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Essayagh F, Essayagh M, Lambaki A, Naji AA, Essayagh S, Essayagh T. Determinants associated with low dietary diversity among migrants to Morocco: a cross sectional study. Sci Rep 2024; 14:8361. [PMID: 38600240 PMCID: PMC11006864 DOI: 10.1038/s41598-024-59082-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2023] [Accepted: 04/07/2024] [Indexed: 04/12/2024] Open
Abstract
Low dietary diversity (LDD) is prevalent among vulnerable populations, posing a morbidity risk. Few studies have been conducted on the dietary diversity of migrants. The objectives of this study are to determine the prevalence of LDD among migrants in Morocco and the risk factors associated with it. In the Oriental region, we conducted a cross-sectional study with migrants between November and December 2021. The sampling method used was convenience sampling. A face-to-face, structured questionnaire was used to collect sociodemographic, behavioral, and clinical data. We calculated a dietary diversity score based on a 24-h food recall and assessed food intake. The risk factors associated with LDD were identified using multivariate logistic regression. A total of 445 migrants was enrolled. The prevalence of LDD was 31.7%. Risk factors associated with LDD were: being homeless (adjusted Odds Ratio (AOR) of 6.32; CI% [3.55-11.25]), a lack of social support (AOR of 2.30; CI% [1.33-03.98]), and low monthly income (AOR of 8.21; CI% [3.39-19.85]). Public policies must focus on social and environmental determinants. Nutrition training programs should be set up for the migrant population.
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Affiliation(s)
- Firdaous Essayagh
- Université Sidi Mohamed Ben Abdellah, Laboratoire droit privé et enjeux de développement, Faculté des sciences juridiques, économiques et sociales, Fès, Morocco
| | - Meriem Essayagh
- Office national de sécurité sanitaire des produits alimentaires, Oriental, Morocco
| | - Abdellah Lambaki
- Université de Lomé, Faculté des sciences de la santé, Lomé, Togo.
| | - Ahmed Anouar Naji
- Université Sidi Mohamed Ben Abdellah, Laboratoire droit privé et enjeux de développement, Faculté des sciences juridiques, économiques et sociales, Fès, Morocco
| | - Sanah Essayagh
- Hassan First University of Settat, Faculté des sciences et techniques, Laboratoire agroalimentaire et santé, Settat, Morocco
| | - Touria Essayagh
- Hassan First University of Settat, Institut supérieur des sciences de la santé, Laboratoire sciences et technologies de la santé, Settat, Morocco
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Belayachi S, Boukhari FZ, Essayagh F, Terkiba O, Marc I, Lambaki A, Zohoun A, Essayagh M, Essayagh T, Essayagh S. Uncontrolled blood pressure and its risk factors among hypertensive patients, Marrakech, Morocco. Sci Rep 2024; 14:2953. [PMID: 38316867 PMCID: PMC10844197 DOI: 10.1038/s41598-024-53115-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2023] [Accepted: 01/28/2024] [Indexed: 02/07/2024] Open
Abstract
Hypertension is a public health problem. Failure to control blood pressure figures is responsible for morbidity and premature mortality. This study aims to describe the characteristics of hypertensive patients followed at primary health care centers in Marrakech. Between May 2021 and December 2022, a cross-sectional study of 922 hypertension patients attending primary health care centers in Marrakech was done. To gather socio-demographic, behavioral, and clinical data, as well as hypertension treatment features and the care-patient-physician triad, a face-to-face questionnaire was employed. To identify risk factors associated with uncontrolled blood pressure, multivariate logistic regression was used. Uncontrolled blood pressure was found in 73.5% of people. The patients' average age was 63.4 ± 9.4 years (mean ± standard deviation), and 524 (77.3%) were women. Tobacco consumption (Adjusted Odd Ratio of 4.34; 95% CI [1.58-11.9]); lack of self-monitoring of hypertension (AOR of 1.69; 95% CI [1.14-2.52]); a family history of hypertension (AOR of 1.58; 95% CI [1.12-2.22]); overweight or obesity (AOR of 1.73; 95% CI [1.15-2.58]); and nonadherence to antihypertensive medication (AOR of 1.58; 95% CI [1.05-2.38]) were identified as risk factors for uncontrolled blood pressure. In hypertensive individuals, the percentage of uncontrolled blood pressure is considerable. It is essential to provide therapeutic education classes for hypertension patients in order to strengthen their power and autonomy in managing their hypertension.
