1
|
Kim ES, Rajan A, Chang K, Govindarajan S, Gulick C, English E, Rodriguez B, Bloomfield O, Nakada S, Beard C, O’Connor S, Mastroianni S, Downey E, Feigenbaum M, Tolentino C, Pace A, Khan M, Moon S, DiPrima J, Syed A, Lin F, Abukhadra Y, Bacon I, Beckerle J, Cho S, Donkor NE, Garberg L, Harrington A, Hoang M, Lawani N, Noori A, Park E, Parsons E, Oravitan P, Chen M, Molina C, Richmond C, Reddi A, Huang J, Shugrue C, Coviello R, Unver S, Indelicarto M, Islamovic E, McIlroy R, Yang A, Hamad M, Griffin E, Ahmed Z, Alla A, Fitzgerald P, Choi A, Das T, Cheng Y, Yu J, Roderiques T, Lee E, Liu L, Harper J, Wang J, Suhr C, Tan M, Luque J, Tam AR, Chen E, Triff M, Zimmermann L, Zhang E, Wood J, Clark K, Kpodonu N, Dey A, Ecker A, Chuang M, López RKS, Sun H, Wei Z, Stone H, Chi CYJ, Silvestri A, Orloff P, Nedumaran N, Zou A, Ünver L, Page O, Kim M, Chan TYT, Tulloch A, Hernandez A, Pillai A, Chen C, Chowdhury N, Huang L, Mudide A, Paik G, Wingate A, Quinn L, Conybere C, Baumgardt LL, Buckley R, Kolberg Z, Pattison R, Shazli AA, Ganske P, Sfragara L, Strub A, Collier B, Tamana H, Ravindran D, Howden J, Stewart M, Shimizu S, Braniff J, Fong M, Gutman L, Irvine D, Malholtra S, Medina J, Park J, Yin A, Abromavage H, Barrett B, Chen J, Cho R, Dilatush M, Gaw G, Gu C, Huang J, Kilby H, Markel E, McClure K, Phillips W, Polaski B, Roselli A, Saint-Cyr S, Shin E, Tatum K, Tumpunyawat T, Wetherill L, Ptaszynska S, Zeleznik M, Pesendorfer A, Nolan A, Tao J, Sammeta D, Nicholson L, Dinh GV, Foltz M, Vo A, Ross M, Tokarski A, Hariharan S, Wang E, Baziuk M, Tay A, Wong YHM, Floyd J, Cui A, Pierre K, Coppisetti N, Kutam M, Khurjekar D, Gadzi A, Gubbay B, Pedretti S, Belovich S, Yeung T, Fey M, Shaffer L, Li A, Beritela G, Huyghue K, Foster G, Durso-Finley G, Thierfelder Q, Kiernan H, Lenkowsky A, Thomas T, Cheng N, Chao O, L’Etoile-Goga P, King A, McKinley P, Read N, Milberg D, Lin L, Wong M, Gilman I, Brown S, Chen L, Kosai J, Verbinsky M, Belshaw-Hood A, Lee H, Zhou C, Lobo M, Tse A, Tran K, Lewis K, Sonawane P, Ngo J, Zuzga S, Chow L, Huynh V, Yang W, Lim S, Stites B, Chang S, Cruz-Balleza R, Pelta M, Kujawski S, Yuan C, Standen-Bloom E, Witt O, Anders K, Duane A, Huynh N, Lester B, Fung-Lee S, Fung M, Situ M, Canigiula P, Dijkgraaf M, Romero W, Baula SK, Wong K, Xu I, Martinez B, Nuygen R, Norris L, Nijensohn N, Altman N, Maajid E, Burkhardt O, Chanda J, Doscher C, Gopal A, Good A, Good J, Herrera N, Lanting L, Liem S, Marks A, McLaughlin E, Lee A, Mohr C, Patton E, Pyarali N, Oczon C, Richards D, Good N, Goss S, Khan A, Madonia R, Mitchell V, Sun N, Vranka T, Garcia D, Arroyo F, Morales E, Camey S, Cano G, Bernabe A, Arroyo J, Lopez Y, Gonzalez E, Zumba B, Garcia J, Vargas E, Trinidad A, Candelaria N, Valdez V, Campuzano F, Pereznegron E, Medrano J, Gutierrez J, Gutierrez E, Abrego ET, Gutierrez D, Ortiz C, Barnes A, Arms E, Mitchell L, Balanzá C, Bradford J, Detroy H, Ferguson D, Guillermo E, Manapragada A, Nanula D, Serna B, Singh K, Sramaty E, Wells B, Wiggins M, Dowling M, Schmadeke G, Cafferky S, Good S, Reese M, Fleig M, Gannett A, Cain C, Lee M, Oberto P, Rinehart J, Pan E, Mathis SA, Joiner J, Barr L, Evans CJ, Baena-Lopez A, Beatty A, Collette J, Smullen R, Suttie J, Chisholm T, Rotondo C, Lewis G, Turner V, Stark L, Fox E, Amirapu A, Park S, Lantz N, Rankin AE, Kim SK, Kockel L. Generation of LexA enhancer-trap lines in Drosophila by an international scholastic network. G3 (Bethesda) 2023; 13:jkad124. [PMID: 37279923 PMCID: PMC10468311 DOI: 10.1093/g3journal/jkad124] [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] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/26/2023] [Revised: 05/05/2023] [Accepted: 05/10/2023] [Indexed: 06/08/2023]
Abstract
Conditional gene regulation in Drosophila through binary expression systems like the LexA-LexAop system provides a superb tool for investigating gene and tissue function. To increase the availability of defined LexA enhancer trap insertions, we present molecular, genetic, and tissue expression studies of 301 novel Stan-X LexA enhancer traps derived from mobilization of the index SX4 line. This includes insertions into distinct loci on the X, II, and III chromosomes that were not previously associated with enhancer traps or targeted LexA constructs, an insertion into ptc, and seventeen insertions into natural transposons. A subset of enhancer traps was expressed in CNS neurons known to produce and secrete insulin, an essential regulator of growth, development, and metabolism. Fly lines described here were generated and characterized through studies by students and teachers in an international network of genetics classes at public, independent high schools, and universities serving a diversity of students, including those underrepresented in science. Thus, a unique partnership between secondary schools and university-based programs has produced and characterized novel resources in Drosophila, establishing instructional paradigms devoted to unscripted experimental science.
Collapse
Affiliation(s)
- Ella S Kim
- Phillips Exeter Academy, Exeter, NH 03833, USA
| | - Arjun Rajan
- Department of Developmental Biology, Stanford University School of Medicine, Stanford, CA 94305, USA
| | - Kathleen Chang
- Department of Developmental Biology, Stanford University School of Medicine, Stanford, CA 94305, USA
| | | | | | - Eva English
- Phillips Exeter Academy, Exeter, NH 03833, USA
| | | | | | | | | | - Sarah O’Connor
- Commack High School, 1 Scholar Ln, Commack, NY 11725, USA
| | | | - Emma Downey
- Commack High School, 1 Scholar Ln, Commack, NY 11725, USA
| | | | | | - Abigail Pace
- Commack High School, 1 Scholar Ln, Commack, NY 11725, USA
| | - Marina Khan
- Commack High School, 1 Scholar Ln, Commack, NY 11725, USA
| | - Soyoun Moon
- Commack High School, 1 Scholar Ln, Commack, NY 11725, USA
| | - Jordan DiPrima
- Commack High School, 1 Scholar Ln, Commack, NY 11725, USA
| | - Amber Syed
- Commack High School, 1 Scholar Ln, Commack, NY 11725, USA
| | - Flora Lin
- Commack High School, 1 Scholar Ln, Commack, NY 11725, USA
| | | | | | | | - Sophia Cho
- Phillips Exeter Academy, Exeter, NH 03833, USA
| | | | | | | | - Mai Hoang
- Phillips Exeter Academy, Exeter, NH 03833, USA
| | - Nosa Lawani
- Phillips Exeter Academy, Exeter, NH 03833, USA
| | - Ayush Noori
- Phillips Exeter Academy, Exeter, NH 03833, USA
| | - Euwie Park
- Phillips Exeter Academy, Exeter, NH 03833, USA
| | | | | | | | | | | | - Adith Reddi
- Phillips Exeter Academy, Exeter, NH 03833, USA
| | - Jason Huang
- Phillips Exeter Academy, Exeter, NH 03833, USA
| | | | | | - Selma Unver
- Phillips Exeter Academy, Exeter, NH 03833, USA
| | | | | | | | - Alana Yang
- Phillips Exeter Academy, Exeter, NH 03833, USA
| | - Mahdi Hamad
- Phillips Exeter Academy, Exeter, NH 03833, USA
| | | | - Zara Ahmed
- Phillips Exeter Academy, Exeter, NH 03833, USA
| | - Asha Alla
- Phillips Exeter Academy, Exeter, NH 03833, USA
| | | | - Audrey Choi
- Phillips Exeter Academy, Exeter, NH 03833, USA
| | - Tanya Das
- Phillips Exeter Academy, Exeter, NH 03833, USA
| | | | - Joshua Yu
- Phillips Exeter Academy, Exeter, NH 03833, USA
| | | | - Ethan Lee
- Phillips Exeter Academy, Exeter, NH 03833, USA
| | | | | | - Jason Wang
- Phillips Exeter Academy, Exeter, NH 03833, USA
| | - Chris Suhr
- Phillips Exeter Academy, Exeter, NH 03833, USA
| | - Max Tan
- Phillips Exeter Academy, Exeter, NH 03833, USA
| | | | | | - Emma Chen
- Phillips Exeter Academy, Exeter, NH 03833, USA
| | - Max Triff
- Phillips Exeter Academy, Exeter, NH 03833, USA
| | | | - Eric Zhang
- Phillips Exeter Academy, Exeter, NH 03833, USA
| | - Jackie Wood
- Phillips Exeter Academy, Exeter, NH 03833, USA
| | | | - Nat Kpodonu
- Phillips Exeter Academy, Exeter, NH 03833, USA
| | - Antar Dey
- Phillips Exeter Academy, Exeter, NH 03833, USA
| | | | | | | | - Harry Sun
- Phillips Exeter Academy, Exeter, NH 03833, USA
| | - Zijing Wei
- Phillips Exeter Academy, Exeter, NH 03833, USA
| | - Henry Stone
- Phillips Exeter Academy, Exeter, NH 03833, USA
| | | | | | | | | | | | - Leyla Ünver
- Phillips Exeter Academy, Exeter, NH 03833, USA
| | - Oscair Page
- Phillips Exeter Academy, Exeter, NH 03833, USA
| | - Minseo Kim
- Phillips Exeter Academy, Exeter, NH 03833, USA
| | | | | | | | | | | | | | - Lina Huang
- Phillips Exeter Academy, Exeter, NH 03833, USA
| | | | | | | | - Lily Quinn
- Haileybury School, Hertford SG13 7NU, UK
| | | | | | | | | | | | | | - Pia Ganske
- Haileybury School, Hertford SG13 7NU, UK
| | | | | | | | | | | | | | | | | | - Julia Braniff
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Melanie Fong
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Lucy Gutman
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Danny Irvine
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Sahil Malholtra
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Jillian Medina
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - John Park
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Alicia Yin
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | | | - Breanna Barrett
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Jacqueline Chen
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Rachelle Cho
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Mac Dilatush
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Gabriel Gaw
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Caitlin Gu
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Jupiter Huang
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Houston Kilby
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Ethan Markel
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Katie McClure
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - William Phillips
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Benjamin Polaski
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Amelia Roselli
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Soleil Saint-Cyr
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Ellie Shin
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Kylan Tatum
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Tai Tumpunyawat
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Lucia Wetherill
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Sara Ptaszynska
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Maddie Zeleznik
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | | | - Anna Nolan
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Jeffrey Tao
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Divya Sammeta
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Laney Nicholson
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Giao Vu Dinh
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Merrin Foltz
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - An Vo
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Maggie Ross
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Andrew Tokarski
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Samika Hariharan
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Elaine Wang
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Martha Baziuk
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Ashley Tay
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | | | - Jax Floyd
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Aileen Cui
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Kieran Pierre
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Nikita Coppisetti
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Matthew Kutam
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Dhruv Khurjekar
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Anthony Gadzi
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Ben Gubbay
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Sophia Pedretti
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Sofiya Belovich
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Tiffany Yeung
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Mercy Fey
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Layla Shaffer
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Arthur Li
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | | | - Kyle Huyghue
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Greg Foster
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | | | - Quinn Thierfelder
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Holly Kiernan
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Andrew Lenkowsky
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Tesia Thomas
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Nicole Cheng
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Olivia Chao
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Pia L’Etoile-Goga
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Alexa King
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Paris McKinley
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Nicole Read
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - David Milberg
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Leila Lin
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Melinda Wong
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Io Gilman
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Samantha Brown
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Lila Chen
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Jordyn Kosai
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Mark Verbinsky
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | | | - Honon Lee
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Cathy Zhou
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Maya Lobo
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Asia Tse
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Kyle Tran
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Kira Lewis
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Pratmesh Sonawane
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Jonathan Ngo
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Sophia Zuzga
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Lillian Chow
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Vianne Huynh
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Wenyi Yang
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Samantha Lim
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Brandon Stites
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Shannon Chang
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | | | - Michaela Pelta
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Stella Kujawski
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Christopher Yuan
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | | | - Oliver Witt
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Karina Anders
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Audrey Duane
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Nancy Huynh
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Benjamin Lester
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Samantha Fung-Lee
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Melanie Fung
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Mandy Situ
