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Sethi GS, Gracias DT, Gupta RK, Carr D, Miki H, Da Silva Antunes R, Croft M. Anti-CD3 inhibits circulatory and tissue-resident memory CD4 T cells that drive asthma exacerbations in mice. Allergy 2023; 78:2168-2180. [PMID: 36951658 DOI: 10.1111/all.15722] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2022] [Revised: 01/26/2023] [Accepted: 02/05/2023] [Indexed: 03/24/2023]
Abstract
BACKGROUND Exacerbations of asthma are thought to be strongly dependent on reactivation of allergen-induced lung tissue-resident and circulatory memory CD4 T cells. Strategies that broadly inhibit multiple T cell populations might then be useful to limit asthma. Accordingly, we tested whether targeting CD3 during exposure to inhaled allergen could prevent the accumulation of lung-localized effector memory CD4 T cells and block exacerbations of asthmatic inflammation. METHODS House dust mite-sensitized and repetitively challenged BL/6 mice were transiently treated therapeutically with F(ab')2 anti-CD3ε and memory T cell responses and lung inflammation were assessed. PBMCs from HDM-allergic donors were examined for the effect of anti-CD3 on expansion of allergen-reactive T cells. RESULTS Allergen-sensitized mice undergoing exacerbations of asthma were protected from lung inflammation by transient therapeutic treatment with F(ab')2 anti-CD3. Regardless of whether sensitized mice underwent a secondary or tertiary recall response to inhaled allergen, anti-CD3 inhibited all phenotypes of effector memory CD4 T cells in the lung tissue and lung vasculature by 80%-90%, including those derived from tissue-resident and circulatory memory T cells. This did not depend on Treg cells suggesting it was primarily a blocking effect on memory T cell signaling. Correspondingly, anti-CD3 also strongly inhibited proliferation of human allergen-reactive memory CD4 T cells from allergic individuals. In contrast, the number of surviving tissue-resident memory CD4 T cells that were maintained in the lungs at later times was not robustly reduced by anti-CD3. CONCLUSION Anti-CD3 F(ab')2 administration at the time of allergen exposure represents a viable strategy for limiting the immediate activity of allergen-responding memory T cells and asthma exacerbations.
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Affiliation(s)
- Gurupreet S Sethi
- Center for Autoimmunity and Inflammation, La Jolla Institute for Immunology, La Jolla, California, USA
| | - Donald T Gracias
- Center for Autoimmunity and Inflammation, La Jolla Institute for Immunology, La Jolla, California, USA
| | - Rinkesh K Gupta
- Center for Autoimmunity and Inflammation, La Jolla Institute for Immunology, La Jolla, California, USA
| | - Daniel Carr
- Center for Autoimmunity and Inflammation, La Jolla Institute for Immunology, La Jolla, California, USA
| | - Haruka Miki
- Center for Autoimmunity and Inflammation, La Jolla Institute for Immunology, La Jolla, California, USA
| | - Ricardo Da Silva Antunes
- Center for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology, La Jolla, California, USA
| | - Michael Croft
- Center for Autoimmunity and Inflammation, La Jolla Institute for Immunology, La Jolla, California, USA
- Department of Medicine, University of California San Diego, La Jolla, California, USA
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2
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Foss DV, Muldoon JJ, Nguyen DN, Carr D, Sahu SU, Hunsinger JM, Wyman SK, Krishnappa N, Mendonsa R, Schanzer EV, Shy BR, Vykunta VS, Allain V, Li Z, Marson A, Eyquem J, Wilson RC. Peptide-mediated delivery of CRISPR enzymes for the efficient editing of primary human lymphocytes. Nat Biomed Eng 2023; 7:647-660. [PMID: 37147433 PMCID: PMC10129304 DOI: 10.1038/s41551-023-01032-2] [Citation(s) in RCA: 22] [Impact Index Per Article: 22.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2022] [Accepted: 03/26/2023] [Indexed: 05/07/2023]
Abstract
CRISPR-mediated genome editing of primary human lymphocytes is typically carried out via electroporation, which can be cytotoxic, cumbersome and costly. Here we show that the yields of edited primary human lymphocytes can be increased substantially by delivering a CRISPR ribonucleoprotein mixed with an amphiphilic peptide identified through screening. We evaluated the performance of this simple delivery method by knocking out genes in T cells, B cells and natural killer cells via the delivery of Cas9 or Cas12a ribonucleoproteins or an adenine base editor. We also show that peptide-mediated ribonucleoprotein delivery paired with an adeno-associated-virus-mediated homology-directed repair template can introduce a chimaeric antigen receptor gene at the T-cell receptor α constant locus, and that the engineered cells display antitumour potency in mice. The method is minimally perturbative, does not require dedicated hardware, and is compatible with multiplexed editing via sequential delivery, which minimizes the risk of genotoxicity. The peptide-mediated intracellular delivery of ribonucleoproteins may facilitate the manufacturing of engineered T cells.
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Affiliation(s)
- Dana V Foss
- Innovative Genomics Institute, University of California Berkeley, Berkeley, CA, USA
- Department of Molecular and Cell Biology, University of California Berkeley, Berkeley, CA, USA
- California Institute for Quantitative Biosciences at University of California Berkeley, Berkeley, CA, USA
| | - Joseph J Muldoon
- Gladstone-UCSF Institute of Genomic Immunology, San Francisco, CA, USA
- Department of Medicine, University of California San Francisco, San Francisco, CA, USA
| | - David N Nguyen
- Innovative Genomics Institute, University of California Berkeley, Berkeley, CA, USA
- Department of Molecular and Cell Biology, University of California Berkeley, Berkeley, CA, USA
- Gladstone-UCSF Institute of Genomic Immunology, San Francisco, CA, USA
- Department of Medicine, University of California San Francisco, San Francisco, CA, USA
| | - Daniel Carr
- Innovative Genomics Institute, University of California Berkeley, Berkeley, CA, USA
- Gladstone-UCSF Institute of Genomic Immunology, San Francisco, CA, USA
- Department of Medicine, University of California San Francisco, San Francisco, CA, USA
| | - Srishti U Sahu
- Innovative Genomics Institute, University of California Berkeley, Berkeley, CA, USA
- Department of Molecular and Cell Biology, University of California Berkeley, Berkeley, CA, USA
- California Institute for Quantitative Biosciences at University of California Berkeley, Berkeley, CA, USA
| | - John M Hunsinger
- Innovative Genomics Institute, University of California Berkeley, Berkeley, CA, USA
- Department of Molecular and Cell Biology, University of California Berkeley, Berkeley, CA, USA
- California Institute for Quantitative Biosciences at University of California Berkeley, Berkeley, CA, USA
| | - Stacia K Wyman
- Innovative Genomics Institute, University of California Berkeley, Berkeley, CA, USA
| | | | - Rima Mendonsa
- Innovative Genomics Institute, University of California Berkeley, Berkeley, CA, USA
- Department of Molecular and Cell Biology, University of California Berkeley, Berkeley, CA, USA
- California Institute for Quantitative Biosciences at University of California Berkeley, Berkeley, CA, USA
| | - Elaine V Schanzer
- Innovative Genomics Institute, University of California Berkeley, Berkeley, CA, USA
- Department of Molecular and Cell Biology, University of California Berkeley, Berkeley, CA, USA
| | - Brian R Shy
- Gladstone-UCSF Institute of Genomic Immunology, San Francisco, CA, USA
- Department of Medicine, University of California San Francisco, San Francisco, CA, USA
- Department of Laboratory Medicine, University of California San Francisco, San Francisco, CA, USA
| | - Vivasvan S Vykunta
- Gladstone-UCSF Institute of Genomic Immunology, San Francisco, CA, USA
- Department of Medicine, University of California San Francisco, San Francisco, CA, USA
| | - Vincent Allain
- Gladstone-UCSF Institute of Genomic Immunology, San Francisco, CA, USA
- Department of Medicine, University of California San Francisco, San Francisco, CA, USA
- Université de Paris, INSERM UMR976, Hôpital Saint-Louis, Paris, France
| | - Zhongmei Li
- Gladstone-UCSF Institute of Genomic Immunology, San Francisco, CA, USA
| | - Alexander Marson
- Innovative Genomics Institute, University of California Berkeley, Berkeley, CA, USA.
- Gladstone-UCSF Institute of Genomic Immunology, San Francisco, CA, USA.
- Department of Medicine, University of California San Francisco, San Francisco, CA, USA.
- Parker Institute for Cancer Immunotherapy, University of California San Francisco, San Francisco, CA, USA.
- Department of Microbiology and Immunology, University of California San Francisco, San Francisco, CA, USA.
- Diabetes Center, University of California San Francisco, San Francisco, CA, USA.
- UCSF Helen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, CA, USA.
- Institute for Human Genetics, University of California San Francisco, San Francisco, CA, USA.
| | - Justin Eyquem
- Gladstone-UCSF Institute of Genomic Immunology, San Francisco, CA, USA.
- Department of Medicine, University of California San Francisco, San Francisco, CA, USA.
- Parker Institute for Cancer Immunotherapy, University of California San Francisco, San Francisco, CA, USA.
- Department of Microbiology and Immunology, University of California San Francisco, San Francisco, CA, USA.
- UCSF Helen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, CA, USA.
- Institute for Human Genetics, University of California San Francisco, San Francisco, CA, USA.
| | - Ross C Wilson
- Innovative Genomics Institute, University of California Berkeley, Berkeley, CA, USA.
- Department of Molecular and Cell Biology, University of California Berkeley, Berkeley, CA, USA.
- California Institute for Quantitative Biosciences at University of California Berkeley, Berkeley, CA, USA.
