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Kreinin Y, Talmon Y, Levi M, Khoury M, Or I, Raad M, Bolotin G, Sznitman J, Korin N. A Fibrin-Thrombin Based In Vitro Perfusion System to Study Flow-Related Prosthetic Heart Valves Thrombosis. Ann Biomed Eng 2024:10.1007/s10439-024-03480-6. [PMID: 38459196 DOI: 10.1007/s10439-024-03480-6] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2023] [Accepted: 02/20/2024] [Indexed: 03/10/2024]
Abstract
Prosthetic heart valve (PHV) replacement has increased the survival rate and quality of life for heart valve-diseased patients. However, PHV thrombosis remains a critical problem associated with these procedures. To better understand the PHV flow-related thrombosis problem, appropriate experimental models need to be developed. In this study, we present an in vitro fibrin clot model that mimics clot accumulation in PHVs under relevant hydrodynamic conditions while allowing real-time imaging. We created 3D-printed mechanical aortic valve models that were inserted into a transparent glass aorta model and connected to a system that simulates human aortic flow pulse and pressures. Thrombin was gradually injected into a circulating fibrinogen solution to induce fibrin clot formation, and clot accumulation was quantified via image analysis. The results of valves positioned in a normal versus a tilted configuration showed that clot accumulation correlated with the local flow features and was mainly present in areas of low shear and high residence time, where recirculating flows are dominant, as supported by computational fluid dynamic simulations. Overall, our work suggests that the developed method may provide data on flow-related clot accumulation in PHVs and may contribute to exploring new approaches and valve designs to reduce valve thrombosis.
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Affiliation(s)
- Yevgeniy Kreinin
- Department of Biomedical Engineering, Technion-IIT, 3200003, Haifa, Israel
| | - Yahel Talmon
- Department of Biomedical Engineering, Technion-IIT, 3200003, Haifa, Israel
| | - Moran Levi
- Department of Biomedical Engineering, Technion-IIT, 3200003, Haifa, Israel
| | - Maria Khoury
- Department of Biomedical Engineering, Technion-IIT, 3200003, Haifa, Israel
| | - Itay Or
- Department of Cardiac Surgery, Rambam Health Care Campus, 3109601, Haifa, Israel
| | - Mahli Raad
- Department of Cardiac Surgery, Rambam Health Care Campus, 3109601, Haifa, Israel
| | - Gil Bolotin
- Department of Cardiac Surgery, Rambam Health Care Campus, 3109601, Haifa, Israel
- The Ruth Bruce Rappaport Faculty of Medicine, Technion-IIT, 3525433, Haifa, Israel
| | - Josué Sznitman
- Department of Biomedical Engineering, Technion-IIT, 3200003, Haifa, Israel
| | - Netanel Korin
- Department of Biomedical Engineering, Technion-IIT, 3200003, Haifa, Israel.
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Desai V, Mutsaers A, Fu R, Khoury M, Khalil C, Leventis P, Eskander A, Husain ZA. Surgeon, Pathologist and Pathology Technician Effects on Nodal Yield after a Neck Dissection. Int J Radiat Oncol Biol Phys 2023; 117:e590-e591. [PMID: 37785787 DOI: 10.1016/j.ijrobp.2023.06.1940] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/04/2023]
Abstract
PURPOSE/OBJECTIVE(S) A minimum nodal count of 18 lymph nodes has been associated with improved survival after neck dissection and has been suggested as a head and neck cancer quality metric. Despite its critical importance, factors affecting nodal yield are poorly studied. In particular, the relative contribution of surgeons, pathologists, and pathology technicians has not been evaluated. The purpose of this study was to understand both patient and provider related factors that affect nodal yield after neck dissection for patients with oral cavity squamous cell carcinoma (OCSCC). MATERIALS/METHODS This retrospective cohort study involved review of all adult patients with OCSCC undergoing primary neck dissection between 2000-2020 at an academic medical center. The outcome of interest was a continuous variable denoting the number of nodes removed per side during neck surgery. Surgeon and pathologist year of experience were calculated and represented in quartiles. A multilevel multivariable linear regression model was used to assess the association of surgeon/pathologist experience quartiles with nodal yield, controlling for patient age, comorbidity index, previous cancer, tumor grade, and clinical nodal status. RESULTS The 508 patients included in our cohort were treated by 5 surgeons and 6 pathologists and involved 44 pathology technicians. Of these patients, 310 (61.0%) were male with a mean age of 63. Oral tongue primary tumors were 46.7% of the cohort, while 64.4% of patients had cT1-T2 tumors, and 65.2% were cN0. The mean nodal yield was 24.2 nodes. The ANOVA analysis revealed significant difference in mean nodal yield by surgeon (p-value = 0.03), pathologist (p-value<0.01) and pathology technician (p-value = 0.037). After accounting for patient-level characteristics and patient clustering by surgeon, increasing surgeon experience was found to be significantly associated with a higher nodal yield (joint significance of surgeon years of experience quartiles < 0.01). Specifically, when compared to surgeons with the least experience (1st quartile), those whose years of experience fell into the 2nd, 3rd, and 4th quartile removed 4.69 (95% CI: 0.97 to 7.92), 4.47 (95% CI: 0.33 to 7.87), and 7.37 (95% CI: 0.73 to 11.27) more lymph nodes. Meanwhile, there was no association between pathologist experience and nodal yield (joint significance of pathologist years of experience quartiles = 0.27). Additionally, previous cancer diagnosis and cN0 disease were significantly associated with lower nodal yield (all p-values = 0.02). CONCLUSION This study demonstrates an independent association between increasing surgeon experience and higher nodal yields. Importantly, it also demonstrates that pathologists and pathology technicians contribute to the variation in nodal yield, and their contribution should not be overlooked in the implementation of a lymph node yield-based quality metric.
