In eukaryotic cells, lysosomes are digestive centers where biological macromolecules are degraded by phagocytosis and autophagy, thereby maintaining cellular self-renewal capacity and energy supply. Lysosomes also serve as signaling hubs to monitor the intracellular levels of nutrients and energy by acting as platforms for the assembly of multiple signaling pathways, such as mammalian target of rapamycin complex 1 (mTORC1) and adenosine 5′-monophosphate (AMP)-activated protein kinase (AMPK). The structural integrity and functional balance of lysosomes are essential for cell function and viability. In fact, lysosomal damage not only disrupts intracellular clearance but also results in the leakage of multiple contents, which pose great threats to the cell by triggering cell death pathways, including apoptosis, necroptosis, pyroptosis, and ferroptosis. The collapse of lysosomal homeostasis is reportedly critical for the pathogenesis and development of various diseases, such as tumors, neurodegenerative diseases, cardiovascular diseases, and inflammatory diseases. Lysosomal quality control (LQC), comprising lysosomal repair, lysophagy, and lysosomal regeneration, is rapidly initiated in response to lysosomal damage to maintain lysosomal structural integrity and functional homeostasis. LQC may be a novel but pivotal target for disease treatment because of its indispensable role in maintaining intracellular homeostasis and cell fate.
Introduction: The incidence of postoperative sepsis is continually increased, while few studies have specifically focused on the risk factors and clinical outcomes associated with the development of sepsis after surgical procedures. The present study aimed to develop a mathematical model for predicting the in-hospital mortality among patients with postoperative sepsis. Materials and Methods: Surgical patients in Medical Information Mart for Intensive Care (MIMIC-III) database who simultaneously fulfilled Sepsis 3.0 and Agency for Healthcare Research and Quality (AHRQ) criteria at ICU admission were incorporated. We employed both extreme gradient boosting (XGBoost) and stepwise logistic regression model to predict the in-hospital mortality among patients with postoperative sepsis. Consequently, the model performance was assessed from the angles of discrimination and calibration. Results: We included 3,713 patients who fulfilled our inclusion criteria, in which 397 (10.7%) patients died during hospitalization, and 3,316 (89.3%) patients survived through discharge. Fluid-electrolyte disturbance, coagulopathy, renal replacement therapy (RRT), urine output, and cardiovascular surgery were important features related to the in-hospital mortality. The XGBoost model had a better performance in both discriminatory ability (c-statistics, 0.835 vs. 0.737 and 0.621, respectively; AUPRC, 0.418 vs. 0.280 and 0.237, respectively) and goodness of fit (visualized by calibration curve) compared to the stepwise logistic regression model and baseline model. Conclusion: XGBoost model has a better performance in predicting hospital mortality among patients with postoperative sepsis in comparison to the stepwise logistic regression model. Machine learning-based algorithm might have significant application in the development of early warning system for septic patients following major operations.
Abstract-This paper develops efficient algorithms for distributed average consensus with quantized communication using the alternating direction method of multipliers (ADMM). We first study the effects of probabilistic and deterministic quantizations on a distributed ADMM algorithm. With probabilistic quantization, this algorithm yields linear convergence to the desired average in the mean sense with a bounded variance. When deterministic quantization is employed, the distributed ADMM either converges to a consensus or cycles with a finite period after a finite-time iteration. In the cyclic case, local quantized variables have the same mean over one period and hence each node can also reach a consensus. We then obtain an upper bound on the consensus error which depends only on the quantization resolution and the average degree of the network. Finally, we propose a two-stage algorithm which combines both probabilistic and deterministic quantizations. Simulations show that the twostage algorithm, without picking small algorithm parameter, has consensus errors that are typically less than one quantization resolution for all connected networks where agents' data can be of arbitrary magnitudes.
Multi-agent distributed optimization over a network minimizes a global objective formed by a sum of local convex functions using only local computation and communication. We develop and analyze a quantized distributed algorithm based on the alternating direction method of multipliers (ADMM) when inter-agent communications are subject to finite capacity and other practical constraints. While existing quantized ADMM approaches only work for quadratic local objectives, the proposed algorithm can deal with more general objective functions (possibly non-smooth) including the LASSO. Under certain convexity assumptions, our algorithm converges to a consensus within log 1+η Ω iterations, where η > 0 depends on the local objectives and the network topology, and Ω is a polynomial determined by the quantization resolution, the distance between initial and optimal variable values, the local objective functions and the network topology. A tight upper bound on the consensus error is also obtained which does not depend on the size of the network. Index TermsMulti-agent distributed optimization, quantization, alternating direction method of multipliers (ADMM), linear convergence.
This paper studies the problem of learning causal structures from observational data. We reformulate the Structural Equation Model (SEM) with additive noises in a form parameterized by binary graph adjacency matrix and show that, if the original SEM is identifiable, then the binary adjacency matrix can be identified up to super-graphs of the true causal graph under mild conditions. We then utilize the reformulated SEM to develop a causal structure learning method that can be efficiently trained using gradientbased optimization, by leveraging a smooth characterization on acyclicity and the Gumbel-Softmax approach to approximate the binary adjacency matrix. It is found that the obtained entries are typically near zero or one and can be easily thresholded to identify the edges. We conduct experiments on synthetic and real datasets to validate the effectiveness of the proposed method, and show that it readily includes different smooth model functions and achieves a much improved performance on most datasets considered.
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