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Koppisetti HVSRM, Rao H, Ramasamy HV, Inta HR, Das S, Kim S, Zhang Y, Wang H, Mahalingam V, Pol V. Sustainable Enhanced Sodium-Ion Storage at Subzero Temperature with LiF Integration. ACS Appl Mater Interfaces 2023. [PMID: 37379525 DOI: 10.1021/acsami.3c03386] [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: 06/30/2023]
Abstract
Though layered sodium oxide materials are identified as promising cathodes in sodium-ion batteries, biphasic P3/O3 depicts improved electrochemical performance and structural stability. Herein, a coexistent P3/O3 biphasic cathode material was synthesized with "LiF" integration, verified with X-ray diffraction and Rietveld refinement analysis. Furthermore, the presence of Li and F was deduced by inductively coupled plasma-optical emission spectrometry (ICP-OES) and energy dispersive X-ray spectroscopy (EDS). The biphasic P3/O3 cathode displayed an excellent capacity retention of 85% after 100 cycles (0.2C/30 mA g-1) at room temperature and 94% at -20 °C after 100 cycles (0.1C/15 mA g-1) with superior rate capability as compared to the pristine cathode. Furthermore, a full cell comprising a hard carbon anode and a biphasic cathode with 1 M NaPF6 electrolyte displayed excellent cyclic stabilities at a wider temperature range of -20 to 50 °C (with the energy density of 151.48 Wh kg-1) due to the enhanced structural stability, alleviated Jahn-Teller distortions, and rapid Na+ kinetics facilitating Na+ motion at various temperatures in sodium-ion batteries. The detailed post-characterization studies revealed that the incorporation of LiF accounts for facile Na+ kinetics, boosting the overall Na storage.
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Affiliation(s)
- Heramba Venkata Sai Rama Murthy Koppisetti
- Davidson School of Chemical Engineering, Purdue University, West Lafayette, Indiana 47907, United States
- Department of Chemical Sciences, Indian Institute of Science Education and Research (IISER), Kolkata, Mohanpur, 741246 Nadia, West Bengal, India
| | - Harsha Rao
- Davidson School of Chemical Engineering, Purdue University, West Lafayette, Indiana 47907, United States
| | - Hari Vignesh Ramasamy
- Davidson School of Chemical Engineering, Purdue University, West Lafayette, Indiana 47907, United States
| | - Harish Reddy Inta
- Department of Chemical Sciences, Indian Institute of Science Education and Research (IISER), Kolkata, Mohanpur, 741246 Nadia, West Bengal, India
| | - Sayan Das
- Davidson School of Chemical Engineering, Purdue University, West Lafayette, Indiana 47907, United States
| | - Soohwan Kim
- Davidson School of Chemical Engineering, Purdue University, West Lafayette, Indiana 47907, United States
| | - Yizhi Zhang
- School of Materials Engineering, Purdue University, West Lafayette, Indiana 47907, United States
| | - Haiyan Wang
- School of Materials Engineering, Purdue University, West Lafayette, Indiana 47907, United States
| | - Venkataramanan Mahalingam
- Department of Chemical Sciences, Indian Institute of Science Education and Research (IISER), Kolkata, Mohanpur, 741246 Nadia, West Bengal, India
| | - Vilas Pol
- Davidson School of Chemical Engineering, Purdue University, West Lafayette, Indiana 47907, United States
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Tosh DK, Salmaso V, Campbell RG, Rao H, Bitant A, Pottie E, Stove CP, Liu N, Gavrilova O, Gao ZG, Auchampach JA, Jacobson KA. A 3 adenosine receptor agonists containing dopamine moieties for enhanced interspecies affinity. Eur J Med Chem 2022; 228:113983. [PMID: 34844790 PMCID: PMC8865922 DOI: 10.1016/j.ejmech.2021.113983] [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] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Revised: 11/05/2021] [Accepted: 11/06/2021] [Indexed: 01/17/2023]
Abstract
Following our study of 4'-truncated (N)-methanocarba-adenosine derivatives that displayed unusually high mouse (m) A3AR affinity, we incorporated dopamine-related N6 substituents in the full agonist 5'-methylamide series. N6-(2-(4-Hydroxy-3-methoxy-phenyl)ethyl) derivative MRS7618 11 displayed Ki (nM) 0.563 at hA3AR (∼20,000-fold selective) and 1.54 at mA3AR. 2-Alkyl ethers maintained A3 affinity, but with less selectivity than 2-alkynes. Parallel functional assays of G protein-dependent and β-arrestin 2 (βarr2)-dependent pathways indicate these are full agonists but not biased. Through use of computational modeling, we hypothesized that phenyl OH/OMe groups interact with polar residues, particularly Gln261, on the mA3AR extracellular loops as the basis for the affinity enhancement. Although the pharmacokinetics indicated facile clearance of parent O-methyl catechol nucleosides 21 and 31, prolonged mA3AR activation in vivo was observed in a hypothermia model, suggested potential formation of active metabolites through demethylation. Selected analogues induced mouse hypothermia following i.p. injection, indicative of peripheral A3AR agonism in vivo.
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Affiliation(s)
- Dilip K. Tosh
- Laboratory of Bioorganic Chemistry, National Institute of Diabetes and Digestive and Kidney Disease, National Institutes of Health, 9000 Rockville Pike, Bethesda, MD, 20892, USA
| | - Veronica Salmaso
- Laboratory of Bioorganic Chemistry, National Institute of Diabetes and Digestive and Kidney Disease, National Institutes of Health, 9000 Rockville Pike, Bethesda, MD, 20892, USA
| | - Ryan G. Campbell
- Laboratory of Bioorganic Chemistry, National Institute of Diabetes and Digestive and Kidney Disease, National Institutes of Health, 9000 Rockville Pike, Bethesda, MD, 20892, USA
| | - Harsha Rao
- Laboratory of Bioorganic Chemistry, National Institute of Diabetes and Digestive and Kidney Disease, National Institutes of Health, 9000 Rockville Pike, Bethesda, MD, 20892, USA
| | - Amelia Bitant
- Department of Pharmacology, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI, 53226, USA
| | - Eline Pottie
- Laboratory of Toxicology, Department of Bioanalysis, Faculty of Pharmaceutical Sciences, Ghent University, Campus Heymans, Ottergemsesteenweg 460, B-9000, Ghent, Belgium
| | - Christophe P. Stove
- Laboratory of Toxicology, Department of Bioanalysis, Faculty of Pharmaceutical Sciences, Ghent University, Campus Heymans, Ottergemsesteenweg 460, B-9000, Ghent, Belgium
| | - Naili Liu
- Mouse Metabolism Core, National Institute of Diabetes and Digestive and Kidney Disease, National Institutes of Health, 9000 Rockville Pike, Bethesda, MD, 20892, USA
| | - Oksana Gavrilova
- Mouse Metabolism Core, National Institute of Diabetes and Digestive and Kidney Disease, National Institutes of Health, 9000 Rockville Pike, Bethesda, MD, 20892, USA
| | - Zhan-Guo Gao
- Laboratory of Bioorganic Chemistry, National Institute of Diabetes and Digestive and Kidney Disease, National Institutes of Health, 9000 Rockville Pike, Bethesda, MD, 20892, USA
| | - John A. Auchampach
- Department of Pharmacology, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI, 53226, USA
| | - Kenneth A. Jacobson
- Laboratory of Bioorganic Chemistry, National Institute of Diabetes and Digestive and Kidney Disease, National Institutes of Health, 9000 Rockville Pike, Bethesda, MD, 20892, USA,Corresponding author. Address correspondence to: Dr. Kenneth A. Jacobson, Laboratory of Bioorganic Chemistry, National Institute of Diabetes and Digestive and Kidney Diseases, NIH, Bethesda, MD 20892-0810 USA; Molecular Recognition Section, Bldg. 8A, Rm. B1A-19, NIH, NIDDK, LBC, Bethesda, MD, USA. Phone: 301-496-9024. Fax: 301-496-8422. (K.A. Jacobson)
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Ramasamy HV, Kim S, Adams EJ, Rao H, Pol VG. Novel Cyclopentyl Methyl Ether Electrolyte Solvent with Unique Solvation Structure for Subzero (-40℃) Lithium-ion Battery. Chem Commun (Camb) 2022; 58:5124-5127. [PMID: 35380137 DOI: 10.1039/d2cc00188h] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
1M LiFSI in Cyclopentyl methyl ether is shown as novel electrolyte with unique solvation structure to form a thin robust multilayer solid electrolyte interface with inorganic LiF rich inner layer....
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Affiliation(s)
- Hari Vignesh Ramasamy
- Davidson School of Chemical Engineering, Purdue University, West Lafayette, IN, 47907, USA.
| | - Soohwan Kim
- Davidson School of Chemical Engineering, Purdue University, West Lafayette, IN, 47907, USA.
| | - Ethan J Adams
- Davidson School of Chemical Engineering, Purdue University, West Lafayette, IN, 47907, USA.
| | - Harsha Rao
- Davidson School of Chemical Engineering, Purdue University, West Lafayette, IN, 47907, USA.
| | - Vilas G Pol
- Davidson School of Chemical Engineering, Purdue University, West Lafayette, IN, 47907, USA.
