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81.
Perkhofer S Kehrel BE Dierich MP Donnelly JP Nussbaumer W Hofmann J von Eiff C Lass-Flörl C 《The Journal of infectious diseases》2008,198(8):1243-1246
Using laser scanning microscopy, we investigated whether platelets are capable of internalizing Aspergillus conidia and examined Aspergillus-platelet adherence. The influence of platelets on fungal growth was evaluated by assessing galactomannan (GM) release, hyphal elongation, and colony size. A secretion assay with [(3)H]-serotonin (5-hydroxytryptamine [5-HT]) was performed. Exposure to platelets resulted in significantly decreased GM release (p<.05), hyphal elongation (p<.001), colony size, pigmentation, and 5-HT release ( p<.05). A lack of antifungal effects was observed with the microfilament inhibitor cytochalasin D. Platelets attenuate the virulence of Aspergillus species in vitro on the basis of granule-dependent effects. 相似文献
82.
Johann M. D’Souza MA Margaret Wardle PhD Charles E. Green PhD Scott D. Lane PhD Joy M. Schmitz PhD 《Journal of dual diagnosis》2019,15(1):2-7
Objective: Substance use disorders and posttraumatic stress symptoms are commonly comorbid. Previous studies have established that those with substance use disorders or posttraumatic stress disorder (PTSD) have lower high frequency-heart rate variability (HF-HRV) compared to controls, suggesting that low HF-HRV may be a biomarker of a common physiological mechanism underlying both disorders. We evaluated HF-HRV as a potential biomarker of a common underlying process by testing whether lower HF-HRV related to greater severity of substance use and PTSD symptoms in individuals with both substance use disorders and at least four symptoms of PTSD. Methods: HF-HRV was measured in 49 adults with substance use disorders and at least four symptoms of PTSD. We performed a series of regressions controlling for age to test whether low HF-HRV was associated with greater substance use disorder and PTSD symptom severity. Substance use disorder symptoms were measured by the Addiction Severity Index and PTSD symptoms were measured by the Clinician-Administered PTSD Scale and the PTSD Checklist. Results: After controlling for age, low resting HF-HRV was significantly associated with drug and alcohol symptom severity but not PTSD symptom severity. Conclusions: HF-HRV may be more sensitive to the severity of drug and alcohol use rather than PTSD. Findings may suggest that in PTSD populations, HF-HRV may primarily index comorbid substance use disorder symptoms. HF-HRV could serve as an objective measure of substance use severity and should be further investigated as a predictor of outcomes in treatment for substance use disorders. 相似文献
83.
Maren H. Harms Quisette P. Janssen Rene Adam Christophe Duvoux Darius Mirza Ernest Hidalgo Christopher Watson Stephen J. Wigmore Massimo Pinzani Helena Isoniemi Johann Pratschke Krzysztof Zieniewicz Jurgen L. Klempnauer William Bennet Vincent Karam Henk R. van Buuren Bettina E. Hansen Herold J. Metselaar 《Alimentary pharmacology & therapeutics》2019,49(3):285-295
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85.
Imran A Siddiqui Shiraz A Sabah Keshthra Satchithananda Adrian K Lim Suzie Cro Johann Henckel John A Skinner Alister J Hart 《Acta orthopaedica》2014,85(4):375-382
Background and purpose
Metal artifact reduction sequence (MARS) MRI and ultrasound scanning (USS) can both be used to detect pseudotumors, abductor muscle atrophy, and tendinous pathology in patients with painful metal-on-metal (MOM) hip arthroplasty. We wanted to determine the diagnostic test characteristics of USS using MARS MRI as a reference for detection of pseudotumors and muscle atrophy.Patients and methods
We performed a prospective cohort study to compare MARS MRI and USS findings in 19 consecutive patients with unilateral MOM hips. Protocolized USS was performed by consultant musculoskeletal radiologists who were blinded regarding clinical details. Reports were independently compared with MARS MRI, the imaging gold standard, to calculate predictive values.Results
The prevalence of pseudotumors on MARS MRI was 68% (95% CI: 43–87) and on USS it was 53% (CI: 29–76). The sensitivity of USS in detecting pseudotumors was 69% (CI 39–91) and the specificity was 83% (CI: 36–97). The sensitivity of detection of abductor muscle atrophy was 47% (CI: 24–71). In addition, joint effusion was detected in 10 cases by USS and none were seen by MARS MRI.Interpretation
