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de Buck MHS, Kent JL, Jezzard P, Hess AT. Head-and-neck multichannel B1 + mapping and RF shimming of the carotid arteries using a 7T parallel-transmit head coil. Magn Reson Med 2024; 91:190-204. [PMID: 37794847 PMCID: PMC10962593 DOI: 10.1002/mrm.29845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Revised: 08/01/2023] [Accepted: 08/10/2023] [Indexed: 10/06/2023]
Abstract
PURPOSE Neurovascular MRI suffers from a rapid drop in B1 + into the neck when using transmit head coils at 7 T. One solution to improving B1 + magnitude in the major feeding arteries in the neck is to use custom RF shims on parallel-transmit head coils. However, calculating such shims requires robust multichannel B1 + maps in both the head and the neck, which is challenging due to low RF penetration into the neck, limited dynamic range of multichannel B1 + mapping techniques, and B0 sensitivity. We therefore sought a robust, large-dynamic-range, parallel-transmit field mapping protocol and tested whether RF shimming can improve carotid artery B1 + magnitude in practice. METHODS A pipeline is presented that combines B1 + mapping data acquired using circularly polarized (CP) and CP2-mode RF shims at multiple voltages. The pipeline was evaluated by comparing the predicted and measured B1 + for multiple random transmit shims, and by assessing the ability of RF shimming to increase B1 + in the carotid arteries. RESULTS The proposed method achieved good agreement between predicted and measured B1 + in both the head and the neck. The B1 + magnitude in the carotid arteries can be increased by 43% using tailored RF shims or by 37% using universal RF shims, while also improving the RF homogeneity compared with CP mode. CONCLUSION B1 + in the neck can be increased using RF shims calculated from multichannel B1 + maps in both the head and the neck. This can be achieved using universal phase-only RF shims, facilitating easy implementation in existing sequences.
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Affiliation(s)
- Matthijs H. S. de Buck
- FMRIB Division, Nuffield Department of Clinical Neurosciences, Wellcome Centre for Integrative NeuroimagingUniversity of OxfordOxfordUK
| | - James L. Kent
- FMRIB Division, Nuffield Department of Clinical Neurosciences, Wellcome Centre for Integrative NeuroimagingUniversity of OxfordOxfordUK
| | - Peter Jezzard
- FMRIB Division, Nuffield Department of Clinical Neurosciences, Wellcome Centre for Integrative NeuroimagingUniversity of OxfordOxfordUK
| | - Aaron T. Hess
- FMRIB Division, Nuffield Department of Clinical Neurosciences, Wellcome Centre for Integrative NeuroimagingUniversity of OxfordOxfordUK
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Rieger SW, Hess A, Ji Y, Rodgers CT, Jezzard P, Miller KL, Wu W. A temperature-controlled cooling system for accurate quantitative post-mortem MRI. Magn Reson Med 2023; 90:2643-2652. [PMID: 37529979 PMCID: PMC10952464 DOI: 10.1002/mrm.29816] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Revised: 06/16/2023] [Accepted: 07/13/2023] [Indexed: 08/03/2023]
Abstract
PURPOSE To develop a temperature-controlled cooling system to facilitate accurate quantitative post-mortem MRI and enable scanning of unfixed tissue. METHODS A water cooling system was built and integrated with a 7T scanner to minimize temperature drift during MRI scans. The system was optimized for operational convenience and rapid deployment to ensure efficient workflow, which is critical for scanning unfixed post-mortem samples. The performance of the system was evaluated using a 7-h diffusion MRI protocol at 7T with a porcine tissue sample. Quantitative T1 , T2 , and ADC maps were interspersed with the diffusion scans at seven different time points to investigate the temperature dependence of MRI tissue parameters. The impact of temperature changes on biophysical model fitting of diffusion MRI data was investigated using simulation. RESULTS Tissue T1 , T2 , and ADC values remained stable throughout the diffusion MRI scan using the developed cooling system, but varied substantially using a conventional scan setup without temperature control. The cooling system enabled accurate estimation of biophysical model parameters by stabilizing the tissue temperature throughout the diffusion scan, while the conventional setup showed evidence of significantly biased estimation. CONCLUSION A temperature-controlled cooling system was developed to tackle the challenge of heating in post-mortem imaging, which shows potential to improve the accuracy and reliability of quantitative post-mortem imaging and enables long scans of unfixed tissue.