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Affiliation(s)
- V Desai
- Queens University School of Medicine, Kingston, ON, Canada
| | - A Mutsaers
- Department of Radiation Oncology, Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada
| | - R Fu
- Sunnybrook Health Sciences Centre, Toronto, ON, Canada
| | - M Khoury
- University of Toronto School of Medicine, Toronto, ON, Canada
| | - C Khalil
- University of Toronto School of Medicine, Toronto, ON, Canada
| | - P Leventis
- Sunnybrook Health Sciences Centre, Toronto, ON, Canada
| | - A Eskander
- Department of Otolaryngology - Head and Neck Surgery, Sunnybrook Health Sciences Centre, Toronto, ON, Canada
| | - Z A Husain
- Department of Radiation Oncology, Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada; Southern California Permanente Medical Group, Los Angeles, CA
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Townsend M, Khoury M, Koehl D, Cantor R, Kirklin J, Beasley G, Chen C, Boyle G, Parent J, Hernandez NB, Halnon N. Statin Use May Not Benefit Pediatric Heart Transplant Recipients: A PHTS Analysis. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.204] [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: 04/05/2023] Open
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Dirk K, Khoury M, Hartling L, Krysler A, Foshaug R. HIGH-INTENSITY INTERVAL TRAINING FOR HEART FAILURE AND POST-HEART TRANSPLANT: A SYSTEMATIC REVIEW AND META-ANALYSIS. Can J Cardiol 2022. [DOI: 10.1016/j.cjca.2022.08.112] [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: 11/02/2022] Open
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Court A, Letter AV, Parra E, Velarde F, García C, Ortoloff A, Luz-Crawford P, Khoury M, Figueroa F. Mesenchymal Stem/Stromal Cells: Late Breaking Abstract: INTRA-ARTICULAR INJECTION OF MSC-DERIVED MITOCHONDRIA LEADS TO CLINICAL IMPROVEMENT IN AN EXPERIMENTAL MODEL OF OSTEOARTHRITIS. Cytotherapy 2022. [DOI: 10.1016/s1465-3249(22)00244-4] [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: 11/26/2022]
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Villagómez A, Borja T, Pontón P, Ramos P, Robayo P, Arteaga M, Suquillo D, Barba D, Zambrano K, Karolys G, Barba P, Pavón D, Gomez X, Torres F, Khoury M, Luz-Crawford P, Maron T, Segnini G, Diaz R, Cabrera F, Caicedo A. Mesenchymal Stem/Stromal Cells: MSC AND THEIR ISOLATED MITOCHONDRIA IMPROVE THE REGENERATION OF MICE CUTANEOUS SURGICAL WOUNDS BY IN-SITU INJECTION. Cytotherapy 2022. [DOI: 10.1016/s1465-3249(22)00161-x] [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: 11/15/2022]
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Ossendorff R, Walter SG, Schildberg FA, Khoury M, Salzmann GM. Controversies in regenerative medicine: should knee joint osteoarthritis be treated with mesenchymal stromal cells? Eur Cell Mater 2022; 43:98-111. [PMID: 35298024 DOI: 10.22203/ecm.v043a09] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023] Open
Abstract
Knee joint osteoarthritis is a complex immunological and degenerative disease. Current treatment strategies fail to alter its progression. Mesenchymal stromal cell (MSC) therapy for osteoarthritis has been object of research for more than 30 years. The aim of MSC therapy is intended to be holistic, with regeneration of all affected knee joint structures. The paracrine effect of the MSC secretome has been shown to be central for the regenerative capacity of MSCs. Activation of local knee-joint-specific MSCs leads to an immunomodulatory, anti-catabolic, anti-apoptotic and chondrogenic stimulus. Preclinical models have demonstrated the symptom- and disease-modifying effects of MSC therapy. At the bedside, there is evidence that autologous and allogeneic MSC therapy shows significant improvement in symptom-modifying and functional outcome. Despite this, a variety of contradictory clinical outcomes are available in the literature. The effectiveness of MSC therapy is still unclear, although there have been promising results. Regarding the diversity of cell sources, isolation, culture protocols and other factors, a comparison of different studies is difficult. Clinical translation of disease-modifying effects has not yet been shown. This narrative review presents a controversial overview of the current preclinical and clinical studies on MSC therapy in knee joint osteoarthritis.
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Affiliation(s)
- R Ossendorff
- Department for Orthopaedics and Trauma, University Hospital Bonn, Venusberg Campus 1, 53127 Bonn,
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Khoury M, Hajihosseini M, Joffe A, Bond G, Dinu I, Makarchuk S, Robertson C, Atallah J. EVALUATING THE PREVALENCE AND FACTORS ASSOCIATED WITH AN OPTIMAL NEURODEVELOPMENTAL OUTCOME IN CHILDREN WITH FONTAN CIRCULATION. Can J Cardiol 2021. [DOI: 10.1016/j.cjca.2021.07.062] [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] Open
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Welle K, Khoury M, Prangenberg C, Täger S, Goost H, Kabir K. [Minimally invasive lumbopelvic stabilization of sacral fracture and sacroiliac injury]. Oper Orthop Traumatol 2021; 33:538-545. [PMID: 34468791 DOI: 10.1007/s00064-021-00730-x] [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] [Received: 07/02/2018] [Revised: 05/05/2019] [Accepted: 04/15/2020] [Indexed: 10/20/2022]
Abstract
OBJECTIVE Rapid mobilization with full weight bearing by minimally invasive fixation of Os ilium to L5 in fractures of the sacrum and disruption of the sacroiliac joint (SIJ). INDICATIONS Unstable injuries of the posterior pelvic ring in fractures of the sacrum and disruption of the SIJ. CONTRAINDICATIONS Fracture of ilium and not injury related implants in the screw trajectory, neurological deficits regarding the fracture, decubitus in the area of surgical approach. SURGICAL TECHNIQUE Minimally invasive screw placement in the pedicles of L5, access of ilium screw via the posterior superior iliac spine. Radiological display for the iliacal screw bearing trajectory in Os Ilium as a drop-shaped/triangle canal. Insert a Jamshidi needle orthograde in the beam path, change to guide wire and placement of iliacal screw after resection of the bone in the screw head area. Submuscular insertion of the longitudinal rods, in case of double-sided instrumentation similar procedure on the opposite side, reduction of the fracture and fixation of the rods to screws. POSTOPERATIVE MANAGEMENT Postoperative mobilization with full weight bearing under physiotherapeutic guidance. RESULTS Patients treated with lumbopelvic stabilization in our facility between 2012 and 2017 were identified via the hospital database and retrospectively evaluated. In 24 patients with median age of 60.1 years and a follow-up-time of 11.8 months, we found no implant displacement, infection and no wound healing problems. Full weight bearing was permitted in 21 of 24 cases, in 3 cases partial load bearing due to other injuries. Three patients reported moderate mechanical irritation of iliacal screws; 1 patient reported severe irritability with removal of the implants after bony healing of fracture 1 year postoperatively.
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Affiliation(s)
- K Welle
- Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Bonn, Sigmund-Freud-Str. 25, 53127, Bonn, Deutschland
| | - M Khoury
- Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Bonn, Sigmund-Freud-Str. 25, 53127, Bonn, Deutschland
| | - C Prangenberg
- Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Bonn, Sigmund-Freud-Str. 25, 53127, Bonn, Deutschland
| | - S Täger
- Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Bonn, Sigmund-Freud-Str. 25, 53127, Bonn, Deutschland
| | - H Goost
- Abteilung für Orthopädie und Unfallchirurgie, Krankenhaus Wermelskirchen, Wermelskirchen, Deutschland
| | - K Kabir
- Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Bonn, Sigmund-Freud-Str. 25, 53127, Bonn, Deutschland.
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Li X, Rizik L, Kravchik V, Khoury M, Korin N, Daniel R. Synthetic neural-like computing in microbial consortia for pattern recognition. Nat Commun 2021; 12:3139. [PMID: 34035266 PMCID: PMC8149857 DOI: 10.1038/s41467-021-23336-0] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2020] [Accepted: 04/19/2021] [Indexed: 11/09/2022] Open
Abstract
Complex biological systems in nature comprise cells that act collectively to solve sophisticated tasks. Synthetic biological systems, in contrast, are designed for specific tasks, following computational principles including logic gates and analog design. Yet such approaches cannot be easily adapted for multiple tasks in biological contexts. Alternatively, artificial neural networks, comprised of flexible interactions for computation, support adaptive designs and are adopted for diverse applications. Here, motivated by the structural similarity between artificial neural networks and cellular networks, we implement neural-like computing in bacteria consortia for recognizing patterns. Specifically, receiver bacteria collectively interact with sender bacteria for decision-making through quorum sensing. Input patterns formed by chemical inducers activate senders to produce signaling molecules at varying levels. These levels, which act as weights, are programmed by tuning the sender promoter strength Furthermore, a gradient descent based algorithm that enables weights optimization was developed. Weights were experimentally examined for recognizing 3 × 3-bit pattern.
