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Search indexed NASA NTRS and DOE OSTI research on propulsion, heat transfer, battery materials and energy systems. Follow report and document links to the original sources.

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All sourcesNASA NTRSDOE OSTI
DOE OSTI2019

Local Recurrence of Benign, Borderline, and Malignant Phyllodes Tumors of the Breast: A Systematic Review and Meta-analysis

Background: This systematic review and meta-analysis aimed to investigate local recurrence (LR) rates among the three grades (benign, borderline, and malignant) of phyllodes tumors (PTs). The study also assessed various risk factors for LR. Methods: Electronic articles published between 1 January 1995 and 31 May 2018, were searched and critically appraised. The authors independently reviewed the abstracts and extracted data for LR rates and LR risk factors. Results: The review incorporated 54 studies with 9234 individual cases. The pooled LR rates were 8% for benign, 13% for borderline, and 18% for malignant PTs. The risk of LR was significantly increased by borderline versus benign PTs (odds ratio [OR] 2.00; 95% confidence interval [CI] 1.68–2.38) and malignant versus borderline PTs (OR 1.28; 95% CI 1.05–1.55). The significant risk factors for LR were mitoses, tumor border (infiltrating vs. pushing), stromal cellularity (moderate/severe vs. mild), stromal atypia (severe vs. mild/absent), stromal overgrowth (severe vs. mild/absent), and tumor necrosis (positive vs. negative). Age and tumor size were not associated with LR risk. The subgroup analysis showed that breast-conserving surgery versus mastectomy and positive versus negative surgical margins were significantly associated with an increased LR risk only in malignant PTs. Conclusions: The risk of LR was significantly increased from benign to borderline to malignant PTs. Mitoses, tumor border, stromal cellularity, stromal atypia, stromal overgrowth, tumor necrosis, type of surgery, and surgical margin status may be risk factors for LR. Different management strategies could be considered for different PT grades.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2023

Exploring young adult texts within the Historically Responsive Literacy Framework with preservice teachers

Abstract While culturally responsive texts have become more common in teacher education, too often, preservice teachers (PTs) are not asked to examine how to use these books pedagogically. To address this issue, in a young adult (YA) literature course, the Framework for Culturally and Historically Responsive Literacy (HRL) (Muhammad, 2000) Cultivating genius: An equity framework for culturally and historically responsive literac y, 2020; Scholastic) was used in conjunction with representative and inclusive YA trade books. Data analysis was conducted on PT's course work, including HRL unit plans, to determine whether PTs were able to implement Muhammad's (2020) framework using YA texts. The findings of this study show that PTs' understanding of the HRL tenets was at varying levels. While there were unit plans with learning goals that matched Muhammad's purpose and definition for each tenet and YA connections for every tenet, PTs showed a better understanding of the tenets of identity and intellect than skills and Criticality. Implications of these findings including exposing PTs to learning frameworks “written by people of color and designed for children of color” (Muhammad, 2020, p. 11) to create instruction that meets their future students' needs and does not just skim the surface of culturally responsive pedagogies.

Pule, Heather↗
DOE OSTI2016

A Retrospective Comparison of Ultrasound-Assisted Catheter-Directed Thrombolysis and Catheter-Directed Thrombolysis Alone for Treatment of Proximal Deep Vein Thrombosis