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Affiliation(s)
- Safae Belayachi
- Faculté des Sciences et Techniques, Laboratoire Agroalimentaire et Santé, Hassan First University of Settat, Settat, Morocco
| | - Fatima Zahra Boukhari
- Faculté des Sciences et Techniques, Laboratoire Agroalimentaire et Santé, Hassan First University of Settat, Settat, Morocco
| | - Firdaous Essayagh
- Faculté des Sciences Juridiques, Économiques et Sociales, Laboratoire Droit Privé et Enjeux de Développement, Université Sidi Mohamed Ben Abdellah, Fès, Morocco
| | - Othmane Terkiba
- Institut Supérieur des Sciences de la Santé, Laboratoire Sciences et Technologies de la Santé, Hassan First University of Settat, Settat, Morocco
| | - Ikram Marc
- Institut Supérieur des Sciences de la Santé, Laboratoire Sciences et Technologies de la Santé, Hassan First University of Settat, Settat, Morocco
| | - Abdellah Lambaki
- Faculté des Sciences de la Santé, Université de Lomé, Lomé, Togo.
| | - Alban Zohoun
- Unité d'enseignement et de Recherche en Hématologie, Faculté des Sciences de la Santé, Cotonou, Benin
| | - Meriem Essayagh
- Office National de Sécurité Sanitaire des Produits Alimentaires, Oriental, Morocco
| | - Touria Essayagh
- Institut Supérieur des Sciences de la Santé, Laboratoire Sciences et Technologies de la Santé, Hassan First University of Settat, Settat, Morocco
| | - Sanah Essayagh
- Faculté des Sciences et Techniques, Laboratoire Agroalimentaire et Santé, Hassan First University of Settat, Settat, Morocco
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Essayagh F, Essayagh M, Essayagh S, Marc I, Bukassa G, El Otmani I, Kouyate MF, Essayagh T. The prevalence and risk factors for anxiety and depression symptoms among migrants in Morocco. Sci Rep 2023; 13:3740. [PMID: 36878989 PMCID: PMC9988851 DOI: 10.1038/s41598-023-30715-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2022] [Accepted: 02/28/2023] [Indexed: 03/08/2023] Open
Abstract
Humanitarian migration can result in mental health issues among migrants. The objective of our study is to determine the prevalence of anxiety and depression symptoms among migrants and their risk factors. A total of 445 humanitarian migrants in the Orientale region were interviewed. A structured questionnaire was used in face-to-face interviews to collect socio-demographic, migratory, behavioral, clinical, and paraclinical data. The Hospital Anxiety and Depression Scale was used to assess anxiety and depression symptoms. Risk factors for anxiety and depression symptoms were identified using multivariable logistic regression. The prevalence of anxiety symptoms was 39.1%, and the prevalence of depression symptoms was 40.0%. Diabetes, refugee status, overcrowding in the home, stress, age between 18 and 20 years, and low monthly income were associated with anxiety symptom. The associated risk factors for depression symptoms were a lack of social support and a low monthly income. Humanitarian migrants have a high prevalence of anxiety and depression symptoms. Public policies should address socio-ecological determinants by providing migrants with social support and adequate living conditions.
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Affiliation(s)
- Firdaous Essayagh
- Faculté des Sciences Juridiques, Économiques et Sociales, Laboratoire Droit Privé et Enjeux de Développement, Université Sidi Mohamed Ben Abdellah, Fès, Morocco
| | - Meriem Essayagh
- Office National de Sécurité Sanitaire des Produits Alimentaires, Oujda, Morocco
| | - Sanah Essayagh
- Faculté des Sciences et Techniques, Laboratoire Agroalimentaire et Santé, Hassan First University of Settat, Settat, Morocco
| | - Ikram Marc
- Institut Supérieur des Sciences de la Santé, Laboratoire Sciences et Technologies de la Santé, Hassan First University of Settat, Settat, Morocco
| | - Germain Bukassa
- Department of Indigenous Services Canada/Government of Canada, Health Surveillance and Assessment Unit, First Nations and Inuit Health, Regina, Saskatchewan Region, Canada
| | - Ihsane El Otmani
- Institut Supérieur des Sciences de la Santé, Laboratoire Sciences et Technologies de la Santé, Hassan First University of Settat, Settat, Morocco
| | - Mady Fanta Kouyate
- Unité Investigation et Recherche, Département de Surveillance à l'Agence Nationale de Sécurité Sanitaire, Conakry, Guinea.
