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Lesman-Segev OH, Golan S, Springer RR, Livny A, Lin HM, Yuxia O, Zadok M, Ganmore I, Heymann A, Hoffmann C, Domachevsky L, Beeri MS. Amyloid deposition and small vessel disease are associated with cognitive function in older adults with type 2 diabetes. Res Sq 2023:rs.3.rs-3373943. [PMID: 37841857 PMCID: PMC10571611 DOI: 10.21203/rs.3.rs-3373943/v1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/17/2023]
Abstract
Diabetes is associated with cognitive decline, but the underlying mechanisms are complex and their relationship with Alzheimer's Disease biomarkers is not fully understood. We assessed the association of small vessel disease (SVD) and amyloid burden with cognitive functioning in 47 non-demented older adults with type-2 diabetes from the Israel Diabetes and Cognitive Decline Study (mean age 78Y, 64% females). FLAIR-MRI, Vizamyl amyloid-PET, and T1W-MRI quantified white matter hyperintensities as a measure of SVD, amyloid burden, and gray matter (GM) volume, respectively. Mean hemoglobin A1c levels and duration of type-2 diabetes were used as measures of diabetic control. Cholesterol level and blood pressure were used as measures of cardiovascular risk. A broad neuropsychological battery assessed cognition. Linear regression models revealed that both higher SVD and amyloid burden were associated with lower cognitive functioning. Additional adjustments for type-2 diabetes-related characteristics, GM volume, and cardiovascular risk did not alter the results. The association of amyloid with cognition remained unchanged after further adjustment for SVD. Our findings suggest that SVD and amyloid pathology may independently contribute to lower cognitive functioning in non-demented older adults with type-2 diabetes, supporting a multimodal approach for diagnosing, preventing, and treating cognitive decline in this population.
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Boccara E, Golan S, Beeri MS. The association between regional adiposity, cognitive function, and dementia-related brain changes: a systematic review. Front Med (Lausanne) 2023; 10:1160426. [PMID: 37457589 PMCID: PMC10349176 DOI: 10.3389/fmed.2023.1160426] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [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: 02/07/2023] [Accepted: 05/15/2023] [Indexed: 07/18/2023] Open
Abstract
Background Adiposity has been previously associated with cognitive impairment and Alzheimer's disease and related disorders (ADRD). Body mass index (BMI) is the most common measure of global adiposity, but inconsistent results were found since it is a global measurement. BMI does not represent regional fat distribution which differs between sexes, race, and age. Regional fat distribution may contribute differently to cognitive decline and Alzheimer's disease (AD)-related brain changes. Fat-specific targeted therapies could lead to personalized improvement of cognition. The goal of this systematic review is to explore whether regional fat depots, rather than central obesity, should be used to understand the mechanism underlying the association between adiposity and brain. Methods This systematic review included 33 studies in the English language, conducted in humans aged 18 years and over with assessment of regional adiposity, cognitive function, dementia, and brain measures. We included only studies that have assessed regional adiposity using imaging technics and excluded studies that were review articles, abstract only or letters to editor. Studies on children and adolescents, animal studies, and studies of patients with gastrointestinal diseases were excluded. PubMed, PsychInfo and web of science were used as electronic databases for literature search until November 2022. Results Based on the currently available literature, the findings suggest that different regional fat depots are likely associated with increased risk of cognitive impairment, brain changes and dementia, especially AD. However, different regional fat depots can have different cognitive outcomes and affect the brain differently. Visceral adipose tissue (VAT) was the most studied regional fat, along with liver fat through non-alcoholic fatty liver disease (NAFLD). Pancreatic fat was the least studied regional fat. Conclusion Regional adiposity, which is modifiable, may explain discrepancies in associations of global adiposity, brain, and cognition. Specific regional fat depots lead to abnormal secretion of adipose factors which in turn may penetrate the blood brain barrier leading to brain damage and to cognitive decline.
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Affiliation(s)
- Ethel Boccara
- Department of Psychology, Bar-Ilan University, Ramat Gan, Israel
- The Joseph Sagol Neuroscience Center, Sheba Medical Center, Tel HaShomer, Israel
| | - Sapir Golan
- The Joseph Sagol Neuroscience Center, Sheba Medical Center, Tel HaShomer, Israel
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Michal Schnaider Beeri
- The Joseph Sagol Neuroscience Center, Sheba Medical Center, Tel HaShomer, Israel
- Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, United States
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Lesman‐Segev OH, Golan S, Zadok M, Kishenevsky S, Ben‐Meir M, Bem‐Moshe A, Heymann A, Azuri J, Ravona‐Springer R, Hoffmann C, Domachevsky L, Beeri MS. Behavioral reaction to amyloid beta status disclosure. Alzheimers Dement 2022. [DOI: 10.1002/alz.069213] [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: 12/24/2022]
Affiliation(s)
- Orit H. Lesman‐Segev
- The Joseph Sagol Neuroscience Center, Sheba Medical Center Ramat Gan Israel
- Department of Diagnostic Imaging, Sheba Medical Center, Tel Hashomer Ramat Gan Israel
| | - Sapir Golan
- The Joseph Sagol Neuroscience Center, Sheba Medical Center Ramat Gan Israel
- Sackler Faculty of Medicine, Tel Aviv University Tel Aviv Israel
| | - Maya Zadok
- The Joseph Sagol Neuroscience Center, Sheba Medical Center, Tel Hashomer Ramat Gan Israel
| | - Sarah Kishenevsky
- The Joseph Sagol Neuroscience Center, Sheba Medical Center, Tel Hashomer Ramat Gan Israel
| | - Mery Ben‐Meir
- The Joseph Sagol Neuroscience Center, Sheba Medical Center Ramat Gan Israel
| | - Ariela Bem‐Moshe
- The Joseph Sagol Neuroscience Center, Sheba Medical Center Ramat‐Gan Israel
| | | | | | - Ramit Ravona‐Springer
- The Joseph Sagol Neuroscience Center, Sheba Medical Center Ramat Gan Israel
- Sackler Faculty of Medicine, Tel Aviv University Tel Aviv Israel
- Memory clinic, Sheba Medical Center Ramat‐Gan Israel
| | - Chen Hoffmann
- Department of Diagnostic Imaging, Sheba Medical Center, Tel Hashomer Ramat Gan Israel
- Sackler Faculty of Medicine, Tel Aviv University Tel Aviv Israel
| | - Liran Domachevsky
- Department of Diagnostic Imaging, Sheba Medical Center, Tel Hashomer Ramat Gan Israel
- Sackler Faculty of Medicine, Tel Aviv University Tel Aviv Israel
| | - Michal Schnaider Beeri
- The Joseph Sagol Neuroscience Center, Sheba Medical Center Ramat Gan Israel
- Icahn School of Medicine at Mount Sinai New York NY USA
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Beeri MS, Tirosh A, Lin H, Golan S, Boccara E, Sano M, Zhu CW. Stability in BMI over time is associated with a better cognitive trajectory in older adults. Alzheimers Dement 2022; 18:2131-2139. [PMID: 35049119 PMCID: PMC9296696 DOI: 10.1002/alz.12525] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [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: 05/23/2021] [Revised: 10/05/2021] [Accepted: 10/12/2021] [Indexed: 01/31/2023]
Abstract
OBJECTIVE Evidence on simultaneous changes in body mass index (BMI) and cognitive decline, which better reflect the natural course of both health phenomena, is limited. METHODS We capitalized on longitudinal data from 15,977 initially non-demented elderly from the Alzheimer's Disease Centers followed for 5 years on average. Changes in BMI were defined as (1) last minus first BMI, (2) mean of all follow-up BMIs minus first BMI, and (3) standard deviation of BMI change from baseline and all follow-up visits (representing variability). RESULTS Participants with significant changes in BMI (increase or decrease of ≥5%), or who had greater variability in BMI, had faster cognitive decline. This pattern was consistent irrespective of normal (BMI < 25; N = 5747), overweight (25 ≤ BMI < 30; N = 6302), or obese (BMI ≥ 30; N = 3928) BMI at baseline. CONCLUSIONS Stability in BMI predicts better cognitive trajectories suggesting clinical value in tracking BMI change, which is simple to measure, and may point to individuals whose cognition is declining.
