Publications by authors named "Chandan Sen"

Genomic plasticity helps adapt to extreme environmental conditions. We tested the hypothesis that exposure to space environment (ESE) impacts the epigenome inducing genomic plasticity. Murine skin samples from the Rodent Research Reference Mission-1 were procured from the International Space Station (ISS) National Laboratory.

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  • The article discusses how wound trajectory and outcomes research plays a crucial role in improving various aspects of wound healing, including predicting healing times and understanding disparities in care.
  • It highlights the customization of the District Health Information Software (DHIS2) to integrate clinical wound data with social health factors from Comprehensive Wound Centers in Indiana.
  • The study shows that DHIS2 can effectively serve as a data management platform for wound care research, helping clinicians make better treatment decisions based on analyzed data from multiple sources.
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  • - Tissue nanotransfection (TNT) uses plasmids (Etv2, Foxc2, and Fli1) to enhance the formation of vasculogenic fibroblasts (VF) in ischemic skin of mice, promoting new blood vessel growth.
  • - In vitro studies show that human dermal fibroblasts exhibit increased endothelial gene expression upon EFF nanoelectroporation, with a link to higher ten-eleven translocase (TET) expression.
  • - The study demonstrates that TET activation is crucial for VF development in diabetic ischemic limbs, facilitating blood flow restoration and improved wound healing, especially since TET levels are usually lower in diabetic conditions.
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  • This study highlights the role of macrophage-derived exosomes, particularly those enhanced with the protein TOMM70, in supporting keratinocyte function during the early stages of wound healing.* -
  • TOMM70 helps maintain mitochondrial function in leading-edge keratinocytes by compensating for depleted proteins during hypoxic conditions, which is vital for their energy needs and migration.* -
  • Disruption of exosome uptake impedes wound healing and maintains inflammation, suggesting that effective communication between keratinocytes and macrophages is crucial for recovery, especially in patients with chronic wounds.*
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A single-center, prospective, observational pilot study was performed to evaluate wound healing endpoint and recurrence by measuring transepidermal water loss (TEWL) post-closure at the site of wound repair. Patients with clinically-defined chronic wounds (such as pressure ulcers, diabetic ulcers, and trauma wounds) who visited the Plastic Surgery outpatient department or were in-patients at the All India Institute of Medical Sciences, Rishikesh, India, and were referred for chronic wound management, were enrolled. Non-invasive point-of-care TEWL measurements were obtained, from closed wound-site and contralateral healthy skin site, starting from confirmation of closure (post-closure, V0) continuing every 2 weeks for a maximum of five visits or until the wound recurred.

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In the era of renewed space exploration, comprehending the effects of the space environment on human health, particularly for deep space missions, is crucial. While extensive research exists on the impacts of spaceflight, there is a gap regarding female reproductive risks. We hypothesize that space stressors could have enduring effects on female health, potentially increasing risks for future pregnancies upon return to Earth, particularly related to small-for-gestational-age (SGA) fetuses.

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Wound healing, an intricate biological process, comprises orderly phases of simple biological processed including hemostasis, inflammation, angiogenesis, cell proliferation, and ECM remodeling. The regulation of the shift in these phases can be influenced by systemic or environmental conditions. Any untimely transitions between these phases can lead to chronic wounds and scarring, imposing a significant socio-economic burden on patients.

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Standardized Wound Care: Patchwork Practices?

Adv Wound Care (New Rochelle)

October 2024

Standardized care is crucial in health care for ensuring consistent, safe, high-quality, efficient, and evidence-based practices. Care pathways that standardize procedures promote adherence to best practices, reduce variability in treatment, and encourage collaboration among health care teams. This approach ultimately improves patient outcomes, enhances safety, and boosts the overall effectiveness of health care services.

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The study of extracellular vesicles (EVs), especially exosomes, has unlocked new avenues in understanding cellular communication and potential therapeutic applications. Advancements in EV research have shown significant contributions from the International Society for Extracellular Vesicles (ISEV), in establishing methodological standards. The evolution of the Minimal Information for Studies of Extracellular Vesicles (MISEV) guidelines from 2014 to 2023 reflects enhanced research rigor and reproducibility.

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Lymphedema is chronic limb swelling resulting from lymphatic dysfunction. It affects an estimated five million Americans. There is no cure for this disease.

