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Vinnicombe Z, Little M, Super J, Anakwe R. Differential attainment, socioeconomic factors and surgical training. Ann R Coll Surg Engl 2022; 104:577-582. [PMID: 35950509 PMCID: PMC9433186 DOI: 10.1308/rcsann.2021.0255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/28/2021] [Indexed: 09/03/2023] Open
Abstract
INTRODUCTION Differential attainment (DA) is the gap in levels of achievement between different groups; socioeconomic factors are thought to play a significant role in DA. The aim of this study was to review and assess the evidence for DA in early surgical training and to examine the potential influence of socioeconomic status. METHODS Data were obtained from the General Medical Council GMC for those taking Membership of the Royal College of Surgeons (MRCS) examinations between 2016 and 2019 and core surgical training annual review of competency progression (ARCP) outcomes between 2017 and 2019. The index of multiple deprivation (IMD) was used as a measure of socioeconomic background. Trainees were then divided into deprivation quintiles (DQ1=most deprived, DQ5=least deprived). MRCS and ARCP outcomes were compared between DQ groups using 95% confidence intervals and chi-square tests. RESULTS Those from lower socioeconomic backgrounds had significantly lower overall MRCS pass rates (DQ1=45.5%, DQ2=48.9% vs DQ4=59.6%, DQ5=61.5%, p<0.05) and 1st time pass rates (DQ1&2=46.6% vs DQ4&5=63.5%, p<0.001). Additionally, they had a significantly higher number of attempts required to pass MRCS (DQ 1&2=1.86 vs DQ 4&5=1.54, p<0.01). Those from lower socioeconomic backgrounds had a significantly greater proportion of unsatisfactory ARCP outcomes (DQ1&2=24.4% vs DQ 4&5=14.2%, p<0.05). CONCLUSIONS There is clear evidence of the influence of socioeconomic background on DA in early surgical training. However, the reasons for this are likely complex and more work is required to investigate this relationship.
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Affiliation(s)
| | | | - J Super
- Maidstone and Tunbridge Wells NHS Trust, UK
| | - R Anakwe
- Imperial College NHS Foundation Trust, UK
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2
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Jittla P, Graham DM, Zhou C, Halliwell J, O'Reilly S, Aruketty S, Azizi A, Germetaki T, Lowe J, Little M, Punnett G, McMahon P, Benson L, Carter L, Krebs MG, Thistlethwaite FC, Darlington E, Yorke J, Cook N. EPIC: an evaluation of the psychological impact of early-phase clinical trials in cancer patients. ESMO Open 2022; 7:100550. [PMID: 35994790 PMCID: PMC9420347 DOI: 10.1016/j.esmoop.2022.100550] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2022] [Revised: 06/17/2022] [Accepted: 06/27/2022] [Indexed: 11/30/2022] Open
Abstract
Background Anxiety and depression in patients with cancer is associated with decreased quality of life and increased morbidity and mortality. However, these are often overlooked and untreated. Early-phase clinical trials (EPCTs) recruit patients with advanced cancers who frequently lack future treatment options, which may lead to increased anxiety and depression. Despite this, EPCTs do not routinely consider psychological screening for patients. Patients and methods This prospective observational study explored levels of anxiety and depression alongside impact of trial participation in the context of EPCTs. The Hospital Anxiety and Depression Scale and the Brief Illness Perceptions Questionnaire were completed at the point of EPCT consent, the end of screening and at pre-specified time points thereafter. Results Sixty-four patients (median age 56 years; median Eastern Cooperative Oncology Group performance status 1) were recruited. At consent, 57 patients returned questionnaires; 39% reported clinically relevant levels of anxiety whilst 18% reported clinically relevant levels of depression. Sixty-three percent of patients experiencing psychological distress had never previously reported this. Males were more likely to be depressed (P = 0.037) and females were more likely to be anxious (P = 0.011). Changes in anxiety or depression were observed after trial enrolment on an individual level, but not significant on a population level. Conclusions Patients on EPCTs are at an increased risk of anxiety and depression but may not seek relevant support. Sites offering EPCTs should consider including psychological screening to encourage a more holistic approach to cancer care and consider the sex of individuals when tailoring psychological support to meet specific needs. Early-phase cancer trial patients have an increased risk of anxiety and depression. Patients at risk were not seeking support for anxiety and depression. Male patients were more likely to be depressed; female patients were more likely to be anxious. This work highlights the need to screen for psychological symptoms in patients entering early-phase trials.
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Affiliation(s)
- P Jittla
- Experimental Cancer Medicine Team, The Christie NHS Foundation Trust, Manchester, UK
| | - D M Graham
- Experimental Cancer Medicine Team, The Christie NHS Foundation Trust, Manchester, UK; Division of Cancer Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK
| | - C Zhou
- CRUK Manchester Institute Cancer Biomarker Centre, University of Manchester, Manchester, UK
| | - J Halliwell
- Experimental Cancer Medicine Team, The Christie NHS Foundation Trust, Manchester, UK
| | - S O'Reilly
- Experimental Cancer Medicine Team, The Christie NHS Foundation Trust, Manchester, UK
| | - S Aruketty
- Experimental Cancer Medicine Team, The Christie NHS Foundation Trust, Manchester, UK
| | - A Azizi
- Experimental Cancer Medicine Team, The Christie NHS Foundation Trust, Manchester, UK
| | - T Germetaki
- Experimental Cancer Medicine Team, The Christie NHS Foundation Trust, Manchester, UK
| | - J Lowe
- Experimental Cancer Medicine Team, The Christie NHS Foundation Trust, Manchester, UK
| | - M Little
- Experimental Cancer Medicine Team, The Christie NHS Foundation Trust, Manchester, UK
| | - G Punnett
- Christie Patient Centred Research, The Christie NHS Foundation Trust, Manchester, UK
| | - P McMahon
- Medical Oncology, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, UK
| | - L Benson
- Division of Cancer Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK
| | - L Carter
- Experimental Cancer Medicine Team, The Christie NHS Foundation Trust, Manchester, UK; Division of Cancer Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK
| | - M G Krebs
- Experimental Cancer Medicine Team, The Christie NHS Foundation Trust, Manchester, UK; Division of Cancer Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK
| | - F C Thistlethwaite
- Experimental Cancer Medicine Team, The Christie NHS Foundation Trust, Manchester, UK; Division of Cancer Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK
| | - E Darlington
- Experimental Cancer Medicine Team, The Christie NHS Foundation Trust, Manchester, UK
| | - J Yorke
- Christie Patient Centred Research, The Christie NHS Foundation Trust, Manchester, UK
| | - N Cook
- Experimental Cancer Medicine Team, The Christie NHS Foundation Trust, Manchester, UK; Division of Cancer Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.
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Super J, Gunnee M, Little M, Vinnicombe Z. 369 The Burnout Pandemic; the Effect of Socioeconomic Status and Training Programmes on Burnout in Postgraduate Trainees in the United Kingdom. Br J Surg 2022. [DOI: 10.1093/bjs/znac040.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Abstract
Introduction
Burnout is described as a state of mental exhaustion caused by one’s professional life, and is characterised by three domains: emotional exhaustion, depersonalisation, and a reduced sense of accomplishment. The prevalence of stress is high amongst doctors, and varies by specialty, gender, trainee level, and socioeconomic status. The authors set out to examine the scale of the problem, as well as to determine the influence of both socioeconomic status and chosen training programme on burnout amongst postgraduate trainees. This would identify at risk groups, and aid in future targeted interventions.