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Gurjar R, Dickinson L, Carr D, Stöhr W, Bonora S, Owen A, D'Avolio A, Cursley A, De Castro N, Fätkenheuer G, Vandekerckhove L, Di Perri G, Pozniak A, Schwimmer C, Raffi F, Boffito M. Influence of UGT1A1 and SLC22A6 polymorphisms on the population pharmacokinetics and pharmacodynamics of raltegravir in HIV-infected adults: a NEAT001/ANRS143 sub-study. Pharmacogenomics J 2023; 23:14-20. [PMID: 36266537 PMCID: PMC9584256 DOI: 10.1038/s41397-022-00293-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/08/2021] [Revised: 09/13/2022] [Accepted: 09/29/2022] [Indexed: 11/04/2022]
Abstract
Using concentration-time data from the NEAT001/ARNS143 study (single sample at week 4 and 24), we determined raltegravir pharmacokinetic parameters using nonlinear mixed effects modelling (NONMEM v.7.3; 602 samples from 349 patients) and investigated the influence of demographics and SNPs (SLC22A6 and UGT1A1) on raltegravir pharmacokinetics and pharmacodynamics. Demographics and SNPs did not influence raltegravir pharmacokinetics and no significant pharmacokinetic/pharmacodynamic relationships were observed. At week 96, UGT1A1*28/*28 was associated with lower virological failure (p = 0.012), even after adjusting for baseline CD4 count (p = 0.048), but not when adjusted for baseline HIV-1 viral load (p = 0.082) or both (p = 0.089). This is the first study to our knowledge to assess the influence of SNPs on raltegravir pharmacodynamics. The lack of a pharmacokinetic/pharmacodynamic relationship is potentially an artefact of raltegravir's characteristic high inter and intra-patient variability and also suggesting single time point sampling schedules are inadequate to thoroughly assess the influence of SNPs on raltegravir pharmacokinetics.
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Affiliation(s)
- Rohan Gurjar
- Department of Pharmacology & Therapeutics, University of Liverpool, Liverpool, UK
| | - Laura Dickinson
- Department of Pharmacology & Therapeutics, University of Liverpool, Liverpool, UK.
| | - Daniel Carr
- Department of Pharmacology & Therapeutics, University of Liverpool, Liverpool, UK
| | | | - Stefano Bonora
- Unit of Infectious Diseases, University of Turin, Turin, Italy
| | - Andrew Owen
- Department of Pharmacology & Therapeutics, University of Liverpool, Liverpool, UK
| | | | | | - Nathalie De Castro
- Infectious Diseases Department, AP-HP Hôpital Saint-Louis, Paris, France
| | | | - Linos Vandekerckhove
- HIV Translational Research Unit, Ghent University and Ghent University Hospital, Ghent, Belgium
| | | | | | - Christine Schwimmer
- University of Bordeaux, INSERM, Bordeaux Population Health Research Center, UMR 1219, Bordeaux, France
| | - François Raffi
- Department of Infectious Diseases, Centre Hospitalier Universitaire de Nantes, and CIC 1413, INSERM, Nantes, France
| | - Marta Boffito
- Chelsea and Westminster NHS Trust, London, UK.,Imperial College, London, UK
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Kaufmann A, Claus C, Tong D, Hanson C, Carr D, Houseman C, Soo TM. Multilevel Stabilization Screws Prevent Proximal Junctional Failure and Kyphosis in Adult Spinal Deformity Surgery: A Comparative Cohort Study. Oper Neurosurg (Hagerstown) 2022; 22:150-157. [PMID: 35030140 DOI: 10.1227/ons.0000000000000076] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2021] [Accepted: 09/29/2021] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Proximal junctional kyphosis (PJK) and proximal junctional failure (PJF) occurred in up to 40% of patients with adult spinal deformity (ASD) who underwent open thoracolumbar fusion. Proximal stabilization techniques have been investigated to prevent PJK/PJF without conclusive results. OBJECTIVE To demonstrate reductions in PJK/PJF with multilevel stabilization screws (MLSSs). METHODS This observational longitudinal cohort study compares MLSSs with standard instrumentation. We reviewed the charts of consecutive patients with ASD undergoing open thoracolumbar fusion (>3 levels, extending cranially above T6 and caudally below L1) from 2009 to 2017 and were followed for >2 yr postoperatively. We defined PJF using the International Spine Study Group criteria and PJK as a Cobb angle increase >10°. We defined the upper instrumented vertebra as the most cephalad vertebral body with bilateral MLSSs. Confounders, MLSS-specific complications, and radiographic outcomes were collected. We evaluated comparability between groups using univariate analyses. We adjusted for covariates by using multivariable regressions modeling PJF and PJK separately with a P-value < .00625 considered significant after the Bonferroni correction. Sensitivity analysis accounted for those lost to follow-up. RESULTS Seventy-six patients (50 MLSS vs 26 controls) were included. MLSS patients were significantly older (64.5 ± 8.9 vs 54.8 ± 19.9 yr, P = .024) and had significantly lower PJF incidence (10.0% vs 30.8%, P = .023) and less kyphosis (1.3° ± 5.3° vs 5.2° ± 6.3°, P = .014). Multivariable analysis demonstrated a significant independent association between MLSSs and decreased odds of PJF (odds ratio: 0.11, 0.02-0.53, P = .006). Perioperative complications did not significantly differ between cohorts. CONCLUSION MLSSs are safe and efficacious in reducing PJF/PJK in patients with ASD undergoing open thoracolumbar fusion.
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Affiliation(s)
- Ascher Kaufmann
- Division of Neurosurgery, Ascension Providence Hospital, College of Human Medicine, Michigan State University, Southfield, Michigan, USA
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5
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Slavnic D, Tong D, Anton G, Bashiti R, Carr D, Hanson C, Lytle E, Richards B, Soo TM. Efficacy and safety with the use of Antibiotic-impregnated Poly-methyl methacrylate (AI-PMMA) for thoracolumbar spinal reconstruction in pyogenic Spondylodiscitis: Retrospective cohort study. Interdisciplinary Neurosurgery 2021. [DOI: 10.1016/j.inat.2021.101324] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023] Open
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6
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Jevtic S, Carr D, Dobrzycka-Ambrozewicz A, Kotulzca-Jozwiak K, Lvova O, Pervunina T, Petryaikina Y, Shishimorov I, Vlodavets D, Nally S, Ramos H, Borowsky B. SMA - TREATMENT. Neuromuscul Disord 2021. [DOI: 10.1016/j.nmd.2021.07.306] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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7
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Widger P, Carr D, Hills M, Reid A. A Comparison of Partial Discharge Sensors for Natural Gas Insulated High Voltage Equipment. Sensors (Basel) 2020; 20:s20164443. [PMID: 32784863 PMCID: PMC7472498 DOI: 10.3390/s20164443] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/14/2020] [Revised: 07/21/2020] [Accepted: 08/07/2020] [Indexed: 11/25/2022]
Abstract
The research in this paper consists of practical experimentation on a gas insulated section of high voltage equipment filled with carbon dioxide and technical air as a direct replacement to sulphur hexafluoride (SF6) and analyses the results of PD measurement by way of internal UHF sensors and external HFCTs. The results contribute to ongoing efforts to replace the global warming gas SF6 with an alternative such as pure carbon dioxide or technical air and are applicable to mixtures of electronegative gases that have a high content of buffer gas including carbon dioxide. The experiments undertaken involved filling a full-scale gas insulated line demonstrator with different pressures of CO2 or technical air and applying voltages up to 242 kV in both clean conditions and particle contaminated conditions. The results show that carbon dioxide and technical air can insulate a gas section normally insulated with SF6 at phase-to-earth voltage of 242 kV and that both HFCT and UHF sensors can be used to detect partial discharge with natural gases. The internal UHF sensors show the most accurate PD location results but external HFCTs offer a good compromise and very similar location accuracy.
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8
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Carr D, Davies P, Loubeau A, Rathsam J, Klos J. Influences of low-frequency energy and testing environment on annoyance responses to supersonic aircraft noise when heard indoors. J Acoust Soc Am 2020; 148:414. [PMID: 32752738 DOI: 10.1121/10.0001571] [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] [Subscribe] [Scholar Register] [Received: 11/21/2019] [Accepted: 06/25/2020] [Indexed: 06/11/2023]
Abstract
The research reported is part of a larger effort to develop models to predict community response to transient sounds, including sonic booms. Such models can be used along with aircraft sound predictions to guide the design of supersonic aircraft to produce generally acceptable sounds. A test was conducted to examine the influence of low frequencies on people's responses to recorded and simulated booms and other environmental transients, heard indoors over earphones. The results of this test and a companion test conducted in a sonic boom simulator were compared to see if the playback environment affected responses. Annoyance models were also examined. E-weighted Sound Exposure level (ESEL) was the sound metric most highly correlated to mean annoyance with B-weighted Sound Exposure Level (BSEL) and Perceived Level performing similarly. Predictions were improved by including Heaviness, Duration, and rate of change of Loudness in models with a loudness metric. Models were also estimated by using the average responses from both tests and metrics generated from outdoor versions of the sounds. These models also produced accurate annoyance predictions. BSEL was the best single-metric predictor, with ESEL close behind. Including Heaviness, Duration, and rate of change of Loudness resulted in R2 values as high as 0.90.
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Affiliation(s)
- Daniel Carr
- Ray W. Herrick Laboratories, School of Mechanical Engineering, Purdue University, 177 South Russell Street, West Lafayette, Indiana 47907-2099, USA
| | - Patricia Davies
- Ray W. Herrick Laboratories, School of Mechanical Engineering, Purdue University, 177 South Russell Street, West Lafayette, Indiana 47907-2099, USA
| | - Alexandra Loubeau
- National Aeronautics and Space Administration (NASA) Langley Research Center, MailStop 463, 2 North Dryden Street, Hampton, Virginia 23681-2110, USA
| | - Jonathan Rathsam
- National Aeronautics and Space Administration (NASA) Langley Research Center, MailStop 463, 2 North Dryden Street, Hampton, Virginia 23681-2110, USA
| | - Jacob Klos
- National Aeronautics and Space Administration (NASA) Langley Research Center, MailStop 463, 2 North Dryden Street, Hampton, Virginia 23681-2110, USA
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9
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Turner RM, Fontana V, Zhang JE, Carr D, Yin P, FitzGerald R, Morris AP, Pirmohamed M. A Genome-wide Association Study of Circulating Levels of Atorvastatin and Its Major Metabolites. Clin Pharmacol Ther 2020; 108:287-297. [PMID: 32128760 DOI: 10.1002/cpt.1820] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2019] [Accepted: 01/28/2020] [Indexed: 01/03/2023]
Abstract
Atorvastatin (ATV) is frequently prescribed and generally well tolerated, but can lead to myotoxicity, especially at higher doses. A genome-wide association study of circulating levels of ATV, 2-hydroxy (2-OH) ATV, ATV lactone (ATV L), and 2-OH ATV L was performed in 590 patients who had been hospitalized with a non-ST elevation acute coronary syndrome 1 month earlier and were on high-dose ATV (80 mg or 40 mg daily). The UGT1A locus (lead single nucleotide polymorphism, rs887829) was strongly associated with both increased 2-OH ATV/ATV (P = 7.25 × 10-16 ) and 2-OH ATV L/ATV L (P = 3.95 × 10-15 ) metabolic ratios. Moreover, rs45446698, which tags CYP3A7*1C, was nominally associated with increased 2-OH ATV/ATV (P = 6.18 × 10-7 ), and SLCO1B1 rs4149056 with increased ATV (P = 2.21 × 10-6 ) and 2-OH ATV (P = 1.09 × 10-6 ) levels. In a subset of these patients whose levels of ATV and metabolites had also been measured at 12 months after hospitalization (n = 149), all of these associations remained, except for 2-OH ATV and rs4149056 (P = 0.057). Clinically, rs4149056 was associated with increased muscular symptoms (odds ratio (OR) 3.97; 95% confidence interval (CI) 1.29-12.27; P = 0.016) and ATV intolerance (OR 1.55; 95% CI 1.09-2.19; P = 0.014) in patients (n = 870) primarily discharged on high-dose ATV. In summary, both novel and recognized genetic associations have been identified with circulating levels of ATV and its major metabolites. Further study is warranted to determine the clinical utility of genotyping rs4149056 in patients on high-dose ATV.