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Affiliation(s)
- Michal Schnaider Beeri
- Department of PsychiatryThe Icahn School of Medicine at Mount SinaiNew YorkUSA,The Joseph Sagol Neuroscience CenterSheba Medical CenterRamat GanIsrael
| | - Amir Tirosh
- Division of EndocrinologyDiabetes and MetabolismSheba Medical CenterRamat GanIsrael
| | - Hung‐Mo Lin
- Department of Health Population Sciences and PolicyCenter of BiostatisticsIcahn School of MedicineMount SinaiUSA
| | - Sapir Golan
- The Joseph Sagol Neuroscience CenterSheba Medical CenterRamat GanIsrael
| | - Ethel Boccara
- The Joseph Sagol Neuroscience CenterSheba Medical CenterRamat GanIsrael
| | - Mary Sano
- Department of PsychiatryThe Icahn School of Medicine at Mount SinaiNew YorkUSA,GRECCJames J Peters VA Medical CenterBronxNew YorkUSA
| | - Carolyn W. Zhu
- Brookdale Department of Geriatrics and Palliative MedicineIcahn School of MedicineMount SinaiUSA,GRECCJames J Peters VA Medical CenterBronxNew YorkUSA
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Manzali SB, Yu E, Ravona-Springer R, Livny A, Golan S, Ouyang Y, Lesman-Segev O, Liu L, Ganmore I, Alkelai A, Gan-Or Z, Lin HM, Heymann A, Schnaider Beeri M, Greenbaum L. Alzheimer’s Disease Polygenic Risk Score Is Not Associated With Cognitive Decline Among Older Adults With Type 2 Diabetes. Front Aging Neurosci 2022; 14:853695. [PMID: 36110429 PMCID: PMC9468264 DOI: 10.3389/fnagi.2022.853695] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2022] [Accepted: 06/06/2022] [Indexed: 11/13/2022] Open
Abstract
ObjectivesMultiple risk loci for late-onset Alzheimer’s disease (LOAD) have been identified. Type 2 diabetes (T2D) is a risk factor for cognitive decline, dementia and Alzheimer’s disease (AD). We investigated the association of polygenic risk score (PRS) for LOAD with overall cognitive functioning and longitudinal decline, among older adults with T2D.MethodsThe study included 1046 Jewish participants from the Israel Diabetes and Cognitive Decline (IDCD) study, aged ≥ 65 years, diagnosed with T2D, and cognitively normal at baseline. The PRS included variants from 26 LOAD associated loci (at genome-wide significance level), and was calculated with and without APOE. Outcome measures, assessed in 18 months intervals, were global cognition and the specific domains of episodic memory, attention/working memory, executive functions, and language/semantic categorization. Random coefficient models were used for analysis, adjusting for demographic variables, T2D-related characteristics, and cardiovascular factors. Additionally, in a subsample of 202 individuals, we analyzed the association of PRS with the volumes of total gray matter, frontal lobe, hippocampus, amygdala, and white matter hyperintensities. Last, the association of PRS with amyloid beta (Aβ) burden was examined in 44 participants who underwent an 18F-flutemetamol PET scan.ResultsThe PRS was not significantly associated with overall functioning or decline in global cognition or any of the specific cognitive domains. Similarly, following correction for multiple testing, there was no association with Aβ burden and other brain imaging phenotypes.ConclusionOur results suggest that the cumulative effect of LOAD susceptibility loci is not associated with a greater rate of cognitive decline in older adults with T2D, and other pathways may underlie this link.