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Paolo Canigiula
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Matijs Dijkgraaf
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Wilbert Romero
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | | | - Kimberly Wong
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Ivana Xu
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | | | - Reena Nuygen
- Latin School of Chicago, 59 W North Blvd, Chicago, IL 60610, USA
| | - Lucy Norris
- Latin School of Chicago, 59 W North Blvd, Chicago, IL 60610, USA
| | - Noah Nijensohn
- Latin School of Chicago, 59 W North Blvd, Chicago, IL 60610, USA
| | - Naomi Altman
- Latin School of Chicago, 59 W North Blvd, Chicago, IL 60610, USA
| | - Elise Maajid
- Latin School of Chicago, 59 W North Blvd, Chicago, IL 60610, USA
| | | | | | | | - Alex Gopal
- Albuquerque Academy, Albuquerque, NM 87109, USA
| | - Aaron Good
- Albuquerque Academy, Albuquerque, NM 87109, USA
| | - Jonah Good
- Albuquerque Academy, Albuquerque, NM 87109, USA
| | | | | | - Sophia Liem
- Albuquerque Academy, Albuquerque, NM 87109, USA
| | - Anila Marks
- Albuquerque Academy, Albuquerque, NM 87109, USA
| | | | - Audrey Lee
- Albuquerque Academy, Albuquerque, NM 87109, USA
| | - Collin Mohr
- Albuquerque Academy, Albuquerque, NM 87109, USA
| | - Emma Patton
- Albuquerque Academy, Albuquerque, NM 87109, USA
| | | | | | | | - Nathan Good
- Albuquerque Academy, Albuquerque, NM 87109, USA
| | | | - Adeeb Khan
- Albuquerque Academy, Albuquerque, NM 87109, USA
| | | | | | - Natasha Sun
- Albuquerque Academy, Albuquerque, NM 87109, USA
| | | | | | | | | | | | | | | | | | | | | | - Bryan Zumba
- Pritzker College Prep, Chicago, IL 60639, USA
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Jake Bradford
- Loyola Marymount University, Los Angeles, CA 90045, USA
| | | | | | | | | | | | | | - Khushi Singh
- Loyola Marymount University, Los Angeles, CA 90045, USA
| | - Emily Sramaty
- Loyola Marymount University, Los Angeles, CA 90045, USA
| | - Brian Wells
- Loyola Marymount University, Los Angeles, CA 90045, USA
| | | | - Melissa Dowling
- Latin School of Chicago, 59 W North Blvd, Chicago, IL 60610, USA
| | | | | | | | | | | | | | - Cory Cain
- Pritzker College Prep, Chicago, IL 60639, USA
| | - Melody Lee
- Harvard-Westlake School, Los Angeles, CA 90077, USA
| | | | | | | | | | | | - Leslie Barr
- Westtown School, West Chester, PA 19382, USA
| | - Cory J Evans
- Loyola Marymount University, Los Angeles, CA 90045, USA
| | | | - Andrea Beatty
- Commack High School, 1 Scholar Ln, Commack, NY 11725, USA
| | | | - Robert Smullen
- Commack High School, 1 Scholar Ln, Commack, NY 11725, USA
| | - Jeanne Suttie
- Commack High School, 1 Scholar Ln, Commack, NY 11725, USA
| | | | | | | | | | | | - Elizabeth Fox
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | - Anjana Amirapu
- Lowell High School, 1101 Eucalyptus Dr, San Francisco, CA 94132, USA
| | - Sangbin Park
- Department of Developmental Biology, Stanford University School of Medicine, Stanford, CA 94305, USA
| | - Nicole Lantz
- The Lawrenceville School, 2500 Main St, Lawrenceville, NJ 08648, USA
| | | | - Seung K Kim
- Department of Developmental Biology, Stanford University School of Medicine, Stanford, CA 94305, USA
| | - Lutz Kockel
- Department of Developmental Biology, Stanford University School of Medicine, Stanford, CA 94305, USA
| |
Collapse
|
2
|
Gladieux M, Gimness N, Rodriguez B, Liu J. Adverse Childhood Experiences (ACEs) and Environmental Exposures on Neurocognitive Outcomes in Children: Empirical Evidence, Potential Mechanisms, and Implications. Toxics 2023; 11:259. [PMID: 36977024 PMCID: PMC10055754 DOI: 10.3390/toxics11030259] [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] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/30/2023] [Revised: 03/02/2023] [Accepted: 03/06/2023] [Indexed: 06/18/2023]
Abstract
The purpose of this article is to examine the current literature regarding the relationship between adverse childhood experiences (ACEs) and environmental exposures. Specifically, the paper will focus on how this relationship between ACEs and physical environmental factors impacts the neurocognitive development of children. With a comprehensive literary search focusing on ACEs, inclusive of socioeconomic status (SES), and environmental toxins common in urban environments, the paper explores how these factors contribute to cognitive outcomes that are associated with the environment and childhood nurturing. The relationship between ACEs and environmental exposures reveals adverse outcomes in children's neurocognitive development. These cognitive outcomes include learning disabilities, lowered IQ, memory and attention problems, and overall poor educational outcomes. Additionally, potential mechanisms of environmental exposures and children's neurocognitive outcomes are explored, referencing data from animal studies and evidence from brain imaging studies. This study further analyzes the current gaps in the literature, such as the lack of data focusing on exposure to environmental toxicants resulting from experiencing ACEs and discusses the research and social policy implications of ACEs and environmental exposure in the neurocognitive development of children.
Collapse
Affiliation(s)
| | | | | | - Jianghong Liu
- Department of Family and Community Health, School of Nursing, University of Pennsylvania, Philadelphia, PA 19104, USA
| |
Collapse
|
3
|
Freeman M, Clagett B, Moisi D, Leskov K, Karn J, Laird G, Sieg S, Jacobson J, Rodriguez B, Lederman M. OP 8.2 – 00033 Interleukin-2 administration is a potent latency reversal agent in people with treated HIV infection. J Virus Erad 2022. [DOI: 10.1016/j.jve.2022.100276] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
|
4
|
Dasi A, Roy A, Bueno-Orovio A, Rodriguez B. Electrocardiogram metrics identify ionic current dysregulation relevant to atrial fibrillation. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.572] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Personalisation of pharmacological treatment for atrial fibrillation (AF) is challenging. Pharmacological ionic current blockers such as digoxin or flecainide are commonly used, with caution given possible cardiotoxicity and proarrhythmia. Moreover, patients are stratified based on their associated heart disease rather than individual electrophysiological substrate, in part due to the inability for its non-invasive characterisation. Here we hypothesise that the ECG may contain information on key ionic currents regulating AF initiation and sustenance, and which would enable personalisation of pharmacological treatments to increase safety and efficacy.
Purpose
To identify clinical ECG markers that reflect dysregulation of key ionic currents for AF using modelling and simulation in populations of whole-atria models without structural heart disease.
Methods
Experimental data obtained from human AF and control patients was used to develop a virtual population of 200 whole-atria models (Figure, organ-level) with individual ionic profiles (Figure 1, bottom-left), including electrophysiological regional inhomogeneities (Figure 1, bottom-right). Modified-limb 12 lead ECGs were computed during sinus rhythm (Figure 1, body-surface-level) and biomarkers were quantified for the P and Ta-waves, such as duration, time-to-peak, decay, dispersion, amplitude and P-wave terminal force.
Results
Simulated modified-limb ECG consistently reproduced the clinical ECG observed in human subjects, with an apparent Ta-wave inversion in lead II (Figure 1, body-surface-level). The inward rectified K+ current (IK1), known to be critical for AF, was the only ionic current associated with Ta-wave duration, showing an inversely proportional relationship (236±48 vs. 466±53 ms, IK1 up-regulation vs. down-regulation in lead V5; median ± interquartile range; P<0.001). Elevated IK1 additionally yield Ta-wave inversion in lead V5 and a higher Ta-wave magnitude in lead II (0.15±0.03 vs. 0.07±0.04 mV, IK1 up-regulation vs. down-regulation; P<0.001). However, Ta-wave magnitude showed a predominant relationship with the Na+/K+ pump (INaK), especially in the precordial leads (0.17±0.13 vs. 0.07±0.04 mV, INaK up-regulation vs. down-regulation in V5; P<0.001). Thus, the up-regulation of both currents led to very short, high-amplitude Ta-waves. While elevated IK1 additionally increased the P-wave terminal force (1.58±0.37 vs. 1.31±0.33 mV ms, IK1 up-regulation vs. down-regulation; P<0.001), a higher increase was observed for decreased fast Na+ current (INa) (1.35±0.17 vs. 1.86±0.30 mV ms, INa up-regulation vs. down-regulation; P<0.001).
Conclusion
Ta-wave duration and amplitude are revealing of IK1 and INaK dysregulation, respectively, holding potential for improving cardiac safety and efficacy through a better stratification of AF patients for pharmacological treatment.
Funding Acknowledgement
Type of funding sources: Public grant(s) – EU funding. Main funding source(s): European Union's Horizon 2020 research and innovation programme under the Marie Skłodowska-Curie grant agreement No. 860974
Collapse
Affiliation(s)
- A Dasi
- University of Oxford , Oxford , United Kingdom
| | - A Roy
- University of Oxford , Oxford , United Kingdom
| | | | - B Rodriguez
- University of Oxford , Oxford , United Kingdom
| |
Collapse
|
5
|
Folkmanaite M, Zhou X, Margara F, Zaccolo M, Rodriguez B. Modelling and in silico simulation of human induced pluripotent stem cell derived cardiomyocyte electro-mechanical properties. Cardiovasc Res 2022. [DOI: 10.1093/cvr/cvac066.010] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: Foundation. Main funding source(s): BHF
Background
Human induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CM) enable accessible human data-based cardiology studies. However, a caveat in hiPSC-CM-based studies is their immature electrophysiological and contractile phenotype. One of the modifications occurring during hiPSC-CM maturation is the change in myofilament calcium sensitivity, an important indicator of cardiac muscle function [1, 2]. In silico hiPSC-CM investigations could help improve understanding of the hiPSC-CM-specific contractile behaviour and its changes during maturation. Considering the growing use of hiPSC-CM, it is vital to enable investigations of hiPSC-CM-specific contractile features.
Purpose
To address the need of hiPSC-CM model with integrated contractile element, our goal is to develop an electromechanical human data-based iPSC-CM computer model. We aim to use the model to investigate the effects of the changes in myofilament calcium sensitivity on hiPSC-CM electrophysiology and contractility.
Methods
We coupled a published hiPSC-CM electrophysiological model [3] with a model of the human adult cardiomyocyte contractile machinery [4] by linking intracellular calcium and calcium-bound troponin dynamics. The established electromechanical hiPSC-CM model was calibrated using experimental hiPSC-CM active tension data and its simulated electromechanical biomarkers were also evaluated against experimental action potential and calcium transient data. We conducted a sensitivity analysis to investigate the effects of changes in myofilament calcium sensitivity on the electrophysiology and contractility of the cell.
Results
First, we demonstrated that the model successfully reproduces the hiPSC-CM contractile phenotype. Simulations showed a peak twitch tension of 0.44 kPa which takes 201 ms to peak and 164 ms to achieve 50% relaxation, which all agree with the experimental hiPSC-CM values. Simulated calcium transient and action potential biomarkers remain within the experimentally established ranges after electromechanical coupling. The sensitivity analysis of the hiPSC-CM model focused on the myofilament calcium sensitivity effects showed an increase in active tension amplitude with a decrease in calcium transient peaks upon increased myofilament calcium sensitivity. Large increases in myofilament calcium sensitivity result in depolarization failure with low amplitude fluctuations of membrane voltage, calcium transient and active tension. Altogether simulation results demonstrate the usability of the model for simulating and exploring not only physiological, but also pathological cardiac conditions.
Conclusions
We present a new electromechanical hiPSC-CM model for in silico hiPSC-CM-based studies. The model has been evaluated against experimental data and has demonstrated the capacity to generate key electrophysiological currents, active tension as well as myofilament calcium sensitivity-induced electromechanical abnormalities.
Collapse
Affiliation(s)
- M Folkmanaite
- University of Oxford, Department of Physiology Anatomy & Genetics , Oxford , United Kingdom of Great Britain & Northern Ireland
| | - X Zhou
- University of Oxford, Department of Computer Science , Oxford , United Kingdom of Great Britain & Northern Ireland
| | - F Margara
- University of Oxford, Department of Computer Science , Oxford , United Kingdom of Great Britain & Northern Ireland
| | - M Zaccolo
- University of Oxford, Department of Physiology Anatomy & Genetics , Oxford , United Kingdom of Great Britain & Northern Ireland
| | - B Rodriguez
- University of Oxford, Department of Computer Science , Oxford , United Kingdom of Great Britain & Northern Ireland
| |
Collapse
|
6
|
Fredericksen RJ, Nance RM, Whitney BM, Harding BN, Fitzsimmons E, Del Rio C, Eron J, Feaster DJ, Kalokhe AS, Mathews WC, Mayer KH, Metsch LR, Mugavero MJ, Potter J, O'Cleirigh C, Napravnik S, Rodriguez B, Ruderman S, Jac D, Crane HM. Correlates of psychological intimate partner violence with HIV care outcomes on patients in HIV care. BMC Public Health 2021; 21:1824. [PMID: 34627181 PMCID: PMC8502266 DOI: 10.1186/s12889-021-11854-x] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2020] [Accepted: 09/24/2021] [Indexed: 11/27/2022] Open
Abstract
Background Among people living with HIV (PLWH), physical intimate partner violence (IPV) is associated with poor virologic, psychiatric, and behavioral outcomes. We examined non-physical, psychological intimate partner violence (psy-IPV) and HIV care outcomes using data from two U.S. consortia. Methods We conducted multivariable analyses with robust standard errors to compare patients indicating/not indicating psy-IPV. Results Among PLWH (n = 5950), 9.5% indicated psy-IPV; these individuals were younger (− 3; 95% CI [− 2,-4], p-value < 0.001), less likely to be on antiretroviral treatment (ART) (0.73 [0.55,0.97], p = 0.03), less adherent to ART (− 4.2 [− 5.9,-2.4], p < 0.001), had higher odds of detectable viral load (1.43 [1.15,1.78], p = 0.001) and depression (2.63 [2.18,3.18], p < 0.001), and greater use of methamphetamines/crystal [2.98 (2.30,3.87),p < 0.001], cocaine/crack [1.57 (1.24,1.99),p < 0.001], illicit opioids [1.56 (1.13,2.16),p = 0.007], and marijuana [1.40 (1.15,1.70), p < 0.001]. Conclusion Psychological IPV, even in the absence of physical or sexual IPV, appears to be associated with HIV care outcomes and should be included in IPV measures integrated into routine HIV care. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-021-11854-x.
