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Zhu P, Simon I, Kokalari I, Kohane DS, Rwei AY. Miniaturized therapeutic systems for ultrasound-modulated drug delivery to the central and peripheral nervous system. Adv Drug Deliv Rev 2024; 208:115275. [PMID: 38442747 PMCID: PMC11031353 DOI: 10.1016/j.addr.2024.115275] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2023] [Revised: 02/19/2024] [Accepted: 03/01/2024] [Indexed: 03/07/2024]
Abstract
Ultrasound is a promising technology to address challenges in drug delivery, including limited drug penetration across physiological barriers and ineffective targeting. Here we provide an overview of the significant advances made in recent years in overcoming technical and pharmacological barriers using ultrasound-assisted drug delivery to the central and peripheral nervous system. We commence by exploring the fundamental principles of ultrasound physics and its interaction with tissue. The mechanisms of ultrasonic-enhanced drug delivery are examined, as well as the relevant tissue barriers. We highlight drug transport through such tissue barriers utilizing insonation alone, in combination with ultrasound contrast agents (e.g., microbubbles), and through innovative particulate drug delivery systems. Furthermore, we review advances in systems and devices for providing therapeutic ultrasound, as their practicality and accessibility are crucial for clinical application.
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Affiliation(s)
- Pancheng Zhu
- Department of Chemical Engineering, Delft University of Technology, 2629 HZ, Delft, the Netherlands; State Key Laboratory of Mechanics and Control of Aerospace Structures, Nanjing University of Aeronautics & Astronautics, 210016, Nanjing, China; Department of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong, China
| | - Ignasi Simon
- Department of Chemical Engineering, Delft University of Technology, 2629 HZ, Delft, the Netherlands
| | - Ida Kokalari
- Department of Chemical Engineering, Delft University of Technology, 2629 HZ, Delft, the Netherlands
| | - Daniel S Kohane
- Laboratory for Biomaterials and Drug Delivery, Department of Anesthesiology, Boston Children's Hospital, Harvard Medical School, Boston, MA 02115, USA.
| | - Alina Y Rwei
- Department of Chemical Engineering, Delft University of Technology, 2629 HZ, Delft, the Netherlands.
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Ruiz-Valdepeñas Montiel V, Vargas E, Ben Hassine A, Simon I, Duvvuri A, Chang AY, Nandhakumar P, Bulbarello A, Düsterloh A, Mak T, Wang J. Decentralized ORP Measurements for Gut Redox Status Monitoring: Toward Personalized Gut Microbiota Balance. Anal Chem 2024; 96:480-487. [PMID: 38150379 DOI: 10.1021/acs.analchem.3c04570] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2023]
Abstract
Gut microbiome targeting has emerged as a new generation of personalized medicine and a potential wellness and disease driver. Specifically, the gut redox balance plays a key role in shaping the gut microbiota and its link with the host, immune system, and disease evolution. In this sense, precise and personalized nutrition has proven synergy and capability to modulate the gut microbiome environment through the formulation of dietary interventions, such as vitamin support. Accordingly, there are urgent demands for simple and effective analytical platforms for understanding the relationship between the tailored vitamin administration and the gut microbiota balance by rapid noninvasive on-the-spot oxidation/reduction potential monitoring for frequent and close surveillance of the gut redox status and targeting by personalized nutrition interventions. Herein, we present a disposable potentiometric sensor chip and a homemade multiwell potentiometric array to address the interplay of vitamin levels with the oxidation/reduction potential in human feces and saliva. The potentiometric ORP sensing platforms have been successfully validated and scaled up for the setup of a multiapplication prototype for cross-talk-free simple screening of many specimens. The interpersonal variability of the gut microbiota environment illustrates the potential of feces and saliva samples for noninvasive, frequent, and decentralized monitoring of the gut redox status to support timely human microbiota surveillance and guide precise dietary intervention toward restoring and promoting personalized gut redox balance.
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Affiliation(s)
- Víctor Ruiz-Valdepeñas Montiel
- Department of Nanoengineering, University of California San Diego, La Jolla, California 92093, United States
- Department of Analytical Chemistry, Chemistry Faculty, University Complutense of Madrid, E-28040 Madrid, Spain
| | - Eva Vargas
- Department of Nanoengineering, University of California San Diego, La Jolla, California 92093, United States
| | - Amira Ben Hassine
- Department of Nanoengineering, University of California San Diego, La Jolla, California 92093, United States
| | - Ignasi Simon
- Department of Nanoengineering, University of California San Diego, La Jolla, California 92093, United States
| | - Andres Duvvuri
- Department of Nanoengineering, University of California San Diego, La Jolla, California 92093, United States
| | - An-Yi Chang
- Department of Nanoengineering, University of California San Diego, La Jolla, California 92093, United States
| | - Ponnusamy Nandhakumar
- Department of Nanoengineering, University of California San Diego, La Jolla, California 92093, United States
| | | | | | - Tim Mak
- DSM-Firmenich AG, Kaiseraugst 4303, Switzerland
| | - Joseph Wang
- Department of Nanoengineering, University of California San Diego, La Jolla, California 92093, United States
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Chen AX, Esparza GL, Simon I, Dunfield SP, Qie Y, Bunch JA, Blau R, Lim A, Zhang H, Brew SE, O'Neill FM, Fenning DP, Lipomi DJ. Effect of Additives on the Surface Morphology, Energetics, and Contact Resistance of PEDOT:PSS. ACS Appl Mater Interfaces 2023; 15:38143-38153. [PMID: 37499172 DOI: 10.1021/acsami.3c08341] [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] [Subscribe] [Scholar Register] [Indexed: 07/29/2023]
Abstract
For a poly(3,4-ethylenedioxythiophene) polystyrene sulfonate (PEDOT:PSS) film employed in a device stack, charge must pass through both the bulk of the film and interfaces between adjacent layers. Thus, charge transport is governed by both bulk and contact resistances. However, for ultrathin films (e.g., flexible devices, thin-film transistors, printed electronics, solar cells), interfacial properties can dominate over the bulk properties, making contact resistance a significant determinant of device performance. For most device applications, the bulk conductivity of PEDOT:PSS is typically improved by blending additives into the solid film. Doping PEDOT:PSS with secondary dopants (e.g., polar small molecules), in particular, increases the bulk conductivity by inducing a more favorable solid morphology. However, the effects of these morphological changes on the contact resistance (which play a bigger role at smaller length scales) are relatively unstudied. In this work, we use transfer length method (TLM) measurements to decouple the bulk resistance from the contact resistance of PEDOT:PSS films incorporating several common additives. These additives include secondary dopants, a silane crosslinker (typically used to stabilize the PEDOT:PSS film), and multi-walled carbon nanotubes (conductive fillers). Using conductive atomic force microscopy, Kelvin probe force microscopy, Raman spectroscopy, and photoelectron spectroscopy, we connect changes in the contact resistance to changes in the surface morphology and energetics as governed by the blended additives. We find that the contact resistance at the PEDOT:PSS/silver interface can be reduced by (1) increasing the ratio of PEDOT to PSS chains, (2) decreasing the work function, (3) decreasing the benzoid-to-quinoid ratio at the surface of the solid film, (4) increasing the film uniformity and contact area, and (5) increasing the phase-segregated morphology of the solid film.
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Affiliation(s)
- Alexander X Chen
- Department of NanoEngineering, University of California, San Diego, 9500 Gilman Drive, Mail Code 0448, La Jolla, California 92093-0448, United States
| | - Guillermo L Esparza
- Department of NanoEngineering, University of California, San Diego, 9500 Gilman Drive, Mail Code 0448, La Jolla, California 92093-0448, United States
| | - Ignasi Simon
- Department of NanoEngineering, University of California, San Diego, 9500 Gilman Drive, Mail Code 0448, La Jolla, California 92093-0448, United States
| | - Sean P Dunfield
- Department of NanoEngineering, University of California, San Diego, 9500 Gilman Drive, Mail Code 0448, La Jolla, California 92093-0448, United States
| | - Yi Qie
- Department of NanoEngineering, University of California, San Diego, 9500 Gilman Drive, Mail Code 0448, La Jolla, California 92093-0448, United States
| | - Jordan A Bunch
- Department of NanoEngineering, University of California, San Diego, 9500 Gilman Drive, Mail Code 0448, La Jolla, California 92093-0448, United States
| | - Rachel Blau
- Department of NanoEngineering, University of California, San Diego, 9500 Gilman Drive, Mail Code 0448, La Jolla, California 92093-0448, United States
| | - Allison Lim
- Department of NanoEngineering, University of California, San Diego, 9500 Gilman Drive, Mail Code 0448, La Jolla, California 92093-0448, United States
| | - Henry Zhang
- Department of NanoEngineering, University of California, San Diego, 9500 Gilman Drive, Mail Code 0448, La Jolla, California 92093-0448, United States
| | - Sarah E Brew
- Department of NanoEngineering, University of California, San Diego, 9500 Gilman Drive, Mail Code 0448, La Jolla, California 92093-0448, United States
| | - Finnian M O'Neill
- Department of NanoEngineering, University of California, San Diego, 9500 Gilman Drive, Mail Code 0448, La Jolla, California 92093-0448, United States
| | - David P Fenning
- Department of NanoEngineering, University of California, San Diego, 9500 Gilman Drive, Mail Code 0448, La Jolla, California 92093-0448, United States
| | - Darren J Lipomi
- Department of NanoEngineering, University of California, San Diego, 9500 Gilman Drive, Mail Code 0448, La Jolla, California 92093-0448, United States
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Hawkins-Villarreal A, Moreno-Espinosa AL, Castillo K, Hahner N, Picone O, Mandelbrot L, Simon I, Gratacós E, Goncé A, Eixarch E. Brain cortical maturation assessed by magnetic resonance imaging in unaffected or mildly affected fetuses with cytomegalovirus infection. Ultrasound Obstet Gynecol 2023; 61:566-576. [PMID: 36349881 DOI: 10.1002/uog.26110] [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: 07/27/2022] [Revised: 10/07/2022] [Accepted: 10/17/2022] [Indexed: 05/04/2023]
Abstract
OBJECTIVES To assess by magnetic resonance imaging (MRI) the cortical maturation pattern in fetuses with cytomegalovirus (CMV) infection with mild or no abnormalities on ultrasound (US) and MRI, and to establish possible differences compared with healthy controls. METHODS This was a retrospective case-control study of consecutive pregnancies with a CMV-infected fetus undergoing prenatal MRI as a complementary diagnostic tool in two centers, and a control group of singleton low-risk pregnancies without fetal structural abnormalities, with normal fetal growth and with healthy newborns. CMV infection was confirmed by extraction of CMV-DNA from fetal and neonatal samples. Only fetuses with mild (mildly affected) or no (unaffected) neuroimaging abnormalities on US and MRI were included. MRI measurements of fetal parieto-occipital sulcus, cingulate sulcus and calcarine sulcus depth, Sylvian fissure depth and Sylvian fissure angles were performed and cortical development grading of specific cortical areas and sulci were assessed by one operator who was blinded to CMV infection status. Data were compared between controls and fetuses with CMV infection, using linear regression and non-parametric trend analysis. RESULTS Twenty-four CMV-infected fetuses (seven unaffected and 17 mildly affected) and 24 healthy controls that underwent fetal MRI between 27 and 36 weeks' gestation were included. Compared with controls, CMV-infected fetuses showed significantly larger median lateral ventricular width (right side, 7.8 (interquartile range (IQR), 5.9-9.9) mm vs 3.9 (IQR, 2.6-5.3) mm; left side, 7.5 (IQR, 6.0-10.9) mm vs 4.2 (IQR, 3.2-5.3) mm), significantly decreased parieto-occipital sulcus depth (right side, 12.6 (IQR, 11.3-13.5) mm vs 15.9 (IQR, 13.5-17.3) mm; left side, 12.3 (IQR, 10.6-13.5) mm vs 16.0 (IQR, 13.3-17.5) mm) and calcarine sulcus depth (right side, 15.4 (IQR, 14.4-16.3) mm vs 17.5 (IQR, 16.1-18.7) mm; left side, 14.6 (IQR, 14.1-15.6) mm vs 16.7 (IQR, 15.6-18.9) mm) (P < 0.001 for all). Compared with controls, CMV-infected fetuses also had significantly smaller upper (right side, 42.8° (IQR, 35.8-45.8°) vs 48.9° (IQR, 38.4-64.7°); left side, 40.9° (IQR, 34.2-45.8°) vs 48.2° (IQR, 41.9-60.7°)) and lower (right side, 41.6° (IQR, 34.4-49.2°) vs 48.9° (IQR, 40.6-60.9°); left side, 42.2° (IQR, 38.8-46.9°) vs 48.9° (IQR, 39.5-57.5°)) Sylvian fissure angles (P < 0.05 for all). In addition, the mildly affected CMV-infected fetuses had a significantly lower cortical development grading in the temporal and parietal areas, and the parieto-occipital and calcarine sulci compared with healthy fetuses (P < 0.05). These differences persisted when adjusting for gestational age, ipsilateral atrium width, fetal gender and when considering small-for-gestational age as a confounding factor. CONCLUSIONS Unaffected and mildly affected CMV-infected fetuses showed delayed cortical maturation compared with healthy controls. These results suggest that congenital CMV infection, even in non-severely affected fetuses that are typically considered of good prognosis, could be associated with altered brain cortical structure. Further research is warranted to better elucidate the correlation of these findings with neurodevelopmental outcomes. © 2022 The Authors. Ultrasound in Obstetrics & Gynecology published by John Wiley & Sons Ltd on behalf of International Society of Ultrasound in Obstetrics and Gynecology.
