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Song Y, Malpica L, Cai Q, Zhao W, Zhou K, Wu J, Zhang H, Mehta-Shah N, Ding K, Liu Y, Li Z, Zhang L, Zheng M, Jin J, Yang H, Shuang Y, Yoon DH, Gao S, Li W, Zhai Z, Zou L, Xi Y, Koh Y, Li F, Prince M, Zhou H, Lin L, Liu H, Allen P, Roncolato F, Yang Z, Kim WS, Zhu J. Golidocitinib, a selective JAK1 tyrosine-kinase inhibitor, in patients with refractory or relapsed peripheral T-cell lymphoma (JACKPOT8 Part B): a single-arm, multinational, phase 2 study. Lancet Oncol 2024; 25:117-125. [PMID: 38092009 DOI: 10.1016/s1470-2045(23)00589-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2023] [Revised: 11/08/2023] [Accepted: 11/10/2023] [Indexed: 01/07/2024]
Abstract
BACKGROUND Golidocitinib, a selective JAK1 tyrosine-kinase inhibitor, has shown encouraging anti-tumour activity in heavily pre-treated patients with relapsed or refractory peripheral T-cell lymphoma in a phase 1 study (JACKPOT8 Part A). Here, we report the full analysis of a phase 2 study, in which we assessed the anti-tumour activity of golidocitinib in a large multinational cohort of patients. METHODS We did a single-arm, multinational, phase 2 trial (JACKPOT8 Part B) in 49 centres in Australia, China, South Korea, and the USA. Eligible patients were adults (aged ≥18 years) with relapsed or refractory peripheral T-cell lymphoma who had received at least one previous line of systemic therapy and an Eastern Cooperative Oncology Group performance status of 0-2. Patients were given oral golidocitinib 150 mg once daily until disease progression or other discontinuation criteria were met. The primary endpoint was the CT-based objective response rate, assessed by an independent review committee (IRC) per Lugano 2014 classification. The activity analysis set included all patients who received at least one dose and whose pathological diagnosis of peripheral T-cell lymphoma had been retrospectively confirmed by a central laboratory and who had at least one measurable lesion at baseline assessed by IRC. The safety analysis set included all patients who received at least one dose of study drug. This study is registered with ClinicalTrials.gov, NCT04105010, and is closed to accrual and follow-up is ongoing. FINDINGS Between Feb 26, 2021, and Oct 12, 2022, we assessed 161 patients for eligibility, of whom 104 (65%) were enrolled and received at least one dose of study drug; the activity analysis set included 88 (85%) patients (median age 58 years [IQR 51-67], 57 [65%] of 88 were male, 31 [35%] were female, and 83 [94%] were Asian). As of data cutoff (Aug 31, 2023; median follow-up was 13·3 months [IQR 4·9-18·4]), per IRC assessment, the objective response rate was 44·3% (95% CI 33·7-55·3; 39 of 88 patients, p<0·0001), with 21 (24%) patients having a complete response and 18 (20%) having a partial response. In the safety analysis set, 61 (59%) of 104 patients had grade 3-4 drug-related treatment-emergent adverse events. The most common grade 3-4 drug-related treatment-emergent adverse events were neutrophil count decreased (30 [29%]), white blood cell count decreased (27 [26%]), lymphocyte count decreased (22 [21%]), and platelet count decreased (21 [20%]), which were clinically manageable and reversible. 25 (24%) patients had treatment-related serious adverse events. Deaths due to treatment-emergent adverse events occurred in three (3%) patients: two (2%) due to pneumonia (one case with fungal infection [related to golidocitinib] and another one with COVID-19 infection) and one (1%) due to confusional state. INTERPRETATION In this phase 2 study, golidocitinib showed a favourable benefit-risk profile in treating relapsed or refractory peripheral T-cell lymphoma. The results of this study warrant further randomised clinical studies to confirm activity and assess efficacy in this population. FUNDING Dizal Pharmaceutical.
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Affiliation(s)
- Yuqin Song
- Peking University Cancer Hospital, Beijing, China
| | - Luis Malpica
- The University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | - Qingqing Cai
- Sun Yat-sen University Cancer Center, Guangzhou, China
| | - Weili Zhao
- Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
| | | | - Jianqiu Wu
- Jiangsu Cancer Hospital-Jiangsu Institute of Cancer Research, Nanjing, China
| | - Huilai Zhang
- Tianjin Medical University Cancer Institute and Hospital, Tianjin, China
| | | | | | - Yao Liu
- Chongqing Cancer Hospital, Chongqing, China
| | - Zengjun Li
- Shandong First Medical University Affiliated Cancer Hospital, Jinan, China
| | - Liling Zhang
- Union Hospital Tongji Medical College Huazhong University of Science and Technology, Wuhan, China
| | | | - Jie Jin
- The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Haiyan Yang
- Zhejiang Cancer Hospital, Hangzhou Institute of Medicine, Chinese Academy of Sciences, Hangzhou, China
| | | | | | - Sujun Gao
- The First Hospital of Jilin University, Changchun, China
| | - Wenyu Li
- Guangdong Provincial People's Hospital, Guangzhou, China
| | - Zhimin Zhai
- Hematologic Department, The Second Affiliated Hospital of Anhui Medical University, Hefei, China
| | - Liqun Zou
- West China Hospital, Sichuan University, Chengdu, China
| | - Yaming Xi
- The First Hospital of Lanzhou University, Lanzhou, China
| | - Youngil Koh
- Seoul National University Hospital, Seoul, South Korea
| | - Fei Li
- The First Affiliated Hospital of Nanchang University, Nanchang, China
| | | | - Hui Zhou
- Hunan Cancer Hospital, Changsha, China
| | - Lie Lin
- Hainan General Hospital, Haikou, China
| | - Hui Liu
- Beijing Hospital, Beijing, China
| | - Pamela Allen
- Winship Cancer Institute of Emory University, Atlanta, GA, USA
| | | | | | | | - Jun Zhu
- Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Department of Lymphoma, Peking University Cancer Hospital and Institute, Beijing, China.
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Tantrige P, Patel KV, Patel NK, Haque S, Leung R, Naz F, Allen P, Blake H, Yusuf GT, Sidhu PS. Ultrasound simulation training to meet the 2021 Royal College of Radiologists' curriculum for radiology trainees: South East London experience. Clin Radiol 2023; 78:671-678. [PMID: 37336673 DOI: 10.1016/j.crad.2023.05.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2023] [Revised: 04/12/2023] [Accepted: 05/16/2023] [Indexed: 06/21/2023]
Abstract
AIM To enhance ultrasound teaching delivery to radiology trainees using a simulation course matched to the 2021 Royal College of Radiologists (RCR) curriculum. MATERIAL AND METHODS An ultrasound simulation training course was designed for specialty trainees (ST) 1 in radiology, which was based on the 2021 RCR curriculum and covered the top ultrasound training priorities. The course was piloted initially on two occasions in a 1-day format to the August 2021 and the March 2022 ST1 intake trainees. Based on the feedback, a comprehensive 4-day course was developed and delivered between October and December 2022 for the August 2022 ST1 intake, funded by Health Education England. The outcomes measured were subjective trainee feedback using numerical scores and free text. RESULTS All King's College Hospital NHS Foundation Trust radiology ST1 trainees from the August 2021 to the August 2022 intake participated in ultrasound simulation training. The training matched the RCR curriculum and increased the trainees' confidence and competency in medical ultrasound. CONCLUSIONS Ultrasound simulation training can be successfully delivered to ST1 trainees to match the 2021 RCR curriculum and enhance training in medical ultrasound for radiologists.
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Affiliation(s)
- P Tantrige
- Department of Radiology, King's College Hospital NHS Foundation Trust, UK.
| | - K V Patel
- Department of Radiology, Croydon University Hospital, UK
| | - N K Patel
- Department of Radiology, King's College Hospital NHS Foundation Trust, UK
| | - S Haque
- Department of Radiology, King's College Hospital NHS Foundation Trust, UK
| | - R Leung
- Department of Radiology, King's College Hospital NHS Foundation Trust, UK
| | - F Naz
- Department of Radiology, King's College Hospital NHS Foundation Trust, UK
| | - P Allen
- Department of Radiology, King's College Hospital NHS Foundation Trust, UK
| | - H Blake
- Department of Radiology, Croydon University Hospital, UK
| | - G T Yusuf
- Department of Radiology, King's College Hospital NHS Foundation Trust, UK
| | - P S Sidhu
- Department of Radiology, King's College Hospital NHS Foundation Trust, UK
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3
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Hill M, Weissman AS, Franzetti M, Allen P. Novel, sensitivity-based antibiotic regimen for multidrug-resistant Mycobacteriumabscessus infection following cosmetic surgery. JAAD Case Rep 2023; 36:18-20. [PMID: 37361401 PMCID: PMC10285119 DOI: 10.1016/j.jdcr.2023.02.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/28/2023] Open
Affiliation(s)
| | - Amanda S. Weissman
- Correspondence to: Amanda S. Weissman, MD, Department of Dermatology, University of Oklahoma Health Sciences Center, 1000 NE 13 St. Suite 1C, Oklahoma City, OK 73104.