Method
Cross-sectional data was obtained, following approval from the General Medical Council (GMC), from The National Training Survey, completed annually by all trainees in the United Kingdom. Data was then anonymised and analysed. Burnout scores were derived from the Copenhagen Burnout Inventory and are positively framed (higher scores equal lower burnout).
Results
The questionnaire was completed by 63,122 participants across 2019 and 2020. Mean burnout amongst all trainees combined was 52.40 +/- 19.29. Burnout scores from the most deprived quintile was significantly lower compared with those from the least deprived quintile; 51.02 +/- 20.64 versus 52.89 +/- 18.92 respectively (p < 0.001). The highest levels of burnout were reported in Internal Medical Training, Emergency Medicine, Obstetrics and Gynaecology, and Core Surgical Training respectively.
Conclusions
Postgraduates from lower socioeconomic backgrounds are more likely to encounter burnout during training. At risk groups who may also benefit from targeted intervention include Core Surgical Trainees, requiring further examination through future studies.
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Affiliation(s)
- J. Super
- Maidstone and Tunbridge Wells NHS Trust, Tunbridge Wells, United Kingdom
- Imperial College London, London, United Kingdom
| | - M. Gunnee
- Imperial College London, London, United Kingdom
| | - M. Little
- Whittington Hospital, London, United Kingdom
| | - Z. Vinnicombe
- St George's University Hospitals NHS Foundation Trust, London, United Kingdom
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Banerjee S, Grochot R, Shinde R, Lima J, Krebs M, Rahman R, Little M, Tunariu N, Curcean A, Badham H, Mahmud M, Turner A, Parmar M, Yap C, Minchom A, Lopez J, de Bono J, Banerji U. 725MO Phase I study of the combination of the dual RAF/MEK inhibitor VS-6766 and the FAK inhibitor defactinib: Results of efficacy in low grade serous ovarian cancer. Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.08.1168] [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] Open
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5
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Jittla P, Graham D, Zhou C, Halliwell J, O'Reilly S, Aruketty S, Azizi A, Germetaki T, Lowe J, Little M, Punnett G, McMahon P, Benson L, Carter L, Krebs M, Thistlethwaite F, Yorke J, Cook N. 1493P An evaluation of the psychological impact of early phase clinical trials in cancer patients. Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.08.821] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
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Ward J, Little M, Ayres B, Soldin M. Perineal reconstruction supplemented by abdominal advancement following recurrent penile cancer: Two cases. JPRAS Open 2021; 30:47-52. [PMID: 34458541 PMCID: PMC8377526 DOI: 10.1016/j.jpra.2021.07.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2020] [Accepted: 07/11/2021] [Indexed: 11/21/2022] Open
Abstract
Reconstruction after excision of locoregionally recurrent penile cancer can be a surgical challenge. In this short study, we present two cases of perineal reconstruction using bilateral gracilis flaps supplemented by abdominal advancement for salvage of recurrent penile cancer, reviewing relevant literature and outlining our local approach to the perineum.
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Affiliation(s)
- J Ward
- Department of Plastic and Reconstructive Surgery, St George's Hospitals NHS Foundation Trust, Blackshaw Road, London SW17 0QT, United Kingdom
| | - M Little
- Department of Plastic and Reconstructive Surgery, St George's Hospitals NHS Foundation Trust, Blackshaw Road, London SW17 0QT, United Kingdom
| | - B Ayres
- Department of Urology, St George's Hospitals NHS Foundation Trust, Blackshaw Road, London SW17 0QT, United Kingdom
| | - M Soldin
- Department of Plastic and Reconstructive Surgery, St George's Hospitals NHS Foundation Trust, Blackshaw Road, London SW17 0QT, United Kingdom
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Vinnicombe Z, Little M, Johal K. 602 Specialty Training Progression from Core Surgical Training: Is There Evidence from Plastic Surgery of The Importance of Location, Location, Location? Br J Surg 2021. [DOI: 10.1093/bjs/znab134.154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Abstract
Introduction
Obtaining a National Training Number (NTN) in Plastic Surgery is highly competitive (<40 posts per year), with applicant:post ratios between 3.73 to 4.19 in 2017-2019.
Our aim was to compare deaneries for numbers successfully progressing directly from CT2 into a ST3 post in Plastic Surgery.
Method
Data for surgical trainees progressing directly from CT2 to ST3 (2017-2019) in all specialties was obtained from the GMC. The percentage of those directly progressing that obtained a Plastic Surgery NTN and the total number progressing was calculated.
Results
A total of 840 trainees obtained a NTN directly from CT2 between 2017 and 2019, 61 of whom did so in plastic surgery. Of those directly progressing, there was no significant difference between deaneries for the percentage of plastic surgery posts obtained. The highest number of trainees progressed from London deaneries (16 total (26%); 7 South, 6 NC&E, 3 NW) and the lowest number from Yorkshire and Humber (1).
Conclusions
Higher numbers of those undertaking core surgical training in London progress directly from CT2 to ST3 in Plastic Surgery. Low total numbers highlight the competitive nature of obtaining a Plastic Surgery NTN, necessitating many to undertake additional experience prior to obtaining a training number.
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Affiliation(s)
| | - M Little
- Whittington Hospital, London, United Kingdom
| | - K Johal
- Guy's and St. Thomas' Hospitals, London, United Kingdom
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Vinnicombe Z, Little M, Super J. 354 Differential Attainment in Surgical Training. Br J Surg 2021. [DOI: 10.1093/bjs/znab134.131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Abstract
Introduction
Differential attainment (DA), according to the General Medical Council (GMC), is the gap between attainment levels in different groups. Attainment measures should cover aspects that include academic performance and career progression. Two such areas in surgical training are the MRCS examinations and ARCPs, both of which are required for progression in a career in surgery.
Our aim was to investigation whether socio-economic background was a significant factor for progression in surgical training.
Method
Data from the GMC for Core Surgical Trainees (CSTs) taking the MRCS examination between 2016 and 2019 and CST ARCP outcomes between 2017 and 2019 were obtained. Socio-economic background was assessed using the Index of Multiple Deprivation (IMD). ARCP and MRCS outcomes were assessed against IMD.
Results
Trainees from IMD Q1&2 (most deprived) had a significantly higher (p < 0.01) mean number of attempts (1.86) to pass MRCS examinations than trainees from IMD Q4&5 (least deprived) (1.54). IMD Q1&2 were significantly more likely to obtain unsatisfactory outcomes (24.4%) than trainees from IMD Q4&5 (14.2%) (p < 0.05).
Conclusions
There is clear evidence that differential attainment exists within Core Surgical Training. The reasons for this are likely to be complex and more work is needed to further investigate the relationship.
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Affiliation(s)
| | - M Little
- Whittington Hospital, London, United Kingdom
| | - J Super
- Maidstone and Tunbridge Wells NHS Trust, Maidstone, United Kingdom
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Turlejski T, Speirs A, Briggs J, Little M. Abstract No. 44 Factors predicting re-intervention after uterine fibroid embolization: a retrospective case control study. J Vasc Interv Radiol 2021. [DOI: 10.1016/j.jvir.2021.03.461] [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: 11/16/2022] Open
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10
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Vinnicombe Z, Little M. A novel, low-cost digital nerve repair model. Ann R Coll Surg Engl 2021; 103:138-139. [PMID: 33559555 PMCID: PMC9773910 DOI: 10.1308/rcsann.2020.7022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
| | - M Little
- Whittington Hospital, London, UK
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11
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Abstract
The objectives of this retrospective study were to determine the unexpected return-to-theatre rate for orthognathic surgery at James Cook University Hospital and describe the reasons for return. A total of 357 consecutive orthognathic cases under two consultants over a 13-year period were included. Patients who had an unexpected return to theatre were identified and their notes analysed for data including preoperative dentofacial discrepancy, surgical movement, and reason for return. Returns to theatre for the removal of plates and planned procedures such as removal of a distractor or delayed genioplasty, were excluded. Thirteen patients required reoperation (3.6%). The commonest reason for return was malocclusion, and the majority returned within four weeks of the initial procedure. Proportionally more men returned to theatre than women, and revision was more likely to involve the mandible than the maxilla.
