Computational tools to detect signatures of mutational processes in DNA from tumours: A review and empirical comparison of performance
Authors:
Hanane Omichessan aff001; Gianluca Severi aff001; Vittorio Perduca aff001
Authors place of work:
CESP (UMR INSERM 1018), Université Paris-Saclay, UPSud, UVSQ, Villejuif, France
aff001; Gustave Roussy, Villejuif, France
aff002; Cancer Epidemiology Centre, Cancer Council Victoria, and Centre for Epidemiology and Biostatistics, Melbourne School for Population and Global Health, The University of Melbourne, Melbourne, Australia
aff003; Laboratoire de Mathématiques Appliquées à Paris 5—MAP5 (UMR CNRS 8145), Université Paris Descartes, Université de Paris, Paris, France
aff004
Published in the journal:
PLoS ONE 14(9)
Category:
Research Article
doi:
https://doi.org/10.1371/journal.pone.0221235
Summary
Mutational signatures refer to patterns in the occurrence of somatic mutations that might be uniquely ascribed to particular mutational process. Tumour mutation catalogues can reveal mutational signatures but are often consistent with the mutation spectra produced by a variety of mutagens. To date, after the analysis of tens of thousands of exomes and genomes from about 40 different cancer types, tens of mutational signatures characterized by a unique probability profile across the 96 trinucleotide-based mutation types have been identified, validated and catalogued. At the same time, several concurrent methods have been developed for either the quantification of the contribution of catalogued signatures in a given cancer sequence or the identification of new signatures from a sample of cancer sequences. A review of existing computational tools has been recently published to guide researchers and practitioners through their mutational signature analyses, but other tools have been introduced since its publication and, a systematic evaluation and comparison of the performance of such tools is still lacking. In order to fill this gap, we have carried out an empirical evaluation of the main packages available to date, using both real and simulated data. Among other results, our empirical study shows that the identification of signatures is more difficult for cancers characterized by multiple signatures each having a small contribution. This work suggests that detection methods based on probabilistic models, especially EMu and bayesNMF, have in general better performance than NMF-based methods.
Introduction
Cancers contain mutant cells that originate from a DNA modification in a single normal cell that is then propagated through cell divisions and that accumulates with further DNA modifications finally leading to abnormal, cancerous cells [1]. Such changes that include Single Nucleotide Variants (SNVs), insertions or deletions, Copy Number Variation (CNVs) and chromosomal aberrations, have been termed as "somatic mutations" to distinguish them with those inherited and transmitted from parents (germline mutations). With the development and the improvement of sequencing technologies collectively referred to as High-Throughput Sequencing (HTS) and the availability of cancer exome and genome data from most human cancers, much has been learnt about these mutations and the set of genes (oncogenes and tumour suppressor genes) that operate in human cancers. Beyond the relatively small number of “driver” mutations, those that confer a large selective advantage for tumour development and progression, the vast majority of mutations confer weaker selective advantage or are truly neutral in that they do not affect cancer cells’ survival. Together, passenger and driver mutations constitute a record of all cumulative DNA damage and repair activities occurred during the cellular lineage of the cancer cell [2].
Among all types of somatic mutations, a particular focus has been placed on single base substitutions that have been classified in six types according to the mutated pyrimidine base (C or T) in a strand-symmetric model of mutation. Such 6 substitutions (C>A, C>G, C>T, T>A, T>C and T>G) may be further classified in different types when considering the sequence pattern in which they are located (sequence context). For practical reasons, the sequence context is typically defined using the 5’ and 3’ bases proximal to the mutated base, that results in substitutions being classified in 96 types (6*4*4). In this paper we adopt this convention and use “mutations” to refer to these 96 types of contextualized substitutions.
It has been hypothesised that specific patterns of mutations are the results of the action of particular underlying mutational process. To identify such patterns, computational models, such as matrix decomposition algorithms or probabilistic models, have been developed. The first of such methods was published in 2013 by Alexandrov and colleagues [2,3], and, as for most of all the other models that followed, is based on the idea that a mutational signature can be seen as a probability distribution of the 96 types of mutations. Mutational signatures contribute to the total mutational burden of a cancer genome, commonly referred to as mutational “catalogue” or “spectrum” in the recent computational biology literature.
Such original methodological framework, applied to tens of thousands of genomes and exomes from 40 different cancers types from large data repositories such as TCGA (The Cancer Genome Atlas), has led to the identification of 30 mutational signatures characterized by a unique probability profile across the 96 mutation types. These validated mutational signatures are listed in a repertory on the COSMIC (Catalogue Of Somatic Mutations In Cancer) website [3] and have been widely used as references. More recently, Alexandrov et al. have introduced an updated set of signatures identified from an even larger collection of both exome and whole-genome sequences (including the sequences from the PCAWG project) using two different methods (a new version of the original framework and a Bayesian alternative) [4]. The new repertory includes 49 new mutational signatures based on single base substitutions as in COSMIC, and also mutational signatures built in the context of other types of mutations such as double base substitutions (11 signatures), clustered based substitutions (4 signatures) and small insertions and deletions (17 signatures).
After the introduction of the original framework, several other mathematical methods and computational tools have been proposed to detect mutational signatures and estimate their contribution to a given catalogue. These methods can be grouped in two categories with different goals. The first class of methods aims to discover novel signatures while the second class aims to detect the known and validated mutational signatures in the mutational catalogue of a given sample. The approaches used in the first class are referred to as “de novo” (or “signature extraction”) while those in the second class as “refitting” (or “signature fitting”). All methods have been implemented in open source tools, mainly R packages, but some of them are available through command line, the Galaxy project or a web interface.
Signatures identified with de novo methods can be compared to reference signatures (for instance those listed in COSMIC) through measures such as cosine [5] or bootstrapped cosine similarity [6], which is a distance metric between two non-zero vectors. In this step of the analysis, extracted signatures are matched to the most similar reference signature, provided that their similarity is greater than a fixed threshold.
Recently, Baez-Ortega and Gori published a paper that discussed the mathematical models and computational techniques for mutational signature analysis [7]. However, to our knowledge no systematic evaluation of the performance of the existing methods has been conducted and the issue of the choice of an appropriate cosine similarity threshold when matching a newly extracted signature to the most similar counterpart in a reference set has not been addressed yet.
We use simulated and real-world cancer sequences in order to evaluate and compare for the first time the methods available to date, and assess their ability to accurately detect the underlying mutational signatures in mutational catalogues.
Mathematical definition of mutational catalogues, spectra and signatures
In this section we briefly review the mathematical framework and notations based on the original model developed by Alexandrov and colleagues [2]. The data structure that is used as input by most current methods is the mutational catalogue, or spectrum, of a genome (or exome), with the counts for each of the 96 different mutation features, or types. In most approaches, the notion of mutation type refers to base substitutions within the trinucleotide context described above.
The mutational catalogue of a genome (or exome) g is defined as the vector (mg1,…,mgK)T, where each mgk is the number of mutations of type k found in the genome and K, the number of possible mutation types, is equal to 96, and the superscript T denotes the transpose of a matrix so that vectors are thought as column vectors. Note that in this setting, information about mutation locations in the sequence is lost. The catalogue is built by comparing the sequence to a reference sequence in order to detect mutations and then by simply counting the occurrences of each type. The reference sequence can either be a standard reference (e.g. the assembly GRCh38) or a sequence from a “normal” tissue from the same individual (e.g. DNA from blood or from normal tissue surrounding tumours when available). For the purposes of the present work we will use the generic term “samples” for both genomes and exomes as the concepts and models used may be applied to both.
The basic idea underlying all computational models proposed is that the mutational catalogue of a sample results from the combination of all the mutational processes operative during lifetime, and therefore it can be seen as the weighted superposition of simpler mutational signatures, each uniquely corresponding to a specific process. The weight is larger if the process has a larger role in the final catalogue of mutations: for example, mutagens that last longer, are more intense, generate poorly repaired DNA lesions, mutate more genes, or also act as selection pressures favouring mutant cells. Here we adopt the term “signature” as it is the most commonly used in the recent computational cancer biology literature, although this term could be misleading as it implies unique backward identification with a mutagen or a cancer type that in some cases might not be possible.
Formally, the signature of a mutational process n is a vector pn=(pn1,…,pnK)T, where each pnk represents the probability that the mutational process will induce a mutation of type k. In other words, pnk is the expected relative frequency of type k mutations in genomes exposed to n. Note that ∑k=1Kpnk=1 and 0≤pnk≤1 for all k.
The intensity of the exposure to a mutational process n in a sample g is measured by the number of mutations egn in g that are due to n. For this reason, egn is referred to as the “exposure” of g to n. It is important to note that the term “exposure” does not refer here to the exposure to a mutagen per se, because it also includes the likelihood that an unrepaired DNA lesion will cause a mutation. The expected number of mutations of type k due to the process n in sample g is therefore pnkegn. If sample g has been exposed to N mutational processes, then the total number of mutations of type k is
Matrix notation is effectively used when dealing with several samples and signatures. In this situation, the collection of G samples is represented by the K×G matrix, with catalogues in columns:
Eq (1) then becomes
de novo extraction vs. refitting
de novo signature extraction methods aim at estimating P and E given M. Non-negative matrix factorization (NMF) is an appealing solution to this unsupervised learning problem, because, by definition, all involved matrices are non-negative [8]. NMF identifies two matrices P and E that minimize the distance between M and P×E. In particular, NMF finds an approximated solution to the non-convex optimization problem
The refitting approaches consider that the signatures P are known and the goal is to estimate E given M and P. Refitting can be done for individual mutational catalogues (i.e. individual samples) and, from a linear algebra perspective, can be seen as the problem of projecting a catalogue living in the K-dimensional vector space (the space spanned by all mutation types) onto its subset of all linear combinations of the given mutational signatures having non-negative coefficients (the cone spanned by the given signatures).
A current practice consists in first performing a de novo extraction of signatures followed by a comparison of the newly identified signatures with the reference signatures (e.g. COSMIC signatures) by means of a similarity score, typically cosine similarity ranging from 0 (completely different) to 1 (identical) [6,10]. Finally, a “novel” signature is considered to reflect a specific reference signature if the similarity is larger than a fixed cut-off. If similarity is observed with more than one reference signature, the one with the largest value of similarity is chosen, see S1 Fig. This assignment step crucially depends on the choice of the cut-off h that has been so far inconsistent in the literature with some studies using a value of 0.75 [11] whereas others 0.80 [12,13]. Another difficulty is that different signatures might have very close cosine similarity, as it happens also between COSMIC signatures, see S2 Fig, so that a unique assignment is not always possible. This shows that mutational signatures are a useful mathematical construct that, however, might have biological ambiguous meaning.
Overview of the available tools
A similar number of de novo and refitting methods exist and all of them are available as open source tools, mainly as R packages, or web interfaces (Table 1). The typical input of the tools is a file including the mutation counts but some tools derive the mutation counts from ad-hoc input files that may include for each individual a list of mutated bases, their position within the genome and the corresponding bases from a reference genome. The typical format of such input files is MAF, VCF or less common formats such as MPF and MFVF. For biologists or those who are not familiar with programming, a set of tools were also developed and provided with user-friendly interfaces (see also Table 1). Some tools include additional features such as the possibility to search for specific patterns of mutations (e.g. APOBEC-related mutations [5]) and differential analysis [14].
Available tools for the detection of mutational signatures.
de novo approaches
Most tools that have been developed to identify mutational signatures were based on decomposition algorithms including NMF or a Bayesian version of NMF [14,17]. The original method developed by Alexandrov et al. was based on NMF and was implemented in MATLAB [2] and is available also as an R package developed independently [20]. An updated and elaborated version named SigProfiler, was proposed recently for extracting a minimal set of signatures and estimating their contribution to individual samples [4]. The latter article also discusses an alternative method based on Bayesian NMF, called SignatureAnalyzer, that led to the identification of 49 reference signatures. Another tool that utilises NMF is maftools that is one of the few de novo tools that allows systematic comparison with the 30 validated signatures in COSMIC by computing cosine similarity and assigning the identified signatures to the COSMIC one with the highest cosine similarity [5].
Other tools such as SomaticSignatures [15] or the recent Helmsman [21] allows the identification of mutational signatures through Principal Component Analysis (PCA) in addition to NMF. For the sake of our formal comparison of the tools performance, we have tested SomaticSignatures only with the NMF implementation because with PCA the factors are orthogonal and the values inside the matrix can potentially be null or negatives, which is a deviation from the paradigm postulating that catalogues are the superposition of positively weighted signatures. We note, however, that PCA could be a promising way to explore complex situations in which mutational processes interfere with each other (e.g. relatively error free repair processes competing with error prone repair processes). Developed in the Python language, Helmsman allows the rapid and efficient analysis of mutational signatures directly from large sequencing datasets with thousands of samples and millions of variants.
A promising recent method called SparseSignatures [22] proposes an improvement of the traditional NMF algorithm based on two innovations, namely the default incorporation of a background signature due to DNA replication errors and the enforcement of sparsity in identified signatures through a Lasso penalty. This latter feature allows the identification of signatures with well-differentiated profiles, thus reducing the risk of overfitting.