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Larrañaga-Vera A, Toti KS, Flatow JS, Haraczy AJ, Warnick E, Rao H, Gao ZG, Sussman SM, Mediero A, Leucht P, Jacobson KA, Cronstein BN. Novel alendronate-CGS21680 conjugate reduces bone resorption and induces new bone formation in post-menopausal osteoporosis and inflammatory osteolysis mouse models. Arthritis Res Ther 2022; 24:265. [PMID: 36494860 PMCID: PMC9733060 DOI: 10.1186/s13075-022-02961-0] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2022] [Accepted: 11/29/2022] [Indexed: 12/13/2022] Open
Abstract
Loss of bone is a common medical problem and, while it can be treated with available therapies, some of these therapies have critical side effects. We have previously demonstrated that CGS21680, a selective A2A adenosine receptor agonist, prevents bone loss, but its on-target toxicities (hypotension, tachycardia) and frequent dosing requirements make it unusable in the clinic. We therefore generated a novel alendronate-CGS21680 conjugate (MRS7216), to target the agonist to bone where it remains for long periods thereby diminishing the frequency of administration and curtailing side effects. MRS7216 was synthesized from CGS21680 by sequential activation of the carboxylic acid moiety and reacting with an appropriate amino acid (PEG, alendronic acid) under basic conditions. MRS7216 was tested on C57BL/6J (WT) mice with established osteoporosis (OP) and WT or A2A KO mice with wear particle-induced inflammatory osteolysis (OL). Mice were treated weekly with MRS7216 (10mg/kg). Bone formation was studied after in vivo labeling with calcein/Alizarin Red, and μCT and histology analyses were performed. In addition, human primary osteoblasts and osteoclasts were cultured using bone marrow discarded after hip replacement. Receptor binding studies demonstrate that MRS7216 efficiently binds the A2A adenosine receptor. MRS7216-treated OP and OL mice had significant new bone formation and reduced bone loss compared to vehicle or alendronate-treated mice. Histological analysis showed that MRS7216 treatment significantly reduced osteoclast number and increased osteoblast number in murine models. Interestingly, cultured human osteoclast differentiation was inhibited, and osteoblast differentiation was stimulated by the compound indicating that MRS7216 conjugates represent a novel therapeutic approach to treat osteoporosis and osteolysis.
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Affiliation(s)
- Ane Larrañaga-Vera
- grid.240324.30000 0001 2109 4251Division of Translational Medicine, Department of Medicine, NYU Langone Health, 550 First Avenue, Medical Science Building, Room, New York, NY 251 USA
| | - Kiran S. Toti
- grid.419635.c0000 0001 2203 7304Molecular Recognition Section, Laboratory of Bioorganic Chemistry, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD USA
| | - James S. Flatow
- grid.240324.30000 0001 2109 4251Division of Translational Medicine, Department of Medicine, NYU Langone Health, 550 First Avenue, Medical Science Building, Room, New York, NY 251 USA
| | - Alexandra J. Haraczy
- grid.419635.c0000 0001 2203 7304Molecular Recognition Section, Laboratory of Bioorganic Chemistry, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD USA
| | - Eugene Warnick
- grid.419635.c0000 0001 2203 7304Molecular Recognition Section, Laboratory of Bioorganic Chemistry, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD USA
| | - Harsha Rao
- grid.419635.c0000 0001 2203 7304Molecular Recognition Section, Laboratory of Bioorganic Chemistry, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD USA
| | - Zhan-Guo Gao
- grid.419635.c0000 0001 2203 7304Molecular Recognition Section, Laboratory of Bioorganic Chemistry, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD USA
| | - Sarah M. Sussman
- grid.410427.40000 0001 2284 9329Medical College of Georgia at Augusta University, Augusta, GA USA
| | - Aranzazu Mediero
- grid.240324.30000 0001 2109 4251Division of Translational Medicine, Department of Medicine, NYU Langone Health, 550 First Avenue, Medical Science Building, Room, New York, NY 251 USA ,grid.419651.e0000 0000 9538 1950Bone and Joint Research Unit, IIS-Fundación Jiménez Díaz UAM, Madrid, Spain
| | - Philipp Leucht
- grid.283061.e0000 0001 2325 0879Department of Orthopedic Surgery, New York University Langone Orthopedic Hospital, New York, USA ,grid.137628.90000 0004 1936 8753Department of Cell Biology, New York University Grossman School of Medicine, New York, NY USA
| | - Kenneth A. Jacobson
- grid.419635.c0000 0001 2203 7304Molecular Recognition Section, Laboratory of Bioorganic Chemistry, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD USA
| | - Bruce N. Cronstein
- grid.240324.30000 0001 2109 4251Division of Translational Medicine, Department of Medicine, NYU Langone Health, 550 First Avenue, Medical Science Building, Room, New York, NY 251 USA ,grid.240324.30000 0001 2109 4251Division of Rheumatology, Department of Medicine, NYU Langone Health, New York, NY USA
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Abstract
Neovascular glaucoma (NVG) is a sight-threatening secondary glaucoma characterized by appearance of new vessels over the iris and proliferation of fibrovascular tissue in the anterior chamber angle. Retinal ischemia is the common driving factor and common causes are central retinal vein occlusion, proliferative diabetic retinopathy, and ocular ischemic syndrome. The current rise in the prevalence of NVG is partly related to increase in people with diabetes. A high index of suspicion and a thorough anterior segment evaluation to identify the early new vessels on the iris surface or angle are essential for early diagnosis of NVG. With newer imaging modalities such as the optical coherence tomography angiography and newer treatment options such as the anti-vascular endothelial growth factor, it is possible to detect retinal ischemia early, tailor appropriate treatment, monitor disease progression, and treatment response. The management strategies are aimed at reducing the posterior segment ischemia, reduce the neovascular drive, and control the elevated intraocular pressure. This review summarizes the causes, pathogenesis, and differential diagnoses of NVG, and the management guidelines. We also propose a treatment algorithm of neovascular glaucoma.
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Affiliation(s)
- Sirisha Senthil
- VST Glaucoma Center, L V Prasad Eye Institute, Banjara Hills, Hyderabad, Telangana, India
| | - Tanuj Dada
- Dr. Rajendra Prasad Center for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
| | - Taraprasad Das
- Srimathi Kanuri Santhamma Centre for Vitreoretinal Diseases, L V Prasad Eye Institute, Hyderabad, Telangana, India
| | - Sushmita Kaushik
- Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | | | - Reni Philip
- Smt Jadhavabai Nathmal Singhvee Glaucoma Services, Sankara Nethralaya, Chennai, Tamil Nadu, India
| | - Padmaja Kumari Rani
- Srimathi Kanuri Santhamma Centre for Vitreoretinal Diseases, L V Prasad Eye Institute, Hyderabad, Telangana, India
| | - Harsha Rao
- Narayana Nethralaya, Bangalore, Karnataka, India
| | - Shaveta Singla
- VST Glaucoma Center, L V Prasad Eye Institute, Banjara Hills, Hyderabad, Telangana, India
| | - Lingam Vijaya
- Smt Jadhavabai Nathmal Singhvee Glaucoma Services, Sankara Nethralaya, Chennai, Tamil Nadu, India
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Rodriguez JR, Jokhakar D, Rao H, Lin KW, Lo CT, Aguirre SB, Pol VG. Freestanding polyimide fiber network as thermally safer separator for high-performance Li metal batteries. Electrochim Acta 2021. [DOI: 10.1016/j.electacta.2021.138069] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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Tosh DK, Salmaso V, Rao H, Campbell R, Bitant A, Gao ZG, Auchampach JA, Jacobson KA. Direct Comparison of (N)-Methanocarba and Ribose-Containing 2-Arylalkynyladenosine Derivatives as A 3 Receptor Agonists. ACS Med Chem Lett 2020; 11:1935-1941. [PMID: 33062176 DOI: 10.1021/acsmedchemlett.9b00637] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2019] [Accepted: 02/07/2020] [Indexed: 12/12/2022] Open
Abstract
A side-by-side pharmacological comparison of ribose and (N)-methanocarba (bicyclo[3.1.0]hexane) nucleosides as A3AR agonists indicated that the bicyclic pseudoribose ring constraint provided higher affinity/selectivity at human and mouse A3AR. The mean affinity enhancement for 5 pairs of 5'-methylamides was 11-fold at hA3AR and 42-fold at mA3AR. Novel C2-(5-fluorothien-2-ylethynyl) substitution enhanced affinity in the methanocarba but not ribose series, with highly hA3AR-selective 16 (MRS7334) displaying Ki 280 pM and favorable pharmacokinetics and off-target activity profile. Molecular dynamics comparison of 16 and its corresponding riboside 8 suggested a qualitative entropic advantage of 16 in hA3AR binding. The 5-F substitution tended to increase hA3AR affinity (cf. 5-Cl) for methanocarba but not ribose derivatives. A representative methanocarba agonist 4 was shown to interact potently exclusively with A3AR, among 240 GPCRs and 466 kinases. Thus, despite added synthetic difficulty, the (N)-methanocarba modification has distinct advantages for A3AR agonists, which have translational potential for chronic disease treatment.