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Affiliation(s)
- M Little
- James Cook University Hospital, Marton Road, Middlesbrough, TS3 4BW.
| | - R Langford
- James Cook University Hospital, Marton Road, Middlesbrough, TS3 4BW
| | - G Holt
- James Cook University Hospital, Marton Road, Middlesbrough, TS3 4BW
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Moiseev S, Cohen Tervaert JW, Arimura Y, Bogdanos D, Elena C, Damoiseaux J, Ferrante M, Flores-Suárez LF, Fritzler M, Invernizzi P, Jayne D, Jennette JC, Little M, Mcadoo SP, Novikov P, Pusey CD, Radice A, Salama AD, Savige J, Segelmark M, Shoenfeld Y, Sinico RA, De Sousa MJR, Specks U, Terrier B, Tzioufas A, Vermeire S, Zhao MH, Bossuyt X. AB0511 INTERNATIONAL CONSENSUS ON ANCA TESTING AND INTERPRETATION BEYOND SYSTEMIC VASCULITIS. Ann Rheum Dis 2020. [DOI: 10.1136/annrheumdis-2020-eular.219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background:ANCA can be detected in sera from patients with autoimmune, inflammatory, infectious or neoplastic diseases.Objectives:To issue a Consensus Statement on ANCA testing and interpretation beyond systemic vasculitis.Methods:This Statement was prepared by a group of experts, based on the results of a comprehensive search in PubMed.Results:In certain settings beyond systemic vasculitis, ANCA may have diagnostic, clinical, and/or prognostic relevance. Testing for PR3- and MPO-ANCA by specific immunoassays should be performed in any patient with clinical features suggesting ANCA-associated vasculitis and in patients with anti-GBM disease and idiopathic interstitial pneumonia. Routine ANCA testing is not recommended in patients with connective tissue diseases (CTD), autoimmune liver diseases, inflammatory bowel diseases, infections, and/or malignancy unless there is evidence for small vessel vasculitis. ANCA testing by specific immunoassays may be useful in patients with rheumatoid arthritis, systemic sclerosis or primary Sjögren’s syndrome who have kidney disease with a nephritic sediment or in patients with systemic lupus erythematosus if a kidney biopsy shows prominent necrotizing and crescentic lesions or proliferative lupus nephritis. ANCA testing may be justified in patients with suspected autoimmune hepatitis type 1, who do not have conventional disease-related autoantibodies, or in patients with inflammatory bowel diseases in case of diagnostic uncertainty to discriminate ulcerative colitis from Crohn’s disease. In these cases, ANCA should be tested by indirect immunofluorescence since target antigens are not well characterized. ANCA against bactericidal/permeability-increasing protein may be a biomarker for deteriorating lung function and a poor prognosis in patients with cystic fibrosis.Conclusion:ANCA testing is clinically relevant not only in patients with manifestations suggesting systemic vasculitis, but also in patients with certain other disorders, particularly in patients with anti-GBM disease or idiopathic interstitial pneumonia.Disclosure of Interests:Sergey Moiseev Grant/research support from: This work was supported by the 5-100 Project, Sechenov University, Moscow, Jan Willem Cohen Tervaert: None declared, Yoshihiro Arimura: None declared, Dimitrios Bogdanos: None declared, Csernok Elena: None declared, Jan Damoiseaux: None declared, Marc Ferrante: None declared, Luis Felipe Flores-Suárez: None declared, Marvin Fritzler: None declared, Pietro Invernizzi: None declared, David Jayne Grant/research support from: ChemoCentryx, GSK, Roche/Genentech, Sanofi-Genzyme, Consultant of: Astra-Zeneca, ChemoCentryx, GSK, InflaRx, Takeda, Insmed, Chugai, Boehringer-Ingelheim, J. Charles Jennette: None declared, Mark Little: None declared, Stephen P. McAdoo: None declared, Pavel Novikov Grant/research support from: This work was supported by the 5-100 Project, Sechenov University, Moscow, Charles D. Pusey: None declared, Antonella Radice: None declared, Alan D. Salama: None declared, Judith Savige: None declared, Mårten Segelmark: None declared, Yehuda Shoenfeld: None declared, Renato Alberto Sinico: None declared, Maria Jose Rego de Sousa: None declared, Ulrich Specks: None declared, Benjamin Terrier: None declared, Athanasios Tzioufas: None declared, Severine Vermeire: None declared, Ming-hui Zhao: None declared, Xavier Bossuyt: None declared
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Wang H, Lane J, Jones S, Dashti H, Ollila H, Wood A, van Hees V, Brumpton B, Winsvold B, Kantojärvi K, Palviainen T, Cade B, Sofer T, Song Y, Patel K, Anderson S, Bechtold D, Bowden J, Emsley R, Kyle S, Little M, Loudon A, Scheer F, Purcell S, Richmond R, Spiegelhalder K, Tyrrell J, Zhu X, Hublin C, Kaprio J, Kristiansson K, Sulkava S, Paunio T, Hveem K, Nielsen J, Willer C, Zwart JA, Strand L, Frayling T, Ray D, Lawlor D, Rutter M, Weedon M, Redline S, Saxena R. Genome-wide association analysis of self-reported daytime sleepiness identifies 42 loci that suggest biological subtypes. Sleep Med 2019. [DOI: 10.1016/j.sleep.2019.11.1140] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Horwitz S, Scarisbrick J, Prince H, Whittaker S, Duvic M, Kim Y, Quaglino P, Zinzani P, Bechter O, Eradat H, Pinter-Brown L, Akilov O, Geskin L, Sanches J, Ortiz-Romero P, Lisano J, Brown L, Palanca-Wessels M, Gautam A, Bunn V, Little M, Dummer R. FINAL DATA FROM THE PHASE 3 ALCANZA STUDY: BRENTUXIMAB VEDOTIN (BV) VS PHYSICIAN'S CHOICE (PC) IN PATIENTS (PTS) WITH CD30-POSITIVE (CD30+) CUTANEOUS T-CELL LYMPHOMA (CTCL). Hematol Oncol 2019. [DOI: 10.1002/hon.96_2630] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- S.M. Horwitz
- Department of Medicine; Memorial Sloan Kettering Cancer Center; New York United States
| | - J. Scarisbrick
- Department of Dermatology; University Hospital Birmingham; Birmingham United Kingdom
| | - H.M. Prince
- Division of Cancer Medicine; Peter MacCallum Cancer Centre and Sir Peter MacCallum Department of Oncology, The University of Melbourne; Melbourne Australia
| | - S. Whittaker
- St John's Institute of Dermatology; Guys and St Thomas NHS Foundation Trust; London United Kingdom
| | - M. Duvic
- Department of Dermatology; Division of Internal Medicine, The University of Texas MD Anderson Cancer Center; Houston United States
| | - Y.H. Kim
- Department of Dermatology; Stanford University School of Medicine and Stanford Cancer Institute; Stanford United States
| | - P. Quaglino
- Department of Medical Sciences; Dermatologic Clinic, University of Turin; Turin Italy
| | - P.L. Zinzani
