Helicobacter, EarlyView.
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- The effect of antioxidants on Helicobacter pylori ...
- Pemphigus vulgaris as the first manifestation of m...
- Untersuchung der Qualität der Hörgeräteversorgung ...
- Tofacitinib for the Treatment of Alopecia Areata i...
- Reply to MS#JAAD-D-18-01527
- Ruxolitinib for the treatment of severe alopecia a...
- Lightening Becker’s nevus: Role of topical therapies
- Trichloroacetic acid as a treatment for persistent...
- Previously undiagnosed Darier disease complicated ...
- Onychogryphosis: A case report and review of the l...
- Peristomal pyoderma gangrenosum in a patient with ...
- Necrotisans erythema nodosum leprosum with systemi...
- Pruritus in patients under targeted anticancer the...
- Platelet-rich plasma for skin rejuvenation: A syst...
- Patient experience of the “two-week wait” cancer r...
- Nonmelanoma skin cancer in HIV-positive patients: ...
- Process of standardized postoperative telephone fo...
- Predicting therapy outcome by HLA-Cw6 genotyping i...
- Pigmented eccrine poroma: A clinical dermoscopy ch...
- Pediatric melanoma immunotherapy: A retrospective ...
- Painful subcutaneous lesions in a patient with met...
- Old is gold—Revisiting the efficacy of topical pso...
- Nicolau syndrome appears after filling hyaluronic ...
- Noise-Induced Hypersensitization of the Acoustic S...
- The Stress Response in the Non-sensory Cells of th...
- The RNA-Specific Adenosine Deaminase ADAR1 Inhibit...
- Interaction of S17 Antibody with the Functional Bi...
- Noise-Induced Hypersensitization of the Acoustic S...
- Improved Neural Coding of ITD with Bilateral Cochl...
- The Stress Response in the Non-sensory Cells of th...
- Surface Motion of Tympanic Membrane in a Chinchill...
- Does the King Airway system signal the end of intu...
- Sex Education | Age Appropriate Topics
- Improved Neural Coding of ITD with Bilateral Cochl...
- Surface Motion of Tympanic Membrane in a Chinchill...
- Inflammation cutanée de contiguïté : situations di...
- Comparison of Opioid Utilization Patterns After Ma...
- Validation of Haptic Properties of Materials for E...
- Validation of Haptic Properties of Materials for E...
- Association of Cognition and Age-Related Hearing I...
- Symptom Burden Associated With Late Lower Cranial ...
- Preoperative Imaging in Primary Hyperparathyroidism
- Invisible Empire of Hate: Gender Differences in th...
- Regulatory T cell deficiency and autoimmune skin d...
- RhoA/ROCK Signaling Modulates Lineage Commitment o...
- Consensus approach for the management of severe co...
- Dupilumab progressively improves systemic and cuta...
- Paraben exposures and asthma-related outcomes amon...
- Acute respiratory infections in early childhood an...
- Midostaurin in patients with indolent systemic mas...
- Insulin decreases expression of the proinflammator...
- Paradoxical psoriasis following anti–TNF therapy i...
- Deconstructive somatic cell nuclear transfer revea...
- Aspergillosis, eosinophilic esophagitis, and aller...
- Association of ST2 polymorphisms with atopy, asthm...
- Detection of IL-36γ through noninvasive tape strip...
- Context matters: TH2 polarization resulting from p...
- Micro RNAs are required for Langerhans cell, skin-...
- AllergoOncology: Generating a canine anticancer Ig...
- Reference values for peripheral blood lymphocyte s...
- Ozone exposure induces respiratory barrier biphasi...
- Efficacy of lentivirus-mediated gene therapy in an...
- An actin cytoskeletal barrier inhibits lytic granu...
- Prognostic significance of cell cycle-associated p...
- Sequential Eruptions Triggered by Flux Emergence: ...
- Myocardial extracellular volume quantified by magn...
- Managing intrinsic motivation in a long-run relati...
- Stellar Streams Discovered in the Dark Energy Survey
- Buridanic competition
- The Chemistry of Phosphorus-bearing Molecules unde...
- Spillover Effects of Mass Layoffs
- First Data Release of the COSMOS Ly alpha Mapping ...
- Behavioral Economics and the Atheoretical Style
- The Progression of the Stargardt Disease Type 4 (P...
- Search for new phenomena using the invariant mass ...
- Measurements of b-jet tagging efficiency with the ...
- Antinuclear Antibody‐Negative Systemic Lupus Eryth...
- Aging and the evolution of comorbidities among HIV...
- SCN5A mutations in 442 neonates and children: geno...
- Socio-economic variations in anticipated adverse r...
- Echocardiographic reference ranges in older childr...
- Racial Variation in Echocardiographic Reference Ra...
- Cascade of care and factors associated with virolo...
- An Empirical Analysis of Anonymity in Zcash.
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- Femoral neuropathy following direct anterior total...
- Protracted diagnosis of ACNES: a costly exercise
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- Molecular therapy for genetic and degenerative ves...
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- Pediatric free flap reconstruction for head and ne...
- Pearls for the middle fossa approach in acoustic n...
- Advances in computer-aided design for bony free-fl...
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Ετικέτες
Πέμπτη 6 Σεπτεμβρίου 2018
The effect of antioxidants on Helicobacter pylori eradication: A systematic review with meta‐analysis
Pemphigus vulgaris as the first manifestation of multiple myeloma: a case report
The association between pemphigus and malignancy has been well documented for decades but an association between pemphigus vulgaris and multiple myeloma is unusual. We report a case of pemphigus vulgaris revea...
https://ift.tt/2MTrrN7
Untersuchung der Qualität der Hörgeräteversorgung bei Senioren unter Berücksichtigung kognitiver Einflussfaktoren
Laryngo-Rhino-Otol
DOI: 10.1055/a-0671-2295
In der Gruppe der über 65-Jährigen ist die Hörminderung eines der häufigsten gesundheitlichen Probleme. Um die Kommunikationsfähigkeit in dieser Population aufrecht zu erhalten, ist eine adäquate Hörgeräteversorgung essentiell. Das Ziel der vorliegenden Studie war die Überprüfung der Qualität der Hörgeräteversorgung bei Senioren in Bezug auf die Wiederherstellung der Sprachdiskrimination. Weiterhin sollte der Einfluss des Alters und einiger kognitiver Parameter auf das Sprachverstehen betrachtet werden. Es wurden 40 Probanden im Alter von 66 bis 88 Jahren mit ein- oder beidseitiger Hörgeräteversorgung untersucht. Es wurde der gemittelte Hörverlust der Frequenzen 0,5–1-2–4 kHz und der gemittelte Hochton-Hörverlust bei den Frequenzen 2–4-6 kHz sowie das maximale Einsilberverstehen (mEV) und das hörgeräteversorgte Sprachverstehen bei 65 dB betrachtet. Um mögliche kognitive Einflussfaktoren zu ermitteln, wurden ein Demenzscreening-Verfahren (DemTect-Test) und ein Test zur Prüfung des Arbeitsgedächtnisses angewendet. Zwar zeigte sich ein Gewinn durch die Hörgeräteversorgung in 82 % der untersuchten Fälle, die nach Hilfsmittelrichtlinie geforderte Verbesserung von mindestens 20 % gegenüber der unversorgten Situation wurde jedoch in 56 % der Fälle nicht erreicht. Weiterhin wurde das individuelle mEV mit Abweichung von höchstens zehn Prozentpunkten von 81 % aller Fälle nicht erreicht. Signifikante Korrelationen zwischen Zahlenfolgen-Merkspanne bzw. DemTect-Ergebnis und mEV konnten nicht festgestellt werden. Im untersuchten Probandenkollektiv ergaben sich auch keine Hinweise für eine Abhängigkeit des Ergebnisses der Hörgeräteversorgung vom Lebensalter oder von (milder) kognitiver Beeinträchtigung sowie reduzierter Arbeitsgedächtnisleistung.
[...]
