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At least 415 records · Page 23

Clinical Decision Support - Concepts of Operation

We are entering a new era in space exploration to return to the moon and explore Mars. Crew members operating independently during long duration space exploration missions will require a clinical decision support system (CDSS) to increase autonomy by augmenting their knowledge, skills and abilities in different scenarios. Significant changes to in-flight and habitat medical care due to constraints on mass, volume, power, crew time and medical evacuation capabilities are needed to increase crew autonomy and self-reliance in decision making and task performance. The Exploration Medical Capability (ExMC) Element of the Human Research Program (HRP) pushes the boundary of space medical systems to advance the care of astronauts on future exploration missions beyond low Earth orbit by identifying and testing next-generation medical care and crew health maintenance technologies. Clinical decision support (CDS) presents knowledge and data in a context aware manner to augment a crew members’ knowledge, skills and abilities during the process of observation, orientation, decisions and action. A comprehensive crew health and performance CDSS is required to augment crew capability and will be used in different scenarios for several reasons. In general, the CDSS’s role is to assist the crew in prevention, detection, diagnosis and treatment of crew health and performance related conditions that may arise in exploration spaceflight. For example, CDSS would assist a high acuity scenario such as a heart attack by supplying clear instructions, vital signs and treatment reminders. A lower severity scenario such as kidney stone risk could interface to vehicle systems and display more complex predictive data during a diagnosis. A CDSS needs to contribute to successful missions by maintaining a high performing crew who can potentially exhibit countless medical conditions related to derangements from the space environment (sleep, cognition, nutrition and exercise) as well as conditions intrinsic to humans anywhere. While supporting the crew’s ability to make sound clinical decisions is desirable in any mission, it is essential for exploration missions with significant communication delays, no evacuation capability, and extended exposure to the flight environment. Such missions correspond with medical Level of Care V (LOC V), the highest level specified in NASA-STD-3001. The project focuses on CDS implementation research to derive requirements for LOC V, where the need for increased autonomy results in new practices and the inclusion of non-clinical data, such as vehicle environmental measures and physical exercise results, from other human and vehicle domains and advanced analytics. The CDS project describes how the CDSS is intended to be used by defining concepts of operations (ConOps). The process to derive ConOps focuses on increased autonomy that reduces the likelihood and consequences of accepted medical conditions. These crew health and performance inputs are grouped by common datasets and analysis models. Use cases are derived to research new clinical scenarios, architectural development and workflows. Implementation research is conducted with protypes to inform assumptions and derive requirements. The project also establishes how externally developed analysis and approaches can be added to expand a clinical decision support system and thus highlight how a comprehensive system can be globally developed with collaborators. This presentation will cover example scenarios from the CDS ConOps and the method to derive them. One example scenario will be CDSS alerting an increased kidney stone risk during a mission, with diagnosis and treatment options provided during the intervention.

clinical decision support↗

Inferring adversarial behaviour in cyber‐physical power systems using a Bayesian attack graph approach

Abstract Highly connected smart power systems are subject to increasing vulnerabilities and adversarial threats. Defenders need to proactively identify and defend new high‐risk access paths of cyber intruders that target grid resilience. However, cyber‐physical risk analysis and defense in power systems often requires making assumptions on adversary behaviour, and these assumptions can be wrong. Thus, this work examines the problem of inferring adversary behaviour in power systems to improve risk‐based defense and detection. To achieve this, a Bayesian approach for inference of the Cyber‐Adversarial Power System (Bayes‐CAPS) is proposed that uses Bayesian networks (BNs) to define and solve the inference problem of adversarial movement in the grid infrastructure towards targets of physical impact. Specifically, BNs are used to compute conditional probabilities to queries, such as the probability of observing an event given a set of alerts. Bayes‐CAPS builds initial Bayesian attack graphs for realistic power system cyber‐physical models. These models are adaptable using collected data from the system under study. Then, Bayes‐CAPS computes the posterior probabilities of the occurrence of a security breach event in power systems. Experiments are conducted that evaluate algorithms based on time complexity, accuracy and impact of evidence for different scales and densities of network. The performance is evaluated and compared for five realistic cyber‐physical power system models of increasing size and complexities ranging from 8 to 300 substations based on computation and accuracy impacts.