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Affiliation(s)
- Dilip K. Tosh
- Laboratory of Bioorganic Chemistry, Mouse Metabolism Core, and Diabetes, Endocrinology, and Obesity Branch, National Institute of Diabetes and Digestive and Kidney Disease, National Institutes of Health, 9000 Rockville Pike, Bethesda, Maryland 20892, United States
| | - Veronica Salmaso
- Laboratory of Bioorganic Chemistry, Mouse Metabolism Core, and Diabetes, Endocrinology, and Obesity Branch, National Institute of Diabetes and Digestive and Kidney Disease, National Institutes of Health, 9000 Rockville Pike, Bethesda, Maryland 20892, United States
| | - Harsha Rao
- Laboratory of Bioorganic Chemistry, Mouse Metabolism Core, and Diabetes, Endocrinology, and Obesity Branch, National Institute of Diabetes and Digestive and Kidney Disease, National Institutes of Health, 9000 Rockville Pike, Bethesda, Maryland 20892, United States
| | - Ryan Campbell
- Laboratory of Bioorganic Chemistry, Mouse Metabolism Core, and Diabetes, Endocrinology, and Obesity Branch, National Institute of Diabetes and Digestive and Kidney Disease, National Institutes of Health, 9000 Rockville Pike, Bethesda, Maryland 20892, United States
| | - Amelia Bitant
- Department of Pharmacology, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, Wisconsin 53226, United States
| | - Zhan-Guo Gao
- Laboratory of Bioorganic Chemistry, Mouse Metabolism Core, and Diabetes, Endocrinology, and Obesity Branch, National Institute of Diabetes and Digestive and Kidney Disease, National Institutes of Health, 9000 Rockville Pike, Bethesda, Maryland 20892, United States
| | - John A. Auchampach
- Department of Pharmacology, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, Wisconsin 53226, United States
| | - Kenneth A. Jacobson
- Laboratory of Bioorganic Chemistry, Mouse Metabolism Core, and Diabetes, Endocrinology, and Obesity Branch, National Institute of Diabetes and Digestive and Kidney Disease, National Institutes of Health, 9000 Rockville Pike, Bethesda, Maryland 20892, United States
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Li M, Zhang H, Wang L, Li Z, Wang J, Xu B, Hao R, Liu C, Fu H, Rao H, Zhuang H, Wang L. The investigation of hepatitis A virus and hepatitis E virus co-infection in humans and animals in China. Acta Virol 2020; 64:20-27. [PMID: 32180415 DOI: 10.4149/av_2020_103] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
The aim of this study was to investigate the prevalence of co-infection of hepatitis A and hepatitis E virus (HAV/HEV) in patients with acute hepatitis as well as in different animal species. A total of 46 serum samples from patients diagnosed as hepatitis A or hepatitis E and 675 fecal samples of 11 animal species were collected. The IgM class antibodies to HEV and HAV, respectively, were detected by enzyme-linked immunosorbent assay. HEV and HAV RNAs were extracted from serum and fecal samples for the nested reverse transcription polymerase chain reaction. At least 10.9% (5/46) of the patients were co-infected with both HAV and HEV. Fifteen percent (18/120) of rabbit fecal samples and 17.5% (7/40) of swine fecal samples were positive for HEV RNA, but only 1% (2/200) of ferret fecal samples were positive for HAV RNA. Our study showed that co-infection with both HAV and HEV in patients and animals is infrequent. At least in our study, we showed that ferrets may represent the potential HAV hosts. Keywords: hepatitis A virus; hepatitis E virus; co-infection; zoonosis; prevalence.
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Liu W, Bhavsar R, Mamikonyan E, Yang FN, Lei H, Weintraub D, Detre JA, Rao H. 0075 Neural Correlates of Cognitive Fatigue in Parkinson Disease. Sleep 2020. [DOI: 10.1093/sleep/zsaa056.073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
Parkinson’s disease (PD) is a common neurodegenerative disease affecting millions of people world-wide. Fatigue is a prevalent and debilitating non-motor symptom in PD. However, the neural correlates underlying cognitive fatigue are poorly understood. Our previous studies suggested that continuous performance of a simple but mentally demanding psychomotor vigilance task (PVT) induced cognitive fatigue, operationalized as subjective exhaustion and time-on-task performance decline. Here we used arterial spin labeling (ASL) perfusion fMRI to investigate regional cerebral blood flow (CBF) changes in PD patients during cognitive fatigue induced by continuous performance of 20-min PVT.
Methods
Twenty-one PD patients completed a 20-min PVT during the ASL scan and two additional 4-min resting-state ASL scans before and after PVT. Reaction times (RTs) and regional CBF changes throughout the PVT as well as during pre- and post-task resting baselines were measured. Cognitive fatigue was analyzed by dividing the entire PVT performance into five quintiles in addition to the immediate measurement of self-rated fatigue before and after PVT.
Results
PD patients demonstrated significantly increased self-reported fatigue ratings after the task (p < 0.05) and progressively slower RTs across quintiles (p < 0.05). Perfusion data showed that the PVT activates the right middle frontal cortex, right inferior parietal lobe, right insula, bilateral occipital cortex, and right cerebellum (FDR corrected). Moreover, the bilateral middle frontal gyri were less active during the post-task rest compared to the pre-task rest.
Conclusion
These results demonstrated that cognitive fatigue has an ongoing effect on brain activity after a period of continuous mental effort and supported the critical role of prefrontal cortex in mediating cognitive fatigue in PD. The findings also suggest the utility of continuous PVT as an appropriate paradigm to induce and examine cognitive fatigue in PD.
Support
Supported in part by Parkinson’s Foundation Translational Research Grant and NIH grants R01-MH107571, R21-AG051981, and P30-NS045839.
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Affiliation(s)
- W Liu
- Center for Functional Neuroimaging, Department of Neurology, University of Pennsylvania, PHILADELPHIA, PA
| | - R Bhavsar
- Center for Functional Neuroimaging, Department of Neurology, University of Pennsylvania, PHILADELPHIA, PA
| | - E Mamikonyan
- Department of Psychiatry, University of Pennsylvania, PHILADELPHIA, PA
| | - F N Yang
- Center for Functional Neuroimaging, Department of Neurology, University of Pennsylvania, PHILADELPHIA, PA
| | - H Lei
- Center for Functional Neuroimaging, Department of Neurology, University of Pennsylvania, PHILADELPHIA, PA
| | - D Weintraub
- Department of Psychiatry, University of Pennsylvania, PHILADELPHIA, PA
| | - J A Detre
- Center for Functional Neuroimaging, Department of Neurology, University of Pennsylvania, PHILADELPHIA, PA
| | - H Rao
- Center for Functional Neuroimaging, Department of Neurology, University of Pennsylvania, PHILADELPHIA, PA
- Department of Psychiatry, University of Pennsylvania, Philadelphia, PA
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Galli O, Goel N, Basner M, Detre J, Thase M, Sheline Y, Rao H, Dinges D, Gehrman P. 1100 Self-Monitoring Of PVT Performance In Healthy Adults And Individuals With MDD. Sleep 2020. [DOI: 10.1093/sleep/zsaa056.1095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Introduction
Negativity bias in depression has been repeatedly demonstrated in the judgment and decision-making literature. Research investigating the impact of sleep deprivation on self-evaluation of performance in healthy or depressed populations is limited. We examined 1) whether individuals with Major Depressive Disorder (MDD) exhibit a negativity bias in subjective ratings of performance on the Psychomotor Vigilance Task (PVT) as compared with healthy adults, and 2) the impact of total sleep deprivation (TSD) on these ratings.
Methods
N=33 individuals with MDD and n=9 healthy adults completed a 5-day study protocol including two baseline nights (B1-B2, 9h TIB), 36 hours of TSD, and one night of recovery sleep opportunity (Rec). The PVT was administered every 2-4 hours. A brief questionnaire was administered immediately prior to (PRE) and following (POST) the PVT, asking participants to estimate their average reaction time (RT) using a 9-point Likert-type scale. Mixed-effects models examined the impact of group (MDD, Control), protocol day (B1, B2, SD, Rec), and their interaction on objective PVT performance (mean RT) and subjective performance estimates (PRE and POST ratings).
Results
Mean RT was significantly slower during TSD (p<0.001) for all participants. Individuals with MDD and healthy adults did not differ in objective PVT performance (p=0.25) across days. There was no significant interaction between group and protocol day (p=0.96). Both groups predicted slower RTs during TSD as compared with baseline or recovery days (PRE-PVT, p=0.006). Individuals with MDD anticipated slower RTs as compared with healthy adults (p=0.001). On POST-PVT estimates, all participants reported subjective poorer performance during TSD (p<0.008). Individuals with MDD reported slower RTs as compared with healthy adults (p=0.002). Interaction effects between group and protocol day on PRE- and POST- performance ratings were not significant.
Conclusion
This project is the first to investigate subjective estimates of PVT performance in healthy and depressed individuals. Individuals with MDD subjectively reported slower response times as compared with control participants, despite similar objective performance. Depressive symptoms may be a potential confounder of subjective, but not objective, PVT performance.
Support
5R01MH107571
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Affiliation(s)
- O Galli
- University of Pennsylvania, Philadelphia, PA
| | - N Goel
- Rush University Medical Center, Chicago, IL
| | - M Basner
- University of Pennsylvania, Philadelphia, PA
| | - J Detre
- University of Pennsylvania, Philadelphia, PA
| | - M Thase
- University of Pennsylvania, Philadelphia, PA
| | - Y Sheline
- University of Pennsylvania, Philadelphia, PA
| | - H Rao
- University of Pennsylvania, Philadelphia, PA
| | - D Dinges
- University of Pennsylvania, Philadelphia, PA
| | - P Gehrman
- University of Pennsylvania, Philadelphia, PA
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Quan P, Lei H, Wang J, Liu W, Zhang X, Dinges D, Rao H. 0294 Baseline Response Speed Predicts Locus Coeruleus Integrity Change After Sleep Deprivation. Sleep 2020. [DOI: 10.1093/sleep/zsaa056.291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Introduction
Locus coeruleus (LC) is the major source of norepinephrine (NE) in the brain, which plays a key role in maintaining arousal and alertness. Sleep loss significantly impairs arousal and alertness. However, it is unknown whether sleep loss disrupts LC integrity, which can be measured non-invasively by diffusion tensor imaging (DTI). In the current study, we used DTI to examine the effects of one night of acute total sleep deprivation (TSD) on fractional anisotropy (FA), an index reflecting fiber density, axonal diameter and myelination.
