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Biology subjects

Maher, C.

Publications and source records attributed to Maher, C..

12 recordsLinked to original sources

Coordinated human prefrontal dynamics sustain task-state representations during learning

Making decisions in complex, real-world environments is challenging. Biologically plausible strategies like reinforcement learning (RL) require attention toward reward-predictive stimuli to define task states, yet how attention and decision processes coordinate in the human brain remains unclear. We hypothesized this arises through interactions between orbitofrontal (OFC) value-based mechanisms and lateral prefrontal (LPFC) attention filtering. To test this, we combined behavioral modeling with local field potential (LFP) and single-unit recordings in 22 subjects performing a multidimensional RL task. Reward expectations were encoded in OFC and LPFC, as reflected in high-frequency LFP and OFC single-unit spiking, but modulated by attention only in LPFC. Theta LFPs encoded reward expectations and indexed attention-dependent LPFC-OFC coordination, with value-related coupling emerging pre-choice in high-attention subjects and post-choice in low-attention subjects. These findings show that prefrontal circuits dynamically coordinate to encode attention-weighted value signals, shaping state representations and providing a tractable solution to learning in complex environments.

neuroscience↗

Decoding Covert Human Attention in Multidimensional Environments

In complex environments, humans must determine which features are relevant for learning and decision-making. Psychological theories offer competing accounts of this process: associative models suggest that attention emerges gradually through learned changes in feature values, whereas hypothesis-driven accounts propose that learners selectively attend to actively tested rules. Because attentional states are covert, similar behavior can arise from different underlying strategies, making these accounts difficult to distinguish using choice data alone. We inferred latent attention dynamics during learning and decision-making by training recurrent neural networks on synthetic data generated from feature-based reinforcement learning (FRL) and serial hypothesis testing (SHT) models. A network trained on hybrid (FRL+SHT) data outperformed single-model networks, decoding latent human attention with more than 80% accuracy. These results suggest that human attention reflects an interaction between value-based learning and hypothesis testing, in which learned feature value guides the generation and evaluation of candidate rules.

animal behavior and cognition↗

Identifying Phage Host Receptors Using TraDIS

The growing antimicrobial resistance crisis has sparked renewed interest in using bacteriophage (phage) as a treatment for antibiotic-resistant infections. Phage are viruses that infect and often kill bacteria, and have served as key models for many molecular biology studies. There are many complex phage-bacterial interactions that dictate the success or failure of the phage life cycle, but many of these are not well understood or characterised. These include the specific interactions to recognize a bacterium during the infection process, bacterial phage defence mechanisms and metabolic pathways that are key to phage replication. In this study a novel Escherichia coli phage, Arnold, is characterised and the genome sequence is reported. We then use transposon-directed insertion sequencing (TraDIS) to screen a library of E. coli mutants to identify over 200 genes involved in Arnold phage infection or in phage resistance. Using this approach, we identified both an outer membrane protein (BtuB, vitamin B12 transporter) and an inner membrane protein (SdaC, serine/proton symporter) involved in phage infection. Deletions in these genes were shown to provide immunity to infection by this phage. Understanding the genetic basis of phage infection and phage resistance should allow us to select or design phage to target specific bacterial pathogens in the future.

microbiology↗

Intracranial substrates of meditation-induced neuromodulation in amygdala and hippocampus

Meditation is an accessible mental practice associated with emotional regulation and well-being. Loving-kindness meditation (LKM), a specific sub-type of meditative practice, involves focusing ones attention on thoughts of well-being for oneself and others. Meditation has been proven to be beneficial in a variety of settings, including therapeutical applications, but the neural activity underlying meditative practices and their positive effects are not well understood. In particular, its been difficult to understand the contribution of deep limbic structures given the difficulty of studying neural activity directly in the human brain. Here, we leverage a unique patient population, epilepsy patients chronically implanted with responsive neurostimulation device that allow chronic, invasive electrophysiology recording to investigate the physiological correlates of loving-kindness meditation in the amygdala and hippocampus of novice meditators. We find that LKM-associated changes in physiological activity specific to periodic, but not aperiodic, features of neural activity. LKM was associated with an increase in {gamma} (30-55 Hz) power and an alternation in the duration of {beta} (13-30 Hz) and {gamma} oscillatory bursts in both the amygdala and hippocampus, two regions associated with mood disorders. These findings reveals the nature of LKM-induced modulation of limbic activity in first-time meditators. SIGNIFICANCE STATEMENTWe leverage rare chronic, invasive electrophysiology recordings while participants engage in loving-kindness meditation to demonstrate that meditation induces neural changes in beta and {gamma} activity in the amygdala and hippocampus of novice meditators. These results build on previous findings in experienced meditators and reveal meditations potential for noninvasive neuromodulation of neural mechanisms associated with emotional regulation and mood disorders.

