful isolation of Treponema pallidum strains from patients’ cryopreserved ulcer exudate using the rabbit model
- Effects of size and elasticity on the relation between flow velocity and wall shear stress in side-wall aneurysms: A lattice Boltzmann-based computer simulation study
- Pupil response to noxious corneal stimulation
- Incidence, risk factors and healthcare costs of central line-associated nosocomial bloodstream infections in hematologic and oncologic patients
- The impact of computed radiography and teleradiology on patients’ diagnosis and treatment in Mweso, the Democratic Republic of Congo
- Differential effects of synthetic psychoactive cathinones and amphetamine stimulants on the gut microbiome in mice
- Hepatitis B and C virus infection among HIV patients within the public and private healthcare systems in Chile: A cross-sectional serosurvey
- Increased episodes of aspiration on videofluoroscopic swallow study in children with nasogastric tube placement
- Obstructive sleep apnea and hypopnea syndrome in patients admitted in a tertiary hospital in Cameroon: Prevalence and associated factors
- Association of single nucleotide polymorphisms with dyslipidemia in antiretroviral exposed HIV patients in a Ghanaian population: A case-control study
- Sonic Hedgehog upregulation does not enhance the survival and engraftment of stem cell-derived cardiomyocytes in infarcted hearts
- The pharmacokinetic parameters and the effect of a single and repeated doses of memantine on gastric myoelectric activity in experimental pigs
- Blind method for discovering number of clusters in multidimensional datasets by regression on linkage hierarchies generated from random data
- Predictive factors of first dosage intravenous immunoglobulin-related adverse effects in children
- Description and characterization of the artisanal elasmobranch fishery on Guatemala’s Caribbean coast
- Individual and community level determinants of short birth interval in Ethiopia: A multilevel analysis
- Effects of rejection intensity and rejection sensitivity on social approach behavior in women
- The impact of IoT security labelling on consumer product choice and willingness to pay
- The development and validation of a measurement instrument to investigate determinants of health care utilisation for low back pain in Ethiopia
- Validity of the French version of the Autonomy Preference Index and its adaptation for patients with advanced cancer
- The epidemiological characteristics and spatio-temporal analysis of childhood hand, foot and mouth disease in Korea, 2011-2017
- Exponential random graph model parameter estimation for very large directed networks
- The implementation of community-based diabetes and hypertension management care program in Indonesia
- Effect of temperature variation on hospital admissions and outcomes in dogs with myxomatous mitral valve disease and new onset pulmonary edema
- The development of the Police Practices Scale: Understanding policing approaches towards street-based female sex workers in a U.S. City
- A capability approach to assess aquaculture sustainability standard compliance
- Pre-collecting lymphatic vessels form detours following obstruction of lymphatic flow and function as collecting lymphatic vessels
- Construct validity and reliability of the Talent Development Environment Questionnaire in Caribbean youth track and field athletes
- Optimization of cytotoxic activity of Nocardia sp culture broths using a design of experiments
- Tissue-resident macrophages can be generated de novo in adult human skin from resident progenitor cells during substance P-mediated neurogenic inflammation ex vivo
- Microbiota in foods from Inuit traditional hunting
- Investigating Italian disinformation spreading on Twitter in the context of 2019 European elections
- In vivo expression of peptidylarginine deiminase in Drosophila melanogaster
- Modelling zero-truncated overdispersed antenatal health care count data of women in Bangladesh
- Detection and density of breeding marsh birds in Iowa wetlands
- A lineage-specific rapid diagnostic test (Chagas Sero K-SeT) identifies Brazilian Trypanosoma cruzi II/V/VI reservoir hosts among diverse mammalian orders
- Aromatase deficiency in hematopoietic cells improves glucose tolerance in male mice through skeletal muscle-specific effects
- If host is refractory, insistent parasite goes berserk: Trypanosomatid Blastocrithidia raabei in the dock bug Coreus marginatus
- Antimicrobial resistance patterns and molecular resistance markers of Campylobacter jejuni isolates from human diarrheal cases
- Protective role of brain derived neurotrophic factor (BDNF) in obstructive sleep apnea syndrome (OSAS) patients
- An IL-18-centered inflammatory network as a biomarker for cerebral white matter injury
- Prevalence of antiphospholipid antibodies in Behçet's disease: A systematic review and meta-analysis