Sahu, Abhijeet↗

Orbiter Cold Plate Intergranular Corrosion: Development of NDE Standards and Assessment of NDE Methods

During pre-servicing of a space shuttle (orbiter vehicle, OV-102), helium leak detection of an avionics cold plate identified a leak located in the face sheet oriented towards the support shelf. Subsequent destructive examination of the leaking cold plate revealed that intergranular corrosion had penetrated the 0.017-inch thick aluminum (AA6061) face sheet. The intergranular attack (IGA) was likely caused by an aggressive crevice environment created by condensation of water vapor between the cold plate and support shelf. Face sheet susceptibility to IGA is a result of the brazing process used in the fabrication of the cold plates. Cold plate components were brazed at 1000 F followed by a slow cooling process to avoid distortion of the bonded cold plate. The slow cool process caused excessive grain boundary precipitation resulting in a material that is susceptible to IGA. The objectives of this work are as follows: (1) Develop first-of-a-kind nondestructive evaluation (NDE) standards that contain IGA identical to that found in the orbiter cold plates; and (2) Assess advanced NDE techniques for corrosion detection and recommend methods for cold plate examination. This report documents the results of work performed at Langley Research Center to fulfill these objectives.

Smith, Stephen W.↗

Laser skin friction measurements and CFD comparison of weak-to-strong swept shock/boundary-layer interactions

A joint experimental and computational study of skin friction in weak-to-strong swept shock wave/turbulent boundary-layer interactions has been carried out. A planar shock wave is generated by a sharp fin at angles of attack alpha = 10 deg and 16 deg at M(infinity) = 3 and 16 and 20 deg at M(infinity) = 4. Measurements are made using the Laser Interferometer Skin Friction meter, which optically detects the rate of thinning of an oil film applied to the test surface. The results show a systematic rise in the peak c(f) at the rear part of the interaction, where the separated flow atttaches. For the stronget case studied, this peak is an order of magnitude higher than the incoming freestream c(f)level.

Kim, K.-S.↗

IoT Intrusion Detection Taxonomy, Reference Architecture, and Analyses

This paper surveys the deep learning (DL) approaches for intrusion-detection systems (IDSs) in Internet of Things (IoT) and the associated datasets toward identifying gaps, weaknesses, and a neutral reference architecture. A comparative study of IDSs is provided, with a review of anomaly-based IDSs on DL approaches, which include supervised, unsupervised, and hybrid methods. All techniques in these three categories have essentially been used in IoT environments. To date, only a few have been used in the anomaly-based IDS for IoT. For each of these anomaly-based IDSs, the implementation of the four categories of feature(s) extraction, classification, prediction, and regression were evaluated. We studied important performance metrics and benchmark detection rates, including the requisite efficiency of the various methods. Four machine learning algorithms were evaluated for classification purposes: Logistic Regression (LR), Support Vector Machine (SVM), Decision Tree (DT), and an Artificial Neural Network (ANN). Therefore, we compared each via the Receiver Operating Characteristic (ROC) curve. The study model exhibits promising outcomes for all classes of attacks. The scope of our analysis examines attacks targeting the IoT ecosystem using empirically based, simulation-generated datasets (namely the Bot-IoT and the IoTID20 datasets).