In addition to decomposition methods, an approach based on the Expectation Maximization (EM) algorithm has been proposed to infer the number of mutational processes operative in a mutational catalogue and their individual signatures. This approach is implemented in the EMu tool [9], where the underlying probabilistic model assumes that input samples are independent and the number of mutational signatures is estimated using the Bayesian Information Criterion (BIC).
Another tool that uses a probabilistic model named mixed-membership model is pmsignature [16]. This tool utilises a flexible approach that at the same time reduces the number of estimated parameters and allows to modify key contextual parameters such as the number of flanking bases.
The latter feature may be particularly useful as the standard and most commonly used methods based on trinucleotides may not be the most adequate to detect specific mutational processes that lead to larger-scale substitution patterns. Evaluating the impact of limiting to trinucleotides or estimating the gain in performance associated with the extension of the context sequence to two flanking bases, is difficult and beyond the scope of our work. However, it is worth noting that trinucleotide-based methods have been able to identify several signatures associated with defective DNA mismatch repair and microsatellite instability (i.e. signatures 6, 14, 15, 20, 21, 26 and 44 of COSMIC v3) [4]. It is important to note that for the purpose of our comparison with the other tools, we set to one the number of flanking bases, and therefore to 96 mutation types.
EMu, signeR and pmsignature (and the refitting tool deconstructSigs) have been designed to take into account the distribution of triplets in a reference exome or genome for example from a sequence of normal tissue in the same individual. This is done by “normalizing” the input mutational catalogues with respect to the distribution of triplets in the reference exome or genome using an “opportunity matrix”.
Refitting with known mutational signatures
In addition to the identification of novel mutational signatures, we are often interested in evaluating whether a signature observed in an individual tumour is one of an established set of signatures (e.g. the COSMIC signatures). This task is performed by “refitting tools” that aim to search for the “best” combination of established signatures that explains the observed mutational catalogue by projecting the latter (i.e. mapping) into the multidimensional space of all non-negative linear combinations of the N established signatures.
The deconstructSigs [23] tool searches for the best linear combination of the established signatures through an iterative process based on multiple linear regression aimed at minimizing the distance between the linear combination of the signatures and the mutational catalogue. All the other tools minimise the distance through equivalent approaches based on quadratic programming [24,25,28], non-negative least square [26] linear combination decomposition [27] and simulated annealing [25].
A faster implementation
We propose an alternative implementation of the decomposition performed in [26,27] based on a simple geometric framework. Finding the linear decomposition of the input catalogue M on a set of given signatures minimizing the distance can be seen as the problem of projecting M on the geometric cone whose edges are the reference signatures. We propose to solve this problem by applying the very efficient R package called coneproj [34]. More details about our algorithm, which we called MutationalCone, together with the R code implementing it, can be found in the S1 File.
Combining de novo and refitting procedures
Sigfit [29] is a recently introduced R package for Bayesian inference based on two alternative probabilistic models. The first of such models is a statistical formulation of classic NMF where signatures are the parameters of independent multinomial distributions and catalogues are sampled according to a mixture of such distributions with weights given by the exposures, while the second model is a Bayesian version of the EMu model. An interesting innovation of Sigfit is that it allows the fitting of given signatures and the extraction of undefined signatures in the same Bayesian process. As argued by the authors, this unique feature might be helpful in cases where the small sample of catalogues makes it difficult to try to identify new signatures or when the aim is to study the heterogeneity between the primary tumour and metastasis in terms of the signatures they show.
In this work we empirically evaluate the methods that have been already presented in a peer review published paper and for which an implementation in R is available. To this aim, we adopt the COSMIC set as reference for the analysis of simulated and real mutational catalogues because we evaluate tools that were developed at the time when COSMIC was the only available database of reference.
Data and experimental settings
Real cancer data from TCGA
In order to evaluate the performance of the available algorithms on real data, we used the exome sequences in The Cancer Genome Atlas (TCGA) repository (https://cancergenome.nih.gov/) for four cancer types: breast cancer, lung adenocarcinoma, B-cell lymphoma, and melanoma.
Mutation Annotation Format (MAF) files with the whole-exome somatic mutation datasets from these cohorts were downloaded from the portal gdc.cancer.gov on 6 March 2018. Data were annotated with MuSE [35] and the latest human reference genome (GRCh38). Mutational catalogues from these cohorts were obtained by counting the number of different mutation types using maftools [5]. The distribution of the number of mutations for each sample and separately for each cancer type is depicted in Fig 1.
Barplot with the number of mutations in each sample in four TCGA cohorts.
Each bar represents a sample, with the number of mutations shown in the y-axis.
According to the COSMIC website, 13 and 7 signatures have been found for breast cancer and lung adenocarcinoma respectively, 6 for B-cell lymphomas and 5 for melanoma.
Simulated data
The first key assumption of our model of simulated mutational catalogues is that the number of mutations in a sample g that are induced by process n follows a zero-inflated Poisson (ZIP) distribution. According to this two-component mixture model, egn is either 0 with probability π or is sampled according to a Poisson distribution P(λ) with total probability 1−π. Such a model depends on two parameters: the expectation λ of the Poisson component, and the probability π of extra “structural” zeros. The ZIP model allows for frequent zeroes and is therefore more suitable for modelling a heterogeneous situation where some samples are not exposed to a given mutational process (egn=0) while some others are (egn>0). Realistically, the mutation counts due to process n in each of the G samples, e1n,…,eGn, are assumed to be independent and identically distributed according to a ZIP model where the expectation of the Poisson component is specific to n:
Note that the expected number of mutations in sample g due to process n is (1−π)λn. This flexibility given by process-specific average counts is the second important characteristic of our model and reflects the possibility that the mutagenic actions of different processes are intrinsically different with respect to their intensity. Obviously, it would have been possible to do one step further and allow for parameters λn,g specific to both processes and samples, thus representing the realistic situation in which the exposures of different samples to the same process have different duration or intensity (e.g. smokers/non-smokers). However, this would have resulted in too many parameters to tune, thus making it difficult to interpret the results of our simulation study. For the same reason we considered one fixed value of π.
The parameter λn depends on both the average total number r of mutations in a sample and the relative contribution of n. We therefore imposed the parameterization λn(1−π) = qnr, where qn is the average proportion of mutations due to the process n.
When taking a unique value of r, this model produces realistic simulations even though it underrepresents extreme catalogues with very large or small total numbers of mutations (see Part C of S3 Fig). While considering a specific value of r for each sample, or group of samples, would definitely make it possible to obtain a more realistic distribution of simulated catalogues (see Part B of S3 Fig), such multidimensional parameter would complicate unnecessarily our empirical assessment of mutational signature detection methods by introducing too many specifications. We therefore decided to consider a unique r for each set of simulations. This formulation allowed us to study empirically the performance of a given signature detection method as a function of the average number of mutations r while fixing the average proportion of mutations due to each mutational process qn, according to different profiles that mimic real cancer catalogues. Interestingly, the ZIP model appeared to be more appropriate to represent mutational catalogues than the pure Poisson model used in previous publications [9,14] (see Part D of S3 Fig).
We adopted the following simulation protocol:
We chose N signatures from the COSMIC database, thus obtaining the matrix P.
For each sample g and process n we sampled egn from a ZIP distribution with parameters λn = qnr/(1−π) and π and obtained E. Here qn,r and π are fixed parameters to set.
We computed the product P×E. In order to obtain the final simulated catalogue M, we added some noise to the latter matrix by taking mgk∼P((P×E)gk).
We generated four alternative sets of simulated catalogues, referred to as Profiles 1, 2, 3 and 4, each set mimicking a particular cancer: breast cancer, lung adenocarcinoma, B-cell lymphoma and melanoma. In order to do so, for each tumour type, we applied MutationalCone to the corresponding TCGA datasets and we calculated the mean contribution across all samples of each signature known to contribute to the specific cancer type qn. Signatures with qn = 0 do not contribute to the final catalogue and were not in the matrix P. S4 Fig depicts the resulting four sets of configurations (q1,…,qN) used for the simulations. Profiles 3 and 4 are characterised by one dominant signature, Profiles 2 by two signatures with similar large contributions and Profile 1 by several signatures with small effects. We fixed the relative frequency of structural zero contributions to the catalogues to π = 0.6 in all simulations. We chose this value because it leads to a small number of hypermutated catalogues, as it is often encountered in practice. Finally, we varied the number of r from as little as 10 to as much as 100,000 mutations. This allowed us to study the performance of methods on a large spectrum of catalogues: from a limited number of mutations as in exomes, to a very large number, as in whole cancer genome sequences.
For each of the four tumour types and for each value of r, we simulated a catalogue matrix with G samples. Fig 2 shows examples with G = 30 for three values of r.
Sample of simulated catalogues.
Methods for measuring the performance of algorithms
All methods for identifying signatures find solutions to the minimization problem (2). A straightforward way to measure the accuracy of the reconstructed catalogue is, therefore, to calculate the Frobenius norm of the reconstruction error
With regards to bayesNMF, it is known that the performance of its principal function might be poor in presence of hypermutated catalogues that mask the detection of signals from less mutated catalogues [17]. For this reason, we pre-treated the catalogues to be analysed by this tool and replaced hypermutated catalogues by synthetic non-hypermutated catalogues to maintain the original mutational distribution catalogues using the standalone get.lego96.hyper function that can be found in the bayesNMF script.
In order to make decisions about whether an extracted signature is the same as validated signatures (e.g. COSMIC signatures) a cut-off for cosine similarity needs to be defined. We decided to apply six different cut-offs and consider as “new” all identified mutational signatures for which the maximal cosine similarity is lower than the cut-off value.
Specificity and sensitivity for de novo extraction and assignment
In most applications, signature extraction is done in two steps: first, signatures are found using a de novo extraction tool and then for the extracted signatures a cosine similarity with each of the COSMIC signatures is calculated. In order to measure the performance of both these steps combined, we used simulated catalogues and computed false and true positive rates and false and true negative rates. In a simulated catalogue, the set of true signatures p1,…,pN that do contribute to the catalogue are known, thus allowing the comparison of the latter to the estimated signatures p^i1,…,p^iN. Note that, for the sake of simplicity, we explicitly look for the same number of signatures that we used to simulate the catalogues, not addressing questions about model selection performance.
Estimated signatures that belong to the set of “true signatures” are considered as true positives, while all “true signatures” that are not extracted count as false negatives. False positives are all estimated signatures that do not have a match in the set of “true signatures”. This can happen for two reasons: the estimated signature is assigned to a COSMIC signature not used to build the catalogue, or it is not sufficiently similar to any COSMIC signature. This last situation usually takes place when setting a very high cosine similarity threshold h. In this case, signatures that have maximal cosine similarity lower than the cutoff, will be termed as “new”. Finally, true negatives are all COSMIC signatures not used for the simulation, nor estimated. From these four measures, we compute specificity (number of true negatives divided by the total number of negatives) and sensitivity (number of true positives divided by the total number of positives).
In our empirical study, for each simulation setting described in the Simulated data section (that is for each profile given by a choice of proportions (q1,…,qN) and for a choice of total number of mutations r) we built 50 replicates, each made of a matrix of G samples. Then we extracted signatures from all replicates with a given tool. Importantly, we set the expected number of signatures to be the same as the number of signatures used in the simulation, thus not addressing the problem of model selection. Then we compared the extracted signatures to the COSMIC signatures using a cosine similarity threshold h. Finally, we computed specificity and sensitivity and obtained Monte-Carlo estimates based on the means over all replicates.
Bias of refitting procedures
Refitting algorithms assume that the matrix of signatures is known, and return the exposure estimates e^gn, i.e. estimates of the contribution of each signature egn. A simple way to assess the performance of the refitting method is then to look at the bias of such estimates, by comparing them to the true exposures. In order to do so, we simulated 50 replicates each consisting of one lung adenocarcinoma-mimicking catalogue g (Profile 3) with an average number of mutations set to r = 104. Then, for each process n, we obtained Monte-Carlo estimates of the bias E[e^gn]−egn by averaging the differences e^gn−egn over all replicates. A global measure of performance that considers all exposure estimates is given by the mean squared error (MSE), that is the expected value of the loss function ∑n=130(e^gn−egn)2. We obtained Monte-Carlo estimates of the mean squared error by averaging the loss function values across all 50 replicates and calculate asymptotic confidence intervals.
Analyses were performed using R 3.5.1 on a Linux Ubuntu (14.04) machine with 32 GB RAM and Intel Xeon E5-2630 v4 CPUs @ 2.2 GHz x 16.
Comparisons of algorithm performance
Performance of de novo tools
Fig 3 shows the distribution of the reconstruction error when a given computational tool is applied several times to the same real trinucleotide matrix. Reconstruction errors show limited variability due to stochastic steps in the algorithms and no variability whatsoever for maftools. All methods under evaluation are roughly equivalent in terms of their ability to properly reconstruct the initial matrix of mutational catalogues. This is not surprising, given that all methods are meant to solve the optimization problem in (2).
Reconstruction errors and their variability due to stochastic steps in the algorithms.
In general, the error value appears to depend on the cancer dataset. This is expected because the fours datasets differ with regards to the number of samples, their total number of mutations and the number of operating mutational signatures, making the decomposition more or less difficult.