Methods
We analyzed DTI and psychomotor vigilance test (PVT) data from N=54 health adults (23 females, age range 21–50 years) from a well controlled in-laboratory sleep deprivation study. Participants were randomized to either a TSD condition (n=40) without sleep on night 2, or a control condition (n=14) with no sleep loss. Standard DTI scans were conducted on the morning of day 2 and day 3 between 0700h-1000h. The PVT reciprocal response time (RRT) was used to measure individual’s response speed at baseline without sleep loss. LC regions-of-interest (ROI) were defined by standard templates from Keren et al. (2009). Imaging data were analyzed using FSL toolbox.
Results
For the whole TSD group, no differences were found in the LC FA values before and after sleep deprivation (p > .2). However, when dividing the TSD group to a slow group and a fast group based on their baseline PVT response speed, significantly increased LC FA were found in the slow group (p = .007) but not in the fast group (p > .4). The PVT RRT negatively correlated with LC FA value changes after TSD (r = -.44, p = .004). No correlations were found between the PVT RRT and LC FA changes in the control group.
Conclusion
Our results showed that baseline vigilance response speed correlated with LC integrity change after sleep deprivation, with slower response exhibiting greater changes in LC integrity. These findings support the key role of LC-NE system in the regulation of alertness and arousal.
Support
Supported in part by NIH grants R01-HL102119, R01-MH107571, R21-AG051981. CTRC UL1RR024134, and P30-NS045839.
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Affiliation(s)
- P Quan
- Center for Functional Neuroimaging, Department of Neurology, University of Pennsylvania, Philadlephia, PA
| | - H Lei
- Center for Functional Neuroimaging, Department of Neurology, University of Pennsylvania, Philadlephia, PA
| | - J Wang
- Center for Functional Neuroimaging, Department of Neurology, University of Pennsylvania, Philadlephia, PA
| | - W Liu
- Center for Functional Neuroimaging, Department of Neurology, University of Pennsylvania, Philadlephia, PA
| | - X Zhang
- Center for Functional Neuroimaging, Department of Neurology, University of Pennsylvania, Philadlephia, PA
| | - D Dinges
- Division of Sleep and Chronobiology, Department of Psychiatry, University of Pennsylvania, Philadlephia, PA
| | - H Rao
- Center for Functional Neuroimaging, Department of Neurology, University of Pennsylvania, Philadlephia, PA
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Lei H, Quan P, Liu W, Zhang X, Chai Y, Yang F, Dinges D, Rao H. 0060 Morning Locus Coeruleus Activation During the PVT Predicts Later-Day Sleepiness. Sleep 2020. [DOI: 10.1093/sleep/zsaa056.058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Introduction
The locus coeruleus (LC) plays a key role in the regulation of arousal and autonomic function. Homeostatic sleep pressure refers to the drive for sleep that increases as a saturating exponential when we stay awake and decreases exponentially when we sleep. The current study used arterial spin labeling (ASL) functional magnetic resonance imaging (fMRI) to investigate the relationship between homeostatic sleep pressure (sleepiness) and LC activity during the psychomotor vigilance test (PVT).
Methods
We analyzed sleepiness and ASL imaging data from N=70 health adults (40 males, age range 21–50 years) who participated in a controlled in-laboratory sleep study. All participants were scanned at rest and during the PVT on the morning between 0700h-1000h after 9 hour time-in-bed (TIB) baseline sleep. LC regions-of-interest (ROI) were defined by standard templates from Keren et al. (2009). Sleepiness was assessed by the Karolinska Sleepiness Scale (KSS) every two hours from 10:30 am to 10:30 pm.
Results
Sleepiness scores gradually increased over wakefulness time and reached its peak in the evening at about 10:20pm. PVT-induced CBF changes did not correlate with sleepiness scores on the morning (p > 0.05), but showed significant negative correlations with sleepiness scores on later day when sleep pressure became higher, especially during the night-time (r = -0.41, p < 0.001). Specifically, LC CBF showed significant increases during the PVT scan as compared to the resting scan (p = 0.04) in individuals with less nigh-time sleepiness (KSS < 4), but no differences (p > 0.1) in individuals with greater nigh-time sleepiness (KSS ≥ 5). After controlling for age, gender, and total sleep time, PVT-induced regional CBF difference in the LC still negatively predicted sleepiness (β = -0.325, p = 0.005).
Conclusion
Our findings showed that individuals with greater LC CBF increases during the PVT were less sleepy during the night, supporting the key role of LC activity in promoting wakefulness and maintaining sleep homeostasis. PVT-induced LC activation may provide a non-invasive bio-marker of homeostatic sleep pressure in healthy adults.
Support
Supported in part by NIH grants R01-HL102119, R01-MH107571, R21-AG051981. CTRC UL1RR024134, and P30-NS045839.
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Affiliation(s)
- H Lei
- Center for Functional Neuroimaging, Department of Neurology, University of Pennsylvania, Philadelphia, PA
| | - P Quan
- Center for Functional Neuroimaging, Department of Neurology, University of Pennsylvania, Philadelphia, PA
| | - W Liu
- Center for Functional Neuroimaging, Department of Neurology, University of Pennsylvania, Philadelphia, PA
| | - X Zhang
- Center for Functional Neuroimaging, Department of Neurology, University of Pennsylvania, Philadelphia, PA
| | - Y Chai
- Center for Functional Neuroimaging, Department of Neurology, University of Pennsylvania, Philadelphia, PA
| | - F Yang
- Center for Functional Neuroimaging, Department of Neurology, University of Pennsylvania, Philadelphia, PA
| | - D Dinges
- Division of Sleep and Chronobiology, Department of Psychiatry, University of Pennsylvania, Philadelphia, PA
| | - H Rao
- Center for Functional Neuroimaging, Department of Neurology, University of Pennsylvania, Philadelphia, PA
- Division of Sleep and Chronobiology, Department of Psychiatry, University of Pennsylvania, Philadelphia, PA
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Tosh DK, Salmaso V, Rao H, Bitant A, Fisher CL, Lieberman DI, Vorbrüggen H, Reitman ML, Gavrilova O, Gao ZG, Auchampach JA, Jacobson KA. Truncated (N)-Methanocarba Nucleosides as Partial Agonists at Mouse and Human A 3 Adenosine Receptors: Affinity Enhancement by N6-(2-Phenylethyl) Substitution. J Med Chem 2020; 63:4334-4348. [PMID: 32271569 DOI: 10.1021/acs.jmedchem.0c00235] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Dopamine-derived N6-substituents, compared to N6-(2-phenylethyl), in truncated (N)-methanocarba (bicyclo[3.1.0]hexyl) adenosines favored high A3 adenosine receptor (AR) affinity/selectivity, e.g., C2-phenylethynyl analogue 15 (MRS7591, Ki = 10.9/17.8 nM, at human/mouse A3AR). 15 was a partial agonist in vitro (hA3AR, cAMP inhibition, 31% Emax; mA3AR, [35S]GTP-γ-S binding, 16% Emax) and in vivo and also antagonized hA3AR in vitro. Distal H-bonding substitutions of the N6-(2-phenylethyl) moiety particularly enhanced mA3AR affinity by polar interactions with the extracellular loops, predicted using docking and molecular dynamics simulation with newly constructed mA3AR and hA3AR homology models. These hybrid models were based on an inactive antagonist-bound hA1AR structure for the upper part of TM2 and an agonist-bound hA2AAR structure for the remaining TM portions. These species-independent A3AR-selective nucleosides are low efficacy partial agonists and novel, nuanced modulators of the A3AR, a drug target of growing interest.
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Affiliation(s)
| | | | | | - Amelia Bitant
- Department of Pharmacology, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, Wisconsin 53226, United States
| | - Courtney L Fisher
- Department of Pharmacology, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, Wisconsin 53226, United States
| | | | - Helmut Vorbrüggen
- Institut für Chemie und Biochemie, Freie Universität, Takustraße 3, D-14195 Berlin, Germany
| | | | | | | | - John A Auchampach
- Department of Pharmacology, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, Wisconsin 53226, United States
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15
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Suyama J, Yang F, Soriano A, Rao H, Arya L. 25: Mechanisms underlying nocturia in women with bladder pain syndrome/interstitial cystitis. Am J Obstet Gynecol 2020. [DOI: 10.1016/j.ajog.2019.12.065] [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: 10/24/2022]
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16
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Dietrich CM, Babushkin I, Andrade JRC, Rao H, Demircan A, Morgner U. Field enhancement in a doubly resonant optical parametric oscillator. Opt Lett 2019; 44:4909-4912. [PMID: 31568473 DOI: 10.1364/ol.44.004909] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/17/2019] [Accepted: 09/05/2019] [Indexed: 06/10/2023]
Abstract
Single-resonant and (signal/idler) double-resonant optical parametric oscillators differ fundamentally on the conversion efficiency back to the pump wave. The nonpresent idler in the single-resonant case allows for signal intracavity enhancement well beyond the pump power level. This paper answers the question, how the phase-matched back conversion in a doubly-resonant system can be overcome to reveal substantial power enhancement, and what parameters it depends on. In a degenerate double-resonant OPO (DROPO) pumped by a thin-disk oscillator, an enhancement up to a factor of four is shown experimentally. Support of a semianalytical theory is presented with exceptionally simple relations between enhancement and intracavity losses. Interestingly, our theory predicts no fundamental limit to the maximal field enhancement or conversion efficiency.