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Hamid MS, Rutherford SC, Jang H, Kim S, Patel K, Bartlett NL, Malecek MK, Watkins MP, Maddocks KJ, Bond DA, Feldman TA, Magarelli G, Advani RH, Spinner MA, Evens AM, Shah M, Ahmed S, Stephens DM, Allen P, Tees MT, Karmali R, Cheson BD, Yazdy MS, Strouse C, Bailey NA, Pagel JM, Ramchandren R. Outcomes Among Classical Hodgkin Lymphoma Patients After an Interim PET Scan: A Real-World Experience. Clin Lymphoma Myeloma Leuk 2022; 22:e435-e442. [PMID: 35093285 DOI: 10.1016/j.clml.2021.12.012] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/21/2021] [Revised: 11/17/2021] [Accepted: 12/18/2021] [Indexed: 06/14/2023]
Abstract
INTRODUCTION The utility of dose escalation after positive positron emission tomography following 2 cycles of ABVD (PET2) for Hodgkin Lymphoma (HL) remains controversial. We describe the United States real-world practice patterns for PET2 positive patients. PATIENTS AND METHODS Data was collected from 15 sites on PET2 positive HL patients after receiving frontline treatment between January, 2015 and June, 2019. Descriptive analyses between those with therapy change and those continuing initial therapy were assessed. RESULTS A total of 129 patients were identified; 111 (86%) were treated with ABVD therapy and 18 (14%) with an alternate regimen. At PET2 assessment, 74.4% (96/129) had Deauville score (DS) 4 and 25.6% (33/129) had DS 5. Of the 66 limited stage (LS) patients with PET2 DS score of 4/5, 77.3% (51/66) continued initial therapy and 22.7% (15/66) changed to escalated therapy. The 12-month progression-free survival (PFS) for DS 4/5 LS patients was 67.0% (95% CI; 54.9-81.7) for patients without escalation compared with 51.4% (95% CI; 30.8-85.8) for those who escalated. Of the 63 DS 4/5 patients with advanced stage (AS) disease, 76.2% (48/63) continued initial therapy and 23.8% (15/63) changed to escalated therapy. The 12-month PFS for DS 4/5 AS patients was 38.3% (95% CI: 26.3%-55.7%) for patients without escalation compared with 57.1% (95% CI: 36.3-89.9) for those with escalation. CONCLUSION A minority of PET2 positive HL patients undergo therapy escalation and outcomes remain overall suboptimal. Improved prognostics markers and better therapeutics are required to improve outcomes for high-risk PET2 positive HL patients.
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Affiliation(s)
| | | | | | | | | | - Nancy L Bartlett
- Washington University Medical University at St. Louis, St. Louis, MO
| | - Mary-Kate Malecek
- Washington University Medical University at St. Louis, St. Louis, MO
| | - Marcus P Watkins
- Washington University Medical University at St. Louis, St. Louis, MO
| | - Kami J Maddocks
- The James Comprehensive Cancer Center, The Ohio State University, Columbus, OH
| | - David A Bond
- The James Comprehensive Cancer Center, The Ohio State University, Columbus, OH
| | - Tatyana A Feldman
- John Theurer Cancer Center at Hackensack Meridian Health, Hackensack, NJ
| | - Gabriela Magarelli
- John Theurer Cancer Center at Hackensack Meridian Health, Hackensack, NJ
| | | | | | - Andrew M Evens
- Rutgers Cancer Institute of New Jersey, New Brunswick, NJ
| | - Mansi Shah
- Rutgers Cancer Institute of New Jersey, New Brunswick, NJ
| | | | | | - Pamela Allen
- Winship Cancer Institute at Emory University, Atlanta, GA
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5
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Müller P, Breuer E, Tschuor C, Saint-Marc O, Keck T, Coratti A, De Oliveira M, Allen P, Giulianotti P, Oberkofler C, Nickel F, Groot Koerkamp B, Martinie J, Yeo C, Hackert T, Petrowsky H, He J, Boggi U, Borel-Rinkes IH, Clavien PA. Robotic distal pancreatectomy, a novel standard of care? First benchmark values for surgical outcomes from 14 international expert centers. Br J Surg 2022. [DOI: 10.1093/bjs/znac178.006] [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]
Abstract
Abstract
Objective
Robotic distal pancreatectomy (DP) is emerging as the preferred treatment for body and tail tumors of the pancreas. To enable conclusive comparisons with the standard open or laparoscopic approaches and robotic surgery among centers, novel benchmark outcome values are urgently needed. Therefore, the aim of this study was to identify benchmark values from expert centers beyond the learning curve.
Methods
This multicenter study analyzed outcomes from consecutive patients undergoing robotic DP for resectable malignant or benign lesions from 14 international expert centers. After the learning curve, defined as the first 10 cases of robotic DP, all consecutive patients were included from the start of the program up to June 2020 with a minimum follow-up of 1 year. Benchmark patients were those without significant comorbidities including obesity (BMI >35 kg/m2) cardiac disease, chronic pulmonary disease.
Benchmark cutoff values were derived from the 75th or the 25th percentile of the median values of all benchmark centers.
Results
After reaching the learning curve, 289 (47%) of a total of 614 consecutive patients qualified as benchmark cases. The proportion of benchmark patients varied between 24%-64% per center. Benchmark cut-offs showed a low 6 month- postoperative mortality (<0.6%), but high overall morbidity (<58.3%). Benchmark cutoffs for operative time (<300 min), conversion rate (<3%), clinically relevant pancreatic fistulas (<26.9%), CCI at 90-days (<14.8), hospital stay (<7 days) and readmission rate (<22.9%). Benchmark cut-offs for complications remained unchanged after 3 months follow-up. For ductal adenocarcinoma benchmark cutoffs for number of lymph nodes were > 19 with an R0 resection rate of > 85%, and an overall survival of >86% and >52% after 1- and 5-years, respectively. Centers with a low cohort of benchmark patients (more difficult cases) had less clinically relevant pancreatic fistula (9% vs. 23%) and less overall complications (32% vs. 48%).
Conclusion
This benchmark analysis sets novel reference values for robotic DP, indicating favorable outcomes as compared to laparoscopic and open DP. These references values may serve for quality control of surgery in centers embarking in robotic DP, and include the procedure in the standard of care.
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Affiliation(s)
- P Müller
- Department of Visceral and Transplant Surgery, University Hospital Zurich , Zurich, Switzerland
| | - E Breuer
- Department of Visceral and Transplant Surgery, University Hospital Zurich , Zurich, Switzerland
| | - C Tschuor
- Department of Surgery and Transplantation, Rigshospitalet Copenhagen University Hospital , Copenhagen, Denmark
| | - O Saint-Marc
- Department of Surgrey, Hospital Orléans , Orléans, France
| | - T Keck
- Department of Surgery, University Clinic Schleswig-Holstein , Lübeck, Germany
| | - A Coratti
- Division of General and Minimally Invasive Surgery, Misericordia Hospital of Grosseto , Grosseto, Italy
| | - M De Oliveira
- Department of Visceral and Transplant Surgery, University Hospital Zurich , Zurich, Switzerland
| | - P Allen
- Department of Surgery, Duke University Medical Center , Durham, United Kingdom
| | - P Giulianotti
- Department of Surgery, The University of Illinois Medical Center , Chicago, USA
| | - C Oberkofler
- Department of Visceral and Transplant Surgery, University Hospital Zurich , Zurich, Switzerland
| | - F Nickel
- Department of Surgery and Transplantation, University Hospital Heidelberg , Heidelberg, Germany
| | | | - J Martinie
- Department of Surgery, Carolinas Medical Center , Charlotte, USA
| | - C Yeo
- Department of Surgery, Sidney Kimmel Medical College , Philadelphia, USA
| | - T Hackert
- Department of Surgery and Transplantation, University Hospital Heidelberg , Heidelberg, Germany
| | - H Petrowsky
- Department of Visceral and Transplant Surgery, University Hospital Zurich , Zurich, Switzerland
| | - J He
- Department of Surgery, Johns Hopkins University School of Medicine , Baltimore, USA
| | - U Boggi
- Department of Surgery, University of Pisa , Pisa, Italy
| | - I H Borel-Rinkes
- Department of Surgery, University Medical Centre Utrecht , Utrecht, The Netherlands
| | - P-A Clavien
- Department of Visceral and Transplant Surgery, University Hospital Zurich , Zurich, Switzerland
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Smith L, López Sánchez GF, Veronese N, Soysal P, Oh H, Barnett Y, Keyes H, Butler L, Allen P, Kostev K, Jacob L, Shin JI, Koyanagi A. Fruit and Vegetable Intake and Non-Communicable Diseases among Adults Aged ≥50 Years in Low- and Middle-Income Countries. J Nutr Health Aging 2022; 26:1003-1009. [PMID: 36437768 DOI: 10.1007/s12603-022-1855-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
OBJECTIVES The relationship between consuming ≥2 servings of fruits and ≥3 servings of vegetables a day, which has been identified as optimal for health (i.e., adequate fruit/vegetable consumption), and non-communicable diseases (NCDs) in low- and middle-income countries (LMICs) is largely unknown. Therefore, using data from six LMICs, we investigated the independent association between inadequate fruit/vegetable consumption and 12 NCDs, and estimated the prevalence of inadequate fruit/vegetable consumption among people with NCDs. DESIGN AND SETTING Cross-sectional, nationally representative data from the WHO Study on global AGEing and adult health (SAGE) were analyzed. PARTICIPANTS Data on 34129 individuals aged ≥50 years were analyzed [mean (SD) age 62.4 (16.0); maximum age 114 years; 52.1% females]. MEASUREMENTS Information on the number of servings of fruits and vegetables consumed on a typical day was self-reported. Twelve NCDs were assessed. Multivariable logistic regression analysis was conducted. RESULTS Overall, 67.2% had inadequate fruit/vegetable consumption. Inadequate fruit/vegetable consumption was independently associated with significantly higher odds for chronic lung disease (OR=1.25), diabetes (OR=1.45), hearing problems (OR=1.75), and visual impairment (OR=2.50). The prevalence of inadequate fruit/vegetable consumption was particularly high among people with visual impairment (92.5%), depression (90.5%), asthma (79.8%), and hearing problems (78.4%). CONCLUSION Promotion of fruit and vegetable consumption (≥2 servings of fruits and ≥3 servings of vegetables a day) in LMICs may lead to prevention of some NCDs (e.g., diabetes, chronic lung disease). Furthermore, people with certain NCDs (e.g., visual impairment, depression) had particularly high prevalence of inadequate fruit/vegetable consumption, and it is thus important to target this population to increase fruit/vegetable consumption.
