Publications by authors named "Cortney E Heim"

Article Synopsis
  • Neurosurgeries complicated by infection lead to longer treatment times and serious health issues, especially in craniotomies, but the specific cellular and molecular factors involved are unclear.
  • A study of over 2,500 craniotomy cases shows variations in patient backgrounds, types of infections, and surgical details linked to infections.
  • Analysis reveals that a type of immune cell called granulocytic myeloid-derived suppressor cells dominates the infection response, and metabolic changes in these cells may indicate potential targets for new therapies against craniotomy infections in light of rising drug resistance.
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Staphylococcus aureus is a leading cause of biofilm-associated prosthetic joint infection (PJI). A primary contributor to infection chronicity is an expansion of granulocytic myeloid-derived suppressor cells (G-MDSCs), which are critical for orchestrating the antiinflammatory biofilm milieu. Single-cell sequencing and bioinformatic metabolic algorithms were used to explore the link between G-MDSC metabolism and S.

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Myeloid-derived suppressor cells (MDSCs) are pathologically activated immature myeloid cells with immunosuppressive activity that expand during chronic inflammation, such as cancer and prosthetic joint infection (PJI). Myeloid-derived suppressor cells can be broadly separated into 2 populations based on surface marker expression and function: monocytic myeloid-derived suppressor cells (M-MDSCs) and granulocytic myeloid-derived suppressor cells (G-MDSCs). Granulocytic myeloid-derived suppressor cells are the most abundant leukocyte infiltrate during PJI; however, how this population is maintained in vivo and cellular heterogeneity is currently unknown.

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Most coagulase-negative staphylococcal species, including the opportunistic pathogen Staphylococcus epidermidis, struggle to maintain redox homeostasis and grow under nitrosative stress. Under these conditions, growth can only resume once nitric oxide (NO) is detoxified by the flavohemoglobin Hmp. Paradoxically, S.

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Background: Treatment of brain tumors, epilepsy, or hemodynamic abnormalities requires a craniotomy to access the brain. Nearly 1 million craniotomies are performed in the US annually, which increase to ~ 14 million worldwide and despite prophylaxis, infectious complications after craniotomy range from 1 to 3%. Approximately half are caused by Staphylococcus aureus (S.

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Craniotomies are performed to treat a variety of intracranial pathology. Surgical site infection remains a complication of craniotomy despite the use of prophylactic antibiotics and universal sterile precautions. Infections occur in 1-3% of procedures, with approximately half caused by Staphylococcus aureus that forms a biofilm on the bone flap and is recalcitrant to systemic antibiotic therapy.

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Biofilms are bacterial communities characterized by antibiotic tolerance. Staphylococcus aureus is a leading cause of biofilm infections on medical devices, including prosthetic joints, which represent a significant health care burden. The major leukocyte infiltrate associated with S.

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Neurosurgery for brain tumor resection or epilepsy treatment requires a craniotomy to gain access to the brain. Despite prophylactic measures, infectious complications occur at a frequency of 1-3%, with approximately half caused by () that forms a biofilm on the bone flap and is recalcitrant to antibiotics. Using single-cell RNA sequencing in a mouse model of craniotomy infection, this study revealed the complex transcriptional heterogeneity of resident microglia and infiltrating monocytes in the brain, in addition to transcriptionally diverse granulocyte subsets in the s.

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Herein we report the synthesis, SAR, and biological evaluation of a series of 1-pyrrolo[2,3-]pyridine-2-carboxamide derivatives as selective and potent PDE4B inhibitors. Compound is a PDE4B preferring inhibitor and exhibited acceptable ADME and significantly inhibited TNF-α release from macrophages exposed to pro-inflammatory stimuli (i.e.

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is a major cause of prosthetic joint infection (PJI), which is characterized by biofilm formation. biofilm skews the host immune response toward an anti-inflammatory profile by the increased recruitment of myeloid-derived suppressor cells (MDSCs) that attenuate macrophage proinflammatory activity, leading to chronic infection. A screen of the Nebraska Transposon Mutant Library identified several hits in the ATP synthase operon that elicited a heightened inflammatory response in macrophages and MDSCs, including , which encodes the alpha subunit of ATP synthase.

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Staphylococcus aureus is a leading cause of biofilm-associated prosthetic joint infection (PJI), resulting in considerable disability and prolonged treatment. It is known that host leukocyte IL-10 production is required for S. aureus biofilm persistence in PJI.

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Little information is available on the functional activity of leukocytes after arthroplasty or the expansion of populations with immune suppressive properties during the acute post-operative period. Synovial fluid and matched pre- and post-surgical blood samples were collected from total hip and knee arthroplasty patients (THA and TKA, respectively) to examine the impact of surgery on peripheral blood leukocyte frequency, bactericidal activity, and inflammatory mediator expression. For spinal surgeries, inflammatory mediator production by peripheral blood mononuclear cells (PBMCs) pre- and post-surgery was examined.

