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Communications Biology

Springer Science and Business Media LLC

Preprints posted in the last 7 days, ranked by how well they match Communications Biology's content profile, based on 993 papers previously published here. The average preprint has a 0.83% match score for this journal, so anything above that is already an above-average fit.

1
How Sex, Age, Adiposity, and Smoking Shape the Human Rib Cage: Evidence from 26,275 Whole-Body MRIs across the German National Cohort (NAKO)

Aicher, A.; Graf, R.; Kirschke, J.; Frauenfelder, T.; Ensle, F.; Menze, B.; Decker, J.; Kröncke, T.; Haubold, J.; Ringhof, S.; Bamberg, F.; Schmidt, C. O.; Wielpütz, M.; Leitzmann, M.; Willich, S. N.; Keil, T.; Niendorf, T.; Pischon, T.; Schlett, C.; Möller, H.

2026-09-03 radiology and imaging 10.64898/2026.09.01.26361964 medRxiv
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Rib-cage morphology is a determinant of thoracic biomechanics, ventilation, and injury response, yet statistical shape models (SSMs) of the rib cage have relied on small cohorts (~100s of individuals) imaged by clinical computed tomography, which over-represents injury and disease. We constructed a surface-based SSM of the complete 24-rib cage from 26,275 standardised whole-body magnetic resonance imaging (MRI) scans of adults aged 19-74 years from the population-based German National Cohort (NAKO). Ribs were segmented with a deep-learning pipeline (a rib-extended SPINEPS model), reconstructed as per-rib surface meshes, and brought into dense vertex-wise correspondence by Gaussian-process morphable registration in Scalismo; the aligned ensemble was summarised by generalised Procrustes analysis and principal component analysis (PCA). Fourteen per-rib geometric descriptors provided a quantitative cross-walk between the abstract PCA modes and named shape features, and associations with sex, age, body size and composition (including body-fat percentage), and smoking exposure were estimated by multivariable regression with Benjamini-Hochberg false-discovery-rate control. Shape variation was strongly concentrated: 28 modes captured 95% of the total variance, and the first three alone accounted for 69.4% (PC1, 42.6%; PC2, 16.3%; PC3, 10.5%) and admitted consistent anatomical readings - a sexually dimorphic axis (PC1), a slender-versus-stout body-habitus contrast (PC2), and a free-rib-size axis at ribs 11-12 (PC3). The sexes were nearly fully separated along PC1 (Cohen's d = 2.52). Body mass and body-fat percentage were the dominant modifiable correlates of rib-cage shape, whereas the association with cumulative smoking exposure was comparatively small. The model is released as a population-representative geometric reference for benchmarking and morphing donor-derived finite-element human-body models and for further large-cohort shape analysis.

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Deep phenotyping and multi-omics analyses reveal systems-wide metabolic dysregulation in a refined trisomy mouse model of Down syndrome

Saqib, M.; Chen, F.; Mistri, D. K.; Tan, L.; Wright, N.; Sarver, D. C.; Anders, R.; Aja, S.; Wong, G. W.

2026-08-29 physiology 10.64898/2026.08.26.747201 medRxiv
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Trisomy 21 or Down syndrome (DS) affects multi-organ systems across the lifespan. The presence of an extra chromosome, along with genome dosage imbalance due to triplicated genes, contributes to the DS phenotypes. Of the DS mouse models, few are aneuploid with a freely segregating extra chromosome. We previously showed that the aneuploid Ts65Dn mice exhibit metabolic deficits consistent with the metabolic profile of DS. However, the genotype-phenotype relationships in Ts65Dn mice are complicated by the presence of triplicated genes unrelated to human chromosome 21 (Hsa21). To address this issue, we leveraged a refined model, Ts66Yah, where the extra triplicated genes in Ts65Dn have been removed. Deep phenotyping and multi-omics analyses showed that Ts66Yah mice develop pronounced and widespread metabolic disturbances. Despite sexual dimorphism in weight gain, body temperature, lipid and lipoprotein profiles, hepatic injury and adipose fibrosis, both male and female Ts66Yah mice share a common phenotype of pronounced glucose intolerance and insulin resistance, reduced mitochondrial respiratory capacity in visceral fat, altered serum inflammatory cytokine profile, and dysregulated serum and liver metabolomes. Pan-tissue transcriptomes also reveal signatures of immune activation, disrupted metabolic processes and cellular respiration, altered cytokine signaling, enhanced oxidative stress, and extracellular matrix remodeling. These combined changes across tissues disrupt metabolic homeostasis more severely in Ts66Yah than in Ts65Dn mice. Several phenotypes, including glucose intolerance, insulin resistance, tissue fibrosis, and oxidative stress were further exacerbated by an obesogenic diet. This foundational data establishes Ts66Yah as a valuable reference model for the mechanistic and comparative study of metabolic dysfunction in DS.

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Spectral and melanopic dose calibration of consumer see-through extended-reality glasses for controlled retinal photostimulation

Gaidica, M.; Rosengart, M.