Collapse
Affiliation(s)
- R J Fredericksen
- Department of Medicine, University of Washington, Seattle, Washington, USA.
| | - R M Nance
- Department of Medicine, University of Washington, Seattle, Washington, USA
| | - B M Whitney
- Department of Medicine, University of Washington, Seattle, Washington, USA
| | - B N Harding
- Department of Medicine, University of Washington, Seattle, Washington, USA
| | - E Fitzsimmons
- Department of Medicine, University of Washington, Seattle, Washington, USA
| | - C Del Rio
- Department of Global Health, Emory University, Atlanta, Georgia
| | - J Eron
- School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina, USA
| | - D J Feaster
- Department of Public Health Sciences, University of Miami, Miami, Florida, USA
| | - A S Kalokhe
- Department of Medicine, Emory University, Atlanta, Georgia
| | - W C Mathews
- Department of Medicine, University of California - San Diego, San Diego, California, USA
| | - K H Mayer
- The Fenway Institute, Boston, MA, USA
| | - L R Metsch
- Department of Sociomedical Sciences, Columbia University, New York, NY, USA
| | - M J Mugavero
- Department of Medicine, University of Alabama - Birmingham, Birmingham, AL, USA
| | - J Potter
- Department of Medicine, Harvard University, Cambridge, MA, USA
| | - C O'Cleirigh
- Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA
| | - S Napravnik
- Department of Epidemiology, University of North Carolina, Chapel Hill, North Carolina, USA
| | - B Rodriguez
- Department of Medicine, Case Western Reserve University, Cleveland, OH, USA
| | - S Ruderman
- Department of Medicine, University of Washington, Seattle, Washington, USA
| | - Delaney Jac
- College of Pharmacy, University of Manitoba, Winnipeg, Manitoba, USA
| | - H M Crane
- Department of Medicine, University of Washington, Seattle, Washington, USA
| |
Collapse
|
7
|
Margara F, Psaras Y, Rodriguez B, Toepfer CN, Bueno-Orovio A. Human-based computational and experimental investigation of disease mechanisms in mutation-specific hypertrophic cardiomyopathy. Europace 2021. [DOI: 10.1093/europace/euab116.537] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: Public grant(s) – EU funding. Main funding source(s): European Union’s Horizon 2020 research and innovation programme under the Marie Sklodowska-Curie grant agreement 764738. British Heart Foundation Intermediate Basic Science Fellowship (FS/17/22/32644).
Background
The pathogenic TNNI3R21C/+ variant causes malignant hypertrophic cardiomyopathy (HCM) with high incidence of sudden cardiac death, even in individuals absent of hypertrophy. There is evidence to support a known biophysical defect in the protein, yet the cellular mechanisms that precipitate adverse clinical outcomes remain unclear.
Purpose
We aim to computationally model and map the TNNI3R21C/+ cellular phenotype observed in induced pluripotent stem cell derived cardiomyocytes (iPSC-CMs) to human disease, thereby explaining the key mechanisms driving HCM in TNNI3R21C/+ variant carriers.
Methods
Wild-type (WT) and TNNI3R21C/+ iPSC-CMs were characterised by calcium transient analysis and direct sarcomere tracking to assess cellular contraction and relaxation. In-vitro data was used to inform the in-silico modelling of human cardiomyocytes. We constructed an in-silico population of WT adult cardiomyocytes and used it to transform the in-vitro data into corresponding adult phenotypes by means of a novel iPSC-to-adult data mapping. We tested the hypothesis that the abnormal TNNI3R21C/+ phenotype observed in iPSC-CMs would be explained by alterations in calcium affinity of troponin and increased myofilament calcium sensitivity.
Results
Analysis of in-vitro iPSC-CM data showed that TNNI3R21C/+ cells exhibit increased contractility with slowed relaxation when compared to WT. They also exhibited a faster rise in the calcium transient with a slowed calcium decay in comparison to WT. The in-silico adult TNNI3R21C/+ phenotype from the iPSC-to-adult mapping replicated the abnormalities observed in iPSC-CMs. The WT in-silico population accurately covered the ranges of electromechanical biomarkers providing a representative cohort of physiological variability. The TNNI3R21C/+ calcium phenotype could be recovered by our in-silico mutant models. Simulation results suggest that calcium abnormalities in TNNI3R21C/+ are a direct consequence of abnormal calcium buffering by thin filaments, mediated by increases in calcium affinity of troponin and myofilament calcium sensitivity. The TNNI3R21C/+ phenotype could not be recovered if these two factors were considered in isolation. Corresponding contractility analyses of in-silico models showed that the calcium level changes caused by the TNNI3R21C/+ phenotype are associated with hypercontractility and diastolic dysfunction, well-known hallmarks of HCM, which were also observed in the iPSC-CM model of disease.
Conclusions
This study showcases human-based computational and experimental methodologies that unearth direct mechanistic explanations of phenotypes driven by the TNNI3R21C/+ HCM variant. We show that the TNNI3R21C/+ HCM-causing mutation exhibits multifactorial remodelling of troponin calcium affinity and myofilament calcium sensitivity. Unearthing mechanistic pathways in mutation-specific HCM will be key to develop effective pharmacological interventions for a wide variety of understudied variants.
Collapse
Affiliation(s)
- F Margara
- University of Oxford, Department of Computer Science, Oxford, United Kingdom of Great Britain & Northern Ireland
| | - Y Psaras
- University of Oxford, Division of Cardiovascular Medicine, Radcliffe Department of Medicine, Oxford, United Kingdom of Great Britain & Northern Ireland
| | - B Rodriguez
- University of Oxford, Department of Computer Science, Oxford, United Kingdom of Great Britain & Northern Ireland
| | - CN Toepfer
- University of Oxford, Division of Cardiovascular Medicine, Radcliffe Department of Medicine, Oxford, United Kingdom of Great Britain & Northern Ireland
| | - A Bueno-Orovio
- University of Oxford, Department of Computer Science, Oxford, United Kingdom of Great Britain & Northern Ireland
| |
Collapse
|
8
|
Wang ZJ, Zhou X, Tomek J, Wang L, Rodriguez B. Post myocardial infarction ionic remodelling promotes repolarisation dispersion and electrocardiogram abnormalities in acute and chronic stages. Europace 2021. [DOI: 10.1093/europace/euab116.575] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: Public grant(s) – National budget only. Main funding source(s): Wellcome Trust
Background
Sudden cardiac death (SCD) occurs in both acute and chronic stages post myocardial infarction (MI), and the left ventricular ejection fraction (LVEF) and electrocardiogram (ECG) characteristics are important biomarkers for clinical decision making. While various ionic remodelling has been reported in literature at various stages post-MI, the effect of them on clinical biomarkers have not been fully explored.
Purpose
Evaluate the effects of cellular ionic remodelling in acute and chronic post myocardial infarction on ECG and LVEF biomarkers through computational modelling and simulations of human biventricular electromechanics.
Methods
An electromechanical coupled biventricular model with ToR-ORd (Tomek 2019) human electrophysiology coupled with human excitation-contraction machinery (Land 2017) and orthotropic passive mechanics (Holzapfel 2009) was used as baseline model. The 12-lead ECG were simulated at standard body-surface electrode locations, and the biventricular pressure volume loop was simulated to quantify the simulated LVEF. A cardiac magnetic resonance (CMR) derived human biventricular geometry (Strocchi 2020) was used in combination with rigidly aligned torso geometry (Minchole 2019). An anterior sub-endocardial infarction was delineated with infarct, border zone (BZ) and remote zone (RZ) regions. For acute infarction, three types of BZ ionic remodelling from literature, and their effects on simulated LVEF and ECG characteristics were quantified. For chronic infarction, a single chronic BZ ionic remodelling was combine with two different models of RZ ionic remodelling from literature, and the effects of these remodelling on the simulated LVEF and ECG were quantified. The electromechanical properties of the sub-endocardial infarct region did not significantly affect simulated ECG or LVEF biomarkers.
Results
For the acute phase, simulations showed pre-cordial ECG abnormalities for all three BZ models, with T-wave inversion and QT prolongation (80 ms) in BZ1, ST-segment elevation with T-wave inversion in BZ2, and decreased T-wave amplitude in BZ3. Activation maps showed conduction block in BZ2 simulations, leading to ST-segment elevation. Repolarisation maps showed high dispersion in BZ1 simulations, leading to T-wave inversion. LVEF for BZ2 decreased by 4% (from 57% in control) due to conduction block in BZ and lack of contraction in that region, LVEF remained constant for BZ1 and BZ3 simulations. For the chronic phase, there was QT prolongation in both RZ1 (80 ms) and RZ2 (170 ms) as well as decreased T-wave amplitude, reflected by elevated repolarisation dispersion. LVEF was not significantly altered for either simulations.
Conclusions
Post-MI ionic remodelling at the acute and chronic stages cause varying degrees of dispersion of repolarisation and T-wave and ST-segment abnormalities, with minimal effect on mechanical function, except in the case of severe conduction abnormality. Abstract Figure.
Collapse
Affiliation(s)
- ZJ Wang
- University of Oxford, Department of Computer Science, Oxford, United Kingdom of Great Britain & Northern Ireland
| | - X Zhou
- University of Oxford, Department of Computer Science, Oxford, United Kingdom of Great Britain & Northern Ireland
| | - J Tomek
- University of Oxford, Department of Physiology, Anatomy and Genetics, Oxford, United Kingdom of Great Britain & Northern Ireland
| | - L Wang
- University of Oxford, Department of Computer Science, Oxford, United Kingdom of Great Britain & Northern Ireland
| | - B Rodriguez
- University of Oxford, Department of Computer Science, Oxford, United Kingdom of Great Britain & Northern Ireland
| |
Collapse
|
9
|
Rodriguez G, Cabesaz F, Li J, Kirupakaran J, Kim E, Caputo M, Idowu A, Dave P, Kitson D, Tapia N, Korson M, Ciccone L, Maslach P, Nunez D, Okaikoi M, Rodriguez B, Valentin D, Yau A, Zheng B, Aye T, Jimenez M, Elayaperumal P, Afzal A, Daruwala O, Williams B, Inoue T, Asif H, Singh G, Kubaar A, Iwuala S, Verassamy E, Martinez JE, Filias F, Zeyneloglu N, Bahtiyar G. Clinical Characteristics and Outcomes Among COVID 19 Hospitalized Patients in a Community Hospital in New York City. J Endocr Soc 2021. [PMCID: PMC8090208 DOI: 10.1210/jendso/bvab048.686] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
Abstract
Background: COVID-19 has disproportionally affected communities of color in the US. These communities exhibit higher prevalence of chronic preventable disease including type 2 diabetes mellitus (DM2) and obesity. DM2 and obesity have been linked to higher morbidity and mortality in the setting of COVID-19 infection (1).
Methods: We query data collected from 521 patients with laboratory-confirmed Covid-19 infection admitted to an inner-city community hospital in Brooklyn, New York between March 20 2020 and May 15 2020. Demographics, pre-infection medical comorbidities, laboratory data at admission and clinical outcomes including in-hospital mortality were analyzed.
Results: Patients were 61 years on average (+/-17.2), 42.8% were female, 53.9% were Hispanic and 33% were African-American. Most common comorbidities included: hypertension (62%), chronic kidney disease (20.8%), diabetes (45 %). Mean BMI was 29.9 (+/- 8.2). Among patients with no prior diagnosis of diabetes mean A1c was 5.8% (+/-1.2) and 8.7 (+/-2.5) amongst those with a previous diagnosis of diabetes. Patients hospitalized with moderate to severe COVID-19 infection and a previous diagnosis of DM2 had significantly higher prevalence of CKD and HTN. Amongst those with T2DM, 19.1% presented with DKA. After adjustment for age, gender, race, BMI and creatinine obese patients, compared with normal-weight patients had significantly higher mortality rate (BMI > 30 kg/m2 [OR: 2.29, CI: 95%, P-value: <0.002]) however this association was not observed for DM2 ([OR: 1.25, CI: 95%, P-value: <0.002]).
Conclusion: Our cohort represents a particular population affected by the first wave of Covid-19 infection in an urban inner-city community in NYC. The population studied had a larger proportion of African-American, Hispanic and younger patients compared to national averages; these differences are related to the demographics of the communities served by our hospital. Obesity is a negative prognostic factor in the course of Covid-19 infection in comparison to normal-weight patients. Obesity is a proinflammatory condition, associated with high levels of prothrombotic factors including angiotensin-II, also elevated in COVID-19. Understanding that link may yield valuable knowledge on the role obesity plays in numerous disease states beyond COVID-19. References:(1). Sabin ML, et al. Lancet. 2020;395(10232): 1243–44.(2). Hussain A, et al. Obes Res Clin Pract. 2020; 14(4): 295–300.
