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At least 811 records · Page 45

Enterococci in Space: Adaptation, Antibiotic Resistance, and Clinical Implications

Enterococci are gram-positive bacteria that originated when our ancient animal ancestors emerged from the oceans to live on land, and brought their gut flora with them. Enterococcus faecalis (EF) and Enterococcus faecium, are common human commensals and can harbor multidrug resistance. Both have been previously isolated from the International Space Station (ISS). Likely as a consequence of their evolutionary origins, enterococci show remarkable stress resistance within, but also outside, their human hosts. Their antibiotic resistance, coupled with tolerance to desiccation, starvation, and disinfection, make some EF strains potent pathogens in the built environment (e.g., hospitals), and a potential risk to crew health during space missions. Here we describe our planned flight studies, currently in development. Genomic Enumeration of Antibiotic Resistance in Space (GEARS) will characterize the frequency and genomic identity of antibiotic resistant organisms, including enterococci, on the ISS, and expand our future in-space sequencing-based diagnostic capabilities. Enterococcus Growth Advantage on ISS via Tn-seq (EnteroGAIT) will assess the evolutionary selective pressure of the space environment (microgravity, space radiation) using EF as a model system during a long-duration culture and persistence experiment. Adaptation & Evolution of Resilient Enterococcus in Space (AERES) will study existing and newly identified isolates to characterize the “natural” evolutionary history of EF on Earth and in space to reveal mechanisms of microbial adaption including, possibly, natural selection. Our work to date has identified that EF ISS isolates share virulence factors found in clinical strains and commensals, and revealed limitations of current pathogenicity assessment tools. While ISS isolates were, in some cases, multi-drug resistant, current data suggests these are largely commensal strains. Our work will further refine potential crew health risks and improve understanding of EF adaptation to the built environment, of great relevance on Earth where EF is the second leading cause of hospital acquired infection.

Jordan McKaig↗

Final Technical Report for the SciDAC Center for the Study of Plasma Microturbulence

This final technical report for the SciDAC Center for the Study of Plasma Microturbulence documents contributions from MIT to the project over the period of the award (February 15, 2011 to February 14, 2020). This project focused on the development of neoclassical and gyrokinetic simulation capabilities relevant for the description of particle, momentum and energy transport in tokamak fusion plasmas. Extensive validation against experimental results from Alcator C-Mod and DIII-D experiments was performed. Overall areas of emphasis included gyrokinetic simulations, experiments, and observation of density gradient driven Trapped Electron Mode (TEM) turbulence relevant to burning plasmas; theory and gyrokinetic simulations of the parametric variation of the nonlinear upshift of the TEM critical density gradient; identification of a new mechanism for the isotope effect due to density gradient driven TEM turbulence; new synthetic diagnostics based on full-wave simulations which enabled unprecedented agreement between gyrokinetic simulations and measured fluctuation spectra with and without strong electron heating; development of new continuum pedestal neoclassical and turbulence codes; formulation and implementation of the first gyrokinetic exact Fokker-Planck collision operator in gyrokinetic turbulence simulations; development of new spectral approaches in velocity space for highly efficient treatments of collisions; new model collision operators implemented in the discontinuous Galerkin gyrokinetic edge turbulence code GKEYLL; and a new model and spectral code to study the interaction of ion- and electron-scale turbulence, which will serve as an efficient test-bed for multi-rate and multi-scale methods. These fundamental advances contribute to the development of a validated, predictive capability for turbulent and collisional particle, momentum and energy transport in both the core and edge of magnetically confined fusion plasmas.