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Affiliation(s)
- L Smith
- Dr. Guillermo F. López Sánchez, Division of Preventive Medicine and Public Health, Department of Public Health Sciences, School of Medicine, University of Murcia, Murcia, Spain,
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Gravador RS, Fahey AG, Harrison SM, Gkarane V, Moloney AP, Brunton NP, Claffey NA, Diskin MG, Farmer LJ, Allen P, Monahan FJ. Effects of silage to concentrate ratio and duration of feeding on the fatty acid composition of ovine muscle and adipose tissue. Anim Prod Sci 2022. [DOI: 10.1071/an20301] [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: 11/23/2022]
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8
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Nian Y, Moloney AP, Li C, Allen P, Harrison SM, Prendiville R, Kerry JP, Zhou G. A comparison of meat composition, tenderness and the fatty acid profile of three muscles from Holstein-Friesian bulls from production system resulting in final ages of either <16 or 19 months. Anim Prod Sci 2021. [DOI: 10.1071/an20697] [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] [Indexed: 11/23/2022]
Abstract
Context The increased number of male dairy origin calves in Ireland due to the abolition of European Union milk quotas is a potential resource for the beef industry. Rearing these animals as bulls rather than steers is more efficient from a production perspective. Ensuring satisfactory quality of bull beef from dairy origin is essential. Aim To determine the effect of two production systems and three muscle types on physico-chemical characteristics and fatty acid (FA) profile of beef from Holstein-Friesian (HF) bulls. Methods Thirty HF bulls were equally assigned to two production systems, namely, slaughter at under 16 months of age or slaughter at 19 months of age. Longissimus thoracis (LT), Semitendinosus (ST) and Gluteus medius (GM) muscles were excised post-slaughter for determination of pH, colour, Warner–Bratzler (WB) variables, cook loss, chemical composition [intramuscular fat (IMF), moisture, protein, ash], collagen characteristics and FA profile. Results WB variables and cook loss after 14 days postmortem ageing, and insoluble and total collagen contents were higher, while IMF content, redness and saturation at 24 h post-blooming were lower for muscles from the 19-month production system. Muscles from the under 16-month production system had a higher saturated fatty acid (SFA) proportion and n-6:n-3 polyunsaturated fatty acid (PUFA) ratio, while muscle from the 19-month production system had a higher PUFA proportion, n-3 PUFA proportion and PUFA:SFA ratio. The GM muscle had the lowest L* value, followed by LT and ST. Yellowness, saturation and hue angle were greater in ST. LT had lower WB variables, cook loss, moisture, and a higher IMF content than ST and GM. The PUFA proportion and PUFA:SFA ratio were highest in ST, followed by GM and LT. IMF, total FA, SFA and monounsaturated fatty acid (MUFA) concentrations were higher in LT from the under 16-month production system bulls (the interaction). Conclusions Beef from the under 16-month production system compared with beef from the 19-month production system, and LT compared with ST and GM muscles had better quality characteristics. Implications Dairy bulls can produce beef of acceptable quality. The findings will guide selection of the combination of production system and muscle type most appropriate to specific market requirements.
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9
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Thornell I, Portillo CC, Allen P, Mather S, Ash J, Stapleton E, Yu W, Ostedgaard L, Comellas A, Stoltz D, Zabner J, Pezzulo A, Meyerholz D, Welsh M. 679: Host defense defects and inflammation within the nasal airways of CFTR knockout mice. J Cyst Fibros 2021. [DOI: 10.1016/s1569-1993(21)02102-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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10
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Garrison JR, Saviola F, Morgenroth E, Barker H, Lührs M, Simons JS, Fernyhough C, Allen P. Modulating medial prefrontal cortex activity using real-time fMRI neurofeedback: Effects on reality monitoring performance and associated functional connectivity. Neuroimage 2021; 245:118640. [PMID: 34648961 PMCID: PMC8752965 DOI: 10.1016/j.neuroimage.2021.118640] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Revised: 10/02/2021] [Accepted: 10/06/2021] [Indexed: 12/04/2022] Open
Abstract
Neuroimaging studies have found ‘reality monitoring’, our ability to distinguish internally generated experiences from those derived from the external world, to be associated with activity in the medial prefrontal cortex (mPFC) of the brain. Here we probe the functional underpinning of this ability using real-time fMRI neurofeedback to investigate the involvement of mPFC in recollection of the source of self-generated information. Thirty-nine healthy individuals underwent neurofeedback training in a between groups study receiving either Active feedback derived from the paracingulate region of the mPFC (21 subjects) or Sham feedback based on a similar level of randomised signal (18 subjects). Compared to those in the Sham group, participants receiving Active signal showed increased mPFC activity over the course of three real-time neurofeedback training runs undertaken in a single scanning session. Analysis of resting state functional connectivity associated with changes in reality monitoring accuracy following Active neurofeedback revealed increased connectivity between dorsolateral frontal regions of the fronto-parietal network (FPN) and the mPFC region of the default mode network (DMN), together with reduced connectivity within ventral regions of the FPN itself. However, only a trend effect was observed in the interaction of the recollection of the source of Imagined information compared with recognition memory between participants receiving Active and Sham neurofeedback, pre- and post- scanning. As such, these findings demonstrate that neurofeedback can be used to modulate mPFC activity and increase cooperation between the FPN and DMN, but the effects on reality monitoring performance are less clear.
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Affiliation(s)
- J R Garrison
- Department of Psychology, University of Cambridge, Downing St, Cambridge CB2 3EB, United Kingdom; Behavioral and Clinical Neuroscience Institute, University of Cambridge, Downing St, Cambridge CB2 3EB, United Kingdom.
| | - F Saviola
- School of Psychology, University of Roehampton, Whitelands College, Holybourne Avenue, London SW15 4JD, United Kingdom; CIMeC, Center for Mind/Brain Sciences, University of Trento, Rovereto, Trento 38068, Italy
| | - E Morgenroth
- School of Psychology, University of Roehampton, Whitelands College, Holybourne Avenue, London SW15 4JD, United Kingdom; Institute of Bioengineering, École Polytechnique Fédérale de Lausanne (EPFL), Route Cantonale, Lausanne 1015, Switzerland; Department of Radiology and Medical Informatics, University of Geneva, Geneva, Switzerland
| | - H Barker
- School of Psychology, University of Roehampton, Whitelands College, Holybourne Avenue, London SW15 4JD, United Kingdom
| | - M Lührs
- Department of Cognitive Neuroscience, Maastricht University, Maastricht 6200 MD, The Netherlands; Research Department, Brain Innovation B.V., Oxfordlaan 55, Maastricht 6229 EV, The Netherlands
| | - J S Simons
- Department of Psychology, University of Cambridge, Downing St, Cambridge CB2 3EB, United Kingdom; Behavioral and Clinical Neuroscience Institute, University of Cambridge, Downing St, Cambridge CB2 3EB, United Kingdom
| | - C Fernyhough
- Department of Psychology, Durham University, Upper Mountjoy, South Rd, Durham DH1 3LE, United Kingdom
| | - P Allen
- School of Psychology, University of Roehampton, Whitelands College, Holybourne Avenue, London SW15 4JD, United Kingdom; Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, Kings College London, De Crespigny Park, London SE5 8AF, United Kingdom; Department of Psychiatry, Icahn Medical Institute, Mount Sinai Hospital, 1 Gustave L. Levy Place, Box 1230, New York, NY 10029, USA
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11
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Zander E, Hintze TD, Sallee B, Allen P, Miller JL, Sagdeo M. Treatment of Toxic Epidermal Necrolysis with Etanercept in a Pediatric Patient. J Pediatr Pharmacol Ther 2021; 26:758-761. [PMID: 34588942 DOI: 10.5863/1551-6776-26.7.758] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2020] [Accepted: 01/08/2021] [Indexed: 12/18/2022]
Abstract
Toxic epidermal necrolysis is a rare, life-threatening skin disease with no consensus on adjunctive treatment, particularly in pediatric patients. We present the case of a 13-year-old previously healthy patient with drug-associated toxic epidermal necrolysis who experienced significantly shortened length of hospital stay and duration of symptoms compared with published literature when treated with 2 doses of etanercept 50 mg during 5 days.
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Griffin R, Panayiotou A, Allen P, Height S, Chakravorty S, Rees DC. What is the role of chest X-ray imaging in the acute management of children with sickle cell disease? Br J Haematol 2021; 196:402-413. [PMID: 34528246 DOI: 10.1111/bjh.17831] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2021] [Revised: 08/09/2021] [Accepted: 08/30/2021] [Indexed: 02/02/2023]
Abstract
Children with sickle cell disease (SCD) frequently present to hospital acutely unwell and are often exposed to diagnostic chest X-rays (CXRs). Little evidence exists to determine when CXRs are clinically useful. Using electronic hospital records, we audited CXR use in children aged 0-18 who presented to hospital over the past 10 years in both an inpatient and emergency department setting. From a total of 915 first CXRs, only 28·2% of CXRs (n = 258) had clinically significant findings that altered management or final diagnosis. Of these abnormalities, consolidation represented 52·3%, effusion 8·9%, cardiomegaly 8·4% and sickle cell-related bone changes 6·3%. Indications for CXR of respiratory distress (OR = 3·74, 95% CI 2·28-6·13), hypoxia (OR = 1·86, 95% CI 1·50-2·31) and cough (OR = 1·64, 95% CI 1·33-2·02), were more likely to have significant CXR findings. Patients who had higher peak fever (38·4°C vs. 37·4°C, P = 0·001), higher peak CRP (156·4 vs. 46·1, P < 0·001) and higher WCC (20·2 vs. 13·6, P < 0·001) were more likely to have clinically significant abnormalities on CXR. We found a decision tool using either hypoxia, cough, respiratory distress, T > 38°C, CRP > 50 or WCC > 15 × 109 /l as indications for CXR, to have a sensitivity of 88% (with 95% CI 0·78-0·95) and specificity of 46% (95% CI 0·43-0·50) for clinically significant findings.