2026-08-31 ophthalmology 10.64898/2026.08.26.26361398 medRxiv
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Light reaching the retina is a primary regulator of human circadian physiology, acting largely through melanopsin-expressing retinal ganglion cells with peak short-wavelength sensitivity. Delivering known, repeatable retinal doses outside the laboratory is difficult because conventional light sources leave viewing geometry, gaze, and ambient conditions uncontrolled. Consumer extended-reality (XR) glasses fix a bright binocular display in constant geometry relative to the eye, but their suitability as calibrated photic stimulators has not been established. Here we validate a commercial micro-OLED XR display (VITURE Luma Ultra) for controlled retinal photostimulation. A purpose-built host application renders exact 8-bit RGB stimuli while independently controlling hardware brightness and logging all intensity-determining state; spectral radiance was measured at the retinal position of a 3D-printed phantom head with an open-source miniature spectroradiometer, anchored to absolute units by a luminance transfer calibration. The blue primary peaks at 461 nm (FWHM 43 nm), is spectrally invariant across a >10-fold intensity range, and at maximum output delivers an estimated 299 lx melanopic equivalent daylight illuminance, above consensus daytime recommendations, while remaining roughly two orders of magnitude below photobiological safety limits. The red primary is visually effective with minimal melanopic drive (melanopic DER 0.10), enabling spectrally shifted evening stimulation. Unlike the immersive virtual-reality headsets previously used for calibrated light delivery, the see-through form factor preserves the wearer's view of the surroundings--relevant for clinical monitoring in supervised settings such as the intensive care unit. These results show that consumer XR glasses can serve as a dose-calibrated platform for wearable photostimulation using an open-source measurement chain, and provide groundwork for application-layer dose-response studies.

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BanffNET, a Deep Learning System for Comprehensive Histological Lesion Quantification in Kidney Transplant Biopsies

Buzzanca, G.; Pala, C.; He, J.; Hofstraat-Boersma, R.; Tammaro, A.; van Midden, D.; Buelow, R.; Hoelscher, D. L.; Muehlfeld, A. S.; Koeller, m.; Kozakowski, N.; Boehmig, G.; Halloran, P. F.; van der Helm, D.; Meziyerh, S.; Venhuizen, J.-H.; Haitjema, S.; Dijkstra, J.; Hilbrands, L. B.; Steenbergen, E. J.; van Zuilen, A. D.; Nurmohamed, A. S.; Bemelman, F. J.; Bruns, I. B.; Callegaro, G.; van de Water, B.; Pieters, T. T.; Breimer, G. E.; Rossi, G. M.; Fiaccadori, E.; Maggiore, U.; Roelofs, J. J. T. H.; Testa, F.; Fontana, F.; Abiola, A. A.; Delsante, M.; Corthals, G. L.; Peters-Sengers, H.; Ngu

2026-09-02 pathology 10.64898/2026.08.28.26360029 medRxiv
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Accurate, reproducible interpretation of kidney allograft biopsies is critical for diagnosis of graft injury to guide prognosis and management. The international Banff classification is a consensus diagnostic system based on semiquantitative histological lesion scoring on either extent or severity of kidney transplant biopsies. However, pathologist scoring is limited by substantial interobserver variability, constrained scalability, and the inherent nature of the scoring system itself. Here we present BanffNET, a weakly supervised, probabilistic deep learning framework that combines self-supervised feature extraction with a novel Bayesian multiple-instance learning framework to predict (continuously) the full spectrum of Banff lesion scores directly from whole-slide images (WSIs). Using lesion-specific aggregation functions tailored to localized (modeling lesion severity) and diffuse pathologies (modeling lesion extent), BanffNET generates interpretable, patch-level probability maps and calibrated slide-level scores. BanffNET's performance was assessed relative to consensus, biological correlates of rejection and clinical outcome, demonstrating superior consistency, transportability and generalization. Trained on 7,249 WSIs from three cohorts, BanffNET demonstrates consistent performance on 11,028 WSIs across five external test sets, performing on par or exceeding expert consensus across lesions. BanffNET scores align more closely than pathologist Banff scores with molecular profiles of rejection, offering a transparent, biologically grounded framework for computational pathology with relevance beyond transplantation.

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Multiplexed FRET-FLIM Profiling of Immune Checkpoint Interactions Predicts Response to Atezolizumab in Urothelial Carcinoma

Camacho, L.; Cacho-Navas, C.; Agüero, J.; Batmunkh, B.; Gracia, J. M.; O Sullivan, K.; Rementeria, M.; Miles, J.; Gumuzio, J.; Aguirre, F.; Martin Algarra, S.; de Andrea, C. E.; Parker, P. J.; Calleja, V.

