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Xu X, Pang T, Zhou Y, Zhang H, Ma A, Yuan C, Chen H, Wen X, Yang Q, Xu X. The Multi-domain Lifestyle Intervention for Cognitive Impairment in Community-Dwelling Older Adults in Hangzhou (The Heritage Study): Study Design and Protocol. J Prev Alzheimers Dis 2024; 11:601-611. [PMID: 38706276 DOI: 10.14283/jpad.2024.59] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/07/2024]
Abstract
BACKGROUND The globe has been working to promote a multi-domain lifestyle intervention for dementia prevention in older adults, referring to the Worldwide-FINGERS (Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability) initiative. In China, the multi-domain lifestyle intervention has been implemented in rural communities (MIND-China), yet the adaptability of such intervention based on the urban communities in China has not been verified. OBJECTIVE To examine the effectiveness and feasibility of the multi-domain lifestyle intervention on dementia prevention in at-risk community-dwelling older adults in China. DESIGN, SETTING, PARTICIPANTS The multi-domain lifestyle intervention study is a community-based 2-year cluster randomized controlled trial (RCT). A total of 1200 participants aged 60-80 years old will be recruited from twelve communities in Hangzhou, Zhejiang. Inclusion criteria were the Montreal Cognitive Assessment 5 minutes protocol (5 min MoCA) score of 6-9 or the Ascertain Dementia 8 (AD 8) score of ≥2, and having modifiable lifestyle factors. INTERVENTION, MEASUREMENTS, RESULTS Participating communities will be randomized into either the structured multi-domain intervention (SMI) arm or the self-guided intervention (SGI, general health education) arm. The SMI consists of cognitive training, physical exercise, and nutritional and dietary instruction for the first 12 months; and vascular risks monitoring and control for 24 months. The primary outcome is the global cognitive performance, measured by the comprehensive Neuropsychological Test Battery (NTB). The secondary outcomes include domain-specific cognitive performances, physical function, mental health, physiological and biochemical indices, adherence to healthy lifestyles, and neuroimaging metrics. The feasibility of intervention will be evaluated around the five dimensions of the RE-AIM framework and in conjunction with quantitative data, operational data and results of focus group discussions. CONCLUSIONS Following the Worldwide-FINGERS, this cluster RCT will verify the adaptability of the multi-domain lifestyle intervention in the urban community settings in China. This study will add evidence for global dementia prevention and management among older adults.
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Affiliation(s)
- X Xu
- Xin Xu, School of Public Health, the Second Affiliated Hospital, Zhejiang University School of Medicine, China, 310058.
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Zhu J, Qu Y, Lu M, Ma A, Mo J, Wen Z. CT-based radiomics for prediction of pulmonary haemorrhage after percutaneous CT-guided transthoracic lung biopsy of pulmonary nodules. Clin Radiol 2023; 78:e993-e1000. [PMID: 37726191 DOI: 10.1016/j.crad.2023.08.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2023] [Revised: 08/14/2023] [Accepted: 08/23/2023] [Indexed: 09/21/2023]
Abstract
AIM To evaluate the feasibility of intranodular and perinodular computed tomography (CT) radiomics features for predicting the occurrence of pulmonary haemorrhage after percutaneous CT-guided transthoracic lung biopsy (PCTLB) in pulmonary nodules. MATERIALS AND METHODS The data for 332 patients with pulmonary nodules who underwent PCTLB were reviewed retrospectively. Pulmonary haemorrhage after PCTLB was evaluated using CT (144 cases occurred). Radiomics features based on gross nodular (GNV) and perinodular volumes (PNV) were extracted from pre-biopsy CT images and features selection using least absolute shrinkage and selection operator (LASSO) regression, and three radiomics scores (rad-scores) were built. Rad-scores, clinical, and clinical-radiomic models were developed and evaluated to predict the occurrence of pulmonary haemorrhage. RESULTS Five, five, and six significant features were selected for prediction of pulmonary haemorrhage based on GNV, PNV, and GNV + PNV, respectively. Lesion depth was the only clinical characteristics related to pulmonary haemorrhage. Lesion depth and rad-score based on GNV, PNV, and GNV + PNV for predicting the pulmonary haemorrhage achieved areas under the curves (AUCs) of 0.656, 0.645, 0.651, and 0.635 in the validation group, respectively. Three clinical-radiomic models improved the AUCs to 0.743, 0.723, and 0.748. The performance of rad-score_GNV + PNV combined with lesion depth outperformed the clinical model (p=0.024) and the radiomics signature (p=0.038). In addition, the radiomics signatures were significantly associated with higher-grade pulmonary haemorrhage (p<0.05). CONCLUSIONS Radiomics features from intranodular and perinodular regions of pulmonary nodules have good predictive ability for pulmonary haemorrhage after PCTLB, which may provide additional predictive value for clinical practice.
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Affiliation(s)
- J Zhu
- Department of Radiology, Zhujiang Hospital, Southern Medical University, 253 Gongye Middle Avenue, Haizhu District, Guangzhou, Guangdong, 510282, China
| | - Y Qu
- Department of Radiology, Zhujiang Hospital, Southern Medical University, 253 Gongye Middle Avenue, Haizhu District, Guangzhou, Guangdong, 510282, China
| | - M Lu
- Department of Radiology, Zhujiang Hospital, Southern Medical University, 253 Gongye Middle Avenue, Haizhu District, Guangzhou, Guangdong, 510282, China
| | - A Ma
- Department of Radiology, Zhujiang Hospital, Southern Medical University, 253 Gongye Middle Avenue, Haizhu District, Guangzhou, Guangdong, 510282, China
| | - J Mo
- Department of Radiology, Zhujiang Hospital, Southern Medical University, 253 Gongye Middle Avenue, Haizhu District, Guangzhou, Guangdong, 510282, China
| | - Z Wen
- Department of Radiology, Zhujiang Hospital, Southern Medical University, 253 Gongye Middle Avenue, Haizhu District, Guangzhou, Guangdong, 510282, China.
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Peng C, Guo Q, Zhang T, Chen J, Liu N, Yan P, Lu Y, Ma A, Lv P, Liu J, Xie P. Maintenance Therapy for Recurrent or Metastatic Cervical Cancer: A Multicenter, Cohort Study. Int J Radiat Oncol Biol Phys 2023; 117:e537-e538. [PMID: 37785662 DOI: 10.1016/j.ijrobp.2023.06.1827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/04/2023]
Abstract
PURPOSE/OBJECTIVE(S) Maintenance therapy with alternative agents after chemotherapy was shown to improve the overall survival in some advanced cancers such as breast cancer, lung cancer, ovarian cancer and so on. However, maintenance therapy is not accepted as the standard treatment for recurrent/metastatic cervical cancer. Aim of this study is to elucidate the efficacy of maintenance therapy in cervical cancer and to explore the factors associated with the prognosis of recurrent or metastatic cervical cancer. MATERIALS/METHODS In this multicenter cohort study, we retrospectively collected patients with a diagnosis of either recurrent or stage IVB cervical cancer to receive first-line chemotherapy with or without maintenance therapy. Patients did not have disease progression with first-line chemotherapy and were divided into maintenance therapy group (Arm A) and conventional chemotherapy group (Arm B). Information on clinical characteristics, metastasis information, treatment outcome and survival of patients was collected using an electronic medical record system. The endpoints of the study were OS and PFS. Data were analyzed for general characteristics and survival using statistical software, and the results were considered statistically significant at P < 0.05. RESULTS Between January 2019 and July 2021, a total of 270 patients were enrolled from 6 institutions in China. 26 patients were excluded because of short treatment cycles (less than 3 cycles). Finally, a total of 66 patients in Arm A and 178 patients in Arm B were analyzed for survival. The addition of maintenance significantly prolonged overall survival. Overall survival at 3 year was 50.1% in Arm A and 27.8% in Arm B (median overall survival, ≥36 months vs. 22 months; P<0. 001). The median progression-free survival was 21 months in Arm A and 14 months in Arm B (P = 0.025). Univariate survival analysis showed that age, maintenance therapy, combined radiotherapy, and number of extra-pelvic metastases were associated with PFS. Further multifactorial analysis showed that maintenance therapy, combined radiotherapy, and number of extra-pelvic metastases were independent prognostic factors for patients with recurrent or metastatic cervical cancer. CONCLUSION The addition of maintenance therapy significantly prolonged overall survival as well as progression-free survival in patients with recurrent or metastatic cervical cancer and did not increase the incidence of serious adverse events. It is time to consider maintenance therapy as the standard treatment after conventional chemotherapy for recurrent or metastatic cervical cancer, rather than waiting for disease progression.