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Affiliation(s)
- Sigalit B. Manzali
- Department of Pathology, Sheba Medical Center, Tel Hashomer, Israel
- The Joseph Sagol Neuroscience Center, Sheba Medical Center, Tel Hashomer, Israel
| | - Eric Yu
- Department of Human Genetics, McGill University, Montréal, QC, Canada
- Montreal Neurological Institute, McGill University, Montréal, QC, Canada
| | - Ramit Ravona-Springer
- The Joseph Sagol Neuroscience Center, Sheba Medical Center, Tel Hashomer, Israel
- Memory Clinic, Sheba Medical Center, Tel Hashomer, Israel
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Abigail Livny
- The Joseph Sagol Neuroscience Center, Sheba Medical Center, Tel Hashomer, Israel
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
- Department of Diagnostic Imaging, Sheba Medical Center, Tel Hashomer, Israel
| | - Sapir Golan
- The Joseph Sagol Neuroscience Center, Sheba Medical Center, Tel Hashomer, Israel
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Yuxia Ouyang
- Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, United States
| | - Orit Lesman-Segev
- The Joseph Sagol Neuroscience Center, Sheba Medical Center, Tel Hashomer, Israel
- Department of Diagnostic Imaging, Sheba Medical Center, Tel Hashomer, Israel
| | - Lang Liu
- Department of Human Genetics, McGill University, Montréal, QC, Canada
- Montreal Neurological Institute, McGill University, Montréal, QC, Canada
| | - Ithamar Ganmore
- The Joseph Sagol Neuroscience Center, Sheba Medical Center, Tel Hashomer, Israel
- Memory Clinic, Sheba Medical Center, Tel Hashomer, Israel
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Anna Alkelai
- Institute for Genomic Medicine, Columbia University Medical Center, New York, NY, United States
| | - Ziv Gan-Or
- Department of Human Genetics, McGill University, Montréal, QC, Canada
- Montreal Neurological Institute, McGill University, Montréal, QC, Canada
- Department of Neurology and Neurosurgery, McGill University, Montréal, QC, Canada
| | - Hung-Mo Lin
- Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, United States
| | - Anthony Heymann
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
- Maccabi Healthcare Services, Tel Aviv, Israel
| | - Michal Schnaider Beeri
- The Joseph Sagol Neuroscience Center, Sheba Medical Center, Tel Hashomer, Israel
- Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, United States
| | - Lior Greenbaum
- The Joseph Sagol Neuroscience Center, Sheba Medical Center, Tel Hashomer, Israel
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
- The Danek Gertner Institute of Human Genetics, Sheba Medical Center, Tel Hashomer, Israel
- *Correspondence: Lior Greenbaum,
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West RK, Ravona‐Springer R, Sharvit‐Ginon I, Ganmore I, Manzali S, Tirosh A, Golan S, Boccara E, Heymann A, Beeri MS. Long-term trajectories and current BMI are associated with poorer cognitive functioning in middle-aged adults at high Alzheimer's disease risk. Alzheimers Dement (Amst) 2021; 13:e12247. [PMID: 35005193 PMCID: PMC8719431 DOI: 10.1002/dad2.12247] [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] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/28/2021] [Revised: 08/16/2021] [Accepted: 08/31/2021] [Indexed: 01/01/2023]
Abstract
INTRODUCTION We examined relationships of body mass index (BMI) with cognition in middle-aged adults at Alzheimer's disease (AD) risk due to parental family history. METHODS Participants are offspring of AD patients from the Israel Registry of Alzheimer's Prevention (N = 271). Linear regressions assessed associations of BMI and cognition, and whether associations differed by maternal/paternal history. Analyses of covariance examined associations of long-term trajectories of BMI with cognition. RESULTS Higher BMI was associated with worse language (P = .045). Interactions of BMI with parental history were significant for episodic memory (P = .023), language (p = .027), working memory (P = .006), global cognition (P = .008); associations were stronger among participants with maternal history. Interactions of BMI trajectories with parental history were significant for episodic memory (P = .017), language (P = .013), working memory (P = .001), global cognition (P = .005), with stronger associations for maternal history. DISCUSSION Higher BMI and overweight/obese trajectories were associated with poorer cognition in adults with maternal history of AD, but not those with paternal history.
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Affiliation(s)
- Rebecca K. West
- Department of PsychiatryIcahn School of Medicine at Mount SinaiNew YorkNew YorkUSA
| | - Ramit Ravona‐Springer
- The Joseph Sagol Neuroscience CenterSheba Medical CenterTel‐HashomerIsrael
- Department of PsychiatrySheba Medical CenterTel‐HashomerIsrael
- Sackler School of MedicineTel Aviv UniversityTel AvivIsrael
| | | | - Ithamar Ganmore
- The Joseph Sagol Neuroscience CenterSheba Medical CenterTel‐HashomerIsrael
| | - Sigalit Manzali
- The Joseph Sagol Neuroscience CenterSheba Medical CenterTel‐HashomerIsrael
- Department of PsychiatrySheba Medical CenterTel‐HashomerIsrael
| | - Amir Tirosh
- Sackler School of MedicineTel Aviv UniversityTel AvivIsrael
- Institute of EndocrinologySheba Medical CenterTel HashomerIsrael
| | - Sapir Golan
- The Joseph Sagol Neuroscience CenterSheba Medical CenterTel‐HashomerIsrael
- Sackler School of MedicineTel Aviv UniversityTel AvivIsrael
| | - Ethel Boccara
- The Joseph Sagol Neuroscience CenterSheba Medical CenterTel‐HashomerIsrael
- Bar‐Ilan UniversityRamat GanIsrael
| | - Anthony Heymann
- Maccabi Healthcare ServicesTel AvivIsrael
- Department of Family MedicineTel Aviv UniversityTel AvivIsrael
| | - Michal Schnaider Beeri
- Department of PsychiatryIcahn School of Medicine at Mount SinaiNew YorkNew YorkUSA
- The Joseph Sagol Neuroscience CenterSheba Medical CenterTel‐HashomerIsrael
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7
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Lesman‐Segev OH, Golan S, Ravona‐Springer R, Livny A, Lin H, Ouyang Y, Zadok M, Hoffmann C, Domachevsky L, Beeri MS. Amyloid pathology, small‐vessel disease, atrophy, and cognition in normal adults with type 2 diabetes. Alzheimers Dement 2021. [DOI: 10.1002/alz.052616] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Orit H. Lesman‐Segev
- Department of Diagnostic Imaging Sheba Medical Center Tel Hashomer Ramat Gan Israel
- The Joseph Sagol Neuroscience Center Sheba Medical Center Tel Hashomer Ramat Gan Israel
| | - Sapir Golan
- The Joseph Sagol Neuroscience Center Sheba Medical Center Tel Hashomer Ramat Gan Israel
- Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel
| | - Ramit Ravona‐Springer
- The Joseph Sagol Neuroscience Center Sheba Medical Center Tel Hashomer Ramat Gan Israel
- Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel
- Memory clinic Sheba Medical Center Tel Hashomer Ramat‐Gan Israel
| | - Abigail Livny
- Department of Diagnostic Imaging Sheba Medical Center Tel Hashomer Ramat Gan Israel
- The Joseph Sagol Neuroscience Center Sheba Medical Center Tel Hashomer Ramat Gan Israel
- Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel
| | - Hung‐Mo Lin
- Department of Population Health Science and Policy The Icahn School of Medicine at Mount Sinai New York NY USA
| | - Yuxia Ouyang
- Department of Population Health Science and Policy The Icahn School of Medicine at Mount Sinai New York NY USA
| | - Maya Zadok
- The Joseph Sagol Neuroscience Center Sheba Medical Center Tel Hashomer Ramat Gan Israel
| | - Chen Hoffmann
- Department of Diagnostic Imaging Sheba Medical Center Tel Hashomer Ramat Gan Israel
- Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel
| | - Liran Domachevsky
- Department of Diagnostic Imaging Sheba Medical Center Tel Hashomer Ramat Gan Israel
- Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel
| | - Michal Schnaider Beeri
- The Joseph Sagol Neuroscience Center Sheba Medical Center Tel Hashomer Ramat Gan Israel
- Department of Psychiatry The Icahn School of Medicine at Mount Sinai New York NY USA
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Boccara E, Golan S, Ravona‐Springer R, Inbar Y, Yore I, Heymann A, Beeri MS. The relationship of regional abdominal adiposity and adiposity‐related factors with cognitive functioning among middle‐aged individuals at high Alzheimer’s dementia risk. Alzheimers Dement 2021. [DOI: 10.1002/alz.052777] [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: 11/09/2022]
Affiliation(s)
- Ethel Boccara
- The Joseph Sagol Neuroscience Center, Sheba Medical Center, Tel Hashomer Ramat Gan Israel
- Bar‐Ilan University Ramat Gan Israel
| | - Sapir Golan
- The Joseph Sagol Neuroscience Center, Sheba Medical Center, Tel Hashomer Ramat Gan Israel
- Sackler Faculty of Medicine, Tel Aviv University Tel Aviv Israel
| | - Ramit Ravona‐Springer
- The Joseph Sagol Neuroscience Center, Sheba Medical Center, Tel Hashomer Ramat Gan Israel
| | - Yael Inbar
- Department of Diagnostic Imaging, Sheba Medical Center Ramat Gan Israel
| | - Iscka Yore
- The Joseph Sagol Neuroscience Center, Sheba Medical Center, Tel Hashomer Ramat Gan Israel
| | | | - Michal Schnaider Beeri
- The Joseph Sagol Neuroscience Center, Sheba Medical Center, Tel Hashomer Ramat Gan Israel
- Icahn School of Medicine at Mount Sinai New York NY USA
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Golan S, Boccara E, Ravona‐Springer R, Inbar Y, Livny A, Yore I, Heymann A, Beeri MS. Regional abdominal adiposity and related factors are associated with brain volumes and cognitive functioning in middle‐aged adults at high AD‐risk. Alzheimers Dement 2021. [DOI: 10.1002/alz.058387] [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: 11/06/2022]
Affiliation(s)
- Sapir Golan
- Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel
- The Joseph Sagol Neuroscience Center Sheba Medical Center Tel Hashomer Ramat Gan Israel
| | - Ethel Boccara
- The Joseph Sagol Neuroscience Center Sheba Medical Center Tel Hashomer Ramat Gan Israel
- Bar‐Ilan University Ramat Gan Israel
| | - Ramit Ravona‐Springer
- Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel
- The Joseph Sagol Neuroscience Center Sheba Medical Center Tel Hashomer Ramat Gan Israel
- Sheba Medical Center Memory clinic Sheba Medical Center Ramat Gan Israel
- Memory clinic Sheba Medical Center Tel Hashomer Ramat‐Gan Israel
| | - Yael Inbar
- Department of Diagnostic Imaging Sheba Medical Center Tel Hashomer Ramat Gan Israel
| | - Abigail Livny
- Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel
- The Joseph Sagol Neuroscience Center Sheba Medical Center Tel Hashomer Ramat Gan Israel
- Department of Diagnostic Imaging Sheba Medical Center Tel Hashomer Ramat Gan Israel
| | - Iscka Yore
- The Joseph Sagol Neuroscience Center Sheba Medical Center Tel Hashomer Ramat Gan Israel
| | | | - Michal Schnaider Beeri
- The Joseph Sagol Neuroscience Center Sheba Medical Center Tel Hashomer Ramat Gan Israel
- Icahn School of Medicine at Mount Sinai New York NY USA
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Beeri MS, Tirosh A, Lin H, Golan S, Boccara E, Sano M, Zhu CW. Stability in BMI over time is associated with a better cognitive trajectory in older adults. Alzheimers Dement 2021. [DOI: 10.1002/alz.057574] [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: 11/07/2022]
Affiliation(s)
- Michal Schnaider Beeri
- Icahn School of Medicine at Mount Sinai New York NY USA
- Sheba Medical Center Tel Hashomer Israel
| | | | - HungMo Lin
- Icahn School of Medicine at Mount Sinai New York NY USA
| | | | | | - Mary Sano
- Icahn School of Medicine at Mount Sinai New York NY USA
- James J. Peters VA Medical Center Bronx NY USA
| | - Carolyn W Zhu
- Icahn School of Medicine at Mount Sinai New York NY USA
- James J. Peters VA Medical Center Bronx NY USA
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11
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Golan S, Boccara E, Ravona‐Springer R, Inbar Y, Yore I, Heymann A, Beeri MS. Regional abdominal adiposity is associated with BMI‐related brain regions in middle‐aged adults at high risk of Alzheimer’s dementia. Alzheimers Dement 2021. [DOI: 10.1002/alz.052080] [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)
- Sapir Golan
- Sackler Faculty of Medicine, Tel Aviv University Tel Aviv Israel
- The Joseph Sagol Neuroscience Center, Sheba Medical Center, Tel Hashomer Ramat Gan Israel
| | - Ethel Boccara
- The Joseph Sagol Neuroscience Center, Sheba Medical Center, Tel Hashomer Ramat Gan Israel
- Bar‐Ilan University Ramat Gan Israel
| | - Ramit Ravona‐Springer
- The Joseph Sagol Neuroscience Center, Sheba Medical Center, Tel Hashomer Ramat Gan Israel
| | - Yael Inbar
- Department of Diagnostic Imaging, Sheba Medical Center Ramat Gan Israel
| | - Iscka Yore
- The Joseph Sagol Neuroscience Center, Sheba Medical Center, Tel Hashomer Ramat Gan Israel
| | | | - Michal Schnaider Beeri
- The Joseph Sagol Neuroscience Center, Sheba Medical Center, Tel Hashomer Ramat Gan Israel
- Icahn School of Medicine at Mount Sinai New York NY USA
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Yeini E, Ofek P, Pozzi S, Albeck N, Ben-Shushan D, Tiram G, Golan S, Kleiner R, Sheinin R, Reich-Zeliger S, Grossman R, Ram Z, Brem H, Hyde T, Magod P, Friedmann-Morvinski D, Madi A, Satchi-Fainaro R. Abstract 2716: P-selectin axis plays a key role in microglia immunophenotype and glioblastoma progression. Cancer Res 2021. [DOI: 10.1158/1538-7445.am2021-2716] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Glioblastoma (GB) is an aggressive type of brain cancer with high mortality rate. It is a highly angiogenic tumor exhibiting an extremely invasive nature. As such, its brain microenvironment plays a crucial role in its progression. Microglia are the brain resident immune cells which have been shown to facilitate GB cell invasion and immune suppression. The mechanism by which GB cells alter microglia behavior is yet to be fully understood. One proposed mechanism involves adhesion molecules such as the Selectins family of proteins which are expressed on the surface of endothelial and immune cells and are involved in immune modulation and cancer immunity. We have previously shown that P-Selectin (SELP) is expressed by GB cells. Here, we investigated the factional role of SELP in GB-microglia interactions. First, we found that microglia cells facilitate the expression and secretion of SELP by GB cells, and that GB cells facilitate the expression of P-Selectin ligand by microglia. We then showed that SELP mediates microglia-enhanced GB invasion and proliferation in 2D and 3D in vitro models and has a role in microglia activation state. These findings were validated in vivo, showing that inhibition or downregulation of SELP leads to reduced tumor growth, increased overall survival and improved immune response. Single-Cells RNA-seq analysis of the tumors revealed an increase in pro-inflammatory microglia signature, reduction in cancer cell tumorigenesis potential and improved T cell activation. Our results indicated that SELP has an important role in GB progression and microenvironment activation. This work can improve our understanding of tumor-associated microglia function and the mechanisms by which GB cells suppress the immune system and invade the brain tissue.
