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Ismail HM, Cleves MA, Xu P, Libman IM, Becker DJ, Marks JB, Skyler JS, Palmer JP, Sosenko JM. The Pathological Evolution of Glucose Response Curves During the Progression to Type 1 Diabetes in the TrialNet Pathway to Prevention Study. Diabetes Care 2020; 43:2668-2674. [PMID: 32900788 PMCID: PMC7576415 DOI: 10.2337/dc20-0701] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [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: 04/01/2020] [Accepted: 07/27/2020] [Indexed: 02/03/2023]
Abstract
OBJECTIVE Glucose response curves (GRCs) during oral glucose tolerance tests (OGTTs) are predictive of type 1 diabetes. We performed a longitudinal analysis in pancreatic autoantibody-positive individuals to assess 1) characteristic GRC changes during progression to type 1 diabetes and 2) GRC changes in relation to β-cell function changes and to combined glucose and C-peptide response curve (GCRC) changes. RESEARCH DESIGN AND METHODS Among antibody-positive individuals with serial OGTTs in the TrialNet Pathway to Prevention study, GRC changes from first to last OGTTs were compared between progressors (n = 298) to type 1 diabetes and nonprogressors (n = 2,216). GRC changes from last OGTT before diagnosis to diagnostic OGTTs were studied in progressors. RESULTS GRCs changed more frequently from biphasic (two peaks) to monophasic (one peak) GRCs between first and last OGTTs in progressors than in nonprogressors (75.4% vs. 51.0%, respectively; P < 0.001). In contrast, GRCs of progressors changed less frequently from monophasic to biphasic than those of nonprogressors (12.6% vs. 30.6%; P < 0.001). Monotonic (continuous increase) GRCs were present in 47.7% of progressors at diagnosis. The early (30-0 min) C-peptide response decreased in progressors with GRCs changing from biphasic to monophasic between first and last OGTTs (P < 0.001) and from monophasic to monotonic between last and diagnostic OGTTs (P < 0.001). Conversely, the early C-peptide response increased among nonprogressors with GRCs changing from monophasic to biphasic (P < 0.001). Changes in GRCs were related to changes in GCRCs. CONCLUSIONS Characteristic GRC changes, biphasic to monophasic to monotonic, occur during the progression to type 1 diabetes. These GRC changes correspond to decreasing β-cell function.
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Affiliation(s)
- Heba M Ismail
- Division of Endocrinology and Diabetology, Department of Pediatrics, Indiana University, Indianapolis, IN
| | - Mario A Cleves
- Pediatrics Epidemiology Center, College of Medicine, University of South Florida, Tampa, FL
| | - Ping Xu
- Pediatrics Epidemiology Center, College of Medicine, University of South Florida, Tampa, FL
| | - Ingrid M Libman
- Division of Endocrinology, Diabetes and Metabolism, University of Pittsburgh and UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA
| | - Dorothy J Becker
- Division of Endocrinology, Diabetes and Metabolism, University of Pittsburgh and UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA
| | - Jennifer B Marks
- Division of Endocrinology, Diabetes and Metabolism, Diabetes Research Institute, University of Miami Miller School of Medicine, Miami, FL
| | - Jay S Skyler
- Division of Endocrinology, Diabetes and Metabolism, Diabetes Research Institute, University of Miami Miller School of Medicine, Miami, FL
| | - Jerry P Palmer
- VA Puget Sound Health Care System, Seattle, WA.,Department of Medicine, University of Washington, Seattle, WA
| | - Jay M Sosenko
- Division of Endocrinology, Diabetes and Metabolism, Diabetes Research Institute, University of Miami Miller School of Medicine, Miami, FL
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Lou XY, Hou TT, Liu SY, Xu HM, Lin F, Tang X, MacLeod SL, Cleves MA, Hobbs CA. Innovative approach to identify multigenomic and environmental interactions associated with birth defects in family-based hybrid designs. Genet Epidemiol 2020; 45:171-189. [PMID: 32996630 DOI: 10.1002/gepi.22363] [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: 03/27/2020] [Revised: 09/08/2020] [Accepted: 09/11/2020] [Indexed: 11/09/2022]
Abstract
Genes, including those with transgenerational effects, work in concert with behavioral, environmental, and social factors via complex biological networks to determine human health. Understanding complex relationships between causal factors underlying human health is an essential step towards deciphering biological mechanisms. We propose a new analytical framework to investigate the interactions between maternal and offspring genetic variants or their surrogate single nucleotide polymorphisms (SNPs) and environmental factors using family-based hybrid study design. The proposed approach can analyze diverse genetic and environmental factors and accommodate samples from a variety of family units, including case/control-parental triads, and case/control-parental dyads, while minimizing potential bias introduced by population admixture. Comprehensive simulations demonstrated that our innovative approach outperformed the log-linear approach, the best available method for case-control family data. The proposed approach had greater statistical power and was capable to unbiasedly estimate the maternal and child genetic effects and the effects of environmental factors, while controlling the Type I error rate against population stratification. Using our newly developed approach, we analyzed the associations between maternal and fetal SNPs and obstructive and conotruncal heart defects, with adjustment for demographic and lifestyle factors and dietary supplements. Fourteen and 11 fetal SNPs were associated with obstructive and conotruncal heart defects, respectively. Twenty-seven and 17 maternal SNPs were associated with obstructive and conotruncal heart defects, respectively. In addition, maternal body mass index was a significant risk factor for obstructive defects. The proposed approach is a powerful tool for interrogating the etiological mechanism underlying complex traits.
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Affiliation(s)
- Xiang-Yang Lou
- Department of Biostatistics, College of Public Health and Health Professions and College of Medicine, University of Florida, Gainesville, Florida, USA
| | - Ting-Ting Hou
- Department of Biostatistics, College of Public Health and Health Professions and College of Medicine, University of Florida, Gainesville, Florida, USA.,Institute of Bioinformatics and Institute of Crop Science, College of Agriculture and Biotechnology, Zhejiang University, Hangzhou, China
| | - Shou-Ye Liu
- Institute of Bioinformatics and Institute of Crop Science, College of Agriculture and Biotechnology, Zhejiang University, Hangzhou, China
| | - Hai-Ming Xu
- Institute of Bioinformatics and Institute of Crop Science, College of Agriculture and Biotechnology, Zhejiang University, Hangzhou, China
| | - Feng Lin
- Institute of Bioinformatics and Institute of Crop Science, College of Agriculture and Biotechnology, Zhejiang University, Hangzhou, China
| | - Xinyu Tang
- The US Food and Drug Administration, Silver Spring, Maryland, USA
| | | | - Mario A Cleves
- Department of Pediatrics, Morsani College of Medicine, Health Informatics Institute, University of South Florida, Tampa, Florida, USA
| | - Charlotte A Hobbs
- Rady Children's Institute for Genomic Medicine, San Diego, California, USA
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Duncan JR, Dorsett KM, Aziz MM, Bursac Z, Cleves MA, Talati AJ, Schenone MH, Meyer NL, Mari G. Estimated fetal weight and severe neonatal outcomes in preterm prelabor rupture of membranes. J Perinat Med 2020; 48:687-693. [PMID: 32621734 DOI: 10.1515/jpm-2019-0474] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [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: 12/24/2019] [Accepted: 05/31/2020] [Indexed: 11/15/2022]
Abstract
Objectives Our aim was to study the association of clinical variables obtainable before delivery for severe neonatal outcomes (SNO) and develop a clinical tool to calculate the prediction probability of SNO in preterm prelabor rupture of membranes (PPROM). Methods This was a prospective study from October 2015 to May 2018. We included singleton pregnancies with PPROM and an estimated fetal weight (EFW) two weeks before delivery. We excluded those with fetal anomalies or fetal death. We examined the association between SNO and variables obtainable before delivery such as gestational age (GA) at PPROM, EFW, gender, race, body mass index, chorioamnioitis. SNO was defined as having at least one of the following: respiratory distress syndrome, intraventricular hemorrhage, necrotizing enterocolitis, neonatal sepsis, or neonatal death. The most parsimonious logistic regression models was constructed using the best subset selection model approach, and receiver operator curves were utilized to evaluate the prognostic accuracy of these clinical variables for SNO. Results We included 106 pregnancies, 42 had SNO (39.6%). The EFW (area under the receiver operating characteristic curve [AUC]=0.88) and GA at PPROM (AUC=0.83) were significant predictors of SNO. The addition of any of the other variables did not improve the predictive probability of EFW for the prediction of SNO. Conclusions The EFW had the strongest association with SNO in in our study among variables obtainable before delivery. Other variables had no significant effect on the prediction probability of the EFW. Our findings should be validated in larger studies.
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Affiliation(s)
- Jose R Duncan
- Department of Obstetrics and Gynecology, University of Tennessee Health Science Center, Memphis, TN, USA.,Department of Obstetrics and Gynecology, University of South Florida, Tampa, FL, USA
| | - Katherine M Dorsett
- Department of Obstetrics and Gynecology, University of Tennessee Health Science Center, Memphis, TN, USA
| | - Michael M Aziz
- Department of Obstetrics and Gynecology, University of Tennessee Health Science Center, Memphis, TN, USA
| | - Zoran Bursac
- Department of Epidemiology, University of Tennessee Health Science Center, Memphis, TN, USA.,Department of Biostatistics, Florida International University, Miami, FL, USA
| | - Mario A Cleves
- Department of Pediatrics, University of South Florida, Tampa, FL, USA
| | - Ajay J Talati
- Department of Obstetrics and Gynecology, University of Tennessee Health Science Center, Memphis, TN, USA
| | - Mauro H Schenone
- Department of Obstetrics and Gynecology, University of Tennessee Health Science Center, Memphis, TN, USA
| | - Nornan L Meyer
- Department of Obstetrics and Gynecology, University of Tennessee Health Science Center, Memphis, TN, USA
| | - Giancarlo Mari
- Department of Obstetrics and Gynecology, University of Tennessee Health Science Center, Memphis, TN, USA
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Bonilla-Velez J, Moore BP, Cleves MA, Buckmiller L, Richter GT. Surgical resection of macrocystic lymphatic malformations of the head and neck: Short and long-term outcomes. Int J Pediatr Otorhinolaryngol 2020; 134:110013. [PMID: 32247220 DOI: 10.1016/j.ijporl.2020.110013] [Citation(s) in RCA: 13] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/27/2019] [Revised: 03/16/2020] [Accepted: 03/17/2020] [Indexed: 11/28/2022]
Abstract
BACKGROUND Controversy exists on management of lymphatic malformations, with schools of thought advocating for observation, surgery or sclerotherapy. This study sought to examine outcomes after surgical resection of pediatric cervicofacial macrocystic lymphatic malformations (MLM). METHODS Case series with planned data collection on pediatric patients with cervicofacial MLM who underwent surgical resection at a tertiary referral center for vascular anomalies from January 1995 to June 2016. For consistency in patient population analysis, patients who had pre-surgical sclerotherapy or had mixed or microcystic disease were excluded. The main outcome was complete response rate (CR) and long-term recurrence-free survival (RFS). RESULTS Sixty-three patients who underwent excision of MLM were included, 52.4% were female, 77.8% Caucasian. The majority had de Serres stage I-III (96.8%) affecting the neck (71.4%). Patients were discharged the same day (28.6%), or had a 1 day median length-of-stay (interquartile range (IQR) = 2). Surgical complications included seroma/hematoma (9.5%), transient nerve weakness (facial nerve, sympathetic chain, or phrenic nerve, 6.3%), and infection (1.6%). On long-term follow-up (median: 12 months, IQR 1-43 months), a single surgery achieved CR in 90.5% of patients. RFS was achieved in 86% of patients in our observation period of up to 15 years. Most patients requiring a second intervention failed within 6-months of initial procedure (4/5 patients, 90%); associated factors included bilaterality, advanced staging, and partial response at first-follow-up (p = 0.0051, 0.0051, and <0.0001, respectively). CONCLUSIONS Surgery is safe and effective as first line treatment for selected MLM. For stage I-III MLM CR and long-term RFS can be achieved with a single surgery. A direct and randomized comparison of treatment modalities is needed.
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Affiliation(s)
- Juliana Bonilla-Velez
- Division of Pediatric Otolaryngology and Center for the Investigation of Congenital Aberrancies of Vascular Development, Arkansas Children's Hospital, 1 Children's Way, Little Rock, AR, USA; Department of Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences, 4301 W Markham St #543, Little Rock, AR, USA.
| | - Brendan P Moore
- College of Medicine, University of Arkansas for Medical Sciences, 4301 W Markham St #550, Little Rock, AR, USA
| | - Mario A Cleves
- Department of Pediatrics and Biostatistics, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - Lisa Buckmiller
- Baylor College of Medicine. 1 Baylor Plaza, Houston, TX, USA; Children's Hospital of San Antonio, 333 N Santa Rosa St, San Antonio, TX, USA
| | - Gresham T Richter
- Division of Pediatric Otolaryngology and Center for the Investigation of Congenital Aberrancies of Vascular Development, Arkansas Children's Hospital, 1 Children's Way, Little Rock, AR, USA; Department of Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences, 4301 W Markham St #543, Little Rock, AR, USA
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5
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Heard-Lipsmeyer ME, Hull H, Sims CR, Cleves MA, Andres A. Evaluating body composition in infancy and childhood: A comparison between 4C, QMR, DXA, and ADP. Pediatr Obes 2020; 15:e12617. [PMID: 31986239 PMCID: PMC7323309 DOI: 10.1111/ijpo.12617] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [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: 05/14/2019] [Revised: 12/11/2019] [Accepted: 01/02/2020] [Indexed: 11/30/2022]
Abstract
BACKGROUND Accurate and precise methods to measure of body composition in infancy and childhood are needed. OBJECTIVES This study evaluated differences and precision of three methods when compared with the four-compartment (4C) model for estimating fat mass (FM). METHODS FM of children (age 14 days to 6 years of age, N = 346) was obtained using quantitative nuclear magnetic resonance (QMR, EchoMRI-AH), air-displacement plethysmography (ADP, PeaPod, less than or equal to 8 kg, BodPod age 6 years or older), and dual-energy X-ray absorptiometry (DXA, Hologic QDR). The 4C model was computed. Correlation, concordance, and Bland-Altman analyses were performed. RESULTS In infants, PeaPod had high individual FM accuracy, whereas DXA had high group FM accuracy compared with 4C. In children, DXA had high group and individual FM accuracies compared with 4C. QMR underestimated group FM in infants and children (300 and 510 g, respectively). The instrument FM precision was best for QMR (10 g) followed by BodPod (34 g), PeaPod (38 g), and DXA (45 g). CONCLUSIONS In infants, PeaPod was the best method to estimate individual FM whereas DXA was best to estimate group FM. In children, DXA was best to estimate individual and group FM. QMR had the highest instrument precision.
