An Improved qFibrosis Algorithm for Precise Screening and Enrollment into Non-Alcoholic Steatohepatitis (NASH) Clinical Trials
DIAGNOSTICS
Authors: Leow, Wei-Qiang; Bedossa, Pierre; Liu, Feng; Wei, Lai; Lim, Kiat-Hon; Wan, Wei-Keat; Ren, Yayun; Chang, Jason Pik-Eu; Tan, Chee-Kiat; Wee, Aileen; Boon-Goh, George
Abstract
Background: Many clinical trials with potential drug treatment options for non-alcoholic fatty liver disease (NAFLD) are focused on patients with non-alcoholic steatohepatitis (NASH) stages 2 and 3 fibrosis. As the histological features differentiating stage 1 (F1) from stage 2 (F2) NASH fibrosis are subtle, some patients may be wrongly staged by the in-house pathologist and miss the opportunity for enrollment into clinical trials. We hypothesized that our refined artificial intelligence (AI)-based algorithm (qFibrosis) can identify these subtle differences and serve as an assistive tool for in-house pathologists. Methods: Liver tissue from 160 adult patients with biopsy-proven NASH from Singapore General Hospital (SGH) and Peking University People's Hospital (PKUH) were used. A consensus read by two expert hepatopathologists was organized. The refined qFibrosis algorithm incorporated the creation of a periportal region that allowed for the increased detection of periportal fibrosis. Consequently, an additional 28 periportal parameters were added, and 28 pre-existing perisinusoidal parameters had altered definitions. Results: Twenty-eight parameters (20 periportal and 8 perisinusoidal) were significantly different between the F1 and F2 cases that prompted a change of stage after a careful consensus read. The discriminatory ability of these parameters was further demonstrated in a comparison between the true F1 and true F2 cases as 26 out of the 28 parameters showed significant differences. These 26 parameters constitute a novel sub-algorithm that could accurately stratify F1 and F2 cases. Conclusion: The refined qFibrosis algorithm incorporated 26 novel parameters that showed a good discriminatory ability for NASH fibrosis stage 1 and 2 cases, representing an invaluable assistive tool for in-house pathologists when screening patients for NASH clinical trials.
Kaempferol separated fromCamellia oleiferameal by high-speed countercurrent chromatography for antibacterial application
EUROPEAN FOOD RESEARCH AND TECHNOLOGY
Authors: Qiu, Yuanxin; He, Di; Yang, Jingxian; Ma, Lukai; Zhu, Kaiqi; Cao, Yong
Abstract
Natural biologically active substances have received continuous attention for the potentially beneficial health properties against chronic diseases. In this study, bacteriostatic active substance fromCamellia oleiferameal, which is a major by-product of theCamelliaoil processing industry, were extracted with continuous phase change extraction (CPCE) method and separated by HSCCC. Compared with traditional extraction methods, CPCE possessed higher extraction efficiency. Two main substances were separated and purified (above 90.0%). The structure of them were further identified by UV, LC-ESI-MS-MS, 1H-NMR, and 13C-NMR as flavonoids F2 kaempferol 3-O-[beta-d-glucopyranosyl-(1 -> 2)-alpha-l-rhamnopyranosyl-(1 -> 6)]-beta-d-glucopyranoside and J2 kaempferol 3-O-[beta-d-xylopyranosyl-(1 -> 2)-alpha-l-rhamnopyranosyl-(1 -> 6)]-beta-d-glucopyranoside for the first time inC. Oleiferameal. The results of antibacterial activity measurement showed that both compounds have excellent antibacterial activity. And the antibacterial stability of F2 were finally confirmed: F2 showed broad spectrum antibacterial activity againstEscherichia coli,Staphylococcus aureus,Salmonella enteriditis,Bacillus thuringiensis,Aspergillus nigerandRhizopus nigricans. Besides, F2 exhibited relatively high stable property even at high temperature, acid and metal ion solutions. The findings of this work suggest the possibility of employingC. oleiferameal as an attractive source of health-promoting compounds, and at the same time facilitate its high-value reuse and reduction of environmental burden.