2026-09-03 oncology 10.64898/2026.09.01.26361904 medRxiv
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Immune checkpoint inhibitors targeting the PD-1/PD-L1 axis have shown great promise in treating bladder cancer and are now part of the standard treatment for advanced disease. However, many patients still fail to respond to treatment and at present many biomarkers are assessed but have yet shown only limited results. Therefore, with the advent of combination treatments and the increase of immune related adverse event, the search for reliable predictive biomarkers is paramount. Using a multiplexed enhanced FRET-FLIM based technique (QF-Pro) we quantified the interaction of PD-1/PD-L1, CTLA-4/CD80 and TIGIT/CD155 immune checkpoints in a pre-treatment TMA of 46 patients treated with atezolizumab. The association between higher PD-1/PD-L1 ICP interaction state and treatment efficacy was demonstrated in the male sample cohort, where it identified patients with better PFS. Conversely, patients exhibiting higher CTLA-4/CD80 engagement had a worse response to atezolizumab. Remarkably, the dual assessment of patients with high PD-1/PD-L1 and low CTLA-4/CD80 allowed to identify the best responders. These results indicate that the monitoring of patients immune profile in urothelial carcinoma might be critical in identifying patients who may benefit from combination therapy.

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Augmenting Deep Learning-Based PSMA PET/CT Metastasis Segmentation with a Population-Level Spatial Atlas

Chau, G. N.; Biswas, B. A.; Wagle, B. R.; Maeder, M. E.; Yu, J. B.; Bhattacharya, I.

2026-08-31 radiology and imaging 10.64898/2026.08.26.26361439 medRxiv
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Automated lesion segmentation is increasingly central to PSMA PET/CT interpretation, supporting staging, treatment planning, and response assessment at a scale that outpaces available nuclear-medicine expertise. However, automated PSMA-PET/CT whole-body lesion segmentation models are trained on images alone, with no knowledge of where in the body prostate metastases actually tend to occur. Radiologists use clinical domain knowledge of metastatic spread, but its absence in machine learning models produces false positives in anatomically implausible locations and missed lesions in high-risk sites such as the liver. In this work, we explore whether population-level spatial knowledge of metastatic spread can be used to augment deep learning segmentation predictions, and how such a prior should be fused with a network's output, without additional training. We build a data-driven metastasis atlas from 375 expert-annotated whole-body PSMA PET/CT scans and investigate its fusion with a trained segmentation network under a Bayesian framework, in which prediction probabilities from an nnU-Net-based lesion segmentation model serve as the likelihood and the data-driven atlas as the prior. Because metastases occupy only a small fraction of whole-body voxels, the atlas's peak probability is too low, and standard power-scaled or naive Bayesian pooling references lack the tools to deal with this shortcoming. This causes these standard fusion strategies to fail and, in the naive Bayesian case, to sharply degrade performance. We instead derive a calibrated, background-referenced log-odds fusion, one of many possible approaches to combine a population atlas with a deep learning model's predictions, distinct from classical multi-atlas label fusion in that it fuses a single population prior with a trained network's softmax rather than combining several registered atlases. Furthermore, this approach is neutral outside atlas support by construction, reduces exactly to the baseline network when unweighted, and requires no retraining. This atlas fusion significantly improved mean Dice over the baseline nnU-Net on a disjoint internal test set ($+0.011$, Holm-adjusted $p=0.021$) and on an independent external cohort ($+0.0129$, Holm-adjusted $p=3.8\times10^{-16}$), with lesion sensitivity improving from 0.849 to 0.861 internally and Dice improving over baseline in every stratified anatomic region, including the rare, high-risk sites motivating this work, while naive Bayesian pooling degrades performance sharply and power-scaled pooling underperforms it throughout. Our findings suggest that population-level spatial priors can meaningfully augment deep learning predictions in whole-body oncologic segmentation, provided the fusion rule is calibrated to where the prior actually carries signal.

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Engineering a highly active thermophilic F1-ATPase by homolog-guided exploration and machine-learning-assisted prioritization

Kobayashi, R.; Miyake, K.; Oya, T.; Ueno, H.; Saito, Y.; Noji, H.

2026-08-29 biophysics 10.64898/2026.08.27.747693 medRxiv
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The rotary motor F1-ATPase has been extensively studied as a model molecular machine, yet rational engineering of its catalytic activity remains challenging because ATP hydrolysis is regulated by long-range intersubunit allostery and large conformational transitions. Here, we developed a homolog-guided engineering strategy to increase the maximum rotation rate of the thermophilic Bacillus PS3 F1-ATPase (TF1). Candidate mutation sites were first identified by comparing TF1 with the homologous enzymes bovine mitochondrial F1 (bMF1) and Paracoccus denitrificans F1 (PdF1), both of which exhibit higher maximum rotation rates than TF1. Systematic exploration of these sites identified four activity-enhancing hotspots, followed by focused hotspot exploration and machine-learning-assisted prioritization of combinatorial mutants. The best mutant, TF1({beta}Y313L/{beta}E332S), exhibited a 1.8-fold higher maximum rotation rate than TF1(WT) while retaining its functional thermostability. Interestingly, activity-enhancing substitutions were not limited to the residues conserved in both bMF1 and PdF1, indicating that the bMF1-PdF1 consensus substitutions effectively identify activity-enhancing hotspots rather than uniquely defining the optimal amino acid. Machine-learning-assisted exploration efficiently prioritized highly active mutants, although the predictive performance was limited by the relatively small training dataset and epistatic interactions among mutations. Kinetic and structural comparisons further provided mechanistic insights into the enhanced catalytic activity of the engineered mutant. Together, these results establish a practical strategy for engineering complex molecular motors by combining homolog-guided hotspot identification with focused hotspot exploration.