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Affiliation(s)
- C Peng
- Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China
| | - Q Guo
- Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China
| | - T Zhang
- Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China
| | - J Chen
- Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China
| | - N Liu
- Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China
| | - P Yan
- Department of Gastrointestinal, Colorectal and Anal Surgery, China-Japan Union Hospital of Jilin University, Changchun, China
| | - Y Lu
- Department of Radiation Oncology, The First Affiliated Hospital of Wannan Medical College, Wuhan, China
| | - A Ma
- Department of Thoracic Surgery, East Hospital of Shandong First Medical University Affiliated Provincial Hospital, Jinan, China
| | - P Lv
- Department of Gynecology, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan, China
| | - J Liu
- Department of Radiation Oncology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, China
| | - P Xie
- Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China
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Lu M, Qu Y, Ma A, Zhu J, Zou X, Lin G, Li Y, Liu X, Wen Z. [Prediction of 1p/19q codeletion status in diffuse lower-grade glioma using multimodal MRI radiomics]. Nan Fang Yi Ke Da Xue Xue Bao 2023; 43:1023-1028. [PMID: 37439176 DOI: 10.12122/j.issn.1673-4254.2023.06.19] [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] [Subscribe] [Scholar Register] [Indexed: 07/14/2023]
Abstract
OBJECTIVE To develop a noninvasive method for prediction of 1p/19q codeletion in diffuse lower-grade glioma (DLGG) based on multimodal magnetic resonance imaging (MRI) radiomics. METHODS We collected MRI data from 104 patients with pathologically confirmed DLGG between October, 2015 and September, 2022. A total of 535 radiomics features were extracted from T2WI, T1WI, FLAIR, CE-T1WI and DWI, including 70 morphological features, 90 first order features, and 375 texture features. We constructed logistic regression (LR), logistic regression least absolute shrinkage and selection operator (LRlasso), support vector machine (SVM) and Linear Discriminant Analysis (LDA) radiomics models and compared their predictive performance after 10-fold cross validation. The MRI images were reviewed by two radiologists independently for predicting the 1p/19q status. Receiver operating characteristic curves were used to evaluate classification performance of the radiomics models and the radiologists. RESULTS The 4 radiomics models (LR, LRlasso, SVM and LDA) achieved similar area under the curve (AUC) in the validation dataset (0.833, 0.819, 0.824 and 0.819, respectively; P>0.1), and their predictive performance was all superior to that of resident physicians of radiology (AUC=0.645, P=0.011, 0.022, 0.016, 0.030, respectively) and similar to that of attending physicians of radiology (AUC=0.838, P>0.05). CONCLUSION Multiparametric MRI radiomics models show good performance for noninvasive prediction of 1p/19q codeletion status in patients with in diffuse lower-grade glioma.
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Affiliation(s)
- M Lu
- Department of Radiology, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, China
| | - Y Qu
- Department of Radiology, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, China
| | - A Ma
- Department of Radiology, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, China
| | - J Zhu
- Department of Radiology, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, China
| | - X Zou
- Department of Radiology, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, China
| | - G Lin
- Department of Radiology, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, China
| | - Y Li
- Department of Radiology, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, China
| | - X Liu
- Department of Radiology, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, China
| | - Z Wen
- Department of Radiology, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, China
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Richardson E, Krishnan N, Stafford F, Yeates L, Nowak N, McGaughran J, Wildschutt J, Smith J, Turner C, Kevin L, Davis A, Macciocca I, Connell V, Ma A, Semsarian C, Bagnall R, Siggs O, Skinner J, MacArthur D, Ingles J. The Elusive Hearts Study: Seeking Genetic Diagnoses in Gene-elusive Cases of Rare Monogenic Cardiovascular Diseases. Heart Lung Circ 2022. [DOI: 10.1016/j.hlc.2022.04.036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Yoo S, Kim J, Lyu P, Hoang TV, Ma A, Trinh V, Dai W, Jiang L, Leavey P, Duncan L, Won JK, Park SH, Qian J, Brown SP, Blackshaw S. Control of neurogenic competence in mammalian hypothalamic tanycytes. Sci Adv 2021; 7:eabg3777. [PMID: 34049878 PMCID: PMC8163082 DOI: 10.1126/sciadv.abg3777] [Citation(s) in RCA: 27] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/31/2020] [Accepted: 04/09/2021] [Indexed: 05/07/2023]
Abstract
Hypothalamic tanycytes, radial glial cells that share many features with neuronal progenitors, can generate small numbers of neurons in the postnatal hypothalamus, but the identity of these neurons and the molecular mechanisms that control tanycyte-derived neurogenesis are unknown. In this study, we show that tanycyte-specific disruption of the NFI family of transcription factors (Nfia/b/x) robustly stimulates tanycyte proliferation and tanycyte-derived neurogenesis. Single-cell RNA sequencing (scRNA-seq) and single-cell assay for transposase-accessible chromatin sequencing (scATAC-seq) analysis reveals that NFI (nuclear factor I) factors repress Sonic hedgehog (Shh) and Wnt signaling in tanycytes and modulation of these pathways blocks proliferation and tanycyte-derived neurogenesis in Nfia/b/x-deficient mice. Nfia/b/x-deficient tanycytes give rise to multiple mediobasal hypothalamic neuronal subtypes that can mature, fire action potentials, receive synaptic inputs, and selectively respond to changes in internal states. These findings identify molecular mechanisms that control tanycyte-derived neurogenesis, which can potentially be targeted to selectively remodel the hypothalamic neural circuitry that controls homeostatic physiological processes.
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Affiliation(s)
- Sooyeon Yoo
- Solomon H. Snyder Department of Neuroscience, Johns Hopkins University, Baltimore, MD 21205, USA
- Department of Pathology, Seoul National University Hospital, 71 Daehak-ro, Jongno-gu 03082, Republic of Korea
| | - Juhyun Kim
- Department of Psychiatry and Behavioral Science, Johns Hopkins University, Baltimore, MD 21205, USA
| | - Pin Lyu
- Department of Ophthalmology, Johns Hopkins University, Baltimore, MD 21205, USA
| | - Thanh V Hoang
- Solomon H. Snyder Department of Neuroscience, Johns Hopkins University, Baltimore, MD 21205, USA
| | - Alex Ma
- Solomon H. Snyder Department of Neuroscience, Johns Hopkins University, Baltimore, MD 21205, USA
| | - Vickie Trinh
- Solomon H. Snyder Department of Neuroscience, Johns Hopkins University, Baltimore, MD 21205, USA
| | - Weina Dai
- Solomon H. Snyder Department of Neuroscience, Johns Hopkins University, Baltimore, MD 21205, USA
| | - Lizhi Jiang
- Solomon H. Snyder Department of Neuroscience, Johns Hopkins University, Baltimore, MD 21205, USA
| | - Patrick Leavey
- Solomon H. Snyder Department of Neuroscience, Johns Hopkins University, Baltimore, MD 21205, USA
| | - Leighton Duncan
- Solomon H. Snyder Department of Neuroscience, Johns Hopkins University, Baltimore, MD 21205, USA
| | - Jae-Kyung Won
- Department of Pathology, Seoul National University Hospital, 71 Daehak-ro, Jongno-gu 03082, Republic of Korea
| | - Sung-Hye Park
- Department of Pathology, Seoul National University Hospital, 71 Daehak-ro, Jongno-gu 03082, Republic of Korea
| | - Jiang Qian
- Department of Ophthalmology, Johns Hopkins University, Baltimore, MD 21205, USA
| | - Solange P Brown
- Solomon H. Snyder Department of Neuroscience, Johns Hopkins University, Baltimore, MD 21205, USA
- Kavli Neuroscience Discovery Institute, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA
| | - Seth Blackshaw
- Solomon H. Snyder Department of Neuroscience, Johns Hopkins University, Baltimore, MD 21205, USA.
- Department of Ophthalmology, Johns Hopkins University, Baltimore, MD 21205, USA
- Kavli Neuroscience Discovery Institute, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA
- Department of Neurology, Johns Hopkins University, Baltimore, MD 21205, USA
- Institute for Cell Engineering, Johns Hopkins University, Baltimore, MD 21205, USA
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Ma A, Kim J, Miller CE, Mustapich TL, Abraham JP, Downie SA, Mishall PL. Pointing in a different direction: a case of bilateral absence of extensor indicis. Folia Morphol (Warsz) 2021; 81:520-525. [PMID: 33778941 DOI: 10.5603/fm.a2021.0030] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2020] [Accepted: 03/05/2021] [Indexed: 11/25/2022]
Abstract
Understanding anatomical variations, as well as, normal anatomy of the muscles and tendons of the hand is vital for successful clinical evaluation and surgery. A number of extensor muscle and tendon variations have been reported in the literature including duplication, triplication, and absence. We report a rare anatomical variation that includes bilateral absence of the extensor indicis (EI) muscles and bilateral duplication of the extensor digitorum (ED) tendon to the second digit in the forearm of an 83-year-old male cadaver during routine upper limbs dissection. In the present case, only three muscles were present in the deep compartment: extensor pollicis longus (EPL), extensor pollicis brevis (EPB), and abductor pollicis longus (APL) with bilateral absence of EI. The reported prevalence of bilateral absence of EI muscle and tendon ranges from 0.5 to 3.5% [1, 26]. The prevalence of an additional index tendon arising bilaterally from the ED muscle belly is 3.2 % of the population [1]. Extension of the index finger is governed by the actions of EI and ED. However, the four tendons of ED are linked to each other by juncturae tendinum (JT), restricting independent extension of the digits in certain postures, e.g. when the hand is fisted. With fisted hand, EI controls extension of the index finger. Clinically, EI tendons are used for tendon reconstruction procedures to restore function to the hand and thumb after trauma or tendon rupture. This report highlights the importance of anticipating anatomical variations and conducting pre-operative evaluations to confirm the presence of EI when planning tendon transfer procedures.
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Affiliation(s)
- A Ma
- Department of Anatomy and Structural Biology, Albert Einstein College of Medicine, Bronx, NY, United States
| | - J Kim
- Department of Anatomy and Structural Biology, Albert Einstein College of Medicine, Bronx, NY, United States
| | - C E Miller
- Department of Anatomy and Structural Biology, Albert Einstein College of Medicine, Bronx, NY, United States
| | - T L Mustapich
- Department of Anatomy and Structural Biology, Albert Einstein College of Medicine, Bronx, NY, United States
| | - J P Abraham
- Department of Anatomy and Structural Biology, Albert Einstein College of Medicine, Bronx, NY, United States
| | - S A Downie
- Department of Anatomy and Structural Biology, Albert Einstein College of Medicine, Bronx, NY, United States.,Department of Physical Medicine and Rehabilitation, Albert Einstein College of Medicine, Bronx, NY, United States
| | - P L Mishall
- Department of Anatomy and Structural Biology, Albert Einstein College of Medicine, Bronx, NY, United States. .,Department of Ophthalmology and Visual Sciences, Albert Einstein College of Medicine, Bronx, NY, United States.