BackgroundRecent studies have suggested that catheter-directed thrombolysis (CDT) reduces development of post-thrombotic syndrome (PTS). Ultrasound-assisted CDT (USCDT) might enhance the efficiency of thrombolysis. We aimed to compare USCDT with CDT on efficacy, safety, development of PTS, and quality of life after long-term follow-up.MethodsWe describe a retrospective case series of 94 consecutive patients admitted with iliofemoral or more proximal deep vein thrombosis (DVT) to the University Hospital from 2002 to 2011, treated either with CDT or USCDT. Scheduled follow-up visits took place between April 2013 and January 2014. Venography measured the degree of residual luminal obstruction of the affected veins. Each patient completed the Short Form 36-item health survey assessment and the Venous Insufficiency Epidemiological and Economic Study-Quality of Life/Symptoms questionnaires. PTS was assessed using the Villalta scale.ResultsRisk factors of DVT were equally distributed between groups. In the USCDT group, we observed a significant decline in the duration of thrombolytic treatment (<48 h: 27 vs. 10 %), shortened hospital stay (median 6.0 days (IQR 5.0–9.0) vs. 8.0 (IQR 5.8–12.0)), and less implantation of (intravenous) stents (30 vs. 55 %). There was no difference in patency (76 vs. 79 % fully patent), prevalence of PTS (52 vs. 55 %), or quality of life between groups after long-term follow-up (median 65 months, range: 15–141).ConclusionsIn this observational study, USCDT was associated with shortened treatment duration, shorter hospital stay, and less intravenous stenting, compared to CDT alone without affecting the long-term prevalence of PTS or quality of life.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
NASA NTRS2010

Enhanced Microbial Detection Capabilities by a Rapid Portable Instrument

We present data describing a progression of continuing technology development - from expanding the detection capabilities of the current PTS unit to re-outfitting the instrument with a protein microarray increasing the number of detectable compounds. To illustrate the adaptability of the cartridge format, on-orbit operations data from the ISS demonstrate the detection of the fungal cell wall compound beta-glucan using applicable LOCAD-PTS cartridges. LOCAD-PTS is a handheld device consisting of a spectrophotometer, an onboard pumping mechanism, and data storage capabilities. A suite of interchangeable cartridges lined with four distinct capillaries allow a hydrated sample to mix with necessary reagents in the channels before being pumped to the optical well for spectrophotometric analysis. The reagents housed in one type of cartridge trigger a reaction based on the Limulus Amebocyte Lysate (LAL) assay, which results in the release of paranitroaniline dye. The dye is measured using a 395 nm filter. The LAL assay detects the Gram-negative bacterial cell wall molecule, endotoxin or lipopolysaccharide (LPS). The more dye released, the greater the concentration of endotoxin in the sample. Sampling, quantitative analysis, and data retrieval require less than 20 minutes. This is significantly faster than standard culture-based methods, which require at least a 24 hour incubation period.Using modified cartridges, we demonstrate the detection of Gram negative bacteria with protein microarray technology. Additionally, we provide data from multiple field tests where both standard and advanced PTS technologies were used. These tests investigate the transfer of target microbial molecules from one surface to another. Collectively, these data demonstrate that the new cartridges expand the number of compounds detected by LOCAD-PTS, while maintaining the rapid, in situ analysis characteristic of the instrument. The unit provides relevant data for verifying sterile sample collection protocols, which are critical for conducting accurate scientific experiments during future missions to the Moon and Mars.

Morris, Heather↗
NASA NTRS2015

Satellite Servicing Capabilities Office Testing

While at the KSC, I was given the opportunity of assisting the Satellite Servicing Capabilities Office (SSCO) specifically the Propellant Transfer System (PTS) lead by my mentor, Brian Nufer. While waiting to test different components in the PTS, I was able to assist with testing for the Hose Management Assembly (HMA) and was able to work on a simulation in Labview. For the HMA, I was able to help with testing of a coating as well as to help test the durability of the pinch rollers in space. In Labview, I experimented with building a simulation for the PTS, to show where fluids and gases were flowing depending on which valves in the PTS were opened. Not all of the integrated parts required assembly level testing, which allowed me to test these parts individually by myself and document the results. I was also able to volunteer to assist project NEO, allowing me to gain some knowledge of cryogenic fluid systems.