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Affiliation(s)
- Ximing Li
- Department of Biomedical Engineering Technion-Israel Institute of Technology, Technion City, Haifa, Israel
| | - Luna Rizik
- Department of Biomedical Engineering Technion-Israel Institute of Technology, Technion City, Haifa, Israel
| | - Valeriia Kravchik
- Department of Biomedical Engineering Technion-Israel Institute of Technology, Technion City, Haifa, Israel
| | - Maria Khoury
- Department of Biomedical Engineering Technion-Israel Institute of Technology, Technion City, Haifa, Israel
| | - Netanel Korin
- Department of Biomedical Engineering Technion-Israel Institute of Technology, Technion City, Haifa, Israel
| | - Ramez Daniel
- Department of Biomedical Engineering Technion-Israel Institute of Technology, Technion City, Haifa, Israel.
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Kurte M, Cuenca J, Martinez E, Carrion F, Khoury M, Coutihno-Maracaja V. Transcriptomic analysis of licensed mesenchymal stem cells reveals a molecular signature associated with an increase of IDO and SOCS3 expression. Cytotherapy 2021. [DOI: 10.1016/s1465324921004382] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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de Carvalho L, Abreu S, Castro LD, Andrade L, Nogueira C, Braga C, Silva P, Vieira J, Trabach R, Cabral M, Coelho Teixeira-Pinheiro L, Nascimento-dos-Santosce G, Ferreira ES, Khoury M, Weiss D, Pacheco ML, Leme P, Cruz F, Rocco P. Mitochondria isolated from mesenchymal stromal cells reduce lung and distal organ injury in experimental sepsis. Cytotherapy 2021. [DOI: 10.1016/s1465324921003200] [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: 11/25/2022]
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Heid C, Khoury M, Harirah O, Kalsbeek A, Maaraoui K, Ring W, Jessen M, Peltz M. Renal Decline Following Heart Transplant. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.581] [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: 11/25/2022] Open
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Krauss A, West L, Conway J, Khoury M, Halpin A, Nahirniak S, Aklabi MA, Urschel S. ABO-Incompatible Heart Transplantation in Older Children Using Immune Modulation. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.659] [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: 10/21/2022] Open
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Khoury M, Conway J, Gossett J, Edens E, Soto S, Cantor R, Koehl D, Barnes A, Exil V, Glass L, Kirklin J, Zuckerman W. Cardiac Allograft Vasculopathy in Pediatric Heart Transplant Recipients: Does Early Onset Portend a Worse Prognosis? J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.1818] [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: 10/21/2022] Open
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Khoury M, Epshtein M, Korin N. In Vitro 3D Cell-Cultured Arterial Models for Studying Vascular Drug Targeting Under Flow. J Vis Exp 2021. [PMID: 33779620 DOI: 10.3791/62279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
Abstract
The use of three-dimensional (3D) models of human arteries, which are designed with the correct dimensions and anatomy, enables the proper modeling of various important processes in the cardiovascular system. Recently, although several biological studies have been performed using such 3D models of human arteries, they have not been applied to study vascular targeting. This paper presents a new method to fabricate real-sized, reconstructed human arterial models using a 3D printing technique, line them with human endothelial cells (ECs), and study particle targeting under physiological flow. These models have the advantage of replicating the physiological size and conditions of blood vessels in the human body using low-cost components. This technique may serve as a new platform for studying and understanding drug targeting in the cardiovascular system and may improve the design of new injectable nanomedicines. Moreover, the presented approach may provide significant tools for the study of targeted delivery of different agents for cardiovascular diseases under patient-specific flow and physiological conditions.
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Affiliation(s)
- Maria Khoury
- Department of Biomedical Engineering, Technion - IIT
| | - Mark Epshtein
- Department of Biomedical Engineering, Technion - IIT
| | - Netanel Korin
- Department of Biomedical Engineering, Technion - IIT;
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Toliopoulos D, Khoury M, Bouabdellaoui M, Granchi N, Claude JB, Benali A, Berbezier I, Hannani D, Ronda A, Wenger J, Bollani M, Gurioli M, Sanguinetti S, Intonti F, Abbarchi M. Fabrication of spectrally sharp Si-based dielectric resonators: combining etaloning with Mie resonances. Opt Express 2020; 28:37734-37742. [PMID: 33379602 DOI: 10.1364/oe.409001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/02/2020] [Accepted: 10/18/2020] [Indexed: 06/12/2023]
Abstract
We use low-resolution optical lithography joined with solid state dewetting of crystalline, ultra-thin silicon on insulator (c-UT-SOI) to form monocrystalline, atomically smooth, silicon-based Mie resonators in well-controlled large periodic arrays. The dewetted islands have a typical size in the 100 nm range, about one order of magnitude smaller than the etching resolution. Exploiting a 2 µm thick SiO2 layer separating the islands and the underlying bulk silicon wafer, we combine the resonant modes of the antennas with the etalon effect. This approach sets the resonance spectral position and improves the structural colorization and the contrast between scattering maxima and minima of individual resonant antennas. Our results demonstrate that templated dewetting enables the formation of defect-free, faceted islands that are much smaller than the nominal etching resolution and that an appropriate engineering of the substrate improves their scattering properties. These results are relevant to applications in spectral filtering, structural color and beam steering with all-dielectric photonic devices.
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Caulley L, Sawada M, Crighton E, Khoury M, Kontorinis G. Association between socioeconomic indicators and geographic distribution of vestibular schwannomas in West Scotland: a 15-year review. J Laryngol Otol 2020; 134:1-9. [PMID: 33267923 DOI: 10.1017/s0022215120002212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVE Socioeconomic risk factors may contribute to geographic variation in diseases, but studies are limited due to lack of large available cohorts. METHOD A geographic analysis was performed of the association between socioeconomic risk factors and the distribution of vestibular schwannomas in adults diagnosed with sporadic vestibular schwannomas through the National Health Services in the West of Scotland from 2000 to 2015. RESULTS A total of 511 sporadic vestibular schwannomas were identified in a population of over 3.1 million. Prevalence of vestibular schwannomas were lowest in cases with good health (-0.64, 95 per cent confidence interval: -0.93,-0.38; p = 0.002) and level 1 qualifications (-0.562, 95 per cent confidence interval: -0.882 to -0.26; p = 0.01). However, these risk factors did not demonstrate consistent linearity of correlations. Prevalence was lower in people originating from European Union accession countries from April 2001 to March 2011 (-0.63, 95 per cent confidence interval: -0.84 to -0.43; p = 0.002). No correlation between distribution of vestibular schwannomas and socioeconomic risk factors met our threshold criteria (± 0.7). CONCLUSION This study demonstrated that there is little variation in distribution of vestibular schwannomas by socioeconomic risk factors.