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Luo L, Wang Y, Du Y, Dong C, Ma A, Wang T. MOG1 restores the expression and function of SCN5A-p.R104W through sec23a-mediated forward trafficking. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.0344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Brugada syndrome (BrS) is an inherited disease which causes fatal arrhythmias and sudden cardiac death. Mutations in SCN5A gene, which encoding cardiac sodium channel (NaV1.5), are the most common genotype of BrS patients. Some SCN5A-related variants were reported to retain NaV1.5 in endoplasmic reticulum (ER) due to trafficking deficiency. MOG1 was previously reported to interact with NaV1.5 and increased sodium current (INa) through enhancing the trafficking. However, its molecular mechanisms are still unclear. Coat protein complex II (COPII) is responsible for the ER to Golgi transport. Sec23 forms the inner coat of COPII and participates in cargo proteins selection.
Purpose
To demonstrate that MOG1 rescues SCN5A-related variants by enhancing the forward trafficking through Sec23a-NaV1.5 interaction.
Methods
Site directed mutagenesis, immunofluorescence staining, biotinylation assay, Western blot analysis and whole-cell patch clamp recording were used. CRISPR/Cas9 was used to knock out Sec23a expression in HEK293 cells.
Results
We found that SCN5A-p.R104W was characterized as reduced NaV1.5 level and lack of INa. The variant SCN5A-p.R104W was mainly distributed in ER. MOG1 could rescue the total and surface expression of SCN5A-p.R104W but could not restore INa (Figure 1a). Considering that most patients are heterozygous, co-transfection of SCN5A-WT and SCN5A-p.R104W were obtained. We found MOG1 could increase both NaV1.5 level and INa of heterozygous expressed SCN5A-p.R104W. We further revealed an interaction between NaV1.5 and Sec23a by co-immunoprecipitation (Co-IP) assay. The interaction between NaV1.5 and Sec23a was increased by MOG1, which indicates that Sec23a participates in MOG1-mediated increase in NaV1.5 level (Figure 1b). Knockout of Sec23a reduced cell surface, but not total, NaV1.5 level (Figure 1c and 1d). Next, the Sec23a knockout HEK293 cells were co-transfected with SCN5A-p.R104W and pcDNA3 or MOG1. MOG1 could not increase SCN5A-p.R104W protein level in Sec23a knockout cells.
Conclusion
Our data demonstrated a novel mechanism that MOG1 restores the expression and function of SCN5A-p.R104W by enhancing its forward trafficking through Sec23a-NaV1.5 interaction.
Figure 1
Funding Acknowledgement
Type of funding source: Public grant(s) – National budget only. Main funding source(s): Natural Science Foundation of China
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Affiliation(s)
- L Luo
- First Hospital of Medical College of Xi'an Jiaotong University, Xi'an, China
| | - Y Wang
- First Hospital of Medical College of Xi'an Jiaotong University, Xi'an, China
| | - Y Du
- First Hospital of Medical College of Xi'an Jiaotong University, Xi'an, China
| | - C Dong
- First Hospital of Medical College of Xi'an Jiaotong University, Xi'an, China
| | - A Ma
- First Hospital of Medical College of Xi'an Jiaotong University, Xi'an, China
| | - T Wang
- First Hospital of Medical College of Xi'an Jiaotong University, Xi'an, China
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Xue Y, Ma Q, Chen S, Wang X, Ma A. U-shaped association of sphingosine-1-phosphate level with mortality in chronic systolic heart failure. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.0953] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
The immunomodulatory molecule sphingosine-1-phosphate (S1P) has received attention in the cardiovascular field due to its significant cardioprotective effects, as revealed in animal studies. Until now, it has been unclear what is the normal range of S1P in chronic heart failure patients and whether it is related to long term prognosis.
Purpose
The purpose of our study was to identify the distribution characteristics of S1P in systolic heart failure patients and the prognostic value of S1P for long-term prognosis.
Methods
We recruited 210 chronic systolic heart failure patients from June 2014 to December 2015. Meanwhile 54 healthy people in the same area were selected as controls. Plasma S1P was measured by mass spectrometry. Patients were grouped according to the baseline S1P level quartiles, and restricted cubic spline plots described a U-shaped association between S1P and all cause death. Cox proportional hazard analysis was used to determine the relationship between category of S1P and all-cause death. Survival curves were using the Kaplan-Meier method and the log-rank test was used for comparison.
Results
Compared with the control group, the plasma S1P in chronic heart failure patients demonstrated a higher mean level (1.269 μmol/L vs 1.122 μmol/L, P=0.006) and a larger standard deviation (0.441 vs 0.316, P=0.022). After a follow-up period of 31.7±10.3 months, the second quartile (0.967–1.192μml/L) with largely normal S1P levels had the lowest all-cause mortality and either an increase (HR=3.87, 95% CI 1.504–9.960, P=0.005, adjusted HR=3.134, 95% CI 1.211–8.111, P=0.019) or a decrease (HR=3.271, 95% CI 1.277–8.381, P=0.014, adjusted HR=1.90, 95% CI 0.711–5.083, P=0.200) predicted a worse prognosis.
Conclusions
Plasma S1P levels in systolic heart failure patients are related to the long-term all-cause mortality with a U-shaped correlation. Through restoring abnormal levels to a normal range instead of simply up regulation or down regulation, S1P may have the potential to be a therapeutic target for reducing the risk of death in patients with heart failure in the future.
Funding Acknowledgement
Type of funding source: Public grant(s) – National budget only. Main funding source(s): Ministry of Science and Technology of the People's Republic of China. Ministry of Finance of the People's Republic of China.
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Affiliation(s)
- Y Xue
- First Affiliated Hospital of Xi'an Jiaotong University, Department of Cardiovascular Medicine, Xi'an, China
| | - Q Ma
- First Affiliated Hospital of Xi'an Jiaotong University, Department of Cardiovascular Medicine, Xi'an, China
| | - S Chen
- First Affiliated Hospital of Xi'an Jiaotong University, Department of Cardiovascular Medicine, Xi'an, China
| | - X Wang
- First Affiliated Hospital of Xi'an Jiaotong University, Department of Cardiovascular Medicine, Xi'an, China
| | - A Ma
- First Affiliated Hospital of Xi'an Jiaotong University, Department of Cardiovascular Medicine, Xi'an, China
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Zhou T, Wang L, Ma A, Zhang Y, Rui M. PMU26 The Health-Related Quality of Life in Different Disease Population Based on EQ-5D-5L: A Systematic Review. Value Health Reg Issues 2020. [DOI: 10.1016/j.vhri.2020.07.384] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Morita PP, Rocha AS, Shaker G, Lee D, Wei J, Fong B, Thatte A, Karimi A, Xu L, Ma A, Wong A, Boger J. Comparative Analysis of Gait Speed Estimation Using Wideband and Narrowband Radars, Thermal Camera, and Motion Tracking Suit Technologies. J Healthc Inform Res 2020; 4:215-237. [PMID: 35415448 PMCID: PMC8982681 DOI: 10.1007/s41666-020-00071-7] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2018] [Revised: 01/17/2020] [Accepted: 01/27/2020] [Indexed: 01/14/2023]
Abstract
AbstractResearch has shown that cognitive and physical functioning of older adults can be reflected in indicators such as walking speed. While changes in cognition, mobility, or health cause changes in gait speed, often gradual variations in walking speed go undetected until severe problems arise. Discrete clinical assessments during clinical consultations often fail to detect changes in day-to-day walking speeds and do not reflect walking speeds in everyday environments, where most of the mobility issues happen. In this paper, we compare four walking speed measurement technologies to a GAITRite mat (gold standard): (1) an ultra wideband radar (covering the band from 3.3 GHz to 10 GHz), (2) a narrow band 24-GHz radar (with a bandwidth of 250 MHz), (3) a perception Neuron Motion Tracking suit, and (4) a thermal camera. Data were collected in parallel using all sensors at the same time for 10 healthy adults for normal and slow walking paces. A comparison of the sensors indicates better performance at lower gait speeds, with offsets (when compared to GAITRite) between 0.1 and 20% for the ultra wideband radar, 1.9 and 17% for the narrowband radar, 0.1 and 38% for the thermal camera, and 1.7 and 38% for the suit. This paper supports the potential of unobtrusive radar-based sensors and thermal camera technologies for ambient autonomous gait speed monitoring for contextual, privacy-preserving monitoring of participants in the community.
