Publications by authors named "Andrew Rice"

Specialized or secondary metabolites are small molecules of biological origin, often showing potent biological activities with applications in agriculture, engineering and medicine. Usually, the biosynthesis of these natural products is governed by sets of co-regulated and physically clustered genes known as biosynthetic gene clusters (BGCs). To share information about BGCs in a standardized and machine-readable way, the Minimum Information about a Biosynthetic Gene cluster (MIBiG) data standard and repository was initiated in 2015.

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Coinfections with (Mtb) and HIV-1 present a critical health challenge and require treatment for survival. We found that human M1 macrophages inhibit Mtb growth, while M2 macrophages, characterized by elevated Sirt2 expression, permit Mtb growth. Further, we found that HIV-1 augmented Sirt2 gene expression in MФs.

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  • * Critical issues in research include poor governance, lack of diversity, inadequate stakeholder engagement, and issues with data transparency and reporting, which can lead to misguided clinical practices and low value care.
  • * The article proposes the ENTRUST-PE framework to enhance the reliability of pain research, aiming to build trust among stakeholders and calling for collective action to improve the quality and outcomes of pain science.
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  • The study investigates how different pain syndromes influence levels of pain catastrophizing in patients.
  • A total of 727 chronic pain patients were categorized into groups based on their pain syndrome: breast cancer survivors, fibromyalgia, complex regional pain syndrome, and HIV.
  • Results revealed three distinct clusters of pain catastrophizing: low (mostly breast cancer patients), moderate (predominantly fibromyalgia patients), and high (mainly HIV and CRPS patients), with helplessness being a significant factor in the high catastrophizing group.
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  • The study explored genetic links to neuropathic pain by comparing individuals with the condition to those who had injuries but did not experience neuropathic pain.
  • Key findings included significant associations with the KCNT2 gene and pain intensity, as well as other genes like LHX8 and TCF7L2 connected to neuropathic pain.
  • The research also highlighted the influence of polygenic risk scores related to depression and inflammation on neuropathic pain, while discovering novel genetic variants tied to specific sensory profiles.
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  • * A consensus meeting in March 2024, attended by 28 experts and stakeholders, aimed to standardize research protocols for studying neuropathic pain using human peripheral tissues.
  • * The meeting resulted in agreed-upon guidelines for phenotyping, laboratory protocols, statistical design, and data sharing to improve consistency in research and enhance understanding of neuropathic pain.
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Purpose: Quantitative sensory testing commonly utilizes the unaffected, contralateral side as a control to detect somatosensory dysfunction. There is scant evidence that somatosensory function for the volar dominant and non-dominant hands is equivalent, therefore intra-patient comparisons are unwarranted. This study aimed to identify dominance-related differences in palmar hand somatosensation, thereby determining if the unaffected contralateral hand is a valid comparator in clinical populations.

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About 20% of patients with diabetes suffer from chronic pain with neuropathic characteristics. We investigated the multivariate associations between 92 neurology-related proteins measured in serum from 190 patients with painful and painless diabetic neuropathy. Participants were recruited from the Pain in Neuropathy Study, an observational cross-sectional multicentre study in which participants underwent deep phenotyping.

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  • The study investigates the reasons behind why some patients experience painful polyneuropathy while others do not, utilizing data from 1181 patients in the DOLORISK database.
  • Researchers used multivariate logistic regression and machine learning to identify key factors related to painful neuropathy, including severity of neuropathy, family history of chronic pain, fatigue, depression scores, and pain-related worrying.
  • The findings suggest that emotional and clinical factors play a significant role in the development of painful neuropathy, with predictive models achieving over 76% accuracy, which could help in identifying patients at risk in the future.
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Pragmatic, randomized, controlled trials hold the potential to directly inform clinical decision making and health policy regarding the treatment of people experiencing pain. Pragmatic trials are designed to replicate or are embedded within routine clinical care and are increasingly valued to bridge the gap between trial research and clinical practice, especially in multidimensional conditions, such as pain and in nonpharmacological intervention research. To maximize the potential of pragmatic trials in pain research, the careful consideration of each methodological decision is required.

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Background: Chronic pain after injury poses a serious health burden. As a result of advances in medical technology, ever more military personnel survive severe combat injuries, but long-term pain outcomes are unknown. We aimed to assess rates of pain in a representative sample of UK military personnel with and without combat injuries.