- Institute of Haematology; University of Bologna; Bologna Italy
| | - O. Bechter
- Department of General Medical Oncology; University Hospitals Leuven; Leuven KU Belgium
| | - H. Eradat
- Division of Hematology-Oncology; David Geffen School of Medicine at UCLA; Los Angeles United States
| | - L. Pinter-Brown
- Division of Hematology Oncology; Chao Family Comprehensive Cancer Center, University of California; Irvine United States
| | - O. Akilov
- Department of Dermatology; University of Pittsburgh; Pittsburgh United States
| | - L. Geskin
- Department of Dermatology; Columbia University; New York United States
| | - J. Sanches
- Department of Dermatology; University of São Paulo Medical School; São Paulo Brazil
| | - P. Ortiz-Romero
- Department of Dermatology; University Hospital 12 de Octubre, Institute i+12 Medical School, University Complutense; Madrid Spain
| | - J. Lisano
- Medical Affairs; Seattle Genetics, Inc.; Bothell United States
| | - L. Brown
- Biostatistics; Seattle Genetics, Inc.; Bothell United States
| | | | - A. Gautam
- Global Medical Affairs; Millennium Pharmaceuticals, Inc., a wholly owned subsidiary of Takeda Pharmaceutical Company Limited; Cambridge United States
| | - V. Bunn
- Oncology Statistics; Millennium Pharmaceuticals, Inc., a wholly owned subsidiary of Takeda Pharmaceutical Company Limited; Cambridge United States
| | - M. Little
- Oncology Clinical Research; Millennium Pharmaceuticals Inc., a wholly owned subsidiary of Takeda Pharmaceutical Company Limited; Cambridge United States
| | - R. Dummer
- Department of Dermatology; University Hospital Zürich; Zürich Switzerland
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Bagot M, Illidge T, Waser N, He M, Li T, Sambrook R, Zomas A, Bent-Ennakhil N, Little M, Ortiz P, Pimpinelli N, Dalal M, Assaf C. SURVIVAL AMONG A PATIENT COHORT OF RELAPSED/REFRACTORY MYCOSIS FUNGOIDES IN FRANCE, GERMANY, ITALY, SPAIN AND THE UNITED KINGDOM. Hematol Oncol 2019. [DOI: 10.1002/hon.164_2631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- M. Bagot
- Polyclinique de Dermatologie; Hopital Saint-Louis; Paris France
| | - T. Illidge
- The Christie Trust; University of Manchester; Manchester United Kingdom
| | - N.A. Waser
- Real World Evidence Strategy and Analytics (RWESA); ICON plc; Vancouver Canada
| | - M. He
- Real World Evidence Strategy and Analytics (RWESA); ICON plc; Vancouver Canada
| | - T. Li
- Real World Evidence Strategy and Analytics (RWESA); ICON plc; Vancouver Canada
| | - R. Sambrook
- Real World Evidence Strategy and Analytics (RWESA); ICON plc; Vancouver Canada
| | - A. Zomas
- EUCAN Medical Affairs; Takeda Pharmaceutical International AG; Zurich Switzerland
| | - N. Bent-Ennakhil
- EUCAN Medical Affairs; Takeda Pharmaceutical International AG; Zurich Switzerland
| | - M. Little
- Millenium Pharmaceuticals Inc; A wholly owned subsidiary of Takeda Pharmaceutical Company Ltd; Cambridge United States
| | - P. Ortiz
- Facultad de Medicina; Hospital Universitario 12 de Octubre; Madrid Spain
| | | | - M. Dalal
- Millenium Pharmaceuticals Inc; A wholly owned subsidiary of Takeda Pharmaceutical Company Ltd; Cambridge United States
| | - C. Assaf
- Dermatology and Venerology; HELIOS Klinikum Krefeld; Krefeld Germany
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Illidge T, Bagot M, Waser N, He M, Li T, Sambrook R, Athanasios Z, Gavini F, Little M, Ortiz P, Pimpinelli N, Dalal M, Assaf C. PS1256 CONTEMPORARY TREATMENT PATTERNS AND RESPONSE IN RELAPSE/REFRACTORY CUTANEOUS T-CELL LYMPHOMA (CTCL) IN CLINICAL PRACTICE IN FRANCE, GERMANY ITALY, SPAIN AND THE UNITED KINGDOM. Hemasphere 2019. [DOI: 10.1097/01.hs9.0000563304.35039.6b] [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: 11/25/2022] Open
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17
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Blackham RE, Little M, Baker S, Augustson BM, MacQuillan GC. Unsuspected Colchicine Overdose in a Female Patient Presenting as an Acute Abdomen. Anaesth Intensive Care 2019; 35:437-9. [PMID: 17591144 DOI: 10.1177/0310057x0703500322] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
We report a case of multi-system organ failure as a result of unsuspected colchicine overdose in a patient with known gout and bulimia nervosa. The patient had initially presented with mild gastrointestinal symptoms with rapid progression to fulminant hepatic failure and multiple organ dysfunction before the causative agent was identified. The patient survived with aggressive intensive care support and ongoing medical treatment. Physicians should be aware of the risk assessment based on the ingested dose, that the clinical presentation of colchicine in toxic doses may be nonspecific with high potential for severe morbidity or death and that survival may occur despite multiple organ failure requiring aggressive support.
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Affiliation(s)
- R E Blackham
- Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia
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18
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Little M, Pereira P, Mulcahy R, Cullen P, Carrette T, Seymour J. Severe Cardiac Failure Associated with Presumed Jellyfish Sting. Irukandji Syndrome? Anaesth Intensive Care 2019; 31:642-7. [PMID: 14719425 DOI: 10.1177/0310057x0303100605] [Citation(s) in RCA: 31] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
We present a retrospective review of twelve cases of Irukandji syndrome associated with pulmonary oedema. This is a life-threatening envenoming due to a presumed jellyfish sting throughout Northern Australia, although only one case occurred outside North Queensland. Patients presented with significant and ongoing pain, tachycardia and hypertension. Half the patients became hypotensive requiring inotropic support. Cardiac echocardiography revealed significant cardiac dysfunction. Six patients required ventilatory support. There was no death reported due to pulmonary oedema, but one patient died of intracerebral haemorrhage. We believe patients may develop a toxin associated cardiomyopathy, and jellyfish other than Carukia barnesi may be responsible. As there is confusion with nomenclature, Carukia barnesi should be known as the Barnes jellyfish, and the diagnosis of cardiotoxic marine envenoming is suggested for any patient who has been stung by a jellyfish, develops no or minimal skin markings, and develops cardiogenic pulmonary oedema associated with Irukandji syndrome.