- Chemical analysis of snus products from the United States and northern Europe
- Effect of prednisolone on glyoxalase 1 in an inbred mouse model of aristolochic acid nephropathy using a proteomics method with fluorogenic derivatization-liquid chromatography-tandem mass spectrometry
- Impact of early-onset persistent stunting on cognitive development at 5 years of age: Results from a multi-country cohort study
- Aggregation of CAT tails blocks their degradation and causes proteotoxicity in S. cerevisiae
- Expression of concern: Compensatory increase of transglutaminase 2 is responsible for resistance to mTOR inhibitor treatment
- Common mental illness among epilepsy patients in Bahir Dar city, Ethiopia: A cross-sectional study
- Staging dementia based on caregiver reported patient symptoms: Implications from a latent class analysis
- Health-related quality of life and its determinants among ambulatory patients with epilepsy at Ambo General Hospital, Ethiopia: Using WHOQOL-BREF
- In silico analysis and high-risk pathogenic phenotype predictions of non-synonymous single nucleotide polymorphisms in human Crystallin beta A4 gene associated with congenital cataract
- Fungal diversity in canopy soil of silver beech, Nothofagus menziesii (Nothofagaceae)
- Referral decisions and its predictors related to orthopaedic care. A retrospective study in a novel primary care setting
- Readiness to prescribe: Using educational design to untie the Gordian Knot
- Influence of gelation on the retention of purple cactus pear extract in microencapsulated double emulsions
- Factors related to met needs for rehabilitation 6 years after stroke
- Association of cataract and sun exposure in geographically diverse populations of India: The CASE study. First Report of the ICMR-EYE SEE Study Group
- Investigation of injury severity in urban expressway crashes: A case study from Beijing
- Clinical outcomes of incident peritoneal dialysis patients coming from kidney transplantation program: A case-control study
- Evaluation of the factors influencing the housing safety awareness of residents in Shanghai
- Morphometric study of the diaphragmatic surface of the liver in the human fetus
- Food insecurity and dietary diversity among lactating mothers in the urban municipality in the mountains of Nepal
- Genetic characterization of Bacillus anthracis strains circulating in Italy from 1972 to 2018
- Promising antifungal activity of new oxadiazole against Candida krusei
- An atlas of personality, emotion and behaviour
- Long-term effects of intracranial islet grafting on cognitive functioning in a rat metabolic model of sporadic Alzheimer's disease-like dementia
- Compartmentalized profiling of amniotic fluid cytokines in women with preterm labor
- Comparison of the myometrial transcriptome from singleton and twin pregnancies by RNA-Seq
- Adverse reproductive effects of S100A9 on bovine sperm and early embryonic development in vitro
- Functional dynamics of bacterial species in the mouse gut microbiome revealed by metagenomic and metatranscriptomic analyses
- Astrocyte senescence promotes glutamate toxicity in cortical neurons
- Primary ciliary dyskinesia and psychological well-being in adolescence
- Dipeptidyl peptidase-4 is increased in the abdominal aortic aneurysm vessel wall and is associated with aneurysm disease processes
- Primary care physician knowledge, attitudes, and diagnostic testing practices for norovirus and acute gastroenteritis
- Microfluidic-prepared DOTAP nanoparticles induce strong T-cell responses in mice
- Intraocular scattering as a predictor of driving performance in older adults with cataracts
- Reduced bone mineral density among HIV infected patients on anti-retroviral therapy in Blantyre, Malawi: Prevalence and associated factors
- Correction: Extraversion personality, perceived health and activity participation among community-dwelling aging adults in Hong Kong
- A rainwater control optimization design approach for airports based on a self-organizing feature map neural network model
- Influence of inflammasome NLRP3, and IL1B and IL2 gene polymorphisms in periodontitis susceptibility
- 18F-FDG-PET/MRI in the diagnostic work-up of limbic encephalitis
- The socioeconomic impact of orthopaedic trauma: A systematic review and meta-analysis
- Treatment patterns among patients with moderate-to-severe ulcerative colitis in the United States and Europe
- City to city learning and knowledge exchange for climate resilience in southern Africa
- Nuclear translocation of Atox1 potentiates activin A-induced cell migration and colony formation in colon cancer
- Activity-dependent switches between dynamic regimes of extracellular matrix expression
- Molecular sequencing and morphological identification reveal similar patterns in native bee communities across public and private grasslands of eastern North Dakota