| | - Touria Essayagh
- Institut Supérieur des Sciences de la Santé, Laboratoire Sciences et Technologies de la Santé, Hassan First University of Settat, Settat, Morocco
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Essayagh F, Essayagh T, Essayagh M, Khouchoua M, Lemriss H, Rattal M, Bukassa G, Essayagh S. Disease burden among migrants in Morocco in 2021: A cross‑sectional study. PLoS One 2023; 18:e0281129. [PMID: 36706106 PMCID: PMC9882623 DOI: 10.1371/journal.pone.0281129] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2022] [Accepted: 01/13/2023] [Indexed: 01/28/2023] Open
Abstract
BACKGROUND Morocco, traditionally an emigration country, has evolved into not only a transit country to Europe but also a country of residence for an increasing number of migrants, with 102,400 migrants in 2019. This is due to its geographic location, the induced effects of its "African policy," and the various laws adopted by Moroccan legislators in recent years. The purpose of this study is to determine the prevalence of communicable and noncommunicable diseases among migrants such as Hepatitis C virus (HCV), human immunodeficiency virus (HIV), diabetes, and hypertension. METHODS We conducted a cross-sectional study in Oujda, Morocco, between November and December 2021. Face-to-face interviews with enrolled migrants aged 18 years and over, present in Oujda and attending an association, were carried out to collect socio-demographic data, lifestyle behaviors, and clinical parameters. Diabetes and hypertension were the primary outcomes. The Pearson's chi-squared test and the student's t-test were used to assess the bivariate associations between primary outcomes and categorical and continuous variables. In a multivariate model, we adjusted for predictors that were significant (p-value ≤0.05) in bivariate analysis to estimate Adjusted Odd Ratios (AOR) and 95% confidence intervals (CI). RESULTS There were 495 migrants enrolled, with a male/female ratio of two and an average age of 27.3±11.5 years (mean±standard deviation), ranging from 18 to 76 years. Hepatitis C virus, human immunodeficiency virus, diabetes, and hypertension were found in 1%, 0.2%, 3.8%, and 27.7% of the population, respectively. Family history of diabetes was a risk factor for diabetes in the Oujda migrant population, with an Adjusted Odds Ratio (AOR) of 5.36; CI% [1.23-23.28]. Age (AOR of 1.1; CI% [1.06-1.13]) and African origin (AOR of 3.07; CI% [1.06-8.92]) were identified as risk factors for hypertension. CONCLUSION Migrants in Oujda are healthy. The high prevalence of hypertension, as well as the presence of HCV and HIV positive cases, emphasizes the importance of routine screening for hypertension, HCV, and HIV in order to detect and treat these diseases as early as possible.
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Affiliation(s)
- Firdaous Essayagh
- Faculté des Sciences juridiques, économiques et sociales, Laboratoire Droit privé et enjeux de développement, Université Sidi Mohamed Ben Abdellah, Fès, Morocco
| | - Touria Essayagh
- Laboratoire Sciences et Technologies de la Santé, Hassan First University of Settat, Institut Supérieur des Sciences de la Santé, Settat, Morocco
- * E-mail:
| | - Meriem Essayagh
- Office Nationale de Sécurité Sanitaire des produits Alimentaires, Oriental, Morocco
| | | | - Hajar Lemriss
- Laboratoire Sciences et Technologies de la Santé, Hassan First University of Settat, Institut Supérieur des Sciences de la Santé, Settat, Morocco
| | - Mourad Rattal
- Laboratoire Sciences et Technologies de la Santé, Hassan First University of Settat, Institut Supérieur des Sciences de la Santé, Settat, Morocco
| | - Germain Bukassa
- Department of Indigenous Services Canada/Government of Canada, Health Surveillance and Assessment Unit, First Nations and Inuit Health, Regina, SK, Canada
| | - Sanah Essayagh
- Faculté des Sciences et Techniques, Laboratoire Agroalimentaire et Santé, Hassan First University of Settat, Settat, Morocco
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Essayagh T, Essayagh M, Essayagh F, Rattal M, Bukassa G, Lemriss H, Mahdaoui EK, Himmouche N, Kouyate MF, Essayagh S. Prevalence and determinants of intercourse without condoms among migrants and refugees in Morocco, 2021: a cross-sectional study. Sci Rep 2022; 12:22491. [PMID: 36577780 PMCID: PMC9797539 DOI: 10.1038/s41598-022-26953-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Accepted: 12/22/2022] [Indexed: 12/29/2022] Open
Abstract
With the world's migratory flow, the risk of infection by the human immunodeficiency virus (HIV) among migrants is increasing. The prevalence of intercourse without condoms with a casual or commercial sex partner, a high-risk sexual behavior for HIV infection, is unknown among migrants. The purpose of this study was to determine the prevalence of intercourse without condoms among migrants and the risk factors associated with not using condoms. In Oujda, we conducted a cross-sectional survey of 416 sexually active migrants. We used a multistage sampling method. Face-to-face interviews were conducted with participants to collect socio-demographic information, disease perception, behavioral habits, sexual behavioral habits, and para-clinical parameters. A multivariate logistical regression analysis identified the risk factors associated with high-risk HIV sexual behaviors. The prevalence of intercourse without condoms with a casual or commercial sex partner was 72.8%, with a median age of 25.0 years, and 212 (69.9%) were males. The prevalence of HIV was 0.2%. Being homeless, having difficulty obtaining condoms, and only having a basic education were all risk factors for these sexual behaviors. Migrants with precarious living conditions are at increased risk of having intercourse without condoms. This group must be prioritized by strengthening public health programs targeting the health of migrants as well as the intervention of thematic non-governmental organizations. Vigilant monitoring of the HIV epidemic, with a focus on vulnerable populations, should be a high priority in Morocco.