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Affiliation(s)
- L Caulley
- Department of Otolaryngology-Head and Neck Surgery, University of Ottawa, Canada
- Department of Epidemiology, Erasmus University Medical Center Rotterdam, The Netherlands
- Ottawa Hospital Research Institute, Canada
| | - M Sawada
- Department of Geography, Environment and Geomatics, University of Ottawa, Canada
| | - E Crighton
- Department of Geography, Environment and Geomatics, University of Ottawa, Canada
| | - M Khoury
- Department of Undergraduate Medicine, University of Ottawa, Canada
| | - G Kontorinis
- Department of Otolaryngology-Head and Neck Surgery, Queen Elizabeth University Hospital, Glasgow, Scotland, UK
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Khoury M, Phillips D, Wood P, Mott W, Stickland M, Boulanger P, Rempel G, Conway J, Mackie A, Khoo N. CARDIAC REHABILITATION IN THE PEDIATRIC FONTAN POPULATION: DEVELOPMENT OF A HOME-BASED HIGH-INTENSITY INTERVAL TRAINING PROGRAM. Can J Cardiol 2020. [DOI: 10.1016/j.cjca.2020.07.063] [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: 11/16/2022] Open
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Contreras-Lopez RA, Elizondo-Vega R, Torres MJ, Vega-Letter AM, Luque-Campos N, Paredes-Martinez MJ, Pradenas C, Tejedor G, Oyarce K, Salgado M, Jorgensen C, Khoury M, Kronke G, Garcia-Robles MA, Altamirano C, Luz-Crawford P, Djouad F. PPARβ/δ-dependent MSC metabolism determines their immunoregulatory properties. Sci Rep 2020; 10:11423. [PMID: 32651456 PMCID: PMC7351754 DOI: 10.1038/s41598-020-68347-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2019] [Accepted: 06/19/2020] [Indexed: 01/01/2023] Open
Abstract
Mesenchymal stem cell (MSC)-based therapy is being increasingly considered a powerful opportunity for several disorders based on MSC immunoregulatory properties. Nonetheless, MSC are versatile and plastic cells that require an efficient control of their features and functions for their optimal use in clinic. Recently, we have shown that PPARβ/δ is pivotal for MSC immunoregulatory and therapeutic functions. However, the role of PPARβ/δ on MSC metabolic activity and the relevance of PPARβ/δ metabolic control on MSC immunosuppressive properties have never been addressed. Here, we demonstrate that PPARβ/δ deficiency forces MSC metabolic adaptation increasing their glycolytic activity required for their immunoregulatory functions on Th1 and Th17 cells. Additionally, we show that the inhibition of the mitochondrial production of ATP in MSC expressing PPARβ/δ, promotes their metabolic switch towards aerobic glycolysis to stably enhance their immunosuppressive capacities significantly. Altogether, these data demonstrate that PPARβ/δ governs the immunoregulatory potential of MSC by dictating their metabolic reprogramming and pave the way for enhancing MSC immunoregulatory properties and counteracting their versatility.
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Affiliation(s)
- R A Contreras-Lopez
- Centro de Investigación Biomédica, Facultad de Medicina, Universidad de Los Andes, Santiago, Chile.,IRMB, Univ Montpellier, INSERM, CHU Montpellier, Inserm U 1183, IRMB, Hôpital Saint-Eloi, 80 Avenue Augustin Fliche, 34295, Montpellier Cedex 5, France
| | - R Elizondo-Vega
- Facultad de Ciencias Biológicas, Departamento de Biología Celular, Laboratorio de Biología Celular, Universidad de Concepción, Concepción, Chile
| | - M J Torres
- Escuela de Ingeniería Bioquímica, Pontificia Universidad Católica de Valparaiso, Valparaiso, Chile
| | - A M Vega-Letter
- Cells for Cells, Consorcio Regenero, Las Condes, Santiago, Chile.,Laboratory of Nano-Regenerative Medicine, Facultad de Medicina, Universidad de Los Andes, Santiago, Chile
| | - N Luque-Campos
- Centro de Investigación Biomédica, Facultad de Medicina, Universidad de Los Andes, Santiago, Chile
| | - M J Paredes-Martinez
- Centro de Investigación Biomédica, Facultad de Medicina, Universidad de Los Andes, Santiago, Chile
| | - C Pradenas
- Centro de Investigación Biomédica, Facultad de Medicina, Universidad de Los Andes, Santiago, Chile
| | - G Tejedor
- IRMB, Univ Montpellier, INSERM, CHU Montpellier, Inserm U 1183, IRMB, Hôpital Saint-Eloi, 80 Avenue Augustin Fliche, 34295, Montpellier Cedex 5, France
| | - K Oyarce
- Facultad de Ciencias de la Salud, Universidad San Sebastián, Concepción, Chile
| | - M Salgado
- Facultad de Ciencias Biológicas, Departamento de Biología Celular, Laboratorio de Biología Celular, Universidad de Concepción, Concepción, Chile
| | - C Jorgensen
- IRMB, Univ Montpellier, INSERM, CHU Montpellier, Inserm U 1183, IRMB, Hôpital Saint-Eloi, 80 Avenue Augustin Fliche, 34295, Montpellier Cedex 5, France
| | - M Khoury
- Cells for Cells, Consorcio Regenero, Las Condes, Santiago, Chile.,Laboratory of Nano-Regenerative Medicine, Facultad de Medicina, Universidad de Los Andes, Santiago, Chile
| | - G Kronke
- Department of Internal Medicine 3, University of Erlangen-Nuremberg, 91054, Erlangen, Germany
| | - M A Garcia-Robles
- Facultad de Ciencias Biológicas, Departamento de Biología Celular, Laboratorio de Biología Celular, Universidad de Concepción, Concepción, Chile
| | - C Altamirano
- Escuela de Ingeniería Bioquímica, Pontificia Universidad Católica de Valparaiso, Valparaiso, Chile
| | - P Luz-Crawford
- Centro de Investigación Biomédica, Facultad de Medicina, Universidad de Los Andes, Santiago, Chile.
| | - F Djouad
- IRMB, Univ Montpellier, INSERM, CHU Montpellier, Inserm U 1183, IRMB, Hôpital Saint-Eloi, 80 Avenue Augustin Fliche, 34295, Montpellier Cedex 5, France.