Georg Thieme Verlag KG Stuttgart · New York
Article in Thieme eJournals:
Table of contents | Abstract | Full text
https://ift.tt/2CrbuJj
Trichloroacetic acid as a treatment for persistent oral mucosal lesions in pemphigus vulgaris
https://ift.tt/2wPvBuP
Previously undiagnosed Darier disease complicated by bilateral ecthyma gangrenosum masquerading as a vasculopathy with retiform eschar formation
We present the case of a 57-year-old incarcerated man with a history of hepatitis C and life-long presumed atopic dermatitis who presented with a two month history of painful, progressive, ulcerations with overlying eschars on his bilateral lower extremities. He had been treated unsuccessfully with oral trimethoprim-sulfamethoxazole and clindamycin before admission. Upon admission, he was found to have leukocytosis but was otherwise hemodynamically stable and afebrile. On exam, he had erythematous hyperkeratotic papules coalescing into plaques on the neck, chest, abdomen, back, and extremities, with a flexural predominance, and retiform ulcerations with overlying eschars on the bilateral lower legs.
https://ift.tt/2NlIHtY
Onychogryphosis: A case report and review of the literature
Patient history: A 67-year-old man presented with a 30-year history of severe thickening, curving, and yellow discoloration of his left great toenail. He stated that the nail broke off midway and regrew every six months. It had become more painful recently and was impinging on his second toe, making it difficult to walk and put on socks. There is no history of trauma, tinea pedis or family history of onychomycosis. Physical examination was notable for thickening and lateral deviation of the left first toenail.
https://ift.tt/2M5aTNa
Peristomal pyoderma gangrenosum in a patient with chronic ulcerative colitis: Case report
Introduction: Peristomal pyoderma gangrenosum (PPG) is a rare subtype of pyoderma gangrenosum that could be difficult to diagnose and treat. A painful necrotic ulcer surrounding an area of abdominal stoma with rapidly progression is the clinical hallmark. It is almost exclusively associated with inflammatory bowel disease (IBD). In this report, we present a 63-year-old man previously diagnosed of chronic ulcerative colitis (CUC) that develop a peristomal pyoderma gangrenosum 2 years after surgery.
https://ift.tt/2MW7HZl
Necrotisans erythema nodosum leprosum with systemic manifestations
Introduction: Erythema nodosum leprosum (ENL) is an acute reaction that generally occurs during the treatment of multibacillary leprosy. Severe cases can lead to necrotic ulcers and cause extra cutaneous manifestations. One case of necrotisans erythema nodosum leprosum (NENL) is reported to show that leprosy late diagnosis and treatment can cause severe cutaneous and systemic manifestations.
https://ift.tt/2wNqivJ
Pruritus in patients under targeted anticancer therapy: Multidimensional analysis using the 5-D itch scale
Background: Pruritus is very common symptom in patients under anticancer therapy. However, the characteristics of pruritus according to anticancer agents have not been known well.
https://ift.tt/2Nuf4qF
Platelet-rich plasma for skin rejuvenation: A systematic review of the clinical evidence
Background: Recently, platelet-rich plasma (PRP) has been used as an off-label treatment for a variety of clinical conditions including skin rejuvenation (SR). The effectiveness of PRP for SR is unclear due to lack of standardization for PRP administration. We aimed to assess the level of evidence (LOE) for safety and efficacy of PRP for SR.
https://ift.tt/2wPx7x0
Patient experience of the “two-week wait” cancer referral pathway in a large secondary care department in England
Background: The 2-week wait (2WW) system has been implemented across the NHS in England to enable rapid referral of patients with squamous cell carcinoma and malignant melanoma from primary to secondary care. Patients are told that the referral is to exclude skin cancer. In our secondary care dermatology department, a 2-week lag between referral and dermatology consultation represents a 19-week reduction in wait time (WT) from a standard referral. Little is currently known about the patients' perception of this streamlining, how WT impacts patient quality of life, and how appropriate patients consider this WT when being referred for suspected malignancy.
https://ift.tt/2MUBKki
Nonmelanoma skin cancer in HIV-positive patients: A six-year single-institution retrospective review
Background: HIV-positive (HIV+) patients have been demonstrated to have an increased incidence of nonmelanoma skin cancer (NMSC) at 2.1-2.8 times the rate found in HIV negative (HIV-) populations. Rates of NMSC with aggressive subclinical extension (ASE), defined as extensive subclinical tumor spread revealed during Mohs micrographic surgery (MMS), have not been found to be significantly different in HIV+ and HIV− populations in a previous study. However, HIV disease progression (CD4 and CD8 levels and viral load) and NMSC characteristics and their relationship to presence of NMSC with ASE within the HIV+ population remain unclear.
https://ift.tt/2M50e4U
Process of standardized postoperative telephone follow-up implementation for Mohs micrographic surgery
Mohs micrographic surgery (MMS) is an effective outpatient procedure for skin cancer removal with low reported complication rates. Identifying both major and minor postoperative complications is necessary to improve the quality of Mohs-based surgical care. There are currently no established standards for regular patient follow-up after MMS. Therefore, there exists a need to determine standardized, cost-effective, and reproducible follow-up strategies. The objective of this study was to determine whether routine telephone follow-up is an effective tool to capture postoperative complications and other patient-reported concerns.
https://ift.tt/2NovQXW
Predicting therapy outcome by HLA-Cw6 genotyping in psoriasis patients treated with secukinumab
Introduction: A possible correlation of genetic markers and response to treatment has been proclaimed. The strongest association has been shown between HLA-Cw6 and ustekinumab. So far it is unclear whether this effect can be also found in IL-17.
https://ift.tt/2M8A6WO
Pigmented eccrine poroma: A clinical dermoscopy challenge
Eccrine poroma is a benign neoplasia originated from the intraepidermal portion of the sweat gland duct. It is characterized by a papule, plaque or nodule, normochromic or erythematous, exophytic or hyperkeratotic. Although its pathogenesis is still unknown, it seems to be related to radiation, trauma or scars. The pigmented variant, more frequent in blacks and affecting mainly nonacral areas, is responsible for 17% of the cases. Various clinical-dermatoscopic features have been described, directing its differential diagnosis to other benign and malignant neoplasia, such as seborrheic keratosis, epithelized pyogenic granuloma, basal-cell and squamous-cell carcinoma, angiofibroma, and melanoma.
https://ift.tt/2MUBIZI
Pediatric melanoma immunotherapy: A retrospective examination of a decade of clinical experience at a tertiary care center
Background: Pediatric or adolescent melanoma, defined as melanoma in patients below age 20, is an infrequent occurrence that represents 0.4% of the approximately 87,110 new cases of melanoma diagnosed in the United States annually. As a result, few data exist to guide therapy that prolong survival, in particular with more recently developed immune therapies, such as immune checkpoint inhibitors. This lack of data is especially important as there is growing evidence that pediatric melanoma differs in its presentation, gene expression, and behavior from adult melanoma, and that response to therapy may vary by age.
https://ift.tt/2wS5cwe
Painful subcutaneous lesions in a patient with metastatic melanoma
Introduction: We present the case of a patient with metastatic melanoma (MM) treated with combined therapy (vemurafenib + cobimetinib), who develops painful subcutaneous lesions compatible with secondary panniculitis.
https://ift.tt/2MUwAos
Old is gold—Revisiting the efficacy of topical psoralen–ultraviolet A phototherapy for palmoplantar dermatoses
Palmoplantar involvement of dermatoses such as atopic dermatitis and psoriasis has significant impact on quality of life. While systemic treatment options have increased in recent years, topical psoralen ultraviolet A (tPUVA) therapy remains a viable option when topical treatments have failed and potential systemic adverse events outweigh benefits. Literature on tPUVA efficacy is sparse. Our objectives were to report the efficacy of tPUVA after an initial treatment course and to identify associated clinical factors.
https://ift.tt/2M7nnDK
Nicolau syndrome appears after filling hyaluronic acid with the use of blanching technique
A 34-year-old woman was treated in our clinic for mild acne and scars. Two years before, oral isotretinoin was given to the patient with a complete healing of the acne but numerous 2–3-mm scars remained in both cheeks. Two sessions of a nonablative CO2 laser was performed one year after the termination of the isotretinoin treatment with partial improvement of the scars. After that, a blanching technique with hyaluronic acid was offered to the patient. She was injected with a low reticulated hyaluronic acid with lidocaine using a 30 Gy needle doing a blanching technique to fill the scars presented in her cheeks.
https://ift.tt/2MSvedV
Noise-Induced Hypersensitization of the Acoustic Startle Response in Larval Zebrafish
ABSTRACT
Overexposure to loud noise is known to lead to deficits in auditory sensitivity and perception. We studied the effects of noise exposure on sensorimotor behaviors of larval (5–7 days post-fertilization) zebrafish (Danio rerio), particularly the auditory-evoked startle response and hearing sensitivity to acoustic startle stimuli. We observed a temporary 10–15 dB decrease in startle response threshold after 18 h of flat-spectrum noise exposure at 20 dB re·1 ms−2. Larval zebrafish also exhibited decreased habituation to startle-inducing stimuli following noise exposure. The noise-induced sensitization was not due to changes in absolute hearing thresholds, but was specific to the auditory-evoked escape responses. The observed noise-induced sensitization was disrupted by AMPA receptor blockade using DNQX, but not NMDA receptor blockade. Together, these experiments suggest a complex effect of noise exposure on the neural circuits mediating auditory-evoked behaviors in larval zebrafish.