Collapse
Affiliation(s)
| | | | | | | | - Eunice Kim
- Woodhull Medical Center, Brooklyn, NY, USA
| | | | | | | | | | | | | | | | | | | | | | | | | | - Alice Yau
- Woodhull Medical Center, Brooklyn, NY, USA
| | | | - Thida Aye
- Woodhull Medical Center, Brooklyn, NY, USA
| | | | | | | | | | | | | | - Haris Asif
- Woodhull Medical Center, Brooklyn, NY, USA
| | - Gurbaj Singh
- SUNY Downstate Medical Center, Brooklyn, NY, USA
| | - Alaa Kubaar
- SUNY Downstate Medical Center, Brooklyn, NY, USA
| | | | | | | | | | | | | |
Collapse
|
10
|
Ruderman SA, Crane HM, Nance RM, Whitney BM, Harding BN, Mayer KH, Moore RD, Eron JJ, Geng E, Mathews WC, Rodriguez B, Willig AL, Burkholder GA, Lindström S, Wood BR, Collier AC, Vannappagari V, Henegar C, Van Wyk J, Curtis L, Saag MS, Kitahata MM, Delaney JAC. Brief Report: Weight Gain Following ART Initiation in ART-Naïve People Living With HIV in the Current Treatment Era. J Acquir Immune Defic Syndr 2021; 86:339-343. [PMID: 33148997 PMCID: PMC7878311 DOI: 10.1097/qai.0000000000002556] [Citation(s) in RCA: 42] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2020] [Accepted: 10/09/2020] [Indexed: 01/22/2023]
Abstract
OBJECTIVES Evaluate differences in weight change by regimen among people living with HIV (PLWH) initiating antiretroviral therapy (ART) in the current era. METHODS Between 2012 and 2019, 3232 ART-naïve PLWH initiated ≥3-drug ART regimens in 8 Centers for AIDS Research Network of Integrated Clinical Systems sites. We estimated weight change by regimen for 11 regimens in the immediate (first 6 months) and extended (all follow-up on initial regimen) periods using linear mixed models adjusted for time on regimen, interaction between time and regimen, age, sex, race/ethnicity, hepatitis B/C coinfection, nadir CD4, smoking, diabetes, antipsychotic medication, and site. We included more recently approved regimens [eg, with tenofovir alafenamide fumarate (TAF)] only in the immediate period analyses to ensure comparable follow-up time. RESULTS Mean follow-up was 1.9 years on initial ART regimen. In comparison to efavirenz/tenofovir disoproxil fumarate (TDF)/emtricitabine (FTC), initiating bictegravir/TAF/FTC {3.9 kg [95% confidence interval (CI): 2.2 to 5.5]} and dolutegravir/TAF/FTC [4.4 kg (95% CI: 2.1 to 6.6)] were associated with the greatest weight gain in the immediate period, followed by darunavir/TDF/FTC [3.7 kg (95% CI: 2.1 to 5.2)] and dolutegravir/TDF/FTC [2.6 kg (95% CI: 1.3 to 3.9)]. In the extended period, compared with efavirenz/TDF/FTC, initiating darunavir/TDF/FTC was associated with a 1.0 kg (95% CI: 0.5 to 1.5) per 6-months greater weight gain, whereas dolutegravir/abacavir/FTC was associated with a 0.6-kg (95% CI: 0.3 to 0.9) and dolutegravir/TDF/FTC was associated with a 0.6-kg (95% CI: 0.1 to 1.1) per 6-months greater gain. Weight gain on dolutegravir/abacavir/FTC and darunavir/TDF/FTC was significantly greater than that for several integrase inhibitor-based regimens. CONCLUSIONS There is heterogeneity between regimens in weight gain following ART initiation among previously ART-naïve PLWH; we observed greater gain among PLWH taking newer integrase strand transfer inhibitors (DTG, BIC) and DRV-based regimens.
Collapse
Affiliation(s)
| | - Heidi M Crane
- Department of Medicine, University of Washington, Seattle, WA
| | - Robin M Nance
- Department of Medicine, University of Washington, Seattle, WA
| | | | | | | | | | - Joseph J Eron
- Department of Medicine, University of North Carolina, Chapel Hill, NC
| | - Elvin Geng
- Department of Medicine, University of California San Francisco, San Francisco, CA
| | - William C Mathews
- Department of Medicine, University of California San Diego, San Diego, CA
| | - B Rodriguez
- Department of Medicine, University of Alabama at Birmingham, Birmingham, AL
| | | | | | | | - Brian R Wood
- Department of Medicine, University of Washington, Seattle, WA
| | - Ann C Collier
- Department of Medicine, University of Washington, Seattle, WA
| | | | | | | | | | | | - Mari M Kitahata
- Department of Medicine, University of Washington, Seattle, WA
| | - Joseph A C Delaney
- University of Washington, Seattle, WA
- College of Pharmacy, University of Manitoba, Winnipeg, Manitoba, Canada
| |
Collapse
|
11
|
Pardo J, González J, Aymar N, Ortiz I, Rodriguez B, Morera D, Guerrero A, Mena AM, Font J. Statistical control of processes applied to geometric uncertainties for CTV expansion margins determination in prostate cancer patients treated with VMAT: a prospective study in 57 patients. Clin Transl Oncol 2020; 23:1078-1084. [PMID: 32981004 DOI: 10.1007/s12094-020-02493-6] [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: 05/01/2020] [Accepted: 09/03/2020] [Indexed: 10/23/2022]
Abstract
PURPOSE To study the control graphs applicability for the geometric uncertainties of VMAT treatments in prostate cancer patients, and their use to verify the hypothesis of the data obtained randomness, to apply the margins of Van Herk expression. MATERIAL AND METHODS During the first 5 days of treatment, and then once a week, a Kv CBCT was performed, compared with the simulation CT and adjusted the displacements, to determine the inter-fraction errors. Immediately after radiation therapy, another CBCT was performed (for intra-fraction errors). With these data, the X, R position control charts have been made. The patients, not maintained the deviations within the charts control limits, were called "anomalies". Then, we compared the deviations and margins calculated with the van Herk expression for all patients and for those without anomalies. RESULTS The margins determined show appreciable differences if there were calculated for the total set of patients or for the set of them without anomalies in the control charts. For the overall set of patients, the lateral, longitudinal, and vertical margins were 0.45 cm, 0.52 cm, 0.56 cm, while for the set of patients without anomalies were 0.29 cm, 0.35 cm, and 0.38 cm. CONCLUSIONS The use of control charts allows tracking geometric deviations both inter and intra-fraction, variability real-time control and to detect situations in which it can change for non-random reasons, and require immediate investigation. Maintaining geometric deviations in the control state decreases the margins needed to administer a high dose to CTV in a high percentage of cancer prostate patients.
Collapse
Affiliation(s)
- J Pardo
- Radiation Oncology Department, Hospital Universitari Son Espases, Carretera de Valldemossa 79, 07020, Palma de Mallorca, Spain. .,Hospital Universitari General de Catalunya, Sant Cugat del Vallès, Spain. .,Institut d'Investigació Sanitaria Illes Balears, IdISBA, Palma de Mallorca, Spain.
| | - J González
- Hospital Universitari General de Catalunya, Sant Cugat del Vallès, Spain
| | - N Aymar
- Radiation Oncology Department, Hospital Universitari Son Espases, Carretera de Valldemossa 79, 07020, Palma de Mallorca, Spain.,Institut d'Investigació Sanitaria Illes Balears, IdISBA, Palma de Mallorca, Spain
| | - I Ortiz
- Radiation Oncology Department, Hospital Universitari Son Espases, Carretera de Valldemossa 79, 07020, Palma de Mallorca, Spain.,Institut d'Investigació Sanitaria Illes Balears, IdISBA, Palma de Mallorca, Spain
| | | | - D Morera
- Radiation Oncology Department, Hospital Miramar-Juaneda, Palma de Mallorca, Spain
| | - A Guerrero
- Radiation Oncology Department, Hospital Universitari Son Espases, Carretera de Valldemossa 79, 07020, Palma de Mallorca, Spain.,Institut d'Investigació Sanitaria Illes Balears, IdISBA, Palma de Mallorca, Spain
| | - A M Mena
- Radiation Oncology Department, Hospital Universitari Son Espases, Carretera de Valldemossa 79, 07020, Palma de Mallorca, Spain.,Institut d'Investigació Sanitaria Illes Balears, IdISBA, Palma de Mallorca, Spain
| | - J Font
- Medical Physics Department, Hospital Universitari Son Espases, Palma de Mallorca, Spain
| |
Collapse
|
12
|
Levrero-Florencio F, Margara F, Zacur E, Bueno-Orovio A, Wang Z, Santiago A, Aguado-Sierra J, Houzeaux G, Grau V, Kay D, Vázquez M, Ruiz-Baier R, Rodriguez B. Sensitivity analysis of a strongly-coupled human-based electromechanical cardiac model: Effect of mechanical parameters on physiologically relevant biomarkers. Comput Methods Appl Mech Eng 2020; 361:112762. [PMID: 32565583 PMCID: PMC7299076 DOI: 10.1016/j.cma.2019.112762] [Citation(s) in RCA: 26] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
The human heart beats as a result of multiscale nonlinear dynamics coupling subcellular to whole organ processes, achieving electrophysiologically-driven mechanical contraction. Computational cardiac modelling and simulation have achieved a great degree of maturity, both in terms of mathematical models of underlying biophysical processes and the development of simulation software. In this study, we present the detailed description of a human-based physiologically-based, and fully-coupled ventricular electromechanical modelling and simulation framework, and a sensitivity analysis focused on its mechanical properties. The biophysical detail of the model, from ionic to whole-organ, is crucial to enable future simulations of disease and drug action. Key novelties include the coupling of state-of-the-art human-based electrophysiology membrane kinetics, excitation-contraction and active contraction models, and the incorporation of a pre-stress model to allow for pre-stressing and pre-loading the ventricles in a dynamical regime. Through high performance computing simulations, we demonstrate that 50% to 200% - 1000% variations in key parameters result in changes in clinically-relevant mechanical biomarkers ranging from diseased to healthy values in clinical studies. Furthermore mechanical biomarkers are primarily affected by only one or two parameters. Specifically, ejection fraction is dominated by the scaling parameter of the active tension model and its scaling parameter in the normal direction ( k ort 2 ); the end systolic pressure is dominated by the pressure at which the ejection phase is triggered ( P ej ) and the compliance of the Windkessel fluid model ( C ); and the longitudinal fractional shortening is dominated by the fibre angle ( ϕ ) and k ort 2 . The wall thickening does not seem to be clearly dominated by any of the considered input parameters. In summary, this study presents in detail the description and implementation of a human-based coupled electromechanical modelling and simulation framework, and a high performance computing study on the sensitivity of mechanical biomarkers to key model parameters. The tools and knowledge generated enable future investigations into disease and drug action on human ventricles.
Collapse
Affiliation(s)
- F. Levrero-Florencio
- Department of Computer Science, University of Oxford, Oxford OX1 3QD, United Kingdom
- Corresponding authors.
| | - F. Margara
- Department of Computer Science, University of Oxford, Oxford OX1 3QD, United Kingdom
| | - E. Zacur
- Department of Engineering Science, University of Oxford, Oxford OX3 7DQ, United Kingdom
| | - A. Bueno-Orovio
- Department of Computer Science, University of Oxford, Oxford OX1 3QD, United Kingdom
| | - Z.J. Wang
- Department of Computer Science, University of Oxford, Oxford OX1 3QD, United Kingdom
| | - A. Santiago
- Barcelona Supercomputing Center – Centro Nacional de Supercomputación, Barcelona 08034, Spain
| | - J. Aguado-Sierra
- Barcelona Supercomputing Center – Centro Nacional de Supercomputación, Barcelona 08034, Spain
| | - G. Houzeaux
- Barcelona Supercomputing Center – Centro Nacional de Supercomputación, Barcelona 08034, Spain
| | - V. Grau
- Department of Engineering Science, University of Oxford, Oxford OX3 7DQ, United Kingdom
| | - D. Kay
- Department of Computer Science, University of Oxford, Oxford OX1 3QD, United Kingdom
| | - M. Vázquez
- Barcelona Supercomputing Center – Centro Nacional de Supercomputación, Barcelona 08034, Spain
- ELEM Biotech, Spain
| | - R. Ruiz-Baier
- Mathematical Institute, University of Oxford, Oxford OX2 6GG, United Kingdom
- Universidad Adventista de Chile, Casilla 7-D, Chillan, Chile
| | - B. Rodriguez
- Department of Computer Science, University of Oxford, Oxford OX1 3QD, United Kingdom
- Corresponding authors.
| |
Collapse
|
13
|
Harding BN, Whitney BM, Nance RM, Ruderman SA, Crane HM, Burkholder G, Moore RD, Mathews WC, Eron JJ, Hunt PW, Volberding P, Rodriguez B, Mayer KH, Saag MS, Kitahata MM, Heckbert SR, Delaney JAC. Anemia risk factors among people living with HIV across the United States in the current treatment era: a clinical cohort study. BMC Infect Dis 2020; 20:238. [PMID: 32197585 PMCID: PMC7085166 DOI: 10.1186/s12879-020-04958-z] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [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: 07/19/2019] [Accepted: 03/10/2020] [Indexed: 12/14/2022] Open
Abstract
Background Anemia is common among people living with HIV infection (PLWH) and is associated with adverse health outcomes. Information on risk factors for anemia incidence in the current antiretroviral therapy (ART) era is lacking. Methods Within a prospective clinical cohort of adult PLWH receiving care at eight sites across the United States between 1/2010–3/2018, Cox proportional hazards regression analyses were conducted among a) PLWH free of anemia at baseline and b) PLWH free of severe anemia at baseline to determine associations between time-updated patient characteristics and development of anemia (hemoglobin < 10 g/dL), or severe anemia (hemoglobin < 7.5 g/dL). Linear mixed effects models were used to examine relationships between patient characteristics and hemoglobin levels during follow-up. Hemoglobin levels were ascertained using laboratory data from routine clinical care. Potential risk factors included: age, sex, race/ethnicity, body mass index, smoking status, hazardous alcohol use, illicit drug use, hepatitis C virus (HCV) coinfection, estimated glomerular filtration rate (eGFR), CD4 cell count, viral load, ART use and time in care at CNICS site. Results This retrospective cohort study included 15,126 PLWH. During a median follow-up of 6.6 (interquartile range [IQR] 4.3–7.6) years, 1086 participants developed anemia and 465 participants developed severe anemia. Factors that were associated with incident anemia included: older age, female sex, black race, HCV coinfection, lower CD4 cell counts, VL ≥400 copies/ml and lower eGFR. Conclusion Because anemia is a treatable condition associated with increased morbidity and mortality among PLWH, hemoglobin levels should be monitored routinely, especially among PLWH who have one or more risk factors for anemia.