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Affiliation(s)
- M Little
- Department of Emergency Medicine, Sir Charles Gairdner Hospital, Perth, Western Australia
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19
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Illidge T, Bagot M, Waser N, He M, Li T, Sambrook R, Zomas A, Trinchese F, Gavini F, Little M, Ortiz P, Pimpinelli N, Dalal M, Assaf C. Contemporary treatment patterns and response in relapse/refractory cutaneous T-cell lymphoma (CTCL) in clinical practice in France, Germany Italy, Spain and the United Kingdom. Eur J Cancer 2019. [DOI: 10.1016/s0959-8049(19)30608-2] [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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20
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Elwood N, Abberton K, Tian P, Elefanty A, Stanley E, Youngson J, Diviney M, Holdsworth R, Tiedemann K, Little M. Expanding cellular therapies through provision of A cord blood—derived ipsc haplobank. Cytotherapy 2018. [DOI: 10.1016/j.jcyt.2018.03.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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21
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Little M, Wormald J, Singh M, Ayres B, Soldin M. The Use of an Abdominoplasty Advancement Flap to Aid Closure of Large Pelvico-Perineal Defects. Int J Surg 2017. [DOI: 10.1016/j.ijsu.2017.08.346] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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22
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Shiao J, Winter H, Greenhalgh T, Virdee P, Little M, Boardman P, Muirhead R, Sharma R. Association of Neutrophil-to-Lymphocyte Ratio With Survival Outcomes in Metastatic Colorectal Cancer Patients Treated With Selective Internal Radiation Therapy. Int J Radiat Oncol Biol Phys 2017. [DOI: 10.1016/j.ijrobp.2017.06.1051] [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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23
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Little M, Brown K, Brown A, Meenan M. Dancers' Risk for the Female Athlete Triad, Disordered Eating, and Changes in Triad Knowledge Following Educational Intervention. J Acad Nutr Diet 2017. [DOI: 10.1016/j.jand.2017.06.055] [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: 11/25/2022]
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24
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Maher B, Ryan E, Little M, Boardman P, Stedman B. The management of colorectal liver metastases. Clin Radiol 2017; 72:617-625. [DOI: 10.1016/j.crad.2017.05.016] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2017] [Accepted: 05/30/2017] [Indexed: 02/07/2023]
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25
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Little M, Renny N. Panton-Valentine leukocidin-producing Staphylococcus aureus infection of the neck that mimicked disseminated malignancy. Br J Oral Maxillofac Surg 2017; 55:862-863. [PMID: 28662921 DOI: 10.1016/j.bjoms.2017.05.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2017] [Accepted: 05/31/2017] [Indexed: 10/19/2022]
Affiliation(s)
- M Little
- Oral and Maxillofacial Surgery, James Cook University Hospital, Marton Road, Middlesbrough, TS3 4BW.
| | - N Renny
- Oral and Maxillofacial Surgery, James Cook University Hospital, Marton Road, Middlesbrough, TS3 4BW.
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26
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Prince H, Dummer R, Whittaker S, Horwitz S, Duvic M, Scarisbrick J, Quaglino P, Zinzani P, Wolter P, Sanches J, Ortiz-Romero P, Akilov O, Geskin L, Huen A, Wang Y, Palanca-Wessels M, Richhariya A, Feliciano J, Zhu Y, Lin H, Liu Y, Little M, Zagadailov E, Dalal M, Kim Y. PATIENT-REPORTED OUTCOMES AND QUALITY OF LIFE IN PATIENTS WITH CUTANEOUS T CELL LYMPHOMA: RESULTS FROM THE PHASE 3 ALCANZA STUDY. Hematol Oncol 2017. [DOI: 10.1002/hon.2438_110] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- H.M. Prince
- Division of Cancer Medicine, Peter MacCallum Cancer Centre and Sir Peter MacCallum Department of Oncology; The University of Melbourne; Melbourne Australia
| | - R. Dummer
- Department of Dermatology; University Hospital Zürich; Zürich Switzerland
| | - S. Whittaker
- St John's Institute of Dermatology; Guys and St Thomas NHS Foundation Trust; London UK
| | - S. Horwitz
- Department of Medicine; Memorial Sloan Kettering Cancer Center; New York USA
| | - M. Duvic
- Department of Dermatology; The University of Texas MD Anderson Cancer Center; Houston USA
| | - J. Scarisbrick
- Department of Dermatology; University Hospital Birmingham; Birmingham UK
| | - P. Quaglino
- Department of Medical Sciences, Dermatologic Clinic; University of Turin; Turin Italy
| | - P.L. Zinzani
- Institute of Haematology; University of Bologna; Bologna Italy
| | - P. Wolter
- Department of General Medical Oncology; University Hospitals Leuven; Leuven Belgium
| | - J. Sanches
- Department of Dermatology; University of São Paulo Medical School; São Paulo Brazil
| | - P. Ortiz-Romero
- Department of Dermatology; University Hospital 12 de Octubre, Institute i+12 Medical School, University Complutense; Madrid Spain
| | - O. Akilov
- Department of Dermatology; University of Pittsburgh; Pittsburgh USA
| | - L. Geskin
- Department of Dermatology; University of Pittsburgh; Pittsburgh USA
| | - A. Huen
- Department of Dermatology; The University of Texas MD Anderson Cancer Center; Houston USA
| | - Y. Wang
- Biometrics; Seattle Genetics, Inc.; Bothell USA
| | | | - A. Richhariya
- Market Access & Health Economics; Seattle Genetics, Inc.; Bothell USA
| | - J. Feliciano
- Value and Access; Seattle Genetics, Inc.; Bothell USA
| | - Y. Zhu
- Global Statistics; Millennium Pharmaceuticals Inc., a wholly owned subsidiary of Takeda Pharmaceutical Company Limited; Cambridge USA
| | - H. Lin
- Biostatistics; Millennium Pharmaceuticals Inc., a wholly owned subsidiary of Takeda Pharmaceutical Company Limited; Cambridge USA
| | - Y. Liu
- Biostatistics; Millennium Pharmaceuticals Inc., a wholly owned subsidiary of Takeda Pharmaceutical Company Limited; Cambridge USA
| | - M. Little
- Oncology Clinical Research; Millennium Pharmaceuticals Inc., a wholly owned subsidiary of Takeda Pharmaceutical Company Limited; Cambridge USA
| | - E. Zagadailov
- Global Outcomes Research; Millennium Pharmaceuticals Inc., a wholly owned subsidiary of Takeda Pharmaceutical Company Limited; Cambridge USA
| | - M. Dalal
- Global Outcomes Research; Millennium Pharmaceuticals Inc., a wholly owned subsidiary of Takeda Pharmaceutical Company Limited; Cambridge USA
| | - Y.H. Kim
- Department of Dermatology; Stanford University School of Medicine and Stanford Cancer Institute; Stanford USA
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27
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Horwitz S, Whittaker S, Duvic M, Dummer R, Kim Y, Scarisbrick J, Quaglino P, Zinzani P, Wolter P, Eradat H, Sanches J, Ortiz-Romero P, Akilov O, Trotman J, Taylor K, Dalle S, Weichenthal M, Walewski J, Fisher D, Wang Y, Palanca-Wessels M, Lin H, Liu Y, Little M, Prince H. RESPONSE BY STAGE IN CD30-POSITIVE (CD30+) CUTANEOUS T CELL LYMPHOMA (CTCL) PATIENTS RECEIVING BRENTUXIMAB VEDOTIN (BV) VS PHYSICIAN'S CHOICE (PC) IN THE PHASE 3 ALCANZA STUDY. Hematol Oncol 2017. [DOI: 10.1002/hon.2438_109] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Affiliation(s)
- S. Horwitz
- Department of Medicine; Memorial Sloan Kettering Cancer Center; New York USA
| | - S. Whittaker
- St John's Institute of Dermatology, Guys and St Thomas NHS Foundation Trust; London UK
| | - M. Duvic
- Department of Dermatology; The University of Texas MD Anderson Cancer Center; Houston USA
| | - R. Dummer
- Department of Dermatology; University Hospital Zürich; Zürich Switzerland
| | - Y.H. Kim
- Department of Dermatology; Stanford University School of Medicine and Stanford Cancer Institute; Stanford USA
| | - J. Scarisbrick
- Department of Dermatology; University Hospital Birmingham; Birmingham UK
| | - P. Quaglino