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Article Synopsis
  • Scientists don't know much about how cells and body parts react when an organism dies.
  • This research could help us understand how bodies can heal themselves and change what we think about death.
  • It might also give us clues about how life begins and its limits.
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  • Ischemia-reperfusion injury is a problem that happens in damaged livers during surgeries, and it can be worse in fatty livers.
  • Researchers think a process called ferroptosis is a big part of this injury because fatty livers have more fat and stored iron that can cause damage.
  • In experiments with mice, those on a high-fat diet showed more liver damage, but treating them with a special drug helped reduce the harm from the injury.
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Objective: An improved understanding of the role of the leptomeningeal collateral circulation in blood flow compensation following middle cerebral artery (MCA) occlusion can contribute to more effective treatment development for ischemic stroke. The present study introduces a model of the cerebral circulation to predict cerebral blood flow and tissue oxygenation following MCA occlusion.

Methods: The model incorporates flow regulation mechanisms based on changes in pressure, shear stress, and metabolic demand.

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Lymphedema is chronic limb swelling resulting from lymphatic dysfunction. There is no cure for the disease. Clinically, a preventive surgical approach called immediate lymphatic reconstruction (ILR) has gained traction.

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  • Macrophages can change their behavior and roles based on their environment, and CSO has been shown to have an anti-inflammatory effect, aiding in wound healing beyond just cleaning the wound.
  • This study investigated how CS-API, a component of CSO, affects macrophage types and their gene expressions, revealing specific macrophage subsets with roles in supporting the extracellular matrix (ECM) after treatment.
  • The research highlights the potential of CSO to enhance the transformation of wound macrophages into fibroblast-like cells, which is particularly important for improving healing in chronic wounds, especially in patients with diabetes.
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Human death is a complex, time-governed phenomenon that leads to the irreversible cessation of all bodily functions. Recent molecular and genetic studies have revealed remarkable experimental evidence of genetically programmed cellular death characterized by several physiological processes; however, the basic physiological function that occurs during the immediate postmortem period remains inadequately described. There is a paucity of knowledge connecting necrotic pathologies occurring in human organ tissues to complete functional loss of the human organism.

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Exosomes, a class of extracellular vesicles of endocytic origin, play a critical role in paracrine signaling for successful cell-cell crosstalk . However, limitations in our current understanding of these circulating nanoparticles hinder efficient isolation, characterization, and downstream functional analysis of cell-specific exosomes. In this work, we sought to develop a method to isolate and characterize keratinocyte-originated exosomes () from human chronic wound fluid.

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Tissue nanotransfection (TNT), a cutting-edge technique of in vivo gene therapy, has gained substantial attention in various applications ranging from in vivo tissue reprogramming in regenerative medicine, and wound healing to cancer treatment. This technique harnesses the advancements in the semiconductor processes, facilitating the integration of conventional transdermal gene delivery methods-nanoelectroporation and microneedle technologies. TNT silicon chips have demonstrated considerable promise in reprogramming fibroblast cells of skin in vivo into vascular or neural cells in preclinical studies to assist in the recovery of injured limbs and damaged brain tissue.

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This study investigates a mechanistic link of bacterial biofilm-mediated host-pathogen interaction leading to immunological complications associated with breast implant illness (BII). Over 10 million women worldwide have breast implants. In recent years, women have described a constellation of immunological symptoms believed to be related to their breast implants.

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Introduction: Between 5% and 20% of all combat-related casualties are attributed to burn wounds. A decrease in the mortality rate of burns by about 36% can be achieved with early treatment, but this is contingent upon accurate characterization of the burn. Precise burn injury classification is recognized as a crucial aspect of the medical artificial intelligence (AI) field.

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Sweating and heat buildup at the skin-liner interface is a major challenge for persons with limb loss. Liners made of heat-non-conducting materials may cause sweating of the residual limb and may result in liners slipping off the skin surface especially on a warm day or during high activity, causing skin breakdown and affecting limb health. To address this, we evaluated the efficacy of the vented liner-socket system (VS, Össur) compared to Seal-In silicone liner and non-vented socket (nVS, Össur) in reducing relative humidity (RH) during increased sweat.

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Chronic wounds affect 10.5 million (up 2.3 million from the 2014 update) of U.

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Fetal skin achieves scarless wound repair. Dermal fibroblasts play a central role in extracellular matrix deposition and scarring outcomes. Both fetal and gingival wound repair share minimal scarring outcomes.

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Hydrolyzed collagen-based matrices are widely used as wound care dressings. Information on the mechanism of action of such dressings is scanty. The objective of this study was to test the effect of a specific hydrolyzed collagen powder (HCP), which is extensively used for wound care management in the United States.

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