70 PLASMA PHYSICS AND FUSION TECHNOLOGY↗

Laboratory Plasma Source as an MHD Model for Astrophysical Jets

The significance of the work described herein lies in the demonstration of Magnetized Coaxial Plasma Gun (MCG) devices like CPS-1 to produce energetic laboratory magneto-flows with embedded magnetic fields that can be used as a simulation tool to study flow interaction dynamic of jet flows, to demonstrate the magnetic acceleration and collimation of flows with primarily toroidal fields, and study cross field transport in turbulent accreting flows. Since plasma produced in MCG devices have magnetic topology and MHD flow regime similarity to stellar and extragalactic jets, we expect that careful investigation of these flows in the laboratory will reveal fundamental physical mechanisms influencing astrophysical flows. Discussion in the next section (sec.2) focuses on recent results describing collimation, leading flow surface interaction layers, and turbulent accretion. The primary objectives for a new three year effort would involve the development and deployment of novel electrostatic, magnetic, and visible plasma diagnostic techniques to measure plasma and flow parameters of the CPS-1 device in the flow chamber downstream of the plasma source to study, (1) mass ejection, morphology, and collimation and stability of energetic outflows, (2) the effects of external magnetization on collimation and stability, (3) the interaction of such flows with background neutral gas, the generation of visible emission in such interaction, and effect of neutral clouds on jet flow dynamics, and (4) the cross magnetic field transport of turbulent accreting flows. The applicability of existing laboratory plasma facilities to the study of stellar and extragalactic plasma should be exploited to elucidate underlying physical mechanisms that cannot be ascertained though astrophysical observation, and provide baseline to a wide variety of proposed models, MHD and otherwise. The work proposed herin represents a continued effort on a novel approach in relating laboratory experiments to astrophysical jet observation. There exists overwhelming similarity among these flows that has already produced some fascinating results and is expected to continue a high pay off in future flow similarity studies.

Mayo, Robert M.↗

Automated 3D cytoplasm segmentation in soft X-ray tomography

Cells’ structure is key to understanding cellular function, diagnostics, and therapy development. Soft X-ray tomography (SXT) is a unique tool to image cellular structure without fixation or labeling at high spatial resolution and throughput. Fast acquisition times increase demand for accelerated image analysis, like segmentation. Currently, segmenting cellular structures is done manually and is a major bottleneck in the SXT data analysis. This paper introduces ACSeg, an automated 3D cytoplasm segmentation model. ACSeg is generated using semi-automated labels and 3D U-Net and is trained on 43 SXT tomograms of immune T cells, rapidly converging to high-accuracy segmentation, therefore reducing time and labor. Furthermore, adding only 6 SXT tomograms of other cell types diversifies the model, showing potential for optimal experimental design. ACSeg successfully segmented unseen tomograms and is published on Biomedisa, enabling high-throughput analysis of cell volume and structure of cytoplasm in diverse cell types.

59 BASIC BIOLOGICAL SCIENCES↗

Experimental demonstration of real-time electron temperature profile control in DIII-D

Future tokamak reactor operation will require the ability to maintain a given plasma scenario for extended periods of time. This will necessitate the capability to react to changes in the plasma state and return the plasma to the target scenario; the principal method to achieve this is through feedback control. Thus, it is necessary to develop and test feedback controllers for the plasma profiles that define a target scenario. In this work, a feedback controller for the electron temperature (Te) profile is tested experimentally in DIII-D. This experiment relied on the ability to ascertain the electron temperature profile in real time, which was achieved using an observer algorithm. The observer relies on both diagnostic data and a predictive model of the electron temperature profile evolution; this predictive model includes contributions from neural network surrogate models. Because of these dependencies, a number of capabilities needed to be added to the real-time PCS for DIII-D in order to support the Te profile control experiment. The neural network surrogates needed to be integrated into the PCS to be called in real time. An observer algorithm for the Te profile needed to be added and connected to the Thomson scattering system to allow access to the current state of the profile in real time. When tested, the observer was shown to produce Te profiles that are consistent with the shape of the Thomson scattering data while rejecting much of the noise in the diagnostic data. Finally, the controller itself was tested in real time. This experiment showed that the controller is capable of tracking the electron temperature target at locations across the spatial profile.

Morosohk, Shira [Oak Ridge Associated Universities↗

Beam-Based Diagnostics of Electric Guide Fields and Lattice Parameters for Run-1 of the Muon g-2 Storage Ring at Fermilab

A portion of the Muon g-2 Storage Ring electric system, which provides vertical beam focusing, exhibited an unexpected time dependence that produced a characteristic evolution of the stored beam during Run-1 of the Muon g-2 Experiment at Fermilab (E989). A method to reconstruct the Run-1 electric guide fields has been developed, which is based on a numerical model of the muon storage ring and optimization algorithms supported by COSY INFINITY. This method takes beam profile measurements from the Muon g-2 straw tracking detectors as input, and it produces a full reconstruction of the time-dependent fields. The fields can then be used for the reproduction of detailed beam tracking simulations and the calculation of ring lattice parameters for acceptance studies and systematic error evaluations.