In order to study the robustness to the presence of outliers, we also estimated the reconstruction error of each method (not only bayesNMF) after pre-treating all datasets with the function get.lego96.hyper. The results reported in S5 Fig show that the performance of each method improves after pre-treating the samples, especially for Melanoma and Breast cancer datasets that are characterised by a few samples with an extremely high number of mutations. For the Melanoma dataset, the gain in performance is considerable for bayesNMF and maftools.
We used realistic simulations to evaluate the performance of each method for de novo extraction followed by a classification step in which the extracted signatures are assigned to the most similar COSMIC signature.
Figs 4 and 5, respectively show the specificity and sensitivity of such two-stage procedure as functions of the number of samples G in each catalogue and the cosine similarity cut-off h, while Figs 6 and 7 show the specificity and sensitivity as functions of the number of mutations in each catalogue and h.
Simulation study: Specificity of extraction methods and mapping on COSMIC signatures as the number of analysed catalogues and the cosine cut-off h vary.
Specificity is estimated from 50 replicates each made of G genomes. The average number of mutations in each catalogue is r = 10,000. The model used to simulate realistic replicates according to the four Profiles and the estimation methods are described in the section Data and experimental settings.
Simulation study: Sensitivity of extraction methods and mapping on COSMIC signatures as the number of analysed catalogues and the cosine cut-off h vary.
Sensitivity is estimated from 50 replicates each made of G genomes. The average number of mutations in each catalogue is r = 10,000. The model used to simulate realistic replicates according to the four Profiles and the estimation methods are described in the section Data and experimental settings.
Simulation study: Specificity of extraction methods and mapping on COSMIC signatures as the average number of mutations and the cosine cut-off h vary.
Specificity is estimated from 50 replicates each made of G = 30 catalogues. The model used to simulate realistic replicates according to the four Profiles and the estimation methods are described in the section Data and experimental settings.
Simulation study: Sensitivity of extraction methods and mapping on COSMIC signatures as the average number of mutations and the cosine cut-off h vary.
Sensitivity is estimated from 50 replicates each made of G = 30 catalogues. The model used to simulate realistic replicates according to the four Profiles and the estimation methods are described in the section Data and experimental settings.
We do not see very large differences in the tools’ specificity with respect to the number of samples (Fig 4). For Profiles 2, 3 and 4 the specificity of all methods is close to 1 even for small sample sizes, while for Profile 1, that is characterised by small contributions from several signatures (see S4 Fig), the specificity is close to 1 starting from 50 samples. The sensitivity of most of the algorithms increases with the sample size (Fig 5) and this trend is more evident for Profile 1. Methods based on NMF (maftools, SomaticSignatures, mutSignatures) have lower sensitivity, while methods based on probabilistic models perform better, with the notable exception of signeR. Most of the differences between tools are observed for Profile 4, with some methods (EMu, bayesNMF, pmisignature) having a sensitivity close to 1 and the others having lower and more variable sensitivities.
Specificity increases with the average number of mutations (Fig 6). For Profiles 2,3 and 4 it is close to 1 starting from as low as 1000 mutations, while for Profile 1 it is only for at least 10,000 mutations that we observe a specificity close to 1 for most of the methods, with the notable exception of bayesNMF that performs well even for lower numbers of mutations. Sensitivity increases with the average number of mutations with a large variability according to the cancer profile and method (Fig 7). Sensitivity is high for cancer profiles characterised by one predominant signature (Profiles 3 and 4) or two strong signatures (Profile 2) but may become relatively low for datasets characterized by small contributions by several signatures (Profiles 1). This indicates that signatures that act together with other signatures and have small effects may be more difficult to identify.
Specificity and sensitivity slightly deteriorate for higher cut-off values. This is expected because by setting a higher cut-off, the number of found signatures that are not similar enough to COSMIC signatures increases. Because these estimated signatures are considered as novel, they are false positives (that is found signatures not used for simulations), leading to a greater number of false positives and therefore to a lower specificity. Moreover, if the cut-off is too stringent, the number of false negatives will be high because some signatures used for the simulations are correctly found but do not score a high enough cosine similarity and therefore count as false negatives. This will make the resulting sensitivity low.
Fig 8 shows the running time when tools are applied to real lung datasets with a varying number of samples. While all methods show a fast-growing running time with increasing number of samples, SomaticSignatures and maftools are much faster than the others for more than 100 samples, making it possible to analyse large number of samples in few seconds. For example, for two hundred samples, the slowest method (signeR), the running time is 913.72s while for the fastest (maftools), the value is 5.97s.
Running times of refitting tools.
Methods were applied to subsets of the TCGA Lung cohort of different sizes. The y-axis is in logarithmic scale.
Performance of refitting tools
Fig 9 shows the distribution of the differences between the estimated and true contribution of all n signatures eg1,…,eg30 for the different refitting methods under evaluation. Sample catalogues were simulated mimicking Lung cancer profiles (Profile 3), with signatures 1,2,4,5,6, 13 and 17 actually contributing as shown in S4 Fig. All methods give almost identical results.
Simulation study: Bias of the estimates of each signature contribution for several refitting methods.
For each signature, the bias estimates are obtained by averaging the exposure estimates across 50 samples. Mean square errors, together with 95% confidence intervals, are reported on the top of each plot. Simulations were done according to the model described in the Data and experimental settings section.
By comparison with the true exposure profile given in S4 Fig, it is clear that all refitting methods provide good estimates of the contributions of all but signatures 4,5 and, 17 and to a lesser extent signature 6. Moreover, all methods correctly estimate a zero contribution for signatures 3 and 16 even though these are very similar to signature 5, see S2 Fig.
Interestingly, we note that signatures 2 and 13 (both attributed to APOBEC activity) are in general well identified by all methods. This finding is in line with previous claims about the stability of these two signatures.
In terms of running time, deconstructSigs and SignatureEstimation based on simulated annealing are more than two orders of magnitude slower than the other methods (Fig 10). All other methods run in a fraction of second. As expected, the running time increases linearly with the number of samples. MutationalCone, our custom implementation of the solution to the optimization problem solved by YAPSA and MutationalPatterns outperforms all other methods. The second fastest method is SignatureEstimation based on Quadratic Programing. As example, for two hundred samples, the execution time of deconstrucSigs is 86.148s and for MutationalCone is 0.028s.
Running times of refitting tools.
Methods were applied to subsets of the TCGA Lung cohort of different sizes. The y-axis is in logarithmic scale.
Discussion
In this work we complement and expand a recent review of the available methods to identify mutational signatures [7] by empirically comparing their performance, using both real world TCGA data and simulated data. To our knowledge, this is the first formal comparison of both de novo discovery and refitting of mutational signatures. The research about mutational signatures is very active and in rapid development, with preprints about new methods regularly published on bioRxiv.org; in this work we thoroughly assessed and formally compared methods that have already been published in peer reviewed journals, and we briefly described other more recent methods. The results of this work can lead to a better understanding of the strengths and limitations of each method as well as to the identification of the key parameters influencing their performance, namely the number of mutations and the “complexity” of the contributing signatures.
Since the publication of the first work about mutational signatures in 2013 [2], multiple algorithms have been developed, leading to similar but not identical results, a source of concern for researchers interested in this type of analysis. Conceptually, this is not surprising: mutational signatures are naturally defined in terms of non-negative matrix factorization, a well-known ill-posed problem (a unique solution does not exist). Although this limitation has cast doubts on the biological validity of mutational signatures, this has been somehow validated using experimental and computational approaches by Zou et al. [36]. Similarly, the term “signature” itself is somehow controversial as it implies a unique correspondence with mutagens, while in this context signatures are mathematically defined as basic signals each contributing to the final sequence mutational burden. Sufficiently detailed tumour catalogues and mutagen spectra might yield patterns that are unique to a tumour type or mutagen, and therefore become “true” signatures that allow backward inference from the tumour to the mutagen. Mutational signatures data in combination with epidemiological information may provide useful insights to identify the causes of cancer [37,38]. The utility of the current models of substitution mutational signatures is also shown in a recent experimental work based on a human induced pluripotent stem cell (iPSC) line that provides evidence for the possibility to identify the agents responsible for some specific mutational signatures [39]. In such work, Kucab and colleagues compared iPSCs treated and untreated with 79 known or suspected environmental carcinogens and identified specific substitution mutational signatures for around half of such carcinogens. Some of such signatures were similar to those identified in human tumour DNA.
An original aspect of this paper is the empirical performance study and in particular the probabilistic model of mutational catalogues used to generate simulations. This model is based on the zero-inflated Poisson distribution that allows for sparse contribution of signatures and thus makes it possible to build mutation count data that are more realistic than the pure Poisson model previously considered [9,14]. As argued in the Simulated data section, our model underrepresents the few samples with extremely large total mutation counts. Because catalogues of this type might hamper the detection of signals from less mutated samples in the same dataset [7], it is likely that our results slightly overestimate the methods performance in the presence of hypermutated samples. However, our main objective was the comparison of the different methods, and this is not affected by this systematic bias. In our model, a larger number of hypermutated catalogues could be obtained by lowering the value of π, the parameter that controls the relative frequency of structural zeroes in the zero-inflated Poisson model. As discussed, it would have been possible to consider even more realistic models, however these would have led to results that depend on too many parameters thus making the interpretation harder. For instance, the zero inflated negative binomial model is a more flexible model and looks a promising method to build realistic synthetic samples, including hypermutated ones. We leave this interesting perspective to future work. Alternative models that were recently proposed are based on the negative binomial distribution [22] and on the Dirichlet distributions for the exposures and signatures and the multinomial distribution for the catalogues [29]. We suggest that developers should assess their new methods on simulations based on realistic models such as ours or the latter. The advantage of simulations over real data is that the underlying model generating the synthetic data is known and can be compared to the estimation provided by the method being evaluated. For this reason, we decided not to simulate catalogues from real data using the bootstrap: this would have produced almost real samples but without the possibility to evaluate the performance of methods according to different parametric scenarios. We strongly believe that the mutational signature research could benefit from the development of public realistic datasets that can be used to benchmark old and new detection tools.
Another innovative aspect of our work is the assessment of the performance of de novo approaches. This is in general a slippery problem given the non-supervised learning nature of NMF and concurrent methods. We addressed it by building confusion matrices after comparing the “true” signatures used for simulations with the newly identified signatures in terms of their cosine similarity.
Finally, we introduced MutationalCone, a new implementation of existing refitting tools that is based on a very simple geometric model and proved to be faster than all other methods. The R code implementing MutationalCone can be found in the S1 File.
The results of our study can be helpful to guide researchers through the planning of mutational signature analysis. In particular, we show that the performance of de novo methods depends on the complexity of the analysed sequences, the number of mutations and to a lesser degree the number of samples analysed. It was somehow expected that the performance of the methods for a cancer in which multiple, concomitant, signatures are present is poorer than for a cancer with a single or predominant signature, particularly when the concomitant signatures are similar and have a low contribution. However, we demonstrated that in the latter case it is mainly sensitivity and not as much specificity that significantly decreases. An intuitive reason for this result is that a signature with low impact is difficult to detect and therefore will be wrongly considered as a “negative”; several such signatures will then imply a large number of false negatives, i.e. low sensitivity. Indeed, recent evidence shows that the majority of cancers harbour a large number of mutational signatures [4] and therefore belong to the latter scenario.
With regards to the mutation number, we observe that with the number of mutations that could be found in some cancer exomes the performance is generally poor (i.e. low specificity and sensitivity). This problem is likely to be mitigated if counts were normalized by the expected number of each type’s trinucleotides in the analysed region under healthy condition, that is if an opportunity matrix was provided. We do not address this important aspect in our comparison study as only a few methods can incorporate opportunity matrices.
We showed that when comparing identified signatures with COSMIC signatures, the choice of a cosine similarity cut-off has a relatively small impact on the overall performance. If the aim is to identify novel signatures it would be preferable to choose a lower value (0.75 or less). On the contrary, if the aim is to assess the presence of known signatures in mutational catalogues (cancer genomes or exomes), we recommend turning to refitting methods. For well-studied cancers, refitting approaches are a faster and more powerful alternative to de novo methods, even with just one input sample. As the COSMIC database has been built and validated by analysing tens of thousands of sequences of most cancer types, we recommend borrowing strength from previous studies and using refitting tools when performing standard analysis not aimed at the discovery of new signatures.
Our simulation study seems to indicate that de novo probabilistic methods EMu and bayesNMF have an overall better performance as they achieve better sensitivity and specificity with a fair running time. However, in order to assess the robustness of results, due to the variability of outcomes and the presence of hypermutated samples, we recommend to systematically perform a sensitivity analysis based on the application of one or more alternative methods based on different algorithms.
Our analysis also reveals that if the dataset under consideration contains catalogues with a very large number of mutations, all methods achieve better performance by replacing such outliers with the bayesNMF pre-treatment function get.lego96.hyper. Interestingly, the mutation profiles of the synthetic datasets simulated with the ZIP model resemble the profiles of datasets after such pre-treatment, see S6 Fig.
