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Yilmaz G, Morrill T, Pilot W, Ward C, Mitchell G, Soutyrine A, Dan H, Lin M, Guan J. Optimization of RT-QuIC Assay Duration for Screening Chronic Wasting Disease in White-Tailed Deer. Vet Sci 2024; 11:60. [PMID: 38393078 PMCID: PMC10891863 DOI: 10.3390/vetsci11020060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2023] [Revised: 01/15/2024] [Accepted: 01/19/2024] [Indexed: 02/25/2024] Open
Abstract
Real-time quaking-induced conversion (RT-QuIC) assays have become a common tool to detect chronic wasting disease (CWD) and are very sensitive provided the assay duration is sufficient. However, a prolonged assay duration may lead to non-specific signal amplification. The wide range of pre-defined assay durations in current RT-QuIC applications presents a need for methods to optimize the RT-QuIC assay. In this study, receiver operating characteristic (ROC) analysis was applied to optimize the assay duration for CWD screening in obex and retropharyngeal lymph node (RLN) tissue specimens. Two different fluorescence thresholds were used: a fixed threshold based on background fluorescence (Tstdev) and a max-point ratio (maximum/background fluorescence) threshold (TMPR) to determine CWD positivity. The optimal assay duration was 33 h for obex and 30 h for RLN based on Tstdev, and 29 h for obex and 32 h for RLN based on TMPR. The optimized assay durations were then evaluated for screening CWD in white-tailed deer from an affected farm. At a replicate level, using the optimized assay durations with TStdev and TMPR, the level of agreement with enzyme-linked immunosorbent assay (ELISA) was significantly higher (p < 0.05) than that when using a 40 h assay duration. These findings demonstrate that the optimization of assay duration via a ROC analysis can improve RT-QuIC assays for screening CWD in white-tailed deer.
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Affiliation(s)
| | | | | | | | | | | | | | | | - Jiewen Guan
- Ottawa Laboratory Fallowfield, Canadian Food Inspection Agency, Ottawa, ON K2J 4S1, Canada
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2
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Hayes G, Dias-Barbieri B, Yilmaz G, Shattock RJ, Becer CR. Poly(2-oxazoline)/saRNA Polyplexes for Targeted and Nonviral Gene Delivery. Biomacromolecules 2023; 24:5142-5151. [PMID: 37792545 PMCID: PMC10646937 DOI: 10.1021/acs.biomac.3c00683] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2023] [Revised: 09/20/2023] [Indexed: 10/06/2023]
Abstract
RNA delivery has been demonstrated to be a potent method of vaccine delivery, as demonstrated by the recent success of the COVID-19 vaccines. Polymers have been shown to be effective vehicles for RNA delivery, with poly(ethylene imine) (PEI) being the current gold standard for delivery. Nonetheless, PEI has toxicity concerns, and so finding alternatives is desirable. Poly(2-oxazoline)s are a promising alternative to PEI, as they are generally biocompatible and offer a high degree of control over the polymer structure. Here, we have synthesized an ionizable primary amine 2-oxazoline and combined it with a double bond containing oxazoline to synthesize a small library of charged statistical and block copolymers. The pendant double bonds were reacted further to decorate the polymers with glucose via a thiol-ene click reaction. All polymers were shown to have excellent cell viability, and the synthesized block polymers showed promising complexation efficiencies for the saRNA, demonstrating a clear structure-property relationship. The polymer transfection potential was tested in various cell lines, and a polymer composition with an amine/glucose ratio of 9:27 has demonstrated the best transfection potential across all cell lines tested. Overall, the results suggest that block polymers with a cationic segment and high levels of glycosylation have the best complexation efficiency and RNA expression levels.
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Affiliation(s)
- Graham Hayes
- Department
of Chemistry, University of Warwick, Coventry, CV4 7AL, United Kingdom
| | - Beatriz Dias-Barbieri
- Department
of Infectious Diseases, Imperial College
London, Norfolk Place, London W21PG, United Kingdom
| | - Gokhan Yilmaz
- Department
of Chemistry, University of Warwick, Coventry, CV4 7AL, United Kingdom
| | - Robin J. Shattock
- Department
of Infectious Diseases, Imperial College
London, Norfolk Place, London W21PG, United Kingdom
| | - C. Remzi Becer
- Department
of Chemistry, University of Warwick, Coventry, CV4 7AL, United Kingdom
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Becker J, Terracciano R, Yilmaz G, Napier R, Becer CR. Step-Growth Glycopolymers with a Defined Tacticity for Selective Carbohydrate-Lectin Recognition. Biomacromolecules 2023; 24:1924-1933. [PMID: 36976928 PMCID: PMC10091353 DOI: 10.1021/acs.biomac.3c00133] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/30/2023]
Abstract
Glycopolymers are potent candidates for biomedical applications by exploiting multivalent carbohydrate-lectin interactions. Owing to their specific recognition capabilities, glycosylated polymers can be utilized for targeted drug delivery to certain cell types bearing the corresponding lectin receptors. A fundamental challenge in glycopolymer research, however, is the specificity of recognition to receptors binding to the same sugar unit (e.g., mannose). Variation of polymer backbone chirality has emerged as an effective method to distinguish between lectins on a molecular level. Herein, we present a facile route toward producing glycopolymers with a defined tacticity based on a step-growth polymerization technique using click chemistry. A set of polymers have been fabricated and further functionalized with mannose moieties to enable lectin binding to receptors relevant to the immune system (mannose-binding lectin, dendritic cell-specific intercellular adhesion molecule-3-grabbing non-integrin, and dendritic and thymic epithelial cell-205). Surface plasmon resonance spectrometry was employed to determine the kinetic parameters of the step-growth glycopolymers. The results highlight the importance of structural complexity in advancing glycopolymer synthesis, yet multivalency remains a main driving force in lectin recognition.
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Affiliation(s)
- Jonas Becker
- Department of Chemistry, University of Warwick, Coventry CV4 7AL, U.K
| | | | - Gokhan Yilmaz
- Department of Chemistry, University of Warwick, Coventry CV4 7AL, U.K
| | - Richard Napier
- School of Life Sciences, University of Warwick, Coventry CV4 7AL, U.K
| | - C Remzi Becer
- Department of Chemistry, University of Warwick, Coventry CV4 7AL, U.K
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Yilmaz G, Eyigor H, Gur OE, Kalkan T, Gur N, Selcuk OT, Ozturk Yilmaz G, Cetinkaya EA. The role of TAS2R38 genotype in surgical outcomes and culturable bacteria in chronic rhinosinusitis with or without nasal polyps. Rhinology 2023; 61:54-60. [PMID: 36278985 DOI: 10.4193/rhin22.118] [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: 02/02/2023]
Abstract
BACKGROUND Recent studies reported the relationship between genetic variations and TAS2R38, which is a bitter taste receptor expressed in the cilia of human sinonasal epithelial cells, among the predisposing factors playing role in immune response to upper respiratory tract bacterial infection. The present study aims to examine the relationship of TAS2R38 genotype with the active microorganism and the effect of genotype on the surgical outcomes among chronic rhinosinusitis patients. METHODOLOGY 34 patients undergoing endoscopic sinus surgery (ESS) for chronic rhinosinusitis with or without polyps (23 CRSwNP, 11 CRSsNP) and 30 patients undergoing septoplasty surgery for isolated nasal septum deviation were included. All the patients were genotyped for TAS2R38. Scoring was made using endoscopic Modified Lund-Kennedy and radiological Lund-Mackay systems preoperatively. Sino-Nasal Outcome Test with 22 items (SNOT-22) was implemented preoperatively and postoperatively. Nasal swab culture samples were taken intraoperatively from CRS patients and the active microorganism were isolated. RESULTS In the TAS2R38 genotyping of the study group, PAV/PAV was found in 32.4% of patients, PAV/AVI in 47.1%, and AVI/AVI in 20.6%. In the control group, PAV/PAV was found in 26.7%, PAV/AVI in 36.7%, and AVI/AVI in 36.7%. In the study group, there was no statistically significant difference between the CRS and CRS subgroups in terms of TAS2R38 genotype distributions. The changes in patients' preoperative and postoperative SNOT-22 scores were similar between the genotypes. Proliferation was detected in culture in the whole AVI-AVI group, 81.8% of PAV-PAV group, and 56.3% of PAV-AVI group but the difference was not found to be statistically significant. The proliferation level of Staphylococcus epidermidis by TAS2R38 genotype was found to be statistically significantly higher among patients, who had AVI-AVI genotype, in CRSwNP. CONCLUSIONS We did not find a statistically significant relationship between the TAS2R38 genotype and CRS subtype, sinonasal bacterial infection risk increase and surgical success rate in CRS patients. Long-term and large-scale studies are needed, which are to be carried out by individual genotyping and sequencing to provide more information on the effects of these genetic variants.
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Affiliation(s)
- G Yilmaz
- Otorhinolaryngology, Antalya Training and Research Hospital, Antalya, Turkey
| | - H Eyigor
- Otorhinolaryngology, Antalya Training and Research Hospital, Antalya, Turkey
| | - O E Gur
- Otorhinolaryngology, Antalya Training and Research Hospital, Antalya, Turkey
| | - T Kalkan
- Medical Genetics, Antalya Training and Research Hospital, Antalya, Turkey
| | - N Gur
- Microbiology, Antalya Training and Research Hospital, Antalya, Turkey
| | - O T Selcuk
- Otorhinolaryngology, Antalya Training and Research Hospital, Antalya, Turkey
| | - G Ozturk Yilmaz
- Otorhinolaryngology, Antalya Training and Research Hospital, Antalya, Turkey
| | - E A Cetinkaya
- Otorhinolaryngology, Antalya Training and Research Hospital, Antalya, Turkey
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Yilmaz G. Treatment Approach of Acute Coronary Thrombosis without Dissection in a Bleeding Patient with Multiple Trauma. J Coll Physicians Surg Pak 2022; 32:SS95-SS97. [PMID: 36597302 DOI: 10.29271/jcpsp.2022.supp0.ss95] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2020] [Accepted: 05/07/2021] [Indexed: 01/05/2023]
Abstract
Trauma is one of the causes of acute myocardial infarction (AMI). In the literature, coronary dissection or vasospasm is thought to play a role in the aetiology of AMI, but the presence of coronary thrombosis without coronary dissection is uncommon. If bleeding pathologies occur in addition to traumatic coronary thrombosis, this may make the situation more complicated. A 32-year male patient was brought to a tertiary emergency service due to a car accident. We detected femoral shaft fracture, hemothorax, subdural haemorrhage, and coronary thrombosis without dissection in the patient. A chest tube was inserted and emergency coronary angiography was performed. Total occlusion of the left anterior descending artery (LAD) was detected. Balloon angioplasty was done and a stent was applied to the LAD. Acetyl salicylic acid and clopidogrel were started despite his bleeding pathologies. In trauma patients, coronary thrombosis without coronary dissection may occur with bleeding pathologies. Electrocardiography should be performed in patients with chest trauma. Thrombosis-bleeding balance should be carefully evaluated during treatment and treatment should be determined by taking this situation into consideration. Key Words: Coronary thrombosis, Multiple trauma, Bleeding, Angioplasty, Antiplatelet therapy.
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Affiliation(s)
- Gokhan Yilmaz
- Department of Emergency, Medicine Clinic, Kayseri City Hospital, Kayseri, Turkey
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6
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Yilmaz G, Boz M, Iskit AB, Iskit AB. The Effects of Lipopolysaccharide Derivatives in Rodent Models of Cardiac Arrhythmia. Anatol J Cardiol 2022; 26:886-892. [PMID: 35949121 PMCID: PMC9797749 DOI: 10.5152/anatoljcardiol.2022.1524] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023] Open
Abstract
BACKGROUND Several previous studies have suggested that sublethal doses of Escherichia coli lipopolysaccharide (endotoxin) and monophosphoryl lipid A Re595, a nonpyrogenic derivative of Salmonella minnesota lipopolysaccharide, exhibit antiarrhythmic effects in the rat model of ischemia-reperfusion arrhythmias. METHODS In this study, the protective effect of lipopolysaccharide derivatives was also further investigated in drug (aconitine or ouabain)-induced arrhythmia models, and conclusions were drawn with particular emphasis on the molecular characteristics of different types of lipopolysaccharide. RESULTS The importance of the molecular structure for the antiarrhythmic effect of monophosphoryl lipid A and E. coli lipopolysaccharide was tested in the ischemia-reperfusion arrhythmia model. In contrast to monophosphoryl lipid A from Salmonella typhimurium SL 684 which has only monophosphoryl residue in its structure, monophosphoryl lipid A Re595, obtained from S. minnesota, and E. coli lipopolysaccharide which have both mono and diphosphoryl residue reduced the duration of ventricular tachycardia (e.g., during reperfusion: vehicle: 176 ± 22.8; monophosphoryl lipid A Re595: 132.83 ± 12.1, as second, n=8-10, P < .05) and the incidence of ventricular fibrillation. The antiarrhythmic effects of E. coli lipopolysaccharide and monophosphoryl lipid A Re595 in ischemia-reperfusion arrhythmia model were absent in either aconitine- (e.g., onset time for ventricular ectopic beats: saline 25.3 5.0, E. coli lipopolysaccharide 24.3 ± 7.1; vehicle: 24.0 ± 4.5, monophosphoryl lipid A SL684 23.8 ± 4.3, as second, n=6, P > .05) or ouabain-induced arrhythmia models in mice. CONCLUSION Therefore, we conclude that lipopolysaccharide derivatives exhibit antiarrhythmic effect only in ischemia-reperfusion arrhythmias, and lipopolysaccharide should possess diphosphoryl groups in its subcomponent composition for this antiarrhythmic effect.