43 PARTICLE ACCELERATORS↗

Understanding Transient Combustion Phenomena in Low-NO x Gas Turbines

The goal of this work was to understand, quantify, and eventually predict combustion instability during operational transients in low-NO x gas turbine combustors. Transient operation is defined as a mode where one or more key operating parameters, including equivalence ratio, fuel composition, or fuel splitting between nozzles in a combustor, are varying in time. The timescale over which this variation occurs will be referred to as the transient timescale, the magnitude of the change in the transient parameter will be referred to as the transient amplitude, and the direction of the variation will be referred to as the transient direction. Transients occur regularly in power generation gas turbine operation. For example, load-following gas turbines vary load to meet power demands while accounting for variation in unsteady grid contributors like wind and solar power. Operators achieve this by varying equivalence ratio and fuel splitting inside the combustors to produce more or less power. Another example of transient operation is during fuel-switching operations, a particular issue for turbines operating with syngas fuels in a co-generation facility. In this case, the composition of the fuel stream may vary in time either as a result of fluctuations in the pipeline, or in the case of a co-generation plant, variations in feedstock or gasification processes. This fluctuation in fuel composition can have significant implications for combustion processes, particularly with high-hydrogen fuels. A small number of studies have investigated transient behavior in gas turbine combustors, particularly in the context of flame blow-off; here, investigators have typically focused on issues of transient amplitude, though without the depth and physics-based experimental design that is proposed in this program. To our knowledge, there have been no studies that have quantified the impact of the transient timescale on combustion. The work helped us understand the impact of several types of transients on combustion stability. Both static and dynamic combustion stability will be considered. The transients will be quantified using their amplitude, direction, and timescale, and we will consider transients in equivalence ratio, fuel composition, and fuel splitting. There were two main objectives of this work: 1. Provide a fundamental understanding of combustion stability during transient operation using data obtained from a number of high-speed diagnostic techniques on experimental configurations that capture important gas turbine combustor features and operating conditions. This goal was met in conjunction with our industrial partner, GE Global Research, with whom we worked closely throughout the program. 2. Develop a stability prediction framework that will allow for the prediction, and possible control, of instabilities as a function of the transient amplitude, direction, and timescale. This input/output model should be physics-based and allow for screening of operating conditions and prediction of unstable behavior at the end of a transient by monitoring combustor health and precursor signals during operation.

03 NATURAL GAS↗

Diagnosing the DARHT Electron Beam-Target Interaction and Hydrodynamic Expansion [Dissertation]

Quantitative electron beam-target interaction studies on the Dual-Axis Radiographic Hydrodynamic Test (DARHT) electron linear induction accelerators have only been performed recently. This includes characterization of the temperature, density, pressure, extent, and expansion velocity of the plasma plume. The results presented in this dissertation present a detailed and unified overview of the accelerator systems, target heating physics, beam transport, and diagnostic tools. Additional information includes calibration sources, radiation hydrodynamics, spectroscopic-quality radiation transport modeling, experimental measurements, and analyses of electron beam driven aluminum experiments. The first set of spatially and temporally resolved spectroscopic measurements of electron beam driven aluminum are presented. Contamination quantification analyses are used to understand the origin of the strong Na-I 3p-3s lines that are observed in absorption within the aluminum plasma continuum. These results inform the creation of the first spectroscopic-quality radiation transport model that links several atomic physics codes to interpret the conditions from which the Na-I lines originate. A good agreement is found between the surface analysis results and the model which confirms the concentration of the sodium present within the aluminum alloy foil material. It also demonstrates, for the first time on electron beam-driven target experiments, the ability to interpret plasma conditions from measured absorption lines. In a second experimental campaign which focuses on pure aluminum, the Al-I 3p-4s and 3p3d doublets are both measured in emission. A detailed analysis of the Al-I 3p-4s doublet reveals that the lines undergo moderate self-absorption. A simple model of the self-absorption effect is successfully used to match measured spectra at various temperature/density/plasma scale length combinations. These measurements led to the realization of the minimum density that can be resolved by the spectrometers for the Al-I 3p-4s lines due to the large slit width required to observe a signal on aluminum. These measurements also demonstrate the sensitivity of visible and long wave UV spectroscopy to minor changes in both temperature and density. The simple self-absorption model will be useful for analysis of other beam-target interaction experiments with spectra exhibiting either self-absorption or full self-reversal. Substantial headway has been made on the modeling front by linking together several codes needed to model both the energy deposition, hydrodynamic motion, and atomic kinetics to produce synthetic spectral calculations that are compared with experimental measurements. There exists ample space for improvement, especially with benchmarking the hydrodynamics codes and equation-of-state tables with experimental measurements. The X-ray diagnostics required to make these new measurements along with the simulation capabilities required to interpret the results are under development and will be the subject of future studies.