PTS↗
NASA NTRSDate not supplied

NASA’s Exploration and In-Space Services (NExIS) Division OSAM-1 Propellant Transfer Subsystem Progress through FY 2024

The National Aeronautics and Space Administration (NASA) Exploration and In-Space Services (NExIS) Division of Goddard Space Flight Center (GSFC) has been developing technology to robotically refuel both heritage and recently developed satellites on-orbit funded through NASA’s Space Technology Mission Directorate (STMD). The On-orbit Servicing, Assembly, and Manufacturing 1 (OSAM-1) mission, formerly known as Restore-L, developed a system to refuel a satellite in space and assemble a communications antenna. By demonstrating these capabilities, the mission would advance never-before tested technologies for use in future missions (by NASA, other government organizations, and private industries). The purpose of this paper is to capture the lessons learned from the hardware development of the OSAM-1 Propellant Transfer System (PTS) that are highly relevant for the ISAM community. This paper covers a review of in-space servicing extensibility and critical technologies that were being developed within NExIS, focusing on the fluid transfer refueling technology within the framework of the OSAM-1 PTS. An overview of the technology demonstration servicing mission via the OSAM-1 Space Vehicle is provided as an extension of the technology development progress reported in 2018, 2019 and 2020. The general objectives, challenges, and key technologies are presented as an introduction to the context of the OSAM-1 mission, and a precursor to the OSAM-1 PTS specific development status. Final assembly, qualification, and functional tests along with installation and acceptance testing of the Hose Management Assembly (HMA) and Propellant Transfer Assembly (PTA) are discussed. Technology development, challenges, lessons learned, along with installation and testing results are discussed, with particular focus on the OSAM-1 assemblies including the PTA and HMA. In addition, testing utilizing the integrated flight simulator test setups will be summarized. The OSAM-1 PTS made great strides in advancing in-space refueling technology; however, there are unfinished development efforts remaining. This paper concludes with a brief summary of the technology shortfalls (gaps) that remain in the key areas of in-space fluid transfer.

ISAM↗
DOE OSTI2019

Relationship of left ventricular global longitudinal strain with cardiac autonomic denervation as assessed by {sup 123}I-mIBG scintigraphy in patients with heart failure with reduced ejection fraction submitted to cardiac resynchronization therapy

Background: Heart failure (HF) is associated with cardiac autonomic denervation (AD), which can be non-invasively assessed by {sup 123}I-metaiodobenzylguanidine ({sup 123}I-mIBG) scintigraphy and has prognostic implications. We aimed to study the relationship between myocardial contractility assessed by global longitudinal strain (GLS) and AD assessed by {sup 123}I-mIBG scintigraphy in advanced HF. Methods/Results: BETTER-HF is a prospective randomized clinical trial including HF patients (pts) submitted to cardiac resynchronization therapy (CRT) who are submitted to a clinical, echocardiographic, and scintigraphic assessment before and 6 months after CRT. 81 pts were included. An echocardiographic response (absolute increase in left ventricular ejection fraction ≥ 10%) was observed in 73.7% of pts. A higher baseline late heart-to-mediastinum ratio (HMR) was associated with a better echocardiographic response. There was a significant association between late HMR and GLS at baseline and 6 months. At baseline, GLS had an AUC of 0.715 for discrimination for a late HMR < 1.6. A GLS cut-off of − 9% maximized the likelihood of correctly classifying a pt as having severe AD (HMR < 1.6). Conclusion: Myocardial contractility as assessed by GLS is moderately correlated with AD as assessed by {sup 123}I-mIBG scintigraphy and has a good discrimination for the identification of severe cardiac denervation. GLS may allow for a more readily accessible estimation of the degree of AD in advanced HF pts.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2018

Characterization of a non-phosphotransferase system for cis,cis-muconic acid production in Corynebacterium glutamicum