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Affiliation(s)
- Ryan Griffin
- Department of Paediatric Haematology, King's College Hospital NHS Trust, London, UK
| | | | - Pamela Allen
- Department of Radiology, King's College Hospital NHS Trust, London, UK
| | - Sue Height
- Department of Paediatric Haematology, King's College Hospital NHS Trust, London, UK
| | - Subarna Chakravorty
- Department of Paediatric Haematology, King's College Hospital NHS Trust, London, UK
| | - David C Rees
- Department of Paediatric Haematology, King's College Hospital NHS Trust, London, UK
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Harrell K, Clark S, Haskell H, Allen P. 26985 Infantile myofibromatosis: A rare case presenting on the chin of a 13-week-old boy. J Am Acad Dermatol 2021. [DOI: 10.1016/j.jaad.2021.06.517] [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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14
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Zhou C, Reardon K, Allen P. 26735 Lupus or leprosy? A tale of two diseases. J Am Acad Dermatol 2021. [DOI: 10.1016/j.jaad.2021.06.477] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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15
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Ishitsuka K, Izutsu K, Maruyama D, Makita S, Jacobsen ED, Horwitz S, Kusumoto S, Allen P, Porcu P, Imaizumi Y, Yamauchi N, Morishima S, Kawamata T, Foss FM, Utsunomiya A, Nosaka K, Serbest G, Kato K, Adachi N, Tsukasaki K, Tobinai K. FIRST‐IN‐HUMAN STUDY OF THE EZH1 AND EZH2 DUAL INHIBITOR VALEMETOSTAT TOSYLATE (DS‐3201B) IN PATIENTS WITH RELAPSED OR REFRACTORY NON‐HODGKIN LYMPHOMAS. Hematol Oncol 2021. [DOI: 10.1002/hon.14_2879] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- K Ishitsuka
- Kagoshima University Hospital Department of Hematology and Rheumatology Kagoshima Japan
| | - K Izutsu
- National Cancer Center Hospital Department of Hematology Tokyo Japan
| | - D Maruyama
- National Cancer Center Hospital Department of Hematology Tokyo Japan
| | - S Makita
- National Cancer Center Hospital Department of Hematology Tokyo Japan
| | - E. D Jacobsen
- Dana Farber Cancer Institute Department of Medical Oncology Boston Massachusetts USA
| | - S Horwitz
- Memorial Sloan Kettering Cancer Center Department of Medicine, Lymphoma Service New York New York USA
| | - S Kusumoto
- Nagoya City University Graduate School of Medical Sciences Department of Hematology and Oncology Nagoya Japan
| | - P Allen
- Emory University Winship Cancer Institute Department of Hematology and Medical Oncology Atlanta Georgia USA
| | - P Porcu
- Sidney Kimmel Cancer Center Thomas Jefferson University Department of Medical Oncology Philadelphia Pennsylvania USA
| | - Y Imaizumi
- Nagasaki University Hospital Department of Hematology Nagasaki Japan
| | - N Yamauchi
- National Cancer Center Hospital East Department of Hematology Chiba Japan
| | - S Morishima
- University of the Ryukyus Hospital Department of Hematology and Oncology Okinawa Japan
| | - T. Kawamata
- The Institute of Medical Science The University of Tokyo Department of Hematology Tokyo Japan
| | - F. M Foss
- Yale University School of Medicine, Hematology and Bone Marrow Transplantation New Haven Connecticut USA
| | - A Utsunomiya
- Imamura General Hospital Department of Hematology Kagoshima Japan
| | - K Nosaka
- Kumamoto University Hospital Department of Hematology, Rheumatology, Infectious Disease Kumamoto Japan
| | - G Serbest
- Daiichi Sankyo, Inc, Global Oncology Research & Development Basking Ridge New Jersey USA
| | - K Kato
- Daiichi Sankyo, Inc, Global Oncology Research & Development Basking Ridge New Jersey USA
| | - N Adachi
- Daiichi Sankyo Co, Ltd Oncology Medical Science Department Tokyo Japan
| | - K Tsukasaki
- Saitama Medical University International Medical Center Department of Hematology Saitama Japan
| | - K Tobinai
- National Cancer Center Hospital Department of Hematology Tokyo Japan
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16
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Allen P. Recent developments in the objective measurement of carcass and meat quality for industrial application. Meat Sci 2021; 181:108601. [PMID: 34182344 DOI: 10.1016/j.meatsci.2021.108601] [Citation(s) in RCA: 3] [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: 06/08/2021] [Accepted: 06/08/2021] [Indexed: 10/21/2022]
Abstract
This paper summarises the contents of this Special Edition. The papers cover a range of advanced technologies for the objective measurement of carcass characteristics that influence the yield and potential eating quality of beef and lamb carcasses. All the research has been carried out in Australia and New Zealand and has been centrally funded with collaboration between various groups. This Special Edition is timely since the meat industry is coming under pressure on environmental grounds in addition to health warnings about excessive meat consumption. In this respect it is encouraging that so many of the papers relate to eating quality. The emphasis on objective methods is also important as moving away from traditional subjective grading will improve accuracy and consistency and thereby increase efficiency. Some differences in the approach taken in other parts of the world are discussed.
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Affiliation(s)
- P Allen
- Teagasc Food Research Centre, Ashtown, Dublin 15, Ireland.
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17
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Xantus G, Allen P, Kanizsai P. Blind spot in sepsis management - Tissue level changes in microcirculation. Physiol Int 2021. [PMID: 33844643 DOI: 10.1556/2060.2021.00011] [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] [Received: 07/23/2020] [Accepted: 01/20/2021] [Indexed: 11/19/2022]
Abstract
In sepsis cytokine-mediated inflammation, clotting cascade activation and glycocalyx shedding impair both function and structure of the microcirculation, compromising adequate tissue oxygenation/perfusion. Such mismatch results in "dysoxia", an imbalance in mitochondrial respiration.Microvessel injuries can be grouped into four types: cytotoxic oedema, micro-vessel heterogeneity, sluggish/absent flow, and focal anaemia. Recognition of such diversity in microcirculatory pathology, alongside with the implementation of novel biomarkers might reveal previously unobserved heterogeneity in adults diagnosed with sepsis. Early identification of distinct subtypes may help not only to better stratify disease severity but may also provide explanation to the often seen insufficient/absent response to resuscitative treatment. Experimental evidence suggests that impaired microcirculatory flow may correlate with organ dysfunction and mortality. Therefore, reliable/reproducible diagnostic tools, that provide real-time information about the dynamic state of the microcirculation, might be practice changers in managing the critically ill.The sublingual mucosa and the nailfolds provide easy access to microcirculation via hand-held, point-of-care devices. Accessing these windows, clinicians may recognise, understand and potentially correct the underlying tissue oxygenation/perfusion mismatch. This new clinical information might facilitate an individualised approach vs protocolised care aiming to administer the right balance of intravenous fluids/vasopressors, time/dose auxiliary treatment modalities and, most importantly, might also guide determining the optimal duration of resuscitation to avoid/minimise harm and maximise benefits in sepsis management. However, before every-day clinical use of such point-of-care microcameras, validation studies are needed to establish not only feasibility but reliability and reproducibility as well.
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Affiliation(s)
- G Xantus
- 1School of Medicine, Cardiff University, Cardiff CF10 3AT, UK
| | - P Allen
- 2Rural Clinical School, College of Health and Medicine, Burnie, Tasmania, 7320, Australia
| | - P Kanizsai
- 3Department of Emergency Medicine, Clinical Centre, University of Pécs, Pécs, Hungary
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Fereos G, Buchanan C, Allen P, Inusa B, Bossley CJ. A mysterious cause of chronic cough. Breathe (Sheff) 2021; 16:200163. [PMID: 33447277 PMCID: PMC7792853 DOI: 10.1183/20734735.0163-2020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
A 15-year-old-girl of African descent with sickle cell anaemia (HbSS) presented with an 18-month history of gradually worsening productive cough. She had a history of a previous pneumonia, acute chest crises and two episodes of acute pancreatitis. She was on regular blood transfusions. She underwent a splenectomy in December 2013. There was no documented history of hypercalcaemia. She had no history of fevers or tuberculosis (TB) contacts. This case alerts professionals to take a broad approach when considering childhood chronic cough in sickle cell disease. Certain respiratory conditions are difficult to recognise in childhood, with many children suffering from delayed diagnosis.https://bit.ly/2GZAgmE
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Affiliation(s)
- George Fereos
- King's College London, School of Medical Education, London, UK.,King's College Hospital NHS Foundation Trust, London, UK
| | | | - Pamela Allen
- King's College Hospital NHS Foundation Trust, London, UK
| | - Baba Inusa
- Evelina London Children's Hospital, London, UK
| | - Cara J Bossley
- King's College Hospital NHS Foundation Trust, London, UK
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19
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Zhou C, Reardon K, Allen P. 15533 Lupus or leprosy? A tale of two diseases. J Am Acad Dermatol 2020. [DOI: 10.1016/j.jaad.2020.06.708] [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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20
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Daniju Y, Bossong MG, Brandt K, Allen P. Do the effects of cannabis on the hippocampus and striatum increase risk for psychosis? Neurosci Biobehav Rev 2020; 112:324-335. [PMID: 32057817 DOI: 10.1016/j.neubiorev.2020.02.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2019] [Revised: 01/17/2020] [Accepted: 02/10/2020] [Indexed: 11/19/2022]
Abstract
Cannabis use is associated with increased risk of psychotic symptoms and in a small number of cases it can lead to psychoses. This review examines the neurobiological mechanisms that mediate the link between cannabis use and psychosis risk. We use an established preclinical model of psychosis, the methylazoxymethanol acetate (MAM) rodent model, as a framework to examine if psychosis risk in some cannabis users is mediated by the effects of cannabis on the hippocampus, and this region's role in the regulation of mesolimbic dopamine. We also examine how cannabis affects excitatory neurotransmission known to regulate hippocampal neural activity and output. Whilst there is clear evidence that cannabis/cannabinoids can affect hippocampal and medial temporal lobe function and structure, the evidence that cannabis/cannabinoids increase striatal dopamine function is less robust. There is limited evidence that cannabis use affects cortical and striatal glutamate levels, but there are currently too few studies to draw firm conclusions. Future work is needed to test the MAM model in relation to cannabis using multimodal neuroimaging approaches.