Collapse
Affiliation(s)
- B N Harding
- Department of Medicine, University of Washington, 1959 NE Pacific Street, Health Sciences Building F-26, Box 357236, Seattle, WA, 98195, USA.
| | - B M Whitney
- Department of Medicine, University of Washington, 1959 NE Pacific Street, Health Sciences Building F-26, Box 357236, Seattle, WA, 98195, USA
| | - R M Nance
- Department of Medicine, University of Washington, 1959 NE Pacific Street, Health Sciences Building F-26, Box 357236, Seattle, WA, 98195, USA
| | - S A Ruderman
- Department of Medicine, University of Washington, 1959 NE Pacific Street, Health Sciences Building F-26, Box 357236, Seattle, WA, 98195, USA
| | - H M Crane
- Department of Medicine, University of Washington, 1959 NE Pacific Street, Health Sciences Building F-26, Box 357236, Seattle, WA, 98195, USA
| | - G Burkholder
- University of Alabama Birmingham, Birmingham, USA
| | - R D Moore
- Johns Hopkins University, Baltimore, USA
| | - W C Mathews
- University of California San Diego, San Diego, USA
| | - J J Eron
- University of North Carolina, Chapel Hill, USA
| | - P W Hunt
- University of California San Francisco, San Francisco, USA
| | - P Volberding
- University of California San Francisco, San Francisco, USA
| | - B Rodriguez
- Case Western Reserve University, Cleveland, USA
| | - K H Mayer
- Fenway Health Institute, Boston, USA
| | - M S Saag
- University of Alabama Birmingham, Birmingham, USA
| | - M M Kitahata
- Department of Medicine, University of Washington, 1959 NE Pacific Street, Health Sciences Building F-26, Box 357236, Seattle, WA, 98195, USA
| | - S R Heckbert
- Department of Medicine, University of Washington, 1959 NE Pacific Street, Health Sciences Building F-26, Box 357236, Seattle, WA, 98195, USA
| | - J A C Delaney
- Department of Medicine, University of Washington, 1959 NE Pacific Street, Health Sciences Building F-26, Box 357236, Seattle, WA, 98195, USA
| |
Collapse
|
14
|
Menacho Medina KD, Ramirez S, Katekaru D, Dragonetti L, Perez D, Illatopa V, Rodriguez B, Bansal R, Rodriguez I, Jacob R, Ntusi N, Herrey A, Westwood M, Walker M, Mooon J. 28Impact of non-invasive rapid cardiac magnetic resonance for the assessment of cardiomyopathies in developing countries. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz747] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Cardiovascular mortality is higher in developing countries. Part of that is suboptimal testing. Cardiac magnetic resonance (CMR) is the gold standard for measuring structure, function of the heart and adds incremental value by imaging scarring and to assess iron level. Despite the existence of MRI units, CMR is identified as a complex test, with poor training and availability in developing countries.
Purpose
To assess the potential impact of a faster CMR protocol at a multicentre level in developing countries; implementing it with an education program, for the assessment cardiomyopathies.
Methods
An international partnership. A rapid CMR protocol for the evaluation of cardiac volumes, function and tissue characterization (Cardiac Iron T2* and LGE for scar) Figure 1a. We deployed the protocol as a multicentre study: Argentina, Peru, India and South Africa accompanied by a program of education. Pre-scan clinical information, scanning data: complications, image quality and post-scan follow-up of participants for the assessment on impact, between 3 to 24 months.
Results
510 scans (4 countries, 6 cities, 12 centres) were performed with the rapid CMR protocol. Contrast studies in 378 (74%). There were no scan-related complications. Quality of the studies was maintained in a high level as an average of 89%. 97% of studies responded referral's question. All patients with contrast CMR scan have had at least one 2D echocardiogram before CMR. Average scan duration was 21±6 mins for contrast studies and 12±3 for non-contrast T2* protocol. The most common underlying diagnoses were non-ischaemic cardiomyopathy in 73% of participants (including cardiac iron level assessment in 26%, HCM in 17%, DCM in 15%), 27% for ischaemic cardiomyopathy and 15% for other pathologies. 4 of the 12 participant centres started to incorporate CMR for the first time. Findings impacted management in 60% of patients, including new diagnosis in 21% of participants. See table 1, figure 1b. For just cardiac iron assessment: 1/3 of participants had iron deposited in the heart with 14% of patients in severe levels.
Conclusions
CMR can be delivered faster and easier. When this abbreviated protocol is enabled with education, it can be implemented in developing countries with existing technology. This protocol shows high quality exam, with an important impact on patient's management.
Characteristics and impact on management Contrast studies Non-contrast studies All patients (%) 378 (74) 132 (36) Age, mean (range) years 54 (16–93) 24 (13–41) Male (%) 151 (39) 64 (48) Pre-echocardiography exam (%) 370 (98) 42 (32) Scanning duration mean (SD) 21 (6) 12 (3) Good quality exam (%) 329 (87) 120 (91) Impact on management Total All patients (%) 510 (100) Completely new diagnosis (%) 105 (21) Change/Addition of Medication (%) 128 (25) Intervention/ Surgery (%) 31 (6) Invasive angiography/biopsy (%) 25 (5) Hospital discharge/admission (%) 15 (3) TOTAL 306 (60%) SD: Standard Deviation.
Acknowledgement/Funding
Global Engagement UCL, UK Foreign & Commonwealth Office and The Peruvian Scientific, Technological Development and Technological Innovation (FONDECYT)
Collapse
Affiliation(s)
| | - S Ramirez
- International Clinic, Lima – Peru, Cardiac Imaging Department, Lima, Peru
| | - D Katekaru
- Military Hospital, Cardiac Imaging Department, Lima, Peru
| | - L Dragonetti
- High Technology Medical Institute - IMAT, Radiology Department, Buenos Aires, Argentina
| | - D Perez
- Italian Hospital of Buenos Aires, Buenos Aires, Argentina
| | - V Illatopa
- National Cardiovascular Institute - INCOR, Lima, Peru
| | - B Rodriguez
- Edgardo Rebagliati Hospital, MRI and CT Department, Lima, Peru
| | - R Bansal
- Bhawani Singh Marg Hospital and OK Diagnostic Centre, Jaipur, India
| | | | - R Jacob
- Lancaster General Health Hospital, Lancaster, United States of America
| | - N Ntusi
- University of Cape Town, Cape Town, South Africa
| | - A Herrey
- St Bartholomew's Hospital, Barts Hear Centre, London, United Kingdom
| | - M Westwood
- St Bartholomew's Hospital, Barts Hear Centre, London, United Kingdom
| | - M Walker
- University College London, London, United Kingdom
| | - J Mooon
- St Bartholomew's Hospital, Barts Hear Centre, London, United Kingdom
| |
Collapse
|
15
|
Garrido-Martin E, Ramos-Paradas J, Hernandez Prieto S, Sanchez E, Rosado A, Caniego-Casas T, Carrizo N, Enguita A, Muñoz-Jiménez M, Rodriguez B, Perez-Gonzalez U, Gomez Sanchez D, Ferrer I, Ponce Aix S, Nuñez Buiza A, Garrido P, Palacios J, Lopez-Rios F, Paz-Ares L. Harmonization study of tumour mutational burden determination in non-small cell lung cancer (NSCLC). Ann Oncol 2019. [DOI: 10.1093/annonc/mdz394.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
|
16
|
Gaudreau P, Peng D, Rodriguez B, Fradette J, Gibson L, Della Corte C, Sen T, Kundu S, Chen L, Wargo J, Gibbons D. P1.04-26 EMT-Associated Response and Resistance to MEK Inhibitor and Immune Checkpoint Blockade Combinations in KRAS-Mutant NSCLC. J Thorac Oncol 2019. [DOI: 10.1016/j.jtho.2019.08.929] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
17
|
Lyon A, Mincholé A, Bueno-Orovio A, Rodriguez B. Improving the clinical understanding of hypertrophic cardiomyopathy by combining patient data, machine learning and computer simulations: A case study. Morphologie 2019; 103:169-179. [PMID: 31570308 PMCID: PMC6913520 DOI: 10.1016/j.morpho.2019.09.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [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: 09/10/2019] [Accepted: 09/10/2019] [Indexed: 01/02/2023]
Abstract
In this paper, we present how, by combining electrocardiogram and imaging data, machine learning and high performance computing simulations, we identified four phenotypes in hypertrophic cardiomyopathy (HCM), with differences in arrhythmic risk, and provided two distinct possible mechanisms that may explain the heterogeneity of HCM manifestation. This led to a better HCM patient stratification and understanding of the underlying disease mechanisms, providing a step further towards tailored HCM patient management and treatment.
Most patients with hypertrophic cardiomyopathy (HCM), the most common genetic cardiac disease, remain asymptomatic, but others may suffer from sudden cardiac death. A better identification of those patients at risk, together with a better understanding of the mechanisms leading to arrhythmia, are crucial to target high-risk patients and provide them with appropriate treatment. However, this currently remains a challenge. In this paper, we present a successful example of implementing computational techniques for clinically-relevant applications. By combining electrocardiogram and imaging data, machine learning and high performance computing simulations, we identified four phenotypes in HCM, with differences in arrhythmic risk, and provided two distinct possible mechanisms that may explain the heterogeneity of HCM manifestation. This led to a better HCM patient stratification and understanding of the underlying disease mechanisms, providing a step further towards tailored HCM patient management and treatment.
Collapse
Affiliation(s)
- A Lyon
- Department of Computer Science, University of Oxford, Oxford, United Kingdom; Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, Maastricht, Netherlands
| | - A Mincholé
- Department of Computer Science, University of Oxford, Oxford, United Kingdom
| | - A Bueno-Orovio
- Department of Computer Science, University of Oxford, Oxford, United Kingdom
| | - B Rodriguez
- Department of Computer Science, University of Oxford, Oxford, United Kingdom.
| |
Collapse
|
18
|
Zhu Z, Godana D, Li A, Rodriguez B, Gu C, Tang H, Minshall RD, Huang W, Chen J. Echocardiographic assessment of right ventricular function in experimental pulmonary hypertension. Pulm Circ 2019; 9:2045894019841987. [PMID: 30942120 PMCID: PMC6566495 DOI: 10.1177/2045894019841987] [Citation(s) in RCA: 32] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
Echocardiography, a non-invasive and cost-effective method for monitoring cardiac function, is commonly used for evaluation and pre-clinical diagnostics of pulmonary hypertension (PH). Previous echocardiographic studies in experimental models of PH are fragmentary in terms of the evaluation of right ventricle (RV) function. In this study, three rodent models of PH: a mouse model of hypoxia-induced PH, a rat model of hypoxia+Sugen induced PH and a rat model of monocrotaline-induced PH, were employed to measure RV fractional area change (RVFAC), RV free wall thickness (RVFWT), pulmonary acceleration time (PAT), pulmonary ejection time (PET), and tricuspid annular plane systolic excursion (TAPSE). We found that, in these models, RVFWT significantly increased, but RVFAC, PAT, or PAT/PET ratios and TAPSE values significantly decreased. Accurate and complete TAPSE patterns were demonstrated in the three rodent models of PH. The RV echocardiography data matched the corresponding invasive hemodynamic and heart histologic data in each model. This serves as a reference study for real-time and non-invasive evaluation of RV function in rodent models of PH using echocardiography.