Highlights: • Engineered C. glutamicum produced CCM, valued for plastic and polymer production. • The CCM yield from glucose in the optimized strain was about 22% (mol/mol). • CCM productivity was enhanced by redirecting carbon flux in non-PTS C. glutamicum. Cis,cis-muconic acid (CCM) is a biochemical material that can be used for the production of various plastics and polymers and is particularly gaining attention as an adipic acid precursor for the synthesis of nylon-6,6. In the current study, the production of CCM was first attempted by introducing a newly developed protocatechuate (PCA) decarboxylase from Corynebacterium glutamicum 13032 to inha103, which completed the biosynthetic pathway therein. To improve CCM productivity, a phosphoenol pyruvate (PEP)-dependent phosphotransferase system (PTS) that consumed the existing glucose was developed, in the form of a strain with a non-PTS that did not consume PEP. To improve glucose uptake, we developed P25 strain, in which iolR (a transcriptional regulator gene) was additionally deleted. Strain P28, a P25 derivative expressing PCA decarboxylase, produced 4.01 g/L of CCM, which was 14% more than that produced by the parental strain. Moreover, strains P29 and P30, with an active pentose phosphate pathway and overexpressing important genes (qsuB) in the metabolic pathway, produced 4.36 and 4.5 g/L of CCM, respectively. Particularly, the yield per glucose in strain P30 was similar to that of the fed-batch culture of Escherichia coli, which has the highest reported yield of 22% (mol/mol). These results are underpinned by the characteristics of the non-PTS with increased PEP availability and a strain with deletion of the iolR gene, which greatly increased glucose uptake.

60 APPLIED LIFE SCIENCES↗
DOE OSTI2020

Calculations of anisotropic magnetic properties using spin-orbit energy variations

We analyze several methods of obtaining the accurate relativistic total energy (TE) variations using traditional perturbation theories (PTs) and proposed coupling constant integration (CCI) methods. For this purpose, we perform benchmark calculations within the density functional theory taking the spin-orbit coupling (SOC) and its derivative as a perturbation. The TE change due to SOC addition obtained from both PTs and CCI is shown to reach the accuracy of fully self-consistent TE calculations. Similar accuracy is also obtained even for the magnetocrystalline anisotropy energy (MAE). The real advantage of the proposed methods is to use PTs and CCI methods in those electronic structure methods where accurate total energies currently cannot be obtained with required accuracy. Correspondingly, we demonstrate the applicability of suggested methods for calculations of MAE in different magnetic materials using a dynamic mean-field method. All suggested PTs and CCI methods also provide convenient site, orbital, and spin decompositions of the TE variation, creating a powerful way to analyze microscopic physics in strongly correlated materials.

36 MATERIALS SCIENCE↗
DOE OSTI2017

Lattice instability during phase transformations under multiaxial stress: Modified transformation work criterion

A continuum/atomistic approach for predicting lattice instability during crystal-crystal phase transformations (PTs) is developed for the general loading with an arbitrary stress tensor and large strains. It is based on a synergistic combination of the generalized Landau-type theory for PTs and molecular dynamics (MD) simulations. The continuum approach describes the entire dissipative transformation process in terms of an order parameter, and the general form of the instability criterion is derived utilizing the second law of thermodynamics. The feedback from MD allowed us to present the instability criterion for both direct and reverse PTs in terms of the critical value of the modified transformation work, which is linear in components of the true stress tensor. It was calibrated by MD simulations for direct and reverse PTs between semiconducting silicon Si i and metallic Si ii phases under just two different stress states. Then, it describes hundreds of MD simulations under various combinations of three normal and three shear stresses. Finally, in particular, the atomistic simulations show that the effects of all three shear stresses along cubic axes on lattice instability of Si i are negligible, which is in agreement with our criterion.