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Affiliation(s)
- P. P. Morita
- School of Public Health and Health Systems, University of Waterloo, Waterloo, ON Canada
- Centre for Global eHealth Innovation, Techna Institute, University Health Network, Toronto, ON Canada
- Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, ON Canada
- Research Institute for Aging, Waterloo, ON Canada
| | - A. S. Rocha
- School of Public Health and Health Systems, University of Waterloo, Waterloo, ON Canada
- Goiano Federal Institute, Trindade, GO Brazil
| | - G. Shaker
- Research Institute for Aging, Waterloo, ON Canada
- Department of Electrical and Computer Engineering, University of Waterloo, Waterloo, ON Canada
- Department of Mechanical and Mechatronics Engineering, University of Waterloo, Waterloo, ON Canada
- Waterloo Artificial Intelligence Institute, Waterloo, ON Canada
| | - D. Lee
- Department of Mechanical and Mechatronics Engineering, University of Waterloo, Waterloo, ON Canada
| | - J. Wei
- Department of Systems Design Engineering, University of Waterloo, Waterloo, ON Canada
| | - B. Fong
- Department of Mechanical and Mechatronics Engineering, University of Waterloo, Waterloo, ON Canada
| | - A. Thatte
- Department of Systems Design Engineering, University of Waterloo, Waterloo, ON Canada
| | - A. Karimi
- Department of Systems Design Engineering, University of Waterloo, Waterloo, ON Canada
| | - L. Xu
- Department of Systems Design Engineering, University of Waterloo, Waterloo, ON Canada
| | - A. Ma
- Department of Systems Design Engineering, University of Waterloo, Waterloo, ON Canada
| | - A. Wong
- Research Institute for Aging, Waterloo, ON Canada
- Waterloo Artificial Intelligence Institute, Waterloo, ON Canada
- Department of Systems Design Engineering, University of Waterloo, Waterloo, ON Canada
| | - J. Boger
- Research Institute for Aging, Waterloo, ON Canada
- Department of Systems Design Engineering, University of Waterloo, Waterloo, ON Canada
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12
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Hao JP, Ma A. The ratio of miR-21/miR-24 as a promising diagnostic and poor prognosis biomarker in colorectal cancer. Eur Rev Med Pharmacol Sci 2020; 22:8649-8656. [PMID: 30575905 DOI: 10.26355/eurrev_201812_16629] [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] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVE Optimal management of cancer treatment will be guided by sensitive and specific biomarkers. Searching for potential biomarkers is always a hot spot in cancer research, including colorectal cancer (CRC). MicroRNAs (miRNAs) have been recently proposed as biomarkers for cancers. PATIENTS AND METHODS Based on previous miRNA analysis in our hospital and data mining, we hypothesized that the ratio of miR-21/miR-24 (miR-21/24) may serve as plasma biomarkers in CRC patients. The plasma levels of miR-21 and miR-24 were analyzed from the 186 CRC patients before surgery and 97 healthy controls by qRT-PCR. Receiver operating characteristic (ROC) analysis was further used to evaluate the difference in diagnostic accuracy associated with the expression of miR-21, miR-24 and their ratio. Chi-square2-test or Fisher's exact test was performed to determine the relationship between the ratio of miR-21/24 and clinicopathological parameters. Kaplan-Meier and log-rank testing were performed to evaluate the effect of miR-21/24 ratio on the survival of colon cancer. Hazard ratios (HRs) and corresponding 95% confidence intervals (CIs) were calculated by Cox regression models. RESULTS ROC curves revealed that the diagnostic accuracy AUC (area under the curve) in CRC tissue of miR-24, miR-21, and the ratio of miR-21/24 were 0.8971, 0.9128 and 0.9875, respectively. Notably, the ratio of miR-21/24, with the best accuracy among these miRNAs, was significantly correlated with several important prognosis factors in CRC, such as tumor size, TNM stage, lymph metastasis and histologic differentiation (all p<0.05). By Kaplan-Meier survival analysis and Cox regression analysis, the ratio of miR-21/24 was shown to be a significant survival risk factor for CRC patients. CONCLUSIONS We showed that the plasma ratio of miR-21/24 is a potentially powerful tool for detecting CRC and predicting prognosis.
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Affiliation(s)
- J-P Hao
- Department of Colorectal Surgery, the Second Hospital of Tianjin Medical University, Hexi District, Tianjin, China.
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Patil SU, Steinbrecher J, Calatroni A, Smith N, Ma A, Ruiter B, Virkud Y, Schneider M, Shreffler WG. Early decrease in basophil sensitivity to Ara h 2 precedes sustained unresponsiveness after peanut oral immunotherapy. J Allergy Clin Immunol 2019; 144:1310-1319.e4. [PMID: 31377342 DOI: 10.1016/j.jaci.2019.07.028] [Citation(s) in RCA: 49] [Impact Index Per Article: 9.8] [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: 04/30/2019] [Revised: 07/05/2019] [Accepted: 07/17/2019] [Indexed: 11/19/2022]
Abstract
BACKGROUND Only some patients with peanut allergy undergoing oral immunotherapy (OIT) achieve sustained clinical response. Basophil activation could provide a functional surrogate of efficacy. OBJECTIVE We hypothesized that changes in basophil sensitivity and area under the curve (AUC) to the immunodominant allergen Ara h 2 correlate with clinical responses to OIT. METHODS Children with peanut allergy aged 7 to 13 years were enrolled in a single-center, open-label peanut OIT trial. Levels of specific immunoglobulins were measured throughout OIT. Peripheral blood from multiple time points was stimulated in vitro with peanut allergens for flow cytometric assessment of the percentage of CD63hi activated basophils. RESULTS Twenty-two of 30 subjects were successfully treated with OIT; after avoidance, 9 achieved sustained unresponsiveness (SU), and 13 had transient desensitization (TD). Basophil sensitivity, measured by using the dose that induces 50% of the maximal basophil response, to Ara h 2 stimulation decreased from baseline in subjects with SU (after OIT, P = .0041; after avoidance, P = .0011). At 3 months of OIT, basophil sensitivity in subjects with SU decreased from baseline compared with that in subjects with TD (median, 18-fold vs 3-fold; P = .01), with a receiver operating characteristic of 0.84 and optimal fold change of 4.9. Basophil AUC to Ara h 2 was suppressed after OIT equally in subjects with SU and those with TD (P = .4). After avoidance, basophil AUC rebounded in subjects with TD but not those with SU (P < .001). Passively sensitized basophils suppressed with postavoidance SU plasma had a lower AUC than TD plasma (6.4% vs 38.9%, P = .03). CONCLUSIONS Early decreases in basophil sensitivity to Ara h 2 correlate with SU. Basophil AUC rebounds after avoidance in subjects with TD. Therefore, different aspects of basophil activation might be useful for monitoring of OIT efficacy.
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Affiliation(s)
- Sarita U Patil
- Food Allergy Center, Massachusetts General Hospital, Boston, Mass; Harvard Medical School, Boston, Mass; Center for Immunology & Inflammatory Diseases, Massachusetts General Hospital, Boston, Mass; Food Allergy Science Initiative at Broad Institute at Massachusetts Institute of Technology and Harvard, Boston, Mass.
| | | | | | - Neal Smith
- Food Allergy Center, Massachusetts General Hospital, Boston, Mass
| | - Alex Ma
- Food Allergy Center, Massachusetts General Hospital, Boston, Mass
| | - Bert Ruiter
- Food Allergy Center, Massachusetts General Hospital, Boston, Mass; Harvard Medical School, Boston, Mass; Center for Immunology & Inflammatory Diseases, Massachusetts General Hospital, Boston, Mass; Food Allergy Science Initiative at Broad Institute at Massachusetts Institute of Technology and Harvard, Boston, Mass
| | - Yamini Virkud
- Food Allergy Center, Massachusetts General Hospital, Boston, Mass; Harvard Medical School, Boston, Mass; Food Allergy Science Initiative at Broad Institute at Massachusetts Institute of Technology and Harvard, Boston, Mass
| | | | - Wayne G Shreffler
- Food Allergy Center, Massachusetts General Hospital, Boston, Mass; Harvard Medical School, Boston, Mass; Center for Immunology & Inflammatory Diseases, Massachusetts General Hospital, Boston, Mass; Food Allergy Science Initiative at Broad Institute at Massachusetts Institute of Technology and Harvard, Boston, Mass
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Ma A, Wong DK, Feld J. A192 GRADE OF ACTIVITY AND FIBROSIS IS SIMILAR IN EAG- AND EAG+ IMMUNE ACTIVE HBV-INFECTED LIVER BIOPSIES. J Can Assoc Gastroenterol 2019. [DOI: 10.1093/jcag/gwz006.191] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- A Ma
- Division of Gastroenterology, Department of Medicine, University of Toronto, Toronto, ON, Canada
| | - D K Wong
- Medicine, University Health Network University of Toronto, Toronto, ON, Canada
| | - J Feld
- Medicine, University Health Network University of Toronto, Toronto, ON, Canada
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15
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de Almeida TP, van Schie MMCH, Ma A, Tieves F, Younes SHH, Fernández-Fueyo E, Arends IWCE, Riul A, Hollmann F. Efficient Aerobic Oxidation of trans
-2-Hexen-1-ol using the Aryl Alcohol Oxidase from Pleurotus eryngii. Adv Synth Catal 2019. [DOI: 10.1002/adsc.201801312] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- T. P. de Almeida
- Department of Biotechnology; Delft University of Technology, The; Netherlands
| | | | - A. Ma
- Department of Biotechnology; Delft University of Technology, The; Netherlands
| | - F. Tieves
- Department of Biotechnology; Delft University of Technology, The; Netherlands
| | - S. H. H. Younes
- Department of Biotechnology; Delft University of Technology, The; Netherlands
- Department of Chemistry, Faculty of Science; Sohag University; Sohag 82524 Egypt
| | - E. Fernández-Fueyo
- Department of Biotechnology; Delft University of Technology, The; Netherlands
| | | | - A. Riul
- Department of Applied Physics, “Gleb Wataghin” Institute of Physics (IFGW); University of Campinas (UNICAMP), SP; Brazil
| | - F. Hollmann
- Department of Biotechnology; Delft University of Technology, The; Netherlands
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Ma A, Liu LW. A304 A CASE REPORT ILLUSTRATING THE NATURAL PROGRESSION OF TYPE 3 TO TYPE 2 ACHALASIA. J Can Assoc Gastroenterol 2018. [DOI: 10.1093/jcag/gwy009.304] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- A Ma
- Gastroenterology, University of Toronto, Toronto, ON, Canada
| | - L W Liu
- Medicine, University Health Network, Toronto, ON, Canada
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17