- A mathematical model for assessing the effectiveness of controlling relapse in Plasmodium vivax malaria endemic in the Republic of Korea
- Cryo-focused ion beam preparation of perovskite based solar cells for atom probe tomography
- Physiological and transcriptomic responses of Lanzhou Lily (Lilium davidii, var. unicolor) to cold stress
- Unusual genome expansion and transcription suppression in ectomycorrhizal Tricholoma matsutake by insertions of transposable elements
- Estimating associations between antidepressant use and incident mild cognitive impairment in older adults with depression
- The use of telephone communication between nurse navigators and their patients
- CNP mediated selective toxicity on melanoma cells is accompanied by mitochondrial dysfunction
- HIV RNA measurement in dried blood spots of HIV-infected patients in Thailand using Abbott m2000 system
- Retraction: Oncogenic Fibulin-5 Promotes Nasopharyngeal Carcinoma Cell Metastasis through the FLJ10540/AKT Pathway and Correlates with Poor Prognosis
- Ultra-rapid cooling of ibex sperm by spheres method does not induce a vitreous extracellular state and increases the membrane damages
- Some animals are more equal than others: Validation of a new scale to measure how attitudes to animals depend on species and human purpose of use
- Observation and quantification of the morphological effect of trypan blue rupturing dead or dying cells
- The visual perception of emotion from masks
- Hexavalent chromium removal and total chromium biosorption from aqueous solution by Quercus crassipes acorn shell in a continuous up-flow fixed-bed column: Influencing parameters, kinetics, and mechanism
- The predictive value of anthropometric indices for cardiometabolic risk factors in Chinese children and adolescents: A national multicenter school-based study
- Lean back and wait for the alarm? Testing an automated alarm system for nosocomial outbreaks to provide support for infection control professionals
- Regional disparities in health care resources in traditional Chinese medicine county hospitals in China
- Analysis on hydraulic characteristics of improved sandy soil with soft rock
- Development and use of a scale to assess gender differences in appraisal of mistreatment during childbirth among Ethiopian midwifery students
- Factors for starting biosimilar TNF inhibitors in patients with rheumatic diseases in the real world
- Correction: Force field generalization and the internal representation of motor learning
- Prevalence and foetomaternal effects of iron deficiency anaemia among pregnant women in Lagos, Nigeria
- Socioeconomic risk factors for fatal opioid overdoses in the United States: Findings from the Mortality Disparities in American Communities Study (MDAC)
- Microbiome signatures in neonatal central line associated bloodstream infections
- Interventions for incarcerated adults with opioid use disorder in the United States: A systematic review with a focus on social determinants of health
- Opening gap width influences distal tibial rotation below the osteotomy site following open wedge high tibial osteotomy
- The impact of lowbush blueberry (Vaccinium angustifolium Ait.) and cranberry (Vaccinium macrocarpon Ait.) pollination on honey bee (Apis mellifera L.) colony health status
- Surveys of knowledge and awareness of antibiotic use and antimicrobial resistance in general population: A systematic review
- Managerial capacity among district health managers and its association with district performance: A comparative descriptive study of six districts in the Eastern Region of Ghana
- Knee joint distraction in regular care for treatment of knee osteoarthritis: A comparison with clinical trial data
- Reconstruction of a regulated two-cell metabolic model to study biohydrogen production in a diazotrophic cyanobacterium Anabaena variabilis ATCC 29413
- Cochlear dysfunction is associated with styrene exposure in humans
- Intra-individual variation of particles in exhaled air and of the contents of Surfactant protein A and albumin
- Revisits, readmissions, and outcomes for pediatric traumatic brain injury in California, 2005-2014
- Enhanced handover mechanism using mobility prediction in wireless networks
- Association between regular exercise and asthma control among adults: The population-based Northern Finnish Asthma Study
- Pharyngeal microbiome alterations during Neisseria gonorrhoeae infection
- Assessment of the clinical utility of four NGS panels in myeloid malignancies. Suggestions for NGS panel choice or design
- Assessment of time management practice and associated factors among primary hospitals employees in north Gondar, northwest Ethiopia
- Genetic diversity and population structure of feral rapeseed (Brassica napus L.) in Japan
- Are the current gRNA ranking prediction algorithms useful for genome editing in plants?