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Affiliation(s)
- Touria Essayagh
- grid.440487.b0000 0004 4653 426XLaboratoire Sciences et Technologies de la Santé, Institut Supérieur des Sciences de la Santé, Hassan First University of Settat, Settat, Morocco
| | - Meriem Essayagh
- Office National de Sécurité Sanitaire des Produits Alimentaires, Oujda, Morocco
| | - Firdaous Essayagh
- grid.20715.310000 0001 2337 1523Laboratoire Droit Privé et Enjeux de Développement, Faculté des Sciences Juridiques, Economiques et Sociales, Université Sidi Mohamed Ben Abdellah, Fès, Morocco
| | - Mourad Rattal
- grid.440487.b0000 0004 4653 426XLaboratoire Sciences et Technologies de la Santé, Institut Supérieur des Sciences de la Santé, Hassan First University of Settat, Settat, Morocco
| | - Germain Bukassa
- Department of Indigenous Services Canada/Government of Canada, Health Surveillance and Assessment Unit, First Nations and Inuit Health, Saskatchewan Region, Regina, SK Canada
| | - Hajar Lemriss
- grid.440487.b0000 0004 4653 426XLaboratoire Sciences et Technologies de la Santé, Institut Supérieur des Sciences de la Santé, Hassan First University of Settat, Settat, Morocco
| | - El Khansa Mahdaoui
- grid.463252.4Ministère de la Santé et de la Protection Sociale, Direction d’Epidémiologie et de Lutte contre les Maladies, Rabat, Morocco
| | - Naoufal Himmouche
- grid.440487.b0000 0004 4653 426XInstitut Supérieur des Sciences de la Santé, Laboratoire Ingénierie Didactique, Entrepreneuriat, Arts et Littératures, Hassan First University of Settat, Settat, Morocco
| | - Mady Fanta Kouyate
- Unité Investigation et Recherche, Département de Surveillance à l’Agence Nationale de Sécurité Sanitaire, Conakry, Guinea
| | - Sanah Essayagh
- grid.440487.b0000 0004 4653 426XLaboratoire Agroalimentaire et Santé, Faculté des Sciences et Techniques, Hassan First University of Settat, Settat, Morocco
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Essayagh M, Essayagh T, Essayagh S. Prévalence de l'inobservance aux médicaments chez les hypertendus et les facteurs de risque associés, Meknès, Maroc, 2017. Rev Epidemiol Sante Publique 2022. [DOI: 10.1016/j.respe.2022.06.249] [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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Essayagh T, Essayagh M, Essayagh S. Drug non-adherence in hypertensive patients in Morocco, and its associated risk factors. Eur J Cardiovasc Nurs 2021; 20:324-330. [PMID: 33620474 DOI: 10.1093/eurjcn/zvaa002] [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] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/29/2020] [Revised: 04/24/2020] [Accepted: 09/14/2020] [Indexed: 12/12/2022]
Abstract
AIMS Hypertension is a widespread public health problem; unfortunately, non-adherence to the treatment hinders the control of high blood pressure. Drug non-adherence is the degree to which a patient does not follow the prescription. We aimed to assess the extent of drug non-adherence among hypertensive patients treated in Meknes and identify risk factors associated with inobservance. METHODS AND RESULTS Between November and December 2017, we conducted a cross-sectional study enrolling 922 hypertensive patients managed at Meknes's primary healthcare facilities (PHCF) using the multistage sampling method. We interviewed patients face to face to collect their socio-demographic characteristics, lifestyle behaviours, clinical parameters, and the relationship between the care system, the patient, and the physician. A multivariate logistic regression analysis highlighted the risk factors associated with drug non-adherence. The prevalence of drug non-adherence was 91% with a mean age of 61 ± 11 years (mean ± standard deviation) and a male/female ratio of 1/3. Risk factors associated with drug non-adherence were: (i) male sex [adjusted odds ratio (AOR) = 2.5, 95% confidence interval (CI) (1.26-5.10)]; (ii) monthly income per household <150$ [AOR = 4.47, 95% CI (1.22-16.34)]; (iii) monthly income per household 150-200$ [AOR = 4.44, 95% CI (1.04-18.93)]; (iv) bad relationship with the healthcare system [AOR = 2.17, 95% CI (1.29-3.67)]; and (v) uncontrolled blood pressure [AOR = 1.87, 95% CI (1.15-3.02)]. CONCLUSION The prevalence of drug non-adherence is general among hypertensive patients in Meknes. Prevention should: (i) ensure the availability of adequate stocks of the anti-hypertensive drug at the PHCF; (ii) secure sufficient drug stocks to treat the poorest patients first; and (iii) improve blood pressure control in patients.