Citation Format: Eilam Yeini, Paula Ofek, Sabina Pozzi, Nitzan Albeck, Dikla Ben-Shushan, Galia Tiram, Sapir Golan, Ron Kleiner, Ron Sheinin, Shlomit Reich-Zeliger, Rachel Grossman, Zvi Ram, Henry Brem, Thomas Hyde, Prerna Magod, Dinorah Friedmann-Morvinski, Asaf Madi, Ronit Satchi-Fainaro. P-selectin axis plays a key role in microglia immunophenotype and glioblastoma progression [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2021; 2021 Apr 10-15 and May 17-21. Philadelphia (PA): AACR; Cancer Res 2021;81(13_Suppl):Abstract nr 2716.
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Affiliation(s)
| | | | | | | | | | | | | | | | | | | | | | - Zvi Ram
- 3Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel
| | - Henry Brem
- 4Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD
| | - Thomas Hyde
- 4Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD
| | | | | | - Asaf Madi
- 1Tel-Aviv University, Tel Aviv, Israel
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Noy R, Haifler M, Golan S, Mano R, Freifeld Y, Rosenzweig B, Shalom B, Stabholz Y, Ben David R, Amiel G, Hoffman A. Analysis of clinical characteristics, treatment patterns, and outcome of patients with bilateral testicular germ cell tumors. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)01033-2] [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: 10/20/2022]
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14
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Ravona-Springer R, Sharvit-Ginon I, Ganmore I, Greenbaum L, Bendlin BB, Sternberg SA, Livny A, Domachevsky L, Sandler I, Ben Haim S, Golan S, Ben-Ami L, Lesman-Segev O, Manzali S, Heymann A, Beeri MS. The Israel Registry for Alzheimer's Prevention (IRAP) Study: Design and Baseline Characteristics. J Alzheimers Dis 2021; 78:777-788. [PMID: 33044181 DOI: 10.3233/jad-200623] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
BACKGROUND Family history of Alzheimer's disease (AD) is associated with increased dementia-risk. OBJECTIVE The Israel Registry for Alzheimer's Prevention (IRAP) is a prospective longitudinal study of asymptomatic middle-aged offspring of AD patients (family history positive; FH+) and controls (whose parents have aged without dementia; FH-) aimed to unravel the contribution of midlife factors to future cognitive decline and dementia. Here we present the study design, methods, and baseline characteristics. METHODS Participants are members of the Maccabi Health Services, 40-65 years of age, with exquisitely detailed laboratory, medical diagnoses and medication data available in the Maccabi electronic medical records since 1998. Data collected through IRAP include genetic, sociodemographic, cognitive, brain imaging, lifestyle, and health-related characteristics at baseline and every three years thereafter. RESULTS Currently IRAP has 483 participants [mean age 54.95 (SD = 6.68) and 64.8% (n = 313) women], 379 (78.5%) FH+, and 104 (21.5%) FH-. Compared to FH-, FH+ participants were younger (p = 0.011), more often males (p = 0.003) and with a higher prevalence of the APOE E4 allele carriers (32.9% FH+, 22% FH-; p = 0.040). Adjusting for age, sex, and education, FH+ performed worse than FH-in global cognition (p = 0.027) and episodic memory (p = 0.022). CONCLUSION Lower cognitive scores and higher rates of the APOE E4 allele carriers among the FH+ group suggest that FH ascertainment is good. The combination of long-term historical health-related data available through Maccabi with the multifactorial information collected through IRAP will potentially enable development of dementia-prevention strategies already in midlife, a critical period in terms of risk factor exposure and initiation of AD-neuropathology.