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Lu Q, Bai L, Liu P, Wang Y, Huo J, Yuan Z, Du X, Ma A. Cardiac Rupture Complicating Acute Myocardial Infarction in the Percutaneous Coronary Intervention Era: Clinical Features. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.583] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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18
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Powderly J, Patel M, Lee J, Brody J, Meric-Bernstam F, Hamilton E, Ponce Aix S, Garcia-Corbacho J, Bang YJ, Ahn MJ, Rha S, Kim KP, Gil Martin M, Wang H, Lazorchak A, Wyant T, Ma A, Agarwal S, Tuck D, Daud A. CA-170, a first in class oral small molecule dual inhibitor of immune checkpoints PD-L1 and VISTA, demonstrates tumor growth inhibition in pre-clinical models and promotes T cell activation in Phase 1 study. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx376.007] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Luo L, Ning F, Du Y, Song B, Yang D, Salvage SC, Wang Y, Fraser JA, Zhang S, Ma A, Wang T. Calcium-dependent Nedd4-2 upregulation mediates degradation of the cardiac sodium channel Nav1.5: implications for heart failure. Acta Physiol (Oxf) 2017; 221:44-58. [PMID: 28296171 DOI: 10.1111/apha.12872] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [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: 11/15/2016] [Revised: 12/08/2016] [Accepted: 03/03/2017] [Indexed: 12/18/2022]
Abstract
AIM Reductions in voltage-gated sodium channel (Nav1.5) function/expression provide a slowed-conduction substrate for cardiac arrhythmias. Nedd4-2, which is activated by calcium, post-translationally modulates Nav1.5. We aim to investigate whether elevated intracellular calcium ([Ca2+ ]i ) reduces Nav1.5 through Nedd4-2 and its role in heart failure (HF). METHODS Using a combination of biochemical, electrophysiological, cellular and in vivo methods, we tested the effect and mechanism of calcium on Nedd4-2 and in turn Nav1.5. RESULTS Increased [Ca2+ ]i , following 24-h ionomycin treatment, decreased sodium current (INa ) density and Nav1.5 protein without altering its mRNA in both neonatal rat cardiomyocytes (NRCMs) and HEK 293 cells stably expressing Nav1.5. The calcium chelator BAPTA-AM restored the reduced Nav1.5 and INa in NRCMs pre-treated by ionomycin. Nav1.5 was decreased by Nedd4-2 transfection and further decreased by 6-h ionomycin treatment. These effects were not observed in cells transfected with the catalytically inactive mutant, Nedd4-2 C801S, or with Y1977A-Nav1.5 mutant containing the impaired Nedd4-2 binding motif. Furthermore, elevated [Ca2+ ]i increased Nedd4-2, the interaction between Nedd4-2 and Nav1.5, and Nav1.5 ubiquitination. Nav1.5 protein is decreased, whereas Nedd4-2 is increased in volume-overload HF rat hearts, with increased co-localization of Nav1.5 with ubiquitin or Nedd4-2 as indicated by immunofluorescence staining. BAPTA-AM rescued the reduced Nav1.5 protein, INa and increased Nedd4-2 in hypertrophied NRCMs induced by isoproterenol or angiotensin II. CONCLUSION Calcium-mediated increases in Nedd4-2 downregulate Nav1.5 by ubiquitination. Nav1.5 is downregulated and co-localizes with Nedd4-2 and ubiquitin in failing rat heart. These data suggest a role of Nedd4-2 in Nav1.5 downregulation in HF.
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Affiliation(s)
- L. Luo
- Department of Cardiovascular Medicine; First Affiliated Hospital of Xi'an Jiaotong University; Xi'an China
| | - F. Ning
- Department of Cardiovascular Medicine; First Affiliated Hospital of Xi'an Jiaotong University; Xi'an China
| | - Y. Du
- Department of Cardiovascular Medicine; First Affiliated Hospital of Xi'an Jiaotong University; Xi'an China
| | - B. Song
- Department of Cardiovascular Medicine; First Affiliated Hospital of Xi'an Jiaotong University; Xi'an China
| | - D. Yang
- Department of Cardiovascular Medicine; First Affiliated Hospital of Xi'an Jiaotong University; Xi'an China
| | - S. C. Salvage
- Physiological Laboratory; University of Cambridge; Cambridge UK
| | - Y. Wang
- Department of Cardiovascular Medicine; First Affiliated Hospital of Xi'an Jiaotong University; Xi'an China
| | - J. A. Fraser
- Physiological Laboratory; University of Cambridge; Cambridge UK
| | - S. Zhang
- Department of Biomedical and Molecular Sciences; Queen's University; Kingston Ontario Canada
| | - A. Ma
- Department of Cardiovascular Medicine; First Affiliated Hospital of Xi'an Jiaotong University; Xi'an China
- Key Laboratory of Molecular Cardiology; Xi'an Shaanxi Province China
- Key Laboratory of Environment and Genes Related to Diseases (Xi'an Jiaotong University); Ministry of Education; Xi'an China
| | - T. Wang
- Department of Cardiovascular Medicine; First Affiliated Hospital of Xi'an Jiaotong University; Xi'an China
- Key Laboratory of Molecular Cardiology; Xi'an Shaanxi Province China
- Key Laboratory of Environment and Genes Related to Diseases (Xi'an Jiaotong University); Ministry of Education; Xi'an China
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Patil SU, Calatroni A, Schneider M, Steinbrecher J, Smith N, Washburn C, Ma A, Shreffler WG. Data-driven programmatic approach to analysis of basophil activation tests. Cytometry B Clin Cytom 2017; 94:667-673. [PMID: 28618453 DOI: 10.1002/cyto.b.21537] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 09/20/2016] [Revised: 04/27/2017] [Accepted: 06/07/2017] [Indexed: 01/23/2023]
Abstract
BACKGROUND Conventional data analysis of flow cytometry-based basophil activation testing requires repetitive, labor-intensive analysis that hampers efforts to standardize testing for clinical applications. Using an open-source platform, we developed and implemented a programmatic approach to the analysis of the basophil activation test (BAT) by flow cytometry. METHODS Using the BÜHLMANN FlowCAST® assay, peripheral blood from peanut allergic patients undergoing oral immunotherapy was incubated with peanut allergens (Arah1, Arah2, Arah6, whole peanut extract) and stained with fluorescent antibodies to CCR3 and CD63 for the development of a data-driven programmatic analysis using Bioconductor and R. Basophil identification using clustering and classification was validated using manually gated comparisons in an experimental subset. Reproducibility of CD63 upregulation set on unstimulated or anti-FcERI stimulated basophils was compared. RESULTS BAT analysis of 294 experiments was successful in 91.5% using the above approach, with a total of 7,166 individual basophil activation tests from 269 experiments. We estimate this represents a net saving of 1340 min of labor by a skilled operator. Medium-based gating correlated to respective manual gating more closely than anti-FcERI based gating (R = 0.96 vs. R = 0.84, P < 0.001). Only 2% of the basophil activation results were significantly different from manual gating. Quality measures of the experiments and other measures of basophil activation were also provided by the analysis. CONCLUSIONS We present a novel data-driven flow cytometric platform for the analysis of clinical basophil activation testing, providing a high throughput objective approach to basophil activation analysis. © 2017 International Clinical Cytometry Society.
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Affiliation(s)
- Sarita U Patil
- Food Allergy Center, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
| | | | | | - Johanna Steinbrecher
- Food Allergy Center, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
| | - Neal Smith
- Food Allergy Center, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
| | - Cecilia Washburn
- Food Allergy Center, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
| | - Alex Ma
- Food Allergy Center, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
| | - Wayne G Shreffler
- Food Allergy Center, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
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Muttusamy T, Ma A, Sinnerbrink I, Quinton AE, Peek MJ, Joung S. Prenatal sonographic features of cranioectodermal dysplasia. Prenat Diagn 2017; 37:628-630. [DOI: 10.1002/pd.5037] [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] [Received: 10/03/2016] [Revised: 01/10/2017] [Accepted: 03/14/2017] [Indexed: 11/12/2022]
Affiliation(s)
- T. Muttusamy
- Department of Obstetrics and Gynaecology at Nepean Hospital; New South Wales Australia
| | - A. Ma
- Department of Clinical Genetics; Nepean Hospital; New South Wales Australia
- Disciplines of Genetic Medicine, Child and Adolescent Health, Children's Hospital Westmead Clinical School; Sydney University; New South Wales Australia
| | - I. Sinnerbrink
- Department of Clinical Genetics; Nepean Hospital; New South Wales Australia
| | - A. E. Quinton
- Medical Sonography, School of Health, Medical and Applied Science; Central Queensland University; Australia
| | - M. J. Peek
- Medical School, College of Medicine, Biology and Environment; The Australian National University; Australia
| | - S. Joung
- Department of Obstetrics and Gynaecology at Nepean Hospital; New South Wales Australia
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Song L, Ma A, Dun H, Hu Y, Fujii Y, Kinugasa F, Oshima S, Higashi Y, Daloze P, Chen H. ASP2409, A Next-Generation CTLA4-Ig, Versus Belatacept in Renal Allograft Survival in Cynomolgus Monkeys. Am J Transplant 2017; 17:635-645. [PMID: 27598231 DOI: 10.1111/ajt.14039] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [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: 04/24/2016] [Revised: 08/11/2016] [Accepted: 08/30/2016] [Indexed: 01/25/2023]
Abstract
Belatacept is the first costimulatory blockade agent approved for maintenance immunosuppression in kidney transplant recipients. Clinical results have indicated that belatacept is associated with superior renal function and improved metabolic profile; however, higher incidence of acute rejection and posttransplant lymphoproliferative disorder are the shortcomings of this agent. In this study, ASP2409, a new cytotoxic T-lymphocyte associated protein 4-immunoglobulin possessing 14-fold higher in vitro CD86 binding affinity than belatacept, was tested for renal allograft survival in cynomolgus monkeys. ASP2409 monotherapy dose-dependently prolonged renal allograft survival. Low-dose ASP2409 in combination with a subtherapeutic dose of tacrolimus showed much longer median survival time than monotherapy. Similar allograft survival results were observed in regimens based on high-dose ASP2409, belatacept, and therapeutic-dose tacrolimus. The results of renal allograft histopathology with high-dose ASP2409-based regimens were not inferior to the belatacept-based regimen. Moreover, higher frequencies of FoxP3-positive regulatory T cells in renal allografts were observed in ASP2409- and belatacept-based regimens compared with tacrolimus-based regimens. No serious side effects related to ASP2409 administration were found during the study. These data suggest that ASP2409 is a promising candidate for calcineurin inhibitor-sparing or -avoidance regimens.