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Affiliation(s)
- Gokhan Yilmaz
- Department of Medical Pharmacology, Faculty of Medicine, Hacettepe University, Ankara, Turkey,Department of Molecular, Cellular and Biomedical Sciences, CUNY Sophie Davis Medical School, New York, USA
| | - Mustafa Boz
- Department of Medical Pharmacology, Faculty of Medicine, Hacettepe University, Ankara, Turkey,Department of Medical Pharmacology, Faculty of Medicine, Muğla Sıtkı Koçman University, Muğla, Turkey
| | - Alper B. Iskit
- Department of Medical Pharmacology, Faculty of Medicine, Hacettepe University, Ankara, Turkey,Corresponding author:Alper B. Iskit✉
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7
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Goksoy B, Kiyak M, Karadag M, Yilmaz G, Azamat IF. Learning Curve of Laparoscopic Surgery for Colorectal Cancer at a New Regional State Hospital: A Single-Surgeon Experience Of 106 Consecutive Cases Without Supervision. Surg Technol Int 2022; 41:sti41/1596. [PMID: 36017960 DOI: 10.52198/22.sti.41.cr1596] [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: 06/15/2023]
Abstract
BACKGROUND Laparoscopic surgery for colorectal cancer is mostly performed in university hospitals or experienced centers. This study aimed at determining the learning curve of laparoscopic surgery for colorectal cancer at a new regional state hospital. PATIENTS AND METHODS Clinico-pathological data of 106 consecutive patients who underwent laparoscopic surgery for colorectal cancer at a new regional state hospital between August 2018 and September 2021 were prospectively recorded and analyzed. All surgeries were performed by a single inexperienced surgeon without supervision. The primary outcome of the study was the operative time, which was used for a Cumulative Sum (CUSUM) analysis of the learning curve. The secondary outcomes included a comparison of preoperative, intraoperative, and postoperative outcomes during the learning curve period. RESULTS According to the CUSUM analysis, the learning curve consisted of three unique phases: phase 1 [the initial learning period (cases 1-53)], phase 2 [the consolidation period (cases 54-68)], and phase 3 [the experienced period (cases 69-106)]. Of the intraoperative outcomes, operative time and estimated blood loss were significantly reduced from phase 1 to phase 3 (p<0.001). Of the postoperative outcomes, time to pass stool (p<0.05), time to oral feeding (p=0.001), drain removal time (p<0.001), and length of hospital stay (p=0.042) were shorter in phase 3 compared to phases 1 and 2. Of the histopathological results, the specimen length and the number of harvested lymph nodes increased with experience (p=0.001). CONCLUSIONS The present results suggest that a surgeon at a new regional state hospital must experience 53-68 cases to achieve competence in laparoscopic colorectal cancer surgery.
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Affiliation(s)
- Beslen Goksoy
- Sancaktepe Şehit Prof Dr Ilhan Varank Training and Research Hospital, Istanbul, Turkey
| | - Mevlut Kiyak
- Sancaktepe Şehit Prof Dr Ilhan Varank Training and Research Hospital, Istanbul, Turkey
| | - Mehmet Karadag
- University of Hatay Mustafa Kemal, School of Medicine, Turkey
| | | | - Ibrahim F Azamat
- Sancaktepe Şehit Prof Dr Ilhan Varank Training and Research Hospital, Istanbul, Turkey
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8
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Yilmaz G, Tanrikulu Y, Goksoy B. An Analysis of Percutaneous Endoscopic Gastrostomy Complications. J Coll Physicians Surg Pak 2022; 32:1051-1055. [PMID: 35932132 DOI: 10.29271/jcpsp.2022.08.1051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2021] [Accepted: 12/16/2021] [Indexed: 06/15/2023]
Abstract
OBJECTIVE To determine the indications of early and late complications in 224 patients who underwent Percutaneous Endoscopic Gastrostomy (PEG) procedure. STUDY DESIGN Observational study. PLACE AND DURATION OF STUDY Department of General Surgery, Karatay University and Medipol University, Turkey, from January 2014 to December 2020. METHODOLOGY Patients' age, gender, primary diseases, PEG indications, morbidity, mortality, and complications were recorded by performing the PEG procedure. Hospitalisation, follow-up periods of the patients, and the re-insertion of PEG were evaluated. RESULTS The most common indication for PEG tube insertion was nutritional disorder associated with cerebrovascular diseases in 81 (37%) patients. No mortality was perceived due to the PEG tube insertion. However, mortality was observed in 84 (38.4%) patients in the first six months, in 6 (2.7%) patients between the sixth and twelfth month, and in 8 (3.7%) patients after the twelfth month. All these mortalities were attributed to the primary disease. In the early and late periods, complications were observed in the total of 45 (20.4%) patients. Among them, 17 (7.7%) patients experienced early period complications, whereas 28 (12.7%) patients experienced late period complications. CONCLUSION Enteral nutrition should be preferred in order to avoid complications of parenteral nutrition in the patients who need long-term nutrition. In enteral nutrition, PEG should be preferred to surgical gastrostomy because it has less morbidity and mortality, can be done at the bedside and outpatiently when necessary, does not require general anesthesia, and is cheaper and practical. KEY WORDS Gastrostomy, Percutaneous Endoscopic gastrostomy, Enteral nutrition, PEG complications.
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Affiliation(s)
- Gokhan Yilmaz
- Department of General Surgery, Faculty of Medicine, Medipol University, Istanbul, Turkey
| | - Yusuf Tanrikulu
- Department of General Surgery, Faculty of Medicine, KTO Karatay University, Konya, Turkey
| | - Beslen Goksoy
- Department of General Surgery, Sancaktepe Sehit Prof. Dr. Ilhan Varank Research and Education Hospital, Istanbul, Turkey
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9
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Zhao T, Terracciano R, Becker J, Monaco A, Yilmaz G, Becer CR. Hierarchy of Complex Glycomacromolecules: From Controlled Topologies to Biomedical Applications. Biomacromolecules 2022; 23:543-575. [PMID: 34982551 DOI: 10.1021/acs.biomac.1c01294] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Carbohydrates bearing a distinct complexity use a special code (Glycocode) to communicate with carbohydrate-binding proteins at a high precision to manipulate biological activities in complex biological environments. The level of complexity in carbohydrate-containing macromolecules controls the amount and specificity of information that can be stored in biomacromolecules. Therefore, a better understanding of the glycocode is crucial to open new areas of biomedical applications by controlling or manipulating the interaction between immune cells and pathogens in terms of trafficking and signaling, which would become a powerful tool to prevent infectious diseases. Even though a certain level of progress has been achieved over the past decade, synthetic glycomacromolecules are still lagging far behind naturally existing glycans in terms of complexity and precision because of insufficient and inefficient synthetic techniques. Currently, specific targeting at a cellular level using synthetic glycomacromolecules is still challenging. It is obvious that multidisciplinary collaborations are essential between different specialized disciplines to enhance the carbohydrate receptor-targeting paradigm for new biomedical applications. In this Perspective, recent developments in the synthesis of sophisticated glycomacromolecules are highlighted, and their biological and biomedical applications are also discussed in detail.
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Affiliation(s)
- Tieshuai Zhao
- Department of Chemistry, University of Warwick, Coventry, CV4 7AL, United Kingdom
| | - Roberto Terracciano
- Department of Chemistry, University of Warwick, Coventry, CV4 7AL, United Kingdom
| | - Jonas Becker
- Department of Chemistry, University of Warwick, Coventry, CV4 7AL, United Kingdom
| | - Alessandra Monaco
- Department of Chemistry, University of Warwick, Coventry, CV4 7AL, United Kingdom
| | - Gokhan Yilmaz
- Department of Chemistry, University of Warwick, Coventry, CV4 7AL, United Kingdom
| | - C Remzi Becer
- Department of Chemistry, University of Warwick, Coventry, CV4 7AL, United Kingdom
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10
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Yilmaz GO, Cetinkaya EA, Eyigor H, Ellidag HY, Balaban K, Selcuk OT, Yilmaz G, Gur OE. The diagnostic importance of periostin as a biomarker in chronic rhinosinusitis with nasal polyp. Eur Arch Otorhinolaryngol 2022; 279:5707-5714. [PMID: 35723731 PMCID: PMC9207425 DOI: 10.1007/s00405-022-07492-7] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2022] [Accepted: 06/06/2022] [Indexed: 02/01/2023]
Abstract
PURPOSE The current studies in the literature report that periostin contributes to the formation of nasal polyps and may be a molecular biomarker for chronic rhinosinusitis with nasal polyps (CRSwNP). This study aims to investigate the effect of periostin in determining polyp burden in CRSwNP patients and evaluate its impact on postoperative surgical results and its functionality as a biomarker. METHODS The study included 26 patients who underwent endoscopic sinus surgery due to CRSwNP and 30 patients who were scheduled to undergo septoplasty due to isolated nasal septum deviation. We performed preoperative Lund-Mackay scoring and preoperative and postoperative SNOT-22 and Modified Lund-Kennedy scoring for the patients. Tissue and serum samples were collected from all patients in surgery and another serum sample was taken from CRSwNP patients at postoperative month 6. RESULTS Tissue eosinophil (p < 0.001), preoperative serum (p < 0.001), and tissue (p = 0.002) periostin were significantly higher in the CRSwNP group. We observed a statistically significant positive correlation between tissue eosinophil values and tissue periostin values in CRSwNP patients (p = 0.004). We found a statistically significant positive correlation between the tissue periostin values and postoperative SNOT-22 scores of the CRSwNP group patients (p = 0.005). CONCLUSION According to the results of our study, we think that periostin can be used as a biomarker in the prediction, determination of disease severity, and prognosis of CRSwNP. Comprehensive cohort studies with larger patient series are needed to provide more information on the role and effects of periostin in cases of CRSwNP undergoing surgical treatment.
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Affiliation(s)
- Gamze Ozturk Yilmaz
- Department of Otorhinolaryngology, Antalya Training and Research Hospital, Antalya, Turkey
| | - Erdem Atalay Cetinkaya
- Department of Otorhinolaryngology, Antalya Training and Research Hospital, Antalya, Turkey
| | - Hulya Eyigor
- Department of Otorhinolaryngology, Antalya Training and Research Hospital, Antalya, Turkey
| | - Hamit Yasar Ellidag
- Department of Biochemistry, Antalya Training and Research Hospital, Antalya, Turkey
| | - Kadir Balaban
- Department of Pathology, Antalya Training and Research Hospital, Antalya, Turkey
| | - Omer Tarik Selcuk
- Department of Otorhinolaryngology, Antalya Training and Research Hospital, Antalya, Turkey
| | - Gokhan Yilmaz
- Department of Otorhinolaryngology, Antalya Training and Research Hospital, Antalya, Turkey
| | - Ozer Erdem Gur
- Department of Otorhinolaryngology, Antalya Training and Research Hospital, Antalya, Turkey
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11
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Boffoli D, Bellato F, Avancini G, Gurnani P, Yilmaz G, Romero M, Robertson S, Moret F, Sandrelli F, Caliceti P, Salmaso S, Cámara M, Mantovani G, Mastrotto F. Tobramycin-loaded complexes to prevent and disrupt Pseudomonas aeruginosa biofilms. Drug Deliv Transl Res 2021; 12:1788-1810. [PMID: 34841492 DOI: 10.1007/s13346-021-01085-3] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/20/2021] [Indexed: 10/19/2022]
Abstract
Carbohydrate-based materials are increasingly investigated for a range of applications spanning from healthcare to advanced functional materials. Synthetic glycopolymers are particularly attractive as they possess low toxicity and immunogenicity and can be used as multivalent ligands to target sugar-binding proteins (lectins). Here, we utilised RAFT polymerisation to synthesize two families of novel diblock copolymers consisting of a glycopolymers block containing either mannopyranose or galactopyranose pendant units, which was elongated with sodium 2-acrylamido-2-methyl-1-propanesulfonate (AMPS) to generate a polyanionic block. The latter enabled complexation of cationic aminoglycoside antibiotic tobramycin through electrostatic interactions (loading efficiency in the 0.5-6.3 wt% range, depending on the copolymer). The resulting drug vectors were characterized by dynamic light scattering, zeta-potential, and transmission electron microscopy. Tobramycin-loaded complexes were tested for their ability to prevent clustering or disrupt biofilm of the Pseudomonas aeruginosa Gram-negative bacterium responsible for a large proportion of nosocomial infection, especially in immunocompromised patients. P. aeruginosa possesses two specific tetrameric carbohydrate-binding adhesins, LecA (PA-IL, galactose/N-acetyl-D-galactosamine-binding) and LecB (PA-IIL, fucose/mannose-binding), and the cell-associated and extracellular adhesin CdrA (Psl/mannose-binding) thus ideally suited for targeted drug delivery using sugar-decorated tobramycin-loaded complexes here developed. Both aliphatic and aromatic linkers were utilised to link the sugar pendant units to the polyacrylamide polymer backbone to assess the effect of the nature of such linkers on bactericidal/bacteriostatic properties of the complexes. Results showed that tobramycin-loaded complexes efficiently suppressed (40 to 60% of inhibition) in vitro biofilm formation in PAO1-L P. aeruginosa and that preferential targeting of PAO1-L biofilm can be achieved using mannosylated glycopolymer-b-AMPSm.