https://ift.tt/2NSJ1O1
The Stress Response in the Non-sensory Cells of the Cochlea Under Pathological Conditions—Possible Role in Mediating Noise Vulnerability
Abstract
Various stressors, such as loud sounds and the effects of aging, impair the function and viability of the cochlear sensory cells, the hair cells. Stressors trigger pathophysiological changes in the cochlear non-sensory cells as well. We have here studied the stress response mounted in the lateral wall of the cochlea during acute noise stress and during age-related chronic stress. We have used the activation of JNK/c-Jun, ERK, and NF-κB pathways as a readout of the stress response, and the expression of the FoxO3 transcription factor as a possible additional player in cellular stress. In the aging cochlea, NF-κB transcriptional activity was strongly induced in the stria vascularis of the lateral wall. This induction was linked with the atrophy of the stria vascularis, suggesting a role for NF-κB signaling in mediating age-related strial degeneration. Acutely following noise exposure, the JNK/c-Jun, ERK, and NF-κB pathways were activated in the spiral ligament of the lateral wall of CBA/Ca mice. This activation was concomitant with the morphological transformation of macrophages, suggesting that the upregulation of stress signaling leads to macrophage activation. In contrast, C57BL/6J mice lacked these responses. Only the combination of noise exposure and a systemic stressor, lipopolysaccharide, exceeded the threshold for the activation of stress signaling in the lateral wall of C57BL/6J mice. In addition, we found that, at the young adult age, outer hair cells of CBA/Ca mice are much more vulnerable to loud sounds compared to these cells of C57BL/6J mice. These results suggest that the differential stress response in the lateral wall of the two mouse strains underlies, in part, the differential noise vulnerability of their outer hair cells. Together, we propose that the molecular stress response in the lateral wall modulates the outcome of the stressed cochlea.
https://ift.tt/2wQcoKm
The RNA-Specific Adenosine Deaminase ADAR1 Inhibits Human Protein Kinase R Activation
Viral Immunology, Volume 31, Issue 7, Page 537-538, September 2018.
https://ift.tt/2CtLlcQ
Interaction of S17 Antibody with the Functional Binding Region of the Hepatitis B Virus Pre-S2 Epitope
Viral Immunology, Volume 31, Issue 7, Page 492-499, September 2018.
https://ift.tt/2wQOf6d
Noise-Induced Hypersensitization of the Acoustic Startle Response in Larval Zebrafish
ABSTRACT
Overexposure to loud noise is known to lead to deficits in auditory sensitivity and perception. We studied the effects of noise exposure on sensorimotor behaviors of larval (5–7 days post-fertilization) zebrafish (Danio rerio), particularly the auditory-evoked startle response and hearing sensitivity to acoustic startle stimuli. We observed a temporary 10–15 dB decrease in startle response threshold after 18 h of flat-spectrum noise exposure at 20 dB re·1 ms−2. Larval zebrafish also exhibited decreased habituation to startle-inducing stimuli following noise exposure. The noise-induced sensitization was not due to changes in absolute hearing thresholds, but was specific to the auditory-evoked escape responses. The observed noise-induced sensitization was disrupted by AMPA receptor blockade using DNQX, but not NMDA receptor blockade. Together, these experiments suggest a complex effect of noise exposure on the neural circuits mediating auditory-evoked behaviors in larval zebrafish.
https://ift.tt/2NSJ1O1
Improved Neural Coding of ITD with Bilateral Cochlear Implants by Introducing Short Inter-pulse Intervals
Abstract
Bilateral cochlear implant (CI) users have poor perceptual sensitivity to interaural time differences (ITDs), which limits their ability to localize sounds and understand speech in noisy environments. This is especially true for high-rate (> 300 pps) periodic pulse trains, which are used as carriers in CI processors. Here, we investigate a novel stimulation strategy in which extra pulses are added to high-rate periodic pulse trains to introduce short inter-pulse intervals (SIPIs). We hypothesized that SIPIs can improve neural ITD sensitivity similarly to the effect observed by randomly jittering IPIs (Hancock et al., J. Neurophysiol. 108:714–28, 2012). To test this hypothesis, we measured ITD sensitivity of single units in the inferior colliculus (IC) of unanesthetized rabbits with bilateral CIs. Introducing SIPIs into high-rate pulse trains significantly increased firing rates for ~ 60 % of IC neurons, and the extra spikes tended to be synchronized to the SIPIs. The additional firings produced by SIPIs uncovered latent ITD sensitivity that was comparable to that observed with low-rate pulse trains. In some neurons, high spontaneous firing rates masked the ITD sensitivity introduced by SIPIs. ITD sensitivity in these neurons could be revealed by emphasizing stimulus-synchronized spikes with a coincidence detection analysis. Overall, these results with SIPIs are consistent with the effects observed previously with jittered pulse trains, with the added benefit of retaining control over the timing and number of SIPIs. A novel CI processing strategy could incorporate SIPIs by inserting them at selected times to high-rate pulse train carriers. Such a strategy could potentially improve ITD perception without degrading speech intelligibility and thereby improve outcomes for bilateral CI users.
https://ift.tt/2M0yX3G
The Stress Response in the Non-sensory Cells of the Cochlea Under Pathological Conditions—Possible Role in Mediating Noise Vulnerability
Abstract
Various stressors, such as loud sounds and the effects of aging, impair the function and viability of the cochlear sensory cells, the hair cells. Stressors trigger pathophysiological changes in the cochlear non-sensory cells as well. We have here studied the stress response mounted in the lateral wall of the cochlea during acute noise stress and during age-related chronic stress. We have used the activation of JNK/c-Jun, ERK, and NF-κB pathways as a readout of the stress response, and the expression of the FoxO3 transcription factor as a possible additional player in cellular stress. In the aging cochlea, NF-κB transcriptional activity was strongly induced in the stria vascularis of the lateral wall. This induction was linked with the atrophy of the stria vascularis, suggesting a role for NF-κB signaling in mediating age-related strial degeneration. Acutely following noise exposure, the JNK/c-Jun, ERK, and NF-κB pathways were activated in the spiral ligament of the lateral wall of CBA/Ca mice. This activation was concomitant with the morphological transformation of macrophages, suggesting that the upregulation of stress signaling leads to macrophage activation. In contrast, C57BL/6J mice lacked these responses. Only the combination of noise exposure and a systemic stressor, lipopolysaccharide, exceeded the threshold for the activation of stress signaling in the lateral wall of C57BL/6J mice. In addition, we found that, at the young adult age, outer hair cells of CBA/Ca mice are much more vulnerable to loud sounds compared to these cells of C57BL/6J mice. These results suggest that the differential stress response in the lateral wall of the two mouse strains underlies, in part, the differential noise vulnerability of their outer hair cells. Together, we propose that the molecular stress response in the lateral wall modulates the outcome of the stressed cochlea.
https://ift.tt/2wQcoKm
Surface Motion of Tympanic Membrane in a Chinchilla Model of Acute Otitis Media
Abstract
The conductive hearing loss caused by acute otitis media (AOM) is commonly related to a reduction of the tympanic membrane (TM) mobility in response to sound stimuli. However, spatial alterations of the TM surface motion associated with AOM have rarely been addressed. In this study, the TM surface motion was determined using scanning laser Doppler vibrometry (SLDV) in a chinchilla model of AOM. The AOM was established by transbullar injection of nontypeable Haemophilus influenzae. The TM surface vibration was measured in control (uninfected) animals and two AOM groups of animals: 4 days (4D) and 8 days (8D) post inoculation. To quantify the effect of middle ear pressure in those infected ears, the SLDV measurement was first conducted in unopened AOM ears and then in middle ear pressure released ears. Results showed that middle ear infection generally reduced the TM displacement across the entire surface, but the reduction in the umbo displacement over the time course, from 4 to 8 days post inoculation, was less than the reduction in the displacement at the center of each quadrant. The presence of middle ear fluid shifted the occurrence of traveling-wave-like motion on the TM surface to lower frequencies. The observation of the spatial variations of TM surface motion from this study will help refine our understanding of the middle ear sound transmission characteristics in relation to AOM.
https://ift.tt/2MToV9X
Does the King Airway system signal the end of intubation skills?
