Σφακιανάκης Αλέξανδρος
ΩτοΡινοΛαρυγγολόγος
Αναπαύσεως 5 Άγιος Νικόλαος
Κρήτη 72100
00302841026182
00306932607174
alsfakia@gmail.com

Αρχειοθήκη ιστολογίου

! # Ola via Alexandros G.Sfakianakis on Inoreader

Η λίστα ιστολογίων μου

Τρίτη 26 Ιουνίου 2018

Chlamydial plasmid-encoded virulence factor Pgp3 interacts with human cathelicidin peptide LL-37 to modulate immune response

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Publication date: Available online 26 June 2018
Source:Microbes and Infection
Author(s): Shuping Hou, Xin Sun, Xiaohua Dong, Hui Lin, Lingli Tang, Min Xue, Guangming Zhong
We have previously reported that Chlamydia trachomatis plasmid-encoded Pgp3 is able to neutralize anti-chlamydial activity of human cathelicidin peptide LL-37 by binding to and forming stable complex with LL-37. Besides its microbicidal activity, LL-37 also modulates immune response, including inducing cytokine/chemokine production in fibroblast/epithelial cells and recruitment of inflammatory cells. We now report that LL-37 was significantly induced in the genital tracts of women diagnosed positive for C. trachomatis. Both the LL-37-stimulated IL-6/8 production in human endometrial epithelial cells and the LL-37-induced neutrophil chemotaxis were blocked by Pgp3. Interestingly, although Pgp3 itself alone could not induce cytokines in epithelial cell cells, it did so in neutrophils. Importantly, the Pgp3 proinflammatory activity in neutrophils was significantly enhanced by forming complex with LL-37 although LL-37 alone failed to induce cytokine production in neutrophils. Thus, we have demonstrated that Pgp3 can modulate the proinflammatory activities of LL-37 on epithelial cells by forming stable complex with LL-37 but the Pgp3's own proinflammatory activity on myeloid cells is enhanced by forming the same complex. We hypothesize that Chlamydia may use Pgp3 to both block detrimental inflammation for improving its own fitness in the genital tract epithelial tissue and activate myeloid cell-mediated inflammation for potentially promoting spreading between the hosts, the latter of which may inevitably contribute to the development of inflammatory sequelae such as tubal fibrosis.



https://ift.tt/2yMas95

Multispectral ex vivo photoacoustic imaging of cutaneous melanoma for better selection of the excision margin

British Journal of Dermatology, EarlyView.


https://ift.tt/2yIIjQ0

Effective anti‐programmed death‐1 therapy in a SUFU‐mutated patient with Gorlin–Goltz syndrome

British Journal of Dermatology, EarlyView.


https://ift.tt/2lAXFgc

Efficacy of oral sirolimus as salvage therapy in refractory lichen planus associated with immune deficiency

British Journal of Dermatology, EarlyView.


https://ift.tt/2yLPAyH

IgE and D‐dimer baseline levels are higher in responders than nonresponders to omalizumab in chronic spontaneous urticaria

British Journal of Dermatology, EarlyView.


https://ift.tt/2lAXC40

Acute toxicity and effects of Roundup Original® on pintado da Amazônia

Abstract

The toxicity of Roundup Original® (GLY), a glyphosate-based herbicide widely used in crops in Mato Grosso state, was determined in hybrid fish jundiara or pintado da Amazônia. The 96 h-LC50 of GLY was 13.57 mg L−1. Moreover, exposure to sublethal concentrations of GLY (0, 0.37, 0.75, 2.25, 4.5, 7.5 mg L−1) has not altered the survival rate (100% for all treatments). In fish liver, protein carbonyl (PC) levels as well as glutathione-S-transferase (GST) activity, reduced glutathione (GSH), and ascorbic acid (ASA) contents increased when compared to control group. Superoxide dismutase (SOD) activity was reduced and catalase (CAT) has not changed. PC content has grown in muscle and brain, and thiobarbituric acid-reactive species (TBARS) levels also increased in muscle, but in the brain, they remained unaltered. Acetylcholinesterase (AChE) activity reduced in muscle but increased in brain when compared to control group. Our results suggest that short-term exposure to GLY induced alterations in the oxidative stress biomarkers in fish and can be interfering with their survival in natural environment; besides, these findings may be considered of high ecotoxicological relevance.



https://ift.tt/2tviiyU

Glutamic acid assisted phyto-management of silver-contaminated soils through sunflower; physiological and biochemical response

Abstract

Phytoremediation is a cost-effective and eco-friendly technique for the removal of heavy metal-contaminated soils and water. The less availability and mobility of heavy metals in medium decreased the efficiency of this technique. The mobility and availability of these metals in the medium can be enhanced by the addition of organic chelators. The present study was conducted to investigate the possibility of glutamic acid (GA) in improving silver (Ag) phytoextraction by sunflower (Helianthus annuus L.). Different concentrations of Ag and GA were supplied in solution form in different combinations after defined intervals. Results depicted that increasing concentration of Ag significantly reduced the plant biomass, photosynthetic pigments, and antioxidant enzyme activities (like catalase, peroxidase, ascorbate, peroxidase, superoxide dismutase). Furthermore, Ag stress increased the Ag concentration and the production of reactive oxygen species (ROS) in sunflower plants. The addition of GA alleviated the Ag-induced toxicity in plants and enhanced Ag concentration and accumulation in sunflower. The addition of GA enhanced Ag accumulation in sunflower roots by 70, 79, 58, and 66% at 0-, 100-, 250-, and 500-μM Ag treatments, respectively, as compared to control plants. In conclusion, the results showed that Ag significantly reduced the physiological and biochemical attributes in term of reduced growth of sunflower and the addition of GA alleviated the Ag induced toxicity and enhanced Ag uptake. The results suggested that sunflower can be used as hyper-accumulator plant for the removal of Ag under GA. Further studies are required to understand the role of GA at gene and microscopic level in plants.



https://ift.tt/2IuP6fW

Multispectral ex vivo photoacoustic imaging of cutaneous melanoma for better selection of the excision margin

British Journal of Dermatology, EarlyView.


https://ift.tt/2yIIjQ0

Effective anti‐programmed death‐1 therapy in a SUFU‐mutated patient with Gorlin–Goltz syndrome

British Journal of Dermatology, EarlyView.


https://ift.tt/2lAXFgc

Efficacy of oral sirolimus as salvage therapy in refractory lichen planus associated with immune deficiency

British Journal of Dermatology, EarlyView.


https://ift.tt/2yLPAyH

IgE and D‐dimer baseline levels are higher in responders than nonresponders to omalizumab in chronic spontaneous urticaria

British Journal of Dermatology, EarlyView.


https://ift.tt/2lAXC40

Understanding Caregiver Goals, Benefits, and Acceptable Risks of Peanut Allergy Therapies

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Publication date: Available online 27 June 2018
Source:Annals of Allergy, Asthma & Immunology
Author(s): Matthew Greenhawt, Rebekah Marsh, Hannah Gilbert, Scott Sicherer, Audrey DunnGalvin, Dan Matlock




https://ift.tt/2tHAt3n

Intrinsic Whole Number Bias in Humans.

Author: Alonso-Diaz, Santiago; Piantadosi, Steven T.; Hayden, Benjamin Y.; Cantlon, Jessica F.
DOI: 10.1037/xhp0000544
Publication Date: POST AUTHOR CORRECTIONS, 25 June 2018


https://ift.tt/2tEP5Rl

Does Angiotensin II Regulate Parathyroid Hormone Secretion or Not?

Clinical Endocrinology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2Iz264o

Environmental biotechnology and engineering: two convergent areas to provide real solutions for a growing world



https://ift.tt/2Kcz0NB

Tumor Cell-Intrinsic Factors Underlie Heterogeneity of Immune Cell Infiltration and Response to Immunotherapy

Publication date: Available online 26 June 2018
Source:Immunity
Author(s): Jinyang Li, Katelyn T. Byrne, Fangxue Yan, Taiji Yamazoe, Zeyu Chen, Timour Baslan, Lee P. Richman, Jeffrey H. Lin, Yu H. Sun, Andrew J. Rech, David Balli, Ceire A. Hay, Yogev Sela, Allyson J. Merrell, Shannon M. Liudahl, Naomi Gordon, Robert J. Norgard, Salina Yuan, Sixiang Yu, Timothy Chao, Shuai Ye, T.S. Karin Eisinger-Mathason, Robert B. Faryabi, John W. Tobias, Scott W. Lowe, Lisa M. Coussens, E. John Wherry, Robert H. Vonderheide, Ben Z. Stanger
The biological and functional heterogeneity between tumors—both across and within cancer types—poses a challenge for immunotherapy. To understand the factors underlying tumor immune heterogeneity and immunotherapy sensitivity, we established a library of congenic tumor cell clones from an autochthonous mouse model of pancreatic adenocarcinoma. These clones generated tumors that recapitulated T cell-inflamed and non-T-cell-inflamed tumor microenvironments upon implantation in immunocompetent mice, with distinct patterns of infiltration by immune cell subsets. Co-injecting tumor cell clones revealed the non-T-cell-inflamed phenotype is dominant and that both quantitative and qualitative features of intratumoral CD8+ T cells determine response to therapy. Transcriptomic and epigenetic analyses revealed tumor-cell-intrinsic production of the chemokine CXCL1 as a determinant of the non-T-cell-inflamed microenvironment, and ablation of CXCL1 promoted T cell infiltration and sensitivity to a combination immunotherapy regimen. Thus, tumor cell-intrinsic factors shape the tumor immune microenvironment and influence the outcome of immunotherapy.

Graphical abstract

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Teaser

Using a library of pancreatic cancer cell clones, Li et al. identify heterogeneous and multifactorial pathways regulating tumor-cell-intrinsic mechanisms that dictate the immune microenvironment and thereby responses to immunotherapy. This tumor clone library provides a tool for identifying new targets responsible for thwarting responses to immunotherapy in resistant tumors.


https://ift.tt/2lApMw3

The TWIK2 Potassium Efflux Channel in Macrophages Mediates NLRP3 Inflammasome-Induced Inflammation

Publication date: Available online 26 June 2018
Source:Immunity
Author(s): Anke Di, Shiqin Xiong, Zhiming Ye, R.K. Subbarao Malireddi, Satoshi Kometani, Ming Zhong, Manish Mittal, Zhigang Hong, Thirumala-Devi Kanneganti, Jalees Rehman, Asrar B. Malik
Potassium (K+) efflux across the plasma membrane is thought to be an essential mechanism for ATP-induced NLRP3 inflammasome activation, yet the identity of the efflux channel has remained elusive. Here we identified the two-pore domain K+ channel (K2P) TWIK2 as the K+ efflux channel triggering NLRP3 inflammasome activation. Deletion of Kcnk6 (encoding TWIK2) prevented NLRP3 activation in macrophages and suppressed sepsis-induced lung inflammation. Adoptive transfer of Kcnk6−/− macrophages into mouse airways after macrophage depletion also prevented inflammatory lung injury. The K+ efflux channel TWIK2 in macrophages has a fundamental role in activating the NLRP3 inflammasome and consequently mediates inflammation, pointing to TWIK2 as a potential target for anti-inflammatory therapies.