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Affiliation(s)
- Delia Boffoli
- Department of Pharmaceutical and Pharmacological Sciences, University of Padova, via F. Marzolo 5, 35131, Padova, Italy
| | - Federica Bellato
- Department of Pharmaceutical and Pharmacological Sciences, University of Padova, via F. Marzolo 5, 35131, Padova, Italy
| | - Greta Avancini
- Department of Pharmaceutical and Pharmacological Sciences, University of Padova, via F. Marzolo 5, 35131, Padova, Italy.,Department of Biology, University of Padova, via U. Bassi 58/B, 35131, Padova, Italy
| | - Pratik Gurnani
- Division of Molecular Therapeutics and Formulation, School of Pharmacy, University of Nottingham, Nottingham, NG7 2RD, UK
| | - Gokhan Yilmaz
- Division of Molecular Therapeutics and Formulation, School of Pharmacy, University of Nottingham, Nottingham, NG7 2RD, UK
| | | | - Shaun Robertson
- School of Life Sciences, Nottingham University Biodiscovery Institute, National Biofilms Innovation Centre, University of Nottingham, Nottingham, NG7 2RD, UK
| | - Francesca Moret
- Department of Biology, University of Padova, via U. Bassi 58/B, 35131, Padova, Italy.,School of Life Sciences, Nottingham University Biodiscovery Institute, National Biofilms Innovation Centre, University of Nottingham, Nottingham, NG7 2RD, UK
| | - Federica Sandrelli
- Department of Biology, University of Padova, via U. Bassi 58/B, 35131, Padova, Italy
| | - Paolo Caliceti
- Department of Pharmaceutical and Pharmacological Sciences, University of Padova, via F. Marzolo 5, 35131, Padova, Italy
| | - Stefano Salmaso
- Department of Pharmaceutical and Pharmacological Sciences, University of Padova, via F. Marzolo 5, 35131, Padova, Italy
| | - Miguel Cámara
- School of Life Sciences, Nottingham University Biodiscovery Institute, National Biofilms Innovation Centre, University of Nottingham, Nottingham, NG7 2RD, UK
| | - Giuseppe Mantovani
- Division of Molecular Therapeutics and Formulation, School of Pharmacy, University of Nottingham, Nottingham, NG7 2RD, UK.
| | - Francesca Mastrotto
- Department of Pharmaceutical and Pharmacological Sciences, University of Padova, via F. Marzolo 5, 35131, Padova, Italy.
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12
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Selcuk OT, Ozturk Yılmaz G, Ellidag HY, Ilden O, Turkoglu Selcuk N, Yilmaz G, Ensari N, Konsuk Unlu H, Eyigor H. Can we use serum SCUBE 1 levels as a biomarker in obstructive sleep apnea hypopnea syndrome? Cranio 2021:1-9. [PMID: 34842057 DOI: 10.1080/08869634.2021.2005917] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
OBJECTIVE To examine the SCUBE1 level, a biomarker in vascular biology that could determine the prognosis of cardiovascular events during OSA treatment. METHODS In total, 129 patients were included in the study. Thirty were diagnosed with simple snoring and 99 with OSA. RESULTS In males, significant correlation was determined between SCUBE1 non-REM AHI, hypopnea index, total apnea index, mean SO2, minimum SO2, and < 90% saturation duration. CONCLUSION Serum SCUBE1 levels increased more in male patients with severe OSA compared to other OSA levels, and high serum SCUBE1 levels were found to be associated with lower oxygen levels in OSA patients. The SCUBE1 biomarker can correlate with severe OSA in males. There was a statistically significant difference between OSA groups in terms of SCUBE1 score for male patients (p = 0.002) but not for females (p = 0.498). It is important that future SCUBE1 studies evaluate males vs. females.
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Affiliation(s)
- Omer Tarik Selcuk
- Department of Otorhinolaryngology, Antalya Training and Research Hospital, Antalya, Turkey
| | - Gamze Ozturk Yılmaz
- Department of Otorhinolaryngology, Antalya Training and Research Hospital, Antalya, Turkey
| | - Hamit Yasar Ellidag
- Department of Biochemistry, Antalya Training and Research Hospital, Antalya, Turkey
| | - Oğuzhan Ilden
- Department of Otorhinolaryngology, Kumluca Public Hospital, Antalya, Turkey
| | | | - Gokhan Yilmaz
- Department of Otorhinolaryngology, Antalya Training and Research Hospital, Antalya, Turkey
| | - Nuray Ensari
- Department of Otorhinolaryngology, Antalya Training and Research Hospital, Antalya, Turkey
| | | | - Hülya Eyigor
- Department of Otorhinolaryngology, Antalya Training and Research Hospital, Antalya, Turkey
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13
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Hartweg M, Jiang Y, Yilmaz G, Jarvis CM, Nguyen HVT, Primo GA, Monaco A, Beyer VP, Chen KK, Mohapatra S, Axelrod S, Gómez-Bombarelli R, Kiessling LL, Becer CR, Johnson JA. Synthetic Glycomacromolecules of Defined Valency, Absolute Configuration, and Topology Distinguish between Human Lectins. JACS Au 2021; 1:1621-1630. [PMID: 34723265 PMCID: PMC8549053 DOI: 10.1021/jacsau.1c00255] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/09/2021] [Indexed: 06/13/2023]
Abstract
Carbohydrate-binding proteins (lectins) play vital roles in cell recognition and signaling, including pathogen binding and innate immunity. Thus, targeting lectins, especially those on the surface of immune cells, could advance immunology and drug discovery. Lectins are typically oligomeric; therefore, many of the most potent ligands are multivalent. An effective strategy for lectin targeting is to display multiple copies of a single glycan epitope on a polymer backbone; however, a drawback to such multivalent ligands is they cannot distinguish between lectins that share monosaccharide binding selectivity (e.g., mannose-binding lectins) as they often lack molecular precision. Here, we describe the development of an iterative exponential growth (IEG) synthetic strategy that enables facile access to synthetic glycomacromolecules with precisely defined and tunable sizes up to 22.5 kDa, compositions, topologies, and absolute configurations. Twelve discrete mannosylated "glyco-IEGmers" are synthesized and screened for binding to a panel of mannoside-binding immune lectins (DC-SIGN, DC-SIGNR, MBL, SP-D, langerin, dectin-2, mincle, and DEC-205). In many cases, the glyco-IEGmers had distinct length, stereochemistry, and topology-dependent lectin-binding preferences. To understand these differences, we used molecular dynamics and density functional theory simulations of octameric glyco-IEGmers, which revealed dramatic effects of glyco-IEGmer stereochemistry and topology on solution structure and reveal an interplay between conformational diversity and chiral recognition in selective lectin binding. Ligand function also could be controlled by chemical substitution: by tuning the side chains of glyco-IEGmers that bind DC-SIGN, we could alter their cellular trafficking through alteration of their aggregation state. These results highlight the power of precision synthetic oligomer/polymer synthesis for selective biological targeting, motivating the development of next-generation glycomacromolecules tailored for specific immunological or other therapeutic applications.
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Affiliation(s)
- Manuel Hartweg
- Department
of Chemistry, Massachusetts Institute of
Technology, 77 Massachusetts Avenue, Cambridge, Massachusetts 02139, United States
| | - Yivan Jiang
- Department
of Chemistry, Massachusetts Institute of
Technology, 77 Massachusetts Avenue, Cambridge, Massachusetts 02139, United States
| | - Gokhan Yilmaz
- School
of Pharmacy, University of Nottingham, Nottingham NG7 2RD, United Kingdom
- Department
of Chemistry, University of Warwick, Coventry CV4 7AL, United Kingdom
| | - Cassie M. Jarvis
- Department
of Chemistry, Massachusetts Institute of
Technology, 77 Massachusetts Avenue, Cambridge, Massachusetts 02139, United States
| | - Hung V.-T. Nguyen
- Department
of Chemistry, Massachusetts Institute of
Technology, 77 Massachusetts Avenue, Cambridge, Massachusetts 02139, United States
| | - Gastón A. Primo
- School
of Engineering and Materials Science, Queen
Mary University of London, London E1 4NS, United Kingdom
| | - Alessandra Monaco
- Department
of Chemistry, University of Warwick, Coventry CV4 7AL, United Kingdom
| | - Valentin P. Beyer
- Department
of Chemistry, University of Warwick, Coventry CV4 7AL, United Kingdom
| | - Kathleen K. Chen
- Department
of Chemistry, Massachusetts Institute of
Technology, 77 Massachusetts Avenue, Cambridge, Massachusetts 02139, United States
| | - Somesh Mohapatra
- Department
of Materials Science and Engineering, Massachusetts
Institute of Technology, 77 Massachusetts Avenue, Cambridge, Massachusetts 02139, United States
| | - Simon Axelrod
- Department
of Materials Science and Engineering, Massachusetts
Institute of Technology, 77 Massachusetts Avenue, Cambridge, Massachusetts 02139, United States
| | - Rafael Gómez-Bombarelli
- Department
of Materials Science and Engineering, Massachusetts
Institute of Technology, 77 Massachusetts Avenue, Cambridge, Massachusetts 02139, United States
| | - Laura L. Kiessling
- Department
of Chemistry, Massachusetts Institute of
Technology, 77 Massachusetts Avenue, Cambridge, Massachusetts 02139, United States
| | - C. Remzi Becer
- School
of Engineering and Materials Science, Queen
Mary University of London, London E1 4NS, United Kingdom
- Department
of Chemistry, University of Warwick, Coventry CV4 7AL, United Kingdom
| | - Jeremiah A. Johnson
- Department
of Chemistry, Massachusetts Institute of
Technology, 77 Massachusetts Avenue, Cambridge, Massachusetts 02139, United States
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14
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Kayaarasi Ozturker Z, Akca Bayar S, Yaman Pinarci E, Kurt RA, Akkoyun I, Yilmaz G. Atypical macular hole formation after Anti-VEGF therapy for neovascular age-related macular degeneration: Coincidence or consequence? Arch Soc Esp Oftalmol (Engl Ed) 2021; 96:455-461. [PMID: 34479701 DOI: 10.1016/j.oftale.2020.08.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/07/2020] [Accepted: 08/07/2020] [Indexed: 10/21/2022]
Abstract
INTRODUCTION AND OBJECTIVES Age-related macular degeneration (AMD) is the primary cause of blindness in developed countries, particularly in older adults. Anti-vascular endothelial growth factor (anti-VEGF) intravitreal injection is the current standard treatment for neovascular form of AMD. Studies reporting macular hole (MH) formation following anti-VEGF treatment are limited, and the exact pathogenesis is still under discussion. With the present study, we aim to analyse the clinical features of eyes developing MH after anti-VEGF therapy for neovascular AMD. MATERIALS AND METHODS Patients were treated with intravitreal anti-VEGF agents for at least one year and stable for at least six months. Best-corrected visual acuity (BCVA) and optical coherence tomography findings were evaluated. RESULTS Nineteen eyes of 18 patients were included in this study. Patients had an average age of 77.7 years at first visit and eight were female. The average number of injections before the MH formation was four. MH developed after a mean follow-up of 5.1 months after the last injection. Sixteen eyes had (84.2%) had choroidal neovascular membrane without any abnormal vitreomacular traction. Eleven eyes (57.8%) had retinal pigment epithelium detachment (PED), two (10.5%) had an epiretinal membrane (ERM), and one (5.2%) had retinal pigment epithelium (RPE) tear. The mean first and last BCVA was 1.07±0.48 LogMAR (0.3-1.8) and 1.16±0.38 logMAR (0.4-1.8), respectively. CONCLUSIONS A macular hole can be observed in AMD patients receiving anti-VEGF therapy. Increased fibrovascular scar tissue due to subretinal fluid resolution, neovascular membrane contraction, and the presence of PED, RPE tear, and ERM may contribute to MH formation.