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17
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Tosh DK, Rao H, Bitant A, Salmaso V, Mannes P, Lieberman DI, Vaughan KL, Mattison JA, Rothwell AC, Auchampach JA, Ciancetta A, Liu N, Cui Z, Gao ZG, Reitman ML, Gavrilova O, Jacobson KA. Design and in Vivo Characterization of A 1 Adenosine Receptor Agonists in the Native Ribose and Conformationally Constrained (N)-Methanocarba Series. J Med Chem 2019; 62:1502-1522. [PMID: 30605331 DOI: 10.1021/acs.jmedchem.8b01662] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
(N)-Methanocarba ([3.1.0]bicyclohexyl) adenosines and corresponding ribosides were synthesized to identify novel A1 adenosine receptor (A1AR) agonists for CNS or peripheral applications. Human and mouse AR binding was determined to assess the constrained ring system's A1AR compatibility. N6-Dicyclobutylmethyl ribose agonist (9, MRS7469, >2000-fold selective for A1AR) and known truncated N6-dicyclopropylmethyl methanocarba 7 (MRS5474) were drug-like. The pure diastereoisomer of known riboside 4 displayed high hA1AR selectivity. Methanocarba modification reduced A1AR selectivity of N6-dicyclopropylmethyl and endo-norbornyladenosines but increased ribavirin selectivity. Most analogues tested (ip) were inactive or weak in inducing mouse hypothermia, despite mA1AR full agonism and variable mA3AR efficacy, but strong hypothermia by 9 depended on A1AR, which reflects CNS activity (determined using A1AR or A3AR null mice). Conserved hA1AR interactions were preserved in modeling of 9 and methanocarba equivalent 24 (∼400-fold A1AR-selective). Thus, we identified, and characterized in vivo, ribose and methanocarba nucleosides, including with A1AR-enhancing N6-dicyclobutylmethyl-adenine and 1,2,4-triazole-3-carboxamide (40, MRS7451) nucleobases.
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Affiliation(s)
| | | | - Amelia Bitant
- Department of Pharmacology , Medical College of Wisconsin , 8701 Watertown Plank Road , Milwaukee , Wisconsin 53226 , United States
| | | | | | | | - Kelli L Vaughan
- SoBran BioSciences , SoBran, Inc. , 4000 Blackburn Lane , Burtonsville , Maryland 20866 , United States.,Translational Gerontology Branch , National Institute on Aging Intramural Research Program , 16701 Elmer School Road, Building 103 , Dickerson , Maryland 20842 , United States
| | - Julie A Mattison
- Translational Gerontology Branch , National Institute on Aging Intramural Research Program , 16701 Elmer School Road, Building 103 , Dickerson , Maryland 20842 , United States
| | - Amy C Rothwell
- Department of Pharmacology , Medical College of Wisconsin , 8701 Watertown Plank Road , Milwaukee , Wisconsin 53226 , United States
| | - John A Auchampach
- Department of Pharmacology , Medical College of Wisconsin , 8701 Watertown Plank Road , Milwaukee , Wisconsin 53226 , United States
| | - Antonella Ciancetta
- School of Pharmacy , Queen's University Belfast , 96 Lisburn Road , Belfast BT9 7BL , U.K
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18
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Abstract
A conceptually new synthesis of pyridine rings by a [C4 + CN] assembly has been developed by applying a vinylogous version of the classic Blaise reaction. The zinc-mediated reaction of (het)aryl or alkyl nitriles with ethyl-4-bromocrotonate provided a variety of C(6)-substituted pyridin-2-ones in a single-step.
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Affiliation(s)
- H. Rao
- Department of Chemistry, Pondicherry University
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19
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Jiang Y, Chai Y, Yang F, Xu S, Basner M, Detre JA, Dinges DF, Rao H. 0218 Effects Of Sleep Deprivation And Recovery Sleep On Human Brain Network Organization. Sleep 2018. [DOI: 10.1093/sleep/zsy061.217] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [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)
- Y Jiang
- University of Pennsylvania, Philadelphia, PA
| | - Y Chai
- University of Pennsylvania, Philadelphia, PA
| | - F Yang
- University of Pennsylvania, Philadelphia, PA
| | - S Xu
- University of Pennsylvania, Philadelphia, PA
| | - M Basner
- University of Pennsylvania, Philadelphia, PA
| | - J A Detre
- University of Pennsylvania, Philadelphia, PA
| | - D F Dinges
- University of Pennsylvania, Philadelphia, PA
| | - H Rao
- University of Pennsylvania, Philadelphia, PA
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20
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Rao H, Wu E, Fu S, Yang M, Feng B, Lin A, Fei R, Fontana RJ, Lok AS, Wei L. The higher prevalence of truncal obesity and diabetes in American than Chinese patients with chronic hepatitis C might contribute to more rapid progression to advanced liver disease. Aliment Pharmacol Ther 2017; 46:731-740. [PMID: 28833342 DOI: 10.1111/apt.14273] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/25/2017] [Revised: 05/03/2017] [Accepted: 07/27/2017] [Indexed: 12/12/2022]
Abstract
BACKGROUND Chronic hepatitis C virus (HCV) infection is the leading cause of cirrhosis and hepatocellular carcinoma (HCC) in the United States (US) and an emerging cause in China. AIM To compare the clinical characteristics of hepatitis C patients in the US and China, and factors influencing disease stage. METHODS Prospective study of 2 cohorts of HCV patients recruited at 1 site in the US and 3 sites in China. Standardised questionnaire on risk factors and medical history were used and diagnosis of cirrhosis and HCC was based on pre-defined criteria. RESULTS One thousand nine hundred and fifty seven patients (1000 US and 957 China) were enrolled. US patients were more likely to be men (61.4% vs 48.5%), older (median age 57 vs 53 years), obese (38.4% vs 16.8%) and diabetic (21.8% vs 10.8%). A significantly higher per cent of US patients had cirrhosis (38.2% vs 16.0%) and HCC (14.1% vs 2.7%). Investigator estimated time at infection in US was 10 years earlier than in Chinese patients but US patients were more likely to have advanced disease even after stratifying for duration of infection. Study site in the US, older age, truncal obesity, diabetes and prior HCV treatment were significant predictors of advanced disease on multivariate analysis. CONCLUSIONS HCV patients in the US had more advanced liver disease than those in China. We speculate that underlying fatty liver disease may be a major contributor to this difference, and management of glycometabolic abnormalities should occur in parallel with anti-viral therapy to achieve optimal outcomes.
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Affiliation(s)
- H Rao
- Peking University Hepatology Institute, Peking University People's Hospital, Beijing Key Laboratory of Hepatitis C and Immunotherapy for Liver Diseases, Beijing, China
| | - E Wu
- Division of Gastroenterology and Hepatology, Department of Internal Medicine, University of Michigan Health System, Ann Arbor, MI, USA
| | - S Fu
- Division of Gastroenterology and Hepatology, Department of Internal Medicine, University of Michigan Health System, Ann Arbor, MI, USA
| | - M Yang
- Peking University Hepatology Institute, Peking University People's Hospital, Beijing Key Laboratory of Hepatitis C and Immunotherapy for Liver Diseases, Beijing, China
| | - B Feng
- Peking University Hepatology Institute, Peking University People's Hospital, Beijing Key Laboratory of Hepatitis C and Immunotherapy for Liver Diseases, Beijing, China
| | - A Lin
- The Molecular and Behavioral Neuroscience Institute, University of Michigan, Ann Arbor, MI, USA
| | - R Fei
- Peking University Hepatology Institute, Peking University People's Hospital, Beijing Key Laboratory of Hepatitis C and Immunotherapy for Liver Diseases, Beijing, China
| | - R J Fontana
- Division of Gastroenterology and Hepatology, Department of Internal Medicine, University of Michigan Health System, Ann Arbor, MI, USA
| | - A S Lok
- Division of Gastroenterology and Hepatology, Department of Internal Medicine, University of Michigan Health System, Ann Arbor, MI, USA
| | - L Wei
- Peking University Hepatology Institute, Peking University People's Hospital, Beijing Key Laboratory of Hepatitis C and Immunotherapy for Liver Diseases, Beijing, China
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21
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Shetty R, Rao H, Khamar P, Sainani K, Vunnava K, Jayadev C, Kaweri L. Keratoconus Screening Indices and Their Diagnostic Ability to Distinguish Normal From Ectatic Corneas. Am J Ophthalmol 2017; 181:140-148. [PMID: 28687218 DOI: 10.1016/j.ajo.2017.06.031] [Citation(s) in RCA: 92] [Impact Index Per Article: 13.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2017] [Revised: 06/24/2017] [Accepted: 06/27/2017] [Indexed: 11/27/2022]
Abstract
PURPOSE To compare the diagnostic ability of 3 Scheimpflug devices in differentiating normal from ectatic corneas. DESIGN Comparison of diagnostic instrument accuracy. METHODS This study included 42 normal, 37 subclinical keratoconic, and 51 keratoconic eyes seen in a tertiary eye care institute. Keratoconus screening indices were evaluated using the Pentacam (Oculus, Wetzlar, Germany), Galilei (Ziemer, Biel, Switzerland), and Sirius (Costruzione Strumenti Oftalmici, Florence, Italy). Sensitivity, specificity, and area under receiver operating characteristic curve (AUC) were calculated. RESULTS Highest sensitivity (100%) to diagnose keratoconus was seen for 6 parameters on Pentacam and 1 on Galilei. None of the indices in Sirius reached 100% sensitivity. For subclinical keratoconus, the highest sensitivity (100%) was seen for 2 parameters on Pentacam but for none of them on Galilei and Sirius. All parameters were strong enough to differentiate keratoconus (AUC > 0.9). On comparing the best parameters of all 3 machines, the AUC of the Belin/Ambrosio enhanced ectasia total derivation (BAD-D) and the inferior-superior value (ISV) of Pentacam were statistically similar to that of the keratoconus prediction index (KPI) and keratoconus probability (Kprob) of Galilei (P = .27) and 4.5 mm root mean square per unit area (RMS/A) back of Sirius (P = .55). When differentiating subclinical from normal corneas, BAD-D was similar to the surface regularity index (SRI) of Galilei (P = .78) but was significantly greater than the 8 mm RMS/A back of Sirius (P = .002). CONCLUSION Keratoconus indices measured by all 3 machines can effectively differentiate keratoconus from normal corneas. However, new cutoff values might be needed to differentiate subclinical from normal corneas.