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21
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Court A, Velarde F, Parra E, Luz-Crawford P, Figueroa F, Khoury M. Mitochondria Transfer Elicits Articular Cartilage Protection. Cytotherapy 2020. [DOI: 10.1016/j.jcyt.2020.03.125] [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: 11/25/2022]
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22
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Zavala G, González F, Hidalgo C, Kunze M, Khoury M, Acevedo J. Injectable functionalized-gelatin derived from cold-adapted species balances between arthroscopic extrudability prerequisite, chondrocompatibility and biomechanical requirements for precise arthroscopic restoration. Cytotherapy 2020. [DOI: 10.1016/j.jcyt.2020.03.357] [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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23
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Zukerman H, Khoury M, Shammay Y, Sznitman J, Lotan N, Korin N. Targeting functionalized nanoparticles to activated endothelial cells under high wall shear stress. Bioeng Transl Med 2020; 5:e10151. [PMID: 32440559 PMCID: PMC7237145 DOI: 10.1002/btm2.10151] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2019] [Revised: 11/12/2019] [Accepted: 12/03/2019] [Indexed: 11/26/2022] Open
Abstract
Local inflammation of the endothelium is associated with a plethora of cardiovascular diseases. Vascular-targeted carriers (VTCs) have been advocated to provide focal effective therapeutics to these disease sites. Here, we examine the design of functionalized nanoparticles (NPs) as VTCs that can specifically localize at an inflamed vessel wall under pathological levels of high shear stress, associated for example with clinical (or in vivo) conditions of vascular narrowing and arteriogenesis. To test this, carboxylated fluorescent 200 nm polystyrene particles were functionalized with ligands to activated endothelium, that is, an E-selectin binding peptide (Esbp), an anti ICAM-1 antibody, or using a combination of both. The functionalized NPs were investigated in vitro using microfluidic models lined with inflamed (TNF-α stimulated) and control endothelial cells (EC). Specifically, their adhesion was monitored under different relevant wall shear stresses (i.e., 40-300 dyne/cm2) via real-time confocal microscopy. Experiments reveal a significantly higher specific adhesion of the examined functionalized NPs to activated EC for the window of examined wall shear stresses. Moreover, particle adhesion correlated with the surface coating density whereby under high surface coating (i.e., ~10,000 molecule/particle), shear-dependent particle adhesion increased significantly. Altogether, our results show that functionalized NPs can be designed to target inflamed endothelial cells under high shear stress. Such VTCs underscore the potential for attractive avenues in targeting drugs to vasoconstriction and arteriogenesis sites.
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Affiliation(s)
- Hila Zukerman
- Department of Biomedical EngineeringTechnion – Israel Institute of TechnologyHaifaIsrael
| | - Maria Khoury
- Department of Biomedical EngineeringTechnion – Israel Institute of TechnologyHaifaIsrael
| | - Yosi Shammay
- Department of Biomedical EngineeringTechnion – Israel Institute of TechnologyHaifaIsrael
| | - Josué Sznitman
- Department of Biomedical EngineeringTechnion – Israel Institute of TechnologyHaifaIsrael
| | - Noah Lotan
- Department of Biomedical EngineeringTechnion – Israel Institute of TechnologyHaifaIsrael
| | - Netanel Korin
- Department of Biomedical EngineeringTechnion – Israel Institute of TechnologyHaifaIsrael
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24
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Heid C, Khoury M, Vela R, Liu C, Maaraoui K, Pruszynski J, Walsh L, Ring W, Peltz M, Wait M, Huffman L. Pulse Dose Steroids are Not Associated with Wound Dehiscence Following Lung Transplant. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.499] [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] Open
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25
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Brizuela C, Meza G, Urrejola D, Quezada MA, Concha G, Ramírez V, Angelopoulos I, Cadiz MI, Tapia-Limonchi R, Khoury M. Cell-Based Regenerative Endodontics for Treatment of Periapical Lesions: A Randomized, Controlled Phase I/II Clinical Trial. J Dent Res 2020; 99:523-529. [PMID: 32202965 DOI: 10.1177/0022034520913242] [Citation(s) in RCA: 54] [Impact Index Per Article: 13.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
Abstract
A randomized controlled phase I/II clinical trial was designed to evaluate the safety and efficacy of encapsulated human umbilical cord mesenchymal stem cells in a plasma-derived biomaterial for regenerative endodontic procedures (REPs) in mature permanent teeth with apical lesions. The trial included 36 patients with mature incisors, canines, or mandibular premolars showing pulp necrosis and apical periodontitis. Patients were randomly and equally allocated between experimental (REP) or conventional root canal treatment (ENDO) groups. On the first visit, cavity access and mechanical preparation of the root canal were performed. Calcium hydroxide medication was used, and the cavity was sealed. Three weeks later, patients were treated following their assigned protocol of ENDO or REP. Clinical follow-up examinations were performed at 6 and 12 mo. Categorical variables were evaluated by Fisher's exact test. Quantitative variables were compared using the Mann-Whitney test. The evolution over time of the percentage of perfusion units and the dimensions of lesion and cortical compromise were explored. After the 12-mo follow-up, no adverse events were reported, and the patients showed 100% clinical efficacy in both groups. Interestingly, in the REP group, the perfusion unit percentage measured by laser Doppler flowmetry revealed an increase from 60.6% to 78.1% between baseline and 12-mo follow-up. Sensitivity tests revealed an increase of the positive pulp response in the REP group at 12-mo follow-up (from 6% to 56% on the cold test, from 0% to 28% on the hot test, and from 17% to 50% on the electrical test). We present the first clinical safety and efficacy evidence of the endodontic use of allogenic umbilical cord mesenchymal stem cells encapsulated in a plasma-derived biomaterial. The innovative approach, based on biological principles that promote dentin-pulp regeneration, presents a promising alternative for the treatment of periapical pathology (ClinicalTrials.gov NCT03102879).
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Affiliation(s)
- C Brizuela
- Centro "Activa Biosilicate Technology™" de Investigación en Biología y Regeneración Oral (CIBRO), Faculty of Dentistry, Universidad de los Andes, Santiago, Chile
| | - G Meza
- Centro "Activa Biosilicate Technology™" de Investigación en Biología y Regeneración Oral (CIBRO), Faculty of Dentistry, Universidad de los Andes, Santiago, Chile
| | - D Urrejola
- Centro "Activa Biosilicate Technology™" de Investigación en Biología y Regeneración Oral (CIBRO), Faculty of Dentistry, Universidad de los Andes, Santiago, Chile
| | - M A Quezada
- Centro "Activa Biosilicate Technology™" de Investigación en Biología y Regeneración Oral (CIBRO), Faculty of Dentistry, Universidad de los Andes, Santiago, Chile
| | - G Concha
- Centro "Activa Biosilicate Technology™" de Investigación en Biología y Regeneración Oral (CIBRO), Faculty of Dentistry, Universidad de los Andes, Santiago, Chile
| | - V Ramírez
- Centro "Activa Biosilicate Technology™" de Investigación en Biología y Regeneración Oral (CIBRO), Faculty of Dentistry, Universidad de los Andes, Santiago, Chile
| | - I Angelopoulos
- Laboratory of Nano-Regenerative Medicine, Faculty of Medicine, Universidad de los Andes, Santiago, Chile
| | - M I Cadiz
- Laboratory of Nano-Regenerative Medicine, Faculty of Medicine, Universidad de los Andes, Santiago, Chile.,Consorcio Regenero, Chilean Consortium for Regenerative Medicine, Santiago, Chile
| | - R Tapia-Limonchi
- Laboratory of Nano-Regenerative Medicine, Faculty of Medicine, Universidad de los Andes, Santiago, Chile.,Consorcio Regenero, Chilean Consortium for Regenerative Medicine, Santiago, Chile
| | - M Khoury
- Laboratory of Nano-Regenerative Medicine, Faculty of Medicine, Universidad de los Andes, Santiago, Chile.,Consorcio Regenero, Chilean Consortium for Regenerative Medicine, Santiago, Chile.,Cells for Cells, Santiago, Chile
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26
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Vamvakeridou-Lyroudia LS, Chen AS, Khoury M, Gibson MJ, Kostaridis A, Stewart D, Wood M, Djordjevic S, Savic DA. Assessing and visualising hazard impacts to enhance the resilience of Critical Infrastructures to urban flooding. Sci Total Environ 2020; 707:136078. [PMID: 31874400 DOI: 10.1016/j.scitotenv.2019.136078] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/31/2019] [Revised: 12/08/2019] [Accepted: 12/09/2019] [Indexed: 06/10/2023]
Abstract