Not all the de novo methods we evaluated offer the possibility to automatically choose the number of signatures to be found. For instance, the popular SomaticSignatures only provides a graphical visualisation of the residual sum of squares for several choices of the number of signatures; the user can choose the optimal number by identifying the inflexion point. For this reason, we did not address this crucial aspect in our empirical assessment. Similarly, we only considered mutation types defined by the trinucleotide motifs, as currently only pmsignature [16] can consider more than one flanking base on each side of the substitution.
A more recent set of 49 signatures have been estimated from a new large dataset including thousands of additional sequences. The article introducing this new set has not been published yet but the new set of signatures is available on the COSMIC website. In the future it will be interesting to evaluate the performance of the different tools using the new set of signatures.
Supporting information
S1 Fig [tiff]
Comparison of newly identified signatures with COSMIC signatures.
S2 Fig [tiff]
Cosine similarity plot of COSMIC signatures.
S3 Fig [tiff]
Simulations of 563 lung adenocarcinoma catalogues according to different models.
S4 Fig [tiff]
Choice of parameters in the simulations.
S5 Fig [tiff]
Reconstruction errors and their variability: Effect of pre-treating the samples to moderate the effects of hypermutated catalogues.
S6 Fig [tiff]
Barplot with the number of mutations in each sample after pre-treatment to moderate the effects of hypermutated catalogues.
S1 File [docx]
Mutational cone.
Zdroje
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- Acute pancreatitis risk after kidney transplantation: Propensity score matching analysis of a national cohort
- Understanding the effect of producers’ attitudes, perceived norms, and perceived behavioral control on intentions to use antimicrobials prudently on New York dairy farms
- Safety assessment of a novel C-type natriuretic peptide derivative and the mechanism of bone- and cartilage-specific toxicity
- Theory of mind in remitted bipolar disorder: Interpersonal accuracy in recognition of dynamic nonverbal signals
- Graviola (Annona muricata) attenuates behavioural alterations and testicular oxidative stress induced by streptozotocin in diabetic rats
- Ecological conditions experienced by offspring during pregnancy and early post-natal life determine mandible size in roe deer
- Calculation of the contribution rate of China’s hydraulic science and technology based on a feedforward neural network
- ViraMiner: Deep learning on raw DNA sequences for identifying viral genomes in human samples
- The absence of interleukin 10 affects the morphology, differentiation, granule content and the production of cryptidin-4 in Paneth cells in mice
- Relationship between Helicobacter pylori infection and obesity in Chinese adults: A systematic review with meta-analysis
- Moving model analysis on the transient pressure and slipstream caused by a metro train passing through a tunnel
- The importance of assigning responsibility during evaluation in order to increase student satisfaction from physical education classes: A structural equation model
- Lower dormancy with rapid germination is an important strategy for seeds in an arid zone with unpredictable rainfall
- Gene Cascade Finder: A tool for identification of gene cascades and its application in Caenorhabditis elegans
- Proteomics approach to identify serum biomarkers associated with the progression of diabetes in Korean patients with abdominal obesity
- Malaria vaccine candidates displayed on novel virus-like particles are immunogenic and induce transmission-blocking activity
- Transcriptome analysis of a nematode resistant and susceptible upland cotton line at two critical stages of Meloidogyne incognita infection and development
- Identification of variant HIV envelope proteins with enhanced affinities for precursors to anti-gp41 broadly neutralizing antibodies
- Distinguishing mild cognitive impairment from healthy aging and Alzheimer’s Disease: The contribution of the INECO Frontal Screening (IFS)
- Novel application of amino-acid buffered solution for neuroprotection against ischemia/reperfusion injury
- Are unpopular children more likely to get sick? Longitudinal links between popularity and infectious diseases in early childhood
- Vegetation communities on commercial developments are heterogenous and determined by development and landscaping decisions, not socioeconomics
- Falls among community-dwelling older adults in Ethiopia; A preliminary cross-sectional study
- Retraction: Social success of perfumes
- The effect of ethyl alcohol on the severity of injuries in fatal pedestrian victims of traffic crashes
- Drought stress has transgenerational effects on soybean seed germination and seedling vigor
- Prevalence of benign osseous lesions of the spine and association with spinal pain in the general population in whole body MRI
- Age-related differences of inter-joint coordination in elderly during squat jumping
- Isolation of five Enterobacteriaceae species harbouring blaNDM-1 and mcr-1 plasmids from a single paediatric patient
- Diagnostic performance and image quality of iterative model-based reconstruction of coronary CT angiography using 100 kVp for heavily calcified coronary vessels
- CAC1 knockdown reverses drug resistance through the downregulation of P-gp and MRP-1 expression in colorectal cancer
- Getting your game on: Using virtual reality to improve real table tennis skills
- Microbiological contamination of young children’s hands in rural Bangladesh: Associations with child age and observed hand cleanliness as proxy
- Expansion of the agricultural frontier in the largest South American Dry Forest: Identifying priority conservation areas for snakes before everything is lost
- Utility of lung ultrasound in ANCA-associated vasculitis with lung involvement
- Aerial surveys cause large but ephemeral decreases in bear presence at salmon streams in Kodiak, Alaska
- Exposure to particle debris generated from passenger and truck tires induces different genotoxicity and inflammatory responses in the RAW 264.7 cell line
- Influence of the cultivation medium and pH on the pigmentation of Trichophyton rubrum
- Intra-arterial catheter-directed CT angiography for assessment of endovascular aortic aneurysm repair
- Association of antibiotic exposure with the mortality in metastatic colorectal cancer patients treated with bevacizumab-containing chemotherapy: A hospital-based retrospective cohort study
- The genetic alteration spectrum of the SWI/SNF complex: The oncogenic roles of BRD9 and ACTL6A
- Plasma chemistry in nesting leatherback sea turtles (Dermochelys coriacea) from Florida: Understanding the importance of sample hemolysis effects on blood analytes
- Myotendinous asymmetries derived from the prolonged practice of badminton in professional players
- Computational tools to detect signatures of mutational processes in DNA from tumours: A review and empirical comparison of performance
- Exposure to lipopolysaccharide (LPS) reduces contractile response of small airways from GSTCD-/- mice
- Generation of a protective murine monoclonal antibody against the stem of influenza hemagglutinins from group 1 viruses and identification of resistance mutations against it
- Comparative compositional and functional analyses of Bothrops moojeni specimens reveal several individual variations
- Radiation hardness of cadmium telluride solar cells in proton therapy beam mode
- Bourdieu, networks, and movements: Using the concepts of habitus, field and capital to understand a network analysis of gender differences in undergraduate physics
- A 32-channel parallel transmit system add-on for 7T MRI
- Comparison between Aptima Assays (Hologic) and the Allplex STI Essential Assay (Seegene) for the diagnosis of Sexually transmitted infections
- Knowledge gaps of STIs in Africa; Systematic review
- Correction: Bovine herpesvirus 1 can cross the intact zona pellucida of bovine oocytes after artificial infection
- Distribution of corneal spherical aberration in a Tanzanian population
- Correction: Determinants of physical activity: A path model based on an ecological model of active living
- Wild pollinator activity negatively related to honey bee colony densities in urban context
- Subclinical alterations in left ventricular structure and function according to obesity and metabolic health status
- The epidemiological signature of influenza B virus and its B/Victoria and B/Yamagata lineages in the 21st century
- Identification of bovine CpG SNPs as potential targets for epigenetic regulation via DNA methylation
- Nitric oxide regulates the expression of heme carrier protein-1 via hypoxia inducible factor-1α stabilization
- Development of highly efficient protocols for extraction and amplification of cytomegalovirus DNA from dried blood spots for detection and genotyping of polymorphic immunomodulatory genes
- Construction of pseudomolecule sequences of Brassica rapa ssp. pekinensis inbred line CT001 and analysis of spontaneous mutations derived via sexual propagation
- Effects of flavoring compounds used in electronic cigarette refill liquids on endothelial and vascular function
- Rural pipeline and willingness to work in rural areas: Mixed method study on students in midwifery and obstetric nursing in Mali
- Role of phospholipase A2 receptor 1 antibody level at diagnosis for long-term renal outcome in membranous nephropathy
- Prevalence of anemia in diabetic adult outpatients in Northeast Ethiopia
- Characterization of melanin and optimal conditions for pigment production by an endophytic fungus, Spissiomyces endophytica SDBR-CMU319
- Genetic variability and consequence of Mycobacterium tuberculosis lineage 3 in Kampala-Uganda
- Comparison of in vitro and computational experiments on the relation of inter-beat interval and duration of repolarization in a specific type of human induced pluripotent stem cell-derived cardiomyocytes
- Current and potential contributions of community pharmacy teams to self-harm and suicide prevention: A qualitative interview study
- Prediction of risk scores for colorectal cancer patients from the concentration of proteins involved in mitochondrial apoptotic pathway
- With or without U(K): A pre-Brexit network analysis of the EU ETS
- Graph-theoretical analysis for energy landscape reveals the organization of state transitions in the resting-state human cerebral cortex
- Task-uninformative visual stimuli improve auditory spatial discrimination in humans but not the ideal observer
- Residual stenosis after carotid artery stenting: Effect on periprocedural and long-term outcomes
- gapFinisher: A reliable gap filling pipeline for SSPACE-LongRead scaffolder output
- A plant biostimulant made from the marine brown algae Ascophyllum nodosum and chitosan reduce Fusarium head blight and mycotoxin contamination in wheat
- Monte-Carlo value analysis of High-Throughput Satellites: Value levers, tradeoffs, and implications for operators and investors
- Educational and health outcomes associated with bronchopulmonary dysplasia in 15-year-olds born preterm
- Loss of prostatic acid phosphatase and α-synuclein cause motor circuit degeneration without altering cerebellar patterning
- Neuropathy and neural plasticity in the subcutaneous white adipose depot
- Roles of differential expression of miR-543-5p in GH regulation in rat anterior pituitary cells and GH3 cells
- The enemy’s gaze: Immersive virtual environments enhance peace promoting attitudes and emotions in violent intergroup conflicts
- Protective effect of lactobacillus plantarum on alcoholic liver injury and regulating of keap-Nrf2-ARE signaling pathway in zebrafish larvae
- Koopman Mode Analysis of agent-based models of logistics processes
- Empirical mode decomposition based long short-term memory neural network forecasting model for the short-term metro passenger flow
- Male sexual dysfunction in obesity: The role of sex hormones and small fibre neuropathy
- Multi-agent reinforcement learning with approximate model learning for competitive games
- Identification of olfactory genes and functional analysis of BminCSP and BminOBP21 in Bactrocera minax
- The use of urinary fluoride excretion to facilitate monitoring fluoride intake: A systematic scoping review
- Development of a family caregiver needs-assessment scale for end-of-life care for senility at home (FADE)
- Epidemiology of pneumonia in the pre-pneumococcal conjugate vaccine era in children 2-59 months of age, in Ulaanbaatar, Mongolia, 2015-2016
- H-EM: An algorithm for simultaneous cell diameter and intensity quantification in low-resolution imaging cytometry
- Public expenditure on Non-Communicable Diseases & Injuries in India: A budget-based analysis
- Doxorubicin induces trans-differentiation and MMP1 expression in cardiac fibroblasts via cell death-independent pathways
- uORF-Tools—Workflow for the determination of translation-regulatory upstream open reading frames
- Comparative analysis of postural control and vertical jump performance between three different measurement devices
- Hierarchical multi-view aggregation network for sensor-based human activity recognition
- Clavien–Dindo classification for grading complications after total pharyngolaryngectomy and free jejunum transfer
- Significantly different expression levels of microRNAs associated with vascular invasion in hepatocellular carcinoma and their prognostic significance after surgical resection
- Clinical correlates of workplace injury occurrence and recurrence in adults
- Medicine and the media: Medical experts’ problems and solutions while working with journalists
- Phylogenic classification and virulence genes profiles of uropathogenic E. coli and diarrhegenic E. coli strains isolated from community acquired infections
- Genetic relatedness in carbapenem-resistant isolates from clinical specimens in Ghana using ERIC-PCR technique
- Forest resilience under global environmental change: Do we have the information we need? A systematic review
- Improving the production of podophyllotoxin in hairy roots of Hyptis suaveolens induced from regenerated plantlets
- Controls on planktonic foraminifera apparent calcification depths for the northern equatorial Indian Ocean
- Notch and Delta are required for survival of the germline stem cell lineage in testes of Drosophila melanogaster
- Children with HIV: A scoping review of auditory processing skills
- Correction: Two distinct actin waves correlated with turns-and-runs of crawling microglia
- Expression of Concern: Neurotoxicity Induced by Bupivacaine via T-Type Calcium Channels in SH-SY5Y Cells
- Sex-dependent and -independent transcriptional changes during haploid phase gametogenesis in the sugar kelp Saccharina latissima
- Vehicle modeling for the analysis of the response of detectors based on inductive loops
- New Mycobacteroides abscessus subsp. massiliense strains with recombinant hsp65 gene laterally transferred from Mycobacteroides abscessus subsp. abscessus: Potential for misidentification of M. abscessus strains with the hsp65-based method
- A prognostic Bayesian network that makes personalized predictions of poor prognostic outcome post resection of pancreatic ductal adenocarcinoma
- Impact of care provider network characteristics on patient outcomes: Usage of social network analysis and a multi-scale community detection
- Valid group comparisons can be made with the Patient Health Questionnaire (PHQ-9): A measurement invariance study across groups by demographic characteristics