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Affiliation(s)
- Melissa E. Heard-Lipsmeyer
- Arkansas Children’s Nutrition Center, University of Arkansas for Medical Sciences, Little Rock, Arkansas,Department of Pediatrics University of Arkansas for Medical Sciences, Little Rock, Arkansas,Division of Cell Biology and Physiology, Edward Via College of Osteopathic Medicine-Louisiana Campus, Monroe, Louisiana
| | - Holly Hull
- Department of Dietetics and Nutrition, University of Kansas Medical Center, Kansas City, Kansas
| | - Clark R. Sims
- Arkansas Children’s Nutrition Center, University of Arkansas for Medical Sciences, Little Rock, Arkansas
| | - Mario A. Cleves
- Arkansas Children’s Nutrition Center, University of Arkansas for Medical Sciences, Little Rock, Arkansas
| | - Aline Andres
- Arkansas Children’s Nutrition Center, University of Arkansas for Medical Sciences, Little Rock, Arkansas,Department of Pediatrics University of Arkansas for Medical Sciences, Little Rock, Arkansas
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Ismail HM, Becker DJ, Libman I, Herold KC, Redondo MJ, Atkinson MA, Cleves MA, Palmer J, Sosenko J. Early and late C-peptide responses during oral glucose tolerance testing are oppositely predictive of type 1 diabetes in autoantibody-positive individuals. Diabetes Obes Metab 2020; 22:997-1000. [PMID: 32003110 PMCID: PMC7341484 DOI: 10.1111/dom.13982] [Citation(s) in RCA: 2] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/13/2019] [Revised: 01/22/2020] [Accepted: 01/26/2020] [Indexed: 11/29/2022]
Abstract
We examined whether the timing of the C-peptide response during an oral glucose tolerance test (OGTT) in relatives of patients with type 1 diabetes (T1D) is predictive of disease onset. We examined baseline 2-h OGTTs from 670 relatives participating in the Diabetes Prevention Trial-Type 1 (age: 13.8 ± 9.6 years; body mass index z-score: 0.3 ± 1.1; 56% male) using univariate regression models. T1D risk increased with lower early C-peptide responses (30-0 min) (χ2 = 28.8, P < 0.001), and higher late C-peptide responses (120-60 min) (χ2 = 23.3, P < 0.001). When both responses were included in a proportional hazards model, they remained independently and oppositely associated with T1D, with a stronger overall association for the combined model than either response alone (χ2 = 41.1; P < 0.001). Using receiver operating characteristic curve analysis, the combined early and late C-peptide response was more accurately predictive of T1D than area under the curve C-peptide (P = 0.005). Our findings demonstrate that lower early and higher late C-peptide responses serve as indicators of increased T1D risk.
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Affiliation(s)
- Heba M. Ismail
- Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana
| | - Dorothy J. Becker
- Division of Endocrinology and Diabetes, University of Pittsburgh and UPMC Children’s Hospital of Pittsburgh, Pittsburgh, Pennsylvania
| | - Ingrid Libman
- Division of Endocrinology and Diabetes, University of Pittsburgh and UPMC Children’s Hospital of Pittsburgh, Pittsburgh, Pennsylvania
| | - Kevan C. Herold
- Department of Immunobiology, Yale University School of Medicine, New Haven, Connecticut
| | - Maria J. Redondo
- Pediatric Diabetes and Endocrinology, Baylor College of Medicine, Texas Children’s Hospital, Houston, Texas
| | - Mark A. Atkinson
- Department of Pathology, Immunology and Laboratory Medicine, University of Florida, Gainesville, Florida
| | - Mario A. Cleves
- Department of Pediatrics, Morsani College of Medicine, University of South Florida, Tampa, Florida
| | - Jerry Palmer
- VA Puget Sound Health Care System, Seattle, Washington, and Department of Medicine, University of Washington, Seattle, Washington
| | - Jay Sosenko
- Division of Endocrinology, Diabetes, and Metabolism, University of Miami, Miami, Florida
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Diaz EC, Cleves MA, DiCarlo M, Sobik SR, Ruebel ML, Thakali KM, Sims CR, Dajani NK, Krukowski RA, Børsheim E, Badger TM, Shankar K, Andres A. Parental adiposity differentially associates with newborn body composition. Pediatr Obes 2020; 15:e12596. [PMID: 31856430 PMCID: PMC7367307 DOI: 10.1111/ijpo.12596] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [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: 05/01/2019] [Accepted: 10/21/2019] [Indexed: 02/04/2023]
Abstract
BACKGROUND Maternal obesity increases offspring's obesity risk. However, studies have not often considered maternal metabolic and exercise patterns as well as paternal adiposity as potential covariates. OBJECTIVE To assess the relationship between parental and newborn adiposity. METHODS Participants were mother-child pairs (n = 209) and mother-father-offspring triads (n = 136). Parental (during gestation) and offspring (2 weeks old) percent fat mass (FM) were obtained using air displacement plethysmography. Maternal race, age, resting energy expenditure (indirect calorimetry), physical activity (accelerometry), gestational weight gain (GWG), gestational age (GA), delivery mode, infant's sex and infant feeding method were incorporated in multiple linear regression analyses. The association between parental FM and offspring insulin-like growth factor 1 (IGF-1) was assessed at age 2 years. RESULTS Maternal adiposity was positively-associated with male (β = 0.11, P = .015) and female (β = 0.13, P = .008) infant FM, whereas paternal adiposity was negatively-associated with male newborn adiposity (β = -0.09, P = .014). Breastfeeding, female sex, GA and GWG positively associated with newborn adiposity. Vaginal and C-section delivery methods associated with greater adiposity than vaginal induced delivery method. Plasma IGF-1 of 2-year-old boys and girls positively associated with their respective fathers' and mothers' FM. CONCLUSIONS Maternal and paternal adiposity differentially associate with newborn adiposity. The mechanisms of this finding remain to be determined.
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Affiliation(s)
- Eva C. Diaz
- Arkansas Children’s Nutrition Center, Little Rock, AR.,Arkansas Children’s Research Institute, Little Rock, AR.,Department of Pediatrics, Little Rock, AR
| | - Mario A. Cleves
- Arkansas Children’s Nutrition Center, Little Rock, AR.,Department of Pediatrics, Little Rock, AR
| | - Marisha DiCarlo
- Arkansas Children’s Nutrition Center, Little Rock, AR.,Department of Pediatrics, Little Rock, AR
| | | | - Meghan L. Ruebel
- Arkansas Children’s Nutrition Center, Little Rock, AR.,Department of Pediatrics, Little Rock, AR
| | - Keshari M. Thakali
- Arkansas Children’s Nutrition Center, Little Rock, AR.,Department of Pediatrics, Little Rock, AR
| | - Clark R. Sims
- Arkansas Children’s Nutrition Center, Little Rock, AR.,Department of Pediatrics, Little Rock, AR
| | - Nafisa K. Dajani
- Department of Obstetrics and Gynecology at the University of Arkansas for Medical Sciences, Little Rock, AR
| | - Rebecca A. Krukowski
- Arkansas Children’s Nutrition Center, Little Rock, AR.,Department of Pediatrics, Little Rock, AR
| | - Elisabet Børsheim
- Arkansas Children’s Nutrition Center, Little Rock, AR.,Arkansas Children’s Research Institute, Little Rock, AR.,Department of Pediatrics, Little Rock, AR
| | - Thomas M. Badger
- Arkansas Children’s Nutrition Center, Little Rock, AR.,Department of Pediatrics, Little Rock, AR
| | - Kartik Shankar
- Arkansas Children’s Nutrition Center, Little Rock, AR.,Department of Pediatrics, Little Rock, AR
| | - Aline Andres
- Arkansas Children’s Nutrition Center, Little Rock, AR.,Department of Pediatrics, Little Rock, AR
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Ronis MJ, Blackburn ML, Shankar K, Ferguson M, Cleves MA, Badger TM. Estradiol and NADPH oxidase crosstalk regulates responses to high fat feeding in female mice. Exp Biol Med (Maywood) 2019; 244:834-845. [PMID: 31161785 DOI: 10.1177/1535370219853563] [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: 12/31/2022] Open
Abstract
We previously demonstrated protection against high fat-induced obesity in female but not male p47phox−/− mice lacking NADPH oxidase NOX1/2 activity. To test the role of estradiol (E2)-NOX crosstalk in development of this sexually dimorphic phenotype, we fed diets containing 42% fat/0.5% cholesterol to intact and ovariectomized wild type female C57BL/6 mice and female p47phox−/− mice and to ovariectomized mice where the diet was supplemented with an 1 mg/kg 17β estradiol (E2) for 12 weeks from PND28. Weight gain, gonadal fat pad weight, serum leptin and adiponectin, and adipose tissue inflammation were greater in intact wild type vs. p47 mice ( P < 0.05). Genotype effects on body weight/fat mass were abolished after ovariectomized and restored in OVX + E2 mice ( P < 0.05). The mRNA of downstream PPARγ targets CD36, lipoprotein lipase, and leptin was higher in intact wild type vs. p47phox−/− mice mice ( P < 0.05). Likewise, intact high fat-fed wild type mice had higher expression of the cytokine Mcp1; the pyroptosis marker Nirp3 and matrix remodeling and fibrosis markers Mmp2, Col1A1, and Col6a3 mRNAs ( P < 0.05). These genotype effects were reversed and restored by ovariectomized and OVX + E2, respectively ( P < 0.05). These data suggest that triglyceride accumulation in adipose tissue and development of adipose tissue injury in response to feeding diets high in fat and cholesterol is regulated by the balance between NOX-dependent reactive oxygen species signaling and E2-signaling during development. Loss of estrogens post menopause may increase the risk of obesity and metabolic syndrome as the result disinhibition of reactive oxygen species signaling. Impact statement Estrogens are known to regulate body composition. In addition, reactive oxygen species (ROS) produced by the action of NADPH oxidase (NOX) enzymes have been linked to obesity development. We examined development of obesity and adipose tissue injury in response to feeding “Western” diets high in fat and cholesterol in intact, ovariectomized (OVX), and estrogen-replaced (OVX + E2) wild type and p47phox−/− female mice where NOX2 activity is inhibited. Weight gain, gonadal fat pad weight, and adipose tissue inflammation were greater in intact WT vs. p47phox−/− mice. Genotype effects on body weight/fat mass were abolished after OVX and restored in OVX + E2 mice. These data indicate adipose tissue responses to feeding the “Western” diet is regulated by negative cross-talk between NOX-dependent ROS signaling and E2-signaling during development. Loss of estrogens post menopause may increase the risk of obesity and metabolic syndrome as the result disinhibition of ROS signaling.
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Affiliation(s)
- Martin J Ronis
- 1 Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA.,2 Arkansas Children's Nutrition Center, Little Rock, AR 72202, USA.,3 Department of Pharmacology & Experimental Therapeutics, Louisiana State University Health Sciences Center, New Orleans, LA 70112, USA
| | - Michael L Blackburn
- 1 Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA.,2 Arkansas Children's Nutrition Center, Little Rock, AR 72202, USA
| | - Kartik Shankar
- 1 Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA.,2 Arkansas Children's Nutrition Center, Little Rock, AR 72202, USA
| | - Matthew Ferguson
- 1 Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA.,2 Arkansas Children's Nutrition Center, Little Rock, AR 72202, USA
| | - Mario A Cleves
- 1 Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA.,2 Arkansas Children's Nutrition Center, Little Rock, AR 72202, USA
| | - Thomas M Badger
- 1 Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA.,2 Arkansas Children's Nutrition Center, Little Rock, AR 72202, USA
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Ismail HM, Evans-Molina C, DiMeglio LA, Becker DJ, Libman I, Sims EK, Boulware D, Herold KC, Rafkin L, Skyler J, Cleves MA, Palmer J, Sosenko JM. Associations of HbA1c with the timing of C-peptide responses during the oral glucose tolerance test at the diagnosis of type 1 diabetes. Pediatr Diabetes 2019; 20:408-413. [PMID: 30891858 PMCID: PMC6655420 DOI: 10.1111/pedi.12845] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [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: 10/16/2018] [Revised: 01/23/2019] [Accepted: 03/04/2019] [Indexed: 01/12/2023] Open
Abstract
BACKGROUND In new onset type 1 diabetes (T1D), overall C-peptide measures such as area under the curve (AUC) C-peptide and peak C-peptide are useful for estimating the extent of β-cell dysfunction, and for assessing responses to intervention therapy. However, measures of the timing of C-peptide responsiveness could have additional value. OBJECTIVES We assessed the contribution of the timing of C-peptide responsiveness during oral glucose tolerance tests (OGTTs) to hemoglobin A1c (HbA1c) variation at T1D diagnosis. METHODS We analyzed data from 85 individuals <18 years with OGTTs and HbA1c measurements at diagnosis. Overall [AUC and peak C-peptide] and timing measures [30-0 minute C-peptide (early); 60 to 120 minute C-peptide sum-30 minutes (late); 120/30 C-peptide; time to peak C-peptide] were utilized. RESULTS At diagnosis, the mean (±SD) age was 11.2 ± 3.3 years, body mass index (BMI)-z was 0.4 ± 1.1, 51.0% were male. The average HbA1c was 43.54 ± 8.46 mmol/mol (6.1 ± 0.8%). HbA1c correlated inversely with the AUC C-peptide (P < 0.001), peak C-peptide (P < 0.001), early and late C-peptide responses (P < 0.001 each), and 120/30 C-peptide (P < 0.001). Those with a peak C-peptide occurring at ≤60 minutes had higher HbA1c values than those with peaks later (P = 0.003). HbA1c variance was better explained with timing measures added to regression models (R2 = 11.6% with AUC C-peptide alone; R2 = 20.0% with 120/30 C-peptide added; R2 = 13.7% with peak C-peptide alone, R2 = 20.4% with timing of the peak added). Similar associations were seen between the 2-hour glucose and the C-peptide measures. CONCLUSIONS These findings show that the addition of timing measures of C-peptide responsiveness better explains HbA1c variation at diagnosis than standard measures alone.
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Affiliation(s)
- Heba M. Ismail
- Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana
| | - Carmella Evans-Molina
- Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana
| | - Linda A. DiMeglio
- Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana
| | - Dorothy J. Becker
- Division of Endocrinology and Metabolism, University of Pittsburgh and Children’s Hospital of Pittsburgh of UPMC, Pittsburgh, Pennsylvania
| | - Ingrid Libman
- Division of Endocrinology and Metabolism, University of Pittsburgh and Children’s Hospital of Pittsburgh of UPMC, Pittsburgh, Pennsylvania
| | - Emily K. Sims
- Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana
| | - David Boulware
- Department of Bio-statistics, H. Lee Moffitt Cancer Center, Tampa, Florida
| | - Kevan C. Herold
- Department of Immunobiology, Yale University School of Medicine, New Haven, Connecticut
| | - Lisa Rafkin
- Division of Endocrinology, Diabetes, and Metabolism, University of Miami, Miami, Florida
| | - Jay Skyler
- Division of Endocrinology, Diabetes, and Metabolism, University of Miami, Miami, Florida
| | - Mario A. Cleves
- Department of Pediatrics, Morsani College of Medicine, University of South Florida, Tampa, Florida
| | - Jerry Palmer
- Department of Medicine, VA Puget Sound Health Care System, Seattle, Washington,Department of Medicine, University of Washington, Seattle, Washington
| | - Jay M. Sosenko
- Division of Endocrinology, Diabetes, and Metabolism, University of Miami, Miami, Florida
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10
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Gross MS, Vollstedt AJ, Cleves MA, Glina S, Honig SC, Perito P, Stahl PJ, Gayá MR, Gheiler E, Ralph DJ, Köhler T, Stember DS, Carrion R, Maria P, Brant WO, Garber B, Burnett AL, Eid JF, Henry GD, Munarriz R. Multicenter investigation on the influence of climate in penile prosthesis infection. Int J Impot Res 2019; 32:387-392. [PMID: 31043705 DOI: 10.1038/s41443-019-0148-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2019] [Revised: 03/05/2019] [Accepted: 04/01/2019] [Indexed: 11/09/2022]
Abstract
The purpose of this study is to investigate the relationship between inflatable penile prosthesis (IPP) infection, time of year, climate, temperature and humidity. This is a retrospective IRB-approved analysis of 211 patients at 25 institutions who underwent salvage procedure or device explant between 2001 and 2016. Patient data were compiled after an extensive review of all aspects of their electronic medical records. Climate data were compiled from monthly norms based on location, as well as specific data regarding temperature, dew point, and humidity from dates of surgery. Rigorous statistical analysis was performed. We found that penile prosthesis infections occurred more commonly in June (n = 24) and less frequently during the winter months (n = 39), with the lowest number occurring in March (n = 11). One-hundred thirty-nine infections occurred at average daily temperatures greater than 55 °F, compared to 72 infections at less than 55 °F. The incidence rate ratio for this trend was 1.93, with a p-value of <0.001. Humidity results were similar, and fungal infections correlate with daily humidity. Infected implants performed in the fall and summer were over 3 and 2.3 times, respectively, more likely to grow Gram-positive bacteria compared to implants performed in spring (p = 0.004; p = 0.039). This was consistent across geographic location, including in the Southern hemisphere. We found trends between climate factors and IPP infection like those seen and proven in other surgical literature. To our knowledge these data represent the first exploration of the relationship between temperature and infection in prosthetic urology.