Graphical abstract

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Teaser

Potassium efflux is required for NLRP3 inflammasome activation, but the channel mediating the efflux has remained elusive. Di et al. identify the potassium channel TWIK2 as a mediator of potassium efflux and NLRP3 activation in macrophages. Targeting TWIK2 could form the basis for therapeutic approaches in inflammatory injury.


https://ift.tt/2yOhp9u

Iron Drives T Helper Cell Pathogenicity by Promoting RNA-Binding Protein PCBP1-Mediated Proinflammatory Cytokine Production

Publication date: Available online 26 June 2018
Source:Immunity
Author(s): Zhizhang Wang, Weijie Yin, Lizhen Zhu, Jia Li, Yikun Yao, Feifei Chen, Mengmeng Sun, Jiayuan Zhang, Nan Shen, Yan Song, Xing Chang
Iron deposition is frequently observed in human autoinflammatory diseases, but its functional significance is largely unknown. Here we showed that iron promoted proinflammatory cytokine expression in T cells, including GM-CSF and IL-2, via regulating the stability of an RNA-binding protein PCBP1. Iron depletion or Pcbp1 deficiency in T cells inhibited GM-CSF production by attenuating Csf2 3′ untranslated region (UTR) activity and messenger RNA stability. Pcbp1 deficiency or iron uptake blockade in autoreactive T cells abolished their capacity to induce experimental autoimmune encephalomyelitis, an animal model for multiple sclerosis. Mechanistically, intracellular iron protected PCBP1 protein from caspase-mediated proteolysis, and PCBP1 promoted messenger RNA stability of Csf2 and Il2 by recognizing UC-rich elements in the 3′ UTRs. Our study suggests that iron accumulation can precipitate autoimmune diseases by promoting proinflammatory cytokine production. RNA-binding protein-mediated iron sensing may represent a simple yet effective means to adjust the inflammatory response to tissue homeostatic alterations.

Graphical abstract

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Teaser

Iron accumulation is observed in the brain of patients with neuroinflammatory diseases, yet its functional significance is poorly understood. Wang et al. demonstrate that iron promotes T cell pathogenicity by protecting RNA-binding protein PCBP1 from proteolysis, thereby promoting PCBP1-mediated stabilization of GM-CSF mRNA. These findings indicate that iron homeostasis can be targeted to suppress pathogenic T cells for treatment of neuroinflammatory diseases.


https://ift.tt/2lAltAN

TRPV4 Channel Signaling in Macrophages Promotes Gastrointestinal Motility via Direct Effects on Smooth Muscle Cells

Publication date: Available online 26 June 2018
Source:Immunity
Author(s): Jialie Luo, Aihua Qian, Landon K. Oetjen, Weihua Yu, Pu Yang, Jing Feng, Zili Xie, Shenbin Liu, Shijin Yin, Dari Dryn, Jizhong Cheng, Terrence E. Riehl, Alexander V. Zholos, William F. Stenson, Brian S. Kim, Hongzhen Hu
Intestinal macrophages are critical for gastrointestinal (GI) homeostasis, but our understanding of their role in regulating intestinal motility is incomplete. Here, we report that CX3C chemokine receptor 1-expressing muscularis macrophages (MMs) were required to maintain normal GI motility. MMs expressed the transient receptor potential vanilloid 4 (TRPV4) channel, which senses thermal, mechanical, and chemical cues. Selective pharmacologic inhibition of TRPV4 or conditional deletion of TRPV4 from macrophages decreased intestinal motility and was sufficient to reverse the GI hypermotility that is associated with chemotherapy treatment. Mechanistically, stimulation of MMs via TRPV4 promoted the release of prostaglandin E2 and elicited colon contraction in a paracrine manner via prostaglandin E receptor signaling in intestinal smooth muscle cells without input from the enteric nervous system. Collectively, our data identify TRPV4-expressing MMs as an essential component required for maintaining normal GI motility and provide potential drug targets for GI motility disorders.

Graphical abstract

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Teaser

How intestinal macrophages regulate intestinal motility remains poorly understood. Luo et al. demonstrate that muscularis macrophages expressing the TRPV4 channel promote GI motility by directly affecting the function of intestinal smooth muscle cells independent of the enteric nervous system.


https://ift.tt/2yMg9DY

Sympathetic Neuronal Activation Triggers Myeloid Progenitor Proliferation and Differentiation

Publication date: Available online 26 June 2018
Source:Immunity
Author(s): Sathish Babu Vasamsetti, Jonathan Florentin, Emilie Coppin, Lotte C.A. Stiekema, Kang H. Zheng, Muhammad Umer Nisar, John Sembrat, David J. Levinthal, Mauricio Rojas, Erik S.G. Stroes, Kang Kim, Partha Dutta
There is a growing body of research on the neural control of immunity and inflammation. However, it is not known whether the nervous system can regulate the production of inflammatory myeloid cells from hematopoietic progenitor cells in disease conditions. Myeloid cell numbers in diabetic patients were strongly correlated with plasma concentrations of norepinephrine, suggesting the role of sympathetic neuronal activation in myeloid cell production. The spleens of diabetic patients and mice contained higher numbers of tyrosine hydroxylase (TH)-expressing leukocytes that produced catecholamines. Granulocyte macrophage progenitors (GMPs) expressed the β2 adrenergic receptor, a target of catecholamines. Ablation of splenic sympathetic neuronal signaling using surgical, chemical, and genetic approaches diminished GMP proliferation and myeloid cell development. Finally, mice lacking TH-producing leukocytes had reduced GMP proliferation, resulting in diminished myelopoiesis. Taken together, our study demonstrates that catecholamines produced by leukocytes and sympathetic nerve termini promote GMP proliferation and myeloid cell development.

Graphical abstract

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Teaser

Neural control of immunity and inflammation has been reported. Vasamsetti and colleagues demonstrate that the sympathetic nervous system controls the development of inflammatory myeloid cells from their progenitors in inflammatory conditions.


https://ift.tt/2lzPf8I

Virus-Induced Interferon-γ Causes Insulin Resistance in Skeletal Muscle and Derails Glycemic Control in Obesity

Publication date: Available online 26 June 2018
Source:Immunity
Author(s): Marko Šestan, Sonja Marinović, Inga Kavazović, Đurđica Cekinović, Stephan Wueest, Tamara Turk Wensveen, Ilija Brizić, Stipan Jonjić, Daniel Konrad, Felix M. Wensveen, Bojan Polić
Pro-inflammatory cytokines of a T helper-1-signature are known to promote insulin resistance (IR) in obesity, but the physiological role of this mechanism is unclear. It is also unknown whether and how viral infection induces loss of glycemic control in subjects at risk for developing diabetes mellitus type 2 (DM2). We have found in mice and humans that viral infection caused short-term systemic IR. Virally-induced interferon-γ (IFN-γ) directly targeted skeletal muscle to downregulate the insulin receptor but did not cause loss of glycemic control because of a compensatory increase of insulin production. Hyperinsulinemia enhanced antiviral immunity through direct stimulation of CD8+ effector T cell function. In pre-diabetic mice with hepatic IR caused by diet-induced obesity, infection resulted in loss of glycemic control. Thus, upon pathogen encounter, the immune system transiently reduces insulin sensitivity of skeletal muscle to induce hyperinsulinemia and promote antiviral immunity, which derails to glucose intolerance in pre-diabetic obese subjects.Video Abstract

Graphical abstract

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Teaser

It is unknown how viral infections contribute to the progression of type 2 diabetes. Šestan and colleagues demonstrate that virus-induced interferon-γ increases muscle insulin resistance, which drives hyperinsulinemia to keep euglycemia and to boost anti-viral CD8+ T cell responses. This mechanism in obese subjects with hepatic IR derails glycemic control.


https://ift.tt/2yLHMwT

Amphiregulin-Producing Pathogenic Memory T Helper 2 Cells Instruct Eosinophils to Secrete Osteopontin and Facilitate Airway Fibrosis

Publication date: Available online 26 June 2018
Source:Immunity
Author(s): Yuki Morimoto, Kiyoshi Hirahara, Masahiro Kiuchi, Tomoko Wada, Tomomi Ichikawa, Toshio Kanno, Mikiko Okano, Kota Kokubo, Atsushi Onodera, Daiju Sakurai, Yoshitaka Okamoto, Toshinori Nakayama
Memory T cells provide long-lasting protective immunity, and distinct subpopulations of memory T cells drive chronic inflammatory diseases such as asthma. Asthma is a chronic allergic inflammatory disease with airway remodeling including fibrotic changes. The immunological mechanisms that induce airway fibrotic changes remain unknown. We found that interleukin-33 (IL-33) enhanced amphiregulin production by the IL-33 receptor, ST2hi memory T helper 2 (Th2) cells. Amphiregulin-epidermal growth factor receptor (EGFR)-mediated signaling directly reprogramed eosinophils to an inflammatory state with enhanced production of osteopontin, a key profibrotic immunomodulatory protein. IL-5-producing memory Th2 cells and amphiregulin-producing memory Th2 cells appeared to cooperate to establish lung fibrosis. The analysis of polyps from patients with eosinophilic chronic rhinosinusitis revealed fibrosis with accumulation of amphiregulin-producing CRTH2hiCD161hiCD45RO+CD4+ Th2 cells and osteopontin-producing eosinophils. Thus, the IL-33-amphiregulin-osteopontin axis directs fibrotic responses in eosinophilic airway inflammation and is a potential target for the treatment of fibrosis induced by chronic allergic disorders.

Graphical abstract

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Teaser

Asthma is a chronic allergic inflammatory disease with airway remodeling including fibrotic changes. Morimoto and colleagues find that the IL-33-ST2-amphiregulin-EGRF-osteopontin axis directs fibrotic responses in chronic allergic inflammation with the involvement of airway epithelial cells, pathogenic memory Th2 cells, and inflammatory eosinophils in both mouse and human.


https://ift.tt/2lDzJcc

Editorial Board

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Publication date: August 2018
Source:Critical Reviews in Oncology/Hematology, Volume 128





https://ift.tt/2tHKXjk

Differentially expressed LncRNAs as potential prognostic biomarkers for glioblastoma

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Publication date: October 2018
Source:Cancer Genetics, Volumes 226–227
Author(s): Mei Shao, Wenyun Liu, Yu Wang
Glioblastoma (GBM) is the most common and aggressive brain tumor with the poor clinical outcome. LncRNAs (Long non-coding RNAs) play an important role in the occurrence and development of glioblastoma. We aimed to explore the role that lncRNAs play in regulating glioblastoma and the pathways they are enriched in. The expression data of a total of 516 GBM samples were downloaded from TCGA (The Cancer Genome Atlas). We identified the differentially expressed lncRNAs between cancer and normal tissues and performed annotation of differentially expressed lncRNAs to figure out the functions and pathways they were enriched in. Finally, cluster analysis was performed on the expression data of lncRNA and the samples were divided into four kinds, which were then used in the survival analysis. A total of 90 down-regulated lncRNAs and 224 up-regulated lncRNAs were screened out, which were mostly enriched in pathways of Alzhermer's disease and apoptosis. Their neighborhood genes were mostly enriched in genes sets of RTN1 and MAPK10.The characterization of differentially expressed lncRNAs was found out and the mostly enriched pathways were obtained to figure out the regulation mechanism of lncRNA. Our findings may provide evidence of the potential role of lncRNA in the diagnosis, prognosis and target therapy of GBM.



https://ift.tt/2yO5ysc

Chronic blepharitis

International Journal of Dermatology, EarlyView.


https://ift.tt/2tz8wLU

Unilateral petrified ear

Clinical and Experimental Dermatology, EarlyView.