- Comparison of risk models for mortality and cardiovascular events between machine learning and conventional logistic regression analysis
- Upgraded molecular models of the human KCNQ1 potassium channel
- Mental health and quality of life outcomes in family members of patients with chronic critical illness admitted to the intensive care units of two Brazilian hospitals serving the extremes of the socioeconomic spectrum
- Correction: Secretome profiling of PC3/nKR cells, a novel highly migrating prostate cancer subline derived from PC3 cells
- The extraordinary osteology and functional morphology of the limbs in Palorchestidae, a family of strange extinct marsupial giants
- Primary hyperhidrosis prevalence and characteristics among medical students in Rio de Janeiro
- Implementation of home blood pressure monitoring among French GPs: A long and winding road
- In vitro and molecular chemosensitivity in human cholangiocarcinoma tissues
- Saiga horn user characteristics, motivations, and purchasing behaviour in Singapore
- The health and cost burden of antibiotic resistant and susceptible Escherichia coli bacteraemia in the English hospital setting: A national retrospective cohort study
- Retraction: Comprehensive Comparison of Three Different Immunosuppressive Regimens for Liver Transplant Patients with Hepatocellular Carcinoma: Steroid-Free Immunosuppression, Induction Immunosuppression and Standard Immunosuppression
- Can acute suicidality be predicted by Instagram data? Results from qualitative and quantitative language analyses
- Computational and experimental analysis of the glycophosphatidylinositol-anchored proteome of the human parasitic nematode Brugia malayi
- Antibacterial activity of silver nanoparticles of different particle size against Vibrio Natriegens
- Genetic variations associated with response to dutasteride in the treatment of male subjects with androgenetic alopecia
- To eat or not to eat: Reward delay impulsivity in children with loss of control eating, attention deficit / hyperactivity disorder, a double diagnosis, and healthy children
- Factors associated with newborn care knowledge and practices in the upper Himalayas
- Correction: A more physiological approach to lipid metabolism alterations in cancer: CRC-like organoids assessment
- Correlates of concurrent partnerships and patterns of condom use among men who have sex with men and transgender women in Peru
- Ocular and systemic risk factors associated with recurrent disc hemorrhage in primary open-angle glaucoma
- Development of a denoising convolutional neural network-based algorithm for metal artifact reduction in digital tomosynthesis for arthroplasty: A phantom study
- Low-level sensory processes play a more crucial role than high-level cognitive ones in the size-weight illusion
- The prevalence of asthma and allergic rhinitis in Nigeria: A nationwide survey among children, adolescents and adults
- Retraction: Human Cystathionine-β-Synthase Phosphorylation on Serine227 Modulates Hydrogen Sulfide Production in Human Urothelium
- Which clinical and biochemical predictors should be used to screen for diabetes in patients with serious mental illness receiving antipsychotic medication? A large observational study
- Characteristics of diabetic macular edema patients refractory to anti-VEGF treatments and a dexamethasone implant
- Correction: Effects of dietary n-6: n-3 polyunsaturated fatty acid ratios on meat quality, carcass characteristics, tissue fatty acid profiles, and expression of lipogenic genes in growing goats
- Speckle tracking derived reference values of myocardial deformation and impact of cardiovascular risk factors – Results from the population-based STAAB cohort study
- Impact of pterygium on the ocular surface and meibomian glands
- Lack of association between hypothyroxinemia of prematurity and transient thyroid abnormalities with adverse long term neurodevelopmental outcome in very low birth weight infants
- Transcriptome divergence during leaf development in two contrasting switchgrass (Panicum virgatum L.) cultivars
- Study on Dalfampridine in the treatment of Multiple Sclerosis Mobility Disability: A meta-analysis
- Circulating progenitor cells and the expression of Cxcl12, Cxcr4 and angiopoietin-like 4 during wound healing in the murine ear
- EUSKOR: End-to-end coreference resolution system for Basque
- Inactivating pathogenic bacteria in greywater by biosynthesized Cu/Zn nanoparticles from secondary metabolite of Aspergillus iizukae; optimization, mechanism and techno economic analysis
- Exopolysaccharide producing rhizobacteria and their impact on growth and drought tolerance of wheat grown under rainfed conditions
- Structural equation modeling for hypertension and type 2 diabetes based on multiple SNPs and multiple phenotypes
- Correction: Association between ultraviolet radiation exposure dose and cataract in Han people living in China and Taiwan: A cross-sectional study
- Short-term exercise training improves cardiac function associated to a better antioxidant response and lower type 3 iodothyronine deiodinase activity after myocardial infarction
- Unexpected low genetic variation in the South American hystricognath rodent Lagostomus maximus (Rodentia: Chinchillidae)
- PRC2 activates interferon-stimulated genes indirectly by repressing miRNAs in glioblastoma
- Surgical resection is sufficient for incidentally discovered solitary pulmonary nodule caused by nontuberculous mycobacteria in asymptomatic patients
- “I do all I can but I still fail them”: Health system barriers to providing Option B+ to pregnant and lactating women in Malawi
- Impact of major illnesses and geographic regions on do-not-resuscitate rate and its potential cost savings in Taiwan
- Implementation of intermittent theta burst stimulation compared to conventional repetitive transcranial magnetic stimulation in patients with treatment resistant depression: A cost analysis
- Genome-wide analysis of DNA methylation profile identifies differentially methylated loci associated with human intervertebral disc degeneration
- Correction: Artificial neural networks reveal individual differences in metacognitive monitoring of memory
- Combining fish and environmental PCR for diagnostics of diseased laboratory zebrafish in recirculating systems
- Reading skill modulates the effect of parafoveal distractors on foveal lexical decision in deaf students
- Association between the posterior part of the circle of Willis and the vertebral artery hypoplasia
- Exposure to marital conflict: Gender differences in internalizing and externalizing problems among children
- Ethanol locks for the prevention of catheter-related infection in patients with central venous catheter: A systematic review and meta-analysis of randomized controlled trials
- The effect of age and perturbation time on online control during rapid pointing
- Oilseed rape (Brassica napus) resistance to growth of Leptosphaeria maculans in leaves of young plants contributes to quantitative resistance in stems of adult plants
- Lymphocyte proliferation induced by high-affinity peptides for HLA-B*51:01 in Behçet’s uveitis
- Sensitization of avian pathogenic Escherichia coli to amoxicillin in vitro and in vivo in the presence of surfactin
- Genomic characterization of the complete terpene synthase gene family from Cannabis sativa
- Inhibition of gap junctional intercellular communication by an anti-migraine agent, flunarizine
- Levels of serum eosinophil cationic protein are associated with hookworm infection and intensity in endemic communities in Ghana
- Plant growth promoting rhizobacterium Stenotrophomonas maltophilia BJ01 augments endurance against N2 starvation by modulating physiology and biochemical activities of Arachis hypogea
- Hierarchical integrated and segregated processing in the functional brain default mode network within attention-deficit/hyperactivity disorder
- Rising co-payments coincide with unwanted effects on continuity of healthcare for patients with schizophrenia in the Netherlands
- Analysis of Zobellella denitrificans ZD1 draft genome: Genes and gene clusters responsible for high polyhydroxybutyrate (PHB) production from glycerol under saline conditions and its CRISPR-Cas system
- False-negative errors in next-generation sequencing contribute substantially to inconsistency of mutation databases
- Identification of potassium phosphite responsive miRNAs and their targets in potato
- Quantification of bell-shaped size selectivity in shrimp trawl fisheries using square mesh panels and a sorting cone after a Nordmøre grid
- Deactivation of somatosensory and visual cortices during vestibular stimulation is associated with older age and poorer balance
- Combined immunization with attenuated live influenza vaccine and chimeric pneumococcal recombinant protein improves the outcome of virus-bacterial infection in mice
- Flooding performance evaluation of alkyl aryl sulfonate in various alkaline environments
- An artificial intelligent diagnostic system on mobile Android terminals for cholelithiasis by lightweight convolutional neural network
- Enhanced detection of prion infectivity from blood by preanalytical enrichment with peptoid-conjugated beads
- COI metabarcoding primer choice affects richness and recovery of indicator taxa in freshwater systems
- Retraction: APRIL Induces Tumorigenesis and Metastasis of Colorectal Cancer Cells via Activation of the PI3K/Akt Pathway
- The intake pattern and feed preference of layer hens selected for high or low feed conversion ratio
- Individualized pattern recognition for detecting mind wandering from EEG during live lectures
- Ontogenetic expression of thyroid hormone signaling genes: An in vitro and in vivo species comparison
- Post-activation potentiation effect of eccentric overload and traditional weightlifting exercise on jumping and sprinting performance in male athletes
- Effectiveness of different central venous catheter fixation suture techniques: An in vitro crossover study
- Quantitative detection of ALK fusion breakpoints in plasma cell-free DNA from patients with non-small cell lung cancer using PCR-based target sequencing with a tiling primer set and two-step mapping/alignment
- Nuclei deformation reveals pressure distributions in 3D cell clusters
- Strategies for increasing diagnostic yield of community-onset bacteraemia within the emergency department: A retrospective study
- Rapid evolution of Mexican H7N3 highly pathogenic avian influenza viruses in poultry
- Certified service dogs – A cost-effectiveness analysis appraisal
- Endothelial dysfunction and low-grade inflammation in the transition to renal replacement therapy
- Assessing the impact of a research funder’s recommendation to consider core outcome sets
- Validity of six consumer-level activity monitors for measuring steps in patients with chronic heart failure
- Detection of deceptive motions in rugby from visual motion cues
- The impact of antenatal care on neonatal mortality in sub-Saharan Africa: A systematic review and meta-analysis
- Epidemiological investigation and management of bloody diarrhea among children in India
- Irisin promotes C2C12 myoblast proliferation via ERK-dependent CCL7 upregulation
- Bacteria isolated from Bengal cat (Felis catus × Prionailurus bengalensis) anal sac secretions produce volatile compounds potentially associated with animal signaling
- Petri net–based model of the human DNA base excision repair pathway
- Complexation and conformation of lead ion with poly-γ-glutamic acid in soluble state
- The effects of sympathetic activity induced by ice water on blood flow and brachial artery flow-mediated dilatation response in healthy volunteers
- The Youth-Physical Activity Towards Health (Y-PATH) intervention: Results of a 24 month cluster randomised controlled trial
- The COPD multi-dimensional phenotype: A new classification from the STORICO Italian observational study
- Morphological identification of Amphitetranychus species (Acari: Tetranychidae) with crossbreeding, esterase zymograms and DNA barcode data
- Maintaining hope after a disabling stroke: A longitudinal qualitative study of patients’ experiences, views, information needs and approaches towards making treatment decisions
- Cultural differences in the use of acoustic cues for musical emotion experience
- Effects of a rifampicin pre-treatment on linezolid pharmacokinetics
- High prevalence of multidrug resistant Enterobacteriaceae among residents of long term care facilities in Amsterdam, the Netherlands
- Infection/inflammation-associated preterm delivery within 14 days of presentation with symptoms of preterm labour: A multivariate predictive model
- Prognostic value of preoperative hydronephrosis in patients with bladder cancer undergoing radical cystectomy: A meta-analysis
- Correction: Early life predictors of midlife allostatic load: A prospective cohort study
- PCR-free whole exome sequencing: Cost-effective and efficient in detecting rare mutations
- Epstein-Barr virus genome packaging factors accumulate in BMRF1-cores within viral replication compartments
- Symbiotic incompatibility between soybean and Bradyrhizobium arises from one amino acid determinant in soybean Rj2 protein
- Does anticoagulation needed for distally located incidental pulmonary thromboembolism in patients with active cancer?
- Control of human testis-specific gene expression
- Speaking up culture of medical students within an academic teaching hospital: Need of faculty working in patient safety
- Appraisal on the wound healing potential of Melaleuca alternifolia and Rosmarinus officinalis L. essential oil-loaded chitosan topical preparations
- Understanding parental perspectives on outcomes following paediatric encephalitis: A qualitative study
- Results of scoping review do not support mild traumatic brain injury being associated with a high incidence of chronic cognitive impairment: Commentary on McInnes et al. 2017
- Native seed, soil and atmosphere respond to boreal forest topsoil (LFH) storage
- Development of a quantitative polymerase chain reaction assay and environmental DNA sampling methods for Giant Gartersnake (Thamnophis gigas)
- Genetic diversity and population structure of four Chinese rabbit breeds
- Knowledge, attitude and behaviors towards patients with mental illness: Results from a national Lebanese study
- Correction: An impact evaluation of two rounds of mass drug administration on the prevalence of active trachoma: A clustered cross sectional survey
- Comparative prognostic accuracy of sepsis scores for hospital mortality in adults with suspected infection in non-ICU and ICU at an academic public hospital
- Graph convolutional network approach applied to predict hourly bike-sharing demands considering spatial, temporal, and global effects
- Impact of traffic variability on geographic accessibility to 24/7 emergency healthcare for the urban poor: A GIS study in Dhaka, Bangladesh
- Feeling the heat: Elevated temperature affects male display activity of a lekking grassland bird
- Constructing a comprehensive disaster resilience index: The case of Italy
- Intraocular pressure according to different types of tonometry (non-contact and Goldmann applanation) in patients with different degrees of bilateral tearing
- Prevalent vertebral fracture is dominantly associated with spinal microstructural deterioration rather than bone mineral density in patients with type 2 diabetes mellitus
- Silent volumetric multi-contrast 7 Tesla MRI of ocular tumors using Zero Echo Time imaging
- Nonverbal synchrony in virtual reality
- Do speed cameras reduce road traffic collisions?