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Affiliation(s)
| | | | - Mario A Cleves
- University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - Sidney Glina
- Faculdade de Medicina do ABC/Instituto H.Ellis, São Paulo, Brazil
| | | | | | - Peter J Stahl
- Columbia University College of Physicians & Surgeons, New York City, NY, USA
| | | | | | | | | | | | | | - Pedro Maria
- Albert Einstein College of Medicine, New York City, NY, USA
| | | | - Bruce Garber
- Hahnemann University Hospital, Philadelphia, PA, USA
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11
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Pham TV, Nguyen HV, Aguirre AR, Nguyen VV, A. Cleves M, Nguyen XX, Nguyen TT, Tran DT, Le HX, Hens N, Rosanas-Urgell A, D’Alessandro U, Speybroeck N, Erhart A. Plasmodium vivax morbidity after radical cure: A cohort study in Central Vietnam. PLoS Med 2019; 16:e1002784. [PMID: 31100064 PMCID: PMC6524795 DOI: 10.1371/journal.pmed.1002784] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/31/2018] [Accepted: 03/19/2019] [Indexed: 12/26/2022] Open
Abstract
BACKGROUND In Vietnam, the importance of vivax malaria relative to falciparum during the past decade has steadily increased to 50%. This, together with the spread of multidrug-resistant Plasmodium falciparum, is a major challenge for malaria elimination. A 2-year prospective cohort study to assess P. vivax morbidity after radical cure treatment and related risk factors was conducted in Central Vietnam. METHODS AND FINDINGS The study was implemented between April 2009 and December 2011 in four neighboring villages in a remote forested area of Quang Nam province. P. vivax-infected patients were treated radically with chloroquine (CQ; 25 mg/kg over 3 days) and primaquine (PQ; 0.5 mg/kg/day for 10 days) and visited monthly (malaria symptoms and blood sampling) for up to 2 years. Time to first vivax recurrence was estimated by Kaplan-Meier survival analysis, and risk factors for first and recurrent infections were identified by Cox regression models. Among the 260 P. vivax patients (61% males [159/260]; age range 3-60) recruited, 240 completed the 10-day treatment, 223 entered the second month of follow-up, and 219 were followed for at least 12 months. Most individuals (76.78%, 171/223) had recurrent vivax infections identified by molecular methods (polymerase chain reaction [PCR]); in about half of them (55.61%, 124/223), infection was detected by microscopy, and 84 individuals (37.67%) had symptomatic recurrences. Median time to first recurrence by PCR was 118 days (IQR 59-208). The estimated probability of remaining free of recurrence by month 24 was 20.40% (95% CI [14.42; 27.13]) by PCR, 42.52% (95% CI [35.41; 49.44]) by microscopy, and 60.69% (95% CI [53.51; 67.11]) for symptomatic recurrences. The main risk factor for recurrence (first or recurrent) was prior P. falciparum infection. The main limitations of this study are the age of the results and the absence of a comparator arm, which does not allow estimating the proportion of vivax relapses among recurrent infections. CONCLUSION A substantial number of P. vivax recurrences, mainly submicroscopic (SM) and asymptomatic, were observed after high-dose PQ treatment (5.0 mg/kg). Prior P. falciparum infection was an important risk factor for all types of vivax recurrences. Malaria elimination efforts need to address this largely undetected P. vivax transmission by simultaneously tackling the reservoir of P. falciparum and P. vivax infections.
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Affiliation(s)
- Thanh Vinh Pham
- National Institute of Malariology, Parasitology and Entomology (NIMPE), Hanoi, Vietnam
- Research Institute of Health and Society (IRSS), Université Catholique de Louvain (UCL), Brussels, Belgium
| | - Hong Van Nguyen
- National Institute of Malariology, Parasitology and Entomology (NIMPE), Hanoi, Vietnam
| | - Angel Rosas Aguirre
- Research Institute of Health and Society (IRSS), Université Catholique de Louvain (UCL), Brussels, Belgium
- Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Perú
- Fund for Scientific Research (FNRS), Brussels, Belgium
| | - Van Van Nguyen
- Provincial Health Services, Tam Ky City, Quang Nam Province, Vietnam
| | - Mario A. Cleves
- Department of Pediatrics, University of Arkansas for Medical Sciences (UAMS), College of Medicine, Little Rock, Arkansas, United States of America
| | - Xa Xuan Nguyen
- National Institute of Malariology, Parasitology and Entomology (NIMPE), Hanoi, Vietnam
| | - Thao Thanh Nguyen
- Provincial Malaria Station, Tam Ky City, Quang Nam Province, Vietnam
| | - Duong Thanh Tran
- National Institute of Malariology, Parasitology and Entomology (NIMPE), Hanoi, Vietnam
| | - Hung Xuan Le
- National Institute of Malariology, Parasitology and Entomology (NIMPE), Hanoi, Vietnam
| | - Niel Hens
- Center for Statistics, I-BioStat, Hasselt University, Hasselt, Belgium
- Centre for health economic research and modelling infectious diseases, Vaxinfectio, University of Antwerp, Antwerp, Belgium
| | - Anna Rosanas-Urgell
- Department of Biomedical Sciences, Institute of Tropical Medicine (ITM), Antwerp, Belgium
| | - Umberto D’Alessandro
- Medical Research Council Unit The Gambia (MRCG), the London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Niko Speybroeck
- Research Institute of Health and Society (IRSS), Université Catholique de Louvain (UCL), Brussels, Belgium
| | - Annette Erhart
- Medical Research Council Unit The Gambia (MRCG), the London School of Hygiene and Tropical Medicine, London, United Kingdom
- Department of Public Health, ITM, Antwerp, Belgium
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12
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Pivik R, Andres A, Tennal KB, Gu Y, Downs H, Bellando BJ, Jarratt K, Cleves MA, Badger TM. Resting gamma power during the postnatal critical period for GABAergic system development is modulated by infant diet and sex. Int J Psychophysiol 2019; 135:73-94. [DOI: 10.1016/j.ijpsycho.2018.11.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2018] [Revised: 11/14/2018] [Accepted: 11/19/2018] [Indexed: 12/13/2022]
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13
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Hou TT, Lin F, Bai S, Cleves MA, Xu HM, Lou XY. Generalized multifactor dimensionality reduction approaches to identification of genetic interactions underlying ordinal traits. Genet Epidemiol 2018; 43:24-36. [PMID: 30387901 DOI: 10.1002/gepi.22169] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [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: 05/18/2018] [Revised: 08/31/2018] [Accepted: 09/21/2018] [Indexed: 12/11/2022]
Abstract
The manifestation of complex traits is influenced by gene-gene and gene-environment interactions, and the identification of multifactor interactions is an important but challenging undertaking for genetic studies. Many complex phenotypes such as disease severity are measured on an ordinal scale with more than two categories. A proportional odds model can improve statistical power for these outcomes, when compared to a logit model either collapsing the categories into two mutually exclusive groups or limiting the analysis to pairs of categories. In this study, we propose a proportional odds model-based generalized multifactor dimensionality reduction (GMDR) method for detection of interactions underlying polytomous ordinal phenotypes. Computer simulations demonstrated that this new GMDR method has a higher power and more accurate predictive ability than the GMDR methods based on a logit model and a multinomial logit model. We applied this new method to the genetic analysis of low-density lipoprotein (LDL) cholesterol, a causal risk factor for coronary artery disease, in the Multi-Ethnic Study of Atherosclerosis, and identified a significant joint action of the CELSR2, SERPINA12, HPGD, and APOB genes. This finding provides new information to advance the limited knowledge about genetic regulation and gene interactions in metabolic pathways of LDL cholesterol. In conclusion, the proportional odds model-based GMDR is a useful tool that can boost statistical power and prediction accuracy in studying multifactor interactions underlying ordinal traits.
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Affiliation(s)
- Ting-Ting Hou
- Biostatistics Program, Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas.,Arkansas Children's Research Institute, Little Rock, Arkansas.,Institute of Bioinformatics and Institute of Crop Science, College of Agriculture and Biotechnology, Zhejiang University, Hangzhou, China
| | - Feng Lin
- Institute of Bioinformatics and Institute of Crop Science, College of Agriculture and Biotechnology, Zhejiang University, Hangzhou, China
| | - Shasha Bai
- Biostatistics Program, Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas.,Arkansas Children's Research Institute, Little Rock, Arkansas
| | - Mario A Cleves
- Biostatistics Program, Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas.,Arkansas Children's Research Institute, Little Rock, Arkansas
| | - Hai-Ming Xu
- Biostatistics Program, Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas.,Arkansas Children's Research Institute, Little Rock, Arkansas.,Institute of Bioinformatics and Institute of Crop Science, College of Agriculture and Biotechnology, Zhejiang University, Hangzhou, China
| | - Xiang-Yang Lou
- Biostatistics Program, Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas.,Arkansas Children's Research Institute, Little Rock, Arkansas.,Arkansas Children's Nutrition Center, Little Rock, Arkansas
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14
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Miklavcic JJ, Badger TM, Bowlin AK, Matazel KS, Cleves MA, LeRoith T, Saraf MK, Chintapalli SV, Piccolo BD, Shankar K, Yeruva L. Human Breast-Milk Feeding Enhances the Humoral and Cell-Mediated Immune Response in Neonatal Piglets. J Nutr 2018; 148:1860-1870. [PMID: 30247686 PMCID: PMC6209812 DOI: 10.1093/jn/nxy170] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [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: 06/07/2018] [Revised: 06/22/2018] [Accepted: 07/03/2018] [Indexed: 12/24/2022] Open
Abstract
Background The benefits of breastfeeding infants are well characterized, including those on the immune system. However, determining the mechanism by which human breast milk (HBM) elicits effects on immune response requires investigation in an appropriate animal model. Objective The primary aim of this study was to develop a novel porcine model and to determine the differential effects of feeding HBM and a commercial milk formula (MF) on immune response and gastrointestinal microbial colonization in a controlled environment. Methods Male piglets were fed HBM (n = 26) or MF (n = 26) from day 2 through day 21. Piglets were vaccinated (n = 9/diet group) with cholera toxin and cholera toxin subunit B (CTB) and tetanus toxoid at 21 d or were fed placebo (n = 6/diet group) and then weaned to a standard solid diet at the age of 21 d. Humoral and cell-mediated immune responses were assessed from blood on days 35 and 48. Immune response was further examined from tissues, including mesenteric lymph nodes (MLNs), Peyer's patches (PPs), and spleen. The colonization of gut microbiota was characterized from feces on days 16 and 49. Results Serum antibody titers in piglets fed HBM were 4-fold higher (P < 0.05) to CTB and 3-fold higher (P < 0.05) to tetanus toxoid compared with piglets fed MF on day 48. Compared with MF, the numbers of immunoglobulin A antibody-producing cells to CTB were 13-fold higher (P < 0.05) in MLNs and 11-fold higher (P < 0.05) in PPs in the HBM diet group on day 51. In addition, significantly increased T cell proliferation was observed in the HBM group relative to the MF group. Furthermore, microbial diversity in the HBM group was lower (P < 0.05) than in the MF group. Conclusions This porcine model appears to be valid for studying the effects of early postnatal diet on immune responses and the gastrointestinal microbiome. Our results lay the groundwork for future studies defining the role of infant diet on microbiota and immune function.
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Affiliation(s)
- John J Miklavcic
- Arkansas Children's Nutrition Center, Little Rock, AR
- Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR
| | - Thomas M Badger
- Arkansas Children's Nutrition Center, Little Rock, AR
- Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR
| | - Anne K Bowlin
- Arkansas Children's Nutrition Center, Little Rock, AR
- Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR
| | - Katelin S Matazel
- Arkansas Children's Nutrition Center, Little Rock, AR
- Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR
| | - Mario A Cleves
- Arkansas Children's Nutrition Center, Little Rock, AR
- Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR
- Arkansas Children's Research Institute, Little Rock, AR
| | - Tanya LeRoith
- Department of Biomedical Science and Pathobiology, Virginia Polytechnic Institute and State University, Blacksburg, VA
| | - Manish K Saraf
- Arkansas Children's Nutrition Center, Little Rock, AR
- Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR
| | - Sree V Chintapalli
- Arkansas Children's Nutrition Center, Little Rock, AR
- Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR
| | - Brian D Piccolo
- Arkansas Children's Nutrition Center, Little Rock, AR
- Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR
| | - Kartik Shankar
- Arkansas Children's Nutrition Center, Little Rock, AR
- Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR
| | - Laxmi Yeruva
- Arkansas Children's Nutrition Center, Little Rock, AR
- Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR
- Arkansas Children's Research Institute, Little Rock, AR
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15
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Porter H, West DS, Cleves MA, Saylors ME, Andres A, Krukowski RA. Association Between Household Food Environment and Excessive Gestational Weight Gain. J Womens Health (Larchmt) 2018; 27:1064-1070. [DOI: 10.1089/jwh.2017.6552] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
| | - Delia S. West
- Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina
| | - Mario A. Cleves
- Pediatrics Biostatistics, Arkansas Children's Nutrition Center, University of Arkansas for Medical Sciences, College of Medicine, Little Rock, Arkansas
| | - Marie E. Saylors
- Pediatrics Biostatistics, Arkansas Children's Nutrition Center, University of Arkansas for Medical Sciences, College of Medicine, Little Rock, Arkansas
| | - Aline Andres
- Arkansas Children's Nutrition Center, Little Rock, Arkansas
- Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas
| | - Rebecca A. Krukowski
- Department of Preventive Medicine, University of Tennessee Health Science Center, Memphis, Tennessee
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16
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Tang X, Eberhart JK, Cleves MA, Li J, Li M, MacLeod S, Nembhard WN, Hobbs CA. PDGFRA gene, maternal binge drinking and obstructive heart defects. Sci Rep 2018; 8:11083. [PMID: 30038270 PMCID: PMC6056529 DOI: 10.1038/s41598-018-29160-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2017] [Accepted: 06/15/2018] [Indexed: 01/06/2023] Open
Abstract
Obstructive heart defects (OHDs) are a major health concern worldwide. The platelet-derived growth factor (PDGF) genes are known to have regulatory functions that are essential for proper heart development. In a zebrafish model, Pdgfra was further demonstrated to interact with ethanol during craniofacial development. In this article, we investigated interactions between variants in PDGF genes and periconceptional alcohol exposure on the risk of OHDs by applying log-linear models to 806 OHD case and 995 control families enrolled in the National Birth Defects Prevention Study. The interactions between four variants in PDGFA and maternal binge drinking reached a nominal significance level. The maternal T allele of rs869978 was estimated to increase OHD risk among women who binge drink, while infant genotypes of rs2291591, rs2228230, rs1547904, and rs869978 may reduce the risk. Although none of these associations remain statistically significant after multiple testing adjustment and the estimated maternal effect may be influenced by unknown confounding factors, such as maternal smoking, these findings are consistent with previous animal studies supporting potential interactions between the PDGFRA gene and maternal alcohol exposure. Replication studies with larger sample sizes are needed to further elucidate this potential interplay and its influence on OHD risks.