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Affiliation(s)
- Sebastian W. Rieger
- Wellcome Centre for Integrative Neuroimaging, Oxford Centre for Human Brain Activity, Department of PsychiatryUniversity of OxfordOxfordUK
| | - Aaron Hess
- Wellcome Centre for Integrative Neuroimaging, FMRIB, Nuffield Department of Clinical NeurosciencesUniversity of OxfordOxfordUK
| | - Yang Ji
- Wellcome Centre for Integrative Neuroimaging, FMRIB, Nuffield Department of Clinical NeurosciencesUniversity of OxfordOxfordUK
| | - Christopher T. Rodgers
- Wolfson Brain Imaging Centre, Department of Clinical NeurosciencesUniversity of CambridgeCambridgeUK
| | - Peter Jezzard
- Wellcome Centre for Integrative Neuroimaging, FMRIB, Nuffield Department of Clinical NeurosciencesUniversity of OxfordOxfordUK
| | - Karla L. Miller
- Wellcome Centre for Integrative Neuroimaging, FMRIB, Nuffield Department of Clinical NeurosciencesUniversity of OxfordOxfordUK
| | - Wenchuan Wu
- Wellcome Centre for Integrative Neuroimaging, FMRIB, Nuffield Department of Clinical NeurosciencesUniversity of OxfordOxfordUK
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Jeong H, Andersson J, Hess A, Jezzard P. Effect of subject-specific head morphometry on specific absorption rate estimates in parallel-transmit MRI at 7 T. Magn Reson Med 2023; 89:2376-2390. [PMID: 36656151 PMCID: PMC10952207 DOI: 10.1002/mrm.29589] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2022] [Revised: 12/02/2022] [Accepted: 12/31/2022] [Indexed: 01/20/2023]
Abstract
PURPOSE To assess the accuracy of morphing an established reference electromagnetic head model to a subject-specific morphometry for the estimation of specific absorption rate (SAR) in 7T parallel-transmit (pTx) MRI. METHODS Synthetic T1 -weighted MR images were created from three high-resolution open-source electromagnetic head voxel models. The accuracy of morphing a "reference" (multimodal image-based detailed anatomical [MIDA]) electromagnetic model into a different subject's native space (Duke and Ella) was compared. Both linear and nonlinear registration methods were evaluated. Maximum 10-g averaged SAR was estimated for circularly polarized mode and for 5000 random RF shim sets in an eight-channel transmit head coil, and comparison made between the morphed MIDA electromagnetic models and the native Duke and Ella electromagnetic models, respectively. RESULTS The averaged error in maximum 10-g averaged SAR estimation across pTx MRI shim sets between the MIDA and the Duke target model was reduced from 17.5% with only rigid-body registration, to 11.8% when affine linear registration was used, and further reduced to 10.7% when nonlinear registration was used. The corresponding figures for the Ella model were 16.7%, 11.2%, and 10.1%. CONCLUSION We found that morphometry accounts for up to half of the subject-specific differences in pTx SAR. Both linear and nonlinear morphing of an electromagnetic model into a target subject improved SAR agreement by better matching head size, morphometry, and position. However, differences remained, likely arising from details in tissue composition estimation. Thus, the uncertainty of the head morphometry and tissue composition may need to be considered separately to achieve personalized SAR estimation.