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Affiliation(s)
- Z Kayaarasi Ozturker
- Baskent University, Faculty of Medicine, Department of Ophthalmology, Istanbul Hospital, Estambul, Turkey.
| | - S Akca Bayar
- Baskent University, Faculty of Medicine, Department of Ophthalmology, Ankara Hospital, Ankara, Turkey
| | - E Yaman Pinarci
- Baskent University, Faculty of Medicine, Department of Ophthalmology, Istanbul Hospital, Estambul, Turkey
| | - R A Kurt
- Baskent University, Faculty of Medicine, Department of Ophthalmology, Istanbul Hospital, Estambul, Turkey
| | - I Akkoyun
- Baskent University, Faculty of Medicine, Department of Ophthalmology, Ankara Hospital, Ankara, Turkey
| | - G Yilmaz
- Baskent University, Faculty of Medicine, Department of Ophthalmology, Ankara Hospital, Ankara, Turkey
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15
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Yilmaz G. ECG Intervals on Acute Carbon Monoxide Poisoning. J Coll Physicians Surg Pak 2021; 31:668-672. [PMID: 34102778 DOI: 10.29271/jcpsp.2021.06.668] [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: 02/02/2021] [Accepted: 05/04/2021] [Indexed: 06/12/2023]
Abstract
OBJECTIVE To evaluate the usability of electrocardiography (ECG) intervals in the diagnosis and treatment monitoring of acute carbon monoxide (CO) poisoning. STUDY DESIGN An observational study. PLACE AND DURATION OF STUDY Department of Emergency Medicine, Kayseri City Hospital, Turkey, from November 2018 to May 2019. METHODOLOGY Each of 80 patients for study and control groups were prospectively included. For study group, pre- and post-treatment ECG intervals (P-wave and QRS complex periods, PP, PR, RR, QT, and QTc intervals) and carboxyhemoglobin (COHb) levels of the patients were evaluated. For control group, ECG intervals and COHb levels of the patients during admission to the Emergency Department were evaluated. RESULTS As a result of the statistical analysis in which measurements of the study group and control group were compared, a statistically significant difference was found in the following values: pre-treatment group COHb level (p<0.001), PR interval (p=0.046), PP interval (p<0.001), QT interval (p<0.001), QTC interval (p=0.016), RR interval (p<0.001), and post-treatment group COHb level (p<0.001), PR interval (p=0.009), PP interval (p=0.041), QTC interval (p=0.010), and RR interval (p=0.036). QT interval values in the post-treatment group were similar to those of the control group (p=0.342). In the ROC analysis where the diagnostic performance of ECG intervals was evaluated, the area under the curve (AUC) scale was between 0.29 and 0.62. CONCLUSION ECG intervals do not provide as much benefit as COHb measurement in the diagnosis of acute CO poisoning. However, the QT interval is a useful ECG interval in the treatment monitoring of acute CO poisoning. Key Words: Acute carbonmonoxide poisoning, ECG interval, QT interval, Emergency Department.
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Affiliation(s)
- Gokhan Yilmaz
- Department of Emergency Medicine, Kayseri City Hospital, Kayseri, Turkey
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16
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Goksoy B, Kiyak M, Karadag M, Yilmaz G, Azamat IF. Factors Affecting Cecal Intubation Time in Colonoscopy: Impact of Obesity. Cureus 2021; 13:e15356. [PMID: 34094787 PMCID: PMC8169101 DOI: 10.7759/cureus.15356] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Objective This study aims to determine the factors that prolong cecal intubation time (CIT) and determine the effect of obesity on CIT measured using multiple indexes. Methods Patients who underwent elective colonoscopy between July 10, 2020, and January 20, 2021, were evaluated in this prospective observational study. Age, gender, constipation, bowel preparation, presence of diverticulosis, previous surgery history, auxiliary maneuver and additional analgesic requirement, cecum intubation length (CL) and obesity indices [body mass index (BMI), waist circumference (WC), waist-to-height ratio (WHtR)] were analyzed. Factors affecting CIT were assessed by both univariate and multivariate logistic regression (LR) analyses. Results A total of 512 patients were analyzed. Mean CIT was 5.6 ± 1.6 min, and median CIT was 5.17 min. The CIT median was ≤5.17 min in 264 (51.5%) of the patients, and the CIT median was >5.17 min in 248 (48.5%). In the univariate LR results, young age, constipation, poor bowel preparation, increased CL, additional analgesic requirement, low WHtR, and low BMI (<25 kg/m2) were the factors that prolonged CIT (p <0.05). In the multivariate LR analysis results, WHtR >0.5 and BMI >30 kg/m2 were found to be independent factors that decrease CIT [OR: 0.01 (0.01 0.03) p <0.001; OR: 0.28 (0.13 0.57) p <0.001]. Conclusion Younger age, low WHtR, low BMI, increased CL, constipation, inadequate bowel preparation, and the use of extra analgesics were found to be associated with longer CIT. When all factors were evaluated together, obesity measured by only WHtR (>0.5) and BMI (>30 kg/m2) were the best predictors of decreased CIT.
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Affiliation(s)
- Beslen Goksoy
- General Surgery, Sehit Prof. Dr. Ilhan Varank Sancaktepe Training and Research Hospital, University of Health Sciences, İstanbul, TUR
| | - Mevlut Kiyak
- Gastroenterology, Sehit Prof. Dr. Ilhan Varank Sancaktepe Training and Research Hospital, University of Health Sciences, Istanbul, TUR
| | - Mehmet Karadag
- Biostatistics, School of Medicine, University of Hatay Mustafa Kemal, Hatay, TUR
| | - Gokhan Yilmaz
- General Surgery, Istanbul Medipol University, Istanbul, TUR
| | - Ibrahim F Azamat
- General Surgery, Istanbul University Istanbul Medical Faculty, Istanbul, TUR
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17
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Petch JE, Gurnani P, Yilmaz G, Mastrotto F, Alexander C, Heeb S, Cámara M, Mantovani G. Combining Inducible Lectin Expression and Magnetic Glyconanoparticles for the Selective Isolation of Bacteria from Mixed Populations. ACS Appl Mater Interfaces 2021; 13:19230-19243. [PMID: 33852268 DOI: 10.1021/acsami.1c00907] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
The selective isolation of bacteria from mixed populations has been investigated in varied applications ranging from differential pathogen identification in medical diagnostics and food safety to the monitoring of microbial stress dynamics in industrial bioreactors. Selective isolation techniques are generally limited to the confinement of small populations in defined locations, may be unable to target specific bacteria, or rely on immunomagnetic separation, which is not universally applicable. In this proof-of-concept work, we describe a novel strategy combining inducible bacterial lectin expression with magnetic glyconanoparticles (MGNPs) as a platform technology to enable selective bacterial isolation from cocultures. An inducible mutant of the type 1 fimbriae, displaying the mannose-specific lectin FimH, was constructed in Escherichia coli allowing for "on-demand" glycan-binding protein presentation following external chemical stimulation. Binding to glycopolymers was only observed upon fimbrial induction and was specific for mannosylated materials. A library of MGNPs was produced via the grafting of well-defined catechol-terminal glycopolymers prepared by reversible addition-fragmentation chain transfer (RAFT) polymerization to magnetic nanoparticles. Thermal analysis revealed high functionalization (≥85% polymer by weight). Delivery of MGNPs to cocultures of fluorescently labeled bacteria followed by magnetic extraction resulted in efficient depletion of type 1 fimbriated target cells from wild-type or afimbriate E. coli. Extraction efficiency was found to be dependent on the molecular weight of the glycopolymers utilized to engineer the nanoparticles, with MGNPs decorated with shorter Dopa-(ManAA)50 mannosylated glycopolymers found to perform better than those assembled from a longer Dopa-(ManAA)200 analogue. The extraction efficiency of fimbriated E. coli was also improved when the counterpart strain did not harbor the genetic apparatus for the expression of the type 1 fimbriae. Overall, this work suggests that the modulation of the genetic apparatus encoding bacterial surface-associated lectins coupled with capture through MGNPs could be a versatile tool for the extraction of bacteria from mixed populations.
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Affiliation(s)
- Joshua E Petch
- Division of Molecular Therapeutics and Formulation, School of Pharmacy, University of Nottingham, Nottingham NG7 2RD, U.K
- Nottingham University Biodiscovery Institute, National Biofilms Innovation Centre, School of Life Sciences, University of Nottingham, Nottingham NG7 2RD, U.K
| | - Pratik Gurnani
- Division of Molecular Therapeutics and Formulation, School of Pharmacy, University of Nottingham, Nottingham NG7 2RD, U.K
| | - Gokhan Yilmaz
- Division of Molecular Therapeutics and Formulation, School of Pharmacy, University of Nottingham, Nottingham NG7 2RD, U.K
| | - Francesca Mastrotto
- Department of Pharmaceutical and Pharmacological Sciences, University of Padova, Via F. Marzolo 5, 35131 Padova, Italy
| | - Cameron Alexander
- Division of Molecular Therapeutics and Formulation, School of Pharmacy, University of Nottingham, Nottingham NG7 2RD, U.K
| | - Stephan Heeb
- Nottingham University Biodiscovery Institute, National Biofilms Innovation Centre, School of Life Sciences, University of Nottingham, Nottingham NG7 2RD, U.K
| | - Miguel Cámara
- Nottingham University Biodiscovery Institute, National Biofilms Innovation Centre, School of Life Sciences, University of Nottingham, Nottingham NG7 2RD, U.K
| | - Giuseppe Mantovani
- Division of Molecular Therapeutics and Formulation, School of Pharmacy, University of Nottingham, Nottingham NG7 2RD, U.K
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18
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Alqarni MAM, Waldron C, Yilmaz G, Becer CR. Synthetic Routes to Single Chain Polymer Nanoparticles (SCNPs): Current Status and Perspectives. Macromol Rapid Commun 2021; 42:e2100035. [DOI: 10.1002/marc.202100035] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2021] [Revised: 03/07/2021] [Indexed: 12/26/2022]
Affiliation(s)
| | | | - Gokhan Yilmaz
- Department of Chemistry University of Warwick Coventry CV4 7AL UK
| | - C. Remzi Becer
- Department of Chemistry University of Warwick Coventry CV4 7AL UK
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19
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Collis DWP, Yilmaz G, Yuan Y, Monaco A, Ochbaum G, Shi Y, O'Malley C, Uzunova V, Napier R, Bitton R, Becer CR, Azevedo HS. Hyaluronan (HA)-inspired glycopolymers as molecular tools for studying HA functions. RSC Chem Biol 2021; 2:568-576. [PMID: 34458800 PMCID: PMC8341579 DOI: 10.1039/d0cb00223b] [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] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2020] [Accepted: 01/20/2021] [Indexed: 12/16/2022] Open
Abstract
Hyaluronic acid (HA), the only non-sulphated glycosaminoglycan, serves numerous structural and biological functions in the human body, from providing viscoelasticity in tissues to creating hydrated environments for cell migration and proliferation. HA is also involved in the regulation of morphogenesis, inflammation and tumorigenesis through interactions with specific HA-binding proteins. Whilst the physicochemical and biological properties of HA have been widely studied for decades, the exact mechanisms by which HA exerts its multiple functions are not completely understood. Glycopolymers offer a simple and precise synthetic platform for the preparation of glycan analogues, being an alternative to the demanding synthetic chemical glycosylation. A library of homo, statistical and alternating HA glycopolymers were synthesised by reversible addition-fragmentation chain transfer polymerisation and post-modification utilising copper alkyne-azide cycloaddition to graft orthogonal pendant HA monosaccharides (N-acetyl glucosamine: GlcNAc and glucuronic acid: GlcA) onto the polymer. Using surface plasmon resonance, the binding of the glycopolymers to known HA-binding peptides and proteins (CD44, hyaluronidase) was assessed and compared to carbohydrate-binding proteins (lectins). These studies revealed potential structure-binding relationships between HA monosaccharides and HA receptors and novel HA binders, such as Dectin-1 and DEC-205 lectins. The inhibitory effect of HA glycopolymers on hyaluronidase (HAase) activity was also investigated suggesting GlcNAc- and GlcA-based glycopolymers as potential HAase inhibitors.
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Affiliation(s)
- Dominic W P Collis
- School of Engineering and Materials Science, Queen Mary University of London London E1 4NS UK
| | - Gokhan Yilmaz
- School of Engineering and Materials Science, Queen Mary University of London London E1 4NS UK
- Department of Chemistry, University of Warwick CV4 7AL UK
| | - Yichen Yuan
- School of Engineering and Materials Science, Queen Mary University of London London E1 4NS UK
| | - Alessandra Monaco
- School of Engineering and Materials Science, Queen Mary University of London London E1 4NS UK
- Department of Chemistry, University of Warwick CV4 7AL UK
| | - Guy Ochbaum
- Department of Chemical Engineering and the Ilza Katz, Institute for Nanoscale Science & Technology, Ben-Gurion University of the Negev Beer-Sheva 84105 Israel
| | - Yejiao Shi
- School of Engineering and Materials Science, Queen Mary University of London London E1 4NS UK
| | - Clare O'Malley
- School of Engineering and Materials Science, Queen Mary University of London London E1 4NS UK
- Institute of Bioengineering, Queen Mary University of London London E1 4NS UK
| | | | - Richard Napier
- School of Life Sciences, University of Warwick CV4 7AL UK
| | - Ronit Bitton
- Department of Chemical Engineering and the Ilza Katz, Institute for Nanoscale Science & Technology, Ben-Gurion University of the Negev Beer-Sheva 84105 Israel
| | - C Remzi Becer
- School of Engineering and Materials Science, Queen Mary University of London London E1 4NS UK
- Department of Chemistry, University of Warwick CV4 7AL UK
| | - Helena S Azevedo
- School of Engineering and Materials Science, Queen Mary University of London London E1 4NS UK
- Institute of Bioengineering, Queen Mary University of London London E1 4NS UK
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20
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21
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Abstract
A clickable initiator, pentafluoro benzyl bromide, has been investigated for the cationic ring opening polymerization of poly(2-oxazolines).