43 PARTICLE ACCELERATORS↗

Smartphone-Based Device for Colorimetric Detection of MicroRNA Biomarkers Using Nanoparticle-Based Assay

The detection of microRNAs (miRNAs) is emerging as a clinically important tool for the non-invasive detection of a wide variety of diseases ranging from cancers and cardiovascular illnesses to infectious diseases. Over the years, miRNA detection schemes have become accessible to clinicians, but they still require sophisticated and bulky laboratory equipment and trained personnel to operate. The exceptional computing ability and ease of use of modern smartphones coupled with fieldable optical detection technologies can provide a useful and portable alternative to these laboratory systems. Herein, we present the development of a smartphone-based device called Krometriks, which is capable of simple and rapid colorimetric detection of microRNA (miRNAs) using a nanoparticle-based assay. The device consists of a smartphone, a 3D printed accessory, and a custom-built dedicated mobile app. We illustrate the utility of Krometriks for the detection of an important miRNA disease biomarker, miR-21, using a nanoplasmonics-based assay developed by our group. We show that Krometriks can detect miRNA down to nanomolar concentrations with detection results comparable to a laboratory-based benchtop spectrophotometer. With slight changes to the accessory design, Krometriks can be made compatible with different types of smartphone models and specifications. Thus, the Krometriks device offers a practical colorimetric platform that has the potential to provide accessible and affordable miRNA diagnostics for point-of-care and field applications in low-resource settings.

Krishnan, Tushar (ORCID:0000000342610336)↗

A decision-theoretic approach to the display of information for time-critical decisions: The Vista project

We describe a collaborative research and development effort between the Palo Alto Laboratory of the Rockwell Science Center, Rockwell Space Operations Company, and the Propulsion Systems Section of NASA JSC to design computational tools that can manage the complexity of information displayed to human operators in high-stakes, time-critical decision contexts. We shall review an application from NASA Mission Control and describe how we integrated a probabilistic diagnostic model and a time-dependent utility model, with techniques for managing the complexity of computer displays. Then, we shall describe the behavior of VPROP, a system constructed to demonstrate promising display-management techniques. Finally, we shall describe our current research directions on the Vista 2 follow-on project.

Horvitz, Eric↗

Medical Optimization Network for Space Telemedicine Resources

INTRODUCTION: Long-duration missions beyond low Earth orbit introduce new constraints to the space medical system. Beyond the traditional limitations in mass, power, and volume, consideration must be given to other factors such as the inability to evacuate to Earth, communication delays, and limitations in clinical skillsets. As NASA develops the medical system for an exploration mission, it must have an ability to evaluate the trade space of what resources will be most important. The Medical Optimization Network for Space Telemedicine Resources (MONSTR) was developed over the past year for this reason, and is now a system for managing data pertaining to medical resources and their relative importance when addressing medical conditions. METHODS: The MONSTR web application with a Microsoft SQL database backend was developed and made accessible to Tableau v9.3 for analysis and visualization. The database was initially populated with a list of medical conditions of concern for an exploration mission taken from the Integrated Medical Model (IMM), a probabilistic model designed to quantify in-flight medical risk. A team of physicians working within the Exploration Medical Capability Element of NASA's Human Research Program compiled a list diagnostic and treatment medical resources required to address best- and worst-case scenarios of each medical condition using a terrestrial standard of care and entered this data into the system. This list included both tangible resources (e.g. medical equipment, medications) and intangible resources (e.g. clinical skills required to perform a procedure). The physician team then assigned criticality values to each instance of a resource, representing the importance of that resource to diagnosing or treating its associated condition(s). Medical condition probabilities of occurrence during a Mars mission were pulled from the IMM and imported into the MONSTR database for use within a resource criticality-weighting algorithm. DISCUSSION: The MONSTR tool is a novel approach to assess the relative value of individual resources needed for the diagnosis and treatment of medical conditions. Future work will add resources for prevention and long term care of these conditions. Once data collection is complete, MONSTR will provide the operational and research communities at NASA with information to support informed decisions regarding areas of research investment, future crew training, and medical supplies manifested as part of any exploration medical system.