Our co-hosts tackle the topic of supraglottic airways, and the best way to approach them in the field
https://ift.tt/2Ma8roI
Sex Education | Age Appropriate Topics
Sex education is important for all children but knowing what topics to cover at each age is difficult for many parents. At what age should you tell your children about the birds and the bees? How much detail do they really need? Dr. Sarah Garwood provides some age appropriate topics to discuss with your children as they mature.
The post Sex Education | Age Appropriate Topics appeared first on ChildrensMD.
https://ift.tt/2wMVxYU
Improved Neural Coding of ITD with Bilateral Cochlear Implants by Introducing Short Inter-pulse Intervals
Abstract
Bilateral cochlear implant (CI) users have poor perceptual sensitivity to interaural time differences (ITDs), which limits their ability to localize sounds and understand speech in noisy environments. This is especially true for high-rate (> 300 pps) periodic pulse trains, which are used as carriers in CI processors. Here, we investigate a novel stimulation strategy in which extra pulses are added to high-rate periodic pulse trains to introduce short inter-pulse intervals (SIPIs). We hypothesized that SIPIs can improve neural ITD sensitivity similarly to the effect observed by randomly jittering IPIs (Hancock et al., J. Neurophysiol. 108:714–28, 2012). To test this hypothesis, we measured ITD sensitivity of single units in the inferior colliculus (IC) of unanesthetized rabbits with bilateral CIs. Introducing SIPIs into high-rate pulse trains significantly increased firing rates for ~ 60 % of IC neurons, and the extra spikes tended to be synchronized to the SIPIs. The additional firings produced by SIPIs uncovered latent ITD sensitivity that was comparable to that observed with low-rate pulse trains. In some neurons, high spontaneous firing rates masked the ITD sensitivity introduced by SIPIs. ITD sensitivity in these neurons could be revealed by emphasizing stimulus-synchronized spikes with a coincidence detection analysis. Overall, these results with SIPIs are consistent with the effects observed previously with jittered pulse trains, with the added benefit of retaining control over the timing and number of SIPIs. A novel CI processing strategy could incorporate SIPIs by inserting them at selected times to high-rate pulse train carriers. Such a strategy could potentially improve ITD perception without degrading speech intelligibility and thereby improve outcomes for bilateral CI users.
https://ift.tt/2M0yX3G
Surface Motion of Tympanic Membrane in a Chinchilla Model of Acute Otitis Media
Abstract
The conductive hearing loss caused by acute otitis media (AOM) is commonly related to a reduction of the tympanic membrane (TM) mobility in response to sound stimuli. However, spatial alterations of the TM surface motion associated with AOM have rarely been addressed. In this study, the TM surface motion was determined using scanning laser Doppler vibrometry (SLDV) in a chinchilla model of AOM. The AOM was established by transbullar injection of nontypeable Haemophilus influenzae. The TM surface vibration was measured in control (uninfected) animals and two AOM groups of animals: 4 days (4D) and 8 days (8D) post inoculation. To quantify the effect of middle ear pressure in those infected ears, the SLDV measurement was first conducted in unopened AOM ears and then in middle ear pressure released ears. Results showed that middle ear infection generally reduced the TM displacement across the entire surface, but the reduction in the umbo displacement over the time course, from 4 to 8 days post inoculation, was less than the reduction in the displacement at the center of each quadrant. The presence of middle ear fluid shifted the occurrence of traveling-wave-like motion on the TM surface to lower frequencies. The observation of the spatial variations of TM surface motion from this study will help refine our understanding of the middle ear sound transmission characteristics in relation to AOM.
https://ift.tt/2MToV9X
Inflammation cutanée de contiguïté : situations diverses et contours flous
Publication date: Available online 5 September 2018
Source: Annales de Dermatologie et de Vénéréologie
Author(s): P. del Giudice
https://ift.tt/2NNVd2m
Comparison of Opioid Utilization Patterns After Major Head and Neck Procedures
https://ift.tt/2wOZHiO
Validation of Haptic Properties of Materials for Endoscopic Sinus and Skull Base Surgery Simulation—Reply
https://ift.tt/2CqpEdD
Validation of Haptic Properties of Materials for Endoscopic Sinus and Skull Base Surgery Simulation
https://ift.tt/2oLDDBa
Association of Cognition and Age-Related Hearing Impairment
https://ift.tt/2wO2Sql
Symptom Burden Associated With Late Lower Cranial Neuropathy in Long-term Oropharyngeal Cancer Survivors
https://ift.tt/2oJj8VM
Preoperative Imaging in Primary Hyperparathyroidism
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Invisible Empire of Hate: Gender Differences in the Ku Klux Klan's Online Justifications for Violence
Violence and Gender, Ahead of Print.
https://ift.tt/2wNYMhX
Regulatory T cell deficiency and autoimmune skin disease: beyond scurfy mouse and IPEX
Publication date: Available online 6 September 2018
Source: Journal of Allergy and Clinical Immunology
Author(s): Takashi Hashimoto, Hayato Takahashi, Shimon Sakaguchi
https://ift.tt/2NoWb8e
RhoA/ROCK Signaling Modulates Lineage Commitment of Mesenchymal Stem Cells in Asthma through Lef1
Publication date: Available online 5 September 2018
Source: Journal of Allergy and Clinical Immunology
Author(s): Xia Ke, Danh C. Do, Changjun Li, Yilin Zhao, Marian Kollarik, Qingling Fu, Mei Wan, Peisong Gao
ABSTRACT
Rationale
Mesenchymal stem cells (MSCs) are increased in the airways after allergen challenge. RhoA/ROCK signaling is critical in determining the lineage fate of MSCs in tissue repair/remodeling.
Objectives
To investigate the role of RhoA/ROCK signaling in lineage commitment of MSCs during allergen-induced airway remodeling and delineate the underlying mechanisms.
Methods
Active RhoA expression in asthmatic lung tissues and its role in cockroach allergen-induced airway inflammation and remodeling were investigated. The RhoA/ROCK signaling-mediated MSC lineage commitment was assessed in an asthma mouse model using MSC lineage tracing mice (nestin-Cre; ROSA26-EYFP). The role of RhoA/ROCK in MSC lineage commitment was also examined by MSCs expressing constitutively active RhoA (RhoA-L63) or dominant negative RhoA (RhoA-N19). Downstream RhoA-regulated genes were identified using the stem cell signaling array.
Results
Lung tissues from asthmatic mice showed increased expression of active RhoA when compared with those from controls. Inhibition of RhoA/ROCK signaling with fasudil, a RhoA/ROCK inhibitor, reversed established cockroach allergen-induced airway inflammation and remodeling as assessed by more collagen deposition/fibrosis. Furthermore, fasudil inhibited MSC differentiation into fibroblasts/myofibroblasts, but promoted MSC differentiation into epithelial cells in asthmatic nestin-Cre; ROSA26-EYFP mice. Consistently, expression of RhoA-L63 facilitated the differentiation of MSCs to fibroblasts/myofibroblasts, whereas expression of RhoA-19 switched the differentiation toward epithelial cells. Gene Array identified the Wnt signaling effector Lef1 as the most up-regulated gene in RhoA-L63-transfected MSCs. Knockdown of Lef1 induced MSC differentiation away from fibroblasts/myofibroblasts but towards epithelial cells.