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Affiliation(s)
- A Hawkins-Villarreal
- BCNatal-Fetal Medicine Research Center, Hospital Clínic and Hospital Sant Joan de Déu, University of Barcelona, Barcelona, Spain
- Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain
- Fetal Medicine Service, Obstetrics Department, Hospital 'Santo Tomás', University of Panama, Panama City, Panama
- Iberoamerican Research Network in Obstetrics, Gynecology and Translational Medicine
| | - A L Moreno-Espinosa
- BCNatal-Fetal Medicine Research Center, Hospital Clínic and Hospital Sant Joan de Déu, University of Barcelona, Barcelona, Spain
- Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain
- Fetal Medicine Service, Obstetrics Department, Hospital 'Santo Tomás', University of Panama, Panama City, Panama
- Iberoamerican Research Network in Obstetrics, Gynecology and Translational Medicine
| | - K Castillo
- BCNatal-Fetal Medicine Research Center, Hospital Clínic and Hospital Sant Joan de Déu, University of Barcelona, Barcelona, Spain
- Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain
| | - N Hahner
- BCNatal-Fetal Medicine Research Center, Hospital Clínic and Hospital Sant Joan de Déu, University of Barcelona, Barcelona, Spain
| | - O Picone
- Department of Gynecology and Obstetrics, Hôpital Louis-Mourier, AP-HP, Féderation Hospitalo-Universitaire PREMA, Colombes, Paris, France
- Université Paris Cité, Paris, France
- Inserm IAME UMR1137, Paris, France
| | - L Mandelbrot
- Department of Gynecology and Obstetrics, Hôpital Louis-Mourier, AP-HP, Féderation Hospitalo-Universitaire PREMA, Colombes, Paris, France
- Université Paris Cité, Paris, France
- Inserm IAME UMR1137, Paris, France
| | - I Simon
- Department of Radiology, Hôpital Louis-Mourier, AP-HP, Colombes, France
| | - E Gratacós
- BCNatal-Fetal Medicine Research Center, Hospital Clínic and Hospital Sant Joan de Déu, University of Barcelona, Barcelona, Spain
- Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain
- Centre for Biomedical Research on Rare Diseases (CIBERER), Barcelona, Spain
| | - A Goncé
- BCNatal-Fetal Medicine Research Center, Hospital Clínic and Hospital Sant Joan de Déu, University of Barcelona, Barcelona, Spain
- Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain
- Centre for Biomedical Research on Rare Diseases (CIBERER), Barcelona, Spain
| | - E Eixarch
- BCNatal-Fetal Medicine Research Center, Hospital Clínic and Hospital Sant Joan de Déu, University of Barcelona, Barcelona, Spain
- Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain
- Centre for Biomedical Research on Rare Diseases (CIBERER), Barcelona, Spain
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Karathanos A, Simon I, Brockmeyer M, Lin Y, Parco C, Krieger T, Schulze V, Hellhammer K, Kelm M, Zeus T, Wolff G. Iron status, anemia and functional capacity in adults with congenital heart disease: a single center analysis. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.2216] [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
Iron is essential to the mitochondrial energy production in cardiomyocytes and its depletion is negatively associated with symptoms, functional capacity, quality of life and outcomes in patients with heart failure – independent of anemia. The relevance of iron deficiency in adults with congenital heart disease however has not been evaluated to date, and we thus aimed to evaluate it in an all-comer cohort of patients with congenital heart disease in correlation with symptoms and functional capacity.
Methods and results
527 patient cases from one referral center over 2 years were evaluated concerning their iron status, anemia, functional capacity and ejection fraction of their systemic ventricle. 264 were female, 94 had a shunt lesion, 96 had left-sided obstructive lesions, 181 right-sided lesions, while 108 were considered to have complex lesions and 28 were cyanotic. The median age was 34 years, the mean BMI was 25.2±5 kg/m2, 429 patients had a normal ejection fraction and 34 moderately and severely depressed. 35 patients were classified as NYHA III, and 56 as NYHA II, while their functional capacity was evaluated via cardiopulmonary testing with a mean VO2max/kg of 22.6±6.5 and mean 69±17% of the expected. The mean serum iron concentration was 99.4±42.3 mcg/dL, their mean transferrin saturation was 27.36±13%, the mean ferritin concentration was 130.8±185 ng/mL, the mean soluble transfer factor was 1.3±0.66 mg/l and their mean Hemoglobin 14.8±2 mg/dL, while the mean MCV was 88±5.3 and the mean MCHC 33.7±1.4.
40 patients were anemic according to the WHO definition for anemia, in 28 of those patients that was already known. Iron deficiency according to stratified according to ferritin was present in 53 patients. However, when stratified according to the heart failure guidelines definition for iron deficiency 299 patients were found affected. Using the soluble transferrin receptor (sTfR) and sTfR-ferritin index iron deficiency was suspected in 10 additional individuals. Iron deficiency was associated with the ejection fraction (p=0.0001) - patients with moderately or severely depressed systemic ventricular function more often were diagnosed with iron deficiency (p=0.007)-, while it did not correlate with functional NYHA classification (p=0.622) or functional capacity (p=0.1 and 0.057). Iron deficiency was also not found significantly different amongst congenital defects but did correlate with all laboratory iron studies.
Conclusions
In this ambulatory population of adults with congenital heart disease we found an association of ejection fraction with iron deficiency, however no association of iron deficiency with functional capacity. The question arising is if a new definition of iron deficiency anemia in congenital heart disease similar to heart failure would be of clinical value.
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
- A Karathanos
- University Hospital Dusseldorf, Department of Cardiology, Pneumology and Angiology, Dusseldorf, Germany
| | - I Simon
- University Hospital Dusseldorf, Department of Cardiology, Pneumology and Angiology, Dusseldorf, Germany
| | - M Brockmeyer
- University Hospital Dusseldorf, Department of Cardiology, Pneumology and Angiology, Dusseldorf, Germany
| | - Y Lin
- University Hospital Dusseldorf, Department of Cardiology, Pneumology and Angiology, Dusseldorf, Germany
| | - C Parco
- University Hospital Dusseldorf, Department of Cardiology, Pneumology and Angiology, Dusseldorf, Germany
| | - T Krieger
- University Hospital Dusseldorf, Department of Cardiology, Pneumology and Angiology, Dusseldorf, Germany
| | - V Schulze
- University Hospital Dusseldorf, Department of Cardiology, Pneumology and Angiology, Dusseldorf, Germany
| | - K Hellhammer
- University Hospital Dusseldorf, Department of Cardiology, Pneumology and Angiology, Dusseldorf, Germany
| | - M Kelm
- University Hospital Dusseldorf, Department of Cardiology, Pneumology and Angiology, Dusseldorf, Germany
| | - T Zeus
- University Hospital Dusseldorf, Department of Cardiology, Pneumology and Angiology, Dusseldorf, Germany
| | - G Wolff
- University Hospital Dusseldorf, Department of Cardiology, Pneumology and Angiology, Dusseldorf, Germany
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Nieto Callejo M, Gallardo I, Gutierrez B, Cabero M, Ruiz L, Alvarez Y, Simon I, Calvo H, Munoz J, Margolles A, San Roman J, Cachofeiro V, Hernandez M. Oleanolic acid protection against experimental autoimmune myocarditis modulates the microbiota and the intestinal barrier integrity. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.3716] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [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
Background
Autoimmune myocarditis is a cause of dilated cardiomyopathy and heart failure. Recent studies have indicated that leaky gut may allow environmental factors to enter the body and trigger the initiation/development of autoimmune disease. Moreover, there is a growing literature supporting that, beside myocardial fibrosis, a leaky intestinal barrier and gut dysbiosis are pathogenic factors linked to heart failure. The natural triterpene oleanolic acid (OA) has been shown to beneficially influence the severity of the experimental autoimmune myocarditis (EAM), a preclinical model of human myocarditis, via anti-oxidant and immunomodulatory mechanisms. Herein, we investigate gastrointestinal (GI) disturbances and the gut microbiota composition associated with EAM as potential therapeutic target of OA.
Methods and results
BALB/c mice were α-myosin-inmunized to induce EAM and treated with OA (25 mg/kg/day, i.p). On day 21, heart fibrosis and parameters related to gut damage such as oxidative stress (O2- ions, lipid peroxidation), gut permeability (D-lactate; I-FABP), inflammation and mucins were determined in serum and/or colon. Fecal microbial profiles were identified by 16S rRNA gene sequencing analysis. Firstly, histological analysis of hearts showed presence of fibrosis (Sirius Red stain) in EAM mice, whereas these effects were not detectable in myocardium from healthy or OA-treated EAM mice. In addition, OA preserved the mucin-containing goblet cells along the colon (Alcian Blue/PAS stain). Consistently, serum levels of the epithelial gut damage markers, including D-lactate and iFABP were significantly reduced in OA treated-EAM mice. The beneficial OA effects also included a decrease in the pro-inflammatory mediators sPLA2-IIA and IL-1β and a protection from the oxidative stress response (DHE stain and TBARS) in serum and colonic tissue of EAM-mice. Furthermore, gut microbiota composition showed a lower bacterial diversity and different relative abundance of certain bacterial taxa in EAM-mice compared to control mice. The families of Muribaculaceae, Lachnospiraceae, and Ruminococcaceae were significantly affected in EAM mice, and only Muribaculaceae recovered levels similar to the healthy-control group, after treatment with OA.
Conclusion
Our data show that in addition to the heart, the intestinal barrier and gut microbiota are altered in myocarditis, and that OA treatment could ameliorate this profile. Our data contribute to the idea that gut dysbiosis and GI dysfunction influences myocarditis pathogenesis, and provides new findings regarding the beneficial activity of OA in EAM, suggesting that it may be an interesting candidate to be explored for the treatment of human patients.
Funding Acknowledgement
Type of funding source: Public grant(s) – National budget only. Main funding source(s): MINECO, ISCIII, CIBERCV-ISCIII
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Affiliation(s)
- M.L Nieto Callejo
- Instituto de Biologia y Genetica Molecular, CSIC-UVA, Valladolid, Spain
| | - I Gallardo
- Instituto de Biologia y Genetica Molecular, CSIC-UVA, Valladolid, Spain
| | - B Gutierrez
- Instituto de Biologia y Genetica Molecular, CSIC-UVA, Valladolid, Spain
| | - M.I Cabero
- Instituto de Biologia y Genetica Molecular, CSIC-UVA, Valladolid, Spain
| | - L Ruiz
- Instituto de Productos Lácteos, CSIC, Asturias, Spain
| | - Y Alvarez
- Instituto de Biologia y Genetica Molecular, CSIC-UVA, Valladolid, Spain
| | - I Simon
- Instituto de Biologia y Genetica Molecular, CSIC-UVA, Valladolid, Spain
| | - H Calvo
- Instituto de Biologia y Genetica Molecular, CSIC-UVA, Valladolid, Spain
| | - J.C Munoz
- University Hospital del Rio Hortega, Cardiologia, Valladolid, Spain
| | - A Margolles
- Instituto de Productos Lácteos, CSIC, Asturias, Spain
| | - J.A San Roman
- University Hospital of Vallodolid, ICICOR, Valladolid, Spain
| | - V Cachofeiro
- Complutense University of Madrid, Department of Physiology, Madrid, Spain
| | - M Hernandez
- Complutense University of Madrid, Department of Physiology, Madrid, Spain
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7
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Egloff C, Tassin M, Bault J, Barjol A, Collin A, Simon I, Sibiude J, Mandelbrot L, Picone O. Prenatal description of retinal coloboma. J Gynecol Obstet Hum Reprod 2020; 49:101746. [DOI: 10.1016/j.jogoh.2020.101746] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2019] [Revised: 02/15/2020] [Accepted: 03/29/2020] [Indexed: 01/10/2023]
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8
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Gallardo I, Gutierrez B, Hernandez M, Cabero I, Alvarez Y, Simon I, Munoz JC, San Roman JA, Cachofeiro V, Nieto Callejo ML. P6284The antioxidant MitoQ protects against intestinal disturbances in the experimental autoimmune model of myocarditis. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz746.0882] [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
Purpose
Myocarditis and dilated cardiomyopathy represent the acute and chronic phases of an inflammatory disease of the myocardium, for which no standardized treatment is currently available in clinical practice. Myocardial fibrosis an oxidative stress are pathogenic factors associated with these processes. However, new research has found that gut health can be linked to some cardiac conditions. Thus, in this study we investigated whether intestinal disturbances are present in myocarditis, using a murine experimental autoimmune model (EAM) that mimics human myocarditis, as well as the potential beneficial effect of treatment with the mitochondrial antioxidant, MitoQ.