97 MATHEMATICS AND COMPUTING↗

Implementation Aspects of Smart Grids Cyber-Security Cross-Layered Framework for Critical Infrastructure Operation

Communication networks in power systems are a major part of the smart grid paradigm. It enables and facilitates the automation of power grid operation as well as self-healing in contingencies. Such dependencies on communication networks, though, create a roam for cyber-threats. An adversary can launch an attack on the communication network, which in turn reflects on power grid operation. Attacks could be in the form of false data injection into system measurements, flooding the communication channels with unnecessary data, or intercepting messages. Using machine learning-based processing on data gathered from communication networks and the power grid is a promising solution for detecting cyber threats. In this paper, a co-simulation of cyber-security for cross-layer strategy is presented. The advantage of such a framework is the augmentation of valuable data that enhances the detection as well as identification of anomalies in the operation of the power grid. The framework is implemented on the IEEE 118-bus system. The system is constructed in Mininet to simulate a communication network and obtain data for analysis. A distributed three controller software-defined networking (SDN) framework is proposed that utilizes the Open Network Operating System (ONOS) cluster. According to the findings of our suggested architecture, it outperforms a single SDN controller framework by a factor of more than ten times the throughput. This provides for a higher flow of data throughout the network while decreasing congestion caused by a single controller’s processing restrictions. Furthermore, our CECD-AS approach outperforms state-of-the-art physics and machine learning-based techniques in terms of attack classification. The performance of the framework is investigated under various types of communication attacks.

cross-layered↗

CPS Testbed Architectures for WAMPAC using Industrial Substation and Control Center Platforms and Attack-Defense Evaluation

Advanced persistent threats and cyberattacks can impact wide-area monitoring, protection, and control (WAMPAC) system operation. Many cyber-physical system (CPS) testbeds have been developed for attack-defense experimentation and attack-resiliency tools evaluation for WAMPAC, but they are limited to a simulation-and-emulation based environment. This paper presents a quasi-realistic CPS attack-defense testbed-based framework for WAMPAC applications using the industrial substation and control center platforms such as eTerra integrated with the hardware-in-the-loop CPS smart grid testbed available at Iowa State University. The proposed framework includes various combinations of industry-grade substation and control center platforms, communication topologies, real-time digital simulators, and a novel cyber-physical distributed intrusion-and-anomaly detection system (D-IADS) for WAMPAC applications. The D-IADS includes a master at the control center and geographically distributed sensor devices at each substation. Each D-IADS sensor deployed at a substation or control center network monitors ingress and egress traffic, detect intrusions, and dispatch alerts to the D-IADS master. The D-IADS master centrally monitors and analyze the alerts and controls D-IADS sensors. We considered an EMP60 synthetic CPS grid as a case study to demonstrate the framework and proposed D-IADS for WAMPAC applications against cyberattack vectors such as Man-in-the-Middle DNP3 attack, denial-of-service, and data-integrity attacks.

24 POWER TRANSMISSION AND DISTRIBUTION↗

Forward rotor vortex effects on counter rotating propeller noise

Three configurations of a model counter rotating propeller manipulate the blade tip flow by: placing the CRP at angle of attack, installing shrouds, and turning the upstream blades to provide forward sweep. Flow visualization and flow measurements with thermal anemometry show no evidence of a tip vortex; however, a leading edge vortex was detected on aft swept blades. The modifications served to alter the strength and/or path of the leading edge vortex. The vortical flow is eliminated by forward sweep on the upstream propeller blades. Far field acoustic data from each test indicate only small influences on the level and directivity of the BPFs. The interaction tone at the sum of the two BPF's was significantly altered in a consistent manner. As the vortex system varied, the interaction tone was affected: far field noise levels in the forward quandrant increased and the characteristic noise minimum near the plane of rotation became less pronounced and in some cases were eliminated. If the forward propeller leading edge vortex system does not impact the rear propeller in the standard manner, a net increase in the primary interaction tone occurs for the model tested. If the leading edge vortex is removed, the interaction tone increases.