Conclusions
These findings uncover a previously unrecognized role of RhoA/ROCK signaling in MSC-involved airway repair/remodeling in asthma.
https://ift.tt/2PGtMYM
Consensus approach for the management of severe combined immune deficiency caused by adenosine deaminase deficiency
Publication date: Available online 5 September 2018
Source: Journal of Allergy and Clinical Immunology
Author(s): Donald B. Kohn, Michael S. Hershfield, Jennifer M. Puck, Alessandro Aiuti, Annaliesse Blincoe, H. Bobby Gaspar, Luigi D. Notarangelo, Eyal Grunebaum
Abstract
Inherited defects in adenosine deaminase (ADA) cause a subtype of severe combined immunodeficiency (SCID), known as ADA-SCID. Most affected infants can be diagnosed while still asymptomatic by a SCID newborn screening test, allowing early initiation of therapy. We reviewed the evidence currently available and propose a consensus management strategy. In addition to the treatment of the immune deficiency of ADA-SCID, patients should be followed for specific non-infectious respiratory, neurological and biochemical complications associated with ADA deficiency. All patients should initially receive enzyme replacement therapy (ERT), followed by definitive treatment with either of two equal first line options. If an HLA matched sibling donor (MSD) or matched family donor (MFD) is available, allogeneic hematopoietic stem cell transplantation (HSCT) should be pursued. The excellent safety and efficacy observed in over 100 ADA-SCID patients who received gamma-retrovirus or lentivirus mediated autologous hematopoietic stem cell gene therapy (HSC-GT) since 2000 now positions HSC-GT as an equal alternative. If MSD/MFD HSCT or HSC-GT are not available or have failed, ERT can be continued or re-instituted, and HSCT using alternative donors should be considered. The outcomes of novel HSCT, ERT and HSC-GT strategies should be evaluated prospectively in "real life" conditions to further inform these management guidelines.
https://ift.tt/2MTPSdx
Dupilumab progressively improves systemic and cutaneous abnormalities in atopic dermatitis patients
Publication date: Available online 5 September 2018
Source: Journal of Allergy and Clinical Immunology
Author(s): Emma Guttman-Yassky, Robert Bissonnette, Benjamin Ungar, Mayte Suárez-Fariñas, Marius Ardeleanu, Hitokazu Esaki, Maria Suprun, Yeriel Estrada, Hui Xu, Xiangyu Peng, Jonathan I. Silverberg, Alan Menter, James G. Krueger, Rick Zhang, Usman Chaudhry, Brian Swanson, Neil M.H. Graham, Gianluca Pirozzi, George D. Yancopoulos, Jennifer D.D. Hamilton
ABSTRACT
Background
Dupilumab is an IL-4Rα monoclonal antibody inhibiting signaling of IL-4/IL-13, key drivers of Type 2-driven inflammation, as demonstrated by its efficacy in atopic/allergic diseases.
Objective
This placebo-controlled, double-blind trial (NCT01979016) evaluated efficacy, safety, and effects of dupilumab on molecular/cellular lesional and nonlesional skin phenotypes and systemic Type 2 biomarkers of moderate-to-severe atopic dermatitis (AD) patients.
Methods
Skin biopsies and blood were evaluated from 54 patients randomized 1:1 to weekly subcutaneous 200 mg dupilumab or placebo for 16 weeks.
Results
Dupilumab (versus placebo) significantly improved AD clinical signs and symptoms, was well tolerated, and progressively shifted the lesional transcriptome toward a nonlesional phenotype (weeks 4–16). Mean improvements in a meta-analysis-derived AD transcriptome (genes differentially expressed between lesional and nonlesional skin) were 68.8% and 110.8% with dupilumab and −10.5% and 55.0% with placebo (weeks 4 and 16, respectively; P<0.001). Dupilumab significantly reduced expression of genes involved in Type 2 inflammation (IL-13/IL-31/CCL17/CCL18/CCL26), epidermal hyperplasia (K16/MKi67), T-cells, dendritic cells (ICOS/CD11c/CTLA4), and Th17/Th22 activity (IL-17A/IL-22/S100As) and concurrently increased expression of epidermal differentiation, barrier, and lipid-metabolism genes (FLG/LOR/claudins/ELOVL3). Dupilumab reduced lesional epidermal thickness versus placebo (week 4, P=0.001; week 16, P=0.0002). Improvements in clinical and histological measures correlated significantly with modulation of gene expression. Dupilumab also significantly suppressed Type 2 serum biomarkers, including CCL17, CCL18, periostin, and total and allergen-specific IgEs.
Conclusion
Dupilumab-mediated inhibition of IL-4/IL-13 signaling via IL-4Rα blockade significantly and progressively improved disease activity, suppressed cellular/molecular cutaneous markers of inflammation and systemic measures of Type 2 inflammation, and reversed AD-associated epidermal abnormalities.
https://ift.tt/2PIpu34
Paraben exposures and asthma-related outcomes among children from the U.S. general population
Publication date: Available online 5 September 2018
Source: Journal of Allergy and Clinical Immunology
Author(s): Lesliam Quirós-Alcalá, Nadia N. Hansel, Meredith C. McCormack, Elizabeth C. Matsui
ABSTRACT
Background
Parabens are synthetic preservatives present in many consumer products. Their antimicrobial and endocrine disrupting properties have raised concerns that they may play a role in respiratory and allergic diseases; however, studies exploring these associations are scarce.
Objective
We examined the cross-sectional association between parabens and asthma morbidity among 450 children with asthma and with asthma prevalence among 4,023 children in the U.S. general population, participating in the National Health and Nutrition Examination Survey (2005-2014).
Methods
We conducted multivariable logistic regression to examine associations between urinary paraben biomarker concentrations (butyl-BP, ethyl-EP, methyl-MP, and propyl-PP) and asthma attacks and emergency department (ED) visits among children with asthma, and with current asthma diagnosis among all children. We also examined heterogeneity of associations by sex.
Results
We observed an increased prevalence odds of reporting ED visits for every 10-fold increase in MP and PP concentrations among boys with asthma (adjusted prevalence odds ratio, aPOR:2.61, 95% confidence interval, CI:1.40, 4.85 and aPOR:2.18, 95%CI:1.22, 3.89, respectively; pinteraction-MP=0.002; pinteraction-PP=0.003); associations remained after adjusting for other phenolic compounds previously linked to respiratory outcomes. No other dimorphic effects of exposure by sex were observed. Among children in the general population, no overall associations with current asthma were observed, although there was a positive trend with PP and current asthma diagnosis.
Conclusion
We identified differential effects of exposure to select parabens by sex on asthma morbidity. Further studies are needed to replicate these findings, and elucidate mechanisms by which parabens could impact respiratory health and elicit dimorphic effects by sex.
https://ift.tt/2MTPMmb
Acute respiratory infections in early childhood and risk of asthma at 7 years of age
Publication date: Available online 5 September 2018
Source: Journal of Allergy and Clinical Immunology
Author(s): Laura Toivonen, Ville Forsström, Matti Waris, Ville Peltola
https://ift.tt/2PK90aN
Midostaurin in patients with indolent systemic mastocytosis: An open-label phase 2 trial
Publication date: September 2018
Source: Journal of Allergy and Clinical Immunology, Volume 142, Issue 3
Author(s): Bjorn van Anrooij, Joanne N.G. Oude Elberink, Lambert F.R. Span, Jan G.R. de Monchy, Stefano Rosati, André B. Mulder, Johanna C. Kluin-Nelemans
https://ift.tt/2MP8fQN
Insulin decreases expression of the proinflammatory receptor proteinase-activated receptor-2 on human airway epithelial cells
Publication date: September 2018
Source: Journal of Allergy and Clinical Immunology, Volume 142, Issue 3
Author(s): Vivek D. Gandhi, Nami Shrestha Palikhe, Shereen M. Hamza, Jason R.B. Dyck, Jean Buteau, Harissios Vliagoftis
https://ift.tt/2NPl2ip
Paradoxical psoriasis following anti–TNF therapy in ankylosing spondylitis: A population-based cohort study
Publication date: September 2018
Source: Journal of Allergy and Clinical Immunology, Volume 142, Issue 3
Author(s): Jung Min Bae, Hyuck Sun Kwon, Gyong Moon Kim, Kyung-Su Park, Ki-Jo Kim
https://ift.tt/2MP1j6h
Deconstructive somatic cell nuclear transfer reveals novel regulatory T-cell subsets
Publication date: September 2018
Source: Journal of Allergy and Clinical Immunology, Volume 142, Issue 3
Author(s): Manching Ku, Eugene Ke, Mohsen Sabouri-Ghomi, Justin R. Abadejos, Brent Freeman, Amy Nham, Nathaniel Phillips, Kevin Y. Yang, Kathy O. Lui, Oktay Kirak
https://ift.tt/2PK8WI5
Aspergillosis, eosinophilic esophagitis, and allergic rhinitis in signal transducer and activator of transcription 3 haploinsufficiency