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Affiliation(s)
- Xinyu Tang
- Biostatistics Program, University of Arkansas for Medical Sciences, Arkansas Children's Research Institute, Little Rock, 72202, USA
| | - Johann K Eberhart
- Department of Molecular and Cell and Developmental Biology, Institute for Cellular and Molecular Biology and Institute for Neuroscience, University of Texas, Austin, 78712, USA
| | - Mario A Cleves
- Biostatistics Program, University of Arkansas for Medical Sciences, Arkansas Children's Research Institute, Little Rock, 72202, USA
| | - Jingyun Li
- Biostatistics Program, University of Arkansas for Medical Sciences, Arkansas Children's Research Institute, Little Rock, 72202, USA
| | - Ming Li
- Department of Epidemiology and Biostatistics, School of Public Health, Indiana University at Bloomington, Bloomington, 47405, USA
| | - Stewart MacLeod
- Division of Birth Defects Research, Department of Pediatrics, College of Medicine, University of Arkansas for Medical Sciences, Arkansas Children's Research Institute, Little Rock, 72202, USA
| | - Wendy N Nembhard
- Division of Birth Defects Research, Department of Pediatrics, College of Medicine, University of Arkansas for Medical Sciences, Arkansas Children's Research Institute, Little Rock, 72202, USA
| | - Charlotte A Hobbs
- Division of Birth Defects Research, Department of Pediatrics, College of Medicine, University of Arkansas for Medical Sciences, Arkansas Children's Research Institute, Little Rock, 72202, USA.
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17
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Jani K, Smith C, Delk JR, Carson CC, Donatucci CF, Cleves MA, Wilson SK, Henry GD. Infection Retardant Coatings Impact on Bacterial Presence in Penile Prosthesis Surgery: A Multicenter Study. Urology 2018; 119:104-108. [PMID: 29894775 DOI: 10.1016/j.urology.2018.05.028] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2017] [Revised: 05/07/2018] [Accepted: 05/16/2018] [Indexed: 11/19/2022]
Abstract
OBJECTIVE To investigate patients for positive culture rates with or without infection retardant coatings (IRC) penile prostheses (PPs) and to examine changes in culture positive isolates found in patients presenting overt clinical infection. METHODS Cultures were obtained from PPs immediately upon surgical exposure of the pump. 236 patients were broken down into 2 groups, with each further divided into 2 groups. The noninfected group included 208 patients: 133 with uncoated PPs and 75 with IRC implants. The infected group included 28 patients: 16 with uncoated PP and 12 with IRC inflatable penile prostheses (IPP). Additionally, sensitivity to the combination of tetracycline and rifampin were evaluated on all cultures. RESULTS In the noninfected group, culture positive isolates were found in 85 patients with uncoated PP's and in 32 patients with IRC implants [P value = 0.0003]. Cultures positive for Staphylococcus genus were found in 75 uncoated PP patients, while 20 patients with IRC implants had an isolate of this genus. In the infected group, culture positive isolates were found in 7 patients with uncoated PP and 6 patients with IRC IPPs [P value = 1.000]. Positive cultures for Staphylococcus genus were found in 6 patients with uncoated PP, while 3 patients with IRC IPP had an isolate of this genus. All bacterial isolates were sensitive to the combination of tetracycline and rifampin. CONCLUSION Positive bacterial cultures have been shown to be present on clinically uninfected IPPs at time of revision surgery. Culture isolates grown from patients with IRC IPPs reveal a nontraditional bacterial profile: fewer cultured isolates of Staphylococcus genus.
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Affiliation(s)
| | | | - John R Delk
- Institute for Urologic Excellence, Palm Springs, CA
| | - Culley C Carson
- Department of Urology, University of North Carolina, Chapel Hill, NC
| | - Craig F Donatucci
- Division of Urology, Department of Surgery, Duke University, Durham, NC
| | - Mario A Cleves
- Department of Biostatistics, University of Arkansas for Medical Sciences, Little Rock, AR
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18
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Mercer KE, Bhattacharyya S, Diaz-Rubio ME, Piccolo BD, Pack LM, Sharma N, Chaudhury M, Cleves MA, Chintapalli SV, Shankar K, Ronis MJJ, Yeruva L. Infant Formula Feeding Increases Hepatic Cholesterol 7α Hydroxylase (CYP7A1) Expression and Fecal Bile Acid Loss in Neonatal Piglets. J Nutr 2018; 148:702-711. [PMID: 30053282 PMCID: PMC6857617 DOI: 10.1093/jn/nxy038] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [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: 10/18/2017] [Revised: 11/16/2017] [Accepted: 02/09/2018] [Indexed: 12/14/2022] Open
Abstract
Background During the postnatal feeding period, formula-fed infants have higher cholesterol synthesis rates and lower circulating cholesterol concentrations than their breastfed counterparts. Although this disparity has been attributed to the uniformly low dietary cholesterol content of typical infant formulas, little is known of the underlying mechanisms associated with this altered cholesterol metabolism phenotype. Objective We aimed to determine the molecular etiology of diet-associated changes in early-life cholesterol metabolism with the use of a postnatal piglet feeding model. Methods Two-day-old male and female White-Dutch Landrace piglets were fed either sow milk (Sow group) or dairy-based (Milk group; Similac Advance powder) or soy-based (Soy group; Emfamil Prosobee Lipil powder) infant formulas until day 21. In addition to measuring serum cholesterol concentrations, hepatic and intestinal genes involved in enterohepatic circulation of cholesterol and bile acids were analyzed by real-time reverse-transcriptase polymerase chain reaction and Western blot. Bile acid concentrations were measured by liquid chromatography-mass spectrometry in serum, liver, and feces. Results Compared with the Sow group, hepatic cholesterol 7α hydroxylase (CYP7A1) protein expression was 3-fold higher in the Milk group (P < 0.05) and expression was 10-fold higher in the Soy group compared with the Milk group (P < 0.05). Likewise, fecal bile acid concentrations were 3-fold higher in the Soy group compared with the Milk group (P < 0.05). Intestinal mRNA expression of fibroblast factor 19 (Fgf19) was reduced in the Milk and Soy groups, corresponding to 54% and 67% decreases compared with the Sow group. In the Soy group, small heterodimer protein (SHP) protein expression was 30% lower compared with the Sow group (P < 0.05). Conclusions These results indicate that formula feeding leads to increased CYP7A1 protein expression and fecal bile acid loss in neonatal piglets, and this outcome is linked to reduced efficacy in inhibiting CYP7A1 expression through FGF19 and SHP transcriptional repression mechanisms.
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Affiliation(s)
| | | | | | | | | | - Neha Sharma
- Arkansas Children's Nutrition Center, Little Rock, AR
| | | | | | | | | | - Martin J J Ronis
- Louisiana State University Health Sciences Center, New Orleans, LA
| | - Laxmi Yeruva
- Arkansas Children's Nutrition Center, Little Rock, AR
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Kaufman MR, Milam DF, Johnsen NV, Cleves MA, Broghammer JA, Brant WO, Jones LA, Brady JD, Gross MS, Henry GD. Prior Radiation Therapy Decreases Time to Idiopathic Erosion of Artificial Urinary Sphincter: A Multi-Institutional Analysis. J Urol 2018; 199:1037-1041. [DOI: 10.1016/j.juro.2017.11.046] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/03/2017] [Indexed: 11/25/2022]
Affiliation(s)
| | | | | | - Mario A. Cleves
- University of Arkansas for Medical Sciences, Little Rock, Arkansas
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Mercer KE, Pulliam CF, Hennings L, Cleves MA, Jones EE, Drake RR, Ronis MJJ. Diet Supplementation with Soy Protein Isolate, but Not the Isoflavone Genistein, Protects Against Alcohol-Induced Tumor Progression in DEN-Treated Male Mice. Adv Exp Med Biol 2018; 1032:115-126. [PMID: 30362095 DOI: 10.1007/978-3-319-98788-0_9] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [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] [Indexed: 12/15/2022]
Abstract
Diethylnitrosamine-treated male mice were assigned to 4 groups: a casein-based 35% high fat ethanol liquid diet (EtOH), an EtOH diet made with soy protein isolate protein (EtOH/SOY), an EtOH liquid diet supplemented with genistein (EtOH/GEN) and a chow group. EtOH feeding, final concentration 5% (v/v), continued for 16 wks. EtOH increased incidence and multiplicity of basophilic lesions and adenomas compared to the chow group, (p < 0.05). The EtOH/SOY group had reduced adenoma progression when compared to the EtOH and EtOH/GEN group, (p < 0.05). Genistein supplementation had no protective effect. Soy feeding significantly reduced serum ALT concentrations (p < 0.05), decreased hepatic TNFα and CD-14 expression and decreased nuclear accumulation of NFκB protein in EtOH/SOY-treated mice compared to the EtOH group (p < 0.05). With respect to ceramides, high resolution MALDI-FTICR Imaging mass spectrometry revealed changes in the accumulation of long acyl chain ceramide species, in particular C18, in the EtOH group when compared to the EtOH/SOY group. Additionally, expression of acid ceramidase and sphingosine kinase 1 which degrade ceramide into sphingosine and convert sphingosine to sphingosine-1-phosphate (S1P) respectively and expression of S1P receptors S1PR2 and S1PR3 were all upregulated by EtOH and suppressed in the EtOH/SOY group, p < 0.05. EtOH feeding also increased hepatocyte proliferation and mRNA expression of β-catenin targets, including cyclin D1, MMP7 and glutamine synthase, which were reduced in the EtOH/SOY group, p < 0.05. These findings suggest that soy prevents tumorigenesis by reducing inflammation and by reducing hepatocyte proliferation through inhibition of EtOH-mediated β-catenin signaling. These mechanisms may involve blockade of sphingolipid signaling.
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Affiliation(s)
- K E Mercer
- Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA
- Arkansas Children's Nutrition Center, Little Rock, AR, USA
| | - C F Pulliam
- Department of Pharmacology & Experimental Therapeutics, Louisiana State University Health Sciences Center, New Orleans, LA, USA
| | - L Hennings
- Departmant of Pathology, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - M A Cleves
- Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA
- Arkansas Children's Nutrition Center, Little Rock, AR, USA
| | - E E Jones
- Medical University of South Carolina Proteomic Center, Charleston, SC, USA
| | - R R Drake
- Medical University of South Carolina Proteomic Center, Charleston, SC, USA
| | - M J J Ronis
- Department of Pharmacology & Experimental Therapeutics, Louisiana State University Health Sciences Center, New Orleans, LA, USA.
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Ou X, Glasier CM, Ramakrishnaiah RH, Kanfi A, Rowell AC, Pivik RT, Andres A, Cleves MA, Badger TM. Gestational Age at Birth and Brain White Matter Development in Term-Born Infants and Children. AJNR Am J Neuroradiol 2017; 38:2373-2379. [PMID: 29025726 DOI: 10.3174/ajnr.a5408] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2017] [Accepted: 07/22/2017] [Indexed: 11/07/2022]
Abstract
BACKGROUND AND PURPOSE Studies on infants and children born preterm have shown that adequate gestational length is critical for brain white matter development. Less is known regarding how variations in gestational age at birth in term infants and children affect white matter development, which was evaluated in this study. MATERIALS AND METHODS Using DTI tract-based spatial statistics methods, we evaluated white matter microstructures in 2 groups of term-born (≥37 weeks of gestation) healthy subjects: 2-week-old infants (n = 44) and 8-year-old children (n = 63). DTI parameters including fractional anisotropy, mean diffusivity, axial diffusivity, and radial diffusivity were calculated by voxelwise and ROI methods and were correlated with gestational age at birth, with potential confounding factors such as postnatal age and sex controlled. RESULTS Fractional anisotropy values, which are markers for white matter microstructural integrity, positively correlated (P < .05, corrected) with gestational age at birth in most major white matter tracts/regions for the term infants. Mean diffusivity values, which are measures of water diffusivities in the brain, and axial and radial diffusivity values, which are markers for axonal growth and myelination, respectively, negatively correlated (P < .05, corrected) with gestational age at birth in all major white matter tracts/regions excluding the body and splenium of the corpus callosum for the term infants. No significant correlations with gestational age were observed for any tracts/regions for the term-born 8-year-old children. CONCLUSIONS Our results indicate that longer gestation during the normal term period is associated with significantly greater infant white matter development (as reflected by higher fractional anisotropy and lower mean diffusivity, axial diffusivity, and radial diffusivity values); however, similar associations were not observable in later childhood.
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Affiliation(s)
- X Ou
- From the Departments of Radiology (X.O., C.M.G., R.H.R., A.K., A.C.R.)
- Pediatrics (X.O., C.M.G., R.T.P., A.A., M.A.C., T.M.B.), University of Arkansas for Medical Sciences, Little Rock, Arkansas
- Arkansas Children's Nutrition Center (X.O., R.T.P., A.A., T.M.B.), Little Rock, Arkansas
- Department of Radiology (X.O., C.M.G., R.H.R., A.K., A.C.R.), Arkansas Children's Hospital, Little Rock, Arkansas
| | - C M Glasier
- From the Departments of Radiology (X.O., C.M.G., R.H.R., A.K., A.C.R.)
- Pediatrics (X.O., C.M.G., R.T.P., A.A., M.A.C., T.M.B.), University of Arkansas for Medical Sciences, Little Rock, Arkansas
- Department of Radiology (X.O., C.M.G., R.H.R., A.K., A.C.R.), Arkansas Children's Hospital, Little Rock, Arkansas
| | - R H Ramakrishnaiah
- From the Departments of Radiology (X.O., C.M.G., R.H.R., A.K., A.C.R.)
- Department of Radiology (X.O., C.M.G., R.H.R., A.K., A.C.R.), Arkansas Children's Hospital, Little Rock, Arkansas
| | - A Kanfi
- From the Departments of Radiology (X.O., C.M.G., R.H.R., A.K., A.C.R.)
- Department of Radiology (X.O., C.M.G., R.H.R., A.K., A.C.R.), Arkansas Children's Hospital, Little Rock, Arkansas
| | - A C Rowell
- From the Departments of Radiology (X.O., C.M.G., R.H.R., A.K., A.C.R.)