- Department of Medical Sciences, Dermatologic Clinic; University of Turin; Turin Italy
| | - P. Zinzani
- Institute of Haematology; University of Bologna; Bologna Italy
| | - P. Wolter
- Department of General Medical Oncology; University Hospitals Leuven; Leuven Belgium
| | - H. Eradat
- Division of Hematology-Oncology; David Geffen School of Medicine at UCLA; Los Angeles USA
| | - J. Sanches
- Department of Dermatology; University of São Paulo Medical School; São Paulo Brazil
| | - P. Ortiz-Romero
- Department of Dermatology; University Hospital 12 de Octubre, Institute i+12 Medical School, University Complutense; Madrid Spain
| | - O. Akilov
- Department of Dermatology; University of Pittsburgh; Pittsburgh USA
| | - J. Trotman
- Haematology Department, Concord Repatriation General Hospital; University of Sydney; Sydney Australia
| | - K. Taylor
- Department of Haematology, ICON Cancer Care; South Brisbane Australia
| | - S. Dalle
- Department of Dermatology, Hospices Civils de Lyon; Claude Bernard Lyon 1 University; Lyon France
| | - M. Weichenthal
- Department of Dermatology; University Hospital of Schleswig-Holstein; Kiel Germany
| | - J. Walewski
- Department of Lymphoid Malignancies; Maria Sklodowska-Curie Institute and Oncology Centre; Warsaw Poland
| | - D. Fisher
- Department of Medical Oncology; Dana-Farber Cancer Institute; Boston USA
| | - Y. Wang
- Biometrics; Seattle Genetics, Inc.; Bothell USA
| | | | - H. Lin
- Biostatistics; Millennium Pharmaceuticals, Inc., a wholly owned subsidiary of Takeda Pharmaceutical Company Limited; Cambridge USA
| | - Y. Liu
- Biostatistics; Millennium Pharmaceuticals, Inc., a wholly owned subsidiary of Takeda Pharmaceutical Company Limited; Cambridge USA
| | - M. Little
- Oncology Clinical Research; Millennium Pharmaceuticals, Inc., a wholly owned subsidiary of Takeda Pharmaceutical Company Limited; Cambridge USA
| | - H.M. Prince
- Division of Cancer Medicine, Peter MacCallum Cancer Centre and Sir Peter MacCallum Department of Oncology; The University of Melbourne; Melbourne Australia
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28
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Kim Y, Prince H, Whittaker S, Horwitz S, Duvic M, Scarisbrick J, Quaglino P, Zinzani P, Wolter P, Bechter O, Wang Y, Palanca-Wessels M, Wood K, Li M, Liu Y, Lin H, Little M, Danaee H, Trepicchio W, Dummer R. BRENTUXIMAB VEDOTIN VS PHYSICIAN'S CHOICE IN CTCL PATIENTS FROM THE PHASE 3 ALCANZA STUDY: ANALYSIS OF OUTCOMES BY CD30 EXPRESSION. Hematol Oncol 2017. [DOI: 10.1002/hon.2437_65] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Y.H. Kim
- Department of Dermatology; Stanford University School of Medicine and Stanford Cancer Institute; Stanford USA
| | - H.M. Prince
- Division of Cancer Medicine, Peter MacCallum Cancer Centre and Sir Peter MacCallum Department of Oncology; The University of Melbourne; Melbourne Australia
| | - S. Whittaker
- St John's Institute of Dermatology; Guys and St Thomas NHS Foundation Trust; London UK
| | - S.M. Horwitz
- Department of Medicine; Memorial Sloan Kettering Cancer Center; New York USA
| | - M. Duvic
- Department of Dermatology; The University of Texas MD Anderson Cancer Center; Houston USA
| | - J. Scarisbrick
- Department of Dermatology; University Hospital Birmingham; Birmingham UK
| | - P. Quaglino
- Department of Medical Sciences, Dermatologic Clinic; University of Turin; Turin Italy
| | - P.L. Zinzani
- Institute of Haematology; University of Bologna; Bologna Italy
| | - P. Wolter
- Department of General Medical Oncology; University Hospitals Leuven; Leuven Belgium
| | - O. Bechter
- Department of General Medical Oncology; University Hospitals Leuven; Leuven Belgium
| | - Y. Wang
- Biometrics; Seattle Genetics, Inc.; Bothwell USA
| | | | - K.W. Wood
- Translational Medicine; Seattle Genetics, Inc.; Bothell USA
| | - M. Li
- Translational Medicine; Seattle Genetics, Inc.; Bothell USA
| | - Y. Liu
- Biostatistics; Millennium Pharmaceuticals Inc., a wholly owned subsidiary of Takeda Pharmaceutical Company Limited; Cambridge USA
| | - H. Lin
- Biostatistics; Millennium Pharmaceuticals Inc., a wholly owned subsidiary of Takeda Pharmaceutical Company Limited; Cambridge USA
| | - M. Little
- Oncology Clinical Research; Millennium Pharmaceuticals Inc., a wholly owned subsidiary of Takeda Pharmaceutical Company Limited; Cambridge USA
| | - H. Danaee
- Translational and Biomarker Research; Millennium Pharmaceuticals Inc., a wholly owned subsidiary of Takeda Pharmaceutical Company Limited; Cambridge USA
| | - W. Trepicchio
- Translational and Biomarker Research; Millennium Pharmaceuticals Inc., a wholly owned subsidiary of Takeda Pharmaceutical Company Limited; Cambridge USA
| | - R. Dummer
- Department of Dermatology; University Hospital Zürich; Zürich Switzerland
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29
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Kim Y, Whittaker S, Horwitz S, Duvic M, Dummer R, Scarisbrick J, Quaglino P, Zinzani P, Wolter P, Wang Y, Palanca-Wessels M, Zagadailov E, Trepicchio W, Lin H, Little M, Prince H. 262 Brentuximab vedotin demonstrates superior activity to standard therapy in CD30-expressing (CD30+) cutaneous T-cell lymphoma (CTCL) in the randomized phase 3 ALCANZA study. J Invest Dermatol 2017. [DOI: 10.1016/j.jid.2017.02.278] [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: 10/19/2022]
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30
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Khan M, Little M, Campbell G, Laasch HU, Cooksley T. Emphysematous cholecystitis in a patient with metastatic pancreatic neuroendocrine tumour. QJM 2017; 110:235-236. [PMID: 28062742 DOI: 10.1093/qjmed/hcx012] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/16/2016] [Indexed: 11/14/2022] Open
Affiliation(s)
- M Khan
- From the Department of Acute Oncology
| | - M Little
- From the Department of Acute Oncology
| | | | - H-U Laasch
- Department of Radiology, The Christie NHS Foundation Trust, Manchester M20 4BX, UK
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31
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Assas MB, Levison SE, Little M, England H, Battrick L, Bagnall J, McLaughlin JT, Paszek P, Else KJ, Pennock JL. Anti-inflammatory effects of infliximab in mice are independent of tumour necrosis factor α neutralization. Clin Exp Immunol 2016; 187:225-233. [PMID: 27669117 PMCID: PMC5217947 DOI: 10.1111/cei.12872] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2016] [Revised: 09/21/2016] [Accepted: 09/23/2016] [Indexed: 12/18/2022] Open
Abstract
Infliximab (IFX) has been used repeatedly in mouse preclinical models with associated claims that anti‐inflammatory effects are due to inhibition of mouse tumour necrosis factor (TNF)‐α. However, the mechanism of action in mice remains unclear. In this study, the binding specificity of IFX for mouse TNF‐α was investigated ex vivo using enzyme‐linked immunosorbent assay (ELISA), flow cytometry and Western blot. Infliximab (IFX) did not bind directly to soluble or membrane‐bound mouse TNF‐α nor did it have any effect on TNF‐α‐induced nuclear factor kappa B (NF‐κB) stimulation in mouse fibroblasts. The efficacy of IFX treatment was then investigated in vivo using a TNF‐α‐independent Trichuris muris‐induced infection model of chronic colitis. Infection provoked severe transmural colonic inflammation by day 35 post‐infection. Colonic pathology, macrophage phenotype and cell death were determined. As predicted from the in‐vitro data, in‐vivo treatment of T. muris‐infected mice with IFX had no effect on clinical outcome, nor did it affect macrophage cell phenotype or number. IFX enhanced apoptosis of colonic immune cells significantly, likely to be driven by a direct effect of the humanized antibody itself. We have demonstrated that although IFX does not bind directly to TNF‐α, observed anti‐inflammatory effects in other mouse models may be through host cell apoptosis. We suggest that more careful consideration of xenogeneic responses should be made when utilizing IFX in preclinical models.