The design, construction and maintenance of Critical Infrastructures (CI) is commonly based on standards that are rigorous, so as to withstand any climate or weather-linked pressures. However, due to climate change, climate characteristics may shift, resulting in increased frequency/magnitude of potential failures, or exposure to new unknown risks. As vital components for the normal functioning of modern societies, the resilience of CIs under climate stressors encompasses their structural integrity, their operational elements, and their capacity to maximize business output. In this work, we propose an integrated and participatory methodological approach to enhance the resilience of interconnected CIs to urban flooding under climate change, by assessing the risk and introducing adaptation measures. The main objectives of the proposed methodology and approach are: (i) to provide scientific evidence for better understanding of how future climate regimes might affect normal operation of interconnected CI in urban areas during their lifespan; (ii) to assess the cost-effectiveness of different adaptation measures; (iii) to involve local stakeholders and operators in the co-design of the approach, as well as the assessment and the evaluation of adaptation measures; (iv) to combine computational modelling with advanced 3D visualisation techniques for effectively engaging stakeholders in decision making; (v) to include risk assessment and damage functions co-designed by end-users and local stakeholders; (vi) to integrate all of the aforementioned components in a specifically designed cloud platform as a Decision Support System for end-users, (vii) to validate the DSS by the end users and local stakeholders. The paper presents the computational background and tools. Additionally, it describes a Case Study in Torbay, UK, where the full methodology and the proposed participatory approach have been applied, with all the specifics, i.e., the scenarios of extreme flooding, the numerical and visualisation results, the response of the stakeholders and the evaluation of selected adaptation measures.
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Affiliation(s)
- L S Vamvakeridou-Lyroudia
- KWR Water Research Institute, Groningenhaven 7, P.O. Box 1072, 3430 BB Nieuwegein, the Netherlands; Centre for Water Systems, University of Exeter, North Park Road, Exeter EX4 4QF, UK.
| | - A S Chen
- Centre for Water Systems, University of Exeter, North Park Road, Exeter EX4 4QF, UK
| | - M Khoury
- Centre for Water Systems, University of Exeter, North Park Road, Exeter EX4 4QF, UK
| | - M J Gibson
- Centre for Water Systems, University of Exeter, North Park Road, Exeter EX4 4QF, UK
| | - A Kostaridis
- SATWAYS Ltd, 3 Christou Lada Street, 15233 Halandri, Athens, Greece
| | - D Stewart
- Torbay Council, Town Hall, Castle Circus, Torquay TQ1 3DR, UK
| | - M Wood
- Torbay Council, Town Hall, Castle Circus, Torquay TQ1 3DR, UK
| | - S Djordjevic
- Centre for Water Systems, University of Exeter, North Park Road, Exeter EX4 4QF, UK
| | - D A Savic
- KWR Water Research Institute, Groningenhaven 7, P.O. Box 1072, 3430 BB Nieuwegein, the Netherlands; Centre for Water Systems, University of Exeter, North Park Road, Exeter EX4 4QF, UK
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27
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Khoury M, Epshtein M, Zidan H, Zukerman H, Korin N. Mapping deposition of particles in reconstructed models of human arteries. J Control Release 2020; 318:78-85. [DOI: 10.1016/j.jconrel.2019.12.004] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2019] [Revised: 12/02/2019] [Accepted: 12/04/2019] [Indexed: 12/27/2022]
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28
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Parra E, LeGatt A, Court A, Figueroa F, Khoury M. Artificial mitochondria transfer prevents staurosporine-induced apoptosis of human T lymphocytes. Cytotherapy 2019. [DOI: 10.1016/j.jcyt.2019.04.027] [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: 10/26/2022]
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29
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Roughani RA, Elfadally H, Otaiby HA, Hasan A, Kawi ZA, Belahsen M, Zakaria M, Khoury M, Harb M, Sadi TA, Asmi AA. Real World Retrospective Study of Effectiveness and Safety of Fingolimod in Relapsing Remitting Multiple Sclerosis in the Middle East and North Africa (FINOMENA). Mult Scler Relat Disord 2018. [DOI: 10.1016/j.msard.2018.10.078] [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: 10/27/2022]
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30
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Khoury R, Dawood S, Khoury M, Khan F, Al Khatib F, Bello M, Hamadi A, Kazim H, Dhar A, Nasioulas G. Hereditary cancer syndromes and development of tele genetics program in the Asia-Pacific, Middle East region. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy441.003] [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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31
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Akentjew T, Terraza C, Suazo C, Wilkens C, Blaker J, Garcia C, Valenzuela L, Khoury M, Acevedo J. Rapid, automated and bio-inspired fabrication of cell-patterned small diameter vascular graft with coronary artery mechanics. Cytotherapy 2018. [DOI: 10.1016/j.jcyt.2018.02.229] [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: 11/25/2022]
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32
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Court A, LeGatt A, Luz-Crawford P, Kurte M, Ortuzar M, Contreras R, Parra E, Pino-Lagos K, Figueroa F, Khoury M. Mitochondrial transfer from MSC to human T cells: A first evidence of a stem cell-mediated reprogramming of multiple immune cell function. Cytotherapy 2018. [DOI: 10.1016/j.jcyt.2018.02.273] [Citation(s) in RCA: 2] [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: 11/29/2022]
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33
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Brizuela C, Urrejola D, Meza G, Angelopoulos I, Khoury M. Translational pathway of scalable, allogenic encapsulated Mesenchymal Stem Cells for Dental Pulp Regeneration. RanoKure a controlled Phase I/II clinical trial designed to evaluate the survival of mature permanent teeth with apical lesion following a regenerative endodontics procedure. Cytotherapy 2018. [DOI: 10.1016/j.jcyt.2018.02.272] [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: 11/26/2022]
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34
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Acevedo J, Ros E, Encina M, González F, Khoury M. Rapid assessment of directed migration: A novel Microtechnology-based 3D device for therapeutic quality screening of stem cells (SC). Cytotherapy 2018. [DOI: 10.1016/j.jcyt.2018.02.213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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35
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Khoury M, Stone J, Southern D, Wilton S, Galbraith D, Aggarwal S, Arena R, Martin B. UTILIZATION AND IMPACT OF CARDIAC REHABILITATION IN PREMATURE AND NON-PREMATURE CORONARY ARTERY DISEASE. Can J Cardiol 2017. [DOI: 10.1016/j.cjca.2017.07.072] [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: 10/18/2022] Open
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36
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Akentjew T, Khoury M, Acevedo J, Wilkens C. Automated micro-fabrication of a vascular graft mimicking the structure of human coronary arteries based on layer deposition, nanofibers and dipping-spinning technologies. Cytotherapy 2017. [DOI: 10.1016/j.jcyt.2017.02.048] [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: 11/16/2022]
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37
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Espinoza F, González F, Badilla A, Monckeberg G, Chea R, Pefaur J, Llanos C, Martinez M, Valenzuela O, Silva F, Areny R, Alamo M, Court A, Tapia R, Khoury M, Figueroa F. Randomized controlled clinical trial to assess dose-response and efficacy of umbilical cord derived mesenchymal stromal cells (MSC) in severe lupus nephritis. Cytotherapy 2017. [DOI: 10.1016/j.jcyt.2017.02.079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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38
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Abstract
A multi-spectral line-polarization motional Stark effect (MSE-MSLP) diagnostic has been developed for the Alcator C-Mod tokamak wherein the Stokes vector is measured in multiple wavelength bands simultaneously on the same sightline to enable better polarized background subtraction. A ten-sightline, four wavelength MSE-MSLP detector system was designed, constructed, and qualified. This system consists of a high-throughput polychromator for each sightline designed to provide large étendue and precise spectral filtering in a cost-effective manner. Each polychromator utilizes four narrow bandpass interference filters and four custom large diameter avalanche photodiode detectors. Two filters collect light to the red and blue of the MSE emission spectrum while the remaining two filters collect the beam pi and sigma emission generated at the same viewing volume. The filter wavelengths are temperature tuned using custom ovens in an automated manner. All system functions are remote controllable and the system can be easily retrofitted to existing single-wavelength line-polarization MSE systems.