- Department of Radiology (X.O., C.M.G., R.H.R., A.K., A.C.R.), Arkansas Children's Hospital, Little Rock, Arkansas
| | - R T Pivik
- Pediatrics (X.O., C.M.G., R.T.P., A.A., M.A.C., T.M.B.), University of Arkansas for Medical Sciences, Little Rock, Arkansas
- Arkansas Children's Nutrition Center (X.O., R.T.P., A.A., T.M.B.), Little Rock, Arkansas
| | - A Andres
- Pediatrics (X.O., C.M.G., R.T.P., A.A., M.A.C., T.M.B.), University of Arkansas for Medical Sciences, Little Rock, Arkansas
- Arkansas Children's Nutrition Center (X.O., R.T.P., A.A., T.M.B.), Little Rock, Arkansas
| | - M A Cleves
- Pediatrics (X.O., C.M.G., R.T.P., A.A., M.A.C., T.M.B.), University of Arkansas for Medical Sciences, Little Rock, Arkansas
| | - T M Badger
- Pediatrics (X.O., C.M.G., R.T.P., A.A., M.A.C., T.M.B.), University of Arkansas for Medical Sciences, Little Rock, Arkansas
- Arkansas Children's Nutrition Center (X.O., R.T.P., A.A., T.M.B.), Little Rock, Arkansas
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Sun RW, Bonilla-Velez J, Pesek RD, Johnson AB, Cleves MA, Richter GT. Eosinophilic esophagitis in children under the age of 5 years: Clinical characteristics. Laryngoscope 2017; 128:798-805. [DOI: 10.1002/lary.26838] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2017] [Revised: 06/20/2017] [Accepted: 07/12/2017] [Indexed: 01/04/2023]
Affiliation(s)
- Ravi W. Sun
- Department of Otolaryngology-Head and Neck Surgery; University of Arkansas for Medical Sciences, Little Rock; Arkansas
- Arkansas Children's Hospital; Little Rock Arkansas U.S.A
| | - Juliana Bonilla-Velez
- Department of Otolaryngology-Head and Neck Surgery; University of Arkansas for Medical Sciences, Little Rock; Arkansas
- Arkansas Children's Hospital; Little Rock Arkansas U.S.A
| | - Robert D. Pesek
- Department of Pediatrics; Division of Allergy and Immunology, University of Arkansas for Medical Sciences, Little Rock; Arkansas
- Arkansas Children's Hospital; Little Rock Arkansas U.S.A
| | | | - Mario A. Cleves
- Department of Pediatrics; Division of Biostatistics, University of Arkansas for Medical Sciences, Little Rock; Arkansas
- Arkansas Children's Hospital; Little Rock Arkansas U.S.A
| | - Gresham T. Richter
- Department of Otolaryngology-Head and Neck Surgery; University of Arkansas for Medical Sciences, Little Rock; Arkansas
- Arkansas Children's Hospital; Little Rock Arkansas U.S.A
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McSweeney JC, Cleves MA, Fischer EP, Pettey CM, Beasley B. Using the McSweeney Acute and Prodromal Myocardial Infarction Symptom Survey to Predict the Occurrence of Short-Term Coronary Heart Disease Events in Women. Womens Health Issues 2017; 27:660-665. [PMID: 28830656 DOI: 10.1016/j.whi.2017.07.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2017] [Revised: 06/27/2017] [Accepted: 07/11/2017] [Indexed: 02/07/2023]
Abstract
BACKGROUND Few instruments capture symptoms that predict cardiac events in the short-term. This study examines the ability of the McSweeney Acute and Prodromal Myocardial Infarction Symptom Survey to predict acute cardiac events within 3 months of administration and to identify the prodromal symptoms most associated with short-term risk in women without known coronary heart disease. METHODS The McSweeney Acute and Prodromal Myocardial Infarction Symptom Survey was administered to 1,097 women referred to a cardiologist for initial coronary heart disease evaluation. Logistic regression models were used to examine prodromal symptoms individually and in combination to identify the subset of symptoms most predictive of an event within 3 months. RESULTS Fifty-one women had an early cardiac event. In bivariate analyses, 4 of 30 prodromal symptoms were significantly associated with event occurrence within 90 days. In adjusted analyses, women reporting arm pain or discomfort and unusual fatigue were more likely (OR, 4.67; 95% CI, 2.08-10.48) to have a cardiac event than women reporting neither. CONCLUSIONS The McSweeney Acute and Prodromal Myocardial Infarction Symptom Survey may assist in predicting short-term coronary heart disease events in women without known coronary heart disease.
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Affiliation(s)
- Jean C McSweeney
- College of Nursing, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
| | - Mario A Cleves
- College of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas
| | - Ellen P Fischer
- Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, Arkansas; Central Arkansas Veterans Healthcare System Center, for Mental Healthcare and Outcomes Research, North Little Rock, Arkansas
| | - Christina M Pettey
- College of Nursing, University of Arkansas for Medical Sciences, Little Rock, Arkansas
| | - Brittany Beasley
- College of Nursing, University of Arkansas for Medical Sciences, Little Rock, Arkansas
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Thakali KM, Faske JB, Ishwar A, Alfaro MP, Cleves MA, Badger TM, Andres A, Shankar K. Maternal obesity and gestational weight gain are modestly associated with umbilical cord DNA methylation. Placenta 2017; 57:194-203. [PMID: 28864012 DOI: 10.1016/j.placenta.2017.07.009] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [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: 12/12/2016] [Revised: 06/26/2017] [Accepted: 07/12/2017] [Indexed: 12/18/2022]
Abstract
INTRODUCTION Maternal obesity (OB) and excessive gestational weight gain (GWG) are strong independent contributors that augment obesity risk in offspring. However, direct evidence of epigenetic changes associated with maternal habitus remains sparse. METHODS We utilized Bisulfite Amplicon Sequencing (BSAS) to conduct targeted DNA methylation association analysis of maternal obesity and excessive GWG with DNA methylation of select metabolism-related and imprinted genes. Umbilical cord (UC) tissue from infants born to normal weight and overweight/obese women from the Glowing study were utilized (n = 78). RESULTS In multivariable linear regression adjusted for relevant confounders, Institute on Medicine (IOM) GWG category and infant sex were significantly associated with UC IGFBP1 methylation, while gestation length was significantly associated with UC PRKAA1 methylation. In addition, infant fat mass (%) at 2 weeks of age was significantly associated with umbilical cord methylation of RAPTOR. While regression tree analysis confirmed findings from multivariable models demonstrating that maternal early pregnancy BMI and IOM GWG category are associated with fetal UC DNA methylation patterns for select metabolic and imprinted genes, in general, effect sizes were quite small and statistical significance was not maintained when accounting for multiple testing. DISCUSSION Our findings suggest that maternal obesity and excessive GWG are weakly correlated with offspring DNA methylation patterns at birth.
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Affiliation(s)
- Keshari M Thakali
- Arkansas Children's Nutrition Center, Little Rock, AR, USA; Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | | | - Arjun Ishwar
- Arkansas Children's Hospital, Little Rock, AR, USA
| | | | - Mario A Cleves
- Arkansas Children's Nutrition Center, Little Rock, AR, USA; Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA; Arkansas Children's Research Institute, Little Rock, AR, USA
| | - Thomas M Badger
- Arkansas Children's Nutrition Center, Little Rock, AR, USA; Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - Aline Andres
- Arkansas Children's Nutrition Center, Little Rock, AR, USA; Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA; Arkansas Children's Research Institute, Little Rock, AR, USA
| | - Kartik Shankar
- Arkansas Children's Nutrition Center, Little Rock, AR, USA; Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA; Arkansas Children's Research Institute, Little Rock, AR, USA.
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Ruebel ML, Cotter M, Sims CR, Moutos DM, Badger TM, Cleves MA, Shankar K, Andres A. Obesity Modulates Inflammation and Lipid Metabolism Oocyte Gene Expression: A Single-Cell Transcriptome Perspective. J Clin Endocrinol Metab 2017; 102:2029-2038. [PMID: 28323970 PMCID: PMC5470765 DOI: 10.1210/jc.2016-3524] [Citation(s) in RCA: 47] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/25/2016] [Accepted: 03/10/2017] [Indexed: 01/19/2023]
Abstract
CONTEXT It is hypothesized that obesity adversely affects the ovarian environment, which can disrupt oocyte maturation and embryonic development. OBJECTIVE This study aimed to compare oocyte gene expression profiles and follicular fluid (FF) content from overweight/obese (OW) women and normal-weight (NW) women who were undergoing fertility treatments. DESIGN Using single-cell transcriptomic analyses, we investigated oocyte gene expression using RNA sequencing. PATIENTS OR OTHER PARTICIPANTS Eleven OW women and 13 NW women undergoing fertility treatments were enrolled. MAIN OUTCOME MEASURES Oocyte messenger RNA profiles as well as serum and FF hormone and lipid levels were assessed. RESULTS OW women had significantly higher body mass index, body fat percentage, and serum homeostatic model assessment-insulin resistance index compared with NW women (P < 0.01). Serum leptin and C-reactive protein (CRP) levels as well as FF leptin, CRP, and triglyceride levels were increased (P < 0.05) in OW compared with NW women. Oocytes from OW women had increased expression of proinflammatory (CXCL2; P = 0.071) and oxidative stress-related (DUSP1; P = 0.051) genes but had decreased expression of GAS7 (fat metabolism; P = 0.065), TXNIP (oxidative stress; P = 0.055), and transcription factors ID3 (P = 0.075) and TWIST1 (P = 0.099) compared with NW women. CONCLUSIONS These findings provide evidence for the significant influence of body composition on oocyte transcript abundance in women undergoing hormonal induction to retrieve oocytes. They further identify the potential for maternal diet to influence oocyte gene expression. The preconception period is, therefore, an important window of opportunity to consider for lifestyle interventions.
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Affiliation(s)
- Meghan L. Ruebel
- Arkansas Children’s Nutrition Center, Little Rock, Arkansas 72202
- Department of Animal Science and Reproductive and Developmental Sciences Program, Michigan State University, East Lansing, Michigan 48824
| | - Matthew Cotter
- Arkansas Children’s Nutrition Center, Little Rock, Arkansas 72202
| | - Clark R. Sims
- Arkansas Children’s Nutrition Center, Little Rock, Arkansas 72202
- Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas 72205
| | - Dean M. Moutos
- Arkansas Fertility and Gynecology Clinic, Little Rock, Arkansas 72205
| | - Thomas M. Badger
- Arkansas Children’s Nutrition Center, Little Rock, Arkansas 72202
- Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas 72205
| | - Mario A. Cleves
- Arkansas Children’s Nutrition Center, Little Rock, Arkansas 72202
- Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas 72205
| | - Kartik Shankar
- Arkansas Children’s Nutrition Center, Little Rock, Arkansas 72202
- Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas 72205
| | - Aline Andres
- Arkansas Children’s Nutrition Center, Little Rock, Arkansas 72202
- Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas 72205
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Andres A, Ruebel ML, Krukowski RA, Badger TM, Shankar K, Cleves MA. First trimester maternal adiposity is associated with infant body fat at age 2 weeks: a longitudinal follow‐up study. FASEB J 2017. [DOI: 10.1096/fasebj.31.1_supplement.958.24] [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)
- Aline Andres
- PediatricsUniversity of Arkansas for Medical SciencesLittle RockAR
- Arkansas Children's Nutrition CenterLittle RockAR
| | - Meghan L Ruebel
- Animal ScienceMichigan State UniversityEast LansingMI
- Arkansas Children's Nutrition CenterLittle RockAR
| | | | - Thomas M Badger
- PediatricsUniversity of Arkansas for Medical SciencesLittle RockAR
| | - Kartik Shankar
- PediatricsUniversity of Arkansas for Medical SciencesLittle RockAR
- Arkansas Children's Nutrition CenterLittle RockAR
| | - Mario A Cleves
- PediatricsUniversity of Arkansas for Medical SciencesLittle RockAR
- Arkansas Children's Nutrition CenterLittle RockAR
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Pivik RT, Andres A, Cleves MA, Tennal KB, Gu Y, Badger TM. Developmental Changes in Resting Gamma Power from Age Three Months to Five Years Are Modulated by Infant Diet. FASEB J 2017. [DOI: 10.1096/fasebj.31.1_supplement.958.9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- R T Pivik
- Department of PediatricsUniversity of Arkansas for Medical SciencesLittle RockAR
- Arkansas Children's Nutrition CenterLittle RockAR
| | - A Andres
- Department of PediatricsUniversity of Arkansas for Medical SciencesLittle RockAR
- Arkansas Children's Nutrition CenterLittle RockAR
| | - M A Cleves
- Department of PediatricsUniversity of Arkansas for Medical SciencesLittle RockAR
- Arkansas Children's Nutrition CenterLittle RockAR
| | - K B Tennal
- Arkansas Children's Nutrition CenterLittle RockAR
| | - Y Gu
- Arkansas Children's Nutrition CenterLittle RockAR
| | - T M Badger
- Department of PediatricsUniversity of Arkansas for Medical SciencesLittle RockAR
- Arkansas Children's Nutrition CenterLittle RockAR
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Krukowski RA, West DS, DiCarlo M, Cleves MA, Saylors ME, Andres A. Association of Gestational Weight Gain Expectations and Advice on Actual Weight Gain. Obstet Gynecol 2017; 129:76-82. [DOI: 10.1097/aog.0000000000001780] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [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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Yu S, Wu X, Ferguson M, Simmen RC, Cleves MA, Simmen FA, Fang N. Diets Containing Shiitake Mushroom Reduce Serum Lipids and Serum Lipophilic Antioxidant Capacity in Rats. J Nutr 2016; 146:2491-2496. [PMID: 27798348 PMCID: PMC5118771 DOI: 10.3945/jn.116.239806] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [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: 07/29/2016] [Revised: 08/18/2016] [Accepted: 09/15/2016] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND We previously reported that dietary intake of shiitake mushroom (SM; Lentinus edodes) decreased serum concentrations of polar lipids in male rats. OBJECTIVE This study evaluated the dietary effects of SM on serum cholesterol-related and serum antioxidant indexes in rats of both sexes. METHODS Sprague-Dawley rats [38 dams and their offspring (20 males and 20 females/diet)] were fed diets containing 0 (control), 1%, 4%, or 10% (wt:wt) SM powder from gestation day 4 through to postnatal day (PND) 126. Biochemical indexes were monitored during the midgrowth phase (PNDs 50-66). RESULTS The food consumption by offspring fed the control diet and diets supplemented with SM was not different when measured on PND 65. However, the 4% and 10% SM diets resulted in male rats with 7% lower body weights than those of the other 2 groups on PND 66. SM consumption dose-dependently decreased the concentrations of lipidemia-related factors in sera, irrespective of sex. At PND 50, serum concentrations of total cholesterol, HDL cholesterol, and non-HDL cholesterol in SM-fed male and female rats were generally lower (3-27%) than those in the corresponding control groups. Consumption of the 10% SM diet resulted in significantly decreased (55%) serum triglyceride concentrations relative to the control groups for both sexes. The 10% SM diet elicited a 62% reduction of serum leptin concentrations in females but not in males, and this same diet increased serum insulin (137%) and decreased serum glucose (15%) in males compared with controls. Serum lipophilic antioxidant capacity in males and females fed SM diets was generally lower (31-86%) than that in the control groups. CONCLUSION SM decreased the concentrations of lipidemia-related factors in rat sera irrespective of sex. The SM-elicited reduction of lipophilic antioxidant capacity irrespective of sex may reflect a lower pro-oxidative state and, hence, improved metabolic profile.
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Affiliation(s)
- Shanggong Yu
- Arkansas Children's Nutrition Center, Little Rock, AR
| | - Xianli Wu
- Beltsville Human Nutrition Research Center, USDA-Agricultural Research Service, Beltsville, MD; and
| | | | | | - Mario A Cleves
- Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR
| | | | - Nianbai Fang
- Arkansas Children's Nutrition Center, Little Rock, AR;
- Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR
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Krukowski RA, West DS, DiCarlo M, Shankar K, Cleves MA, Saylors ME, Andres A. Are early first trimester weights valid proxies for preconception weight? BMC Pregnancy Childbirth 2016; 16:357. [PMID: 27871260 PMCID: PMC5117552 DOI: 10.1186/s12884-016-1159-6] [Citation(s) in RCA: 42] [Impact Index Per Article: 5.3] [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: 06/11/2016] [Accepted: 11/14/2016] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND An accurate estimate of preconception weight is necessary for providing a gestational weight gain range based on the Institute of Medicine's guidelines; however, an accurate and proximal preconception weight is not available for most women. We examined the validity of first trimester weights for estimating preconception body mass index category. METHODS Under identical measurement conditions, preconception weight and two first trimester weights (i.e., 4-10 and 12 weeks gestation) were obtained (n = 43). RESULTS The 4-10 week and the 12 week weight correctly classified 95 and 91% women, respectively. Mean weight changes were relatively small overall (M = 0.74 ± 1.99 kg at 4-10 weeks and M = 1.02 ± 2.46 at 12 weeks). There was a significant difference in mean weight gain by body mass index category at 4-10 weeks (-0.09 ± 1.86 kg for normal weight participants vs. 1.61 + 1.76 kg for overweight/obese participants, p = 0.01), but not at 12 weeks (0.53 ± 2.29 kg for normal weight participants vs. 1.54 ± 2.58 kg for overweight/obese participants). CONCLUSIONS Assigning gestational weight gain guidelines based on an early first trimester weight resulted in 5-9% of women being misclassified depending on the gestational week the weight was obtained. Thus, most women are correctly classified based on a first trimester weight, particularly an early first trimester weight, although it is possible that modeling strategies could be developed to further improve estimates of preconception body mass index category. TRIAL REGISTRATION Clinicaltrials.gov # NCT01131117 , registered May 25, 2010.