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Affiliation(s)
- Hongbae Jeong
- Wellcome Centre for Integrative Neuroimaging, FMRIB Division, Nuffield Department of Clinical NeurosciencesUniversity of OxfordOxfordUK
- Athinoula A. Martinos Center for Biomedical Imaging, Department of RadiologyMassachusetts General HospitalBostonMassachusettsUSA
| | - Jesper Andersson
- Wellcome Centre for Integrative Neuroimaging, FMRIB Division, Nuffield Department of Clinical NeurosciencesUniversity of OxfordOxfordUK
| | - Aaron Hess
- Wellcome Centre for Integrative Neuroimaging, FMRIB Division, Nuffield Department of Clinical NeurosciencesUniversity of OxfordOxfordUK
- Centre for Clinical Magnetic Resonance Research, Department of Cardiovascular MedicineUniversity of OxfordOxfordUK
- British Heart Foundation Centre for Research ExcellenceOxfordUK
| | - Peter Jezzard
- Wellcome Centre for Integrative Neuroimaging, FMRIB Division, Nuffield Department of Clinical NeurosciencesUniversity of OxfordOxfordUK
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van der Klei VMGTH, Poortvliet RKE, Bogaerts JMK, Blom JW, Mooijaart SP, Teh R, Muru‐Lanning M, Palapar L, Kingston A, Robinson L, Kerse N, Gussekloo J. Vascular disease and apathy symptoms in the very old: A cross-sectional and longitudinal meta-analysis of individual participant data. Int J Geriatr Psychiatry 2022; 37:10.1002/gps.5831. [PMID: 36317267 PMCID: PMC9828503 DOI: 10.1002/gps.5831] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/06/2022] [Accepted: 10/16/2022] [Indexed: 01/12/2023]
Abstract
OBJECTIVES Previous findings suggest a vascular foundation underlying apathy, but transdiagnostic and prospective evidence on vascular apathy is scarce. This study examines the association between vascular disease and the presence and development of apathy symptoms in the very old. METHODS Four cohorts of the Towards Understanding Longitudinal International older People Studies (TULIPS)-consortium were included in a two-staged, individual participant data meta-analysis using generalized linear mixed models. Vascular disease was defined as a history of any clinical atherosclerotic pathology (angina pectoris, myocardial infarction, intermittent claudication, transient ischemic attack, stroke or related surgeries) and was related to apathy symptoms as repeatedly measured by the Geriatric Depression Scale (GDS-3A ≥2) over a maximum of 5 years. RESULTS Of all 1868 participants (median age 85 years old), 53.9% had vascular disease and 44.3% experienced apathy symptoms. Participants with vascular disease had a 76% higher risk of apathy symptoms at baseline (odds ratio (OR) 1.76, 95% confidence interval (CI) 1.32-2.35), irrespective of depressive symptoms and only partially explained by stroke. Conversely, there was no association of vascular disease with the occurrence of apathy symptoms longitudinally, both in those with apathy at baseline (OR 1.00, 95% CI 0.84-1.20) and without (OR 0.96, 95% CI 0.84-1.09). CONCLUSIONS Vascular disease in the very old is associated with apathy symptoms cross-sectionally, but not proven longitudinally, independent of depressive symptoms. These findings query a vascular cause underlying apathy symptoms. However, the consistency of our cross-sectional findings in direction and magnitude across the TULIPS-consortium do emphasize international relevance of the interplay of vascular factors and apathy in advanced age, which meaning needs further unravelling.
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Affiliation(s)
| | | | - Jonathan M. K. Bogaerts
- Department of Public Health and Primary CareLeiden University Medical CenterLeidenThe Netherlands
| | - Jeanet W. Blom
- Department of Public Health and Primary CareLeiden University Medical CenterLeidenThe Netherlands
| | - Simon P. Mooijaart
- Department of Gerontology and GeriatricsLeiden University Medical CenterLeidenThe Netherlands
| | - Ruth Teh
- School of Population HealthUniversity of AucklandAucklandNew Zealand
| | - Marama Muru‐Lanning
- School of Population HealthUniversity of AucklandAucklandNew Zealand
- James Henare Māori Research CentreUniversity of AucklandAucklandNew Zealand
| | - Leah Palapar
- School of Population HealthUniversity of AucklandAucklandNew Zealand
| | - Andrew Kingston
- Population Health Sciences InstituteFaculty of Medical SciencesNewcastle UniversityCampus for Ageing and VitalityNewcastle Upon TyneUK
| | - Louise Robinson
- Population Health Sciences InstituteFaculty of Medical SciencesNewcastle UniversityCampus for Ageing and VitalityNewcastle Upon TyneUK
| | - Ngaire Kerse
- School of Population HealthUniversity of AucklandAucklandNew Zealand
| | - Jacobijn Gussekloo
- Department of Gerontology and GeriatricsLeiden University Medical CenterLeidenThe Netherlands