Methods and results
EAM was induced in BALB/c mice with a myocardiogenic peptide and mice were treated with MitoQ (50 mg/kg/day, i.p). On day 21 (acute phase), we assessed signs of heart injury (e.g. hypertrophy, fibrosis, oxidative stress) and parameters related to gut damage such as accumulation of reactive oxigen species (superoxide anion: O2·−), inflammation (IL-1β, IL-33, TNFα), microbial translocation (sCD14; intestinal fatty acid binding protein, I-FABP) and mucins in serum and/or intestine. MitoQ teatment significantly reduced the high heart weight/body weight ratio (HW/BW) of EAM mice, a characteristic hallmark of cardiac hyperthropy. Histological analysis of hearts showed presence of fibrosis (Sirius Red stain) and high O2·− levels (DHE stain) in EAM mice whereas these effects were not detectable in cardiac tissue from healthy or MitoQ-treated EAM mice. In addition, the enhanced O2·− ions (DHE stain) and mucin loss (Alcian Blu/PAS stain) found in colon, ileum, jejunum and duodenum sections from EAM mice were attenuated by MitoQ treatment. The systemic markers associated to intestinal barrier disruption, sCD14 and I-FABP, were found strongly increased in serum from EAM mice, and MitoQ prevents this rise. The beneficial MitoQ effects were also associated with a decrease in the pro-inflammatory cytokines TNFα, IL-33 and IL-1β, both in serum and colonic tissue of treated-EAM mice, as well as a reduction of the myeloperoxidase activity in colon, compared with untreated EAM mice.
Conclusion
Our data show that in addition to the heart, the intestinal tissue is also damaged in the preclinical model of experimental autoimmune myocarditis, and that MitoQ treatment could reverse this profile. Since there are systemic markers released from the intestine, therapeutic strategies targeting to prevent the intestinal oxidative stress and its associated gut barrier dysfunction, could contribute to the amelioration of the disease.
Acknowledgement/Funding
SAF2016-81063; CIBERCV
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Affiliation(s)
- I Gallardo
- Institute of Biology & Molecular Genetic, CSIC-UVA, Valladolid, Spain
| | - B Gutierrez
- Institute of Biology & Molecular Genetic, CSIC-UVA, Valladolid, Spain
| | - M Hernandez
- Institute of Biology & Molecular Genetic, CSIC-UVA, Valladolid, Spain
| | - I Cabero
- Institute of Biology & Molecular Genetic, CSIC-UVA, Valladolid, Spain
| | - Y Alvarez
- Institute of Biology & Molecular Genetic, CSIC-UVA, Valladolid, Spain
| | - I Simon
- Institute of Biology & Molecular Genetic, CSIC-UVA, Valladolid, Spain
| | - J C Munoz
- University Hospital del Rio Hortega, Cardiologia, Valladolid, Spain
| | - J A San Roman
- University Hospital of Vallodolid, ICICOR, Valladolid, Spain
| | - V Cachofeiro
- Complutense University of Madrid, Department of Physiology, Madrid, Spain
| | - M L Nieto Callejo
- Institute of Biology & Molecular Genetic, CSIC-UVA, Valladolid, Spain
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9
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Nortier J, Ntumba Mulunda A, Plennevaux V, Néron A, Hougardy J, Broeders N, Simon I, Madhoun P, Le Moine A, Godin I. Implémentation d’un programme d’éducation thérapeutique spécifique à l’IRC co-animé par des patients partenaires. Nephrol Ther 2019. [DOI: 10.1016/j.nephro.2019.07.260] [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: 11/27/2022]
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10
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Houem I, Fagnoul S, Nortier J, Ghisdal L, Bienfait L, Rasquin F, Sava R, Simon I. Cystinose juvénile révélée au stade d’insuffisance rénale chronique terminale. Nephrol Ther 2018. [DOI: 10.1016/j.nephro.2018.07.214] [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: 10/28/2022]
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11
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Bielfeldt S, Blaak J, Staib P, Simon I, Wohlfart R, Manger C, Wilhelm KP. Observer-blind randomized controlled study of a cosmetic blend of safflower, olive and other plant oils in the improvement of scar and striae appearance. Int J Cosmet Sci 2017; 40:81-86. [DOI: 10.1111/ics.12438] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2017] [Accepted: 10/25/2017] [Indexed: 12/21/2022]
Affiliation(s)
- S. Bielfeldt
- proDERM; Institute for Applied Dermatological Research GmbH; Kiebitzweg 2 Schenefeld/Hamburg DE 22869 Germany
| | - J. Blaak
- Kneipp GmbH, Research & Development; Winterhäuser Str. 85 Würzburg DE 97084 Germany
| | - P. Staib
- Kneipp GmbH, Research & Development; Winterhäuser Str. 85 Würzburg DE 97084 Germany
| | - I. Simon
- Kneipp GmbH, Research & Development; Winterhäuser Str. 85 Würzburg DE 97084 Germany
| | - R. Wohlfart
- Kneipp GmbH, Research & Development; Winterhäuser Str. 85 Würzburg DE 97084 Germany
| | - C. Manger
- proDERM; Institute for Applied Dermatological Research GmbH; Kiebitzweg 2 Schenefeld/Hamburg DE 22869 Germany
| | - K. P. Wilhelm
- proDERM; Institute for Applied Dermatological Research GmbH; Kiebitzweg 2 Schenefeld/Hamburg DE 22869 Germany
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12
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Simon I, Legrand F, Des Grottes JM, Cotton F, Nortier J, Roumeguère T. [Diagnosis and treatment of nephrolithiasis and prevention of recurrences]. Rev Med Brux 2017; 38:279-283. [PMID: 28981230] [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] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
despite fluctuations, the prevalence of nephrolithiasis has significantly increased during the last decades in industrialized nations worldwide (1 to 15 %), which has a significant impact on the cost of healthcare. This increased prevalence is mainly explained by diet modifications. Environmental, metabolic and genetic factors may also influence the formation of kidney stones. As a consequence, the medical management of this disease is preferentially multidisciplinary and involves urologists, nephrologists, radiologists, biologists and dietitians. Urological management : may be mandatory during any acute and/or remote phase of an episode of renal colic, in case of residual stones. Several techniques are available: insertion of double J stent, extracorporeal shock wave lithotripsy, ureteroscopy (flexible or rigid), percutaneous nephrolithotomy and more occasionally, open surgery. Nephrological management: is justified in the course of the acute episode and aims to identify the causal factor(s) of kidney stones formation. The diagnostic approach involves a thorough interrogation (personal medical and surgical history, details of the kidney stone disease and family medical history) as well as a metabolic assessment. Moreover, given the high rate of recurrence (about 50 % within 5 to 10 years), individualized secondary prevention measures are necessary. The recommendations should take into account the identified risk factors and any metabolic abnormalities.
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Affiliation(s)
- I Simon
- Service de Néphrologie, Hôpital Erasme, ULB
| | - F Legrand
- Service d'Urologie, Hôpital Erasme, ULB
| | | | - F Cotton
- Service de Chimie Médicale, Centre de Diagnostic, Traitement et Prévention de la Néphrolithiase, Hôpital Erasme, ULB
- Laboratoire Hospitalo-Universitaire de Bruxelles (LHUB), ULB
| | - J Nortier
- Service de Néphrologie, Hôpital Erasme, ULB
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Tourte M, Lheure C, Gras J, Battistella M, Vironneau P, Simon I, Hussenet C, Bergeron-Lafaurie A, Bouaziz JD. Un phénomène de Koebner exceptionnel. Ann Dermatol Venereol 2016. [DOI: 10.1016/j.annder.2016.09.338] [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: 11/28/2022]
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14
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Linn SC, Severson TM, Nevedomskaya E, Peeters J, van Rossum A, Kuilman T, Krijgsman O, Goossens I, Glas A, Koornstra R, Peeper D, Wesseling J, Simon I, Wessels L, Zwart W. Abstract P6-08-06: Neoadjuvant tamoxifen therapy synchronizes ERα binding and gene expression profiles. Cancer Res 2016. [DOI: 10.1158/1538-7445.sabcs15-p6-08-06] [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: 11/16/2022]
Abstract
Abstract
Background: The majority of breast cancer patients are diagnosed with ERα-positive breast cancer. Most ERα-positive patients are treated with adjuvant endocrine therapy — typically tamoxifen or aromatase inhibitors — to block cellular proliferation. Although these treatments are considered successful, resistance is common. Notably, cross-resistance between the two types of therapies is not always observed suggesting molecular heterogeneity and underlining the need for development of personalized treatments. The Anastrozole, Fulvestrant or Tamoxifen Exposure — Response in molecular profile study (AFTER study, NCT00738777) aims to investigate prospectively whether short-term treatment can induce molecular changes indicative of pre-operative therapy response. Study Design: ERα-positive breast cancer patients are included in this open-label multicenter study. Post-menopausal patients are randomized between tamoxifen, anastrozole and fulvestrant and pre-menopausal and male patients receive tamoxifen. Treatment occurs during the pre-operative window between diagnosis and surgery (4±2 weeks). Clinical characteristics collected are ERα/PR and HER2 status as well as lymph-node status. The primary endpoint is the decrease in tumor cell proliferation, as assessed by Ki67 gene expression and published cell proliferation gene expression signatures. All data are collected from both pre- and post-treatment samples. Additionally, we will compare the changes induced by treatment in gene expression, ERα/DNA binding interactions, DNA copy number, endoxifen and estradiol levels. Results: Among 67 patients currently enrolled, we examined the data from the subset of 28 tamoxifen treated patients. ERα and PR levels did not differ significantly between pre- and post-treatment. All tumors were HER2-negative. Proliferation examined by Ki67 (IHC and gene expression, MKI67) was significantly lower in post-treatment samples (P < 0.01). A significant association was identified with the change in gene expression proliferation signature score and change in MKI67 (rho = 0.7, P < 0.001). We identified two samples, which changed from MammaPrint (MP) low-risk to high-risk among 17 pairs with data. One sample's score was on the cutoff for high-risk definition. Interestingly, the second sample also had an increase in Ki67 gene expression and proliferation gene signature score in the post-treatment sample. Overall, ERα/DNA binding interaction regions overlapped significantly more among post-treatment samples as compared to pre-treatment samples (P <0.001). There were 3 samples that increased in MKI67 gene expression after drug exposure. Among these, only the MP low- to high-risk sample had an increase in proliferation gene signature and decrease in ERα/DNA binding interactions. Conclusions: Pre-treatment samples were more variable for both proliferation gene expression signatures and ERα/DNA binding interactions indicating the underlying molecular heterogeneity of the group prior to therapy. This inter-tumor heterogeneity appears to have been lowered by exposure to tamoxifen. Interestingly, not all samples were uniform in their response to tamoxifen exposure as measured by Ki67 and MP scores suggesting samples taken after treatment exposure may be useful for predictive biomarker discovery.
Citation Format: Linn SC, Severson TM, Nevedomskaya E, Peeters J, van Rossum A, Kuilman T, Krijgsman O, Goossens I, Glas A, Koornstra R, Peeper D, Wesseling J, Simon I, Wessels L, Zwart W. Neoadjuvant tamoxifen therapy synchronizes ERα binding and gene expression profiles. [abstract]. In: Proceedings of the Thirty-Eighth Annual CTRC-AACR San Antonio Breast Cancer Symposium: 2015 Dec 8-12; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2016;76(4 Suppl):Abstract nr P6-08-06.