Collapse
Affiliation(s)
- Zhongkai Zhu
- 1 Department of Cardiology, The First Affiliated Hospital, Chongqing Medical University, Chongqing, China.,2 Department of Medicine, Division of Pulmonary, Critical Care Medicine, Sleep and Allergy, Department of Medicine.,3 Research Resources Center, Cardiovascular Research Core, University of Illinois at Chicago, Chicago, IL, USA
| | - Dureti Godana
- 2 Department of Medicine, Division of Pulmonary, Critical Care Medicine, Sleep and Allergy, Department of Medicine.,3 Research Resources Center, Cardiovascular Research Core, University of Illinois at Chicago, Chicago, IL, USA
| | - Ailing Li
- 1 Department of Cardiology, The First Affiliated Hospital, Chongqing Medical University, Chongqing, China
| | - Bianca Rodriguez
- 2 Department of Medicine, Division of Pulmonary, Critical Care Medicine, Sleep and Allergy, Department of Medicine.,3 Research Resources Center, Cardiovascular Research Core, University of Illinois at Chicago, Chicago, IL, USA
| | - Chenxin Gu
- 5 College of Veterinary Medicine, Northwest A&F University, Yangling, Shaanxi, China
| | - Haiyang Tang
- 4 State Key Laboratory of Respiratory Disease, Guangzhou Institute of Respiratory Disease, First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.,5 College of Veterinary Medicine, Northwest A&F University, Yangling, Shaanxi, China
| | - Richard D Minshall
- 6 Department of Anesthesiology and Pharmacology, University of Illinois at Chicago, Chicago, IL, USA
| | - Wei Huang
- 1 Department of Cardiology, The First Affiliated Hospital, Chongqing Medical University, Chongqing, China
| | - Jiwang Chen
- 2 Department of Medicine, Division of Pulmonary, Critical Care Medicine, Sleep and Allergy, Department of Medicine.,3 Research Resources Center, Cardiovascular Research Core, University of Illinois at Chicago, Chicago, IL, USA
| |
Collapse
|
19
|
Liberos A, Hernandez-Romero I, De La Nava AS, Rodrigo M, Bueno-Orovio A, Rodriguez B, Guillem MS, Atienza F, Climent AM, Fernandez-Aviles F. P503Inter-subject variability explains juxtaposed effects in pharmacological treatments: an in-silico approach for the personalization of atrial fibrillation drug treatments. Cardiovasc Res 2018. [DOI: 10.1093/cvr/cvy060.360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- A Liberos
- Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón, CIBERCV, Madrid, Spain
| | - I Hernandez-Romero
- Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón, CIBERCV, Madrid, Spain
| | - A S De La Nava
- Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón, CIBERCV, Madrid, Spain
| | - M Rodrigo
- Universitat Politècnica de València, ITACA, València, Spain
| | - A Bueno-Orovio
- University of Oxford, Department of Computer Science, Oxford, United Kingdom
| | - B Rodriguez
- University of Oxford, Department of Computer Science, Oxford, United Kingdom
| | - M S Guillem
- Universitat Politècnica de València, ITACA, València, Spain
| | - F Atienza
- Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón, CIBERCV, Madrid, Spain
| | - A M Climent
- Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón, CIBERCV, Madrid, Spain
| | - F Fernandez-Aviles
- Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón, CIBERCV, Madrid, Spain
| |
Collapse
|
20
|
Hanson BM, Gill JS, Taggart P, Rodriguez B, Bueno-Orovio A. Slow Adaptation of Ventricular Repolarization as a Cause of Arrhythmia? Methods Inf Med 2018; 53:320-3. [DOI: 10.3414/me13-02-0039] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2013] [Accepted: 02/12/2014] [Indexed: 11/09/2022]
Abstract
SummaryIntroduction: This article is part of the Focus Theme of Methods of Information in Medicine on “Biosignal Interpretation: Advanced Methods for Studying Cardiovascular and Respiratory Systems”.Background: Adaptation of the QT-interval to changes in heart rate reflects on the body-surface electrocardiogram the adaptation of action potential duration (APD) at the cellular level. The initial fast phase of APD adaptation has been shown to modulate the arrhythmia substrate. Whether the slow phase is potentially proarrhythmic remains unclear.Objectives: To analyze in-vivo human data and use computer simulations to examine effects of the slow APD adaptation phase on dispersion of repolarization and reentry in the human ventricle.Methods: Electrograms were acquired from 10 left and 10 right ventricle (LV/RV) endocardial sites in 15 patients with normal ventricles during RV pacing. Activation-recovery intervals, as a surrogate for APD, were measured during a sustained increase in heart rate. Observed dynamics were studied using computer simulations of human tissue electrophysiology.Results: Spatial heterogeneity of rate adaptation was observed in all patients. Inhomogeneity in slow APD adaptation time constants (ΔTs) was greater in LV than RV (ΔTs LV = 31.8 ± 13.2, ΔTs RV = 19.0 ± 12.8 s, P < 0.01). Simulations showed that altering local slow time constants of adaptation was sufficient to convert partial wavefront block to block with successful reentry.Conclusions: Using electrophysiological data acquired in-vivo in human and computer simulations, we identify heterogeneity in the slow phase of APD adaptation as an important component of arrhythmogenesis.
Collapse
|
21
|
Briant LJB, Reinbothe TM, Spiliotis I, Miranda C, Rodriguez B, Rorsman P. δ-cells and β-cells are electrically coupled and regulate α-cell activity via somatostatin. J Physiol 2017; 596:197-215. [PMID: 28975620 PMCID: PMC5767697 DOI: 10.1113/jp274581] [Citation(s) in RCA: 101] [Impact Index Per Article: 14.4] [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: 05/22/2017] [Accepted: 09/25/2017] [Indexed: 12/28/2022] Open
Abstract
Key points We used a mouse expressing a light‐sensitive ion channel in β‐cells to understand how α‐cell activity is regulated by β‐cells. Light activation of β‐cells triggered a suppression of α‐cell activity via gap junction‐dependent activation of δ‐cells. Mathematical modelling of human islets suggests that 23% of the inhibitory effect of glucose on glucagon secretion is mediated by β‐cells via gap junction‐dependent activation of δ‐cells/somatostatin secretion.
Abstract Glucagon, the body's principal hyperglycaemic hormone, is released from α‐cells of the pancreatic islet. Secretion of this hormone is dysregulated in type 2 diabetes mellitus but the mechanisms controlling secretion are not well understood. Regulation of glucagon secretion by factors secreted by neighbouring β‐ and δ‐cells (paracrine regulation) have been proposed to be important. In this study, we explored the importance of paracrine regulation by using an optogenetic strategy. Specific light‐induced activation of β‐cells in mouse islets expressing the light‐gated channelrhodopsin‐2 resulted in stimulation of electrical activity in δ‐cells but suppression of α‐cell activity. Activation of the δ‐cells was rapid and sensitive to the gap junction inhibitor carbenoxolone, whereas the effect on electrical activity in α‐cells was blocked by CYN 154806, an antagonist of the somatostatin‐2 receptor. These observations indicate that optogenetic activation of the β‐cells propagates to the δ‐cells via gap junctions, and the consequential stimulation of somatostatin secretion inhibits α‐cell electrical activity by a paracrine mechanism. To explore whether this pathway is important for regulating α‐cell activity and glucagon secretion in human islets, we constructed computational models of human islets. These models had detailed architectures based on human islets and consisted of a collection of >500 α‐, β‐ and δ‐cells. Simulations of these models revealed that this gap junctional/paracrine mechanism accounts for up to 23% of the suppression of glucagon secretion by high glucose. We used a mouse expressing a light‐sensitive ion channel in β‐cells to understand how α‐cell activity is regulated by β‐cells. Light activation of β‐cells triggered a suppression of α‐cell activity via gap junction‐dependent activation of δ‐cells. Mathematical modelling of human islets suggests that 23% of the inhibitory effect of glucose on glucagon secretion is mediated by β‐cells via gap junction‐dependent activation of δ‐cells/somatostatin secretion.
Collapse
Affiliation(s)
- L J B Briant
- Oxford Centre for Diabetes, Endocrinology and Metabolism, Radcliffe Department of Medicine, University of Oxford, Oxford, OX3 7LE, UK.,Department of Computer Science, University of Oxford, Oxford, OX1 3QD, UK
| | - T M Reinbothe
- Metabolic Physiology, Department of Physiology, Institute of Neuroscience and Physiology, University of Gothenburg, SE-405 30, Gothenburg, Sweden
| | - I Spiliotis
- Oxford Centre for Diabetes, Endocrinology and Metabolism, Radcliffe Department of Medicine, University of Oxford, Oxford, OX3 7LE, UK
| | - C Miranda
- Metabolic Physiology, Department of Physiology, Institute of Neuroscience and Physiology, University of Gothenburg, SE-405 30, Gothenburg, Sweden
| | - B Rodriguez
- Department of Computer Science, University of Oxford, Oxford, OX1 3QD, UK
| | - P Rorsman
- Oxford Centre for Diabetes, Endocrinology and Metabolism, Radcliffe Department of Medicine, University of Oxford, Oxford, OX3 7LE, UK.,Metabolic Physiology, Department of Physiology, Institute of Neuroscience and Physiology, University of Gothenburg, SE-405 30, Gothenburg, Sweden
| |
Collapse
|
22
|
Pardo J, Gonzalez J, Aymar N, Ortiz I, Muniz SM, Rodriguez B, Font J. Application of Statistical Control of Processes to the Determination of CTV Expansion Margins in Prostate Cancer Patients Treated With VMAT: A Prospective Study in 57 Patients. Int J Radiat Oncol Biol Phys 2017. [DOI: 10.1016/j.ijrobp.2017.06.1220] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
23
|
Liberos A, Bueno-Orovio A, Rodrigo M, Guillem M, Hernandez-Romero I, Rodriguez B, Atienza F, Fernandez-Aviles F, Climent A. P454Balance between sodium and calcium currents determine efficacy of pharmacological antiarrhythmic strategies for atrial fibrillation. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx501.p454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
|
24
|
Rodriguez Cubillo B, Rodriguez B, Calvo M, de la Manzanara V, Bautista J, Perez-Flores I, Calvo N, Moreno A, Shabaka A, Delgado J, Sanchez-Fructuoso AI. Risk Factors of Recurrence of Diabetic Nephropathy in Renal Transplants. Transplant Proc 2017; 48:2956-2958. [PMID: 27932117 DOI: 10.1016/j.transproceed.2016.07.045] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2016] [Accepted: 07/27/2016] [Indexed: 10/20/2022]
Abstract
BACKGROUND Renal transplantation has been established as the treatment of choice for end-stage renal disease (ESRD) due to diabetic nephropathy. This study aimed to investigate the risk factors for recurrence of diabetic nephropathy (RDN) in renal allografts. METHODS We studied 1,011 renal transplant patients from 1986 to 2003, of which 95 had ESRD due to diabetic nephropathy. We retrospectively analyzed the clinical characteristics and outcomes of RDN after renal transplantation. RESULTS Of the 95 recipients with ESRD due to diabetic nephropathy, 41 developed RDN and 11 of those 41 underwent graft biopsy. The mean durations from transplantation to RDN and to renal replacement therapy was 81.58 months (range, 54-120 mo), and 109.66 months (range, 27-188.4 mo), respectively. At 5 years, treatment on statins and renin-angiotensin-aldosterone system (RAAS) blockers were associated with a higher survival free from RND (82.2% vs 63.2% [P = .070] and 100% vs 80% vs 0.6% [P = .013], respectively). Compared with cyclosporine, tacrolimus was associated with a higher risk for RND (odds ratio [OR], 4.27; 95% confidence interval [CI], 1.75-5.13; P = .047). High doses of prednisone (>0.06 mg/kg) were also associated with a higher risk of RDN (OR, 3.03; 95% CI, 1.19-8.30; P = .029). The combination of calcineurin inhibitor and mammalian target of rapamycin inhibitor (mTORi) demonstrated the highest risk of RDN (OR, 14.08; 95% CI, 3.72-53.29; P < .01). CONCLUSIONS Treatment with tacrolimus and mTORi is the most diabetogenic immunosuppressive regimen. Treatment with tacrolimus entails a greater risk of RDN than with cyclosporine. The administration of statins or RAAS blockers could delay the progression of RDN.
Collapse
Affiliation(s)
| | | | - M Calvo
- Hospital Clinico San Carlos, Madrid, Spain
| | | | - J Bautista
- Hospital Clinico San Carlos, Madrid, Spain
| | | | - N Calvo
- Hospital Clinico San Carlos, Madrid, Spain
| | - A Moreno
- Hospital Clinico San Carlos, Madrid, Spain
| | - A Shabaka
- Hospital Clinico San Carlos, Madrid, Spain
| | - J Delgado
- Hospital Clinico San Carlos, Madrid, Spain
| | | |
Collapse
|
25
|
Trovato C, Passini E, Tissier A, Nagy N, Varro' A, Severi S, Rodriguez B. P511In silico trials in human ventricular and purkinje cell models predict safety and efficacy of 10 antiarrhythmic drugs. Europace 2017. [DOI: 10.1093/ehjci/eux140.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|
26
|
Muszkiewicz A, Liu X, Bueno-Orovio A, Rodriguez JF, Casadei B, Rodriguez B. P510Whole atria mechanisms of inducibility and persistence of atrial arrhythmias by depletion of nNOS in human. Europace 2017. [DOI: 10.1093/ehjci/eux140.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
|
27
|
Pardo J, Mena A, Chiaramello C, Aymar N, Ortiz I, Mateos P, Rodriguez B, Morera D, Romero F, Sintes M, Vidal M, Martinez J, Romero J, Gimenez M, Peña C, Font J. Positron Emission Tomography/Computed Tomography Versus Computed Tomography Simulation in Radiation Therapy Treatment Planning (RTP): A Prospective Study in 97 Lung Cancer Patients (LCP). Int J Radiat Oncol Biol Phys 2016. [DOI: 10.1016/j.ijrobp.2016.06.1729] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|
28
|
Koval CE, Khanna A, Pallotta A, Spinner M, Taege AJ, Eghtesad B, Fujiki M, Hashimoto K, Rodriguez B, Morse G, Bennett A, Abu-Elmagd K. En Bloc Multivisceral and Kidney Transplantation in an HIV Patient: First Case Report. Am J Transplant 2016; 16:358-63. [PMID: 26437326 DOI: 10.1111/ajt.13455] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [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: 12/24/2014] [Revised: 07/10/2015] [Accepted: 07/14/2015] [Indexed: 01/25/2023]
Abstract
The continual improvement in outcome with highly active antiretroviral therapy (HAART) for human immunodeficiency virus (HIV) infection and visceral transplantation for gut failure stimulated our interest in lifting HIV infection as a contraindication for intestinal and multivisceral transplantation. This report is the first to describe visceral transplantation in a patient with HIV infection. A HAART regimen was introduced in the setting of short-gut syndrome with successful suppression of HIV viral load. The indication for en bloc multivisceral and kidney transplantation was end-stage liver failure with portomesenteric venous thrombosis and chronic renal insufficiency. The underlying hepatic pathology was alcoholic and home parenteral nutrition-associated cirrhosis. Surgery was complicated due to technical difficulties with excessive blood loss and long operative time. The complex posttransplant course included multiple exploratory laparotomies due to serious intra-abdominal and systemic infections. Heavy immunosuppression was required to treat recurrent episodes of severe allograft rejection. Posttransplant oral HAART successfully sustained undetectable viral load. Unfortunately, the patient succumbed to sepsis 3 months posttransplant. With new insights into the biology of gut immunity, mechanisms of allograft tolerance, and HIV-associated immune dysregulation, successful outcome is anticipated, particularly in patients who are in need of isolated intestinal and less-organ-contained visceral allografts.