- Department of Public Health and Primary CareLeiden University Medical CenterLeidenThe Netherlands
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Stevens E, Clarke SG, Harrington J, Manthorpe J, Martin FC, Sackley C, McKevitt C, Marshall IJ, Wyatt D, Wolfe C. The provision of person-centred care for care home residents with stroke: An ethnographic study. Health Soc Care Community 2022; 30:e5186-e5195. [PMID: 35869786 PMCID: PMC10084099 DOI: 10.1111/hsc.13936] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/26/2021] [Revised: 05/31/2022] [Accepted: 07/08/2022] [Indexed: 06/15/2023]
Abstract
Care home residents with stroke have higher levels of disability and poorer access to health services than those living in their own homes. We undertook observations and semi-structured interviews (n = 28 participants) with managers, staff, residents who had experienced a stroke and their relatives in four homes in London, England, in 2018/2019. Thematic analysis revealed that residents' needs regarding valued activity and stroke-specific care and rehabilitation were not always being met. This resulted from an interplay of factors: staff's lack of recognition of stroke and its effects; gaps in skills; time pressures; and the prioritisation of residents' safety. To improve residential care provision and residents' quality of life, care commissioners, regulators and providers may need to re-examine how care homes balance safety and limits on staff time against residents' valued activity, alongside improving access to specialist healthcare treatment and support.
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Affiliation(s)
- Eleanor Stevens
- School of Life Course & Population SciencesKing's College LondonLondonUK
| | - Stephanie G. Clarke
- School of Life Course & Population SciencesKing's College LondonLondonUK
- Guy's and St Thomas' NHS Foundation TrustLondonUK
- University Hospitals BirminghamDepartment of PhysiotherapyBirminghamUK
| | - Jean Harrington
- School of Life Course & Population SciencesKing's College LondonLondonUK
| | - Jill Manthorpe
- National Institute for Health and Care Research (NIHR) Policy Research Unit in Health & Social Care Workforce, King's College LondonLondonUK
| | - Finbarr C. Martin
- School of Life Course & Population SciencesKing's College LondonLondonUK
- Guy's and St Thomas' NHS Foundation TrustLondonUK
| | - Catherine Sackley
- School of Life Course & Population SciencesKing's College LondonLondonUK
- Faculty of Medicine and Health SciencesUniversity of NottinghamNottinghamUK
| | - Christopher McKevitt
- School of Life Course & Population SciencesKing's College LondonLondonUK
- National Institute for Health and Care Research (NIHR) Applied Research Collaboration (ARC) South LondonLondonUK
- National Institute for Health and Care Research (NIHR) Biomedical Research Centre (BRC)Guy's and St Thomas' NHS Foundation Trust and King's College LondonLondonUK
| | - Iain J. Marshall
- School of Life Course & Population SciencesKing's College LondonLondonUK
- National Institute for Health and Care Research (NIHR) Applied Research Collaboration (ARC) South LondonLondonUK
| | - David Wyatt
- School of Life Course & Population SciencesKing's College LondonLondonUK
- National Institute for Health and Care Research (NIHR) Biomedical Research Centre (BRC)Guy's and St Thomas' NHS Foundation Trust and King's College LondonLondonUK
| | - Charles Wolfe
- School of Life Course & Population SciencesKing's College LondonLondonUK
- Guy's and St Thomas' NHS Foundation TrustLondonUK
- National Institute for Health and Care Research (NIHR) Applied Research Collaboration (ARC) South LondonLondonUK
- National Institute for Health and Care Research (NIHR) Biomedical Research Centre (BRC)Guy's and St Thomas' NHS Foundation Trust and King's College LondonLondonUK
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Kotronia E, Brown H, Papacosta O, Lennon LT, Weyant RJ, Whincup PH, Wannamethee SG, Ramsay SE. Oral health problems and risk of incident disability in two studies of older adults in the United Kingdom and the United States. J Am Geriatr Soc 2022; 70:2080-2092. [PMID: 35437751 PMCID: PMC9283258 DOI: 10.1111/jgs.17792] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [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: 06/15/2021] [Revised: 02/08/2022] [Accepted: 03/11/2022] [Indexed: 12/25/2022]
Abstract
