Publications by authors named "Amanda Vang"

Article Synopsis
  • The incidence of inflammatory bowel disease (IBD) in the Faroe Islands has significantly increased over the last 60 years, raising concerns about environmental factors and genetic susceptibilities.
  • This study compared environmental factors between Faroese IBD patients and a Danish cohort, analyzing data from 2010 to 2022.
  • Findings revealed that Faroese patients had higher rates of specific vaccinations and childhood infections, different dietary habits, and variations in smoking behaviors compared to Danish patients.
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Article Synopsis
  • The study explores the cancer risk in patients with inflammatory bowel disease (IBD) in the Faroe Islands, which has the highest IBD occurrence globally.
  • It analyzed data from 699 IBD patients diagnosed between 1960 and 2020, using cancer incidence rates from a national registry to calculate standardized incidence ratios (SIRs).
  • Results indicated no significant overall increase in cancer risk for IBD patients compared to the general population, except for those aged 50-59, with specific cancers like lung and breast being somewhat elevated but not reaching statistical significance.
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After decades of development, inhibitors targeting cyclic nucleotide phosphodiesterases (PDEs) expressed in leukocytes have entered clinical practice for the treatment of inflammatory disorders, with three PDE4 inhibitors being in clinical use as therapeutics for psoriasis, psoriatic arthritis, chronic obstructive pulmonary disease and atopic dermatitis. In contrast, the PDE8 family that is upregulated in pro-inflammatory T cells is a largely unexplored therapeutic target. We have previously demonstrated a role for the PDE8A-Raf-1 kinase complex in the regulation of myelin oligodendrocyte glycoprotein peptide 35-55 (MOG) activated CD4 effector T cell adhesion and locomotion by a mechanism that differs from PDE4 activity.

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Background: The Faroe Islands has the world's highest incidence of inflammatory bowel disease (IBD). Epidemiological studies have characterized this unique cohort and a decreased risk of developing IBD with emigration. Therefore, this well-characterized Faroese IBD cohort gives the opportunity to better understand this complex disease.

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The levels of cAMP are regulated by phosphodiesterase enzymes (PDEs), which are targets for the treatment of inflammatory disorders. We have previously shown that PDE8 regulates T cell motility. Here, for the first time, we report that PDE8A exerts part of its control of T cell function through the V-raf-1 murine leukemia viral oncogene homolog 1 (Raf-1) kinase signaling pathway.

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Abolishing the inhibitory signal of intracellular cAMP is a prerequisite for effector T (Teff) cell function. The regulation of cAMP within leukocytes critically depends on its degradation by cyclic nucleotide phosphodiesterases (PDEs). We have previously shown that PDE8A, a PDE isoform with 40-100-fold greater affinity for cAMP than PDE4, is selectively expressed in Teff vs.

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Article Synopsis
  • A 70-year-old man on continuous ambulatory peritoneal dialysis (CAPD) from the Faroe Islands experienced relapsing peritonitis four times within three months, caused by the rare bacterium Bacillus cereus.
  • Peritoneal cultures confirmed the infection and showed that the bacteria were susceptible to vancomycin, leading to a treatment plan that included intraperitoneal vancomycin and gentamicin alongside oral ciprofloxacin.
  • Following the diagnosis, the patient's peritoneal catheter was removed due to complications from chronic inflammation, and he transitioned to hemodialysis, with no further episodes of peritonitis reported, thought to stem from hygiene issues during dialysis bag changes.
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cAMP signalling is both a major pathway as well as a key therapeutic target for inducing immune tolerance and is involved in Treg cell (regulatory T-cell) function. To achieve potent immunoregulation, cAMP can act through several downstream effectors. One proposed mechanism is that cAMP-mediated suppression, including immunosuppression by Treg cells, results from activation of PKA (protein kinase A) leading to the induction of the transcription factor ICER (inducible cAMP early repressor).

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The nuclear hormone receptor peroxisome proliferator-activated receptor γ (PPARγ) was shown to play an immunoregulatory role in many immune-related cell types, and activation of PPARγ was reported to be an effective therapeutic approach in murine and human autoimmune disease. However, despite an association between lymphopenia and autoimmunity, there has been no study on the role of T cell PPARγ in lymphopenia-associated autoimmunity. In the present studies, we examined the role of PPARγ in CD4(+) T cells in two murine models of lymphopenia-associated autoimmunity.

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Background: Abolishing the inhibitory signal of intracellular cAMP by phosphodiesterases (PDEs) is a prerequisite for effector T (Teff) cell function. While PDE4 plays a prominent role, its control of cAMP levels in Teff cells is not exclusive. T cell activation has been shown to induce PDE8, a PDE isoform with 40- to 100-fold greater affinity for cAMP than PDE4.

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