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Alhajahjeh A, Al-Faouri R, Bahmad HF, Bader T, Dobbs RW, Abdulelah AA, Abou-Kheir W, Davicioni E, Lee DI, Shahait M. From Diabetes to Oncology: Glucagon-like Peptide-1 (GLP-1) Receptor Agonist's Dual Role in Prostate Cancer. Cancers (Basel) 2024; 16:1538. [PMID: 38672620 PMCID: PMC11048615 DOI: 10.3390/cancers16081538] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2024] [Revised: 04/09/2024] [Accepted: 04/16/2024] [Indexed: 04/28/2024] Open
Abstract
Glucagon-like peptide-1 (GLP-1), an incretin hormone renowned for its role in post-meal blood sugar regulation and glucose-dependent insulin secretion, has gained attention as a novel treatment for diabetes through GLP-1 receptor agonists (GLP-1-RA). Despite their efficacy, concerns have been raised regarding the potential associations between GLP-1-RA and certain malignancies, including medullary thyroid cancer. However, evidence of its association with prostate cancer (PCa) remains inconclusive. This review delves into the intricate relationship between GLP-1-RA and PCa, exploring the mechanisms through which GLP-1-Rs may impact PCa cells. We discuss the potential pathways involving cAMP, ERK, AMPK, mTOR, and P27. Furthermore, we underscore the imperative for additional research to elucidate the impact of GLP-1-RA treatment on PCa progression, patient outcomes, and potential interactions with existing therapies. Translational studies and clinical trials are crucial for a comprehensive understanding of the role of GLP-1-RA in PCa management.
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Affiliation(s)
- Abdulrahman Alhajahjeh
- School of Medicine, The University of Jordan, Amman 11190, Jordan;
- King Hussein Cancer Center (KHCC), Internal Medicine Department, Amman 11190, Jordan;
| | - Raad Al-Faouri
- Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02120, USA;
| | - Hisham F. Bahmad
- Arkadi M. Rywlin Department of Pathology and Laboratory Medicine, Mount Sinai Medical Center, Miami Beach, FL 33140, USA;
| | - Taima’ Bader
- King Hussein Cancer Center (KHCC), Internal Medicine Department, Amman 11190, Jordan;
| | - Ryan W. Dobbs
- Cook County Health and Hospitals System, Chicago, IL 60612, USA;
| | - Ahmed A. Abdulelah
- Edinburgh Medical School, The University of Edinburgh, Edinburgh EH8 9YL, UK;
| | - Wassim Abou-Kheir
- Department of Anatomy, Cell Biology and Physiological Sciences, Faculty of Medicine, American University of Beirut, Beirut 1107, Lebanon;
| | | | - David I. Lee
- Department of Urology, University of California, Irvine, CA 92868, USA;
| | - Mohammed Shahait
- School of Medicine, University of Sharjah, Sharjah P.O. Box 27272, United Arab Emirates
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Abdulelah ZA, Abdulelah AA, Alsayed Issa A, Al Balbissi K. Fibrous Pericardial Mass Signifying the Importance of Advanced Cardiovascular Imaging: A Case Report. Int Med Case Rep J 2024; 17:321-325. [PMID: 38618190 PMCID: PMC11011691 DOI: 10.2147/imcrj.s442733] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2023] [Accepted: 03/07/2024] [Indexed: 04/16/2024] Open
Abstract
Background Pericardial masses are an extremely rare group of diseases which can be classified based on etiology. The presentation of pericardial masses varies considerably from one individual to another, ranging from an asymptomatic presentation with an incidental finding on imaging, to presenting with non-specific signs and symptoms. Due to the enigmatic nature and presentation of pericardial masses, diagnostic imaging is mandatory. Case Presentation A 69-year-old patient presented to our cardiology clinic complaining of intermittent shortness of breath upon moderate exertion in the absence of chest pain, paroxysmal nocturnal dyspnea, orthopnea, dizziness, palpitations, or lower limb edema. The patient's past medical history was significant because of his history of pericarditis associated with pericardial effusion 6 years prior to presentation at our clinic. Despite adequate medical treatment, the patient complained of a relapsing and remitting pattern of symptoms that mandated the performance of advanced cardiovascular imaging, namely, cardiac magnetic resonance imaging, which revealed the presence of a profound pericardial mass. Conclusion Despite the fact that relapsing pericarditis is a well-established complication following acute pericarditis, the presentation of a complication such as a fibrous pericardial mass evident on cardiac MRI has essentially been unreported in the literature previously.
