Publications by authors named "Carlos Castellanos"

Objective: Assessing the quality of human papillomavirus (HPV) vaccination-related content on TikTok is crucial due to its popularity among adolescents. We assessed these videos while comparing the content and quality of videos with and without physician involvement.

Study Design: Cross-sectional cohort analysis.

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  • The study aimed to explore vaccination knowledge and barriers among minority adults, using a cross-sectional survey conducted in otolaryngology clinics and a cancer screening event.
  • Findings revealed low rates of HPV vaccination among both minority (17.67%) and their children (33.55%), with minorities displaying significantly lower knowledge about HPV and its link to cervical and head and neck cancers.
  • The primary reason minorities were not vaccinated was lack of knowledge about the HPV vaccine, suggesting that educational interventions could improve vaccination rates in this demographic.
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Objective: Vocal fold scar and sulcus pose significant treatment challenges with no current optimal treatment. Platelet-rich plasma (PRP), an autologous concentration of growth factors, holds promise for regenerating the superficial lamina propria. This study aims to evaluate the potential benefits of serial PRP injections on mucosal wave restoration and vocal function.

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  • - The study assessed the quality of YouTube videos relating to laryngectomy education using the DISCERN instrument, finding that most videos had low reliability and quality of treatment information.
  • - A total of 78 laryngectomy-related videos were analyzed, showing moderate engagement metrics but predominantly featuring physician accounts and operations, with the majority of content originating outside the U.S.
  • - The research concluded that there's a significant need for improving both the quantity and quality of educational content on YouTube regarding laryngectomies.
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Cross-presentation of dead cell-associated antigens by conventional dendritic cells type 1 (cDC1s) is critical for CD8 T cells response against many tumors and viral infections. It is facilitated by DNGR-1 (CLEC9A), an SYK-coupled cDC1 receptor that detects dead cell debris. Here, we report that DNGR-1 engagement leads to rapid activation of CBL and CBL-B E3 ligases to cause K63-linked ubiquitination of SYK and terminate signaling.

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Objective: To characterize the users of the largest chronic rhinosinusitis (CRS) online support communities (OSCs), describe the perceived benefits of OSCs for their users, and understand how patient medical decision making is affected by membership in OSCs.

Study Design: Cross-sectional online survey.

Setting: Online.

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Introduction: Coronavirus disease 2019 (COVID-19) affects the vascular system, subjecting patients to a hypercoagulable state. This is of particular concern for the success of microvascular free flap reconstruction. This study aims to report head and neck free flap complications in patients with COVID-19 during the perioperative period.

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Objective: To characterize the users of the head and neck cancer (HNC) online support group (OSG) and describe the perceived benefits of membership.

Study Design: Cross-sectional.

Setting: Online.

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Objective: Waardenburg syndrome (WS) is a genetic condition associated with moderate to profound sensorineural hearing loss. The aim of this review is to characterize cochlear implant (CI) outcomes in patients with a confirmed clinical diagnosis of WS.

Data Sources: MEDLINE, Ovid EMBASE, and Cochrane Library.

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  • IL-31, a cytokine linked to itchy skin diseases, has complex effects on inflammation and neuro pathways, which are not fully understood.
  • In a mouse model, disrupting IL-31 reduced scratching associated with allergic dermatitis, suggesting it usually promotes itching, while the absence of its receptor increased certain immune responses like T cell activation and IgE production.
  • The study reveals that IL-31 acts more as an immunoregulatory factor, potentially limiting inflammation by triggering specific neuro pathways, which could explain dermatitis flare-ups in patients receiving treatments against IL-31 receptor.
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  • Minorities make up about 20% of head and neck cancer (HNC) patients, but their demographics are insufficiently studied, highlighting the need for more targeted research in specific populations.
  • The study aimed to analyze differences among Caucasian and minority groups regarding diagnosis age, treatment methods, and outcomes relating to HNC using a comprehensive database from Los Angeles County.
  • Results showed significant disparities: minorities tended to be younger, had different treatment preferences, experienced longer wait times for initial treatment, and faced variances in socioeconomic status and insurance coverage compared to Caucasian patients, indicating a need for tailored healthcare approaches.
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  • The study aimed to assess whether using PET/CT scans for surveillance imaging is cost-effective for patients with HPV-positive oropharyngeal cancer compared to clinical surveillance alone.
  • A Markov decision model was utilized to analyze costs and health outcomes over a 30-year period, determining that integrating PET/CT scanning costs about $89,850 per quality-adjusted life year gained.
  • The analysis concluded that PET/CT is cost-effective if its price remains under $1678 and that its effectiveness relies on the sensitivity of clinical surveillance methods and the willingness-to-pay thresholds, which differ internationally.
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Objective: To compare postoperative pain scores and opioid consumption in patients after transoral robotic surgery (TORS).