https://ift.tt/2lAnn4l

A retrospective study of lichen planus pigmentosus with focus on palmoplantar involvement

Clinical and Experimental Dermatology, EarlyView.


https://ift.tt/2tFHzFG

Does transcutaneous electrical nerve stimulation have an antipruritic effect in lichen planus? A randomized clinical trial

Clinical and Experimental Dermatology, EarlyView.


https://ift.tt/2lFZn01

A young man with necrotic skin lesions

Clinical and Experimental Dermatology, EarlyView.


https://ift.tt/2yLCv8w

Economic evaluation of an expert examiner and different ultrasound models in the diagnosis of ovarian cancer

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Publication date: September 2018
Source:European Journal of Cancer, Volume 100
Author(s): Evelyne M.J. Meys, Lara S. Jeelof, Bram L.T. Ramaekers, Carmen D. Dirksen, Loes F.S. Kooreman, Brigitte F.M. Slangen, Roy F.P.M. Kruitwagen, Toon Van Gorp
The Risk of Malignancy Index (RMI) is commonly used to diagnose adnexal masses. The aim of the present study was to determine the cost-effectiveness of the RMI compared with subjective assessment (SA) by an expert and the following novel ultrasound models:- Simple rules (SR) added by SA (SR + SA);- SR with inconclusive results diagnosed as malignant (SR + Mal);- Logistic Regression model 2 (LR2); and- Assessment of Different NEoplasias in the adneXa (ADNEX) model.Cost-effectiveness and budget impact analyses were performed from a societal perspective. A decision tree was constructed, and short-term costs and effects were examined in women with adnexal masses. Sensitivity, specificity and the costs of diagnostic strategies were incorporated. Incremental cost-effectiveness ratios were expressed as costs/additional percentage of correctly diagnosed patients. Probabilistic and deterministic sensitivity analyses were performed.Effectiveness was highest for SA (90.7% [95% confidence interval = 77.3–100]), with a cost saving of 5.0% (−€398 per patient [−€1403 to 549]) compared with the RMI. The costs of SR + SA were the lowest (€7180 [6072–8436]), resulting in a cost saving of 9.0% (−€709 per patient [−€1628 to 236]) compared with the RMI, with an effectiveness of 89.6% (75.8–100). SR + SA showed the highest probability of being the most cost-effective when willingness-to-pay was <€350 per additional percentage of correctly diagnosed patients. The RMI had low cost-effectiveness probabilities (<3%) and was inferior to SA, SR + SA and LR2. Budget impact in the Netherlands compared with that of the RMI varied between a cost saving of €4.67 million for SR + SA and additional costs of €3.83 million when implementing ADNEX (cut-off: 10%). The results were robust when tested in sensitivity analyses.Although SA is the best strategy in terms of diagnostic accuracy, SR + SA might be preferred from a cost-effectiveness perspective.



https://ift.tt/2KqPyO7

Noncanonical Hippo Signalling in the Regulation of Leukocyte Function

Publication date: Available online 26 June 2018
Source:Trends in Immunology
Author(s): Angela R.M. Kurz, Sergio D. Catz, Markus Sperandio
The mammalian sterile 20-like (MST) kinases are central constituents of the evolutionary ancient canonical Hippo pathway regulating cell proliferation and survival. However, perhaps surprisingly, MST1 deficiency in human patients leads to a severe combined immunodeficiency syndrome with features of autoimmune disease. In line with this, Mst1-deficient mice exhibit severe defects in lymphocyte and neutrophil functions as well as disturbed intracellular vesicle transport. These findings spurred research on the noncanonical functions of MST1 in leukocytes. Here, we summarise the latest findings on this topic and discuss MST1 as a critical regulator of various leukocyte functions.



https://ift.tt/2IvGR34

Unilateral petrified ear

Clinical and Experimental Dermatology, EarlyView.


https://ift.tt/2lAnn4l

A retrospective study of lichen planus pigmentosus with focus on palmoplantar involvement

Clinical and Experimental Dermatology, EarlyView.


https://ift.tt/2tFHzFG

Does transcutaneous electrical nerve stimulation have an antipruritic effect in lichen planus? A randomized clinical trial

Clinical and Experimental Dermatology, EarlyView.


https://ift.tt/2lFZn01

A young man with necrotic skin lesions

Clinical and Experimental Dermatology, EarlyView.


https://ift.tt/2yLCv8w

Erratum: Der Kontexteffekt bei der Spracherkennung von Sätzen

Laryngo-Rhino-Otol
DOI: 10.1055/a-0642-3621



© Georg Thieme Verlag KG Stuttgart · New York

Article in Thieme eJournals:
Table of contents  |  Full text



https://ift.tt/2KnpUtC

The Association Between the Levels of Thyroid Hormones and Peripheral Nerve Conduction in Patients with Type 2 Diabetes Mellitus

03-2018-0114-dia_10-1055-a-0635-0826-1.j

Exp Clin Endocrinol Diabetes
DOI: 10.1055/a-0635-0826

Background Type 2 diabetes has an underlying pathology with thyroid dysfunction. However, few studies have investigated the association between thyroid hormones and diabetic peripheral neuropathy. Our aim was to evaluate the relationship between thyroid hormones and electrophysiological properties of peripheral nerves in type 2 diabetes. Patients and Methods The medical records of 308 patients with type 2 diabetes were enrolled in this study. Subjects stratified by sex were divided into subgroups based on the diagnosis of nerve conduction study. The nerve conduction parameters were separately described with the spectrum of thyroid hormones. Multivariate regression models to analyze the potential links between thyroid hormones and nerve conduction parameters. Results The serum free triiodine thyronine levels between normal and abnormal nerve conduction groups were statistically different in total (4.55±0.65 vs 4.37±0.63, P<0.05) and female diabetic patients (4.46±0.50 vs 4.14±0.57, P<0.01). Moreover, the summed amplitude and velocity Z score of female and male increased with free triiodine thyronine levels (P<0.05). Sex-specific binary logistic regression models showed that free triiodine thyronine levels were associated with decreased odds of abnormal nerve conduction diagnosis (odds ratio [95%CI]=0.151[0.047-0.186]) and low tertile of summed amplitude Z score (odds ratio [95%CI]=0.283[0.099-0.809]) in female. In total patients, free triiodine thyronine level was negatively associated with odds of abnormal nerve conduction (odds ratio [95%CI]=0.436 [0.226-0.842]), low tertile of summed velocity (odds ratio [95%CI]=0.44[0.226-0.858]) and amplitude (odds ratio [95%CI]=0.436[0.227-0.838) Z score. Conclusions Serum free triiodine thyronine level is associated with nerve conduction in diabetes. Low free triiodine thyronine may be a potential risk for diabetic peripheral neuropathy.
[...]

© Georg Thieme Verlag KG Stuttgart · New York

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Point-of-Care-Gerinnungsdiagnostik: neue Methoden, neue Indikationen, neue Studienlage

Anästhesiol Intensivmed Notfallmed Schmerzther 2018; 53: 410-411
DOI: 10.1055/a-0597-4581



Georg Thieme Verlag KG Stuttgart · New York

Article in Thieme eJournals:
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https://ift.tt/2N01h89

Akutes Nierenversagen ist vermeidbar

Anästhesiol Intensivmed Notfallmed Schmerzther 2018; 53: 406-407
DOI: 10.1055/a-0633-7284



Georg Thieme Verlag KG Stuttgart · New York

Article in Thieme eJournals:
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https://ift.tt/2KnhP88

Pflegemangel in Intensivmedizin führt zu Versorgungsengpässen

Anästhesiol Intensivmed Notfallmed Schmerzther 2018; 53: 405-405
DOI: 10.1055/a-0597-4562



Georg Thieme Verlag KG Stuttgart · New York

Article in Thieme eJournals:
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https://ift.tt/2N3nu56

Notfall-Traumatologie: Endexspiratorischer CO2-Wert ist prädiktiv für Überleben

Anästhesiol Intensivmed Notfallmed Schmerzther 2018; 53: 406-406
DOI: 10.1055/a-0633-7339



Georg Thieme Verlag KG Stuttgart · New York

Article in Thieme eJournals:
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https://ift.tt/2Iv5o8w

Abfall des endexspiratorischen CO2-Partialdrucks kann auf Anaphylaxie hinweisen

Anästhesiol Intensivmed Notfallmed Schmerzther 2018; 53: 407-408
DOI: 10.1055/a-0633-7322



Georg Thieme Verlag KG Stuttgart · New York

Article in Thieme eJournals:
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https://ift.tt/2Itz71P

Interskalenäre Plexusblockade vs. Supraskapularisblockade in der Schulterchirurgie

Anästhesiol Intensivmed Notfallmed Schmerzther 2018; 53: 408-408
DOI: 10.1055/a-0633-7210



Georg Thieme Verlag KG Stuttgart · New York

Article in Thieme eJournals:
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https://ift.tt/2IyHyZO

Point-of-Care-Gerinnungsdiagnostik in der Neurochirurgie

Anästhesiol Intensivmed Notfallmed Schmerzther 2018; 53: 425-439
DOI: 10.1055/s-0043-107754

Gerinnungsstörungen können für neurochirurgische Patienten gravierende Auswirkungen auf den Krankheitsverlauf und das Outcome haben: Blutungskomplikationen können zu intrakraniellem Druckanstieg und Schädigung des Gehirns führen. Somit hat die Gerinnungsdiagnostik und ggf. -therapie hier einen hohen Stellenwert. Dieser Beitrag beleuchtet die Anwendung moderner Point-of-Care-Verfahren zur Gerinnungsdiagnostik bei neurochirurgischen Patienten.
[...]

Georg Thieme Verlag KG Stuttgart · New York

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Intranasales Ketamin wirksam bei Kindern mit frischen Frakturen

Anästhesiol Intensivmed Notfallmed Schmerzther 2018; 53: 408-409
DOI: 10.1055/a-0633-7255



Georg Thieme Verlag KG Stuttgart · New York

Article in Thieme eJournals:
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https://ift.tt/2IueLVS

Der sichere Gefäßzugang – britisch-irische Leitlinie 2016

Anästhesiol Intensivmed Notfallmed Schmerzther 2018; 53: 458-465
DOI: 10.1055/s-0043-104546

Die Etablierung von Gefäßzugängen ist bei der Krankenversorgung die häufigste invasive Prozedur. Sie kann bei unsachgemäßer Durchführung äußerst traumatisierend für die Patientinnen und Patienten sein. Die neue Leitlinie der britisch-irischen Gesellschaft für Anästhesiologie wurde 2016 erstellt, da trotz existierender Handlungsempfehlungen immer noch schwere Komplikationen mit negativem Einfluss auf Morbidität und Mortalität auftreten.
[...]

Georg Thieme Verlag KG Stuttgart · New York

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https://ift.tt/2tuUlYw

Die Rolle der Ernährung beim herzchirurgischen Patienten – eine Übersicht

Anästhesiol Intensivmed Notfallmed Schmerzther 2018; 53: 466-479
DOI: 10.1055/s-0043-121440

Der präoperative Ernährungsstatus und die perioperative Ernährungsstrategie spielen eine wichtige Rolle für das Outcome herzchirurgischer Patienten – dennoch gibt es nur wenige Studien zu Ernährungskonzepten für diese Patientengruppe. In diesem Beitrag werden die Ursachen der Mangelernährung, der Einfluss der Ernährungstherapie auf den herzchirurgischen Patienten und Strategien zur Verbesserung der Ernährung beschrieben.
[...]