Publication date: September 2018
Source: Journal of Allergy and Clinical Immunology, Volume 142, Issue 3
Author(s): Mukil Natarajan, Amy P. Hsu, Michael A. Weinreich, Yuan Zhang, Julie E. Niemela, John A. Butman, Stefania Pittaluga, Janyce Sugui, Amanda L. Collar, Jean K. Lim, Tirdad Zangeneh, Tara Carr, Andrew J. Oler, Morgan Similuk, Lindsey B. Rosen, Jigar V. Desai, Alexandra F. Freeman, Steven M. Holland, Kyung J. Kwon-Chung, Joshua D. Milner
https://ift.tt/2MTzFVM
Association of ST2 polymorphisms with atopy, asthma, and leukemia
Publication date: September 2018
Source: Journal of Allergy and Clinical Immunology, Volume 142, Issue 3
Author(s): Melissa H. Bloodworth, Mark Rusznak, Lisa Bastarache, Janey Wang, Joshua C. Denny, R. Stokes Peebles
https://ift.tt/2PK2fps
Detection of IL-36γ through noninvasive tape stripping reliably discriminates psoriasis from atopic eczema
Publication date: September 2018
Source: Journal of Allergy and Clinical Immunology, Volume 142, Issue 3
Author(s): Anna Berekméri, Anne Latzko, Adewonuola Alase, Tom Macleod, Joseph S. Ainscough, Philip Laws, Mark Goodfield, Andrew Wright, Philip Helliwell, Sara Edward, Gordon D. Brown, Delyth M. Reid, Joerg Wenzel, Martin Stacey, Miriam Wittmann
https://ift.tt/2MUtCA0
Context matters: TH2 polarization resulting from pollen composition and not from protein-intrinsic allergenicity
Publication date: September 2018
Source: Journal of Allergy and Clinical Immunology, Volume 142, Issue 3
Author(s): Lorenz Aglas, Stefanie Gilles, Renate Bauer, Sara Huber, Galber R. Araujo, Geoffrey Mueller, Sandra Scheiblhofer, Marie Amisi, Hieu-Hoa Dang, Peter Briza, Barbara Bohle, Jutta Horejs-Hoeck, Claudia Traidl-Hoffmann, Fatima Ferreira
https://ift.tt/2PHshtn
Micro RNAs are required for Langerhans cell, skin- and lung-resident macrophage ontogeny
Publication date: September 2018
Source: Journal of Allergy and Clinical Immunology, Volume 142, Issue 3
Author(s): Yi Yao, Carly Martin, Congcong Yin, Chunyuan Guo, Zheng Dong, Li Zhou, Qing-Sheng Mi
https://ift.tt/2MRlYXf
AllergoOncology: Generating a canine anticancer IgE against the epidermal growth factor receptor
Publication date: September 2018
Source: Journal of Allergy and Clinical Immunology, Volume 142, Issue 3
Author(s): Judit Fazekas-Singer, Josef Singer, Kristina M. Ilieva, Miroslawa Matz, Ina Herrmann, Edzard Spillner, Sophia N. Karagiannis, Erika Jensen-Jarolim
https://ift.tt/2PK8Joh
Reference values for peripheral blood lymphocyte subsets of healthy children in China
Publication date: September 2018
Source: Journal of Allergy and Clinical Immunology, Volume 142, Issue 3
Author(s): Yuan Ding, Lina Zhou, Yu Xia, Wei Wang, Ying Wang, Li Li, Zhongxiang Qi, Linqing Zhong, Jinqiao Sun, Wenjing Tang, Fangfang Liang, Haijuan Xiao, Tao Qin, Ying Luo, Xuezhen Zhao, Zhou Shu, Ying Ru, Rongxin Dai, Hong Wang, Yanping Wang
https://ift.tt/2NnpE2j
Ozone exposure induces respiratory barrier biphasic injury and inflammation controlled by IL-33
Publication date: September 2018
Source: Journal of Allergy and Clinical Immunology, Volume 142, Issue 3
Author(s): Chloé Michaudel, Claire Mackowiak, Isabelle Maillet, Louis Fauconnier, Cezmi A. Akdis, Milena Sokolowska, Anita Dreher, Hern-Tze Tina Tan, Valérie F. Quesniaux, Bernhard Ryffel, Dieudonnée Togbe
Background
IL-33 plays a critical role in regulation of tissue homeostasis, injury, and repair. Whether IL-33 regulates neutrophil recruitment and functions independently of airways hyperresponsiveness (AHR) in the setting of ozone-induced lung injury and inflammation is unclear.
Objective
We sought to examine the role of the IL-33/ST2 axis in lung inflammation on acute ozone exposure in mice.
Methods
ST2- and Il33–deficient, IL-33 citrine reporter, and C57BL/6 (wild-type) mice underwent a single ozone exposure (1 ppm for 1 hour) in all studies. Cell recruitment in lung tissue and the bronchoalveolar space, inflammatory parameters, epithelial barrier damage, and airway hyperresponsiveness (AHR) were determined.
Results
We report that a single ozone exposure causes rapid disruption of the epithelial barrier within 1 hour, followed by a second phase of respiratory barrier injury with increased neutrophil recruitment, reactive oxygen species production, AHR, and IL-33 expression in epithelial and myeloid cells in wild-type mice. In the absence of IL-33 or IL-33 receptor/ST2, epithelial cell injury with protein leak and myeloid cell recruitment and inflammation are further increased, whereas the tight junction proteins E-cadherin and zonula occludens 1 and reactive oxygen species expression in neutrophils and AHR are diminished. ST2 neutralization recapitulated the enhanced ozone-induced neutrophilic inflammation. However, myeloid cell depletion using GR-1 antibody reduced ozone-induced lung inflammation, epithelial cell injury, and protein leak, whereas administration of recombinant mouse IL-33 reduced neutrophil recruitment in Il33–deficient mice.
Conclusion
Data demonstrate that ozone causes an immediate barrier injury that precedes myeloid cell–mediated inflammatory injury under the control of the IL-33/ST2 axis. Thus IL-33/ST2 signaling is critical for maintenance of intact epithelial barrier and inflammation.
Graphical abstract
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Efficacy of lentivirus-mediated gene therapy in an Omenn syndrome recombination-activating gene 2 mouse model is not hindered by inflammation and immune dysregulation
Publication date: September 2018
Source: Journal of Allergy and Clinical Immunology, Volume 142, Issue 3
Author(s): Valentina Capo, Maria Carmina Castiello, Elena Fontana, Sara Penna, Marita Bosticardo, Elena Draghici, Luigi P. Poliani, Lucia Sergi Sergi, Rosita Rigoni, Barbara Cassani, Monica Zanussi, Paola Carrera, Paolo Uva, Kerry Dobbs, Nicolò Sacchetti, Luigi D. Notarangelo, Niek P. van Til, Gerard Wagemaker, Anna Villa
Background
Omenn syndrome (OS) is a rare severe combined immunodeficiency associated with autoimmunity and caused by defects in lymphoid-specific V(D)J recombination. Most patients carry hypomorphic mutations in recombination-activating gene (RAG) 1 or 2. Hematopoietic stem cell transplantation is the standard treatment; however, gene therapy (GT) might represent a valid alternative, especially for patients lacking a matched donor.
Objective
We sought to determine the efficacy of lentiviral vector (LV)–mediated GT in the murine model of OS (Rag2R229Q/R229Q) in correcting immunodeficiency and autoimmunity.
Methods
Lineage-negative cells from mice with OS were transduced with an LV encoding the human RAG2 gene and injected into irradiated recipients with OS. Control mice underwent transplantation with wild-type or OS-untransduced lineage-negative cells. Immunophenotyping, T-dependent and T-independent antigen challenge, immune spectratyping, autoantibody detection, and detailed tissue immunohistochemical analyses were performed.
Results
LV-mediated GT allowed immunologic reconstitution, although it was suboptimal compared with that seen in wild-type bone marrow (BM)−transplanted OS mice in peripheral blood and hematopoietic organs, such as the BM, thymus, and spleen. We observed in vivo variability in the efficacy of GT correlating with the levels of transduction achieved. Immunoglobulin levels and T-cell repertoire normalized, and gene-corrected mice responded properly to challenges in vivo. Autoimmune manifestations, such as skin infiltration and autoantibodies, dramatically improved in GT mice with a vector copy number/genome higher than 1 in the BM and 2 in the thymus.
Conclusions
Our data show that LV-mediated GT for patients with OS significantly ameliorates the immunodeficiency, even in an inflammatory environment.
https://ift.tt/2NnpCHJ
An actin cytoskeletal barrier inhibits lytic granule release from natural killer cells in patients with Chediak-Higashi syndrome
Publication date: September 2018
Source: Journal of Allergy and Clinical Immunology, Volume 142, Issue 3
Author(s): Aleksandra Gil-Krzewska, Mezida B. Saeed, Anna Oszmiana, Elizabeth R. Fischer, Kathryn Lagrue, William A. Gahl, Wendy J. Introne, John E. Coligan, Daniel M. Davis, Konrad Krzewski
Background
Chediak-Higashi syndrome (CHS) is a rare disorder caused by biallelic mutations in the lysosomal trafficking regulator gene (LYST), resulting in formation of giant lysosomes or lysosome-related organelles in several cell types. The disease is characterized by immunodeficiency and a fatal hemophagocytic lymphohistiocytosis caused by impaired function of cytotoxic lymphocytes, including natural killer (NK) cells.