Collapse
Affiliation(s)
- C E Koval
- Department of Infectious Disease, Cleveland Clinic, Cleveland, OH
| | - A Khanna
- Department of Surgery, Cleveland Clinic, Cleveland, OH.,Transplantation Center, Cleveland Clinic, Cleveland, OH
| | - A Pallotta
- Department of Pharmacy, Cleveland Clinic, Cleveland, OH
| | - M Spinner
- Department of Pharmacy, Cleveland Clinic, Cleveland, OH
| | - A J Taege
- Department of Infectious Disease, Cleveland Clinic, Cleveland, OH
| | - B Eghtesad
- Department of Surgery, Cleveland Clinic, Cleveland, OH
| | - M Fujiki
- Department of Surgery, Cleveland Clinic, Cleveland, OH.,Transplantation Center, Cleveland Clinic, Cleveland, OH
| | - K Hashimoto
- Department of Surgery, Cleveland Clinic, Cleveland, OH.,Transplantation Center, Cleveland Clinic, Cleveland, OH
| | - B Rodriguez
- Division of Infectious Disease, Case Western Reserve University, Cleveland, OH
| | - G Morse
- Department of Pharmacy, University of Buffalo, Buffalo, NY
| | - A Bennett
- Department of Pathology, Cleveland Clinic, Cleveland, OH
| | - K Abu-Elmagd
- Department of Surgery, Cleveland Clinic, Cleveland, OH.,Transplantation Center, Cleveland Clinic, Cleveland, OH
| |
Collapse
|
29
|
Paci M, Hyttinen J, Rodriguez B, Severi S. Human induced pluripotent stem cell-derived versus adult cardiomyocytes: an in silico electrophysiological study on effects of ionic current block. Br J Pharmacol 2015; 172:5147-60. [PMID: 26276951 PMCID: PMC4629192 DOI: 10.1111/bph.13282] [Citation(s) in RCA: 41] [Impact Index Per Article: 4.6] [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] [Received: 04/21/2015] [Revised: 07/29/2015] [Accepted: 08/03/2015] [Indexed: 12/28/2022] Open
Abstract
Background and Purpose Two new technologies are likely to revolutionize cardiac safety and drug development: in vitro experiments on human‐induced pluripotent stem cell‐derived cardiomyocytes (hiPSC‐CMs) and in silico human adult ventricular cardiomyocyte (hAdultV‐CM) models. Their combination was recently proposed as a potential replacement for the present hERG‐based QT study for pharmacological safety assessments. Here, we systematically compared in silico the effects of selective ionic current block on hiPSC‐CM and hAdultV‐CM action potentials (APs), to identify similarities/differences and to illustrate the potential of computational models as supportive tools for evaluating new in vitro technologies. Experimental Approach In silico AP models of ventricular‐like and atrial‐like hiPSC‐CMs and hAdultV‐CM were used to simulate the main effects of four degrees of block of the main cardiac transmembrane currents. Key Results Qualitatively, hiPSC‐CM and hAdultV‐CM APs showed similar responses to current block, consistent with results from experiments. However, quantitatively, hiPSC‐CMs were more sensitive to block of (i) L‐type Ca2+ currents due to the overexpression of the Na+/Ca2+ exchanger (leading to shorter APs) and (ii) the inward rectifier K+ current due to reduced repolarization reserve (inducing diastolic potential depolarization and repolarization failure). Conclusions and Implications In silico hiPSC‐CMs and hAdultV‐CMs exhibit a similar response to selective current blocks. However, overall hiPSC‐CMs show greater sensitivity to block, which may facilitate in vitro identification of drug‐induced effects. Extrapolation of drug effects from hiPSC‐CM to hAdultV‐CM and pro‐arrhythmic risk assessment can be facilitated by in silico predictions using biophysically‐based computational models.
Collapse
Affiliation(s)
- M Paci
- Department of Electronics and Communications Engineering, Tampere University of Technology, BioMediTech, Tampere, Finland
| | - J Hyttinen
- Department of Electronics and Communications Engineering, Tampere University of Technology, BioMediTech, Tampere, Finland
| | - B Rodriguez
- Department of Computer Science, University of Oxford, Oxford, UK
| | - S Severi
- Department of Electrical, Electronic and Information Engineering 'Guglielmo Marconi', University of Bologna, Cesena (FC), Italy
| |
Collapse
|
30
|
Toledo J, Castillo-Soria O, Pereboom M, Nardone A, Wentzlaff-Eggebert M, Seery D, Shajanian-Zarneh Y, Reemann H, Rice B, Delpech V, Rodriguez B. Quality assurance and quality improvement in national HIV prevention policies in Europe. Eur J Public Health 2015. [DOI: 10.1093/eurpub/ckv171.063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
|
31
|
Zaid M, Miura K, Murakami Y, Okuda N, Okayama A, Sakata K, Masaki KB, Rodriguez B, Stamler J, Ueshima H. Association of Dietary MUFA Intake with HDL Profile Measurements in Japanese Men and Women Living in Japan and Hawaii: INTERLIPID Study. Int J Epidemiol 2015. [DOI: 10.1093/ije/dyv097.026] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
|
32
|
Mincholé A, Bueno-Orovio A, Laguna P, Pueyo E, Rodriguez B. ECG-based estimation of dispersion of APD restitution as a tool to stratify sotalol-induced arrhythmic risk. J Electrocardiol 2015; 48:867-73. [PMID: 26117457 PMCID: PMC4595601 DOI: 10.1016/j.jelectrocard.2015.06.006] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [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: 12/31/2014] [Indexed: 01/08/2023]
Abstract
Background Increased spatial dispersion of restitution properties has been associated to arrhythmic risk. An ECG-based index quantifying restitution dispersion, DRest, is evaluated in patients who experienced Torsades de Pointes (TdP) under sotalol challenge and compared with the response in healthy subjects. Methods and Results ECG recordings were analyzed for quantification of DRest and QTc, among others biomarkers. DRest provides improved discrimination following sotalol administration between TdP and healthy subjects ([min–max]: [0.18–0.22] vs [0.02–0.12]), compared to other biomarkers including QTc ([436–548 ms] vs [376–467 ms]). Results in healthy subjects are in agreement with simulations of sotalol effects on a human tissue electrophysiological model. Conclusions This case study supports the potential of DRest for improved arrhythmia risk stratification even with QTc values below 450 ms. Several rate-dependent ECG-based biomarkers were evaluated in three patients who develop Torsades des Pointes after sotalol intake and in twenty five healthy volunteers who do not. Dispersion of restitution quantified from the ECG, DRest, identified better drug-induced cardiotoxicity than the conventionally used QTc. Neither DRest nor QTc shows sotalol-induced changes in subjects who do not develop TdP. Computer simulations corroborate the results of the ECG analysis and suggest that DRest is able to quantify the arrhythmogenic substrate in patients at risk of developing drug-induced arrhythmias.
Collapse
Affiliation(s)
- A Mincholé
- Department of Computer Science, University of Oxford, Oxford, United Kingdom.
| | - A Bueno-Orovio
- Department of Computer Science, University of Oxford, Oxford, United Kingdom
| | - P Laguna
- Biomedical Research Networking Center in Bioengineering, Biomaterials and Nanomedicine (CIBER-BBN), Spain; BSICoS Group, Aragón Institute of Engineering Research (I3A), IIS Aragón, Universidad de Zaragoza, Zaragoza, Spain
| | - E Pueyo
- Biomedical Research Networking Center in Bioengineering, Biomaterials and Nanomedicine (CIBER-BBN), Spain; BSICoS Group, Aragón Institute of Engineering Research (I3A), IIS Aragón, Universidad de Zaragoza, Zaragoza, Spain
| | - B Rodriguez
- Department of Computer Science, University of Oxford, Oxford, United Kingdom
| |
Collapse
|
33
|
Juverdeanu R, De Agustíin J, Barcelo M, Rodriguez B, Sellas A, Farietta S, Alegre C. AB0309 Analysis of the Correlation Between Das 28 Index and its Ultrasonographic Equivalent (ECODAS). Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.4889] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
|
34
|
Fernandez Castro M, Andreu J, Martínez Taboada V, Olivé A, Rosas J, Sánchez-Piedra C, Menor R, Rodriguez B, García Aparicio A, Lόpez Longo F, Manrique-Arija S, García Vadillo J, Gil Barato S, Lόpez González R, Narváez F, Galisteo C, González Martín J, Ruiz Lucea E, Naranjo A, Illera O. AB0597 Sjogrenser Cohort: Clinical and Epidemiological Features of Primary SjÖgren's Syndrome in Spanish Rheumathology Departments. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.2003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
|
35
|
Fernandez Castro M, Andreu J, Rosas J, Martínez Taboada V, Olivé A, Sánchez-Piedra C, Menor R, Rodriguez B, García Aparicio A, Lόpez Longo F, Manrique-Arija S, García Vadillo J, Gil Barato S, Lόpez González R, Narváez F, Galisteo C, González Martín J, Ruiz Lucea E, Erausquin C, Guillén Astete C, Castellvi I, Bohόrquez C, Loricera J, Belzunegui J. FRI0413 Comorbidity in a Cohort of Primary Sjögren's Syndrome Patients. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.2597] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
|
36
|
Bain O, Guerrero R, Rodriguez B, Babayan S, Jouvenet N. Examination of type material of two species ofLitomosoides(Filarioidea : Onchocercidae), parasites from bats ; taxonomic consequences. Parasite 2014; 10:211-8. [PMID: 14535160 DOI: 10.1051/parasite/2003103211] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Type material of Litomosoides hamletti Sandground, 1934 from Glossophaga soricina soricina in Brazil and L. penai Jiménez-Quirós & Arroyo, 1960 from Carollia perspicillata azteca in Costa Rica, was examined. The morphology of the spicules shows that these species belong to the carinii group. Their synonymy with L. guiterasi Pérez Vigueras, 1934, from Artibeus jamaicensis yucatanicus in Cuba, does not appear justified because they are distinct in several characters (body length, width of female, size and shape of buccal cavity and capsule, shape of right spicule). L. hamletti is a valid species; L. penai is closely related to it and is considered to be a sub-species, L. hamletti penai Jiménez-Quirós & Arroyo, 1960. The material recovered from Glossophaga spp., previously assigned to L. guiterasi by several authors, is identified as L. h. hamletti. L. guiterasi appears to be closely related to L. chandleri Esslinger, 1973; L. chitwoodi n. sp. (= Litomosoides sp. Chitwood, 1938) seems close to these species; all three are parasites of Artibeus spp.
Collapse
Affiliation(s)
- O Bain
- L'INSERM (U567), Muséum National d'Histoire Naturelle et Ecole Pratique des Hautes Etudes, 61, rue Buffon, 75231 Paris, France.
| | | | | | | | | |
Collapse
|
37
|
|
38
|
Tinker L, Zheng C, Sarto G, Heiss G, Neuhouser M, Di C, Johnson K, Beasley J, Eaton C, Chen B, Agha G, LaMonte M, Rodriguez B, Seguin R, Wylie‐Rosett J, Calhoun D, Prentice R. Association of uncalibrated and calibrated energy and protein intakes with risk of diabetes in postmenopausal women (36.5). FASEB J 2014. [DOI: 10.1096/fasebj.28.1_supplement.36.5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
| | - C Zheng
- Univ WASeattleWAUnited States
| | - G Sarto
- Univ WIWisconsinWIUnited States
| | - G Heiss
- Univ NCCHAPEL HILLNCUnited States
| | | | - C Di
- Hutchinson CenterSeattleWAUnited States
| | | | | | | | | | - G Agha
- Brown UnivProvidenceRIUnited States
| | | | | | - R Seguin
- Cornell UnivITHACANYUnited States
| | | | - D Calhoun
- Medstar Health Research InstituteHyattsvilleMDUnited States
| | | |
Collapse
|
39
|
|
40
|
Feliu A, González-de-Olano D, González E, Rodriguez B, Ruiz-Hornillos J, Jimeno L, de la Torre F. A multicenter study of sensitization profiles in an allergic pediatric population in an area with high allergen exposure. J Investig Allergol Clin Immunol 2013; 23:337-344. [PMID: 24260979] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023] Open
Abstract
BACKGROUND AND OBJECTIVE In areas with a high number of allergens and high allergen concentrations, it is essential to identify the main causes of allergy, especially in pediatric patients. This study was conducted in allergic patients aged 14 or less to identify sensitization profiles during an initial phase, and to then evaluate changes in these profiles after 3 years of follow-up. This article describes the first phase of our investigation. METHODS A total of 187 patients aged between 2 and 14 years were included by 5 allergy units; all the children had symptoms suggestive of allergic disease (rhinoconjunctivitis andlor asthma). Allergy diagnosis was confirmed by evaluation of clinical history, allergen exposure, and in vivo or in vitro tests. Specific immunoglobulin E (slgE) to major allergens was tested. RESULTS Patients were sensitized to both seasonal (especially grass, olive, cypress and Cynodon dactylon) and perennial allergens (Alternaria alternata) and to panallergens (especially profilin and lipid transfer protein). Almost 60% of the patients included were polysensitized. Sensitization to certain major allergens such as Cup s1, Phl p1, or Sal k1 seems to increase with age. Patients sensitized to profilin had a higher number of sensitizations than non-profilin-sensitized patients. This panallergen is a diagnostic confounding factor. CONCLUSIONS A high percentage of allergic pediatric patients living in an area with high exposure levels to a large number of allergens are polysensitized and have a high percentage of sensitization to panallergens. The implementation of new diagnostic tools such as component-resolved diagnosis is crucial.