- A zero-shot learning approach to the development of brain-computer interfaces for image retrieval
- Use of non-HIV medication among people living with HIV and receiving antiretroviral treatment in Côte d’Ivoire, West Africa: A cross-sectional study
- DNA barcoding of southern African crustaceans reveals a mix of invasive species and potential cryptic diversity
- Development of an international external quality assurance program for HIV-1 incidence using the Limiting Antigen Avidity assay
- Correction: The mean cell volume difference (dMCV) reflects serum hypertonicity in diabetic dogs
- Structural characteristics of lipocalin allergens: Crystal structure of the immunogenic dog allergen Can f 6
- Transport oil product consumption and GHG emission reduction potential in China: An electric vehicle-based scenario analysis
- Ontogenetic shift in the energy allocation strategy and physiological condition of larval plaice (Pleuronectes platessa)
- Increased proliferation and altered cell cycle regulation in pancreatic stem cells derived from patients with congenital hyperinsulinism
- Diagnostic accuracy of Xpert MTB/RIF assay and non-molecular methods for the diagnosis of tuberculosis lymphadenitis
- Assessment of glucose-6-phosphate dehydrogenase activity using CareStart G6PD rapid diagnostic test and associated genetic variants in Plasmodium vivax malaria endemic setting in Mauritania
- Spatial distribution of breast cancer in Sudan 2010-2016
- Human-induced fire regime shifts during 19th century industrialization: A robust fire regime reconstruction using northern Polish lake sediments
- Enhanced effectiveness of oil dispersants in destabilizing water-in-oil emulsions
- Development of UV spectrophotometry methods for concurrent quantification of amlodipine and celecoxib by manipulation of ratio spectra in pure and pharmaceutical formulation
- Iron and manganese co-limit growth of the Southern Ocean diatom Chaetoceros debilis
- Bilateral and unilateral load-velocity profiling in a machine-based, single-joint, lower body exercise
- Veterans Health Administration nurses’ training and beliefs related to care of patients with traumatic brain injury
- Supplementation strategies affect the feed intake and performance of grazing replacement heifers
- Active transcutaneous bone conduction hearing implants: Systematic review and meta-analysis
- Parameterization-induced uncertainties and impacts of crop management harmonization in a global gridded crop model ensemble
- Acidification effects on isolation of extracellular vesicles from bovine milk
- GPR40 full agonism exerts feeding suppression and weight loss through afferent vagal nerve
- Mining version history to predict the class instability
- Humpback whale song occurrence reflects ecosystem variability in feeding and migratory habitat of the northeast Pacific
- A phase 2 study of an oral mTORC1/mTORC2 kinase inhibitor (CC-223) for non-pancreatic neuroendocrine tumors with or without carcinoid symptoms
- Asprosin response in hypoglycemia is not related to hypoglycemia unawareness but rather to insulin resistance in type 1 diabetes
- Muscle oxygenation maintained during repeated-sprints despite inspiratory muscle loading
- Reconstructing systematic persistent impacts of promotional marketing with empirical nonlinear dynamics
- Trans-national conservation and infrastructure development in the Heart of Borneo
- Prediction of cardiovascular disease risk among people with severe mental illness: A cohort study
- Data in question: A survey of European biobank professionals on ethical, legal and societal challenges of biobank research
- Hypertensive APOL1 risk allele carriers demonstrate greater blood pressure reduction with angiotensin receptor blockade compared to low risk carriers
- Reconstructing birth in Australopithecus sediba
- Value of contrast-enhanced ultrasound for preoperative assessment of liver reserve function in patients with liver tumors
- Correction: Identifying obesity/overweight status in children and adolescents; A cross-sectional medical record review of physicians’ weight screening practice in outpatient clinics, Saudi Arabia
- Incidence and risk factors of loss to follow-up among HIV-infected children in an antiretroviral treatment program
- Changes in intracellular folate metabolism during high-dose methotrexate and Leucovorin rescue therapy in children with acute lymphoblastic leukemia
- Functional role and evolutionary contributions of floral gland morphoanatomy in the Paleotropical genus Acridocarpus (Malpighiaceae)
- On the efficiency of HIV transmission: Insights through discrete time HIV models
- Metabolic cost calculations of gait using musculoskeletal energy models, a comparison study
- Comparison of molecular profile in triple-negative inflammatory and non-inflammatory breast cancer not of mesenchymal stem-like subtype
- Evolutionary analysis of six chloroplast genomes from three Persea americana ecological races: Insights into sequence divergences and phylogenetic relationships
- Cultural transmission in a food preparation task: The role of interactivity, innovation and storytelling
- Correction: Effects of affective priming through music on the use of emotion words
- Safety and immunogenicity of investigational seasonal influenza hemagglutinin DNA vaccine followed by trivalent inactivated vaccine administered intradermally or intramuscularly in healthy adults: An open-label randomized phase 1 clinical trial
- Estimation of vaccination coverage from electronic healthcare records; methods performance evaluation – A contribution of the ADVANCE-project
- Dietary phytogenics and galactomannan oligosaccharides in low fish meal and fish oil-based diets for European sea bass (Dicentrarchus labrax) juveniles: Effects on gut health and implications on in vivo gut bacterial translocation
- Suicide by hanging: Results from a national survey in Switzerland and its implications for suicide prevention
- Gene dysregulation in peripheral blood of moyamoya disease and comparison with other vascular disorders
- Genome wide genetic dissection of wheat quality and yield related traits and their relationship with grain shape and size traits in an elite × non-adapted bread wheat cross
- Safety and tolerability of artesunate-amodiaquine, artemether-lumefantrine and quinine plus clindamycin in the treatment of uncomplicated Plasmodium falciparum malaria in Kinshasa, the Democratic Republic of the Congo
- Factors influencing the admission decision for Medical Psychiatry Units: A concept mapping approach
- Comparison of post-traumatic changes in circulating and bone marrow leukocytes between BALB/c and CD-1 mouse strains
- Physiological stress reactivity and recovery related to behavioral traits in dogs (Canis familiaris)
- Associations between birth order with mental wellbeing and psychological distress in midlife: Findings from the 1970 British Cohort Study (BCS70)
- Non-steroidal anti-inflammatory drugs use in older adults decreases risk of Alzheimer’s disease mortality
- The cost-effectiveness of neonatal versus prenatal screening for congenital toxoplasmosis
- Ancient technology and punctuated change: Detecting the emergence of the Edomite Kingdom in the Southern Levant
- Flowers as viral hot spots: Honey bees (Apis mellifera) unevenly deposit viruses across plant species
- Randomized control trial of Tools of the Mind: Marked benefits to kindergarten children and their teachers
- Preserving cultural heritage: Analyzing the antifungal potential of ionic liquids tested in paper restoration
- PNPLA3 rs738409 G allele carriers with genotype 1b HCV cirrhosis have lower viral load but develop liver failure at younger age
- Correction: Unraveling the genetic complexity underlying sorghum response to water availability
- Impact of tear metrics on the reliability of perimetry in patients with dry eye
- Using DNA barcoding to improve invasive pest identification at U.S. ports-of-entry
- Correction: Effects of Lactobacillus plantarum 15-1 and fructooligosaccharides on the response of broilers to pathogenic Escherichia coli O78 challenge
- Physico-chemical characterization and transcriptome analysis of 5-methyltryptophan resistant lines in rice
- Patient factors affecting successful linkage to treatment in a cervical cancer prevention program in Kenya: A prospective cohort study
- Is this a man’s world? The effect of gender diversity and gender equality on firm innovativeness
- Procalcitonin to stop antibiotics after cardiovascular surgery in a pediatric intensive care unit—The PROSACAB study
- Temporal trends, predictors, and outcomes of acute kidney injury and hemodialysis use in acute myocardial infarction-related cardiogenic shock
- Quantitation of free glycation compounds in saliva
- Resolving an 87-year-old taxonomical curiosity with the description of Psylla frodobagginsi sp. nov. (Hemiptera: Sternorrhyncha: Psyllidae), a second distinct Psylla species on the New Zealand endemic plant kōwhai
- The effect of cathodal tDCS on fear extinction: A cross-measures study
- Physiological responses to affiliation during conversation: Comparing neurotypical males and males with Asperger syndrome
- Human cord blood (hCB)-CD34+ humanized mice fail to reject human acute myeloid leukemia cells
- Investigating the dispersal of antibiotic resistance associated genes from manure application to soil and drainage waters in simulated agricultural farmland systems
- Continuous norming of psychometric tests: A simulation study of parametric and semi-parametric approaches
- Phylogenetic microbiota profiling in fecal samples depends on combination of sequencing depth and choice of NGS analysis method
- Cost-effectiveness of apixaban compared to other anticoagulants in patients with atrial fibrillation in the real-world and trial settings
- Biochemical profile and in vitro biological activities of extracts from seven folk medicinal plants growing wild in southern Tunisia
- Low genetic differentiation yet high phenotypic variation in the invasive populations of Spartina alterniflora in Guangxi, China
- A mathematical model for designing networks of C-Reactive Protein point of care testing
- Prevalence of hypochondriac symptoms among health science students in China: A systematic review and meta-analysis
- Femtosecond laser induced step-like structures inside transparent hydrogel due to laser induced threshold reduction
- From In Situ to satellite observations of pelagic Sargassum distribution and aggregation in the Tropical North Atlantic Ocean
- The polyether ionophore salinomycin targets multiple cellular pathways to block proliferative vitreoretinopathy pathology
- BRAF V600E and Pten deletion in mice produces a histiocytic disorder with features of Langerhans cell histiocytosis
- HIV prevalence and risk behavior among male and female adults screened for enrolment into a vaccine preparedness study in Maputo, Mozambique
- Sputum microbiota and inflammation at stable state and during exacerbations in a cohort of chronic obstructive pulmonary disease (COPD) patients
- Direct estimation of the parameters of a delayed, intermittent activation feedback model of postural sway during quiet standing
- Occurrence mechanism and coping paths of accidents of highly aggregated tourist crowds based on system dynamics
- Correction: Low Dose Aerosol Fitness at the Innate Phase of Murine Infection Better Predicts Virulence amongst Clinical Strains of Mycobacterium tuberculosis
- Effects of enalapril and paricalcitol treatment on diabetic nephropathy and renal expressions of TNF-α, p53, caspase-3 and Bcl-2 in STZ-induced diabetic rats
- Correction: Public reaction to Chikungunya outbreaks in Italy—Insights from an extensive novel data streams-based structural equation modeling analysis
- Correction: Comparison of neurodegenerative types using different brain MRI analysis metrics in older adults with normal cognition, mild cognitive impairment, and Alzheimer’s dementia
- Intra-individual variability of sleep and nocturnal cardiac autonomic activity in elite female soccer players during an international tournament
- Therapeutic efficacy of equine botulism heptavalent antitoxin against all seven botulinum neurotoxins in symptomatic guinea pigs
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- Clinical outcomes of bortezomib-based therapy in Taiwanese patients with multiple myeloma: A nationwide population-based study and a single-institute analysis
- Scope and efficacy of the broad-spectrum topical antiseptic choline geranate
- Hematological and biochemical parameters for Chinese rhesus macaque
- Veterinary peer study groups as a method of continuous education—A new approach to identify and address factors associated with antimicrobial prescribing
- Correction: The prognosis of heart failure patients: Does sodium level play a significant role?
