Biology subjects

Mendelson Cohen, N.

Publications and source records attributed to Mendelson Cohen, N..

4 recordsLinked to original sources

bioRxiv2024

Quantification of beta cell carrying capacity in prediabetes

Prediabetes, a subclinical state of high glucose, carries a risk of transition to diabetes. One cause of prediabetes is insulin resistance, which impairs the ability of insulin to control blood glucose. However, many individuals with high insulin resistance retain normal glucose due to compensation by enhanced insulin secretion by beta cells. Individuals seem to differ in their maximum compensation level, termed beta cell carrying capacity, such that low carrying capacity is associated with a higher risk of prediabetes and diabetes. Carrying capacity has not been quantified using a mathematical model and cannot be estimated directly from measured glucose and insulin levels in patients, unlike insulin resistance and beta cell function which can be estimated using HOMA-IR and HOMA-B formula. Here we present a mathematical model of beta cell compensation and carrying capacity, and develop a new formula called HOMA-C to estimate it from glucose and insulin measurements. HOMA-C estimates the maximal potential beta cell function of an individual, rather than the current beta cell function. We test this approach using longitudinal cohorts of prediabetic people, finding 10-fold variation in carrying capacity. Low carrying capacity is associated with higher risk of transitioning to diabetes. We estimate the timescales of beta cell compensation and insulin resistance using large datasets, showing that, unlike previous mathematical models, the new model can explain the slow rise in glucose over decades. Our mathematical understanding of beta cell carrying capacity may help to assess the risk of prediabetes in each individual.

systems biology↗

bioRxiv2023

Pregnancy and postpartum dynamics revealed by an atlas of millions of lab tests

Pregnancy and delivery involve dynamic alterations in many physiological systems. However, the physiological dynamics during pregnancy and after delivery have not been systematically analyzed at high temporal resolution in a large human population. Here we present the dynamics of 76 lab tests based on a cross-sectional analysis of roughly 41 million measurements from over 300,000 pregnancies. We analyzed each test at weekly intervals from 20 weeks preconception to 80 weeks postpartum, providing detailed temporal profiles. About half of the tests take three months to a year to return to baseline during postpartum, highlighting the physiological load of childbirth. The precision of the data revealed effects of preconception supplements, overshoots after delivery and intricate temporal responses to changes in blood volume and renal filtration rate. Pregnancy complications - gestational diabetes, pre-eclampsia and postpartum hemorrhage - showed distinct dynamical changes. These results provide a comprehensive dynamic portrait of the systems physiology of pregnancy.

physiology↗

bioRxiv2020

Human hormone seasonality

Hormones control the major biological functions of stress response, growth, metabolism and reproduction. In animals these hormones show pronounced seasonality, with different set-points for different seasons. In humans, the seasonality of these hormones remains unclear, due to a lack of datasets large enough to discern common patterns and cover all hormones. Here, we analyze an Israeli health record on 46 million person-years, including millions of hormone blood tests. We find clear seasonal patterns: the effector hormones peak in winter-spring, whereas most of their upstream regulating pituitary hormones peak only months later, in summer. This delay of months is unexpected because known delays in the hormone circuits last hours. We explain the precise delays and amplitudes by proposing and testing a mechanism for the circannual clock: the gland masses grow with a timescale of months due to trophic effects of the hormones, generating a feedback circuit with a natural frequency of about a year that can entrain to the seasons. Thus, humans may show coordinated seasonal set-points with a winter-spring peak in the growth, stress, metabolism and reproduction axes.

systems biology↗

bioRxiv2017

SHAMAN: bin-free randomization, normalization and screening of Hi-C matrices

Genome wide chromosome conformation capture (Hi-C) is used to interrogate contact frequencies among genomic elements at multiple scales and intensities, ranging from high frequency interactions among proximal regulatory elements, through specific long-range loops between insulator binding sites and up to rare and transient cis- and trans-chromosomal contacts. Visualization and statistical analysis of Hi-C data is made difficult by the extreme variation in the background frequencies of chromosomal contacts between elements at short and long genomic distances. Here we introduce SHAMAN for performing Hi-C analysis at dynamic scales, without predefined resolution, and while minimizing biases over very large datasets. Algorithmically, we devise a Markov Chain Monte Carlo-like procedure for randomizing contact matrices such that coverage and contact distance distributions are preserved. We combine this strategy with bin-free assessment of contact enrichment using a K-nearest neighbor approach. We show how to use the new method for visualizing contact hotspots and for quantifying differential contacts in matching Hi-C maps. We demonstrate how contact preferences among regulatory elements, including promoters, enhancers and insulators can be assessed with minimal bias by comparing pooled empirical and randomized matrices. Full support for our methods is available in a new software package that is freely available.

bioinformatics↗