Georg Thieme Verlag KG Stuttgart · New York

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Predictors of Clinical Outcome after Reconstruction of Complex Soft Tissue Defects Involving the Achilles Tendon with the Composite Anterolateral Thigh Flap with Vascularized Fascia Lata

J reconstr Microsurg
DOI: 10.1055/s-0038-1660830

Background The composite anterolateral thigh flap with vascularized fascia lata (ALT-FL flap) for covering complex soft tissue defects involving the Achilles tendon has shown promising results. The age and body mass index (BMI) are important predictors of clinical outcome after surgical treatment of Achilles tendon ruptures. In this study, we investigate whether these also influence the outcome of patients after Achilles tendon reconstruction using the ALT-FL flap. Methods Twenty patients (mean age: 55.9 ± 8.7 years) with complex tissue defects involving the Achilles tendon underwent reconstruction with the ALT-FL flap. Both the Achilles tendon Total Rupture Score (ATRS) and the American Orthopaedic Foot and Ankle Society (AOFAS) score were assessed preoperatively and 12 months postoperatively. In addition, postoperative magnetic resonance imaging (MRI) studies and measurements of the ankle range of motion were performed and results compared with existing literature. Results All flaps survived and MRI studies confirmed complete anatomical integration of the fascia lata as "neotendon" at the recipient site. In our patient cohort, the age did not correlate with the outcome measurements, whereas the BMI showed significant negative correlation with the postoperative ATRS (p < 0.001) and AOFAS scores (p < 0.05). The ATRS and AOFAS scores of all patients improved significantly (p < 0.001). However, obese patients with a BMI of more than 30 kg/m2 achieved significant lower ATRS (p < 0.001) and AOFAS scores (p < 0.01), as well as patients with peripheral artery disease (PAD) (p < 0.05). The mean ankle range of motion after ALT-FL flap reconstruction remained statistical insignificant compared with previous avascular or vascularized tendon repairs of the Achilles tendon. Conclusions The ALT-FL flap enables reconstruction of complex tissue defects involving the Achilles tendon with good functional results. However, the presence of an increased BMI or PAD, but not necessarily the age, proves to be a predictor of poor clinical outcome and therefore should be subject to scrutiny during patient selection.
[...]

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

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Cell-Based Therapies in Vascularized Composite Allotransplantation

J reconstr Microsurg
DOI: 10.1055/s-0038-1661336

Background Dendritic cells (DCs) are bone marrow-derived, professional antigen-presenting cells with tolerogenic function. The ability of DCs to regulate alloantigen-specific T cell responses and to promote tolerance has aligned them ideally for a role in vascularized composite allotransplantation (VCA). In this study, we summarize the current evidence for DC therapies for tolerance induction to alleviate the requirement for chronic immunosuppression. Method A comprehensive and structured review of manuscripts published on VCA was performed using the MEDLINE and PubMed databases. All eligible studies published from the year 2000 to 2017 were included in the final results. Result Nineteen original preclinical and clinical studies that employed cell therapy for VCA were included in this review. In vivo DC therapy was found to direct the alloimmune response toward either transplant rejection or tolerance in VCA models. While injection of mature DCs rapidly increases T-cell activity in humans and promotes transplant rejection, the injection of immature DCs acts as an immunosuppressant and inhibits T-cell activity. In addition to immature DCs, mesenchymal stem cells were also found to have a positive effect on allotransplantation of solid organs and bone marrow via cytokine expression which decreases the alloreactive effector lymphocytes and increases CD4+/CD25+/FoxP3 Tregs. Despite the promising findings, the efficacy of cell-based therapies varies greatly across studies, partly due to different methods of cell isolation and purification techniques, source, route and timing of administration, and combination immunosuppressive therapy. Conclusion Additional research is needed to evaluate the efficacy and safety of DC and other cell-based therapeutic measures in human allotransplant recipients. Future direction will focus on the development of novel methods to reduce immunosuppression and develop more individualized management, as well as the clinical application of basic research in the mechanisms of immunologic tolerance.
[...]

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

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Point of Care 2.0: Gerinnungsdiagnostik mit ROTEM® sigma und TEG® 6s

Anästhesiol Intensivmed Notfallmed Schmerzther 2018; 53: 412-424
DOI: 10.1055/s-0043-107755

TEG® 6s und ROTEM® sigma sind die neueste Generation von 2 häufig perioperativ eingesetzten Point-of-Care-Methoden zur Gerinnungsdiagnostik. Sie basieren auf Systemen zur automatischen Probenvorbereitung und -analyse mit Einweg-Testkassetten – personal- und zeitintensives Pipettieren entfällt größtenteils. Dieser Beitrag beschreibt die Testprinzipien und diskutiert Vor- und Nachteile bei der Integration der Methoden in den klinischen Alltag.
[...]

Georg Thieme Verlag KG Stuttgart · New York

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Pflegemangel in Intensivmedizin führt zu Versorgungsengpässen

Anästhesiol Intensivmed Notfallmed Schmerzther 2018; 53: 405-405
DOI: 10.1055/a-0597-4562



Georg Thieme Verlag KG Stuttgart · New York

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Notfall-Traumatologie: Endexspiratorischer CO2-Wert ist prädiktiv für Überleben

Anästhesiol Intensivmed Notfallmed Schmerzther 2018; 53: 406-406
DOI: 10.1055/a-0633-7339



Georg Thieme Verlag KG Stuttgart · New York

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Point-of-Care-Diagnostik in der Traumatologie – Methoden und Evidenz

Anästhesiol Intensivmed Notfallmed Schmerzther 2018; 53: 440-457
DOI: 10.1055/s-0043-107753

Jeder 4. Schwerverletzte weist bereits bei Krankenhausaufnahme eine traumainduzierte Koagulopathie (TIK) auf, die mit einer 4-fach erhöhten Mortalität einhergeht. Rasche und zielgenaue Behandlung kann die TIK-assoziierte Sterblichkeit senken. Point-of-Care-Tests ermöglichen im Vergleich mit herkömmlichen Labormethoden eine zeitnahe und umfassende Bestimmung des Gerinnungsstatus sowie eine zielgerichtete Therapie.
[...]

Georg Thieme Verlag KG Stuttgart · New York

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Abfall des endexspiratorischen CO2-Partialdrucks kann auf Anaphylaxie hinweisen

Anästhesiol Intensivmed Notfallmed Schmerzther 2018; 53: 407-408
DOI: 10.1055/a-0633-7322



Georg Thieme Verlag KG Stuttgart · New York

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Point-of-Care-Gerinnungsdiagnostik: neue Methoden, neue Indikationen, neue Studienlage

Anästhesiol Intensivmed Notfallmed Schmerzther 2018; 53: 410-411
DOI: 10.1055/a-0597-4581



Georg Thieme Verlag KG Stuttgart · New York

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https://ift.tt/2N01h89

Interskalenäre Plexusblockade vs. Supraskapularisblockade in der Schulterchirurgie

Anästhesiol Intensivmed Notfallmed Schmerzther 2018; 53: 408-408
DOI: 10.1055/a-0633-7210



Georg Thieme Verlag KG Stuttgart · New York

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Point-of-Care-Gerinnungsdiagnostik in der Neurochirurgie

Anästhesiol Intensivmed Notfallmed Schmerzther 2018; 53: 425-439
DOI: 10.1055/s-0043-107754

Gerinnungsstörungen können für neurochirurgische Patienten gravierende Auswirkungen auf den Krankheitsverlauf und das Outcome haben: Blutungskomplikationen können zu intrakraniellem Druckanstieg und Schädigung des Gehirns führen. Somit hat die Gerinnungsdiagnostik und ggf. -therapie hier einen hohen Stellenwert. Dieser Beitrag beleuchtet die Anwendung moderner Point-of-Care-Verfahren zur Gerinnungsdiagnostik bei neurochirurgischen Patienten.
[...]

Georg Thieme Verlag KG Stuttgart · New York

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https://ift.tt/2tuUrzm

Intranasales Ketamin wirksam bei Kindern mit frischen Frakturen

Anästhesiol Intensivmed Notfallmed Schmerzther 2018; 53: 408-409
DOI: 10.1055/a-0633-7255



Georg Thieme Verlag KG Stuttgart · New York

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https://ift.tt/2IueLVS

Der sichere Gefäßzugang – britisch-irische Leitlinie 2016

Anästhesiol Intensivmed Notfallmed Schmerzther 2018; 53: 458-465
DOI: 10.1055/s-0043-104546

Die Etablierung von Gefäßzugängen ist bei der Krankenversorgung die häufigste invasive Prozedur. Sie kann bei unsachgemäßer Durchführung äußerst traumatisierend für die Patientinnen und Patienten sein. Die neue Leitlinie der britisch-irischen Gesellschaft für Anästhesiologie wurde 2016 erstellt, da trotz existierender Handlungsempfehlungen immer noch schwere Komplikationen mit negativem Einfluss auf Morbidität und Mortalität auftreten.
[...]

Georg Thieme Verlag KG Stuttgart · New York

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Table of contents  |  Abstract  |  Full text



https://ift.tt/2tuUlYw

Die Rolle der Ernährung beim herzchirurgischen Patienten – eine Übersicht

Anästhesiol Intensivmed Notfallmed Schmerzther 2018; 53: 466-479
DOI: 10.1055/s-0043-121440

Der präoperative Ernährungsstatus und die perioperative Ernährungsstrategie spielen eine wichtige Rolle für das Outcome herzchirurgischer Patienten – dennoch gibt es nur wenige Studien zu Ernährungskonzepten für diese Patientengruppe. In diesem Beitrag werden die Ursachen der Mangelernährung, der Einfluss der Ernährungstherapie auf den herzchirurgischen Patienten und Strategien zur Verbesserung der Ernährung beschrieben.
[...]

Georg Thieme Verlag KG Stuttgart · New York

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https://ift.tt/2KpN3eM

Canadian Physician Survey on the Medical Management of Hereditary Angioedema

Hereditary angioedema (HAE) is a rare disease that has significant morbidity and may be potentially fatal due to airway obstruction. Our study aimed to determine how Canadian physicians diagnose and treat HAE.

https://ift.tt/2KrGR6l

Sub-chronic toxicity of Gyejibokryeong-hwan in Sprague-Dawley rats

Publication date: 5 October 2018
Source:Journal of Ethnopharmacology, Volume 224
Author(s): Seong Eun Jin, Chang-Seob Seo, Mee-Young Lee, Hyeun-Kyoo Shin, Mi-Jin Yang, Hyekyung Ha
Ethnopharmacological relevanceTraditional herbal formula Gyejibokryeong-hwan (GJBRH; Guizhifuling-wan, Keishibukuryo-gan) consisting five medicinal herbs has been used to treat uterine disorders, gynecological diseases and blood stasis syndrome in Asia.Aim of the studyWe evaluated the safety of GJBRH in Crl:CD Sprague-Dawley (SD) rats over a period of 13 weeks.Materials and methodsTo confirm the stability of the components of GJBRH, we analyzed the component contents in GJBRH at different storage periods, using high-performance liquid chromatography. Male and female SD rats were orally administered with GJBRH at doses of 0, 1000, 2000 and 5000 mg/kg/day for 13 weeks and assessed after a 4-week recovery period. Mortality, changes in body weight and food consumption, organ weights, hematology and serum biochemistry were monitored during the experimental period, along with clinical observations, ophthalmological examinations, urinalysis and histopathology.ResultsThere were no significant differences among the eight marker compounds in GJBRH according to storage period. No significant GJBRH-treatment-related toxicological changes were observed in mortality or ophthalmological examinations in either sex. However, soft feces were observed in the male 5000 mg/kg/day group. In addition, there were significant changes in body weight and food consumption in both male and female rats treated with GJBRH at a dose of 5000 mg/kg/day. In the hematological examinations, we found a significant increase in white blood cells, neutrophils and fibrinogen in the 5000 mg/kg/day groups. In the urinalysis, a decrease in the total protein and albumin and an increase in the ovalbumin/globulin ratio were observed in both male and female rats treated with GJBRH at a dose of 5000 mg/kg/day. Histopathological examinations revealed erosion/ulcers and dilated glands in the stomachs of males from the 5000 mg/kg/day group, and squamous cell hyperplasia and epithelial atrophy was observed in the stomachs of both male and female rats treated with GJBRH at a dose of 5000 mg/kg/day.ConclusionThe no-observed-adverse-effect level (NOAEL) was 2000 mg/kg/day for both sexes.