neuroscience↗

Uncovering the hidden structure of dynamic T cell composition in peripheral blood during cancer immunotherapy: a topic modeling approach

Immune checkpoint inhibitors (ICIs), now mainstays in the treatment of cancer treatment, show great potential but only benefit a subset of patients. A more complete understanding of the immunological mechanisms and pharmacodynamics of ICI in cancer patients will help identify the patients most likely to benefit and will generate knowledge for the development of next-generation ICI regimens. We set out to interrogate the early temporal evolution of T cell populations from longitudinal single-cell flow cytometry data. We developed an innovative statistical and computational approach using a Latent Dirichlet Allocation (LDA) model that extends the concept of topic modeling used in text mining. This powerful unsupervised learning tool allows us to discover compositional topics within immune cell populations that have distinct functional and differentiation states and are biologically and clinically relevant. To illustrate the models utility, we analyzed [~]17 million T cells obtained from 138 pre- and on-treatment peripheral blood samples from a cohort of melanoma patients treated with ICIs. We identified three latent dynamic topics: a T-cell exhaustion topic that recapitulates a LAG3+ predominant patient subgroup with poor clinical outcome; a naive topic that shows association with immune-related toxicity; and an immune activation topic that emerges upon ICI treatment. We identified that a patient subgroup with a high baseline of the naive topic has a higher toxicity grade. While the current application is demonstrated using flow cytometry data, our approach has broader utility and creates a new direction for translating single-cell data into biological and clinical insights.

bioinformatics↗

AedG, a new weapon in Acinetobacters fight against antimicrobials

A novel multidrug efflux pump, AadT from the Drug:H+ antiporter 2 family, was discovered in Acinetobacter multidrug resistance plasmids. Here, we profiled the antimicrobial resistance potential and examined the distribution of this gene. Putative homologs of this efflux pump were encoded in many Acinetobacter species and other Gram-negative species, and were genetically associated with novel variants of adeAB(C), which encodes a major tripartite efflux pump in Acinetobacter. The AadT pump conferred decreased susceptibility to at least eight diverse antimicrobials, including antibiotics erythromycin, tetracycline; biocides chlorhexidine; and dyes ethidium bromide and DAPI. These results show that AadT is a new determinant in the Acinetobacter resistance arsenal and may cooperate with variants of AdeAB(C).

microbiology↗

Machine learning guided signal enrichment for ultrasensitive plasma tumor burden monitoring

In solid tumor oncology, circulating tumor DNA (ctDNA) is poised to transform care through accurate assessment of minimal residual disease (MRD) and therapeutic response monitoring. To overcome the sparsity of ctDNA fragments in low tumor fraction (TF) settings and increase MRD sensitivity, we previously leveraged genome-wide mutational integration through plasma whole genome sequencing (WGS). We now introduce MRD-EDGE, a composite machine learning-guided WGS ctDNA single nucleotide variant (SNV) and copy number variant (CNV) detection platform designed to increase signal enrichment. MRD-EDGE uses deep learning and a ctDNA-specific feature space to increase SNV signal to noise enrichment in WGS by 300X compared to our previous noise suppression platform MRDetect. MRD-EDGE also reduces the degree of aneuploidy needed for ultrasensitive CNV detection through WGS from 1Gb to 200Mb, thereby expanding its applicability to a wider range of solid tumors. We harness the improved performance to track changes in tumor burden in response to neoadjuvant immunotherapy in non-small cell lung cancer and demonstrate ctDNA shedding in precancerous colorectal adenomas. Finally, the radical signal to noise enrichment in MRD-EDGE enables de novo mutation calling in melanoma without matched tumor, yielding clinically informative TF monitoring for patients on immune checkpoint inhibition.

genomics↗

Broadly neutralizing antibodies overcome SARS-CoV-2 Omicron antigenic shift

The recently emerged SARS-CoV-2 Omicron variant harbors 37 amino acid substitutions in the spike (S) protein, 15 of which are in the receptor-binding domain (RBD), thereby raising concerns about the effectiveness of available vaccines and antibody therapeutics. Here, we show that the Omicron RBD binds to human ACE2 with enhanced affinity relative to the Wuhan-Hu-1 RBD and acquires binding to mouse ACE2. Severe reductions of plasma neutralizing activity were observed against Omicron compared to the ancestral pseudovirus for vaccinated and convalescent individuals. Most (26 out of 29) receptor-binding motif (RBM)-directed monoclonal antibodies (mAbs) lost in vitro neutralizing activity against Omicron, with only three mAbs, including the ACE2-mimicking S2K146 mAb1, retaining unaltered potency. Furthermore, a fraction of broadly neutralizing sarbecovirus mAbs recognizing antigenic sites outside the RBM, including sotrovimab2, S2X2593 and S2H974, neutralized Omicron. The magnitude of Omicron-mediated immune evasion and the acquisition of binding to mouse ACE2 mark a major SARS-CoV-2 mutational shift. Broadly neutralizing sarbecovirus mAbs recognizing epitopes conserved among SARS-CoV-2 variants and other sarbecoviruses may prove key to controlling the ongoing pandemic and future zoonotic spillovers.