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Affiliation(s)
- Touria Essayagh
- University Hassan First of Settat, Laboratoire Sciences et Technologies de la Santé, Institut Supérieur, des Sciences de la Santé, Settat, Morocco
| | - Meriem Essayagh
- University Mohammed V, Faculté de Médecine et de Pharmacie de Rabat, Morocco
| | - Sanah Essayagh
- University Hassan First of Settat, Laboratoire Agroalimentaire et Santé, Faculté des Sciences et Techniques, Settat, Morocco
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Angolano C, Kaczmarek E, Essayagh S, Daniel S, Choi LY, Tung B, Sauvage G, Lee A, Kipper FC, Arvelo MB, Moll HP, Ferran C. A20/TNFAIP3 Increases ENOS Expression in an ERK5/KLF2-Dependent Manner to Support Endothelial Cell Health in the Face of Inflammation. Front Cardiovasc Med 2021; 8:651230. [PMID: 34026871 PMCID: PMC8138474 DOI: 10.3389/fcvm.2021.651230] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2021] [Accepted: 03/18/2021] [Indexed: 11/13/2022] Open
Abstract
Rationale: Decreased expression and activity of endothelial nitric oxide synthase (eNOS) in response to inflammatory and metabolic insults is the hallmark of endothelial cell (EC) dysfunction that preludes the development of atherosclerosis and hypertension. We previously reported the atheroprotective properties of the ubiquitin-editing and anti-inflammatory protein A20, also known as TNFAIP3, in part through interrupting nuclear factor-kappa B (NF-κB) and interferon signaling in EC and protecting these cells from apoptosis. However, A20's effect on eNOS expression and function remains unknown. In this study, we evaluated the impact of A20 overexpression or knockdown on eNOS expression in EC, at baseline and after tumor necrosis factor (TNF) treatment, used to mimic inflammation. Methods and Results: A20 overexpression in human coronary artery EC (HCAEC) significantly increased basal eNOS mRNA (qPCR) and protein (western blot) levels and prevented their downregulation by TNF. Conversely, siRNA-induced A20 knockdown decreased eNOS mRNA levels, identifying A20 as a physiologic regulator of eNOS expression. By reporter assays, using deletion and point mutants of the human eNOS promoter, and knockdown of eNOS transcriptional regulators, we demonstrated that A20-mediated increase of eNOS was transcriptional and relied on increased expression of the transcription factor Krüppel-like factor (KLF2), and upstream of KLF2, on activation of extracellular signal-regulated kinase 5 (ERK5). Accordingly, ERK5 knockdown or inhibition significantly abrogated A20's ability to increase KLF2 and eNOS expression. In addition, A20 overexpression in HCAEC increased eNOS phosphorylation at Ser-1177, which is key for the function of this enzyme. Conclusions: This is the first report demonstrating that overexpression of A20 in EC increases eNOS transcription in an ERK5/KLF2-dependent manner and promotes eNOS activating phosphorylation. This effect withstands eNOS downregulation by TNF, preventing EC dysfunction in the face of inflammation. This novel function of A20 further qualifies its therapeutic promise to prevent/treat atherosclerosis.
