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Gut-Brain Axis Dysregulation in Inflammatory Bowel Disease: Implications for Coagulation Abnormalities and Extraintestinal Manifestations

Int J Gen Med. 2026 Mar 24;19:590621. doi: 10.2147/IJGM.S590621. eCollection 2026.

ABSTRACT

Inflammatory bowel disease (IBD) involves chronic intestinal inflammation driven by gut-brain axis imbalance, fostering complications through an "inflammation-neuro-coagulation" triad. Current staging systems inadequately capture the dynamics of this multidimensional network. Therefore, integrated multi-omics analyses-including metagenomics, metabolomics, and single-cell transcriptomics-are essential to construct dynamic models that monitor coagulation, microbiome, and metabolism for precise assessment of disease activity and thrombotic or bleeding risks. Interventions targeting gut-brain axis nodes, such as eliminating tissue factor-positive (TF⁺) T cells or modulating vagal activity, show potential to disrupt the inflammation-coagulation cycle, although rigorous randomized trials are still needed. Artificial intelligence (AI)-assisted systems that integrate real-time biomarker monitoring with multi-omics predictions represent a novel paradigm for managing IBD-related coagulation dysfunction. Key challenges include elucidating gut-brain-liver axis regulation of coagulation and characterizing platelet functional heterogeneity. Future efforts must prioritize ethically compliant multi-omics platforms and racially stratified risk models to advance personalized coagulation management in IBD.

PMID:41913906 | PMC:PMC13033200 | DOI:10.2147/IJGM.S590621

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Hierarchical Reference Sets for Robust Unsupervised Detection of Scattered and Clustered Outliers

arXiv:2603.12847v1 Announce Type: cross Abstract: Most real-world IoT data analysis tasks, such as clustering and anomaly event detection, are unsupervised and highly susceptible to the presence of outliers. In addition to sporadic scattered outliers caused by factors such as faulty sensor readings, IoT systems often exhibit clustered outliers. These occur when multiple devices or nodes produce similar anomalous measurements, for instance, owing to localized interference, emerging security threats, or regional false alarms, forming micro-clusters. These clustered outliers can be easily mistaken for normal behavior because of their relatively high local density, thereby obscuring the detection of both scattered and contextual anomalies. To address this, we propose a novel outlier detection paradigm that leverages the natural neighboring relationships using graph structures. This facilitates multi-perspective anomaly evaluation by incorporating reference sets at both local and global scales derived from the graph. Our approach enables the effective recognition of scattered outliers without interference from clustered anomalies, whereas the graph structure simultaneously helps reflect and isolate clustered outlier groups. Extensive experiments, including comparative performance analysis, ablation studies, validation on downstream clustering tasks, and evaluation of hyperparameter sensitivity, demonstrate the efficacy of the proposed method. The source code is available at https://github.com/gordonlok/DROD.
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