immunology↗

A multimodal AI system for out-of-distribution generalization of seizure detection

Epilepsy is one of the most common severe neurological disorders worldwide. The International League Against Epilepsy (ILAE) define epilepsy as a brain disorder that generates (1) two unprovoked seizures more than 24 hrs apart, or (2) one unprovoked seizure with at least 60% risk of recurrence over the next ten years. Complete remission has been defined as ten years seizure free with the last five years medication free. This requires a cost-effective ambulatory ultra-long term out-patient monitoring solution. The common practice of self-reporting is inaccurate. Applying artificial intelligence (AI) to scalp electroencephalogram (EEG) interpretation is becoming increasingly common, but other data modalities such as electrocardiograms (ECGs) are simpler to collect and often recorded simultaneously with EEG. Both recordings contain biomarkers in the detection of seizures. Here, we propose a state-of-the-art performing AI system that combines EEG and ECG for seizure detection, tested on clinical data with early evidence demonstrating generalization across hospitals. The model was trained and validated on the publicly available Temple University Hospital (TUH) dataset. To evaluate performance in a clinical setting, we conducted nonpatient-specific inference-only tests on three out-of-distribution datasets, including EPILEPSIAE (30 patients) and the Royal Prince Alfred Hospital (RPAH) in Sydney, Australia (31 patients shortlisted by neurologists and 30 randomly selected). Across all datasets, our multimodal approach improves the area under the receiver operating characteristic curve (AUC-ROC) by an average margin of 6.71% and 14.42% for prior state-of-the-art approaches using EEG and ECG alone, respectively. Our models state-of-the-art performance and robustness to out-ofdistribution datasets can improve the accuracy and efficiency of epilepsy diagnoses.