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Constitutive PDGFRb activation drives connective tissue overgrowth through STAT5-IGF1 signaling

Kwon, H. R.; Rackley, A.; Olson, L. E.

2026-08-29 genetics 10.64898/2026.08.27.747555 medRxiv
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Autosomal dominant gain-of-function mutations in platelet-derived growth factor receptor beta (PDGFRb) cause overgrowth of the skeleton and other connective tissue in Kosaki overgrowth syndrome. However, the target cell type and signaling pathways underlying PDGFRb-driven overgrowth are unknown. Normal postnatal growth is controlled by pituitary-secreted growth hormone (GH), which activates the STAT5 transcriptional factor to upregulate insulin-like growth factor 1 (IGF1). To investigate the role of the GH-STAT5-IGF1 pathway in PDGFRb-related overgrowth, we generated mice with a PDGFRb gain-of-function mutation in skeletal and fibroblast lineages, which resulted in STAT5 activation and gigantism. Conditional deletion of Stat5ab in connective tissue lineages rescued skeletal overgrowth and keloid-like fibrosis in the skin. Conditional deletion of GH receptor (Ghr) did not rescue overgrowth, indicating the physiological activator of STAT5 is not required for overgrowth. However, deletion of Igf1, the STAT5 target gene, and its receptor, Igf1r, in connective tissue, rescued the overgrowth phenotype. These findings demonstrate a GHR-independent STAT5-IGF1 signaling pathway in mutant connective tissue cells, which mediates PDGFRb-driven overgrowth in mice and potentially in humans with similar PDGFRB mutations.

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SALRR: Scalable Analysis of Long-Read RNA-Seq Enables Comprehensive Transcriptome Profiling in Human Brain

Kouam, C.; Mingle, J.; Alvarez Jerez, P.; Evans, A.; Moller, A.; Baker, B.; Weller, C.; Paquette, K.; Brooks, J.; Grant, S. M.; Ayuketah, A.; Meredith, M.; Palade, J.; Malik, L.; Hise, K.; Raphael Gibbs, J.; Anderson, J.; Ding, J.; Harbert, R.; Fu, Y.; Zheng, X.; Garcia-Ruiz, S.; Gustavsson, E. K.; Blauwendraat, C.; Ryten, M.; Sedlazeck, F.; Ferrucci, L.; Reed, X.; Nalls, M. A.; Cookson, M. R.; Van Keuren-Jensen, K.; Hutchins, E.; Jain, M.; Billingsley, K. J.

2026-08-29 genomics 10.64898/2026.08.27.747499 medRxiv
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Isoform-resolved transcriptomics is fundamental to decoding the molecular complexity of the human brain, yet population-scale long-read RNA sequencing has remained inaccessible due to labor-intensive library preparation, sensitivity to RNA degradation in postmortem tissue, and the absence of integrated, reproducible analysis pipelines. Here we present SALRR (Scalable Analysis of Long-Read RNA-seq), an integrated wet-lab and computational platform designed to overcome these barriers. Automated ONT long-read cDNA library preparation on the Hamilton Microlab NGS STAR platform reduces hands-on time by 67% and enables 24 libraries per operator per day while maintaining performance across RNA integrity values. A modular, Snakemake-based pipeline performs end-to-end processing from ONT signal data to isoform-level quantification, incorporating SIRV spike-in calibration, multi-stage quality control, and stringent isoform validation. Applied to 10 postmortem frontal cortex samples from the North American Brain Expression Consortium, SALRR identified 31,607 high-confidence isoforms from 10,075 genes, including 8,532 novel splice variants absent from GENCODE v49, and complex splicing events systematically missed by short-read sequencing at neurodegeneration-relevant loci, including GBA1, CCNF, CHCHD10, and TREM2. All protocols and code are openly available, providing a scalable, community-ready framework for isoform-resolved transcriptomics in neurodegeneration, aging, and complex brain disease.

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Multi-organ aging quantified from routine chest CT predicts chronic disease risk and mortality

Sato, J.; Salehjahromi, M.; Zafar, A.; Muneer, A.; Xu, X.; Zhu, E.; Vokes, N. I.; Cascone, T.; Le, X.; Altan, M.; Gardner, E. E.; Sheshadri, A.; Ostrin, E. J.; Salahudeen, A. A.; Li, T.; Merad, M.; Chaudhuri, A. A.; Gerber, D. E.; Kay, F. U.; Godoy, M. C. B.; Carter, B. W.; Shroff, G. S.; Byers, L. A.; Chung, C.; Jaffray, D.; Rice, D.; Liao, Z.; Chang, J. Y.; Vaporciyan, A. A.; Gibbons, D. L.; Wu, C. C.; Heymach, J. V.; Zhang, J.; Wu, J.