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Background: A craniotomy is required to access the brain for tumor resection or epilepsy treatment, and despite precautionary measures, infectious complications occur at a frequency of 1-3%. Approximately half of craniotomy infections are caused by Staphylococcus aureus (S. aureus) that forms a biofilm on the bone flap, which is recalcitrant to antibiotics.

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Biofilm-associated prosthetic joint infections (PJIs) cause significant morbidity due to their recalcitrance to immune-mediated clearance and antibiotics, with Staphylococcus aureus (S. aureus) among the most prevalent pathogens. We previously demonstrated that S.

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Bone metastatic prostate cancer (BM-PCa) significantly reduces overall patient survival and is currently incurable. Current standard immunotherapy showed promising results for PCa patients with metastatic, but less advanced, disease (i.e.

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Myeloid-derived suppressor cells (MDSCs) are a heterogeneous population of immature monocytes and granulocytes. While neutrophils (polymorphonuclear leukocytes [PMNs]) are classically identified as highly differentiated cells specialized for antimicrobial defense, our laboratory has reported minor contributions of PMNs to the immune response during biofilm infection. However, these two cell types can be difficult to differentiate because of shared surface marker expression.

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Article Synopsis
  • Biofilm infections, caused by device-associated bacteria, pose serious health risks due to their chronic nature and resistance to antibiotics, with myeloid-derived suppressor cells (MDSCs) playing a significant role in this process.
  • Research found that myeloid Arg-1 expression did not significantly affect bacterial loads or immune responses in biofilm infections, although iNOS expression was notably higher in Arg-1 knockout mice, suggesting other compensatory mechanisms may be at work.
  • Myeloid Arg-1 was shown to be important in controlling planktonic infections, as seen in separate tests where knockout mice had increased bacterial burdens in abscess models, highlighting how the impact of Arg-1 varies based on the infection context.
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Article Synopsis
  • Prosthetic joint infections (PJI) are serious complications after joint surgery, often involving biofilms that hinder immune responses; this study examined immune cell behavior in PJI versus non-infected tissues.* -
  • Researchers found that granulocytic myeloid-derived suppressor cells (G-MDSCs) were more prevalent in PJI tissues, which may suppress T cell activity, contributing to the persistence of the infection.* -
  • Understanding the immune characteristics of PJI could lead to new treatment strategies that combine traditional antibiotics with methods targeting the immune response for better infection clearance.*
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Host factors in the intestine help select for bacteria that promote health. Certain commensals can utilize mucins as an energy source, thus promoting their colonization. However, health conditions such as inflammatory bowel disease (IBD) are associated with a reduced mucus layer, potentially leading to dysbiosis associated with this disease.

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Staphylococcus aureus is known to establish biofilms on medical devices. We recently demonstrated that Ly6G(high)Ly6C(+) myeloid-derived suppressor cells are critical for allowing S. aureus biofilms to subvert immune-mediated clearance; however, the mechanisms whereby myeloid-derived suppressor cells promote biofilm persistence remain unknown.

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Article Synopsis
  • Staphylococcus aureus is a major cause of prosthetic joint infections (PJIs) due to its ability to form biofilms, and myeloid-derived suppressor cells (MDSCs) play a crucial role in the persistence of these biofilms.
  • This study found elevated levels of certain cytokines and chemokines in a mouse model of S. aureus PJI, leading to increased MDSC presence but decreased influx of other immune cells like monocytes and T cells.
  • IL-12 was identified as a key cytokine influencing MDSC recruitment, with knockout experiments showing that reduced MDSCs corresponded with better bacterial clearance and less disease severity, suggesting that IL-12 manipulation could impact biofilm
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Staphylococcus aureus is a significant cause of chronic biofilm infections on medical implants. We investigated the biofilm regulatory cascade and discovered that the repressor of toxins (Rot) is part of this pathway. A USA300 community-associated methicillin-resistant S.

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Article Synopsis
  • - A new family of antimicrobial peptides was developed through screening peptide libraries and designing structures, with one peptide identified (17BIPHE2) that effectively targets various harmful bacteria.
  • - The peptide shows strong activity against ESKAPE pathogens like Enterococcus faecium and Pseudomonas aeruginosa, and it works by disrupting bacterial membranes and interacting with DNA.
  • - In mouse models, 17BIPHE2 not only stopped the growth of staphylococcal biofilms but also enhanced the body's immune response to infections, indicating its potential for medical applications against resistant bacterial strains.
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Myeloid-derived suppressor cells (MDSCs) are a heterogeneous population of immature monocytes and granulocytes that are potent inhibitors of T cell activation. A role for MDSCs in bacterial infections has only recently emerged, and nothing is known about MDSC function in the context of Staphylococcus aureus infection. Because S.

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Staphylococcus aureus and Staphylococcus epidermidis are notable for their propensity to form biofilms on implanted medical devices. Staphylococcal biofilm infections are typified by their recalcitrance to antibiotics and ability to circumvent host immune-mediated clearance, resulting in the establishment of chronic infections that are often recurrent in nature. Indeed, the immunomodulatory lifestyle of biofilms seemingly shapes the host immune response to ensure biofilm engraftment and persistence in an immune competent host.

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