neuroscience↗

Prospective Identification of Ictal Electroencephalogram

BackgroundElectroencephalogram (EEG) monitoring and objective seizure identification is an essential clinical investigation for some patients with epilepsy. Accurate annotation is done through a time-consuming process by EEG specialists. Computer-assisted systems for seizure detection currently lack extensive clinical utility due to retrospective, patient-specific, and/or irreproducible studies that result in low sensitivity or high false positives in clinical tests. We aim to significantly reduce the time and resources on data annotation by demonstrating a continental generalization of seizure detection that balances sensitivity and specificity. MethodsThis is a prospective inference test of artificial intelligence on nearly 14,590 hours of adult EEG data from patients with epilepsy between 2011 and 2019 in a hospital in Sydney, Australia. The inference set includes patients with different types and frequencies of seizures across a wide range of ages and EEG recording hours. The artificial intelligence (AI) is a convolutional long short-term memory network that is trained on a USA-based dataset. The Australian set is about 16 times larger than the US training dataset with very long interictal periods (between seizures), which is way more realistic than the training set and makes our false positives highly reliable. We validated our inference model in an AI-assisted mode with a human expert arbiter and a result review panel of expert neurologists and EEG specialists on 66 sessions to demonstrate achievement of the same performance with over an order-of-magnitude reduction in time. FindingsOur inference on 1,006 EEG recording sessions on the Australian dataset achieved 76.68% with nearly 56 [0, 115] false alarms per 24 hours on average, against legacy ground-truth annotations by human experts, conducted independently over nine years. Our pilot test of 66 sessions with a human arbiter, and reviewed ground truth by a panel of experts, confirmed an identical human performance of 92.19% with an AI-assisted system, while the time requirements reduce significantly from 90 to 7.62 minutes on average. InterpretationAccurate and objective seizure counting is an important factor in epilepsy. An AI-assisted system can help improve efficiency and accuracy alongside human experts, particularly in low and middle-income countries with limited expert human resources. FundingsSOAR Fellowship from The University of Sydney, a Microsoft AI for Accessibility grant, and a Research Training Program (RTP) support provided by the Australian Government. Research in contextO_ST_ABSEvidence before this studyC_ST_ABSDuring the development of our artificial intelligence (AI) system, we did a systematic review of the scientific literature with search via PubMed for research articles published on seizure detection with the following inclusion criteria: (1) Tests or inference evaluation is conducted on large-scale clinical EEG data; (2) Generalization is attempted or potentials for generalization is considered, e.g., in commercialized tools; (3) Seizure detection delay and real-time (aka. online) operation were not considered critical in this context as long as the test was conducted on raw EEG data. Note that ICU seizure detection or portable seizure alert systems are relying on detection delay and real-time needs. Our keywords include "prospective seizure detection", "automated seizure detection", "non-patient specific seizure detection", "seizure detection on continuous EEG", and "deep learning-based seizure detection" and "machine learning-based seizure detection". We found that the only two categories of works meet our criteria: two research papers published in 2020 and works published by commercial tools developers. We cited a recent review of 89 deep learning-based seizure detection, all of which are retrospective. One work from Stanford reported seizure detection on all ages (pediatric to adult ages) using post-acquisition EEG recordings and provided an avenue for independent evaluation by providing a test on a publicly available Temple University Hospital (TUH) EEG dataset. The other work pivoted on algorithmic-assisted real-time seizure risk monitoring in continuous EEG in neonatal intensive care unit (NICU) with 128 neonates (32 with seizures) showing about 20% improvement in seizure identification over 130 neonates (38 with seizures) with no algorithmic assistance. Commercial tools we studied are Encevis (EpiScan), Besa, and Persyst. There is a recent comparative study on these tools on 81 patients. Encevis is reported as the best performing tool, and hence we provided a comparative study with Encevis ver. 1.9.2. Encevis is also the only tool that provided an avenue for comparative study on publicly available EEG data. The Stanford work, published in 2020, confirms many false positives with Persyst 13. We excluded our tests on Persyst 14 as it highly under-performed relative to Encevis. Only Stanfords work provides code availability. We compared our results with Stanfords work outcome and provided pilot test results with the Encevis (EpiScan) tool on the Australian dataset, which shows a considerably lower sensitivity. Added value of this studyTo the best of our knowledge, the current study is the first continental generalization that demonstrates the potential to achieve an expert human-level seizure recognition rate in a clinical setting and in just a fraction of time. The two datasets used in this study are recorded with different infrastructure, which adds to the independence of inference from hardware types and improves clinical utility. This is particularly important as 80% of patients with epilepsy live in low and middle-income countries with limited resources, particularly EEG specialists and neurologists. Implications of all the available evidenceOur results support the potential benefits of deep learning AI in clinical settings for seizure recognition and its contribution to significant sensitivity over available solutions. Our AI-assisted system achieves more than a ten-fold increase in time efficiency and reports identical performance to human experts for EEG interpretation with access to great neurophysiology support and auxiliary data. Our findings, particularly our tests on an available commercial tool, recommend that the evaluation, test, or inference in AI systems be performed on different datasets, with diverse infrastructures, and on large-scale and realistic sets with long interictal periods.

neuroscience↗

Single-molecule imaging of eukaryotic replisomes reveals compositional plasticity

Structural and biochemical studies have revealed the basic principles of how the replisome duplicates genomic DNA, but little is known about its dynamics during DNA replication. We reconstitute the 34 proteins needed to form the S. cerevisiae replisome and show how changing local concentrations of the key DNA polymerases tunes the ability of the complex to efficiently recycle these proteins or to dynamically exchange them. Particularly, we demonstrate redundancy of the Pol DNA polymerase activity in replication and show that Pol primase and the lagging-strand Pol {delta} can be re-used within the replisome to support the synthesis of large numbers of Okazaki fragments. This unexpected malleability of the replisome might allow it to deal with barriers and resource challenges during replication of large genomes.

biophysics↗

An Mtb-Human Protein-Protein Interaction Map Reveals that Bacterial LpqN Antagonizes CBL, a Host Ubiquitin Ligase that Regulates the Balance Between Anti-Viral and Anti-Bacterial Responses

Although macrophages are armed with potent anti-bacterial functions, Mycobacterium tuberculosis (Mtb) replicates inside these innate immune cells. Determinants of macrophage-intrinsic bacterial control, and the Mtb strategies to overcome them are poorly understood. To further study these processes, we used a systematic affinity tag purification mass spectrometry (AP-MS) approach to identify 187 Mtb-human protein-protein interactions (PPIs) involving 34 secreted Mtb proteins. This interaction map revealed two new factors involved in Mtb pathogenesis - the secreted Mtb protein, LpqN, and its binding partner, the human ubiquitin ligase CBL. We discovered that an lpqN Mtb mutant is attenuated in macrophages, but growth is restored when CBL is removed. Conversely, Cbl-/- macrophages are resistant to viral infection, indicating that CBL regulates cell-intrinsic polarization between anti-bacterial and anti-viral immunity. Collectively, these findings illustrate the utility of this Mtb-human PPI map as a resource for developing a deeper understanding of the intricate interactions between Mtb and its host.

microbiology↗