74 ATOMIC AND MOLECULAR PHYSICS↗
NASA NTRS2019

Restore-L Satellite Servicing Internship Final Report

This paper reviews the Restore-L mission purpose and the necessary research and simulations to meet mission specification for the Propellant Transfer Subsystem (PTS). It is essential the PTS undergoes functionality testing, environmental testing, and calculations to understand the capabilities of the system. For the testing of components from PTS, a proper test setup is required. It is vital for test hardware, such as hoses and valves, to stay in place while the test is being performed. For the test hardware to operate correctly, positioning, orientation, and alignment are critical as well. In addition to the testing, calculations for pressure drop were explored. To meet requirements for test setups, designs for test hardware mounts were sketched, 3D modeled, and manufactured. Using fluid mechanics for calculations, a pressure drop equation was applied with known variables from mission specification. With the test hardware mounts designed and manufactured, the test setup was assembled with mounts installed. Test hardware mounts met all design requirements. Calculation for pressure drop were concluded and an answer was achieved. Meeting design requirement, mission specification, and calculating correct results allow the Restore-L mission to make further progress and help understand the effectiveness of the Propellant Transfer Subsystem.

PTS↗
DOE OSTI2016

Multiplex growth rate phenotyping of synthetic mutants in selection to engineer glucose and xylose co‐utilization in Escherichia coli

ABSTRACT Engineering the simultaneous consumption of glucose and xylose sugars is critical to enable the sustainable production of biofuels from lignocellulosic biomass. In most major industrial microorganisms glucose completely inhibits the uptake of xylose, limiting efficient sugar mixture conversion. In E . coli removal of the major glucose transporter PTS allows for glucose and xylose co‐consumption but only after prolonged adaptation, which is an effective process but hard to control and prone to co‐evolving undesired traits. Here we synthetically engineer mutants to target sugar co‐consumption properties; we subject a PTS − mutant to a short adaptive step and subsequently either delete or overexpress key genes previously suggested to affect sugar consumption. Screening the co‐consumption properties of these mutants individually is very laborious. We show we can evaluate sugar co‐consumption properties in parallel by culturing the mutants in selection and applying a novel approach that computes mutant growth rates in selection using chromosomal barcode counts obtained from Next‐Generation Sequencing. We validate this multiplex growth rate phenotyping approach with individual mutant pure cultures, identify new instances of mutants cross‐feeding on metabolic byproducts, and, importantly, find that the rates of glucose and xylose co‐consumption can be tuned by altering glucokinase expression in our PTS − background. Biotechnol. Bioeng. 2017;114: 885–893. © 2016 Wiley Periodicals, Inc.

Groot, Joost↗
DOE OSTI2023

Effect of a micro-scale dislocation pileup on the atomic-scale multi-variant phase transformation and twinning

In this paper, we perform concurrent atomistic–continuum (CAC) simulations to assess the contribution of the internal stress induced by the microscale dislocation pileup at an atomically structured interface to the atomic-scale phase transformations (PTs), reverse PTs, and twinning. The main novelty of this work is to unify the atomistic description of the interface and the coarse-grained (CG) description of the lagging dislocations away from the interface within one single framework. Our major findings are: (a) the interface dynamically responds to a pileup by forming steps/ledges, the height of which is proportional to the number of dislocations arriving at the interface; (b) the pileup-induced internal stress concentration profile follows neither the classical Eshelby model nor the super-dislocation model alone, but a combination of them; (c) when the pre-sheared sample is compressed, a direct square-to-hexagonal PT occurs ahead of the pileup tip and eventually grows into a wedge shape. The two variants of the hexagonal phases form a twin with respect to each other; (d) upon a further increase of the loading, part of the newly formed hexagonal phase transforms back to the square phase. The square product phase resulting from this reverse PT forms a twin with respect to the initial square phase. All phase boundaries (PBs) and twin boundaries (TBs) are stationary and correspond to zero thermodynamic Eshelby driving forces; and (e) the microscale dislocation pileup-induced internal shear stress and the structural change at the atomic-scale interface reduces the stress required for initiating a PT by a factor of 5.5, comparing with that in the sample containing no dislocations. This work is the first characterization of the behavior of PTs/twinning resulting from the reaction between a microscale dislocation slip and an atomically structured interface. In conclusion, the gained knowledge will advance our understanding of how the multi-phase material behaves in many complex physical processes, such as the synthesis of multi-phase high-entropy alloys or superhard ceramics under high-pressure torsion, deep mantle earthquakes in geophysics, and so on, which all involve dislocation slip, PTs, twinning, and their interactions across from the atomistic to the microscale and beyond.