We found a poor agreement between USS and MARS MRI. USS was inferior to MARS MRI for detection of pseudotumors and muscle atrophy, but it was superior for detection of joint effusion and tendinous pathologies. MARS MRI is more advantageous than USS for practical reasons, including preoperative planning and longitudinal comparison.Approximately 1.5 million metal-on-metal (MOM) hip arthroplasties have been implanted worldwide since 1996 (FDA 2012). A high early failure rate for these prostheses has recently been demonstrated (Smith et al. 2012). The pattern of failure appears to differ from other hip arthroplasty types, with adverse reactions to wear-related metal debris being a prominent feature (Pandit et al. 2008, Kwon et al. 2011). These solid or cystic lesions have been termed pseudotumors (Pandit et al. 2008). A wide spectrum of adverse tissue reactions have been described. Histologically, using their pseudocapsules, these have been termed aseptic lymphocytic vasculitis-associated lesions (ALVALs) (Willert et al. 2005).Health regulatory guidelines recommend investigation with cross-sectional imaging, using either metal artifact reduction sequence (MARS) MRI or ultrasound scanning (USS), to evaluate the periprosthetic soft tissues. A number of advantages and disadvantages have been reported (Sabah et al. 2011, Liddle et al. 2013). The high-resolution capability of USS allows detailed imaging of solid or cystic extra-articular lesions and also detection of muscle atrophy (Sofka et al. 2004), joint effusions, gluteal tendon avulsion, and iliopsoas or trochanteric bursitis (Long et al. 2012). USS is also commonly used during guided anesthetic injection or fluid aspiration.Table 1.
A comparison of the advantages and disadvantages of MARS MRI and ultrasound imaging of metal-on-metal hipsUltrasound | MARS MRI | |
---|---|---|
1) Clinical evaluation | No metal artifact produced. Operator-dependent; requires an experienced musculoskeletal sonographer. Must be reported at the time of scanning. | Not operator dependant. Can be reported later. Images can be sent off-site for specialist opinion. Useful during preoperative planning for revision arthroplasty (Hart et al. 2012). |
a) Pseudotumors | Excellent at visualizing extra-articular fluid collections (including within the iliopsoas and trochanteric bursa). Can differentiate easily between solid and fluid composition. Deep posterior lesions and small lesions can often be missed (Nishii et al. 2012). | High sensitivity for the detection of solid and cystic soft tissue lesions including both small lesions and posterior lesions (Hart et al. 2012, Liddle et al. 2013). |
b) Muscles | Dual-view function can be used to simultaneously compare muscles on contralateral sides. Currently not validated to assess muscle atrophy of the hip rotator cuff. | T1-weighted images excellent for assessment of the degree of muscle atrophy (Bal and Lowe 2008, Sabah et al. 2011). Complete cross-sectional imaging allows easy comparison with the contralateral side. Images can be accurately compared over time. |
c) Other pathology | Sensitive for joint effusion diagnosis (Foldes et al. 1992). Can visualize the iliopsoas and gluteal tendons in detail. Can be used to detect tendon avulsion of hip abductor muscles (Garcia et al. 2010). Dynamic imaging is possible. Hands-on examination can help localize pathology. | Sensitive modality for the assessment of gluteal tendon avulsion. Other pathology can be identified, including metastatic disease, fractures, and muscle and bone marrow edema. Metal artifact may obscure effusions and tendons directly adjacent to the implant. |
2) Patient acceptability | Safe, with no major contraindications (can be used on patients with cardiac pacemaker implants). No problems with claustrophobia. Non-invasive. Invasive when used for guided fluid aspiration or injection. |
Enclosed space often unacceptable to patients with claustrophobia.
Contraindicated in patients with incompatible metallic implants (e.g. a cardiac pacemaker). |
3) General | Relatively low costs. Compact equipment requires minimal space. Often readily accessible in smaller healthcare trusts. |
Relatively expensive.
The bulky equipment requires a relatively large space. May not be accessible in smaller healthcare trusts. |
86.