2026-08-31 radiology and imaging 10.64898/2026.08.26.26361434 medRxiv
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Biological aging occurs heterogeneously across individuals and organs. However, current measures of biological age incompletely capture organ-specific differences in health and disease risk. Because chest CT visualizes multiple thoracic organs, it offers an opportunity to quantify structural aging across organ systems. Here, we developed MOSAIC-Age, a framework characterizing eight organ-specific aging clocks on chest CT. The clocks were developed and validated using 9,971 CT scans from CT-RATE and MIDRC, and subsequently locked and applied to two independent prospective cohorts with 35,293 participants from the National Lung Screening Trial and Genetic Epidemiology of COPD study. CT-derived biological age gaps (BAGs) were examined in relation to lifestyle and socioeconomic factors, prevalent comorbidities, incident chronic diseases, and all-cause and cause-specific mortality. Higher BAGs, indicating organs that appeared older on CT than expected for their chronological age, were broadly associated with adverse health characteristics, chronic disease burden, and increased mortality risk. Multiple disease outcomes were associated with aging across several organs, whereas in multivariable analyses including all eight organ-specific BAGs, the remaining associations were more organ specific. A greater number of markedly older-appearing organs and a faster pace of aging were each associated with higher mortality. Together, these findings demonstrate that routine chest CT captures both shared and organ-specific patterns of biological aging and establish CT-derived organ aging as a quantitative imaging biomarker for assessing multi-organ health and long-term disease risk.

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Image transmission through a multimode fibre in reflection mode with physics-guided deep learning towards ultrathin endoscopy

Ye, Z.; He, F.; Zhao, T.; Xia, W.

2026-08-31 radiology and imaging 10.64898/2026.08.28.26361674 medRxiv
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Ultrathin endoscopy is highly attractive for real-time tissue imaging in narrow and hard-to-reach regions of the body. A single multimode fibre (MMF) is an attractive probe because of its small diameter, flexibility, and diffraction-limited spatial resolution enabled by the large number of transverse modes guided within a single core. Because the distal fibre tip is inaccessible during endoscopy, reflection-mode imaging, in which the same fibre delivers illumination and collects backscattered light, is more practical than transmission-mode imaging. However, image recovery from the resulting speckle pattern is challenging because light undergoes double-pass propagation through the MMF, with mode coupling and dispersion; the backscattered signal is weak, and the camera records intensity only, without phase information. Here, we propose a single-shot reflection-mode MMF imaging framework that combines a reflected real-valued intensity transmission matrix (reflected-RVITM) with an image restoration network. The reflected-RVITM is calibrated using intensity-only measurements, without interferometry or phase retrieval, and provides a physics-guided initial reconstruction from a single backscattered speckle frame. A restoration network then refines this initial reconstruction instead of inverting the raw speckle. Four restoration backbones are evaluated: HPM-Attention-UNet, GAM, MambaIRv2, and CICPNet. On matched datasets, hybrid models outperformed corresponding networks trained to map raw speckle directly to images. For example, HPM-Attention-UNet on MNIST improved mean PCC from 0.572 to 0.944 (+65.1%). Under domain shift, with training only on Fashion-MNIST and tested on unseen CIFAR scenes, hybrid models achieved mean PCC of 0.61-0.65, compared with 0.36-0.50 for direct learning. This framework is further demonstrated using physical objects at the distal fibre tip. These results demonstrate that a reflected-RVITM physics prior combined with a restoration network enables single-shot image recovery after intensity-only calibration, offering a phase-retrieval-free and generalisable route towards minimally invasive reflection-mode MMF endoscopy.

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Loss of RUBCN causes autophagy overdrive in a neurodevelopmental disorder with age-dependent neurodegeneration

Efthymiou, S.; Tabata, K.; Dafsari, H. S.; Schober, E.; Latza, C.; Isaoglu, M.; Abuelrub, A.; Rad, A.; Firoozfar, Z.; Turchetti, V.; Lin, R. Q.; Maroofian, R.; Wiethoff, S.; Afzal, E.; Zafar, F.; Rana, N.; McRae, A. M.; Kaiyrzhanov, R.; Guliyeva, U.; Gulieva, S.; Melikishvili, G.; Lespinasse, J.; Vitobello, A.; Denomme-Pichon, A.-S.; Wentzensen, I. M.; Mefford, H. C.; Briere, L. C.; A Walker, M.; A High, F.; Sweetser, D. A.; Kendall, M.; Franchi, M.; Brown, M.; Latner, D.; Joset, P.; Ivanovski, I.; Alfadhel, M.; Alluhaydan, I.; Frederiksen, A. S.; Arriens, V.; Hanker, B.; Mankad, K.; Guerin, J