Rubin, D.↗

Satellite Precipitation Measurements: What Have We Learnt About Cloud-Precipitation Processes From Space?

Precipitation is one of the fundamental elements that define global and regional climatology. Precipitation systems consist of a broad spectrum of three-dimensional structures in which microphysical processes interact with macro-scale processes in the cloud system and the ambient environment that prescribe the evolution of the system. Since 1970s, satellite observations of precipitation have been a fundamental tool in quantifying this complex interaction. They have first quantified the frequency and intensity of global precipitation, including remote areas over open oceans and polar regions, thus providing today’s precipitation climatology. More recently, satellite observations of cloud and precipitation have been exploited for understanding the physical mechanisms governing precipitation systems. A subset of these studies also provided observation-based metrics to probe physical processes operating in cloud-precipitation systems and to apply them as diagnostic measures for evaluating the representation of the processes in numerical models for better projections of future climate. In this chapter, we first review the theoretical basis of precipitation remote sensing from space and describe how it is practically applied in satellite missions. In the first part of the chapter, an historical overview of the satellite missions is described, summarising the instruments and retrieval algorithms developed in the missions. In the second part, we introduce a set of studies discussing the fundamental mechanisms behind precipitation formation, highlighting what we have learnt to date on cloud-precipitation processes from satellite observations.

Precipitation↗

Sensor impact evaluation and verification for fault detection and diagnostics in building energy systems: A review

Sensors are the key information source for fault detection and diagnostics (FDD) in buildings. However, sensors are often not properly designed, installed, calibrated, located, and maintained, which negatively impacts FDD performance. Several sensor-related FDD topics have been widely studied, covering a wide range of fault types and applications. However, it is difficult to get a clear picture of the technical development of sensor-related topics in FDD. A systematic review of sensor topics is needed to summarize the existing research in a logical way, draw conclusions on the current development, and predict the future development of sensors in building FDD. To address this gap, we conducted a comprehensive literature review of more than 100 FDD-sensor-related papers. In this article, we subdivide the FDD tasks into building-level, system-level, and component-level FDD, and review sensor-related topics in each category. Our major conclusions are: (a) current data-driven FDD research focuses more on FDD algorithms than sensors, (b) sensor “hardware” research topics are less studied than sensor “software” topics, (c) very few papers focus on sensor engineering as an integral aspect of FDD development, and (d) some important sensor topics, such as sensor cost-effectiveness and sensor schema/layout/location, are not well studied. Finally, we discuss the need for a systematic framework of FDD sensors and models to integrate sensor design/selection, sensor data analysis/mining, feature selection, physics-based or data-driven algorithm development, sensor fault detection, sensor calibration, and sensor maintenance. Finally, expert interviews are conducted to validate the above findings and conclusions.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗

Assessing Tropical Cyclones’ Contribution to Precipitation over the Eastern United States and Sensitivity to the Variable-Resolution Domain Extent

Tropical cyclones (TCs) can subject an area to heavy precipitation for many hours, or even days, worsening the risk of flooding, which creates dangerous conditions for residents of the U.S. East and Gulf Coasts. To study the representation of TC-related precipitation over the eastern United States in current-generation global climate models, a novel analysis methodology is developed to track TCs and extract their associated precipitation using an estimate of their dynamical outer size. This methodology is applied to three variable-resolution (VR) configurations of the Community Atmosphere Model, version 5 (CAM5), with high-resolution domains over the North Atlantic and one low-resolution conventional configuration, as well as to a combination of reanalysis and observational precipitation data. Metrics and diagnostics such as TC counts, intensities, outer storm sizes, and annual mean total and extreme precipitation are compared between the CAM5 simulations and reanalysis/observations. The high-resolution VR configurations outperform the global low-resolution configuration for all variables in the North Atlantic. Realistic TC intensities are produced by the VR configurations. The total North Atlantic TC counts are lower than observations but better than reanalysis.

54 ENVIRONMENTAL SCIENCES↗

A simple Lagrangian forecast system with aviation forecast potential

A trajectory forecast procedure is developed which uses geopotential tendency fields obtained from a simple, multiple layer, potential vorticity conservative isentropic model. This model can objectively account for short-term advective changes in the mass field when combined with fine-scale initial analyses. This procedure for producing short-term, upper-tropospheric trajectory forecasts employs a combination of a detailed objective analysis technique, an efficient mass advection model, and a diagnostically proven trajectory algorithm, none of which require extensive computer resources. Results of initial tests are presented, which indicate an exceptionally good agreement for trajectory paths entering the jet stream and passing through an intensifying trough. It is concluded that this technique not only has potential for aiding in route determination, fuel use estimation, and clear air turbulence detection, but also provides an example of the types of short range forecasting procedures which can be applied at local forecast centers using simple algorithms and a minimum of computer resources.

