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Journal of Medical Internet Research
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A Gamified Mobile Health Intervention to Promote Physical Activity, Executive Function, and Mental Health in College Students: Randomized Controlled Trial
Background: College students commonly experience suboptimal health conditions, including insufficient physical activity (PA), excessive body weight, and declining physical fitness. Traditional interventions face low adherence, while gamified mobile health (mHealth) programs may improve engagement and outcomes. Objective: This study aimed to evaluate the feasibility and effectiveness of a novel gamified, incentive-based mHealth intervention on primary outcomes (PA and adherence) and secondary out
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Journal of Medical Internet Research
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Initial Insights Into an Institutional Secure Large Language Model for Magnetic Resonance Imaging Examination Requests: Retrospective Study
Background: Incomplete clinical details on magnetic resonance imaging (MRI) examination requests (MERs) can lead to suboptimal protocol selection. An institutional secure large language model (sLLM) with access to manually retrieved salient data from the electronic medical record (EMR) may improve request completeness and protocol accuracy across multiple MRI subspecialties. Objective: The objective of this study was to compare clinician MERs with sLLM-augmented MERs for information quality and
Initial Insights Into an Institutional Secure Large Language Model for Magnetic Resonance Imaging Examination Requests: Retrospective Study
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(Multiomics OR Omics) AND (Lung OR gastric OR Hepatocellular)
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WNT7A correlates with immunosuppression and predicts adverse prognosis in lung adenocarcinoma: Potential implication of the NF-kappaB/CCL2 Axis
Cytokine. 2026 Apr 6;202:157144. doi: 10.1016/j.cyto.2026.157144. Online ahead of print.ABSTRACTBACKGROUND: The remodeling of the tumor immune microenvironment (TME) is a pivotal determinant of therapeutic efficacy and clinical outcome in Lung Adenocarcinoma (LUAD). While WNT signaling is a known oncogenic driver, the specific immunomodulatory role of WNT7A and its potential crosstalk with inflammatory pathways in LUAD remain to be fully elucidated. We sought to define the prognostic value of WN
WNT7A correlates with immunosuppression and predicts adverse prognosis in lung adenocarcinoma: Potential implication of the NF-kappaB/CCL2 Axis
Cytokine. 2026 Apr 6;202:157144. doi: 10.1016/j.cyto.2026.157144. Online ahead of print.
ABSTRACT
BACKGROUND: The remodeling of the tumor immune microenvironment (TME) is a pivotal determinant of therapeutic efficacy and clinical outcome in Lung Adenocarcinoma (LUAD). While WNT signaling is a known oncogenic driver, the specific immunomodulatory role of WNT7A and its potential crosstalk with inflammatory pathways in LUAD remain to be fully elucidated. We sought to define the prognostic value of WNT7A and explore the molecular mechanisms by which it may foster an immunosuppressive TME.
METHODS: We performed a multi-omics analysis utilizing the TCGA-LUAD cohort (N = 508) and validated findings in an independent external cohort (GSE30219, N = 293). The prognostic significance of WNT7A was evaluated using Kaplan-Meier and multivariate Cox regression analyses. TME composition was dissected via ssGSEA, focusing on myeloid-derived suppressor cell (MDSC) infiltration. Mechanistic pathways were identified using Gene Set Enrichment Analysis (GSEA) and gene co-expression networks.
RESULTS: High WNT7A expression was identified as a significant predictor of poor Overall Survival (OS) in the TCGA cohort (P < 0.05) and validated in the external cohort (P < 0.05). Multivariate analysis confirmed WNT7A as an independent prognostic risk factor (HR = 1.085, P = 0.036). Immunologically, WNT7A expression was positively correlated with MDSC infiltration (R = 0.43, P < 0.001), suggesting a shift towards an immune-tolerant phenotype. Mechanistically, GSEA revealed a robust activation of inflammatory signaling in the high-WNT7A group. Specifically, the TNFA Signaling via NF-ΞΊB pathway was significantly enriched(NES = 2.52, P < 0.001). Consistent with this pathway activation, WNT7A showed a statistically significant positive correlation with CCL2 (P < 0.001), a critical chemokine for MDSC recruitment, implicating the NF-ΞΊB/CCL2 axis in this process.
CONCLUSION: WNT7A serves as a prognostic biomarker linked to immune evasion in LUAD, potentially by modulating the NF-ΞΊB/CCL2/MDSC axis. This study identifies WNT7A as a potential therapeutic target to remodel the immune microenvironment, providing a rationale for future investigations into WNT-targeted strategies to improve immunotherapy efficacy.