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Affiliation(s)
- Zaid A Abdulelah
- Department of Cardiology, Royal Papworth Hospital NHS Foundation Trust, Cambridge, UK
| | | | | | - Kais Al Balbissi
- Divison of Cardiology, Department of Internal Medicine, School of Medicine, University of Jordan, Amman, Jordan
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Alhajahjeh A, Abdulelah AA, Hmeidan M, Kakish D, Sukerji R, Qtaishat L, Awamlh B, Dobbs RW, Al Sukhun S, Laguna P, Shahait M. Gender inequality in genitourinary malignancies clinical trials leadership. World J Urol 2024; 42:174. [PMID: 38506931 DOI: 10.1007/s00345-024-04893-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2024] [Accepted: 02/15/2024] [Indexed: 03/22/2024] Open
Abstract
BACKGROUND Over the past 2 decades, there has been a growing interest in the significance of gender roles in healthcare and several efforts and initiatives have focused on increasing female representation in the medical field. Clinical trials play a very important role in shaping medical practice; moreover, the leaders of clinical trials often represent the upper echelon of researchers in any designated field. Presently, there is no data regarding women's representation in urological oncology clinical trials leadership. Therefore, the aim of this study is to examine the extent of female representation in leading urological clinical trials. METHODOLOGY To thoroughly examine the representation of females as principal investigators (PIs) in urological cancer clinical trials between 2000 and 2020, we conducted a comprehensive search of completed trials focused on kidney, prostate, and bladder cancer on ClinicalTrials.gov. We extracted relevant information regarding the PIs and analyzed the data using univariate analyses to identify any significant differences between male and female PIs. RESULTS A total of 9145 cancer clinical trials were conducted over the last 2 decades, and 11.3% (n = 1033) of them were urological cancer clinical trials. We were able to obtain detailed information about the principal investigators (PI) in 79.0% (n = 816) of the clinical trials, and we found that 16.8% (n = 137) of them were led by female investigators. Upon evaluating the characteristics of the PIs, female PIs had a significantly lower median age and median total citations as compared to male PIs (55.0 vs 59.0 and 5333 vs 7902; p-value < 0.001 and 0.006, respectively). However, there was no statistically significant difference between the termination rate, publication rate, funding source, cancer type, and the subject of conducting the clinical trials between male and female PIs. CONCLUSION Between 2000 and 2020, only 16.8% of urological cancer clinical trials were led by a female PI, perhaps reflective of a low percentage of senior female researchers in the fields of urology, oncology and radiation oncology. Universities, research institutes and funding agencies should work to improve mentorship, representation and opportunities for female investigators to encourage more involvement for female researchers in these clinical trials.
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Affiliation(s)
- Abdulrahman Alhajahjeh
- Department of Internal Medicine, King Hussein Cancer Center (KHCC), Amman, Jordan
- University of Jordan; School of Medicine, Amman, Jordan
| | - Ahmed A Abdulelah
- Department of Internal Medicine, King Hussein Cancer Center (KHCC), Amman, Jordan
| | | | - Diala Kakish
- Department of Urology, Vanderbilt University Medical Center, A-1302 Medical Center Drive, Nashville, TN, 37232, USA
| | - Razan Sukerji
- Department of Urology, Vanderbilt University Medical Center, A-1302 Medical Center Drive, Nashville, TN, 37232, USA
| | - Leen Qtaishat
- University of Jordan; School of Medicine, Amman, Jordan
| | - Bashir Awamlh
- Department of Urology, Vanderbilt University Medical Center, A-1302 Medical Center Drive, Nashville, TN, 37232, USA
| | - Ryan W Dobbs
- Cook County Health & Hospitals System Chicago, Chicago, IL, 60612, USA
| | - Sana Al Sukhun
- Al Hyatt Oncology Practice, 40 Ibn Khaldoon St., Amman, 11183, Jordan
| | - Pilar Laguna
- Department of Urology, Istanbul Medipol University, Istanbul, Turkey
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Abdulelah AA, Haddad BI, Alhajahjeh AA, AlQirem LM, El-amayreh L. The Risk of Developing Osteosarcoma After Teriparatide Use: A Systematic Review. Orthop Res Rev 2023; 15:191-198. [PMID: 37791038 PMCID: PMC10544053 DOI: 10.2147/orr.s408718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2023] [Accepted: 09/13/2023] [Indexed: 10/05/2023] Open
Abstract
Teriparatide is a recombinant human parathyroid hormone analog with anabolic mechanism of action utilized in the treatment of osteoporosis with well-established clinical efficacy. Its use is significantly hindered due to label warnings resulting from pre-clinical rat studies demonstrating an increased risk of osteosarcoma. However, clinical trials and post-marketing surveillance studies did not demonstrate any increased risk of osteosarcoma, even after prolonged periods of surveillance reaching up to 15 years, with most of the identified cases of osteosarcomas being solitary and predominantly attributed to other factors. This systematic review provides a comprehensive overview of the currently available literature and provides the highest level of clinical evidence towards demonstrating the lack of any substantial evidence towards osteosarcoma development in patients utilizing TPTD.