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In vivo wound-healing activity of Euphorbia characias subsp. wulfenii: Isolation and quantification of quercetin glycosides as bioactive compounds

Publication date: 5 October 2018
Source:Journal of Ethnopharmacology, Volume 224
Author(s): Serkan Özbilgin, Özlem Bahadır Acıkara, Esra Küpeli Akkol, Ipek Süntar, Hikmet Keleş, Gülçin Saltan İşcan
Ethnopharmacological relevanceThe latex and the aerial parts of Euphorbia characias L. (Euphorbiaceae) have been used as medicinal plant to treat wounds and warts in traditional medicine.Aim of the studyThe effect of the plant extract was tested in vivo and in vitro with experimental models to find scientific evidence for traditional use in wound healing. Potentially active wound-healer compounds were isolated from the active fraction using fractionation procedures under the guidance of biological assay and the possible role of the compounds in the wound healing process was also determined.Material and methodsN-hexane, ethyl acetate, and methanol extracts were successively prepared from the aerial parts of E. characias subsp. wulfenii. The extracts were tested with linear incision, circular excision wound models and the hydroxyproline assay method to assess the wound-healing activity. The inhibition of the increase in capillary permeability induced by acetic acid, an acute inflammation model, was used to assay the anti-inflammatory activity. Different chromatographic separation techniques on sephadex and silica gel columns, and bioassay guided assay techniques have been used to isolate the active compounds of the plant. Moreover, hyaluronidase, collagenase and elastase enzymes inhibitory effect of active principle were investigated in vitro to find out the mechanism of action.ResultsThe methanol (MeOH-ex) extract of the aerial parts of E. characias subsp. wulfenii showed significant wound healing activity (linear incision wound model: 43.04%; circular excision wound model 65.24%) and anti-inflammatory activity (34.74%). The methanol extract was separated into its fractions by column chromatography for isolation of efficient compounds. Biological activity of the fractions were assessed and further isolation and purification processes have been carried out in the active fraction. Isolation studies were carried out from the MeOH-ex fraction to obtain active constituents and their structures were elucidated to be quercetin-3-O-rhamnoside (quercitrin), quercetin-3-O-galactoside (hyperoside), and quercetin-3-O-arabinoside (guaijaverin). Further in vitro and in vivo assays showed that quercetin derivatives were responsible for the wound-healing activity of the plant, and also found to be significant anti-elastase and anti-collagenase activities. The amounts of three compounds, isolated from active fraction, were determined by using high performance liquid chromatography. Calibration equation was calculated with dilutions, prepared from pure substances, and assay was performed in total extract, prepared from E. characias subsp. wulfenii. It was detected that the plant had 1.22% quercitrin, 0.35% hyperoside, and 0.11% guaijaverin. The validation of the analytical method was performed by linearity, precision, limit of detection, and limit of quantification parameters.ConclusionPresent study supported the traditional use of the aerial parts E. characias subsp. wulfenii as wound healer and quercetin derivatives were isolated as active components from the active fraction by using bioassay-guided fractionation technique.

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The genus Pterocaulon (Asteraceae) – A review on traditional medicinal uses, chemical constituents and biological properties

Publication date: 5 October 2018
Source:Journal of Ethnopharmacology, Volume 224
Author(s): Bruna Medeiros-Neves, Helder Ferreira Teixeira, Gilsane Lino von Poser
Ethnopharmacological relevanceSpecies of the genus Pterocaulon (Asteraceae) are used in different parts of the world for treating skin and liver diseases, as well as disorders of the respiratory system, among others.Aim of the studyThis review aims to discuss the present state of the art concerning the ethnobotanical uses, secondary metabolites and biological effects of Pterocaulon species and their chemical components.Materials and methodsThe available information on the genus Pterocaulon was gathered from scientific databases (Web of Science, Pubmed, ScienceDirect, Scopus, ChemSpider, SciFinder ACS Publications, Wiley Online Library). Information was also obtained from local publications, M.Sc. and Ph.D. dissertations. All studies on the ethnobotany, phytochemistry, pharmacology and toxicology of the plants until December 2017 were included in this review.ResultsApproximately 40 coumarins and 30 flavonoids have been isolated from Pterocaulon species. Coumarins have been considered the chemotaxonomic markers in the genus and the most active components. Pharmacological studies carried out with extracts and isolated compounds revealed in vitro bioactivities that include antifungal, antiviral, and cytotoxicity. Most of the pharmacological investigations were not correlated with traditional uses of the plants.ConclusionsPterocaulon species, a rich source of coumarins, have great ethnomedical potential. Nevertheless, further studies into the pharmacological activities are necessary since none of the purported effects of these plants was fully assessed. In-depth research regarding the toxicity are also required to ensure the safety of these medicinal plants.

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Clitoria ternatea L. root extract ameliorated the cognitive and hippocampal long-term potentiation deficits induced by chronic cerebral hypoperfusion in the rat

Publication date: 5 October 2018
Source:Journal of Ethnopharmacology, Volume 224
Author(s): Thenmoly Damodaran, Byorn Wei Liang Tan, Ping Liao, Surash Ramanathan, Gin Keat Lim, Zurina Hassan
Ethnopharmacological relevanceClitoria ternatea L. (CT), commonly known as Butterfly pea, is used in Indian Ayurvedic medicine to promote brain function and treat mental disorders. Root of CT has been proven to enhance memory, but its role in an animal model of chronic cerebral hypoperfusion (CCH), which has been considered as a major cause of brain disorders, has yet to be explored.Aim of the studyTo assess the motor and cognitive effects of acute oral administration of CT root methanolic extract and hippocampal long-term plasticity in the CA1 region of the CCH rat model.Materials and methodsMale Sprague Dawley rats (200–300 g) were subjected to permanent bilateral occlusion of common carotid arteries (PBOCCA) or sham operation. Then, these rats were given oral administration of CT root extract at doses of 100, 200 or 300 mg/kg on day 28 post-surgery and tested using behavioural tests (open-field test, passive avoidance task, and Morris water maze) and electrophysiological recordings (under urethane anaesthesia).ResultsTreatment with CT root extract at the doses of 200 and 300 mg/kg resulted in a significant enhancement in memory performance in CCH rats induced by PBOCCA. Furthermore, CCH resulted in inhibition of long-term potentiation (LTP) formation in the hippocampus, and CT root extract rescued the LTP impairment. The CT root extract was confirmed to improve the glutamate-induced calcium increase via calcium imaging using primary cultured rat neurons. No significance difference was found in the CaMKII expression. These results demonstrated that CT root extract ameliorates synaptic function, which may contribute to its improving effect on cognitive behaviour.ConclusionsOur findings demonstrated an improving effect of CT root extract on memory in the CCH rat model suggesting that CT root extract could be a potential therapeutic strategy to prevent the progression of cognitive deterioration in vascular dementia (VaD) and Alzheimer's disease (AD) patients.

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Bioassay-guided isolation of active substances from Semen Torreyae identifies two new anthelmintic compounds with novel mechanism of action

Publication date: 5 October 2018
Source:Journal of Ethnopharmacology, Volume 224
Author(s): Maoxuan Liu, Cedrick Veryser, Jing-Guang Lu, Tom Wenseleers, Wim M. De Borggraeve, Zhi-Hong Jiang, Walter Luyten
Ethnopharmacological relevanceSemen Torreyae, the seeds of Torreya grandis Fortune ex Lindley (Cephalotaxaceae) is a well-known traditional Chinese medicinal plant recorded in the Chinese Pharmacopeia (2010 version). It is widely used for treating intestinal parasites in China, owing to its desirable efficacy and safety. However, the anthelmintic compounds in Semen Torreyae have not yet been identified.Aim of the studyThis study aims to identify the compounds active against helminths from Semen Torreyae. In addition, we tested whether C. elegans strains resistant to currently-used anthelmintic drugs showed cross-resistance to these compounds.MethodsA bioassay-guided isolation of anthelmintic compounds from Semen Torreyae was performed using a Caenorhabditis elegans (C. elegans) testing model. The structures of active compounds were elucidated by a combination of GC-MS, high resolution MS, and NMR. The median-effect method was employed to generate a combination index (CI) to evaluate the synergistic effect of the anthelmintic compounds. A panel of C. elegans mutant strains resistant against the major anthelmintic drug classes was used to study the cross-resistance to currently-used anthelmintic drugs. A panel of transient receptor potential (TRP) channel mutant strains was also tested to explore the possible mechanisms of action of the anthelmintic compounds.ResultsThe bioassay-guided isolation led to two active compounds, i.e. galangal acetate (IC50: 58.5 ± 8.9 μM) and miogadial (IC50: 25.1 ± 5.4 μM). The combination of galangal acetate and miogadial resulted in a synergistic effect at IC50, IC70, and IC90 levels (CIs < 1). Galangal acetate and miogadial demonstrated similar activity against drug-resistant C. elegans strains compared to the wild-type strain. In addition, none of the TRP mutants was significantly resistant to galangal acetate or miogadial compared to wild type worms.ConclusionsWe identified the bioactive compounds from Semen Torreyae responsible for its anthelmintic activity: galangal acetate and miogadial. The two anthelmintic compounds demonstrated a synergistic effect against C. elegans. Galangal acetate and miogadial are unlikely to act on the targets of currently-used anthelmintics (ivermectin, levamisole, benomyl and aldicarb), and an action on TRP channels appears to be ruled out as well. In summary, galangal acetate and miogadial are promising anthelmintic hits worth further investigation.