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Affiliation(s)
- R T Mumgaard
- Plasma Science and Fusion Center, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
| | - S D Scott
- Princeton Plasma Physics Laboratory, Princeton, New Jersey 08540, USA
| | - M Khoury
- Plasma Science and Fusion Center, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
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39
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Khoury M, Pitsis A, Poumpouridou-Kioura H, Soufla G, Kanthou C, Matoula N, Angelidis A, Melissari E. Acute intraoperative heparin-induced thrombocytopenia (HIT) and thrombosis during coronary artery bypass grafting: Two case reports providing evidence for the role of preoperative LMWH in triggering sensitization. Thromb Res 2016; 146:126-130. [DOI: 10.1016/j.thromres.2016.08.020] [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] [Received: 11/26/2015] [Revised: 08/17/2016] [Accepted: 08/18/2016] [Indexed: 11/25/2022]
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40
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Ouaijan K, Aridi J, Diab N, Khoury M, Semaan R, Mattar L. MON-P001: Common Barriers to Reach Enteral Nutrition Target in an Intensive Care Unit and the Use of the Nutrition Risk in Criticallyill (NUTRIC) Score to Predictoptimal Nutrition Support. Clin Nutr 2016. [DOI: 10.1016/s0261-5614(16)30602-1] [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: 11/16/2022]
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41
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Riemann JF, Albert J, Altenhofen L, Aschenbeck J, Dahlhoff G, Dignaß A, Hohn H, Hüppe D, Jung M, Khoury M, Munte A, Neuhaus H, Philipper M, Rösch T, Zillinger C, Belle S. [Not Available]. Z Gastroenterol 2016; 54:259. [PMID: 27500297 DOI: 10.1055/s-0042-103070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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42
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Mayer M, Alsina G, Maldonado Cocco J, Rivero M, Lara M, Maldonado Alsina P, Gallacher A, Khoury M, Earsman G, Barreira J. AB0616 Adaptation into spanish of The Hand Mobility in Systemic Sclerosis Test (Hamis) in A Group of Patients with Systemic Sclerosis. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.1411] [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: 11/03/2022]
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43
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Acevedo J, Ros E, Khoury M. A New Tool for the Assessment of Stem Cells (SC) Potency Using Microfluidic-Based 3D Directed Migration. Cytotherapy 2016. [DOI: 10.1016/j.jcyt.2016.03.025] [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: 11/16/2022]
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44
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Luz-Crawford P, Ipseiz N, Espinosa-Carrasco G, Caicedo A, Tejedor G, Toupet K, Loriau J, Scholtysek C, Stoll C, Khoury M, Noël D, Jorgensen C, Krönke G, Djouad F. PPARβ/δ directs the therapeutic potential of mesenchymal stem cells in arthritis. Ann Rheum Dis 2016; 75:2166-2174. [PMID: 26964143 DOI: 10.1136/annrheumdis-2015-208696] [Citation(s) in RCA: 35] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2015] [Revised: 01/29/2016] [Accepted: 02/13/2016] [Indexed: 12/24/2022]
Abstract
OBJECTIVES To define how peroxisome proliferator-activated receptor (PPAR) β/δ expression level in mesenchymal stem cells (MSCs) could predict and direct both their immunosuppressive and therapeutic properties. PPARβ/δ interacts with factors such as nuclear factor-kappa B (NF-κB) and regulates the expression of molecules including vascular cell adhesion molecule (VCAM)-1 and intercellular adhesion molecule (ICAM)-1. Since these molecules are critical for MSC function, we investigated the role of PPARβ/δ on MSC immunosuppressive properties. METHODS We either treated human MSCs (hMSCs) with the irreversible PPARβ/δ antagonist (GSK3787) or derived MSCs from mice deficient for PPARβ/δ (PPARβ/δ-/- MSCs). We used the collagen-induced arthritis (CIA) as model of immune-mediated disorder and the MSC-immune cell coculture assays. RESULTS Modulation of PPARβ/δ expression in hMSCs either using GSK3787 or hMSCs from different origin reveals that MSC immunosuppressive potential is inversely correlated with Ppard expression. This was consistent with the higher capacity of PPARβ/δ-/- MSCs to inhibit both the proliferation of T lymphocytes, in vitro, and arthritic development and progression in CIA compared with PPARβ/δ+/+ MSCs. When primed with proinflammatory cytokines to exhibit an immunoregulatory phenotype, PPARβ/δ-/- MSCs expressed a higher level of mediators of MSC immunosuppression including VCAM-1, ICAM-1 and nitric oxide (NO) than PPARβ/δ+/+ MSCs. The enhanced NO2 production by PPARβ/δ-/- MSCs was due to the increased retention of NF-κB p65 subunit on the κB elements of the inducible nitric oxide synthase promoter resulting from PPARβ/δ silencing. CONCLUSIONS Our study is the first to show that the inhibition or knockdown of PPARβ/δ in MSCs primes their immunoregulatory functions. Thus, the regulation of PPARβ/δ expression provides a new strategy to generate therapeutic MSCs with a stable regulatory phenotype.