Laur, Michele↗

Visualization of Flowfield Modification by RCS Jets on a Capsule Entry Vehicle

Nitric oxide planar laser-induced fluorescence (NO PLIF) has been used to visualize the flow on the aft-body of an entry capsule having an activated RCS jet in NASA Langley Research Center's 31-Inch Mach 10 wind tunnel facility. A capsule shape representative of the Apollo command module was tested. These tests were performed to demonstrate the ability of the PLIF method to visualize RCS jet flow while providing some preliminary input to NASA's Orion Vehicle design team. Two different RCS nozzle designs - conical and contoured - were tested. The conical and contoured nozzles had area ratios of 13.4 and 22.5 respectively. The conical nozzle had a half-angle of 10 . Low- and high-Reynolds number cases were investigated by changing the tunnel stagnation pressure from 350 psi to 1300 psi, resulting in freestream Reynolds numbers of 0.56 and 1.8 million per foot respectively. For both of these cases, three different jet plenum pressures were tested (nominally 56, 250 and 500 psi). A single angle-of-attack was investigated (24 degrees). NO PLIF uses an ultraviolet laser sheet to interrogate a slice in the flow containing seeded NO; this UV light excites fluorescence from the NO molecules which is detected by a high-speed digital camera. The system has spatial resolution of about 200 microns (2 pixel blurring) and has flow-stopping time resolution (approximately 1 microsecond). NO was seeded into the flow two different ways. First, the RCS jet fluid was seeded with approximately 1-5% NO, with the balance N2. This allowed observation of the shape, structure and trajectory of the RCS jets. Visualizations of both laminar and turbulent flow jet features were obtained. Visualizations were obtained with the tunnel operating at Mach 10 and also with the test section held at a constant pressure similar to the aftbody static pressure (0.04 psi) obtained during tunnel runs. These two conditions are called "tunnel on" and "tunnel off" respectively. Second, the forebody flow was seeded with a very low flowrate (<100 standard cubic centimeters per minute) of pure NO. This trace gas was entrained into and allowed visualization of the shear layer forming between the expansion fan on the shoulder of the model and the recirculating separated flow in the wake of the model. This shear layer was observed to be laminar in the absence of the RCS jet operation and turbulent above a certain RCS jet flowrate. Furthermore, the operation of the RCS jet is seen to push the shear layer out away from the model, with a higher jet pressures resulting in larger deflections. Figures show some data from this test, partially processed. In the final paper, these images will be processed and rendered on a three dimensional visualization of the test hardware for clearer visualization and interpretation of the flowfields.

Danehy, P. M.↗

HP in Cybersecurity: CyOTE

The U.S. Department of Energy’s (DOE) Office of Cybersecurity, Energy Security, and Emergency Response (CESER), through the Cybersecurity for the Operational Technology Environment (CyOTE) Program, worked with energy sector asset owners and operators (AOOs), partners, and Idaho National Laboratory (INL) to develop capabilities for AOOs to independently detect adversarial tactics, techniques, and procedures (TTPs) within their operational technology (OT) environments. Unlike the approach taken with commercial security solutions, CyOTE seeks to tie anomalies in cyber operations to a cyber-attack. By stringing together multiple techniques in the OT environment, AOOs can identify attack campaigns with ever decreasing impacts. The CyOTE methodology applies fundamental concepts of perception and comprehension to a universe of knowns and unknowns increasingly disaggregated into observables, anomalies, and triggering events. MITRE’s ATT&CK® Framework for Industrial Control Systems (ICS) is used as a common lexicon to identify a set of triggering events related to three Use Cases – Alarm Logs, Human-Machine Interface (HMI), and Remote Logins – which together account for 87 percent of the techniques commonly used by adversaries. The CyOTE methodology is also appropriate for OT-related anomalies perceived outside the three Use Cases, such as through the energy system itself.

99 GENERAL AND MISCELLANEOUS↗

Detection of Propene in Titan's Stratosphere

The Voyager 1 flyby of Titan in 1980 gave a first glimpse of the chemical complexity of Titan's atmosphere, detecting many new molecules with the infrared interferometer spectrometer (IRIS). These included propane (C3H8) and propyne (CH3C2H), while the intermediate-sized C3Hx hydrocarbon (C3H6) was curiously absent. Using spectra from the Composite Infrared Spectrometer on Cassini, we show the first positive detection of propene (C3H6) in Titan's stratosphere (5(sigma) significance), finally filling the three-decade gap in the chemical sequence. We retrieve a vertical abundance profile from 100-250 km, that varies slowly with altitude from 2.0 +/- 0.8 ppbv at 125 km, to4.6 +/- 1.5 ppbv at 200 km. The abundance of C3H6 is less than both C3H8 and CH3C2H, and we remark on an emerging paradigm in Titans hydrocarbon abundances whereby alkanes greater than alkynes greater than alkenes within the C2Hx and C3Hx chemical families in the lower stratosphere. More generally, there appears to be much greater ubiquity and relative abundance of triple-bonded species than double-bonded, likely due to the greater resistance of triple bondsto photolysis and chemical attack.