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Predisposing factors that increase trigger digit incidence in carpal tunnel syndrome patients: A national, population-based study

Carpal tunnel syndrome (CTS) and trigger digits (TD) are often coexist, and they share many risk factors including diabetes mellitus, rheumatoid arthritis, and osteoarthritis 1.In addition, carpal tunnel release (CTR) can also be associated with TD. Specifically, CTR increases the entrance angle of the flexor tendons to the A1 pulleys 2. This angle increase may cause additional friction between flexor tendons and the A1 pulley, which results in TD 3. When considering treatment for CTS, patients often ask about typical postoperative course and complications.

https://ift.tt/2IvJAJP

Suicidal jumper’s fracture – sacral fractures and spinopelvic instability: a case series

Sacral fractures with spinopelvic dissociation are rare, and hard to diagnose and treat. Fractures with a H- or U-shaped line are severely unstable, due to a dissociation of the spine and of the upper body of ...

https://ift.tt/2KrAe3X

Intracranial meningeal melanocytoma diagnosed using an interdisciplinary approach: a case report and review of the literature

Meningeal melanocytoma is a rare pigmented tumor arising from leptomeningeal melanocytes. Patients with this tumor might initially consult a dentist because a mass lesion in Meckel's cave could manifest as den...

https://ift.tt/2tuR0Zw

Intrathoracic pressure regulation therapy applied to ventilated patients for treatment of compromised cerebral perfusion from brain injury

Reducing intrathoracic pressure in the setting of compromised cerebral perfusion due to acute brain injury has been associated with reduced intracranial pressure and enhanced cerebral perfusion pressure and bl...

https://ift.tt/2KoxvYQ

Migratory polyarthritis as a paraneoplastic syndrome in a patient with diffuse large B cell lymphoma: a case report

Diffuse large B cell lymphoma is the commonest histological subtype of non-Hodgkin lymphoma and typically presents as a rapidly enlarging lymph node mass and B symptoms. It is unusual for diffuse large B cell ...

https://ift.tt/2K9mpLf

Modulation of synaptic inputs in magnocellular neurons in a rat model of cancer cachexia

Journal of Neuroendocrinology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2lzZGsZ

Gene expression profiling in human corticotrope tumors reveals distinct, neuroendocrine profiles

Journal of Neuroendocrinology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2yNIwl2

Effect of 17β‐estradiol on T‐type calcium channels in the lateral habenula

Journal of Neuroendocrinology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2lAsCRB

Scotostimulation of reproductive neural pathways and gonadal maturation are not correlated with hypothalamic expression of deiodinases in subtropical spotted munia

Journal of Neuroendocrinology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2yLIytJ

The Subfornical Organ: A Novel Site for Prolactin Action

Journal of Neuroendocrinology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2yLvsgd

The JAK1/JAK2‐ inhibitor ruxolitinib inhibits mast cell degranulation and cytokine release

Clinical &Experimental Allergy, Volume 0, Issue ja, -Not available-.


https://ift.tt/2lBgWOH

Utility of recombinant Aspergillus fumigatus antigens in the diagnosis of allergic bronchopulmonary aspergillosis: a systematic review and diagnostic test accuracy meta‐analysis

Clinical &Experimental Allergy, Volume 0, Issue ja, -Not available-.


https://ift.tt/2tGTFP0

Targeting MMP‐13 in bronchial epithelial repair

Clinical &Experimental Allergy, Volume 0, Issue ja, -Not available-.


https://ift.tt/2yLIGJJ

Animal models of allergen‐specific immunotherapy in food allergy: Overview and opportunities

Clinical &Experimental Allergy, Volume 0, Issue ja, -Not available-.


https://ift.tt/2lD99zT

Greater Severity of Peanut Challenge Reactions Using a High fat versus Low Fat Matrix Vehicle

Clinical &Experimental Allergy, Volume 0, Issue ja, -Not available-.


https://ift.tt/2yNEvNA

Innate immune response reflects disease activity in eosinophilic granulomatosis with polyangiitis

Clinical &Experimental Allergy, Volume 0, Issue ja, -Not available-.


https://ift.tt/2lzZTfL

Nasal Cytology: Methodology with application to clinical practice and research

Clinical &Experimental Allergy, Volume 0, Issue ja, -Not available-.


https://ift.tt/2tHkaUi

On the reliability of the CD123‐endowed basophil activation test (BAT) and its application in food allergy

Clinical &Experimental Allergy, Volume 0, Issue ja, -Not available-.


https://ift.tt/2lD95jD

A subset of walnut allergic adults is sensitized to walnut 11S globulin Jug r 4

Clinical &Experimental Allergy, Volume 0, Issue ja, -Not available-.


https://ift.tt/2yI6uy0

The enigmatic role of the neutrophil in asthma: friend, foe or indifferent?

Clinical &Experimental Allergy, Volume 0, Issue ja, -Not available-.


https://ift.tt/2lzZOst

Local allergic rhinitis: implications for management

Clinical &Experimental Allergy, Volume 0, Issue ja, -Not available-.


https://ift.tt/2yI6nm4

NLRP3 inflammasome: a likely target for the treatment of allergic diseases

Clinical &Experimental Allergy, Volume 0, Issue ja, -Not available-.


https://ift.tt/2yNJRZe

Diagnosis of concomitant inducible laryngeal obstruction and asthma

Clinical &Experimental Allergy, Volume 0, Issue ja, -Not available-.


https://ift.tt/2lD8U7X

Vaccines and atopic/allergic children: a survey among private pediatricians

Clinical &Experimental Allergy, Volume 0, Issue ja, -Not available-.


https://ift.tt/2yNJFcs

Plasma Metabolite Profiles in Children with Current Asthma

Clinical &Experimental Allergy, Volume 0, Issue ja, -Not available-.


https://ift.tt/2lD8OgB

Helicobacter pylori infection reduces the risk of Barrett's esophagus: A meta‐analysis and systematic review

Helicobacter, EarlyView.


https://ift.tt/2tFYdVB

Diminished circulating concentration of interleukin‐35 in Helicobacter pylori‐infected patients with peptic ulcer: Its association with FOXP3 gene polymorphism, bacterial virulence factor CagA, and gender of patients

Helicobacter, EarlyView.


https://ift.tt/2lDL2Bc

Family‐based study reveals decreased abundance of sputum Granulicatella in asthmatics

Allergy, EarlyView.


https://ift.tt/2N0R4YV

Association of mast cells with clinical, endoscopic, and histologic findings in adults with eosinophilic esophagitis

Allergy, Volume 0, Issue ja, -Not available-.


https://ift.tt/2tFOIFX

A marked shift in innate and adaptive immune response in chinese immigrants living in a western environment

Allergy, Volume 0, Issue ja, -Not available-.


https://ift.tt/2tx7dx4

Mucosal Zinc Deficiency in Chronic Rhinosinusitis with Nasal Polyposis Contributes to Barrier Disruption and Decreases ZO‐1

Allergy, Volume 0, Issue ja, -Not available-.


https://ift.tt/2tIgCBa

Adult farming exposure does not protect against sensitization to the storage mite Lepidoglyphus destructor (Lep d)

Allergy, Volume 0, Issue ja, -Not available-.


https://ift.tt/2txgkho

RAGE‐dependent VCAM‐1 expression in the lung endothelium mediates IL‐33 induced allergic airway inflammation

Allergy, Volume 0, Issue ja, -Not available-.


https://ift.tt/2yNCmS2

17q21 variant increases the risk of exacerbations in asthmatic children despite inhaled corticosteroids use

Allergy, Volume 0, Issue ja, -Not available-.


https://ift.tt/2txSP7Y

Glucocorticoid‐induced eosinopenia in humans can be linked to early transcriptional events

Allergy, Volume 0, Issue ja, -Not available-.


https://ift.tt/2yNHZja

Precision medicine in united airways disease: a “treatable traits” approach

Allergy, Volume 0, Issue ja, -Not available-.


https://ift.tt/2yLbKRF

Updosing of bilastine is effective in moderate to severe chronic spontaneous urticaria: a real life study

Allergy, Volume 0, Issue ja, -Not available-.


https://ift.tt/2tyoGFn

Probiotics for the Airways: potential to improve epithelial and immune homeostasis

Allergy, Volume 0, Issue ja, -Not available-.


https://ift.tt/2tGS9wi

Helicobacter pylori infection reduces the risk of Barrett's esophagus: A meta‐analysis and systematic review

Helicobacter, EarlyView.


https://ift.tt/2tFYdVB

Diminished circulating concentration of interleukin‐35 in Helicobacter pylori‐infected patients with peptic ulcer: Its association with FOXP3 gene polymorphism, bacterial virulence factor CagA, and gender of patients

Helicobacter, EarlyView.


https://ift.tt/2lDL2Bc

Saline suppression test parameters may predict bilateral subtypes of primary aldosteronism

Clinical Endocrinology, EarlyView.


https://ift.tt/2lFI3Ix

Cushing's Disease in Older Patients: Presentation and Outcome

Clinical Endocrinology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2tFkUJC

Estradiol Level, Estrogen Receptors, and Mortality in Elderly Men: The Three‐City Cohort Study

Clinical Endocrinology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2yRKZLA

Statin Medications and the Risk of Gynecomastia

Clinical Endocrinology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2tI9Mvo

Hyponatremia, falls and bone fractures: a systematic review and meta‐analysis

Clinical Endocrinology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2lCY0iE

Long‐term follow up of a large prospective cohort of patients with non‐functioning pituitary adenomas: the outcome of a conservative management policy

Clinical Endocrinology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2tFKnCQ

Should survivors of childhood cancer or testicular cancer be screened for androgen deficiency?

Clinical Endocrinology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2lFHCOp

Small for gestational age is a risk factor for the development of delayed thyrotropin elevation in infants weighing less than 2000 g

Clinical Endocrinology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2yLaZbh

Prevalence of Thyroid Dysfunction in a Large Southern European Population Analysis of modulatory factors The APNA Study

Clinical Endocrinology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2lCBExs

Impact of menopause on outcomes in prolactinomas after dopamine agonist treatment withdrawal

Clinical Endocrinology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2yI1Yzy

The association between liver cirrhosis and fracture risk: a systematic review and meta‐analysis

Clinical Endocrinology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2N1GLDZ

Extreme phenotypic variability of a novel GLI2 mutation in a large family with panhypopituitarism and polydactyly; clinical implications

Clinical Endocrinology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2tGPAua

Fracture risk in young and middle‐aged adults with Type 1 diabetes mellitus: a systematic review and meta‐analysis

Clinical Endocrinology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2KtnSv4

Prolonged HCG therapy for inguinal testis is effective for testicular descent in prepubertal males presenting after age 10 years

Clinical Endocrinology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2tGQ7wa

Symptomatic Androgen Deficiency Develops only When Both Total and Free Testosterone Decline in Obese Men Who may have Incident Biochemical Secondary Hypogonadism: Prospective Results from the EMAS

Clinical Endocrinology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2ty19nX

Thyrotoxicosis after iodine fortification. A 21 year Danish population based study

Clinical Endocrinology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2tGPLWm

Live and let die: hydrogen peroxide production by the commensal flora and its role in maintaining a symbiotic microbiome

Molecular Oral Microbiology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2yNjvGS

Poromas with large lumens histopathologically mimicking syringocystadenoma papilliferum: Report of three cases

Australasian Journal of Dermatology, EarlyView.


https://ift.tt/2tFSZJt

Fire in the theatre: A cautionary tale

Australasian Journal of Dermatology, EarlyView.


https://ift.tt/2lDsSiU

Hospital‐based phototherapy: What is the cost to our patients?

Australasian Journal of Dermatology, EarlyView.


https://ift.tt/2yL6ldl

Protective effect of skin‐derived precursors on photoaging in nude mice

Australasian Journal of Dermatology, EarlyView.


https://ift.tt/2lCV8Co

Poromas with large lumens histopathologically mimicking syringocystadenoma papilliferum: Report of three cases

Australasian Journal of Dermatology, EarlyView.


https://ift.tt/2tFSZJt

Hospital‐based phototherapy: What is the cost to our patients?

Australasian Journal of Dermatology, EarlyView.


https://ift.tt/2yL6ldl

Protective effect of skin‐derived precursors on photoaging in nude mice

Australasian Journal of Dermatology, EarlyView.


https://ift.tt/2lCV8Co

Fragrance exposure in the UK: has there been a change in the last decade?