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Affiliation(s)
- Y Daniju
- Department of Psychology, University of Roehampton, London, UK
| | - M G Bossong
- Department of Psychiatry, UMC Utrecht Brain Center, University Medical Center Utrecht, the Netherlands
| | - K Brandt
- Department of Psychology, University of Roehampton, London, UK
| | - P Allen
- Department of Psychology, University of Roehampton, London, UK; Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK; Icahn School of Medicine at Mount Sinai Hospital, New York, USA.
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Fenton A, Elliott E, Shahbandi A, Ezenwa E, Morris C, McLawhorn J, Jackson JG, Allen P, Murina A. Medical students' ability to diagnose common dermatologic conditions in skin of color. J Am Acad Dermatol 2020; 83:957-958. [PMID: 32017947 DOI: 10.1016/j.jaad.2019.12.078] [Citation(s) in RCA: 28] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2019] [Revised: 12/28/2019] [Accepted: 12/31/2019] [Indexed: 11/29/2022]
Affiliation(s)
- Anne Fenton
- Department of Dermatology, Tulane University School of Medicine, New Orleans, Louisiana, USA
| | - Erika Elliott
- Department of Dermatology, Tulane University School of Medicine, New Orleans, Louisiana, USA.
| | - Ashkan Shahbandi
- Department of Biochemistry and Molecular Biology, Tulane University School of Medicine, New Orleans, Louisiana, USA
| | - Ekene Ezenwa
- University of Oklahoma, College of Medicine, Tulsa, OK, USA
| | - Chance Morris
- Department of Dermatology, University of Oklahoma Health Science Center, Oklahoma City, OK, USA
| | - Justin McLawhorn
- Department of Dermatology, University of Oklahoma Health Science Center, Oklahoma City, OK, USA
| | - James G Jackson
- Department of Biochemistry and Molecular Biology, Tulane University School of Medicine, New Orleans, Louisiana, USA
| | - Pamela Allen
- Department of Dermatology, University of Oklahoma Health Science Center, Oklahoma City, OK, USA
| | - Andrea Murina
- Department of Dermatology, Tulane University School of Medicine, New Orleans, Louisiana, USA
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22
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Kozhuharova P, Saviola F, Ettinger U, Allen P. Neural correlates of social cognition in populations at risk of psychosis: A systematic review. Neurosci Biobehav Rev 2020; 108:94-111. [DOI: 10.1016/j.neubiorev.2019.10.010] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2019] [Revised: 09/23/2019] [Accepted: 10/17/2019] [Indexed: 12/29/2022]
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23
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24
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Abstract
Objectives The Attune total knee arthroplasty (TKA) has been used in over 600 000 patients worldwide. Registry data show good clinical outcome; however, concerns over the cement-tibial interface have been reported. We used retrieval analysis to give further insight into this controversial topic. Methods We examined 12 titanium (Ti) PFC Sigma implants, eight cobalt-chromium (CoCr) PFC Sigma implants, eight cobalt-chromium PFC Sigma rotating platform (RP) implants, and 11 Attune implants. We used a peer-reviewed digital imaging method to quantify the amount of cement attached to the backside of each tibial tray. We then measured: 1) the size of tibial tray thickness, tray projections, peripheral lips, and undercuts; and 2) surface roughness (Ra) on the backside and keel of the trays. Statistical analyses were performed to investigate differences between the two designs. Results There was no evidence of cement attachment on any of the 11 Attune trays examined. There were significant differences between Ti and CoCr PFC Sigma implants and Attune designs (p < 0.05); however, there was no significant difference between CoCr PFC Sigma RP and Attune designs (p > 0.05). There were significant differences in the design features between the investigated designs (p < 0.05). Conclusion The majority of the earliest PFC Sigma designs showed evidence of cement, while all of the retrieved Attune trays and the majority of the RP PFC trays in this study had no cement attached. This may be attributable to the design differences of these implants, in particular in relation to the cement pockets. Our results may help explain a controversial aspect related to cement attachment in a recently introduced TKA design.Cite this article: A. Cerquiglini, J. Henckel, H. Hothi, P. Allen, J. Lewis, A. Eskelinen, J. Skinner, M. T. Hirschmann, A. J. Hart. Analysis of the Attune tibial tray backside: A comparative retrieval study. Bone Joint Res 2019;8:136-145. DOI: 10.1302/2046-3758.83.BJJ-2018-0102.R2.
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Affiliation(s)
- A Cerquiglini
- Institute of Orthopaedics and Musculoskeletal Science, University College London and the Royal National Orthopaedic Hospital, Stanmore, UK
| | - J Henckel
- Institute of Orthopaedics and Musculoskeletal Science, University College London and the Royal National Orthopaedic Hospital, Stanmore, UK
| | - H Hothi
- Institute of Orthopaedics and Musculoskeletal Science, University College London and the Royal National Orthopaedic Hospital, Stanmore, UK
| | - P Allen
- Princess Alexandra NHS Trust, Harlow, UK
| | - J Lewis
- BMI Goring Hall Hospital, Goring-by-Sea, West Sussex, UK
| | - A Eskelinen
- The Coxa Hospital for Joint Replacement, Tampere, Finland
| | - J Skinner
- Institute of Orthopaedics and Musculoskeletal Science, University College London and the Royal National Orthopaedic Hospital, Stanmore, UK
| | - M T Hirschmann
- Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland (Bruderholz, Liestal, Laufen), Bruderholz, Switzerland; University of Basel, Basel, Switzerland
| | - A J Hart
- Institute of Orthopaedics and Musculoskeletal Science, University College London and the Royal National Orthopaedic Hospital, Stanmore, UK
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Goldman J, Buszek S, Starr B, Feghali KA, Chevli N, Allen P, Chung C. Comparison of Outcomes and Optimal Treatments Between Unifocal and Multifocal Glioblastoma Using the National Cancer Database. Int J Radiat Oncol Biol Phys 2019. [DOI: 10.1016/s0360-3016(19)30417-1] [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: 10/27/2022]
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26
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Li C, Patel K, Allen P, TU Z, Kilkenny J, Wallace C, Nadig S, Tomlinson S, Atkinson C. A Novel Injury Site-Targeted Complement Inhibitor Which Protects against Lung Transplant Ischemia Reperfusion Injury. J Heart Lung Transplant 2019. [DOI: 10.1016/j.healun.2019.01.016] [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] Open
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27
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Tu Z, Allen P, Wallace C, Li C, Kilkenny J, Patel K, Nadig S, Atkinson C. Endothelial Stabilization Reduces the Effects of Brain Death Induced Acute Lung Injury Post-Transplant. J Heart Lung Transplant 2019. [DOI: 10.1016/j.healun.2019.01.588] [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] Open
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28
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Pasalic D, Betancourt S, Lu Y, Balter P, Allen P, Antonoff M, Erasmus J, Nguyen QN. Stereotactic Ablative Body Radiation for Pulmonary Metastases: Patterns of Failure and Outcomes by Risk Grouping. Int J Radiat Oncol Biol Phys 2019. [DOI: 10.1016/s0360-3016(19)30410-9] [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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29
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Nierop M, Höppener D, van der Stok E, Boris G, Buisman F, Balachandran V, deMatteo R, Jarnagin W, Kingham P, Allen P, Shia J, Vermeulen P, Koerkamp BG, Grünhagen D, Verhoef C, D'Angelica M. Histopathological growth patterns and positive margins after resection of colorectal liver metastases. Eur J Surg Oncol 2019. [DOI: 10.1016/j.ejso.2018.10.451] [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] Open
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Buisman F, van der Stok E, Galjart B, Vermeulen P, Allen P, Balanchandran V, Jarnagin W, Kingham P, Grünhagen D, Koerkamp BG, D'Angelica M, Verhoef C. Histopathological growth patterns as a guide for adjuvant systemic chemotherapy in patients with resected colorectal liver metastases. Eur J Surg Oncol 2019. [DOI: 10.1016/j.ejso.2018.10.069] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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31
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Adotama P, Tinker D, Mitchell K, Glass DA, Allen P. Barber Knowledge and Recommendations Regarding Pseudofolliculitis Barbae and Acne Keloidalis Nuchae in an Urban Setting. JAMA Dermatol 2019; 153:1325-1326. [PMID: 29049485 DOI: 10.1001/jamadermatol.2017.3668] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Affiliation(s)
- Prince Adotama
- Department of Dermatology, University of Oklahoma Health Science Center, Oklahoma City
| | - Daniel Tinker
- Medical student, University of Oklahoma College of Medicine, Oklahoma City
| | - Krystal Mitchell
- Medical student, University of Oklahoma College of Medicine, Oklahoma City
| | - Donald A Glass
- Department of Dermatology, University of Texas Southwestern Medical Center, Dallas
| | - Pamela Allen
- Department of Dermatology, University of Oklahoma Health Science Center, Oklahoma City
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Chapman BV, Farnia B, Ning MS, Allen P, Lin SH, Liao Z, Gandhi SJ, Gomez D. (OA04) Patterns of Failure After Postoperative Radiation Therapy for Locally Advanced NSCLC: Implications for Shifting Toward More Conformal Radiation Fields. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2018.02.043] [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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33
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Allen P, Kiefer K, Scott R, Groschen D, Conzemius M. Synovial Fluid Cytokine Concentrations and Limb Function in Normal Dogs and in Dogs with Lameness from Spontaneous Osteoarthritis. Vet Comp Orthop Traumatol 2018. [DOI: 10.1055/s-0038-1660877] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- P. Allen
- Clinical Investigation Center, University of Minnesota, St. Paul, Minnesota, United States
| | - K. Kiefer
- Clinical Investigation Center, University of Minnesota, St. Paul, Minnesota, United States
| | - R. Scott
- Clinical Investigation Center, University of Minnesota, St. Paul, Minnesota, United States
| | - D. Groschen
- Clinical Investigation Center, University of Minnesota, St. Paul, Minnesota, United States
| | - M. Conzemius
- Clinical Investigation Center, University of Minnesota, St. Paul, Minnesota, United States
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Elhalawani H, Allen P, Abdel-Rahman OM, Holliday EB. Utilization rates and outcomes of short-course radiotherapy for nonmetastatic rectal adenocarcinoma for patients in the National Cancer Database. J Clin Oncol 2018. [DOI: 10.1200/jco.2018.36.4_suppl.774] [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
774 Background: Short-course radiation therapy (SCRT) has been studied in European trials but is not often utilized in the US. We aim to describe the utilization and outcomes of SCRT compared to the more widely used long-course (LCRT) neoadjuvant regimen. Methods: The National Cancer Database (NCDB) was queried for patients treated with preoperative RT followed by surgical resection for non-metastatic rectal adenocarcinoma from 2004-2014. Patient, tumor and treatment-related characteristics were compared between those treated with SCRT (defined as patients receiving < 26 Gray (Gy) in < 7 fractions) and those treated with LCRT. Survivals were compared using the Log-Rank test. Univariate and multivariate Cox regression analyses were used for univariate analysis of factors associated with overall survival (OS). Results: 48898 patients were included for analysis: 48396 patients (99.0%) treated with LCRT and 502 (1.0%) treated with SCRT. Patients treated with SCRT were older (median [range] age 67 [21-90] vs 60 [18-90]; p < .001), had more comorbidities (Charlson/Deyo score 1+ N = 155 (30.9%) vs N = 9795 (20.2%); p < .001), had earlier T-stage (T1-2 N = 141 (28.1%) vs N = 5774 (11.9%); p < .001) and were more likely to be clinically node-negative (N = 324 (64.5%) vs N = 22701 (46.9%); p < .001). Patients treated with SCRT were more likely to be treated after 2009 (N = 303 (60.4%) vs N = 24834 (51.3%); p < .001) and were more often treated at an academic center (N = 318 (63.3%) vs N = 20375 (42.1%); p < .001). Patients treated with SCRT had a 2- and 5-year OS of 85.8% and 65.7%, respectively, compared with 90.9% and 73.5% in patients treated with LCRT (log-rank p < .001). On univariate analysis, receipt of SCRT was associated with worse OS (HR 1.40 95% CI 1.18-1.65; p < .001). However, when entered into a multivariate model including other patient and tumor-related factors, SCRT was actually associated with improved OS (HR 0.77 95% CI 0.59-1.00; p = .048). Conclusions: SCRT is utilized for approximately 1% of patients treated with preoperative treatment of non-metastatic rectal cancer in the US. The results of recently completed randomized trials may further inform patterns of practice in the US and abroad.