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Affiliation(s)
| | - Bassem I Haddad
- Department of Special Surgery, Division of Orthopedics, School of Medicine, the University of Jordan, Amman, Jordan
| | | | - Lina M AlQirem
- School of Medicine, the University of Jordan, Amman, Jordan
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Dawod MS, Alisi MS, Rabab’a H, Abdulelah AA, Almaaitah HW, Haddad B. Surgical Management of Aneurysmal Bone Cyst of the Pubis: A Case Report and Review of Literature. Int Med Case Rep J 2022; 15:287-292. [PMID: 35726264 PMCID: PMC9206452 DOI: 10.2147/imcrj.s369073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Accepted: 05/31/2022] [Indexed: 11/23/2022] Open
Abstract
Introduction Case Report Conclusion
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Affiliation(s)
- Mohd Said Dawod
- Department of Special Surgery, Division of Orthopaedics, School of Medicine, Mutah University, Al Karak, Jordan
| | - Mohammed S Alisi
- Department of Special Surgery, Division of Orthopaedics, School of Medicine, The University of Jordan, Amman, Jordan
- Faculty of Medicine, Islamic University of Gaza, Gaza, Palestine
- Correspondence: Mohammed S Alisi, The University of Jordan, School of Medicine, Queen Rania Al Abdullah St 266 Al Jubaiha, Amman, 11942, Jordan, Tel +962790983284, Email
| | - Hammam Rabab’a
- School of Medicine, The University of Jordan, Amman, Jordan
| | | | | | - Bassem Haddad
- Department of Special Surgery, Division of Orthopaedics, School of Medicine, The University of Jordan, Amman, Jordan
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Ababneh NA, Barham R, Al-Kurdi B, Ali D, Hadidi SA, Ismail M, Muamar AS, Abdulelah AA, Madadha A, Sallam M, Hassona Y, Masri A, Awidi A. Generation of a human induced pluripotent stem cell (iPSC) line (JUCTCi019-A) from a patient with Charcot-Marie-Tooth disease type 2A2 (CMT2A2) due to a heterozygous missense substitution c.2119C>T (p.Arg707Trp) in MNF2 gene. Stem Cell Res 2022; 62:102786. [DOI: 10.1016/j.scr.2022.102786] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Accepted: 04/10/2022] [Indexed: 11/27/2022] Open
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Hamdan M, Haddad BI, Jabaiti M, Alryalat SA, Abdulelah AA, Alabed SH, Alabdullah TF, Aouant AN, Shahein HE, Dweik HI, Matar K, Alisi MS. Does Red Cell Distribution Width Predict Hip Fracture Mortality Among the Arab Population? A Single-Center Retrospective Cohort Study. Int J Gen Med 2022; 14:10195-10202. [PMID: 34992438 PMCID: PMC8710672 DOI: 10.2147/ijgm.s343538] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2021] [Accepted: 12/14/2021] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Hip fractures impose significant morbidity and mortality. Red cell distribution width (RDW) appears to be an emerging tool in predicting mortality following hip fractures. Several factors can influence the RDW value including genetic factors and ethnicity. The purpose of the study was to assess the relation between RDW level at admission and hip fracture mortality within 6 months among Arab/Middle East populations. METHODS We conducted a single-center retrospective cohort study including 549 patients (274 female and 275 male) diagnosed with a hip fracture undergoing surgery from February 2016 to December 2019. All included patients shared the same country of origin which is Arab Middle East country. Statistical analysis, including binary regression, was performed to assess the relationship between RDW and mortality within 6 months of admission. Other predictors of mortality following hip fracture surgery were also