- Difference between physical therapist estimation and psychological patient-reported outcome measures in patients with low back pain
- Heterogeneity in the distribution of 159 drug-response related SNPs in world populations and their genetic relatedness
- Metabolic and lipidomic profiling of steatotic human livers during ex situ normothermic machine perfusion guides resuscitation strategies
- Investigating cumulative effects of pre-performance routine interventions in beach volleyball serving
- Dispensing of antibiotics without prescription and associated factors in drug retail outlets of Eritrea: A simulated client method
- MicroRNA expression and DNA methylation profiles do not distinguish between primary and recurrent well-differentiated liposarcoma
- Assessment of acyl-CoA cholesterol acyltransferase (ACAT-1) role in ovarian cancer progression—An in vitro study
- Cytoplasmic factories, virus assembly, and DNA replication kinetics collectively constrain the formation of poxvirus recombinants
- The wavelet power spectrum of perfusion weighted MRI correlates with tumor vascularity in biopsy-proven glioblastoma samples
- Agreement between cardiovascular disease risk assessment tools: An application to the United Arab Emirates population
- Constructing HLM to examine multi-level poverty-contributing factors of farmer households: Why and how?
- Patterns of symptoms possibly indicative of cancer and associated help-seeking behaviour in a large sample of United Kingdom residents—The USEFUL study
- An automated alarm system for food safety by using electronic invoices
- Neural effects of acute stress on appetite: A magnetoencephalography study
- Use of magnetic resonance imaging to determine laterality of meniscal size in healthy volunteers
- Co-prevalence of extracranial carotid aneurysms differs between European intracranial aneurysm cohorts
- Thermal biology of two tropical lizards from the Ecuadorian Andes and their vulnerability to climate change
- When weight is an encumbrance; avoidance of stairs by different demographic groups
- Non-mycosis fungoides cutaneous lymphomas in a referral center in Taiwan: A retrospective case series and literature review
- From the host's point of view: Effects of variation in burying beetle brood care and brood size on the interaction with parasitic mites
- Kernel-based Gaussian process for anomaly detection in sparse gamma-ray data
- Unmet care needs of children with ADHD
- Accelerometer-assessed outdoor physical activity is associated with meteorological conditions among older adults: Cross-sectional results from the OUTDOOR ACTIVE study
- Identification of Korean cancer survivors’ unmet needs and desired psychosocial assistance: A focus group study
- Evaluation of inactivated Bordetella pertussis as a delivery system for the immunization of mice with Pneumococcal Surface Antigen A
- The role of moral reasoning & personality in explaining lyrical preferences
- Would you like to participate in this trial? The practice of informed consent in intrapartum research in the last 30 years
- Correction: Mutation spectrums of TSC1 and TSC2 in Chinese women with lymphangioleiomyomatosis (LAM)
- Forward lunge before and after anterior cruciate ligament reconstruction: Faster movement but unchanged knee joint biomechanics
- Challenges associated with homologous directed repair using CRISPR-Cas9 and TALEN to edit the DMD genetic mutation in canine Duchenne muscular dystrophy
- Integrated targeted serum metabolomic profile and its association with gender, age, disease severity, and pattern identification in acne
- A prospective case-control study on miRNA circulating levels in subjects born small for gestational age (SGA) evaluated from childhood into young adulthood
- Polymer-fiber-coupled field-effect sensors for label-free deep brain recordings
- Global depth perception alters local timing sensitivity
- How to detect a polytrauma patient at risk of complications: A validation and database analysis of four published scales
- Module for SWC neuron morphology file validation and correction enabled for high throughput batch processing
- Reduced gray matter volume and cortical thickness associated with traffic-related air pollution in a longitudinally studied pediatric cohort
- Recombinant human soluble thrombomodulin is associated with attenuation of sepsis-induced renal impairment by inhibition of extracellular histone release
- Human and climatic drivers affect spatial fishing patterns in a multiple-use marine protected area: The Galapagos Marine Reserve
- Correction: Leisure-time physical activity and sports in the Brazilian population: A social disparity analysis
- Application of the mixture item response theory model to the Self-Administered Food Security Survey Module for Children
- Numerical simulation of atmospheric CO2 concentration and flux over the Korean Peninsula using WRF-VPRM model during Korus-AQ 2016 campaign
- Feline irradiated diet-induced demyelination; a model of the neuropathology of sub-acute combined degeneration?