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Affiliation(s)
| | - Pamela Allen
- University of Texas MD Anderson Cancer Center, Houston, TX
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35
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Klebe S, Prabhakaran S, Hocking A, Allen P, Henderson D. P1.09-003 Malignant Mesothelioma Versus Synovial Sarcoma: An Analysis of 19 Cases with Molecular Diagnosis. J Thorac Oncol 2017. [DOI: 10.1016/j.jtho.2017.09.976] [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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36
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Al-Amodi H, Pena D, Aluthman U, Allen P, Chu M, Kiaii B. EARLY EXPERIENCE WITH DEL NIDO CARDIOPLEGIA IN MINIMALLY INVASIVE CARDIAC SURGERY. Can J Cardiol 2017. [DOI: 10.1016/j.cjca.2017.07.181] [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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37
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McCarthy S, Henchion M, White A, Brandon K, Allen P. Evaluation of beef eating quality by Irish consumers. Meat Sci 2017; 132:118-124. [DOI: 10.1016/j.meatsci.2017.05.005] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2017] [Revised: 04/24/2017] [Accepted: 05/05/2017] [Indexed: 11/29/2022]
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38
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Shaitelman SF, Stauder MC, Allen P, Reddy S, Lakoski S, Atkinson B, Reddy J, Amaya D, Guerra W, Ueno N, Caudle A, Tereffe W, Woodward WA. Impact of Statin Use on Outcomes in Triple Negative Breast Cancer. J Cancer 2017; 8:2026-2032. [PMID: 28819403 PMCID: PMC5559964 DOI: 10.7150/jca.18743] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2016] [Accepted: 04/01/2017] [Indexed: 12/31/2022] Open
Abstract
Purpose: We sought to investigate if the use of HMG Co-A reductase inhibitors (statins) has an impact on outcomes among patients with triple negative breast cancer (TNBC). Methods: We reviewed the cases of women with invasive, non-metastatic TNBC, diagnosed 1997-2012. Clinical outcomes were compared based on statin use (defined as ever use during treatment vs. never use). We identified a subset of women for whom a 5-value lipid panel (5VLP) was available, including total cholesterol, low density lipoprotein, high density lipoprotein, very low density lipoprotein, and triglycerides. The Kaplan-Meier method was used to estimate median overall survival (OS), distant metastases-free survival (DMFS), and local-regional recurrence-free survival (LRRFS). A Cox proportional hazards regression model was used to test the statistical significance of prognostic factors. Results: 869 women were identified who met inclusion criteria, with a median follow-up time of 75.1 months (range 2.4-228.9 months). 293 (33.7%) patients used statins and 368 (42.3%) had a 5VLP. OS, DMFS, and LRRFS were not significant based on statin use or type. Controlling for the 5VLP values, on multivariable analysis, statin use was significantly associated with OS (HR 0.10, 95% CI 0.01-0.76), but not with DMFS (HR 0.14, 95% CI 0.01-1.40) nor LRRFS (HR 0.10 95% CI 0.00-3.51). Conclusions: Statin use among patients with TNBC is not associated with improved OS, although it may have a benefit for a subset of patients. Prospective assessment would be valuable to better assess the potential complex correlation between clinical outcome, lipid levels, and statin use.
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Affiliation(s)
- Simona F Shaitelman
- Department of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, TX
| | - Michael C Stauder
- Department of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, TX
| | - Pamela Allen
- Department of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, TX
| | - Sangeetha Reddy
- Department of Breast Medical Oncology, University of Texas MD Anderson Cancer Center, Houston, TX
| | - Susan Lakoski
- Department of Clinical Cancer Prevention, University of Texas MD Anderson Cancer Center, Houston, TX
| | - Bradley Atkinson
- Department of Breast Surgical Oncology, University of Texas MD Anderson Cancer Center, Houston, TX
| | - Jay Reddy
- Department of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, TX
| | - Diana Amaya
- Department of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, TX
| | - William Guerra
- Department of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, TX
| | - Naoto Ueno
- Department of Breast Medical Oncology, University of Texas MD Anderson Cancer Center, Houston, TX
| | - Abigail Caudle
- Department of Breast Surgical Oncology, University of Texas MD Anderson Cancer Center, Houston, TX
| | - Welela Tereffe
- Department of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, TX
| | - Wendy A Woodward
- Department of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, TX
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39
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Fang P, Jiang W, Allen P, Glitza I, Guha N, Hwu P, Ghia A, Phan J, Mahajan A, Tawbi H, Li J. Radiation necrosis with stereotactic radiosurgery combined with CTLA-4 blockade and PD-1 inhibition for treatment of intracranial disease in metastatic melanoma. J Neurooncol 2017; 133:595-602. [DOI: 10.1007/s11060-017-2470-4] [Citation(s) in RCA: 58] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2016] [Accepted: 05/06/2017] [Indexed: 12/01/2022]
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40
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Cheng Q, Patel K, Zhu P, Rucker L, Allen P, Vasu C, Nadig S, Atkinson C. Donor Organ Pretreatment with a Gap and Tight Junction Stabilizing Peptide Prevents IRI in a Mouse Lung Transplant Model. J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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41
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Schmidt A, Antoniades M, Allen P, Egerton A, Chaddock CA, Borgwardt S, Fusar-Poli P, Roiser JP, Howes O, McGuire P. Longitudinal alterations in motivational salience processing in ultra-high-risk subjects for psychosis. Psychol Med 2017; 47:243-254. [PMID: 27697078 PMCID: PMC5216461 DOI: 10.1017/s0033291716002439] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/06/2016] [Revised: 08/18/2016] [Accepted: 08/23/2016] [Indexed: 12/31/2022]
Abstract
BACKGROUND Impairments in the attribution of salience are thought to be fundamental to the development of psychotic symptoms and the onset of psychotic disorders. The aim of the present study was to explore longitudinal alterations in salience processing in ultra-high-risk subjects for psychosis. METHOD A total of 23 ultra-high-risk subjects and 13 healthy controls underwent functional magnetic resonance imaging at two time points (mean interval of 17 months) while performing the Salience Attribution Test to assess neural responses to task-relevant (adaptive salience) and task-irrelevant (aberrant salience) stimulus features. RESULTS At presentation, high-risk subjects were less likely than controls to attribute salience to relevant features, and more likely to attribute salience to irrelevant stimulus features. These behavioural differences were no longer evident at follow-up. When attributing salience to relevant cue features, ultra-high-risk subjects showed less activation than controls in the ventral striatum at both baseline and follow-up. Within the high-risk sample, amelioration of abnormal beliefs over the follow-up period was correlated with an increase in right ventral striatum activation during the attribution of salience to relevant cue features. CONCLUSIONS These findings confirm that salience processing is perturbed in ultra-high-risk subjects for psychosis, that this is linked to alterations in ventral striatum function, and that clinical outcomes are related to longitudinal changes in ventral striatum function during salience processing.