36 MATERIALS SCIENCE↗
DOE OSTI2018

Coupled strain-induced alpha to omega phase transformation and plastic flow in zirconium under high pressure torsion in a rotational diamond anvil cell

Strain-induced α → ω phase transformation (PT) in the zirconium (Zr) sample under compression and plastic shear in a rotational diamond anvil cell (RDAC) is investigated using the finite element method (FEM). The fields of the volume fraction of the ω phase, all components of the stress tensor, and plastic strain are presented. Before torsion, PT barely occurs. During torsion under a fixed applied force, PT initiates at the center of the sample, where the pressure first reaches the minimum pressure for strain-induced α → ω PT, p d ε , and propagates from the center to the periphery and from the symmetry plane to the contact surface. Salient increase of the shear friction stress and pressure at the center of a sample, so-called pressure self-multiplication effect observed experimentally for some other materials, is predicted here for Zr. It is caused by much higher yield strength of the phase in comparison with the phase. Except at the very center of a sample, the total contact friction stress is equal to the yield strength in shear of the mixture of phases and the plastic sliding occurs there. Due to the reduction in sample thickness and radial material flow during torsion, the ω phase can be observed in the region where pressure is lower than p d ε , which may lead to misinterpretation of the experimental data for p d ε . For the same applied force, torsion drastically promotes PT in comparison with the compression without torsion. However, the PT process in RDAC is far from optimal: (a) due to the pressure self-multiplication effect, the pressure in the transformed region is much higher than that required for PT; (b) the region in which PT occurs is limited by the pressure p d ε and cannot be expanded by increasing a shear under a fixed force; and (c) the significant reduction in thickness during torsion reduces the total mass of the high-pressure phase. These drawbacks can be overcome by placing a sample within a strong gasket with an optimized geometry. It is shown that, due to strong pressure heterogeneity, characterization of α → ω and α → β PTs based on the averaged pressure contains large errors. Furthermore, the obtained results, in addition to providing an improved understanding of the strain-induced PTs, may be beneficial for the optimum design of experiments and the extraction of material parameters, as well as optimization and control of PTs by varying the geometry and loading conditions.

36 MATERIALS SCIENCE↗
DOE OSTI2020

Functional genetic encoding of sulfotyrosine in mammalian cells

Protein tyrosine O -sulfation (PTS) plays a crucial role in extracellular biomolecular interactions that dictate various cellular processes. It also involves in the development of many human diseases. Regardless of recent progress, our current understanding of PTS is still in its infancy. To promote and facilitate relevant studies, a generally applicable method is needed to enable efficient expression of sulfoproteins with defined sulfation sites in live mammalian cells. Here we report the engineering, in vitro biochemical characterization, structural study, and in vivo functional verification of a tyrosyl-tRNA synthetase mutant for the genetic encoding of sulfotyrosine in mammalian cells. We further apply this chemical biology tool to cell-based studies on the role of a sulfation site in the activation of chemokine receptor CXCR4 by its ligand. Our work will not only facilitate cellular studies of PTS, but also paves the way for economical production of sulfated proteins as therapeutic agents in mammalian systems.