Objective
We sought to determine the underlying biochemical cause of the impaired cytotoxicity of NK cells in patients with CHS.
Methods
We generated a human cell model of CHS using Clustered Regularly Interspaced Short Palindromic Repeats (CRISPR) technology. We used a combination of classical techniques to evaluate lysosomal function and cell activity in the model system and super-resolution microscopy to visualize F-actin and lytic granules in normal and LYST-deficient NK cells.
Results
Loss of LYST function in a human NK cell line, NK92mi, resulted in inhibition of NK cell cytotoxicity and reproduced other aspects of the CHS cellular phenotype, including the presence of significantly enlarged lytic granules with defective exocytosis and impaired integrity of endolysosomal compartments. The large granules had an acidic pH and normal activity of lysosomal enzymes and were positive for the proteins essential for lytic granule exocytosis. Visualization of the actin meshwork openings at the immunologic synapse revealed that the cortical actin acts as a barrier for secretion of such large granules at the cell-cell contact site. Decreasing the cortical actin density at the immunologic synapse or decreasing the lytic granule size restored the ability of LYST-deficient NK cells to degranulate and kill target cells.
Conclusion
The cortical actin and granule size play significant roles in NK cell cytotoxic function. We present evidence that the periodicity of subsynaptic actin is an important factor limiting the release of large lytic granules from NK cells from patients with CHS and could be a novel target for pharmaceutical intervention.
https://ift.tt/2NSvpCm
Prognostic significance of cell cycle-associated proteins p16, pRB, cyclin D1 and p53 in resected oropharyngeal carcinoma
Abstract
Background
Human papillomavirus (HPV)-related oropharyngeal squamous cell carcinoma (OPSCC) has an improved outcome and may allow for treatment de-escalation. High-risk HPV (HR-HPV) infection is associated with deregulated expression of the cell cycle-associated proteins p16INK4, pRB, cyclin D1 and p53. The objective of this study was to assess cell cycle proteins as potential surrogate markers for HR-HPV DNA testing to identify OPSCC with favorable prognosis after resection.
Methods
Tissue microarray cores of 313 surgically treated OPSCC were stained for p16INK4a, pRB, cyclin D1 and p53 using immunohistochemistry. Protein expression was scored as high or low based on the proportion of positive carcinoma cells. Tumor samples were analysed for HR-HPV DNA with polymerase chain reaction-based testing. Associations between cell cycle protein expression and HR-HPV DNA status were evaluated by calculating sensitivity, specificity, predictive values, and diagnostic odds ratios (DOR). Kaplan-Meier and Cox regression analysis were applied to evaluate associations between cell cycle protein expression and patient outcome.
Results
High expression of p16INK4a, cyclin D1, pRB and p53 in tumor cells were observed in 51.8%, 51.4%, 41.9% and 33.5% of OPSCC, respectively. HR-HPV DNA positive were 158/313 (50.5%) tumor samples (HPV16: 147, HPV18: 1, HPV33: 5, HPV35: 2, HPV56: 2, and HPV59: 1). P16INK4a showed a higher DOR to predict HR-HPV DNA positivity than pRB, cyclin D1 and p53. Both the p16INK4a/pRB and the p16INK4a/pRB/cyclin D1/p53 signatures had lower DOR than p16INK4a alone. Improved 5-year overall and disease-specific survival were associated with HR-HPV DNA positivity, high p16INK4a, low pRB, low cyclin D1, and low p53 expression. Associations with improved outcome were also observed for the marker combinations high p16INK4a/positive HR-HPV DNA, high p16INK4a/low pRB and high p16INK4a/low pRB/low cyclin D1/low p53. In a multivariate analysis adjusted for age, smoking history, pT and pN category, high p16INK4a expression showed the lowest hazard ratio for death.
Conclusions
High p16INK4a expression is a reliable marker for survival prognostication in surgically treated OPSCC patients. Protein signatures including the pRB, cyclin D1 and p53 proteins do not further increase the prognostic performance of p16INK4a as a single marker.
https://ift.tt/2NTEn2j
Sequential Eruptions Triggered by Flux Emergence: Observations and Modeling
Dacie, S; Torok, T; Demoulin, P; Linton, MG; Downs, C; van Driel-Gesztelyi, L; Long, DM; Dacie, S; Torok, T; Demoulin, P; Linton, MG; Downs, C; van Driel-Gesztelyi, L; Long, DM; Leake, JE; - view fewer (2018) Sequential Eruptions Triggered by Flux Emergence: Observations and Modeling. The Astrophysical Journal , 862 (2) , Article 117. 10.3847/1538-4357/aacce3 . Green open access
https://ift.tt/2wR3QTg
Myocardial extracellular volume quantified by magnetic resonance is increased in cirrhosis and related to poor outcome.
Wiese, S; Hove, J; Mo, S; Mookerjee, RP; Petersen, CL; Vester-Andersen, MK; Mygind, ND; ... Møller, S; + view all Wiese, S; Hove, J; Mo, S; Mookerjee, RP; Petersen, CL; Vester-Andersen, MK; Mygind, ND; Goetze, JP; Kjaer, A; Bendtsen, F; Møller, S; - view fewer (2018) Myocardial extracellular volume quantified by magnetic resonance is increased in cirrhosis and related to poor outcome. Liver International , 38 (9) pp. 1614-1623. 10.1111/liv.13870 .
https://ift.tt/2wLWyiN
Managing intrinsic motivation in a long-run relationship
Eliaz, K; Spiegler, R; (2018) Managing intrinsic motivation in a long-run relationship. Economics Letters , 165 pp. 6-9. 10.1016/j.econlet.2018.01.018 .
https://ift.tt/2oMvwV6
Stellar Streams Discovered in the Dark Energy Survey
Shipp, N; Drlica-Wagner, A; Balbinot, E; Ferguson, P; Erkal, D; Li, TS; Bechtol, K; ... Wechsler, RH; + view all Shipp, N; Drlica-Wagner, A; Balbinot, E; Ferguson, P; Erkal, D; Li, TS; Bechtol, K; Belokurov, V; Buncher, B; Carollo, D; Kind, MC; Kuehn, K; Marshall, JL; Pace, AB; Rykoff, ES; Sevilla-Noarbe, I; Sheldon, E; Strigari, L; Vivas, AK; Yanny, B; Zenteno, A; Abbott, TMC; Abdalla, FB; Allam, S; Avila, S; Bertin, E; Brooks, D; Burke, DL; Carretero, J; Castander, FJ; Cawthon, R; Crocce, M; Cunha, CE; D'Andrea, CB; da Costa, LN; Davis, C; De Vicente, J; Desai, S; Diehl, HT; Doel, P; Evrard, AE; Flaugher, B; Fosalba, P; Frieman, J; Garcia-Bellido, J; Gaztanaga, E; Gerdes, DW; Gruen, D; Gruendl, RA; Gschwend, J; Gutierrez, G; Hartley, W; Honscheid, K; Hoyle, B; James, DJ; Johnson, MD; Krause, E; Kuropatkin, N; Lahav, O; Lin, H; Maia, MAG; March, M; Martini, P; Menanteau, F; Miller, CJ; Miquel, R; Nichol, RC; Plazas, AA; Romer, AK; Sako, M; Sanchez, E; Santiago, B; Scarpine, V; Schindler, R; Schubnell, M; Smith, M; Smith, RC; Sobreira, F; Suchyta, E; Swanson, MEC; Tarle, G; Thomas, D; Tucker, DL; Walker, AR; Wechsler, RH; - view fewer (2018) Stellar Streams Discovered in the Dark Energy Survey. The Astrophysical Journal , 862 (2) , Article 114. 10.3847/1538-4357/aacdab . Green open access
https://ift.tt/2wQAq6W
Buridanic competition
Bachi, B; Spiegler, R; (2017) Buridanic competition. Games and Economic Behavior , 107 pp. 298-315. 10.1016/j.geb.2017.10.024 .
https://ift.tt/2oMaiqe
The Chemistry of Phosphorus-bearing Molecules under Energetic Phenomena
Jimenez-Serra, I; Viti, S; Quenard, D; Holdship, J; (2018) The Chemistry of Phosphorus-bearing Molecules under Energetic Phenomena. The Astrophysical Journal , 862 (2) , Article 128. 10.3847/1538-4357/aacdf2 . Green open access
https://ift.tt/2Cs1Kys
Spillover Effects of Mass Layoffs
Schoenberg, U; Helm, I; Gathmann, C; (2018) Spillover Effects of Mass Layoffs. Journal of the European Economic Association (In press).