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Affiliation(s)
- Ramit Ravona-Springer
- The Joseph Sagol Neuroscience Center, Sheba Medical Center, Tel-Hashomer, Israel.,Memory Clinic, Sheba Medical Center, Tel Hashomer, Israel.,Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Inbal Sharvit-Ginon
- The Joseph Sagol Neuroscience Center, Sheba Medical Center, Tel-Hashomer, Israel
| | - Ithamar Ganmore
- The Joseph Sagol Neuroscience Center, Sheba Medical Center, Tel-Hashomer, Israel.,Memory Clinic, Sheba Medical Center, Tel Hashomer, Israel.,Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.,Department of Neurology, Sheba Medical Center, Tel Hashomer, Israel
| | - Lior Greenbaum
- The Joseph Sagol Neuroscience Center, Sheba Medical Center, Tel-Hashomer, Israel.,Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.,The Danek Gertner Institute of Human Genetics, Sheba Medical Center, Tel Hashomer, Israel
| | - Barbara B Bendlin
- Wisconsin Alzheimer's Disease Research Center, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA
| | | | - Abigail Livny
- The Joseph Sagol Neuroscience Center, Sheba Medical Center, Tel-Hashomer, Israel.,Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.,Department of Diagnostic imaging, Seba Medical Center, Tel Hashomer, Israel
| | - Liran Domachevsky
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.,Department of Diagnostic imaging, Seba Medical Center, Tel Hashomer, Israel
| | - Israel Sandler
- Department of Diagnostic imaging, Seba Medical Center, Tel Hashomer, Israel
| | - Simona Ben Haim
- Department of Medical Biophysics and Nuclear Medicine, Hadassah University Hospital, Ein Kerem, Jerusalem, Israel.,Institute of Nuclear Medicine, University College London and UCL Hospitals, NHS Trust, London, UK
| | - Sapir Golan
- The Joseph Sagol Neuroscience Center, Sheba Medical Center, Tel-Hashomer, Israel
| | - Liat Ben-Ami
- The Joseph Sagol Neuroscience Center, Sheba Medical Center, Tel-Hashomer, Israel.,Department of Diagnostic imaging, Seba Medical Center, Tel Hashomer, Israel
| | - Orit Lesman-Segev
- Department of Diagnostic imaging, Seba Medical Center, Tel Hashomer, Israel
| | - Sigalit Manzali
- The Joseph Sagol Neuroscience Center, Sheba Medical Center, Tel-Hashomer, Israel.,Department of Pathology, Sheba Medical Center, Tel-Hashomer, Israel
| | - Anthony Heymann
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.,Maccabi Healthcare Services, Israel
| | - Michal Schnaider Beeri
- The Joseph Sagol Neuroscience Center, Sheba Medical Center, Tel-Hashomer, Israel.,Department of Psychiatry, The Icahn School of Medicine at Mount Sinai, New York, NY, USA
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15
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Yeini E, Ofek P, Pozzi S, Albeck N, Ben-Shushan D, Tiram G, Golan S, Kleiner R, Sheinin R, Israeli Dangoor S, Reich-Zeliger S, Grossman R, Ram Z, Brem H, Hyde TM, Magod P, Friedmann-Morvinski D, Madi A, Satchi-Fainaro R. P-selectin axis plays a key role in microglia immunophenotype and glioblastoma progression. Nat Commun 2021; 12:1912. [PMID: 33771989 PMCID: PMC7997963 DOI: 10.1038/s41467-021-22186-0] [Citation(s) in RCA: 35] [Impact Index Per Article: 11.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2020] [Accepted: 03/01/2021] [Indexed: 02/06/2023] Open
Abstract
Glioblastoma (GB) is a highly invasive type of brain cancer exhibiting poor prognosis. As such, its microenvironment plays a crucial role in its progression. Among the brain stromal cells, the microglia were shown to facilitate GB invasion and immunosuppression. However, the reciprocal mechanisms by which GB cells alter microglia/macrophages behavior are not fully understood. We propose that these mechanisms involve adhesion molecules such as the Selectins family. These proteins are involved in immune modulation and cancer immunity. We show that P-selectin mediates microglia-enhanced GB proliferation and invasion by altering microglia/macrophages activation state. We demonstrate these findings by pharmacological and molecular inhibition of P-selectin which leads to reduced tumor growth and increased survival in GB mouse models. Our work sheds light on tumor-associated microglia/macrophage function and the mechanisms by which GB cells suppress the immune system and invade the brain, paving the way to exploit P-selectin as a target for GB therapy.
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Affiliation(s)
- Eilam Yeini
- Department of Physiology and Pharmacology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Paula Ofek
- Department of Physiology and Pharmacology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Sabina Pozzi
- Department of Physiology and Pharmacology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Nitzan Albeck
- Department of Physiology and Pharmacology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
- Sagol School of Neurosciences, Tel Aviv University, Tel Aviv, Israel
| | - Dikla Ben-Shushan
- Department of Physiology and Pharmacology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Galia Tiram
- Department of Physiology and Pharmacology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Sapir Golan
- Department of Physiology and Pharmacology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Ron Kleiner
- Department of Physiology and Pharmacology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Ron Sheinin
- Department of Pathology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Sahar Israeli Dangoor
- Department of Physiology and Pharmacology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | | | - Rachel Grossman
- Department of Neurosurgery, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
| | - Zvi Ram
- Department of Neurosurgery, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
| | - Henry Brem
- Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - Thomas M Hyde
- Lieber Institute for Brain Development, Johns Hopkins Medical Campus, Baltimore, MD, USA
- Department of Psychiatry & Behavioral Science, Johns Hopkins University School of Medicine, Baltimore, MD, USA
- Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - Prerna Magod
- Department of Biochemistry and Molecular Biology, George S. Wise Faculty of Life Sciences, Sherman Building, Tel Aviv University, Tel Aviv, Israel
| | - Dinorah Friedmann-Morvinski
- Sagol School of Neurosciences, Tel Aviv University, Tel Aviv, Israel
- Department of Biochemistry and Molecular Biology, George S. Wise Faculty of Life Sciences, Sherman Building, Tel Aviv University, Tel Aviv, Israel
| | - Asaf Madi
- Department of Pathology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Ronit Satchi-Fainaro
- Department of Physiology and Pharmacology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
- Sagol School of Neurosciences, Tel Aviv University, Tel Aviv, Israel.
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16
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West R, Ravona‐Springer R, Sharvit‐Ginon I, Golan S, Heymann A, Beeri MS. Long‐term adiposity is associated with poorer cognitive performance in middle‐aged adults at high risk of Alzheimer’s disease. Alzheimers Dement 2020. [DOI: 10.1002/alz.041829] [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: 11/06/2022]
Affiliation(s)
- Rebecca West
- Icahn School of Medicine at Mount Sinai New York NY USA
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17
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Yehene E, Golan S, Brezner A, Gerner M, Landa J. Exploring the role of perceived vs. observed behavioral outcomes in parental grief reaction following pediatric acquired brain injury. NeuroRehabilitation 2019; 45:11-18. [PMID: 31403959 DOI: 10.3233/nre-192751] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Pediatric acquired brain injury may result in a significant gap between the "pre" and "post-injury" child. OBJECTIVE We aimed to quantitatively explore the mechanism underlying parents' loss experience by examining the mediating role of behavioral outcomes (observed-problems and perceived-change) in the relationship between injury severity and grief. METHOD The study employed a cross-sectional retrospective design and comprised 40 parents of children (aged 3-18 years) with moderate-severe brain injury. Data for each parent included an adapted version of the Two-Track Bereavement Questionnaire and Socio-demographics; Data for each child included the child's Information Processing Speed Index; the Child Behavioral Checklist and Parental Perception of Behavioral Changes scale. RESULTS Slowed information processing speed was significantly associated with elevated ratings on both measures of behavioral outcomes and with intensified grief. Mediation analyses revealed that parental perceived behavioral change, significantly mediate the relationship between information processing speed and grief; the Child Behavioral Checklist total score also mediated the same relationship but only in 90% confidence interval. CONCLUSIONS Findings reveal the adverse impact of behavioral outcomes on grief and suggest parents' loss experience to be stemming primarily from their subjective perception over their "changed-child", rather than the observed problems. Implications for clinical practice are discussed.