BACKGROUND Preventing oral health problems can be crucial for maintaining physical independence in older adults. We aimed to examine the associations of a range of oral health problems with incidence of disability in older adults. METHODS We used prospective data from the British Regional Health Study (BRHS) (N = 2147, 71-92 years), and the Health, Aging and Body Composition (HABC) study (USA) (N = 3075, 71-80 years). Oral health measures included tooth loss, periodontal disease, self-rated oral health, and self-reported dry mouth. Participants were followed for onset of disability over a follow-up period of 3 years. Onset of disability was assessed through new cases of mobility limitations, activities of daily living (ADL), and instrumental activities of daily living (IADL). Logistic regression was performed to calculate the odds of incident disability. RESULTS In the BRHS, tooth loss was associated with greater odds of mobility limitations and ADL difficulties. Periodontal disease was associated with greater incidence of mobility limitations. Self-report of ≥3 dry mouth symptoms was associated with increased odds of incident mobility limitations and ADL difficulties (OR = 2.08, 95% CI 1.27-3.42; OR = 1.73, 95% CI 1.03-2.90). Fair/poor self-rated oral health was associated with greater incidence of IADL difficulties. In the HABC study, complete tooth loss was associated with greater incidence of mobility limitations (OR = 1.86, 95% CI 1.13-3.06), and fair/poor self-rated oral health was associated with increased odds of incident ADL difficulties (OR = 1.42, 95% CI 1.04-1.94). CONCLUSIONS Oral health problems in older adults, particularly tooth loss, self-reported dry mouth and self-rated oral health were associated with greater incidence of disability. Poor oral health plays a potentially important role in the development of disability in older populations, which in turn is an essential part of quality of life and healthy aging.
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Affiliation(s)
- Eftychia Kotronia
- Population Health Sciences InstituteNewcastle UniversityNewcastle Upon TyneUK
| | - Heather Brown
- Population Health Sciences InstituteNewcastle UniversityNewcastle Upon TyneUK
| | - Olia Papacosta
- Department of Primary Care & Population HealthInstitute of Epidemiology and Health Care, University College LondonLondonUK
| | - Lucy T. Lennon
- Department of Primary Care & Population HealthInstitute of Epidemiology and Health Care, University College LondonLondonUK
| | - Robert J. Weyant
- Department of Dental Public Health, School of Dental MedicineUniversity of PittsburghPittsburghPennsylvaniaUSA
| | - Peter H. Whincup
- Population Health Research InstituteSt George's University of LondonLondonUK
| | - Sasiwarang Goya Wannamethee
- Department of Primary Care & Population HealthInstitute of Epidemiology and Health Care, University College LondonLondonUK
| | - Sheena E. Ramsay
- Population Health Sciences InstituteNewcastle UniversityNewcastle Upon TyneUK
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Msayib Y, Harston GWJ, Ray KJ, Larkin JR, Sutherland BA, Sheerin F, Blockley NP, Okell TW, Jezzard P, Baldwin A, Sibson NR, Kennedy J, Chappell MA. Quantitative chemical exchange saturation transfer imaging of nuclear overhauser effects in acute ischemic stroke. Magn Reson Med 2022; 88:341-356. [PMID: 35253936 PMCID: PMC9314583 DOI: 10.1002/mrm.29187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2021] [Revised: 01/13/2022] [Accepted: 01/17/2022] [Indexed: 11/07/2022]
Abstract
PURPOSE In chemical exchange saturation transfer imaging, saturation effects between - 2 to - 5 ppm (nuclear Overhauser effects, NOEs) have been shown to exhibit contrast in preclinical stroke models. Our previous work on NOEs in human stroke used an analysis model that combined NOEs and semisolid MT; however their combination might feasibly have reduced sensitivity to changes in NOEs. The aim of this study was to explore the information a 4-pool Bloch-McConnell model provides about the NOE contribution in ischemic stroke, contrasting that with an intentionally approximate 3-pool model. METHODS MRI data from 12 patients presenting with ischemic stroke were retrospectively analyzed, as well as from six animals induced with an ischemic lesion. Two Bloch-McConnell models (4 pools, and a 3-pool approximation) were compared for their ability to distinguish pathological tissue in acute stroke. The association of NOEs with pH was also explored, using pH phantoms that mimic the intracellular environment of naïve mouse brain. RESULTS The 4-pool measure of NOEs exhibited a different association with tissue outcome compared to 3-pool approximation in the ischemic core and in tissue that underwent delayed infarction. In the ischemic core, the 4-pool measure was elevated in patient white matter ( 1 . 20 ± 0 . 20 ) and in animals ( 1 . 27 ± 0 . 20 ). In the naïve brain pH phantoms, significant positive correlation between the NOE and pH was observed. CONCLUSION Associations of NOEs with tissue pathology were found using the 4-pool metric that were not observed using the 3-pool approximation. The 4-pool model more adequately captured in vivo changes in NOEs and revealed trends depending on tissue pathology in stroke.