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Affiliation(s)
- SC Linn
- Netherlands Cancer Institute, Amsterdam, Netherlands; Agendia NV, Amsterdam, Netherlands; Radboud University Medical Center, Nijmegen, Netherlands
| | - TM Severson
- Netherlands Cancer Institute, Amsterdam, Netherlands; Agendia NV, Amsterdam, Netherlands; Radboud University Medical Center, Nijmegen, Netherlands
| | - E Nevedomskaya
- Netherlands Cancer Institute, Amsterdam, Netherlands; Agendia NV, Amsterdam, Netherlands; Radboud University Medical Center, Nijmegen, Netherlands
| | - J Peeters
- Netherlands Cancer Institute, Amsterdam, Netherlands; Agendia NV, Amsterdam, Netherlands; Radboud University Medical Center, Nijmegen, Netherlands
| | - A van Rossum
- Netherlands Cancer Institute, Amsterdam, Netherlands; Agendia NV, Amsterdam, Netherlands; Radboud University Medical Center, Nijmegen, Netherlands
| | - T Kuilman
- Netherlands Cancer Institute, Amsterdam, Netherlands; Agendia NV, Amsterdam, Netherlands; Radboud University Medical Center, Nijmegen, Netherlands
| | - O Krijgsman
- Netherlands Cancer Institute, Amsterdam, Netherlands; Agendia NV, Amsterdam, Netherlands; Radboud University Medical Center, Nijmegen, Netherlands
| | - I Goossens
- Netherlands Cancer Institute, Amsterdam, Netherlands; Agendia NV, Amsterdam, Netherlands; Radboud University Medical Center, Nijmegen, Netherlands
| | - A Glas
- Netherlands Cancer Institute, Amsterdam, Netherlands; Agendia NV, Amsterdam, Netherlands; Radboud University Medical Center, Nijmegen, Netherlands
| | - R Koornstra
- Netherlands Cancer Institute, Amsterdam, Netherlands; Agendia NV, Amsterdam, Netherlands; Radboud University Medical Center, Nijmegen, Netherlands
| | - D Peeper
- Netherlands Cancer Institute, Amsterdam, Netherlands; Agendia NV, Amsterdam, Netherlands; Radboud University Medical Center, Nijmegen, Netherlands
| | - J Wesseling
- Netherlands Cancer Institute, Amsterdam, Netherlands; Agendia NV, Amsterdam, Netherlands; Radboud University Medical Center, Nijmegen, Netherlands
| | - I Simon
- Netherlands Cancer Institute, Amsterdam, Netherlands; Agendia NV, Amsterdam, Netherlands; Radboud University Medical Center, Nijmegen, Netherlands
| | - L Wessels
- Netherlands Cancer Institute, Amsterdam, Netherlands; Agendia NV, Amsterdam, Netherlands; Radboud University Medical Center, Nijmegen, Netherlands
| | - W Zwart
- Netherlands Cancer Institute, Amsterdam, Netherlands; Agendia NV, Amsterdam, Netherlands; Radboud University Medical Center, Nijmegen, Netherlands
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Heym B, El Sayed F, Simon I, Sivadon-Tardy V, Gault E. Rapid molecular testing for Norovirus by the Xpert® Norovirus Assay improves management of nosocomial epidemics in a geriatric hospital setting. J Clin Virol 2015. [DOI: 10.1016/j.jcv.2015.07.225] [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: 10/23/2022]
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16
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Simon I, Roumeguère T, Devuyst F, Cotton F, Tang BNT, Cappello M, Corbetta S, Idrissi M, Pozdzik A, Nortier J. [Recurrent episodes of brushite nephrolithiasis revealing primary hyperparathyroidism]. Rev Med Brux 2015; 36:172-176. [PMID: 26372980] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
INTRODUCTION Nephrolithiasis is a frequent disease observed in 1 to 20 % of the general population. This disease predominates in male patients (2:1) and is characterized by a high rate of recurrences (about 50 %). CASE REPORT We report the case of a 45-year old male patient who experienced during about ten years recurrent bilateral renal colic episodes due to brushite lithiasis. These stones were treated with multiple extracorporeal shock wave lithotripsy sessions. A pyeloureteral junction syndrome predisposing to bulky stones formation has been put in evidence and required a pyeloplasty. After more than ten years of disease activity, a biochemical screening diagnosed primary hyperparathyroidism (PHPT). Radiological assessment identified a parathyroid gland adenoma. Successful surgical removal of this lesion was followed by resolution of the symptomatic kidney stones formation. DISCUSSION PHPT is associated with kidney stones in about 20 % of the patients. Hypercalciuria is the main risk factor of stones formation but other predisposing factors are also probably involved. Patients carrying a polymorphism located in the coding sequence of the calcium-sensing receptor gene or in the regulatory region of this gene seem to experience an increased occurrence of urinary lithiasis. CONCLUSION The present case stresses the importance of a metabolic assessment in all patients with recurrent nephrolithiasis, especially in case of bilateral episodes.
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Vecchione L, Gambino V, d'Ario G, Tian S, Schlicker A, Mainardi S, Diosdado B, Simon I, Delorenzi M, Lieftink C, Beijersbergen R, Tejpar S, Bernards R. 188 RANBP2 knock-down is synthetic lethal with BRAF V600E in colon cancer. Eur J Cancer 2014. [DOI: 10.1016/s0959-8049(14)70314-4] [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: 10/24/2022]
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18
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Cotton F, Wolff F, Simon I, Idrissi M, Tielemans C, Vanden Bossche M, Roumeguère T, Pozdzik A. [Contribution of clinical biology in the etiological exploration and follow-up of urolithiasis]. Rev Med Brux 2014; 35:243-249. [PMID: 25675626] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Urolithiasis is a frequent pathology with a constantly increasing prevalence in industrial countries. The relapse frequency is around 50 % with a risk of complications. The laboratory input is essential in the determination of the etiology and in the therapeutic monitoring. The morphoconstitutional analysis of the stone is the most important element. It comprises the examination of the stone with binocular loupes and the simultaneous analysis of its crystalline composition. This can be done by different techniques but infrared spectrophotometry is the most powerful. The chemical analysis should be definitely proscribed. The analysis of crystalluria includes the search, the identification and the counting of crystals in fresh morning urines. It is useful for the diagnosis and for the patient follow-up. Finally, the biochemical analyses in urine and serum, in first line or on the basis of the stone composition, are an important part of the etiological exploration and therapeutic monitoring.
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Dienstmann R, Guinney J, Delorenzi M, De Reynies A, Roepman P, Sadanandam A, Vermeulen L, Schlicker A, Missiaglia E, Soneson C, Marisa L, Homicsko K, Wang X, Simon I, Laurent-Puig P, Wessels L, Medema J, Kopetz S, Friend S, Tejpar S. Colorectal Cancer Subtyping Consortium (CRCSC) Identifies Consensus of Molecular Subtypes. Ann Oncol 2014. [DOI: 10.1093/annonc/mdu193.25] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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20
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Balogh N, Khoor S, Szuszai T, Kecskes I, Kecskemethy P, Fugedi K, Simon I, Kovacs I, Khoor M, Rubicsek S. Predicting the transition to acute heart failure by refined multiscale entropy analysis of heart rate variability in chronic heart failure patients. J Electrocardiol 2013. [DOI: 10.1016/j.jelectrocard.2013.09.024] [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: 10/26/2022]
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21
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Ramirez ADE, Helmijr JC, Lurkin I, Look M, Ruigrok-Ritstier K, Simon I, Van Laere S, Sweep F, Span P, Linn S, Foekens J, Sleijfer S, Berns EMJJ, Jansen MPHM. Abstract P3-06-01: Hotspot mutations in PIK3CA are predictive for treatment outcome on aromatase inhibitors but not for tamoxifen. Cancer Res 2012. [DOI: 10.1158/0008-5472.sabcs12-p3-06-01] [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: 11/16/2022]
Abstract
Abstract
Introduction: PIK3CA is the most frequent (30%) mutated oncogene in breast cancer and may lead to an activation of the PI3K/AKT/mTOR-pathway. Cell lines resistant to tamoxifen have an activated PI3K-pathway. Phase III clinical trials show substantial benefit when mTOR-inhibitors are added to aromatase inhibitor treatment. On the other hand, patients with PIK3CA exon 20 mutation expression signature show better treatment outcome after adjuvant tamoxifen therapy. To address this controversy, we evaluated the PIK3CA mutation status in 1423 primary breast cancer specimens for its relationship with prognosis and treatment outcome after first-line endocrine treatment.
Methods: Hotspot mutations in exon 9 and 20 of PIK3CA were detected by multiplex snapshot analyses. Mutation status in ER-positive tumors was related to metastasis free survival (MFS) in 292 untreated lymph node negative (LNN) patients and time to progression (TTP) in patients with metastatic disease treated with first-line tamoxifen (N = 482) or aromatase inhibitors (AIs; N=103). Whole genome mRNA and miRs expression profiling was performed in the latter patient subset to develop a PIK3CA gene signature in 64 specimens. This was validated in 28 independent ER-positive specimens.
Results: We could evaluate 1371 specimens and detected 437 hotspot mutations for PIK3CA (32%). Mutations in exon 20 were detected in 256 patients (59%), of which 40 cases with a H1047L (16%) and 216 with a H1047R (84%) mutation. Mutations in PIK3CA exon 9 were discovered in 174 patients (41%), with E542K and E545K mutations in 59 (34%) and 105 (60%) cases, respectively, as the most prevalent ones. Finally, 6 patients had PIK3CA double mutations for both exon 9 and 20 and one patient had a E542K and E545K mutation.
Evaluation of the untreated LNN patients for prognosis showed no relationship between MFS and PIK3CA mutations (HR = 1.07 [95% CI: 0.73–1.56]; p = 0.73), neither for exon 9 nor exon 20 compared to wild-type. In the multicenter cohort of 482 patients with advanced disease treated with first-line tamoxifen no link with treatment outcome and PIK3CA mutation status was observed (HR = 1.13 [95% CI: 0.92–1.38]; p = 0.24). However, patients with advanced disease treated with first-line AIs (N = 64) showed a significant longer TTP for patients with a PIK3CA mutation compared to wild-types (HR = 0.46 [95% CI: 0.25–0.87]; p = 0.017).
Expression profiles of mRNAs and miRs were integrated and resulted in signatures for PIK3CA status discovered by pathway (17 genes) and expression analyses (10 genes and 9 miRs). Validation and comparison with published signatures in the 28 independent tumors showed that our 10-genes signature had the highest PIK3CA prediction accuracy (75%), with 60% sensitivity and 78% specificity. Moreover, this signature better associates with TTP (HR = 0.38 [95% CI: 0.20–0.72]; P = 0.003).
Conclusion: Mutations in PIK3CA are not prognostic value in untreated ER-positive LNN patients, not predictive in ER-positive patients with advanced disease treated with first-line tamoxifen therapy, however, are predictive for favourable outcome after first-line AIs. Moreover, we propose an expression signature of 10 genes as a putative biomarker to predict the PI3K status and response to AIs.
Citation Information: Cancer Res 2012;72(24 Suppl):Abstract nr P3-06-01.
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Affiliation(s)
- Ardila DE Ramirez
- Erasmus MC - Daniel den Hoed, Rotterdam, Zuid Holland, Netherlands; Agendia BV, Amsterdam, Netherlands; Antwerp University/Oncology Centre, GZA Hospitals St-Augustinus, Antwerp, Belgium; Radboud University Nijmegen Medical Center, Nijmegen, Netherlands; Netherlands Cancer Institute, Amsterdam, Netherlands
| | - JC Helmijr
- Erasmus MC - Daniel den Hoed, Rotterdam, Zuid Holland, Netherlands; Agendia BV, Amsterdam, Netherlands; Antwerp University/Oncology Centre, GZA Hospitals St-Augustinus, Antwerp, Belgium; Radboud University Nijmegen Medical Center, Nijmegen, Netherlands; Netherlands Cancer Institute, Amsterdam, Netherlands
| | - I Lurkin
- Erasmus MC - Daniel den Hoed, Rotterdam, Zuid Holland, Netherlands; Agendia BV, Amsterdam, Netherlands; Antwerp University/Oncology Centre, GZA Hospitals St-Augustinus, Antwerp, Belgium; Radboud University Nijmegen Medical Center, Nijmegen, Netherlands; Netherlands Cancer Institute, Amsterdam, Netherlands
| | - M Look
- Erasmus MC - Daniel den Hoed, Rotterdam, Zuid Holland, Netherlands; Agendia BV, Amsterdam, Netherlands; Antwerp University/Oncology Centre, GZA Hospitals St-Augustinus, Antwerp, Belgium; Radboud University Nijmegen Medical Center, Nijmegen, Netherlands; Netherlands Cancer Institute, Amsterdam, Netherlands
| | - K Ruigrok-Ritstier
- Erasmus MC - Daniel den Hoed, Rotterdam, Zuid Holland, Netherlands; Agendia BV, Amsterdam, Netherlands; Antwerp University/Oncology Centre, GZA Hospitals St-Augustinus, Antwerp, Belgium; Radboud University Nijmegen Medical Center, Nijmegen, Netherlands; Netherlands Cancer Institute, Amsterdam, Netherlands
| | - I Simon
- Erasmus MC - Daniel den Hoed, Rotterdam, Zuid Holland, Netherlands; Agendia BV, Amsterdam, Netherlands; Antwerp University/Oncology Centre, GZA Hospitals St-Augustinus, Antwerp, Belgium; Radboud University Nijmegen Medical Center, Nijmegen, Netherlands; Netherlands Cancer Institute, Amsterdam, Netherlands
| | - S Van Laere
- Erasmus MC - Daniel den Hoed, Rotterdam, Zuid Holland, Netherlands; Agendia BV, Amsterdam, Netherlands; Antwerp University/Oncology Centre, GZA Hospitals St-Augustinus, Antwerp, Belgium; Radboud University Nijmegen Medical Center, Nijmegen, Netherlands; Netherlands Cancer Institute, Amsterdam, Netherlands
| | - F Sweep
- Erasmus MC - Daniel den Hoed, Rotterdam, Zuid Holland, Netherlands; Agendia BV, Amsterdam, Netherlands; Antwerp University/Oncology Centre, GZA Hospitals St-Augustinus, Antwerp, Belgium; Radboud University Nijmegen Medical Center, Nijmegen, Netherlands; Netherlands Cancer Institute, Amsterdam, Netherlands
| | - P Span
- Erasmus MC - Daniel den Hoed, Rotterdam, Zuid Holland, Netherlands; Agendia BV, Amsterdam, Netherlands; Antwerp University/Oncology Centre, GZA Hospitals St-Augustinus, Antwerp, Belgium; Radboud University Nijmegen Medical Center, Nijmegen, Netherlands; Netherlands Cancer Institute, Amsterdam, Netherlands
| | - S Linn
- Erasmus MC - Daniel den Hoed, Rotterdam, Zuid Holland, Netherlands; Agendia BV, Amsterdam, Netherlands; Antwerp University/Oncology Centre, GZA Hospitals St-Augustinus, Antwerp, Belgium; Radboud University Nijmegen Medical Center, Nijmegen, Netherlands; Netherlands Cancer Institute, Amsterdam, Netherlands
| | - J Foekens
- Erasmus MC - Daniel den Hoed, Rotterdam, Zuid Holland, Netherlands; Agendia BV, Amsterdam, Netherlands; Antwerp University/Oncology Centre, GZA Hospitals St-Augustinus, Antwerp, Belgium; Radboud University Nijmegen Medical Center, Nijmegen, Netherlands; Netherlands Cancer Institute, Amsterdam, Netherlands
| | - S Sleijfer
- Erasmus MC - Daniel den Hoed, Rotterdam, Zuid Holland, Netherlands; Agendia BV, Amsterdam, Netherlands; Antwerp University/Oncology Centre, GZA Hospitals St-Augustinus, Antwerp, Belgium; Radboud University Nijmegen Medical Center, Nijmegen, Netherlands; Netherlands Cancer Institute, Amsterdam, Netherlands
| | - EMJJ Berns
- Erasmus MC - Daniel den Hoed, Rotterdam, Zuid Holland, Netherlands; Agendia BV, Amsterdam, Netherlands; Antwerp University/Oncology Centre, GZA Hospitals St-Augustinus, Antwerp, Belgium; Radboud University Nijmegen Medical Center, Nijmegen, Netherlands; Netherlands Cancer Institute, Amsterdam, Netherlands
| | - MPHM Jansen
- Erasmus MC - Daniel den Hoed, Rotterdam, Zuid Holland, Netherlands; Agendia BV, Amsterdam, Netherlands; Antwerp University/Oncology Centre, GZA Hospitals St-Augustinus, Antwerp, Belgium; Radboud University Nijmegen Medical Center, Nijmegen, Netherlands; Netherlands Cancer Institute, Amsterdam, Netherlands
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Beylouné A, Hauser L, Pélissier E, Roque A, Simon I, Gerota I, Sultanem N, Bierling P. Hépatite E, une complication connue mais rare de la transfusion : à propos d’un cas. Transfus Clin Biol 2012. [DOI: 10.1016/j.tracli.2012.08.061] [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]
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Simon I, Wright M, Flohr T, Hevezi P, Caras IW. Determining subcellular localization of novel drug targets by transient transfection in COS cells. Cytotechnology 2012; 35:189-96. [PMID: 22358858 DOI: 10.1023/a:1013152432069] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
Genomics-based approaches are increasingly being used to identify disease-associated genes that represent potential new drug targets. As a first step in the validation of genes of unknown function, we describe a method for rapidly determining the subcellular localization of the gene product. If an immunotherapeutic approach is being considered, it is of particular interest to identify targets that are either on the cell-surface or secreted. Transient expression in COS cells combined with immunofluorescent staining provides a semi-high throughput method for determining the subcellular localization of multiple targets in parallel. COS cells are ideal for this purpose since: (i) they transfect easily; (ii) the high levels of expression that can be achieved transiently allow detection after 24 h; and (iii) the relatively large size and spread morphology of these cells allows the subcellular organelles to be easily visualized. To evaluate the system, we show prototype staining patterns for known cytoplasmic,secreted, Golgi-associated, endoplasmic reticulum-associated, and plasma membrane proteins, as well as data for novel targets. The localization of novel secretory and cell-surface proteins as determined by immunofluorescent staining, was confirmed by independent methods.