British Journal of Dermatology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2yNzhkY

Relationship and probabilistic stratification of EASI and oSCORAD severity scores for atopic dermatitis

British Journal of Dermatology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2lytGpg

Identification of a recurrent mutation in ATP2C1 demonstrates that papular acantholytic dyskeratosis and Hailey‐Hailey disease are allelic disorders

British Journal of Dermatology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2lB8oqP

Expression profile of the amino acid transporters SLC7A5, SLC7A7, SLC7A8 and the enzyme TDO2 in basal cell carcinoma

British Journal of Dermatology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2yNeFJI

Hydroxyurea and Acitretin as a novel combination therapy in severe plaque psoriasis

British Journal of Dermatology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2lCoC3h

Keratinocytes derived from late‐onset psoriasis skin do not impair Langerhans cell migration

British Journal of Dermatology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2yNugsC

Standardized reporting of the Eczema Area and Severity Index (EASI) and the Patient‐Oriented Eczema Measure (POEM): a recommendation by the Harmonising Outcome Measures for Eczema (HOME) Initiative

British Journal of Dermatology, EarlyView.


https://ift.tt/2lAnAVd

Short‐term exposure of human sebocytes to 13‐cis retinoic acid induces acnegenic changes

British Journal of Dermatology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2lAq9qo

Epidermolysis bullosa simplex generalized severe induces a Th17 response and is improved by Apremilast treatment

British Journal of Dermatology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2yKlxau

Vesicular variant of Dowling‐Degos disease

British Journal of Dermatology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2lCoCQP

Prospective evaluation of frequency of genital lichen sclerosus in 79 patients with systemic sclerosis

British Journal of Dermatology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2yNedv0

Validation of a short form FLQA‐LS quality of life instrument for lymphedema

British Journal of Dermatology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2lBbGdV

Secukinumab in pregnancy: outcomes in psoriasis, psoriatic arthritis and ankylosing spondylitis from the global safety database

British Journal of Dermatology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2tIhTbt

Autosomal dominant progressive hyperpigmentation and lentigines in a Japanese pedigree due to a missense mutation near the C‐terminus of KIT

British Journal of Dermatology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2lA4KgV

Keratinocytes derived from late‐onset psoriasis skin do not impair Langerhans cell migration

British Journal of Dermatology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2yNugsC

Integrative Care and Acupuncture in MOHS Surgery

Condition:   Quality of Life
Intervention:   Other: Integrative medicine care
Sponsor:   Carmel Medical Center
Not yet recruiting

https://ift.tt/2IykR7M

Radiation-associated Carotid Artery Disease in Patients With Nasopharyngeal Carcinoma

Conditions:   Nasopharyngeal Carcinoma;   Carotid Artery Diseases
Interventions:   Diagnostic Test: Measurement of intima media thickness of carotid artery;   Diagnostic Test: Detection and measurement of carotid plaques;   Diagnostic Test: Carotid Color Flow Duplex Testing;   Diagnostic Test: Montreal Cognitive Assessment;   Other: Medical history of cardiovascular risk factors and cardiovascular diseases
Sponsor:   Fudan University
Not yet recruiting

https://ift.tt/2Kkto3l

ESTIMation of the ABiLity of Prophylactic Central Compartment Neck Dissection to Modify Outcomes in Low-risk Differentiated Thyroid Cancer

Condition:   Thyroid Cancer
Interventions:   Procedure: total thyroidectomy with bilateral prophylactic central compartment (level VI) neck dissection;   Procedure: total thyroidectomy alone without neck dissection
Sponsor:   Gustave Roussy, Cancer Campus, Grand Paris
Not yet recruiting

https://ift.tt/2MrfdH6

Effectiveness and Safety of Nivolumab in Participants That Have Head and Neck Cancer That Has Come Back or Has Spread.

Conditions:   Cancer of Head and Neck;   Cancer of the Head;   Cancer of the Neck
Intervention:   Other: Non-Interventional
Sponsors:   Bristol-Myers Squibb;   Ono Pharma USA Inc
Recruiting

https://ift.tt/2K882qq

Reflectance confocal microscopy: a crucial role for actinic keratosis treatment monitoring

Journal of the European Academy of Dermatology and Venereology, Volume 32, Issue 7, Page 1055-1055, July 2018.


https://ift.tt/2N2XRkU

Pioneers in dermatology and venereology: an interview with Prof. Otto Braun‐Falco

Journal of the European Academy of Dermatology and Venereology, Volume 32, Issue 7, Page 1056-1058, July 2018.


https://ift.tt/2tFJkmb

Biosimilars

Journal of the European Academy of Dermatology and Venereology, Volume 32, Issue 7, Page 1054-1054, July 2018.


https://ift.tt/2tx99ps

Announcement

Journal of the European Academy of Dermatology and Venereology, Volume 32, Issue 7, Page 1223-1223, July 2018.


https://ift.tt/2tx91pY

The self‐assessed psychological comorbidities of prurigo in European patients: A multi‐centre study in 13 countries

Journal of the European Academy of Dermatology and Venereology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2txKeSF

Should we be testing for urogenital Mycoplasma hominis, Ureaplasma parvum and U. urealyticum in men and women? – a Position Statement from the European STI Guidelines Editorial Board

Journal of the European Academy of Dermatology and Venereology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2twVKxw

Allergic contact reaction to antiseptics in very young children

Journal of the European Academy of Dermatology and Venereology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2yLuuAr

Evolution of pigmented Spitz nevi with starburst pattern during childhood

Journal of the European Academy of Dermatology and Venereology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2tFaeLe

In Situ Nail Unit Melanoma: epidemiological and clinic‐pathologic features with conservative treatment and long term follow up

Journal of the European Academy of Dermatology and Venereology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2tw3PlZ

Evaluation of Antimicrobial Textiles for Atopic Dermatitis

Journal of the European Academy of Dermatology and Venereology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2tCxPMg

How to improve the endoscopic view of the hypopharynx: Validation of our novel modified Killian's Method to expose the hypopharynx in 20 subjects

Clinical Otolaryngology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2tFakCA

Healing criteria: how should be defined an episode of benign paroxistic positional vertigo of posterior semicircular canal′s resolution? Prospective observational study

Clinical Otolaryngology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2tCxUj2

Pre‐treatment CD8+ tumor‐infiltrating lymphocyte density predicts distant metastasis after definitive treatment in patients with stage III/IV hypopharyngeal squamous cell carcinoma

Clinical Otolaryngology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2tHHeSO

Modeling the dependence of the distortion product otoacoustic emission response on primary frequency ratio

Abstract

When measured as a function of primary frequency ratio r = f2/f1, using a constant f2, distortion product otoacoustic emission (DPOAE) response demonstrates a bandpass shape, previously interpreted as the evidence for a cochlear "second filter." In this study, an alternate, interference-based explanation, previously advanced in variants, is forwarded on the basis of experimental data along with numerical and analytical solutions of nonlinear and linear cochlear models. The decrease of the DPOAE response with increasing and decreasing ratios is explained by a diminishing "overlap" generation region and the onset of negative interference among wavelets of different phase, respectively. In this paper, the additional quantitative hypothesis is made that negative interference becomes the dominant effect when the spatial width of the generation (overlap) region exceeds half a wavelength of the DPOAE wavelets. Therefore, r is predicted to be optimal when this condition is matched. Additionally, the minimum on the low-ratio side of the DPOAE curve is predicted to occur as the overlap region width equals one wavelength. As the width of the overlap region depends on both tuning and ratio, while wavelength depends on tuning only, an experimental method for estimating tuning from either the width of the pass band or the optimal ratio of the DPOAE vs. ratio curve has been theoretically formulated and evaluated using numerical simulations. A linear model without the possibility of nonlinear suppression is shown to reasonably approximate data from human subjects at low ratios reinforcing the relevance of the proposed negative interference effect. The different dependence of the distortion and reflection DPOAE components on r as well as the nonmonotonic behavior of the distortion component observed at very low ratios are also in agreement with this interpretation.



https://ift.tt/2ItXXhU

In This Issue



https://ift.tt/2lCj7S9

Kelch-like protein 14 promotes B-1a but suppresses B-1b cell development

Abstract
B-1 cells are innate-like B-cell population and produce natural antibodies that contribute to the first line of host defense. There are two subsets of B-1 cells: B-1a and B-1b. B-1a cells are the main producer of poly-reactive and autoreactive natural IgM antibodies, whereas B-1b cells can respond specifically to T-cell-independent antigens. Despite the functional significance of B-1a and B-1b cells, little information is available about what regulates the development of these two subsets. We found that Kelch-like protein 14 (KLHL14) was expressed at high levels in B cells but only at low levels in a few non-lymphoid tissues. Although mice lacking KLHL14 died right after birth, the heterozygotes developed normally with no gross abnormalities by appearance. B-cell development in the bone marrow and maturation and activation in the spleen were not affected in the heterozygous mice. However, the number of peritoneal B-1a cells was significantly reduced while B-1b cells were increased in Klhl14 heterozygous mice compared with wild-type (WT) mice. Consistently, Rag1−/− mice reconstituted with Klhl14−/− fetal liver cells had a more severe reduction of B-1a and an increase of B-1b cells in the peritoneal cavity. KLHL14 did not affect the turnover or apoptosis of B-1a and B-1b cells in vivo. Moreover, Klhl14−/− fetal liver contained a similar proportion and absolute numbers of the B-1 progenitor cells as did WT fetal liver. These results suggest that KLHL14 promotes B-1a development in mice.

https://ift.tt/2yNpGL2

Onychomycosis in children: Safety and efficacy of antifungal agents

Pediatric Dermatology, EarlyView.


https://ift.tt/2Msj72u

Bier anaemic spots, cyanosis with urticaria‐like eruption (BASCULE) syndrome on trunk and upper limbs

Pediatric Dermatology, EarlyView.


https://ift.tt/2Moh3sk

Usefulness of high‐frequency ultrasonography in the assessment of cutaneous lesions in children with hematologic malignancies

Pediatric Dermatology, EarlyView.


https://ift.tt/2MsiK86

Methotrexate for severe nummular eczema in children: Efficacy and tolerability in a retrospective study of 28 patients

Pediatric Dermatology, EarlyView.


https://ift.tt/2K8D95n

Pediatric “pet consort dermatitis”—Allergic contact dermatitis from transfer of bronopol from a pet cat

Pediatric Dermatology, EarlyView.


https://ift.tt/2IvBUHH

Carious lesion severity and demarcated hypomineralised lesions of tooth enamel in schoolchildren from Melbourne, Australia

Australian Dental Journal, Volume 0, Issue ja, -Not available-.


https://ift.tt/2yLf2o5

Oral health and dental morbidity in long‐term allogeneic blood and marrow transplant survivors in Australia

Australian Dental Journal, Volume 0, Issue ja, -Not available-.


https://ift.tt/2lz2Ay2

Congenital syphilis as a clinical and histopathologic mimic of neonatal lupus

Journal of Cutaneous Pathology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2yKYnRD

Endocrine mucin‐producing sweat gland carcinoma: A study of eleven cases with molecular analysis

Journal of Cutaneous Pathology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2tHwRyz

MART‐1‐Labeled Melanocyte Density and Distribution in Actinic Keratosis and Squamous Cell Cancer in situ: Pagetoid Melanocytes are a Potential Source of Misdiagnosis as Melanoma in Situ

Journal of Cutaneous Pathology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2lD2wh2

Pembrolizumab‐induced sarcoidal infusion site reaction

Journal of Cutaneous Pathology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2tI21G5