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Affiliation(s)
- Tieshuai Zhao
- Department of Chemistry, University of Warwick, CV4 7AL, Coventry, UK
| | - Ben Drain
- Department of Chemistry, University of Warwick, CV4 7AL, Coventry, UK
| | - Gokhan Yilmaz
- Department of Chemistry, University of Warwick, CV4 7AL, Coventry, UK
| | - C. Remzi Becer
- Department of Chemistry, University of Warwick, CV4 7AL, Coventry, UK
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22
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Abdouni Y, Ter Huurne GM, Yilmaz G, Monaco A, Redondo-Gómez C, Meijer EW, Palmans ARA, Becer CR. Self-Assembled Multi- and Single-Chain Glyconanoparticles and Their Lectin Recognition. Biomacromolecules 2020; 22:661-670. [PMID: 33373527 DOI: 10.1021/acs.biomac.0c01486] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
In this work, we describe the physicochemical characterization of amphiphilic glycopolymers synthesized via copper(0)-mediated reversible-deactivation radical polymerization (Cu-RDRP). Depending on the chemical composition of the polymer, these glycopolymers are able to form multi-chain or single-chain polymeric nanoparticles. The folding of these polymers is first of all driven by the amphiphilicity of the glycopolymers and furthermore by the supramolecular formation of helical supramolecular stacks of benzene-1,3,5-tricarboxamides (BTAs) stabilized by threefold hydrogen bonding. The obtained polymeric nanoparticles were subsequently evaluated for their lectin-binding affinity toward a series of mannose- and galactose-binding lectins via surface plasmon resonance. We found that addition of 2-ethylhexyl acrylate to the polymer composition results in compact particles, which translates to a reduction in binding affinity, whereas with the addition of BTAs, the relation between the nature of the particle and the binding ability system becomes more unpredictable.
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Affiliation(s)
- Yamin Abdouni
- School of Engineering and Materials Science, Queen Mary University of London, London E1 4NS, U.K
| | - Gijs M Ter Huurne
- Institute for Complex Molecular Systems, Laboratory of Macromolecular and Organic Chemistry, Eindhoven University of Technology, P.O. Box 513, Eindhoven 5600 MB, The Netherlands
| | - Gokhan Yilmaz
- School of Pharmacy, University of Nottingham, Nottingham NG7 2RD, U.K.,Department of Chemistry, University of Warwick, Coventry CV4 7AL, U.K
| | - Alessandra Monaco
- School of Engineering and Materials Science, Queen Mary University of London, London E1 4NS, U.K.,Department of Chemistry, University of Warwick, Coventry CV4 7AL, U.K
| | - Carlos Redondo-Gómez
- School of Engineering and Materials Science, Queen Mary University of London, London E1 4NS, U.K
| | - E W Meijer
- Institute for Complex Molecular Systems, Laboratory of Macromolecular and Organic Chemistry, Eindhoven University of Technology, P.O. Box 513, Eindhoven 5600 MB, The Netherlands
| | - Anja R A Palmans
- Institute for Complex Molecular Systems, Laboratory of Macromolecular and Organic Chemistry, Eindhoven University of Technology, P.O. Box 513, Eindhoven 5600 MB, The Netherlands
| | - C Remzi Becer
- School of Engineering and Materials Science, Queen Mary University of London, London E1 4NS, U.K.,Department of Chemistry, University of Warwick, Coventry CV4 7AL, U.K
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23
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Yilmaz G, Meng FL, Lu W, Abed J, Peh CKN, Gao M, Sargent EH, Ho GW. Autonomous atmospheric water seeping MOF matrix. Sci Adv 2020; 6:eabc8605. [PMID: 33067237 PMCID: PMC7567601 DOI: 10.1126/sciadv.abc8605] [Citation(s) in RCA: 41] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/18/2020] [Accepted: 09/04/2020] [Indexed: 05/09/2023]
Abstract
The atmosphere contains an abundance of fresh water, but this resource has yet to be harvested efficiently. To date, passive atmospheric water sorbents have required a desorption step that relies on steady solar irradiation. Since the availability and intensity of solar radiation vary, these limit on-demand desorption and hence the amount of harvestable water. Here, we report a polymer-metal-organic framework that provides simultaneous and uninterrupted sorption and release of atmospheric water. The adaptable nature of the hydro-active polymer, and its hybridization with a metal-organic framework, enables enhanced sorption kinetics, water uptake, and spontaneous water oozing. We demonstrate continuous water delivery for 1440 hours, producing 6 g of fresh water per gram of sorbent at 90% relative humidity (RH) per day without active condensation. This leads to a total liquid delivery efficiency of 95% and an autonomous liquid delivery efficiency of 71%, the record among reported atmospheric water harvesters.
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Affiliation(s)
- G Yilmaz
- Department of Electrical and Computer Engineering, National University of Singapore, 4 Engineering Drive 3, Singapore 117583, Singapore
| | - F L Meng
- Department of Electrical and Computer Engineering, National University of Singapore, 4 Engineering Drive 3, Singapore 117583, Singapore
| | - W Lu
- Department of Electrical and Computer Engineering, National University of Singapore, 4 Engineering Drive 3, Singapore 117583, Singapore
| | - J Abed
- Department of Electrical and Computer Engineering, University of Toronto, 35 St. George Street, Toronto, ON M5S 1A4, Canada
- Department of Materials Science and Engineering, University of Toronto, 184 College Street, Toronto, ON M5S 3E4, Canada
| | - C K N Peh
- Department of Electrical and Computer Engineering, National University of Singapore, 4 Engineering Drive 3, Singapore 117583, Singapore
| | - M Gao
- Department of Electrical and Computer Engineering, National University of Singapore, 4 Engineering Drive 3, Singapore 117583, Singapore
| | - E H Sargent
- Department of Electrical and Computer Engineering, University of Toronto, 35 St. George Street, Toronto, ON M5S 1A4, Canada.
| | - G W Ho
- Department of Electrical and Computer Engineering, National University of Singapore, 4 Engineering Drive 3, Singapore 117583, Singapore.
- Department of Materials Science and Engineering, National University of Singapore, 9 Engineering Drive, Singapore 117575, Singapore
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Riad A, Yilmaz G, Boccuzzi M. Molecular iodine. Br Dent J 2020; 229:265-266. [PMID: 32917988 PMCID: PMC7485205 DOI: 10.1038/s41415-020-2127-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Affiliation(s)
- A Riad
- By email, Brno, Czech Republic
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25
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Abdouni Y, Yilmaz G, Monaco A, Aksakal R, Becer CR. Effect of Arm Number and Length of Star-Shaped Glycopolymers on Binding to Dendritic and Langerhans Cell Lectins. Biomacromolecules 2020; 21:3756-3764. [DOI: 10.1021/acs.biomac.0c00856] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Affiliation(s)
- Yamin Abdouni
- School of Engineering and Materials Science, Queen Mary University of London, London, E1 4NS, United Kingdom
| | - Gokhan Yilmaz
- School of Pharmacy, University of Nottingham, Nottingham, NG7 2RD, United Kingdom
| | - Alessandra Monaco
- School of Engineering and Materials Science, Queen Mary University of London, London, E1 4NS, United Kingdom
| | - Resat Aksakal
- School of Engineering and Materials Science, Queen Mary University of London, London, E1 4NS, United Kingdom
| | - C. Remzi Becer
- School of Engineering and Materials Science, Queen Mary University of London, London, E1 4NS, United Kingdom
- Department of Chemistry, University of Warwick, Coventry, CV4 7AL, United Kingdom
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Yildiz M, Altun I, Yilmaz G, Aliyeva A, Haslak F, Koker O, Adrovic A, Sahin S, Barut K, Kasapcopur O. AB1011 LONG TERM FOLLOW-UP of THE PATIENTS WITH ANTI NUCLEAR ANTIBODY POSITIVITY WHO HAD INITIALLY NO IDENTIFIABLE RHEUMATIC DISEASES. Ann Rheum Dis 2020. [DOI: 10.1136/annrheumdis-2020-eular.6406] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Background:Anti-nuclear antibodies (ANA) are a group of the antibodies that develop against intracellular components of the cells. It is usually useful for diagnosing some of the connective tissue diseases like systemic lupus erythematosus, mixed connective tissue disease. But it is reported that its positivity rate is about %20 in healthy individuals. Therefore, it can be confusing to check ANA test, if there is not really high suspicion for connective tissue diseases or juvenile idiopathic arthritis.Objectives:We aimed to evaluate results of long-term follow-up of the patients with ANA positivity who had initially no identifiable rheumatic diseases.Methods:Six hundred and ninety-four patients with ANA positivity who did not diagnosed as any of the rheumatic diseases at the first examination were found in database. Two hundred and eighty- two patients of them were called so far and questioned about their demographic features and symptoms that are related with rheumatic diseases.Results:Mean age of the patients at the time of study and at the time of testing were 13.4± 4.5 and 9.1±4.0 years. The female: male ratio was 1.05. Mean follow-up duration was 4.3±2.8 years. Most common reasons for the request for ANA test were arthralgia and skin eruptions. ANA testing was most commonly requested by a general pediatrists. Demographic features of the patients were summarized in Table 1.Table 1.Demographic features of the patients.n (%)Age (years)13.4± 4.5Female145 (51.4)Age at the time of testing (years)9.1±4.0Follow-up Duration (years)4.3±2.8Reason for testing Arthralgia99 (44.1)Skin Eruption54 (24.1)Check-Up20 (8.9)Arthritis13 (5.8)Gait abnormalities7 (3.1)Hair Loss6 (2.6)Fever5 (2.2)Uveitis2 (0.8)Recurrent abdominal pain2 (0.8)Who suggested testing?Pediatrician196 (87.5)Parents13 (5.8)Dermatologist7 (3.1)Ophthalmologist3 (1.3)Rheumatologist2 (0.8)Other3 (1.3)Positivity of acute phase reactants15 (5.3)History of infection before testing56 (24.3)History of drug-using before testing39 (17)Most of the diseases were diagnosed in patients with ANA positivity were not related with autoimmune mechanisms that associated with ANA positivity therefore, these diseases are thought to be coincidence. Only in 1 patients, systemic lupus erythematosus that has certain association with ANA positivity were diagnosed. All diseases that are diagnosed were shown in Table 2.Table 2.All diseases that are diagnosed in patients during the follow-up period.n (%)Hypermobility Syndrome29 (10.2)Urticaria7 (2.4)Hypothyroidism6 (2.1)Transient synovitis4 (1.4)Chronic ITP*4 (1.4)Scoliosis4 (1.4)Familial Mediterranean Fever3 (1)Cryopyrin associated periodic Syndrome2 (0.7)PFAPA syndrome**2 (0.7)Celiac Disease2 (0.7)Acute Rheumatic Fever2 (0.7)Fibromyalgia1 (0.3)Bone Tumor1 (0.3)Juvenile Idiopathic Arthritis1 (0.3)Henoch-Shöenlein Purpura1 (0.3)Myastenia Graves1 (0.3)Sever Disease1 (0.3)Vitiligo1 (0.3)Systemic Lupus Erythematosus1 (0.3)*Idiopathic Thrombocytopenic Purpura, **Periodic fever, aphthous stomatitis, pharyngitis and cervical adenitis syndrome.Conclusion:We are reporting that in only 0.3% of patients with ANA positivity who don’t have any diseases diagnosed initially, were diagnosed as rheumatologic diseases during to the follow-up period. Since positivity of ANA is also common in the healthy population, requesting this test in only patients with high suspicion for connective tissue disease will reduce confusion in terms of diagnosis.References:[1]Kasapcopur O, Ozbakir F, Arisoy N, Ingol H, Yazici H, Ozdogan H. Frequency of antinuclear antibodies and rheumatoid factor in healthy Turkish children. Turk J Pediatr 1999;41:67-71.Disclosure of Interests:None declared
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Beyer VP, Monaco A, Napier R, Yilmaz G, Becer CR. Bottlebrush Glycopolymers from 2-Oxazolines and Acrylamides for Targeting Dendritic Cell-Specific Intercellular Adhesion Molecule-3-Grabbing Nonintegrin and Mannose-Binding Lectin. Biomacromolecules 2020; 21:2298-2308. [PMID: 32320219 DOI: 10.1021/acs.biomac.0c00246] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
Lectins are omnipresent carbohydrate binding proteins that are involved in a multitude of biological processes. Unearthing their binding properties is a powerful tool toward the understanding and modification of their functions in biological applications. Herein, we present the synthesis of glycopolymers with a brush architecture via a "grafting from" methodology. The use of a versatile 2-oxazoline inimer was demonstrated to open avenues for a wide range of 2-oxazoline/acrylamide bottle brush polymers utilizing aqueous Cu-mediated reversible deactivation radical polymerization (Cu-RDRP). The polymers in the obtained library were assessed for their thermal properties in aqueous solution and their binding toward the C-type animal lectins dendritic cell-specific intercellular adhesion molecule-3-grabbing nonintegrin (DC-SIGN) and mannose-binding lectin (MBL) via surface plasmon resonance spectrometry. The encapsulation properties of a hydrophobic drug-mimicking compound demonstrated the potential use of glyco brush copolymers in biological applications.