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Affiliation(s)
- P Luz-Crawford
- Inserm U1183, Montpellier, France.,Université Montpellier, Montpellier, France
| | - N Ipseiz
- Department of Internal Medicine 3, University of Erlangen-Nuremberg, Erlangen, Germany
| | - G Espinosa-Carrasco
- Inserm U1183, Montpellier, France.,Université Montpellier, Montpellier, France
| | - A Caicedo
- Inserm U1183, Montpellier, France.,Université Montpellier, Montpellier, France.,Universidad San Francisco de Quito USFQ, Colegio de Ciencias de la Salud, Escuela de Medicina, Hospital de los Valles, Quito Ecuador
| | - G Tejedor
- Inserm U1183, Montpellier, France.,Université Montpellier, Montpellier, France
| | - K Toupet
- Inserm U1183, Montpellier, France.,Université Montpellier, Montpellier, France
| | - J Loriau
- Inserm U1183, Montpellier, France.,Université Montpellier, Montpellier, France
| | - C Scholtysek
- Department of Internal Medicine 3, University of Erlangen-Nuremberg, Erlangen, Germany
| | - C Stoll
- Universidad San Francisco de Quito USFQ, Colegio de Ciencias de la Salud, Escuela de Medicina, Hospital de los Valles, Quito Ecuador
| | - M Khoury
- Laboratory of Nano-Regenerative Medicine, Faculty of Medicine, Universidad de Los Andes, Santiago, Chile
| | - D Noël
- Inserm U1183, Montpellier, France.,Université Montpellier, Montpellier, France.,Service d'Immuno-Rhumatologie Thérapeutique, Hôpital Lapeyronie, Montpellier, France
| | - C Jorgensen
- Inserm U1183, Montpellier, France.,Université Montpellier, Montpellier, France.,Service d'Immuno-Rhumatologie Thérapeutique, Hôpital Lapeyronie, Montpellier, France
| | - G Krönke
- Department of Internal Medicine 3, University of Erlangen-Nuremberg, Erlangen, Germany
| | - F Djouad
- Inserm U1183, Montpellier, France.,Université Montpellier, Montpellier, France
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Stevens G, Khoury M, Symeon M, Sakruti S, Edwin N, Khorana A, Barnett G, Peereboom D, Ahluwalia M. Intracranial hemorrhage in setting of glioblastoma with venous thromboembolism. J Neurol Sci 2015. [DOI: 10.1016/j.jns.2015.08.271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Luca P, Dettmer E, Khoury M, Grewal P, Manlhiot C, McCrindle BW, Birken CS, Hamilton JK. Adolescents with severe obesity: outcomes of participation in an intensive obesity management programme. Pediatr Obes 2015; 10:275-82. [PMID: 25236943 DOI: 10.1111/ijpo.261] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [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: 01/28/2014] [Revised: 06/30/2014] [Accepted: 07/22/2014] [Indexed: 01/01/2023]
Abstract
BACKGROUND Most interventions for childhood obesity are randomized controlled studies. Less is known about the effectiveness of clinical obesity programmes. OBJECTIVE To assess outcomes in adolescents participating in the SickKids Team Obesity Management Program (STOMP) vs. a comparison group of obese adolescents. METHODS Severely obese adolescents (n = 75) in STOMP (15.1 ± 1.8 years, body mass index [BMI] 44.8 ± 7.8 kg m(-2) ) were compared with adolescents (n = 41) not in the programme (14.9 ± 2.0 years, BMI 34.5 ± 8.0 kg m(-2) ). Outcomes were change in BMI, cardiometabolic, psychological and health behaviour measures. RESULTS At 6 months, STOMP patients' BMI was unchanged (0.08 ± 0.3; P = 0.79) and they reported improvements in quality of life and depression (-3.6 ± 1.4; P = 0.009), and increases in measures of readiness to change (RTC). Between-group differences in change between 0 and 6 months, in favour of STOMP patients, were observed for homeostatic measurement assessment-insulin resistance (HOMA-IR; -2.7 ± 1.0; P = 0.007), depression scores (-3.5 ± 1.7; P = 0.04), diet-RTC (0.6 ± 0.2; P < 0.001) and physical activity (1.7 ± 0.9; P = 0.05). At 12 months, STOMP patients increased BMI (0.8 ± 0.5; P = 0.07), but they exhibited decreased waist circumference (-7.4 ± 2.1 cm; P = 0.001) and HOMA-IR (-1.9 ± 0.6; P = 0.002). Between-group differences in change between 0 and 12 months, in favour of STOMP patients, were observed for waist circumference (-5.9 ± 2.4 cm; P = 0.01), HOMA-IR (-2.9 ± 0.7; P < 0.001) and diet-RTC (0.9 ± 0.2; P < 0.001). CONCLUSIONS STOMP participants did not experience a significant reduction in BMI but did have improvements in cardiometabolic, psychological and health behaviour outcomes. Evaluation of paediatric clinical obesity programmes using multiple measures is essential to understanding real-world outcomes.
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Affiliation(s)
- P Luca
- Department of Paediatrics, University of Toronto, Toronto, ON, Canada.,Division of Endocrinology, The Hospital for Sick Children, Toronto, ON, Canada
| | - E Dettmer
- Department of Psychology, The Hospital for Sick Children, Toronto, ON, Canada
| | - M Khoury
- Department of Paediatrics, University of Toronto, Toronto, ON, Canada.,Division of Paediatric Medicine, The Hospital for Sick Children, Toronto, ON, Canada
| | - P Grewal
- Department of Paediatrics, University of Toronto, Toronto, ON, Canada.,Division of Endocrinology, The Hospital for Sick Children, Toronto, ON, Canada
| | - C Manlhiot
- Department of Paediatrics, University of Toronto, Toronto, ON, Canada.,Division of Cardiology, The Hospital for Sick Children, Toronto, ON, Canada
| | - B W McCrindle
- Department of Paediatrics, University of Toronto, Toronto, ON, Canada.,Division of Cardiology, The Hospital for Sick Children, Toronto, ON, Canada
| | - C S Birken
- Department of Paediatrics, University of Toronto, Toronto, ON, Canada.,Division of Paediatric Medicine, The Hospital for Sick Children, Toronto, ON, Canada
| | - J K Hamilton
- Department of Paediatrics, University of Toronto, Toronto, ON, Canada.,Division of Endocrinology, The Hospital for Sick Children, Toronto, ON, Canada
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Velez S, Zazzetti F, Schiel A, Rivero M, Khoury M, Duartes Noe D, Barreira J. AB0191 Frequency of Antibodies Against α-Fodrin in Patients with Primary SjÖgren's Syndrome. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.1656] [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: 11/03/2022]
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Khoury M, Manlhiot C, Gibson D, Stearne K, Chahal N, Dobbin S, McCrindle B. 134: Patterns and Associated Factors with E-Cigarette Use Among Canadian Adolescents. Paediatr Child Health 2015. [DOI: 10.1093/pch/20.5.e82b] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Duroux-Richard I, Cuenca J, Ponsolles C, Badilla A, González F, Roubert C, Areny R, Chea R, Pefaur J, Jorgensen C, Figueroa F, Khoury M, Apparailly F. A7.12 Micro-RNA signature in systemic lupus erythematosus. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-207259.182] [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: 11/03/2022]
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50
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Khoury M, Manlhiot C, Gibson D, Stearne K, Chahal N, Dobbin S, McCrindle B. ASSOCIATIONS BETWEEN DISORDERED EATING BEHAVIOURS AND DIETARY INTAKE, LIFESTYLE BEHAVIOURS AND CARDIOMETABOLIC RISK. Can J Cardiol 2014. [DOI: 10.1016/j.cjca.2014.07.305] [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] Open
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