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Affiliation(s)
- I Simon
- Eos Biotechnology Inc., 225A Gateway Blvd., South San Francisco, CA, 94080, USA
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Bachleitner-Hofmann T, Simon I, Salazar R, Tabernero J, Rosenberg R, van der Akker J, Li Y, Chan B, Lanza G, Glas A. Development and Validation of a Robust Molecular Diagnostic Test (COLOPRINT) for Predicting Outcome in Stage II Colon Cancer Patients. Ann Oncol 2012. [DOI: 10.1016/s0923-7534(20)33167-7] [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: 10/25/2022] Open
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Simon I, Husson C, Gervy C, Samadi T, Goncalves I, Gastaldello K, Nortier J. Évaluation de l’épuration des moyennes molécules par la technique HFR (hémodiafiltration avec réinfusion endogène de l’ultrafiltrat). Nephrol Ther 2012. [DOI: 10.1016/j.nephro.2012.07.286] [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: 11/30/2022]
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Fournier S, Brossier F, Fortineau N, Gillaizeau F, Akpabie A, Aubry A, Barbut F, Chedhomme FX, Kassis-Chikhani N, Lucet JC, Robert J, Seytre D, Simon I, Vanjak D, Zahar JR, Brun-Buisson C, Jarlier V. Long-term control of vancomycin-resistant Enterococcus faecium at the scale of a large multihospital institution: a seven-year experience. Euro Surveill 2012. [DOI: 10.2807/ese.17.30.20229-en] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Binary file ES_Abstracts_Final_ECDC.txt matches
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Affiliation(s)
- S Fournier
- Direction de la Politique Médicale (Directorate of Medical Politics), Assistance Publique-Hôpitaux de Paris, Paris, France
| | - F Brossier
- Bacteriology laboratory, Université Pierre et Marie CURIE – Paris 6, Hôpital Pitié-Salpêtrière, Assistance publique – Hôpitaux de Paris, Paris, France
| | - N Fortineau
- Bicêtre Hospital, Assistance publique – Hôpitaux de Paris, Kremlin-Bicêtre, France
| | - F Gillaizeau
- Departement of hospital informatics, European hospital Georges Pompidou, Assistance publique – Hôpitaux de Paris, Paris, France
| | - A Akpabie
- Emile Roux Hospital, Assistance publique – Hôpitaux de Paris, Limeil-Brévannes, France
| | - A Aubry
- Charles Foix Hospital, Assistance publique – Hôpitaux de Paris, Ivry-Sur-Seine, France
| | - F Barbut
- Saint Antoine Hospital, Assistance publique – Hôpitaux de Paris, Paris, France
| | - F X Chedhomme
- La Collégiale Hospital, Assistance publique – Hôpitaux de Paris, Paris, France
| | - N Kassis-Chikhani
- Paul Brousse Hospital, Assistance publique – Hôpitaux de Paris, Villejuif, France
| | - J C Lucet
- Bichat-Claude Bernard Hospital, Assistance publique – Hôpitaux de Paris, Paris, France
| | - J Robert
- Bacteriology laboratory, Université Pierre et Marie CURIE – Paris 6, Hôpital Pitié-Salpêtrière, Assistance publique – Hôpitaux de Paris, Paris, France
| | - D Seytre
- Avicenne Hospital, Assistance publique – Hôpitaux de Paris, Bobigny, France
| | - I Simon
- Sainte Périne Hospital, Assistance publique – Hôpitaux de Paris, Paris, France
| | - D Vanjak
- Beaujon Hospital, Assistance publique – Hôpitaux de Paris, Beaujon, France
| | - J R Zahar
- Necker Hospital, Assistance publique – Hôpitaux de Paris, Paris, France
| | - C Brun-Buisson
- Henri Mondor Hospital, Assistance publique – Hôpitaux de Paris, Créteil, France
| | - V Jarlier
- Bacteriology laboratory, Université Pierre et Marie CURIE – Paris 6, Hôpital Pitié-Salpêtrière, Assistance publique – Hôpitaux de Paris, Paris, France
- Direction de la Politique Médicale (Directorate of Medical Politics), Assistance Publique-Hôpitaux de Paris, Paris, France
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Fournier S, Brossier F, Fortineau N, Gillaizeau F, Akpabie A, Aubry A, Barbut F, Chedhomme FX, Kassis-Chikhani N, Lucet JC, Robert J, Seytre D, Simon I, Vanjak D, Zahar JR, Brun-Buisson C, Jarlier V. Long-term control of vancomycin-resistant Enterococcus faecium at the scale of a large multihospital institution: a seven-year experience. Euro Surveill 2012; 17:20229. [PMID: 22856512] [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: 06/01/2023] Open
Abstract
Repeated outbreaks of vancomycin-resistant Enterococcus faecium (VRE) occurred between 2004 and 2010 in Assistance Publique--Hôpitaux de Paris (AP-HP), a 23,000-bed multi-hospital institution. From August 2004 to December 2005, the French guidelines for preventing cross-transmission of multiresistant bacteria were applied. Because the number of VRE cases continued to increase, an institutional control programme was implemented from January 2006 onwards: it foresees stopping transfer of VRE and contact patients, separating VRE and contact patients in distinct cohorts, intervention of a central infection control team to support local teams, and quick application of measures as soon as first VRE cases are identified. Between August 2004 and December 2010, 45 VRE outbreaks occurred in 21 of the 38 AP-HP hospitals, comprising 533 cases. Time series analysis showed that the mean number of cases increased by 0.8 cases per month (95% confidence interval (CI): 0.3 to 1.3, p=0.001) before, and decreased by 0.7 cases per month after implementation of the programme (95% CI: -0.9 to -0.5, p<0.001), resulting in a significant trend change of -1.5 cases per month (95% CI: -2.1 to -0.9, p<0.001). The number of cases per outbreak was significantly lower after implementation of the programme. A sustained and coordinated strategy can control emerging bacteria at the level of a large regional multihospital institution.
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Affiliation(s)
- S Fournier
- Direction de la Politique Medicale-Directorate of Medical Politics, Assistance Publique-Hopitaux de Paris, Paris, France.