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Affiliation(s)
- Yunus Msayib
- Institute of Biomedical Engineering, Department of Engineering ScienceUniversity of OxfordOxfordUK
| | - George W. J. Harston
- Acute Vascular Imaging Centre, Radcliffe Department of MedicineUniversity of OxfordOxfordUK
| | - Kevin J. Ray
- Wellcome Centre for Integrative Neuroimaging, Nuffield Department of Clinical NeurosciencesUniversity of OxfordOxfordUK
| | - James R. Larkin
- Department of Oncology, CRUK and MRC Oxford Institute for Radiation OncologyUniversity of OxfordOxfordUK
| | - Brad A. Sutherland
- Acute Vascular Imaging Centre, Radcliffe Department of MedicineUniversity of OxfordOxfordUK
- School of MedicineUniversity of TasmaniaHobartTasmaniaAustralia
| | - Fintan Sheerin
- Acute Vascular Imaging Centre, Radcliffe Department of MedicineUniversity of OxfordOxfordUK
| | - Nicholas P. Blockley
- Wellcome Centre for Integrative Neuroimaging, Nuffield Department of Clinical NeurosciencesUniversity of OxfordOxfordUK
| | - Thomas W. Okell
- Wellcome Centre for Integrative Neuroimaging, Nuffield Department of Clinical NeurosciencesUniversity of OxfordOxfordUK
| | - Peter Jezzard
- Wellcome Centre for Integrative Neuroimaging, Nuffield Department of Clinical NeurosciencesUniversity of OxfordOxfordUK
| | | | - Nicola R. Sibson
- Department of Oncology, CRUK and MRC Oxford Institute for Radiation OncologyUniversity of OxfordOxfordUK
| | - James Kennedy
- Acute Vascular Imaging Centre, Radcliffe Department of MedicineUniversity of OxfordOxfordUK
| | - Michael A. Chappell
- Wellcome Centre for Integrative Neuroimaging, Nuffield Department of Clinical NeurosciencesUniversity of OxfordOxfordUK
- Sir Peter Mansfield Imaging Center, School of MedicineUniversity of NottinghamNottinghamUK
- Mental Health & Clinical Neuroscience, School of Medicine, University of NottinghamNottinghamUK
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Fraser HC, Kuan V, Johnen R, Zwierzyna M, Hingorani AD, Beyer A, Partridge L. Biological mechanisms of aging predict age-related disease co-occurrence in patients. Aging Cell 2022; 21:e13524. [PMID: 35259281 PMCID: PMC9009120 DOI: 10.1111/acel.13524] [Citation(s) in RCA: 21] [Impact Index Per Article: 10.5] [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: 05/04/2021] [Revised: 10/07/2021] [Accepted: 11/12/2021] [Indexed: 11/27/2022] Open
Abstract
Genetic, environmental, and pharmacological interventions into the aging process can confer resistance to multiple age-related diseases in laboratory animals, including rhesus monkeys. These findings imply that individual mechanisms of aging might contribute to the co-occurrence of age-related diseases in humans and could be targeted to prevent these conditions simultaneously. To address this question, we text mined 917,645 literature abstracts followed by manual curation and found strong, non-random associations between age-related diseases and aging mechanisms in humans, confirmed by gene set enrichment analysis of GWAS data. Integration of these associations with clinical data from 3.01 million patients showed that age-related diseases associated with each of five aging mechanisms were more likely than chance to be present together in patients. Genetic evidence revealed that innate and adaptive immunity, the intrinsic apoptotic signaling pathway and activity of the ERK1/2 pathway were associated with multiple aging mechanisms and diverse age-related diseases. Mechanisms of aging hence contribute both together and individually to age-related disease co-occurrence in humans and could potentially be targeted accordingly to prevent multimorbidity.