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Affiliation(s)
- Richard M Turner
- Department of Molecular and Clinical Pharmacology, University of Liverpool, Liverpool, UK
| | - Vanessa Fontana
- Department of Molecular and Clinical Pharmacology, University of Liverpool, Liverpool, UK
| | - Jieying E Zhang
- Department of Molecular and Clinical Pharmacology, University of Liverpool, Liverpool, UK
| | - Daniel Carr
- Department of Molecular and Clinical Pharmacology, University of Liverpool, Liverpool, UK
| | - Peng Yin
- Department of Biostatistics, University of Liverpool, Liverpool, UK.,Chinese Academy of Sciences, Shenzhen Institutes of Advanced Technology, Shenzhen, China
| | - Richard FitzGerald
- Department of Molecular and Clinical Pharmacology, University of Liverpool, Liverpool, UK
| | - Andrew P Morris
- Department of Biostatistics, University of Liverpool, Liverpool, UK.,Division of Musculoskeletal and Dermatological Sciences, University of Manchester, Manchester, UK
| | - Munir Pirmohamed
- Department of Molecular and Clinical Pharmacology, University of Liverpool, Liverpool, UK
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Peters T, Jevtic S, Carr D, Kieloch A, Valentin M, Dobrzycka-Ambrozevicz A, Kotulska-Jóźwiak K, Litvinenko I, Lvova O, Pervunina T, Petryaikina E, Shishimorov I, Vlodavets D, Kakarieka A. P.274Serum neurofilament light chain in type 1 spinal muscular atrophy: second part of a branaplam phase II study. Neuromuscul Disord 2019. [DOI: 10.1016/j.nmd.2019.06.388] [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: 10/25/2022]
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11
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Slavnic D, Carr D, Tong D, Houseman C. Reconstruction of a Thoracic Spine Epithelioid Hemangioendothelioma with Antibiotic Impregnated Poly-methyl Methacrylate: A Case Report. Cureus 2019; 11:e5713. [PMID: 31720181 PMCID: PMC6823094 DOI: 10.7759/cureus.5713] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
A 58-year-old female presented to the hospital with respiratory distress several days after a right hallux amputation. A new lytic lesion within the fourth thoracic (T4) vertebral body and mediastinal lymphadenopathy was noted on chest computed tomography scan. A bone biopsy was performed, revealing bone and collagenous fragments only. Two months later, new imaging revealed approximately 60% lytic destruction of the T4 vertebral body with new right pedicle involvement. Surgical treatment was offered. Intraoperative frozen pathology indicated a hemangioma. An intralesional debulking and stabilization was performed. The right T4 nerve was sacrificed to gain access to the entire vertebral body. Curettage was then used to push the tumor away from the spinal canal into the vertebral body. The spine was reconstructed with 5-10mm beads of Simplex P bone cement (Stryker®, Kalamazoo, MI) which contained 40 grams of poly-methyl methacrylate and 1 gram of tobramycin. Five months after resection, the patient presented with computed tomography and magnetic resonance imaging findings of recurrent disease at T4 and spread to the adjacent T5 vertebral body with lytic changes. At 18 months following her second debulking surgery and radiation treatment, the patient was doing well with no pain or numbness. Long-term imaging compared to the patient’s preoperative imaging displayed improvement in spinal debulking with minimal residual enhancement of tumor despite significant artifact.
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Affiliation(s)
- Dejan Slavnic
- Neurosurgery, Ascension Providence Hospital, Michigan State University, College of Human Medicine, Southfield, USA
| | - Daniel Carr
- Neurosurgery, Ascension Providence Hospital, Michigan State University, College of Human Medicine, Southfield, USA
| | - Doris Tong
- Neurosurgery, Ascension Providence Hospital, Michigan State University, College of Human Medicine, Southfield, USA
| | - Clifford Houseman
- Neurosurgery, Ascension Providence Hospital, Michigan State University, College of Human Medicine, Southfield, USA
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12
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Mitchard D, Clark D, Carr D, Stone C, Haddad A. Method for Recording Broadband High Resolution Emission Spectra of Laboratory Lightning Arcs. J Vis Exp 2019. [PMID: 31524865 DOI: 10.3791/56336] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
Abstract
Lightning is one of the most common and destructive forces in nature and has long been studied using spectroscopic techniques, first with traditional camera film methods and then digital camera technology, from which several important characteristics have been derived. However, such work has always been limited due to the inherently random and non-repeatable nature of natural lightning events in the field. Recent developments in lightning test facilities now allow the reproducible generation of lightning arcs within controlled laboratory environments, providing a test bed for the development of new sensors and diagnostic techniques to understand lightning mechanisms better. One such technique is a spectroscopic system using digital camera technology capable of identifying the chemical elements with which the lightning arc interacts, with these data then being used to derive further characteristics. In this paper, the spectroscopic system is used to obtain the emission spectrum from a 100 kA peak, 100 µs duration lightning arc generated across a pair of hemispherical tungsten electrodes separated by a small air gap. To maintain a spectral resolution of less than 1 nm, several individual spectra were recorded across discrete wavelength ranges, averaged, stitched, and corrected to produce a final composite spectrum in the 450 nm (blue light) to 890 nm (near infrared light) range. Characteristic peaks within the data were then compared to an established publicly available database to identify the chemical element interactions. This method is readily applicable to a variety of other light emitting events, such as fast electrical discharges, partial discharges, and sparking in electrical equipment, apparatus, and systems.
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Affiliation(s)
- D Mitchard
- Morgan-Botti Lightning Laboratory, Advanced High Voltage Research Centre, School of Engineering, Cardiff University;
| | - D Clark
- Morgan-Botti Lightning Laboratory, Advanced High Voltage Research Centre, School of Engineering, Cardiff University
| | - D Carr
- Morgan-Botti Lightning Laboratory, Advanced High Voltage Research Centre, School of Engineering, Cardiff University
| | - C Stone
- Morgan-Botti Lightning Laboratory, Advanced High Voltage Research Centre, School of Engineering, Cardiff University
| | - A Haddad
- Morgan-Botti Lightning Laboratory, Advanced High Voltage Research Centre, School of Engineering, Cardiff University
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13
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Affiliation(s)
- Daniel Carr
- Daniel Carr and Michael Schatman are with the Program on Pain Research, Education and Policy, Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston, MA. Daniel Carr is a guest editor for this special section
| | - Michael Schatman
- Daniel Carr and Michael Schatman are with the Program on Pain Research, Education and Policy, Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston, MA. Daniel Carr is a guest editor for this special section
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Carr D, Cook RF, Bahoura M, Tong D, Soo T. Two-Level Spontaneous Pedicle Fracture above a Degenerative Spondylolisthesis and Minimally Invasive Treatment. Asian J Neurosurg 2018; 13:1279-1281. [PMID: 30459917 PMCID: PMC6208236 DOI: 10.4103/ajns.ajns_109_18] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
This is a case report and literature review. The objectives of the study are to describe minimally invasive treatment of pedicle fractures, to show contralateral pedicle changes with pedicle fracture treatment, and to review literature on incidence and mechanism of neural arch fractures. After conservative therapy, there are several options for the treatment of pedicle fractures including pediculoplasty, osteosynthesis, or fusion. As patients’ age increases, the incidence of pedicle fracture may rise and minimally invasive pedicle screw treatment represents a good motion-preserving option to stabilize without fusion. We report a patient with spontaneous pedicle fractures above a degenerative spondylolisthesis and evidence of contralateral pedicle changes at L2 and L3. After minimally invasive pedicle screw placement, postoperative imaging demonstrated trabeculation across both L2 and L3 fractures with a resolution of contralateral pedicle sclerotic changes and healing of incompletely fracture contralateral pedicle at L2. Pedicle fractures lead to contralateral pedicle sclerotic changes and potential fracture and may cause significant back pain. Stabilization and healing of the neural arch can be achieved with minimally invasive placement of pedicle screws without need for fusion.