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Affiliation(s)
- L Song
- Department of Surgery, Research Center, CHUM, Notre-Dame Hospital, University of Montreal, Montreal, Quebec, Canada
| | - A Ma
- Department of Surgery, Research Center, CHUM, Notre-Dame Hospital, University of Montreal, Montreal, Quebec, Canada
| | - H Dun
- Department of Surgery, Research Center, CHUM, Notre-Dame Hospital, University of Montreal, Montreal, Quebec, Canada
| | - Y Hu
- Department of Surgery, Research Center, CHUM, Notre-Dame Hospital, University of Montreal, Montreal, Quebec, Canada
| | - Y Fujii
- Drug Discovery Research, Astellas Pharma Inc., Tsukuba, Japan
| | - F Kinugasa
- Drug Discovery Research, Astellas Pharma Inc., Tsukuba, Japan
| | - S Oshima
- Drug Discovery Research, Astellas Pharma Inc., Tsukuba, Japan
| | - Y Higashi
- Drug Discovery Research, Astellas Pharma Inc., Tsukuba, Japan
| | - P Daloze
- Department of Surgery, Research Center, CHUM, Notre-Dame Hospital, University of Montreal, Montreal, Quebec, Canada
| | - H Chen
- Department of Surgery, Research Center, CHUM, Notre-Dame Hospital, University of Montreal, Montreal, Quebec, Canada
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Patil SU, Steinbrecher J, Ma A, Smith N, Washburn C, Hickey A, Southwick C, Tracy L, Ruiter B, Virkud Y, Schneider M, Shreffler W. Early Peanut OIT-Induced Suppression of Basophil Reactivity Is a Marker of Sustained Unresponsiveness. J Allergy Clin Immunol 2016. [DOI: 10.1016/j.jaci.2015.12.547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Gray C, Hildrew A, Lu X, Ma A, McElroy D, Monteith D, O’Gorman E, Shilland E, Woodward G. Recovery and Nonrecovery of Freshwater Food Webs from the Effects of Acidification. ADV ECOL RES 2016. [DOI: 10.1016/bs.aecr.2016.08.009] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
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Studer P, da Silva CG, Revuelta Cervantes JM, Mele A, Csizmadia E, Siracuse JJ, Damrauer SM, Peterson CR, Candinas D, Stroka DM, Ma A, Bhasin M, Ferran C. Significant lethality following liver resection in A20 heterozygous knockout mice uncovers a key role for A20 in liver regeneration. Cell Death Differ 2015; 22:2068-77. [PMID: 25976305 PMCID: PMC4816110 DOI: 10.1038/cdd.2015.52] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2014] [Revised: 02/24/2015] [Accepted: 03/13/2015] [Indexed: 12/14/2022] Open
Abstract
Hepatic expression of A20, including in hepatocytes, increases in response to injury, inflammation and resection. This increase likely serves a hepatoprotective purpose. The characteristic unfettered liver inflammation and necrosis in A20 knockout mice established physiologic upregulation of A20 as integral to the anti-inflammatory and anti-apoptotic armamentarium of hepatocytes. However, the implication of physiologic upregulation of A20 in modulating hepatocytes' proliferative responses following liver resection remains controversial. To resolve the impact of A20 on hepatocyte proliferation and the liver's regenerative capacity, we examined whether decreased A20 expression, as in A20 heterozygous knockout mice, affects outcome following two-third partial hepatectomy. A20 heterozygous mice do not demonstrate a striking liver phenotype, indicating that their A20 expression levels are still sufficient to contain inflammation and cell death at baseline. However, usually benign partial hepatectomy provoked a staggering lethality (>40%) in these mice, uncovering an unsuspected phenotype. Heightened lethality in A20 heterozygous mice following partial hepatectomy resulted from impaired hepatocyte proliferation due to heightened levels of cyclin-dependent kinase inhibitor, p21, and deficient upregulation of cyclins D1, E and A, in the context of worsened liver steatosis. A20 heterozygous knockout minimally affected baseline liver transcriptome, mostly circadian rhythm genes. Nevertheless, this caused differential expression of >1000 genes post hepatectomy, hindering lipid metabolism, bile acid biosynthesis, insulin signaling and cell cycle, all critical cellular processes for liver regeneration. These results demonstrate that mere reduction of A20 levels causes worse outcome post hepatectomy than full knockout of bona fide liver pro-regenerative players such as IL-6, clearly ascertaining A20's primordial role in enabling liver regeneration. Clinical implications of these data are of utmost importance as they caution safety of extensive hepatectomy for donation or tumor in carriers of A20/TNFAIP3 single nucleotide polymorphisms alleles that decrease A20 expression or function, and prompt the development of A20-based liver pro-regenerative therapies.
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Affiliation(s)
- P Studer
- Division of Vascular Surgery, Center for Vascular biology Research and the Transplant Institute, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA
- Department of Visceral Surgery and Medicine, University Hospital Bern, Bern, Switzerland
| | - C G da Silva
- Division of Vascular Surgery, Center for Vascular biology Research and the Transplant Institute, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA
| | - J M Revuelta Cervantes
- Division of Vascular Surgery, Center for Vascular biology Research and the Transplant Institute, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA
| | - A Mele
- Division of Vascular Surgery, Center for Vascular biology Research and the Transplant Institute, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA
| | - E Csizmadia
- Division of Vascular Surgery, Center for Vascular biology Research and the Transplant Institute, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA
| | - J J Siracuse
- Division of Vascular Surgery, Center for Vascular biology Research and the Transplant Institute, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA
| | - S M Damrauer
- Division of Vascular Surgery, Center for Vascular biology Research and the Transplant Institute, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA
| | - C R Peterson
- Division of Vascular Surgery, Center for Vascular biology Research and the Transplant Institute, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA
| | - D Candinas
- Department of Visceral Surgery and Medicine, University Hospital Bern, Bern, Switzerland
| | - D M Stroka
- Department of Visceral Surgery and Medicine, University Hospital Bern, Bern, Switzerland
| | - A Ma
- Division of Interdisciplinary Medicine and Biotechnology, Bioinformatics core, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA
| | - M Bhasin
- Division of Gastroenterology, Department of Medicine, University of California in San Francisco, San Fransisco, CA, USA
| | - C Ferran
- Division of Vascular Surgery, Center for Vascular biology Research and the Transplant Institute, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA
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Dong Y, Huang J, Li G, Li L, Li W, Li X, Liu X, Liu Z, Lu Y, Ma A, Sun H, Wang H, Wen X, Xu D, Yang J, Zhang J, Zhao H, Zhou J, Zhu L, Committee Members:, Bai L, Cao K, Chen M, Chen M, Dai G, Ding W, Dong W, Fang Q, Fang W, Fu X, Gao W, Gao R, Ge J, Ge Z, Gu F, Guo Y, Han H, Hu D, Huang W, Huang L, Huang C, Huang D, Huo Y, Jin W, Ke Y, Lei H, Li X, Li Y, Li D, Li G, Li X, Li Z, Liang Y, Liao Y, Liu G, Ma A, Ma C, Ma D, Ma Y, Shen L, Sun J, Sun C, Sun Y, Tang Q, Wan Z, Wang H, Wang J, Wang S, Wang D, Wang G, Wang J, Wu Y, Wu P, Wu S, Wu X, Wu Z, Yang J, Yang T, Yang X, Yang Y, Yang Z, Ye P, Yu B, Yuan F, Zhang S, Zhang Y, Zhang R, Zhang Y, Zhang Y, Zhao S, Zhou X. Guidelines for the prevention, diagnosis, and treatment of infective endocarditis in adults: The Task Force for the Prevention, Diagnosis, and Treatment of Infective Endocarditis in Adults of Chinese Society of Cardiology of Chinese Medical Association, and of the Editorial Board of Chinese Journal of Cardiology. Eur Heart J Suppl 2015. [DOI: 10.1093/eurheartj/suv031] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Patil SU, Ogunniyi AO, Calatroni A, Tadigotla VR, Ruiter B, Ma A, Moon J, Love JC, Shreffler WG. Peanut oral immunotherapy transiently expands circulating Ara h 2-specific B cells with a homologous repertoire in unrelated subjects. J Allergy Clin Immunol 2015; 136:125-134.e12. [PMID: 25985925 DOI: 10.1016/j.jaci.2015.03.026] [Citation(s) in RCA: 85] [Impact Index Per Article: 9.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2014] [Revised: 02/16/2015] [Accepted: 03/12/2015] [Indexed: 02/02/2023]
Abstract
BACKGROUND Peanut oral immunotherapy (PNOIT) induces persistent tolerance to peanut in a subset of patients and induces specific antibodies that might play a role in clinical protection. However, the contribution of induced antibody clones to clinical tolerance in PNOIT is unknown. OBJECTIVE We hypothesized that PNOIT induces a clonal, allergen-specific B-cell response that could serve as a surrogate for clinical outcomes. METHODS We used a fluorescent Ara h 2 multimer for affinity selection of Ara h 2-specific B cells and subsequent single-cell immunoglobulin amplification. The diversity of related clones was evaluated by means of next-generation sequencing of immunoglobulin heavy chains from circulating memory B cells with 2x250 paired-end sequencing on the Illumina MiSeq platform. RESULTS Expression of class-switched antibodies from Ara h 2-positive cells confirms enrichment for Ara h 2 specificity. PNOIT induces an early and transient expansion of circulating Ara h 2-specific memory B cells that peaks at week 7. Ara h 2-specific sequences from memory cells have rates of nonsilent mutations consistent with affinity maturation. The repertoire of Ara h 2-specific antibodies is oligoclonal. Next-generation sequencing-based repertoire analysis of circulating memory B cells reveals evidence for convergent selection of related sequences in 3 unrelated subjects, suggesting the presence of similar Ara h 2-specific B-cell clones. CONCLUSIONS Using a novel affinity selection approach to identify antigen-specific B cells, we demonstrate that the early PNOIT-induced Ara h 2-specific B-cell receptor repertoire is oligoclonal and somatically hypermutated and shares similar clonal groups among unrelated subjects consistent with convergent selection.