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Affiliation(s)
- Helen C. Fraser
- Department of Genetics, Evolution and EnvironmentInstitute of Healthy AgeingUniversity College LondonLondonUK
| | - Valerie Kuan
- Institute of Health InformaticsUniversity College LondonLondonUK
- Health Data Research UK LondonUniversity College LondonLondonUK
- University College London British Heart Foundation Research AcceleratorLondonUK
| | - Ronja Johnen
- Cologne Excellence Cluster on Cellular Stress Responses in Aging‐Associated Diseases (CECAD)Medical Faculty & Faculty of Mathematics and Natural SciencesUniversity of CologneCologneGermany
| | | | - Aroon D. Hingorani
- Health Data Research UK LondonUniversity College LondonLondonUK
- University College London British Heart Foundation Research AcceleratorLondonUK
- Institute of Cardiovascular ScienceUniversity College LondonUK
| | - Andreas Beyer
- Cologne Excellence Cluster on Cellular Stress Responses in Aging‐Associated Diseases (CECAD)Medical Faculty & Faculty of Mathematics and Natural SciencesUniversity of CologneCologneGermany
- Centre for Molecular MedicineUniversity of CologneCologneGermany
| | - Linda Partridge
- Department of Genetics, Evolution and EnvironmentInstitute of Healthy AgeingUniversity College LondonLondonUK
- Max Planck Institute for Biology of AgeingCologneGermany
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Baldwin MJ, Mimpen JY, Cribbs AP, Stace E, Philpott M, Dakin SG, Carr AJ, Snelling SJB. Electrospun Scaffold Micro-Architecture Induces an Activated Transcriptional Phenotype within Tendon Fibroblasts. Front Bioeng Biotechnol 2021; 9:795748. [PMID: 35096791 PMCID: PMC8790033 DOI: 10.3389/fbioe.2021.795748] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [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: 10/15/2021] [Accepted: 12/13/2021] [Indexed: 11/13/2022] Open
Abstract
Biomaterial augmentation of surgically repaired rotator cuff tendon tears aims to improve the high failure rates (∼40%) of traditional repairs. Biomaterials that can alter cellular phenotypes through the provision of microscale topographical cues are now under development. We aimed to systematically evaluate the effect of topographic architecture on the cellular phenotype of fibroblasts from healthy and diseased tendons. Electrospun polydioxanone scaffolds with fiber diameters ranging from 300 to 4000 nm, in either a highly aligned or random configuration, were produced. Healthy tendon fibroblasts cultured for 7 days on scaffolds with highly aligned fibers demonstrated a distinctive elongated morphology, whilst those cultured on randomly configured fibers demonstrated a flattened and spread morphology. The effect of scaffold micro-architecture on the transcriptome of both healthy and diseased tendon fibroblasts was assessed with bulk RNA-seq. Both healthy (n = 3) and diseased tendon cells (n = 3) demonstrated a similar transcriptional response to architectural variants. Gene set enrichment analysis revealed that large diameter (≥2000 nm) aligned scaffolds induced an upregulation of genes involved in cellular replication and a downregulation of genes defining inflammatory responses and cell adhesion. Similarly, PDPN and CD248, markers of inflammatory or "activated" fibroblasts, were downregulated during culture of both healthy and diseased fibroblasts on aligned scaffolds with large (≥2000 nm) fiber diameters. In conclusion scaffold architectures resembling that of disordered type III collagen, typically present during the earlier phases of wound healing, resulted in tendon fibroblast activation. Conversely, scaffolds mimicking aligned diameter collagen I fibrils, present during tissue remodelling, did not activate tendon derived fibroblasts. This has implications for the design of scaffolds used during rotator cuff repair augmentation.
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