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Affiliation(s)
- Rebecca A. Krukowski
- Department of Preventive Medicine, University of Tennessee Health Science Center, 66 N. Pauline St, Memphis, TN 38163 USA
| | - Delia S. West
- Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, SC USA
| | - Marisha DiCarlo
- Arkansas Department of Health, Office of Health Communications, Little Rock, AR USA
| | - Kartik Shankar
- Department of Pediatrics, Arkansas Children’s Nutrition Center, University of Arkansas for Medical Sciences, Little Rock, AR USA
| | - Mario A. Cleves
- Pediatrics Biostatistics, Arkansas Children’s Nutrition Center, University of Arkansas for Medical Sciences, College of Medicine, Little Rock, AR USA
| | - Marie E. Saylors
- Pediatrics Biostatistics, University of Arkansas for Medical Sciences, College of Medicine, Little Rock, AR USA
| | - Aline Andres
- Department of Pediatrics, Arkansas Children’s Nutrition Center, University of Arkansas for Medical Sciences, Little Rock, AR USA
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31
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Pivik RT, Andres A, Bai S, Cleves MA, Tennal KB, Gu Y, Badger TM. Infant Diet-Related Changes in Syllable Processing Between 4 and 5 Months: Implications for Developing Native Language Sensitivity. Dev Neuropsychol 2016; 41:215-230. [PMID: 27759424 DOI: 10.1080/87565641.2016.1236109] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Since maturational processes triggering increased attunement to native language features in early infancy are sensitive to dietary factors, infant-diet related differences in brain processing of native-language speech stimuli might indicate variations in the onset of this tuning process. We measured cortical responses (ERPs) to syllables in 4 and 5 month old infants fed breast milk, milk formula, or soy formula and found syllable discrimination (P350) and syntactic-related functions (P600) but not syllable perception (P170) varied by diet, but not gender or background measures. The results suggest breastfed and formula-fed infants differ in onset of this critical period in speech perception.
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Affiliation(s)
- R T Pivik
- a Arkansas Children's Nutrition Center , Little Rock , Arkansas.,b Department of Pediatrics and the Arkansas Children's Hospital Research Institute , University of Arkansas for Medical Sciences , Little Rock , Arkansas
| | - Aline Andres
- a Arkansas Children's Nutrition Center , Little Rock , Arkansas.,b Department of Pediatrics and the Arkansas Children's Hospital Research Institute , University of Arkansas for Medical Sciences , Little Rock , Arkansas
| | - Shasha Bai
- b Department of Pediatrics and the Arkansas Children's Hospital Research Institute , University of Arkansas for Medical Sciences , Little Rock , Arkansas
| | - Mario A Cleves
- a Arkansas Children's Nutrition Center , Little Rock , Arkansas.,b Department of Pediatrics and the Arkansas Children's Hospital Research Institute , University of Arkansas for Medical Sciences , Little Rock , Arkansas
| | - Kevin B Tennal
- a Arkansas Children's Nutrition Center , Little Rock , Arkansas
| | - Yuyuan Gu
- a Arkansas Children's Nutrition Center , Little Rock , Arkansas
| | - Thomas M Badger
- a Arkansas Children's Nutrition Center , Little Rock , Arkansas.,b Department of Pediatrics and the Arkansas Children's Hospital Research Institute , University of Arkansas for Medical Sciences , Little Rock , Arkansas
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32
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Krukowski RA, West D, DiCarlo M, Shankar K, Cleves MA, Tedford E, Andres A. A Behavioral Intervention to Reduce Excessive Gestational Weight Gain. Matern Child Health J 2016; 21:485-491. [DOI: 10.1007/s10995-016-2127-5] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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33
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Ronis MJ, Gomez-Acevedo H, Blackburn ML, Cleves MA, Singhal R, Badger TM. RNA-sequencing data analysis of uterus in ovariectomized rats fed with soy protein isolate, 17β-estradiol and casein. Data Brief 2016; 7:1491-6. [PMID: 27182546 PMCID: PMC4857400 DOI: 10.1016/j.dib.2016.04.033] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2016] [Revised: 04/10/2016] [Accepted: 04/13/2016] [Indexed: 11/17/2022] Open
Abstract
This data file describes the bioinformatics analysis of uterine RNA-seq data comparing genome wide effects of feeding soy protein isolate compared to casein to ovariectomized female rats age 64 days relative to treatment of casein fed rats with 5 μg/kg/d estradiol and relative to rats treated with estradiol and also fed soy protein isolate. Complete raw data files were deposited in the gene Expression Omnibus (GEO) at NCBI (http:/www.ncbi.nlm.nih.gov.geo/) under the GEO accession number GEO: GSE69819. Data presented here incudes a summary of the differential expression analysis with top 30 genes up- and down-regulated by soy protein isolate (SPI), estradiol (E2) and SPI+E2. Additional functional annotation analysis of KEGG pathways is also presented for each treatment, together with networks of interaction between those pathways. Further interpretation and discussion of this data can be found in the article “Uterine responses to feeding soy protein isolate and treatment with 17β-estradiol differ in ovariectomized female rats” Ronis et al. (2016) [1].
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Affiliation(s)
- Martin J. Ronis
- Department of Pharmacology & Experimental Therapeutics, LSUHSC-New Orelans, New Orleans, LA, United States
- Arkansas Children’s Nutrition Center, Little Rock, AR, United States
- Corresponding author at: Department of Pharmacology & Experimental Therapeutics, LSUHSC-New Orelans, New Orleans, LA, United States.Department of Pharmacology & Experimental Therapeutics, LSUHSC-New OrelansNew OrleansLAUnited States
| | - Horacio Gomez-Acevedo
- Arkansas Children’s Nutrition Center, Little Rock, AR, United States
- Department of Biomedical Informatics, UAMS, Little Rock, AR, United States
| | | | - Mario A. Cleves
- Arkansas Children’s Nutrition Center, Little Rock, AR, United States
| | - Rohit Singhal
- Arkansas Children’s Nutrition Center, Little Rock, AR, United States
| | - Thomas M. Badger
- Arkansas Children’s Nutrition Center, Little Rock, AR, United States
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34
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Yeruva L, Spencer NE, Saraf MK, Hennings L, Bowlin AK, Cleves MA, Mercer K, Chintapalli SV, Shankar K, Rank RG, Badger TM, Ronis MJJ. Erratum to: Formula diet alters small intestine morphology, microbial abundance and reduces VE-cadherin and IL-10 expression in neonatal porcine model. BMC Gastroenterol 2016; 16:55. [PMID: 27229864 PMCID: PMC4882799 DOI: 10.1186/s12876-016-0469-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/23/2016] [Accepted: 05/24/2016] [Indexed: 11/10/2022] Open
Affiliation(s)
- Laxmi Yeruva
- Arkansas Children's Nutrition Center, 15 Children's Way, Little Rock, AR, 72202, USA. .,Arkansas Children's Hospital Research Institute, Little Rock, USA. .,Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, USA.
| | - Nicole E Spencer
- Arkansas Children's Hospital Research Institute, Little Rock, USA
| | - Manish K Saraf
- Arkansas Children's Nutrition Center, 15 Children's Way, Little Rock, AR, 72202, USA.,Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, USA
| | - Leah Hennings
- Department of Pathology, University of Arkansas for Medical Sciences, Little Rock, USA
| | - Anne K Bowlin
- Arkansas Children's Nutrition Center, 15 Children's Way, Little Rock, AR, 72202, USA.,Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, USA
| | - Mario A Cleves
- Arkansas Children's Nutrition Center, 15 Children's Way, Little Rock, AR, 72202, USA.,Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, USA
| | - Kelly Mercer
- Arkansas Children's Nutrition Center, 15 Children's Way, Little Rock, AR, 72202, USA.,Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, USA
| | - Sree V Chintapalli
- Arkansas Children's Nutrition Center, 15 Children's Way, Little Rock, AR, 72202, USA.,Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, USA
| | - Kartik Shankar
- Arkansas Children's Nutrition Center, 15 Children's Way, Little Rock, AR, 72202, USA.,Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, USA
| | - Roger G Rank
- Arkansas Children's Nutrition Center, 15 Children's Way, Little Rock, AR, 72202, USA.,Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, USA
| | - Thomas M Badger
- Arkansas Children's Nutrition Center, 15 Children's Way, Little Rock, AR, 72202, USA.,Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, USA
| | - Martin J J Ronis
- Department of Pharmacology & Experimental Therapeutics, Louisiana State University Health Sciences Center, New Orleans, LA, USA
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35
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Li M, Li J, He Z, Lu Q, Witte JS, Macleod SL, Hobbs CA, Cleves MA. Testing Allele Transmission of an SNP Set Using a Family-Based Generalized Genetic Random Field Method. Genet Epidemiol 2016; 40:341-51. [PMID: 27061818 DOI: 10.1002/gepi.21970] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [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: 09/13/2015] [Revised: 02/19/2016] [Accepted: 02/22/2016] [Indexed: 12/20/2022]
Abstract
Family-based association studies are commonly used in genetic research because they can be robust to population stratification (PS). Recent advances in high-throughput genotyping technologies have produced a massive amount of genomic data in family-based studies. However, current family-based association tests are mainly focused on evaluating individual variants one at a time. In this article, we introduce a family-based generalized genetic random field (FB-GGRF) method to test the joint association between a set of autosomal SNPs (i.e., single-nucleotide polymorphisms) and disease phenotypes. The proposed method is a natural extension of a recently developed GGRF method for population-based case-control studies. It models offspring genotypes conditional on parental genotypes, and, thus, is robust to PS. Through simulations, we presented that under various disease scenarios the FB-GGRF has improved power over a commonly used family-based sequence kernel association test (FB-SKAT). Further, similar to GGRF, the proposed FB-GGRF method is asymptotically well-behaved, and does not require empirical adjustment of the type I error rates. We illustrate the proposed method using a study of congenital heart defects with family trios from the National Birth Defects Prevention Study (NBDPS).
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Affiliation(s)
- Ming Li
- Department of Epidemiology and Biostatistics, Indiana University at Bloomington, Bloomington, Indiana, United States of America
| | - Jingyun Li
- Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America
| | - Zihuai He
- Department of Biostatistics, University of Michigan, Ann Arbor, Michigan, United States of America
| | - Qing Lu
- Department of Epidemiology and Biostatistics, Michigan State University, East Lansing, Michigan, United States of America
| | - John S Witte
- Department of Epidemiology and Biostatistics, University of California at San Francisco, San Francisco, California, United States of America
| | - Stewart L Macleod
- Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America
| | - Charlotte A Hobbs
- Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America
| | - Mario A Cleves
- Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America
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36
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Kaufman MR, Henry G, Johnsen NV, Cleves MA, Broghammer JA, Brant WO, Gross MS, Brady JD, Jones L, Milam DF. MP87-09 PRIOR RADIATION THERAPY DECREASES TIME TO IDIOPATHIC EROSION OF ARTIFICIAL URINARY SPHINCTER: A MULTI-INSTITUTIONAL ANALYSIS. J Urol 2016. [DOI: 10.1016/j.juro.2016.02.2359] [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: 10/22/2022]
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37
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Pivik RT, Andres A, Cleves MA, Badger TM. Gamma EEG Activation During Picture‐Word Semantic Processing in 3 Year Olds Varies As A Function of Gender And Infant Diet. FASEB J 2016. [DOI: 10.1096/fasebj.30.1_supplement.671.15] [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)
- R T Pivik
- PediatricsUniversity of Arkansas for Medical SciencesLittle RockAR
- Arkansas Children's Nutrition CenterLittle RockAR
| | - A Andres
- PediatricsUniversity of Arkansas for Medical SciencesLittle RockAR
- Arkansas Children's Nutrition CenterLittle RockAR
| | - M A Cleves
- PediatricsUniversity of Arkansas for Medical SciencesLittle RockAR
- Arkansas Children's Nutrition CenterLittle RockAR
| | - T M Badger
- PediatricsUniversity of Arkansas for Medical SciencesLittle RockAR
- Arkansas Children's Nutrition CenterLittle RockAR
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38
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Yeruva V, Spencer N, Bowlin AK, Chintapalli SV, Shankar K, Hennings L, Cleves MA, Saraf M, Badger TM, Ronis MJ. Formula diet driven microbial diversity and immunological consequence in small intestine of neonatal porcine model. FASEB J 2016. [DOI: 10.1096/fasebj.30.1_supplement.296.1] [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)
- V.Laxmi Yeruva
- PedaitricsArkansas Children's Nutrition CenterLittle RockAR
| | | | | | | | | | | | | | | | | | - Martin J Ronis
- Department of pharmacology and experimental therapeuticsLSUNeworleansLA
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39
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Yeruva L, Spencer NE, Saraf MK, Hennings L, Bowlin AK, Cleves MA, Mercer K, Chintapalli SV, Shankar K, Rank RG, Badger TM, Ronis MJJ. Formula diet alters small intestine morphology, microbial abundance and reduces VE-cadherin and IL-10 expression in neonatal porcine model. BMC Gastroenterol 2016; 16:40. [PMID: 27005303 PMCID: PMC4804644 DOI: 10.1186/s12876-016-0456-x] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.5] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/04/2016] [Accepted: 03/15/2016] [Indexed: 12/26/2022] Open
Abstract
BACKGROUND Breastfeeding is associated with a variety of positive health outcomes in children and is recommended exclusively for the first 6 months of life; however, 50-70 % of infants in the US are formula-fed. To test the hypothesis that immune system development and function in neonates and infants are significantly influenced by diet, 2-day old piglets were fed soy or milk formula (n = 6/group/gender) until day 21 and compared to a sow-fed group (n = 6/gender). METHODS Histomorphometric analyses of ileum, jejunum and Peyer's patches were carried out, to determine the inflammation status, mRNA and protein expression of pro-inflammatory, anti-inflammatory and growth-related chemokines and cytokines. RESULTS In formula-fed animals, increases in ileum and jejunum villus height and crypt depth were observed in comparison to sow-fed animals (jejunum, p < 0.01 villus height, p < 0.04 crypt depth; ileum p < 0.001 villus height, p < 0.002 crypt depth). In formula-fed the lymphoid follicle size (p < 0.01) and germinal centers (p < 0.01) with in the Peyer's patch were significantly decreased in comparison to sow-fed, indicating less immune education. In ileum, formula diet induced significant up-regulation of AMCFII, IL-8, IL-15, VEGFA, LIF, FASL, CXCL11, CCL4, CCL25 and down-regulation of IL-6, IL-9, IL-10, IL-27, IFNA4, CSF3, LOC100152038, and LOC100736831 at the transcript level. We have confirmed some of the mRNA data by measuring protein, and significant down-regulation of anti-inflammatory molecule IL-10 in comparison to sow-fed piglets was observed. To further determine the membrane protein expression in the ileum, VE-cadherin, occludin, and claudin-3, Western blot analyses were conducted. Sow fed piglets showed significantly more VE-Cadherin, which associated with levels of calcium, and putrescine measured. It is possible that differences in GI tract and immune development are related to shifts in the microbiome; notably, there were 5-fold higher amounts of Lactobacillaceae spp and 3 fold higher Clostridia spp in the sow fed group in comparison to milk formula-fed piglets, whereas in milk formula-fed pigs Enterobacteriaceae spp was 5-fold higher. CONCLUSION In conclusion, formula diet alters GI morphology, microbial abundance, intestinal barrier protein VE-cadherin and anti-inflammatory molecule IL-10 expression. Further characterization of formula effects could lead to modification of infant formula to improve immune function, reduce inflammation and prevent conditions such as allergies and infections.