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  • - Recent shifts in clinical research recognize patients as valuable contributors beyond just participants, highlighting their importance in every phase of the research process.
  • - Engaging patients from the outset leads to research that is more relevant and practical for those affected by specific conditions, with increased support from research funders and regulatory bodies.
  • - A meeting organized by the Initiative on Methods, Measurement, and Pain Assessment in Clinical Trials sought to create guidelines for better patient engagement in clinical pain research, focusing on aspects like representation, timing, and effective communication.
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  • Combat trauma can lead to serious pain issues for military personnel, including phantom limb pain (PLP) and residual limb pain (RLP), with a high prevalence found in a systematic review of 31 studies involving 14,738 participants.
  • Meta-analysis showed that the pooled prevalence of PLP was 57%, RLP was 61%, and chronic neuropathic pain was 26%, with significant variability between studies.
  • The review highlighted the need for standardized definitions and measurement tools for pain in future research, as factors like psychological issues and the presence of RLP were reported to influence PLP.
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Translating promising preclinical pain relief data for novel molecules from drug discovery to positive clinical trial outcomes is challenging. The angiotensin II type 2 (AT) receptor is a clinically-validated target based upon positive proof-of-concept clinical trial data in patients with post-herpetic neuralgia. This trial was conducted because AT receptor antagonists evoked pain relief in rodent models of neuropathic pain.

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Limb trauma remains the most prevalent survivable major combat injury. In the First World War, more than 700,000 British soldiers received limb wounds and more than 41,000 underwent an amputation, creating one of the largest amputee cohorts in history. Postamputation pain affects up to 85% of military amputees, suggesting that up to 33,000 British First World War veterans potentially reported postamputation pain.

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Background: The Texas Developmental Center for AIDS Research (D-CFAR) diversity program, termed the CFAR Diversity, Equity, and Inclusion Pathway Initiative (CDEIPI), was created in 2021 to engage high school students and graduate students from Underrepresented Minorities/Black, Indigenous, and People of Color populations.

Setting: The Texas D-CFAR CDEIPI has partnered with 2 Texas high schools with predominantly economically disadvantaged and minority student populations-Michael E. DeBakey High School for Health Professions in Houston, TX, and the South Texas Independent School District Medical Professions High School in Olmito, TX in the Rio Grande Valley.

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Background: There is an urgent need to increase diversity among scientific investigators in the HIV research field to be more reflective of communities highly affected by the HIV epidemic. Thus, it is critical to promote the inclusion and advancement of early-stage scholars from racial and ethnic groups underrepresented in HIV science and medicine.

Methods: To widen the HIV research career pathway for early-stage scholars from underrepresented minority groups, the National Institutes of Health supported the development of the Centers for AIDS Research (CFAR) Diversity, Equity, and Inclusion Pathway Initiative (CDEIPI).

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  • Thigmotaxis is a natural behavior in rodents that helps them avoid predators and is influenced by injury, disease, and pain relief treatments.
  • Systematic review of 165 studies found that thigmotaxis increases in painful conditions but decreases with analgesic drugs in rats and mice, although its effectiveness may vary across different injury models.
  • The study faced challenges in assessing methodological quality and bias, leading to inconclusive insights on data variation and revealing inconsistencies in the correlation between thigmotaxis and related behaviors.
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N-arachidonoylethanolamine (also known as anandamide) and 2-arachidonoylglycerol are activators of the cannabinoid receptors. The endocannabinoid system also includes structurally and functionally related lipid mediators that do not target cannabinoid receptors, such as oleoylethanolamide, palmitoylethanolamide, and stearoylethanolamide. These bioactive lipids are involved in various physiological processes, including regulation of pain.

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  • * A study of 1,090 patients showed that 30% with neuropathic pain experienced PHS, while only 2% of healthy participants did, and its occurrence was not related to overall pain intensity.
  • * PHS may indicate diminished function of small thermosensory fibers that detect temperature; recognizing it can assist in identifying small fiber loss in patients, making it easy for them to self-report.
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This systematic review and meta-analysis investigated the effects of non-pharmacological manipulations on experimentally induced secondary hypersensitivity in pain-free humans. We investigated the magnitude (change/difference in follow-up ratings from pre-manipulation ratings) of secondary hypersensitivity (primary outcome), and surface area of secondary hypersensitivity (secondary outcome), in 27 studies representing 847 participants. Risk of bias assessment concluded most studies (23 of 27) had an unclear or high risk of performance and detection bias.

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Background And Purpose: In these guidelines, we aimed to develop evidence-based recommendations for the use of screening questionnaires and diagnostic tests in patients with neuropathic pain (NeP).

Methods: We systematically reviewed studies providing information on the sensitivity and specificity of screening questionnaires, and quantitative sensory testing, neurophysiology, skin biopsy, and corneal confocal microscopy. We also analysed how functional neuroimaging, peripheral nerve blocks, and genetic testing might provide useful information in diagnosing NeP.

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