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Affiliation(s)
- A. Schmidt
- Department of Psychosis Studies,
King's College London, Institute of Psychiatry, Psychology and
Neuroscience, London, UK
| | - M. Antoniades
- Department of Psychosis Studies,
King's College London, Institute of Psychiatry, Psychology and
Neuroscience, London, UK
| | - P. Allen
- Department of Psychosis Studies,
King's College London, Institute of Psychiatry, Psychology and
Neuroscience, London, UK
- Department of Psychology,
University of Roehampton, London,
UK
| | - A. Egerton
- Department of Psychosis Studies,
King's College London, Institute of Psychiatry, Psychology and
Neuroscience, London, UK
| | - C. A. Chaddock
- Department of Psychosis Studies,
King's College London, Institute of Psychiatry, Psychology and
Neuroscience, London, UK
| | - S. Borgwardt
- Department of Psychosis Studies,
King's College London, Institute of Psychiatry, Psychology and
Neuroscience, London, UK
- Department of Psychiatry (UPK),
University of Basel, Basel,
Switzerland
| | - P. Fusar-Poli
- Department of Psychosis Studies,
King's College London, Institute of Psychiatry, Psychology and
Neuroscience, London, UK
- OASIS Clinic, SLaM NHS Foundation
Trust, London, UK
| | - J. P. Roiser
- Institute of Cognitive Neuroscience, University
College London, London, UK
| | - O. Howes
- Department of Psychosis Studies,
King's College London, Institute of Psychiatry, Psychology and
Neuroscience, London, UK
- Psychiatric Imaging, MRC Clinical Sciences Centre,
Hammersmith Hospital, London, UK
| | - P. McGuire
- Department of Psychosis Studies,
King's College London, Institute of Psychiatry, Psychology and
Neuroscience, London, UK
- OASIS Clinic, SLaM NHS Foundation
Trust, London, UK
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42
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Abstract
Self-disorders (SDs) (from the German Ichstörungen) are alterations of the first-person perspective, long associated with schizophrenia, particularly in early phases. Although psychopathological features of SDs continue to be studied, their neurobiological underpinnings are unknown. This makes it difficult to integrate SDs into contemporary models of psychosis. The present review aims to address this issue, starting from an historical excursus revealing an interconnection between neuroscientific models and the origin of the psychopathological concept of SDs. Subsequently, the more recent neurobiological models related to SDs are discussed, particularly with respect to the onset of schizophrenia.
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Affiliation(s)
- A. Mishara
- Department of Clinical Psychology, Chicago School of Professional Psychology, Southern California Campus, Los Angeles, CA;,Joint first authors
| | - I. Bonoldi
- Department of Psychosis Studies, Institute of Psychiatry, Psychology, and Neuroscience, King’s College of London, London, UK;,OASIS service, South London and the Maudsley NHS Foundation Trust, London, UK;,Department of Brain and Behavioural Sciences, University of Pavia, Italy;,*To whom correspondence should be addressed; Department of Psychosis Studies, Institute of Psychiatry, Psychology, and Neuroscience, King’s College of London, PO Box 63, 16 De Crespigny Park, London SE5 8AF, UK; tel: 020-7848-0801; fax: 020-7848-0976; e-mail:
| | - P. Allen
- Department of Psychosis Studies, Institute of Psychiatry, Psychology, and Neuroscience, King’s College of London, London, UK;,Department of Psychology, University of Roehampton, Whitgelands College, London, UK
| | - G. Rutigliano
- Department of Psychosis Studies, Institute of Psychiatry, Psychology, and Neuroscience, King’s College of London, London, UK;,Department of Clinical and Experimental Medicine, University of Pisa, Italy
| | - J. Perez
- CAMEO Early Intervention Services, Fulbourn Hospital, Fulbourn, Cambridge, UK;,Department of Psychiatry, Cambridge University, Cambridge, UK
| | - P. Fusar-Poli
- Department of Psychosis Studies, Institute of Psychiatry, Psychology, and Neuroscience, King’s College of London, London, UK;,OASIS service, South London and the Maudsley NHS Foundation Trust, London, UK;,Department of Brain and Behavioural Sciences, University of Pavia, Italy;,Joint last authors
| | - P. McGuire
- Department of Psychosis Studies, Institute of Psychiatry, Psychology, and Neuroscience, King’s College of London, London, UK;,Joint last authors
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43
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Tucker SL, Liu A, Gomez D, Tang LL, Allen P, Yang J, Liao Z, Grosshans D. Impact of heart and lung dose on early survival in patients with non-small cell lung cancer treated with chemoradiation. Radiother Oncol 2016; 119:495-500. [DOI: 10.1016/j.radonc.2016.04.025] [Citation(s) in RCA: 60] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2016] [Revised: 03/25/2016] [Accepted: 04/16/2016] [Indexed: 12/25/2022]
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44
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Pan H, Walker GV, Allen P, Grant S, Guadagnolo BA, Smith BD, Koshy M, Rusthoven CG, Mahmood U. The impact of insurance status on racial disparities in cancer outcomes for nonelderly adults: A population based analysis. J Clin Oncol 2016. [DOI: 10.1200/jco.2016.34.15_suppl.e18068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- Hubert Pan
- The University of Texas MD Anderson Cancer Center, Houston, TX
| | - Gary V. Walker
- The University of Texas MD Anderson Cancer Center, Houston, TX
| | - Pamela Allen
- The University of Texas MD Anderson Cancer Center, Houston, TX
| | | | | | - Benjamin D. Smith
- Department of Radiation Oncology, Division of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX
| | - Matthew Koshy
- University of Illinois Hospital & Health Sciences System, Chicago, IL
| | | | - Usama Mahmood
- The University of Texas MD Anderson Cancer Center, Houston, TX
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45
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Liao ZX, Lee JJ, Komaki R, Gomez DR, O'Reilly M, Allen P, Fossella FV, Heymach J, Blumenschein GR, Choi NC, Delaney T, Hahn SM, Lu C, Cox JD, Mohan R. Bayesian randomized trial comparing intensity modulated radiation therapy versus passively scattered proton therapy for locally advanced non-small cell lung cancer. J Clin Oncol 2016. [DOI: 10.1200/jco.2016.34.15_suppl.8500] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- Zhongxing X. Liao
- Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX
| | - J. Jack Lee
- Department of Biostatistics, University of Texas MD Anderson Cancer Center, Houston, TX
| | - Ritsuko Komaki
- Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX
| | | | | | - Pamela Allen
- The University of Texas MD Anderson Cancer Center, Houston, TX
| | | | - John Heymach
- The University of Texas MD Anderson Cancer Center, Houston, TX
| | - George R. Blumenschein
- Department of Thoracic/Head & Neck Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX
| | - Noah C. Choi
- Massachusetts General Hosp Harvard Medcl School, Boston, MA
| | | | - Stephen M. Hahn
- The University of Texas MD Anderson Cancer Center, Houston, TX
| | - Charles Lu
- Department of Thoracic/Head & Neck Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX
| | - James D Cox
- The University of Texas MD Anderson Cancer Center, Houston, TX
| | - Radhe Mohan
- The University of Texas MD Anderson Cancer Center, Houston, TX
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46
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Debeb BG, Lacerda L, Anfossi S, Diagaradjane P, Larson R, Chu K, Huo L, Smith D, Li L, Ivan C, Allen P, Zhang X, Calin G, Krishanmurthy S, Buchholz T, Ueno N, Reuben J, Woodward WA. Abstract A55: A novel mediator of brain metastasis from breast cancer. Cancer Res 2016. [DOI: 10.1158/1538-7445.tummet15-a55] [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: 11/16/2022]
Abstract
Abstract
Purpose: Brain metastasis poses a major treatment challenge and remains an unmet clinical need. Finding novel therapies to prevent and treat brain metastases requires an understanding of the biology and molecular basis of the process, which currently is constrained by a dearth of experimental models and specific therapeutic targets. The purpose of this study was to identify molecular mediators of brain metastasis from breast cancer using novel preclinical brain metastasis models we developed recently.
Methods: GFP-labeled cells were injected via tail vein into SCID/beige mice and metastatic colonization to the brain and lung was evaluated by fluorescent stereomicroscope and histology 8-weeks after injection. miRNA microarray was performed with miRNA 3.0 Array. Stable knockdown and overexpression of miR-141 was achieved with lentiviral vectors. miR-141 serum levels in patients with metastatic breast cancer was measured using quantitative PCR and was associated with outcome data.
Results: We developed novel brain metastasis models in which tail-vein injection of parental triple-negative and a HER2-overexpressing inflammatory breast cancer lines led to a high rate of brain metastases (67%) in SCID/Beige mice (SUM149, 6 of 9 mice; MDA-MB-IBC3, 10 of 15 mice). Sub-lines derived from brain metastases (BrMS) or lung metastases (LuMS) tissues were morphologically and molecularly distinct. The BrMS showed epithelial morphology and overexpressed epithelial markers and miR-141 while the LuMS showed mesenchymal morphology and overexpressed mesenchymal markers. Knockdown of miR-141 significantly inhibited metastatic colonization to the brain compared to parental controls in both cell lines (miR-141 knockdown vs. control: SUM149, 0 of 8 mice vs. 6 of 9 mice, p=0.009; MDA-MB-IBC3, 2 of 14 mice vs. 10 of 15 mice, p=0.007). Further, ectopic expression of miR-141 in non-expressing MDA-MB-231 significantly enhanced brain metastatic colonization via tail-vein injection (5 of 9 mice vs. 0 of 10 mice, P=0.02). On multivariate analyses high serum level of miR-141 was an independent predictor of progression free survival [HR 4.8 (95%CI, 2.6-8.7), P<0.001] and overall survival [HR 7.0 (95%CI 3.5-15.1), P<0.001] in patients with metastatic breast cancer. Importantly, it is associated with shorter brain metastasis free survival (P=0.03).
Conclusion: We have generated novel brain metastasis models that can be utilized to develop therapies. Further, we demonstrated miR-141 as a key regulator of brain metastasis and provided clinical evidence supporting the prognostic relevance of miR-141 in patients with brain metastasis. Our work could lead to novel targets for the prevention and treatment of brain metastasis that could improve patient survival in addition to fundamentally advancing the field of brain metastasis research. We propose that miR-141 should be examined as a biomarker and potential target to prevent or treat brain metastases.
Citation Format: Bisrat G. Debeb, Lara Lacerda, Simone Anfossi, Parmeswaran Diagaradjane, Richard Larson, Khoi Chu, Lei Huo, Daniel Smith, Li Li, Cristina Ivan, Pamela Allen, Xiang Zhang, George Calin, Savitri Krishanmurthy, Thomas Buchholz, Naoto Ueno, James Reuben, Wendy A. Woodward. A novel mediator of brain metastasis from breast cancer. [abstract]. In: Proceedings of the AACR Special Conference on Tumor Metastasis; 2015 Nov 30-Dec 3; Austin, TX. Philadelphia (PA): AACR; Cancer Res 2016;76(7 Suppl):Abstract nr A55.