Petersen, R. A.↗

Overview of ERA Ultra High Bypass Propulsor Technology Development

A review of the current research being conducted under the Environmentally Responsible Aviation (ERA) Ultra High Bypass (UHB) Testing subelement is presented. The four exiting tasks under the subelement, a description of each task, and the current status of each are given. The four tasks are: 1. Collaborate with P&W to design, fabricate and test a second generation of Geared Turbofan 2. Design, fabricate and test advanced Over the Rotor acoustic treatment and acoustically treated Soft Vanes 3. Develop a Shape Memory Alloy Variable Area Nozzle concept and demonstrate prototype 4. Refurbish and update the GRC Ultra High Bypass Drive Rig Following the current task updates, an overview of three proposed additional tasks to support the existing tasks is presented. The additional tasks would allow noise reduction and noise diagnostic testing technologies to be demonstrated at TRL 4 as part of existing planned fan model testing in the NASA Glenn 9 x15 Low Speed Wind Tunnel under the ERA UHB Testing subelement.

Hughes, Christopher↗

Ocean Surface Flux Algorithm Effects on Tropical Indo-Pacific Intraseasonal Precipitation

Surface latent heat fluxes help maintain tropical intraseasonal precipitation. We develop a latent heat flux diagnostic that depicts how latent heat fluxes vary with the near-surface specific humidity vertical gradient (Δq) and surface wind speed (|V|). Compared to fluxes estimated from |V| and Δq measured at tropical moorings and the Coupled Ocean Atmosphere Response Experiment 3.0 (COARE3.0) algorithm, tropical latent heat fluxes in the National Center for Atmospheric Research CEMS2 and Department of Energy E3SMv1 models are significantly overestimated at |V| and Δq extrema. Madden–Julian oscillation (MJO) sensitivity to surface flux algorithm is tested with offline and inline flux corrections. The offline correction adjusts model output fluxes toward mooring-estimated fluxes; the inline correction replaces the original bulk flux algorithm with the COARE3.0 algorithm in atmosphere-only simulations of each model. Both corrections indicate reduced latent heat flux feedback to intraseasonal precipitation, in better agreement with observations, suggesting that model-simulated fluxes are overly supportive for maintaining MJO convection.

54 ENVIRONMENTAL SCIENCES↗

Serum bile acid and unsaturated fatty acid profiles of non-alcoholic fatty liver disease in type 2 diabetic patients

The understanding of bile acid (BA) and unsaturated fatty acid (UFA) profiles, as well as their dysregulation, remains elusive in individuals with type 2 diabetes mellitus (T2DM) coexisting with non-alcoholic fatty liver disease (NAFLD). Investigating these metabolites could offer valuable insights into the pathophy-siology of NAFLD in T2DM. Our aim is to identify potential metabolite biomarkers capable of distinguishing between NAFLD and T2DM. A training model was developed involving 399 participants, comprising 113 healthy controls (HCs), 134 individuals with T2DM without NAFLD, and 152 individuals with T2DM and NAFLD. External validation encompassed 172 participants. NAFLD patients were divided based on liver fibrosis scores. The analytical approach employed univariate testing, orthogonal partial least squares-discriminant analysis, logistic regression, receiver operating characteristic curve analysis, and decision curve analysis to pinpoint and assess the diagnostic value of serum biomarkers. Compared to HCs, both T2DM and NAFLD groups exhibited diminished levels of specific BAs. In UFAs, particular acids exhibited a positive correlation with NAFLD risk in T2DM, while the ω-6:ω-3 UFA ratio demonstrated a negative correlation. Levels of α-linolenic acid and γ-linolenic acid were linked to significant liver fibrosis in NAFLD. The validation cohort substantiated the predictive efficacy of these biomarkers for assessing NAFLD risk in T2DM patients. This study underscores the connection between altered BA and UFA profiles and the presence of NAFLD in individuals with T2DM, proposing their potential as biomarkers in the pathogenesis of NAFLD.

60 APPLIED LIFE SCIENCES↗