Tattoo‐Induced Hemangioma An exploration of the potential for vascular proliferations following tattoo‐related trauma

Journal of Cutaneous Pathology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2lCvOfw

Genital basal cell carcinoma, a different pathogenesis from sun‐exposed basal cell carcinoma? A case‐control study of 30 cases

Journal of Cutaneous Pathology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2yUZNJp

Diagnostic Accuracy of Immunohistochemical Markers in Differentiation between Basal Cell Carcinoma and Trichoepithelioma in small Biopsy Specimens

Journal of Cutaneous Pathology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2lEkfEK

Endocrine mucin‐producing sweat gland carcinoma: clinicopathologic, immunohistochemical and molecular analysis of eleven cases with emphasis on MYB immunoexpression

Journal of Cutaneous Pathology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2yHQpZu

Dermal xanthomatous infiltrates after brentuximab vedotin therapy in mycosis fungoides with large cell transformation: a novel histologic finding

Journal of Cutaneous Pathology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2lzTGR5

The human IL‐17A/F heterodimer regulates psoriasis‐associated genes through IκBζ

Experimental Dermatology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2yJMefv

Measurement of the Biomechanical Function and Structure of Ex Vivo Drying Skin Using Raman Spectral Analysis and its Modulation with Emollient Mixtures

Experimental Dermatology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2tuwqZg

Mild electrical stimulation with heat shock reduces the inflammatory symptoms in imiquimod‐induced psoriasis mouse model

Experimental Dermatology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2yHPxDS

Topical silver and gold nanoparticles complexed with Cornus Mas suppress inflammation in human plaques psoriasis by inhibiting NF‐κB activity

Experimental Dermatology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2N0Z6RG

Gromwell (Lithospermum erythrorhizon) root extract protects against glycation and related inflammatory and oxidative stress while offering UV absorption capability

Experimental Dermatology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2yNmOxK

Possible Roles of Basophils in Chronic Itch

Experimental Dermatology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2tx5O9U

The role of skin barrier in occupational contact dermatitis

Experimental Dermatology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2yNp8om

Increased expression of IL‐33 in rosacea skin and UVB‐irradiated and LL‐37‐treated HaCaT cells

Experimental Dermatology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2tzC4sQ

Molecular pathogenesis of cutaneous lymphomas

Experimental Dermatology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2N3wIOz

Toll‐like receptor 4 attenuates a murine model of atopic dermatitis through inhibition of langerin‐positive DCs migration

Experimental Dermatology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2yJLRBD

Effects of a ceramide containing water‐in‐oil ointment on skin barrier function and allergen penetration in an IL‐31 treated 3D model of the disrupted skin barrier

Experimental Dermatology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2tvRPRE

Generalized pustular psoriasis – A model disease for specific targeted immunotherapy, systematic review

Experimental Dermatology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2tCvdhq

Protein kinases involved in epidermal barrier formation: The AKT family and other animals

Experimental Dermatology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2tzBY4s

Analysis of Gene Expression Profiles of Multiple Skin Diseases Identifies a Conserved Signature of Disrupted Homeostasis

Experimental Dermatology, Volume 0, Issue ja, -Not available-.


https://ift.tt/2yLpTyb

Topical proline therapy in prolidase deficiency

Clinical and Experimental Dermatology, EarlyView.


https://ift.tt/2tuw30O

Topical proline therapy in prolidase deficiency

Clinical and Experimental Dermatology, EarlyView.


https://ift.tt/2tuw30O

Implication of Highly Cytotoxic Natural Killer Cells for Esophageal Squamous Cell Carcinoma Treatment

imageEsophageal squamous cell carcinoma (ESCC) is an aggressive upper gastrointestinal cancer and effective treatments are limited. Previous studies reported that natural killer (NK) cells expanded by coculturing with K562-mb15-41BBL feeder cells, a genetically modified K562 leukemia cell line that expresses membrane-bound interleukin (IL)-15 and 41BBL ligand, were highly proliferative and highly cytotoxic. Here, we investigated the potential of expanded NK cells for ESCC treatment. We analyzed both genetic and surface expression levels of NKG2D ligands (NKG2DLs) in ESCC using publicly available microarray data sets and ESCC cell lines. The cytotoxicity of resting and of IL-2-activated NK cells against ESCC cell lines was compared with that of expanded NK cells. We then also investigated the effect of epithelial mesenchymal transition (EMT) inducers, GSK3β inhibitor and epidermal growth factor, on NKG2DLs expressions. As a result, MICA and MICB were significantly overexpressed in ESCC compared with adjacent normal tissues and surface NKG2DLs were expressed in ESCC cell lines. Expanded NK cells were much potent than IL-2-activated and resting NK cells against ESCC cell lines. Blocking of NKG2D with anti-NKG2D monoclonal antibody dampened expanded NK cell cytotoxicity, suggesting that the NKG2DLs-NKG2D interaction is crucial for NK cells to eliminate ESCC cells. EMT inducers concurrently induced EMT and NKG2DLs expression in ESCC cell lines rendering transitioned cells more sensitive to expanded NK cells. In conclusion, expanded NK cells were highly cytotoxic against NKG2DLs-expressing ESCC cells, particularly the EMT phenotype. These results provide a strong rationale for clinical use of these NK cells in ESCC patients.

https://ift.tt/2ty7Wy1

Evidence for Efficacy of Treatment With the Anti-PD-1 Mab Nivolumab in Radiation and Multichemorefractory Advanced Penile Squamous Cell Carcinoma

imagePenile squamous cell carcinoma (PeSCC) is a rare tumor and advanced PeSCC is associated with poor survival due to the aggressiveness of the disease and lack of effective systemic therapies. We describe for the first time a case with advanced chemoradiation refractory PeSCC who had documented response to active immunotherapy with the immune checkpoint inhibitor, anti-programmed death-1 monoclonal antibody Nivolumab. The patient suffered from a poor prognosis human papillomavirus-negative PeSCC, with a somatic inactivation mutation of cyclin-dependent kinase inhibitor 2A (CDKN2A) gene in tumor cells, and treatment with Nivolumab resulted in a partial response to therapy and significant tumor shrinkage. Histology transitions and alterations in tumor-infiltrating cytotoxic CD8+ T-cell lymphocytes, programmed death ligand-1 expression on tumor cells and immune cells in tumor lesion biopsies pretreatment and posttreatment with Nivolumab were observed and described. In conclusion, in patients with metastatic PeSCC active immunotherapy combinations with an anti-programmed death-1/programmed death ligand-1 agent may be beneficial and further relative clinical studies are required.

https://ift.tt/2KorL1d

Adoptive Transfer of Interleukin-21-stimulated Human CD8+ T Memory Stem Cells Efficiently Inhibits Tumor Growth

imageMemory stem T (TSCM) cells, a new subset of memory T cells with self-renewal and multipotent capacities, are considered as a promising candidates for adoptive cellular therapy. However, the low proportion of human TSCM cells in total CD8+ T cells limits their utility. Here, we aimed to induce human CD8+ TSCM cells by stimulating naive precursors with interleukin-21 (IL-21). We found that IL-21 promoted the generation of TSCM cells, described as CD45RA+CD45RO−CD62L+CCR7+CD122+CD95+ cells, with a higher efficiency than that observed with other common γ-chain cytokines. Upon adoptive transfer into an A375 melanoma mouse model, these lymphocytes mediated much stronger antitumor responses. Further mechanistic analysis revealed that IL-21 activated the Janus kinase signal transducer and activator of transcription 3 pathway by upregulating signal transducer and activator of transcription 3 phosphorylation and consequently promoting the expression of T-bet and suppressor of cytokine signaling 1, but decreasing the expression of eomesodermin and GATA binding protein 3. Our findings provide novel insights into the generation of human CD8+ TSCM cells and reveal a novel potential clinical application of IL-21.

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Characteristics and Predictive Value of PD-L1 Status in Real-World Non–Small Cell Lung Cancer Patients

imageImmunotherapy targeting the programmed cell death-1 (PD-1) and programmed cell death-ligand 1 (PD-L1) pathway has emerged as an effective treatment for lung cancer patients. It is important to evaluate the practicality of PD-L1 testing in real-world practice. A total of 211 non–small cell lung cancer patients were enrolled to detect 5 driver mutations and PD-L1 status (22C3 and SP263 assays) and to evaluate the characteristics of PD-L1 expression and its predictive value of immunotherapy. The PD-L1 positive (≥1%) and strong positive (≥50%) rate by SP263 assay was 27.0% and 12.8%. The concordance rates between 2 PD-L1 assays while using 1%, 10%, 25%, and 50% positive tumor cells as the cutoffs were 76.8%, 81.5%, 90.5%, and 94.3%, respectively. Smokers and patients without known actionable driver mutation were more likely to present strong positive PD-L1 [adjusted hazard ratio, 5.00 (95% confidence interval—CI, 1.60-15.64); P=0.006 and 3.59 (95% CI, 1.25-10.33); P=0.018, respectively]. Higher levels of smoking were associated with higher PD-L1 expressions. None of the EGFR, ALK, HER2, or BRAFV600E-mutant nonsmokers displayed strong positive PD-L1 expression by SP263 assay. Among patients undergoing PD-1 checkpoint inhibitors therapy, high PD-L1 expression by SP263 was associated with a longer progression-free survival [adjusted hazard ratio, 0.15 (95% CI, 0.03-0.71); P=0.017]. In conclusion, our results suggest that PD-L1 status remains an important predictor of immunotherapy efficacy. The concordance between 22C3 and SP263 assays was greater at a higher cutoff level of positivity. Patients without known actionable driver mutation, along with smokers, particularly those having high smoking pack-years, were more likely to have strong PD-L1 expression.

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Evaluating for Pseudoprogression in Colorectal and Pancreatic Tumors Treated With Immunotherapy

imagePseudoprogression has been observed in patients with various tumor types treated with immunotherapy. However, the frequency of pseudoprogression is unknown in gastrointestinal malignancies. Metastatic colorectal cancer (mCRC) and advanced pancreatic ductal adenocarcinoma (PDAC) patients who progressed on treatment with immunotherapy beyond RECIST version 1.1 criteria were analyzed. Degree of progression, tumor markers, time to progression, overall survival, Eastern Cooperative Oncology Group Performance Status (ECOG PS), and costs were analyzed for patients treated beyond progression (TBP) and not treated beyond progression. Fifty-nine of 159 (37%) patients with mCRC or PDAC were TBP (31 mCRC, 28 PDAC). Fifty-four of 59 (92%) patients were microsatellite stable. Zero of these 59 patients with initial treatment beyond progression demonstrated subsequent radiographic tumor shrinkage at a median 42 days from first scan documenting progression. A pseudoprogression rate of >6% could be excluded with 95% confidence. Compared with baseline, median growth on the first and second scan that showed progression was 29.8% and 43%, respectively. In those not treated beyond progression, median growth at first restaging was 31.2%. The trend in change in tumor size positively correlated with the trend in tumor markers in all patients TBP. Fifteen patients (25%) experienced grade 3/4 adverse events by continuing treatment beyond progression, whereas 19 (32%) experienced deterioration in ECOG PS. Pseudoprogression was not seen in microsatellite stable patients with mCRC or PDAC treated with immunotherapy. Changes in tumor markers correlated with changes in tumor volume. This data may help inform future treatment decisions and/or trial design in patients with mCRC or advanced PDAC treated with immunotherapy.

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