- Maternal malaria but not schistosomiasis is associated with a higher risk of febrile infection in infant during the first 3 months of life: A mother-child cohort in Benin
- Systematic identification of facility-based stillbirths and neonatal deaths through the piloted use of an adapted RAPID tool in Liberia and Nepal
- Effects of salbutamol and phlorizin on acute pulmonary inflammation and disease severity in experimental sepsis
- Correction: Age, sex and storage time influence hair cortisol levels in a wild mammal population
- Reasons to care: Personal motivation as a key factor in the practice of the professional foster carer in Romania
- Determinants of clinical, functional and personal recovery for people with schizophrenia and other severe mental illnesses: A cross-sectional analysis
- Continuity of care for TB patients at a South African hospital: A qualitative participatory study of the experiences of hospital staff
- EGF receptor stimulation shifts breast cancer cell glucose metabolism toward glycolytic flux through PI3 kinase signaling
- The Better Management of Patients with Osteoarthritis Program: Outcomes after evidence-based education and exercise delivered nationwide in Sweden
- The negative effects of short-term extreme thermal events on the seagrass Posidonia oceanica are exacerbated by ammonium additions
- Pathogen invasion history elucidates contemporary host pathogen dynamics
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- Healthcare resource utilization and costs for multiple sclerosis management in the Campania region of Italy: Comparison between centre-based and local service healthcare delivery
- Deconstruction of central line insertion guidelines based on the positive deviance approach—Reducing gaps between guidelines and implementation: A qualitative ethnographic research
- PBMCs transcriptome profiles identified breed-specific transcriptome signatures for PRRSV vaccination in German Landrace and Pietrain pigs
- The impact of admission serum lactate on children with moderate to severe traumatic brain injury
- Hypervirulent Klebsiella pneumoniae serotype K1 clinical isolates form robust biofilms at the air-liquid interface
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- Distribution of the Duffy genotypes in Malaysian Borneo and its relation to Plasmodium knowlesi malaria susceptibility
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- A self-adaptive deep learning method for automated eye laterality detection based on color fundus photography
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- Chemical volatiles present in cotton gin trash: A by-product of cotton processing
- PTP1B negatively regulates nitric oxide-mediated Pseudomonas aeruginosa killing by neutrophils
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- Experimental study of the temporal profile of breath alcohol concentration in a Chinese population after a light meal
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- Relationships between Potentially Toxic Elements in intertidal sediments and their bioaccumulation by benthic invertebrates
- Long-term outcomes of dialysis in patients with chronic kidney disease and new-onset atrial fibrillation: A population-based cohort study
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- Understanding the variability of Australian fire weather between 1973 and 2017
- Photon-counting cine-cardiac CT in the mouse
- Ecophysiological impacts of Esca, a devastating grapevine trunk disease, on Vitis vinifera L.
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- A randomized controlled trial examining the efficacy of an internet-based cognitive behavioral therapy program for adolescents with anxiety disorders
- Optimising outputs from a validated online instrument to measure health-related quality of life (HRQL) in dogs
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- Characteristics of prescription in 29 Level 3 Neonatal Wards over a 2-year period (2017-2018). An inventory for future research
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- Correction: Lkb1 Deficiency Alters Goblet and Paneth Cell Differentiation in the Small Intestine
- Cardiac resynchronization therapy-heart failure (CRT-HF) clinic: A novel model of care
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- Dual-Subpopulation as reciprocal optional external archives for differential evolution
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- Proton pump inhibitors attenuate myofibroblast formation associated with thyroid eye disease through the aryl hydrocarbon receptor
- Clinical outcomes with neoadjuvant versus adjuvant chemotherapy for triple negative breast cancer: A report from the National Cancer Database
- Identification and characterization of a novel heparan sulfate-binding domain in Activin A longest variants and implications for function
- Wikipedia network analysis of cancer interactions and world influence
- Using path signatures to predict a diagnosis of Alzheimer’s disease
- Development and verification of prediction models for preventing cardiovascular diseases
- Additive and heterozygous (dis)advantage GWAS models reveal candidate genes involved in the genotypic variation of maize hybrids to Azospirillum brasilense
- Fish tank granuloma: An emerging skin disease in Iran mimicking Cutaneous Leishmaniasis
- Transience effect in capture-recapture studies: The importance of its biological meaning
- Detailed global modelling of soil organic carbon in cropland, grassland and forest soils
- Oral dosing for antenatal corticosteroids in the Rhesus macaque
- Retraction: Modulation of the Pentose Phosphate Pathway Induces Endodermal Differentiation in Embryonic Stem Cells
- An analysis on HBsAg, Anti-HCV, Anti-HIV½ and VDRL test results in blood donors according to gender, age range and years
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- Meaningful work and resilience among teachers: The mediating role of work engagement and job crafting
- The conditional Fama-French model and endogenous illiquidity: A robust instrumental variables test
- Breast cancers utilize hypoxic glycogen stores via PYGB, the brain isoform of glycogen phosphorylase, to promote metastatic phenotypes
- Characterization of sequentially-staged cancer cells using electrorotation
- Vancomycin-laden calcium phosphate-calcium sulfate composite allows bone formation in a rat infection model
- Genetic evidence for plural introduction pathways of the invasive weed Paterson’s curse (Echium plantagineum L.) to southern Australia
- Risk of major autoimmune diseases in female breast cancer patients: A nationwide, population-based cohort study
- Real-time three-dimensional MRI for the assessment of dynamic carpal instability
- Interim report on the effective intraperitoneal therapy of insulin-dependent diabetes mellitus in pet dogs using “Neo-Islets,” aggregates of adipose stem and pancreatic islet cells (INAD 012-776)
- The frequency of bowel and bladder problems in multiple sclerosis and its relation to fatigue: A single centre experience
- Retraction: Analysis of Mycobacterium tuberculosis-Specific CD8 T-Cells in Patients with Active Tuberculosis and in Individuals with Latent Infection
- The association between role model presence and self-regulation in early adolescence: A cross-sectional study
- Correction: A controlled-release oral opioid supports S. aureus survival in injection drug preparation equipment and may increase bacteremia and endocarditis risk
- Methamphetamine regulation of activity and topology of ventral midbrain networks
- Evaluation and treatment of latent tuberculosis infection among healthcare workers in Korea: A multicentre cohort analysis
- Occult periprosthetic femoral fractures occur frequently during a long, trapezoidal, double-tapered cementless femoral stem fixation in primary THA
- TCF4 induces enzalutamide resistance via neuroendocrine differentiation in prostate cancer
- Structural characterization of EGFR exon 19 deletion mutation using molecular dynamics simulation
- Comparing infiltration rates in soils managed with conventional and alternative farming methods: A meta-analysis
- Correction: Permissivity of Primary Human Hepatocytes and Different Hepatoma Cell Lines to Cell Culture Adapted Hepatitis C Virus
- Radiomics features of the primary tumor fail to improve prediction of overall survival in large cohorts of CT- and PET-imaged head and neck cancer patients
- The complete mitochondrial genome of Calyptogena marissinica (Heterodonta: Veneroida: Vesicomyidae): Insight into the deep-sea adaptive evolution of vesicomyids
- Correction: In vitro larval rearing protocol for the stingless bee species Melipona scutellaris for toxicological studies
- Correction: Morphological and molecular identification of the dioecious “African species Volvox rousseletii (Chlorophyceae) in the water column of a Japanese lake based on field-collected and cultured materials
- Upper versus lower airway microbiome and metagenome in children with cystic fibrosis and their correlation with lung inflammation
- “…or else I close my ears” How women with obesity want to be approached and treated regarding gestational weight management: A qualitative interview study
- Does a spinal implant alter dual energy X-ray absorptiometry body composition measurements?
- Economic and livestock health impacts of birds on dairies: Evidence from a survey of Washington dairy operators
- Repair of subtotal tympanic membrane perforations: A temporal bone study of several tympanoplasty materials
- Shifts in temperature influence how Batrachochytrium dendrobatidis infects amphibian larvae
- Sequential two-step chromatographic purification of infectious poliovirus using ceramic fluoroapatite and ceramic hydroxyapatite columns
- Frequency and distribution of corneal astigmatism and keratometry features in adult life: Methodology and findings of the UK Biobank study
- Differences in the impedance of cochlear implant devices within 24 hours of their implantation
- Suppressive impact of metronomic chemotherapy using UFT and/or cyclophosphamide on mediators of breast cancer dissemination and invasion
- Expression of Concern: miRNA 17 Family Regulates Cisplatin-Resistant and Metastasis by Targeting TGFbetaR2 in NSCLC
- Group leaders establish cooperative norms that persist in subsequent interactions
- Addis Ababa population-based pattern of cancer therapy, Ethiopia
- Agreement between the Cochrane risk of bias tool and Physiotherapy Evidence Database (PEDro) scale: A meta-epidemiological study of randomized controlled trials of physical therapy interventions
- Oxidoreductase disulfide bond proteins DsbA and DsbB form an active redox pair in Chlamydia trachomatis, a bacterium with disulfide dependent infection and development
- DNA barcoding of coastal ray-finned fishes in Vietnam
- Comparison of climbing-specific strength and endurance between lead and boulder climbers
- The performance of different case definitions for severe influenza surveillance among HIV-infected and HIV-uninfected children aged <5 years in South Africa, 2011–2015
- Analgesic drug use in elderly persons: A population-based study in Southern Italy
- RCER: Reliable Cluster-based Energy-aware Routing protocol for heterogeneous Wireless Sensor Networks
- Beta-defensins and analogs in Helicobacter pylori infections: mRNA expression levels, DNA methylation, and antibacterial activity
- Changing educational gradient in long-term care-free life expectancy among German men, 1997-2012
- A non-parametric significance test to compare corpora
- Evaluating the impact of policies recommending PrEP to subpopulations of men and transgender women who have sex with men based on demographic and behavioral risk factors
- Different levels of statistical learning - Hidden potentials of sequence learning tasks
- Dry period heat stress induces microstructural changes in the lactating mammary gland
- Organic resolution function and effects of platinum nanoparticles on bacteria and organic matter
- High levels of fasting glucose and glycosylated hemoglobin values are associated with hyperfiltration in a Spanish prediabetes cohort. The PREDAPS Study
- Genetically distinct Group B Streptococcus strains induce varying macrophage cytokine responses
- Dynamic up- and down-regulation of the default (DMN) and extrinsic (EMN) mode networks during alternating task-on and task-off periods
- ERK1/ATF-2 signaling axis contributes to interleukin-1β-induced MMP-3 expression in dermal fibroblasts
- Cytokine profiles of umbilical cord blood mononuclear cells upon in vitro stimulation with lipopolysaccharides of different vaginal gram-negative bacteria
- Everolimus in de novo kidney transplant recipients participating in the Eurotransplant senior program: Results of a prospective randomized multicenter study (SENATOR)
- Lipopolysaccharide induces mouse translocator protein (18 kDa) expression via the AP-1 complex in the microglial cell line, BV-2
- Does effectiveness in performance appraisal improve with rater training?
- National trends in inpatient endometriosis admissions: Patients, procedures and outcomes, 2006−2015
- Affective and enjoyment responses to 12 weeks of high intensity interval training and moderate continuous training in adults with Crohn’s disease
- Thrombophilic risk factors in hemodialysis: Association with early vascular access occlusion and patient survival in long-term follow-up
- Cabbage stem flea beetle’s (Psylliodes chrysocephala L.) susceptibility to pyrethroids and tolerance to thiacloprid in the Czech Republic
- Implicit learning of artificial grammatical structures after inferior frontal cortex lesions
- Potential survival benefits from optimized chemotherapy implementation in advanced ovarian cancer: Projections from a microsimulation model
- Predictors of SLE relapse in pregnancy and post-partum among multi-ethnic patients in Malaysia
- Heat stress responses in a large set of winter wheat cultivars (Triticum aestivum L.) depend on the timing and duration of stress
- Mice deficient in NKLAM have attenuated inflammatory cytokine production in a Sendai virus pneumonia model
- Dysregulation of microRNAs and target genes networks in human abdominal aortic aneurysm tissues
- Quality of life and associated factors among patients with breast cancer under chemotherapy at Tikur Anbessa specialized hospital, Addis Ababa, Ethiopia
- Evaluation of suitable reference genes in Brassica juncea and its wild relative Camelina sativa for qRT-PCR analysis under various stress conditions
- Time-related immunomodulation by stressors and corticosterone transdermal application in toads
- Machine learning discovery of longitudinal patterns of depression and suicidal ideation
- Multi-scale patterns of tick occupancy and abundance across an agricultural landscape in southern Africa
- A matter of taste: Spatial and ontogenetic variations on the trophic ecology of the tiger shark at the Galapagos Marine Reserve
- Retraction: Adaptive double threshold energy detection based on Markov model for cognitive radio
- Adrenal gland size in obstructive sleep apnea: Morphological assessment of hypothalamic pituitary adrenal axis activity
- Out-of-pocket health spending among Medicare beneficiaries: Which chronic diseases are most costly?
- A large-scale chromosomal inversion is not associated with life history development in rainbow trout from Southeast Alaska
- Deployment, suicide, and overdose among comorbidity phenotypes following mild traumatic brain injury: A retrospective cohort study from the Chronic Effects of Neurotrauma Consortium
- Association between alcohol intake and measures of incident CKD: An analysis of nationwide health screening data
- Exploration of icariin analog structure space reveals key features driving potent inhibition of human phosphodiesterase-5
- A quantitative approach for the analysis of clinician recognition of acute respiratory distress syndrome using electronic health record data
- Morphological, microbiological and ultrastructural aspects of sepsis by Aeromonas hydrophila in Piaractus mesopotamicus
- Recidivism rates in individuals receiving community sentences: A systematic review
- The association of intensive care with utilization and costs of outpatient healthcare services and quality of life
- How well do cancer survivor self-classifications of anxiety, depression and stress agree with a standardised tool? Results of a cross-sectional study
- Comparative nutritional characteristics of the three major Chinese Dendrobium species with different growth years
- Nilotinib, an approved leukemia drug, inhibits smoothened signaling in Hedgehog-dependent medulloblastoma
- Geographic differentiation of agritourism activities in Poland vs. cultural and natural attractiveness of destinations at district level
- Social participation reduces isolation among Japanese older people in urban area: A 3-year longitudinal study
- Explaining age-related decline in theory of mind: Evidence for intact competence but compromised executive function
- Role of GDF15 in methylseleninic acid-mediated inhibition of cell proliferation and induction of apoptosis in prostate cancer cells
- Black people are convicted more for being black than for being poor: The role of social norms and cultural prejudice on biased racial judgments
- Bulked segregant analysis RNA-seq (BSR-Seq) validated a stem resistance locus in Aegilops umbellulata, a wild relative of wheat
- Neurobehavioral dysfunction in non-alcoholic steatohepatitis is associated with hyperammonemia, gut dysbiosis, and metabolic and functional brain regional deficits
- Barriers and enablers to the implementation of a complex quality improvement intervention for acute kidney injury: A qualitative evaluation of stakeholder perceptions of the Tackling AKI study
- Soil and vegetation conditions changes following the different sand dune restoration measures on the Zoige Plateau
- Experimental H1N1pdm09 infection in pigs mimics human seasonal influenza infections
- Emission characteristics of diethylhexyl phthalate (DEHP) from building materials determined using a passive flux sampler and micro-chamber
- Multi-focus microscope with HiLo algorithm for fast 3-D fluorescent imaging
- Pontoscolex corethrurus: A homeless invasive tropical earthworm?