Titan↗

Molten Salt Corrosion Tests of Additively Manufactured Stainless Steel 316H

Molten salt reactors (MSRs) have drawn considerable interest due to their favorable safety features, high thermal efficiency, and compatibility with different fuel cycles. Yet, the success of MSRs hinges critically on the performance of structural materials to be used in these aggressive molten salt environments, where corrosion and material compatibility remain primary challenges to long-term reliability. Additively manufactured (AM) nuclear structural materials prompt the use of novel geometries and compositions to enhance material performance and reduce costs of constructing MSRs. The rapid solidification conditions inherent to AM processing impart distinctive microstructural features, including cellular sub-structures, dislocation densities, residual stress, and oxide inclusions, which can influence material performance in MSR components. While the mechanical properties of AM stainless steels have been widely studied, their corrosion behavior, particularly in molten salt environments, has received far less attention. Addressing these needs, the Advanced Materials and Manufacturing Technologies (AMMT) program provides a framework for systematically evaluating how unique microstructures produced by AM processes influence the performance of these materials in these demanding environments and for developing reproducible testing workflows that can support future code qualification efforts and standards development. Bridging this knowledge gap is essential for assessing the viability of AM alloys in MSRs and informing qualification strategies. A further challenge is the absence of standardized protocols for molten salt corrosion testing. Accordingly, this report provides an account of the corrosion evaluation of AM 316H stainless steel in NaCl 2 -MgCl 2 molten salt at 550 °C, with exposure times of 100 and 500 hours. It documents the experimental procedures implemented under the AMMT program, including salt preparation, exposure protocols, and post-test characterization methods, to establish reproducibility and transparency. Importantly, the study examines AM 316H samples in the as-fabricated condition, directly reflecting the surface state most relevant to engineering applications, and compares their behavior to machine-cut surfaces. Overall, preliminary evaluations have noted that surface conditions (e.g. morphology, contamination, etc.) have a noticeable impact on the corrosion resiliency. The impact of the corrosion is difficult to detect at 100h, unless, in the case of AM 316H, the specimen surface is decontaminated. After 500 h, as-fabricated surfaces of AM and wrought 316H display evidence of general versus preferential corrosion attack, respectively. Both AM and wrought 316H machine-cut surfaces exhibit a continuous Cr depletion zone, evident of general corrosion. While the estimated extent of corrosion appears within the same order of magnitude regardless of the surface condition, it is apparent that more predictable behavior is observed on machine-cut surfaces. Nonetheless, further investigation is necessary to fully elucidate the corrosion mechanism under these conditions.