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Affiliation(s)
- Rohit Shetty
- Narayana Nethralaya Eye Institute, Bangalore, India
| | - Harsha Rao
- Narayana Nethralaya Eye Institute, Bangalore, India
| | - Pooja Khamar
- Narayana Nethralaya Eye Institute, Bangalore, India
| | | | | | | | - Luci Kaweri
- Narayana Nethralaya Eye Institute, Bangalore, India.
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22
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Wang G, Krishna KB, Rao H. 1214 Home CPAP Therapy May Underestimate Apnea and Hypopnea Index in Infants with Obstructive Sleep Apnea. Sleep 2017. [DOI: 10.1093/sleepj/zsx052.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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23
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Rao H, McNamara C, Kitch D, Lisa A. 1002 SLEEP DURATION, SLEEP HYGIENE AND PARENTS’ SLEEP KNOWLEDGE OF CHILDREN REFERRED FOR POLYSOMNOGRAPHY. Sleep 2017. [DOI: 10.1093/sleepj/zsx050.1001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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24
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Boland E, Rao H, Dinges DF, Smith RV, Goel N, Detre J, Basner M, Sheline Y, Thase ME, Gehrman PR. 1094 META-ANALYSIS OF THE ANTIDEPRESSANT EFFECTS OF THERAPEUTIC SLEEP DEPRIVATION. Sleep 2017. [DOI: 10.1093/sleepj/zsx050.1093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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25
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Yorke J, Fleming S, Shuldham C, Rao H, Smith HE. Nonpharmacological interventions aimed at modifying health and behavioural outcomes for adults with asthma: a critical review. Clin Exp Allergy 2016; 45:1750-64. [PMID: 25675860 DOI: 10.1111/cea.12511] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Evidence suggests that living with asthma is linked with psychological and behavioural factors including self-management and treatment adherence, and therefore, there is a reasonable hypothesis that nonpharmacological treatments may improve health outcomes in people living with this condition. A systematic review of randomized controlled trials (RCTs) of nonpharmacological interventions for adults with asthma was designed. Databases searched included The Cochrane Airways Group Register of trials, CENTRAL and Psychinfo. The literature search was conducted until May 2014. Twenty-three studies met the inclusion criteria and were organized into four groups: relaxation-based therapies (n = 9); mindfulness (n = 1), biofeedback techniques (n = 3); cognitive behavioural therapies (CBT) (n = 5); and multicomponent interventions (n = 5). A variety of outcome measures were used, even when trials belonged to the same grouping, which limited the ability to conduct meaningful meta-analyses. Deficiencies in the current evidence base, notably trial heterogeneity, means that application to clinical practice is limited and clear guidelines regarding the use of nonpharmacological therapies in asthma is limited. Relaxation and CBT, however, appear to have a consistent positive effect on asthma-related quality of life and some psychological outcomes, and lung function (relaxation only). Future trials should be informed by previous work to harmonize the interventions under study and outcome measures used to determine their effectiveness; only then will meaningful meta-analyses inform clinical practice.
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Affiliation(s)
- J Yorke
- Nursing, University of Manchester, Manchester, UK
| | - S Fleming
- Nursing Research, Royal Brompton and Harefield NHS Foundation Trust, London, UK
| | - C Shuldham
- Nursing and Quality, Royal Brompton and Harefield Foundation Trust, London, UK
| | - H Rao
- Public Health and Primary Care, University of Brighton, Brighton, UK
| | - H E Smith
- Public Health and Primary Care, University of Brighton, Brighton, UK
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Deng L, Xu-Monette ZY, Loghavi S, Manyam GC, Xia Y, Visco C, Huh J, Zhang L, Zhai Q, Wang Y, Qiu L, Dybkær K, Chiu A, Perry AM, Zhang S, Tzankov A, Rao H, Abramson J, Sohani AR, Xu M, Hsi ED, Zhu J, Ponzoni M, Wang S, Li L, Zhang M, Ferreri AJM, Parsons BM, Li Y, Piris MA, Medeiros LJ, Young KH. Primary testicular diffuse large B-cell lymphoma displays distinct clinical and biological features for treatment failure in rituximab era: a report from the International PTL Consortium. Leukemia 2015; 30:361-72. [DOI: 10.1038/leu.2015.237] [Citation(s) in RCA: 40] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2015] [Revised: 08/15/2015] [Accepted: 08/18/2015] [Indexed: 12/15/2022]
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28
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Wang Y, Rao H, Wei L. Detection of NS5B C316N—A resistant mutation to sofosbuvir in treatment-naïve genotype 1b HCV-infected patients using ultra-deep sequencing. J Clin Virol 2015. [DOI: 10.1016/j.jcv.2015.06.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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29
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Zhuang B, Luo X, Rao H, Li Q, Shan N, Liu X, Qi H. Oxidative stress-induced C/EBPβ inhibits β-catenin signaling molecule involving in the pathology of preeclampsia. Placenta 2015; 36:839-46. [PMID: 26166436 DOI: 10.1016/j.placenta.2015.06.016] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/08/2015] [Revised: 06/16/2015] [Accepted: 06/30/2015] [Indexed: 12/22/2022]
Abstract
INTRODUCTION Oxidative stress-induced trophoblast cell dysfunction is a major pathology in preeclampsia (PE). Recently, CCAAT/enhancer binding protein beta (C/EBPβ) has been investigated as a tumor suppressor that participates in tumor invasion. However, the function of C/EBPβ in trophoblast cells remains unknown. Our study was designed to detect the expression of C/EBPβ in the preeclamptic placenta and to identify the underlying mechanisms of oxidative stress. METHODS Human placental tissues with PE were collected. The expression of C/EBPβ and β-catenin were detected. Human first trimester extravillous trophoblast cell (HTR8/SVneo) line exposed to hypoxia/reoxygenation (H/R) was employed as an oxidative stress model in vitro to investigate the effects of C/EBPβ on invasion and the expression of β-catenin. Moreover, first trimester-derived placental villous explants were used to verify the effects of C/EBPβ and β-catenin in placentation. RESULTS In preeclamptic placentas, C/EBPβ was overexpressed and β-catenin was decreased. In addition, C/EBPβ was found to have increased expression in H/R-treated HTR8/SVneo cells and villous explants. C/EBPβ knockdown and β-catenin activation could significantly promote the invasion of HTR8/SVneo cells, enhance the outgrowth and migration in villous explants and inhibit the excessive generation of intracellular ROS. These findings might be related to the increased activities of MMP-2/9 and the decreased expression of TIMP-1/2. Meanwhile, C/EBPβ knockdown remarkably increased the expression of β-catenin. DISCUSSION We hypothesize that the oxidative stress-induced overexpression of C/EBPβ might influence the activity of MMPs by regulating the Wnt/β-catenin signaling pathway to affect the invasion of trophoblast cells, which then participate in the pathogenesis of preeclampsia.
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Affiliation(s)
- B Zhuang
- Department of Obstetrics and Gynecology, The First Affiliated Hospital of Chongqing Medical University, No. 1 Yixue Road, Yuzhong District, Chongqing 400016, China
| | - X Luo
- Department of Obstetrics and Gynecology, The First Affiliated Hospital of Chongqing Medical University, No. 1 Yixue Road, Yuzhong District, Chongqing 400016, China
| | - H Rao
- Department of Obstetrics and Gynecology, The First Affiliated Hospital of Chongqing Medical University, No. 1 Yixue Road, Yuzhong District, Chongqing 400016, China
| | - Q Li
- Department of Pathology, The First Affiliated Hospital of Chongqing Medical University, No. 1 Yixue Road, Yuzhong District, Chongqing 400016, China
| | - N Shan
- Department of Obstetrics and Gynecology, The First Affiliated Hospital of Chongqing Medical University, No. 1 Yixue Road, Yuzhong District, Chongqing 400016, China
| | - X Liu
- Department of Obstetrics and Gynecology, The First Affiliated Hospital of Chongqing Medical University, No. 1 Yixue Road, Yuzhong District, Chongqing 400016, China
| | - H Qi
- Department of Obstetrics and Gynecology, The First Affiliated Hospital of Chongqing Medical University, No. 1 Yixue Road, Yuzhong District, Chongqing 400016, China.
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Rao H, Desai A. Zinc and Trimethylsilyl Chloride Mediated Synthesis of 2,3,5-Trisubstituted Pyrrole Diesters from Nitriles and Ethyl Bromoacetate. Synlett 2015. [DOI: 10.1055/s-0034-1380403] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
An efficient, zinc-mediated, single-pot and CN+3C type pseudo-four-component synthesis of 2,3,5-trisubstituted pyrrole diesters was achieved from readily available aromatic/benzylic/aliphatic nitriles and ethyl bromoacetate under trimethylsilyl chloride catalysis.