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Affiliation(s)
- Cleide Angolano
- The Division of Vascular and Endovascular Surgery and the Center for Vascular Biology Research, Department of Surgery, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, United States
| | - Elzbieta Kaczmarek
- The Division of Vascular and Endovascular Surgery and the Center for Vascular Biology Research, Department of Surgery, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, United States
| | - Sanah Essayagh
- The Division of Vascular and Endovascular Surgery and the Center for Vascular Biology Research, Department of Surgery, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, United States
| | - Soizic Daniel
- The Division of Vascular and Endovascular Surgery and the Center for Vascular Biology Research, Department of Surgery, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, United States
| | - Lynn Y. Choi
- The Division of Vascular and Endovascular Surgery and the Center for Vascular Biology Research, Department of Surgery, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, United States
| | - Brian Tung
- The Division of Vascular and Endovascular Surgery and the Center for Vascular Biology Research, Department of Surgery, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, United States
| | - Gabriel Sauvage
- The Division of Vascular and Endovascular Surgery and the Center for Vascular Biology Research, Department of Surgery, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, United States
| | - Andy Lee
- The Division of Vascular and Endovascular Surgery and the Center for Vascular Biology Research, Department of Surgery, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, United States
| | - Franciele C. Kipper
- The Division of Neurosurgery and the Center for Vascular Biology Research, Department of Surgery, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, United States
| | - Maria B. Arvelo
- The Division of Vascular and Endovascular Surgery and the Center for Vascular Biology Research, Department of Surgery, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, United States
| | - Herwig P. Moll
- The Division of Vascular and Endovascular Surgery and the Center for Vascular Biology Research, Department of Surgery, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, United States
| | - Christiane Ferran
- The Division of Vascular and Endovascular Surgery and the Center for Vascular Biology Research, Department of Surgery, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, United States
- The Transplant Institute and the Division of Nephrology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, United States
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Essayagh T, Essayagh M, Essayagh S. Corrigendum. Eur J Cardiovasc Nurs 2021; 20:291. [PMID: 33792655 DOI: 10.1093/eurjcn/zvab006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Essayagh S, Bahalou M, Essayagh M, Essayagh T. Epidemiological profile of methanol poisoning, El Hajeb, Morocco. East Mediterr Health J 2020; 26:1425-1429. [PMID: 33226112 DOI: 10.26719/2020.26.11.1425] [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] [Received: 10/01/2019] [Accepted: 12/16/2019] [Indexed: 11/09/2022]
Abstract
Background Methanol poisoning is of particular importance in low and middle-income countries. We reported on a methanol poisoning incident that occurred 22 May 2017, in El Hajeb (Morocco). Aims This study aimed to describe the extent of the intoxication, determine its source and implement the necessary preventative measures. Methods We conducted a cross-sectional survey. A standardized questionnaire including socio-economic data, clinical symptoms and time of use was administered face-to-face to cases of methanol poisoning. Biological samples were taken for toxicological analysis. Data were entered and analyzed on Epi Info version 7. Results Twenty-six cases of methanol poisoning were surveyed with a mean age of 39.7 (SD 11.1) years and a male/female sex ratio of 5.5. All intoxicated cases were of low socioeconomic status. The mean latency period between use and symptom onset was 1.5 (SD 1) days. Reported symptoms were mildly altered consciousness in 14 cases (53.8%), abdominal pain in 10 cases (38.5%), headache in 9 cases (34.6%), vomiting in 8 cases (30.8%) and coma in 7 cases (27.1%). Mortality was 65% and 4 cases developed blindness. Laboratory results confirmed the presence of methanol in the blood with values greater than 0.6 g/L. The dose of methanol in the associated bottle was 217 g/L. Conclusion Public awareness of the dangers of methanol intoxication is important. Health professionals need to be aware of the clinical signs and what to do in the event of methanol poisoning.
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Affiliation(s)
- Sanah Essayagh
- Laboratoire Agroalimentaire et Santé, Faculté des Sciences et Techniques, Université Hassan 1er, Settat (Maroc)
| | | | - Meriem Essayagh
- Faculté de Médecine et de Pharmacie, Université Mohammed V, Rabat (Maroc)
| | - Touria Essayagh
- Laboratoire Sciences et Technologies de la Santé, Institut Supérieur des Sciences de la Santé, Université Hassan 1er, Settat (Maroc)
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Essayagh T, Essayagh M, El Rhaffouli A, Khouchoua M, Bukassa Kazadi G, Khattabi A, Essayagh S. Prevalence of uncontrolled blood pressure in Meknes, Morocco, and its associated risk factors in 2017. PLoS One 2019; 14:e0220710. [PMID: 31398197 PMCID: PMC6688818 DOI: 10.1371/journal.pone.0220710] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2019] [Accepted: 07/22/2019] [Indexed: 11/20/2022] Open
Abstract
Background Uncontrolled high blood pressure (UBP) can lead to various cardiovascular complications causing an estimated nine million deaths per year worldwide. In Meknes, epidemiologic data on UBP are scarce, depriving programs from evidence-based information that would allow a better management of hypertension. Hence, we aimed to assess UBP prevalence in hypertensive patients treated in Meknes and identify UBP-associated risk factors. Methods Between November and December 2017, we conducted a cross-sectional study enrolling 922 hypertensive patients managed at Meknes’s primary health care facilities using the multistage sampling method. We interviewed patients face to face to collect their socio-demographic-characteristics, lifestyle behaviours, clinical parameters and the triad care system-patient-physician. Another questionnaire was self-administered by physicians to characterize therapeutic inertia. A multivariate logistic regression analysis highlighted the risk factors associated with UBP. Results UBP prevalence was 73% with a mean age of 61±11 years (mean±standard deviation) and a male/female ratio of 1/3. Risk factors associated with UBP were: therapeutic inertia (adjusted odds ratio to other variables (AOR) = 18.2, 95% CI [8.35–39.84]), drug non-adherence (AOR = 1.8, 95% CI [1.07–3.04]), obesity/overweight (AOR = 1.6, 95% CI [1.03–2.58]), unemployment (AOR = 1.9, 95% CI [1.09–3.01]), low income (AOR = 2.6, 95% CI [1.01–6.86]), family history of hypertension (AOR = 1.5, 95% CI [1.07–2.08]) and male sex (AOR = 1.6, 95% CI [1.04–2.58]). Conclusion UBP prevalence is high in Meknes. Prevention should firstly focus on raised awareness of hypertensive patients’ self-care management. Secondly, health professionals should better comply to the guidelines of anti-hypertensive treatments. Lastly, health professionals should frequently be reminded to reach therapeutic goals to overcome therapeutic inertia.