assessed. RESULTS The mean age was 76.42 (±9.19) years. Seventy (12.8%) of participants died within 6 months. No statistically significant association (P=0.053) between RDW level at admission and mortality within 6 months of surgery was found. Binary regression demonstrated that the only independent predictors of mortality were age (P= 0.003, odds ratio 1.048 with 95% CI 1.016 to 1.080) and male gender (P= 0.021, odds ratio 1.872 with 95% CI 1.100 to 3.185). CONCLUSION Although the previous studies reported that RDW is one of the predictors of mortality in hip fracture patients, our study found no relation in the Arab population. This finding may confirm the influence of genetic factors and ethnicity on RDW value. We recommend further large-scale multicenter studies to solidly establish the relationship between RDW and hip fracture mortality among the Arab/Middle East population.
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Affiliation(s)
- Mohammad Hamdan
- Department of Special Surgery, Division of Orthopaedics, School of Medicine, The University of Jordan, Amman, Jordan
| | - Bassem I Haddad
- Department of Special Surgery, Division of Orthopaedics, School of Medicine, The University of Jordan, Amman, Jordan
| | - Mohammad Jabaiti
- Department of Special Surgery, Division of Orthopaedics, School of Medicine, The University of Jordan, Amman, Jordan
| | - Saif Aldeen Alryalat
- Department of Special Surgery, Division of Ophthalmology, School of Medicine, The University of Jordan, Amman, Jordan
| | | | | | | | - Alia N Aouant
- School of Medicine, The University of Jordan, Amman, Jordan
| | | | - Hadeel I Dweik
- School of Medicine, The University of Jordan, Amman, Jordan
| | - Khaled Matar
- School of Medicine, American University of the Caribbean, Cupecoy, Sint Maarten
| | - Mohammed S Alisi
- Department of Special Surgery, Division of Orthopaedics, School of Medicine, The University of Jordan, Amman, Jordan.,Faculty of Medicine, Islamic University of Gaza, Gaza, Palestine
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Alrabayah M, Alisi MS, Abdulelah AA, Atiyat B, Alnawaiseh H. A large aneurysmal bone cyst of the clavicle in a 5-year-old child: a case report and review of literature. Current Orthopaedic Practice 2021. [DOI: 10.1097/bco.0000000000000989] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Alisi MS, Al-Saber MG, Abdulelah AA, Alqaisi A, Kanaan TMA, Hadidi F. Cervical Myelopathy Due to Ochronosis: An Intraoperative Suspicion. Am J Case Rep 2020; 21:e924575. [PMID: 32908119 PMCID: PMC7491942 DOI: 10.12659/ajcr.924575] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
Patient: Female, 55-year-old Final Diagnosis: Alkaptonuria Symptoms: Neck pain Medication:— Clinical Procedure: — Specialty: Neurosurgery • Orthopedics and Traumatology
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Affiliation(s)
- Mohammed S Alisi
- Department of Special Surgery, Division of Orthopaedics, School of Medicine, The University of Jordan, Amman, Jordan
| | - Munther G Al-Saber
- Department of Special Surgery, Division of Orthopaedics, School of Medicine, The University of Jordan, Amman, Jordan
| | | | - Amer Alqaisi
- Department of Special Surgery, Division of Neurosurgery, School of Medicine, The University of Jordan, Amman, Jordan
| | - Tareq M A Kanaan
- Department of Special Surgery, Division of Neurosurgery, School of Medicine, The University of Jordan, Amman, Jordan
| | - Fadi Hadidi
- Department of Special Surgery, Division of Orthopaedics, School of Medicine, The University of Jordan, Amman, Jordan
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