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Rani A, Rao H, Kumar A, Shruthi M. Eco-Friendly Approach for Treating Dairy Effluent and Lipid Estimation Using Microalgae. ACTA ACUST UNITED AC 2015. [DOI: 10.9734/bbj/2015/16931] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Darekar M, Singh KK, Shenoy KT, Kundu G, Rao H, Ghosh SK. Numerical simulations to evaluate basic geometrical shapes as headers for equal liquid flow distribution. ASIA-PAC J CHEM ENG 2014. [DOI: 10.1002/apj.1814] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- Mayur Darekar
- Department of Chemical Engineering; Indian Institute of Technology; Kharagpur India 721302
- Chemical Engineering Division; Bhabha Atomic Research Centre; Trombay Mumbai Maharashtra India 400085
| | - K. K. Singh
- Chemical Engineering Division; Bhabha Atomic Research Centre; Trombay Mumbai Maharashtra India 400085
| | - K. T. Shenoy
- Chemical Engineering Division; Bhabha Atomic Research Centre; Trombay Mumbai Maharashtra India 400085
| | - G. Kundu
- Department of Chemical Engineering; Indian Institute of Technology; Kharagpur India 721302
| | - H. Rao
- Chemical Engineering Division; Bhabha Atomic Research Centre; Trombay Mumbai Maharashtra India 400085
| | - S. K. Ghosh
- Chemical Engineering Division; Bhabha Atomic Research Centre; Trombay Mumbai Maharashtra India 400085
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Gadgil O, Dalvi V, Shenoy K, Rao H, Ghosh S, Joshi J. Kinetics of extraction of uranium from phosphoric acid by D2EHPA–TBP and D2EHPA–TOPO systems using constant interfacial area stirred cell. Chem Eng Sci 2014. [DOI: 10.1016/j.ces.2013.10.020] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Dixit S, Chinchale R, Govalkar S, Mukhopadhyay S, Shenoy KT, Rao H, Ghosh SK. A Mathematical Model for Size and Number Scale Up of Hollow Fiber Modules for the Recovery of Uranium from Acidic Nuclear Waste using the DLM Technique. SEP SCI TECHNOL 2013. [DOI: 10.1080/01496395.2013.807825] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Monga S, Ramappa M, Kekunnaya R, Chaurasia S, Rao H. Intraocular lenses in children. Ophthalmology 2012; 119:1503-4;author reply 1504-5. [PMID: 22749102 DOI: 10.1016/j.ophtha.2012.03.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2011] [Accepted: 03/06/2012] [Indexed: 11/16/2022] Open
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Affiliation(s)
- P. S. Sarkar
- Neutron and X-ray
Physics Facilities, Bhabha Atomic Research Centre, Trombay, Mumbai, India
400085
| | - K. K. Singh
- Chemical Engineering Division, Bhabha Atomic Research Centre, Trombay, Mumbai, India
400085
| | - K. T. Shenoy
- Chemical Engineering Division, Bhabha Atomic Research Centre, Trombay, Mumbai, India
400085
| | - A. Sinha
- Neutron and X-ray
Physics Facilities, Bhabha Atomic Research Centre, Trombay, Mumbai, India
400085
| | - H. Rao
- Chemical Engineering Division, Bhabha Atomic Research Centre, Trombay, Mumbai, India
400085
| | - S. K. Ghosh
- Chemical Engineering Division, Bhabha Atomic Research Centre, Trombay, Mumbai, India
400085
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Lydall GJ, Saini J, Ruparelia K, Montagnese S, McQuillin A, Guerrini I, Rao H, Reynolds G, Ball D, Smith I, Thomson AD, Morgan MY, Gurling HMD. Genetic association study of GABRA2 single nucleotide polymorphisms and electroencephalography in alcohol dependence. Neurosci Lett 2011; 500:162-6. [PMID: 21683760 DOI: 10.1016/j.neulet.2011.05.240] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2010] [Revised: 05/23/2011] [Accepted: 05/27/2011] [Indexed: 11/24/2022]
Abstract
The gamma aminobutyric acid (GABA) system has been implicated in the susceptibility to develop alcohol dependence and in determining electroencephalogram (EEG) beta activity. The role of the GABA receptor alpha-2 gene (GABRA2) in human alcohol dependence was determined in a genetic and electrophysiological study. The study population comprised 586 white UK individuals with alcohol dependence but a very low prevalence of co-morbid drug dependence, and 603 ancestrally matched healthy controls. Genotyping for seven GABRA2 single nucleotide polymorphisms (SNPs), identified from the literature as positively associated with alcohol dependence, was performed with success rates of 90% or greater. EEGs were available in 32 selected patients who had been abstinent from alcohol for a minimum of 24 months and in 138 ancestrally matched healthy controls. None of the SNPs showed allelic or haplotypic association with alcohol dependence. All markers were in Hardy Weinberg equilibrium (HWE) in the controls. HWE for marker rs279841 in the alcohol dependent sample was p=0.0199 and combined p=0.0166. Linkage disequilibrium patterns appear to be very similar to that observed in the HapMap CEU data. A significantly higher prevalence of excess EEG fast activity was found in the patients (31 vs. 14%, p=0.018). A significant relationship was found between the presence of excess EEG fast activity and GABRA2 SNPs rs548583, rs279871 and rs279841. This allelic association study provides no evidence for an association between GABRA2 polymorphisms and alcohol dependence. However, a significant relationship was identified between GABRA2 and excess EEG fast activity. This dissociation of effect may reflect the fact that the EEG is a more direct marker of phenotypic GABRA2 expression than the more heterogeneous alcohol dependence phenotype.
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Affiliation(s)
- G J Lydall
- Molecular Psychiatry Laboratory, Windeyer Institute of Medical Sciences, Department of Psychiatry and Behavioural Sciences, Royal Free and University College London, London Medical School, 46 Cleveland Street, London W1T 4JF, UK.
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Addepalli MK, Ray KB, Kumar B, Ramnath RL, Chile S, Rao H. RNAi-mediated knockdown of AURKB and EGFR shows enhanced therapeutic efficacy in prostate tumor regression. Gene Ther 2009; 17:352-9. [PMID: 19956271 DOI: 10.1038/gt.2009.155] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Aurora B kinase (AURKB) and epidermal growth factor receptor 1 (EGFR) belong to serine/threonine and tyrosine kinase family of proteins. Both these kinases are found to overexpress in a large number of epithelial cancers, including hormonal refractory prostate cancer. In this communication, we present evidence for down-regulated expression of AURKB and EGFR, either alone or in combination, in prostate cancer cells. The results show that AURKB and EGFR were efficiently down-regulated in a dose-dependent manner. AURKB and EGFR siRNA in combination have shown enhanced therapeutic effect by inhibiting PC3 cell proliferation and inducing apoptosis in vitro, whereas androgen-dependent cancer cells LNCaP remain unaffected correlating the endogenous expression levels. Knockdown of AURKB and EGFR individually resulted in inhibition of prostate tumor growth in athymic nude mice and their combined knockdown resulted in tumor regression in which 40% of the treated mice were found to be tumor free, implicating the potential therapeutic benefits of AURKB-EGFR combination therapy.
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Affiliation(s)
- M K Addepalli
- Novel Therapeutics Group, Reliance Life Sciences Pvt Ltd, Rabale, Navi Mumbai, India.
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Rao H, Banerjee S, Jain N, Gupta R, Modi JN, Kapoor A, Biswas R. Hip pain in pregnancy. Case Reports 2009; 2009:bcr01.2009.1521. [DOI: 10.1136/bcr.01.2009.1521] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Luty J, Rao H. Survey of professional attitudes to addiction treatment policy. Journal of Substance Use 2009. [DOI: 10.1080/14659890701289646] [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: 10/22/2022]
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Avants BB, Cook P, Pluta J, Duda JT, Rao H, Giannetta J, Hurt H, Das SR, Gee JC. Multivariate Diffeomorphic Analysis of Longitudinal Increase in White Matter Directionality and Decrease in Cortical Thickness between Ages 14 and 18. Neuroimage 2009. [DOI: 10.1016/s1053-8119(09)70918-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Rao H, Mahadevappa H, Pillay P, Sessay M, Abraham A, Luty J. A study of stigmatized attitudes towards people with mental health problems among health professionals. J Psychiatr Ment Health Nurs 2009; 16:279-84. [PMID: 19291157 DOI: 10.1111/j.1365-2850.2008.01369.x] [Citation(s) in RCA: 130] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
The project aimed to assess stigmatized attitudes among health professionals directed towards patients with mental health problems. The Attitude to Mental Illness Questionnaire was used to assess participants' attitudes towards fictitious patients from a secure forensic hospital and patients with schizophrenia and substance use disorders. Participants were health professionals from acute and mental health settings. In total, 108 completed questionnaires were received. Participants had highly stigmatized attitudes towards patients from a forensic hospital and those with active substance use disorders. Attitudes were less stigmatized to people with substance use disorders who were recovering in remission. This suggested that health professionals have stigmatized attitudes towards an illness such as schizophrenia and this is worse towards patients from a secure hospital. The manner in which patients with substance use disorder are presented can have a significant effect on stigmatized attitudes by health professionals.
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Affiliation(s)
- H Rao
- Psychiatry, Tower Hamlets SAU, Mile End Hospital, London, UK
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Saiki T, Rao H, Landolfo F, Smith APR, Hannam S, Rafferty GF, Greenough A. Sleeping position, oxygenation and lung function in prematurely born infants studied post term. Arch Dis Child Fetal Neonatal Ed 2009; 94:F133-7. [PMID: 19240293 DOI: 10.1136/adc.2008.141374] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
OBJECTIVE To determine the effect of sleeping position on the lung function of prematurely born infants when post term, whether any effect was similar to that before discharge from the neonatal unit, and if it differed according to bronchopulmonary (BPD) status. DESIGN Prospective study. SETTING Tertiary neonatal unit. PATIENTS Twenty infants, median gestational age 30 weeks (range 25-32); 10 had BPD. INTERVENTIONS Before neonatal unit discharge (median age 36 weeks postmenstrual age (PMA)) and when post term, infants were studied prone and supine, each position maintained for 3 h. MAIN OUTCOME MEASURES Oxygen saturation was monitored continuously and, at the end of each 3 h period, functional residual capacity (FRC) and compliance (CRS) and resistance (RRS) of the respiratory system were measured. RESULTS At a median of 36 weeks PMA and 6 weeks later (post term), respectively, oxygen saturation (98% vs 96%, p = 0.001; 98% vs 97%, p = 0.011), FRC (26 vs 24 ml/kg, p<0.0001; 35 vs 31 ml/kg, p = 0.001) and CRS (3.0 vs 2.4 ml/cm H(2)O, p = 0.034; 3.7 vs 2.5 ml/cm H(2)O, p = 0.015) were higher in the prone than the supine position. In the prone position, both BPD and non-BPD infants had significantly greater FRCs on both occasions and oxygen saturation at 36 weeks PMA, but oxygen saturation was significantly better post term only in non-BPD infants. Twelve infants had superior oxygen saturation and 17 superior FRCs in the prone compared with the supine position at both 36 weeks PMA and post term. CONCLUSIONS These results suggest that lung function impairment does not explain why prematurely born infants are at increased risk of sudden infant death syndrome in the prone compared with the supine position.