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Affiliation(s)
- Bisrat G. Debeb
- 1The University of Texas MD Anderson Cancer Center, Houston, TX,
| | - Lara Lacerda
- 1The University of Texas MD Anderson Cancer Center, Houston, TX,
| | - Simone Anfossi
- 1The University of Texas MD Anderson Cancer Center, Houston, TX,
| | | | - Richard Larson
- 1The University of Texas MD Anderson Cancer Center, Houston, TX,
| | - Khoi Chu
- 1The University of Texas MD Anderson Cancer Center, Houston, TX,
| | - Lei Huo
- 1The University of Texas MD Anderson Cancer Center, Houston, TX,
| | - Daniel Smith
- 1The University of Texas MD Anderson Cancer Center, Houston, TX,
| | - Li Li
- 1The University of Texas MD Anderson Cancer Center, Houston, TX,
| | - Cristina Ivan
- 1The University of Texas MD Anderson Cancer Center, Houston, TX,
| | - Pamela Allen
- 1The University of Texas MD Anderson Cancer Center, Houston, TX,
| | | | - George Calin
- 1The University of Texas MD Anderson Cancer Center, Houston, TX,
| | | | - Thomas Buchholz
- 1The University of Texas MD Anderson Cancer Center, Houston, TX,
| | - Naoto Ueno
- 1The University of Texas MD Anderson Cancer Center, Houston, TX,
| | - James Reuben
- 1The University of Texas MD Anderson Cancer Center, Houston, TX,
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47
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Woolley T, Allen P, Fitzgerald L, Izzard L, Rutter E. Sebia Capillarys 2 versus the Helena Biosciences V8 capillary electrophoresis analyser for carbohydrate-deficient transferrin measurement: comparison and analytical evaluation. Br J Biomed Sci 2016; 72:23-7. [DOI: 10.1080/09674845.2015.11666791] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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48
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Krajicek SE, Lopez Tintos B, Allen P. Subcutaneous tortuous nodules on the posterior lower extremity. Cutis 2016; 97:E12-E14. [PMID: 26919362] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
- Sarah E Krajicek
- Emergency Medicine Department, Denver Health Medical Center, Colorado, USA
| | - Brenda Lopez Tintos
- Dermatology Department, Oklahoma University Health Sciences Center, Oklahoma City, USA
| | - Pamela Allen
- Dermatology Department, Oklahoma University Health Sciences Center, Oklahoma City, USA
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49
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Debeb BG, Lacerda L, Anfossi S, Diagaradjane P, Chu K, Huo L, Wei C, Larson R, Wolfe A, Xu W, Li L, Smith D, Ivan C, Allen P, Krishnamurthy S, Calin G, Zhang X, Buchholz T, Ueno N, Reuben J, Woodward W. Abstract 3087: MicroRNA 141: A novel regulator of brain metastasis from breast cancer. Cancer Res 2015. [DOI: 10.1158/1538-7445.am2015-3087] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Purpose: Brain metastasis poses a major treatment challenge and remains an unmet clinical need. Finding novel therapies to prevent and treat brain metastases requires an understanding of the biology and molecular basis of the process, which currently is constrained by a dearth of experimental models and specific therapeutic targets. The purpose of this study was to identify molecular mediators of brain metastasis from breast cancer using novel preclinical brain metastasis models we developed recently.
Methods: GFP-labeled cells were injected via tail vein into SCID/beige mice and metastatic colonization to the brain and lung was evaluated by fluorescent stereomicroscope and histology 8-weeks after injection. miRNA microarray was performed with miRNA 3.0 Array. Stable knockdown and overexpression of miR-141 was achieved with lentiviral vectors. miR-141 serum levels in patients with metastatic breast cancer was measured using quantitative PCR and was associated with outcome data.
Results: We developed novel brain metastasis models in which tail-vein injection of parental triple-negative and a HER2-overexpressing inflammatory breast cancer lines led to a high rate of brain metastases (67%) in SCID/Beige mice (SUM149, 6 of 9 mice; MDA-MB-IBC3, 10 of 15 mice). Sub-lines derived from brain metastasis (BrMS) or lung metastasis (LuMS) tissues were morphologically and molecularly distinct. The BrMS showed epithelial morphology and overexpressed epithelial markers and miR-141 while the LuMS showed mesenchymal morphology and overexpressed mesenchymal markers. Knockdown of miR-141 significantly inhibited metastatic colonization to the brain in both cell lines (miR-141 knockdown vs. control: SUM149, 0 of 8 mice vs. 6 of 9 mice, p = 0.009; MDA-MB-IBC3, 2 of 14 mice vs. 10 of 15 mice, p = 0.007). Ectopic expression of miR-141 in non-expressing MDA-MB-231 significantly enhanced brain metastatic colonization via tail-vein injection (5 of 9 mice vs. 0 of 10 mice, P = 0.02). On multivariate analyses high serum level of miR-141 was an independent predictor of progression free survival [HR 4.8 (95%CI, 2.6-8.7), P<0.001] and overall survival [HR 7.0 (95%CI 3.5-15.1), P<0.001], and was associated with shorter brain metastasis free survival (P = 0.03).
Conclusion: We have generated novel brain metastasis models, demonstrated miR-141 as a key regulator of brain metastasis and provided clinical evidence supporting the prognostic relevance of miR-141 in patients with brain metastasis. We propose that miR-141 should be examined as a biomarker and potential target for the prevention and treatment of brain metastases from breast cancer.
Citation Format: Bisrat G. Debeb, Lara Lacerda, Simone Anfossi, Parmesh Diagaradjane, Khoi Chu, Lei Huo, Caimiao Wei, Richard Larson, Adam Wolfe, Wei Xu, Li Li, Daniel Smith, Cristina Ivan, Pamela Allen, Savitri Krishnamurthy, George Calin, Xiang Zhang, Thomas Buchholz, Naoto Ueno, James Reuben, Wendy Woodward. MicroRNA 141: A novel regulator of brain metastasis from breast cancer. [abstract]. In: Proceedings of the 106th Annual Meeting of the American Association for Cancer Research; 2015 Apr 18-22; Philadelphia, PA. Philadelphia (PA): AACR; Cancer Res 2015;75(15 Suppl):Abstract nr 3087. doi:10.1158/1538-7445.AM2015-3087
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Affiliation(s)
| | | | | | | | - Khoi Chu
- 1UT MD Anderson Cancer Center, Houston, TX
| | - Lei Huo
- 1UT MD Anderson Cancer Center, Houston, TX
| | | | | | - Adam Wolfe
- 1UT MD Anderson Cancer Center, Houston, TX
| | - Wei Xu
- 1UT MD Anderson Cancer Center, Houston, TX
| | - Li Li
- 1UT MD Anderson Cancer Center, Houston, TX
| | | | | | | | | | | | | | | | - Naoto Ueno
- 1UT MD Anderson Cancer Center, Houston, TX
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50
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Falkenberg I, Chaddock C, Murray RM, McDonald C, Modinos G, Bramon E, Walshe M, Broome M, McGuire P, Allen P. Failure to deactivate medial prefrontal cortex in people at high risk for psychosis. Eur Psychiatry 2015; 30:633-40. [PMID: 25841662 DOI: 10.1016/j.eurpsy.2015.03.003] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/27/2015] [Revised: 03/04/2015] [Accepted: 03/05/2015] [Indexed: 10/23/2022] Open
Abstract
Impaired working memory is a core feature of schizophrenia and is linked with altered engagement the lateral prefrontal cortex. Although altered PFC activation has been reported in people with increased risk of psychosis, at present it is not clear if this neurofunctional alteration differs between familial and clinical risk states and/or increases in line with the level of psychosis risk. We addressed this issue by using functional MRI and a working memory paradigm to study familial and clinical high-risk groups. We recruited 17 subjects at ultra-high-risk (UHR) for psychosis, 10 non-affected siblings of patients with schizophrenia (familial high risk [FHR]) and 15 healthy controls. Subjects were scanned while performing the N-back working memory task. There was a relationship between the level of task-related deactivation in the medial PFC and precuneus and the level of psychosis risk, with deactivation weakest in the UHR group, greatest in healthy controls, and at an intermediate level in the FHR group. In the high-risk groups, activation in the precuneus was associated with the level of negative symptoms. These data suggest that increased vulnerability to psychosis is associated with a failure to deactivate in the medial PFC and precuneus during a working memory task, and appears to be most evident in subjects at clinical, as opposed to familial high risk.
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Affiliation(s)
- I Falkenberg
- Department of Psychosis Studies, Institute of Psychiatry, King's College London, London, United Kingdom; Department of Psychiatry and Psychotherapy, Philipps-University of Marburg, Marburg, Germany.
| | - C Chaddock
- Department of Psychosis Studies, Institute of Psychiatry, King's College London, London, United Kingdom
| | - R M Murray
- Department of Psychosis Studies, Institute of Psychiatry, King's College London, London, United Kingdom
| | - C McDonald
- Department of Psychiatry, Clinical Science Institute, National University of Ireland, Galway, Galway, Ireland
| | - G Modinos
- Department of Psychosis Studies, Institute of Psychiatry, King's College London, London, United Kingdom
| | - E Bramon
- Department of Psychosis Studies, Institute of Psychiatry, King's College London, London, United Kingdom; Department of Clinical Neuroscience, Institute of Psychiatry, King's College London, London, United Kingdom
| | - M Walshe
- Department of Psychosis Studies, Institute of Psychiatry, King's College London, London, United Kingdom
| | - M Broome
- Department of Psychosis Studies, Institute of Psychiatry, King's College London, London, United Kingdom; Division of Mental Health and Wellbeing, Warwick Medical School, University of Warwick, Gibbet Hill, Coventry, CV4 7AL, United Kingdom
| | - P McGuire
- Department of Psychosis Studies, Institute of Psychiatry, King's College London, London, United Kingdom
| | - P Allen
- Department of Psychosis Studies, Institute of Psychiatry, King's College London, London, United Kingdom
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