36 - MATERIALS SCIENCE↗

The Space Interferometry Mission

The Space Interferometry Mission (SIM) is the next major space mission in NASA's Origins program after SIRTF. The SIM architecture uses three Michelson interferometers in low-earth orbit to provide 4 microarcsecond precision absolute astrometric measurements on approx. 40,000 stars. SIM will also provide synthesis imaging in the visible waveband to a resolution of 10 milliarcsecond, and interferometric nulling to a depth of 10(exp -4). A near-IR (1-2 micron) capability is being considered. Many key technologies will be demonstrated by SIM that will be carried over directly or can be readily scaled to future Origins missions such as TPF. The SIM spacecraft will carry a triple Michelson interferometer with baselines in the 10 meter range. Two interferometers act as high precision trackers, providing attitude information at all time, while the third one conducts the science observations. Ultra-accurate laser metrology and active systems monitor the systematic errors and to control the instrument vibrations in order to reach the 4 microarcsecond level on wide-angle measurements. SIM will produce a wealth of new astronomical data. With an absolute positional precision of 4 microarcsecond, SIM will improve on the best currently available measures (the Hipparcos catalog) by 2 or 3 orders of magnitude, providing parallaxes accurate to 10% and transverse velocities to 0.2 km/s anywhere in the Galaxy, to stars as faint as 20th magnitude. With the addition of radial velocities, knowledge of the 6-dimension phase space for objects of interest will allow us to attack a wide array of previously inaccessible problems such as: search for planets down to few earth masses; calibration of stellar luminosities and by means of standard candles, calibration of the cosmic distance scale; detecting perturbations due to spiral arms, disk warps and central bar in our galaxy; probe of the gravitational potential of the Galaxy, several kiloparsecs out of the galactic plane; synthesis imaging of circumstellar disks around young stellar objects; imaging the narrow-line regions of AGNs in the optical; direct distance determination of a half dozen nearby spiral galaxies using rotational kinematics, thereby sidestepping reddening and metallicity issues in the calibration of distance estimators like Tully-Fisher; imaging exozodiacal dust disks (when operating in its nulling mode, SIM will be sensitive, at a distance of (beta) Pic (20 pc), to scales ranging from 0.2 to 5 AU).

Unwin, Stephen C.↗

Cyber Resilient Flexible Alternating Current Transmission Systems (XFACTS)

This report summarizes the activities conducted under the DOE-OE funded project DEOE0000897, Cyber Attack Resilient Flexible AC Systems – XFACTS. Hitachi Energy (HE), in collaboration with ABB Inc. (ABB), Bonneville Power Administration (BPA), University of Illinois at Urbana-Champaign (UIUC), Iowa State University (ISU), and University of Idaho (UI) pursued the development of a system of defense for Flexible Alternating current Transmission Systems against cyber-attacks (XFACTS). A FACTS substation enhanced with XFACTS defense mechanisms will be capable of mitigating cyberattacks especially those that seek to control electrical parameters like voltage or current and interrupt the power flow in AC lines. It empowers existing FACTS controllers and associated intelligent electronic devices to detect and mitigate malicious intents to depress system voltages, destabilize power flows, trip AC circuit breakers, corrupt currents, and voltages, even if the malicious commands and the measurements have correct syntax. The XFACTS functions utilize the physics of active power electronic systems, control and protection, electric power engineering principles, and state estimation to bring more in-depth cyber defense closer to the protected FACTS substation devices.

24 POWER TRANSMISSION AND DISTRIBUTION↗

Cybersecurity Attacks in Vehicular Sensors

Today's modern vehicles contain anywhere from sixty to one-hundred sensors and exhibit the characteristics of Cyber-Physical-Systems (CPS). There is a high degree of coupling, cohesiveness, and interactions among vehicle's CPS components (e.g., sensors, devices, systems, systems-of-systems) across sensing, communication, and control layers. Cyber-attacks in the sensing or communication layers can compromise the security of the control layer. This paper provides a detailed review of potential cyber threats related to the sensing layer. Notably, the focus is mainly towards two categories of sensors: vehicle dynamics sensors (e.g., Tire Pressure Monitoring Systems (TPMS), magnetic encoders, and inertial sensors) and environment sensors (e.g., Light Detection and Ranging (LiDAR), ultrasonic, camera, Radio Detection and Ranging (Radar) systems, and Global Positioning System (GPS) units). Furthermore, the paper also offers perspectives through existing countermeasures from literature and stresses the need for data-driven cybersecurity solutions.