PMID:41946008 | DOI:10.1016/j.cyto.2026.157144
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Omics In Lung
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WNT7A correlates with immunosuppression and predicts adverse prognosis in lung adenocarcinoma: Potential implication of the NF-kappaB/CCL2 Axis
Cytokine. 2026 Apr 6;202:157144. doi: 10.1016/j.cyto.2026.157144. Online ahead of print.ABSTRACTBACKGROUND: The remodeling of the tumor immune microenvironment (TME) is a pivotal determinant of therapeutic efficacy and clinical outcome in Lung Adenocarcinoma (LUAD). While WNT signaling is a known oncogenic driver, the specific immunomodulatory role of WNT7A and its potential crosstalk with inflammatory pathways in LUAD remain to be fully elucidated. We sought to define the prognostic value of WN
WNT7A correlates with immunosuppression and predicts adverse prognosis in lung adenocarcinoma: Potential implication of the NF-kappaB/CCL2 Axis
Cytokine. 2026 Apr 6;202:157144. doi: 10.1016/j.cyto.2026.157144. Online ahead of print.
ABSTRACT
BACKGROUND: The remodeling of the tumor immune microenvironment (TME) is a pivotal determinant of therapeutic efficacy and clinical outcome in Lung Adenocarcinoma (LUAD). While WNT signaling is a known oncogenic driver, the specific immunomodulatory role of WNT7A and its potential crosstalk with inflammatory pathways in LUAD remain to be fully elucidated. We sought to define the prognostic value of WNT7A and explore the molecular mechanisms by which it may foster an immunosuppressive TME.
METHODS: We performed a multi-omics analysis utilizing the TCGA-LUAD cohort (N = 508) and validated findings in an independent external cohort (GSE30219, N = 293). The prognostic significance of WNT7A was evaluated using Kaplan-Meier and multivariate Cox regression analyses. TME composition was dissected via ssGSEA, focusing on myeloid-derived suppressor cell (MDSC) infiltration. Mechanistic pathways were identified using Gene Set Enrichment Analysis (GSEA) and gene co-expression networks.
RESULTS: High WNT7A expression was identified as a significant predictor of poor Overall Survival (OS) in the TCGA cohort (P < 0.05) and validated in the external cohort (P < 0.05). Multivariate analysis confirmed WNT7A as an independent prognostic risk factor (HR = 1.085, P = 0.036). Immunologically, WNT7A expression was positively correlated with MDSC infiltration (R = 0.43, P < 0.001), suggesting a shift towards an immune-tolerant phenotype. Mechanistically, GSEA revealed a robust activation of inflammatory signaling in the high-WNT7A group. Specifically, the TNFA Signaling via NF-ΞΊB pathway was significantly enriched(NES = 2.52, P < 0.001). Consistent with this pathway activation, WNT7A showed a statistically significant positive correlation with CCL2 (P < 0.001), a critical chemokine for MDSC recruitment, implicating the NF-ΞΊB/CCL2 axis in this process.
CONCLUSION: WNT7A serves as a prognostic biomarker linked to immune evasion in LUAD, potentially by modulating the NF-ΞΊB/CCL2/MDSC axis. This study identifies WNT7A as a potential therapeutic target to remodel the immune microenvironment, providing a rationale for future investigations into WNT-targeted strategies to improve immunotherapy efficacy.
PMID:41946008 | DOI:10.1016/j.cyto.2026.157144
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cs.AI, q-bio.NC updates on arXiv.org
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IC3-Evolve: Proof-/Witness-Gated Offline LLM-Driven Heuristic Evolution for IC3 Hardware Model Checking
arXiv:2604.03232v1 Announce Type: new Abstract: IC3, also known as property-directed reachability (PDR), is a commonly-used algorithm for hardware safety model checking. It checks if a state transition system complies with a given safety property. IC3 either returns UNSAFE (indicating property violation) with a counterexample trace, or SAFE with a checkable inductive invariant as the proof to safety. In practice, the performance of IC3 is dominated by a large web of interacting heuristics and i
IC3-Evolve: Proof-/Witness-Gated Offline LLM-Driven Heuristic Evolution for IC3 Hardware Model Checking
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cs.AI, q-bio.NC updates on arXiv.org
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Position: Science of AI Evaluation Requires Item-level Benchmark Data
arXiv:2604.03244v1 Announce Type: new Abstract: AI evaluations have become the primary evidence for deploying generative AI systems across high-stakes domains. However, current evaluation paradigms often exhibit systemic validity failures. These issues, ranging from unjustified design choices to misaligned metrics, remain intractable without a principled framework for gathering validity evidence and conducting granular diagnostic analysis. In this position paper, we argue that item-level AI ben
Position: Science of AI Evaluation Requires Item-level Benchmark Data
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cs.AI, q-bio.NC updates on arXiv.org
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Hume's Representational Conditions for Causal Judgment: What Bayesian Formalization Abstracted Away