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Affiliation(s)
- Touria Essayagh
- Laboratoire Sciences et Technologies de la Santé, Institut Supérieur des Sciences de la Santé, Université Hassan 1, Settat, Morocco
- Ecole Nationale de Santé Publique, Rabat, Morocco
- * E-mail:
| | - Meriem Essayagh
- Faculté de Médecine et de Pharmacie, Université Mohammed V, Rabat, Morocco
| | | | | | - Germain Bukassa Kazadi
- Department of Indigenous Services Canada/Government of Canada, Health Surveillance and Assessment Unit, First Nations and Inuit Health, Saskatchewan Region, Regina, Sk Canada
| | | | - Sanah Essayagh
- Laboratoire Agroalimentaire et Santé, Faculté des Sciences et Techniques, Université Hassan 1, Settat, Morocco
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Essayagh S, Xuereb JM, Terrisse AD, Tellier-Cirioni L, Pipy B, Sié P. Microparticles from apoptotic monocytes induce transient platelet recruitment and tissue factor expression by cultured human vascular endothelial cells via a redox-sensitive mechanism. Thromb Haemost 2017. [DOI: 10.1160/th07-02-0082] [Citation(s) in RCA: 51] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
SummaryCirculating microparticles derived from different types of blood cells have been reported to impair endothelial function and to induce pro-inflammatory and prothrombotic endothelial phenotypes. Although the number of monocyte-derived microparticles (M-MPs) is elevated in the blood of patients with various inflammatory conditions, their interaction with endothelial cells has been poorly investigated so far. In this study, we produced microparticles in vitro from apoptotic human monocytes and examined the effects of their interaction with cultured human umbilical vascular endothelial cells (HUVECs). We found that low concentrations of M-MPs induced the production of reactive oxygen species (ROS), mainly anion superoxide, by the endothelial cells. At sub-toxic concentrations, M-MPs induced a rapid expression of von Willebrand factor at the cell surface, which mediated the transient attachment of non-activated platelets to the endothelium in flow conditions. In parallel, M-MPs up-regulated the expression of functional tissue factor by the endothelial cells. ROS controlled these two major changes and the process involved the phosphorylation of p38 mitogen activated protein kinase. We conclude that M-MPs may contribute to thrombotic events by producing redox signalling in endothelial cells.
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Chien V, Kaczmarek E, Daniel S, Essayagh S, Choi L, Choi J, Lee A, da Silva C, Ferran C. A20 Increases eNOS Expression and Activity to Sustain Endothelial Cell Function Under Inflammatory Insults. J Vasc Surg 2013. [DOI: 10.1016/j.jvs.2013.02.138] [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: 10/26/2022]
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Chien V, Kaczmarek E, Daniel S, Essayagh S, Lee A, Choi LY, Choi JY, Da Silva CG, Ferran C. Abstract 344: A20 Increases Endothelial Nitric Oxide Synthase Expression and Activity to Sustain Endothelial Cell Function under Inflammatory Insults. Arterioscler Thromb Vasc Biol 2013. [DOI: 10.1161/atvb.33.suppl_1.a344] [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
Nitric oxide generated by endothelial nitric oxide synthase (eNOS) acts at different levels to sustain proper endothelial cell (EC) function. Pro-inflammatory molecules associated with various pathological conditions negatively affect eNOS expression and activity, altering vascular homeostasis. Decreased eNOS levels and activity are the pathognomonic features of EC dysfunction and a prelude to atherosclerotic remodeling of the vasculature. We have demonstrated that A20 maintains EC homeostasis by inhibiting NF-kappa B activation and protecting from apoptosis. The aim of this study is to explore whether A20 impacts eNOS expression/activity.