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Affiliation(s)
- Daniel Carr
- Department of Surgery, Section of Neurosurgery, Providence-Providence Park Hospital, Southfield, Michigan, USA
| | - Richard Floyd Cook
- Department of Surgery, Section of Neurosurgery, Providence-Providence Park Hospital, Southfield, Michigan, USA
| | - Matthew Bahoura
- Department of Surgery, Section of Neurosurgery, Providence-Providence Park Hospital, Southfield, Michigan, USA
| | - Doris Tong
- Department of Surgery, Section of Neurosurgery, Providence-Providence Park Hospital, Southfield, Michigan, USA
| | - Teck Soo
- Department of Surgery, Section of Neurosurgery, Providence-Providence Park Hospital, Southfield, Michigan, USA
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Ramirez L, Carr D, Taylor M. EDUCATIONAL DISCORDANCE FROM PARENTS AND LIFE SATISFACTION AMONG OLDER WHITE, BLACK, AND HISPANIC AMERICANS. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.1743] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Carr D, Groen J, Burgard S. EARLY-LIFE INFLUENCES ON MID- AND LATER-LIFE WELL-BEING: NEW EVIDENCE FROM THE NLSY79. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.1229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- D Carr
- Boston University, Boston, Massachusetts
| | - J Groen
- Bureau of Labor Statistics, Washington, District of Columbia
| | - S Burgard
- University of Michigan, Ann Arbor, Michigan
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Wang Y, Matz-Costa C, Miller J, Carr D, Kohlbacher F. USES AND GRATIFICATIONS SOUGHT FROM MOBILE PHONE USE AND LONELINESS AMONG JAPANESE MIDDLE-AGED AND OLDER ADULTS. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.2096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- Y Wang
- Boston College School of Social Work, Brighton, Massachusetts, United States
| | - C Matz-Costa
- Boston College School of Social Work, Chestnut Hill, MA, USA
| | - J Miller
- Boston College School of Social Work, Chestnut Hill, MA, USA
| | - D Carr
- Florida State University, Tallahassee, FL, USA
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Carr D. CLEARING THE FIRST HURDLE: TIPS FOR GETTING AN “R&R” INVITATION. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.839] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- D Carr
- Boston University, Boston, Massachusetts, United States
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Carr D, Sachs-Ericsson N, Taylor M. COMBAT EXPOSURE AND LIFE SATISFACTION IN OLDER VETERANS: THE MODERATING ROLE OF THE QUALITY OF MATERNAL RELATIONSHIP. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.1403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Jasper A, Gilligan M, Carr D. ROMANTIC RELATIONSHIPS AND WELL-BEING IN LATER LIFE. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.2158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- A Jasper
- Iowa State University, Ames, Iowa
| | | | - D Carr
- Boston University, Boston, Massachusetts
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Carr D. JOURNAL OF GERONTOLOGY: SOCIAL SCIENCES—GLOBAL SCHOLARSHIP CHALLENGES AND OPPORTUNITIES. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.3270] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- D Carr
- Boston University, Boston, Massachusetts, United States
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Yamashita T, Carr D, Keene J. INFORMAL VOLUNTEERING AND SUBJECTIVE WELL-BEING DURING LATER LIFE IN THE U.S. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.1717] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
| | | | - J Keene
- University of Nevada Las Vegas
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King B, Taylor M, Carr D. IMPACTS RELATED TO PHYSICAL IMPAIRMENT FOLLOWING SPOUSAL LOSS. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Carr D, Rapoport M. A SYSTEMATIC REVIEW OF THE RISK OF MOTOR VEHICLE COLLISION AND DEMENTIA. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.2275] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- D Carr
- Washington University, St Louis, St Louis, Minnesota, United States
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Isaacowitz D, Newman A, Carr D, Pruchno R, Sands L, McNamara S. HOW TO PUBLISH: ROUND TABLE DISCUSSIONS WITH JOURNAL EDITORS. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.842] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- D Isaacowitz
- Northeastern University, Boston, Massachusetts, United States
| | - A Newman
- University of Pittsburgh, Pittsburgh, PA, USA; Editor, The Journals of Gerontology: Medical Sciences, The Gerontological Society of America, Washington, DC, USA
| | - D Carr
- Boston University, Boston, MA, USA
| | - R Pruchno
- Rowan University, Stratford, NJ, USA
| | - L Sands
- Virginia Tech, Blacksburg, VA, USA
| | - S McNamara
- Oxford University Press, New York, NY, USA
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Brown SL, Carr D. LATER-LIFE PARTNERSHIP AND WELL-BEING. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.665] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- S L Brown
- Bowling Green State University, Bowling Green, Ohio
| | - D Carr
- Boston University, Boston, Massachusetts
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Carr D, Cook R, Tong D, Bahoura M, Kanack J, Sobilo A, Falatko S, Walters BC, Barrett R. Kyphoplasty patient-centered outcomes via questionnaire. J Spine Surg 2018; 4:328-332. [PMID: 30069525 DOI: 10.21037/jss.2018.05.24] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Background To assess patient centered outcomes among adults with compression fractures treated by kyphoplasty. Methods A 3-question survey was administered via telephone to patients who had a kyphoplasty procedure performed from 2008-2011. Results One hundred fifty-one patients completed the telephone satisfaction survey. Of these, 95.4% of respondents said the procedure was tolerable, 82.8% had full or partial pain relief and 66.2% would have the procedure again. Conclusions Large randomized and observational evidence support the use of kyphoplasty in osteoporotic and malignant compression fractures. Based on our survey, patients believe kyphoplasty is a tolerable procedure that produces full or partial pain relief and would undergo the procedure again if needed.
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Affiliation(s)
- Daniel Carr
- Department of Surgery, Section of Neurosurgery, St John Providence Hospital, Southfield, MI, USA
| | - Richard Cook
- Department of Surgery, Section of Neurosurgery, St John Providence Hospital, Southfield, MI, USA
| | - Doris Tong
- Department of Surgery, Section of Neurosurgery, St John Providence Hospital, Southfield, MI, USA.,Michigan Spine and Brain Surgeons, Southfield, MI, USA
| | | | - Jennifer Kanack
- Department of Surgery, Section of Neurosurgery, St John Providence Hospital, Southfield, MI, USA
| | - Alicja Sobilo
- Department of Surgery, Section of Neurosurgery, St John Providence Hospital, Southfield, MI, USA
| | - Stephanie Falatko
- Department of Surgery, Section of Neurosurgery, St John Providence Hospital, Southfield, MI, USA
| | - Beverly C Walters
- Department of Neurosurgery, University of Alabama at Birmingham, Birmingham, USA
| | - Ryan Barrett
- Department of Surgery, Section of Neurosurgery, St John Providence Hospital, Southfield, MI, USA.,Michigan Spine and Brain Surgeons, Southfield, MI, USA
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Carr D, Moen P, Perry-Jenkins M, Powell L, Smyer M, Wilson L. FISCAL VULNERABILITY AND ADJUSTMENT TO RETIREMENT. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.4256] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- D. Carr
- Sociology, Florida State University, Tallahassee, Florida,
| | - P. Moen
- University of Minnesota, Minneapolis, Minnesota,
| | | | | | - M. Smyer
- Bucknell University, Lewisburg, Pennsylvania,
| | - L.B. Wilson
- University of Maryland, College Park, Maryland
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Carr D, Latham-Mintus K. TIME USE AMONG OLDER ADULTS: DIFFERENTIALS AND IMPLICATIONS FOR WELL-BEING. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- D. Carr
- Rutgers University, New Brunswick, New Jersey
| | - K. Latham-Mintus
- Indiana University-Purdue University--Indianapolis, Indianapolis, Indiana
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Carr D, Kail B, Calvo R. ETHNORACIAL DISPARITIES IN ADJUSTMENT TO RETIREMENT: THE HISPANIC ADVANTAGE. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.3574] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- D. Carr
- Sociology, Florida State University, Tallahassee, Florida,
| | - B. Kail
- Georgia State University, Atlanta, Georgia
| | - R. Calvo
- Boston College, Boston, Massachusetts,
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Carr D. JOURNAL OF GERONTOLOGY: SOCIAL SCIENCES —GLOBAL SCHOLARSHIP CHALLENGES AND OPPORTUNITIES. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.3471] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- D. Carr
- Rutgers University, New Brunswick, New Jersey
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Zwetchkenbaum S, Carr D. PSYCHOSOCIAL INFLUENCES ON ORAL HEALTH AMONG OLDER ADULTS IN THE U.S.: DATA RESOURCES AND CHALLENGES. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.2292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
| | - D. Carr
- Rutgers University, New Brunswick, New Jersey,
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Carr D, O’Neill G. ORAL HEALTH IN LATER LIFE: RESEARCH CHALLENGES, OPPORTUNITIES, AND INNOVATIONS. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.2290] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- D. Carr
- Rutgers University, New Brunswick, New Jersey
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Urena S, Taylor M, Carr D. THE ROLE OF EDUCATION AND RESILIENCE IN MENTAL HEALTH TRAJECTORIES OF AGING VETERANS. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.3102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- S. Urena
- Sociology, Florida State University, Tallahassee, Florida
| | - M.G. Taylor
- Sociology, Florida State University, Tallahassee, Florida
| | - D. Carr
- Sociology, Florida State University, Tallahassee, Florida
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Mirza N, Vasieva O, Appleton R, Burn S, Carr D, Crooks D, du Plessis D, Duncan R, Farah JO, Josan V, Miyajima F, Mohanraj R, Shukralla A, Sills GJ, Marson AG, Pirmohamed M. An integrative in silico system for predicting dysregulated genes in the human epileptic focus: Application to SLC transporters. Epilepsia 2016; 57:1467-74. [PMID: 27421837 DOI: 10.1111/epi.13473] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/20/2016] [Indexed: 11/29/2022]
Abstract
OBJECTIVE Many different gene families are currently being investigated for their potential role in epilepsy and in the response to antiepileptic drugs. A common research challenge is identifying the members of a gene family that are most significantly dysregulated within the human epileptic focus, before taking them forward for resource-intensive functional studies. Published data about transcriptomic changes within the human epileptic focus remains incomplete. A need exists for an accurate in silico system for the prediction of dysregulated genes within the epileptic focus. We present such a bioinformatic system. We demonstrate the validity of our approach by applying it to the solute carrier (SLC) gene family. There are >400 known SLCs. SLCs have never been systematically studied in epilepsy. METHODS Using our in silico system, we predicted the SLCs likely to be dysregulated in the epileptic focus. We validated our in silico predictions by identifying ex vivo the SLCs dysregulated in epileptic foci, and determining the overlap between our in silico and ex vivo results. For the ex vivo analysis, we used a custom oligonucleotide microarray containing exon probes for all known SLCs to analyze 24 hippocampal samples obtained from surgery for pharmacoresistant mesial temporal lobe epilepsy and 24 hippocampal samples from normal postmortem controls. RESULTS There was a highly significant (p < 9.99 × 10(-7) ) overlap between the genes identified by our in silico and ex vivo strategies. The SLCs identified were either metal ion exchangers or neurotransmitter transporters, which are likely to play a part in epilepsy by influencing neuronal excitability. SIGNIFICANCE The identified SLCs are most likely to mediate pharmacoresistance in epilepsy by enhancing the intrinsic severity of epilepsy, but further functional work will be needed to fully evaluate their role. Our successful in silico strategy can be adapted in order to prioritize genes relevant to epilepsy from other gene families.