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Affiliation(s)
- Einat Yehene
- School of Behavioral Sciences, The Academic College of Tel Aviv - Yaffo, Israel.,Department of Pediatric Rehabilitation, Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Israel
| | - Sapir Golan
- School of Behavioral Sciences, The Academic College of Tel Aviv - Yaffo, Israel
| | - Amichai Brezner
- Department of Pediatric Rehabilitation, Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Israel
| | - Maya Gerner
- Department of Pediatric Rehabilitation, Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Israel
| | - Janna Landa
- Department of Pediatric Rehabilitation, Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Israel.,Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv - Yaffo, Israel
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18
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Yehene E, Brezner A, Ben-Valid S, Golan S, Bar-Nadav O, Landa J. Factors associated with parental grief reaction following pediatric acquired brain injury. Neuropsychol Rehabil 2019; 31:105-128. [PMID: 31556807 DOI: 10.1080/09602011.2019.1668280] [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] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
The present study investigated factors associated with parental grief reaction (PGR) following pediatric acquired brain injury (ABI), and compared PGR to the one exhibited following child death. Fifty-seven parents of 51 children (aged 3-18) whose ABI occurred 1-14 years before participation, completed the multi-scale Two-Track Bereavement Questionnaire; a socio-demographic questionnaire; and a scale assessing perceived behavioural changes in the child. Results from regression analysis indicated that time since injury had no impact on parents' grief other than having an adverse impact on their overall coping and functioning; A higher amount of weekly caring hours predicted only a greater traumatic perception of the loss; Older children's ages but mostly greater parental-perceived behavioural changes, predicted greater PGR on most scales. PGR was compared with the pre-existing data of bereaved parents who completed the same grief questionnaire. Although grief response patterns and intensity were similar in both groups, significant differences were found on scales assessing the continuing bond with the child: relational active grief, close and positive relationship, and conflictual relationship. Our findings indicate that parental grief is multi-dimensional following pediatric ABI and illuminate the interplay between elements characterizing parents' nonfinite vs. finite loss experience.
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Affiliation(s)
- Einat Yehene
- School of Behavioral Sciences, The Academic College of Tel-Aviv Yafo, Tel-Aviv, Israel.,Pediatric Rehabilitation Department, Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Tel HaShomer, Israel
| | - Amichai Brezner
- Pediatric Rehabilitation Department, Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Tel HaShomer, Israel
| | - Shani Ben-Valid
- School of Behavioral Sciences, The Academic College of Tel-Aviv Yafo, Tel-Aviv, Israel
| | - Sapir Golan
- School of Behavioral Sciences, The Academic College of Tel-Aviv Yafo, Tel-Aviv, Israel
| | - Ofri Bar-Nadav
- International Center for the Study of Loss, Bereavement and Human Resilience, Department of Psychology, University of Haifa, Haifa, Israel
| | - Janna Landa
- Pediatric Rehabilitation Department, Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Tel HaShomer, Israel.,Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
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19
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Shoshany O, Erlich T, Golan S, Kleinmann N, Baniel J, Rosenzweig B, Eisner A, Mor Y, Ramon J, Winkler H, Lifshitz D. Ureteric stent versus percutaneous nephrostomy for acute ureteral obstruction - clinical outcome and quality of life: a bi-center prospective study. BMC Urol 2019; 19:79. [PMID: 31455309 PMCID: PMC6712738 DOI: 10.1186/s12894-019-0510-4] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2018] [Accepted: 08/20/2019] [Indexed: 12/15/2022] Open
Abstract
BACKGROUND To compare quality of life (QoL) indices between ureteral stent (DJS) and nephrostomy tube (PCN) inserted in the setting of acute ureteral obstruction. METHODS Prospective bi-centered study. Over the span of 2 years, 45 DJS and 30 PCN patients were recruited. Quality of life was assessed by 2 questionnaires, EuroQol EQ-5D and 'Tube symptoms' questionnaire, at 2 time points (at discharge after drainage and before definitive treatment). RESULTS Patients' demographics and pre-drainage data were similar. There were no clinically significant differences in patient's recovery between the groups, including post procedural pain, defeverence, returning to baseline renal function, and septic shock complications. More DJS patients presented to the emergency room with complaints related to their procedure compared to PCN patients. At first, DJS patients complained more of urinary discomfort while PCN patients had worse symptoms relating to mobility and personal hygiene, with both groups achieving similar overall QoL score. At second time point, PCN patients' symptoms ameliorated while symptoms in the DJS group remained similar, translating to higher overall QoL score in the PCN group. CONCLUSIONS The two techniques had a distinct and significantly different impact on quality of life. Over time, PCN patients' symptoms relieve and their QoL improve, while DJS patients' symptoms persist. Specific tube related symptoms, and their dynamics over time, should be a major determinant in choosing the appropriate drainage method, especially when definitive treatment is not imminent.
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Affiliation(s)
- O Shoshany
- Urology Department, Rabin Medical Center, Hasharon Hospital, 7 Keren Kayemet St, 49372, Petah Tikva, Israel. .,Sackler School of medicine, Tel Aviv University, Tel Aviv, Israel.