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Affiliation(s)
- T Saiki
- MRC-Asthma Centre, Division of Asthma, Allergy and Lung Biology, King's College Hospital, King's College London, Denmark Hill, London, UK
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Rao H, Luty J, Trathen B. Characteristics of patients who are violent to staff and towards other people from a community mental health service in South East England. J Psychiatr Ment Health Nurs 2007; 14:753-7. [PMID: 18039298 DOI: 10.1111/j.1365-2850.2007.01182.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Professionals working in the public sector in the UK report widespread violence towards staff working in areas such as health care, social services and education. This study compares the characteristics of patients with and without a history of violence in a large sample of patients attending a community mental health service in South East England. The data were taken from a study of comorbidity and cannabis use in a mental health trust covering a semi-rural population of 250,000 people in Harlow and the surrounding area of South East England. Key workers were interviewed using semi-structured questionnaires from the Comorbidity of Substance Misuse and Mental illness in Community Mental Health and Substance Misuse Services study. Rates of violence against health workers were more than 20 times higher among those patients with a history of violence (23.6% vs. 1%, P<0.001). Alcohol and drug use was more frequent in those who were violent. Prevalence of comorbidity, schizophrenia and personality disorders was high. Key workers' estimates suggested that there was no difference in aggression, engagement or adherence to care plan among those with a history of violence.
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Affiliation(s)
- H Rao
- Specialist Registrar in Psychiatry, Lakes Mental Health Center, Colchester General Hospital, Colchester, UK.
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Jia J, Cao Z, Wang J, Rao H, Li F, Ge C. Effect of crossbreed on the physical meat indicators
in Yun-ling Black goats. J Anim Feed Sci 2007. [DOI: 10.22358/jafs/74589/2007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Zhang L, Hou X, Rao H, Hou J, Luo R, Huang H, Huang P. Predictive significance of bone sialoprotein and osteopontin for bone metastases in respectable non-small cell lung cancer: A retrospective study. J Clin Oncol 2007. [DOI: 10.1200/jco.2007.25.18_suppl.7666] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
7666 Background: Bone sialoprotein (BSP) and osteopontin (OPN) have been demonstrated predictive of bone metastases in breast and prostate carcinoma, consistent with the proposed role of BSP as a stimulator of bone mineralization and OPN in differentiation and activation of osteoclasts. Bone metastasis (BM) is often developed in non-small-cell lung cancer (NSCLC), but no predictive biomarker was identified for high risk of metastatic bone dissemination. Methods: 180 completely resected NSCLC patients were included in this study. 38 patients subsequently developed BM. Paraffin embedded primary tumor tissue of patients were supplied to produce a tissue microarray, and immunohistochemistry method was used for evaluation the expression of BSP and OPN. Different expressions of these two biomarkers among BM group and non-BM group were estimated by χ2 test. Bone metastasis-free survival was analyzed by Kaplan-Meier method. The prognostic impact of clinicopathologic parameters and biomarker expression was evaluated by Cox propotional hazards model. Results: BSP expression was associated with BM (P=0.027), while OPN expression could not reach statistical significance (P=0.495). Univariate analysis demonstrated that expression of BSP (P=0.036), N stage (P=0.000) and clinical stage (P=0.001) were associated with time interval to BM. Multivariate analyses showed BSP expression (RR=1.779, P=0.012) and clinical stage (RR=1.620, P=0.005) were independent prognostic factors for BM. Conclusions: BSP protein expression in the primary resected NSCLC is strongly associated with BM and could be used to identify high-risk patients. Correlation of OPN protein expression and bone metastasis need further investigation. No significant financial relationships to disclose.
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Affiliation(s)
- L. Zhang
- Sun Yat-sen Univ Cancer Ctr, Guang Dong, China; Cancer Center of Sun Yat-sen University, Guangzhou, China
| | - X. Hou
- Sun Yat-sen Univ Cancer Ctr, Guang Dong, China; Cancer Center of Sun Yat-sen University, Guangzhou, China
| | - H. Rao
- Sun Yat-sen Univ Cancer Ctr, Guang Dong, China; Cancer Center of Sun Yat-sen University, Guangzhou, China
| | - J. Hou
- Sun Yat-sen Univ Cancer Ctr, Guang Dong, China; Cancer Center of Sun Yat-sen University, Guangzhou, China
| | - R. Luo
- Sun Yat-sen Univ Cancer Ctr, Guang Dong, China; Cancer Center of Sun Yat-sen University, Guangzhou, China
| | - H. Huang
- Sun Yat-sen Univ Cancer Ctr, Guang Dong, China; Cancer Center of Sun Yat-sen University, Guangzhou, China
| | - P. Huang
- Sun Yat-sen Univ Cancer Ctr, Guang Dong, China; Cancer Center of Sun Yat-sen University, Guangzhou, China
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Ballard CG, Morris CM, Rao H, O'Brien JT, Barber R, Stephens S, Rowan E, Gibson A, Kalaria RN, Kenny RA. APOE epsilon4 and cognitive decline in older stroke patients with early cognitive impairment. Neurology 2006; 63:1399-402. [PMID: 15505155 DOI: 10.1212/01.wnl.0000141851.93193.17] [Citation(s) in RCA: 42] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Dementia is common post stroke, but the potential role of early cognitive impairment and APOE epsilon4 as risk factors is unclear. METHOD Stroke survivors older than 75 years without dementia at 3 months post stroke received a detailed neuropsychological evaluation at 3 and 15 months post stroke, which included the Cambridge Assessment of Mental Disorders in the Elderly (CAMCOG). Early cognitive impairment was diagnosed using the criteria for cognitive impairment/no dementia (vascular CIND). APOE genotype was determined using a standardized method. RESULTS One hundred thirty-seven older stroke patients without dementia (mean age 80.6 +/- 4.3, mean CAMCOG score 83.5 +/- 10.4, 68 women) participated in the study, of whom 40 met the criteria for CIND. Stroke patients with one or more APOE epsilon4 alleles were significantly more likely to have CIND (14/40 vs 17/97, odds ratio = 2.5, 95% CI 1.1 to 5.8). Over the 1 year of follow-up, CIND patients with one or more APOE epsilon4 alleles had a mean decline on the total CAMCOG of 2.7 points compared with an improvement of >4 points among patients without APOE epsilon4 (T = 2.9 p = 0.006). CIND patients with an APOE epsilon4 allele also experienced greater decline in memory (T = 2.5, p = 0.015). CONCLUSION In older stroke patients with early cognitive impairment, the presence of an APOE epsilon4 allele is associated with greater progression of cognitive decline. This has implications for interventions aimed at the secondary prevention of dementia in stroke patients.
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Affiliation(s)
- C G Ballard
- Institute for Ageing and Health, Wolfson Research Centre, Newcastle General Hospital, Westgate Rd., Newcastle upon Tyne, NE4 6BE, UK.
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Gupta A, Godkar D, Gupta R, Rao H, Niranjan S, Khanna A. 42 CORRELATION OF SPLENOMEGALY IN MULTIPLE GATED ACQUISITION STUDIES. J Investig Med 2006. [DOI: 10.2310/6650.2005.x0008.41] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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Gandev G, Rao H, Rashid S, Kanagarajan K, Gupta K. COMPARISON BETWEEN PERFUSION LUNG SCAN AND VENTILATION-PERFUSION LUNG SCAN IN PATIENTS WITH PULMONARY EMBOLISM. Chest 2005. [DOI: 10.1378/chest.128.4_meetingabstracts.406s] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
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Rowan E, Morris CM, Stephens S, Ballard C, Dickinson H, Rao H, Saxby BK, McLaren AT, Kalaria RN, Kenny RA. Impact of hypertension and apolipoprotein E4 on poststroke cognition in subjects >75 years of age. Stroke 2005; 36:1864-8. [PMID: 16051894 DOI: 10.1161/01.str.0000177524.17424.2a] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND AND PURPOSE The apolipoprotein E4 allele (APOE4) associates with increased dementia risk, and hypertension may associate with mild cognitive deficits. We examined whether nondemented stroke patients with (1) a prestroke history of hypertension and (2) APOE4 were more cognitively impaired at 3 months after stroke. METHODS A total of 257 participants were genotyped and outcomes from neuropsychological evaluations analyzed using regression. RESULTS Total Cambridge Assessment for Mental Disorders in the Elderly (CAMCOG) and speed of working memory significantly associated with hypertension. No outcomes significantly associated with APOE4. CONCLUSIONS Subjects with prestroke hypertension had more impaired global cognition and slower access to information held in working memory.
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Affiliation(s)
- E Rowan
- Institute for Aging and Health, University of Newcastle upon Tyne, UK.
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