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Affiliation(s)
- Valentin P Beyer
- Polymer Chemistry Laboratory, School of Engineering and Materials Science, Queen Mary University of London, London, E1 4NS, United Kingdom.,Department of Chemistry, University of Warwick, Coventry, CV4 7AL, United Kingdom
| | - Alessandra Monaco
- Polymer Chemistry Laboratory, School of Engineering and Materials Science, Queen Mary University of London, London, E1 4NS, United Kingdom.,Department of Chemistry, University of Warwick, Coventry, CV4 7AL, United Kingdom
| | - Richard Napier
- School of Life Sciences, University of Warwick, Coventry, CV4 7AL, United Kingdom
| | - Gokhan Yilmaz
- Department of Chemistry, University of Warwick, Coventry, CV4 7AL, United Kingdom
| | - C Remzi Becer
- Department of Chemistry, University of Warwick, Coventry, CV4 7AL, United Kingdom
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Blakney AK, Abdouni Y, Yilmaz G, Liu R, McKay PF, Bouton CR, Shattock RJ, Becer CR. Mannosylated Poly(ethylene imine) Copolymers Enhance saRNA Uptake and Expression in Human Skin Explants. Biomacromolecules 2020; 21:2482-2492. [PMID: 32250603 DOI: 10.1021/acs.biomac.0c00445] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Messenger RNA (mRNA) is a promising platform for both vaccines and therapeutics, and self-amplifying RNA (saRNA) is particularly advantageous, as it enables higher protein expression and dose minimization. Here, we present a delivery platform for targeted delivery of saRNA using mannosylated poly(ethylene imine) (PEI) enabled by the host-guest interaction between cyclodextrin and adamantane. We show that the host-guest complexation does not interfere with the electrostatic interaction with saRNA and observed that increasing the degree of mannosylation inhibited transfection efficiency in vitro, but enhanced the number of cells expressing GFP by 8-fold in human skin explants. Besides, increasing the ratio of glycopolymer to saRNA also enhanced the percentage of transfected cells ex vivo. We identified that these mannosylated PEIs specifically increased protein expression in the epithelial cells resident in human skin in a mannose-dependent manner. This platform is promising for further study of glycosylation of PEI and targeted saRNA delivery.
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Affiliation(s)
- Anna K Blakney
- Department of Infectious Diseases, Imperial College London, Norfolk Place, London W21PG, United Kingdom
| | - Yamin Abdouni
- School of Engineering and Materials Science, Queen Mary University of London, London, E1 4NS, United Kingdom
| | - Gokhan Yilmaz
- School of Pharmacy, University of Nottingham, Nottingham, NG7 2RD, United Kingdom
| | - Renjie Liu
- School of Engineering and Materials Science, Queen Mary University of London, London, E1 4NS, United Kingdom
| | - Paul F McKay
- Department of Infectious Diseases, Imperial College London, Norfolk Place, London W21PG, United Kingdom
| | - Clément R Bouton
- Department of Infectious Diseases, Imperial College London, Norfolk Place, London W21PG, United Kingdom
| | - Robin J Shattock
- Department of Infectious Diseases, Imperial College London, Norfolk Place, London W21PG, United Kingdom
| | - C Remzi Becer
- School of Engineering and Materials Science, Queen Mary University of London, London, E1 4NS, United Kingdom.,Department of Chemistry, University of Warwick, Coventry, CV4 7AL, United Kingdom
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29
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Affiliation(s)
- Gokhan Yilmaz
- Department of ChemistryUniversity of Warwick Coventry CV4 7AL UK
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30
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Ekmekci Z, Yilmaz G, Duman E. Switching among logic XNOR, IMPLICATION and INHIBIT gates at molecular level and selectively sensing of Cu2+. Chem Phys 2020. [DOI: 10.1016/j.chemphys.2020.110693] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
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31
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Abstract
A toolbox of cyclodextrin derivatives, synthetic strategies for the preparation of cyclodextrin-polymer conjugates using various polymerisation techniques and representative applications of such conjugates are discussed.
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Affiliation(s)
| | - Gokhan Yilmaz
- Department of Chemistry
- University of Warwick
- Coventry
- UK
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32
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Blakney AK, Liu R, Yilmaz G, Abdouni Y, McKay PF, Bouton CR, Shattock RJ, Becer CR. Precisely targeted gene delivery in human skin using supramolecular cationic glycopolymers. Polym Chem 2020. [DOI: 10.1039/d0py00449a] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
Gene delivery has become the focus of clinical treatments, thus motivating delivery strategies that are capable of targeting certain cell types in the context of both vaccines and therapeutics.
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Affiliation(s)
- Anna K. Blakney
- Department of Medicine
- Division of Infectious Diseases
- Section of Immunology of infection
- Imperial College London
- London W21PG
| | - Renjie Liu
- School of Engineering and Materials Science
- Queen Mary University of London
- London
- UK
- J. Crayton Pruitt Family Department of Biomedical Engineering
| | - Gokhan Yilmaz
- School of Pharmacy
- University of Nottingham
- Nottingham
- UK
- Department of Chemistry
| | - Yamin Abdouni
- School of Engineering and Materials Science
- Queen Mary University of London
- London
- UK
| | - Paul F. McKay
- Department of Medicine
- Division of Infectious Diseases
- Section of Immunology of infection
- Imperial College London
- London W21PG
| | - Clément R. Bouton
- Department of Medicine
- Division of Infectious Diseases
- Section of Immunology of infection
- Imperial College London
- London W21PG
| | - Robin J. Shattock
- Department of Medicine
- Division of Infectious Diseases
- Section of Immunology of infection
- Imperial College London
- London W21PG
| | - C. Remzi Becer
- School of Engineering and Materials Science
- Queen Mary University of London
- London
- UK
- Department of Chemistry
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Madeira do O J, Foralosso R, Yilmaz G, Mastrotto F, King PJS, Xerri RM, He Y, van der Walle CF, Fernandez-Trillo F, Laughton CA, Styliari I, Stolnik S, Mantovani G. Poly(triazolyl methacrylate) glycopolymers as potential targeted unimolecular nanocarriers. Nanoscale 2019; 11:21155-21166. [PMID: 31663091 DOI: 10.1039/c9nr05836b] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Synthetic glycopolymers are increasingly investigated as multivalent ligands for a range of biological and biomedical applications. This study indicates that glycopolymers with a fine-tuned balance between hydrophilic sugar pendant units and relatively hydrophobic polymer backbones can act as single-chain targeted nanocarriers for low molecular weight hydrophobic molecules. Non-covalent complexes formed from poly(triazolyl methacrylate) glycopolymers and low molecular weight hydrophobic guest molecules were characterised through a range of analytical techniques - DLS, SLS, TDA, fluorescence spectroscopy, surface tension analysis - and molecular dynamics (MD) modelling simulations provided further information on the macromolecular characteristics of these single chain complexes. Finally, we show that these nanocarriers can be utilised to deliver a hydrophobic guest molecule, Nile red, to both soluble and surface-immobilised concanavalin A (Con A) and peanut agglutinin (PNA) model lectins with high specificity, showing the potential of non-covalent complexation with specific glycopolymers in targeted guest-molecule delivery.
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Affiliation(s)
- J Madeira do O
- Molecular Therapeutics and Formulation Division, School of Pharmacy, University of Nottingham, NG7 2RD, Nottingham, UK.
| | - R Foralosso
- Molecular Therapeutics and Formulation Division, School of Pharmacy, University of Nottingham, NG7 2RD, Nottingham, UK.
| | - G Yilmaz
- Molecular Therapeutics and Formulation Division, School of Pharmacy, University of Nottingham, NG7 2RD, Nottingham, UK.
| | - F Mastrotto
- Department of Pharmaceutical and Pharmacological Sciences, University of Padova, Via F. Marzolo 5, 35131 Padova, Italy
| | - P J S King
- Malvern Panalytical Ltd, Malvern, WR14 1XZ, UK
| | - R M Xerri
- Molecular Therapeutics and Formulation Division, School of Pharmacy, University of Nottingham, NG7 2RD, Nottingham, UK.
| | - Y He
- Molecular Therapeutics and Formulation Division, School of Pharmacy, University of Nottingham, NG7 2RD, Nottingham, UK.
| | | | | | - C A Laughton
- Molecular Therapeutics and Formulation Division, School of Pharmacy, University of Nottingham, NG7 2RD, Nottingham, UK.
| | - I Styliari
- University of Hertfordshire, Hatfield, Hertfordshire, UK.
| | - S Stolnik
- Molecular Therapeutics and Formulation Division, School of Pharmacy, University of Nottingham, NG7 2RD, Nottingham, UK.
| | - G Mantovani
- Molecular Therapeutics and Formulation Division, School of Pharmacy, University of Nottingham, NG7 2RD, Nottingham, UK.
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Shamout F, Monaco A, Yilmaz G, Becer CR, Hartmann L. Synthesis of Brush‐Like Glycopolymers with Monodisperse, Sequence‐Defined Side Chains and Their Interactions with Plant and Animal Lectins. Macromol Rapid Commun 2019; 41:e1900459. [DOI: 10.1002/marc.201900459] [Citation(s) in RCA: 10] [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] [Received: 08/30/2019] [Revised: 10/24/2019] [Indexed: 01/08/2023]
Affiliation(s)
- Fadi Shamout
- Department for Organic Chemistry and Macromolecular ChemistryHeinrich Heine University DuesseldorfUniversitätsstraße 1 Düsseldorf 40225 Germany
| | | | - Gokhan Yilmaz
- School of PharmacyUniversity of Nottingham Nottingham NG2 2RD UK
| | | | - Laura Hartmann
- Department for Organic Chemistry and Macromolecular ChemistryHeinrich Heine University DuesseldorfUniversitätsstraße 1 Düsseldorf 40225 Germany
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Abstract
A modular platform for the separation and purification of lectins using polymer coated iron oxide nanoparticles is developed.
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Affiliation(s)
- Yavuz Oz
- Department of Chemistry
- Bogazici University
- Turkey
| | - Yamin Abdouni
- Polymer Chemistry Laboratory
- School of Engineering and Materials Science
- Queen Mary University of London
- E1 4NS London
- UK
| | - Gokhan Yilmaz
- Polymer Chemistry Laboratory
- School of Engineering and Materials Science
- Queen Mary University of London
- E1 4NS London
- UK
| | - C. Remzi Becer
- Polymer Chemistry Laboratory
- School of Engineering and Materials Science
- Queen Mary University of London
- E1 4NS London
- UK
| | - Amitav Sanyal
- Department of Chemistry
- Bogazici University
- Turkey
- Center for Life Sciences and Technologies
- Bogazici University
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Yilmaz G, Uzunova V, Napier R, Becer CR. Single-Chain Glycopolymer Folding via Host–Guest Interactions and Its Unprecedented Effect on DC-SIGN Binding. Biomacromolecules 2018; 19:3040-3047. [DOI: 10.1021/acs.biomac.8b00600] [Citation(s) in RCA: 42] [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] [Indexed: 01/01/2023]
Affiliation(s)
- Gokhan Yilmaz
- Polymer Chemistry Laboratory, School of Engineering and Materials Science, Queen Mary, University of London, E1 4NS, London, United Kingdom
| | - Veselina Uzunova
- Life Sciences, University of Warwick, CV4 7AL, Coventry, United Kingdom
| | - Richard Napier
- Life Sciences, University of Warwick, CV4 7AL, Coventry, United Kingdom
| | - C. Remzi Becer
- Polymer Chemistry Laboratory, School of Engineering and Materials Science, Queen Mary, University of London, E1 4NS, London, United Kingdom
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Blakney AK, Yilmaz G, McKay PF, Becer CR, Shattock RJ. One Size Does Not Fit All: The Effect of Chain Length and Charge Density of Poly(ethylene imine) Based Copolymers on Delivery of pDNA, mRNA, and RepRNA Polyplexes. Biomacromolecules 2018; 19:2870-2879. [PMID: 29698602 DOI: 10.1021/acs.biomac.8b00429] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Nucleic acid delivery systems are commonly translated between different modalities, such as DNA and RNA of varying length and structure, despite physical differences in these molecules that yield disparate delivery efficiency with the same system. Here, we synthesized a library of poly(2-ethyl-2-oxazoline)/poly(ethylene imine) copolymers with varying molar mass and charge densities in order to probe how pDNA, mRNA, and RepRNA polyplex characteristics affect transfection efficiency. The library was utilized in a full factorial design of experiment (DoE) screening, with outputs of luciferase expression, particle size, surface charge, and particle concentration. The optimal copolymer molar mass and charge density was found as 83 kDa/100%, 72 kDa/100%, and 45 kDa/80% for pDNA, RepRNA, and mRNA, respectively. While 10 of the synthesized copolymers enhanced the transfection efficiency of pDNA and mRNA, only 2 copolymers enhanced RepRNA transfection efficiency, indicating a narrow and more stringent design space for RepRNA. These findings suggest that there is not a "one size fits all" polymer for different nucleic acid species.
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Affiliation(s)
- Anna K Blakney
- Department of Medicine, Division of Infectious Diseases, Section of Virology , Imperial College London , Norfolk Place, London W21PG , U.K
| | - Gokhan Yilmaz
- Polymer Chemistry Laboratory, School of Engineering and Materials Science , Queen Mary University of London , London E1 4NS , U.K
| | - Paul F McKay
- Department of Medicine, Division of Infectious Diseases, Section of Virology , Imperial College London , Norfolk Place, London W21PG , U.K
| | - C Remzi Becer
- Polymer Chemistry Laboratory, School of Engineering and Materials Science , Queen Mary University of London , London E1 4NS , U.K
| | - Robin J Shattock
- Department of Medicine, Division of Infectious Diseases, Section of Virology , Imperial College London , Norfolk Place, London W21PG , U.K
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Yilmaz G, Uzunova V, Hartweg M, Beyer V, Napier R, Becer CR. The effect of linker length on ConA and DC-SIGN binding of S-glucosyl functionalized poly(2-oxazoline)s. Polym Chem 2018. [DOI: 10.1039/c7py01939d] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
A series of poly(2-oxazoline) based glycopolymers with different linkers were prepared via thiol–ene click reaction and cationic ring opening reaction. The binding of these polymers to lectins were studied.