- Improved multi-parametric prediction of tissue outcome in acute ischemic stroke patients using spatial features
- Genome-wide association and epistatic interactions of flowering time in soybean cultivar
- Correction: Association between workplace bullying and burnout, professional quality of life, and turnover intention among clinical nurses
- Correction: Estimation of membrane bending modulus of stiffness tuned human red blood cells from micropore filtration studies
- Correction: Limited indirect effects of an infant pneumococcal vaccination program in an aging population
- Correction: Targeting of the Plzf Gene in the Rat by Transcription Activator-Like Effector Nuclease Results in Caudal Regression Syndrome in Spontaneously Hypertensive Rats
- Fieldwork-based determination of design priorities for point-of-use drinking water quality sensors for use in resource-limited environments
- Young women’s reproductive health conversations: Roles of maternal figures and clinical practices
- Correction: Differential recordings of local field potential: A genuine tool to quantify functional connectivity
- Survival of medial versus lateral unicompartmental knee arthroplasty: A meta-analysis
- Novel MscL agonists that allow multiple antibiotics cytoplasmic access activate the channel through a common binding site
- Is it time to stop sweeping data cleaning under the carpet? A novel algorithm for outlier management in growth data
- Changes in oak (Quercus robur) photosynthesis after winter moth (Operophtera brumata) herbivory are not explained by changes in chemical or structural leaf traits
- Mutual interaction between motor cortex activation and pain in fibromyalgia: EEG-fNIRS study
- Evaluation of liposomal ciprofloxacin formulations in a murine model of anthrax
- Analysis of cholesterol in mouse brain by HPLC with UV detection
- Sugar, amino acid and inorganic ion profiling of the honeydew from different hemipteran species feeding on Abies alba and Picea abies
- Exploring prior diseases associated with incident late-onset Alzheimer’s disease dementia
- Hypertension prevalence in patients attending tertiary pain management services, a registry-based Australian cohort study
- SRL pathogenicity island contributes to the metabolism of D-aspartate via an aspartate racemase in Shigella flexneri YSH6000
- Correction: Comprehensive genome-wide analysis of the pear (Pyrus bretschneideri) laccase gene (PbLAC) family and functional identification of PbLAC1 involved in lignin biosynthesis
- Epilepsy in a melanocyte-lineage mTOR hyperactivation mouse model: A novel epilepsy model
- Water consumption and prevalence of irritable bowel syndrome among adults
- Mixed evidence for the relationship between periodontitis and Alzheimer’s disease: A bidirectional Mendelian randomization study
- Correction: Health conditions associated with overweight in climacteric women
- Correction: Determining Glomerular Filtration Rate in Homozygous Sickle Cell Disease: Utility of Serum Creatinine Based Estimating Equations
- Modelling the number of antenatal care visits in Bangladesh to determine the risk factors for reduced antenatal care attendance
- Correction: Cumulative viral load as a predictor of CD4+ T-cell response to antiretroviral therapy using Bayesian statistical models
- Dominant negative effects by inactive Spa47 mutants inhibit T3SS function and Shigella virulence
- ICOS-deficient and ICOS YF mutant mice fail to control Toxoplasma gondii infection of the brain
- Diel patterns in swimming behavior of a vertically migrating deepwater shark, the bluntnose sixgill (Hexanchus griseus)
- Life history of northern Gulf of Mexico Warsaw grouper Hyporthodus nigritus inferred from otolith radiocarbon analysis
- Physiology education for intensive care medicine residents: A 15-minute interactive peer-led flipped classroom session
- Strengthening capacity for natural sciences research: A qualitative assessment to identify good practices, capacity gaps and investment priorities in African research institutions
- Systematic scoping review of the concept of ‘genetic identity’ and its relevance for germline modification
- Height of overburden fracture based on key strata theory in longwall face
- Laboratory strains of Bacillus anthracis lose their ability to rapidly grow and sporulate compared to wildlife outbreak strains
- Improvement of classification performance of Parkinson’s disease using shape features for machine learning on dopamine transporter single photon emission computed tomography
- Comparative pharmacokinetics and pharmacodynamics of the advanced Retinol-Binding Protein 4 antagonist in dog and cynomolgus monkey
- Correction: A handy method to remove bacterial contamination from fungal cultures
- Correction: Effect of statin on life prognosis in Japanese patients undergoing hemodialysis