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MESH Headings
- Animals
- Animals, Newborn
- Antigens, CD/genetics
- Antigens, CD/metabolism
- Cadherins/genetics
- Cadherins/metabolism
- Calcium/metabolism
- Cytokines/drug effects
- Cytokines/genetics
- Cytokines/metabolism
- Diet
- Down-Regulation
- Fas Ligand Protein/drug effects
- Fas Ligand Protein/genetics
- Fas Ligand Protein/metabolism
- Gastrointestinal Microbiome/drug effects
- Humans
- Ileum/drug effects
- Ileum/metabolism
- Ileum/microbiology
- Ileum/pathology
- Infant Formula/pharmacology
- Infant, Newborn
- Interferon-alpha/drug effects
- Interferon-alpha/genetics
- Interferon-alpha/metabolism
- Interleukin-10/genetics
- Interleukin-10/metabolism
- Interleukin-15/genetics
- Interleukin-15/metabolism
- Interleukin-27/genetics
- Interleukin-27/metabolism
- Interleukin-6/genetics
- Interleukin-6/metabolism
- Interleukin-8/drug effects
- Interleukin-8/genetics
- Interleukin-8/metabolism
- Interleukin-9/genetics
- Interleukin-9/metabolism
- Intestine, Small/drug effects
- Intestine, Small/metabolism
- Intestine, Small/microbiology
- Intestine, Small/pathology
- Jejunum/drug effects
- Jejunum/metabolism
- Jejunum/microbiology
- Jejunum/pathology
- Leukemia Inhibitory Factor/drug effects
- Leukemia Inhibitory Factor/genetics
- Leukemia Inhibitory Factor/metabolism
- Milk
- Peyer's Patches/drug effects
- Peyer's Patches/immunology
- RNA, Messenger/drug effects
- RNA, Messenger/metabolism
- Soy Foods
- Swine
- Up-Regulation
- Vascular Endothelial Growth Factor A/drug effects
- Vascular Endothelial Growth Factor A/genetics
- Vascular Endothelial Growth Factor A/metabolism
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Affiliation(s)
- Laxmi Yeruva
- />Arkansas Children’s Nutrition Center, 15 Children’s Way, Little Rock, AR 72202 USA
- />Arkansas Children’s Hospital Research Institute, Little Rock, USA
- />Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, USA
| | | | - Manish K. Saraf
- />Arkansas Children’s Nutrition Center, 15 Children’s Way, Little Rock, AR 72202 USA
- />Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, USA
| | - Leah Hennings
- />Department of Pathology, University of Arkansas for Medical Sciences, Little Rock, USA
| | - Anne K. Bowlin
- />Arkansas Children’s Nutrition Center, 15 Children’s Way, Little Rock, AR 72202 USA
- />Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, USA
| | - Mario A. Cleves
- />Arkansas Children’s Nutrition Center, 15 Children’s Way, Little Rock, AR 72202 USA
- />Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, USA
| | - Kelly Mercer
- />Arkansas Children’s Nutrition Center, 15 Children’s Way, Little Rock, AR 72202 USA
- />Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, USA
| | - Sree V. Chintapalli
- />Arkansas Children’s Nutrition Center, 15 Children’s Way, Little Rock, AR 72202 USA
- />Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, USA
| | - Kartik Shankar
- />Arkansas Children’s Nutrition Center, 15 Children’s Way, Little Rock, AR 72202 USA
- />Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, USA
| | - Roger G. Rank
- />Arkansas Children’s Nutrition Center, 15 Children’s Way, Little Rock, AR 72202 USA
- />Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, USA
| | - Thomas M. Badger
- />Arkansas Children’s Nutrition Center, 15 Children’s Way, Little Rock, AR 72202 USA
- />Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, USA
| | - Martin J. J. Ronis
- />Department of Pharmacology & Experimental Therapeutics, Louisiana State University Health Sciences Center, New Orleans, LA USA
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Ronis MJ, Gomez-Acevedo H, Blackburn ML, Cleves MA, Singhal R, Badger TM. Uterine responses to feeding soy protein isolate and treatment with 17β-estradiol differ in ovariectomized female rats. Toxicol Appl Pharmacol 2016; 297:68-80. [PMID: 26945725 DOI: 10.1016/j.taap.2016.02.019] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [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: 11/19/2015] [Revised: 02/19/2016] [Accepted: 02/22/2016] [Indexed: 12/23/2022]
Abstract
There are concerns regarding reproductive toxicity from consumption of soy foods, including an increased risk of endometriosis and endometrial cancer, as a result of phytoestrogen consumption. In this study, female rats were fed AIN-93G diets made with casein (CAS) or soy protein isolate (SPI) from postnatal day (PND) 30, ovariectomized on PND 50 and infused with 5 μg/kg/d 17β-estradiol (E2) or vehicle. E2 increased uterine wet weight (P<0.05). RNAseq analysis revealed that E2 significantly altered expression of 1991 uterine genes (P<0.05). SPI feeding had no effect on uterine weight and altered expression of far fewer genes than E2 at 152 genes (P<0.05). Overlap between E2 and SPI genes was limited to 67 genes. Functional annotation analysis indicated significant differences in uterine biological processes affected by E2 and SPI and little evidence for recruitment of estrogen receptor (ER)α to the promoters of ER-responsive genes after SPI feeding. The major E2 up-regulated uterine pathways were carcinogenesis and extracellular matrix organization, whereas SPI feeding up-regulated uterine peroxisome proliferator activated receptor (PPAR) signaling and fatty acid metabolism. The combination of E2 and SPI resulted in significant regulation of 504 fewer genes relative to E2 alone. The ability of E2 to induce uterine proliferation in response to the carcinogen dimethybenz(a)anthracene (DMBA) as measured by expression of PCNA and Ki67 mRNA was suppressed by feeding SPI (P<0.05). These data suggest that SPI is a selective estrogen receptor modulator (SERM) interacting with a small sub-set of E2-regulated genes and is anti-estrogenic in the presence of endogenous estrogens.
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Affiliation(s)
- Martin J Ronis
- Department of Pharmacology & Experimental Therapeutics, Louisiana State University Health Sciences Center, New Orleans, LA 70112, United States.
| | - Horacio Gomez-Acevedo
- Arkansas Children's Nutrition Center, University of Arkansas for Medical Sciences, Little Rock, AR 72202, United States
| | - Michael L Blackburn
- Arkansas Children's Nutrition Center, University of Arkansas for Medical Sciences, Little Rock, AR 72202, United States
| | - Mario A Cleves
- Arkansas Children's Nutrition Center, University of Arkansas for Medical Sciences, Little Rock, AR 72202, United States; Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR 72202, United States
| | - Rohit Singhal
- Department of Pharmacology & Toxicology, University of Arkansas for Medical Sciences, Little Rock, AR 72202, United States
| | - Thomas M Badger
- Arkansas Children's Nutrition Center, University of Arkansas for Medical Sciences, Little Rock, AR 72202, United States; Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR 72202, United States
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41
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Pettey CM, McSweeney JC, Stewart KE, Cleves MA, Price ET, Heo S, Souder E. African Americans' Perceptions of Adherence to Medications and Lifestyle Changes Prescribed to Treat Hypertension. Sage Open 2016; 6:10.1177/2158244015623595. [PMID: 27148469 PMCID: PMC4853166 DOI: 10.1177/2158244015623595] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/17/2023]
Abstract
More than 80 million Americans have hypertension (HTN), and African Americans (AAs) are disproportionately affected. AAs also have lower rates of adherence to HTN treatment. It is important to understand AAs' perceptions of adherence to develop effective interventions. The aim of this study is to examine AAs' perceptions of adherence to medications and lifestyle changes prescribed to treat HTN. In this qualitative study, we used purposive sampling to recruit Southern AAs with HTN aged 21 and older from a free, faith-based clinic. We recorded individual, in-person interviews about perceptions related to adherence to treatment of HTN and analyzed verbatim transcripts using content analysis and constant comparison. We also conducted medical record audits. Twenty-nine AAs participated (52% female, 38% were <50 years of age, 52% had taken anti-HTN medications for ≥5 years). Audits indicated that 65% had uncontrolled HTN during the previous year. Two main themes included causes of HTN and ways to improve blood pressure. Perceived causes of HTN included diet, stress, unhealthy actions, genes, and obesity. Ways to improve HTN included using cultural treatments "passed down," increasing exercise, reducing stress, and losing weight. Many reported using home remedies to control HTN, including drinking pickle juice. More than half of this sample had uncontrolled HTN. They identified influences of culture on perceptions of adherence including causes and treatment of HTN, and possibly detrimental home remedies. It is imperative that clinicians identify culturally appropriate interventions for this high-risk group.
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Affiliation(s)
| | | | | | - Mario A. Cleves
- University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - Elvin T. Price
- University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - Seongkum Heo
- University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - Elaine Souder
- University of Arkansas for Medical Sciences, Little Rock, AR, USA
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Ou X, Andres A, Pivik RT, Cleves MA, Snow JH, Ding Z, Badger TM. Voxel-Based Morphometry and fMRI Revealed Differences in Brain Gray Matter in Breastfed and Milk Formula-Fed Children. AJNR Am J Neuroradiol 2015; 37:713-9. [PMID: 26585259 DOI: 10.3174/ajnr.a4593] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2015] [Accepted: 09/10/2015] [Indexed: 02/04/2023]
Abstract
BACKGROUND AND PURPOSE Infant diets may have significant impact on brain development in children. The aim of this study was to evaluate brain gray matter structure and function in 8-year-old children who were predominantly breastfed or fed cow's milk formula as infants. MATERIALS AND METHODS Forty-two healthy children (breastfed: n = 22, 10 boys and 12 girls; cow's milk formula: n = 20, 10 boys and 10 girls) were studied by using structural MR imaging (3D T1-weighted imaging) and blood oxygen level-dependent fMRI (while performing tasks involving visual perception and language functions). They were also administered standardized tests evaluating intelligence (Reynolds Intellectual Assessment Scales) and language skills (Clinical Evaluation of Language Fundamentals). RESULTS Total brain gray matter volume did not differ between the breastfed and cow's milk formula groups. However, breastfed children had significantly higher (P < .05, corrected) regional gray matter volume measured by voxel-based morphometry in the left inferior temporal lobe and left superior parietal lobe compared with cow's milk formula-fed children. Breastfed children showed significantly more brain activation in the right frontal and left/right temporal lobes on fMRI when processing the perception task and in the left temporal/occipital lobe when processing the visual language task than cow's milk formula-fed children. The imaging findings were associated with significantly better performance for breastfed than cow's milk formula-fed children on both tasks. CONCLUSIONS Our findings indicated greater regional gray matter development and better regional gray matter function in breastfed than cow's milk formula-fed children at 8 years of age and suggested that infant diets may have long-term influences on brain development in children.
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Affiliation(s)
- X Ou
- From the Arkansas Children's Nutrition Center (X.O., A.A., R.T.P., M.A.C., T.M.B.) Departments of Pediatrics (X.O., A.A., R.T.P., M.A.C., J.H.S., T.M.B.) Radiology (X.O.), University of Arkansas for Medical Sciences, Little Rock, Arkansas
| | - A Andres
- From the Arkansas Children's Nutrition Center (X.O., A.A., R.T.P., M.A.C., T.M.B.) Departments of Pediatrics (X.O., A.A., R.T.P., M.A.C., J.H.S., T.M.B.)
| | - R T Pivik
- Departments of Pediatrics (X.O., A.A., R.T.P., M.A.C., J.H.S., T.M.B.)
| | - M A Cleves
- From the Arkansas Children's Nutrition Center (X.O., A.A., R.T.P., M.A.C., T.M.B.) Departments of Pediatrics (X.O., A.A., R.T.P., M.A.C., J.H.S., T.M.B.)
| | - J H Snow
- Departments of Pediatrics (X.O., A.A., R.T.P., M.A.C., J.H.S., T.M.B.)
| | - Z Ding
- Vanderbilt University Institute of Imaging Sciences (Z.D.), Nashville, Tennessee
| | - T M Badger
- From the Arkansas Children's Nutrition Center (X.O., A.A., R.T.P., M.A.C., T.M.B.) Departments of Pediatrics (X.O., A.A., R.T.P., M.A.C., J.H.S., T.M.B.)
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Tang X, Hobbs CA, Cleves MA, Erickson SW, MacLeod SL, Malik S. Genetic variation affects congenital heart defect susceptibility in offspring exposed to maternal tobacco use. ACTA ACUST UNITED AC 2015; 103:834-42. [PMID: 26033827 DOI: 10.1002/bdra.23370] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [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: 01/03/2023]
Abstract
BACKGROUND Congenital heart defects (CHDs) are among the most prevalent and serious birth defects, occurring in 8 to 10 of every 1000 live births in the United States. Epidemiologic studies have reported an association between CHDs and maternal smoking, but it remains unknown how genes impact the susceptibility of offspring to CHDs in the presence of maternal tobacco use. METHODS Using data from 403 case- and 219 control-parental triads enrolled in the National Birth Defects Prevention Study between 1998 and 2008, we investigated the association between CHDs and maternal and infant genetic variants involved in the tobacco metabolism and DNA repair pathways among mothers who smoked prenatally. RESULTS The maternal genotypes of single nucleotide polymorphisms in the excision repair cross-complementation group 1 (ERCC1), poly (ADP-ribose) polymerase 2 (PARP2), and ERCC5 genes were identified to be significantly associated with the occurrence of CHDs in the presence of maternal tobacco use. Our analysis also revealed a moderate association between the infant genotypes of polymorphisms in the O-sialoglycoprotein endopeptidase (OSGEP) gene and increased risk of CHDs among mothers who smoked. CONCLUSION Our study provides evidence that maternal and infant polymorphisms within the ERCC1, PARP2, ERCC5, and OSGEP genes are associated with CHD risk in the presence of maternal tobacco use. These results may provide insight into the susceptibility of having a pregnancy affected by CHDs among women who smoke.
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Affiliation(s)
- Xinyu Tang
- Biostatistics Program, Department of Pediatrics, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas
| | - Charlotte A Hobbs
- Division of Birth Defects Research, Department of Pediatrics, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas
| | - Mario A Cleves
- Division of Birth Defects Research, Department of Pediatrics, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas
| | - Stephen W Erickson
- Department of Biostatistics, College of Public Health, University of Arkansas for Medical Sciences, Little Rock, Arkansas
| | - Stewart L MacLeod
- Division of Birth Defects Research, Department of Pediatrics, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas
| | - Sadia Malik
- Division of Birth Defects Research, Department of Pediatrics, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas
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Tang X, Cleves MA, Nick TG, Li M, MacLeod SL, Erickson SW, Li J, Shaw GM, Mosley BS, Hobbs CA. Obstructive heart defects associated with candidate genes, maternal obesity, and folic acid supplementation. Am J Med Genet A 2015; 167:1231-42. [PMID: 25846410 PMCID: PMC4675451 DOI: 10.1002/ajmg.a.36867] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [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: 06/25/2014] [Accepted: 10/17/2014] [Indexed: 01/13/2023]
Abstract
Right-sided and left-sided obstructive heart defects (OHDs) are subtypes of congenital heart defects, in which the heart valves, arteries, or veins are abnormally narrow or blocked. Previous studies have suggested that the development of OHDs involved a complex interplay between genetic variants and maternal factors. Using the data from 569 OHD case families and 1,644 control families enrolled in the National Birth Defects Prevention Study (NBDPS) between 1997 and 2008, we conducted an analysis to investigate the genetic effects of 877 single nucleotide polymorphisms (SNPs) in 60 candidate genes for association with the risk of OHDs, and their interactions with maternal use of folic acid supplements, and pre-pregnancy obesity. Applying log-linear models based on the hybrid design, we identified a SNP in methylenetetrahydrofolate reductase (MTHFR) gene (C677T polymorphism) with a main genetic effect on the occurrence of OHDs. In addition, multiple SNPs in betaine-homocysteine methyltransferase (BHMT and BHMT2) were also identified to be associated with the occurrence of OHDs through significant main infant genetic effects and interaction effects with maternal use of folic acid supplements. We also identified multiple SNPs in glutamate-cysteine ligase, catalytic subunit (GCLC) and DNA (cytosine-5-)-methyltransferase 3 beta (DNMT3B) that were associated with elevated risk of OHDs among obese women. Our findings suggested that the risk of OHDs was closely related to a combined effect of variations in genes in the folate, homocysteine, or glutathione/transsulfuration pathways, maternal use of folic acid supplements and pre-pregnancy obesity.