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Affiliation(s)
- Nasir Mirza
- Department of Molecular & Clinical Pharmacology, University of Liverpool, Liverpool, United Kingdom
| | - Olga Vasieva
- Institute of Integrative Biology, University of Liverpool, Liverpool, United Kingdom
| | - Richard Appleton
- The Roald Dahl EEG Unit, Paediatric Neurosciences Foundation, Alder Hey Children's NHS Foundation Trust, Liverpool, United Kingdom
| | - Sasha Burn
- Department of Neurosurgery, Alder Hey Children's NHS Foundation Trust, Liverpool, United Kingdom
| | - Daniel Carr
- Department of Molecular & Clinical Pharmacology, University of Liverpool, Liverpool, United Kingdom
| | - Daniel Crooks
- Department of Neuropathology, The Walton Centre NHS Foundation Trust, Liverpool, United Kingdom
| | - Daniel du Plessis
- Department of Cellular Pathology, Salford Royal NHS Foundation Trust, Salford, United Kingdom
| | - Roderick Duncan
- Department of Neurology, Christchurch Hospital, Christchurch, New Zealand
| | - Jibril Osman Farah
- Department of Neurosurgery, The Walton Centre NHS Foundation Trust, Liverpool, United Kingdom
| | - Vivek Josan
- Department of Neurosurgery, Salford Royal NHS Foundation Trust, Salford, United Kingdom
| | - Fabio Miyajima
- Department of Molecular & Clinical Pharmacology, University of Liverpool, Liverpool, United Kingdom
| | - Rajiv Mohanraj
- Department of Neurology, Salford Royal NHS Foundation Trust, Salford, United Kingdom
| | - Arif Shukralla
- Department of Neurology, Salford Royal NHS Foundation Trust, Salford, United Kingdom
| | - Graeme J Sills
- Department of Molecular & Clinical Pharmacology, University of Liverpool, Liverpool, United Kingdom
| | - Anthony G Marson
- Department of Molecular & Clinical Pharmacology, University of Liverpool, Liverpool, United Kingdom
| | - Munir Pirmohamed
- Department of Molecular & Clinical Pharmacology, University of Liverpool, Liverpool, United Kingdom
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Abstract
A common assumption in the study of the relationship between human vision and the visual environment is that human vision has developed in order to encode the incident information in an optimal manner. Such arguments have been used to support the 1/f dependence of scene content as a function of spatial frequency. In keeping with this assumption, we ask whether there are any important differences between the luminance and (r/g) chrominance Fourier spectra of natural scenes, the simple expectation being that the chrominance spectrum should be relatively richer in low spatial frequencies than the luminance spectrum, to correspond with the different shape of luminance and chrominance contrast sensitivity functions. We analysed a data set of 29 images of natural scenes (predominantly of vegetation at different distances) which were obtained with a hyper-spectral camera (measuring the scene through a set of 31 wavelength bands in the range 400 – 700 nm). The images were transformed to the three Smith — Pokorny cone fundamentals, and further transformed into ‘luminance’ (r+g) and ‘chrominance’ (r-g) images, with various assumptions being made about the relative weighting of the r and g components, and the form of the chrominance response. We then analysed the Fourier spectra of these images using logarithmic intervals in spatial frequency space. This allowed a determination of the total energy within each Fourier band for each of the luminance and chrominance representations. The results strongly indicate that, for the set of scenes studied here, there was no evidence of a predominance of low-spatial-frequency chrominance information. Two classes of explanation are possible: (a) that raw Fourier content may not be the main organising principle determining visual encoding of colour, and/or (b) that our scenes were atypical of what may have driven visual evolution. We present arguments in favour of both of these propositions.
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Sunshine AB, Ong GT, Nickerson DP, Carr D, Murakami CJ, Wasko BM, Shemorry A, Merz AJ, Kaeberlein M, Dunham MJ. Aneuploidy shortens replicative lifespan in Saccharomyces cerevisiae. Aging Cell 2016; 15:317-24. [PMID: 26762766 PMCID: PMC4783355 DOI: 10.1111/acel.12443] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/16/2015] [Indexed: 11/28/2022] Open
Abstract
Aneuploidy and aging are correlated; however, a causal link between these two phenomena has remained elusive. Here, we show that yeast disomic for a single native yeast chromosome generally have a decreased replicative lifespan. In addition, the extent of this lifespan deficit correlates with the size of the extra chromosome. We identified a mutation in BUL1 that rescues both the lifespan deficit and a protein trafficking defect in yeast disomic for chromosome 5. Bul1 is an E4 ubiquitin ligase adaptor involved in a protein quality control pathway that targets membrane proteins for endocytosis and destruction in the lysosomal vacuole, thereby maintaining protein homeostasis. Concurrent suppression of the aging and trafficking phenotypes suggests that disrupted membrane protein homeostasis in aneuploid yeast may contribute to their accelerated aging. The data reported here demonstrate that aneuploidy can impair protein homeostasis, shorten lifespan, and may contribute to age-associated phenotypes.
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Affiliation(s)
- Anna B. Sunshine
- Department of Genome SciencesUniversity of WashingtonFoege Building, Room S403B, 3720 15th Ave NE, Box 355065SeattleWA98195‐5065USA
| | - Giang T. Ong
- Department of Genome SciencesUniversity of WashingtonFoege Building, Room S403B, 3720 15th Ave NE, Box 355065SeattleWA98195‐5065USA
| | - Daniel P. Nickerson
- Departments of Biochemistry and Physiology and BiophysicsUniversity of WashingtonRoom HSB J‐355, 1705 NE Pacific St, UW box 357350SeattleWA98195‐7350USA
| | - Daniel Carr
- Department of PathologyUniversity of WashingtonRoom HSB D‐514, 1705 NE Pacific St, Box 357470SeattleWA98195‐7470USA
| | - Christopher J. Murakami
- Department of PathologyUniversity of WashingtonRoom HSB D‐514, 1705 NE Pacific St, Box 357470SeattleWA98195‐7470USA
| | - Brian M. Wasko
- Department of PathologyUniversity of WashingtonRoom HSB D‐514, 1705 NE Pacific St, Box 357470SeattleWA98195‐7470USA
| | - Anna Shemorry
- Department of PathologyUniversity of WashingtonRoom HSB D‐514, 1705 NE Pacific St, Box 357470SeattleWA98195‐7470USA
| | - Alexey J. Merz
- Departments of Biochemistry and Physiology and BiophysicsUniversity of WashingtonRoom HSB J‐355, 1705 NE Pacific St, UW box 357350SeattleWA98195‐7350USA
| | - Matt Kaeberlein
- Department of PathologyUniversity of WashingtonRoom HSB D‐514, 1705 NE Pacific St, Box 357470SeattleWA98195‐7470USA
| | - Maitreya J. Dunham
- Department of Genome SciencesUniversity of WashingtonFoege Building, Room S403B, 3720 15th Ave NE, Box 355065SeattleWA98195‐5065USA
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McCormick MA, Delaney JR, Tsuchiya M, Tsuchiyama S, Shemorry A, Sim S, Chou ACZ, Ahmed U, Carr D, Murakami CJ, Schleit J, Sutphin GL, Wasko BM, Bennett CF, Wang AM, Olsen B, Beyer RP, Bammler TK, Prunkard D, Johnson SC, Pennypacker JK, An E, Anies A, Castanza AS, Choi E, Dang N, Enerio S, Fletcher M, Fox L, Goswami S, Higgins SA, Holmberg MA, Hu D, Hui J, Jelic M, Jeong KS, Johnston E, Kerr EO, Kim J, Kim D, Kirkland K, Klum S, Kotireddy S, Liao E, Lim M, Lin MS, Lo WC, Lockshon D, Miller HA, Moller RM, Muller B, Oakes J, Pak DN, Peng ZJ, Pham KM, Pollard TG, Pradeep P, Pruett D, Rai D, Robison B, Rodriguez AA, Ros B, Sage M, Singh MK, Smith ED, Snead K, Solanky A, Spector BL, Steffen KK, Tchao BN, Ting MK, Vander Wende H, Wang D, Welton KL, Westman EA, Brem RB, Liu XG, Suh Y, Zhou Z, Kaeberlein M, Kennedy BK. A Comprehensive Analysis of Replicative Lifespan in 4,698 Single-Gene Deletion Strains Uncovers Conserved Mechanisms of Aging. Cell Metab 2015; 22:895-906. [PMID: 26456335 PMCID: PMC4862740 DOI: 10.1016/j.cmet.2015.09.008] [Citation(s) in RCA: 165] [Impact Index Per Article: 18.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/29/2015] [Revised: 07/31/2015] [Accepted: 09/08/2015] [Indexed: 02/05/2023]
Abstract
Many genes that affect replicative lifespan (RLS) in the budding yeast Saccharomyces cerevisiae also affect aging in other organisms such as C. elegans and M. musculus. We performed a systematic analysis of yeast RLS in a set of 4,698 viable single-gene deletion strains. Multiple functional gene clusters were identified, and full genome-to-genome comparison demonstrated a significant conservation in longevity pathways between yeast and C. elegans. Among the mechanisms of aging identified, deletion of tRNA exporter LOS1 robustly extended lifespan. Dietary restriction (DR) and inhibition of mechanistic Target of Rapamycin (mTOR) exclude Los1 from the nucleus in a Rad53-dependent manner. Moreover, lifespan extension from deletion of LOS1 is nonadditive with DR or mTOR inhibition, and results in Gcn4 transcription factor activation. Thus, the DNA damage response and mTOR converge on Los1-mediated nuclear tRNA export to regulate Gcn4 activity and aging.