arXiv:2604.03387v1 Announce Type: new Abstract: Hume's account of causal judgment presupposes three representational conditions: experiential grounding (ideas must trace to impressions), structured retrieval (association must operate through organized networks exceeding pairwise connection), and vivacity transfer (inference must produce felt conviction, not merely updated probability). This paper extracts these conditions from Hume's texts and argues that they are integral to his causal psychol
Hume's Representational Conditions for Causal Judgment: What Bayesian Formalization Abstracted Away
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cs.AI, q-bio.NC updates on arXiv.org
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Large Language Models Align with the Human Brain during Creative Thinking
arXiv:2604.03480v1 Announce Type: new Abstract: Creative thinking is a fundamental aspect of human cognition, and divergent thinking-the capacity to generate novel and varied ideas-is widely regarded as its core generative engine. Large language models (LLMs) have recently demonstrated impressive performance on divergent thinking tests and prior work has shown that models with higher task performance tend to be more aligned to human brain activity. However, existing brain-LLM alignment studies
Large Language Models Align with the Human Brain during Creative Thinking
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cs.AI, q-bio.NC updates on arXiv.org
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Beyond Predefined Schemas: TRACE-KG for Context-Enriched Knowledge Graphs from Complex Documents
arXiv:2604.03496v1 Announce Type: new Abstract: Knowledge graph construction typically relies either on predefined ontologies or on schema-free extraction. Ontology-driven pipelines enforce consistent typing but require costly schema design and maintenance, whereas schema-free methods often produce fragmented graphs with weak global organization, especially in long technical documents with dense, context-dependent information. We propose TRACE-KG (Text-dRiven schemA for Context-Enriched Knowled
Beyond Predefined Schemas: TRACE-KG for Context-Enriched Knowledge Graphs from Complex Documents
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cs.AI, q-bio.NC updates on arXiv.org
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A Multimodal Foundation Model of Spatial Transcriptomics and Histology for Biological Discovery and Clinical Prediction
arXiv:2604.03630v1 Announce Type: new Abstract: Spatial transcriptomics (ST) enables gene expression mapping within anatomical context but remains costly and low-throughput. Hematoxylin and eosin (H\&E) staining offers rich morphology yet lacks molecular resolution. We present \textbf{\ours} (\textbf{S}patial \textbf{T}ranscriptomics and hist\textbf{O}logy \textbf{R}epresentation \textbf{M}odel), a foundation model trained on 1.2 million spatially resolved transcriptomic profiles with match
A Multimodal Foundation Model of Spatial Transcriptomics and Histology for Biological Discovery and Clinical Prediction
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cs.AI, q-bio.NC updates on arXiv.org
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PRAISE: Prefix-Based Rollout Reuse in Agentic Search Training
arXiv:2604.03675v1 Announce Type: new Abstract: In agentic search, large language models (LLMs) are trained to perform multi-turn retrieval and reasoning for complex tasks such as multi-hop question answering (QA). However, current search-based Reinforcement Learning (RL) methods suffer from two core limitations: expensive long-horizon rollouts are under-utilized during training, and supervision is typically available only at the final answer, resulting in severe reward sparsity. We present Pre
PRAISE: Prefix-Based Rollout Reuse in Agentic Search Training
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cs.AI, q-bio.NC updates on arXiv.org
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RL-Driven Sustainable Land-Use Allocation for the Lake Malawi Basin
arXiv:2604.03768v1 Announce Type: new Abstract: Unsustainable land-use practices in ecologically sensitive regions threaten biodiversity, water resources, and the livelihoods of millions. This paper presents a deep reinforcement learning (RL) framework for optimizing land-use allocation in the Lake Malawi Basin to maximize total ecosystem service value (ESV). Drawing on the benefit transfer methodology of Costanza et al., we assign biome-specific ESV coefficients -- locally anchored to a Malawi
RL-Driven Sustainable Land-Use Allocation for the Lake Malawi Basin
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cs.AI, q-bio.NC updates on arXiv.org
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Quantifying Trust: Financial Risk Management for Trustworthy AI Agents
arXiv:2604.03976v1 Announce Type: new Abstract: Prior work on trustworthy AI emphasizes model-internal properties such as bias mitigation, adversarial robustness, and interpretability. As AI systems evolve into autonomous agents deployed in open environments and increasingly connected to payments or assets, the operational meaning of trust shifts to end-to-end outcomes: whether an agent completes tasks, follows user intent, and avoids failures that cause material or psychological harm. These ri
Quantifying Trust: Financial Risk Management for Trustworthy AI Agents
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cs.AI, q-bio.NC updates on arXiv.org