97 MATHEMATICS AND COMPUTING↗

A Simple Boundary-Layer Transition Detection Method Using Mean Static Pressure Measurements

A simple method for detecting boundary-layer transition using only mean static pressure port data is presented. The method can be applied to most existing models with pressure taps, and only requires that a fine angle-of-attack sweep be performed. A small but abrupt change in the static pressure is visible when the transition front passes over the pressure tap. Results from a recent Juncture Flow test entry are used to illustrate the technique. Infrared thermography measurements of the transition front compare very well to the transition locations obtained from the static pressure ports. Some differences in behavior occur depending on the dominant transition mechanism. While the technique is somewhat qualitative, it can be an excellent tool for estimating the transition location when other tools are not readily available. Given the simplicity of the technique, and the fact that most wind-tunnel models are already designed with numerous static pressure taps, this method can be applied with very little overhead.

boundary-layer transition↗

SDN-Based Smart Cyber Switching (SCS) for Cyber Restoration of a Digital Substation

In recent years, critical infrastructure and power grids have increasingly been targets of cyber-attacks, causing widespread and extended blackouts. Digital substations are particularly vulnerable to such cyber incursions, jeopardizing grid stability. This paper addresses these risks by proposing a cybersecurity framework that leverages software-defined networking (SDN) to bolster the resilience of substations based on the IEC- 61850 standard. The research introduces a strategy involving smart cyber switching (SCS) for mitigation and concurrent intelligent electronic device (CIED) for restoration, ensuring ongoing operational integrity and cybersecurity within a substation. The SCS framework improves the physical network’s behavior (i.e., leveraging commercial SDN capabilities) by incorporating an adaptive port controller (APC) module for dynamic port management and an intrusion detection system (IDS) to detect and counteract malicious IEC-61850-based sampled value (SV) and generic object-oriented system event (GOOSE) messages within the substation’s communication network. The framework’s effectiveness is validated through comprehensive simulations and a hardware-in-the-loop (HIL) testbed, demonstrating its ability to sustain substation operations during cyber-attacks and significantly improve the overall resilience of the power grid.

Liu, Chen-Ching (ORCID:0000000289417958)↗

Systematic review of type 1 diabetes biomarkers reveals regulation in circulating proteins related to complement, lipid metabolism, and immune response

Type 1 diabetes (T1D) results from an autoimmune attack of the pancreatic β cells that progresses to dysglycemia and symptomatic hyperglycemia. Current biomarkers to track this evolution are limited, with development of islet autoantibodies marking the onset of autoimmunity and metabolic tests used to detect dysglycemia. Therefore, additional biomarkers are needed to better track disease initiation and progression. Multiple clinical studies have used proteomics to identify biomarker candidates. However, most of the studies were limited to the initial candidate identification, which needs to be further validated and have assays developed for clinical use. Here we curate these studies to help prioritize biomarker candidates for validation studies and to obtain a broader view of processes regulated during disease development. This systematic review was registered with Open Science Framework (https://doi.org/10.17605/OSF.IO/N8TSA). Using PRISMA guidelines, we conducted a systematic search of proteomics studies of T1D in the PubMed to identify putative protein biomarkers of the disease. Studies that performed mass spectrometry-based untargeted/targeted proteomic analysis of human serum/plasma of control, pre-seroconversion, post-seroconversion, and/or T1D-diagnosed subjects were included. For unbiased screening, 3 reviewers screened all the articles independently using the pre-determined criteria. A total of 13 studies met our inclusion criteria, resulting in the identification of 266 unique proteins, with 31 (11.6%) being identified across 3 or more studies. The circulating protein biomarkers were found to be enriched in complement, lipid metabolism, and immune response pathways, all of which are found to be dysregulated in different phases of T1D development. We found 2 subsets: 17 proteins (C3, C1R, C8G, C4B, IBP2, IBP3, ITIH1, ITIH2, BTD, APOE, TETN, C1S, C6A3, SAA4, ALS, SEPP1 and PI16) and 3 proteins (C3, CLUS and C4A) have consistent regulation in at least 2 independent studies at post-seroconversion and post-diagnosis compared to controls, respectively, making them strong candidates for clinical assay development. Biomarkers analyzed in this systematic review highlight alterations in specific biological processes in T1D, including complement, lipid metabolism, and immune response pathways, and may have potential for further use in the clinic as prognostic or diagnostic assays.

60 APPLIED LIFE SCIENCES↗