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Affiliation(s)
- Sarita U Patil
- Center for Immunology and Inflammatory Diseases, Massachusetts General Hospital and Harvard Medical School, Boston, Mass; Food Allergy Center, Massachusetts General Hospital and MassGeneral Hospital for Children, Boston, Mass; Koch Institute for Integrative Cancer Research at Massachusetts Institute of Technology, Cambridge, Mass.
| | - Adebola O Ogunniyi
- Koch Institute for Integrative Cancer Research at Massachusetts Institute of Technology, Cambridge, Mass
| | | | | | - Bert Ruiter
- Center for Immunology and Inflammatory Diseases, Massachusetts General Hospital and Harvard Medical School, Boston, Mass; Food Allergy Center, Massachusetts General Hospital and MassGeneral Hospital for Children, Boston, Mass
| | - Alex Ma
- Center for Immunology and Inflammatory Diseases, Massachusetts General Hospital and Harvard Medical School, Boston, Mass
| | - James Moon
- Center for Immunology and Inflammatory Diseases, Massachusetts General Hospital and Harvard Medical School, Boston, Mass
| | - J Christopher Love
- Koch Institute for Integrative Cancer Research at Massachusetts Institute of Technology, Cambridge, Mass; Ragon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology, and Harvard Medical School, Boston, Mass
| | - Wayne G Shreffler
- Center for Immunology and Inflammatory Diseases, Massachusetts General Hospital and Harvard Medical School, Boston, Mass; Food Allergy Center, Massachusetts General Hospital and MassGeneral Hospital for Children, Boston, Mass
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Ma A, Wang Y, Zhang Q. Tormentic acid reduces inflammation in BV-2 microglia by activating the liver X receptor alpha. Neuroscience 2014; 287:9-14. [PMID: 25497374 DOI: 10.1016/j.neuroscience.2014.12.005] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [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: 09/12/2014] [Revised: 12/03/2014] [Accepted: 12/03/2014] [Indexed: 01/18/2023]
Abstract
Tormentic acid (TA) has been reported to have anticancer, anti-inflammatory and anti-atherogenic properties. However, the effects of TA on neuroinflammation have not been reported. In this study, we investigated whether TA inhibited lipopolysaccharide (LPS)-induced inflammatory response in BV2 microglia cells. BV2 microglia cells were treated with TA for 1h before exposure to LPS. The expression of inducible nitric oxide synthase (iNOS), Cyclooxygenase-2 (COX-2), Nuclear factor κB (NF-κB) and liver X receptor alpha (LXRα) was detected by western blotting. The expression of cytokines Tumor necrosis factor-alpha (TNF-α) and interleukin 1beta (IL-1β) was detected by enzyme-linked immunosorbent assays (ELISA). Results showed that TA inhibited nitric oxide (NO), prostaglandin E2 (PGE2) production by inhibiting iNOS and COX-2 expression. TA also inhibited LPS-induced inflammatory cytokines TNF-α and IL-1β expression. Furthermore, TA could activate LXRα and inhibit LPS-induced NF-κB activation. Knowdown of LXRα reversed the anti-inflammatory effects of TA. In conclusion, our results indicate that TA exerts an anti-inflammatory effect on LPS-stimulated BV2 microglia cells by activating LXRα.
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Affiliation(s)
- A Ma
- Department of Neurology, He Bei Provincial Chest Hospital, Shi Jiazhuang 050000, China
| | - Y Wang
- Department of Nephrology, He Bei Provincial Chest Hospital, Shi Jiazhuang 050000, China
| | - Q Zhang
- Department of Neurology, He Bei Provincial Chest Hospital, Shi Jiazhuang 050000, China.
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Buckner TW, Nielsen BI, Key NS, Ma A. Factor VIII inhibitory antibody in a patient with combined factor V/factor VIII deficiency. Haemophilia 2014; 21:e77-80. [PMID: 25472918 DOI: 10.1111/hae.12557] [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] [Accepted: 09/15/2014] [Indexed: 01/23/2023]
Affiliation(s)
- T W Buckner
- Harold R. Roberts Comprehensive Hemophilia and Thrombosis Center, University of North Carolina, Chapel Hill, NC, USA
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Pocoski J, Ma A, Kessler CM, Boklage S, Humphries TJ. Cardiovascular comorbidities are increased in US patients with haemophilia A: a retrospective database analysis. Haemophilia 2013; 20:472-8. [DOI: 10.1111/hae.12339] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/30/2013] [Indexed: 01/14/2023]
Affiliation(s)
- J. Pocoski
- Global Health Economics and Outcomes Research; Bayer HealthCare; Whippany NJ USA
| | - A. Ma
- Department of Medicine, University of North Carolina at Chapel Hill; Chapel Hill NC USA
| | - C. M. Kessler
- Department of Medicine, Georgetown University Medical Center; Washington DC USA
| | - S. Boklage
- Health Economics and Outcomes Research; Otsuka America Pharmaceutical, Inc. Princeton; NJ USA
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Lim MY, Nielsen B, Ma A, Key NS. Clinical features and management of haemophilic pseudotumours: a single US centre experience over a 30-year period. Haemophilia 2013; 20:e58-62. [DOI: 10.1111/hae.12295] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/07/2013] [Indexed: 11/30/2022]
Affiliation(s)
- M. Y. Lim
- Division of Hematology/Oncology; Department of Medicine; University of Chapel Hill; Chapel Hill NC USA
| | - B. Nielsen
- UNC Hemophilia and Thrombosis Center; Chapel Hill NC USA
| | - A. Ma
- Division of Hematology/Oncology; Department of Medicine; University of Chapel Hill; Chapel Hill NC USA
- UNC Hemophilia and Thrombosis Center; Chapel Hill NC USA
| | - N. S. Key
- Division of Hematology/Oncology; Department of Medicine; University of Chapel Hill; Chapel Hill NC USA
- UNC Hemophilia and Thrombosis Center; Chapel Hill NC USA
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Nocturne G, Boudaoud S, Miceli Richard C, Viengchareun S, Lazure T, Nititham J, Taylor KE, Criswell LA, Ma A, Busato F, Melki J, Dubost JJ, Hachulla E, Gottenberg JE, Lombes M, Tost J, Mariette X. OP0023 Germinal and Somatic Genetic Variants of TNFAIP3 Promote Lymphomagenesis Process Complicating Primary Sjögren’s Syndrome. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2013-eular.228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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33
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Patil SU, Kubala S, Brennan AK, Ma A, Moon J, Shreffler WG. Induction of Antigen-Specific B Cells During Peanut Oral Immunotherapy Using Novel Tetramer-Based Approach. J Allergy Clin Immunol 2013. [DOI: 10.1016/j.jaci.2012.12.973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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34
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Garg A, Ahmed M, Childs E, Ma A, Gaffen S. P069 Inhibition of IL-17 receptor signal transduction. Cytokine 2012. [DOI: 10.1016/j.cyto.2012.06.155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Teki R, Kadaksham AJ, House M, Harris-Jones J, Ma A, Babu SV, Hariprasad A, Dumas P, Jenkins R, Provine J, Richmann A, Stowers J, Meyers S, Dietze U, Kusumoto T, Yatsui T, Ohtsu M, Goodwin F. Alternative smoothing techniques to mitigate EUV substrate defectivity. ACTA ACUST UNITED AC 2012. [DOI: 10.1117/12.916497] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Adl AH, Ma A, Gupta M, Benlamri M, Tsui YY, Barlage DW, Shankar K. Schottky barrier thin film transistors using solution-processed n-ZnO. ACS Appl Mater Interfaces 2012; 4:1423-1428. [PMID: 22387678 DOI: 10.1021/am201656h] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Solution-processed ZnO thin films are attractive as active materials in thin film transistors (TFTs) for low-cost electronic device applications. However, the lack of true enhancement mode operation, low mobility, and unreliability in transistor characteristics due to the high density of traps and other defects present challenges in using such TFTs in circuits. We demonstrate in this report that the electrical characteristics of such TFTs can be improved by source injection barriers. Asymmetrical Schottky source metal-oxide-semiconductor field-effect transistors (MOSFETs) have been fabricated by utilizing heavily doped solution-processed ZnO as the active layer. n(+)-ZnO was obtained by using triethylamine as the stabilizer in the solution process instead of the more commonly used monoethanolamine. Au was chosen for source metallization to create a Schottky contact to the ZnO and an Al ohmic contact was chosen as the drain. Voltage applied to the gate induced field emission through the Schottky barrier and allowed modulation of the drain current by varying the width of the barrier. By operating the asymmetrical MOSFET when the Schottky contact is reverse biased, effective control over the transistor characteristics was obtained.
