In this study, we present recent developments on ESPnet: End-to-End Speech Processing toolkit, which mainly involves a recently proposed architecture called Conformer, Convolution-augmented Transformer. This paper shows the results for a wide range of endto-end speech processing applications, such as automatic speech recognition (ASR), speech translations (ST), speech separation (SS) and text-to-speech (TTS). Our experiments reveal various training tips and significant performance benefits obtained with the Conformer on different tasks. These results are competitive or even outperform the current state-of-art Transformer models. We are preparing to release all-in-one recipes using open source and publicly available corpora for all the above tasks with pre-trained models. Our aim for this work is to contribute to our research community by reducing the burden of preparing state-of-the-art research environments usually requiring high resources.
Immunogenicity of recombinant human acid-alpha glucosidase (rhGAA) in enzyme replacement therapy (ERT) is a safety and efficacy concern in the management of late-onset Pompe disease (LOPD). However, long-term effects of ERT on humoral and cellular responses to rhGAA are still poorly understood. To better understand the impact of immunogenicity of rhGAA on the efficacy of ERT, clinical data and blood samples from LOPD patients undergoing ERT for >4 years (n = 28) or untreated (n = 10) were collected and analyzed. In treated LOPD patients, anti-rhGAA antibodies peaked within the first 1000 days of ERT, while long-term exposure to rhGAA resulted in clearance of antibodies with residual production of non-neutralizing IgG. Analysis of T cell responses to rhGAA showed detectable T cell reactivity only after in vitro restimulation. Upregulation of several cytokines and chemokines was detectable in both treated and untreated LOPD subjects, while IL2 secretion was detectable only in subjects who received ERT. These results indicate that long-term ERT in LOPD patients results in a decrease in antibody titers and residual production of non-inhibitory IgGs. Immune responses to GAA following long-term ERT do not seem to affect efficacy of ERT and are consistent with an immunomodulatory effect possibly mediated by regulatory T cells.
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