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Affiliation(s)
- Gokhan Yilmaz
- Department of Chemistry
- University of Warwick
- CV4 7AL, Coventry
- UK
- Department of Basic Sciences
| | | | - Manuel Hartweg
- Polymer Chemistry Laboratory
- School of Engineering and Materials Science
- Queen Mary
- University of London
- E1 4NS, London
| | - Valentin Beyer
- Polymer Chemistry Laboratory
- School of Engineering and Materials Science
- Queen Mary
- University of London
- E1 4NS, London
| | | | - C. Remzi Becer
- Polymer Chemistry Laboratory
- School of Engineering and Materials Science
- Queen Mary
- University of London
- E1 4NS, London
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39
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Algin E, Baykara M, Yilmaz G, Cetin B, Ekinci O, Uner A, Ozet A. Is there any relationship between Helicobacter pylori infection and HER2 expression in gastric cancer? Ann Oncol 2017. [DOI: 10.1093/annonc/mdx369.035] [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: 11/12/2022] Open
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Caglar B, Serin S, Akay S, Yilmaz G, Torun A, Adıbelli ZH, Parlak I. The accuracy of bedside USG in the diagnosis of nasal fractures. Am J Emerg Med 2017; 35:1653-1656. [PMID: 28552270 DOI: 10.1016/j.ajem.2017.05.015] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2017] [Revised: 05/12/2017] [Accepted: 05/13/2017] [Indexed: 10/19/2022] Open
Abstract
A comparison of the sensitivity and specificity of bedside ultrasonography with conventional radiography for the evaluation of nasal fractures. INTRODUCTION - PURPOSE There is increasing use of ultrasonography in the Emergency Dept (ED) and other areas. The purpose of the present study was to evaluate the sensitivity and specificity of bedside ultrasonography with conventional radiographs in the evaluation of nasal fractures in the ED. METHOD Patients admitted to ED with maxillofacial trauma were evaluated in this prospective study. Ultrasonography scans of the patients were taken by the emergency physician at the bedside. The images were obtained from both laterals and parallel to the nasal dorsum. The nasal radiography scans were evaluated by an experienced radiologist blinded to the study. The ultrasonography and radiography results were compared statistically. RESULTS The study included 103 patients. In showing the presence of nasal fracture, the sensitivity of ultrasonography was determined to be 84.8% (95% CI 71.13%-93.66%), specificity was 93.0% (95% CI 83.00%-98.05%), positive predictive value (PPV) was 90.7% (95% CI 77.86%-97.41%), negative predictive value (NPV) was 88.3% (95% CI 77.43%-95.18%). CONCLUSION Ultrasonography can be used in ED as an alternative method to conventional radiography with high rates of sensitivity and specificity in the evaluation of nasal fractures.
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Affiliation(s)
- Bahadır Caglar
- Emergency Medicine Clinic, Elazig Training and Research Hospital, Elazig, Turkey.
| | - Suha Serin
- Emergency Medicine Clinic, Urla City Hospital, Urla, Izmir, Turkey
| | - Serhat Akay
- Emergency Medicine Clinic, Izmir Bozyaka Training and Research Hospital, Izmir, Turkey
| | - Gokhan Yilmaz
- Emergency Medicine Clinic, Izmir Bozyaka Training and Research Hospital, Izmir, Turkey
| | - Alper Torun
- Emergency Medicine Clinic, Izmir Bozyaka Training and Research Hospital, Izmir, Turkey
| | | | - Ismet Parlak
- Emergency Medicine Clinic, Izmir Bozyaka Training and Research Hospital, Izmir, Turkey
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Lavilla C, Yilmaz G, Uzunova V, Napier R, Becer CR, Heise A. Block-Sequence-Specific Glycopolypeptides with Selective Lectin Binding Properties. Biomacromolecules 2017; 18:1928-1936. [DOI: 10.1021/acs.biomac.7b00356] [Citation(s) in RCA: 41] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Affiliation(s)
- Cristina Lavilla
- Department
of Chemical Engineering and Chemistry, Eindhoven University of Technology, Den Dolech 2, 5612AZ Eindhoven, The Netherlands
| | - Gokhan Yilmaz
- Polymer
Chemistry Laboratory, School of Engineering and Materials Science, Queen Mary University of London, London E1 4NS, United Kingdom
| | - Veselina Uzunova
- Life
Sciences, University of Warwick, CV4 7AL Coventry, United Kingdom
| | - Richard Napier
- Life
Sciences, University of Warwick, CV4 7AL Coventry, United Kingdom
| | - C. Remzi Becer
- Polymer
Chemistry Laboratory, School of Engineering and Materials Science, Queen Mary University of London, London E1 4NS, United Kingdom
| | - Andreas Heise
- Department
of Chemical Engineering and Chemistry, Eindhoven University of Technology, Den Dolech 2, 5612AZ Eindhoven, The Netherlands
- Department
of Pharmaceutical and Medicinal Chemistry, Royal College of Surgeons in Ireland, 123 St. Stephens Green, Dublin 2, Ireland
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42
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Erbayraktar Z, Turan Evlice A, Yilmaz G, Yazici C, Yener G, Ulusu NN. Evaluation of Renal Function in Alzheimer's Disease and Geriatric Patients: Results from a Turkish Two-center Study. J Med Biochem 2017; 36:54-61. [PMID: 28680350 PMCID: PMC5471660 DOI: 10.1515/jomb-2016-0028] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2016] [Accepted: 11/10/2016] [Indexed: 12/29/2022] Open
Abstract
Background Alzheimer’s disease (AD) is a severe multifactorial neurodegenerative proteopathy associated with advanced age. Discrepancies in the renal function of these patients compared to geriatric patients with dementia have rarely been reported. In this study, we aimed to disclose the importance of associated renal changes for the pathogenesis of AD. Methods Patients with AD (n=107) and geriatric patients with dementia and without dementia (n=124) (231 patients in total) from Dokuz Eylul and Cukurova University Hospitals were enrolled in the study. We measured serum Na, K, Cl, Ca, BUN, creatinine, total protein levels and MDRD [eGFR] in all groups. Results From Izmir Center, the first study arm consisted of patients with AD dementia (n=74), and the second arm included geriatric patients with dementia (n=79). From Adana, 78 patients were recruited to the study, of which 33 were with AD and 45 were geriatric patients without dementia. When we analyzed comparatively the AD and geriatric dementia patients study arms, a statistically significant difference was observed both in the median age (p<0.001), as well as in the biochemical parameters from Izmir Center: Na (p<0.001), K (p<0.001), Cl (p<0.05), Ca (p<0.001), BUN (p<0.05), creatinine (p<0.001), total protein (p<0.001) and MDRD [eGFR] (p<0.001). However, these were not significantly different between AD and geriatric patients without dementia in the Adana group. Conclusions Our results indicate that renal function is prone to alterations in different age groups of patients with AD. However, there is no conclusive evidence that renal function is one of the risk factors in AD.
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Affiliation(s)
- Zubeyde Erbayraktar
- Dokuz Eylul University, Faculty of Medicine, Department of Biochemistry, Izmir
| | - Ahmet Turan Evlice
- Cukurova University, Faculty of Medicine, Department of Neurology, Adana
| | - Gokhan Yilmaz
- University College London (UCL), Institute of Child Health, London
| | - Canan Yazici
- Baskent University, Faculty of Medicine, Department of Biostatistics, Ankara
| | - Gorsev Yener
- Dokuz Eylul University, Faculty of Medicine, Department of Neurology, Izmir
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43
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Puglisi A, Murtezi E, Yilmaz G, Yagci Y. Synthesis of block copolymers by mechanistic transformation from photoinitiated cationic polymerization to a RAFT process. Polym Chem 2017. [DOI: 10.1039/c7py01707c] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
A novel synthetic strategy for the synthesis of block copolymers based on mechanistic transformation from photoinitiated cationic polymerization to radical addition fragmentation transfer polymerization is presented.
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Affiliation(s)
- A. Puglisi
- Department of Chemistry
- Istanbul Technical University
- 34469 Maslak
- Turkey
| | - E. Murtezi
- Department of Chemistry
- Istanbul Technical University
- 34469 Maslak
- Turkey
- Institute of Applied Physics
| | - G. Yilmaz
- Department of Chemistry
- Istanbul Technical University
- 34469 Maslak
- Turkey
| | - Y. Yagci
- Department of Chemistry
- Istanbul Technical University
- 34469 Maslak
- Turkey
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Yilmaz G. An investigation on the toxic effects of cationic, anionic and nonionic surfactants on germination rates of Hordeum vulgare L. Toxicol Lett 2016. [DOI: 10.1016/j.toxlet.2016.06.1707] [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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Yilmaz G, Demir B, Timur S, Becer CR. Poly(methacrylic acid)-Coated Gold Nanoparticles: Functional Platforms for Theranostic Applications. Biomacromolecules 2016; 17:2901-11. [DOI: 10.1021/acs.biomac.6b00706] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Gokhan Yilmaz
- Polymer
Chemistry Laboratory, School of Engineering and Materials Science, Queen Mary, University of London, E1 4NS London, United Kingdom
- Department
of Chemistry, University of Warwick, CV4 7AL Coventry, United Kingdom
- Department
of Basic Sciences, Turkish Military Academy, 06654 Ankara, Turkey
| | - Bilal Demir
- Faculty
of Science, Biochemistry Department, Ege University, 35100-Bornova, Izmir, Turkey
| | - Suna Timur
- Faculty
of Science, Biochemistry Department, Ege University, 35100-Bornova, Izmir, Turkey
| | - C. Remzi Becer
- Polymer
Chemistry Laboratory, School of Engineering and Materials Science, Queen Mary, University of London, E1 4NS London, United Kingdom
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Ahmed SS, Alp E, Ulu-Kilic A, Dinc G, Aktas Z, Ada B, Bagirova F, Baran I, Ersoy Y, Esen S, Guven TG, Hopman J, Hosoglu S, Koksal F, Parlak E, Yalcin AN, Yilmaz G, Voss A, Melchers W. Spread of carbapenem-resistant international clones of Acinetobacter baumannii in Turkey and Azerbaijan: a collaborative study. Eur J Clin Microbiol Infect Dis 2016; 35:1463-8. [PMID: 27259712 DOI: 10.1007/s10096-016-2685-x] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2016] [Accepted: 05/16/2016] [Indexed: 02/02/2023]
Abstract
Epidemic clones of Acinetobacter baumannii, described as European clones I, II, and III, are associated with hospital epidemics throughout the world. We aimed to determine the molecular characteristics and genetic diversity between European clones I, II, and III from Turkey and Azerbaijan. In this study, a total of 112 bloodstream isolates of carbapenem-resistant Acinetobacter spp. were collected from 11 hospitals across Turkey and Azerbaijan. The identification of Acinetobacter spp. using conventional and sensitivity tests was performed by standard criteria. Multiplex polymerase chain reaction (PCR) was used to detect OXA carbapenemase-encoding genes (bla OXA-23-like, bla OXA-24-like, bla OXA-51-like, and bla OXA-58-like). Pulsed-field gel electrophoresis (PFGE) typing was used to investigate genetic diversity. The bla OXA-51-like gene was present in all 112 isolates, 75 (67 %) carried bla OXA-23-like, 7 (6.2 %) carried bla OXA-58-like genes, and 5 (4.5 %) carried bla OXA-24-like genes. With a 90 % similarity cut-off value, 15 clones and eight unique isolates were identified. The largest clone was cluster D, with six subtypes. Isolates from clusters D and I were widely spread in seven different geographical regions throughout Turkey. However, F cluster was found in the northern and eastern regions of Turkey. EU clone I was grouped within J cluster with three isolates found in Antalya, Istanbul, and Erzurum. EU clone II was grouped in the U cluster with 15 isolates and found in Kayseri and Diyarbakır. The bla OXA-24-like gene in carbapenemases was identified rarely in Turkey and has been reported for the first time from Azerbaijan. Furthermore, this is the first multicenter study in Turkey and Azerbaijan to identify several major clusters belonging to European clones I and II of A. baumannii.
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Affiliation(s)
- S S Ahmed
- Faculty of Infectious Diseases, Erciyes University, Kayseri, Turkey.