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de Vriendt V, de Roock W, di Narzo A, Tian S, Biesmans B, Jacobs B, de Schutter J, Budzinska E, Sagaert X, Delorenzi M, Simon I, Tejpar S. P1.28 Dusp4 Expression as A Marker of Heterogeneous Signaling in Colorectal Cancer Patients. Ann Oncol 2012. [DOI: 10.1016/s0923-7534(20)31319-3] [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: 11/27/2022] Open
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Einert TR, Schmidt G, Binnig G, Balacescu O, Balacescu L, Rus M, Buiga R, Tudoran O, Todor N, Nagy V, Irimie A, Neagoe I, Yacobi R, Ustaev E, Berger RR, Barshack I, Kaur K, Henderson S, Cutts A, Domingo E, Woods J, Motley C, Dougherty B, Middleton M, Hassan B, Wang Y, Beasley E, Naley M, Schuh A, Tomlinson I, Taylor J, Planchard D, Lueza B, Rahal A, Lacroix L, Ngocamus M, Auger N, Saulnier P, Dorfmuller P, Le Chevalier T, Celebic A, Pignon JP, Soria JC, Besse B, Sun YH, Wang R, Li CG, Pan YJ, Chen HQ, Chouchane L, Shan J, Kizhakayil D, Aigha I, Dsouza S, Noureddine B, Gabbouj S, Mathew R, Hassen E, Chouchane L, Shan S, al-Rumaihi K, al-Bozom I, al-Said S, Rabah D, Farhat K, Kizhakayil D, Aigha I, Jakobsen Falk IA, Green KHZ, Lotfi K, Fyrberg A, Pejovic T, Li H, Mhawech-Fauceglia P, Hoatlin M, Guo MG, Huang M, Ge Y, Hess K, Wei C, Zhang W, Bogush TA, Dudko EA, Nureev MV, Kamensky AA, Polotsky BE, Tjulandin SA, Davydov MI, Caballero M, Hasmats J, Green H, Quanz M, Buhler C, Sun JS, Dutreix M, Cebotaru CL, Buiga R, Placintar AN, Ghilezan N, Balogh ZB, Reiniger L, Rajnai H, Csomor J, Szepesi A, Balogh A, Deak L, Gagyi E, Bodor C, Matolcsy A, Bozhenko VK, Rozhkova NI, Kudinova EA, Bliznyukov OP, Vaskevich EN, Trotsenko ID, Bozhenko VK, Rozhkova NI, Kharchenko NV, Kudinova EA, Bliznyukov OP, Kiandarian IV, Trotsenko ID, Pulito C, Terrenato I, Sacconi A, Biagioni F, Mottolese M, Blandino G, Muti P, Falvo E, Strano S, Mori F, Sacconi A, Ganci F, Covello R, Zoccali C, Biagini R, Blandino G, Strano S, Palmer GA, Wegdam W, Meijer D, Kramer G, Langridge J, Moerland PD, de Jong SM, Vissers JP, Kenter GG, Buist MR, Aerts JMFG, Milione M, de Braud F, Buzzoni R, Pusceddu S, Mazzaferro V, Damato A, Pelosi G, Garassino M, de Braud F, Broggini M, Marabese M, Veronese S, Ganzinelli M, Martelli O, Ganci F, Bossel N, Sacconi A, Fontemaggi G, Manciocco V, Sperduti I, Falvo E, Strigari L, Covello R, Muti P, Strano S, Spriano G, Domany E, Blandino G, Donzelli S, Sacconi A, Bellissimo T, Alessandrini G, Strano S, Carosi MA, Pescarmona E, Facciolo F, Telera S, Pompili A, Blandino G, de Vriendt V, de Roock W, di Narzo AF, Tian S, Biesmans B, Jacobs B, de Schutter J, Budzinska E, Sagaert X, Delorenzi M, Simon I, Tejpar S, Zhu Y, Wang HK, Ye DW, Denisov E, Tsyganov M, Tashireva L, Zavyalova M, Perelmuter V, Cherdyntseva N, Kim YC, Jang T, Oh IJ, Kim KS, Ban H, Na KJ, Ahn SJ, Kang H, Kim WJ, Park C, Abousamra NK, El-Din MS, Azmy EA. Diagnostics. Ann Oncol 2012. [DOI: 10.1093/annonc/mds161] [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
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Gong L, Ye Z, Zeng Z, Xia M, Zhong Y, Yao Y, Lee E, Ionescu A, Dwivedi G, Mahadevan G, Jiminez D, Frenneaux M, Steeds R, Moore C, Samad Z, Jackson K, Castellucci J, Kisslo J, Von Ramm O, D'ascenzi F, Zaca' V, Cameli M, Lisi M, Natali B, Malandrino A, Mondillo S, Barbier P, Guerrini U, Franzosi M, Castiglioni L, Nobili E, Colazzo F, Li Causi T, Sironi L, Tremoli E, Clausen H, Macdonald S, Basaggianis C, Newton J, Cameli M, Lisi M, Bennati E, Reccia R, Malandrino A, Bigio E, Maccherini M, Chiavarelli M, Henein M, Mondillo S, Floria M, Jamart J, Arsenescu Georgescu C, Mantovani F, Barbieri A, Bursi F, Valenti C, Quaglia M, Modena M, Kutty S, Gribben P, Padiyath A, Polak A, Scott C, Waiss M, Danford D, Bech-Hanssen O, Selimovic N, Rundqvist B, Schmiedel L, Hohmann C, Katzke S, Haacke K, Rauwolf T, Strasser R, Tumasyan LR, Adamyan K, Kosmala W, Derzhko R, Przewlocka-Kosmala M, Mysiak A, Stachowska B, Jedrzejuk D, Bednarek-Tupikowska G, Chrzanowski L, Kasprzak J, Wojciechowska C, Wita K, Busz-Papiez B, Gasior Z, Mizia-Stec K, Kukulski T, Gosciniak P, Sinkiewicz W, Moelmen H, Stoylen A, Thorstensen A, Torp H, Dalen H, Groves A, Nicholson G, Lopez L, Goh CW, Ahn H, Byun Y, Kim J, Park J, Lee J, Park J, Kim B, Rhee K, Kim K, Park J, Yoon H, Hong Y, Park H, Kim J, Ahn Y, Jeong M, Cho J, Kang J, Grapsa J, Dawson D, Karfopoulos K, Jakaj G, Punjabi P, Nihoyannopoulos P, Ruisanchez Villar C, Lerena Saenz P, Gonzalez Vilchez F, Gonzalez Fernandez C, Zurbano Goni F, Cifrian Martinez J, Mons Lera R, Ruano Calvo J, Martin Duran R, Vazquez De Prada Tiffe J, Pietrzak R, Werner B, Voillot D, Huttin O, Zinzius P, Schwartz J, Sellal J, Lemoine S, Christophe C, Popovic B, Juilliere Y, Selton-Suty C, Ishii K, Furukawa A, Nagai T, Kataoka K, Seino Y, Shimada K, Yoshikawa J, Tekkesin A, Yildirimturk O, Tayyareci Y, Yurdakul S, Aytekin S, Jaroch J, Loboz-Grudzien K, Bociaga Z, Kowalska A, Kruszynska E, Wilczynska M, Dudek K, Kakihara R, Naruse C, Hironaka H, Tsuzuku T, Cucchini U, Muraru D, Badano L, Solda' E, Tuveri M, Al Nono O, Sarais C, Iliceto S, Santos L, Cortez-Dias N, Ribeiro S, Goncalves S, Jorge C, Carrilho-Ferreira P, Silva D, Silva-Marques J, Lopes M, Diogo A, Hristova K, Vassilev D, Pavlov P, Katova T, Simova I, Kostova V, Esposito R, Santoro A, Schiano Lomoriello V, Raia R, De Palma D, Dores E, De Simone G, Galderisi M, Zaborska B, Makowska E, Pilichowska E, Maciejewski P, Bednarz B, Wasek W, Stec S, Budaj A, Spinelli L, Morisco C, Assante Di Panzillo E, Crispo S, Di Marino S, Trimarco B, Santoro A, Schiano Lomoriello V, Esposito R, Farina F, Innelli P, Rapacciuolo A, Galderisi M, Polgar B, Banyai F, Rokusz L, Tomcsanyi I, Vaszily M, Nieszner E, Borsanyi T, Kerecsen G, Preda I, Kiss RG, Bull S, Suttie J, Augustine D, Francis J, Karamitsos T, Becher H, Prendergast B, Neubauer S, Myerson S, Lodge F, Broyd C, Milton P, Mikhail G, Mayet J, Davies J, Francis D, Clavel MA, Ennezat PV, Marechaux S, Dumesnil J, Bellouin A, Bergeron S, Meimoun P, Le Tourneau T, Pasquet A, Pibarot P, Herrmann S, Stoerk S, Niemann M, Hu K, Voelker W, Ertl G, Weidemann F, Tayyareci Y, Yurdakul S, Yildirimturk O, Aytekin V, Aytekin S, Kogoj P, Ambrozic J, Bunc M, Di Salvo G, Rea A, Castaldi B, Gala S, D'aiello A, Mormile A, Pisacane F, Pacileo G, Russo M, Calabro R, Nguyen L, Ricksten SE, Jeppsson A, Schersten H, Bech-Hanssen O, Boerlage-Van Dijk K, Yong Z, Bouma B, Koch K, Vis M, Piek J, Baan J, Scandura S, Ussia G, Caggegi A, Cammalleri V, Sarkar K, Mangiafico S, Chiaranda' M, Imme' S, Pistritto A, Tamburino C, Ring L, Nair S, Wells F, Shapiro L, Rusk R, Rana B, Madrid Marcano G, Solis Martin J, Gonzalez Mansilla A, Bravo L, Menarguez Palanca C, Munoz P, Bouza E, Yotti R, Bermejo Thomas J, Fernandez Aviles F, Tamayo T, Denes M, Balint O, Csepregi A, Csillik A, Erdei T, Temesvari A, Fernandez-Pastor J, Linde-Estrella A, Cabrera-Bueno F, Pena-Hernandez J, Barrera-Cordero A, Alzueta-Rodriguez F, De Teresa-Galvan E, Merlo M, Pinamonti M, Finocchiaro G, Pyxaras S, Barbati G, Buiatti A, Dilenarda A, Sinagra G, Kuperstein R, Freimark D, Hirsch S, Feinberg M, Arad M, Mitroi C, Garcia Lunar I, Monivas Palomero V, Mingo Santos S, Beltran Correas P, Gonzalez Lopez E, Garcia Pavia P, Gonzalez Mirelis J, Cavero Gibanel M, Alonso Pulpon L, Finocchiaro G, Pinamonti B, Merlo M, Barbati G, Dilenarda A, Sinagra G, Zaidi A, Ghani S, Sheikh N, Gati S, Howes R, Sharma R, Sharma S, Calcagnino M, O'mahony C, Coats C, Cardona M, Garcia A, Murphy E, Lachmann R, Mehta A, Hughes D, Elliott P, Di Bella G, Madaffari A, Donato R, Mazzeo A, Casale M, Zito C, Vita G, Carerj S, Marek D, Indrakova J, Rusinakova Z, Skala T, Kocianova E, Taborsky M, Musca F, De Chiara B, Belli O, Cataldo S, Brunati C, Colussi G, Quattrocchi G, Santambrogio G, Spano F, Moreo A, Rustad L, Nytroen K, Gullestad L, Amundsen B, Aakhus S, Maroz-Vadalazhskaya N, Shumavetc V, Kurganovich S, Seljun Y, Ostrovskiy A, Ostrovskiy Y, Rustad L, Nytroen K, Segers P, Amundsen B, Aakhus S, Przewlocka-Kosmala M, Orda A, Karolko B, Mysiak A, Driessen MMP, Eising JB, Uiterwaal C, Van Der Ent CK, Meijboom FJ, Shang Q, Tam L, Sun J, Sanderson J, Zhang Q, Li E, Yu C, Arroyo Ucar E, De La Rosa Hernandez A, Hernandez Garcia C, Jorge Perez P, Lacalzada Almeida J, Jimenez Rivera J, Duque Garcia A, Barragan Acea A, Laynez Cerdena I, Kaldararova M, Simkova I, Pacak J, Tittel P, Masura J, Tadic M, Ivanovic B, Zlatanovic M, Damjanov N, Maggiolini S, Gentile G, Bozzano A, Suraci S, Meles E, Carbone C, Tempesta A, Malafronte C, Piatti L, Achilli F, Luijendijk P, Stevens A, De Bruin-Bon H, Vriend J, Van Den Brink R, Vliegen H, Mulder B, Bouma B, Chow V, Ng A, Chung T, Kritharides L, Iancu M, Serban M, Craciunescu I, Hodo A, Ghiorghiu I, Popescu B, Ginghina C, Styczynski G, Szmigielski CA, Kaczynska A, Leszczynski J, Rosinski G, Kuch-Wocial A, Slavich M, Ancona M, Fisicaro A, Oppizzi M, Marone E, Bertoglio L, Melissano G, Margonato A, Chiesa R, Agricola E, Zito C, Mohammed M, Cusma-Piccione M, Piluso S, Arcidiaco S, Nava R, Giuffre R, Ciraci L, Ferro M, Carerj S, Uusitalo V, Luotolahti M, Pietila M, Wendelin-Saarenhovi M, Hartiala J, Saraste M, Knuuti J, Saraste A, Kochanowski J, Scislo P, Piatkowski R, Grabowski M, Marchel M, Roik M, Kosior D, Opolski G, Bartko PE, Graf S, Khorsand A, Rosenhek R, Burwash I, Beanlands R, Clavel MA, Baumgartner H, Pibarot P, Mundigler G, Kudrnova S, Apor A, Huttl H, Kudrnova S, Apor A, Huttl H, Mori F, Santoro G, Oddo A, Rosso G, Meucci F, Pieri F, Squillantini G, Gensini G, Scislo P, Kochanowski J, Piatkowski R, Roik M, Postula M, Opolski G, Park DG, Hong JY, Kim SE, Lee JH, Han KR, Oh DJ, Muraru D, Dal Bianco L, Beraldo M, Solda' E, Cucchini U, Peluso D, Tuveri M, Al Mamary A, Badano L, Iliceto S, Aggeli C, Felekos I, Poulidakis E, Pietri P, Roussakis G, Siasos G, Stefanadis C, Furukawa A, Hoshiba H, Miyasaka C, Sato H, Nagai T, Yamanaka A, Kataoka K, Seino Y, Ishii K, Lilli A, Baratto M, Magnacca M, Comella A, Poddighe R, Talini E, Canale M, Chioccioli M, Del Meglio J, Casolo G, Kuznetsov VA, Melnikov NN, Krinochkin DV, Calin A, Enache R, Popescu B, Beladan C, Rosca M, Lupascu L, Purcarea F, Calin C, Gurzun M, Ginghina C, Dulgheru R, Ciobanu A, Magda S, Mihaila S, Rimbas R, Margulescu A, Cinteza M, Vinereanu D, Sumin AN, Arhipov O, Yoon J, Moon J, Rim S, Nyktari E, Patrianakos A, Solidakis G, Psathakis E, Parthenakis F, Vardas P, Kordybach M, Kowalski M, Kowalik E, Hoffman P, Nagy KV, Kutyifa V, Edes E, Apor A, Merkely B, Gerlach A, Rost C, Schmid M, Rost M, Flachskampf F, Daniel W, Breithardt O, Altekin E, Karakas S, Yanikoglu A, Er A, Baktir A, Demir I, Deger N, Klitsie L, Hazekamp M, Roest A, Van Der Hulst A, Gesink- Van Der Veer B, Kuipers I, Blom N, Ten Harkel A, Farsalinos K, Tsiapras D, Kyrzopoulos S, Avramidou E, Vasilopoulou D, Voudris V, Werner B, Florianczyk T, Ivanovic B, Tadic M, Kalinowski M, Szulik M, Streb W, Rybus-Kalinowska B, Sliwinska A, Stabryla J, Kukla M, Nowak J, Kukulski T, Kalarus Z, Florescu M, Mihalcea D, Magda L, Suran B, Enescu O, Mincu R, Cinteza M, Vinereanu D, Salerno G, Scognamiglio G, D'andrea A, Dinardo G, Gravino R, Sarubbi B, Disalvo G, Pacileo G, Russo M, Calabro R, Liao JN, Sung S, Chen C, Park S, Shin S, Kim M, Shim S, Yildirimturk O, Helvacioglu F, Ulusoy O, Duran C, Tayyareci Y, Yurdakul S, Aytekin S, Kirschner R, Simor T, Moreo A, Ambrosio G, De Chiara B, Tran T, Raman S, Vidal Perez RC, Carreras F, Leta R, Pujadas S, Barros A, Hidalgo A, Alomar X, Pons-Llado G, Olofsson M, Boman K, Ledakowicz-Polak A, Polak L, Zielinska M, Fontana A, Schirone V, Mauro A, Zambon A, Giannattasio C, Trocino G, Dekleva M, Dungen H, Inkrot S, Gelbrich G, Suzic Lazic J, Kleut M, Markovic Nikolic N, Waagstein F, Khoor S, Balogh N, Simon I, Fugedi K, Kovacs I, Khoor M, Florian G, Kocsis A, Szuszai T, O'driscoll J, Saha A, Smith R, Gupta S, Sharma R, Lenkey Z, Gaszner B, Illyes M, Sarszegi Z, Horvath IG, Magyari B, Molnar F, Cziraki A, Elnoamany MF, Badran H, Ebraheem H, Reda A, Elsheekh N. Poster Session 5: Saturday 10 December 2011, 08:30-12:30 * Location: Poster Area. European Journal of Echocardiography 2011. [DOI: 10.1093/ejechocard/jer218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Balogh N, Khoor S, Khoor M, Fugedi K, Simon I, Kern P, Florian G, Kocsis A, Kovacs I. Forecasting lethal cardiac end points of heart failure patients with low ejection fraction using refined multiscale entropy analysis. Heart 2011. [DOI: 10.1136/heartjnl-2011-300867.636] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Simon I, Gastaldello K, Del Marmol V, Gevenois PA, Trepant AL, El Khazzi W, Nortier J. Tumeurs brunes multiples chez une patiente hémodialysée chronique incompliante. Nephrol Ther 2011. [DOI: 10.1016/j.nephro.2011.07.163] [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: 11/17/2022]