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Pedagogical Safety in Educational Reinforcement Learning: Formalizing and Detecting Reward Hacking in AI Tutoring Systems
arXiv:2604.04237v1 Announce Type: new Abstract: Reinforcement learning (RL) is increasingly used to personalize instruction in intelligent tutoring systems, yet the field lacks a formal framework for defining and evaluating pedagogical safety. We introduce a four-layer model of pedagogical safety for educational RL comprising structural, progress, behavioral, and alignment safety and propose the Reward Hacking Severity Index (RHSI) to quantify misalignment between proxy rewards and genuine lear
Pedagogical Safety in Educational Reinforcement Learning: Formalizing and Detecting Reward Hacking in AI Tutoring Systems
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cs.AI, q-bio.NC updates on arXiv.org
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MC-CPO: Mastery-Conditioned Constrained Policy Optimization
arXiv:2604.04251v1 Announce Type: new Abstract: Engagement-optimized adaptive tutoring systems may prioritize short-term behavioral signals over sustained learning outcomes, creating structural incentives for reward hacking in reinforcement learning policies. We formalize this challenge as a constrained Markov decision process (CMDP) with mastery-conditioned feasibility, in which pedagogical safety constraints dynamically restrict admissible actions according to learner mastery and prerequisite
MC-CPO: Mastery-Conditioned Constrained Policy Optimization
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cs.AI, q-bio.NC updates on arXiv.org
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InferenceEvolve: Towards Automated Causal Effect Estimators through Self-Evolving AI
arXiv:2604.04274v1 Announce Type: new Abstract: Causal inference is central to scientific discovery, yet choosing appropriate methods remains challenging because of the complexity of both statistical methodology and real-world data. Inspired by the success of artificial intelligence in accelerating scientific discovery, we introduce InferenceEvolve, an evolutionary framework that uses large language models to discover and iteratively refine causal methods. Across widely used benchmarks, Inferen
InferenceEvolve: Towards Automated Causal Effect Estimators through Self-Evolving AI
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cs.AI, q-bio.NC updates on arXiv.org
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Search, Do not Guess: Teaching Small Language Models to Be Effective Search Agents
arXiv:2604.04651v1 Announce Type: new Abstract: Agents equipped with search tools have emerged as effective solutions for knowledge-intensive tasks. While Large Language Models (LLMs) exhibit strong reasoning capabilities, their high computational cost limits practical deployment for search agents. Consequently, recent work has focused on distilling agentic behaviors from LLMs into Small Language Models (SLMs). Through comprehensive evaluation on complex multi-hop reasoning tasks, we find that
Search, Do not Guess: Teaching Small Language Models to Be Effective Search Agents
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cs.AI, q-bio.NC updates on arXiv.org
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SoLA: Leveraging Soft Activation Sparsity and Low-Rank Decomposition for Large Language Model Compression
arXiv:2604.03258v1 Announce Type: cross Abstract: Large language models (LLMs) have demonstrated impressive capabilities across various tasks, but the billion-scale parameters pose deployment challenges. Although existing methods attempt to reduce the scale of LLMs, they require either special hardware support or expensive post-training to maintain model quality. To facilitate efficient and affordable model slimming, we propose a novel training-free compression method for LLMs, named "SoLA", wh
SoLA: Leveraging Soft Activation Sparsity and Low-Rank Decomposition for Large Language Model Compression
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cs.AI, q-bio.NC updates on arXiv.org
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3D-IDE: 3D Implicit Depth Emergent
arXiv:2604.03296v1 Announce Type: cross Abstract: Leveraging 3D information within Multimodal Large Language Models (MLLMs) has recently shown significant advantages for indoor scene understanding. However, existing methods, including those using explicit ground-truth 3D positional encoding and those grafting external 3D foundation models for implicit geometry, struggle with the trade-off in 2D-3D representation fusion, leading to suboptimal deployment. To this end, we propose 3D-Implicit Depth
3D-IDE: 3D Implicit Depth Emergent
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cs.AI, q-bio.NC updates on arXiv.org
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V-Reflection: Transforming MLLMs from Passive Observers to Active Interrogators
arXiv:2604.03307v1 Announce Type: cross Abstract: Multimodal Large Language Models (MLLMs) have achieved remarkable success, yet they remain prone to perception-related hallucinations in fine-grained tasks. This vulnerability arises from a fundamental limitation: their reasoning is largely restricted to the language domain, treating visual input as a static, reasoning-agnostic preamble rather than a dynamic participant. Consequently, current models act as passive observers, unable to re-examine