- Genome and Stem Cell Center, Erciyes University, Kayseri, Turkey.
| | - E Alp
- Faculty of Infectious Diseases, Erciyes University, Kayseri, Turkey
| | - A Ulu-Kilic
- Faculty of Infectious Diseases, Erciyes University, Kayseri, Turkey
| | - G Dinc
- Faculty of Infectious Diseases, Erciyes University, Kayseri, Turkey
- Dep. of Medical Microbiology, Erciyes University, Kayseri, Turkey
| | - Z Aktas
- Dep. of Infectious Diseases, Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - B Ada
- Dep. Infectious Diseases, Faculty of Medicine, Ege Univerisity, Izmir, Turkey
| | - F Bagirova
- Dep. of Infectious Diseases, Faculty of Medicine, Azerbaijan Medical University, Baku, Azerbaijan
| | - I Baran
- Dep. of Infectious Diseases, Faculty of Medicine, Ankara teaching hospital, Ankara, Turkey
| | - Y Ersoy
- Dep. of Infectious Diseases, Faculty of Medicine, Inonu University, Malatya, Turkey
| | - S Esen
- Dep. of Infectious Diseases, Faculty of Medicine, Ondokuz Mayis University, Samsun, Turkey
| | - T G Guven
- Dep. of Infectious Diseases, Faculty of Medicine, Cokurva University, Adana, Turkey
| | - J Hopman
- Dep. of Medical Microbiology, Radboud UMC, Nijmegen, Netherlands
| | - S Hosoglu
- Dep. of Infectious Diseases, Faculty of Medicine, Trabzon Teaching hospital, Trabzon, Turkey
| | - F Koksal
- Dep. of Infectious Diseases, Faculty of Medicine, Cokurva University, Adana, Turkey
| | - E Parlak
- Dep. of Infectious Diseases, Faculty of Medicine, Ataturk University, Erzurum, Turkey
| | - A N Yalcin
- Dep. of Infectious Diseases, Faculty of Medicine, Akdeniz University, Antalya, Turkey
| | - G Yilmaz
- Dep. of Infectious Diseases, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey
| | - A Voss
- Dep. of Medical Microbiology, Radboud UMC, Nijmegen, Netherlands
| | - W Melchers
- Dep. of Medical Microbiology, Radboud UMC, Nijmegen, Netherlands
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Cag Y, Erdem H, Leib S, Defres S, Kaya S, Larsen L, Poljak M, Ozturk-Engin D, Barsic B, Argemi X, Sørensen SM, Bohr AL, Tattevin P, Gunst JD, Baštáková L, Jereb M, Johansen IS, Karabay O, Pekok AU, Sipahi OR, Chehri M, Beraud G, Shehata G, Fontana R, Maresca M, Karsen H, Sengoz G, Sunbul M, Yilmaz G, Yilmaz H, Sharif-Yakan A, Kanj S, Parlak E, Pehlivanoglu F, Korkmaz F, Komur S, Kose S, Ulug M, Bolukcu S, Coskuner SA, Stahl JP, Ince N, Akkoyunlu Y, Halac G, Sahin-Horasan E, Tireli H, Kilicoglu G, Al-Mahdawi A, Nemli SA, Inan A, Senbayrak S, Vahaboglu H, Elaldi N. Managing atypical and typical herpetic central nervous system infections: results of a multinational study. Clin Microbiol Infect 2016; 22:568.e9-568.e17. [PMID: 27085724 DOI: 10.1016/j.cmi.2016.03.027] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [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: 09/30/2015] [Revised: 03/20/2016] [Accepted: 03/26/2016] [Indexed: 11/19/2022]
Abstract
There have been many studies pertaining to the management of herpetic meningoencephalitis (HME), but the majority of them have focussed on virologically unconfirmed cases or included only small sample sizes. We have conducted a multicentre study aimed at providing management strategies for HME. Overall, 501 adult patients with PCR-proven HME were included retrospectively from 35 referral centres in 10 countries; 496 patients were found to be eligible for the analysis. Cerebrospinal fluid (CSF) analysis using a PCR assay yielded herpes simplex virus (HSV)-1 DNA in 351 patients (70.8%), HSV-2 DNA in 83 patients (16.7%) and undefined HSV DNA type in 62 patients (12.5%). A total of 379 patients (76.4%) had at least one of the specified characteristics of encephalitis, and we placed these patients into the encephalitis presentation group. The remaining 117 patients (23.6%) had none of these findings, and these patients were placed in the nonencephalitis presentation group. Abnormalities suggestive of encephalitis were detected in magnetic resonance imaging (MRI) in 83.9% of the patients and in electroencephalography (EEG) in 91.0% of patients in the encephalitis presentation group. In the nonencephalitis presentation group, MRI and EEG data were suggestive of encephalitis in 33.3 and 61.9% of patients, respectively. However, the concomitant use of MRI and EEG indicated encephalitis in 96.3 and 87.5% of the cases with and without encephalitic clinical presentation, respectively. Considering the subtle nature of HME, CSF HSV PCR, EEG and MRI data should be collected for all patients with a central nervous system infection.
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Affiliation(s)
- Y Cag
- Dr Lütfi Kirdar Training and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, Istanbul, Turkey
| | - H Erdem
- Gulhane Medical Academy, Department of Infectious Diseases and Clinical Microbiology, Ankara, Turkey.
| | - S Leib
- Institute for Infectious Diseases, University of Bern, Switzerland
| | - S Defres
- Institute of Infection and Global Health, University of Liverpool, United Kingdom; Tropical Infections Diseases Unit In Royal Liverpool and Broadgreen University Hospitals NHS Trust, United Kingdom
| | - S Kaya
- Karadeniz Technical University School of Medicine, Department of Infectious Diseases and Clinical Microbiology, Trabzon, Turkey
| | - L Larsen
- Odense University Hospital, Department of Infectious Diseases Q, Odense, Denmark
| | - M Poljak
- Institute of Microbiology and Immunology, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
| | - D Ozturk-Engin
- Haydarpasa Numune Training and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, Istanbul, Turkey
| | - B Barsic
- Dr. Fran Mihaljevic University Hospital for Infectious Diseases, Department of Infectious Diseases, University of Zagreb School of Medicine, Zagreb, Croatia
| | - X Argemi
- Nouvel Hôpital Civil, Department of Infectious Diseases, Strasbourg, France
| | - S M Sørensen
- Aalborg University Hospital, Department of Infectious Diseases, Denmark
| | - A L Bohr
- Copenhagen University Hospital, Institute of Inflammation Research, Department of Infectious Diseases and Rheumatology, Rigshospitalet, Denmark
| | - P Tattevin
- University Hospital of Pontchaillou, Department of Infectious and Tropical Diseases, Rennes, France
| | - J D Gunst
- Aarhus University Hospital, Department of Infectious Diseases, Aarhus, Denmark
| | - L Baštáková
- Faculty Hospital Brno, Department of Infectious Diseases, Masaryk University, Faculty of Medicine, Brno, Czech Republic
| | - M Jereb
- University Medical Centre, Department of Infectious Diseases, Ljubljana, Slovenia
| | - I S Johansen
- Odense University Hospital, Department of Infectious Diseases Q, Odense, Denmark
| | - O Karabay
- Sakarya University School of Medicine, Department of Infectious Diseases and Clinical Microbiology, Sakarya, Turkey
| | - A U Pekok
- Private Erzurum Sifa Hospital, Department of Infectious Diseases and Clinical Microbiology, Erzurum, Turkey
| | - O R Sipahi
- Ege University School of Medicine, Department of Infectious Diseases and Clinical Microbiology, Izmir, Turkey
| | - M Chehri
- Hvidovre Hospital, Department of Infectious Diseases, Copenhagen, Denmark
| | - G Beraud
- Poitiers University Hospital, Department of Infectious Diseases, France
| | - G Shehata
- Assiut University Hospital, Department of Neurology and Psychiatry, Assiut, Egypt
| | - R Fontana
- University of Catania, Section of Infectious Diseases, Department of Clinical and Molecular Biomedicine, Catania, Italy
| | - M Maresca
- University of Catania, Section of Infectious Diseases, Department of Clinical and Molecular Biomedicine, Catania, Italy
| | - H Karsen
- Harran University, School of Medicine, Department of Infectious Diseases and Clinical Microbiology, Sanliurfa, Turkey
| | - G Sengoz
- Haseki Training and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, Istanbul, Turkey
| | - M Sunbul
- Ondokuz Mayis University School of Medicine, Department of Infectious Diseases and Clinical Microbiology, Samsun, Turkey
| | - G Yilmaz
- Ankara University School of Medicine, Department of Infectious Diseases and Clinical Microbiology, Ankara, Turkey
| | - H Yilmaz
- Ondokuz Mayis University School of Medicine, Department of Infectious Diseases and Clinical Microbiology, Samsun, Turkey
| | - A Sharif-Yakan
- American University of Beirut Medical Center, Beirut, Lebanon
| | - S Kanj
- American University of Beirut Medical Center, Beirut, Lebanon
| | - E Parlak
- Ataturk University School of Medicine, Department of Infectious Diseases and Clinical Microbiology, Erzurum, Turkey
| | - F Pehlivanoglu
- Haseki Training and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, Istanbul, Turkey
| | - F Korkmaz
- Konya Training and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, Konya, Turkey
| | - S Komur
- Cukurova University School of Medicine, Department of Infectious Diseases and Clinical Microbiology, Adana, Turkey
| | - S Kose
- Tepecik Training and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, Izmir, Turkey
| | - M Ulug
- Private Umit Hospital, Department of Infectious Diseases and Clinical Microbiology, Eskisehir, Turkey
| | - S Bolukcu
- Haydarpasa Numune Training and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, Istanbul, Turkey
| | - S A Coskuner
- Izmir Bozyaka Training and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, Izmir, Turkey
| | - J P Stahl
- Joseph Fourier University and University Hospital of Grenoble, Department of Infectious Diseases, Grenoble, France
| | - N Ince
- Duzce University School of Medicine, Department of Infectious Diseases and Clinical Microbiology, Konuralp, Duzce, Turkey
| | - Y Akkoyunlu
- Bezmi Alem Vakif University, School of Medicine, Department of Infectious Diseases and Clinical Microbiology, Istanbul, Turkey
| | - G Halac
- Bezmi Alem Vakif University, School of Medicine, Department of Neurology, Istanbul, Turkey
| | - E Sahin-Horasan
- Mersin University School of Medicine, Department of Infectious Diseases and Clinical Microbiology, Mersin, Turkey
| | - H Tireli
- Haydarpasa Numune Training and Research Hospital, Department of Neurology, Turkey
| | - G Kilicoglu
- Haydarpasa Numune Training and Research Hospital, Department of Radiology, Turkey
| | - A Al-Mahdawi
- Department of Neurology, Baghdad Teaching Hospital, Iraq
| | - S A Nemli
- Katip Celebi University School of Medicine, Department of Infectious Diseases and Clinical Microbiology, Izmir, Turkey
| | - A Inan
- Haydarpasa Numune Training and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, Istanbul, Turkey
| | - S Senbayrak
- Haydarpasa Numune Training and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, Istanbul, Turkey
| | - H Vahaboglu
- Medeniyet University, Goztepe Training and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, Istanbul, Turkey
| | - N Elaldi
- Cumhuriyet University School of Medicine, Department of Infectious Diseases and Clinical Microbiology, Sivas, Turkey
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Affiliation(s)
| | | | | | - M. Erdem
- Gazi University, Faculty of Medicine, Departments of Paediatric Surgery, Gynaecology and Obstetrics, Ankara, Turkey
| | - G. Yilmaz
- Gazi University, Faculty of Medicine, Pathology, Ankara, Turkey
| | - Ö. Erdem
- Gazi University, Faculty of Medicine, Pathology, Ankara, Turkey
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Waterston T, Yilmaz G. Sponsorship of paediatricians/paediatric societies by the Baby Feeding Industry--a position paper by the International Society for Social Paediatrics and Child Health. Child Care Health Dev 2016; 42:149-52. [PMID: 26810699 DOI: 10.1111/cch.12313] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/17/2015] [Accepted: 11/21/2015] [Indexed: 11/27/2022]
Affiliation(s)
- T Waterston
- Retired consultant paediatrician, Newcastle upon Tyne, UK
| | - G Yilmaz
- Faculty of Medicine Social Pediatrics Department, Dr. Sami Ulus Children Training Hospital, Karabuk University, Ankara, Turkey
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Sarikus Z, Bedirli N, Yilmaz G, Bagriacik U, Bozkirli F. The effects of epidural bupivacaine on ischemia/reperfusion-induced liver injury. ACTA ACUST UNITED AC 2016; 117:41-6. [PMID: 26810169 DOI: 10.4149/bll_2016_009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND Several animal studies showed beneficial effects of thoracic epidural anesthesia (TEA) in hippocampal, mesenteric and myocardial IR injury (2-4). In this study, we investigated the effects of epidural bupivacaine on hepatic ischemia reperfusion injury in a rat model. MATERIAL AND METHODS Eighteen rats were randomly divided into three groups each containing 6 animals. The rats in Group C had sham laparotomy. The rats in the Group S were subjected to liver IR through laparotomy and 20 mcg/kg/h 0.9% NaCl was administered to these rats via an epidural catheter. The rats in the Group B were subjected to liver IR and were given 20 mcg/kg/h bupivacaine via an epidural catheter. Liver tissue was harvested for MDA analysis, apoptosis and histopathological examination after 60 minutes of ischemia followed by 360 minutes of reperfusion. Blood samples were also collected for TNF-α, IL-1β, AST and ALT analysis. RESULTS The AST and ALT levels were higher in ischemia and reperfusion group, which received only normal saline via the thoracic epidural catheter, compared to the sham group. In the ischemia reperfusion group, which received bupivacaine via the epidural catheter, IL-1 levels were significantly higher than in the other groups. TNF-α levels were higher in the Groups S and B compared to the sham group. Bupivacaine administration induced apoptosis in all animals. CONCLUSION These results showed that thoracic epidural bupivacaine was not a suitable agent for preventing inflammatory response and lipid peroxidation in experimental hepatic IR injury in rats. Moreover, epidural bupivacaine triggered apoptosis in hepatocytes. Further research is needed as there are no studies in literature investigate the effects of epidural bupivacaine on hepatic ischemia reperfusion injury (Tab. 3, Fig. 3, Ref. 34).
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