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Simon I, Tian S, Moreno V, Roepman P, Tabernero J, Snel M, Macarulla T, van't Veer L, Bernards R, Capella G. The role of activating mutations of KRAS, BRAF, and PIK3CA pathway convergence at the transcriptional level and prediction of treatment response to cetuximab in colorectal cancer. J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.15_suppl.3534] [Citation(s) in RCA: 2] [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: 11/20/2022] Open
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Rosenberg R, Maak M, Simon I, Nitsche U, Schuster T, Kuenzli B, Bender RA, Janssen K, Friess H. Independent validation of a prognostic genomic profile (ColoPrint) for stage II colon cancer (CC) patients. J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.4_suppl.358] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
358 Background: Adjuvant therapy is not routinely recommended for stage II CC patients but may be considered for high-risk patients. In this study we aim to independently validate a genomic profile that was developed to identify high-risk patients and can assist in treatment decisions. Methods: An 18-gene profile had been developed using gene expression data from whole genome Agilent 44K oligonucleotide arrays and was validated in samples from an independent cohort of 206 CC patients and in in-silico datasets (Salazar et al. JCO 2010 in press). The profile was translated into a robust diagnostic test (ColoPrint) using customized 8-pack arrays. For this study, 233 patients who underwent curative resection (R0) for colon cancer stages II or III at the Klinikum rechts der Isar from 1987 to 2003 were selected. Fresh frozen tissues, clinical parameters and follow-up data for all patients were available. The samples were hybridized and the ColoPrint index was determined for all samples blinded from the clinical data. Results: Patients in this study had a median age of 64 years and median follow-up of 97 months. The median number of resected lymph nodes was 21, giving an indirect measure of the quality of surgery. In the 135 stage II patients, ColoPrint identified most patients (73%) as low risk. The 5-year distant-metastasis free survival was 95% for low-risk patients and 80% for high-risk patients. In the univariate analysis, ColoPrint was the only significant parameter to predict the development of distant metastasis with a HR of 4.1 (95% CI 1.31-13.01, p=0.009). Using clinical parameters from the ASCO recommendation (T4, perforation, less than 12 LN assessed and/ or high grade) for the identification of high-risk patients was not significant (HR 2.3; 95% CI 0.68-7.53, p=0.18) and did not add power to the ColoPrint classification. These results are in good agreement with results from the first independent validation. Conclusions: ColoPrint is able to predict the development of distant metastasis of stage II colon cancer patients and facilitates the identification of patients who may be safely managed without chemotherapy. [Table: see text]
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Affiliation(s)
- R. Rosenberg
- Department of Surgery, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany; Agendia BV, Amsterdam, Netherlands; Institute for Medical Statistics and Epidemiology, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany; Agendia, Inc., Irvine, CA; Department of Surgery, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany
| | - M. Maak
- Department of Surgery, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany; Agendia BV, Amsterdam, Netherlands; Institute for Medical Statistics and Epidemiology, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany; Agendia, Inc., Irvine, CA; Department of Surgery, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany
| | - I. Simon
- Department of Surgery, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany; Agendia BV, Amsterdam, Netherlands; Institute for Medical Statistics and Epidemiology, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany; Agendia, Inc., Irvine, CA; Department of Surgery, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany
| | - U. Nitsche
- Department of Surgery, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany; Agendia BV, Amsterdam, Netherlands; Institute for Medical Statistics and Epidemiology, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany; Agendia, Inc., Irvine, CA; Department of Surgery, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany
| | - T. Schuster
- Department of Surgery, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany; Agendia BV, Amsterdam, Netherlands; Institute for Medical Statistics and Epidemiology, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany; Agendia, Inc., Irvine, CA; Department of Surgery, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany
| | - B. Kuenzli
- Department of Surgery, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany; Agendia BV, Amsterdam, Netherlands; Institute for Medical Statistics and Epidemiology, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany; Agendia, Inc., Irvine, CA; Department of Surgery, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany
| | - R. A. Bender
- Department of Surgery, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany; Agendia BV, Amsterdam, Netherlands; Institute for Medical Statistics and Epidemiology, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany; Agendia, Inc., Irvine, CA; Department of Surgery, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany
| | - K. Janssen
- Department of Surgery, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany; Agendia BV, Amsterdam, Netherlands; Institute for Medical Statistics and Epidemiology, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany; Agendia, Inc., Irvine, CA; Department of Surgery, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany
| | - H. Friess
- Department of Surgery, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany; Agendia BV, Amsterdam, Netherlands; Institute for Medical Statistics and Epidemiology, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany; Agendia, Inc., Irvine, CA; Department of Surgery, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany
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Simon I, Wissing KM, Del Marmol V, Antinori S, Remmelink M, Nilufer Broeders E, Nortier JL, Corbellino M, Abramowicz D, Cascio A. Recurrent leishmaniasis in kidney transplant recipients: report of 2 cases and systematic review of the literature. Transpl Infect Dis 2011; 13:397-406. [PMID: 21281418 DOI: 10.1111/j.1399-3062.2011.00598.x] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
MESH Headings
- Antibodies, Protozoan/blood
- Female
- Humans
- Kidney Transplantation/adverse effects
- Leg Ulcer/parasitology
- Leg Ulcer/pathology
- Leishmania/genetics
- Leishmania/immunology
- Leishmania/isolation & purification
- Leishmania donovani/genetics
- Leishmania donovani/immunology
- Leishmania donovani/isolation & purification
- Leishmaniasis, Cutaneous/diagnosis
- Leishmaniasis, Cutaneous/parasitology
- Leishmaniasis, Cutaneous/pathology
- Leishmaniasis, Mucocutaneous/diagnosis
- Leishmaniasis, Mucocutaneous/parasitology
- Leishmaniasis, Mucocutaneous/pathology
- Leishmaniasis, Visceral/diagnosis
- Leishmaniasis, Visceral/parasitology
- Leishmaniasis, Visceral/pathology
- Male
- Middle Aged
- Polymerase Chain Reaction
- Recurrence
- Tongue/parasitology
- Tongue/pathology
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Affiliation(s)
- I Simon
- Department of Nephrology, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium
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Simon I, Charpin D. Fluctuations des taux de polluants atmosphériques et symptômes respiratoires en population générale. Rev Mal Respir 2010; 27:625-38. [DOI: 10.1016/j.rmr.2010.04.007] [Citation(s) in RCA: 2] [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] [Received: 07/13/2009] [Accepted: 12/24/2009] [Indexed: 10/19/2022]
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Rosenberg R, Maak M, Nitsche U, Schuster T, Kuenzli B, Snel M, Simon I, Janssen K, Friess H. Independent validation of a prognostic genomic profile (ColoPrint) for stage II colon cancer (CC) patients. J Clin Oncol 2010. [DOI: 10.1200/jco.2010.28.15_suppl.3513] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Salazar R, Marshall J, Stork-Sloots L, Simon I, Holzik ML, Tabernero J, Van Der Hoeven JJ, Bibeau F, Rosenberg R. The PARSC trial, a prospective study for the assessment of recurrence risk in stage II colon cancer (CC) patients using ColoPrint. J Clin Oncol 2010. [DOI: 10.1200/jco.2010.28.15_suppl.tps199] [Citation(s) in RCA: 3] [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: 11/20/2022] Open
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Jansen M, Ruigrok-Ritstier K, Kok M, Reijm E, Meijer-van Gelder M, Look M, van Staveren I, Sieuwerts A, de Weerd V, Smid M, Martens J, Simon I, Tian S, Glas A, Wuyts H, Bich T, Dirix L, Linn S, Sleijfer S, Foekens J, van 't Veer L, van 't Veer L, Berns E. Integrated Genomic Profiling of Endocrine Therapy Response in Advanced Breast Cancer. Cancer Res 2009. [DOI: 10.1158/0008-5472.sabcs-09-3029] [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: 11/16/2022]
Abstract
Abstract
PurposeIn hormone receptor positive breast cancer the response rates for endocrine treatment, i.e. tamoxifen (TAM) or aromatase inhibitors (AIs), are only 50 to 70% in the advanced disease setting. The overall aim of this retrospective study is to identify a molecular signature using integrated genomic profiling to improve prediction of endocrine treatment outcome in the advanced disease setting.ObjectivesA) To compare mRNA expression profiles of TAM- and AI-treated patients and to identify genes and pathways associated with treatment outcome.B) To discover miRNA and mRNA signatures predictive for AI response.Patients and MethodsFresh frozen Estrogen Receptor (ER)-positive primary breast cancer specimens from patients with advanced disease treated with first-line AIs (N=55) or TAM (N=109) were analyzed. Expression profiles of 670 miRNAs and 44K mRNAs were generated using multiplex qRT-PCR and microarrays. Profiles were related to clinical response and time to progression (TTP). Statistical and bio-informatic tools were applied to discover and combine markers into an integrated genomic predictive signature. The nearest centroid prediction method of BRB-ArrayTools (Version3.7.0) was used to assess the predictive value.ResultsThe quality controlled and informative expression profiles of 277 miRNAs and 14112 mRNAs in 50 AI-treated tumors and 10433 mRNAs in 101 TAM-treated tumors were included for further analysis in the discovery phase.Global testing of mRNAs linked to Biocarta pathways demonstrated the involvement of the interferon pathway in endocrine therapy response in both AI- and TAM-treated patients. Using BRB-ArrayTools survival analysis to find genes associated with TTP (P<0.05), we identified 1002 mRNAs in AI-treated and 662 mRNAs in TAM-treated tumors to be significantly related with TTP.The overlap of 40 mRNAs between AI- and TAM-treatment was defined as a mRNA signature for endocrine treatment outcome. In TAM-treated patients this classifier has a 69% accuracy (63% sensitivity, 74% specificity), an odds ratio for clinical benefit of 4.69 (95% CI 1.99-11.05, P<0.001) and a hazard ratio for TTP of 0.17 (95% CI 0.10-0.29, P<0.001). In AI-treated patients, this 40mRNA signature has a performance of 78% accuracy (84% sensitivity, 62% specificity) and significantly predicts clinical benefit (odds ratio = 8.27, 95% CI 2.00-34.3, P=0.004) and TTP (hazard ratio = 0.07, 95% CI 0.02-0.22, P<0.001).After statistical analysis a 16 miRNAs classifier for AI-treatment outcome was identified with a performance of 78% accuracy (89% sensitivity, 46% specificity). This classifier significantly predicts clinical benefit (Odds ratio = 7.07, 95% CI 1.57-31.9, P=0.011) and TTP (hazard ratio = 0.24, 95% CI 0.09-0.61, P=0.003).The genomic mRNA and miRNA signatures are currently integrated and validated in additional samples as well as “in silico” on tumors treated with neo-adjuvant AI (Miller et al, JCO 2009).ConclusionThis is the first study that combines miRNA and mRNA profiling in an attempt to define an integrated genomic signature for endocrine treatment outcome. Additional prospective multicenter studies are needed to confirm the predictive value of this signature.
Citation Information: Cancer Res 2009;69(24 Suppl):Abstract nr 3029.