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Affiliation(s)
- Mark A McCormick
- Buck Institute for Research on Aging, 8001 Redwood Boulevard, Novato, CA 94945, USA
| | - Joe R Delaney
- Department of Pathology, University of Washington, Seattle, WA 98195, USA; Molecular and Cellular Biology Program, University of Washington, Seattle, WA 98195, USA
| | - Mitsuhiro Tsuchiya
- Buck Institute for Research on Aging, 8001 Redwood Boulevard, Novato, CA 94945, USA
| | - Scott Tsuchiyama
- Buck Institute for Research on Aging, 8001 Redwood Boulevard, Novato, CA 94945, USA
| | - Anna Shemorry
- Department of Pathology, University of Washington, Seattle, WA 98195, USA
| | - Sylvia Sim
- Department of Pathology, University of Washington, Seattle, WA 98195, USA
| | | | - Umema Ahmed
- Department of Pathology, University of Washington, Seattle, WA 98195, USA
| | - Daniel Carr
- Department of Pathology, University of Washington, Seattle, WA 98195, USA
| | | | - Jennifer Schleit
- Department of Pathology, University of Washington, Seattle, WA 98195, USA
| | - George L Sutphin
- Department of Pathology, University of Washington, Seattle, WA 98195, USA; Molecular and Cellular Biology Program, University of Washington, Seattle, WA 98195, USA
| | - Brian M Wasko
- Department of Pathology, University of Washington, Seattle, WA 98195, USA
| | - Christopher F Bennett
- Department of Pathology, University of Washington, Seattle, WA 98195, USA; Molecular and Cellular Biology Program, University of Washington, Seattle, WA 98195, USA
| | - Adrienne M Wang
- Department of Pathology, University of Washington, Seattle, WA 98195, USA
| | - Brady Olsen
- Department of Pathology, University of Washington, Seattle, WA 98195, USA
| | - Richard P Beyer
- Department of Occupational and Environmental Health Sciences, University of Washington, Seattle, WA 98195, USA
| | - Theodor K Bammler
- Department of Occupational and Environmental Health Sciences, University of Washington, Seattle, WA 98195, USA
| | - Donna Prunkard
- Department of Pathology, University of Washington, Seattle, WA 98195, USA
| | - Simon C Johnson
- Department of Pathology, University of Washington, Seattle, WA 98195, USA
| | | | - Elroy An
- Department of Pathology, University of Washington, Seattle, WA 98195, USA
| | - Arieanna Anies
- Buck Institute for Research on Aging, 8001 Redwood Boulevard, Novato, CA 94945, USA
| | - Anthony S Castanza
- Department of Pathology, University of Washington, Seattle, WA 98195, USA
| | - Eunice Choi
- Department of Pathology, University of Washington, Seattle, WA 98195, USA
| | - Nick Dang
- Department of Pathology, University of Washington, Seattle, WA 98195, USA
| | - Shiena Enerio
- Buck Institute for Research on Aging, 8001 Redwood Boulevard, Novato, CA 94945, USA
| | - Marissa Fletcher
- Department of Pathology, University of Washington, Seattle, WA 98195, USA
| | - Lindsay Fox
- Department of Biochemistry, University of Washington, Seattle, WA 98195, USA
| | - Sarani Goswami
- Department of Pathology, University of Washington, Seattle, WA 98195, USA
| | - Sean A Higgins
- Department of Pathology, University of Washington, Seattle, WA 98195, USA
| | - Molly A Holmberg
- Molecular and Cellular Biology Program, University of Washington, Seattle, WA 98195, USA
| | - Di Hu
- Molecular and Cellular Biology Program, University of Washington, Seattle, WA 98195, USA
| | - Jessica Hui
- Department of Pathology, University of Washington, Seattle, WA 98195, USA
| | - Monika Jelic
- Molecular and Cellular Biology Program, University of Washington, Seattle, WA 98195, USA
| | - Ki-Soo Jeong
- Department of Pathology, University of Washington, Seattle, WA 98195, USA
| | - Elijah Johnston
- Department of Pathology, University of Washington, Seattle, WA 98195, USA
| | - Emily O Kerr
- Department of Pathology, University of Washington, Seattle, WA 98195, USA
| | - Jin Kim
- Molecular and Cellular Biology Program, University of Washington, Seattle, WA 98195, USA
| | - Diana Kim
- Molecular and Cellular Biology Program, University of Washington, Seattle, WA 98195, USA
| | - Katie Kirkland
- Department of Pathology, University of Washington, Seattle, WA 98195, USA
| | - Shannon Klum
- Department of Pathology, University of Washington, Seattle, WA 98195, USA
| | - Soumya Kotireddy
- Department of Biochemistry, University of Washington, Seattle, WA 98195, USA
| | - Eric Liao
- Molecular and Cellular Biology Program, University of Washington, Seattle, WA 98195, USA
| | - Michael Lim
- Molecular and Cellular Biology Program, University of Washington, Seattle, WA 98195, USA
| | - Michael S Lin
- Department of Pathology, University of Washington, Seattle, WA 98195, USA
| | - Winston C Lo
- Molecular and Cellular Biology Program, University of Washington, Seattle, WA 98195, USA
| | - Dan Lockshon
- Buck Institute for Research on Aging, 8001 Redwood Boulevard, Novato, CA 94945, USA
| | - Hillary A Miller
- Department of Pathology, University of Washington, Seattle, WA 98195, USA
| | - Richard M Moller
- Department of Biochemistry, University of Washington, Seattle, WA 98195, USA
| | - Brian Muller
- Molecular and Cellular Biology Program, University of Washington, Seattle, WA 98195, USA
| | - Jonathan Oakes
- Molecular and Cellular Biology Program, University of Washington, Seattle, WA 98195, USA
| | - Diana N Pak
- Department of Biochemistry, University of Washington, Seattle, WA 98195, USA
| | - Zhao Jun Peng
- Molecular and Cellular Biology Program, University of Washington, Seattle, WA 98195, USA
| | - Kim M Pham
- Department of Biochemistry, University of Washington, Seattle, WA 98195, USA
| | - Tom G Pollard
- Molecular and Cellular Biology Program, University of Washington, Seattle, WA 98195, USA
| | - Prarthana Pradeep
- Molecular and Cellular Biology Program, University of Washington, Seattle, WA 98195, USA
| | - Dillon Pruett
- Molecular and Cellular Biology Program, University of Washington, Seattle, WA 98195, USA
| | - Dilreet Rai
- Molecular and Cellular Biology Program, University of Washington, Seattle, WA 98195, USA
| | - Brett Robison
- Buck Institute for Research on Aging, 8001 Redwood Boulevard, Novato, CA 94945, USA
| | - Ariana A Rodriguez
- Buck Institute for Research on Aging, 8001 Redwood Boulevard, Novato, CA 94945, USA
| | - Bopharoth Ros
- Molecular and Cellular Biology Program, University of Washington, Seattle, WA 98195, USA
| | - Michael Sage
- Molecular and Cellular Biology Program, University of Washington, Seattle, WA 98195, USA
| | - Manpreet K Singh
- Molecular and Cellular Biology Program, University of Washington, Seattle, WA 98195, USA
| | - Erica D Smith
- Department of Biochemistry, University of Washington, Seattle, WA 98195, USA
| | - Katie Snead
- Molecular and Cellular Biology Program, University of Washington, Seattle, WA 98195, USA
| | - Amrita Solanky
- Molecular and Cellular Biology Program, University of Washington, Seattle, WA 98195, USA
| | - Benjamin L Spector
- Molecular and Cellular Biology Program, University of Washington, Seattle, WA 98195, USA
| | - Kristan K Steffen
- Department of Pathology, University of Washington, Seattle, WA 98195, USA
| | - Bie Nga Tchao
- Department of Pathology, University of Washington, Seattle, WA 98195, USA
| | - Marc K Ting
- Buck Institute for Research on Aging, 8001 Redwood Boulevard, Novato, CA 94945, USA
| | - Helen Vander Wende
- Department of Pathology, University of Washington, Seattle, WA 98195, USA
| | - Dennis Wang
- Molecular and Cellular Biology Program, University of Washington, Seattle, WA 98195, USA
| | - K Linnea Welton
- Department of Pathology, University of Washington, Seattle, WA 98195, USA
| | - Eric A Westman
- Department of Pathology, University of Washington, Seattle, WA 98195, USA
| | - Rachel B Brem
- Buck Institute for Research on Aging, 8001 Redwood Boulevard, Novato, CA 94945, USA
| | - Xin-Guang Liu
- Aging Research Institute, Guangdong Medical College, Dongguan 523808, Guangdong, P.R. China
| | - Yousin Suh
- Aging Research Institute, Guangdong Medical College, Dongguan 523808, Guangdong, P.R. China; Department of Genetics, Albert Einstein College of Medicine, New York, NY 10461, USA
| | - Zhongjun Zhou
- Department of Biochemistry, University of Hong Kong, Hong Kong
| | - Matt Kaeberlein
- Department of Pathology, University of Washington, Seattle, WA 98195, USA.
| | - Brian K Kennedy
- Buck Institute for Research on Aging, 8001 Redwood Boulevard, Novato, CA 94945, USA; Department of Biochemistry, University of Washington, Seattle, WA 98195, USA.
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Rapoport MJ, Weegar K, Kadulina Y, Bédard M, Carr D, Charlton JL, Dow J, Gillespie IA, Hawley CA, Koppel S, McCullagh S, Molnar F, Murie-Fernández M, Naglie G, O'Neill D, Shortt S, Simpson C, Tuokko HA, Vrkljan BH, Marshall S. An international study of the quality of national-level guidelines on driving with medical illness. QJM 2015; 108:859-69. [PMID: 25660605 PMCID: PMC4620729 DOI: 10.1093/qjmed/hcv038] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/23/2014] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND Medical illnesses are associated with a modest increase in crash risk, although many individuals with acute or chronic conditions may remain safe to drive, or pose only temporary risks. Despite the extensive use of national guidelines about driving with medical illness, the quality of these guidelines has not been formally appraised. AIM To systematically evaluate the quality of selected national guidelines about driving with medical illness. DESIGN A literature search of bibliographic databases and Internet resources was conducted to identify the guidelines, each of which was formally appraised. METHODS Eighteen physicians or researchers from Canada, Australia, Ireland, USA and UK appraised nine national guidelines, applying the Appraisal of Guidelines for Research and Evaluation (AGREE II) instrument. RESULTS Relative strengths were found in AGREE II scores for the domains of scope and purpose, stakeholder involvement and clarity of presentation. However, all guidelines were given low ratings on rigour of development, applicability and documentation of editorial independence. Overall quality ratings ranged from 2.25 to 5.00 out of 7.00, with modifications recommended for 7 of the guidelines. Intra-class coefficients demonstrated fair to excellent appraiser agreement (0.57-0.79). CONCLUSIONS This study represents the first systematic evaluation of national-level guidelines for determining medical fitness to drive. There is substantive variability in the quality of these guidelines, and rigour of development was a relative weakness. There is a need for rigorous, empirically derived guidance for physicians and licensing authorities when assessing driving in the medically ill.