Study Design: Single institution retrospective cohort study.

Setting: TORS was performed at a single academic tertiary care center.

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Conventional dendritic cells type 1 (cDC1) are critical for inducing protective CD8 T cell responses to tumour and viral antigens. In many instances, cDC1 access those antigens in the form of material internalised from dying tumour or virally-infected cells. How cDC1 extract dead cell-associated antigens and cross-present them in the form of peptides bound to MHC class I molecules to CD8 T cells remains unclear.

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T cells typically recognize their ligands using a defined cell biology-the scanning of their membrane microvilli (MV) to palpate their environment-while that same membrane scaffolds T cell receptors (TCRs) that can signal upon ligand binding. Chimeric antigen receptors (CARs) present both a therapeutic promise and a tractable means to study the interplay between receptor affinity, MV dynamics and T cell function. CARs are often built using single-chain variable fragments (scFvs) with far greater affinity than that of natural TCRs.

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Purpose: Not much is known about how pre-operative psychosocial factors affect head and neck free flap outcomes. Hence, the objective of the study is to determine if a patient's pre-operative self-perception and quality of life affect post-operative complications and hospital length of stay after free flap surgery.

Materials And Methods: This was a prospective cohort study.

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  • Cardiovascular diseases (CVDs) are the leading cause of death in Latin America and the Caribbean, with men being slightly more at risk than women, and COVID-19 has negatively impacted cardiac diagnostics in the region.
  • The availability of nuclear cardiology differs across LAC, with Argentina and Brazil having the most scanning technologies, including SPECT and PET, and advancements like CZT gamma cameras being introduced.
  • Challenges to developing nuclear cardiology include high costs, maintenance issues, lack of training for healthcare professionals, and the need for collaboration among specialists to enhance the use of imaging modalities.
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Persistent antigenic signaling leads to T cell exhaustion, a dysfunctional state arising in many chronic infections and cancers. Little is known concerning mechanisms limiting exhaustion in immune-stimulatory diseases such as asthma. We report that membrane-associated RING-CH1 (MARCH1), the ubiquitin ligase that mediates surface turnover of MHC class II (MHCII) and CD86 in professional APCs, plays an essential role in restraining an exhaustion-like program of effector CD4 T cells in a mouse model of asthma.

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Objective: To demonstrate the safety profile of platelet-rich plasma (PRP) as an injectable therapeutic for the treatment of vocal fold scarring and atrophy.

Methods: Preliminary report on a prospective clinical trial of patients with vocal fold scar or atrophy undergoing unilateral vocal fold subepithelial infusion with autologous PRP. Enrolled patients underwent four subepithelial injections spaced 1 month apart.

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Cystinosis is an autosomal recessive lysosomal storage disorder caused by mutations in the CTNS gene encoding the lysosomal cystine transporter, cystinosin, and leading to multi-organ degeneration including kidney failure. A clinical trial for cystinosis is ongoing to test the safety and efficacy of transplantation of autologous hematopoietic stem and progenitor cells (HSPCs) ex vivo gene-modified to introduce functional CTNS cDNA. Preclinical studies in Ctns mice previously showed that a single HSPC transplantation led to significant tissue cystine decrease and long-term tissue preservation.

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Type 2 T helper (T2) cells are protective against parasitic worm infections but also aggravate allergic inflammation. Although the role of dendritic cells (DCs) in T2 cell differentiation is well established, the underlying mechanisms are largely unknown. Here, we show that DC induction of T2 cells depends on membrane-associated RING-CH-1 (MARCH1) ubiquitin ligase.

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MicroRNAs (miRNAs, miRs) regulate cell fate decisions by post-transcriptionally tuning networks of mRNA targets. We used miRNA-directed pathway discovery to reveal a regulatory circuit that influences Ig class switch recombination (CSR). We developed a system to deplete mature, activated B cells of miRNAs, and performed a rescue screen that identified the miR-221/222 family as a positive regulator of CSR.

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The response to the COVID-19 crisis across most research institutions mandated ceasing nonessential research activities in order to minimize the spread of the virus in our communities. With minimal notice, experiments were terminated, cell lines were frozen, mouse colonies were culled, and trainees were prevented from performing bench research. Still, despite the interruption of experimental productivity, the shutdown has proven for many PIs and trainees that doing and thinking science are not activities that are bound to the laboratory.

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Accumulation of senescent cells is associated with the progression of pulmonary fibrosis, but mechanisms accounting for this linkage are not well understood. To explore this issue, we investigated whether a class of biologically active profibrotic lipids, the leukotrienes (LT), is part of the senescence-associated secretory phenotype. The analysis of conditioned medium (CM), lipid extracts, and gene expression of LT biosynthesis enzymes revealed that senescent cells secreted LT, regardless of the origin of the cells or the modality of senescence induction.

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