https://ift.tt/2oMRNlK
First Data Release of the COSMOS Ly alpha Mapping and Tomography Observations: 3D Ly alpha Forest Tomography at 2.05 < z < 2.55
Lee, K-G; Krolewski, A; White, M; Schlegel, D; Nugent, PE; Hennawi, JF; Muller, T; ... Tran, K-VH; + view all Lee, K-G; Krolewski, A; White, M; Schlegel, D; Nugent, PE; Hennawi, JF; Muller, T; Pan, R; Prochaska, JX; Font-Ribera, A; Suzuki, N; Glazebrook, K; Kacprzak, GG; Kartaltepe, JS; Koekemoer, AM; Le Fevre, O; Lemaux, BC; Maier, C; Nanayakkara, T; Rich, RM; Sanders, DB; Salvato, M; Tasca, L; Tran, K-VH; - view fewer (2018) First Data Release of the COSMOS Ly alpha Mapping and Tomography Observations: 3D Ly alpha Forest Tomography at 2.05 . Green open access
https://ift.tt/2wIpo3I
Behavioral Economics and the Atheoretical Style
Spiegler, R; (2019) Behavioral Economics and the Atheoretical Style. American Economic Journal: Microeconomics (In press). Green open access
https://ift.tt/2oMRqYo
The Progression of the Stargardt Disease Type 4 (ProgStar-4) Study: Design and Baseline Characteristics (ProgStar-4 Report No. 1)
Strauss, RW; Muñoz, B; Ahmed, MI; Bittencourt, M; Schönbach, EM; Michaelides, M; Birch, D; ... for the ProgStar-4 Study Group, ; + view all Strauss, RW; Muñoz, B; Ahmed, MI; Bittencourt, M; Schönbach, EM; Michaelides, M; Birch, D; Zrenner, E; Ervin, A-M; Charbel Issa, P; Kong, J; Wolfson, Y; Shah, M; Bagheri, S; West, S; Scholl, HPN; for the ProgStar-4 Study Group, ; - view fewer (2018) The Progression of the Stargardt Disease Type 4 (ProgStar-4) Study: Design and Baseline Characteristics (ProgStar-4 Report No. 1). Ophthalmic Research 10.1159/000491791 . (In press).
https://ift.tt/2wIpcS2
Search for new phenomena using the invariant mass distribution of same-flavour opposite-sign dilepton pairs in events with missing transverse momentum in root s=13 TeV pp collisions with the ATLAS detector
Aaboud, M; Aad, G; Abbott, B; Abdinov, O; Abeloos, B; Abidi, SH; AbouZeid, OS; ... Zwalinski, L; + view all Aaboud, M; Aad, G; Abbott, B; Abdinov, O; Abeloos, B; Abidi, SH; AbouZeid, OS; Abraham, NL; Abramowicz, H; Abreu, H; Abulaiti, Y; Acharya, BS; Adachi, S; Adamczyk, L; Adelman, J; Adersberger, M; Adye, T; Affolder, AA; Afik, Y; Agheorghiesei, C; Aguilar-Saavedra, JA; Ahmadov, F; Aielli, G; Akatsuka, S; Akesson, TPA; Akilli, E; Akimov, AV; Alberghi, GL; Albert, J; Albicocco, P; AlconadaVerzini, MJ; Alderweireldt, S; Aleksa, M; Aleksandrov, IN; Alexa, C; Alexander, G; Alexopoulos, T; Alhroob, M; Ali, B; Aliev, M; Alimonti, G; Alison, J; Alkire, SP; Allaire, C; Allbrooke, BMM; Allen, BW; Allport, PP; Aloisio, A; Alonso, A; Alonso, F; Alpigiani, C; Alshehri, AA; Alstaty, MI; AlvarezGonzalez, B; AlvarezPiqueras, D; Alviggi, MG; Amadio, BT; AmaralCoutinho, Y; Ambroz, L; Amelung, C; Amidei, D; Amor DosSantos, SP; Amoroso, S; Amrouche, CS; Anastopoulos, C; Ancu, LS; Andari, N; Andeen, T; Anders, CF; Anders, JK; Anderson, KJ; Andreazza, A; Andrei, V; Angelidakis, S; Angelozzi, I; 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Chitan, A; Chiu, I; Chiu, YH; Chizhov, MV; Choi, K; Chomont, AR; Chouridou, S; Chow, YS; Christodoulou, V; Chu, MC; Chudoba, J; Chuinard, AJ; Chwastowski, JJ; Chytka, L; Cinca, D; Cindro, V; Cioara, IA; Ciocio, A; Cirotto, F; Citron, ZH; Citterio, M; Clark, A; Clark, MR; Clark, PJ; Clarke, RN; Clement, C; Coadou, Y; Cobal, M; Coccaro, A; Cochran, J; Coimbra, AEC; Colasurdo, L; Cole, B; Colijn, AP; Collot, J; Conde Muino, P; Coniavitis, E; Connell, SH; Connelly, IA; Constantinescu, S; Conventi, F; Cooper-Sarkar, AM; Cormier, F; Cormier, KJR; Corradi, M; Corrigan, EE; Corriveau, F; Cortes-Gonzalez, A; Costa, MJ; Costanzo, D; Cottin, G; Cowan, G; Cox, BE; Crane, J; Cranmer, K; Crawley, SJ; Creager, RA; Cree, G; Crepe-Renaudin, S; Crescioli, F; Cristinziani, M; Croft, V; Crosetti, G; Cueto, A; CuhadarDonszelmann, T; Cukierman, AR; Curatolo, M; Cuth, J; Czekierda, S; Czodrowski, P; Da Cunha Sargedas De Sousa, MJ; Da Via, C; Dabrowski, W; Dado, T; Dahbi, S; Dai, T; Dale, O; Dallaire, F; Dallapiccola, C; 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Measurements of b-jet tagging efficiency with the ATLAS detector using tt¯ events at √s=13 TeV
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Antinuclear Antibody‐Negative Systemic Lupus Erythematosus in an International Inception Cohort
Choi, MY; Clarke, AE; St Pierre, Y; Hanly, JG; Urowitz, MB; Romero-Diaz, J; Gordon, C; ... Fritzler, MJ; + view all Choi, MY; Clarke, AE; St Pierre, Y; Hanly, JG; Urowitz, MB; Romero-Diaz, J; Gordon, C; Bae, S-C; Bernatsky, S; Wallace, DJ; Merrill, JT; Isenberg, DA; Rahman, A; Ginzler, EM; Petri, M; Bruce, IN; Dooley, MA; Fortin, PR; Gladman, DD; Sanchez-Guerrero, J; Steinsson, K; Ramsey-Goldman, R; Khamashta, MA; Aranow, C; Alarcón, GS; Manzi, S; Nived, O; Zoma, AA; van Vollenhoven, RF; Ramos-Casals, M; Ruiz-Irastorza, G; Lim, SS; Kalunian, KC; Inanc, M; Kamen, DL; Peschken, CA; Jacobsen, S; Askanase, A; Stoll, T; Buyon, J; Mahler, M; Fritzler, MJ; - view fewer (2018) Antinuclear Antibody‐Negative Systemic Lupus Erythematosus in an International Inception Cohort. Arthritis Care & Research 10.1002/acr.23712 . (In press).
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Aging and the evolution of comorbidities among HIV-positive individuals in a European cohort
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SCN5A mutations in 442 neonates and children: genotype-phenotype correlation and identification of higher-risk subgroups
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Socio-economic variations in anticipated adverse reactions to testing HPV positive: Implications for the introduction of primary HPV-based cervical screening
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Echocardiographic reference ranges in older children and adolescents in sub-Saharan Africa
Majonga, ED; Rehman, AM; McHugh, G; Mujuru, HA; Nathoo, K; Patel, MS; Munyati, S; ... Ferrand, RA; + view all Majonga, ED; Rehman, AM; McHugh, G; Mujuru, HA; Nathoo, K; Patel, MS; Munyati, S; Odland, JO; Kranzer, K; Kaski, JP; Ferrand, RA; - view fewer (2017) Echocardiographic reference ranges in older children and adolescents in sub-Saharan Africa. International Journal of Cardiology , 248 pp. 409-413. 10.1016/j.ijcard.2017.06.109 . Green open access
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