| | - T Erlich
- Sackler School of medicine, Tel Aviv University, Tel Aviv, Israel.,Urology Department, Chaim Sheba Medical Center, Ramat Gan, Israel
| | - S Golan
- Urology Department, Rabin Medical Center, Hasharon Hospital, 7 Keren Kayemet St, 49372, Petah Tikva, Israel.,Sackler School of medicine, Tel Aviv University, Tel Aviv, Israel
| | - N Kleinmann
- Sackler School of medicine, Tel Aviv University, Tel Aviv, Israel.,Urology Department, Chaim Sheba Medical Center, Ramat Gan, Israel
| | - J Baniel
- Urology Department, Rabin Medical Center, Hasharon Hospital, 7 Keren Kayemet St, 49372, Petah Tikva, Israel.,Sackler School of medicine, Tel Aviv University, Tel Aviv, Israel
| | - B Rosenzweig
- Sackler School of medicine, Tel Aviv University, Tel Aviv, Israel.,Urology Department, Chaim Sheba Medical Center, Ramat Gan, Israel
| | - A Eisner
- Sackler School of medicine, Tel Aviv University, Tel Aviv, Israel.,Urology Department, Chaim Sheba Medical Center, Ramat Gan, Israel
| | - Y Mor
- Sackler School of medicine, Tel Aviv University, Tel Aviv, Israel.,Urology Department, Chaim Sheba Medical Center, Ramat Gan, Israel
| | - J Ramon
- Sackler School of medicine, Tel Aviv University, Tel Aviv, Israel.,Urology Department, Chaim Sheba Medical Center, Ramat Gan, Israel
| | - H Winkler
- Sackler School of medicine, Tel Aviv University, Tel Aviv, Israel.,Urology Department, Chaim Sheba Medical Center, Ramat Gan, Israel
| | - D Lifshitz
- Urology Department, Rabin Medical Center, Hasharon Hospital, 7 Keren Kayemet St, 49372, Petah Tikva, Israel.,Sackler School of medicine, Tel Aviv University, Tel Aviv, Israel
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20
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Adler A, Hussein O, Ben-David D, Masarwa S, Navon-Venezia S, Schwaber MJ, Carmeli Y, Setton E, Golan S, Brill S, Lipkin V, Frodin E, Mendelson G, Rave R, Yehuda N, Aizen I, Kaganski M, Gershkovich P, Sasson A, Yosef H, Stessman J, Zlatkin S, Or I, Lazary A, Weinberg I, Madjar J, Taichman S, Ben-Israel J, Vigder C, Bar'el C, Davidovitch Y, Charish L. Persistence of Klebsiella pneumoniae ST258 as the predominant clone of carbapenemase-producing Enterobacteriaceae in post-acute-care hospitals in Israel, 2008-13. J Antimicrob Chemother 2014; 70:89-92. [DOI: 10.1093/jac/dku333] [Citation(s) in RCA: 53] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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21
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22
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Ben-Meir D, Golan S, Ehrlich Y, Livne PM. Characteristics and clinical significance of bacterial colonization of ureteral double-J stents in children. J Pediatr Urol 2009; 5:355-8. [PMID: 19251483 DOI: 10.1016/j.jpurol.2009.01.001] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/26/2008] [Accepted: 01/08/2009] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To determine the frequency, type of pathogen and clinical significance of bacterial colonization of double-J stents after pyeloplasty in children. PATIENTS AND METHODS The medical files of 82 consecutive children (22 girls, 60 boys) who underwent pyeloplasty at a tertiary pediatric medical center in 2000-2007 were reviewed. Additional inclusion criteria were sterile urine preoperatively and placement of an indwelling double-J stent during surgery. Intravenous gentamicin was administered prior to pyeloplasty and stent removal; cephalexin was administered postoperatively until discharge. Children with a postoperative urinary tract infection (UTI) received full-dose antimicrobial treatment followed by prophylaxis until stent removal. RESULTS Median patient age at surgery was 11 months (1 month-17.5 years). Forty-nine stents were inserted on the left side, 32 on the right, and one bilaterally. Cultures showed bacterial colonization in 58 cases (70.7%); 15 (25.8%) grew Staphylococcus (coagulase negative and positive). Eight children had febrile UTI postoperatively; in four the stent was colonized by Enterococci and in one by Proteus; three were sterile. There was no statistically significant association between positive stent culture and febrile UTI, patient age or sex, or stent laterality. The study was potentially limited by its observational design, small sample size, and the selective antibiotic treatment of patients with UTI which may have affected stent bacterial resistance. CONCLUSION Bacterial colonization is not uncommon in double-J stents retained for several weeks after pyeloplasty, but is usually not clinically significant. Enterococcus is the most frequent pathogen.
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Affiliation(s)
- D Ben-Meir
- Pediatric Urology Unit, Schneider Children's Medical Center of Israel, Petach Tikva 49 202, Israel.
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Eizenberg H, Golan S, Joel DM. First Report of the Parasitic Plant Orobanche aegyptiaca Infecting Olive. Plant Dis 2002; 86:814. [PMID: 30818586 DOI: 10.1094/pdis.2002.86.7.814a] [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] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Broomrapes (Orobanche spp.) are obligatory parasitic plants that infect the root system of vegetables and field crops worldwide resulting in severe damage. Five broomrape species are known as significant parasites of crops in Israel: O. aegyptiaca Pers., O. cernua Loefl., O. cumana Wallr., O. crenata Forssk., and O. ramose L. (1,2). Recently, O. aegyptiaca was found to parasitize roots of young olive trees (Olea europaea) in a 1-year-old plantation located in Esdraelon Valley, Israel (voucher specimens deposited in Newe-Ya'ar Weed Herbarium, Ramat Yishay, Israel). To our knowledge, this is the first time that a tree in general and olive in particular has been reported to serve as host for O. aegyptiaca. Washing the root system clearly verified connections between the parasite and olive roots. Cross sections of an attachment site confirmed the development of functional haustoria. Trees were planted in a field where tomatoes had been previously parasitized by O. aegyptiaca for several years. In April 2001, many O. aegyptiaca plants emerged under each olive tree in a total area of 0.3 ha. Additional emergence of O. aegyptiaca was observed until July 2001. The high level of Orobanche infection did not lead to visible damage in the trees. However, the mature parasite developed massive amounts of seeds, serving to increase the population of O. aegyptiaca in the field. References: (1) D. M. Joel and H. Eizenberg. Three Orobanche species newly found on crops in Israel. Phytoparasitica 30:187, 2002. (2) C. Parker and C. R. Riches. Parasitic Weeds of the World. CAB International, Wallingford, UK, 1993.
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Affiliation(s)
- H Eizenberg
- Department of Weed Research, ARO, Newe Ya'ar Research Center, P.O. Box 1021, Ramat Yishay 30095, Israel
| | - S Golan
- Department of Weed Research, ARO, Newe Ya'ar Research Center, P.O. Box 1021, Ramat Yishay 30095, Israel
| | - D M Joel
- Department of Weed Research, ARO, Newe Ya'ar Research Center, P.O. Box 1021, Ramat Yishay 30095, Israel
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Johnson R, Golan S, Guenther E. SAFR, an economic, inherently safe liouid metal reactor. Nuclear Engineering and Design 1988. [DOI: 10.1016/0029-5493(88)90145-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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25
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David R, Golan S, Drucker W. Familial aldosterone deficiency: enzyme defect, diagnosis, and clinical course. Pediatrics 1968; 41:403-12. [PMID: 4295679] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/09/2023] Open
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