2026-09-01 genetic and genomic medicine 10.64898/2026.08.27.26360298 medRxiv
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Pathogenic variants in RUBCN, encoding the Run domain Beclin-1 interacting and cysteine-rich domain-containing protein (Rubicon) have been implicated in autosomal recessive spinocerebellar ataxia 15 (SCAR15). However, the molecular mechanisms underlying disease pathogenesis remain poorly understood. Here, we report 18 individuals from 15 unrelated families harbouring biallelic RUBCN variants, who present with an aggressive neurodevelopmental disorder variably characterized by seizures, developmental delay, intellectual disability and movement abnormalities that cause regression, progressive brain atrophy and neurodegenerative features. Through functional characterization, we demonstrate that a subset of disease-associated putative truncating variants disrupt autophagy regulation. In Caenorhabditis elegans models, loss-of-function RUBCN variants result in an increased autophagic flux and impaired neuronal function, recapitulating key features in humans. Correspondingly, cellular assays reveal that nonsense and frameshift RUBCN variants lead to defective autophagy inhibition, underscoring a crucial role for RUBCN as a key negative autophagy regulator. Molecular dynamics simulations rank the eleven missense variants by structural effect, with p.Arg813Trp alone altering the target protein at both the local and the regional level and lying within the RAB7A-binding module that the truncating alleles remove altogether. Our findings establish and expand the RUBCN-related disorders as a clinically and molecularly distinct subset of autophagy-related diseases. By delineating both the genetic landscape and cellular consequences of Rubicon dysfunction, this study enhances our understanding of autophagy-related neurodevelopmental disorders and provides a foundation for future therapeutic investigations.

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Both ageing and frailty status impact vaccine-induced transcriptomic profiles and subsequent humoral immunity: results from the VITAL cohort

Joshi, M.; Carre, C.; Cevirgel, A.; Bijvank, E.; Chabaud-Riou, M.; Courtois, V.; Chautard, E.; Larocque, D.; Burny, W.; Beckers, L.; Buisman, A.-M.; Rots, N.; van der Heiden, M.; van Beek, J.; van Sleen, Y.; van Baarle, D.

2026-08-31 allergy and immunology 10.64898/2026.08.26.26361408 medRxiv
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Vaccine responses vary across individuals due to differences in ageing and health status. Using transcriptomic profiling, we analyzed early gene expression profiles after influenza (QIV) followed by pneumococcal (PCV13) vaccination in 148 participants spanning young, middle-aged, and older adults. The two vaccines induced distinct immune signatures: QIV elicited innate and interferon immune activation, while PCV13 triggered inflammation-based responses. Older adults showed weaker but similar transcriptomic profiles compared to young adults. Among older adults, frailty, in addition to age, was strongly associated with reduced innate responses. In addition, we identified associations between early-stage transcriptomic profiles and later-stage antibody responses for QIV; however, no such associations were observed for PCV13. Importantly, observed group differences arose not from altered immune modules but from differences in the magnitude of gene expression, paving the way for immune-boosting interventions to enhance early gene expression in at-risk populations.

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Integrating mouthguard kinematics, finite element brain strain, and plasma biomarkers to explore brain injury thresholds in collision sport

Hickey, J. W.; Chan, E. Y. K.; Evans, L. J.; O'Brien, W. T.; Xie, B.; Roberts, S. S. H.; Butler, S. E.; Ernst, J.; Zhou, W. J. Q.; Zimmerman, K. A.; Spitz, G.; Parker, T. D.; O'Brien, T. J.; Shultz, S. R.; Sharp, D. J.; Ghajari, M.; McDonald, S. J.

2026-08-31 sports medicine 10.64898/2026.08.26.26360869 medRxiv
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Purpose: Identifying head impacts linked to brain injury in sport remains challenging. Instrumented mouthguards quantify head-impact kinematics, and finite element (FE) modelling can transform these data into brain strain estimates, which may better reflect injury risk than kinematics alone. Here, we examined associations between mouthguard-measured kinematics, FE-derived strain, and plasma brain injury biomarker GFAP following head impacts. Methods: We analysed 41 video-verified impacts from male Australian football players, including 22 assessed for concussion (17 diagnosed) and 19 unassessed. Instrumented mouthguards recorded peak linear acceleration (PLA), peak rotational acceleration, and peak rotational velocity (PRV). Brain strain was estimated using the Imperial College FE brain model, and plasma GFAP was quantified using Simoa. Biomechanical-GFAP associations were examined using Spearman correlations and segmented regression. Results: For impacts overall, plasma GFAP was moderately correlated with PLA ({rho}=0.46, 95% CI: 0.20-0.66), PRV ({rho}=0.53, 95% CI: 0.20-0.78), and strain ({rho}=0.60, 95% CI: 0.32-0.80). Associations were stronger within concussion cases for strain ({rho}=0.86, 95% CI: 0.58-0.97) and PRV ({rho}=0.64, 95% CI: 0.15-0.93). Piecewise regression identified strain levels above which strain-GFAP relationships steepened across the whole-brain and brainstem. In concussion cases, supra-threshold brainstem strain was associated with greater symptoms. Conclusion: Finite element brain strain may better predict brain injury risk following a sport-related head impact than peak acceleration metrics. Stronger associations with plasma GFAP, particularly among concussion cases, and evidence of a biomechanical threshold, support the use of biomarker-informed strain measures in future risk modelling and the development of brain injury screening thresholds.

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Ultra-High Multiplexing Enables Near-Full-Length 16S rRNA Gene Amplicon Sequencing of Over 1,200 Gut Microbiome Samples on a Single Nanopore Flow Cell

McPhillips, C. H.; Reilly, E. T.; Stolberg-Mathieu, G.; Nielsen, K.; Gottlieb, A. D.; Madjarov, G.; Roager, H. M.; Nielsen, D. S.; Krych, L.