Amir Afrogheh Johann Schneider Abraham Fourie Bezuidenhout Jos Hille 《Head and neck pathology》2014,8(1):122-126
PEComas are a family of mesenchymal neoplasms that have in common the presence of a unique cell type, the perivascular epithelioid cell (PEC). PECs uniquely exhibit a distinct immunophenotype with expression of both melanocytic, particularly HMB-45, and myogenic markers. Nasal PEComas are exceedingly rare. To date, 14 cases have been described in the literature and with the exception of 6 cases, the rest consistently lack epithelioid cells and HMB-45 expression and are best classified as nasal hamartomas or angioleiomyomas with an adipocytic component. Nasal PEComas may closely resemble malignant melanomas since both entities share many morphologic, immunohistochemical, ultrastructural and clinical features. The distinction is of paramount importance as melanomas tend to display an aggressive behaviour with associated poor outcome. Herein, we report a case of nasal PEComa in a 19 year girl, focusing on the importance of light microscopic, immunohistochemical and ultrastructural features in accurately establishing the diagnosis. 相似文献
87.
88.
Pietro Bertino Johann Urschitz FuKun W. Hoffmann Bo Ra You Aaron H. Rose Woo Hyun Park Stefan Moisyadi Peter R. Hoffmann 《Vaccine》2014
DNA vaccination with plasmid has conventionally involved vectors designed for transient expression of antigens in injected tissues. Next generation plasmids are being developed for site-directed integration of transgenes into safe sites in host genomes and may provide an innovative approach for stable and sustained expression of antigens for vaccination. The goal of this study was to evaluate in vivo antigen expression and the generation of cell mediated immunity in mice injected with a non-integrating plasmid compared to a plasmid with integrating potential. Hyperactive piggyBac transposase-based integrating vectors (pmhyGENIE-3) contained a transgene encoding either eGFP (pmhyGENIE-3-eGFP) or luciferase (pmhyGENIE-3-GL3), and were compared to transposase-deficient plasmids with the same transgene and DNA backbone. Both non-integrating and integrating plasmids were equivalent at day 1 for protein expression at the site of injection. While protein expression from the non-integrating plasmid was lost by day 14, the pmhyGENIE-3 was found to exhibit sustained protein expression up to 28 days post-injection. Vaccination with pmhyGENIE-3-eGFP resulted in a robust CD8+ T cell response that was three-fold higher than that of non-integrating plasmid vaccinations. Additionally we observed in splenocyte restimulation experiments that only the vaccination with pmhyGENIE-3-eGFP was characterized by IFNγ producing CD8+ T cells. Overall, these findings suggest that plasmids designed to direct integration of transgenes into the host genome are a promising approach for designing DNA vaccines. Robust cell mediated CD8+ T cell responses generated using integrating plasmids may provide effective, sustained protection against intracellular pathogens or tumor antigens. 相似文献
89.
Gilles Morin Valrie Biancalana Andoni Echaniz‐Laguna Jean‐Baptiste Noury Xavire Lornage Maurizio Moggio Michela Ripolone Raffaella Violano Pascale Marcorelles Denis Marchal Florence Renaud Claude‐Alain Maurage Cline Tard Jean‐Marie Cuisset Jocelyn Laporte Johann Bhm 《Human mutation》2020,41(1):17-37
Calcium (Ca2+) acts as a ubiquitous second messenger, and normal cell and tissue physiology strictly depends on the precise regulation of Ca2+ entry, storage, and release. Store‐operated Ca2+ entry (SOCE) is a major mechanism controlling extracellular Ca2+ entry, and mainly relies on the accurate interplay between the Ca2+ sensor STIM1 and the Ca2+ channel ORAI1. Mutations in STIM1 or ORAI1 result in abnormal Ca2+ homeostasis and are associated with severe human disorders. Recessive loss‐of‐function mutations impair SOCE and cause combined immunodeficiency, while dominant gain‐of‐function mutations induce excessive extracellular Ca2+ entry and cause tubular aggregate myopathy (TAM) and Stormorken syndrome (STRMK). TAM and STRMK are spectra of the same multisystemic disease characterized by muscle weakness, miosis, thrombocytopenia, hyposplenism, ichthyosis, dyslexia, and short stature. To date, 42 TAM/STRMK families have been described, and here we report five additional families for which we provide clinical, histological, ultrastructural, and genetic data. In this study, we list and review all new and previously reported STIM1 and ORAI1 cases, discuss the pathomechanisms of the mutations based on the known functions and the protein structure of STIM1 and ORAI1, draw a genotype/phenotype correlation, and delineate an efficient screening strategy for the molecular diagnosis of TAM/STRMK. 相似文献
90.