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Affiliation(s)
- M J Rapoport
- From the Sunnybrook Health Sciences Centre, Toronto, ON M4N 3M5, Canada, University of Toronto, Toronto, ON M5S 2J7, Canada
| | - K Weegar
- Ottawa Hospital Research Institute, Ottawa, ON K1H 8M2, Canada
| | - Y Kadulina
- University of Ottawa, Ottawa, ON K1N 6N5, Canada
| | - M Bédard
- Centre for Research on Driving, Lakehead University, Thunder Bay, ON P7B 5E1, Canada, St. Joseph's Care Group, Thunder Bay, ON P7B 5G7, Canada
| | - D Carr
- Washington University in St. Louis, St. Louis, MO 63130, USA
| | - J L Charlton
- Monash University Accident Research Centre, Victoria 3800, Australia
| | - J Dow
- Société de l'assurance automobile du Québec, Québec, QC G1K 8J6, Canada
| | - I A Gillespie
- British Columbia Medical Association, Vancouver, BC V6J 5A4, Canada
| | - C A Hawley
- University of Warwick, Coventry CV4 7AL, UK
| | - S Koppel
- Monash University Accident Research Centre, Victoria 3800, Australia
| | - S McCullagh
- Hamilton Health Sciences, Hamilton, ON L8L 2X2, Canada, McMaster University, Hamilton, ON L8S 1C7, Canada
| | - F Molnar
- Ottawa Hospital Research Institute, Ottawa, ON K1H 8M2, Canada, University of Ottawa, Ottawa, ON K1N 6N5, Canada
| | | | - G Naglie
- University of Toronto, Toronto, ON M5S 2J7, Canada, Baycrest Health Sciences, Toronto, ON M6A 2E1, Canada
| | - D O'Neill
- Trinity College Dublin, Dublin, 2, Ireland,
| | - S Shortt
- Canadian Medical Association, Ottawa, ON K1G 5W8, Canada
| | - C Simpson
- Kingston General Hospital, Kingston, ON K7L 2V7, Canada, Queen's University, Kingston, ON K7L 3N6, Canada and
| | - H A Tuokko
- University of Victoria, Victoria, BC V8W 2Y2, Canada
| | - B H Vrkljan
- McMaster University, Hamilton, ON L8S 1C7, Canada
| | - S Marshall
- Ottawa Hospital Research Institute, Ottawa, ON K1H 8M2, Canada, University of Ottawa, Ottawa, ON K1N 6N5, Canada
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Sandquist L, Carr D, Tong D, Gonda R, Soo TM. Preventing proximal junctional failure in long segmental instrumented cases of adult degenerative scoliosis using a multilevel stabilization screw technique. Surg Neurol Int 2015; 6:112. [PMID: 26167364 PMCID: PMC4496842 DOI: 10.4103/2152-7806.159383] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2014] [Accepted: 01/25/2015] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND The authors sought to demonstrate the safety and effectiveness of the multilevel stabilization screw (MLSS) technique in decreasing the incidence of proximal junctional failure in long segmental instrumented fusions for adult degenerative scoliosis. METHODS Institutional review board approval was obtained and all patients with adult spinal deformity who underwent the MLSS technique were analyzed. A neuro-radiologist and spine-focused neurosurgeon not involved with the surgical treatment performed radiographic analysis. Proximal junctional angle was defined as the caudal endplate of the upper instrumented vertebra (UIV) to the cephalad endplate of two supradjacent vertebrae above the UIV. The UIV is defined as the most cephalad vertebra completed captured by the instrumentation. Abnormal proximal junctional kyphosis (PJK) was defined as proximal junctional sagittal Cobb angle >10 degrees and proximal junction sagittal Cobb angle at least 10 degrees greater than the preoperative measurement. The presence of both is criteria necessary to be considered abnormal. RESULTS Twenty patients with degenerative scoliosis underwent the MLSS technique with the upper-instrumented vertebrae in the proximal thoracic spine. Fifteen patients met inclusion criteria with greater than 12 months radiographic and clinical follow up. Three patients were excluded due to lack of follow up imaging and two patients were excluded due to the inability to measure the UIV. Age range was 44-84 years with a mean of 66. Eleven of the 15 patients were over the age of 60 at the time of surgery. The male-to-female ratio was 4:11. Body mass index (BMI) range was 24-44 with a mean of 31.5 units. The follow up period ranged from 14 to 58 months with an average follow up of 30 months. The mean change in Cobb angle at the proximal junction was 4.00 degrees with a range from -0.92 to 9.13 degrees. There were no fractures or instrumentation failures at or near the proximal junction. There was no revision surgeries performed for proximal junctional failure. Retrospective clinical questionnaires revealed that surgical expectations were met in 15 of 19 patients surveyed, 79%. One patient was not reachable for a postoperative phone interview. In patients who were not satisfied with their overall experience, the change in Cobb angle ranged from -0.92 to 9.13 degrees with an average change of 3.90 degrees. Whereas patients reporting an overall positive experience had a change in Cobb angle range from -0.12 to 8.07 degrees with an average change of 4.05 degrees. CONCLUSION PJK and failure are well-recognized suboptimal outcomes of long-segmental fusions of the thoracolumbar spine that can lead to significant neurological morbidity and costly revision surgeries. With no known proximal junction failures to date, the MLSS technique has shown promising results in preventing adverse proximal junctional conditions and can be safely performed under fluoroscopy guidance. Future direction includes a comparative study establishing the relative risk of developing PJK with this novel technique versus a traditional long-segmental thoracolumbar fusion.
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Affiliation(s)
- Lee Sandquist
- Section of Neurosurgery, Department of Surgery, Providence Hospital and Medical Centers, Southfield and Novi, Southfield, MI, USA
| | - Daniel Carr
- Section of Neurosurgery, Department of Surgery, Providence Hospital and Medical Centers, Southfield and Novi, Southfield, MI, USA
| | - Doris Tong
- Michigan Spine and Brain Surgeons, PLLC, Southfield, MI, USA
| | - Roger Gonda
- Department of Radiology, Providence Hospital and Medical Centers, Southfield, MI, USA
| | - Teck M Soo
- Michigan Spine and Brain Surgeons, PLLC, Southfield, MI, USA
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Mirza N, Appleton R, Burn S, Carr D, Crooks D, du Plessis D, Duncan R, Farah JO, Josan V, Miyajima F, Mohanraj R, Shukralla A, Sills GJ, Marson AG, Pirmohamed M. Identifying the biological pathways underlying human focal epilepsy: from complexity to coherence to centrality. Hum Mol Genet 2015; 24:4306-16. [DOI: 10.1093/hmg/ddv163] [Citation(s) in RCA: 42] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2015] [Accepted: 04/30/2015] [Indexed: 12/31/2022] Open
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Bedson E, Bell D, Carr D, Carter B, Hughes D, Jorgensen A, Lewis H, Lloyd K, McCaddon A, Moat S, Pink J, Pirmohamed M, Roberts S, Russell I, Sylvestre Y, Tranter R, Whitaker R, Wilkinson C, Williams N. Folate Augmentation of Treatment--Evaluation for Depression (FolATED): randomised trial and economic evaluation. Health Technol Assess 2015; 18:vii-viii, 1-159. [PMID: 25052890 DOI: 10.3310/hta18480] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND Folate deficiency is associated with depression. Despite the biological plausibility of a causal link, the evidence that adding folate enhances antidepressant treatment is weak. OBJECTIVES (1) Estimate the clinical effectiveness and cost-effectiveness of folic acid as adjunct to antidepressant medication (ADM). (2) Explore whether baseline folate and homocysteine predict response to treatment. (3) Investigate whether response to treatment depends on genetic polymorphisms related to folate metabolism. DESIGN FolATED (Folate Augmentation of Treatment - Evaluation for Depression) was a double-blind and placebo-controlled, but otherwise pragmatic, randomised trial including cost-utility analysis. To yield 80% power of detecting standardised difference on the Beck Depression Inventory version 2 (BDI-II) of 0.3 between groups (a 'small' effect), FolATED trialists sought to analyse 358 participants. To allow for an estimated loss of 21% of participants over three time points, we planned to randomise 453. SETTINGS Clinical - Three centres in Wales - North East Wales, North West Wales and Swansea. Trial management - North Wales Organisation for Randomised Trials in Health in Bangor University. Biochemical analysis - University Hospital of Wales, Cardiff. Genetic analysis - University of Liverpool. PARTICIPANTS Four hundred and seventy-five adult patients presenting to primary or secondary care with confirmed moderate to severe depression for which they were taking or about to start ADM, and able to consent and complete assessments, but not (1) folate deficient, vitamin B12 deficient, or taking folic acid or anticonvulsants; (2) misusing drugs or alcohol, or suffering from psychosis, bipolar disorder, malignancy or other unstable or terminal illness; (3) (planning to become) pregnant; or (4) participating in other clinical research. INTERVENTIONS Once a day for 12 weeks experimental participants added 5 mg of folic acid to their ADM, and control participants added an indistinguishable placebo. All participants followed pragmatic management plans initiated by a trial psychiatrist and maintained by their general medical practitioners. MAIN OUTCOME MEASURES Assessed at baseline, and 4, 12 and 25 weeks thereafter, and analysed by 'area under curve' (main); by analysis of covariance at each time point (secondary); and by multi-level repeated measures (sensitivity analysis): Mental health - BDI-II (primary), Clinical Global Impression (CGI), Montgomery-Åsberg Depression Rating Scale (MADRS), UKU side effects scale, and Mini International Neuropsychiatric Interview (MINI) suicidality subscale; General health - UK 12-item Short Form Health Survey (SF-12), European Quality of Life scale - 5 Dimensions (EQ-5D); Biochemistry - serum folate, B12, homocysteine; Adherence - Morisky Questionnaire; Economics - resource use. RESULTS Folic acid did not significantly improve any of these measures. For example it gained a mean of just 2.9 quality-adjusted life-days [95% confidence interval (CI) from -12.7 to 7.0 days] and saved a mean of just £48 (95% CI from -£292 to £389). In contrast it significantly reduced mental health scores on the SF-12 by 3.0% (95% CI from -5.2% to -0.8%). CONCLUSIONS The FolATED trial generated no evidence that folic acid was clinically effective or cost-effective in augmenting ADM. This negative finding is consistent with improving understanding of the one-carbon folate pathway suggesting that methylfolate is a better candidate for augmenting ADM. Hence the findings of FolATED undermine treatment guidelines that advocate folic acid for treating depression, and suggest future trials of methylfolate to augment ADM. TRIAL REGISTRATION Current Controlled Trials ISRCTN37558856. FUNDING This project was funded by the NIHR Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 18, No. 48. See the HTA programme website for further project information.