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Affiliation(s)
- M B Assas
- Faculty of Applied Medical Sciences, King AbdulAziz University, Jeddah, Saudi Arabia.,Faculty of Biology Medicine and Health, University of Manchester, Manchester
| | | | - M Little
- School of Biological Sciences, Faculty of Medicine Biology and Health, University of Manchester, Manchester, UK
| | - H England
- School of Biological Sciences, Faculty of Medicine Biology and Health, University of Manchester, Manchester, UK
| | - L Battrick
- School of Biological Sciences, Faculty of Medicine Biology and Health, University of Manchester, Manchester, UK
| | - J Bagnall
- School of Biological Sciences, Faculty of Medicine Biology and Health, University of Manchester, Manchester, UK
| | - J T McLaughlin
- School of Biological Sciences, Faculty of Medicine Biology and Health, University of Manchester, Manchester, UK
| | - P Paszek
- School of Biological Sciences, Faculty of Medicine Biology and Health, University of Manchester, Manchester, UK
| | - K J Else
- School of Biological Sciences, Faculty of Medicine Biology and Health, University of Manchester, Manchester, UK
| | - J L Pennock
- School of Biological Sciences, Faculty of Medicine Biology and Health, University of Manchester, Manchester, UK
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Abstract
Gastric perforation into the thoracic cavity through a diaphragmatic hernia is rare but, when it occurs, patients present in severe distress, with mortality approaching 50%. We present a unique case in which a fibrotic reaction between the stomach and the parietal pleura led to a subacute presentation upon perforation. The extra time that this afforded led to more effective multidisciplinary team management and ultimately an excellent outcome for the patient.
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Affiliation(s)
| | - M Little
- St George's, University of London
| | - A Wan
- Department of Upper GI and Laparoscopic Surgery, St George's Hospital , UK
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Knowles B, Silveira CB, Bailey BA, Barott K, Cantu VA, Cobián-Güemes AG, Coutinho FH, Dinsdale EA, Felts B, Furby KA, George EE, Green KT, Gregoracci GB, Haas AF, Haggerty JM, Hester ER, Hisakawa N, Kelly LW, Lim YW, Little M, Luque A, McDole-Somera T, McNair K, de Oliveira LS, Quistad SD, Robinett NL, Sala E, Salamon P, Sanchez SE, Sandin S, Silva GGZ, Smith J, Sullivan C, Thompson C, Vermeij MJA, Youle M, Young C, Zgliczynski B, Brainard R, Edwards RA, Nulton J, Thompson F, Rohwer F. Erratum: Corrigendum: Lytic to temperate switching of viral communities. Nature 2016; 539:123. [DOI: 10.1038/nature19335] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [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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34
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Chhabra R, Elbadri A, Sheehan E, Little M. Haemodialysis vascular access in a tertiary renal centre. Future Hosp J 2016. [DOI: 10.7861/futurehosp.3-2-s21] [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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35
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Yates M, Watts R, Bajema I, Cid M, Crestani B, Hauser T, Hellmich B, Holle J, Laudien M, Little M, Luqmani R, Mahr A, Merkel P, Mills J, Mooney J, Segelmark M, Tesar V, Westman K, Vaglio A, Yalçındağ N, Jayne D, Mukhtyar C. OP0053 Eular/ERA-EDTA Recommendations for The Management of Anca-Associated Vasculitis. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.1168] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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36
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Chhabra R, Elbadri A, Sheehan E, Little M. Haemodialysis vascular access in a tertiary renal centre. Future Hosp J 2016; 3:s21. [PMID: 31098250 PMCID: PMC6465917 DOI: 10.7861/futurehosp.3-2s-s21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Affiliation(s)
- R Chhabra
- The Adelaide and Meath Hospital (AMNCH), Dublin, Ireland
| | - A Elbadri
- The Adelaide and Meath Hospital (AMNCH), Dublin, Ireland
| | - E Sheehan
- The Adelaide and Meath Hospital (AMNCH), Dublin, Ireland
| | - M Little
- The Adelaide and Meath Hospital (AMNCH), Dublin, Ireland
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Bartram A, Nugent M, Burns A, Endersby S, Kennedy M, Little M. Pushing the envelope: zygomatico-maxillary reconstruction with a multi component composite fibular flap using the trumatch system. Br J Oral Maxillofac Surg 2015. [DOI: 10.1016/j.bjoms.2015.08.072] [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: 11/16/2022]
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38
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Nugent M, Burns A, Endersby S, Little M. Some technical suggestions for MSAP flap harvest. Br J Oral Maxillofac Surg 2015. [DOI: 10.1016/j.bjoms.2015.08.082] [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: 11/29/2022]
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39
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Carter S, Entwistle V, Little M. Relational conceptions of paternalism: a way to rebut nanny-state accusations and evaluate public health interventions. Public Health 2015; 129:1021-9. [DOI: 10.1016/j.puhe.2015.03.007] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2014] [Revised: 01/15/2015] [Accepted: 03/12/2015] [Indexed: 01/03/2023]
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Hibbs SP, McKechnie S, Little M, Desborough M. Retrospective observational study of interventional radiology and critical care coagulopathy. Crit Care 2014. [PMCID: PMC4068327 DOI: 10.1186/cc13284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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41
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Basu N, McClean A, Luqmani R, Harper L, Flossmann O, Jayne D, Little M, Amft E, Dhaun N, McLaren J, Kumar V, Erwig L, Jones G, Reid D, Macfarlane G. OP0124 Contextualising quality of life in ANCA associated vasculitis (AAV). Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2012-eular.1807] [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: 11/03/2022]
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Abstract
One of the rare side effects of chronic usage of non-steroidal anti-inflammatory drugs is colopathy, which is characterised by colonic inflammation, ulceration and formation of diaphragms in late stages. We treated a case of colonic diaphragm disease with similar findings in our unit recently. We present the case herewith, followed by a discussion of the management of this interesting rare but benign condition.
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Affiliation(s)
- P C Munipalle
- Department of General Surgery, Friarage Hospital, Northallerton, UK.
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Abstract
A previously fit man was investigated for right-sided abdominal pain and an appendicular foreign body (FB) caused by ingested lead shot was found. He had associated urinary tract infection causing his symptoms and hence was treated conservatively. We present this rare case, followed by discussion of the causes, investigations, clinical significance and management of appendicular FBs.
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Affiliation(s)
- P C Munipalle
- Department of General Surgery, Friarage Hospital, Northallerton, UK.