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Affiliation(s)
| | | | - M. Kok
- 2Netherlands Cancer Institute, The Netherlands
| | | | | | - M. Look
- 1Erasmus MC, The Netherlands
| | | | | | | | - M. Smid
- 1Erasmus MC, The Netherlands
| | | | | | - S. Tian
- 3Agendia BV, The Netherlands
| | - A. Glas
- 3Agendia BV, The Netherlands
| | - H. Wuyts
- 4Sint Augustinus Hospital, Belgium
| | - T. Bich
- 4Sint Augustinus Hospital, Belgium
| | - L. Dirix
- 4Sint Augustinus Hospital, Belgium
| | - S. Linn
- 2Netherlands Cancer Institute, The Netherlands
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Dosztanyi Z, Meszaros B, Simon I. Bioinformatical approaches to characterize intrinsically disordered/unstructured proteins. Brief Bioinform 2009; 11:225-43. [DOI: 10.1093/bib/bbp061] [Citation(s) in RCA: 93] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Tian S, Glas A, Kok M, Simon I, Snel M, Jansen M, Wessels L, Linn S, Berns E, van 't Veer L. P134 A sensitive tamoxifen response profile in patients with metastatic breast cancer indicates that an Interferon-gamma (IFN-g) centered cellular immune response is involved in tamoxifen resistance. EJC Suppl 2009. [DOI: 10.1016/s1359-6349(09)72233-5] [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] Open
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42
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Glas AM, Roepman P, Salazar R, Capella G, Moreno V, Westerga J, Kuppen PJ, Simon I, Van ’t Veer LJ, Tollenaar R. Development and validation of a robust prognostic and predictive signature for colorectal cancer (CRC) patients. J Clin Oncol 2009. [DOI: 10.1200/jco.2009.27.15_suppl.4036] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
4036 Background: Between 25 and 35% of stage II CRC patients will experience a recurrence of their disease and may benefit from adjuvant chemotherapy. Official guidelines give suggestions but no clear recommendation for best risk stratification. Here we describe the development a robust signature that predicts disease relapse and can assist in treatment decisions. Methods: Fresh frozen tumor tissues from 180 patients with stage I, II and III colorectal cancer undergoing surgery were analyzed using high density Agilent 44K oligonucleotide arrays. Median FU was 70.2 months; 85% of patients did not receive adjuvant chemotherapy. Unsupervised hierarchical clustering based on full-genome gene expression measurement indicated the existence of 3 main colon molecular subclasses. Survival analysis of the 3 classes showed that subtype C (n= 27) had a poor outcome and subtype A (n= 48) good outcome. Only the intermediate group B (n=104) was used to develop a signature by using a cross validation procedure to score all genes for their association with 5-yr distant metastasis free survival (DMFS) and subsequently applied to all samples (n=180). The obtained gene signature was further validated on an independent cohort of 178 stage II + III colon samples. Results: A set of 38 prognosis related gene probes showed robust DMFS association in over 50% of all iterations in the Training Set of 180 samples. The gene signature was validated on an independent cohort of 178 samples from stage II + III colon cancer patients. The profile classified 61% of the validation samples as low-risk and 39% as high-risk. The low- and high-risk samples showed a significant difference in DMFS with a HR of 3.19 (P= 8.5e-4). Five-year DMFS rates were 89% (95%CI 83–95) for low-risk and 62% (95%CI 50–77) for high-risk samples. Moreover, the profile showed a significant performance within stage II (P=0.0058) and III (P=0.036) only samples. The performance of the profile was significant for both untreated (P=0.0082) and treated patients (P=0.016) suggesting that its power is independent of treatment benefits. Conclusions: ColoPrint is able to predict the prognosis of stage II and III colon cancer patients and facilitates the identification of patients who would benefit from adjuvant chemotherapy. [Table: see text]
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Affiliation(s)
- A. M. Glas
- Agendia B.V., Amsterdam, Netherlands; Institut Català d’Oncologia, L’Hospitalet de Llobregat, Spain; Slotervaart Hospital, Amsterdam, Netherlands; Leiden University Medical Center, Leiden, Netherlands; The Netherlands Cancer Institute, Amsterdam, Netherlands
| | - P. Roepman
- Agendia B.V., Amsterdam, Netherlands; Institut Català d’Oncologia, L’Hospitalet de Llobregat, Spain; Slotervaart Hospital, Amsterdam, Netherlands; Leiden University Medical Center, Leiden, Netherlands; The Netherlands Cancer Institute, Amsterdam, Netherlands
| | - R. Salazar
- Agendia B.V., Amsterdam, Netherlands; Institut Català d’Oncologia, L’Hospitalet de Llobregat, Spain; Slotervaart Hospital, Amsterdam, Netherlands; Leiden University Medical Center, Leiden, Netherlands; The Netherlands Cancer Institute, Amsterdam, Netherlands
| | - G. Capella
- Agendia B.V., Amsterdam, Netherlands; Institut Català d’Oncologia, L’Hospitalet de Llobregat, Spain; Slotervaart Hospital, Amsterdam, Netherlands; Leiden University Medical Center, Leiden, Netherlands; The Netherlands Cancer Institute, Amsterdam, Netherlands
| | - V. Moreno
- Agendia B.V., Amsterdam, Netherlands; Institut Català d’Oncologia, L’Hospitalet de Llobregat, Spain; Slotervaart Hospital, Amsterdam, Netherlands; Leiden University Medical Center, Leiden, Netherlands; The Netherlands Cancer Institute, Amsterdam, Netherlands
| | - J. Westerga
- Agendia B.V., Amsterdam, Netherlands; Institut Català d’Oncologia, L’Hospitalet de Llobregat, Spain; Slotervaart Hospital, Amsterdam, Netherlands; Leiden University Medical Center, Leiden, Netherlands; The Netherlands Cancer Institute, Amsterdam, Netherlands
| | - P. J. Kuppen
- Agendia B.V., Amsterdam, Netherlands; Institut Català d’Oncologia, L’Hospitalet de Llobregat, Spain; Slotervaart Hospital, Amsterdam, Netherlands; Leiden University Medical Center, Leiden, Netherlands; The Netherlands Cancer Institute, Amsterdam, Netherlands
| | - I. Simon
- Agendia B.V., Amsterdam, Netherlands; Institut Català d’Oncologia, L’Hospitalet de Llobregat, Spain; Slotervaart Hospital, Amsterdam, Netherlands; Leiden University Medical Center, Leiden, Netherlands; The Netherlands Cancer Institute, Amsterdam, Netherlands
| | - L. J. Van ’t Veer
- Agendia B.V., Amsterdam, Netherlands; Institut Català d’Oncologia, L’Hospitalet de Llobregat, Spain; Slotervaart Hospital, Amsterdam, Netherlands; Leiden University Medical Center, Leiden, Netherlands; The Netherlands Cancer Institute, Amsterdam, Netherlands
| | - R. Tollenaar
- Agendia B.V., Amsterdam, Netherlands; Institut Català d’Oncologia, L’Hospitalet de Llobregat, Spain; Slotervaart Hospital, Amsterdam, Netherlands; Leiden University Medical Center, Leiden, Netherlands; The Netherlands Cancer Institute, Amsterdam, Netherlands
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Fisher M, Atiya-Nasagi Y, Simon I, Gordin M, Mechaly A, Yitzhaki S. A combined immunomagnetic separation and lateral flow method for a sensitive on-site detection ofBacillus anthracisspores - assessment in water and dairy products. Lett Appl Microbiol 2009; 48:413-8. [DOI: 10.1111/j.1472-765x.2008.02542.x] [Citation(s) in RCA: 39] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Kunz G, Glas A, de Snoo F, Simon I. 0075 Use of the genomic test MammaPrint in daily clinical practice to assist in risk stratification of young breast cancer patients. Breast 2009. [DOI: 10.1016/s0960-9776(09)70120-1] [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: 12/01/2022] Open
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Deschodt-Lanckman M, Antoine MH, Debelle F, Pozdzik A, Gastaldello K, Simon I, Husson C, De Prez E, Tielemans C, Nortier J. [Experimental nephrology unit: overview and research projects]. Rev Med Brux 2008; 29:S45-S48. [PMID: 18497220] [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] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
After a short historical background of the Laboratory, the main research topics--renal toxicology, physiopathology of renal interstitial fibrosis and hormonology--are described in the perspective of a partnership between research clinicians and full time scientists. National as well as international scientific collaborations underline the need of combining expertises, stimulating also the training of youngest colleagues to the experimental approach of their future discipline.
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Affiliation(s)
- M Deschodt-Lanckman
- Unité de Néphrologie expérimentale, Laboratoire d'Hormonologie expérimentale, Faculté de Médecine, U.L.B., Bruxelles
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Quarello E, Roume J, Molho M, Gorincour G, Saada J, Simon I, Bernard JP, Ville Y. Twins discordant for fetal skeletal abnormalities: a natural confrontation between the two siblings. Prenat Diagn 2008; 28:21-7. [DOI: 10.1002/pd.1896] [Citation(s) in RCA: 3] [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: 11/09/2022]
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Sbeh M, Molinier O, Varache N, Simon I, Lebas F. Infection à Staphylocoque doré avec pneumopathie nécrotico-hémorragique : à propos d’un cas. Rev Mal Respir 2007. [DOI: 10.1016/s0761-8425(07)74289-4] [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: 10/22/2022]
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Vedel I, Lechowski L, De Stampa M, Aegerter P, Simon I, Pedrono V, Lazarovici C, Mauriat C, Ankri J, Cassou B. [Evaluation of a multifaceted intervention for implementing national guidelines: the case of physical restraint in geriatric care]. Rev Epidemiol Sante Publique 2007; 55:79-86. [PMID: 17434280 DOI: 10.1016/j.respe.2006.08.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2005] [Accepted: 08/31/2006] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND There is a growing interest in developing guidelines. The French Agency for accreditation and Evaluation (Anaes) published in October 2000 guidelines on the use of restraint in geriatric care settings because in spite of the risks this practice remains widespread in that type of care setting. A multifaceted intervention was conducted in a Parisian geriatric hospital in order to improve the implementation of the published guidelines. An epidemiological study was conducted to assess the outcomes of this intervention. METHODS The intervention consisted in distributing educational materials and a specific prescription sheet, and in staff training sessions. A time series study was used to assess outcomes. The three time points were: before the intervention, just after the end of the intervention and one year later. Two dimensions were studied: implementation of the guidelines using markers collected from patients' charts and restraining practices noted in an observational study of hospitalized patients. RESULTS The results of the study suggest that five recommendations were followed better: restraint prescription (8.7 to 57.4%), writing in the patient chart the reasons for restraining (3.5 to 35.3%), follow-up prescription, assessment of potential benefits and risks for the patient and patient information (0% to 19-34%). Nevertheless, the prevalence of restraint and of devices employed (around 70%) remained unchanged after the intervention. The various outcomes of the intervention might be explained by the guidelines themselves, which were variably practical or precise. Moreover, the effect of certain factors directly related with the use of restraint, a routine practice strongly supported by myths about its efficacy, as well as factors related to intervention design may merely have prevented any decrease in the use of restraint practices. CONCLUSION Multifaceted intervention can favour implementation of certain national guidelines such as prescribing restraint, but can also fail in stimulating the implementation of others such as decreasing the prevalence of restraint in geriatric practice. Therefore the next intervention should emphasize alternatives to physical restraint practices.
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Affiliation(s)
- I Vedel
- Unité de santé publique, groupe hospitalier Sainte-Périne, APHP, Paris, France
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Simon I, Déoux S, Ott M. [Elimination of allergens and chemical pollutants from the habitat, which practical proportions, which materials to use?]. Rev Mal Respir 2007; 24:241-2; quiz 242, 264. [PMID: 17347613 DOI: 10.1016/s0761-8425(07)91049-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Affiliation(s)
- I Simon
- Département des Maladies Respiratoires, Centre Hospitalier, Le Mans, France.
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Ables AZ, Simon I, Melton ER. Update on Helicobacter pylori treatment. Am Fam Physician 2007; 75:351-8. [PMID: 17304866] [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: 05/14/2023]
Abstract
One half of the world's population has Helicobacter pylori infection, with an estimated prevalence of 30 percent in North America. Although it is unclear whether eradication of H. pylori improves symptoms in patients with nonulcer dyspepsia, there is strong evidence that eradication of this bacteria improves healing and reduces the risk of recurrence or rebleeding in patients with duodenal or gastric ulcer. A "test-and-treat" strategy is recommended for most patients with undifferentiated dyspepsia. With this approach, patients undergo a noninvasive test for H. pylori infection and, if positive, are treated with eradication therapy. This strategy reduces the need for antisecretory medications as well as the number of endoscopies. The urea breath test or stool antigen test is recommended. Until recently, the recommended duration of therapy for H. pylori eradication was 10 to 14 days. Shorter courses of treatment (i.e., one to five days) have demonstrated eradication rates of 89 to 95 percent with the potential for greater patient compliance. A one-day treatment course consists of bismuth subsalicylate, amoxicillin, and metronidazole, all given four times with a one-time dose of lansoprazole. In children with documented H. pylori infection, however, all regimens should continue to be prescribed for seven to 14 days until short-course treatment is studied and its effectiveness has been established in this population.
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Affiliation(s)
- Adrienne Z Ables
- Spartanburg Family Medicine Residency Program, Spartanburg, South Carolina 29303, USA.
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