37 INORGANIC, ORGANIC, PHYSICAL, AND ANALYTICAL CH↗
DOE OSTI2018

Structure of an EIIC sugar transporter trapped in an inward-facing conformation

The phosphoenolpyruvate-dependent phosphotransferase system (PTS) transports sugar into bacteria and phosphorylates the sugar for metabolic consumption. The PTS is important for the survival of bacteria and thus a potential target for antibiotics, but its mechanism of sugar uptake and phosphorylation remains unclear. The PTS is composed of multiple proteins, and the membrane-embedded Enzyme IIC (EIIC) component transports sugars across the membrane. Crystal structures of two members of the glucose superfamily of EIICs, bcChbC and bcMalT, were solved in the inward-facing and outward-facing conformations, and the structures suggest that sugar translocation could be achieved by movement of a structured domain that contains the sugar-binding site. However, different conformations have not been captured on the same transporter to allow precise description of the conformational changes. Here we present a crystal structure of bcMalT trapped in an inward-facing conformation by a mercury ion that bridges two strategically placed cysteine residues. The structure allows direct comparison of the outward- and inward-facing conformations and reveals a large rigid-body motion of the sugar-binding domain and other conformational changes that accompany the rigid-body motion. All-atom molecular dynamics simulations show that the inward-facing structure is stable with or without the cross-linking. Here, the conformational changes were further validated by single-molecule Föster resonance energy transfer (smFRET). Combined, these results establish the elevator-type mechanism of transport in the glucose superfamily of EIIC transporters.

59 BASIC BIOLOGICAL SCIENCES↗
DOE OSTI2021

Pulsar-Calibrated Timing Source for Synchronized Sampling

The Global Positioning System (GPS) is critical to the real-time synchronized sampling of phasor measurement units (PMUs). Unfortunately, GPS signals are occasionally unstable due to several factors such as weak satellite signal and GPS spoofing, thereby leaving the PMU with a degraded sampling performance. In this letter, a novel Pulsar-calibrated Timing Source (PTS) is proposed as the alternative timing source for synchronized sampling. Further, the PTS can generate the timing signal with a 1 μs drift error within 91 holdover minutes to ensure continuity of sampling accuracy. Experimental tests are conducted and the results reveal the reliability and accuracy of the PTS for PMU synchronization.

42 ENGINEERING↗
DOE OSTI2019

Study of serious adverse drug reactions using FDA-approved drug labeling and MedDRA

Background Adverse Drug Reactions (ADRs) are of great public health concern. FDA-approved drug labeling summarizes ADRs of a drug product mainly in three sections, i.e., Boxed Warning (BW), Warnings and Precautions (WP), and Adverse Reactions (AR), where the severity of ADRs are intended to decrease in the order of BW > WP > AR. Several reported studies have extracted ADRs from labeling documents, but most, if not all, did not discriminate the severity of the ADRs by the different labeling sections. Such a practice could overstate or underestimate the impact of certain ADRs to the public health. In this study, we applied the Medical Dictionary for Regulatory Activities (MedDRA) to drug labeling and systematically analyzed and compared the ADRs from the three labeling sections with a specific emphasis on analyzing serious ADRs presented in BW, which is of most drug safety concern. Results This study investigated New Drug Application (NDA) labeling documents for 1164 single-ingredient drugs using Oracle Text search to extract MedDRA terms. We found that only a small portion of MedDRA Preferred Terms (PTs), 3819 out of 21,920 or 17.42%, were observed in a whole set of documents. In detail, 466/3819 (12.0%) PTs were in BW, 2023/3819 (53.0%) were in WP, and 2961/3819 (77.5%) were in AR sections. We also found a higher overlap of top 20 occurring BW PTs with WP sections compared to AR sections. Within the MedDRA System Organ Class levels, serious ADRs (sADRs) from BW were prevalent in Nervous System disorders and Vascular disorders. A Hierarchical Cluster Analysis (HCA) revealed that drugs within the same therapeutic category shared the same ADR patterns in BW (e.g., nervous system drug class is highly associated with drug abuse terms such as dependence, substance abuse, and respiratory depression). Conclusions This study demonstrated that combining MedDRA standard terminologies with data mining techniques facilitated computer-aided ADR analysis of drug labeling. We also highlighted the importance of labeling sections that differ in seriousness and application in drug safety. Using sADRs primarily related to BW sections, we illustrated a prototype approach for computer-aided ADR monitoring and studies which can be applied to other public health documents.

59 BASIC BIOLOGICAL SCIENCES↗