A20 was overexpressed in human coronary artery EC (HCAEC) by recombinant adenovirus-mediated gene transfer. Effects of A20 on eNOS expression and phosphorylation were analyzed by quantitative PCR, human eNOS promoter-luciferase reporter assay, chromatin immunoprecipitation (ChIP) and Western blot. Our data demonstrate that over-expression of A20 in HCAEC significantly increased eNOS mRNA and protein levels by promoting eNOS transcription, as demonstrated by ChIP, and eNOS promoter analysis using Luciferase reporter assays. Importantly, A20-induced upregulation of eNOS expression was sustained in HCAEC treated with tumor necrosis factor that inhibits eNOS transcription and function. Moreover, A20 enhanced phosphorylation of eNOS (Ser-1177), a surrogate marker of its activity, by promoting the activation of its upstream kinase AKT.
Our data demonstrate that A20 upregulates and activates eNOS, even in EC exposed to inflammation. A20’s ability to promote and sustain eNOS activity could be critical to its cytoprotective effect in EC. Further, it supports our pursuit of A20-based therapies to maintain vascular homeostasis, preventing vascular diseases such as atherosclerosis, transplant arteriosclerosis and diabetic vasculopathy.
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Korepta L, Pradhan L, Landis A, Essayagh S, Ferran C, LoGerfo F. MARCKS and p27kip1 In Smooth Muscle Cell Signaling: Implications In Intimal Hyperplasia. J Surg Res 2011. [DOI: 10.1016/j.jss.2010.11.477] [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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Essayagh S, Xuereb JM, Terrisse AD, Tellier-Cirioni L, Pipy B, Sié P. Microparticles from apoptotic monocytes induce transient platelet recruitment and tissue factor expression by cultured human vascular endothelial cells via a redox-sensitive mechanism. Thromb Haemost 2007; 98:831-837. [PMID: 17938808] [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: 05/25/2023]
Abstract
Circulating microparticles derived from different types of blood cells have been reported to impair endothelial function and to induce pro-inflammatory and prothrombotic endothelial phenotypes. Although the number of monocyte-derived microparticles (M-MPs) is elevated in the blood of patients with various inflammatory conditions, their interaction with endothelial cells has been poorly investigated so far. In this study, we produced microparticles in vitro from apoptotic human monocytes and examined the effects of their interaction with cultured human umbilical vascular endothelial cells (HUVECs). We found that low concentrations of M-MPs induced the production of reactive oxygen species (ROS), mainly anion superoxide, by the endothelial cells. At sub-toxic concentrations, M-MPs induced a rapid expression of von Willebrand factor at the cell surface, which mediated the transient attachment of non-activated platelets to the endothelium in flow conditions. In parallel, M-MPs up-regulated the expression of functional tissue factor by the endothelial cells. ROS controlled these two major changes and the process involved the phosphorylation of p38 mitogen activated protein kinase. We conclude that M-MPs may contribute to thrombotic events by producing redox signalling in endothelial cells.
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Affiliation(s)
- Sanah Essayagh
- Laboratoire de Recherche sur la Thrombose, INSERM U858, France
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Essayagh S, Brisset AC, Terrisse AD, Dupouy D, Tellier L, Navarro C, Arnal JF, Sié P. Microparticles from apoptotic vascular smooth muscle cells induce endothelial dysfunction, a phenomenon prevented by beta3-integrin antagonists. Thromb Haemost 2005; 94:853-8. [PMID: 16270642 DOI: 10.1160/th04-12-0786] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.9] [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: 11/05/2022]
Abstract
Fragile atherosclerotic plaques are rich in apoptotic smooth muscle cells (SMCs) and macrophages, generating microparticules (MPs) which accumulate locally and may be released in blood in case of mechanical or spontaneous plaque disruption. Besides being highly procoagulant, this material may interact with downstream endothelium. Using a model of mouse aorta vaso-reactivity, we have investigated the effects of apoptotic MPs prepared in vitro from Fas-ligand sensitive SMCs. Short-term preincubation of aorta rings with the MPs dose-dependently reduced the vasodilatory response to acetylcholine dependent on the endothelium. This effect was prevented by the addition of abxicimab or eptifibatide, indicating a role for a beta3 integrin in this process. We further investigated its mechanism using cultured endothelial cells. The MPs were found to bind to the cells and to inhibit the production and the release of nitric oxide (NO) in response to bradykinin. This phenomenom was redox sensitive, independent of the generation of activated coagulation proteases, and was abrogated when the MPs were pretreated by trypsin. The metabolic effects of MPs were prevented by the addition of eptifibatide. Taken together, these results suggest a potential, platelet-independent, mechanism for the improvement of microvascular perfusion observed with beta3-integrin antagonists.
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Affiliation(s)
- Sanah Essayagh
- EA 2049, Laboratoire de Recherche sur la Thrombose, Université Paul Sabatier, Toulouse, France
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