Collapse
Affiliation(s)
- A Feliu
- Hospital del Tajo de Aranjuez, Madrid, Spain
| | | | | | | | | | | | | |
Collapse
|
41
|
Walmsley J, Rodriguez J, Mirams G, Burrage K, Efimov I, Rodriguez B. Messenger RNA Expression Levels Predict Cellular Electrophysiologic Remodeling in Failing Human Hearts Using a Population-Based Simulation Study. Heart Rhythm 2012. [DOI: 10.1016/j.hrthm.2012.09.101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
42
|
Lévy Y, Sereti I, Tambussi G, Routy JP, Lelièvre JD, Delfraissy JF, Molina JM, Fischl M, Goujard C, Rodriguez B, Rouzioux C, Avettand-Fenoël V, Croughs T, Beq S, Morre M, Poulin JF, Sekaly RP, Thiebaut R, Lederman MM. Effects of recombinant human interleukin 7 on T-cell recovery and thymic output in HIV-infected patients receiving antiretroviral therapy: results of a phase I/IIa randomized, placebo-controlled, multicenter study. Clin Infect Dis 2012; 55:291-300. [PMID: 22550117 PMCID: PMC3381639 DOI: 10.1093/cid/cis383] [Citation(s) in RCA: 174] [Impact Index Per Article: 14.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND The immune deficiency of human immunodeficiency virus (HIV) infection is not fully corrected with ARV therapy. Interleukin-7 (IL-7) can boost CD4 T-cell counts, but optimal dosing and mechanisms of cellular increases need to be defined. METHODS We performed a randomized placebo-controlled dose escalation (10, 20 and 30 µg/kg) trial of 3 weekly doses of recombinant human IL-7 (rhIL-7) in ARV-treated HIV-infected persons with CD4 T-cell counts between 101 and 400 cells/µL and plasma HIV levels <50 copies/mL. Toxicity, activity and the impact of rhIL-7 on immune reconstitution were monitored. RESULTS Doses of rhIL-7 up to 20 µg/kg were well tolerated. CD4 increases of predominantly naive and central memory T cells were brisk (averaging 323 cells/µL at 12 weeks) and durable (up to 1 year). Increased cell cycling and transient increased bcl-2 expression were noted. Expanded cells did not have the characteristics of regulatory or activated T cells. Transient low-level HIV viremia was seen in 6 of 26 treated patients; modest increases in total levels of intracellular HIV DNA were proportional to CD4 T-cell expansions. IL-7 seemed to increase thymic output and tended to improve the T-cell receptor (TCR) repertoire in persons with low TCR diversity. CONCLUSIONS Three weekly doses of rhIL-7 at 20 µg/kg are well tolerated and lead to a dose-dependent CD4 T-cell increase and the broadening of TCR diversity in some subjects. These data suggest that this rhIL-7 dose could be advanced in future rhIL-7 clinical studies. CLINICAL TRIALS REGISTRATION NCT0047732.
Collapse
|
43
|
Arrieta EE, Suárez-Berea M, Rodriguez-Jato T, Campano L, Rodriguez B, Touris M, Gonzalez J, Mosquera A, Suárez-Rodriguez A, Martínez-Bahamonde F. Evaluation of pharmacist clinical interventions profile in a university hospital. Eur J Hosp Pharm 2012. [DOI: 10.1136/ejhpharm-2012-000074.401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|
44
|
Aghafar MZKA, Witt C, Kamarulzaman A, Ismail R, Lederman MM, Rodriguez B, Senitzer D, Lee S, Price P. Genetic variations in loci relevant to natural killer cell function are affected by ethnicity but are generally not correlated with susceptibility to HIV-1. ACTA ACUST UNITED AC 2012; 79:367-71. [DOI: 10.1111/j.1399-0039.2012.01843.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
45
|
Nakamura Y, Ueshima H, Okuda N, Miura K, Kita Y, Okamura T, Turin TC, Okayama A, Rodriguez B, Curb JD, Stamler J. Relation of dietary and lifestyle traits to difference in serum leptin of Japanese in Japan and Hawaii: the INTERLIPID study. Nutr Metab Cardiovasc Dis 2012; 22:14-22. [PMID: 20678905 PMCID: PMC3008501 DOI: 10.1016/j.numecd.2010.03.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/11/2009] [Revised: 03/16/2010] [Accepted: 03/19/2010] [Indexed: 12/16/2022]
Abstract
BACKGROUND AND AIMS Previously, we found significantly higher serum leptin in Japanese-Americans in Hawaii than Japanese in Japan. We investigated whether differences in dietary and other lifestyle factors explain higher serum leptin concentrations in Japanese living a Western lifestyle in Hawaii compared with Japanese in Japan. METHODS AND RESULTS Serum leptin and nutrient intakes were examined by standardized methods in men and women ages 40-59 years from two population samples, one Japanese-American in Hawaii (88 men, 94 women), the other Japanese in central Japan (123 men, 111 women). Multiple linear regression models were used to assess role of dietary and other lifestyle traits in accounting for serum leptin difference between Hawaii and Japan. Mean leptin was significantly higher in Hawaii than Japan (7.2 ± 6.8 vs 3.7 ± 2.3 ng/ml in men, P < 0.0001; 12.8 ± 6.6 vs 8.5 ± 5.0 in women <0.0001). In men, higher BMI in Hawaii explained over 90% of the difference in serum leptin; in women, only 47%. In multiple linear regression analyses in women, further adjustment for physical activity and dietary factors--alcohol, dietary fiber, iron--produced a further reduction in the coefficient for the difference, total reduction 70.7%; P-value for the Hawaii-Japan difference became 0.126. CONCLUSION The significantly higher mean leptin concentration in Hawaii than Japan may be attributable largely to differences in BMI. Differences in nutrient intake in the two samples were associated with only modest relationship to the leptin difference.
Collapse
Affiliation(s)
- Y Nakamura
- Cardiovascular Epidemiology, Kyoto Women's University, 35 Imakumano Kitahiyoshi-cho, Higashiyama-ku, Kyoto 605-8501, Japan.
| | | | | | | | | | | | | | | | | | | | | |
Collapse
|
46
|
Mapunya MB, Hussein AA, Rodriguez B, Lall N. Tyrosinase activity of Greyia flanaganii (Bolus) constituents. Phytomedicine 2011; 18:1006-1012. [PMID: 21680165 DOI: 10.1016/j.phymed.2011.03.013] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/19/2010] [Revised: 01/19/2011] [Accepted: 03/26/2011] [Indexed: 05/30/2023]
Abstract
Hyper-pigmentation of the skin is a common problem that is prevalent in middle aged and elderly people. It is caused by over production of melanin. Tyrosinase is known to be the key enzyme in melanin production. Ethanolic extract of Greyia flanaganii leaves showed significant (P<0.05) antityrosinase activity exhibiting the IC₅₀ of 32.62 μg/ml. The total extract was further investigated for its toxicity and effect on melanin production by melanocytes cells, and showed significant inhibition (P<0.05) (20%) of melanin production at 6.25 μg/ml and low levels of cytotoxicity (IC₅₀<400 μg/ml). The amount of antioxidants necessary to decrease the initial DPPH absorbance by 50% (EC₅₀) by the total ethanolic extract was found to be 22.01 μg/ml. The effect of G. flanaganii against acne causing bacteria, Propionibacterium acnes, was investigated using microdilution assay. The MIC of the extract of G. flanaganii was found to be 250 μg/ml. Bioassay-guided fractionation led to the isolation of (3S)-4-hydroxyphenethyl 3-hydroxy-5-phenylpentanoate (1), 2',4',6'-trihydroxydihydrochalcone (2), 2',6',4-trihydroxy-4'-methoxydihydrochalcone (3), 2',6'-dihydroxy-4'-methoxydihydrochalcone (4), 5,7-dihydroxyflavanone [(2S)-pinocembrin] (5), 2',6'-dihydroxy-4',4-dimethoxy dihydrochalcone (6) and (2R,3R)-3,5,7-trihydroxy-3-O-acetylflavanone (7). The isolated compounds were tested for their antioxidant, cytotoxicity, tyrosinase inhibition and antibacterial activities. Compound 2 exhibited significant (P<0.05) antityrosinase activity exhibiting the IC₅₀ of 69.15 μM. The isolated compounds showed low toxicity of the cells with reduction of melanin content of the cells. All compounds tested showed good radical scavenging activity. These data indicates that G. flanaganii extract and its isolated phenolic constituents could be possible skin lightening agents.
Collapse
Affiliation(s)
- M B Mapunya
- Department of Plant Science, University of Pretoria, Pretoria 0002, South Africa
| | | | | | | |
Collapse
|
47
|
|
48
|
Romero L, Carbonell B, Trenor B, Rodriguez B, Saiz J, Ferrero JM. Human and rabbit inter-species comparison of ionic mechanisms of arrhythmic risk: A simulation study. Annu Int Conf IEEE Eng Med Biol Soc 2011; 2010:3253-6. [PMID: 21096607 DOI: 10.1109/iembs.2010.5627230] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
Experimental studies of pro-arrhythmic mechanisms are scarcely performed in humans due to the limited availability of human cardiomyocytes. Subsequently, extrapolation of animal experimental research to humans is widely extended. Our aim is to systematically compare the ionic mechanisms of the main cellular biomarkers of arrhythmic risk between human and rabbit using computer simulations. For this purpose four stimulation protocols were applied to the Mahajan et al. rabbit ventricular action potential (AP) model for control conditions and for ± 15 and ± 30% variations in the ionic current conductances of the main repolarization currents to quantify cellular biomarkers. Sensitivity of every simulated biomarker to every parameter modification was compared to that obtained for human in our previous work. Our results show that the ionic mechanisms involved in AP triangulation, systolic intracellular calcium concentration and AP duration (APD) accommodation to abrupt changes of pacing rate are very similar in both species. Unfortunately, significant differences were found in the ionic mechanisms related to APD, restitution properties and rate dependence of intracellular calcium and sodium concentrations. In conclusion, extrapolation of experimental research in rabbit to humans is limited by the existence of species dependent ionic mechanisms. In addition, this analysis is very useful for understanding and improvement of mathematical models.
Collapse
Affiliation(s)
- L Romero
- Universidad Politécnica de Valencia (I3BH), Spain.
| | | | | | | | | | | |
Collapse
|
49
|
Bordas R, Grau V, Burton RB, Hales P, Schneider JE, Gavaghan D, Kohl P, Rodriguez B. Integrated approach for the study of anatomical variability in the cardiac Purkinje system: from high resolution MRI to electrophysiology simulation. Annu Int Conf IEEE Eng Med Biol Soc 2011; 2010:6793-6. [PMID: 21095842 DOI: 10.1109/iembs.2010.5625979] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
The ordered electrical stimulation of the ventricles is achieved by a specialized network of fibres known as the Purkinje system. The gross anatomy and basic functional role of the Purkinje system is well understood. However, very little is known about the detailed anatomy of the Purkinje system, its inter-individual variability and the implications of the variability in ventricular function, in part due to limitations in experimental techniques. In this study, we aim to provide new insight into the inter-individual variability of the free running Purkinje system anatomy and its impact on ventricular electrophysiological function. As a first step towards achieving this aim, high resolution magnetic resonance imaging (MRI) datasets of rat and the rabbit ventricles are obtained and analysed using a novel semi-automatic image processing algorithm for segmentation of the free-running Purkinje system. Segmented geometry from the MRI datasets is used to construct a computational model of the Purkinje system, which is incorporated in to an anatomically-based ventricular geometry to simulate ventricular electrophysiological activity.
Collapse
Affiliation(s)
- R Bordas
- Oxford University, Computing Laboratory, Wolfson Building, Parks Road, OX1 3QD, UK.
| | | | | | | | | | | | | | | |
Collapse
|
50
|
Zemzemi N, Bernabeu MO, Saiz J, Rodriguez B. Simulating Drug-Induced Effects on the Heart: From Ion Channel to Body Surface Electrocardiogram. Functional Imaging and Modeling of the Heart 2011. [DOI: 10.1007/978-3-642-21028-0_32] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
|