2026-08-29 microbiology 10.64898/2026.08.29.747698 medRxiv
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Next-generation sequencing (NGS) of the prokaryotic 16S rRNA gene revolutionized gut microbiome research two decades ago. However, short read lengths remain an inherent limitation of platforms such as the widely used Illumina platforms (2 x 150-300 bp). Recent advances in Oxford Nanopore Technologies (ONT) flow cell chemistry (R10.4.1) have substantially improved sequencing accuracy. Combined with a custom multiple-primer strategy that comprehensively targets 16S rRNA gene variants to generate near-full-length amplicons, this approach enables read-by-read taxonomic classification, a feature not feasible with short-read sequencing platforms. Although our multiple-primer strategy could enable parallel sequencing of more than 18,000 samples (192 x 96), current flow cell capacity offers sufficient sequencing depth for approximately 1,000-1,500 samples. To validate the scalability and our per-read classification pipeline, we show that more than a thousand human fecal microbiome samples spiked with two bacterial strains (Imtechella halotolerans and Allobacillus halotolerans), not otherwise present in human fecal samples, can be successfully sequenced on a single flow cell, achieving a per-molecule error rate sufficient for direct per-read classification and at an adequate read depth for downstream analysis. This level of scalability significantly reduces per-sample costs, making the approach more accessible to a broader research community. To embrace these advancements, we have developed RubyRed, a pipeline that processes raw sequencing data and assigns taxonomic classifications on a per-read basis. Using spike-in references (I. halotolerans and A. halotolerans), we demonstrate high mean single-read sequencing accuracy (99% and 98.9%, respectively), with the majority of reads exceeding the canonical threshold required for species-level taxonomic classification based on the 16S rRNA gene.

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Molecular Underpinnings of Retinal Traits 1 Shared with Major Psychiatric Disorders

Jaholkowski, P.; Parker, N.; Sveen, I. O.; Wistrom, E. D.; Fominykh, V.; Szabo, A.; Parekh, P.; Frei, O.; Smeland, O. B.; O'Connell, K. S.; Djurovic, S.; Dale, A. M.; Shadrin, A. A.; Andreassen, O. A.

2026-09-03 genetic and genomic medicine 10.64898/2026.08.31.26361809 medRxiv
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Recent large-scale studies have enabled new knowledge about genetic underpinnings of morphological and electrophysiological alterations of the retina. Variation in retinal traits, often of neurodevelopmental origin, have been linked to major psychiatric disorders (MPDs). Here, we investigate the genetic overlap between MPDs and key retinal traits to identify underlying molecular mechanisms. We obtained genome-wide associations studies data for bipolar disorder (BD), major depression (MD), schizophrenia (SCZ), and the retinal traits retinal nerve fibre layer thickness (RNFL), ganglion cell inner plexiform layer thickness (GCIPL), and vertical cup-disc ratio (VCDR). We estimated the number of trait-influencing variants shared between traits with MiXeR and identified shared genetic loci with condFDR. Subsequently, we examined the biological pathways of the genes mapped to shared loci. This revealed that GCIPL shared the most genetic variants with MPDs (~60%), followed by RNFL (~40%), and VCDR (~20%). The genetic variants shared between retinal traits and MPDs showed disorder-specific patterns with more pronounced overlaps of SCZ and BD with RNFL, and MD negatively correlated with GCIPL. Gene-pathway analysis highlighted the importance of GABAergic neurotransmission and a two-stage neurodevelopmental process in SCZ, whereas the role of mitochondria and a weaker developmental component were observed in BD. The results also implicated synaptic functioning and gene-expression processes in MD. Furthermore, polygenic analysis suggested that the genetic architecture of retinal traits can distinguish between MPDs. Our findings indicate shared genetic underpinnings between retinal traits and SCZ, BD, and MD, implicating altered neurodevelopment and neurotransmission underlying the retinal link to major psychiatric disorders.

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OmniScore: Universal Scoring of Diverse Biomolecular Complexes via Equivariant Geometry-Aware Discrete Representation Learning

Bui, T.-C.; Lee, J.; Ko, J.

2026-08-29 bioinformatics 10.64898/2026.08.28.747942 medRxiv
Top 18%
1.4%
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Scoring biomolecular complexes is central to structure assessment and drug discovery, yet the complexes themselves vary widely in pose, size, and molecular composition. A scoring function tuned for one interaction type rarely carries over to another, and most existing methods compound the problem by leaning heavily on task-specific labels. We introduce OmniScore, a universal structure-based framework that learns a shared geometry-aware representation of complexes once and then adapts it to downstream scoring through lightweight task-specific heads. OmniScore couples a graph view and a sequence view of each structure, encodes its three-dimensional geometry, and compresses representations into a compact latent space that a reconstruction module and prediction heads can reuse. We pretrain this backbone on diverse datasets including complexes, monomers, and small molecules with complementary objectives: coordinate recovery, correcting corrupted input tokens, predicting molecular identity, and grounding the representation in structure-level physical quantities. Across the evaluated benchmarks, OmniScore gave the best antibody-antigen and nanobody-antigen quality assessment on all reported metrics compared to state-of-the-art baselines. Its frozen residue embeddings matched the state-of-the-art protein-tokenization method with an average functional-site accuracy of 71.8% on a standard residue-level benchmark. On protein-ligand scoring and ranking benchmarks, it performed on par with methods built specifically for that single task. These results suggest that geometry-aware pretraining can provide a reusable scoring backbone for tasks that depend on interfacial and residue-level structure, within the evaluated settings.