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Affiliation(s)
- Xinyu Tang
- Biostatistics Program, Department of Pediatrics, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas
| | - Mario A Cleves
- Division of Birth Defects Research, Department of Pediatrics, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas
| | - Todd G Nick
- Biostatistics Program, Department of Pediatrics, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas
| | - Ming Li
- Biostatistics Program, Department of Pediatrics, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas
| | - Stewart L MacLeod
- Division of Birth Defects Research, Department of Pediatrics, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas
| | - Stephen W Erickson
- Department of Biostatistics, College of Public Health, University of Arkansas for Medical Sciences, Little Rock, Arkansas
| | - Jingyun Li
- Biostatistics Program, Department of Pediatrics, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas
| | - Gary M Shaw
- Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University Medical School, Palo Alto, California
| | - Bridget S Mosley
- Division of Birth Defects Research, Department of Pediatrics, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas
| | - Charlotte A Hobbs
- Division of Birth Defects Research, Department of Pediatrics, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas
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Andres A, Hull HR, Shankar K, Casey PH, Cleves MA, Badger TM. Longitudinal body composition of children born to mothers with normal weight, overweight, and obesity. Obesity (Silver Spring) 2015; 23:1252-8. [PMID: 25960251 DOI: 10.1002/oby.21078] [Citation(s) in RCA: 63] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/30/2014] [Accepted: 02/11/2015] [Indexed: 11/07/2022]
Abstract
OBJECTIVE The longitudinal trajectories of body composition of children born to mothers with normal weight, overweight, and obesity have not been evaluated using precise body composition methods. This study investigated the relationship between maternal prepregnancy BMI and offspring body composition trajectories during the first 6 years of life. METHODS Healthy infants (N = 325) were assessed longitudinally (at ages 0.25, 0.5, 0.75, 1, 2, 3, 4, 5, and 6 years) using dual-energy X-ray absorptiometry. Mixed-effects regression for repeated measures was used to model each continuous outcome as a function of maternal BMI and covariates (race, gestational age, birth weight, and mode of infant feeding). RESULTS Maternal obesity differentially impacted body fat, but not bone mineral content or density, of girls and boys. Boys born to mothers with obesity have higher body fat from ages 2-6 years compared to boys born to normal-weight and overweight mothers (P < 0.05), whereas body composition of girls born to mothers with obesity was not different across groups during the first 6 years of life (P > 0.05). CONCLUSIONS This clinical observational study demonstrates a sexual dimorphism in offspring body composition until age 6 years based on maternal BMI, with a greater effect of maternal adiposity seen in boys than in girls.
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Affiliation(s)
- Aline Andres
- Arkansas Children's Nutrition Center, Little Rock, Arkansas, USA
- Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
| | - Holly R Hull
- School of Health Professions, University of Kansas Medical Center, Kansas City, Kansas, USA
| | - Kartik Shankar
- Arkansas Children's Nutrition Center, Little Rock, Arkansas, USA
- Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
| | - Patrick H Casey
- Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
| | - Mario A Cleves
- Arkansas Children's Nutrition Center, Little Rock, Arkansas, USA
- Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
| | - Thomas M Badger
- Arkansas Children's Nutrition Center, Little Rock, Arkansas, USA
- Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
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Andres A, Moore MB, Linam LE, Casey PH, Cleves MA, Badger TM. Compared with feeding infants breast milk or cow-milk formula, soy formula feeding does not affect subsequent reproductive organ size at 5 years of age. J Nutr 2015; 145:871-5. [PMID: 25761499 DOI: 10.3945/jn.114.206201] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2014] [Accepted: 02/18/2015] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND Literature reports suggest that phytochemicals, such as isoflavones found in soybeans, impair reproductive function in animals and raise the possibility that consuming soy infant formula could alter hormonally sensitive organ development in children. OBJECTIVE This study compared reproductive organs volumes and structural characteristics in children at age 5 y who were enrolled in the Beginnings study long-term cohort. METHODS Breast bud, uterus, ovaries, prostate, and testes volumes and characteristics were assessed by ultrasonography in 101 children (50 boys and 51 girls) aged 5 y who were breastfed (n = 35) or fed cow-milk formula (n = 32) or soy formula (n = 34) as infants. Analyses were adjusted for race, gestational age, and birth weight. RESULTS Among girls, no significant differences were found in breast bud, ovarian, or uterine volumes; counts of ovaries with cysts; ovarian cysts numbers; ovarian cyst size; and uterine shape between the diet groups. Among boys, no significant differences were found in breast bud, testes, or prostate volumes or structural characteristics between the diet groups. CONCLUSIONS In this cohort, no early infant feeding effects were found on reproductive organs volumes and structural characteristics in children age 5 y. The follow-up of these children through puberty is planned and should help delineate potential early infant feeding effect on reproductive function later in life.
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Affiliation(s)
- Aline Andres
- Arkansas Children's Nutrition Center, Little Rock, AR; and Departments of Pediatrics and
| | - Mary B Moore
- Radiology, University of Arkansas for Medical Sciences, Little Rock, AR
| | - Leann E Linam
- Radiology, University of Arkansas for Medical Sciences, Little Rock, AR
| | | | - Mario A Cleves
- Arkansas Children's Nutrition Center, Little Rock, AR; and Departments of Pediatrics and
| | - Thomas M Badger
- Arkansas Children's Nutrition Center, Little Rock, AR; and Departments of Pediatrics and
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Ou X, Andres A, Pivik RT, Cleves MA, Badger TM. Brain gray and white matter differences in healthy normal weight and obese children. J Magn Reson Imaging 2015; 42:1205-13. [PMID: 25865707 DOI: 10.1002/jmri.24912] [Citation(s) in RCA: 75] [Impact Index Per Article: 8.3] [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: 01/24/2015] [Accepted: 03/26/2015] [Indexed: 11/07/2022] Open
Abstract
PURPOSE To compare brain gray and white matter development in healthy normal weight and obese children. METHODS Twenty-four healthy 8- to 10-year-old children whose body mass index was either <75(th) percentile (normal weight) or >95(th) percentile (obese) completed an MRI examination which included T1-weighted three-dimensional structural imaging and diffusion tensor imaging (DTI). Voxel-based morphometry was used to compare the regional gray and white matter between the normal weight and obese children, and tract-based spatial statistics was used to compare the water diffusion parameters in the white matter between groups. RESULTS Compared with normal weight children, obese children had significant (P < 0.05, family wise error corrected) regional gray matter reduction in the right middle temporal gyrus, left and right thalami, left superior parietal gyrus, left pre/postcentral gyri, and left cerebellum. Obese children also had higher white matter (P < 0.05, corrected) in multiple regions in the brain and higher DTI measured fractional anisotropy (FA) values (P < 0.05, corrected) in part of the left brain association and projection fibers. There was no difference in mean diffusivity at P < 0.05, corrected. DTI eigenvalues suggested that the FA differences were likely from decreased radial diffusivity (P < 0.1, corrected) and there was no change in axial diffusivity (corrected P > 0.35 for all voxels). CONCLUSION Our results indicated that obese but otherwise healthy children have different regional gray and white matter development in the brain and differences in white matter microstructures compared with healthy normal weight children.
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Affiliation(s)
- Xiawei Ou
- Arkansas Children's Nutrition Center, Little Rock, Arkansas, USA
- Arkansas Children's Hospital Research Institute, Little Rock, Arkansas, USA
- Department of Radiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
- Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
| | - Aline Andres
- Arkansas Children's Nutrition Center, Little Rock, Arkansas, USA
- Arkansas Children's Hospital Research Institute, Little Rock, Arkansas, USA
- Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
| | - R T Pivik
- Arkansas Children's Nutrition Center, Little Rock, Arkansas, USA
- Arkansas Children's Hospital Research Institute, Little Rock, Arkansas, USA
- Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
| | - Mario A Cleves
- Arkansas Children's Nutrition Center, Little Rock, Arkansas, USA
- Arkansas Children's Hospital Research Institute, Little Rock, Arkansas, USA
- Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
| | - Thomas M Badger
- Arkansas Children's Nutrition Center, Little Rock, Arkansas, USA
- Arkansas Children's Hospital Research Institute, Little Rock, Arkansas, USA
- Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
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Pivik RT, Andres A, Tennal KB, Gu Y, Cleves MA, Badger TM. Infant diet, gender and the development of vagal tone stability during the first two years of life. Int J Psychophysiol 2015; 96:104-14. [PMID: 25746938 DOI: 10.1016/j.ijpsycho.2015.02.028] [Citation(s) in RCA: 5] [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] [Received: 10/08/2014] [Revised: 02/13/2015] [Accepted: 02/23/2015] [Indexed: 11/28/2022]
Abstract
Postnatal nutrition influences neurodevelopment, but it is not known whether the development of individual differences in physiologic measures is related to variations in early postnatal diet. To address this issue we studied the stability of vagal tone (V)--an index of individual differences in parasympathetic heart rate control-by measuring resting V quarterly during infancy and again at 2 years in 146 breast-fed (BF), 143 milk formula-fed (MF), and 137 soy formula-fed (SF) infants. Stability of V across infancy was more consistently significant for BF than formula-fed infants. Stability was similar for boys and girls in BF and SF groups but was generally higher in boys than girls in the MF group. Significant stability between infancy and 2 years emerged later in SF than other groups and later in boys than girls. Stability generally peaked between 6 and 9 months-a time when postnatal vagal myelination slows and which may represent a pivotal stage in the development of V stability. These findings indicate that infant diet and gender are important modulators of the early development of autonomic state control.
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Affiliation(s)
- R T Pivik
- Arkansas Children's Nutrition Center, 15 Children's Way, Little Rock, AR 72202, USA; Department of Pediatrics, University of Arkansas for Medical Sciences, 4301 W. Markham St., Little Rock, AR 72205, USA.
| | - Aline Andres
- Arkansas Children's Nutrition Center, 15 Children's Way, Little Rock, AR 72202, USA; Department of Pediatrics, University of Arkansas for Medical Sciences, 4301 W. Markham St., Little Rock, AR 72205, USA
| | - Kevin B Tennal
- Arkansas Children's Nutrition Center, 15 Children's Way, Little Rock, AR 72202, USA
| | - Yuyuan Gu
- Arkansas Children's Nutrition Center, 15 Children's Way, Little Rock, AR 72202, USA
| | - Mario A Cleves
- Arkansas Children's Nutrition Center, 15 Children's Way, Little Rock, AR 72202, USA; Department of Pediatrics, University of Arkansas for Medical Sciences, 4301 W. Markham St., Little Rock, AR 72205, USA
| | - Thomas M Badger
- Arkansas Children's Nutrition Center, 15 Children's Way, Little Rock, AR 72202, USA; Department of Pediatrics, University of Arkansas for Medical Sciences, 4301 W. Markham St., Little Rock, AR 72205, USA; Department of Physiology and Biophysics, University of Arkansas for Medical Sciences, 4301 W. Markham St., Little Rock, AR 72205, USA
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Ali MM, O'Brien CE, Cleves MA, Martin BC. Exploring the possible association between montelukast and neuropsychiatric events among children with asthma: a matched nested case-control study. Pharmacoepidemiol Drug Saf 2015; 24:435-45. [DOI: 10.1002/pds.3758] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2014] [Revised: 12/19/2014] [Accepted: 12/23/2014] [Indexed: 11/07/2022]
Affiliation(s)
- Mir M. Ali
- Division of Pharmaceutical Evaluation and Policy; University of Arkansas for Medical Sciences; Little Rock AR USA
| | - Catherine E. O'Brien
- College of Pharmacy; University of Arkansas for Medical Sciences; Little Rock AR USA
| | - Mario A. Cleves
- College of Medicine; University of Arkansas for Medical Sciences; Little Rock AR USA
| | - Bradley C. Martin
- Division of Pharmaceutical Evaluation and Policy; University of Arkansas for Medical Sciences; Little Rock AR USA
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Abstract
BACKGROUND More than 240 000 women in the United States die of coronary heart disease annually. Identifying women's symptoms that predict a coronary heart disease event such as myocardial infarction (MI) could decrease mortality. OBJECTIVE For this longitudinal observational study, we recruited 1097 women, who were either clinician referred or self-referred to a cardiologist and undergoing initial evaluation by a cardiologist, to assess the utility of the prodromal symptoms (PS) section of the McSweeney Acute and Prodromal Myocardial Infarction Symptom Survey (MAPMISS) in predicting the occurrence of cardiac events in women. METHODS AND RESULTS Seventy-seven women experienced events (angioplasty, stent placement, coronary artery bypass, MI, death) during the 2-year follow up. The most common events were stents alone (38.9%) or in combination with angioplasty (18.2%). Ten women had MIs; 4 experienced cardiac death. Cox proportional hazards was used to model time to event. The prodromal score was significantly associated with risk of an event (hazard ratio, 1.10; 95% confidence interval, 1.06-1.13), as was the number of PSs endorsed by each woman per visit. After covariate adjustment, 5 symptoms were significantly associated with increased risk: discomfort in jaws/teeth, unusual fatigue, arm discomfort, shortness of breath, and general chest discomfort (hazard ratio, 3.97; 95% confidence interval, 2.32-6.78). Women reporting 1 or more of these symptoms were 4 times as likely to experience a cardiac event as women with none. CONCLUSIONS Both the MAPMISS PS scores and number of PS were significantly associated with cardiac events, independent of risk factors, suggesting that there are specific PSs that can be easily assessed using the MAPMISS. This instrument could be an important component of a predictive screen to assist clinicians in deciding the course of management for women.
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Affiliation(s)
- Jean McSweeney
- Jean McSweeney, PhD, RN, FAHA, FAAN Professor and Associate Dean for Research, College of Nursing, University of Arkansas for Medical Sciences, Little Rock. Mario A. Cleves, PhD Professor, College of Medicine, University of Arkansas for Medical Sciences, Little Rock. Ellen P. Fischer, PhD Research Health Scientist, Center for Mental Healthcare and Outcomes Research, Central Arkansas Veterans Healthcare System, and Associate Professor, Department of Psychiatry & Behavioral Science, University of Arkansas for Medical Sciences, Little Rock. Debra K. Moser, DNSc, RN, FAHA, FAAN Professor and Gill Endowed Chair, College of Nursing, University of Kentucky, Lexington. Jeanne Wei, MD, PhD Professor, College of Medicine, University of Arkansas for Medical Sciences, Little Rock. Christina Pettey, MNSc, FNP-BC, APRN Doctoral Candidate and Clinical Assistant Professor, College of Nursing, University of Arkansas Medical Sciences, Little Rock. Martha O. Rojo, PhD Research Assistant, College of Nursing, University of Arkansas for Medical Sciences, Little Rock. Narain Armbya, MS Statistician, College of Medicine, University of Arkansas for Medical Sciences, Little Rock
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