- Modeling reciprocal effects in medical research: Critical discussion on the current practices and potential alternative models
- Does palliative chemotherapy really palliate and are we measuring it correctly? A mixed methods longitudinal study of health related quality of life in advanced soft tissue sarcoma
- Developing cookies formulated with goat cream enriched with conjugated linoleic acid
- The effects of combining focus of attention and autonomy support on shot accuracy in the penalty kick
- Association between hot flashes severity and oxidative stress among Mexican postmenopausal women: A cross-sectional study
- A combined strategy of neuropeptide prediction and tandem mass spectrometry identifies evolutionarily conserved ancient neuropeptides in the sea anemone Nematostella vectensis
- Lipidome profiles of postnatal day 2 vaginal swabs reflect fat composition of gilt’s postnatal diet
- Antitumor activity of a novel dual functional podophyllotoxin derivative involved PI3K/AKT/mTOR pathway
- Genome-wide developed microsatellites reveal a weak population differentiation in the hoverfly Eupeodes corollae (Diptera: Syrphidae) across China
- Prognosis of severe acquired brain injury: Short and long-term outcome determinants and their potential clinical relevance after rehabilitation. A comprehensive approach to analyze cohort studies
- An in silico investigation of menthol metabolism
- Variant analysis pipeline for accurate detection of genomic variants from transcriptome sequencing data
- Identification of candidate flowering and sex genes in white Guinea yam (D. rotundata Poir.) by SuperSAGE transcriptome profiling
- Optimizing the intrinsic parallel diffusivity in NODDI: An extensive empirical evaluation
- The quality of guidelines for diabetic foot ulcers: A critical appraisal using the AGREE II instrument
- Mastitis risk effect on the economic consequences of paratuberculosis control in dairy cattle: A stochastic modeling study
- Confounding by indication of the safety of de-escalation in community-acquired pneumonia: A simulation study embedded in a prospective cohort
- Effects from diet-induced gut microbiota dysbiosis and obesity can be ameliorated by fecal microbiota transplantation: A multiomics approach
- Drivers of HIV-1 transmission: The Portuguese case
- Integration of a FT expression cassette into CRISPR/Cas9 construct enables fast generation and easy identification of transgene-free mutants in Arabidopsis
- A biface production older than 600 ka ago at Notarchirico (Southern Italy) contribution to understanding early Acheulean cognition and skills in Europe
- Mass evacuation and increases in long-term care benefits: Lessons from the Fukushima nuclear disaster
- Circulating levels of free 25(OH)D increase at the onset of rheumatoid arthritis
- The expression of equine keratins K42 and K124 is restricted to the hoof epidermal lamellae of Equus caballus
- Soil respiration from fields under three crop rotation treatments and three straw retention treatments
- Inhibition of polymerase chain reaction: Pathogen-specific controls are better than human gene amplification
- Linkage disequilibrium and haplotype block patterns in popcorn populations
- Downscaling satellite soil moisture using geomorphometry and machine learning
- Choosing efficient actions: Deciding where to walk
- The zooarchaeology and isotopic ecology of the Bahamian hutia (Geocapromys ingrahami): Evidence for pre-Columbian anthropogenic management
- Synergy of the flow behaviour and disperse phase of cellulose nanoparticles in enhancing oil recovery at reservoir condition
- Accuracy of Determine TB-LAM Ag to detect TB in HIV infected patients associated with diagnostic methods used in Brazilian public health units
- Human papillomavirus infection among head and neck squamous cell carcinomas in southern China
- Comparison of feature point detectors for multimodal image registration in plant phenotyping
- Quartet-based inference of cell differentiation trees from ChIP-Seq histone modification data
- Detection and prognostic relevance of circulating tumour cells (CTCs) in Asian breast cancers using a label-free microfluidic platform
- Coralline algal calcification: A morphological and process-based understanding
- Comparing record linkage software programs and algorithms using real-world data
- Antimicrobial resistance and molecular genotyping of Salmonella enterica serovar Enteritidis clinical isolates from Guizhou province of Southwestern China
- Measuring sexual relationship power equity among young women and young men South Africa: Implications for gender-transformative programming
- Effectiveness, safety/tolerability of OBV/PTV/r ± DSV in patients with HCV genotype 1 or 4 with/without HIV-1 co-infection, chronic kidney disease (CKD) stage IIIb-V and dialysis in Spanish clinical practice – Vie-KinD study
- The genome of Alcaligenes aquatilis strain BU33N: Insights into hydrocarbon degradation capacity
- A randomized pilot efficacy and safety trial of diazoxide choline controlled-release in patients with Prader-Willi syndrome
- LMX1A inhibits C-Myc expression through ANGPTL4 to exert tumor suppressive role in gastric cancer
- Lung clearance index to detect the efficacy of Aztreonam lysine inhalation in patients with cystic fibrosis and near normal spirometry – A single-centre feasibility study
- Association of vitamin D nutrition with neuro-developmental outcome of infants of slums in Bangladesh
- Effect of PEPFAR funding policy change on HIV service delivery in a large HIV care and treatment network in Nigeria
- Friends, relatives, sanity, and health: The costs of politics
- European public perceptions of homelessness: A knowledge, attitudes and practices survey
- An overview of the quality assurance programme for HIV rapid testing in South Africa: Outcome of a 2-year phased implementation of quality assurance program
- Transcatheter aortic valve implantation versus surgical aortic valve replacement in patients at low and intermediate risk: A risk specific meta-analysis of randomized controlled trials
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- Genomic analyses reveal an absence of contemporary introgressive admixture between fin whales and blue whales, despite known hybrids
- Tipping the balance towards long-term retention in the HIV care cascade: A mixed methods study in southern Mozambique
- Diagnosis and classification of pediatric acute appendicitis by artificial intelligence methods: An investigator-independent approach
- Stylistic variation on the Donald Trump Twitter account: A linguistic analysis of tweets posted between 2009 and 2018
- Kinematic determinants of scoring success in the fencing flick: Logistic and linear multiple regression analysis
- Preferences for formal and traditional sources of childbirth and postnatal care among women in rural Africa: A systematic review
- Spectral characteristics of urine specimens from healthy human volunteers analyzed using Raman chemometric urinalysis (Rametrix)
- Associations between industry involvement and study characteristics at the time of trial registration in biomedical research
- A review of the elusive bicolored iris Snouted Treefrogs (Anura: Hylidae:Scinax uruguayus group)
- Development of peptide biosensor for the detection of dengue fever biomarker, nonstructural 1
- The predictive performance of SAPS 2 and SAPS 3 in an intermediate care unit for internal medicine at a German university transplant center; A retrospective analysis
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- Small molecule inhibition of lysine-specific demethylase 1 (LSD1) and histone deacetylase (HDAC) alone and in combination in Ewing sarcoma cell lines
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- In vitro selective cytotoxicity of the dietary chalcone cardamonin (CD) on melanoma compared to healthy cells is mediated by apoptosis
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- Genome-wide analysis of methylation in giant pandas with cataract by methylation-dependent restriction-site associated DNA sequencing (MethylRAD)
- A spherical falling film gas-liquid equilibrator for rapid and continuous measurements of CO2 and other trace gases
- The role of vitamin D in increasing circulating T regulatory cell numbers and modulating T regulatory cell phenotypes in patients with inflammatory disease or in healthy volunteers: A systematic review
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- Robust methods in Mendelian randomization via penalization of heterogeneous causal estimates
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- Effects of the Best Possible Self intervention: A systematic review and meta-analysis
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- Adjusting cotton planting density under the climatic conditions of Henan Province, China
- Multiple biomarkers of sepsis identified by novel time-lapse proteomics of patient serum
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- The female presence in different organisational positions and performance in secondary schools: Does a woman leader function as mediator?
- Beta power encodes contextual estimates of temporal event probability in the human brain
- Molecular characterization of measles virus strains circulating in Cameroon during the 2013-2016 epidemics
- Using metabolite profiling to construct and validate a metabolite risk score for predicting future weight gain
- Comprehensive analysis of the internal structure and firmness in American cranberry (Vaccinium macrocarpon Ait.) fruit
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- Influence of musculotendon geometry variability in muscle forces and hip bone-on-bone forces during walking
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- The effect of the use of a decision aid with individual risk estimation on the mode of delivery after a caesarean section: A prospective cohort study
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- High-throughput RNA-sequencing identifies mesenchymal stem cell-induced immunological signature in a rat model of corneal allograft rejection
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- Use of high-content analysis and machine learning to characterize complex microbial samples via morphological analysis
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- A mutation in mouse Krüppel-like factor 15 alters the gut microbiome and response to obesogenic diet
- Excellent outcome after desensitization in high immunologic risk kidney transplantation
- Characterization of a new composite membrane for point of need paper-based micro-scale microbial fuel cell analytical devices
- Acute kidney injury during an ultra-distance race
- A mitochondria-targeted fatty acid analogue influences hepatic glucose metabolism and reduces the plasma insulin/glucose ratio in male Wistar rats
- The role of C-reactive protein levels on the association of physical activity with lung function in adults
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- Therapeutic efficacy of neuregulin 1-expressing human adipose-derived mesenchymal stem cells for ischemic stroke
- CRISPR/Cas9-based editing of a sensitive transcriptional regulatory element to achieve cell type-specific knockdown of the NEMO scaffold protein
- Exploring the microbiota of upper respiratory tract during the development of pneumonia in a mouse model
- Improved ICU mortality prediction based on SOFA scores and gastrointestinal parameters
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- Ozone effects on blood biomarkers of systemic inflammation, oxidative stress, endothelial function, and thrombosis: The Multicenter Ozone Study in oldEr Subjects (MOSES)
- Human osteocyte expression of Nerve Growth Factor: The effect of Pentosan Polysulphate Sodium (PPS) and implications for pain associated with knee osteoarthritis
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- How chimpanzees (Pan troglodytes) share the spoils with collaborators and bystanders
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- Optimizing bacterial DNA extraction in urine
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- Effects of inorganic nitrogen and litters of Masson Pine on soil organic carbon decomposition
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- Transcatheter aortic valve implantation versus conservative management for severe aortic stenosis in real clinical practice
- “I put it in my head that the supplement would help me”: Open-placebo improves exercise performance in female cyclists
- Automated diagnosis of heart valve degradation using novelty detection algorithms and machine learning
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- Studying the link between physiological performance of Crotalaria ochroleuca and the distribution of Ca, P, K and S in seeds with X-ray fluorescence
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- Correlates of prenatal and postnatal mother-to-infant bonding quality: A systematic review
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- Occurrence of and risk factors for extended-spectrum cephalosporin-resistant Enterobacteriaceae determined by sampling of all Norwegian broiler flocks during a six month period
- Healthcare facility-based strategies to improve tuberculosis testing and linkage to care in non-U.S.-born population in the United States: A systematic review
- Correction: Reward abundance interferes with error-based learning in a visuomotor adaptation task
- Correction: Potential user interest in new long-acting contraceptives: Results from a mixed methods study in Burkina Faso and Uganda
- Correction: Recombinant rabbit beta nerve growth factor production and its biological effects on sperm and ovulation in rabbits
- Critically ill patients with community-onset intraabdominal infections: Influence of healthcare exposure on resistance rates and mortality
- Validating a popular outpatient antibiotic database to reliably identify high prescribing physicians for patients 65 years of age and older
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- Optimum plant density for crowding stress tolerant processing sweet corn
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- Retraction: Autophagy in Muscle of Glucose-Infusion Hyperglycemia Rats and Streptozotocin-Induced Hyperglycemia Rats via Selective Activation of m-TOR or FoxO3
- Correction: In Porphyromonas gingivalis VimF Is Involved in Gingipain Maturation through the Transfer of Galactose
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- Correction: Development of a high-throughput assay to measure measles neutralizing antibodies
- Correction: Provider preference for payment method under a national health insurance scheme: A survey of health insurance-credentialed health care providers in Ghana
- Correction: Second-line HIV treatment failure in sub-Saharan Africa: A systematic review and meta-analysis
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- Retraction: IL-21 Regulates the Differentiation of a Human γδ T Cell Subset Equipped with B Cell Helper Activity
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