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Efficient genome-wide mapping of reproducible, context-dependent eQTLs at single-cell resolution

Alquicira-Hernandez, J.; Dorans, E.; Tomofuji, Y.; Nathan, A.; Raychaudhuri, S.

2026-08-29 genetics 10.64898/2026.08.25.747138 medRxiv
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Single-cell technologies enable linking disease-risk variants to gene regulatory effects in specific cell-state contexts. However, most so called "single-cell eQTL" studies use a "pseudobulking" strategy to identify expression Quantitative Trait Loci (eQTLs), obscuring subtle dynamic regulatory effects of disease alleles. Here, we propose Dynema (Dynamic eQTL mapping in single cells) for fast and accurate genome-wide mapping of context-dependent and independent eQTL effects at true single-cell resolution. To identify eQTLs, Dynema uses a Poisson model with cluster robust variance estimators (CRVEs) to account for correlation of single-cell profiles from the same individual. In contrast to other common methods, Dynema achieves statistical calibration and scales to genome-wide analysis in large single-cell datasets in realistic timeframes. We applied Dynema to two independent T cell datasets and identified reproducible cell-state-dependent eQTL effects. Some cell-state-dependent eQTLs are missed by pseudobulking approaches, and many others are conditionally independent from lead eQTL effects. We show that TSPAN32 and other autoimmune loci colocalize with cell-state-dependent eQTLs. Mapping context-dependent eQTLs at single-cell resolution enables the definition of the molecular effects of complex disease alleles.

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Heterotypic interactions and sequence features modulate cellular reflectin condensate dynamics

Phan, C.; Watanabe, R.; Le, V. Q.; Walsh, S.; Levenson, R.

2026-08-29 biophysics 10.64898/2026.08.27.747642 medRxiv
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Reflectin proteins drive dynamic structural coloration in cephalopods by organizing into dense intracellular lamellar structures that dictate local refractive index. While reconstituted reflectins readily undergo liquid-liquid phase separation in vitro, these assemblies frequently undergo dynamic arrest, vitrifying into non-dynamic condensates. Here, we investigate the primary sequence features, post-translational modifications, and heterotypic interactions that regulate the material properties of reflectin condensates within the crowded cellular environment of mammalian HeLa cells. Using confocal microscopy and fluorescence recovery after photobleaching (FRAP), we demonstrate that canonical block copolymeric A-type reflectins readily form dynamically arrested condensates, with the linker blocks primarily responsible for the observed arrest. In contrast, non-canonical B/C reflectin variants exhibit significantly greater fluidity and rapid recovery kinetics. We show that phosphomimetic substitutions progressively fluidize some reflectin condensates. Lastly, we find that heterotypic condensates composed of canonical and non-canonical reflectins in combinations associated with reversible iridescence in squid substantially enhance canonical mobility. Our findings establish a biophysical framework in which phosphorylation and heterotypic mixing cooperatively suppress dynamic arrest, enabling the reversible material transitions required for active cephalopod camouflage and communication.

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A structure-guided classification framework reveals the diversity and catalytic architecture of BECR ribonuclease

Pham, K.; Nicastro, G. G.; Long, A. R.; Aravind, L.; Wilke, C. O.; de Souza, R. F.; Bayer-Santos, E.

2026-08-29 microbiology 10.64898/2026.08.28.747851 medRxiv
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Microorganisms across all domains of life engage in molecular conflict, deploying toxins to inhibit competitors or respond to biological threats. Among these, ribonuclease toxins are particularly widespread and diverse. A substantial fraction is associated with the BECR fold, a compact /{beta} architecture that supports RNase activity despite extensive divergence. Although several canonical members are well characterized, many BECR-fold proteins remain difficult to identify because of low sequence similarity, variation in catalytic residues, and structural elaborations that obscure evolutionary relationships. The growing availability of high-confidence protein structure predictions provides an opportunity to reassess this deeply divergent protein landscape. Here, we integrate iterative profile-HMM searches, profile-similarity networks, structural analyses, active-site mapping, and genomic context to examine BECR proteins across the tree of life. Our analysis resolves an expanded BECR-fold landscape comprising canonical BECR and BECR-like superfamilies, refines the organization of canonical BECR proteins and identifies previously unrecognized families. We further validate BECR-Tox2 as a toxin neutralized by a cognate immunity protein and show that its homologs occur in both Menshen-like anti-phage systems and polymorphic toxin loci. Together, these findings expand and clarify the BECR-fold landscape and provide a framework for identifying and interpreting highly divergent proteins of this fold.