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Salama A, Gabrel M, Koteci A, Harper L, Jayne D, Nitsch D, Daniel R, Naylor E, Little M. Use of an empirically derived cyclophosphamide dosing nomogram for treatment of vasculitis. Presse Med 2013. [DOI: 10.1016/j.lpm.2013.02.299] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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45
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Basu N, Mcclean A, Harper L, Little M, Luqmani R, Flossmann O, Jayne D, Dhaun N, Kumar V, Mclaren J, Amft E, Erwig L, Macfarlane G, Reid D, Jones G. Markers for work disability in ANCA-associated vasculitis. Presse Med 2013. [DOI: 10.1016/j.lpm.2013.02.223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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46
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Jukes P, D’acquisto F, Pepper R, Ghani Y, Perretti M, Salama A, Little M. Investigating Annexin-A1 in ANCA vasculitis and glomerulonephritis. Presse Med 2013. [DOI: 10.1016/j.lpm.2013.02.090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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47
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Zhukovsky E, Ravic M, Rothe A, Topp M, Younes A, Knackmuss S, Reusch U, Rajkovic E, Hucke C, Little M. Recruit-Tandab AFM13 - Overcoming Limitations of Monoclonal Antibodies in Hodgkin Lymphoma. Ann Oncol 2012. [DOI: 10.1016/s0923-7534(20)33627-9] [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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48
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Bowcutt R, Bell LV, Little M, Wilson J, Booth C, Murray PJ, Else KJ, Cruickshank SM. Arginase-1-expressing macrophages are dispensable for resistance to infection with the gastrointestinal helminth Trichuris muris. Parasite Immunol 2011; 33:411-20. [PMID: 21585399 PMCID: PMC3644868 DOI: 10.1111/j.1365-3024.2011.01300.x] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
Alternatively activated macrophages (AAMs) have key roles in the immune response to a variety of gastrointestinal helminths such as Heligmosomoides bakeri and Nippostrongylus brasiliensis. In addition, AAMs have been implicated in the resolution of infection-induced pathology in Schistosoma mansoni infection. AAMs exert their activity in part via the enzyme arginase-1 (Arg1), which hydrolyses l-arginine into urea and ornithine, and can supply precursor substrate for proline and polyamine production. Trichuris muris is a worm that resides in the large intestine with resistance being characterized by a Th2 T-cell response, which drives alternatively activated macrophage production in the local environment of the infection. To investigate the role of AAMs in T. muris infection, we used independent genetic and pharmacologic models of arginase deficiency. In acute infection and Th2-dominated immunity, arginase-deficient models expelled worms normally. Macrophage-Arg1-deficient mice showed cytokine and antibody levels comparable to wild-type animals in acute and chronic infection. We also found no role for AAMs and Arg1 in infection-induced pathology in the response to T. muris in either chronic (Th1 dominated) or acute (Th2 dominated) infections. Our data demonstrate that, unlike other gastrointestinal helminths, Arg1 expression in AAMs is not essential for resistance to T. muris in effective resolution of helminth-induced inflammation.
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Affiliation(s)
- R Bowcutt
- Faculty of Life Sciences, University of Manchester, Manchester, UK
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49
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Seiler S, Cremers B, Ege P, Fehrenz M, Hornof F, Jeken J, Kersting S, Rebling NM, Steimle C, Rogacev KS, Scheller B, Bohm M, Fliser D, Heine GH, Nagler EVT, Webster AC, Vanholder R, Zoccali C, Nagler EVT, Webster AC, Vanholder R, Zoccali C, Chinnappa S, Mooney A, El Nahas M, Tan LB, Lucisano G, Bova F, Presta P, Caglioti C, Caglioti A, Fuiano G, Ikeda A, Konta T, Takasaki S, Mashima Y, Kubota I, Nakamura S, Kokubo Y, Makino H, Takata H, Fujii T, Yoshihara F, Horio T, Kawano Y, Badulescu M, Capusa C, Stancu S, Blaga V, Ilyes A, Anghel C, Mircescu G, Tolkacheva V, Villevalde S, Tyukhmenev E, Kobalava Z, Shalyagin Y, Shvetsov M, Nagaytseva S, Lukshina L, Shilov E, Fusaro M, Tripepi G, Crepaldi G, Maggi S, D'Angelo A, Naso A, Plebani M, Vajente N, Giannini S, Calo L, Miozzo D, Cristofaro R, Gallieni M, Feriozzi S, Torras J, Cibulla M, Nicholls K, Sunder-Plassmann G, West M, Pavlikova E, Villevalde S, Kobalava Z, Moiseev V, Yen CT, Huang CH, Wang MC, Daher E, Silva Junior G, Vieira AP, Couto Bem A, Fiqueiredo Filho A, Lopes Filho A, Guedes A, Eloy Costa C, Holanda de Souza J, Liborio A, Daniel R, Nitsch D, Harper L, EUVAS Group, Little M, Khatami SMR, Mahmoodian M, Zare E, Pashang M, Mc Carroll F, Cooke B, O'Kane M, Moles K, Garrett P, Lindsay J, Yu TM, Chen CH, Wu MJ, Cheng CH, Chuang YW, Shu KH, Cole JC, Oberdhan D, Cheng R, Urwongse J, Krasa H, Czerwiec F, Chapman A, Perrone R, Moranne O, Fafin C, Favre G, Mougel S, Vido A, Seitz B, Dahan P, Albano L, Esnult V, Rama M, Gayathri P, Leelavathi DA, Ravindra PA, Sundaram V, Nageshwar PR, Presta P, Piraina V, Talarico R, Esposito G, Colombo A, Lucisano G, Caglioti C, Mazza G, Cirillo E, Quattrone S, Fuiano G, Marron B, Chen N, Shi H, Ma X, Zhang J, Mao P, He L, Yu J, Ding X, Jiang G, Gu Y, Zhang W, Wang N, Mei C, Ni Z, Tzanno C, Stein G, Nisihara F, Rocha J, Clesca P, Uezima C, Langham H, Tomlin M, Coyne E, Hope W, Bebb C, Johnson C, Byrne C, Li Y, Zhang W, Ren H, Wang W, Shi H, Li X, Chen X, Wu X, Chen N, Canver B, Colak T, Can S, Karakayali H, Bansal V, Davis R, Litinas E, Hoppensteadt D, Thethi I, Fareed J. General & clinical epidemiology CKD 1-5 (1). Clin Kidney J 2011. [DOI: 10.1093/ndtplus/4.s2.48] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Kuet KP, Goepel J, Mudhar H, Bourne JT, Sykes MP, Riaz I, Borg FA, Everett C, Dasgupta B, Byng-Maddick R, Wincup C, Penn H, Jani M, Bukhari M, Halsey J, Chander S, Marsh J, Hughes R, Chu E, Little J, Bruce I, Soh C, Lee L, Ho P, Ntatsaki E, Vassiliou V, Youngstein T, Mohamed M, Lanham J, Haskard D, Lutalo PM, Scott IC, Sangle S, D'Cruz DP, Scott IC, Garrood T, Mackie SL, Backhouse O, Melsom R, Pease CT, Marzo-Ortega H, Al-Mossawi MH, Wathen CJ, Al-Balushi F, Mahto A, Humby F, Kelly C, Jawad A, Lee M, Haigh RC, Derrett-Smith EC, Nihtyanova S, Parker J, Bunn C, Burns A, Little M, Denton C, Tosounidou S, Harris S, Steventon D, Sheeran T, Baxter D, Field M, Lutalo PM, Sangle S, Davies R, Khamashta MA, D'Cruz D, Wajed J, Kiely P, Srikanth A, Lanyon P. Case reports: 1. IGG4 Related Fibrosis: A Treatable Disease. Four Cases in a District General Hospital. Rheumatology (Oxford) 2011. [DOI: 10.1093/rheumatology/ker025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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