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Affiliation(s)
- Emma Bedson
- Clinical Trials Research Centre, University of Liverpool, Liverpool, UK
| | - Diana Bell
- Ysbyty Gwynedd, Betsi Cadwalladr University Health Board, Bangor, UK
| | - Daniel Carr
- Wolfson Centre for Personalised Medicine, University of Liverpool, Liverpool, UK
| | - Ben Carter
- School of Medicine, Cardiff University, Cardiff, UK
| | - Dyfrig Hughes
- Centre for Economics and Policy in Health, Bangor University, Bangor, UK
| | - Andrea Jorgensen
- Department of Biostatistics, University of Liverpool, Liverpool, UK
| | - Helen Lewis
- Department of Health Sciences, University of York, York, UK
| | - Keith Lloyd
- College of Medicine, Swansea University, Swansea, UK
| | - Andrew McCaddon
- North Wales Centre for Primary Care Research, Bangor University, Bangor, UK
| | - Stuart Moat
- Medical Biochemistry & Immunology, University Hospital of Wales, Cardiff, UK
| | - Joshua Pink
- Centre for Economics and Policy in Health, Bangor University, Bangor, UK
| | - Munir Pirmohamed
- Wolfson Centre for Personalised Medicine, University of Liverpool, Liverpool, UK
| | - Seren Roberts
- Centre for Mental Health & Society, Bangor University, Bangor, UK
| | - Ian Russell
- College of Medicine, Swansea University, Swansea, UK
| | | | - Richard Tranter
- Department of Psychological Medicine, University of Otago, Christchurch, NZ
| | - Rhiannon Whitaker
- North Wales Organisation for Randomised Trials in Health, Bangor University, Bangor, UK
| | - Clare Wilkinson
- North Wales Centre for Primary Care Research, Bangor University, Bangor, UK
| | - Nefyn Williams
- North Wales Centre for Primary Care Research, Bangor University, Bangor, UK
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Carr D, Bourgeois S, Chaponda M, Castro EC, Deloukas P, Pirmohamed M. Genome‐wide association study of nevirapine hypersensitivity in a malawian HIV‐infected population. Clin Transl Allergy 2014. [PMCID: PMC4128292 DOI: 10.1186/2045-7022-4-s3-p125] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Affiliation(s)
- Daniel Carr
- Molecular and Clinical PharmacologyUniversity of LiverpoolUK
| | | | - Mas Chaponda
- Molecular and Clinical PharmacologyUniversity of LiverpoolUK
| | | | - Panos Deloukas
- William Harvey Research InstituteQueen Mary University LondonUK
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Carr D, Chaponda M, Castro EC, Jorgensen A, Khoo S, Pirmohamed M. CYP2B6*18 is associated with nevirpine hypersensitivity independently of HLA‐C*04:01 in a Malawian HIV population. Clin Transl Allergy 2014. [PMCID: PMC4127538 DOI: 10.1186/2045-7022-4-s3-p126] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
| | - Mas Chaponda
- University of LiverpoolMolecular and Clinical PharmacologyUK
| | | | | | - Saye Khoo
- University of LiverpoolMolecular and Clinical PharamcologyUK
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Schleit J, Johnson SC, Bennett CF, Simko M, Trongtham N, Castanza A, Hsieh EJ, Moller RM, Wasko BM, Delaney JR, Sutphin GL, Carr D, Murakami CJ, Tocchi A, Xian B, Chen W, Yu T, Goswami S, Higgins S, Holmberg M, Jeong KS, Kim JR, Klum S, Liao E, Lin MS, Lo W, Miller H, Olsen B, Peng ZJ, Pollard T, Pradeep P, Pruett D, Rai D, Ros V, Singh M, Spector BL, Wende HV, An EH, Fletcher M, Jelic M, Rabinovitch PS, MacCoss MJ, Han JDJ, Kennedy BK, Kaeberlein M. Molecular mechanisms underlying genotype-dependent responses to dietary restriction. Aging Cell 2013; 12:1050-61. [PMID: 23837470 DOI: 10.1111/acel.12130] [Citation(s) in RCA: 120] [Impact Index Per Article: 10.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/26/2013] [Indexed: 01/11/2023] Open
Abstract
Dietary restriction (DR) increases lifespan and attenuates age-related phenotypes in many organisms; however, the effect of DR on longevity of individuals in genetically heterogeneous populations is not well characterized. Here, we describe a large-scale effort to define molecular mechanisms that underlie genotype-specific responses to DR. The effect of DR on lifespan was determined for 166 single gene deletion strains in Saccharomyces cerevisiae. Resulting changes in mean lifespan ranged from a reduction of 79% to an increase of 103%. Vacuolar pH homeostasis, superoxide dismutase activity, and mitochondrial proteostasis were found to be strong determinants of the response to DR. Proteomic analysis of cells deficient in prohibitins revealed induction of a mitochondrial unfolded protein response (mtUPR), which has not previously been described in yeast. Mitochondrial proteotoxic stress in prohibitin mutants was suppressed by DR via reduced cytoplasmic mRNA translation. A similar relationship between prohibitins, the mtUPR, and longevity was also observed in Caenorhabditis elegans. These observations define conserved molecular processes that underlie genotype-dependent effects of DR that may be important modulators of DR in higher organisms.
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Breeze J, Baxter D, Carr D, Midwinter MJ. Defining combat helmet coverage for protection against explosively propelled fragments. J ROY ARMY MED CORPS 2013; 161:9-13. [DOI: 10.1136/jramc-2013-000108] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [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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Salinthone S, Wilkinson A, Carr D. Dimethyl fumarate stimulates cyclic AMP production and suppresses production of pro-inflammatory mediators in immune cells (P5143). The Journal of Immunology 2013. [DOI: 10.4049/jimmunol.190.supp.137.13] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
Abstract
Multiple Sclerosis (MS) is a disease of the central nervous system that is characterized by chronic inflammation, demyelination, axonal damage and loss of oligodendrocytes. Current FDA approved therapies are only partially effective, have side-effects and are costly. Thus, there is a need for development of novel treatment alternatives for MS. Of interest is the investigational drug BG-12, also known as dimethyl fumarate (DMF). A phase III clinical trial showed that treatment with BG-12 reduced the annual relapse rate by 53% and decreased disability by 38%. Additionally, BG-12 reduced the number of gadolinium-enhancing lesions by 90%. However, the mechanisms of action of BG-12 are not fully understood. BG-12 is an activator of the nuclear factor (erythroid-derived 2)-like 2 (NRF2) transcriptional pathway. To determine if BG-12 is able to activate other signaling cascades, we treated human peripheral blood mononuclear cells with DMF. We discovered that DMF stimulates cAMP production by approximately 3.5 after 1 minute treatment in vitro. DMF also suppresses the production of interleukin (IL)-2, IL-17, regulated and normal T cell expressed and secreted (RANTES) and tumor necrosis factor (TNF)-α in these cells. Furthermore, inhibitor studies indicate that adenylyl cyclases mediate DMF induced cAMP production. These novel findings suggest that DMF may inhibit immune cell function via the cAMP signaling pathway and has implications for MS therapy.
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Affiliation(s)
- Sonemany Salinthone
- 1Research and Development, Portland VA Medical Center, Portland, OR
- 2Neurology, Oregon Health & Science University, Portland, OR
| | - Amelia Wilkinson
- 1Research and Development, Portland VA Medical Center, Portland, OR
| | - Daniel Carr
- 1Research and Development, Portland VA Medical Center, Portland, OR
- 3Endocrinology, Oregon Health & Science University, Portland, OR
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Dugan J, Griffiths E, Snow P, Rosenzweig H, Carr D, Rosenbaum J, Davey M. Nucleotide-binding and oligomerization domain 2 (NOD2) knock-in mice carrying a mutation associated with Blau syndrome show reduced amounts of NOD2 protein and decreased muramyl dipeptide (MDP)-induced inflammatory responses (P1254). The Journal of Immunology 2013. [DOI: 10.4049/jimmunol.190.supp.116.5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
Abstract
Blau syndrome is an autosomal dominant disorder caused by mutations in NOD2 and characterized by arthritis, dermatitis and uveitis. NOD2 binds MDP and activates NF-kB and MAPK signaling cascades. Prior in vitro studies reported that NOD2 containing Blau mutations caused enhanced activation of NF-kB, suggesting a gain of function in mutated NOD2 caused Blau syndrome. We tested this hypothesis in vivo by creating a knock-in mouse where a point mutation resulted in a change of arginine [R] to glutamine [Q] at position 314 (R314Q) of NOD2 (position 314 in mice corresponds to 334 in humans). R314Q heterozygous (+/m) and homozygous (m/m) mice did not spontaneously develop arthritis or dermatitis. Bone marrow derived macrophages (BMDM) from R314Q mice showed a reduction in NOD2 protein levels compared to wild type (WT) mice despite comparable amounts of NOD2 mRNA. MDP treatment of BMDM showed reduced activation of NF-kB and p38 MAPK in +/m and m/m compared to WT mice that correlated with the copy number of mutated NOD2, with the greatest reduction in m/m mice. In response to ip MDP, reduced levels of IL-6 and KC were detected in the serum of +/m and m/m mice, also in manner correlating with the copy number of the mutation. These data indicate that R314Q-NOD2 mice do not demonstrate a gain of function of the NOD2 pathway. Rather, R314Q causes a deficiency of NOD2 and raises the possibility that Blau syndrome may fall within the spectrum of an immunodeficiency disease.
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Affiliation(s)
- Jae Dugan
- 1Research, Portland VA Medical Center, Portland, OR
- 4Medicine, Oregon Health and Science University, Portland, OR
| | | | - Paige Snow
- 1Research, Portland VA Medical Center, Portland, OR
| | - Holly Rosenzweig
- 2Opthalmology, Oregon Health and Science University, Portland, OR
- 3MMI, Oregon Health and Science University, Portland, OR
| | - Daniel Carr
- 1Research, Portland VA Medical Center, Portland, OR
- 4Medicine, Oregon Health and Science University, Portland, OR
| | - Jim Rosenbaum
- 2Opthalmology, Oregon Health and Science University, Portland, OR
- 4Medicine, Oregon Health and Science University, Portland, OR
| | - Michael Davey
- 1Research, Portland VA Medical Center, Portland, OR
- 3MMI, Oregon Health and Science University, Portland, OR
- 4Medicine, Oregon Health and Science University, Portland, OR
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