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Affiliation(s)
- Ahmad H Adl
- Department of Electrical & Computer Engineering, University of Alberta, Edmonton, AB T6G 2 V4 Canada
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Ma A, Patil S, Lund G, Lund K, Shreffler W. Antigen-induced Anergy In Human Basophils Is Not Antigen Specific. J Allergy Clin Immunol 2012. [DOI: 10.1016/j.jaci.2011.12.590] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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38
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Ma A. 2.036 CEREBRAL GLUCOSE METABOLISM IN PROGRESSIVE SUPRANUCLEAR PALSY. Parkinsonism Relat Disord 2012. [DOI: 10.1016/s1353-8020(11)70469-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Ma A, Reid J, Ness A, O'Donnell M, Yellowless D, Boyd K, Murray SA, Denvir M. Evaluation of the Palliative Care Outcome Scale (POS) in chronic heart failure patients. BMJ Support Palliat Care 2011. [DOI: 10.1136/bmjspcare-2011-000020.48] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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40
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Chen L, Zhou Z, Shen M, Ma A. Simultaneous Determination and Pharmacokinetic Study of Metformin and Rosiglitazone in Human Plasma by HPLC-ESI-MS. J Chromatogr Sci 2011; 49:94-100. [DOI: 10.1093/chrsci/49.2.94] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Ren Y, Ma A, Li J, Jiang X, Ma Y, Toda A, Hu W. Melting of polymer single crystals studied by dynamic Monte Carlo simulations. Eur Phys J E Soft Matter 2010; 33:189-202. [PMID: 20957404 DOI: 10.1140/epje/i2010-10661-8] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/23/2010] [Revised: 06/30/2010] [Accepted: 09/27/2010] [Indexed: 05/30/2023]
Abstract
We report dynamic Monte Carlo simulations of lattice polymers melting from a metastable chain-folded lamellar single crystal. The single crystal was raised and then melted in an ultrathin film of polymers wetting on a solid substrate, mimicking the melting observations made by using Atomic Force Microscopy. We observed that the thickness distribution of the single crystal appears quite inhomogeneous and the thickness increases gradually from facetted edges to the center. Therefore, at low melting temperatures, melting stops at a certain crystal thickness, and melting-recrystallization occurs when allowing crystal thickening; at intermediate temperatures, melting maintains the crystal shape and exhibits different speeds in two stages; at high temperatures, fast melting makes a melting hole in the thinnest region, as well as a saw-tooth-like pattern at the crystal edges. In addition, the linear melting rates at low temperatures align on the curve extrapolated from the linear crystal growth rates. The temperature dependence of the melting rates exhibits a regime transition similar to crystal growth. Such kinetic symmetry persists in the melting rates with variable frictional barriers for c -slip diffusion in the crystal as well as with variable chain lengths. Visual inspections revealed highly frequent reversals upon melting of single chains at the wedge-shaped lateral front of the lamellar crystal. We concluded that the melting kinetics is dominated by the reverse process of intramolecular secondary crystal nucleation of polymers.
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Affiliation(s)
- Y Ren
- Department of Polymer Science and Engineering, Nanjing University, China
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Li G, Ma A, Shi W, Zhong XH. Quercetin protects hamster spermatogenic cells from oxidative damage induced by diethylstilboestrol. Andrologia 2010; 42:285-90. [DOI: 10.1111/j.1439-0272.2009.00990.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Abstract
Offshore construction and supply projects involve complex contractual arrangements regulating the relationships of operators, contractors, subcontractors and suppliers. Although every effort is made to prevent the occurrence of disputes when parties enter into contract, it is a fact of life that disputes do arise. This paper explains the role of engineers in the dispute resolution process. It highlights the features of disputes which arise out of the offshore construction and supply industry by way of inclusion of a description of: the life cycle of a typical offshore development; a typical engineering, procurement, construction, installation and commissioning project; the engineer’s involvement in the contractual process; types of frequently occurring disputes; and the role of engineers in dispute avoidance. By way of introducing the various methods of disputes resolution, including litigation, arbitration, adjudication, expert determination, mediation, the engineers’ functions in these processes are highlighted.’The paper concludes that engineers are indeed important if not crucial to every stage of an oil and gas construction project. They have every opportunity to assist in dispute avoidance by being more aware of the contractual relationship between various parties and the project procedure. They can be factual witnesses to set out the chain of events that happened, expert witnesses to assist the court or tribunal in understanding the technical issues, and they are also well placed to judge the rights and wrongs of the parties given their technical backgrounds in understanding the day-to-day running of a project.
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Affiliation(s)
- A. Ma
- Maxwell Alves Solicitors London, UK
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45
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Drummond ND, López Ríos P, Ma A, Trail JR, Spink GG, Towler MD, Needs RJ. Erratum: “Quantum Monte Carlo study of the Ne atom and the Ne+ ion” [J. Chem. Phys. 124, 224104 (2006)]. J Chem Phys 2009. [DOI: 10.1063/1.3245405] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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46
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Zhang Y, Wang T, Ma A, Zhou X, Gui J, Wan H, Shi R, Huang C, Grace AA, Huang CLH, Trump D, Zhang H, Zimmer T, Lei M. Correlations between clinical and physiological consequences of the novel mutation R878C in a highly conserved pore residue in the cardiac Na+ channel. Acta Physiol (Oxf) 2008; 194:311-23. [PMID: 18616619 PMCID: PMC2659387 DOI: 10.1111/j.1748-1716.2008.01883.x] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Aim: We compared the clinical and physiological consequences of the novel mutation R878C in a highly conserved pore residue in domain II (S5-S6) of human, hNav1.5, cardiac Na+ channels. Methods: Full clinical evaluation of pedigree members through three generations of a Chinese family combined with SCN5A sequencing from genomic DNA was compared with patch and voltage-clamp results from two independent expression systems. Results: The four mutation carriers showed bradycardia, and slowed sino-atrial, atrioventricular and intraventricular conduction. Two also showed sick sinus syndrome; two had ST elevation in leads V1 and V2. Unlike WT-hNav1.5, whole-cell patch-clamped HEK293 cells expressing R878C-hNav1.5 showed no detectable Na+ currents (iNa), even with substitution of a similarly charged lysine residue. Voltage-clamped Xenopus oocytes injected with either 0.04 or 1.5 μg μL−1 R878C-hNav1.5 cRNA similarly showed no iNa, yet WT-hNav1.5 cRNA diluted to 0.0004–0.0008 ng μL−1resulted in expression of detectable iNa. iNa was simply determined by the amount of injected WT-hNav1.5: doubling the dose of WT-hNav1.5 cRNA doubled iNa. iNa amplitudes and activation and inactivation characteristics were similar irrespective of whether WT-hNav1.5 cRNA was given alone or combined with equal doses of R878C-hNav1.5 cRNA therefore excluding dominant negative phenotypic effects. Na+ channel function in HEK293 cells transfected with R878C-hNav1.5 was not restored by exposure to mexiletine (200 μm) and lidocaine (100 μm). Fluorescence confocal microscopy using E3-Nav1.5 antibody demonstrated persistent membrane expression of both WT and R878C-hNav1.5. Modelling studies confirmed that such iNa reductions reproduced the SSS phenotype. Conclusion: Clinical consequences of the novel R878C mutation correlate with results of physiological studies.
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Affiliation(s)
- Y Zhang
- Cardiovascular Ion Channel Disease Laboratory, Department of Paediatrics, First Affiliated Hospital, Medical College of Xi'an Jiaotong University, Xi'an, China
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Feng J, Zhang M, Zheng S, Xie P, Ma A. Effects of High Temperature on Multiple Parameters of Broilers In Vitro and In Vivo. Poult Sci 2008; 87:2133-9. [DOI: 10.3382/ps.2007-00358] [Citation(s) in RCA: 54] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Ma A, Awotwi-Pratt J, Alghamdi A, Alfuraih A, Spyrou NM. Monte Carlo study of photoneutron production in the Varian Clinac 2100C linac. J Radioanal Nucl Chem 2007. [DOI: 10.1007/s10967-007-0419-3] [Citation(s) in RCA: 32] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Tarantino M, Ma A, Aledort L. Safety of human plasma-derived clotting factor products and their role in haemostasis in patients with haemophilia: meeting report. Haemophilia 2007; 13:663-9. [PMID: 17880460 DOI: 10.1111/j.1365-2516.2007.01481.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- M Tarantino
- Comprehensive Bleeding Disorders Center, 5019 N. Executive Drive, Peoria, IL, USA.
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Wan TT, Ma A, Lin BY. Integration and the performance of healthcare networks: do integration strategies enhance efficiency, profitability, and image? Int J Integr Care 2007; 1:e39. [PMID: 16896405 PMCID: PMC1525337 DOI: 10.5334/ijic.31] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Purpose This study examines the integration effects on efficiency and financial viability of the top 100 integrated healthcare networks (IHNs) in the United States. Theory A contingency- strategic theory is used to identify the relationship of IHNs' performance to their structural and operational characteristics and integration strategies. Methods The lists of the top 100 IHNs ranked in two years, 1998 and 1999, by the SMG Marketing Group were merged to create a database for the study. Multiple indicators were used to examine the relationship between IHNs' characteristics and their performance in efficiency and financial viability. A path analytical model was developed and validated by the Mplus statistical program. Factors influencing the top 100 IHNs' images, represented by attaining ranking among the top 100 in two consecutive years, were analysed. Results and conclusion No positive associations were found between integration and network performance in efficiency or profits. Longitudinal data are needed to investigate the effect of integration on healthcare networks' financial performance.
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Affiliation(s)
- T T Wan
- Department of Health Administration, Virginia Commonwealth University, Richmond, VA 23298, USA
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