- Retraction: Outer Membrane Protein A (OmpA) of Shigella flexneri 2a Induces TLR2-Mediated Activation of B Cells: Involvement of Protein Tyrosine Kinase, ERK and NF-κB
- Retraction: Biofabrication of streptomycin-conjugated calcium phosphate nanoparticles using red ginseng extract and investigation of their antibacterial potential
- Receiver operating characteristic curve analysis of clinical signs for screening of convergence insufficiency in young adults
- Correction: Drivers of deforestation in the basin of the Usumacinta River: Inference on process from pattern analysis using generalised additive models
- Efficacy of fertilizing method for different potash sources in cotton (Gossypium hirsutum L.) nutrition under arid climatic conditions
- Podocyte autophagy is associated with foot process effacement and proteinuria in patients with minimal change nephrotic syndrome
- Effect of Lactobacillus acidophilus D2/CSL (CECT 4529) supplementation in drinking water on chicken crop and caeca microbiome
- Retraction: MiR-30a-5p Antisense Oligonucleotide Suppresses Glioma Cell Growth by Targeting SEPT7
- Correction: Dynamics of plasma micronutrient concentrations and their correlation with serum proteins and thyroid hormones in patients with paracoccidioidomycosis
- Impact of lower limb osteoarthritis on health-related quality of life: A cross-sectional study to estimate the expressed loss of utility in the Spanish population
- Correction: Prevalence of damaged and missing teeth among women in the southern plains of Nepal: Findings of a simplified assessment tool
- Correction: Tissue-Specific Expressed Antibody Variable Gene Repertoires
- Retraction: Immunoglobulin G Expression in Lung Cancer and Its Effects on Metastasis
- Correction: Causal knowledge promotes behavioral self-regulation: An example using climate change dynamics
- Retraction: Use of Granulocyte Colony-Stimulating Factor for the Treatment of Thin Endometrium in Experimental Rats
- Correction: Dynamic mechanical and nanofibrous topological combinatory cues designed for periodontal ligament engineering
- Correction: Evaluating the foundations that help avert antimicrobial resistance: Performance of essential water sanitation and hygiene functions in hospitals and requirements for action in Kenya
- From seed to flour: Sowing sustainability in the use of cantaloupe melon residue (Cucumis melo L. var. reticulatus)
- Core Scientific Dataset Model: A lightweight and portable model and file format for multi-dimensional scientific data
- Accounting for measurement error to assess the effect of air pollution on omic signals
- Leucine zipper transcription factor-like 1 binds adaptor protein complex-1 and 2 and participates in trafficking of transferrin receptor 1
- Barriers for tuberculosis case finding in Southwest Ethiopia: A qualitative study
- Genetic predisposition to celiac disease in Kazakhstan: Potential impact on the clinical practice in Central Asia
- A lower psoas muscle volume was associated with a higher rate of recurrence in male clear cell renal cell carcinoma
- Two angles of overqualification-the deviant behavior and creative performance: The role of career and survival job
- Cost-utility analysis of de-escalating biological disease-modifying anti-rheumatic drugs in patients with rheumatoid arthritis
- Efficient estimation of stereo thresholds: What slope should be assumed for the psychometric function?
- Learning efficient haptic shape exploration with a rigid tactile sensor array
- Effects of dietary supplementation with a microalga (Schizochytrium sp.) on the hemato-immunological, and intestinal histological parameters and gut microbiota of Nile tilapia in net cages
- Regional versus local wind speed and direction at a narrow beach with a high and steep foredune
- Fragmented QRS complex in patients with systemic lupus erythematosus at the time of diagnosis and its relationship with disease activity
- Severe thiamine deficiency in eastern Baltic cod (Gadus morhua)
- Transfer entropy as a variable selection methodology of cryptocurrencies in the framework of a high dimensional predictive model
- Psychometric validation of Czech version of the Sport Motivation Scale
- Correction: Multiple innate antibacterial immune defense elements are correlated in diverse ungulate species
- Recognition of personality disorder and anxiety disorder comorbidity in patients treated for depression in secondary psychiatric care
- Correction: Strategies for achieving high sequencing accuracy for low diversity samples and avoiding sample bleeding using illumina platform
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- Chemical analysis of snus products from the United States and northern Europe
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- Effect of Lactobacillus acidophilus D2/CSL (CECT 4529) supplementation in drinking water on chicken crop and caeca microbiome
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